Women's Cancer, Helping Women, Oct 2016 by Healthy Cells Magazine Valley of the Sun

VALLEY OF THE SUN Phoenix east valley area Promoting Healthier Living in Your Community • Physical • Emotional

OCTOBER 2016

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M A G A Z I N E

• Nutritional

ONE CANCER PATIENT AT A TIME

Trick or Treat, Smell my Feet What Is a Mammogram and When Should I Get One? Five Ways to Save Money at the Dentist

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did you know?

The Many Uses and Benefits of Castor Oil

Evan van Driel, ND

By Evan van Driel, ND, True Resilience Integrative Medical Solutions

any people are aware that castor oil can be used as a strong laxative, or to induce labor when taken orally. It can also be used externally with a lot of benefits. Because it has so many beneficial properties, it is one of the things that every home should have in its medicine cabinet. Uses and benefits of castor oil • It has anti-inflammatory properties — massaged into joints (osteoarthritis or rheumatoid arthritis), sore muscles, or after a workout, castor oil can do a lot of good. • It promotes the flow of lymph — one of the best ways to do this is to massage it into the pectoralis minor muscle. The right side drains the head and right arm, and the left side drains the rest of the body. This can improve the immune system and help with allergies, chronic infections, and other immune problems. • It can soften scar tissue, thickened skin, and cysts — after scar tissue is formed, whether from an injury or a surgery, it can cause adhesions that prevent full range of motion, disruption of acupuncture meridians, or even changes in gut motility. • It promotes deep and restful sleep — you can use a castor oil pack to do this, in the traditional Edgar Cayce style, or you can use the quick method. Massage castor oil into the abdomen for a couple of minutes, throw on an old shirt that you don’t mind getting oily, and then go to bed. • It can promote bowel regularity — not just when taken internally, but also when used as described above. • S kin Issues — the main constituent in castor oil is antimicrobial, so it can be used on cuts, scrapes, burns, acne, warts, bites, athlete’s foot, and even poison ivy! It is doubly effective since it regulates inflammation and promotes healing of the tissues. It can also be used to help reduce the appearance of stretch marks.

Since castor oil does promote lymph and blood flow, it is contraindicated in cases where there is bleeding. Also, it has been used to induce labor so don’t take it internally during pregnancy. The human body is amazing with great adaptive capacity and gives us clear signs and symptoms when it is not functioning optimally. We are fortunate to have such a system built in that gives us feedback about what is working in our lives and what isn’t. As a naturopathic physician, my job is to collect these signs and symptoms and put them together to form a picture of what is causing an illness or disease. For information about natural remedies or to schedule a free consultation, call 602-753-6373. See our schedule of upcoming events at trueresilienceims.com. Our office is located at 1257 W. Warner Road, Suite B4, Chandler, AZ, 85224.

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OCTOBER

2016 Volume 4, Issue 10

Did You Know? The Many Uses and Benefits of Castor Oil

Smart Spending: Five Ways to Save Money at the Dentist

Physical: Understanding Lung Problems — Make Each Breath Healthy

Nutritional: Pumpkin Minus Spice — More Than Just a Flavoring

This Month’s Cover Story:

Changing Lives One Cancer Patient at a Time page 16

Emotional: What Are Digital Assets?

Women’s Health: What Is a Mammogram and When Should I Get One?

Immediate Treatment: Whiplash and Injury to the Cervical Spine

Nothing to Joke About: Trick or Treat, Smell My Feet

Leg Pain: All About Shin Splints

Peace of Mind: Funeral and Memorial Services

Premier Skin Care: How Laser Treatments Improve Your Skin

Medicare and Open Enrollment: Choosing the Right Plan

Change Bad Habits: Are Your Habits Friend or Foe?

It Is Serious! What is Sepsis?

Mission: The objective of Healthy Cells Magazine® is to promote a stronger health-conscious community by means of offering education and support through the cooperative efforts among esteemed health and fitness professionals in the East Valley.

Medical Equipment: One Size Dos Not Fit All

Healthy Cells Magazine® is intended to heighten awareness of health and fitness information and does not suggest diagnosis or treatment. This information is not a substitute for medical attention. See your health care professional for medical advice and treatment. The opinions, statements, and claims expressed by the columnists, advertisers, and contributors to Healthy Cells Magazine® are not necessarily those of the editors or publisher.

Sleep Disorder: Sleep Apnea = Oxygen Deprivation = Increased Cancer Risk

Healthy Cells Magazine® is available FREE in high traffic locations throughout the East Valley, including medical facilities and other waiting rooms. Healthy Cells Magazine® welcomes contributions pertaining to healthier living in the East Valley area. Limelight Communications, Inc. assumes no responsibility for their publication or return. Solicitations for articles shall pertain to physical, emotional, and nutritional health only.

For advertising information, contact Monica Tegg, owner, Valley of the Sun Edition Cell: 480-204-3090 • Fax: 309-691-2187 PO Box 6233, Chandler, AZ 85246 monica@healthycellsmagazine.com www.healthycellsmagazine.com/phx

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smart spending

Five Ways to Save Money at the Dentist

Chase Davis, DDS

By Chase Davis, DDS, Chandler Dental

s I have grown up working in different careers, from retail clothing stores, to construction, to now dentistry, there has always been a common complaint: “It’s too expensive.” As frugal as I am, I have developed a few tips to help save money at your next dental visit. 1. B y far the best way to avoid the dental chair and save money at the dentist is to have great home care. If you brush and floss your teeth, you will not get cavities. To encourage this habit, we give all of our patients a nice soft-bristle toothbrush and toothpaste after their cleaning. Brushing two to three times per day and flossing once per day will save you tens of thousands of dollars throughout your lifetime. 2. D ecrease the sugar in your diet. Streptococcus Mutans and Lactobacillus are two of the bacteria in our mouths that cause tooth decay. If we decrease the sugary foods that this bacteria thrives on then we will eliminate cavities, and that would put us dentists out of business. A few common foods and drinks that promote cavities include soda, gum, milk, juice, Gatorade, candy, chips, crackers, cough drops, and others. The biggest thing to cut out is sipping on sodas or snacking too much throughout the day. You can have your sodas, vitamin or lemon water, teas, and coffee, but try to finish them during a meal. These sugary or acidic foods cause our teeth to weaken and, if we do not give them a chance to re-mineralize, then cavities will go crazy. 3. G o to a dentist you can trust. The best way to find a dentist is by word of mouth or doing some homework and looking at online reviews. I know many dentists that offer “deals” to get patients coming in for a reduced cleaning ($49 or lower), so they can diagnose and treat problems that may or may not exist. The average hygienist in Arizona and the western states makes between $40 to $50 per hour. To offer a cleaning or service where the owner of the dental office loses money does not make sense unless they make their dentists find many problems with your teeth that may not exist. Dental cleanings are typically free

with insurance. An average cleaning and exam would cost a lot less if you compare using severely discounted cleaning versus finding a trustworthy dentist through referrals or reviews. Seek a second opinion if your gut tells you something is off. 4. G et fluoride in your diet. If you are at high risk for cavities, you need fluoride to help protect your teeth. There are a few ways to get fluoride in your diet and they include regular toothpaste (although a small amount still better than none), purchasing bottled water with fluoride added, fluoride varnish (only available by your dentist after your cleaning), and prescription fluoride toothpaste. 5. Ask for a cash discount and pay all up-front. Most dentists will give discounts for paying in cash or if you pay all up-front versus developing a payment plan. As you can see, many of the tips deal with taking care of our teeth at home. One of the best tips is to get dental work done while the problem is small. Dentistry only gets more painful and more costly the longer you wait. We would love to see you in our office, so call today at 480-917-8400, or visit www.chandlerdental.com. October 2016 — East Valley — Healthy Cells Magazine — Page 5

physical

Understanding Lung Problems

Make Each Breath Healthy

Amy Holt

Submitted by Amy Holt, Generations Senior Living

ctober is National Healthy Lung Month. Every day you breathe in and out nearly 20,000 times. That’s a lot of work for your lungs. Over time, your likelihood of having a serious lung problem increases, especially if you smoke. Lung problems that are more common among older people include chronic obstructive pulmonary disease, pneumonia, and lung cancer. Chronic Obstructive Pulmonary Disease (COPD) COPD is a disease that makes it hard to breathe. There are two main types of COPD: emphysema and chronic bronchitis. Symptoms Shortness of breath is one of the most common symptoms of COPD. People who have COPD may feel like their chest is so tight that they cannot breathe. They may cough a lot. The coughing may or may not produce sticky, slimy mucus. COPD can also cause wheezing. If you have shortness of breath, wheezing, or other problems breathing, your doctor will be able to tell if you have COPD, asthma, or another condition. Causes COPD is often caused by smoking. Breathing secondhand smoke, air pollution, chemical fumes, or a lot of dust over time can also cause COPD. Some people may have a genetic condition that increases their chance of getting COPD. Tests If you have symptoms of COPD, see your doctor right away. Your doctor may test your lungs and how well you breathe, look at your lungs, or do other exams. Your doctor might also send you to a pulmonologist, a doctor who specializes in lung problems. Treatment There is no cure for COPD, however there are things people with COPD can do to feel better. Most important, do not smoke. Smoking is the leading cause of COPD. If you stop smoking, you may breathe more easily and could add years to your life. It’s never too late to quit smoking!

