East Valley Health News: April 2013 - June 2013 by Donna Monce

April 15, 2013 - June 15, 2013

For the Communities of: Sun Lakes • Sunbird • Ocotillo • Ocotillo Lakes • Oakwood Hills • Oakwood Lakes • Springﬁeld

IN THIS ISSUE:

Golden Agers Win Olympic Gold ALSO...

Myths About Diabetes: Needles Hurt

POSTAL CUSTOMER ECRWSS

PRSRT STD US POSTAGE PAID UNITED PRINTING & MAILING

Keep Your Energy Up

See Medical And Business Directory Your FREE Community Source For . . . Local Medical Professionals, Businesses and Healthier Lifestyles

Setting the Standard in Home Health Care! Oxygen Systems • Quiet, energy efficient oxygen concentrators. • Light-weight, portable oxygen conserving systems for increased mobility and convenience. • 24-hour service.

Oxygen For Travel We rent and sell Portable Oxygen Concentrators (POC) for all your travel needs. These units are certified for airline or cruise ship use. Multiple power options means you can be outdoors or just about anywhere with simple battery recharges or replacements. It can also be used continuously from the 12-volt DC outlet in your car or boat. Please call for further details.

Sleep Therapy • Individualized patient assessment and set-up are designed to maximize positive sleep therapy results. • C-PAP, continuous positive airway pressure. • BI-PAP, Bi-level positive airway pressure.

Home Medical Equipment • • • •

3 and 4 wheeled walkers. Folding Walkers. Wheelchairs. Companion Wheelchairs.

Power Wheelchairs & Scooters • Free in-home patient demonstration and evaluation.

Hospital Beds • Full and Semi-electric. • Trapeze.

Lift Chairs • Wide variety of fabrics, styles and colors available to match any decor. • Delivery and set-up is always FREE. • Partial reimbursement through Medicare may be available for qualified patients.

Bathroom Safety • • • •

Shower Chairs. Grab Bars. Elevated Toilet Seats. Commodes.

Support Hose • Variety of Compressions. • Knee, Thigh and Panty hose lengths. • Several colors.

Kirit Patel RPh. Pharmacist/Owner

10450 E. Riggs Road, Ste 107 Chandler, AZ 85248

480-895-1877 Fax 480-895-2949 Come visit us online at

ProgressiveHomeMedical.com

Doing business for over 23 years in Sun Lakes!

More Inventory • Better Displays • Respiratory Therapist on Staff • Convenient Parking East Valley Health News

You have Friends at Solterra As the developer, owners and operators of our Assisted Living Community in Chandler, my father, Jeff, and I understand the stress related to moving a parent or a loved one to an assisted living community. In fact, we currently have two of our own family members residing at our beautiful Solterra at Chandler community at Alma School and Frye Roads. Our motto is simple – our home is your home. The care provided here is nothing less than exceptional and the living experience is designed to be positive for all. Our team has years of experience when it comes to assisted living and they are empowered to “do the right thing” while providing quality care. Making a decision for a loved one can be difficult. We hope you will consider us as a professional and personal ally and resource if you ever have questions related to the aging process or our services. There is no pressure or obligation when you call. Our experience indicates that it is best to be proactive rather than reac-

A senior may need additional assistance when:

Steve and Jeff Jorgenson

tive when it comes to professional assistance for seniors. The guide below may help you in your decision process. Sincerely, Steve Jorgenson – CEO and President Solterra Senior Living

350 S. Alma School Rd. Chandler, AZ 85224

480-214-6700

Important notIce for LIvIng trust owners

• There is an increase in car accidents, tickets or unexplained dents and scratches to the car • Medication is forgotten • Grooming or poor hygiene becomes an issue • Falls or injuries are frequent • Home maintenance and cleanliness is difficult • Poor eating habits or missed meals is the norm • There is confusion or depression • Finances are no longer being managed • Incontinence is a concern • Socialization and participation is on the decline If you notice any problems listed above, trust your instincts. Start the conversation and frame it in a non-threatening way. Honor their independence but remind them that safety comes first. A senior may initially see these issues as a failure, but with your help and their input, an assisted living environment might meet everyone’s needs.

DENTURE SPECIALIST Jeff Elahi, DDS, MS, PC Prosthodontist

We can come to your home!

Living trust update

• New Medical Privacy Rights Law (HIPPA) to be added to your Powers of Attorney and Trustee Provisions in your Trust. • New “Arizona Trust Code” that came into effect in 2009. • New IRA and Annuity Beneficiary Rules

Living trust package Includes:

• Living Trust Document

Specialist in Crowns, Bridges, Dentures and Implants • “Zoom” 1 Hour Whitening • Cosmetic Dentistry

• “Pour Over Will”

• Tooth Color Fillings

• Living Will with Health Care Power of Attorney

• Teeth Whitening

• Financial Power of Attorney

• Emergencies Usually Seen Same Day • Denture Repairs

Courtesy Consultation Senior Discount Given Ask About Our Dental No Interest Financing!

480-883-8000

Alma School & Riggs Rd. (Next to Bashas’)

call now: (480) 949-5297 4

East Valley Health News

Most Major Insurance Accepted

MEDICAL DIRECTORY MEDICAL DIRECTORY ALZHEIMER’S Alzheimer’s Association of Greater Phoenix 1028 E. McDowell Phoenix, AZ 85006 Phone....................................... 602-528-0545

ANTI-AGING DOCTOR SanTan Natural Medicine 3160 S. Gilbert Road, Suite 5 Chandler, AZ 85286 Phone....................................... 480-636-1068 E-Mail......denise@SanTanNaturalMedicine. com Website:........SanTanNaturalMedicine.com

Arthritis, Lupus and Gout Arizona Arthritis and Rheumatology Research, PLLC Paradise Valley 10599 N. Tatum Blvd., Ste F-150 Paradise Valley, AZ 85253 Mesa 1500 S. Dobson Rd., Ste 202 Mesa, AZ 85202 Glendale 5601 W. Eugie Ave., Ste. 204 Glendale, AZ 85304 Phoenix 9305 W. Thomas Rd., Ste. 505 Phoenix, AZ 85037 Phone - 480-626-6650 Fax - 480-443-7420 Website........................www.azarthritis.com Arthritis Foundation Greater Southwest Chapter 1313 E. Osborn, Ste. 200 Phoenix, AZ 85014 Phone....................................... 602-264-7679 Website............................. www.arthritis.org

BIO IDENTICAL HORMONE THERAPY Protea Medical Center 1949 W. Ray Rd., Ste 10 Chandler, AZ 85224 Phone....................................... 480-557-9095 Fax............................................ 480-557-9643 E-Mail..........................info@protealife.com Website........................ www.protealife.com SEE AD ON PAGE 23

CANCER American Cancer Society 4550 E. Bell Road, Suite 126 Phoenix, AZ 85032 Phone..................................1-800-ACS-2345 Website................................www.cancer.org

CARDIOLOGY

DISCOUNT DENTAL PLAN

Premier Cardiovascular Center 725 S. Dobson Rd., Ste. 100 Chandler, AZ 85224 Phone....................................... 480-814-0266 Fax............................................ 480-814-0036 E-Mail.................................Ashas@pcvc.md Website.............www.premiercvcenter.com SEE AD ON PAGE 11

Southwest Dental Group 485 S. Dobson Rd., #204 Chandler, AZ 85224 Office Phone........................... 480-382-4874 Plan Phone.............................. 480-269-7941 Website................www.swdentalgroup.com

DEAD SEA THERAPEUTIC SALT ROOMS Salt Chalet 5011 N. Granite Reef Road Scottsdale, AZ 85250 Office........................................ 480-621-6041 Cell........................................... 480-250-0685 Website........ www.SaltChaletArizona.com Website...... www.ArizonaLeechTherapy.com SEE AD ON PAGE 22

DENTIST Dr. Jeff Elahi, DDS, MS, PC 10325 E. Riggs Rd., Ste. 109 Sun Lakes, AZ 85248 Phone....................................... 480-883-8000 SEE AD ON PAGE 4

DENTIST/ORAL SURGEON Arizona Oral Facial and Implant Surgery Nish S. Shah, DMD, MD 2450 W. Ray Rd., Ste. 1 Chandler, AZ 85224 Phone....................................... 480-814-9500 Fax............................................ 480-814-9501 E-Mail...................................azoral@cox.net Website...............................www.azoral.com

DIABETES American Diabetes Association 5333 N. 7th St., Ste. 212 Phoenix, AZ 85014 Phone....................................... 602-861-4731 Toll Free................................... 888-342-2383 Fax............................................ 602-995-1344 Website.............................www.diabetes.org

For advertising information and rates call our Advertising Department at 480-802-0285 When visiting these advertisers, mention you read their ad/article in the East Valley Health News magazine.

