Bay Area Health & Wellness Magazine July August 2015

FITNESS | NUTRITION | HEALTH | Mind-Body | FAMILY WELLNESS | community | FINANCIAL

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Birds, Bees and

Smartphones See page 10

INSIDE: Pilates: Your Spine’s Dental Floss Should I Immunize My Child or Not? Meditation: One of the Eight Limbs of Yoga

JULY/AUGUST 2015

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Birds, Bees and Smartphones 10 Should I Immunize My Child or Not?

Financial 12

Mediation: An Alternative to Litigation and Pathway to Healing 21 Wow, Sold in 1 Day! Wait, Did I List Too Low? 22

Mind-Body

What is Wrong with Me? Could it be Your Hormones?

Health Q&A 30

Dealing with Addictions and Families Nicole... A Battle To Walk 15 5 Ideas for Keeping Cool This Summer 16

On The Cover: Kayla Bulseco, Erick Portillo, Melissa Gaffney, Jorden Hussein and Marie DeMoss.

Photography by Rhonda Floyd Photography.

Nutrition

Fitness

Pilates: Your Spine’s Dental Floss 5 Ride for a Cause: The BP MS 150 6 YMCA After School Programs 8 Clear Lake Area Chamber of Commerce

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Family Wellness

JULY/AUGUST 2015

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Changing Medicine: The Patient-Centered Medical Home 23 Meditation: One of the Eight Limbs of Yoga 24

Frozen Yogurt: A Sweet AND Healthy Treat by Zoyos 17 Sip on This! 18 Restaurant Journey: Nature’s Garden Market Café 19

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Senior Focus Connecting Resources for Caregivers Worry-Free Retirement 27 Retiring from Your Job and Not Your Body 29

Community Diva Marathon & Wellness Expo

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Bay Area Health & Wellness Magazine | July/August 2015 3

bs ghw a h w | fWr Eo LmL tNhEeS eSd i to r The Tail Wagging the Dog:

Families & Cellphones Technology has brought some amazing things into our family lives. We are connected in ways that we never imagined when we were kids. Paradoxically, we are often more disconnected as families than ever before, as our time and attention is increasingly absorbed by electronic media. There is a concept in physical/organic systems called “disentropy,” which is the idea that living systems tend to fall into a state of disorder or disorganization without constant action or forces to keep them together. Think of a family being in a boat together trying to row upstream on a river with a strong current. Without constant effort to maintain position or move forward, the strong current will quickly move the boat downstream.

Even more insidious are the quiet and slowly moving currents beneath the surface that are almost undetectable but are carefully leading us away from our goals as families.

As a mom, I’ve watched the tides shift in my family as our kids have grown and been increasingly exposed to the pressures and expectations of being fully “plugged in.” While certainly helpful in many respects, the strong effects and pull on our kids (and others) to spend more and more time in front of a screen has been alarming. At the risk of sounding old fashioned (I never thought I would say that about myself), there is a need for a “call to arms” to confront some of the risks inherent in the currents of electronic media that are moving our kids into dangerous waters. With 91% of adults and 60% of teens reporting owning cell phones (Pew Internet & American Life Project Survey), it isn’t likely that we will avoid these challenges in our families, in some form. Medical and social/behavioral sciences are finally catching up to our kids and reporting some concerning effects.

In a recent Baylor University study published in the Journal of Behavioral Addictions, James Roberts (study co-author) reported that “cell phone and instant messaging addictions are similar to compulsive buying or substance addiction and are driven by materialism and impulsiveness.” He further explained that “technologic addictions (a subset of behavioral addictions) are no different from substance addictions in that users get some kind of reward from cell phone use, resulting in pleasure. Cell phones are a part of our consumer culture, as both a tool and status symbol. They’re also eroding our personal relationships. A majority of young people claim that losing their cell phone would be disastrous to their social lives.” (http:// www.news-medical.net) This is just one example among studies that have reported “side-effects” of constant use including: 1) generating negative feelings during face-to-face conversations when the device is visible/present, 2) increasing stress levels, (constant ringing, vibrating, alerts, reminders, etc.) insomnia and depression, 3) increasing risk of chronic pain (pain and inflammation in joints including fingers/hands, neck, shoulders, and back), 4) increasing risk of digital eye strain, among others.

Perhaps one of the most harmful effects is the way that cell phones, texting, and social media interrupt the flow of our time together as families and the opportunity to have face-to-face, meaningful time and contact with each other.

Hence, the “tail wagging the dog:” something that is a minor or secondary part of something controlling the whole.

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Putting things back in place: The most important principle of change is to start where you are! One of the first challenges is to be willing to unplug, as the parent, and make time for the family. If you are willing to do that, everyone else may be more willing to follow your example. Another guiding principle of change is to understand the “why” of change. If your family understands the risks, the consequences, and the benefits of making time for each other and “parking” electronics during set times, they will be more willing to follow along. Particularly if you are using the black-out time to actually enjoy quality time together. One suggestion is to “dock at dinner” so that, as your family comes together at the end of a day, everyone shuts off, unplugs, etc. and is present with each other. The phones stay docked until you wake up the next morning with your Sincerely, kids. The more consistently you follow the rule, the more habitual the behavior will be and the less resistance you will get. Over time, you will help your children (and you) develop a pattern of Camille Olson, B.S., Editor finding ways to let the family rest from the busy, Bay Area Health & Wellness Magazine intrusive, constant, barrage of electronics.

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For information on advertising or other inquiries, visit our website at www.txhwmagazines.com or call us at 832.323.3020 Bay Area Health & Wellness Magazine | 549 N. Egret Bay Blvd. | League City, TX 77573 The publisher is not responsible for the accuracy of the articles in Bay Area Health & Wellness Magazine. The information contained within has been obtained from sources believed to be reliable. Neither the 4 www.txhwmagazines.com publisher nor any other party assumes liability for loss or damage as a result of reliance on this material. Appropriate professional advice should be sought before making decisions. ©Copyright 2015.

Pilates Your Spine’s Dental Floss

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By Dr. David Redding I’ve always said, “If your spine was on your face you would probably take better care of it.” Spinal floss could be the synonym for Pilates.

Pilates is defined as a form of strength and flexibility training that can be mastered by most people and at any fitness level. Its use by elite athletes as a way to rehab from injuries, as well as prevent them, has brought Pilates into the limelight lately. Swimmers and Pro golfers use it to strengthen the core and prevent back stress and strain. NFL football players are using it to gain strength and better flexibility.

All athletes can see significant benefits from adding Pilates to their exercise regime. Pilates is performed on a mat or by using equipment, with the most popular being called a reformer. It is recommended that beginners spend time with a qualified trainer to learn and understand the “basics,” although it won’t take long to realize that there isn’t anything basic about it.

Pilates concentrates on controlling movement. All movement uses alignment as the central focus. The core muscles are emphasized in many exercises, which explains why those who do Pilates regularly have strong abdominals. Core muscles are those muscles that help to stabilize and maintain control of the pelvis and spine. In addition to a strong core, people experience a sense of physical and mental wellbeing. Pilates is one of the best exercises for strengthening and lengthening the core muscles without creating bulk.

Pilates is nonimpact, which makes it an excellent choice for people that have age or physical limitations to performing high impact

Dr. David Redding, with sghw | CTherapy, U L ThasU R E Pro-Fit Sports practiced in Friendswood for over 20 years. In addition to chiropractic, Whe isEMaster LLN Level certified in Active Release Technique. He uses a blended approach to therapy that incorporates his knowledge in sports injuries, dynamic stretch therapy, acupuncture, cold laser therapy and Rock Taping.

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forms of training or rehab. Pilates can be | performed during pregnancy to help assist in maintaining alignment and flexibility, as well as regaining body shape and tone post-partum. In a short time, people can feel and see chronic postural changes being corrected through enhanced body awareness. This is great for office workers who have trained their bodies to be rounded and slumped due to extended time at the computer.

If you have a history of a spinal condition that has been treated by a physician and/or you are under current pain management, you should first seek your doctor’s advice before starting a Pilates-based strength and rehab program. Since Pilates or movement therapy is targeting the deep tissues of your core and spine, it is common to feel sore from the inside out, even if you haven’t previously had a spinal issue.

I frequently refer patients that are starting or have finished a series of treatments for their backs to restore their core muscles to a more balanced place. This helps the patient take ownership of their spine’s health. That’s similar to your dental hygienist giving you a toothbrush and dental floss after your check up. Spinal Floss, get it?