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If you have COPD, your doctor might prescribe an inhaler. Also, you can learn breathing techniques and other tricks to help you stay active. If your COPD gets worse, you might need to receive extra oxygen. In rare cases, surgery may help. People with COPD can protect themselves by getting shots to prevent the flu and pneumonia. Pneumonia Pneumonia is an infection of one or both of your lungs. Symptoms People who have pneumonia may have a fever, chills, trouble breathing, and a cough with mucus. They may feel sick to their stomach. Pneumonia can make people feel very tired, even after other symptoms go away. Pneumonia can be mild or severe. For some older people, pneumonia can be a serious problem. Causes Pneumonia is caused by germs like bacteria, viruses, and fungi. It is most common in the winter months. Your chance of getting pneumonia goes up if you smoke or drink a lot of alcohol. Tests Your doctor may be able to tell if you have pneumonia by doing a physical exam, taking an x-ray of your chest, or collecting a blood sample. Treatment If you have a mild case of pneumonia, your doctor will likely prescribe pills to fight the germs causing the infection. Sometimes pneumonia must be treated in the hospital. Along with medication, you may receive oxygen and other treatments to help you breathe. Prevention Pneumonia can be very serious and even life-threatening. Talk to your doctor about shots for the flu and pneumonia.

• Wash your hands with soap and water. • C over your nose and mouth when you sneeze or cough; throw out tissues and wash your hands right away. • K eep yourself healthy by getting plenty of rest, making healthy food choices, and being active. • Don’t smoke. Lung Cancer Lung cancer is the leading cause of cancer death in the United States.

Treatment Your treatment is based on the type of lung cancer you have and whether it has spread to other parts of the body. It also depends on your general health. Sometimes surgery can remove most or all of the cancer. If the cancer has spread to other parts of the body, other treatments using anti-cancer drugs, radiation, or lasers may be best for killing cancer cells and shrinking tumors. The best way to lower your chance of having lung cancer is to quit or never start smoking. Make each breath a healthy one. If you smoke, learn about ways to quit. If you have trouble breathing, see your doctor right away.

Symptoms • A cough that does not go away and gets worse over time • Constant chest pain • Coughing up blood • Problems with breathing, wheezing, or hoarseness • Repeated problems with pneumonia • Swelling of the neck and face • Loss of appetite or weight loss Do not wait until you feel pain. See your doctor right away. Studies show that starting treatment for lung cancer early leads to better results. Tests It takes several steps by your doctor to diagnose lung cancer. To confirm whether you have lung cancer, your doctor must look at a small sample of fluid or tissue taken from your lungs, called a biopsy.

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nutritional

Pumpkins Minus Spice More Than Just a Flavoring By Benjamin Goodin

f you’ve ever watched your jack-o’-lanterns slowly deflate into a soupy mess on your front stoop, you’ve probably wondered what use they could be put to in the time between them being used as a one-night decoration and when most of them disappear into holiday pastries. Other than looking festive on hay bales outside your local grocer, pumpkins tend to go seriously overlooked given their dietary benefits and flexibility. Pumpkins, technically squashes, were a staple in the diet of many Native Americans; they are one of the “Three Sisters” crops of traditional native agriculture. The other two sisters were beans and corn, and were co-cultivated in a manner where each crop supported the growth and

health of the others, and you thought modern environmentalism invented “sustainable agriculture.” Other than being resilient and plentiful, there were a great number of reasons that some native peoples relied on pumpkin and other squashes as a mainstay of their diet. Gourds, and pumpkins specifically, are a dietary powerhouse. Just one cup of pumpkin flesh is packed with more potassium than a banana, about 20 percent of your daily intake of vitamin C, and 4.9 mg of Omega-3 and 6 fatty acids. That same cup only has about 50 calories, 2.5 sugars, 12 carbs, and 11 percent of your daily fiber intake. On top of that, pumpkin contains no cholesterol, fats, or starch. Pumpkins are also one of the vegetables with the highest vitamin A (beta-carotene)

Pumpkin Crisps 3. Add skins to a large bowl, sprinkle liberally with Kosher salt and toss well. Let sit for 10 minutes before baking to allow the salt to draw out some of the moisture in the raw pumpkin crisps. 4. Add a small amount of extra virgin olive oil. (optional — add a drop of sesame oil) and toss well. Better to add less oil than more. You want the pieces barely coated. 5. Bake for 25-30 minutes on the top rack (one rack below broiler level). 6. Serve alone, alongside soup or with your favorite dip, e.g., lemon juice, olive oil, and crushed garlic.

1. Preheat oven to 400° F 2. Skin the squash. Carefully cut the skin off the pumpkin into long, thin slices — as thin as you can manage.

Page 8 — Healthy Cells Magazine — East Valley — October 2016

Recipe courtesy of Cindy Rajhel, curator of the Home Grown Fun website (homegrownfun.com). Full electronic text of the recipe, and a few other clever uses for pumpkin can be found at homegrownfun.com/ how-to-make-pumpkin-crisps-fries-roasted-seeds-and-smores/. Photo credit: istetiana/AdobeStock

content; that same single-cup serving packs a whopping 245 percent of the daily value of beta-carotene, which is something of a cure-all when it comes to common medical conditions. Vitamin A promotes healthy vision and blood pressure, helps to manage hunger, and lowers the risk of colon and prostate cancers. Most of us are well aware of pumpkin’s use as a popular fall pie filling, in soups, and fall-themed coffeehouse baked goods. However, the gourd has been rediscovered and repurposed in our new age of healthy eating — contemporary cooks have been creating a wide breadth of pumpkin-infused dishes. Chunked pumpkin flesh is a great seasonal addition in many stews, sautéed vegetable dishes, and a number of baked pastas. Pumpkin puree can be used in all sorts of fluffy, savory baked goods, but it is also seeing use as a low-cholesterol butter and oil substitute (use ¾ of a cup of pumpkin puree for each cup of butter and use the exact amount when substituting for oil). I’ve even seen it used as hummus. Pumpkin is also great for your pooches; mine devour it unblinkingly. If you are looking to try out pumpkin for variety or health and don’t want to break out the food processor, make sure that you pick up canned pumpkin puree; canned pumpkin pie filling contains added oils and syrups in addition to the pulped flesh.

Pumpkin seeds, or pepitas (from the Latin name for its genus, cucurbita pepo) have seen renewed interest recently. They carry most of the same benefits as pumpkin flesh, but in a much smaller package. You can find bags of roasted, raw, salted, and unsalted varieties in health food stores, baking aisles, and in the bulk bins of grocery stores. Although the roasted and salted variety is by far the most popular use of the seeds, they are starting to appear in trail mixes and breakfast cereals, as well being used as a gluten-free flour after grinding (which I am given to understand is amazing in chocolate-based baked goods). So, it seems that pumpkins are not only healthy and delicious, but they are incredibly useful and cheap, unless you ordered that five-dollar latte. If you’ve been following me so far, I’ve mentioned how you can make use for everything but the skins and the stem of the plant. I’m a utilitarian, so I got interested if there were uses for the remaining anatomy of the ribbed gourd; there are! Pumpkin skin may seem better suited for mimicking the properties of a basketball, but apparently, it makes some dang delicious chips (the recipe for which is on the next page). The vine stem however, has yet to find a use. Photo credit: Denise Torres/AdobeStock

Home Grown Fun would like to offer Healthy Cells Magazine readers the opportunity to keep their gardens healthy as well as their diets. Until December 18th, you can enjoy 50% off your entire purchase made on homegrownfun.com by entering the coupon code “HEALTHYCELLS” before checkout!