FAMILY PHYSICIANS Fountains Family Care, P.C. 3930 S. Alma School Rd., Ste. 1 Chandler, AZ 85248 Phone....................................... 480-726-6632 Fax............................................ 480-726-3868 Website....www.FountainsFamilyCare.com

HEART American Heart Association 2929 S. 48th St. Tempe, AZ 85282 Phone....................................... 602-414-5353

HOME HEALTH CARE SERVICES Effective Health Services, Inc. 428 S. Gilbert Rd., #109, Ste K Gilbert, AZ 85296 Phone....................................... 602-926-0688 Phone....................................... 480-619-2603 E-Mail..................... info@EffectiveHS.com SEE AD ON PAGE 9

HOME MEDICAL EQUIPMENT, OXYGEN AND C-PAP Progressive Home Medical 10450 E. Riggs Rd., Ste. 107 Sun Lakes, AZ 85248 Phone....................................... 480-895-1877 SEE AD ON PAGE 3

HOSPITALS Chandler Regional Hospital 1955 W. Frye Rd. Chandler, AZ 85224 Phone....................................... 480-728-3000 Website............. www.chandlerregional.org Mercy Gilbert Medical Center 3555 S. Val Vista Drive Gilbert, AZ 85297 Phone....................................... 480-728-8000 Website............. www.chandlerregional.org

MEDICAL DIRECTORY CONTINUED ON NEXT PAGE . . .

East Valley Health News is published by ShelLou Distributing, LLC, PO Box 748, Chandler, AZ 85244-0748 Telephone 480-802-0285 • Fax 480-802-0285 • E-mail:SHELLOUG1@CS.COM Donna Monce Graphic Design & Illustration, Inc. • moncedesign@frontier.com Opinions expressed by the writers of the articles are those of the writers and not necessarily represent the opinions of the publisher. Publisher does not endorse any medical opinions contained herein. Consult your physician whenever necessary. Publisher does not assume liability for any products, services or editorials advertised herein. ©2001-2013 ShelLou Distributing, LLC. No part of this publication may be reprinted or reproduced in any manner without the expressed written consent of the publisher.

East Valley Health News

MEDICAL DIRECTORY MEDICAL DIRECTORY LUNG

REHABILITATION CENTER

STROKE STUDIES

American Lung Association 102 W. McDowell Rd. Phoenix, AZ 85003 Phone....................................... 602-258-7505 SEE AD ON INSIDE BACK COVER

SantĂŠ of Chandler 825 S. 94th St. Chandler, AZ 85224 Phone....................................... 480-361-6636 Website.................www.santechandler.com

NEUROLOGY

SKILLED NURSING & LONG TERM CARE

A.T. Still University 5850 E. Still Circle Mesa, AZ 85206 Phone..................................... 480-219-6078 Fax.......................................... 480-219-6100 E-Mail...........................jlynskey@atsu.edu Website..................................www.atsu.edu

Brain and Spine Center 655 S. Dobson Rd., Bldg. A, Ste. 103 Chandler, AZ 85224 Phone....................................... 480-917-3706 Fax............................................ 480-917-3756

PHYSICAL THERAPY 360 Physical Therapy, Sports Medicine & Aquatic Rehab Chandler, Sun Lakes, Gilbert, Tempe, Scottsdale, Phoenix & Fountain Hills Phone....................................... 480-821-1997 Fax............................................ 480-821-1887 E-Mail.........................treshab@360ptaz.com SEE AD ON BACK COVER

La Estancia Nursing and Rehabilitation 15810 S. 42nd St. Phoenix, AZ 85058 Phone..................................... 480-759-0358 Fax.......................................... 480-759-0357 Website....... www.LaEstanciaNursingAnd Rehab.com SEE AD ON PAGE 18

VETERINARY CLINIC Chandler Small Animal Clinic 1286 W. Chandler Blvd. Chandler, AZ 85224 Phone....................................... 480-963-3003 Fax............................................ 480-899-0705 E-Mail................... csacinfo@earthlink.net Website.........www.chandlersmallanimalclinic.com SEE AD ON PAGE 13

When visiting these advertisers, mention you read their ad/article in the East Valley Health News magazine.

BUSINESSDIRECTORY DIRECTORY BUSINESS GOLF CARTS & SERVICE

PEST CONTROL

E-Mail......Reception@SolterraSeniorLiving.com Website...................www.SolterraChandler.com

A-1 Golf Carts, Inc. 25820 S. Arizona Avenue Sun Lakes, AZ 85248 Phone....................................... 480-895-2000 Fax............................................ 480-895-2286 E-Mail........... a-1golfcarts@qwestoffice.net SEE AD ON PAGE 17

Payback Pest Control 4135 S. Power Rd., Ste. 133 Mesa, AZ 85212 Phone....................................... 480-307-3134 Fax............................................ 480-751-6861 E-Mail....Andrew.Joaquin@PaybackPest.com Website................... www.PaybackPest.com

ATTORNEY

HEALTH, LIFE & LONG TERM CARE INSURANCE

ASSISTED LIVING/ MEMORY CARE Solterra Senior Living 350 S. Alma School Rd. Chandler, AZ 85224 Phone..................................... 480-214-6700 SEE AD ON PAGE 14

Mark Hyatt Tynan, Attorney At Law 7320 E. Shoeman Lane, #204 Scottsdale, AZ 85251 Phone....................................... 480-612-0577 Fax............................................ 480-970-0600 E-Mail......................................mtynanlaw@cox.net

COMFORT SHOES Shoe Thrill 11 West Boston St., #2 Chandler, AZ 85225 Phone....................................... 480-250-2457 Fax............................................ 480-275-2898 E-Mail................... ShoeThrill@gmail.com Website......................www.ShoeThrill.com SEE AD ON INSIDE FRONT COVER

FINANCIAL & REMARKETING SERVICES Penates Group, Inc. 6363 N. Scottsdale Rd., Ste 222 Scottsdale, AZ 85250 Phone....................................... 480-478-7400 Cell........................................... 480-510-5018 Website...............................www.gfrservices.com E-Mail................................ joe@gfrservices.com

SEE AD ON PAGE 19

East Valley Health News

Health Insurance Choices Diane Forshee, CSA, CLTC P.O. Box 11293 Chandler, AZ 85248 Phone..................................... 480-782-1360 Fax.......................................... 480-782-1642 E-Mail............... dianeforshee@gmail.com Website...... www.DianeForsheeSpeaks.com SEE AD ON PAGE 7

LEGAL DOCUMENT PREPARERS East Valley Senior Services 1220 N. Spencer, Ste. 100 Mesa, AZ 85203 Phone....................................... 480-949-5297 Fax............................................ 480-844-0708 E-Mail.............................mcv2750@aol.com SEE AD ON PAGE 4

For advertising information and rates call our Advertising Department at 480-802-0285.

REVERSE MORTGAGE Urban Financial Group Teri Tinney Office:....................................... 480-254-6651 E-Mail......ttinney@urbanfinancialgroup.com SEE AD ON PAGE 7

TAXES AND ACCOUNTING Steven Welker, CPA 1256 W. Chandler Blvd., #7 Chandler, AZ 85224 Phone....................................... 480-899-8163 Fax............................................ 480-899-6252 E-Mail:............. Steve@SWelkerCPA.com Website:................www.SWelkerCPA.com SEE AD ON PAGE 16

WEIGHT LOSS/ NUTRITION COUNSELING Shift 4 Success 941 E. Drexel Dr. Gilbert, AZ 85297 Phone....................................... 480-306-5848 E-Mail.................. Julie@Shift4Success.com Website..................www.Shift4Success.com SEE AD ON PAGE 15

Boost Your Family’s Health With These Time-savers (NAPS)—Keeping mealtimes healthy and delicious for today’s on-the-go family can be easier than many realize. To help, Earthbound Farm’s Executive Chef Sarah LaCasse offers these tips for “convenience without compromise.” • Pick prewashed salad greens: A salad is one of the easiest ways to ensure an extra serving of vegetables. Prewashed greens Sarah LaCasse are ready to use right out of the package. Organic greens, which are grown in ways that protect the health of people and the planet, cost about the same as conventional prewashed salad greens while offering flavor, freshness and convenience. • Pick ready-to-use cooking greens: Saves the washing, de-stemming and chopping that can mean many minutes of prep time. • Chill out with frozen foods: Reduce what is sometimes intimidating prep time and gain optimum nutrition by reaching for frozen fruits and vegetables. Keep a reserve of frozen produce in your freezer, ready for any meal. Braised Kale with Butternut Squash and Bacon Serves 4 6 to 8 ounces thick-sliced bacon, cut into 1-inch pieces 1 medium Earthbound Farm organic yellow onion, peeled, cut in half and thinly sliced (about 1½ cups) 3 to 4 cloves Earthbound Farm organic garlic, thinly sliced 1 pinch red pepper flakes 1 bag (10 ounces) Earthbound Farm frozen organic butternut squash, not defrosted 1 cup chicken broth or vegetable broth 1 clamshell (5 ounces) Earthbound Farm Organic Mixed Baby Kales ¼ cup chopped fresh Earthbound Farm organic Italian parsley Salt and pepper to taste Heat a large skillet over medium heat; when hot, add bacon. Cook, stirring frequently, until the bacon is crisp.