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Looking for Pilates in the Friendswood area? Contact 281-992-5326 and refer to this article.

Bay Area Health & Wellness Magazine | July/August 2015 5

Ride for A Cause

The BP MS 150 What is Multiple Sclerosis (MS)? The statistics are alarming; approximately 400,000 Americans have MS, and every week, about 200 people are diagnosed.

Worldwide, MS affects about 2.5 million people. Multiple Sclerosis is a chronic, unpredictable disease of the central nervous system (the brain, optic nerves, and spinal cord). MS causes the immune system to incorrectly attack a person’s healthy tissue, causing many life-long health issues.

By Marissa McClellan Where can you find 13,000 avid cyclists coming together for a single cause?

The BP MS 150! Did you know that the BP MS 150 is the largest Multiple Sclerosis bike event in the US, and it happens every year here in Houston! In 2014, the proceeds from the race raised 20 million dollars to help fight MS. 13,000 cyclists and over 3,500 volunteers brave the elements and personal obstacles to take on the 180 mile journey from Houston to Austin.

Here are three riders who shared with us their personal reasons and passions that fuels their participation in the BP MS 150.

Top photo by Marco Torres.

This photo by Chuy Benitez.

Chris Turner: “The reason that I signed up for the BP MS 150 two years ago is a very different reason than the reason I continue to ride today. I initially wanted to ride because it was on my “bucket list.” Once I started to train, I began to realize how many people were affected by this disease. I remember a woman at my church that was some days in bed all day, some days walking and some days in a wheelchair. I knew she had a disease, but until I began training for the BP MS 150, it never clicked that this was the same disease. That realization happened over and over again. I soon began to find my thoughts returning to these people and their struggles as I trained. They became the reason I rode. I raised the money willingly because of their struggles.

I choose the KSBJ team because I wanted to be surrounded by people who had the same motivation as I did, who would lift me up and lift others up as we rode. KSBJ shares the message of hope with those around them. One example of that was that every rider receives an orange MS 150 bandana. Our team signs the bandanas, prays over them and then distributes them to people in the community that we know are living with MS. One of the most humbling encounters was the day I gave that bandana to a woman who has MS. I will continue to ride the MS 150, for as long as I am able, for those who cannot ride because of their battle with MS.” 6 www.txhwmagazines.com

Tyagi Rangappa: Tyagi, a Friendswood resident, participates in the BP MS 150 as a way of getting involved and giving back to the community. “During my first MS 150 ride, which was 5 years ago, I was very impressed with the way the BP MS 150 was organized. On a personal level, participating in the BP MS 150 has also strengthened my resolve to getting the community involved with the cause. My company Noble Drilling fervently supports the BP MS 150. It is a ‘one of a kind’ community event, unlike anything else. It is not a race but it is a ride to promote the cure for MS.” Tyagi is an integral part of the BP MS 150. “For the last two years, I have been serving as the Ride Marshal for the BP MS 150 event. I am the Safety coordinator for my team and always promote safety during the rides. I also coach enthusiastic youngsters who want to get involved with BP MS 150.”

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Marissa McClellan is a sghw | Ceducation U LT U R E former physical and health teacher, who holds a Bachelor of Science degree in Health Education W E and LLN Exercise Physiology from Sam Houston State University.

There she received the Leader in Health award two years in a row. She also graduated with an Associate of Arts in Journalism.

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Jeri Rippon:

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Jeri’s journey with MS began in 1995 with a routine eye exam that eventually led to a referral to a neurologist, a MRI, and a Spinal Tap. Today, because of MS, Jeri has lost her writing ability in her right hand as well as fine motor skills. She cannot run, but can walk. Jeri feels that the three things that have brought her to where she is today are “working out religiously, good eating habits and faith in God.” Jeri is a volunteer with Team Hope and a member of “Because We Can,” a group of riders with MS. “A lot of people that ride in the BP MS 150 know people with MS, but the wonderful thing is that many people who ride don’t have a personal connection to MS. They want to do this for us, and that is humbling. There is no better feeling in the world than riding down the road seeing people holding up signs and cheering you on. When you are standing at the Capitol building in Austin, knowing you rode your bike to Austin it feels amazing! I feel so much support! The BP MS 150 riders are a strong group of people who are willing to give endlessly to the cause to help end the crippling disease of MS.”

We work together to help you grow.

(281) 317-7326

INDIVIDUAL, COUPLE & FAMILY THERAPY

As a group of professional therapists, we specialize in individual, couple, and family therapy in the Bay Area: Friendswood, Clearlake, League City and surrounding areas.

www.southshorefamilies.com

549 N. Egret Bay Blvd #300, League City Bay Area Health & Wellness Magazine | July/August 2015 7

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YMCA After School Programs

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As a working parent, you may worry about those in-between hours for your child, especially after school. You want to know that your child is well cared for, learning, and with people you can trust. Your community YMCA is here to help!

As the one of the nation’s largest providers of school-age programs, the YMCA is dedicated to providing highquality, affordable options for your family, including before/after-school care. (Please note that before school programs are only offered at select locations in the Bay Area.)

YMCA programming is family-centered, values-based, and educational. Their goal is to nurture children’s development physically, educationally, and socially. The YMCA staff is licensed by the Texas Department of Protective and Regulatory Services, Child Care Licensing Division.

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The YMCA after School Care Program consists of: • Physical and imaginative activities to encourage self-exploration and achievement • Supplemental educational activities using interactive learning models to engage critical thinking • Homework assistance from trained YMCA staff • Opportunities to socialize with other kids of the same age and form friendships that support growth and self-confidence • STEAM activities (science, technology, engineering, arts, and math) for school-age kids • HEPA activities (healthy eating, physical activities) After school programs are in high demand and require that you sign-up early to guarantee a place for your child in preparation for next school year. The program is for grades K-6 and is offered Monday thru Friday on regular school days. Before school care and programs for early-release school days are also offered.

The best part is that your kids are safe and having fun! You’ll like YMCA after school programs as much as your kids do!

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FI T NESS

Clear Lake Area Chamber of Commerce On May 7, 2015, over 90 businesses exhibited at the 28th Annual “Buy Into Bay Area” Business & Wellness EXPO at Gloria Dei Lutheran Church in Nassau Bay. The Expo was organized by Clear Lake Area Chamber of Commerce to showcase the goods and services that are offered right here in our backyard.

In addition, the goal was to enhance our local businesses and encourage Buy Into Bay Area. This is a think local campaign to remind us all to take advantage of our local healthcare, shopping, worshiping, volunteering, schooling, recreation, entertainment, etc.

Houston Methodist St. John Hospital was the Exclusive Wellness Sponsor.

Other sponsors included: The Pet Palace Pet Resort, Berkeley Eye Associates, Norman Frede Chevrolet, American Business Machines and Joe’s Bar-B-Q.

Bay Area Health & Wellness Magazine | July/August 2015 9

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Birds, Bees and

By Jeff R. Temple, PhD, UTMB Health s ghw | MIND & BODY

Smartphones

Adolescence is often described as a period of storm and stress –

where children from parents, establishing their own s ghw | F Abegin M separating I LY

identities, and discovering their sexuality. This development into junior adulthood coincides with myriad hormonal, physical, and | C U LT U R E emotional changes. In short, adolescence is difficult, overwhelming, and taxing. The fact that most kids make it through this critically W E L L N period E S S to be better human beings than important| developmental when they entered is remarkable.

The fact that parents of adolescents make it through this period is nothing short of miraculous. And as if this period wasn’t hard enough, we now have to deal with smartphones – at the dinner table, on vacation, while they’re sleeping. Now we worry about cyberbullying, online predators, hundreds of dollars of in-app purchases from Clash of Clans to…SEXTING. Sexting is defined as sending or receiving sexually explicit messages or images/video via electronic means (usually phones). My team at the University of Texas Medical Branch published some of the first studies on this relatively new behavior. While research in this area is still new, we and others have consistently shown that teen sexting is common and that it is often associated with real life sexual behavior.