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emotional

What Are Digital Assets? By Rilus M. Dana, JD, Dana and Associates

echnology is changing all aspects of our lives. We are leaving behind a paperless trail of “electronic records” instead of physical records. Do you get paper bank statements, or are they sent electronically by email? Do you pay any bills online? Do you shoot photos on film and save physical albums, or are most of your photos taken with your camera phone and stored on your phone, computer, or in a cloud storage program like Dropbox or iCloud? Do you send paper letters and notes to friends, or do you use email and interact on social media sites like Facebook, Instagram, or Twitter? Have you ever wondered what happens to all of your digital life? This digital trail that you are leaving behind has created a new issue of how to pass on property that you own when the only records of it are digital. The person who holds digital assets is called a “custodian,” and the contract that controls them is called the “Terms-of-Service Agreement.” This is that long contract that you agree to when you accept the Terms of Service. Recently, Apple was ordered to unlock an iPhone that was used in a terrorist attack, Apple refused as they saw it as an overreaching request that endangered the privacy and security of its users. The “custodian” has a duty to keep user information private, but how do we plan for these digital assets? Are there situations when this digital information should be shared? The Revised Uniform Fiduciary Access to Digital Assets Act became effective on August 8, 2016 (FADAA). The Act seeks to fill the gap between the fiduciaries who need to collect assets and the Page 10 — Healthy Cells Magazine — East Valley — October 2016

Rilus M. Dana, JD

custodian needing to maintain privacy, and allows for transfer of digital assets in the same manner that other assets and property are dealt with. If you get any bank statements online or pay any bills online, this affects you. Key points from FADAA • FADAA sets a three-tier system to prioritize who controls the assets after you pass away. 1. An “online tool” has the highest priority, this is when a custodian has a built in plan to transfer the account. Facebook has an online tool, and they refer to it as legacy settings. It allows you to name a person that you want to control your Facebook account and choose what you want to happen. If you use Facebook, you will find it under settings. According to FADAA, your legacy settings will override what your will or estate plan says if there is a contradiction. 2. D igital Assets can be planned for in Powers of Attorneys, Last Will and Testaments, Trusts, and signed writings. If a user doesn’t use an online tool or one is not available, then the estate planning documents have the next priority. However, the “Terms of Service Agreement may limit and control what happens to the account. iTunes, for example, only allows your purchases for your lifetime only, leaving nothing to transfer. Yahoo’s email policy user agreement ends upon your death, at which point, your account will be deleted.

3. A Terms of Service Agreement takes control if there is not an online tool, and access has not been addressed in estateplanning documents. • A custodian may give full access to fiduciary, partial access, or provide a copy of digital assets. Privacy Considerations What information do you want the people who are settling your estate to have access to? Do you want your fiduciary to have access to all of your emails, all of your Facebook messages, and all of your pictures? Be careful in making general assignments of all of your digital assets to your fiduciary. Besides your personal privacy considerations, if the custodian thinks that the request is overreaching, they have the power to require a court to determine that the request is reasonably necessary. If you are requesting that some of the content of your digital assets be transferred, then the custodian will need specific instructions. Also, if the specific instructions oppose the Terms of Service Agreement then they will not be followed. What doesthis mean for you? • Update estate plan — If you have any online bank accounts or pay any bills online, your estate plan should be updated. We want to give the people managing your plan (agent, personal representative and/or trustee) the power to request a list of all of your digital assets. We want to know about bank accounts, and if the account was owned by an individual or a trust, and if the account had a beneficiary.

•C reate inventory — As part of amending your estate plan, you will need to create an inventory of your digital assets. You want your fiduciaries to be able to know what they are going to manage. • P lanning for digital transfer — If you wish to pass on digital assets, we can help you with a specific Digital Assets Trust. During this process, we will review your digital assets and how we want to transfer them. Taking careful consideration as to making requests that are easy for the custodian to follow so that they don’t require court involvement. Opportunity There is an opportunity to direct what happens to your digital assets. As mentioned above, a lot of discretion comes down to the custodian, but with specific instructions and requests that are clear, the custodian will be likely to follow them. While it will take some time to iron out all the specifics of the new act, we are excited about the progress that this means for the law and your personal legacy. Call today for a free consultation with Dana and Associates. Our attorneys can help you review or create a plan, giving you peace of mind knowing your family will be taken care of. Each estate plan we create is tailored to your unique situation. Call 480-924-4424, or visit our website at www.dana.legal. We have offices in Mesa, Chandler, Scottsdale, and Payson.

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women’s health

What Is a Mammogram and When Should I Get One?

David N. Kells, MD

Submitted by David N. Kells, MD, iWomen’s Health Care

mammogram is an X-ray picture of the breast. Doctors use a mammogram to look for early signs of breast cancer. Regular mammograms are the best tests doctors have to find breast cancer early, sometimes up to three years before it can be felt. How is a mammogram done? You will stand in front of a special X-ray machine. A technologist will place your breast on a clear plastic plate. Another plate will firmly press your breast from above. The plates will flatten the breast, holding it still while the X-ray is being taken. You will feel some pressure. The steps are repeated to make a side view of the breast. The other breast will be X-rayed in the same way. You will then wait while the technologist checks the four X-rays to make sure the pictures do not need to be re-done. Keep in mind that the technologist cannot tell you the results of your mammogram. Each woman’s mammogram may look a little different because all breasts are a little different. What does having a mammogram feel like? Having a mammogram is uncomfortable for most women. Some women find it painful. A mammogram takes only a few moments, though, and the discomfort is over soon. What you feel depends on the skill of the technologist, the size of your breasts, and how much they need to be pressed. Your breasts may be more sensitive if you are about to get or currently have your period. A doctor with special training, called a radiologist, will read the mammogram. He or she will look at the X-ray for early signs of breast cancer or other problems. Tips for getting a mammogram: • Try not to have your mammogram the week before you get your period or during your period. Your breasts may be tender or swollen then. • O n the day of your mammogram, don’t wear deodorant, perfume, or powder. These products can show up as white spots on the X-ray. • Some women prefer to wear a top with a skirt or pants, instead of a dress. You will need to undress from your waist up for the mammogram. When will I get the results of my mammogram? You will usually get the results within a few weeks, although it depends on the facility. A radiologist reads your mammogram and then reports the results to you or your doctor. If there is a concern, you will hear from the mammography facility earlier. Contact your health care provider or the mammography facility if you do not receive a report of your results within 30 days. What happens if my mammogram is normal? Continue to get mammograms according to recommended time intervals. Mammograms work best when they can be compared Page 12 — Healthy Cells Magazine — East Valley — October 2016

with previous ones. This allows the radiologist to compare them to look for changes in your breasts. Each woman’s mammogram may look a little different because all breasts are a little different. What happens if my mammogram is abnormal? An abnormal mammogram does not always mean that there is cancer, but you will need to have additional mammograms, tests, or exams before the doctor can tell for sure. You may also be referred to a breast specialist or a surgeon. It does not necessarily mean you have cancer or need surgery. These doctors are experts in diagnosing breast problems. Doctors will do follow-up tests to diagnose breast cancer or to find that there is no cancer. Where can I get a mammogram and who can I talk to if I have questions? • If you have a regular doctor, talk to him or her • F or Medicare information, you can call 1-800 MEDICARE (1-800-633-4227) CDC’s National Breast and Cervical Cancer Early Detection Program works with health departments and other groups to provide low-cost or free mammograms to women who qualify. Visit cdc.gov/cancer/nbccedp/ iWomen’s Health Care is a boutique-style practice that believes in partnering with patients for care. “Your care, your comfort, our expertise!” For information or to schedule a consultation call 480-855-5900, email: info@iwomenshealthcare.com, or visit www.iwomenshealthcare.com. Se habla español.