Serve hot. For more “convenience without compromise” recipes from Earthbound Farm, visit www.ebfarm.com. Sign up today for its Take an Organic Step Forward program to get a weekly coupon and daily delicious deals and ideas directly in your in-box. Earthbound Farm is making it easy, fun and rewarding to incorporate organic living into your life—one step every day. Transfer the bacon to paper towels to drain. Add the onion to the skillet with the bacon fat and cook, stirring occasionally, until A reverse mortgage is a loan that converts the equity the onion begins in your home into cash. If you’re 62 years old or to soften, about 5 older, consider this financial tool to: minutes. Add the • Boost monthly garlic and pepper income flakes and cook, • Pay off a traditional stirring frequently, mortgage or home equity loan for 2 minutes. Add the butternut • Get rid of credit card debt or car payments squash and broth for good to the skillet and • Provide tax-free cash* cook, covered, for 5 minutes. Add the kale and cook See article on page 17 uncovered until the TERI TINNEY squash and kale are Reverse Mortgage Consultant tender and almost all of the braising 480-254-6651 liquid has been ttinney@urbanfinancialgroup.com absorbed, about 3 minutes, adding more broth if NMLS#589393 needed. Stir in the *Please consult your tax advisor. NMLS #2285; Urban Financial Group Corporate office: 8809 South Yale Avenue, OK 74137; Arizona Mortgage Bankers License #0921300, Mortgage Bankers bacon and parsley; Branch License #0117862 – 625 West Southern Ave., Suite E171, Mesa AZ 85210. Not all products and options are available in all states. Terms subject to change without notice. Copyright season with salt 2012 Urban Financial Group, Inc. All Rights Reserved. and pepper to taste.

BREATHE EASIER.

DIANE FORSHEE, CSA, CLTC Independent Insurance Broker

Customizing Plans to Fit “Your” Needs and Budget • Individual-Self-Employed-Business • Health-Life-Disability-Dental • Medicare Plans

• Health Insurance Retirement Planning • Long Term Care Insurance • Annuities

We Make House Calls Phone: 480-782-1630 | Toll Free: 877-782-1642 Fax: 480-782-1642 Email: dianeforshee@gmail.com www.DianeForsheeSpeaks.com P.O. Box 11293 | Chandler, AZ 85248

East Valley Health News

Loving your feet as much as you love your shoes By Carissa Thurman, Owner, Shoe Thrill Throughout our lives, the average individual will take enough steps to cover over 115,000 miles, that’s enough to walk the entire circumference of Earth four times! That means that over the course of a day in the life of the average individual, you or I may take up to 8,000 to 10,000 steps a day, consider that for a moment. With each step we put the weight of our bodies on the 26 bones, 33 joints, 107 ligaments, and 19 muscles and tendons that form each of our feet. With a total of 206 bones in the human body, the bones of the feet make up approximately 25 percent of the structure of the skeletal body. Knowing these facts, it becomes more obvious as to why it is extremely important to consider the functionality and comfort your feet can experience in shoes. Of course we all want to look good, and have a little flair and style in our attire. However we should also al-

ways be looking for a means to support the parts of our body that form the foundation of our body as we move about in our day-to-day lives. It is my thought that we should embrace not only looks, but also form and functionality in choosing shoes. This is why I decided to open Shoe Thrill in downtown Chandler. In my store, I and my staff strive to not only provide quality attire for your feet, but also comfort. My goal is to redefine the way we look at shoes, and provide information and the highest quality service my staff and I can to my customers. Many people, mostly women, suffer from common foot ailments that are created by wearing poorly made shoes, uncomfortable or restrictive shoes, or shoes that lack the proper support we all need. If you find that you are suffering from bunions, hammer toes, heel pain, neuropathy, over pronation, or any other foot ailments, I’d like to invite

you to my store. My trained staff can provide possible options to assist you in reducing the amount of unnecessary pain you may be experiencing on a daily basis. And not only will you find yourself loving the feel of your brand new shoes, you’ll also find yourself enjoying the style, fashion, and looks of your new shoes! We are located at 11 West Boston Street #2, Chandler Arizona 85225. We are open Monday through Saturday from 10am until 8pm and on Sunday from 11am to 5pm. If you have any questions please give us a call at 480-275-2898.

11 West Boston Street #2 Chandler Arizona 85225

480-275-2898

Do You Have Style? by Joe Asta, Financial Advisor There are four basic Money Management styles: • Strategic Asset Allocation • Tactical Asset Allocation • Absolute Return and Alternative Investments • Secured Income Strategic Asset Allocation Strategic asset allocation is an investment theory based on the principles of diversification. The overall objective is to combine different asset classes within the same portfolio. Once the model is established, based on the clients risk tolerance, advisors and clients usually “set it and forget it”. Diversified asset classes typically do not go up and down in correlation to one another (all at the same time). Although, they have moved together, most recently down in 2008. 8

East Valley Health News

Tactical Asset Allocation Rather than “set it and forget it” the primary objective of a tactical manager is to protect principal, minimize losses and lower volatility. Tactical management is based on the assumption that the economy changes. A tactical manager manages through the inefficiencies of rising or challenged markets. Absolute Return Utilizing absolute return investment management, the goal is to generate positive returns regardless of market conditions: bear markets or bull markets. Absolute return management is a modern strategy that pursues positive returns with lower volatility, ultimately adding efficient diversification to the clients overall portfolio. This usually includes active

management and alternative investments. Secured Income Joseph Asta Secured income strategies generally provide an income stream regardless of market conditions. Examples include: • Social Security • CD’s • Defined benefit pension plans • Immediate annuities • Longevity insurance • Income riders provided within annuities Please call to discuss your style. Penates Group, Inc.

480-478-7406 www.penatesgroup.com

Back Pain: Early intervention and what you should know before getting treatment An Interview with Dr. Wladislaw Fedoriw, MD

By Tresha Baldwin, PT, Owner of 360 Physical Therapy & Aquatic Centers Dr. Wladislaw Fedoriw, MD Board certified in Pain Medicine Board certified in Physical Medicine and Rehabilitation The average person will suffer from a back injury before the age of 40. Most of those people who suffer mild or moderate back strains will not receive any type of formal treatment other than possibly a family physician visit with some medications to ease the pain and muscle spasm. Usually the pain will go away and people are able to return to usual daily activities within a few weeks. The problem is that most people will continue doing the activities which caused them the injury in the first place and nearly 75 percent of those people will suffer another back injury within 2 years. The likelihood of the back pain progressing to a chronic pain condition increases with each additional injury. Receiving appropriate care for your back pain is the key to long term success. “The physician you choose to help you resolve your pain should serve as a guide to your body to help you reach your individual goals,” says Dr. Wladislaw Fedoriw who is a specialist in the care of spine pain.

What is your practice philosophy, Dr. Fedoriw? I like to think of my practice as one stop shopping where patients receive the care they deserve. I take the time with each of my patients to review any tests, x-rays or MRI results and then serve as their guide to helping them decide what course of treatment is best for them. Each person is treated as an individual. I am very honest and up front with my patients so I can provide them with direction and choices. We do not use a cookie-cutter approach and we do not waste your time having you see a student or resident.

What sort of treatment do you prefer to use for patients with back pain? Many specialists will skip right to shots or injections but I prefer to take a more conservative approach if possible. I refer most of my patients to a good physical therapist, one I know who will do more than just hot packs and ball exercises. I work only with therapists who will do

specifically what I know will help get the patient better. Sometimes therapy may be combined with medications or injections to help make it easier for the patient to tolerate but I still try to take the most conservative approach possible.

What advice can you give someone who is suffering from back pain? Find a specialist who is board-certified in pain medicine and check their safety record on the Arizona Medical Board website. The specialist should take the time to listen and evaluate before making any decisions about your care. He or she should provide you with treatment options and guidance to help you make the best decision and not try to push you into treatment you are not comfortable with. If your specialist does not refer you to physical therapy I would question why and maybe continue looking for a different provider. Without physical therapy you will be on the road to another injury. A good physical therapist will take the time to teach you what you are doing to

cause your injury and how to prevent another for the long term.

Tresha Baldwin, PT

Dr. Fedoriw can be contacted at the Arizona Spine and Stroke Center located in Chandler at (480)659-2571. His practice accepts most major insurance plans and Medicare. You can also visit his website at www.arizonaspineandstrokecenter.com

LOCATIONS:

Chandler, Tempe, Scottsdale, Fountain Hills, Sun Lakes, Phoenix and Gilbert

(480) 821-1997 www.360physicaltherapy.com

Home Healthcare Services Medical and Non-Medical Long Term and Respite Care

• • • • • • • • • • • • • •

• • •

Skilled Nursing IV Infusion Wound Care Hip Replacement/Surgery After Care Diabetic Care & Education Cardiac Care Cardio Pulmonary Assessment Catheter Care Stoke/CVA Care Alzheimer’s Care Parkinson’s Care Multiple Sclerosis Care Management Medication Set-up and Management Personal care assistance with activities of daily living (ADLs) such as bathing, eating, walking etc. Light housekeeping, linen changes and laundry Meal preparation Appointment transportation assistance

Many more services call to learn more!