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Between 15% and 30% of adolescents have participated in sexting, with higher About the Author rates reported by older adolescents or Dr. Temple, a licensed clinical when the sext is limited to just messages psychologist, completed his (no images). In my study of nearly 1000 undergraduate degree at teens, 28% of boys and 28% of girls had the University of TexasSan Antonio and his sent a naked picture of themselves to Ph.D. at the University another teen. Nearly 70% of girls had of North Texas. In 2007, been asked to send a naked picture. he completed a postdoctoral research fellowship at Brown Like all studies published on the topic, Medical School. Dr.Temple my research also shows that teens who sext is an Associate Professor are substantially more likely to be sexually and Director of Behavioral Health and Research in the active. Indeed, in a study published in Department of Obstetrics the journal Pediatrics, my colleague and and Gynecology at UTMB I recently found that teens who sexted Galveston. He is a nationally were more likely to be sexually active over recognized expert in interpersonal relationships, the next year, regardless of prior sexual with a focus on intimate history. partner violence.

These statistics will alarm any parent.

But should they? The short answer is “maybe.”

Let me begin by saying that I don’t want my kids sexting. That being said, most sexts are harmless in that they are seen only by the intended recipient and not the entire school, they do not end up on the internet, and they do not land the teen in jail. “Normal,” wellbehaved kids sext, and accumulating evidence suggests that, when not coerced, sexting is not likely to have psychological consequences.

Furthermore, more teens are having real sex than are sexting. Thus, our priority should be promoting healthy relationships and teaching teens evidence-based and comprehensive sex education. Sexting education should be a part of this, but not at the expense of valuable information on the importance of delaying sex, and the prevention of unwanted pregnancies and sexually transmitted infections.

However, sexting can have disastrous consequences. So what should we do? Most importantly, we should talk to our kids and we should do so in a fully informed and honest manner. Approach this like you would a conversation about something as mundane as seatbelts. You probably would not tell your children that if they don’t wear their seatbelt they will likely die the next time they drive. You would probably say something like, “You’ll probably be fine if you choose to not wear a seat belt, but ‘what if?’” or “It only takes one time.” Similarly, we should not tell teens that their future is ruined if they sext. Instead, we can say, What if it does end up on the internet; what if someone forwards it to your teachers; what if your coach finds out; what if the college you’re applying for learns of this?” Adolescents are impulsive and moody and irritable and weird; but they are smart.

We should treat them as such.

But what do I know? I have a 12 year old at home who knows everything and thinks I’m stupid. Wish me luck.

Bay Area Health & Wellness Magazine | May/June 2015 11

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W E L L N E SBySDr. Ragini Miryala

Should I s ghw | F I N A N C I A L Immunize My s ghwChild | M I N D or & BODY Not? s ghw | F A M I LY The Importance s ghw | C U LT U R E of Immunizations

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In just a few short months, there will be a mad dash to get children vaccinated for the beginning of a new school year. Some kids will be entering kindergarten, while others will be going off to college. For many families, getting their children immunized will seem like a chore – making appointments, waiting in doctor’s offices, the looming deadlines to make sure kids won’t be denied entry into school. As we go through these minor inconveniences, let us take a moment to be grateful that About the Author our children are protected from diseases that once took Dr. Ragini Miryala owns and operates PediSTAT child/teen the lives of thousands. urgent care, an after-hours and Vaccines are one of our society’s greatest achievements weekend clinic for youth. She in healthcare. They have led to the reduction or completed all of her Pediatrics training at UTMB Galveston eradication of once common childhood illnesses, like and has been serving the polio, which once caused death and paralysis across the Houston/Galveston area since country. Children today no longer have to get the small 2008. pox vaccine because the disease has been eliminated.

When making decisions about immunizing, particularly with optional vaccines like the flu vaccine, we should consider not just ourselves but our loved ones, as well.

People who are not protected by vaccines can still be affected by or pass on these diseases. Whereas, a healthy young adult may recover from a disease after a short period, family members with less robust immune systems, like infants and the elderly, can end up hospitalized with the same illness. In addition to saving lives, vaccines save families time and money. Prolonged illness and medical bills are reduced by immunizing. For example, the flu can easily last two weeks and lead to several days of missed work.

Vaccines protect entire communities, not just individual families.

In a process called “community immunity” or “herd immunity,” if a critical number of people are vaccinated against a particular illness, the entire community becomes less likely to get the disease. On the other hand, if not enough people are immunized, the disease can reappear. Under immunization has led to a resurgence of chicken pox and whooping cough in parts of the country and there are devastating stories of children dying from these illnesses.

Because diseases like polio and diphtheria are becoming so rare, it is reasonable to ask whether it is still worth immunizing against them. It is important to note that unless we continue immunizing, the few cases of the disease left can infect many more, undoing the progress made over many years. For example, according to the National Institute of Health, in 1989 low vaccine rates resulted in more than 55,000 cases of measles and 136 measles-associated deaths. According to the Center for Disease Control, there were over 500 cases of measles in our country this year. Skipping vaccines leaves us susceptible to pneumonia, Hepatitis B and shingles.

Members of the military and college students can easily spread diseases like meningitis due to the close quarters in which they have to live.

Vaccines are safe and effective and you cannot “catch” an illness due to a vaccine. From cradle to college, immunizations protect our children from life threatening illnesses. They make it safer to travel to foreign countries and protect future generations. For more information about any particular immunization, visit www.cdc.gov or ask your doctor.

What is wrong with me?

Could it be your hormones?

By Dr. Serge Gregoire A woman in her 40s came to my office a few months ago. She was complaining about fatigue, weight gain, depression, and especially moodiness (affecting her relationship with her husband and children).

She was frustrated with medical testing because every test turned out to be normal, but still she was feeling sick. The solution that was presented by her physician was to be on antidepressants. She did not agree with this, as she knew that, physically, there was something abnormal with her body. After conducting different tests at Mind Body Solutions it was determined that her thyroid was the cause of the problem. When given the diagnosis, she was surprised and claimed, “But my thyroid is fine.” Not too shocking for me, as it is known that regular blood work misses more than 50% of thyroid issues. In other words, the numbers are in “range,” but the patient still suffers from hormonal issues.

This is a typical scenario I see regularly in my office. A majority of women are suffering or will suffer from thyroid issues and hormonal imbalances at some point in their life. In fact, more than 90% of women are suffering or will suffer from a variety of hormonal related issues such as irritability, PMS, hot flashes, night sweats, depression, and headaches, among others. This impacts every aspect of their

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lives and their family lives, as well. The | F A M I LY thyroid gland is a master regulator of About the Author Dr. Serge Gregoire is a clinical the entire hormonal system. It controls U LhisT U R E nutritionist.|HeC received the organs from the shoulders to the toes, doctorate degree from McGill thereby regulating appetite, metabolism, University in Canada.

He completed 7-year |aW ELLNES digestion, body temperature, libido, postdoctoral training at and other functions. Therefore, a nonHarvard Medical School, and optimum thyroid function has a variety holds an advance certification in Nutrition Response Testing of consequences. Medications such as from Ulan Nutritional Synthroid or Armor Thyroid are not the Systems in Florida. Dr. Serge solution. As a matter of fact, the great is a certified herbalist through majority of women still have thyroid issues the Australian College of Phytotherapy. while taking these medications because they do not address the actual cause of the thyroid problems. Fortunately, there is hope for the reversal of these issues. In my office, a personalized nutritional program is utilized to directly address the actual cause of the thyroid dysfunction while healing the gland. In doing so, the thyroid works better and the patient experiences a significant improvement in health.

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Bay Area Health & Wellness Magazine | July/August 2015 13

Dealing with Addictions and Families

By Alyssa Baker

The United States census reports that almost 1.5 million individuals entered into an addiction recovery center from 1995-2010. What about their families? How many millions were affected? While many addiction treatment facilities combine mental, physical, and social services, they are solely treating the addicted family member, and not the rest of the family. Some facilities even involve the family in the addicted member’s treatment, but the interventions are mostly centered around helping the addicted member to stay sober.

Addiction can come in many forms: sex addiction, drug addiction, alcohol addiction, porn addiction, and even addiction to social media. While the individual suffers from the control the addiction has over them, the families suffer from neglect, abuse, and traumatic memories. This article is not about a “magical treatment” for getting your family member to stay sober. Instead, we will discuss what it means to take care of yourself... whether the addicted member gets better or not.

In his book, “Beautiful Boy,” David Scheff recalls his journey through his son’s methamphetamine addiction. Throughout the book, Scheff attends therapy sessions and Al-Anon meetings that reiterate the three Cs: you didn’t cause it, you can’t control it, and you can’t cure it.

