Mosquito-borne Viruses of Arizona, July 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

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M A G A Z I N E

• Nutritional

Mosquito-Borne

Viruses

of Arizona

UTI in the Elderly Strokes and Chronic Pain

“Someday” May Be Too Late

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Comfortable

letter from the owner

uly is upon us, and hopefully the monsoon storms and rain will help cool our days a bit after June’s record-breaking high temperatures. Most people either love storms or hate them, and I’m one that loves them! I remember as a kid growing up in the Midwest, I’d wrap myself up in a blanket and huddle in the corner of the porch with my dog, a black lab mix, whenever it rained. I always enjoyed all the flashes of lightning and claps of thunder along with the smell of the rain and the mist on my face when the wind blew in the right direction. I have lots of good memories from the many summer nights spent in the corner of that porch. I never gave much thought at the time to just how comforting it was for my dog that I would bring him up on the porch during those storms so he didn’t have to be out in the yard in his doghouse. Over the last few months, Healthy Cells Magazine® has included a survey for readers to fill out and offer suggestions and comments for future story ideas. Thank you to everyone who took the time and effort to fill out a survey and send it to us. I appreciate all the input and will keep your suggestions in mind when planning articles in the future. Wishing everyone a safe 4th of July Celebration,

Monica Tegg/Owner, Healthy Cells Magazine ® East Valley, PO Box 6233, Chandler AZ, 85246 Monica@healthycellsmagazine.com www.healthycellsmagazine.com/phx 480-204-3090 #healthycellsAZ Facebook.com/healthycellsmagazine.phx

“I remember as a kid growing up in the Midwest, I’d wrap myself up in a blanket and huddle in the corner of the porch with my dog,

A random drawing of all surveys was held, and I’m happy to congratulate the following winners:

a black lab mix, whenever it rained.”

A One Hour massage, donated by Keystone Body Therapies to Marian C. Of Chandler A $25 Dining Certificate to Bobbie B. Of Tempe A $25 Grocery Gift card each to: Angela R. of Apache Junction, Sandy L. Of Scottsdale, Tina G. Of Mesa and Mary A. Of Mesa

July 2016 — East Valley — Healthy Cells Magazine — Page 3

J U LY

2016 Volume 4, Issue 7

Obstructive Sleep Apnea: Could Poor Sleep Be Complicating Your Diabetes?

Physical: UTI in the Elderly — Complications, Symptoms, and Treatments

Nutritional: Healthy Cooking and Snacking Tips

This Month’s Cover Story:

Mosquito-Borne Viruses of Arizona

page 16

Cover photo credit: Doug Bennett/iStock

Emotional: The Unforeseen Costs of Divorce

Senior Care: Keeping Seniors Healthy Is a Family Issue

Good Foot Care: Be Kind to Your Feet

Preventive Health: Summer Sun Safety

Awareness: Strokes and Chronic Pain

Look Good, Feel Good: The Health Benefits of Looking Your Best

Don’t Put It Off: Because “Someday” May Be Too Late

Communication Breakdown: Tips for Improving Your Listening Experience

Infant Care: Group B Streptococcal Septicemia of the Newborn

Hand and Finger Weakness: Is It Carpal Tunnel Syndrome?

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.

In The Community: Summer Blood Donor to Drive Away a Superhero with a 2016 Volkswagen Passat S!

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

Healthy Cells Magazine® is a division of: 1327 E. Kelly Ave., Peoria Heights, IL 61616 • Ph: 309-681-4418 • Fax: 309-691-2187 info@limelightlink.com 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.

obstructive sleep apnea

Could Poor Sleep Be Complicating Your Diabetes?

Beth Hamann, DDS

Shari Aftahi, DMD

Submitted By Koala Center for Sleep Disorders

oes the following sound familiar? You wake up each day feeling restless and groggy only to find that your blood sugar levels are out of control. You’re too tired to exercise and instead find yourself reaching for junk food to give you a quick burst of energy. If this has become your routine, you’re not alone, and you might be surprised at what’s behind it. Why Sleep Is Important Commonly cited risk factors for diabetes include obesity, family history, and ethnicity as well as high blood pressure, aging, and inactivity, according to the ADA. However, when was the last time you heard about the connection between poor sleep and diabetes? The truth is that the two often go hand in hand. The National Sleep Foundation has known for years that inadequate sleep impacts the body’s ability to control hormone and glucose levels, meaning that not sleeping enough could put you at risk for developing diabetes or worsening existing diabetes. However, even getting a full night’s sleep doesn’t mean you aren’t at risk. If your sleep is disrupted or your sleep patterns are irregular, you could still be in trouble. There seems to be a connection between the amount of deep sleep a person gets and regulation of blood glucose levels. According to the National Sleep Foundation, when a person is in deep sleep, the brain uses less glucose, and hormone levels stabilize. As such, it is very important that those already diagnosed with or at risk for type 2 diabetes get enough deep sleep. Sleep Apnea and Diabetes One sleep condition researchers have connected to type 2 diabetes is obstructive sleep apnea (OSA). A 2009 American Journal of Medicine study found sleep apnea to increase a person’s risk for developing diabetes. A 2012 study in Science Translational Medicine showed that sleep disruption decreased

Treating OSA Could Lead to: • A better night’s sleep

• Improved energy

• Reduced stress

• Increased motivation to exercise

• More stable blood glucose levels • Reduced insulin resistance

• Greater control over snacking • Better moods

Tired? Snoring? Jaw Pain? We Can Help. FREE Public Seminar, July 19th at 5:00pm Koala Center for Sleep Disorders 4235 N. 32nd Street, Suite A, Phoenix, AZ 85018

Call 602-357-9845 to RSVP insulin secretion while increasing blood glucose levels. Additionally, researchers at the University of Chicago found that if someone has type 2 diabetes, it is likely that this condition could worsen if they also have OSA. One of the reasons for this is that OSA disrupts the deepest stage of sleep. The condition is characterized by complete airway obstruction, which can occur when the tongue and muscles relax during sleep, the lower jaw falls back toward the throat, or the airway becomes blocked. These obstructions may cause a person to stop breathing and briefly awaken hundreds of times a night. If you are diabetic or pre-diabetic, these sleep disruptions not only cause glucose levels to go haywire but also can leave you feeling overly hungry and too tired to exercise the next day. Treating Obstructive Sleep Apnea If you currently have diabetes or are at risk for developing it and you are experiencing inadequate sleep and/or snoring, consider talking with your doctor about a sleep study, which can determine whether you have OSA. Treatment options may include lifestyle changes, surgery, Continuous Positive Airway Pressure (CPAP), and oral appliance therapy. Oral appliance therapy has proven to be an effective, scientifically based treatment option for snoring and OSA. The purpose of the appliance is to hold the jaw in a position that allows the airway to remain as open and firm as possible during sleep. Oral appliances are similar to athletic mouth guards but less bulky and completely non-invasive. Oral sleep appliances are covered by most medical insurance plans and Medicare. 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.