Call now to schedule a free Registered Nurse Evaluation (602) 926-0688 (480) 619-2603 www.effectivehs.com 428 S. Gilbert Rd #109 Ste K Gilbert, AZ 85296

East Valley Health News

Food – My Best Friend and My Worst Enemy By Julie Holbrook, Certified Nutritional Counselor & Hypnotherapist From the time I was a young and healthy weight. Despite all of my issues with child, food was never just food for my education and business experifood has been me. It was my love, support, comence, I couldn’t use that business the most rewardfort- it was my best friend. It was model with my life and emotions ing thing I have also the reason I disliked myself as I did in managing my successful accomplished in Julie Holbrook and did not treat my body very career. I felt like the biggest failmy life. well-it was my worst enemy. ure in the world. As a Certified It was my little secret. I used FINALLY, I learned that I did Nutritionist and Hypnotherafood for dealing with every situaNOT have a problem with food; pist, and someone who has “been tion in my life. As an adult, most I had other issues in my life and there”, allow me to share what I people saw me as a very successful food was the only way I knew to have learned and been using with and happy woman. Behind closed block out my discomfort or to clients for over 8 years. doors, I was entirely different. You avoid my feelings inside. I learned Call for your FREE Consultation name it; I did “it” with the food. to replace food with healthy tools 480.306.5848. My weight determined how I felt and learned to love and nurture about myself instead of who I was myself and the food issues went as a person. away…PERMANENTLY. I My obsession with food and my couldn’t believe it! weight consumed my life. I didn’t This is no longer a struggle for understand why I couldn’t stop me. It has freed up so much more the addictive cycle I had going on time and energy to truly focus on with the overeating, yo-yo dietmy life and be in a peaceful place ing, excessive exercising and even with myself. That is an incredible purging. I knew none of these feeling after all of those years of www.shift4success.com were the right way to a permanent hurting and disliking me. Healing

480-306-5848

5 Things You Should Know About Buying Long-Term Care Insurance By Diane Forshee, CSA, CLTC Long-Term Care is Different From Traditional Medical Care. Long-term care services may include help with daily activities, home health care, respite care, hospice care, adult day care, care in a nursing home or care in an assisted living facility. Long-Term Care Can be Expensive. The cost depends on the amount and type of care you need and where you get it. In 2012, the national average cost of nursing home care was $63,875 per year; assisted living facilities reported $36,000 per year and home care costs ranged from $22,000 to $40,000 per year. (Genworth 2011 cost of care survey) You Have Options When Paying for Long-Term Care. People pay for longterm care in a variety of ways. These include using personal resources, longterm care insurance and Medicaid for those who qualify. Medicare and health insurance does NOT pay for LTC. Decide Whether Long-Term Care Insurance is for You. Whether you should

East Valley Health News

buy a long-term care insurance policy will depend on your age, overall health status, retirement goals, income and assets. Discuss with your independent insurance agent or financial advisor if long term care makes sense for you. While you have good health purchasing long term care insurance is a wise decision as 3 in 4 will need some kind of LTC in their lifetime. You Have Options for Long-Term Care Insurance Protection. Transferring the risk to an insurance company by purchasing a traditional LTC insurance policy; some life insurance policies have LTC riders as well as many Annuities. When consulting with your independent insurance advisor, other things you should discuss are pre-existing conditions, health underwriting, ask for quote comparisons, company ratings and history of rate increases. For more information or a no obligation consultation, contact Diane Forshee at 480-782-1630, email: DianeForshee@gmail.com.

Visit my website at www.DianeForsheeSpeaks.com for your Health Insurance, Medicare Options and Life and Long Term Care Planning. An Independent insurance broker since 2000 customiz- Diane Forshee ing plans to fit your needs and budget. Request your FREE white paper “What You Need to Know about LongTerm Care”

480-782-1630

DianeForsheeSpeaks.com

Periodontal Disease

By Dr. Jeff Elahi DDS, MS (Prosthodontist) and Kimberly Thomas RDH Dr. Jeff Elahi, DDS, MS

Case Type 1 – Gingivitis: Gingivitis is the earliest, most common form of gum disease. The gums become inflamed, are red in appearance and bleed easily. The bone is not affected, and gingivitis can be reversed with appropriate oral hygiene instruction and effective home care. Case Type 2 – Mild Periodontal Disease: In the next stage, calculus accumulates around the roots of the teeth causing gums to bleed easily, and become inflamed and red in appearance. The gums start to pull away from the teeth, creating pockets of 4-5 millimeters, with recession of 1-2 millimeters. Case Type 3 – Moderate Periodontal Disease: The infection process progresses around the roots of the teeth causing more recession of the gums and further bone loss. Pockets of 5-6 millimeters, with recession of 3-4 millimeters are present. The teeth may become loose and may shift. Bone loss cannot be reversed. Case Type 4 – Advanced Periodontal Disease: Pockets 7 millimeters or greater characterize the fourth stage. Painful abscesses can form in the gum. There is very little bone support left and teeth are loose, and may require removal. Non-Surgical Gum Treatment If you have Periodontal Disease your choices are limited. Since in many cases, periodontal disease is not accompanied by pain, you might choose to delay treatment. However, this is very risky because periodontal disease never goes away on its own. It is episodic in nature, with flare-ups, and periods of calm. Periodontal Disease is not curable but new conservative treatments exist that are very effective. Non-surgical gum therapy is divided into 4 parts: 1. Scaling and Root Planing: First, to keep you comfortable, we apply liquid anesthetic in the pockets. We use both hand scalers and ultrasonic instruments to carefully remove plaque and calculus from the top of your teeth all the way down to the

bottom of the pockets. Then we will plane, or smooth the root surfaces so the gums can heal and reattach to the teeth. 2. Bacterial Reduction: • Laser-assisted periodontal therapy (LAPT) - Diode lasers are used to sterilize the periodontal pockets and remove any infected tissue. As the old tissue is removed, the microscopic clots form and the body's natural healing response takes over. As this occurs, the tissue reattaches to the bone and the gums return to a healthy, infection-free state. 3. Homecare: You will be given instructions on how to remove the plaque, as well as the instruments necessary to accomplish this, like an electronic toothbrush and/or an oral irrigator (waterpik). Appropriate toothpaste, rinses, or other medications will

be prescribed, and the home care regimen will be explained. Effective home care is an important part of non-surgical therapy. 4. Continuing Care: Because of the episodic nature of periodontal disease, and in view of the fact that the disease process can re-establish itself so quickly, the typical 6-month re-care appointment just isn't enough. Statistics confirm that the re-evaluation at the intervals of at least 3-4 months is critical for periodontal patients. This allows us to break the cycle of bacterial invasion, and minimize the recurrence of the infection and its destructive effects on the teeth and gums.

Dr. Jeff Elahi, D.D.S., M.S., P.C. 10325 E. Riggs Rd., Ste. 109 Sun Lakes, AZ 85248

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East Valley Health News

Setting a New Standard in Long Term Care At La Estancia, our goal is to provide the care your family member needs with the compassion they deserve. Our community offers quality health care services administered by staff members chosen for their experience and professionalism. In an era when healthcare has become so fast paced and clinical, we understand the importance of a kind word and a gentle touch. We offer private and semi private rooms, wireless internet and free cable television. Come experience our award winning dining services, as well as a variety of stimulating social and recreational activities. An event filled monthly calendar allows residents to take advantage of our many different entertainment, social, intellectual and religious activities. Off-site outings are coordinated

that may include visits to Wildhorse Pass Casino, movie theatres and restaurants. These are just some of the amenities, along with unexpected levels of service that contribute to compassionate, dignified living at La Estancia. We know that each resident entrusted to our care is an individual with a variety of healthcare needs and we are committed to attending to those needs in a manner with promotes the dignity of each person and encourages his or her independence. This commitment is reflected in our wide range of services that are individually tailored to fit each resident’s specific needs. We encourage our residents to live life to the fullest and our staff work with the residents and their family members to create individual, personalized activities and servic-

es. Whether they choose group programs, outings, or bedside activities, our residents have the opportunity to be active and Gil Urban enjoy each other’s company. The staff at La Estancia welcomes and encourages you to visit and take a tour of our beautiful community today. Please call us to arrange a tour at 480-759-0358.

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How Can Medical Expenses Save You Taxes? Medical expenses do not impact the average person’s tax return like they did at one time. First, you must itemize deductions on Schedule A of your personal tax return Form 1040. If you use Form 1040-EZ or 1040-A you take the standard deduction the IRS allows everyone, there is no itemization or deduction of medical expenses. Next, you can only deduct medical expenses to the extent they exceed 7.5% of your adjusted gross income and, even better news, that threshold goes up to 10% in 2013 which will further reduce the medical deduction. Remember, the money for all the spending they want to do in Washington has to come from somewhere. Politicians know very well there are ways to hit everyone with tax increases without raising tax rates. What are some of the costs that are tax-deductible? The IRS tells us fees to doctors, 12

East Valley Health News

dentists, and even nontraditional medical practitioners qualify. Payments for hospital care and nursing home services, including the cost of meals and lodging provided they are deductible. Payments for acupuncture, inpatient treatment for alcohol or drug addiction, smoking-cessation programs and drugs, prescribed by a physician, to alleviate nicotine withdrawal can be included on Schedule A along with other prescription costs.

ible are funeral and burial costs, over-the-counter medicines and most cosmetic surgery. You can only deduct medical expenses paid during the year, Steve Welker, CPA which includes expenses charged to a credit card.