1. You didn’t cause it.

How many parents have asked themselves the question, “Am I to blame for my son’s/daughter’s/mom’s/brother’s addiction?” There are many research studies that indicate the biochemical origins of addiction, and still, families blame themselves. Blame, shame, and guilt block family members’ abilities to experience happiness and joy.

These feelings can also lead to emotional and physical illnesses.

2. You can’t control it.

We all know that we can’t control other people, but when our family members are concerned, why can’t we control them? We love them! Maybe we try enforcing a stricter curfew, limiting the people they hang out with, or giving them the car to drive to Alcoholics Anonymous meetings. Ultimately, the addicted member will use if they want to use...no matter what you do. Although this knowledge may create a sense of hopelessness for family members, it is also freeing. It’s time to focus on what you can control: yourself.

3. You can’t cure it.

Addiction is so complex. Believe it or not, it’s much bigger than a mother’s love. Even a super hero dad, wonder woman mom, or sister with a doctorate degree cannot cure the disease. Research shows that the best treatment for addiction is family education on the disease process and enabling behaviors, individual self-care, social support, and family therapy.

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About the Author Alyssa Baker is a licensed Marriage and Family Therapist Associate. Along with practicing at the South Shore Center for Couples and Families, she works as a Behavioral Specialist as a part of an Integrative Medicine fellowship with UTMB Family Medicine in Galveston. Alyssa has experience working with individuals, couples, families, and groups with a variety of stressors; including, mood disorders, chronic medical conditions, substance abuse, and relational struggles.

The three Cs all focus on selfresponsibility and self-care. If you’ve been drowning in a family member’s addiction, it’s time to come up for a breath of air. Be kind to yourself.

When is the last time you have done the following: 1. Laughed with friends?

2. Sang your favorite song in the car (Loud!)?

3. E ngaged in intimacy (sex, hugging, engaging conversation, etc.)?

4. Gone out for dinner and a movie?

5. Felt the sun on your face?

6. Walked around the block?

7. Watched a favorite show?

8. Looked at the stars?

9. Read a good book?

10. Snuggled with your pet?

If it has been a while since you’ve cared for yourself in these ways, now is the time. Don’t wait for your loved one to “get better” to do these things. You are worth it!

For extra support and learning about the addiction disease process, contact a counselor or family therapist today. Also, for more support regarding the three Cs, try an Al-Anon meeting. Al-Anon meetings are for family members struggling with a loved one’s addiction. Local meetings can be found at www.alanon.org.

Nicole…

A Battle To Walk

By Bay Area Health & Wellness Staff Many of you have likely read articles by Dr. Matt Brown in past issues of Bay Area Health and Wellness magazine, as he is one of our featured authors in the Family Wellness section. He is the Family Therapy Program Director at UHCL and the Clinical Director at the South Shore Center for Couples and Families. Although Matt is known by many, his daughter Nicole is not.

Meet Nicole: Nicole is a beautiful, vibrant and spunky little girl who loves life. She is an avid reader, budding scientist, and a loyal and caring friend. Nicole has a condition called Diastrophic Dysplasia, which is a rare type of dwarfism. This condition causes the tendons in her hips, knees and feet to be very rigid and shortened, limiting her ability to straighten her legs and walk. While she was able to walk earlier in her life, she has progressively lost that ability and is now completely dependent on her mobility scooter, walker and bicycle.

Thankfully, there is a surgical procedure that can lengthen her

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tendons, allowing her | WELLNESS to extend her legs and increase her ability to walk on her own.

Because her condition is rare and the surgery is very complex, it must be done by a specialist in Delaware.

This surgery will be done on each leg, at separate times, so that the pain and physical burden is not so overwhelming for Nicole. United Healthcare (their insurance provider) has broken their contract with the entire state of Delaware, leaving the Browns responsible to cover 90% of the cost for this surgery. These expenses do not include travel costs and the second surgery 6 months after the first leg is operated on.

Bay Area Health & Wellness Magazine supports Nicole and her journey to overcome this obstacle. She is a courageous, happy girl that loves being with her friends and being independent. Not being able to walk has been very hard for her, especially when all her friends are running around and playing, or when she has to wait for someone to help her do routine tasks. She is so excited that this surgery will help her play with her friends and be more independent.

A medical fund has been started to raise money for Nicole’s surgery. If you have means to do so, join with Bay Area Health & Wellness Magazine to make a difference. Please consider making a donation—this is life changing for Nicole. http://www.gofundme.com/brownmedicalfund

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W E L L N EMacaroni S S Kid League City/Clear Lake

Beat the Heat with Macaroni Kid League City/Clear Lake

5 Ideas for Keeping Cool This Summer

is your place to find fun for kids! Whether it’s inside or outside, we’ve got you covered.

Temperatures are starting to rise, and we have some solutions to beat the temptation to plop down in front of the TV or iPad in the air conditioning. Summer heat doesn’t have to confine your family to electronics and your couch. Here is a sampling of some fun local ideas to help.

1. Community, city and neighborhood pools. The City of League City just opened their new pool at Hometown Heroes Park. Perry Family YMCA also has a very family friendly pool, including a slide and kiddie play area. Many subdivisions provide neighborhood pools for their residents.

2. Splash pads are big fun! Clear Lake Park has a splash pad called Dolphin Lagoon right on the shores of Clear Lake. You can picnic with your family, splash on the splash pad and enjoy the lake view, all in one fun spot. The Kemah Dancing Water Fountains are located in the center of the Plaza, right in front of the Boardwalk Inn. 3. If you are up for the short trip to Galveston, many spots to cool off await you. Nature’s solution is everyone’s favorite…the beach! Galveston also offers water park fun at Schlitterbahn, and educational fun at Moody Gardens. Moody Gardens Palm Beach can be a day of water excitement in itself, but you may want to plan a few days to include some indoor adventures at the pyramids (Discovery Pyramid, Rainforest Pyramid and Aquarium Pyramid).

4. Don’t forget some old-fashioned backyard play. Blow up pools and sprinklers in the backyard are an easy way to cool off and get neighborhood kids together. Younger kids may enjoy water tables, whether you purchase one or make your own. Older kids may even enjoy helping you wash the car!

5. If you want a break from the water, there are many places for indoor fun in the Bay Area. Museums, Jumping World, Putt Putt Funhouse, Main Event, Jump N Jungle, The Little Gym of Friendswood, Houston Party Playland and Quantum Leaps all offer fun for varying ages.

Take the kids for an afternoon or make it a play date with friends.

All of these ideas for beating the heat require a little prep, thinking ahead and some involvement. But one of the greatest things we can do this summer, and always, is to simply play with our kids. Watch your little one’s face light up when you actually jump in the pool with them or run through the splash pad and play. Make memories, take lots of pictures and treasure the time spent together, while summer schedules allow for so much family fun!

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Bay Area Health & Wellness Top 4 Picks to Beat the Heat The Ceramic and Pottery Center (281)-332-4490 900 Hwy 3 N. League City TX 77573

About the Author Tanisha Hicks is a “retired” Chemical Engineer. She spent 6 years working for United Space Alliance and SpaceHab before retiring. Currently, she spends most of her days playing with her two girls, writing and planning events for Macaroni Kid League City/Clear Lake, a local website highlighting family friendly events and activities. leaguecity. macaronikid.com

Looking for a fun way to spend those hot summer days? The Ceramic and Pottery Center offers fun summer activities for kids of all ages. Now, with the new party room, there is plenty of space for everyone to paint! Whether you are working with clay, fused glass, or ceramic painting, you are guaranteed a fun, cool experience.

Register online at ceramicandpottery.com or call to hold your spot.

Quantum Leaps (832) 431-1216 2323 Clear Lake Blvd Ste. 183 Houston TX 77062 Leap out of the sun and into fun at Quantum Leaps! Stay busy all summer long with classes and camps for children ages 4 months to 12 years including Parent-Child, Gymnastics, Karate, Dance, Sports, and Cheer. Quantum Leaps also offers weekly “Open Play” times where kids can enjoy play time without a structured lesson. Members and non-members welcome! For times visit www. quantumleapsgym.com Upper Bay Frame and Gallery (281) 333-9199 2450 E. Main Ste D League City TX 77573 Did you know that Upper Bay Frame and Gallery offer a variety of art programs that will keep your budding artist happy and out of the summer heat? Classes offered include: metal collage, knitting, jewelry design, decoupage, weaving, guitar, painting with all kinds of mediums, sewing and rock painting. Visit their website at www.upperbayframe.com to see the dates and times of classes. Call to hold your spot.