July 2016 — East Valley — Healthy Cells Magazine — Page 5

physical

UTI in the Elderly

Complications, Symptoms, and Treatments

Amy Holt

Submitted by Amy Holt, Generations at Agritopia

TI, or urinary tract infections, are quite common in elderly populations. They tend to affect women more often than men, although elderly, male patients placed on catheters could also get urine infections frequently. The problem with treating UTIs in the elderly is that they are often asymptomatic. As a result, they tend to go unnoticed for a long time, leading to various complications. In normally alert and active elderly people, UTIs typically present themselves in the form of sudden and unexplained delirium or confusion. In this guide, we will consider everything there is one needs to know when dealing with UTIs in the elderly, particularly complications that may arise with it as well as methods of treating and preventing them. Can a UTI Affect an Older Patient’s Mental State? Asymptomatic urine infections in the elderly often do not produce any of the regular symptoms such as burning pain during urinating, fever, abdominal pain, etc. that are typically seen in younger patients. The main symptoms of urine infection in elderly populations include: • Headaches • Behavior changes, confusion, and memory loss that seem to strike suddenly—s/he might not be able to perform daily tasks such as buttoning clothes, feeding oneself, etc. Many cannot remember the current year, their maiden name, their address, or the year they were born in. • Fatigue and weakness • May appear depressed, undernourished, and dehydrated • Foul-smelling urine might be produced When left untreated for long, UTIs in the elderly could cause sepsis. This is characterized by high fever, rapid and irregular heartbeat, and even septic shock, where there is dangerous lowering of blood pressure. Thus, in answer to the question concerning whether urine infections in the elderly are fatal—yes; they are. In patients already having weakened immunity or those with heart valve problems, the sudden lowering of blood pressure caused by sepsis can be life threatening. Other than sepsis, urine infections in the elderly can also lead to pyelonephritis as well as permanent kidney damage. The patient might require dialysis to remove the waste from the blood. Why Does UTI Lead to Confusion and Dementia in the Elderly? Every urine infection is a by-product of dehydration and vice versa. If a patient is already taking medicines for other conditions, Page 6 — Healthy Cells Magazine — East Valley — July 2016

these might be affected by the dehydration. Additionally, UTIs in the elderly lead to brain inflammation and temperature changes, which could affect a person’s thinking and cognitive functions. UTI-induced delirium in the elderly is more dangerous because in such a state, the person is more susceptible to falls, accidents, and irrational behavior. Causes of UTIs in Elderly Patients As stated before, women aged 60 and above are more prone to UTIs than men owing to the proximity of the urethral opening and anus. The germs from the anus easily travel to the urethra and bladder due to back-to-front wiping after bowel movement. Also, uterine prolapse, a condition where the walls and muscles of the uterus become structurally weak, causing problems emptying the bladder completely, can lead to UTIs in elderly females. Urineincontinent men and women who require diapers are more likely to trap germs in the urethra. Elderly patients (of both sexes) having diseases like cancer, diabetes, etc. could also suffer frequent bladder infections. Other reasons for UTI presence in older populations include the use of catheters. Indwelling catheters generally trap germs despite precautions.

Treating Urine Infections in the Elderly It is important to get a dipstick urine test done for patients suspected of having UTI. If s/he is showing signs of dementia, a loved one or caregiver must assist them for collecting an early-morning sample of urine. A culture test can help the doctor diagnose whether it is a lower UTI or upper UTI. The former are slightly easier to treat, and they generally respond well to antibiotics. Upper bladder infections might involve kidneys and ureters apart from the bladder and could end up being fatal. In case of UTI in elderly accompanied by confusion and delirium, apart from antibiotics, short-term treatment with anti-psychotic drugs may be needed. Preventing UTIs in Elderly Patients with low mobility should have easy access to water. Colorcoded glasses or cups can be used for this purpose to assess the water consumed on a daily basis. Drinking six to eight glasses of water daily is recommended. Other recommendations include: • Patients empty their bladder frequently. Bathrooms must be equipped with handrails to prevent falls. A night-light should be placed in the bathroom as well. • Moderate exercise with a good diet having fibrous foods is recommended to prevent constipation. • Some evidence supports that UTIs in elderly can be prevented with regular consumption of cranberry supplements or juices. • In case of a urinary catheter being used, precautions must be followed as stated by medical experts. Recurring urine infections in older people are a common problem. To prevent them, it is vital to get a urine test done every few months.

Jason C. Harrill, D.P.M., FACFAS Scott N. Maling, D.P.M., FACFAS Mark R. Pipher, D.P.M.

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Alzheimer’s Family Support Group Every 2nd and 4th Tuesday at 11am Led by Chaplain & Bereavement Counselor of Sage Hospice Family members should also watch out for confusion, difference in behavior, unusual sleepiness, hallucinations, etc. in the people prone to such infections. Generations at Agritopia offers vibrant living with an extensive array of services and amenities for independent living, assisted living, and memory care residents, giving them the freedom to enjoy what matters most. Join us Fridays at 10am for a movie, lunch, and tour; please RSVP to 480-485-2000. We are located within the master plan of Agritopia, near Higley and Ray Roads in Gilbert, 2811 E. Agritopia Loop S. Find us on the web at www.generationsseniorliving.com, or email us at info@generationsseniorliving.com. Printed with permission: Jacob Olesen, UrineInfection.net Photo credit: Kirby Hamilton/iStock

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nutritional

Healthy Cooking and Snacking Tips F

ood doesn’t have to be high in fat to be good. Get the whole family to help slice, dice, and chop, and learn how to cut fat and calories in some foods. You’d be surprised how easy heart-healthy cooking and snacking can be. Healthy Family Snacks Quick and easy snack tips: • S lice apples, berries, bananas, or whole-grain cereal and add to plain Greek yogurt. • M ake a whole-wheat pita pocket with hummus, lettuce, tomato, and cucumber. • Pop popcorn using coconut oil. • Toast a soft, whole-grain tortilla with low-fat cheese, sliced peppers, and mushrooms to make a mini burrito or quesadilla. • B lend plain yogurt with a banana or strawberries and ice for a smoothie. Healthy Tips for Reducing Fat • Instead of frying, try baking, broiling, or steaming. • U se hummus or mashed avocado in place of salad dressings or mayonnaise. • Add salsa on a baked potato instead of butter or sour cream. • Remove skin from poultry (like chicken or turkey), and do not eat it. • Cool soups and gravies and skim off fat before reheating them. Healthy Tips for Reducing Sugar • Serve fresh fruits instead of cookies or ice cream for dessert. • Eat fresh fruits in place of canned fruits. • R educe sugar in recipes by 1/ 4 – 1/3. If a recipe calls for 1 cup, use 2/ 3 cup. • To enhance the flavor when sugar is reduced, add vanilla, cinnamon, or nutmeg. Eating Out Staying in energy balance can be tough when you and your family go out to eat, but you can still eat healthy and enjoy your meal. Don’t be afraid to ask questions about the ingredients and how the food was cooked. You also can ask to leave some items out or replace them with healthier choices. Order Healthy When you are choosing foods, choose items that have less fat or added sugar, or ask for a healthier substitution. When you order: • C hoose foods that are steamed, broiled, baked, roasted, poached, or lightly sautéed or stir-fried. • Ask for fat-free or low-fat milk instead of cream for coffee or tea. • P ick food without butter, gravy, or sauces—or ask to have the food without it. • Choose a lower-calorie salad dressing. • Ask for salad dressing on the side, and use only some of it. • P ick drinks without added sugar, like water, fat-free or low-fat milk, unsweetened tea, or diet soda, lemonade, or iced tea. Eat Healthy You can make healthy choices throughout your meal: • Trim visible fat from poultry or meat. Page 8 — Healthy Cells Magazine — East Valley — July 2016

• Share your meal, or take half home for later. • Order fruit in place of dessert. • Split dessert with a friend. By making a few changes while shopping, in the kitchen, and when eating out, you’ll be eating healthier in no time. Spice Up the Festivities with Super Fruit Take grilled chicken or fish up a notch in flavor and nutrition at your Fourth of July gathering with this Mango and Avocado Salsa. This salsa’s star ingredient is the superfruit mango, which is an excellent source of vitamins A and C, is a good source of fiber, and also adds a delicious hint of tropical flavor to the menu. For more delicious mango recipes, visit mango.org.

Healthy Baking and Cooking

Substitutes to Reduce Fat and Sugar Instead of:

Substitute:

1 c. cream 1 c. butter, margarine, or oil 1 egg Pastry dough Butter, margarine, or vegetable oil for sautéing Bacon Ground beef Sour cream 1 c.up chocolate chips 1 c. sugar

1 c. evaporated fat-free milk ½ c. apple butter or applesauce 2 egg whites or ¼ c. egg substitute Graham cracker crumb crust Cooking spray, chicken broth or a small amount of olive or coconut oil Lean turkey bacon Extra lean ground beef or ground turkey breast Plain Greek yogurt or hummus ¼–½ cup mini chocolate chips ¾ c. sugar (this works with nearly

everything except yeast breads)

Mayonnaise 1 c. cream cheese Oil and vinegar dressing

Depending what you’re making, hummus, avocado, pesto, cottage cheese, and mustard can add some moisture to your recipe. ½ c. ricotta cheese pureed with ½ cup fat-free cream cheese Flavored balsamic vinegar

Note: Substitute the ingredients in your own favorite recipes to lower the amounts of fat, added sugar, and calories.