Participation in a weight-loss program, prescribed by a physician for a specific disease, can be deducted but generally not the cost of diet food items or health club dues. Eyeglasses, hearing aids, crutches, wheelchairs and guide dogs for the blind or deaf qualify.

You must reduce your expenses by any reimbursement, such as insurance. Medical insurance premiums paid out-of-pocket, by the way, are also deductible.

Often overlooked are transportation costs primarily for and essential to medical care including the use of your personal vehicle. Some of the things not deduct-

Steven Welker has been a practicing Certified Public Accountant in the Phoenix area for 27 years.

Steven Welker, CPA

1256 W Chandler Blvd, #7 Chandler, AZ 85224

480-899-8163

How Can I Get My Cholesterol Under Control? By John Tretter, MD This is one of the most common questions I am asked on a daily basis. First let’s look at what cholesterol is. Cholesterol is a wax like material that can be made by your body and is also found in some foods. It is utilized by your body to make vitamin D, as well as hormones. It is transported through the body in lipo-proteins (small bundles surrounded by fat, lipids as they are known) and proteins on the inside. In general there are two kinds; low density (LDL) and high density (HDL). When we hear about cholesterol we often think of LDH cholesterol, this is also known as the “bad” cholesterol. An elevated level of LDL leads to a buildup of cholesterol in the arteries. HDL cholesterol is known as the “good” cholesterol. HDL carries cholesterol from other parts of your body and brings them to the liver where they are processed by the liver and removed. So what can you do to help naturally bring down your LDL (bad) cholesterol and increase your HDL (good) cholesterol? Start by increasing the amounts of fresh fruits and vegetables in your diet. The Center for Disease Control (CDC) encourages us to consume at least 2- 6½ cups of fruits and vegetables a day. That sounds like a lot of fruits and vegetables for one person! So how can we know if we are consuming enough? Let’s look at some serving sizes to put this into perspective. Let’s say you are a relatively active 65 year old female your recommendation is 1½ cups fruit & 2½ cups vegeta-

bles. For a male the same age it would be 2 cups fruits and 3 cups vegetables. Here are some examples of what counts as a cup. Fruits: 1 small apple or banana, 16 grapes, 8 large strawberries, 1 medium orange, ¼ cup raisins. By adding one fruit to breakfast such as a banana to your oatmeal, one apple or 16-20 grapes as a midday snack you have achieved your fruit portion. Add a salad with ½ cup chopped mixed vegetables such as carrots, celery and cucumber to lunch and a potato with green beans to dinner and you have hit your mark! Now don’t forget to include fresh fruits or veggies when snacking as they

provide extra fiber. The inclusion of fresh John Tretter, MD fruits and vegetables has been shown to increase good cholesterol (HDL) while decreasing the bad cholesterol(LDL). Fruit also aids in maintaining healthy weight and provides a powerhouse of antioxidants known to fight the aging process.

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East Valley Health News

Golden Agers Win Olympic Gold (NAPS)—Getting older doesn’t have to mean getting out of the game. Consider, for example, the Celadrin Tigerettes Senior Olympics Women’s basketball team. Ranging in age from 64 to 74, the team won the Senior Olympic gold medal at the last national games in Houston. In fact, they are seven-time Senior Olympic champions, and are poised to defend their title at the 2013 national games in July. Mavis Albin, Mary Bendsen, Wanda Blailock, Loretta Hill, Nikki Leader and Catherine “Kitty” Sparacello, united by their love of basketball, have compiled a Michael Jordanesque record of 185 wins against a mere five losses while barnstorming the country to compete against other mature cagers. They have even played the Harlem Globetrotters in a pickup game. In fact, they will be featured in a PBS documentary, “The Age of Champions,” www.ageofchampions.org, scheduled for release this summer. Along the way, they’ve become role models—not only for their peers but for younger people who find inspiration in

Basketball grandmas will compete for their eighth National Senior Olympics title this summer.

their prowess. Former NBA sharpshooter Dennis Scott, who once held the record for the most three-pointers in one season, volunteers as their coach. “These ladies are phenomenal. They’ve got so much energy and are just hilarious with their practical jokes. They really do put their hearts into the game,” said Coach Scott. “It’s incredible that they do what they do at their age. They are in great shape and this gives hope to people who fear the day they’re ‘too old.’

These grandmas definitely got game.” “We all started playing basketball when we were young and we’ve just stuck with it. Training is very important to maintain your stamina and muscle tone but we also have our little secrets that help keep us going,” said team captain Albin. “As a team, we believe in proper nutrition, daily use of nutritional supplements and an active lifestyle. “Diet and exercise are usually sufficient if you’re in your 20s, but at our age, a little extra help is needed. The ladies and I do our research on what works for us. Supplements such as fish oil, omega-3s and Celadrin help prevent inflammation and stiffness. We also watch our diets and make sure we’re getting enough whole grains, fruits, vegetables and protein. If we start making poor decisions, it will show up on the court,” added Albin. Celadrin Joint Flexibility & Relief is an all-natural blend of special fatty acids clinically shown to promote joint health, reduce knee discomfort and improve flexibility. To learn more about the Tigerettes, go to www.celadrin info.com.

Chef Marco

East Valley Health News

Keep Your Energy Up (NAPS)—The next time you feel your energy flagging, consider this advice from the U.S. Centers for Disease Control and Prevention and other experts: Getting a balance of protein and nutrients in your diet is the key to keeping your energy up all day. That means making sure you eat a variety of whole grains, fruit, veggies and protein at each meal. • For starters, have a good breakfast. After many hours of fasting, a nutritious breakfast helps provide energy for an active day. A breakfast filled with a balance of nutrients— protein, grains, fruit and dairy—will give your brain as well as your body what it needs to get you through the morning at your best. • Next, get moving. Getting a little physical activity each day, activities like taking a 30-minute walk around the neighborhood or mowing the lawn, can help you build strong bones and muscles, reduce body fat and feel great. Being active uses energy, and you’ll feel invigorated. • Finally, snack smart. Rather than empty calories, enjoy something like this:

Nutrition in a nutshell: A balanced diet, including plenty of peanuts and other plant-based protein foods, can help keep you energized all day.

24-7 Energy Snack Mix 2 cups roasted peanuts 1 cup toasted sunflower seeds ¼ cup dried mango, diced ¼ cup dried apples, diced ½ cup M&Ms Toss ingredients together in large bowl. Portion ¼-cup servings into plastic snack bags. Makes: 16 servings An important part of that snack is the protein you get from the peanuts.

Sherry Coleman Collins, MS, RD, LD, says, “Peanuts are a powerhouse of protein. With seven grams per serving, peanuts contain more protein than any nut. Protein is one of the essential nutrients in life. It is important not only for growing children but also for maintaining muscles, bones and skin throughout life.” Moreover, peanuts are a natural source of plant-based protein. Collins recommends choosing more plantbased proteins as part of a healthy lifestyle. The government’s Dietary Guidelines for Americans specifically point out the need for a shift in food intake to a more plant-based diet; one that emphasizes fruits, vegetables, whole grains and nuts. Whether you’re a vegetarian or looking to cut down on saturated fat levels, peanuts can be a smart choice when looking for a boost of protein in any meal. Learn More For further peanut facts, tips and recipes, go to the National Peanut Board website at http://nationalpeanutboard.org.

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Protect Your Pet Against Spring Diseases by Dr. Dwight A. Benesh Two viruses that often cause diarrhea in dogs are the Canine Parvo virus and Canine Corona virus. These viruses pop up their ugly heads in the spring and the fall more severely. Sometimes dogs can be infected with both viruses at once, leading to very serious diarrhea. Viral diarrhea is easily spread because millions of viral particles remain in the loose, watery stool of an infected dog. The virus is then ingested by other dogs while nosing in stools or areas of where other animals congregate which can increase the risk. The disease can be spread through contact with other dogs both by the dogs themselves and through human contact. Normal disinfectants and stringent hygiene reduce the risk of spreading, and is highly recommended in households with more than one pet.

Illness may occur at any age. However, it is most severe in puppies 6-16 weeks of age. In puppies with viral diarrhea, the loss of fluids can easily be fatal. The illness can occur within 2-3 days from infection. Signs of the viruses are lethargy, vomiting and/or diarrhea, and rapid weight loss. Blood in stool or vomit is often seen as the disease runs its course. Waiting for signs of bloody or yellow green stool is not advised, as the disease is already in advanced stages. Treatment once infected can run very high in veterinary costs. We have seen several recent cases of Parvo viral infection in our clinic, which is early in the season. Vaccinations had not been kept up to date. You don’t want to chance your pet getting these serious illnesses. Many times contracting

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East Valley Health News

risk to almost nominal. Combination vaccines are available. In puppies, several vaccinations are required three to four weeks apart because of the remaining presence of maternal antibodies. Make sure your pets are up to date on their vaccinations. Call the clinic if you are unsure if your pet is due for vaccinations. You most likely will not have the problem if your vaccinations are up to date. So, help your friends and neighbors before they have to be put into the situation to treat it.