immediate treatment

Whiplash

and Injury to the Cervical Spine

Rose Moeser, DC

By Rose Moeser, DC, Absolutely Chiropractic What is whiplash? Whiplash is a neck injury due to forceful, rapid back-and-forth movement of the neck, similar to the motion of a cracking whip. Whiplash most often occurs during a rear-end auto accident, but the injury can also result from a sports accident, physical abuse, or other acute trauma. How do I know if I have whiplash? If you have been involved in an auto accident or other acute traumatic accident you may experience the following symptoms: • Neck pain and stiffness • Worsening of pain with neck movement • Loss of range of motion in the neck • Headaches, most often starting at the base of the skull • Tenderness or pain in shoulder, upper back, or arms • Tingling or numbness in the arms • Fatigue • Dizziness Immediate treatment is recommended after an acute traumatic injury to ensure full and fast recovery. What can you expect upon your initial consultation? A chiropractor starts by performing a hands-on physical exam including: • History and review of systems assessment • Orthopedic assessment • Neurological assessment • A full spine and extra-spinal range of motion evaluation • May refer you for additional imaging studies and medical evaluations if necessary It is paramount to receive treatment directly after your accident to ensure a quick and full recovery. Absolutely Chiropractic accepts Medicare, group, and personal health insurance plans, medpay, and personal injury liens. We will work with your attorney and other healthcare providers involved in your case to provide you the care you deserve. We also have packages available at a great savings for our clients who are paying out of pocket for wellness care. If your injury was due to an automobile accident, you may qualify for treatment free of charge. Our office works with other healthcare providers under a lien to provide you fast and professional treatment with no upfront cost. We are personal-injury experts that provide full case management with no out-of-pocket cost to you. We are your healthcare advocates, let us take care of you and your loved ones every step of the way. Call 480-207-6489 for your complimentary consultation today!

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October 2016 — East Valley — Healthy Cells Magazine — Page 13

nothing to joke about

Trick or Treat, Smell My Feet! Submitted by Desert Food and Ankle, PC

ith October 31st quickly approaching, children across the country will soon be running door to door with a treat depository (aka goodie bag), chanting, “Trick or treat, smell my feet, give me something good to eat!” While this old rhyme is fun during the spook-tacular holiday season, smelly feet is nothing to joke about. Sweat is a big component of smelly feet. Our feet contain more sweat glands than any other part of the body—nearly 3,000 glands per square foot. One foot can produce more than a pint of sweat in a single day! Sweat is basically salt and water, so it is not the cause of the smell; the odor is caused by bacteria. Bacteria feed on dead skin cells, body oil, and sweat. The bacteria then produce organic acid, which is the odor we smell. Our hands contain about the same amount of sweat glands as our feet do... so why don’t our hands stink like our feet? The answer is: shoes and socks. Layers of clothing, which allow sweat to escape off the skin, do not surround our hands. Our feet, on the other hand (pun intended), are usually swathed within socks and/or shoes. The sweat cannot escape, and collects on the skin of our feet, creating a buffet of sweaty goodness for the bacteria to feast on. Our shoes and socks are also dark, moist, and damp—a bacteria playground! Smelly feet can also be caused by an inherited condition called hyperhidrosis, or excessive sweating. This condition is more common in males.

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www.chandleraccidentchiropractic.co Page 14 — Healthy Cells Magazine — East Valley — October 2016

Jason C. Harrill, DPM, FACFAOM

Stress, some medications, fluid intake, and hormonal changes also can increase the amount of perspiration your body produces. Smelly feet generally can be controlled with a few preventive measures: • Always wear socks with closed shoes. Do not go sockless. • Avoid wearing nylon socks or plastic shoes. Instead, wear shoes made of leather, canvas, mesh, or other materials that let your feet breathe. • Bathe your feet daily in lukewarm water, using a mild soap. Dry thoroughly. • Change your socks at least once a day. You may have to change more frequently in the summer or during activities that make you sweat more (gym class, work out, etc.). • Do not wear the same pair of shoes two days in a row. Alternate what you wear so that the shoes can dry out. Give your shoes at least 24 hours to air out between wear. • Wear thick, soft socks to help draw moisture away from the feet. If you are following these steps and practicing good foot hygiene but still have perspiration or sweating, there are many treatment options available. Different lotions, powders, and even spray-powders can prevent perspiration. Whenever you treat foot odor or sweat, it is important to also treat the shoes and socks. Spray an anti-fungal, anti-bacterial, and sanitizing deodorant into shoes everyday to kill the bacteria inside the shoe. Wear socks made of absorbent materials, such as cotton. Copper soled socks actually wick away sweat, decreasing foot odor. In severe cases, surgical options may need to be considered. Your physician would snip the nerve that controls sweating. Have a fun and safe Halloween, and I hope you receive more tricks than treats! For more information about foot, ankle and toe issues, contact Desert Foot and Ankle, PC, located at 1520 South Dobson Road, #307, in Mesa AZ 85202 and in Fountain Hills at 16838 E Palisades Blvd, Building A, Suite 10. Give us a call at 480-844-8218 or visit out website at www.desertfootandankle.com. Author: Sam Fowler, PMAC, at Heartland Foot and Ankle Associates, www.heartlandfootandankle.com. Photo credit: chang/iStock

leg pain

All About Shin Splints

Matt Overlin, PA-C,

By Matt Overlin, PA-C, FastMed Urgent Care

he formal name for pain along the shinbone in your lower leg is medial tibial stress syndrome — in other words, shin splints. This painful condition has sidelined many an athlete, and if you’re a runner, dancer, or someone else who asks quite a lot of your legs, it’s probably happened to you. So, what causes shin splints? More to the point — how do you fix the problem? How do you know you have shin splints? Do your lower legs hurt on impact? If the pain can’t be explained by fractures, ripped tendons or muscles, bruising, or major injury, then shin splints might be the culprit. Symptoms of shin splints include tenderness, soreness, or pain along the inner part of the lower leg. Swelling in this area can also occur. Though shin splints usually occur in both legs at the same time, the dominant foot will typically be in more pain. Shin splints happen most often to people involved in sports that cause percussive impact to the feet and legs. The condition isn’t reserved for people training for a marathon, though; shin splints occur in kids and teens who play sports and in adults who simply use their legs all the time. However, while shin splints are quite common (about 3 million cases in the United States alone each year), shin pain does not necessarily mean you have shin splints. Press your finger into a few different places along your lower leg to see if you can locate a direct point of pain. If you can, this may be a sign of a stress fracture, and you need to have it checked out by a doctor.

If you think you’re feeling symptoms of shin splints, visit your primary care provider or an urgent care. A medical provider can help you determine the cause of your pain, get you treated, and get you back out there in no time. Matt Overlin, PA-C is a sports medicine specialist and physician assistant at FastMed Urgent Care in Chandler, AZ. To learn more, visit FastMed.com/SportsMedicine.

INADEQUATE STRETCHING

What causes shin splints? The pain associated with shin splints is caused by micro-tears of the muscle away from the bone (Ouch!). It’s a cry for help from overworked muscles, tendons, and bone tissues. There’s no single cause. Instead, many risk factors are associated with their development. Here are a few: • O verpronation, also called “flat feet” (if the inner sides of your shoes are disproportionately worn, you may be an overpronator) • Inadequate stretching • Using worn out shoes (this is your excuse to go get a new pair of kicks!) • E xcessive stress placed on one leg from using on cambered roads — roads that curve upward from the edge to the center • Always running in the same direction on a track • A recent change to or intensification of your training routine How do I treat shin splints? • R est. Always listen to your body, and avoid activities that cause the pain or discomfort until it subsides • If you can’t stop training, ice the affected area for 15 minutes at a time before you get out there (wrap the ice or icepack in a towel to avoid direct contact with the skin! Too much cold on the surface of the skin can cause nerve damage) • Take an over-the-counter pain reliever, such as ibuprofen or acetaminophen • S tretch your calves and Achilles before and after every workout

OVERTRAINING ON UNEVEN GROUND

ALWAYS GOING IN THE SAME DIRECTION ON A TRACK

WORN-OUT SHOES

Rest and avoid activities that cause the pain or discomfort. Ice the affected

area for 15 minutes at a time.

Relieve pain with an over-the-counter medication. Stretch calves and Achilles tendons before and after every workout.