Mango and Avocado Salsa Prep time: 10 minutes Servings: 8 2 firm but ripe mangos, peeled, pitted, and diced 2 firm but ripe avocadoes, peeled, pitted, and diced 2 Tbsp. serrano pepper, seeded and minced ¼ c. red onion, diced ¼ c. red pepper, diced 2 Tbsp. chopped fresh cilantro leaves 1 lime, zested and juiced 1 tsp. chile powder 1 Tbsp. extra-virgin olive oil (optional) Combine all ingredients. Allow to sit at room temperature for 10 minutes before serving to allow flavors to blend. Serving suggestions: Pairs well with grilled chicken or grilled fish, such as tuna or Mahi Mahi. Nutritional information per serving: 112 calories; 1 g protein; 13 g carbohydrates; 7 g fat (54% calories from fat); 0 mg cholesterol; 8 mg sodium; 325 mg potassium; 2 g fiber. Recipe from familyfeatures.com

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July 2016 — East Valley — Healthy Cells Magazine — Page 9

emotional

The Unforeseen Costs of Divorce

Kelly O’Horo, LPC

By Kelly O’Horo, LPC, Founder of Infinite Healing and Wellness, EMDR-Approved Consultant, EFT-Trained Clinician

here is a joke that I’ve seen going around that says, “Do you know why divorce is expensive? Because it’s worth it.” Unfortunately, this does not take into consideration all of the emotional costs of divorce. This article will presume that the partners in a marriage were excited to get married. They loved each other and believed in a “happily ever after” when they agreed to tie the knot. Although the idea of happily ever after is nice on paper, those who have been married are aware that the idea of everyday bliss is just fiction. That is not to say that we cannot find more moments of happiness and connection than not, but frankly, marriage takes work—daily work, daily honor, and, most importantly, daily commitment to persevere. Most think that we choose to marry because we want to raise kids and have companionship. There is actually a scientific reason we want to get married. Humans are tribal creatures, and we are hardwired to connect. According to Stephen Porges’ Polyvagal Theory, mammals are unique in that part of our nervous system is physically engaged with safe connection with others. This part of the nervous system is called the ventral vagal nerve, and via specific hormones, we respond to social engagement cues either with fear and avoidance or safety and trust. In short, we need others for survival, and there is more gratitude experienced when we have someone with whom to share our moments. Where does it all fall apart then? When we experience stressful situations, we release hormones to help us navigate them during the event. It gives us the energy we need to mobilize. If we perceive our partner as safe and trustworthy, we lean into them for support and can more effectively navigate the stress. If we perceive our partner with fear and avoidance, we do not lean in and end up feeling alone. After a prolonged period where this pattern takes place, people feel alone; therePage 10 — Healthy Cells Magazine — East Valley — July 2016

“Marriage takes work — daily work, daily honor, and, most importantly, daily commitment to persevere.” fore, they think, “Maybe it would be easier to just be alone than to continue feeling rejected.” Before you make the decision to divorce because you “just cannot keep doing the same thing over and over,” let me suggest a different approach. Seek professional help from a qualified therapist. EFT (emotion focused therapy) and EMDR (eye movement desensitization and reprocessing) therapies are effective, evidence-based practices that can help you to learn a different way to engage with your partner. I often tell my patients

that I believe they have been working very hard to dig a hole with a hammer. Therapy allows you to learn to dig with a shovel. Divorce usually causes trauma for those involved, especially for children. Divorce is expensive and emotionally costly. The worst part is that less than 80 percent of second marriages are successful, as people continue their same patterns of connection with future partners. What I have noticed in my practice over the years is that in a couple, both parties bring their “baggage” with them. The key to a successful relationship is not finding someone who has no baggage but to make a commitment to unpack your bags together. When we stop looking at what is wrong with the other person and start looking at “how can I show up with more love?” so that they can feel safe and connected enough to heal, we can get through just about anything. In fact, we are hardwired to do so. The clinicians at Infinite Healing and Wellness are ready to assist. Check out our website, www.infinitehealingandwellness. com, to learn about our incredible team. Check out upcoming groups and follow our positive and encouraging Instagram and Facebook pages. Infinite Healing and Wellness LLC, at 2563 S. Val Vista Drive #108 in Gilbert, is a collaborative counseling practice designed to serve children, families, teens, adults, couples, first responders, and military veterans. For more information, call 480-448-107 or email info@infinitehealingandwellness.com. Photo credit: JackF/iStock

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monica@healthycellsmagazine.com July 2016 — East Valley — Healthy Cells Magazine — Page 11

senior care

Keeping Seniors Healthy Is a Family Issue

Sheriolyn Curry, Mdiv, CSA

Submitted by Sheriolyn Curry, CSA, Comfort Keepers

t takes a family working together to choose the most appropriate option for a loved one’s senior care — to make sure all the senior’s needs and wishes are addressed. Why is it important for families to work together? For starters, seniors are at a vulnerable stage of life. They often face multiple health concerns and loss of physical and cognitive function. More than ever, seniors need the support and love of family members. Seniors often have difficulty expressing their needs, desires, and preferences, so they must have someone to advocate for them. And who is more qualified for that than the people who know them better than anyone else in the world? Even if your family chooses to involve outside help in providing your loved one’s elder care — an in-home care agency, an assisted living community, or a nursing home — you need to be involved. You can communicate to the professional caregivers your loved one’s likes and dislikes, habits, routines, concerns, and all the other things that make them an individual. Without your help and involvement, their senior care may fall short of what they deserve. Today, 80 percent of older Americans prefer to stay at home as they age. This means families are more directly involved than ever in their loved ones’ senior care. So, it is more important than ever that families be involved in the planning stage together. No single individual can adequately handle the responsibilities of caregiving alone — certainly not on top of other work, family, and community responsibilities. In most families, there is usually one sibling who, based on proximity to the aging parent, becomes the chief caregiver. Deciding who that person will be is a good topic for the first conversation with aging parents. Parents, of course, need to be involved in every step of the decision-making process, so they can maintain as much control of their lives as possible. But no matter who the chief caregiver is, all siblings need to share the responsibility in some way. This could involve home maintenance, managing bill paying and finances, or taking care of insurance and medical claim issues. Also, do not forget the importance of frequent visitation. As you brighten your parents’ day, you can monitor their health and mental status and share concerns you have with their professional caregiver. You may find that their elder care plan needs to be modified to address changing circumstances. In choosing the most appropriate care for a senior loved one, there are a number of decisions to make and questions to think about. • How do I begin talking with my parent about their care needs? • How will the care be funded? • What is the safest, most comfortable, most appropriate care option for my parent? • Is a family member nearby who can be of assistance at a moment’s notice? • What types of help does my parent need — for instance, bathing, eating, transportation, etc.? • How do my parent’s religious affiliation and other personal preferences influence the type of care we choose? Page 12 — Healthy Cells Magazine — East Valley — July 2016