YMCA Perry Family YMCA: (281) 338-9622 1700 League City Pkwy W League City, TX 77573 Edgar A Smith YMCA: (281) 486-9622 14650 Highway 3 Webster, TX 77598 Looking for supervised activities that teach core values, conflict resolution and leadership skills to your kids? YMCA is the answer. This summer, beat the heat by participating in YMCA programs where you are allowed to create, explore and participate in healthy activities. See your local Bay Area YMCA for dates and times. Edgar A Smith: www.ymcahouston.org/edgar-a-smith Perry Family: www.ymcahouston.org/perry-family

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A Sweet AND Healthy Treat by| MZoyos s ghw IND & BO Americans are enjoying frozen yogurt in increasing numbers. From 2011-2013, consumption of frozen yogurt, or froyo, as fans like to call it, has increased by 74%! So, why the rise in popularity?

Zoyo’s selection of frozen yogurt flavors is constantly changing and guests have 45 toppings to choose from, which range from fresh fruit, to chocolate candies. Although the numerous new frozen yogurt flavors are delicious by themselves, froyo fans enjoy topping their salted caramel, pumpkin spice or original tart yogurts with fruit, chocolate, gummy bears and a variety of available toppings, making their treat even sweeter.

Frozen yogurt also boasts many health benefits. When purchased from a store like Zoyo Neighborhood Yogurt, in League City, froyo fans can be assured that they are enjoying a premium yogurt from global food purveyor, Dannon. Dannon frozen yogurt does NOT contain high fructose corn syrup and most flavors are also gluten free. The yogurt is made with milk, but the milk is from cows that are NOT treated with the rBST bovine growth hormone. Most

importantly, the frozen yogurt contains 10x the number of live and | F A M I LY active cultures per gram than what is required to bear the certified seal of the National Yogurt Association. At Zoyo, the frozen yogurt is carefully crafted to contain high levels of beneficial | Clive U and L T active URE yogurt cultures and to provide a great source of nutrients, such as protein, calcium, potassium, B12 and Riboflavin. Shops like Zoyo | WELLNESS offer non-fat, no sugar added, non-dairy sorbet, and low fat options.

So if you need to avoid certain foods, you have plenty of choices for a healthy and delicious frozen treat, made exactly the way you want it!

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About Zoyo Neighborhood Yogurt Zoyo Neighborhood Yogurt is an Arizona-based, self-serve frozen yogurt franchise with locations in Georgia, Indiana, Michigan, Texas, and Virginia. Founded in 2010, Zoyo is a neighborhood gathering place where friends and family can get together over a cup of delicious, premium quality frozen yogurt. Whether frozen yogurt is a component of your health regimen or you’re simply trying to satisfy a sweet tooth, Zoyo has something for everyone, all housed under one clean, friendly, and relaxed roof.

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By Darlene Staheli

on This!

Refreshing, quenching, satisfying. Pleasant words that s ghw | CU L T U Rcooling, E bring soothing images to mind. However, during the heat of the summer, we may feel anything but refreshed, quenched or cooled. We

s ghw E Lsymptoms L N E SofSdehydration; dry mouth, headache, may even |feelW some unusual hunger between meals, irritable, weak, dizzy, nausea, muscle cramps, confusion, sluggish and darkened urine. What can we do to prevent dehydration? DRINK WATER!! Simple, plain water offers profound benefits for our bodies!

Why do we need water?

Let’s take a closer look at some of the things that water does for us. We are made up mostly of water, over 60 percent of our total body weight, in fact. Every part of our body depends on those little H2O molecules. Water is actually a nutrient and without it, we wouldn’t survive more than a few short days. It’s a wonderful delivery system that carries other vital nutrients and oxygen into our cells so that we have energy to get out of bed, and do what we do, all day long. It helps us to blink, talk, swallow, breathe and smell. It regulates our body temperature, helps our skin to be soft and smooth, filters waste, cushions our brain and helps all of our bendy parts to bend. And should we need to lose a little weight, it can help with that too. (Try reaching for a glass of water instead of a snack between meals. It really works!)

How much water do we need?

Because we constantly lose water through sweating, urine, and even through breathing, we need to replenish several times throughout the day. The Institute of Medicine determined that an adequate intake for men is roughly about 13 cups of liquid a day. For women, about 9 cups is recommended.1 According to the USDA, “If you drink fluids when you feel thirsty and have beverages with meals, you should get enough water to keep you hydrated.”2 Obviously we need more if we’re out in the heat, exercising, or doing additional strenuous activities, usually around 2 or 3 cups more for minimal activity. For intense activity, we need to hydrate even more, before and after, possibly with a drink containing a little sodium.

And let’s not forget to drink while at the pool or the ocean.

Sometimes we don’t realize our need to drink water when we’re surrounded by water. Also, women who are pregnant or breastfeeding need additional fluids to stay hydrated.

It’s easy to determine how much water you need by paying attention to urine output, which should be light in color. If it’s dark or has an odor, go drink some water!

Certainly, there are some physical conditions, like congestive heart failure, kidney failure, peripheral vascular disease, liver failure, etc. where fluid intake is restricted and must be managed under the direction of a physician.

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But what if I don’t like water?

I have had several clients who have struggled with the “flavor” of water. To overcome this, here are a few proven tips to make water drinking more enjoyable: • Make homemade “Spa Water,” by adding delicious fruits to water and ice. Some great combinations are:

~ raspberries and mint leaves About the Author

~ sliced oranges, lemons or Darlene Staheli is a board limes certified Integrative Health

~ cucumber, mint leaves, and Coach and a professionally trained Health Supportive lemon Chef. Upon completing

~ strawberries and pineapple her Health Coach training slices program through the • Drinking seltzer or sparkling water, Institute of Integrative Nutrition, (NYC) and adding some of the additions she received her board mentioned above for a light flavor. certification through the • Decaffeinated herbal teas, cold or AADP. warm.

• Fill a bottle partially full of water and freeze it. When on the go, fill it up the rest of the way and it’s ready to cool and refresh.

• Experiment with differing temperatures of water. Some people are surprised that they actually prefer water at room temperature.

• Fresh foods high in water content can be a wonderful way to increase water intake. Examples include; watermelon, citrus fruits, grapes, apples, papaya, strawberries, apricots, cherries, carrots, bell peppers, lettuce, tomatoes, cucumbers, squash, celery, broccoli, cauliflower, and spinach.

So, determine your water intake needs, carry a water bottle with you and keep track of how much you’re drinking. Drink when you’re thirsty and with meals. Drink extra when you need to, and stay well hydrated for a healthy, happy summer! http://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/in-depth/

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USDA website; www.nlm.nih.gov/medlineplus/ency/article/002471.htm

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Restaurant Journey:

Nature’s Garden Market Café

By Kori E. Schimming The best kept secret in Friendswood is Nature’s Garden Market Cafe - a secret no more! The name says it all. They offer a plethora of healthy natural foods. If you are vegan or vegetarian, there is a great selection from which to choose, unlike most restaurants in the area. The smoothie bar offers many healthy concoctions with limited sugars. The salads are fresh and made in-house to-order with a huge selection of the freshest veggies. The soup and salad or sandwich combination is a perfect lunch or light dinner combination.

Nature’s Garden Market Café is much more than a restaurant.

It stocks a full selection of vitamins and supplements, some being pharmaceutical grade. Also, a large selection of groceries and hardto-find ingredients, such as gluten free and other natural products, are available. They have an organic produce co-op, with mixed shares of assorted fruits and vegetables from local growers and an organic distributor.

In addition to food, there is a selection of chemical-free cosmetics and hair products. They also carry a large selection of essential oils. If you’re looking for natural products for your four-legged friend, they have that as well. Nature’s Garden carries an independent food line

for dogs called Nature’s Variety. For cats and dogs both, they carry a line called Solid Gold. The brand offers dry dog and cat food, as well as canned food. You can pick up animal treats and biscuits.

Animals need their supplements too, so remember those on your way out.

Mike Wiechmann is the owner and is a certified herbalist and lifestyle educator.