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the illness can be fatal for the pet. Protect your pet by vaccinating against the Dr. Dwight Benesh virus. Vaccinations cannot be overly stressed in the case of this disease, especially with the normal physical contact that you and your pets go through day by day. Vaccines reduce the

1286 W. Chandler Blvd. Chandler, AZ 85224

480-963-3003

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Reverse Mortgages: An Important Financial Option There are many factors in today’s society that have made reverse mortgages more popular- and more necessary. People are living longer than ever before and spending more time in retirement. At the same time, they tend to underestimate their retirement savings needs. “When it comes to retirement, you need to be ready for anything and everything. A reverse mortgage can possibly help many people remain in their home, be more financially independent and live a more fulfilling life.” Says Teri Tinney, reverse mortgage consultant for Urban Financial Group. Reverse Mortgages: The Facts So, what exactly is a reverse mortgage? Simply put, it’s a loan that allows homeowners aged 62 or older to tap into the equity that’s been built up in their home. The homeowners can then use the proceeds in a variety of ways- such as covering monthly living expenses, making improvements to the home or paying for prescriptions and healthcare. There are other important benefits as well: The borrower continues to own and live in the home- even if one of the co-borrowers passes away. Of course, the homeowners must continue to pay property taxes, have homeowners insurance and maintain the home- but the proceeds from the reverse mortgage can be used to pay for these routine expenses. No repayment is required until the borrower sells the house, fails to occupy as a principal residence, does not live in the house for more than 12 months, or does not continue to meet loan obligations. When the house is sold, the loan is repaid along with the accrued interest. There are no monthly payments required. Although there are no monthly mortgage payments, interest accrues on the portion of the loan amount that is disbursed. And while the funds received from a reverse mortgage do not impact regular Social Security or Medicare benefits, certain needs-based benefits, such as Medicaid and Supplemental Security

Income (SSI) may be affected. Prospective borrowers should contact their tax professional about their specific situation. A prospective borrower can still qualify, even if he or she is still paying on a conventional mortgage. The proceeds from the reverse mortgage will be used to first pay off the existing mortgage. Closing costs can be rolled into the reverse mortgage itself, so there’s no immediate financial impact to contend with. Borrowers have a choice of how they receive their proceeds, based on their needs and preference. They can choose: • A single lump sum payment • Monthly income for as long as they live in the home, or, if they prefer, for a specified period of time • A line of credit they can draw on as needed • Any combination of these options Urban Financial Group offers free, educational materials, including a com-

prehensive information kit and video to consumers who may be interested in learning more about a reverse mortgage. Teri Tinney For more information about an Urban Financial Group reverse mortgage, call 480-254-6651. “A reverse mortgage may make all the difference, and help you to live better today and be more prepared for the future” notes Tinney. Teri Tinney NMLS#589393. All loans are subject to full underwriting approval. Certain conditions and fees apply. NMLS #2285; Urban Financial Group Corporate office: 8809 South Yale Avenue, OK 74137; Arizona Mortgage Bankers License #0921300, Mortgage Bankers Branch License #0117862 – 625 West Southern Ave., Suite E171, Mesa AZ 85210. Not all products and options are available in all states. Terms subject to change without notice. Copyright 2012 Urban Financial Group, Inc. All Rights Reserved.

Urban Financial Group Teri Tinney

480-254-6651

ttinney@urbanfinancialgroup.com

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Have More Get-Up-And-Go As Time Goes By (NAPS)—For optimal health, the U.S. Centers for Disease Control and Prevention recommends that older adults get a minimum of two hours and 30 minutes of moderateintensity aerobic activity or one hour and 15 minutes of vigorous-intensity aerobic activity every week. In addition, muscle-strengthening activities should be conducted two or more days a week. Why Exercise Exercise can help prevent many physical problems and chronic conditions that come with aging, including weight gain, back pain and heart disease. Plus, it keeps the mind sharp and can help you feel happier, improving symptoms of depression and even dementia. To gain these benefits, however, you need to find a fitness program that provides the physical results desired and is enjoyable, too, so you’ll stick to it. That’s where the nation’s leading exercise program for older

adults comes in. Healthways SilverSneakers Fitness Program offers physical and group activities in a comprehensive program that provides full access to a health club, senior fitness classes, online resources, and social experiences. “SilverSneakers incorporates a number of interactive and educational events into our programs because improving overall well-being includes focusing on both physical and emotional well-being,” said certified personal trainer Sims McMahon. “These events help to create a sense of community and increase the feeling of belonging many of our members hoped to find when joining the program.” Research shows that participants enrolled in SilverSneakers for two years have fewer hospital admissions and significantly lower overall health care costs. How To Exercise Before you begin any exercise

Regular exercise can increase balance, strength and endurance in older Americans.

program, McMahon has the following tips: 1. See your doctor, especially if you have a chronic condition. 2. Start slowly. Begin by walking, say, for 10 minutes or so a day. As you gain energy and your body builds stamina, increase your activity levels and make it more challenging. 3. Stay motivated. Have realistic short-term goals you can easily meet. 4. Don’t be intimidated. Remember that everyone had to walk in the door for the first time. Don’t let the thought of starting hold you back. You can do it. Where To Exercise To make it all easier, Healthways SilverSneakers Fitness Program is available in 11,000 fitness centers nationwide. It’s free in most cases because it’s covered through many Medicare Advantage, Medicare Supplement and group retiree plans. The classes are taught by credentialed instructors and focus on older adult-specific programming. An online program provides a number of resources, including healthy-living articles and recipes. Members can also get exercise and nutrition plans and expert advice. How To Learn More To find out more information, including nearby locations, visit www.silversneakers.com/info or call (888) 423-4632.

East Valley Health News

Better Sleep (NAPS)—If a good night’s sleep seems a distant dream because dry mouth keeps disturbing your slumber, you may be able to wake up to some good news. The condition, also called xerostomia and increasingly common with age, can be treated. Symptoms include cracked lips, bad breath, tooth decay and problems swallowing or chewing. Among the factors that can cause dry mouth are certain prescription drugs, mouth breathing while sleeping, CPAP (continuous positive airway pressure) machines for sleep apnea, autoimmune diseases such as Sjögren’s syndrome, and head or neck radiation therapy. Dry mouth caused by low saliva is uncomfortable and can not only disrupt sleep, it can reduce your quality of life all day long.

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East Valley Health News

Salt Room for Persistent Flu By Pavel Gershkovich

There is a “creeping crud” type of flu making the rounds. Runny nose, sinus drainage, dry cough, and fatigue lead the list of symptoms. Its victims report that you think you are over it but a week later it is back and this happens two, three, four times. It may be several months before you are finally over it. “This is a virus,” said Dr. Abram Ber of Scottsdale. “It is not one we recognize, and it is not one of the three strains for which this season’s annual flu shot was formulated. So people who got the flu shot are coming down with this too.” Antibiotics aren’t effective against a virus. Many people looking for a non-drug answer are finding relief in an ancient technology – salt rooms. For centuries, people with respiratory troubles have sat in rooms covered from floor to ceiling with salt from the Dead Sea. Salt from that part of the world is a natural anti-bacterial and anti-inflammatory agent. It kills harmful bacteria in the lungs, clears mucus build up, opens air passages, and improves lung function. When breathed in, the tiny salt particles get embedded deeply in the lower

lungs which are where many respiratory problems lie. Once in the system, the salt absorbs bacteria and clears away mucus which would otherwise block the airways. Salt rooms are very common in Europe and the Middle East. They have been used for decades for cold and flu, allergy, asthma, bronchitis, cystic fibrosis, sinus infection, sinusitis, rhinitis, hay fever and emphysema. When the fine particles land on the skin, they naturally disinfect and begin to heal eczema and other skin conditions. Many people with asthma or the flu or other respiratory conditions find this ancient therapy works better than modern pharmaceuticals. “People are sometimes skeptical at first because most Americans have never heard of salt rooms before,” Dr. Ber said. “Then they try it and are amazed at the effectiveness. In that sense, it is not unlike homeopathy. Both are older, more natural approaches to health that work with the body to achieve the healing effect.” A salt treatment room is completely coated with multiple layers of pure salt from the Dead Sea. During a treatment

session, a very fine mist of salt particles is injected into the room. Patients are sitting in a negative Pavel Gershkovich, ion micro-climate CHP, CRP, PMP that is completely free of bacteria. They breathe deeply, drawing the salt deep into their lungs. Pavel Gershkovich recently opened the only facility in the state, Salt Chalet Arizona, with two salt rooms at 5011 N. Granite Reef Rd, Scottsdale. 480-621-6041. www.SaltChaletArizona.com