• What types of senior care are available? How do they differ? And how does each one address my parents’ needs? To help find the senior care solution most appropriate for your parents, you may consider having their physician conduct an evaluation. You may also consider options that match your parent's unique traits and temperament. Choosing the best senior care option is a difficult decision. Involving family members helps ensure that you consider all factors and choose the best possible solution for your loved one. Comfort Keepers is available to help you talk through these options. Sheriolyn Curry is a certified senior advisor, a pastor, and a coach. Comfort Keepers of Chandler has been providing all levels of care and a wide variety of support services in the Southeast Valley for 14 years. Caregivers are certified and have ongoing training to give them the skills they need to be the best caregivers they can be. For additional information, call 480-659-9201, visit www.comfortkeepers.com, or email chandler@comfortkeepers.com. Se habla español. Photo credit: monkeybusinessimages/Thinkstock

good foot care

Be Kind to Your Feet

Jason C. Harrill, DPM

Submitted by Jason C. Harrill, DPM, FACFAOM, Desert Foot and Ankle, PC

ears of wear and tear can be hard on your feet. So can disease, bad circulation, poorly trimmed toenails, and wearing shoes that don’t fit. Foot problems are sometimes the first sign of more serious medical conditions such as arthritis, diabetes, and nerve or circulatory disorders. Step in the Right Direction Practice good foot care. Take a look at your feet often; use a mirror to look at the bottoms of your feet. Look for cuts, blisters, and ingrown toenails. Ask a member of your family for help if you need it. If you have diabetes, be sure to check your feet every day. Remember to put your feet up when you are sitting down. This helps the circulation in your feet. So can stretching, walking, or having a gentle foot massage. A warm foot bath is also helpful. Make sure your feet are dry before you put on your shoes. Wear shoes when you’re outside. If you are sitting for a long time, stand up and move around every now and then. If you cross your legs, reverse or uncross them often. If you have a problem with your feet, your family doctor can help, or you can see a doctor who treats feet, called a podiatrist. Make Sure the Shoes Fit Wearing comfortable shoes that fit well can prevent many foot problems. Here are some tips for making sure your shoes fit: • Shoe size may change as you age, so always have your feet measured before buying shoes. The best time to measure your feet is at the end of the day when your feet are largest. • Most of us have one foot that is larger than the other. Make sure your shoes fit your larger foot. • Don’t buy shoes without trying them on first. Shoe sizes can vary depending on the kind, make, and style. For example, the size you wear for sneakers may not be the same size you need for dress shoes. • Walk in the shoes to make sure they feel right. The heel of the shoe should not slide up and down when you walk. • Choose a shoe that is shaped like your foot. Styles with high heels or pointed toes can hurt your feet. • Stand up when trying on shoes to make sure there is about ½ inch between your toe and the end of the shoe. • Make sure the ball of your foot fits comfortably into the widest part of the shoe. • Don’t buy shoes that feel too tight and hope they will stretch. • The upper part of the shoes should be made of a soft, flexible material. • Soles should give solid footing and not slip. Thick soles cushion your feet when walking on hard surfaces. • Low-heeled shoes are more comfortable, safer, and less damaging than high-heeled shoes. Don’t Get Off on the Wrong Foot Good foot care and regular foot checks are an important part of your healthcare. Your doctor should look at your feet often. If you have foot problems, don’t be afraid to talk to your doctor.

For more information about foot, ankle, and toe issues, contact Desert Foot and Ankle, PC, located at 1520 South Dobson Road #307 in Mesa. They can be reached at 480-844-8218, or visit their website at www.desertfootandankle.com. Sources upon request.

PLAN Ahead

Funding Your Funeral Ahead of Time Makes Good Sense 602-531-5141 • azlegacyfuneralhome.com Bilingual-based company • SE HABLA ESPANOL 480-217-2356 July 2016 — East Valley — Healthy Cells Magazine — Page 13

preventative health

Summer Sun Safety By Tammie Naranjo, MD, FastMed Urgent Care

Tammie Naranjo, MD

t’s tempting to sit out in the sun all day. Who doesn’t love to kick back on the pool deck with a book or a cold beverage and catch a tan without a care in the world? But the more we learn about how the sun affects our bodies, the more we know we need to prevent damaging exposure. We have to protect ourselves. Protecting Yourself from Sun Exposure The most efficient way to protect yourself from the sun is to avoid it. Powerful rays can even get to you when you are in the shade. If you are outside, the sun is strongest from 10am–2pm. While you always want to wear sunscreen when you’re out, also try to wear protective clothing if you’re outside, and avoid the hours when the sun is at its peak. Secondly, be sure to hydrate. Just as you protect the outside of you body with sunscreen and loose, breathable clothing, you have to protect your internal health. Make sure you drink plenty of fluids and eat healthy foods so your body is wellfueled to thrive outside. The Young and Old Are Vulnerable to the Sun Young people need your help in avoiding heat-related illness. If you see kids experiencing the symptoms of heat exhaustion, get them inside immediately, remove extra clothing, and try to cool them down. The elderly are also at a heightened risk of heat-related illness. According to studies, heat-related fatalities are skewed toward individuals over the age of 65. Sun Safety for Kids says, “Block the sun, not the fun!” Their advice is to encourage a culture of awareness. Explain to kids that if they are outside, they need to wear sunscreen and drink lots of water. Parents can keep a hat near the door so children have protection readily available on their way out to play. When children are old enough, you want to explain the power of the sun and why they need to be vigilant even when you are not around. Cool temperatures and cloud cover are not an excuse to let down your guard. UV rays can still get to people even when the weather seems pleasant and harmless. Staying on top of sun safety is a daily thing. Try to involve the whole family and make it a habit. You’ll find success in routine. Page 14 — Healthy Cells Magazine — East Valley — July 2016

Treating Sunstroke You prepared for the heat. You wore the right clothes. You packed what you thought was enough water. You even scheduled breaks to escape the sunlight. But now your skin feels cool or clammy; you feel weak and dizzy; you’re confused and have nausea or a headache. It can be scary when heat exhaustion sets in, especially if you have children with you, and you have to take care of them as well, knowing they’ve been out in the sun just like you. So if you feel yourself getting woozy at a summer concert, what are the steps to remember? • Find a Cool Place — Look for shade. Covered areas will allow you to take a break from the sun. If you are experiencing symptoms of sunstroke or exhaustion, get inside a cool air-conditioned building immediately. Sit in front of a fan or have a friend fan you, and put cool water on your body. • Drink Cold Water — You should be drinking water regularly throughout the day, but if you experience symptoms of heat exhaustion, pick up the hydration. Sports drinks will help you replenish valuable electrolytes, which your body loses when you are active

Have The Health You Want outside. In addition to rehydrating, you can put ice packs on your armpits, neck, back, and groin to cool the body down. • Seek Medical Attention — You should seek medical evaluation and attention by a healthcare provider if you continue experiencing heat-related illness symptoms. Often, less serious heat-related illnesses can progress into sunstroke. If you start feeling dizzy or nauseous when in the sun, it’s important to trust your body and give it the care it needs. Seek shade and rest before symptoms grow into an emergency. When in Doubt, Seek a Medical Professional For additional information about sun exposure and how you can protect your family, talk to a healthcare provider. A doctor can give you a recommendation about sunscreen and look at spots on your body to make sure something serious is not going on. You can also talk to a professional about how best to prevent and treat heat-related illnesses. If you feel the symptoms of sunstroke coming on or are concerned about the health of someone around you, consult a medical professional immediately. Asking questions early is always better than dealing with an emergency later.