October 2016 — East Valley — Healthy Cells Magazine — Page 15

feature story

Changing Lives

One Cancer Patient at a Time By Kathryn Schuster, Inspiring Dynamic Women

Empowering our community with breast health education and prevention tips at our Hair Raising WIG OUT Gala — Don’t Be A Chump

ach October, we catch wind of National Breast Cancer Awareness month. I want to bring a bigger gust of wind your way on women’s cancer and the support that is available in our community. You never know who cancer is going to touch next; it could be your high school friend, a neighbor, your sister, mother, or you. From the early stages of prevention, to detection, treatment, all the way to remission, many of these women need help with day-to-day tasks. We will follow four of Arizona’s own organizations that have been helping cancer patients and their families with the little things that add up to make a big difference in their lives. Singleton Moms It might surprise you to know that there are over 17,000 single parents with cancer living in Arizona. That is more than the 13,365 high school teachers in the entire state. Raising a family today can be a challenging job, but imagine doing it as a single parent who’s battling cancer. Life doesn’t stop with a cancer diagnosis. The bills need to be paid, dinners still need to be made, the house still needs to be cleaned, and children still deserve a childhood, which is where Singleton Moms comes into play. Singleton Moms is a non-profit organization dedicated to providing hope and practical support to struggling single parents with cancer. Their unique programs focus on the day-to-day needs of the entire family such as financial assistance, homemade family meals, house cleanings, birthday bags for the children, grants for extra-curricular activities, household supplies, and a self-run support group. Over the past ten years, their programs have truly been a labor of love focused on determining what the greatest needs of single parents with Page 16 — Healthy Cells Magazine — East Valley — October 2016

cancer and their children are. They have worked hard to raise awareness and grow support so that they could successfully run all programs while increasing the number of families they provide services to. People can get involved by volunteering, hosting a Bare Necessities drive, going to kitchen events to help make nutritious homemade meals, assisting with house cleanings, becoming a care coordinator for the parents, by or giving their times and talents for the many fun events they host. Singleton Moms also accepts donations to the Singleton Pockets program that assists in paying the parent’s bills. There are two volunteer orientations a month for people to learn more about Singleton Moms and all the ways to get involved. Please sign up for orientation on their web page for Saturday, October 8th at 10am and Thursday, October 27th at 6pm or any other dates. No one is to be singled out, help a Singleton parent today. My Hope Bag My Hope Bag is a 501(c)3 non-profit organization providing bags of hope to those diagnosed with breast cancer. Its founder, Sarah Ellery, was diagnosed with breast cancer over six years ago. Her thought was “We need to have a bag of hope for women going through breast cancer.” For more than five years, My Hope Bag has devoted its energy to passionately supporting the breast cancer community. Although the contents of the bags may change from time to time, the hand-delivered bags of hope are extremely popular. One might see pocket calendars, back scratchers, handmade glitzy bracelets (for her bling moments), Burt’s Bees lotion, or even beautifully designed greeting cards with a stylish flower pen. Another helpful item is the Hope Bag Notebook, it

has a calendar/appointment scheduler in addition to some touching survivors’ stories as well as helpful resources. As an extra kindness, if Sarah and her team know that a gal is going through chemo, they will bring her a blanket to keep her warm and comfortable during her treatments. Their volunteers provide regular inperson and over-the-phone communication and emotional support that really helps to comfort a gal during her breast cancer journey. My Hope Bag is committed to making sure no one has to face cancer alone, and they are doing it one bag at a time. Teal It Up Foundation As the founder of the Teal It Up Foundation, Jan Coggins “tees up” daily to fight for ovarian cancer survivors, so they can have a stronger voice in the community. While she supports all women’s health issues, ovarian cancer is personal. She’s a six-year survivor! To put this disease in perspective, all of her friends whom she started treatment with back in 2010 have since passed on from the disease. Ovarian cancer is relentless! It’s the fifth leading cause of cancer deaths in women today. In addition to leading her own life and running her foundation, she is also involved with Survivors Teaching Students (STS), a program through the National Ovarian Cancer Alliance. Jan stands for developing a better education platform for ovarian cancer symptoms because there isn’t a simple screening test for ovarian cancer just yet. This is why Jan and her team started a foundation dedicated to raising money for vital ovarian cancer research. To date, they have donated over $100,000 to vetted research institutions to support their efforts in finding a cure for ovarian cancer. The Teal It Up Foundation strives to further educate the community about the signs and symptoms of ovarian cancer. Thanks to many donations, they have also assisted in paying for genetic testing for “at risk gynecological patients with no insurance.” Likewise, Comfort Bags are provided to newly diagnosed and reoccurring ovarian cancer patients in two gynecologic oncology offices here in the valley. An amazing pet therapy program is provided at HonorHealth Thompson Peak and two chemotherapy rooms on a weekly basis. Plans are set to expand on both programs as they get more volunteers and dogs involved. You will find more than 50 links on their web page that can provide the supporting resources one might need for you or a loved one fighting ovarian cancer. Remember, Teal is the color for Ovarian Cancer, so when you see it, support it.

It doesn’t matter how big or small, young or old you are, it’s the size of your heart that really matters. It only takes a small act to make a big difference, like the gift of a clean home. — Singleton Moms Don’t be a Chump! Check for a Lump! Holly Rose is a seven-year breast cancer survivor. She discovered breast cancer at the age of 39. She was still in the early stages when a friend posted a breast self-exam reminder on Facebook. During her treatment, she was showered with so many acts of kindness, and it was life changing. Following treatment and wanting to give back to her community for the kindness she received, she founded Don’t be a Chump! Check for a Lump!, which provides all women the chance at finding breast cancer in the early stages when it is most treatable. Their grass-roots foundation began with simple online reminders to women via social media. While out in the community, they quickly realized there was a general lack of awareness regarding the facts on breast cancer and prevention across the board. Often times, you can spot Holly and her team giving free presentations on breast health and the facts regarding

Breast cancer survivors assembling the bags of HOPE, they love to share and support other women during their breast cancer journeys. — My Hope Bag October 2016 — East Valley — Healthy Cells Magazine — Page 17

feature story

continued have poured their hearts and souls into helping so many female cancer patients and their families in need. Since January 1st of 2016, collectively these organizations have helped over 500 women and their families directly as well as educated over 50,000 individuals. A great deal of support also comes from the thousands of volunteers and donors who have given their time, money, and love by standing alongside someone that needs a helping hand. You too can get involved and help with the little things that make a big difference in someone’s life. Let’s make this October a month when we are not only aware of women’s cancer, but where we are actively supporting those in need, however we can.

Teal it Up Foundation offers Pet Therapy with AZ Oncology. — Teal it Up breast cancer. They share personal stories to motivate women to commit to breast health as well as valuable information on how to take steps to lowering one’s risk of breast cancer along with many other diseases. In addition to education, they operate the WIG OUT program to directly assist breast cancer patients undergoing chemotherapy treatment with free wigs. The Wig Out program is very different than most, the clients have the privilege of walking into a normal wig shop to select any wig of her choice. The foundation then pays the bill, which could be up to $250. To date, they have assisted over 700 women with a free wig: 267 of them in 2015 and 167 just this year. This organization is always looking for places to give their breast health presentations, constantly needing volunteers to assist with making inspirational cards for clients, and is happy to take any donations that will help sustain the Wig Out program. So, Don’t be a Chump, Check for that Lump! A huge round of applause for these amazing women that had a passion to make a difference by founding their own organizations. They truly

Singleton Moms

Kelli Gower, Outreach Coordinator 7579 E. Main St. Suite #700 Scottsdale, AZ 85251 kelli@singletonmoms.org 480-818-5285 www.singletonmoms.org

My Hope Bag

Sarah Ellery, Founder P.O. Box 2956 Gilbert, AZ 85299 sarah@myhopebag.org 480-204-1350 www.myhopebag.org

Page 18 — Healthy Cells Magazine — East Valley — October 2016

About the Author Born and raised in sunny Mesa Arizona, I have always flocked to other driven women whom I look up to and longed to build lifelong relationships with. Working in the healthcare industry, I had a passion and saw the need to start a group where individuals not only network to build their businesses but also meet up and make an impact on our community by volunteering. In early 2015 at the age of 26, I founded Inspiring Dynamic Women, a networking and community outreach group which has monthly meetings and exciting volunteer opportunities. Our mission is to enrich our community through volunteerism which promotes the empowerment of women who encourage one another through compassion, education, and business. We have members from all walks of life, such as stay-at-home moms, entrepreneurs, professional business women, and the list goes on and on. I’m honored to help get the word out on the many benefits one can receive by helping another human being. I encourage you to pick up the phone and contact any of these organizations to do your part in making your community a better place. After all, “A strong woman looks a challenge dead in the eye and gives it a wink!” Kathryn Schuster, founder of Inspiring Dynamic Women, can be reached at inspiringdynamicwomen@gmail.com or by phone: 480-567-2039.