5011 N. Granite Reef Road Scottsdale, AZ 85250 Located in the offices of Dr. Abram Ber, MD(H)

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Growth Hormone Appears to Aid Cognitive Functioning Protea Medical Center offers growth hormone supplementation to enhance brain function, which can combat the effect of age on cognitive abilities. According to research, growth hormonereleasing hormone (GHRH), growth hormone and insulin-like growth factor 1 have potent effects on brain function. As we age, our GHRH levels decrease, and this decrease likely plays a role in the pathogenesis of Alzheimer disease. Treatment with growth hormone-releasing hormone appears to be associated with favorable cognitive effects among both adults with mild cognitive impairment and healthy older adults, according to a randomized clinical trial (August 2012) published by Archives of Neurology, a JAMA Network publication. To examine the effects of GHRH on cognitive function in healthy older adults and in adults with mild cognitive impairment (MCI), Laura D. Baker, Ph.D., of the University of Washington School of Medicine and Veterans Affairs Puget Sound Health Care System, Seattle, and colleagues, conducted a randomized, double-blind, placebo-controlled trial in which participants self-administered daily

East Valley Health News

injections of a form of human GHRH (tesamorelin), or placebo. The authors enrolled 152 adults ranging from 55 to 87 years (average age, 68 years) and 137 participants (76 healthy patients and 61 patients with MCI) successfully completed the study. At baseline, at 10 and 20 weeks of treatment, and after a 10-week washout (30 weeks total), the authors collected blood samples and administered parallel versions of cognitive tests. Among the original 152 patients, analysis indicated a favorable effect of GHRH on cognition, comparable in adults with MCI and healthy older adults. Analysis among the 137 patients who successfully completed the trial also showed that treatment with GHRH had a favorable effect on cognition among both groups of patients. Although the healthy adults outperformed those with MCI overall, the cognitive benefits relative to placebo was comparable. GHRH treatment also increased insulin-like growth factor 1 levels by 117 percent, within the physiological range, and increased fasting insulin levels within the normal range by 35 percent in adults

with MCI (but not in healthy adults). “Our results replicate and expand our earlier positive findings, demonstrating that GHRH administration has favorable effects on cognitive function not only in healthy older adults but also in adults at increased risk of cognitive decline and dementia,” the authors conclude. “Larger and longer-duration treatment trials are needed to firmly establish the therapeutic potential of GHRH administration to promote brain health in normal aging and ‘pathological aging.’” Through a blood test, the Protea team can analyze your growth hormone levels and offer therapies designed to restore brain function to optimal levels. The result? A richer, more satisfying life as you age. Call to schedule a free fifteen minute consult to learn more about the benefits of GHRH therapy on your well-being.

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Powerful, Precise Treatment, Fewer Side Effects For Lung Cancer Patients (NAPS)—According to the American Cancer Society, lung cancer (small-cell and non-small cell) is by far the leading cause of cancer death in the U.S. The five-year survival rate is just 15 percent among those diagnosed with the disease— but recent technological advances in treatment may change all that. Proton Therapy About 30 to 50 percent of lung cancer patients have locally ad vanced tumors that require a combined treatment regimen that includes radiation therapy. Because the lungs are close to several critical structures in the body, it’s challenging to deliver an adequate dose of radiation to a cancerous tumor while sparing these nearby normal tissues. That’s where proton therapy has the advantage for many lung cancer patients. Proton therapy is an advanced type of radiation treatment that uses a beam of protons to deliver radiation directly to the tumor. Its precision and ability to reduce the risk of short- and long-term side effects appealed to Chuck Martinez. One Man’s Story In 2007, at the age of 37 and a year after surviving bladder cancer, Martinez received devastating news. A routine chest X-ray revealed a mass in his right lung, which turned out to be stage IIIA non-small-cell lung cancer. A team of cancer experts at MD Anderson told Martinez about proton therapy and the MD Anderson Proton Therapy Center. Dr. Ritsuko Komaki, the director of MD Anderson’s Thoracic Radiation Oncology Program, explained how proton therapy precisely delivers high doses of powerful radiation directly to the tumor with less damage to nearby healthy organs. “Knowing that proton therapy would allow my team to target the

Chuck Martinez, lung cancer survivor, benefited from proton therapy.

radiation directly to the tumor in my lung and protect my esophagus, spine and heart was extremely encouraging and all I needed to hear,” said Martinez, who was concerned about side effects. “I knew I was going to receive the most advanced radiation treatment technology.” Dr. Komaki, who has treated many lung cancer patients with proton therapy, agrees that it is an excellent option for patients who have tumors located in sensitive areas of the body, like the lung or in the chest. “Proton therapy allows us to precisely target the radiation just where the patient needs it,” Dr. Komaki explained. “With the location of Chuck’s tumor, it was critical to limit the radiation dose to surrounding areas of his body, especially since he was on concurrent chemotherapy.” Every weekday for about seven weeks, Martinez had chemotherapy at the MD Anderson main campus and proton therapy treatments at the nearby MD Anderson Proton Therapy Center. He tolerated both therapies well and was able to maintain his weight during treatment.

“The Proton Therapy Center is a state-of-the-art facility. I liked the fact that I was going to a place where they were experts in cancer and proton therapy,” he said. “The staff and therapists were fantastic.” Martinez has been cancer free for more than five years. A former drummer for a cover band, he still gets together with his old bandmates to play every now and then. Most of his time, however, revolves around his wife, Lora, and their 9-year-old daughter, Mia. He also now lives a healthier, more active lifestyle. He ran his first half marathon in 2011, raising money for the charity CanCare, Inc., an organization whose volunteers regularly visit cancer patients. “It was one of the hardest and yet most rewarding things I’ve ever done,” said Martinez, who has now run several half marathons. “It is very meaningful for me to be here and to be able to share such an accomplishment with my wife after all we’ve been through.” Learn More For more information about the MD Anderson Proton Therapy Center, visit MDAndersonProton. com or call toll free 1-866-632-4782. East Valley Health News

Fighting Vision Loss, Fitness Instructor Keeps Body—And Mind—In Shape longtime love: fitness instruction.

Joan Creviston

(NAPS)—Joan Creviston was an interior designer for 12 years before retinitis pigmentosa, a genetic eye disease that leads to tunnel vision and sometimes complete blindness, forced her to make a full-time career out of her

Creviston, of Aurora, Illinois, is a master-level personal trainer and group exercise instructor who also offers coaching and videos through her website. In addition to starting the new year with a vow to lose 10 pounds in six weeks—“I’ve joined the resolutionists,” she says-she signed up for the free reading program of the National Library Service for the Blind and Physically Handicapped (NLS). NLS has been producing and circulating audiobooks and braille books for more than 80 years. Books, and the digital equipment needed to read them, are available through a national network

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of cooperating libraries. Thousands of titles are also available online through the NLS Braille and Audio Reading Download (BARD) service. “For my personal fun I read about fitness,” Creviston says. Motivational writer Og Mandino is her favorite author—“He’s so positive, so uplifting, so simple”— but she also enjoys lighter fare by talk-show host Chelsea Handler. Creviston is sold on the benefits of exercise for people with disabilities. “Physical challenges can be depressing, but increasing the body’s movement and firing up the chemicals in the brain can make people more energetic and feel less down,” she says. “It gives them a little more of a cando attitude.” The NLS collection includes dozens of titles on fitness and self-improvement, from authors such as Mandino and Dale Carnegie to more recent books by Deepak Chopra, Wayne W. Dyer and Oprah Winfrey’s go-to trainer, Bob Greene. U.S. residents and American citizens living abroad who are blind, have low vision or cannot hold a book or turn its pages because of a physical disability are eligible for the NLS program. Audiobooks and braille books are delivered and returned by mail, postage free, and through BARD. For more information or to request an application, visit www.loc.gov/nls or call (888) NLS-READ.

Don’t Put Off Colon Cancer Screening

Even people who lead a healthy lifestyle can develop colon cancer—but screening saves lives.

(NAPS)—While colon cancer is the third-leading cancer killer in the United States, it is also a preventable and treatable disease—if diagnosed in its early stages. If you are turning 50, don’t put off colon cancer screening. While March is officially National Colorectal Cancer Awareness Month, any time is a good time to learn the facts about colon cancer prevention. Silent Killer Colon cancer, also known as colorectal cancer, takes the lives of more than 50,000 Americans each year. It’s a silent killer because often there are no symptoms until it is too late to treat. Age is the single largest risk factor for the disease. Most colon cancers arise from precancerous growths in the colon called polyps, which can be found during a screening exam and removed before they turn into cancer. Screening Saves Lives The American Society for Gastrointestinal Endoscopy (ASGE), representing the experts in colon cancer screening, recommends screening begin at age 50. A person at average risk with normal screening results won’t need another exam for 10

years. If polyps or cancer is found, screening intervals should be more frequent. Colon cancer runs in families, so screening should begin sooner if there is a family history of polyps or colon cancer or if other risk factors are present. Some experts suggest African-Americans should begin screening at age 45. Screening methods include colonoscopy, sigmoidoscopy, stool blood tests such as fecal occult blood test (FOBT) or fecal immunochemical test (FIT), stool DNA, CT colonography (virtual colonoscopy) and barium enema. Colonoscopy Colonoscopy is considered the preferred screening method because it is a preventive exam: It is the only test that both finds and removes precancerous polyps during the same exam. With other methods, if a polyp or other abnormality is found, the test must often be followed by a colonoscopy. Colonoscopy is a safe, effective and well-tolerated exam.