True Resilience Integrative Medical Solutions Specialized to help build metabolic, structural, and emotional resilience. Naturopathic Applied Kinesiology Using my skills and training I have helped patient after patient improve their quality of life by educating them and giving them the tools to take their health into their own hands. – Dr van Driel

Therapy Options: • Clinical Nutrition • Spinal Adjusting • Craniosacral Work • Prolotherapy

• Neuro-Emotional Technique • Ozone • Homeopathy • Acupuncture

Tammie Naranjo, MD, is a physician at FastMed Urgent Care, working at locations in Tempe, Mesa, and Phoenix. For more information or to contact Dr. Naranjo, visit www.FastMed.com. This content is not intended to diagnose health problems or take the place of professional medical care. Photo credit: Nadezhda1906/iStock

www.trueresilienceims.com • 1256 West Chandler Blvd #22, Chandler, AZ

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

feature story

Mosquito-Borne Viruses of Arizona

he arrival of monsoon season also provides mosquito breeding opportunities when rainwater gathers in drainage areas, clogged storm drains, unattended pools, and anything else that can hold even a small amount of water. Mosquito-borne viruses are found every year in Arizona, with the West Nile virus being the most common. Health officials throughout Arizona have been monitoring mosquito-borne virus activity for decades in an effort to detect, monitor, and control mosquito-borne diseases. Mosquito surveillance involves trapping mosquitoes, counting them, identifying the species involved, and testing the appropriate species for viruses. These surveillance methods are used to better identify areas where mosquito control efforts are needed. Detection and control of mosquito breeding sites depend upon integrated efforts among state, county, and tribal agencies as well as private citizens. Every month from March through October, over 300 samples of mosquitoes are collected by health officials throughout Arizona and tested at the Arizona State Public Health Laboratory, with many more local vector control departments conducting their own testing. Dead birds and horses are tested for mosquitoborne viruses at the University of Arizona’s Veterinary Diagnostic Page 16 — Healthy Cells Magazine — East Valley — July 2016

Laboratory. Reporting of mosquito-borne diseases in humans and horses by physicians and veterinarians is critical for detecting and responding to mosquito-borne viruses statewide. This surveillance data allows public health officials to identify areas of higher risk so appropriate measures can be taken to prevent future occurrences. Starting in 2013, chikungunya virus expanded into the western hemisphere. Meanwhile, dengue and Zika viruses have had increased incidences and geographic expansions. In light of these developments, there is an ongoing effort to conduct surveillance and control for their mosquito vectors as well, namely, Aedes aegypti. Although there have been no locally acquired cases of these viruses identified in Arizona, the presence of the vector species increases the risk for locally acquired cases to occur. Zika Virus Zika is a flavivirus transmitted by mosquitoes and first identified in Uganda in 1947. In 2015, Zika virus circulation in the Americas began in Brazil. On February 1, 2016, the World Health Organization declared a Public Health Emergency of International Concern because of clusters of microcephaly and other neurological disorders in some areas affected by Zika. To date, Zika has

not been spread by mosquitoes in the continental United States; however, lab tests have confirmed Zika virus in travelers returning to the United States and in some non-travelers who got Zika through sex with a traveler. Zika virus spreads to people primarily through the bite of an infected Aedes species mosquito (A. aegypti and A. albopictus). Because the mosquitoes that spread Zika are found throughout the world, it is likely that outbreaks will spread to new countries. Symptoms Most people infected with Zika have no symptoms, but for those who do, the most common symptoms are fever, rash, joint pain, and conjunctivitis (red eyes), lasting from several days to a week. Because of the lack of virus symptoms, travelers returning to the United States from an area with Zika should take steps to prevent mosquito bites for three weeks after returning so they do not spread Zika to mosquitoes. Why Zika Is Risky for Some People Zika infection during pregnancy can cause fetuses to have a birth defect of the brain called microcephaly. Other problems have been detected among fetuses and infants infected with Zika virus before birth, such as defects of the eye, hearing deficits, and impaired growth. There have also been increased reports of Guillain-Barré syndrome, an uncommon sickness of the nervous system, in areas affected by Zika. Zika Virus Facts • No vaccine exists to prevent Zika. • Mosquitoes that spread Zika virus bite mostly during the daytime. • M osquitoes that spread Zika virus also spread dengue and chikungunya viruses. West Nile Virus West Nile virus (WNV) is a mosquito-borne virus found throughout the United States and is the most common mosquito-borne disease in Arizona. It is not spread by person-to-person contact or directly from animals to people. West Nile virus was first detected in the United States in 1999 and in Arizona in 2003. It is not known how it was introduced into the United States, but it may have entered in an infected traveler, bird, or mosquito. The virus can cause illness in people, horses, certain types of birds, and other animals. Mosquitoes become infected with the virus when they feed on birds that are infected. After a few days, infected mosquitoes can then transmit the virus to other birds, humans, and horses. Only certain species of mosquitoes carry the WNV; the most common are the Culex mosquitoes, which are common throughout Arizona. WNV is most common in crows, ravens, and jays but has been reported in more than 280 bird species. Horses are also susceptible to WNV infection, but a vaccine is available through veterinarians. WNV infections affecting the nervous system have also been reported in squirrels, goats, sheep, and llamas, but the susceptibility of these animals to WNV is not well known. WNV illness in dogs and cats is rare.

www.azdhs.gov/mosquito Protection from Mosquitoes The most effective way to protect you and your family is with protection from the mosquitoes themselves. Personal Protection • U se Environmental Protection Agency (EPA)-registered insect repellents. When used as directed, these insect repellents are proven safe and effective even for pregnant and breastfeeding women. • Do not use insect repellents on babies younger than two months old. • Do not use products containing oil of lemon eucalyptus or para-menthane-diol on children younger than three years old. • Always apply sunscreen first, then insect repellent. • Wear long sleeves and long pants when outdoors. • Treat your clothing and gear with permethrin or buy pre-treated items. Do not use permethrin products directly on skin. • Mosquito netting can be used to cover babies in carriers, strollers, or cribs to protect them from mosquito bites. • Sleep under a mosquito bed net if sleeping outdoors. Home Protection • Keep your yard clean and clear from debris, this reduces the number of places mosquitoes can lay their eggs. • Make sure to dump or cover all water holding containers regularly. • If standing water can’t be dumped (pools, ponds, etc.), treat it with the appropriate chemicals to stop mosquitoes from laying eggs. • R eport standing water, stagnant pools and clogged drainage culverts to your Home Owners Association (HOA), city or county officials.

Symptoms People of all ages can get sick from WNV, but 4 in 5 people have no symptoms. Those affected have flu-like symptoms, such as fever, headache, body aches, swollen glands, and muscle weakness. Symptoms can last for days or weeks. In rare cases, July 2016 — East Valley — Healthy Cells Magazine — Page 17

feature story

continued Arizona is at risk for local transmission of dengue virus because of the presence of the Ae. aegypti vector mosquito, which is widespread throughout Arizona. This would most likely occur if an individual was infected while traveling outside of Arizona but then returned to Arizona and was bitten by an Ae. aegypti mosquito. If this mosquito then took a blood meal from a new host, it could transmit the virus to this next host. This person would be considered a locally acquired case. Signs and Symptoms An individual bitten by an infected mosquito usually develops signs and symptoms of disease 4–7 days following exposure. This typically starts with a sudden high fever accompanied by facial flushing, rash, body aches, myalgia, arthralgia, and headache. Sore throat, anorexia, nausea, and vomiting are also common. These symptoms will typically last 2–7 days. Mild hemorrhagic manifestations are not uncommon and include petechial and mucosal membrane bleeding. Gastrointestinal bleeding or vaginal bleeding in women of childbearing age is also possible, especially in more severe disease.

West Nile virus can cause more serious conditions such as encephalitis (an inflammation of the brain) and/or meningitis (an inflammation of the linings of the brain and spinal cord). Treatment There is no specific treatment for West Nile virus infection. As with other viral illnesses, supportive care and symptomatic therapy are given. West Niles Virus Facts • No vaccine exists to prevent WNV. • It is the most common mosquito-borne illness in Arizona. • Culex mosquitoes tend to bite from dusk to dawn. St. Louis Encephalitis Human disease cases of St. Louis encephalitis are very rare in Arizona and in the United States in general, but due to mosquito surveillance, public health professionals know that it’s still circulating in some mosquito populations. The Culex mosquito is the main carrier of St. Louis encephalitis. The virus can cause illness in people, horses, certain types of birds, and other animals. Mosquitoes become infected when they feed on birds that are infected with the virus. After a few days, infected mosquitoes can then transmit St. Louis encephalitis to other birds, humans, and horses. Signs and Symptoms In the one percent of infected people that do become ill, symptoms start to show 5–15 days following the bite of an infected mosquito. Disease typically starts with fever, malaise, headache, dizziness, and nausea. Illness typically gets worse over a period of a week and then spontaneously resolves. Occasionally, the illness progresses to a more serious stage. This typically includes signs of central nervous system infection such as dizziness, stiff neck, confusion, disorientation, and altered mental status. Dengue Fever Dengue fever is primarily transmitted by Aedes aegypti and Aedes albopictus mosquitoes, which can also transmit chikungunya, Zika, and yellow fever viruses. Currently, there have been no locally acquired cases of dengue identified in Arizona; however, cases are brought into Arizona every year by travelers who pick up the virus while abroad. Page 18 — Healthy Cells Magazine — East Valley — July 2016