You can set up an appointment with him for a private consultation. Programs are specialized for sleep, energy, diabetes, digestion, cholesterol, blood pressure, immune systems, hormone imbalance, and fitness and weight management.

Mike offers educational workshops throughout the year. Visit their website at www.naturesgarden@sbcglobal.net.

About the Author Kori Elyse Schimming is a sophomore at Friendswood High School. Kori is a student athlete who has played volleyball, basketball and soccer. She is now focusing on soccer and is a member of the varsity soccer team. Kori has an interest in journalism. Kori wants to play college soccer.

After college her desire is to be a teacher and soccer coach. She is like most teenagers and likes to shop and go to the nail salon and hangout with her friends.

Kori is one of six children.

Psoriatic Arthritis Research Study Painful or swollen joints?

Itchy, scaly skin?

You may be eligible for a research study being conducted in our area to evaluate the safety and effectiveness of an investigational medication for the treatment of psoriatic arthritis (PsA).

This study may help us to better understand potential treatments for this often painful condition.

In order to qualify you must: • be at least 18 years of age • have active psoriatic arthritis (PsA) for at least 6 months • have had prior injection treatment with a poor response • meet additional study criteria.

Qualified participants will receive all study medication and study-related care from a dedicated team of medical staff at no cost.

Health insurance is not required to participate.

Call Accurate Clinical Research in Nassau Bay at at

281-713-5855

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Mediation

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An Alternative to Litigation and Pathway to Healing

By Chris Turner, TMCA Credentialed Distinguished Mediator

Several years ago, as a young mother, I was a patient undergoing a superficial procedure during which a scalpel severed many layers of tissue, tendons and muscles in my shoulder. I compassionately understand that mistakes, both professional and personal, are a part of life. However, In order to avoid involvement in a possible lawsuit, doctors waited for the statute of limitations to end before surgically exploring my injury and attempting to repair the damage. The inability to correct that mistake is what, to this day, still causes an emotional response in me that I am not proud to harbor.

This experience led me to a career for which I am very grateful.

It began with this simple question: “What if the doctor was able to disclose mistakes and repair damage, both emotional and functional, prior to the point at which it became a lifelong hurt?� It is a question that I attempt to answer, as a mediator, with each person I meet that is in conflict.

Conflict is a constant in life. It is often what encourages us to make changes in our lives, thereby providing us with an opportunity for growth. How we deal with conflict directly correlates to the value we will have when the conflict is past. Most of us avoid conflict because the risks and cost are too expensive: emotionally, financially and/or personally. The investment in relationships at home, school, church and work can easily inhibit open communication and honest interaction in an effort to prevent further damage. As a result, small issues escalate and the gaps in a relationship grow larger.

A mediator can provide the necessary tools to structure interactions that move people toward resolution of conflict.

Very simply, mediation is the process through which a neutral third party assists others in resolving disputes.

It is the role of a mediator to facilitate communication and to help parties resolve issues, forming a plan of action which guides their future interactions. Mediation is not counseling, nor is it the practice of law. Mediation involves two or more parties voicing their opinions and generating options for resolving issues with the goal of creating a written document that reflects their agreement.

In some cases, the agreement may be binding and irrevocable. Mediation can be utilized in many different situations: from divorce to disputes among students, and from damages from an oil spill to neighbors arguing about the placement of a fence.

Although most often used as part of a legal process, mediation is available whether or not legal action is pending. In addition to being significantly less expensive than litigation, mediation is helpful in resolving issues before they escalate to the point of legal intervention or a total breakdown of communication. Mediating early in a dispute can serve as a formal time out, setting ground rules, both personal (such as when and how parties will

communicate) and functional (such as how bills will be paid).

About the Author The agreement may also document Chris is a TMCA the understanding between parties, Credentialed Mediator such as what assets and benefits of the Distinguished who earned a Law Degree from the partnership will not be affected and if University of Houston intervention during the period of the and a Master’s Degree in agreement, such as counseling, refinance, Social Work from Catholic etc. will occur. By instituting a plan, parties University. She specializes in relational mediation are able to have a time out from emotions including divorce, separation, and stress that a dispute is creating while prenuptial, employment, maintaining relationships and assets neighborhood, church and which have been mutually supported. education based mediations.

Many times, the initial agreement may be the basis of a more permanent resolution, such as a divorce or dissolved partnership. In some cases, it provides needed respite, which enables parties to reconcile and move forward. Mediation can be used informally or as the basis of a legal settlement. The process is confidential, collaborative and cost effective.

Conflict resolution through mediation can be an effective agent for change. It is not about who is to blame, it is about being honest about what exists today so that a plan for tomorrow can be made.

From that plan hope and healing are often found.

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Wow, Sold in 1 Day!

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By James Brockway In this hot seller’s market, what could be better than putting your home on the market and, within a day or two, receiving multiple offers at close to, or even exceeding list price?

Well, consider this. If your house goes on the market at say $200,000 and About the Author gets one or more offers at that price in one James Brockway, of Brockway or two days, is it possible that you listed Realty, has been representing home buyers and sellers it for too low of a price, meaning you left throughout the Clear Lake thousands of dollars on the table? and Houston area since In the real estate industry, Realtors are 1992. He is a Certified preached two metrics to promote when Residential Specialist (CRS), an Accredited Buyer setting themselves apart from other Representative (ABR), and Realtors as they vie for your listing: their a Certified International average Sales Price/List Price ratio and Property Specialist (CIPS). their average Days on Market (DOM).

These two criteria tell potential clients that we know how to list a home according to market and can achieve that “top dollar” rapidly.

In the example above, if the proper market value is really $215,000, then logic dictates that listing it for $200,000 is going to generate an offer or two, and fast! In this case, listing this $215,000 home at $200,000 and getting an offer in a day translates to a 100% SP/LP ratio and perhaps 1 DOM, but is that beneficial to you?

When interviewing a Realtor to list your home, make sure you get a Comparative Market Analysis (CMA) which will show you what homes like yours have sold for and what similar homes are currently listed for. It’s very important to take note of the nuances of each comparable home; for instance, if you have a pool or are on a waterfront or other premier lot, make sure this extra value is added into your list price. If you are in a seller’s market and prices continue to rise, consider listing above recent sales prices to ride that wave.

One caveat though, if you do go under contract at a price above market price and the subsequent appraisal states that the home is worth less, the buyer may want you to reduce the contract price to the appraised value. Ask your Realtor if she can provide you with the other homes that didn’t qualify as a “comp” in her CMA. If 3 comps were provided in the CMA, but 10 other similar homes sold during the same time frame used by the agent, ask why they weren’t included. You are the one making the decision on list price, so you need all the facts. Of course, your Realtor is your trusted advisor, but ultimately it’s your decision.

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Changing

Medicine The Patient-Centered Medical Home

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EA LT H The Patient-Centered Medical Home (PCMH)| isHan innovative, improved, and evolving approach to providing primary medical

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care that has gained broad acceptance in the US. The PCMH is “a model of care that strengthens the clinician-patient relationship

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by replacing episodic care with coordinated care and a long-term healing relationship.1”

By Mike Olson

Central to this notion is the role the primary health provider plays in leading a team that takes collective responsibility for patients’ health care needs and arranging appropriate care with other qualified clinicians. It is | WELLNESS intended to result in more personalized, coordinated, effective, and efficient care.

Part of the current challenge in medicine is that care is often episodic, fragmented and expensive. Patients are often seen by their physician and then sent out to specialists for further care and testing. While this is a necessary step for some patients, it is often not the best care for most.

One example of how the existing medical system works poorly and how the PCMH represents an improvement in care is in the case of mental health, or the treatment of mental or emotional illness. In the traditional approach, a family doctor may recognize that a patient needs psychiatric care or psychotherapy and refers out to a Psychiatrist About the Author and/or a psychotherapist. This often presents a number of challenges to patients, including limited access (wait Dr. Mike Olson is a licensed times), stigma of seeing a separate provider for mental health, inadequate marriage and family therapist or reduced insurance coverage for mental health care, separate visits and in Texas. He graduated with his Master’s degree from transportation, poor communication between family physician and Brigham Young University therapist and/or psychiatrist, etc. and his Ph.D. from Kansas In the PCMH, the physician leads a care team that includes State University. Following multiple providers, including a behavioralist/mental health graduate study, he completed a post-doctoral research specialist. In this model/approach, the physician may have the and clinical fellowship in behavioralist see the patient before the visit to conduct a brief Behavioral Medicine from the interview/screen or have him/her come in during or after UTMB, Galveston. the regular medical visit. The behavioral provider (therapist) may provide brief, focused interventions as a part of the regular medical visit at the point of care and again at follow up visits, if needed.