Teal It Up Foundation Janice Coggins, Founder PMB 497, 20701 N Scottsdale RD STE. 107, Scottsdale, AZ 85255 jancoggins22@gmail.com 480-229-7347 www.tealitup.org

Don’t Be A Chump! Check for a Lump!

Holly Rose, Founder 13809 N. 19th Ave. Phoenix, Az. 85023 hollyrose@checkforalump.org 602-688-5232 www.checkforalump.org

peace of mind

Funeral and Memorial Services By Vasilios “Voss” Speros, Legacy Funeral Home

ll too often, families discount the value of ceremony after the death of a loved one, and we certainly don’t want you to make that mistake. Coming together after a loss is a very essential part of the grieving process.

because your need for such a healing experience is not lessened by the decision to be cremated. Again, the options are limited only by your imagination. We hope that you will contact us to discuss the wide variety of celebratory options open to you.

Create Healing Experiences In the depth of early grief, you might think that it would be easier to just take care of things as simply and as quickly as possible. Easier — especially in this situation — simply isn’t better. You must set the stage for the future by giving your family and friends the opportunity to start the healing process.

You can never go back and do it over Some say it’s harsh to remind you of this, but we know we must. We want you to honor your loved one in a way that allows you to look back years from now and be thankful that you did the best you could to honor their life. Creating a ceremony that calls together the hearts and minds of all who loved them is a gift to everyone involved. A gift of memories, a gift of healing... a truly priceless gift of peace-of-mind.

“ We can help you create a unique, meaningful ceremony to express the genuine individuality of your loved one.”

Contact us for a personal appointment with no obligation for additional information. Call Legacy Funeral Home at 480-725-9696. Legacy Funeral Home strives to offer affordable plans for any budget, without sacrificing the care and service that a family-owned funeral home should offer. You are always welcome to come into one of our two locations in Chandler or Peoria, to see for yourself what we have to offer you or your loved one. You will find a caring, compassionate staff, and beautiful facilities.

Funeral Services Gathering with friends and family gives everyone the opportunity to share memories, express emotions, and find comforting support. Whether you choose burial or cremation; whether you select a formal funeral or a more relaxed memorial service, the need for acknowledgment of the loss with family and friends is ever present. We can help you create a unique, meaningful ceremony to express the genuine individuality of your loved one. We offer families a beautiful setting to come together to honor your loved one. You may certainly choose to celebrate their life in a more unique setting. No matter where you decide to gather together, such a service will make a difference in the lives of all who attend. Burial Services If burial has been selected, usually any ceremonies we design revolve around the casket being present. You can choose to follow tradition with a viewing and then a funeral service in a church or memorial chapel. You could also decide to have a more relaxed service, even in your family home. Let’s just say this: there is no “hard and fast” formula for honoring your loved one when burial has been selected. We’re here to listen to your concerns, share our experience, and help you to arrive at the perfect way to gather together before your loved one’s interment in the cemetery of your choice. Cremation services Cremation only refers to the manner in which you or your loved one has chosen to deal with the physical remains. We want you to know that this decision doesn’t limit the ways you can honor your loved one’s life. We heartily suggest that you have a funeral or memorial service

• Integrated midwife and physician practice • Routine and high risk pregnancy • Female pelvic medicine • Menopause • In-office tubal occlusion • In-office uterine ablation to treat abnormal bleeding • In-office lab work • In-office ultrasounds

iWomen’s Health Care 655 S Dobson Rd Suite 101 Bldg A Chandler, AZ 85224

480-855-5900 480-855-9171 www.iwomenshealthcare.com Office Fax

October 2016 — East Valley — Healthy Cells Magazine — Page 19

premier skin care

How Laser Treatments Improve Your Skin By Derma Health

he skin provides us with a barrier between the environmental elements that, over time, can wreak havoc on our skin. Wind, debris, pollution, and the sun are just a few causes of wrinkles, age spots, and fine lines. Achieving a healthy, glowing complexion is fundamental to looking one’s best. When the skin looks soft, clear, and even, it can drastically improve your appearance. Laser skin resurfacing treatments are designed to provide a path to achieving beautiful, healthy skin with very little downtime. There are many different types of skin resurfacing options that can work based on individual needs and goals. These non-surgical treatment solutions can revitalize the skin, offering a more youthful appearance. How do laser treatments work? Laser treatments work by restoring the skin; they remove the outermost, damaged layers, revealing the new, healthy skin underneath. Laser resurfacing treatments also encourage new skin cell growth, helping maintain a lasting glow. Laser treatments can help reverse the effects of the sun, aging, and stress, helping you achieve a more beautiful complexion while encouraging healthy skin cell turnover. Cosmetic specialists use an array of skin resurfacing techniques that can address the most common skincare concerns. Different types of laser treatments Even with expensive lotions, creams, and serums, the uphill battle against skin issues can take a toll on your self-confidence. Pockmarks, acne scars, age spots, fine lines, and wrinkles are just some of the skin imperfections that you can’t control. Fortunately, technology comes to Page 20 — Healthy Cells Magazine — East Valley — October 2016

the rescue. Laser skin resurfacing treatments use highly concentrated beams of light that work to remove the outer most layer of the damaged skin. This treatment can help those with stubborn skin issues, such as fine lines and wrinkles, and creates a path to achieving a youthful-looking complexion without having to go under the knife. There are two types of lasers used for skincare resurfacing treatments: ablative and non-ablative. Additional benefits of laser treatments include the following: • Minimize the appearance of age spots, brown spots, pockmarks, or discoloration for a more even complexion and skin tone • Encourage collagen production and firm the skin • Drastically reduce the appearance of acne scars and surgical scars. Ablative lasers Your specific skincare concerns will determine the depth of the laser treatment needed. Ablative lasers work to remove the visible surface damage caused by aging, sun exposure, and environmental toxins that cause sullen, dull looking skin. They typically have more downtime than non-ablative lasers. The Active FX Laser Resurfacing is an example of an ablative laser. We selected this laser treatment for Derma Health because of the high quality of the laser, which gives you amazing results in just one treatment. Non-Ablative Lasers Non-ablative lasers do not break the surface of the skin. This cosmetic treatment option works by healing from within. Non-ablative

lasers help to restore a youthful appearance by firming and tightening the skin. The non-ablative laser process works gradually, and results take more time, however, the result is lasting and beautiful. Titan Infrared Laser by Cutera® is one form of non-ablative laser treatment. The surface layer of your skin is protected and kept cool while the laser light is focused on the deeper layers where collagen is produced. This laser therapy is often recommended for firming and tightening areas beneath the jaw line and also in the abdominal area. Photofacials are another example of a non-ablative laser treatment. Although the word “facial” is included in the treatment name, photofacial treatments are used on other parts of the body too, for age spots, spider veins, freckles, and other pigment imperfections. The laser focuses on the darker areas of the skin and brings the pigment to the surface where it eventually flakes off, leaving your skin with a more even tone. Other options for skin rejuvenation Chemical peels Often, you will hear women who boast about how fabulous a chemical peel is for their skin. This is because, with little to no downtime, a chemical peel can provide relief from an array of skin issues that often plague us as we age. Chemical peels offer another alternative for resurfacing the skin. A chemical solution is used to cause the outer layer of the skin to peel away revealing a soft, supple skin tone. Microdermabrasion Microdermabrasion is a gentle, non-surgical treatment option that can be used on the face, hands, neck, or body to remove damaged

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layers of skin. By exfoliating the skin to remove the damaged surface area, this skin resurfacing treatment option can improve the look and feel of your skin. Additional benefits to microdermabrasion consist of minimizing the look of wrinkles, fine lines, and helping topical skin products work more effectively. Microdermabrasion also aides in reducing age spots, brightening the skin tone, and evening the complexion. Under the care of a professional, laser and other skin resurfacing treatments can reverse the unwanted skincare issues that you suffer from in a safe, non-surgical way, dramatically improving the look and feel of your skin. Over 40,000 Patients have trusted Derma Health, a leader in medical aesthetic technology and premiere skincare services. Derma Health believes in promoting overall health and wellness by taking care of your body inside and out. We strive to not only take years off your outward appearance, but also add quality years to a healthy you on the inside. At Derma Health, we treat the whole person, not just the symptom, and that means understanding each individual inside and out. Derma Health services include aesthetic and laser treatments for the face and body, Botox and dermal fillers, anti-aging treatments for reducing lines and wrinkles, skin tightening, hormone therapy, nutritional solutions, tumescent Liposuction, and professional-grade skincare products. Get a complimentary consultation at one of the five valley locations! Start your beauty transformation today: call 602-903-3011, or visit www.dhiskin.com/health.