Chikungunya Fever In December 2013, the first cases of chikungunya in the western hemisphere were reported in the Caribbean. There have been locally acquired cases of chikungunya fever in Florida as well as a chikungunya positive mosquito found in the Houston area. The introduction of chikungunya virus to the United States increases the risk of importation and local transmission to Arizona because of the presence of the mosquito Ae. aegypti. The possibility also exists for infected mosquitoes to travel across state and national borders. Signs and Symptoms Acute chikungunya fever usually lasts 3–10 days and is characterized by a sudden onset of high fever (usually greater than 102º F) and severe joint pain. Fever can last from several days to up to a week and is sometimes intermittent. Joint pain is usually symmetric and most commonly seen in the hands and feet but can manifest in other joints as well. Other signs and symptoms can include headache, diffuse back pain, myalgia, nausea, vomiting, polyarthritis, tenosynovitis, rash, and conjunctivitis. In about 50 percent of patients, a rash occurs 2–5 days after fever onset. It is typically maculopapular and involves the trunk and extremities. Community Involvement Together, as a community, we have a responsibility to each do our part to monitor and eliminate mosquito breeding opportunities. Check your yard and neighborhood for standing or stagnate water. Notify your HOA or city street maintenance department to report drainage issues that allow water to accumulate.

Maricopa County responds to mosquito concerns in residential areas and will schedule fogging appropriately. They can be reached at 602-506-0700. If you notice mosquito problems in local parks, contact the appropriate city park division. Sources upon request. Photo credit: Douglas Allen/iStock, Rattikankeawpun/iStock, elenaleonova/iStock

awareness

Strokes and Chronic Pain What You Should Know Submitted by Griswold Home Care

early 800,000 Americans suffer from a stroke every year, making strokes the leading cause of serious long-term disability. While most people understand that surviving a stroke means living with neurological deficits, few expect to be left with physical pain. In truth, even many doctors are unaware that pain can be a common side effect of stroke, even though about 10 percent of stroke survivors will suffer from intense chronic pain.

Risk Factors for Chronic Pain Just like there are risk factors that increase your chances of suffering a stroke, there are risk factors for suffering from pain after surviving a stroke. According to recent research from the American Stroke Association, the most significant risk factors for post-stroke pain include alcohol consumption, previous depression, type 2 diabetes, vascular disease, and statin use. Women are also significantly more likely than men to experience poststroke pain. Chronic Pain Disorders Central post-stroke pain syndrome (CPSP) is a neurological disorder that can result from a stroke. With CPSP, the portion of the brain responsible for processing sensory data, like heat and touch, has become damaged. CPSP often starts as localized numbness on one side of the body but gradually becomes a debilitating tingling or burning sensation. Some people also develop allodynia, a type of hypersensitivity that causes pain from stimuli that normally wouldn’t cause pain. That sensitivity may be set off by stimulation as minor as the pressure of clothing or even small changes in temperature. For effective treatment, it’s important to watch for the onset of CPSP because it’s easily misdiagnosed, and it may occur weeks or even years after a stroke. Painkillers as Treatment Unfortunately, treating post-stroke pain can be very difficult. While narcotics, sedatives, and muscle relaxants are effective at treating pain, they can worsen cognitive impairments caused by the stroke. Additionally, research shows that stroke patients who use painkillers as treatment are prone to addiction and dependence. Fortunately, there are a number of alternative treatments worth trying. With training from a physical therapist, you may be able to manage chronic stroke pain with no more than relaxation, heat packs, and stretching. Tips for Coping with Pain Many people find it useful to keep a pain diary. By keeping very specific notes about what causes you pain and when, your doctor may be able to create a more effective treatment plan. It’s also important to avoid the things that trigger pain. While those triggers may vary from person to person, they often include hot water, tight clothing, and pressure on a part of the body affected

by the stroke. As with any illness, inactivity and the loss of muscle will only make your symptoms worse. Remaining active is essential to the treatment of almost all chronic pain. Above all, it’s critical that people who suffer from chronic pain be honest with their caregivers about their pain. Patients hiding their post-stroke pain is one of the reasons why so many doctors remain unaware that strokes can cause chronic pain. It can be a hard conversation to have, but it’s the first step to getting the help you need. Call today for a no-cost, in-home visit so we can learn your needs and desires and tell you more about the unique Griswold model of home care. Griswold Home Care offers truly affordable and high quality non-medical home care. We refer high quality caregivers who provide personal care, homemaking, companionship, and other in-home care services. Contact Griswold at 480-777-9000, visit www.griswoldhomecareGC.com, or e-mail Eddie.rodriguez@griswoldhomecare.com. Photo credit: lisafx/iStock July 2016 — East Valley — Healthy Cells Magazine — Page 19

look good, feel good

The Health Benefits of Looking Your Best Submitted by Derma Health

“The happiest girls are the prettiest girls.” — Audrey Hepburn

ur n on the television, scroll through your social media, or open a magazine; there is always something advertised on selfimprovement and how to look better. Whether it is fitness, healthy recipes, weight loss supplements, or positive quotes, looking your best surrounds you. Why wouldn’t you want to be the best version of yourself? Have you ever treated yourself to a med spa experience? I recently visited Derma Health to invest in myself and to get an understanding of what a med spa has to offer. I was impressed by how friendly the staff was and the relaxing feel of the space. There are a variety of services at med spas, such as face treatments (Botox, microneedling, and eyelash treatment), cellulite reduction, specialized diets, and laser hair removal! Food and allergy testing is another service provided by Derma Health. Each location has a naturopathic doctor on staff to really address the patients from a holistic approach. I think the most important customer service treatment is the education Derma Health provides—the knowledge empowers the patients to want to improve their health, feel better inside, and look healthy on the outside. I had a free skin consultation, which showed me—through two different mediums—the reality of my skin and the things I need in order to have a healthy appearance. This was on the initial visit and is offered to first-time patients as a courtesy. I learned how Botox is used as a preventive measure to decrease the appearance or formation of wrinkles. Get rid of wrinkles before they happen?! That is amazing technology. I didn’t feel Page 20 — Healthy Cells Magazine — East Valley — July 2016

that I was obligated to purchase any services or the products; it was a no-pressure ambiance, and I felt welcomed and appreciated as a human being, not just another dollar sign walking through the door. I chose to participate in a facial. This was a magical experience to say the least. I felt honored as a woman; I was pampered and educated along with my relaxation. I have a darker complexion, and just like my skin consultation, the services and discussion were tailored to fit my needs. Self-care is self-love. I say this often because I believe that you are worth it and worth the investment. Something as simple as getting dressed, despite not having anywhere to go, just makes you feel better. Getting a pedicure or eating a healthy meal are also good ways to take care of yourself. Imagine what taking your acts of self-love to the next level can do for you! Taking care of yourself and looking good exudes self-confidence and pride in yourself, which motivates future behavior. People look at you differently when you are confident. Your perception of yourself affects your mood. You attract people and things into your life based on how you feel. The way I present myself makes me feel good about myself, and I want to look good for me, not for everyone else. External validation is the icing on the cake. Looking good on the outside can boost your self-esteem. When you take action for the outside of your body, like exercise or services at a med spa, this manifests change on the inside on a physiological level, increasing hormones like dopamine and serotonin, which are the happy hormones. Taking care of yourself helps you feel good! These hormones help to break down cortisol

and decrease stress in your body. It really does feel good when you look good! Derma Health’s mission statement: “To uplift the spirit, inspire the mind, and encourage you to be the best you can be!” I give you permission to look your best and feel your best. It is always a great idea to take care of yourself. 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 to 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. About the author: Chante Pantila, MC, DBH, EMDRIA, of Gilbert, Arizona, is a certified therapist and advocate for self-care. Chante believes living healthy is a lifelong process that requires self-love and self-care for continued existence. Photo credit: Jacob Wackerhausen/iStock