Bringing care to the patient, rather than sending the patient out for care, is a central tenant of this approach. In cases where a patient needs more specialized care or help beyond what can be offered as a part of the medical visit, he/she would be seen by the behavioralist separate from the physician for focused and time-limited care (usually 4-6 visits) and/or seen in conjunction with a psychiatrist. Psychiatrists can also come into the family physician’s office on a weekly or as needed basis to provide support and consultation. The goal of this approach is to address the main presenting complaint and to bring care back to the physician’s office.

There are many barriers in our current healthcare system that inhibit this progressive model of care. Primary among these is our current system of compensation and reimbursement for care provided. The tide is changing however as doctors and hospitals are being reimbursed more and more for care that is based on quality and patient outcomes, rather than on quantity and expensive tests and procedures. The National Committee on Quality Assurance (NCQA) provides oversight and qualifies medical practices as certified PCMH with a level system (level 3 is the highest) for meeting standards. While not every practice with a “level 3” designation from NCQA will look like the case presented above, it will at least indicate a movement of a practice toward these ideals.

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Meditation One of the Eight Limbs of Yoga Introducing Mindfulness into the Workplace

By Saumil Manek As popular culture has embraced yoga over the last decade, meditation is now taking its place in the spotlight. Though both yoga and meditation have existed for millennia, they have been adopted by an ever larger segment of mainstream Western culture and the workplace is now no exception. This is due in part to the physical benefits of these practices, but much evidence gleaned from studies and clinical research has also shown remarkable benefits to one’s mental health and general well-being. Many have experienced a strengthening of the immune system, the alleviation of depression, a boost to brain power, a modulation of emotions, even a rewiring of the structure of the brain has been shown to occur as a result of regular meditation. Meditation has been shown to expand the horizons of what is possible through the act of conscious breathing, the quieting of our minds and the relaxation of our bodies.

There are a myriad of meditation techniques and traditions, from the simple to the most advanced of methods, yet all have the same intention, which is to experience life in such a way as to dramatically decrease stress and to increase responsiveness and awareness. With a 24 www.txhwmagazines.com

Photo of Natalie Guzman

by Bhavin Userofreality

practice of meditation, one can more successfully manage the modern world and all its easily distracting and often overwhelming effects.

In doing so, we are able to release subconscious burdens and activate bodily and mental processes that lead to greater overall health and a general feeling of happiness and balance.

The following are two methods for achieving the first steps toward a practice of meditation and integrating meditation into the chaotic and hectic swirl of the modern workday.

One way to relax the mind and become more aware of the peace that is within is to simply take a moment and go for a walk. One can do this around the office building, around a city block or in a local park; it really matters not where. The simple act of walking in deliberate and mindful steps, taking notice of your breath and becoming aware and focused upon the present moment, all can have a miraculous and lasting effect.

A more advanced method is to find a pleasant and calm place in which to take just a few minutes out of your day (preferably increasing those minutes as you develop your practice), and quietly focus on your

bs ghw ahw | breathing. Simply breathe in and then breathe out. As thoughts come to your mind, as they inevitably will, acknowledge them and then let them go. As you do so, you release the mental and physical stress that has a tendency to build up over time and, as a result, your focus will improve; this is a relaxed yet alert state that clears the mind of noise and clutter. It is highly suggested that, to fully reap the benefits of meditation, you must treat it as a daily part of your life. You can begin by doing just a few minutes a day and then add more time as you become a regular meditator. Just as you regularly attend to your appearance and personal grooming, make a similar commitment to attend to the grooming of the inner world of your mind. It is important to feel inspired to continue and the more you do, the greater the results you will experience, and the greater your results, the easier it is to remain in practice. It is a virtuous cycle, but in the beginning it can be a challenge. Stick with it and you will see that what is felt within is projected onto your external experience, as well.

Meditation has enabled many to successfully attain stress management and relief from anxiety. Many meditators have reported improved immunity (and fewer days missed at work), improved physical fitness and appearance, increased flexibility and a more fully realized capacity to problem solve and access intuition and creativity.

In the workplace, there are added benefits of improved relationships among co-workers. Employees are gifted with greater mindfulness and awareness of the present moment. There is also a decrease in typical knee-jerk reactions that are common during challenging circumstances and, instead, a growing sense of serenity and a marked increase in gentle responsiveness and compassion.

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| H E A LT H As there are many different styles and techniques of meditation, it can be extraordinarily helpful to seek out | FINANCIAL a teacher, a regular meeting group of fellow meditators or even instructional meditation DVDs to aid you on your | MIND & BOD path to practice.

Keep in mind that much medical | F A M I LY research has confirmed stress is a About the Author common denominator for many diseases, While working as an illnesses, and premature aging. This | C Ubanker, LT U RE investment Saumil Manek took a trip to India results in decreased productivity and and visited a diamond sorting higher medical costs. On a more personal facility. | WInstantly E L Lfalling NESS level, stress can interfere with sleep, which in love with the diamond can result in impaired judgment and poor business, he quit his job and started sorting diamonds, work performance and, potentially, costly quickly moving up to jewelry mistakes. It is in everyone’s interest, but designer. After spending two especially yours, to dedicate yourself to a years learning the jewelry practice of meditation not tomorrow, but business, Saumil moved back to Houston and opened Xaver today. As renowned yoga instructor, Larry Jewels in 2001, where he Thraen ( Joy Yoga Center and Lululemon has since spent the last 14 brand ambassador) posits, “When people years creating unique custom come home from a stressful day, that jewelry. influences the whole family; the dog gets kicked and it has an effect in the entire community. That’s not a great outcome. Imagine what the opposite can do for the workplace!”

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Connecting Resources for Caregivers

By Carrie Ermshar Most people don’t anticipate becoming a caregiver to a parent, spouse, or other loved one with needs in their later years. Many don’t realize the special skills required to fill this role, and certainly not the time and dollars needed. It truly takes a village. The Bay Area is blessed with such a village, thanks to Interfaith Partners, Gloria Dei Lutheran Church, and other partners who recently hosted the 4th annual Caregiver Conference.

Close to 200 attendees gathered, along with exhibitors and experts in the field of aging services, to teach and learn more about the resources available to those growing older in America. Topics of interest ranged from emotional and family support needs to financial considerations, Alzheimer’s and dementia, and end-of-life issues. Over 20 workshops were assembled to assist with offering skills and resources for family members caring for loved ones. The response each year has been tremendous and both Gloria Dei and Interfaith Care Partners are committed to ensure that attendance continues to increase.

The role of caregiving to older adults is not a new one, but it is gaining in presence among families. According to the latest statistics, 4 out of 10 adults are caring for an elderly family member.1 Interfaith Care Partners provides resources to assist with the growing need in the Greater Houston area and surrounding communities. Their goal has a dual purpose of preparing and empowering caregivers, and creating local networks of resources. Through these free programs, family members are able to stay at home with their aging loved ones as long as possible.

The caregiver conference is offered once a year in the Bay Area, with five others offered in various locations. In addition to the annual workshop, Interfaith Care Partners provides local routine support groups and caregiving respite programs. For more information, visit www.interfaithcarepartners.org, or call 713-682-5995.

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About the Author Carrie Ermshar, MHA serves the field of aging services with experience in care management services, operations management, program development, and education. Carrie has 20 years executive leadership with long term care services, and passion for integrating healthy aging options within health care and local communities.

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Retirement New Bay Area Community to Offer Care for Life

By The Crossings Think back to when you were growing up. Your parents or another relative or guardian likely took care of you. As About The Crossings time passed, you reached adulthood and set out on your Harold Ermshar is Executive own, no longer in need of someone else to watch over and Director of The Crossings, a care for you. At some point in our lives, most of us will healthy living community reach an interesting crossroads where we’re still living of Methodist Retirement Communities. He brings independently, but know in the back of our minds that over 20 years experience in eventually, someday, we might need someone to help long-term care operations care for us once again. and development to the As the generation of those born in the years before League City and Bay Area communities. or just after World War II continues to age, an increasing number of Baby Boomers are considering a senior living concept known as Life Care. Life Care is independent living with a plan for whatever comes next. It is built-in long-term health care with financial security and predictability.