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October 2016 — East Valley — Healthy Cells Magazine — Page 21

medicare and open enrollment

Choosing the Right Plan By Patty Vieira, Independent Agent, Insurance Resources LLC

t’s time for the Medicare Annual Enrollment Period! The Medicare Annual Enrollment Period is from October 15th to December 7th. This is that time of year when Medicare beneficiaries can review their current coverage and view other options. Many times medical conditions change, and it’s always a good idea to see what your options are for the coming year. Insurance companies change their benefits each year, and what may have been a good choice for 2016 isn’t necessarily your best choice for the coming year. Insurance brokers that specialize in Medicare products are your most unbiased resources. With multiple types of plans and companies to offer, we make sure you are in a plan that is well suited for you. Brokers are normally contracted with many carriers and have many different types of plans. While no one knows what the future holds, we look at your current situation and see what will be in your best interest. Physicians are rarely contracted with all companies. If you’re looking at Medicare Advantage plans, you not only want to be sure your physiPage 22 — Healthy Cells Magazine — East Valley — October 2016

Patty Vieira

cian is contracted with the company, but that all your physicians are in the same network. Having a broker research your particular doctors and medications with the various carriers helps us find the plan that will work the best for you Overall, a broker has your best interest at heart. Medicare makes sure agents are compensated equally amongst the insurance companies. With multiple companies to offer a client and the compensation being the same, you can feel good that the recommendation is truly for your benefit. For more information call Patty Vieira, 480-220-7233, email pattyjvieira@gmail.com, or visit www.insurancebypatty.com. With 30 years’ experience, I can simplify insurance quotes and policy terms so you can understand them and find the right plan to meet your unique needs.

change bad habits

Are Your Habits Friend or Foe? By Kathleen Dorson, BSBM, Win Win Fire Teams

hink about the first five things you did this morning. You didn’t have to think about them very much did you? That’s because they are habits. Those things seem to happen almost automatically, and we don’t have to try very hard to do them. Sometimes that’s a good thing and sometimes it’s bad. Here’s how it happens. When you do something new, there’s a lot of brain activity, and you are very aware of your actions. Deep in the center of the brain in the basal ganglia, the pattern is being laid down and recorded. It’s making your life easier. Soon, you won’t have to think much about what you are doing because it will become a habit. So, for example, as you drive to work you aren’t thinking about how to drive or what roads to take; you are thinking about what you are going to do that day, or what your kids have been up to lately. Your brain is freed up from routine activities to think about other, more important things. We would be prisoners to every action we take without it. It is our greatest friend and our toughest foe. So how do you become the master of your habits? You want to either create new “good” ones or change the “bad” ones to “good” ones. You must first understand the parts of a habit and then decide what you want to do with them. First, we should understand there is a reward with every habit. What are you getting for doing the things you do? Do you exercise regularly to enjoy slim health, or eat a bowl of ice cream every night for the enjoyment? When your habit first started, you made a decision to do the action and then, over time, it just got easier. The reward you were looking for gets you started, a repeated action takes place, and then becomes a habit. The trigger Our brain looks for a trigger to tell it when to activate the habit. For exercise, it may be the time of day you always do it. It could be you getting up in the morning, putting on your exercise clothes, and starting your activity. For ice cream, it could be sitting down to your favorite show on TV. You started eating ice cream a few times, and now you find yourself being pulled to the freezer when your show is on. It’s powerful stuff. The action A bad habit starts innocently enough. “I’ll just do this once and enjoy the indulgence. That was pretty good, I’ll do that again just one more time,” and before you know it, you are off to a new habit that is almost impossible to break. A good habit is always tougher to create. One way to know it is good for you is that it doesn’t come easy. We only grow when we push onward and upward. The easy has always been what our brain likes to do, those things that doesn’t make it work hard. We have to make a plan to do those things that are good for us and make us grow. The reward What you do that brings about the planned and unplanned reward. We always get something out of what we do. Like enjoying the healthy exercise or the taste of the ice cream. The unplanned rewards are where the “good” and “bad” comes from. With exercise, we become more self-confident, healthier, and feel empowered. With ice cream, we tend to gain fat and don’t feel quite as good about ourselves. Be in control of the actions, and then you are in control of the rewards that come with it. Let’s change a bad habit into a good habit. Starting with your reward, what do you get out of the habit? Does drinking alcohol

Kathleen Dorson, BSBM

reward you in the way you feel or the social connections that come with it? Now consider what the action is. Is the action the only way to get the reward, or is it time to upgrade the reward to what you really want? Once those decisions have been made, consider your trigger is. What happens that makes the need to do the habit kick-in? You manage without triggering this habit all day long, so what happens to trigger the habit? A sight, a person, a time of day, a feeling all can be a trigger. Discover your trigger,take a different action, and either get the reward that goes with it or a new, improved reward. You get to choose, you are in control! How about a new positive habit? What is the reward you want? What is the action you need to take? What is the trigger that will ignite the action to happen? It’ll be hard for a short time, and then your “friend” deep in your brain will take over the heavy lifting, and you are on your way to the reward of your new habit. Kathleen Dorson is a manager and coach at Win Win Fire Teams. You are invited to call Win Win to find out more about the training and coaching programs they offer. Mention this article in Healthy Cells Magazine for special offers. Visit Winwinfireteams.com, or call us at 480-201-5612.

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480 201-5612 or 480 890-0100 Winwinfireteams.com October 2016 — East Valley — Healthy Cells Magazine — Page 23

is it serious!

What Is Sepsis?

Sheriolyn Curry, Mdiv, CSA

Submitted by Sheriolyn Curry, Mdiv, CSA, Comfort Keepers

epsis is a serious medical condition caused by an overwhelming immune response to infection. Immune chemicals released into the blood to combat the infection trigger widespread inflammation, which leads to blood clots and leaky vessels. This results in impaired blood flow, which damages the body’s organs by depriving them of nutrients and oxygen. In severe cases, one or more organs fail. In the worst cases, blood pressure drops, the heart weakens, and the patient spirals toward septic shock. Once this happens, multiple organs —lungs, kidneys, liver — may quickly fail and the patient can die. Sepsis is a major challenge in the intensive care unit, where it’s one of the leading causes of death. It arises unpredictably and can progress rapidly. What causes sepsis? Sepsis does not arise on its own. It stems from another medical condition, such as an infection in the lungs, urinary tract, skin, abdomen (such as appendicitis), or other part of the body. Invasive medical procedures like the insertion of a vascular catheter can introduce bacteria into the bloodstream and bring on the condition. Many different types of microbes can cause sepsis, including bacteria, fungi, and viruses, but bacteria are the most common culprits. Severe cases often result from a body-wide infection that spreads through the bloodstream, but sepsis can also stem from a localized infection. Who gets sepsis? Anyone can get sepsis, but people with weakened immune systems, children, infants, and the elderly are most vulnerable. People with chronic illnesses, such as diabetes, AIDS, cancer, and kidney or liver disease are also at increased risk, as are those who have experienced a severe burn or physical trauma. How many people get sepsis? Every year, severe sepsis strikes more than a million Americans 1 . It’s been estimated that between 28 and 50 percent of these people die 2 — far more than the number of U.S. deaths from prostate cancer, breast cancer, and AIDS combined. The number of sepsis cases per year has been on the rise in the United States. This is likely due to a combination of factors, including increased awareness and tracking of the condition, an aging population, the increased longevity of people with chronic diseases, the spread of antibiotic-resistant organisms, an upsurge in invasive procedures, and broader use of immunosuppressive and chemotherapeutic agents. What are the symptoms of sepsis? Common symptoms of sepsis are fever, chills, rapid breathing and heart rate, rash, confusion ,and disorientation. Many of these symptoms, such as fever and difficulty breathing, mimic other conditions, making sepsis hard to diagnose in its early stages. Page 24 — Healthy Cells Magazine — East Valley — October 2016