Services

• Advance Massage Therapy • Therapeutic Massage • Stretching / Realignment Exercises • Injury / Rehab Massage

Benefits

• Athletic Performance • Stress Reduction and Quality of Life • Increase Range of Motion • Pain Relief

(480) 686-8647

www.KeystoneBodyTherapies.com 1600 W. Chandler Blvd, #250 • Chandler, AZ 85224

Call for your free consultation

Better Hearing - Better Understanding - Better Living Mesa

Tempe

(480) 498-2134

Chandler

(480) 498-2246 (480) 498-2223

We are just as concerned about your hearing as you are.

www.Tri-CityAudiology.com July 2016 — East Valley — Healthy Cells Magazine — Page 21

don’t put it off

Because “Someday” May Be Too Late By Hilary Samples, Mountain View Funeral Home and Cemetery

o you ever think, “I really have to get this done,” but keep putting it off? I did, too until I was faced with it head on. I realized it was nothing I would want my kids to have to face when the time comes. It was very uncomfortable making arrangements for someone that never talked about it. There was a lot of unnecessary tension in the room with all the family members. Then, when the cost of the services came into play, you could have cut the tension in the room with a knife. Because of my experience, I don’t want to see any family go through this. My goal is to protect you and your family from the emotional and financial burden caused by not planning ahead. As an advance planning specialist, I know talking about your funeral or cremation services is a touchy subject. Nobody likes to think about it, but it is necessary. I am passionate about helping people and letting them know what their options are for funeral or cremation services. Have you ever gone to a funeral service and thought, “I don’t ever want that to happen at mine?” That is the difference when you plan ahead— everything is in place. I enjoy sitting with individuals and getting to know them, and together we can figure out a plan. When you take care of your funeral or cremation service ahead of time, you are guaranteeing today’s pricing. What you are also guaranteed is peace of mind. To make it comfortable for people, I have a few different ways we can discuss funeral planning: 1. You can come to the funeral home, or I can visit you in the comfort of your own home.

Page 22 — Healthy Cells Magazine — East Valley — July 2016

Hilary Samples

2. A Home Gathering—What is a home gathering? You invite a few friends or neighbors over, and I will bring dinner. This is a great way to learn and ask questions. Meanwhile, you are relaxed and in the company of friends. 3. I have monthly dinner and learns at Mountain View Funeral Home. You just have to call and RSVP. You can also follow me on Facebook at East Valley Advance Funeral Planning for future events and information about pre-planning. We protect our loved ones from the very beginning of life; we need to protect them at the end of our journey, too. Save 10 percent on your pre-arrangement by mentioning this article. For questions or to schedule an appointment, please contact Hilary Samples by phone at 760-391-3456 (cell) or 480-832-2850 (office), or e-mail hsamples@mvfuneralhome.com. Serving the community for 61 years, locations include Mountain View Funeral Home and Cemetery in Mesa, San Tan Mountain View Funeral Home in Queen Creek, and Superstition Cremation and Funeral Services in Apache Junction. I am able to meet you at the funeral home or in the comfort of your own home. Photo credit: JackF/iStock

communication breakdown

Tips for Improving Your Listening Experience

Kay Kochman, Au.D

Submitted by Kay Kochman, Au.D., Tri-City Audiology

move away from noise sources such as radios, televisions, or dishwashers. Tip: Some restaurant reviews provide information on noise levels. Make use of these when choosing a restaurant.

These factors include: • Heavy accent or poor pronunciation • Background noise or dim lighting • Unfamiliar topic • Fatigue, illness, or difficulties with attention or language

Problem: Room lighting is dim. Answer: Try to improve the lighting in the room, or find a room with good lighting. Sit with a window at your back facing the speaker. This makes it easier to see the speaker’s face. Tip: Using lip reading and seeing facial expressions can increase understanding of speech up to 20 percent even for a person with no formal lip reading training.

any people with hearing loss believe their communication problems are just because of poor hearing. However, there are other factors that can cause a breakdown in communication.

Here are some strategies that can be learned and used to help reduce communication breakdowns: Make communication easier from the beginning. Tell others you have hearing loss, and ask the speaker to get your attention before beginning to speak and to alert you of a change in topic. Find a quiet, well-lit room for communication, and stand or sit three to six feet from the speaker. Fix communication breakdowns with repair strategies. When you realize that communication difficulties have already occurred, tell the speaker about the communication issue. Simply saying, “Huh?” or “Pardon?” is not going to work well. Instead, offer a suggestion to rephrase or simplify what has been said. Ask that the speaker repeat the part of the sentence that you did not get. It is best not to fake it and pretend that you understand when you do not! Doing this can increase the misunderstandings and result in everyone’s embarrassment. Check what you heard by repeating the message back to the speaker, and if the conversation is full of important details, like medical appointments, ask the speaker to write down key information, such as addresses, phone numbers, and appointment times. Here are some more specific tips you can use when particular problems arise: Problem: The speaker is difficult to understand. Answer: Ask the speaker to speak slowly and not to shout at you. Ask the speaker to look directly at you and not to cover his or her face or look away. Seeing the speaker’s lips and expressions will help your understanding. Note: Many people think that shouting at someone with a hearing loss will help the person understand better, but in fact, this is not so. It can make understanding more difficult and unpleasant. Problem: Background noise is loud. Answer: Move to a quieter location. Pick a quiet restaurant, and go at an off-hour when it will be less noisy. Turn off or

Problem: Room acoustics are poor. Answer: In your home, select floor coverings (such as carpets), window coverings (such as cloth draperies), and furniture (such as upholstered chairs and sofas) that absorb sounds. When dining out, select restaurants with sound-absorbing carpets, curtains, linen tablecloths, and booths. Avoid restaurants that have hard floors and bare walls. Problem: The topic of conversation is unexpected or unfamiliar. Answer: Ask the speaker or another listener to summarize the topic of conversation for you and to alert you when the topic changes. Ask a yes or no question. If possible, prepare for the conversation or meeting ahead of time by anticipating potential content and vocabulary that will be used. Problem: You are dealing with fatigue, stress, and distractions, and it is difficult to pay attention. Answer: Set sensible goals for yourself. Ask to have short breaks in meetings to prevent fatigue. Seek out the services of an audiologist certified by the American Speech-LanguageHearing Association (ASHA). Many offer formal communication training/audiologic rehabilitation. This training is designed to make you more aware of some of the issues summarized above and will help you to improve your listening and speech reading skills. This type of training can improve communication skills whether or not you wear hearing aids. The audiologists at Tri-City Audiology can help you maximize your hearing aid benefit and your communication success. If you would like more information on how we can best assist you, please call the office nearest you: Mesa 480-498-2134; Tempe 480-498-2246; Chandler 480-498-2223. We look forward to being a part of your hearing healthcare!

Reprinted with permission from American Speech-Language-Hearing Association.

For more information, please visit www.ASHA.org.

July 2016 — East Valley — Healthy Cells Magazine — Page 23

infant care

Group B Streptococcal Septicemia of the Newborn

David N. Kells, MD

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

roup B streptococcal septicemia is a severe bacterial infection that affects newborn infants.