We’re fortunate to be bringing this concept to League City this summer with the opening of The Crossings, a brand-new Life Care community located on North Egret Bay. The community will be the first of its kind in the area and will offer independent living for Bay Area seniors who want to maintain an active lifestyle in a setting that frees them from the responsibilities of homeownership and maintenance, with the added bonus of having access to assisted living, memory care and skilled nursing at the same community, if ever needed.

Life Care can easily be compared to an all-inclusive resort where you go on vacation. The selling point is the fact that you don’t have to go anywhere else. Every aspect of your trip is built into the resort itself. With Life Care, instead of worrying about finding a different place to live when the seasons of life begin to change, or budgeting for activities, services, meals and unexpected health care expenses, residents have peace of mind in knowing they’ve found a home for life, and predictability for whatever the future brings.

It’s natural to plan ahead. You most likely did it countless times with your career or with your family. Life Care is worth considering, then, for active seniors who are seeking an independent lifestyle, engagement and opportunities for growth, but who want to be prepared for the changes that the future will bring. Since the concept is new to League City, informative educational events are being offered for those interested in learning more. Call 281.724.2345 or visit mrcthecrossings.org for more details.

Bay Area Health & Wellness Magazine | July/August 2015 27

The wait’s

ALMOST OVER We open in August… and we’re ready for you now.

Now’s the time! Pre-opening construction benefits are still available on a wow-worthy senior living lifestyle with maintenance-free residences.

Plus, we’re the Bay Area’s only Life Care community – so you can have the smartest plan for cost-managing your retirement lifestyle with built-in long-term health care, financial security and predictability.

Don’t pause.

POUNCE.

IVING COMMUNITY

Call 1.866.814.9472 now.

Or find us at mrcthecrossings.org.

A N M RC H E A LT H Y L I V I N G C O M M U N I T Y

2700 Marina Bay Drive, Suite I • League City, TX 77573 Visit us anytime at mrcthecrossings.org

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By Kim Thomas Ah, the golden years. You have worked your tail off for the past 30-40 years so that you could sit back and enjoy these well-earned, work-free days. Yes, your mind is ready for some respite. But how do you ensure that your body won’t betray you? We all know the age old saying “Use it or lose it.” We are very fortunate to live in an area that offers countless ways to “use it” so we don’t “lose it.”

According to the National Center for Chronic Disease and Health Promotion (http:// www.cdc.gov/nccdphp/sgr/ olderad.htm), “The loss of strength and stamina attributed to aging is in part caused by reduced physical activity. Inactivity increases with age. By age 75, about one in three men and one in two women engage in no physical activity.”

Where can you go to increase your activity level? Many local gyms offer classes designed specifically for you, as a senior.

These classes encourage and teach about healthy lifestyles, with the understanding that staying active is physically, and often emotionally challenging. Don’t be afraid to be creative when exploring your options.

There are many fun ways to keep fit: senior swimming classes, weights and strength training, water aerobics classes, yoga classes, and senior walking groups that can be found throughout the Bay Area. Two fun options, of which you may be unaware, are Chair Zumba and Chair Yoga.

Chair Zumba Have you considered fine tuning your dancing skills and learning Zumba?

(Zumba is an aerobic exercise inspired by Latin dancing and Latin music.) Chair Zumba uses seated routines that are usually modifications of standing routines. These include arm and leg work, sometimes both at the same time, depending on the energy and ability levels of the members. Lisa Leonard teaches these classes at Brookdale Senior Living Center, among other locations. She reminds us that you don’t have to be a good

Retiring from Your Job and Not Your Body

dancer or have great coordination to enjoy Chair Zumba. “Just join in and be part of the excitement. If you’re having fun, you’re getting a workout.” She advises her members to listen to their bodies and do only what feels right. If she thinks that it’s getting too intense and the members may be working out of their ability, they bring the energy level down by doing less laborious moves, like clapping in a circle. If high hands are not comfortable, they keep them at shoulder level or lower. Lisa keeps her playlist pretty consistent, as it is easier for participants to remember and follow repetitive moves. They dance to Calypso, Latin, Bollywood and Top 40 music. And they do notice if she omits a song. One participant told me, “I notice it every time she skips the Chocolate song!”

About the Author Kim is an AFAA certified Group Fitness Instructor and Schwinn certified Indoor Cycling Instructor. She is a native of Syracuse New York and graduated from the State University College at Oneonta with a bachelor’s degree in English.

Chair Yoga Yoga focuses on strength training and flexibility. In Chair Yoga, the chair becomes the mat, allowing for individuals who have less flexibility to enjoy the benefits of Yoga. Instead of bending all the way down to a mat, the chair is used as a stopping point. Participants start out by sitting and then stand and use the chair to assist with stretches. For example, in the tree pose, one hand is placed on a chair for support. Some people use two chairs, one on each side, for greater assistance. Everyone has personal goals in Chair Yoga because flexibility range is unique to each individual and these goals evolve over the course of weeks, months and years.

Lisa, who started teaching Chair Zumba and Chair Yoga classes at Brookdale in 2011, has this to say of her experience: “They are like family. I love the ladies and gentlemen that come to my classes. We have so much fun! We get to know each other and after class, we talk about our days and they tell me what activities they have planned. It is the brightest part of everyone’s day. Whatever is going on is left at the door. It’s all about them and having fun.

When they leave, they are ready to pick back up with their day, but they’re just a little bit stronger and more energized to handle it.”

And the feeling is mutual. Virginia Baugh added, “I enjoy the class very much. It helps me a lot and it’s a nice way to start the day.” Another regular, Molly Warner, agreed. “I get a happy feeling when I’m here and I know that I’m getting the exercise that I need, which helps my disposition.”

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:: HEALTH Q&A Question:

I have heard about Carpal Tunnel Syndrome, and often have pain in my hands and wrists. Can you tell me specifically what is Carpal Tunnel Syndrome and the causes?

Answer:

by Dr. Andrew Y. Zhang, MD Carpal tunnel syndrome, or CTS, is very prevalent, affecting one in twenty people. The classic sign of carpal tunnel syndrome is waking up at night with numbness and burning pain in the affected hand, prompting the patient to shake his/her hand in an attempt to alleviate the discomfort.

There are many other signs and symptoms of CTS, ranging from pain of hands and wrists, sometimes traveling all the way up the shoulders, to weakness of grip and pinch. CTS may involve both hands in 60% of the patients.

CTS is caused by excessive pressure over the median nerve in the middle of the patient’s palm. The increase in pressure is caused by swollen tendons. Although traditionally overuse of the hand is thought to be the main factor leading to tendon swelling, studies showed that this physiologic change is likely multifactorial.

Treatment of CTS begins with a simple carpal tunnel splint, available at most drug stores. If symptoms do not improve or resolve in the next 3-4 weeks, one should seek help from a hand specialist.

Surgical release of the carpal tunnel is needed when conservative therapy fails. Without surgery, ongoing damage to the nerve will lead to permanent numbness of the thumb, index and middle fingers, as well as a loss of muscles in the thumb, leading to a much weaker grasp and pinch.

Carpal tunnel release surgery is highly successful. Most patients no longer wake up from discomfort related to Carpal tunnel on the first night after surgery. There are two main techniques, open and endoscopic. Many studies have compared the two and found similar safety and efficacy profiles. I prefer the endoscopic technique, in most of my cases, because of the resulting smaller scar, shorter operative time and quicker recovery. Patients are allowed to use their hand immediately following surgery, but should avoid lifting anything heavier than a half-gallon of milk for 3 weeks.

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Interesting Fact: The endoscopic release technique used by most hand surgeons in the United States, including myself, was invented by Dr. John Agee, a Texas native born in Texas City!

What’s Your Question?

Do you have a question that needs to be answered? Ask our local expert! Please submit your question to bahwmagazine@ gmail.com. Please include your name and email address.

Don’t worry, we will keep you anonymous in the magazine!

Bay Area Health & Wellness LOVES hearing from you! We are always looking for: • Pictures of YOU involved in community events: high school games, competitions, programs, fairs, community parties, fundraisers • Comments of what you love about the magazine • Dates of events that we can put on our community calendar Please send all submissions by the first of the month to bahwmagazine@gmail.com or mail to 549 N. Egret Bay Blvd, League City TX 77573.

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MARATHON

WELLNESS EXPO

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