How is sepsis diagnosed? Doctors diagnose sepsis by examining patients for fever, increased heart rate, and increased respiratory rate. They often perform a blood test to see if a patient has an abnormal number of white blood cells, a common sign of sepsis, or an elevated lactate level, which correlates with severity of the condition. How is sepsis treated? People with sepsis are usually treated in hospital intensive care units. Doctors try to quell the infection, sustain the vital organs, and prevent a drop in blood pressure. The first step is often treatment with broad-spectrum antibiotics, medicines that kill many types of bacteria. Once lab tests identify the infectious agent, doctors can select medicine that specifically targets the microbe. Many patients receive oxygen and intravenous fluids to maintain normal blood-oxygen levels and blood pressure. Depending on the patient’s status, other types of treatment, such as mechanical ventilation or kidney dialysis, may be necessary. Sometimes, surgery is required to clear a local site of infection. Many other drugs, including vasopressors and corticosteroids, may be used to treat sepsis or to revive those who have gone into septic shock. Despite years of research, scientists have not yet succeeded in developing a medicine that specifically targets the aggressive immune response that characterizes sepsis. Are there any long-term effects of sepsis? Many people who survive severe sepsis recover completely and their lives return to normal. Some people, especially those who had pre-existing chronic diseases, may experience permanent organ damage. For example, in someone who already has kidney impairment, sepsis can lead to kidney failure that requires lifelong dialysis. There is also some evidence that an episode of severe sepsis disrupts a person’s immune system, making him or her more vulnerable to future infections. Studies have shown that people who have experienced sepsis have an increased risk of dying, even several years after the episode 3, 4. Sheriolyn Curry is a certified senior advisor, a pastor, and a life coach. Comfort Keepers of Chandler has provided all levels of care and a wide variety of support services in the southeast valley for 15 years. Caregivers are certified and have ongoing training to give them all the skills to be the best caregiver they can be. For additional information, call 480-659-9201, visit www.comfortkeepers.com or email chandler@comfortkeepers.com. Se habla español. Source: www.nigms.nih.gov/education/pages/factsheet_sepsis.aspx

medical equipment

One Size Does Not Fit All By Diane Richmond, RTA Homecare

hen choosing any piece of durable medical equipment, whether it is a walker, rollator, wheelchair, scooter, or lift chair, do not assume that one size fits all. Each piece of equipment needs to fit the individual using it. Purchasing or inheriting a walker or other item because it is cheaper or free may not be benefiting you and may actually be causing other health issues. For example, using a walker the neighbor no longer needs — but she is three inches shorter than you — may actually be causing you to stoop and walk with an unsteady gait. This, in turn, will affect your back, shoulders, knees, and hips. In the long run, causing you more discomfort and pain. A rollator with the seat or handgrips too low will make it difficult to stand from a seated position and cause a hunched and stoopshouldered posture, joint pain, and unsteady gait. Wheelchairs need to accommodate the user’s width as well as height. If your sides are rubbing, this will cause skin breakdown — which, in turn, may turn into some serious wounds. Scooters should accommodate height and weight as well as having enough space for feet to slide in easily. If knee or hip issues are present, the scooter should provide enough space to stretch out the legs without interfering with the maneuvering and steering of the unit. Lift chairs should, again, accommodate hip width as well as height. Feet should not “dangle” off the footrest. The heel should be supported when you are slid all the way back into the chair. The back of the chair should support the back, neck, and head of the user. There are several styles of backs available and should be tried to see which fits best. Also available are the infinite-positon chairs which allow the user to raise the feet above the level of the heart. If the user has swelling of the legs and feet, this option helps to reduce that swelling. In addition, some users with back issues find that the chair will help relieve pain and stiffness. For example, if the user is having an issue with rounding of the shoulders and spine, a “waterfall” style back may be more beneficial in comparison to the button back. It is designed so the back cushions may have the batting adjusted to accommodate the shape of the user’s back contour, while still giving neck and head support, whereas the button back may require the user needing an additional pillow to support the neck and head. There may be some great sales and discounts on items, but please keep in mind the long term use of an item that is not fitted to the user may result in other health issues and pain and discomfort over time. Take the time to shop for the correct piece of equipment that fits your needs and comfort. Remember, one size does not fit all! RTA is available to assist in all areas of medical equipment needs as well as items that will assist you or your loved one to lead a safer, independent, and more comfortable life with dignity and grace. We carry oxygen, CPAP, urology, wound-care supplies, wheelchairs, walkers, rollators, power chairs, scooters, lift chairs, oxygen concentrators, and more. Mesa location: 319 South Power Road, Suite 100, Mesa, AZ 85206, 480-844-0100. Casa Grande location: 1275 Ease Florence Blvd, #4, Casa Grande, AZ 8512, 520-836-9300. Visit RTAhomecare.com. Se habla Español. RTA Homecare, “Where patients are our priority.”

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October 2016 — East Valley — Healthy Cells Magazine — Page 25

sleep disorder

Sleep Apnea = Oxygen Deprivation = Increased Cancer Risk

Beth Hamann, DDS

Shari Aftahi, DMD

Submitted by Koala Center for Sleep Disorders

A “

t the cellular level, a low-oxygen environment will cause normal cells to atrophy or shrink. With cancer cells, it causes them to proliferate or grow,” states Dr. Beth Hamann of the Koala Center for Sleep Disorders. These findings were brought to light recently when two new studies found that people with sleep apnea, a serious breathing disorder that occurs when a person’s airway becomes obstructed during sleep resulting in oxygen deprivation, have a higher risk of cancer. Sleep apnea has been associated with a number of chronic diseases and conditions, such as diabetes, cardiovascular disease, obesity, and depression, but these two studies are the first to directly tie sleep apnea to increased cancer risk in humans. The first study done on 5,600 patients from seven different sleep clinics in Spain, revealed that in severe obstructive sleep apnea cases where a patient stops breathing for ten seconds or longer for thirty episodes or more per hour, the patients had a 65 percent greater risk of developing cancer of any kind. The researchers in this study focused on measuring the hypoxemia index, which evaluates the amount of time a sleeper spent with less than 90 percent oxygen in the blood. Of these patients, none had a cancer diagnosis when the study began. The research showed that the greater the extent of hypoxemia, or lack of oxygen during sleep, the more likely a person would receive a cancer diagnosis during the study. As time spent without oxygen increased, so, too, did cancer risk. “This is really big news,” said Dr. Joseph Golish, the former chief of sleep medicine at the Cleveland Clinic who was not involved in the research. “It’s the first time this has been shown, and it looks like a very solid association,” he said. Dr. Golish was a valuable resource to the Koala Center for Sleep Disorders when Dr. Rod Willey, the center’s founder, was establishing his first dental sleep medicine practice in Peoria, Illinois. Dr. Golish’s positive thoughts on home sleep testing as a diagnostic tool for obstructive sleep apnea prompted Dr. Willey to make them available to patients at the Koala Center for Sleep Disorders as well. The second study followed 1,500 government workers in Wisconsin. The team at the University of Wisconsin School of Medicine and Public Health has been monitoring extensive overnight sleep studies since 1989. Their research recently revealed that people with moderate apnea (16 to 30 episodes per hour) were found to die from cancer at a rate twice that of people without the sleep breathing disorder. Those in the severe category (30+ episodes per hour) perished 4.8 times greater. In both studies, the researchers ruled out the usual risk factors for cancer, like age, smoking, alcohol use, physical activity, and weight. The association between sleep-disordered breathing and cancer remained even after they adjusted for these factors. “This is really striking,” said Dr. F. Javier Neito, one the authors of the Wisconsin study. “It’s hard to imagine that something we didn’t control for is causing this.” Page 26 — Healthy Cells Magazine — East Valley — October 2016

It has been known for years that untreated sleep apnea reduces lifespan due to the strain that is put on the heart and other body systems. Although the research linking cancer to sleep apnea requires further study before it can be as strong as the well-documented relationship between sleep apnea and cardiovascular disease, Dr. Willey states, “It is imperative that it is treated. The method of treatment may vary. But going untreated, should not be an option.” For more information about sleep apnea, Oral Appliance Therapy, and how the appliance can conquer sleep apnea, fatigue, headaches, and other health conditions, please contact Koala Center for Sleep Disorders at 602-357-9845, or visit www.KoalaSleepCenters.com/Phoenix–Biltmore. Sources available upon request.

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