Causes Septicemia is an infection in the bloodstream that may travel to different body organs. Group B streptococcal (GBS) septicemia is caused by the bacterium Streptococcus agalactiae, which is commonly called group B strep, GBS, or neonatal sepsis. A newborn with septicemia is very sick. GBS is commonly found in adults and older children and usually does not cause infection. There are two ways in which it may be passed to a newborn baby: • The infant can become infected as the baby passes through the birth canal. In this case, babies become ill between birth and six days of life (most often in the first 24 hours). This is called early-onset GBS disease. •T he infant may also become infected after delivery by coming into contact with people who carry the GBS germ. In this case, symptoms appear later, when the baby is seven days to three months or more old. This is called late-onset GBS disease. GBS now occurs less often because there are methods to screen and treat pregnant women at risk. The following increase an infant’s risk for group B streptococcal septicemia: •B eing born more than three weeks before the due date (prematurity), especially if the mother goes into labor early (preterm labor) • Mother who has already given birth to a baby with GBS sepsis • Mother who has a fever of 100.4° F (38° C) or higher during labor •M other who has group B streptococcus in her gastrointestinal, reproductive, or urinary tract • Rupture of membranes (water breaks) more than 18 hours before the baby is delivered • Use of intrauterine fetal monitoring (scalp lead) during labor Symptoms The baby may have any of the following signs and symptoms: • Anxious or stressed appearance • Blue appearance (cyanosis) • Breathing difficulties, such as flaring of the nostrils, grunting noises, rapid breathing, and short periods without breathing • Irregular or abnormal heart rate—they may be fast or very slow • Lethargy • Pale appearance (pallor) with cold skin • Poor feeding • Unstable body temperature (low or high) Exams and Tests To diagnose GBS septicemia, GBS bacteria must be found in a sample of blood (blood culture) taken from a sick newborn. Other tests that may be done include: • Blood clotting tests—prothrombin time (PT) and partial thromboplastin time (PTT) • Blood gases (to see if the baby needs help with breathing) • Complete blood count Page 24 — Healthy Cells Magazine — East Valley — July 2016

• CSF culture (to check for meningitis) • Urine culture • X-ray of the chest Treatment The baby is given antibiotics through a vein (IV). Other treatment measures may involve: • Breathing help (respiratory support) • Fluids given through a vein • Medicines to reverse shock • Medicines or procedures to correct blood clotting problems • Oxygen therapy A therapy called extracorporeal membrane oxygenation (ECMO) may be used in very severe cases. Outlook (Prognosis) This disease can be life threatening without prompt treatment. Possible complications include: • Disseminated intravascular coagulation (DIC): a serious disorder in which the proteins that control blood clotting are abnormally active • Hypoglycemia, or low blood sugar • Meningitis: swelling (inflammation) of the membranes covering the brain and spinal cord caused by infection When to Contact a Medical Professional This disease is usually diagnosed shortly after birth, often while the baby is still in the hospital. However, if you have a newborn at home who shows symptoms of this condition, seek immediate emergency medical help or call the local emergency number (such as 911). Parents should watch for symptoms in their baby’s first six weeks. The early stages of this disease can produce symptoms that are hard to spot. Prevention To help reduce the risk of GBS, pregnant women should get tested for the bacteria at 35–37 weeks into their pregnancy. If the bacteria are detected, women are given antibiotics through a vein during labor. If the mother goes into premature labor before 37 weeks and GBS test results are unavailable, she should be treated with antibiotics. Newborns who are at high risk are tested for GBS infection. They may receive antibiotics through a vein during the first 30–48 hours of life until test results are available. They should not be sent home from the hospital before 48 hours of age. In all cases, proper hand washing by nursery caretakers, visitors, and parents can help prevent the spread of the bacteria after the infant is born. An early diagnosis can help decrease the risk of some complications. 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, e-mail info@iwomenshealthcare.com, or visit www.iwomenshealthcare.com. Se habla español.

hand and finger weakness

Is It Carpal Tunnel Syndrome? Michael Haught, LMT, Keystone Body Therapies

n the United States, there were over 3 million cases of carpal tunnel syndrome (CTS) diagnosed last year. People with possible CTS have numbness, tingling, and weakness in their hand and fingers—more specifically, the thumb and first two fingers. The problem is that there is another syndrome with the exact same symptoms that is becoming much more prevalent in this country due, in part, to our increasing reliance on computers and technology. It is called thoracic outlet syndrome (TOS). In fact, recent studies have shown that 85 percent of carpal tunnel cases are not true CTS and are misdiagnosed. Though the two are very similar in their symptomology, they are very different. The good news is that both are usually treatable without invasive surgery or injections. Thoracic outlet syndrome is caused by a compression of nerves, blood vessels, or both in the area in the chest between the base of the neck and the armpit. It can present itself as pain; weakness or tingling in the fingers, hand, or forearm; or neck and back pain. With blood vessel compression, impaired circulation to the extremities causing discoloration will be present. Symp-

Michael Haught, LMT

toms will often reproduce or worsen when positioning the arm above the shoulder or keeping the arm extended for long periods of time. There are many different tests available to identify thoracic outlet syndrome. Regular massage with a therapist who has a thorough understanding of the myofascial and nervous systems will help to keep muscles loose and functioning properly. The additional training that each therapist at Keystone Body Therapies receives allows us to properly assess and treat both carpal tunnel syndrome and thoracic outlet syndrome, targeting the exact cause of the pain and dysfunction instead of just addressing the symptoms. Call us today at 480-686-8647, or stop by our office at 1600 W. Chandler Blvd., Suite 250 in Chandler to schedule your free consultation and find out how we can assist you in overcoming the discomfort that is caused by these issues. You can also schedule online at www.keystonebodytherapies.com. Photo credit: energyy/iStock July 2016 — East Valley — Healthy Cells Magazine — Page 25

in the community

Summer Blood Donor to Drive Away a Superhero with a 2016 Volkswagen Passat S!

ll June 1–August 31, blood donors will be automatically entered to win a 2016 VW Passat S! The Valley Volkswagen dealers have donated the car and partnered with United Blood Services in the 7th annual campaign to help inspire more people to give blood this summer. Blood donors receive a Bonus Entry card that provides two additional chances to win: register the entry code online, and for even better odds, deposit the card in a designated Volkswagen dealer showroom raffle box. The ten finalists who are drawn to participate in the grand prize ceremony will be unveiled throughout the summer on AZ-TV, proud media partner for the “Summer Drive to Save Lives” campaign. For a blood donation appointment, call 1-877-UBS-HERO (827-4376) or visit www.BloodHero.com (enter your city or zip code). During the three-month summer campaign with Valley Volkswagen Dealers, United Blood Services hopes to attract nearly 50,000 blood donors to save lives in Arizona hospitals. Those donors will help people like Hayley, who celebrated her sixteenth birthday on May 31 thanks to 95 blood donors. She was born with Diamond-Blackfan anemia, a rare

AZ Avengers & Justice League AZ were among the first superheroes to give blood for a chance to win! Join Hope Summers, Wolverine, Nightwing, Agent Carter (aka blood recipient Hayley), Deadpool & Blue Beetle in their quest to save lives! disease that prevented her body from producing red blood cells. She relied on the kindness of strangers to provide lifesaving blood transfusions every month until she was able to receive a bone marrow transplant. “Blood donors gave our daughter the chance to play, jump, and laugh like other children,” said her mom, Melana. “They are true heroes.” “The seven Valley Volkswagen Dealers genuinely believe in giving back to the communities in which we live and do business,” said Lunde’s Peoria Volkswagen owner, Dennis Lunde, on behalf of the dealerships. “What better way is there than to support United Blood Services in their efforts to make sure there is an adequate blood supply for those in need.” United Blood Services hopes to motivate people to donate more often this summer—to help more patients like Hayley and earn additional chances to win the 2016 Volkswagen Passat S. “While donors are generally eligible to give blood every eight weeks, the majority (65 percent) donate just once a year,” said Audrey Jennings, District Director of Field Operations for United Blood Services.

United Blood Services Donation Locations Call 1-877-UBS-HERO (1-877-827-4376) or visit www.BloodHero.com (enter your city or zip code) Chandler Donor Center: 1989 W. Elliot Rd., #33 (Elliot & Dobson) Mesa Donor Center: 1337 S. Gilbert Rd., #101 (Gilbert & Hampton) Phoenix Donor Center: 5757 N. Black Canyon Hwy. (Bethany Home Rd. & I-17) Scottsdale Donor Center: 15170 N. Hayden Rd., #6 (Hayden & 83rd Pl.) Page 26 — Healthy Cells Magazine — East Valley — July 2016

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