“ASGE encourages patients to get screened at intervals recommended by their doctor, to find a qualified endoscopist for their colonoscopy who has had specialized training in the procedure, and to carefully follow preparation instructions to ensure that the colon is thoroughly cleaned so that no polyps or cancers are missed during the procedure,” said ASGE President Thomas M. Deas, Jr., MD, MMM, FASGE. “A quality colonoscopy and appropriate followup exams save lives.” Colon Cancer Facts Begin screening at age 50; family history/other risk factors—screen before age 50; colonoscopy finds and removes polyps before they turn into cancer; highly treatable if caught early; bleeding or unexplained abdominal pain? Talk to your doctor immediately. Learn More Find more information on colon cancer prevention, including where to find a doctor, at www.screen4coloncancer.org.

Erectile Dysfunction FACTS:

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States Exploring In-home Care as a Viable Option for Long-term Care by Gieselle Ebot

The topic of healthcare is a major point of contention in today’s fragile economy. With an ageing population that is expected to double by the year 2030(1), lawmakers are scrambling to find a viable solution to reduce the expected financial burden on the economy, especially in the area of long term care. Consequently, many states are exploring options to restructure state run services like Medicaid away from institutional care such as nursing home care to more home and community based services like home care(2). According to AARP, based on a national average, the annual cost of care for nursing homes is almost twice the cost of home care(3). Yvonne Tambe, a Registered Nurse (R.N.) in Gilbert Arizona, says of nursing home care, “Nursing homes on average have a ratio of about eight residents to one caregiver. In

addition, residents typically occupy semi-private rooms. On the other hand, with in-home care you have one caregiver per client. Clients also have the option of living in their own home, with more decision-making opportunities over their daily activities. Essentially, with in-home care, you get a more individualized plan of care”. Home Care Agencies also often make provisions for skilled care and disease state management, by licensed medical professionals, such as Physical Therapists and RN’s on a one-on-one basis. In today’s tough economy, it is critical for states to explore cost-effective options that will cause the least amount of financial strain on the system, while setting groundwork for quality care. With more people working beyond retirement and families working harder to earn a living, home care

may present a viable alternative to ensure that loved ones get the care they need without sacrificing their independence. The 2030 Problem: Caring for Aging Baby Boomers http://www.ncbi.nlm.nih.gov/pmc/ articles/PMC1464018/

“On the Verge: The Transformation of LongTerm Services and Supports”: AARP Report: http://www.aarp.org/content/dam/aarp/ research/public_policy_institute/ltc/2012/ On-the-Verge-The-Transformation-of-LongTerm-Services-and-Supports-Report-AARPppi-ltc.pdf

“Raising Expectations. A State Scorecard on Long-Term Services and Supports for Older Adults, People with Physical Disabilities, and Family Caregivers” AARP Scorecard Report, 2011: http://www.longtermscorecard. org/~/media/Microsite/Files/AARP_Reinhard_Realizing_Exp_LTSS_Scorecard_REPORT_WEB_v3.pdf

Effective Health Services, Inc. 428 S. Gilbert Rd., #109, Ste K Gilbert, AZ 85296

602-926-0688

Knowing Your Rights Can Save You Money By Mark Hyatt Tynan, Esq. In the previous issue, I discussed the administrative appeals process for appealing your property tax. In this issue I will discuss appealing to the Arizona Tax Court. You can appeal directly to the Arizona Tax Court or at any time during the administrative appeal process. Your appeal directly to Tax Court must be brought on or before December 15 of the year in which you receive your valuation notice or before the expiration of any period in the administrative appeal process. For example, in February of this year, we will receive valuation notices from the Assessor for the 2014 tax year. We have until December 15, 2013 to appeal before the Tax Court. Tax Court appeals are more appropriate where the taxpayer seeks a substantial reduction in tax, if there is a legal issue, or because the taxpayer is more likely to obtain a result before the taxes have to be paid than if the taxpayer first goes through

East Valley Health News

the administrative appeal process. This is important as property taxes must remain current in order to maintain your appeal. Also, in my experience, because the process is more formal and thorough, the taxpayer is more likely to obtain a more meaningful result than in an administrative appeal. In Tax Court there is a $280 filing fee as well as the cost of serving the Summons and Complaint on the county in which the property is located. If you file in the Small Claims Division of the Tax Court, then you do not have to serve the Summons and Complaint and the filing fee will be $142. You can obtain the instructions and forms for filing a Small Claims appeal by googling “arizona tax court small claims.” You can file a small claims case if either the property is your primary residence and you do not rent it out or the Assessor values your property at less than $2 million. If you file your appeal in the Tax Court, then you should first consult with an attorney

who practices in this area. What follows is a brief timeline to help you evaluate what course of Mark Hyatt Tynan, Esq. action you might consider: January 1 - the valuation date for next year’s taxes February - valuation notices are mailed for next year’s taxes April - the deadline to appeal to the assessor August/September - tax bills are mailed for the present tax year December 15 - the deadline to directly appeal to the Arizona Tax Court or 60 days after your last notice of decision, whichever is later.

Mark Hyatt Tynan is an attorney who concentrates his practice in Arizona property tax law. He can be reached at (480) 612-0577 or mtynanlaw@cox.net

The Journey Of Mental Health Recovery (NAPS)—At one point, Josh described his life as a nightmare. He heard voices compelling him to break into his parents’ homes and take his sister’s car, landing him in jail. He says it is difficult to discuss this period of his life without perpetuating the negative stigma related to his diagnosis of schizophrenia, a condition that affects about 2.5 million American adults. Now, 13 years later, with a treatment team and family support, Josh cites accepting his schizophrenia as the turning point in his recovery, allowing him to actively engage in his treatments and better manage his illness. With a combination of treatment that may include medication and psychotherapy, many living with severe mental illness, such as schizophrenia, schizoaffective disorder and bipolar I disorder, are able to participate in daily activities and live meaningful lives. “My medication and the support I’ve received from my treatment team have helped my symptoms improve over time. I feel I live a normal life,” says Josh. “A good sign that things are going well for me are the friendships I have with others and the support I receive from them.” According to experts, a recovery plan can help people with severe mental illness meet their goals. Because everyone’s mental health recovery journey is his or her own, recovery plans are tailored toward each person’s unique needs.

stacles that confront them. Family, friends and peers can serve as an important support system.

Family, friends and peers can serve as an important support system for people with mental illness.

Medication, including oral and injectable treatments, is the foundation of the recovery process for most people with schizophrenia. Taking antipsychotic medication regularly and as prescribed can help reduce symptoms. Long-acting injectable antipsychotic therapies (LATs), which are administered every few weeks to a month depending on the medication, offer patients a choice of how often to take their medication and may help eliminate one less pill a day for their schizophrenia. “With the right plan and support, I’ve seen individuals live fulfilling lives and contribute to society,” says David T. Susman, Ph.D., clinical psychologist at Eastern State Hospital in Lexington, Ky. “When I help someone build a recovery plan, we discuss personal, work and social goals, and strategies for how that individual, with help from their recovery team, can achieve those goals.” The journey of recovery starts with hope, empowerment and understanding that people can overcome the barriers and ob-

“Families need to understand that schizophrenia is treatable and that there have been many developments in antipsychotic medications over the years,” says Katie Cadigan, documentary filmmaker and a caregiver for her brother who lives with schizophrenia. “The more our family learned about my brother’s disease, the more he welcomed our help in making treatment decisions and invited us to be part of his recovery.” To learn more about how treatment can help support your recovery plan or that of a loved one, log on to www.TreatOnceMonthly.com. TreatOnceMonthly.com provides resources for individuals living with schizophrenia to help them understand treatment options and choose a medication that is right for them with the help of a healthcare professional. Visit the site to watch patient videos, access a doctor’s visit guide and learn more about different types of long-acting treatment. About Serious Mental Illness Approximately 26.2 percent of Americans ages 18 and older— more than one in four adults—are diagnosed with a mental disorder in a given year. Of this percentage, about 6 percent, or one in 17 Americans, live with a serious mental illness. Janssen Pharmaceuticals, Inc., provided the content for this article.

East Valley Health News

Myths About Diabetes: Needles Hurt (NAPS)—New needle innovations are helping patients with diabetes more comfortably inject insulin, helping dispel the myth that injections are painful. According to the American Diabetes Association, diabetes affects 25.8 million Americans. Type 1 diabetes can occur at any age but is often diagnosed in children, teens or young adults. Type 2 most often occurs in adulthood. Treatment options can include diet, exercise and medication that may require multiple injections a day, such as insulin. While millions of patients inject insulin every day, many people may not know that new, shorter needles can help make injecting more comfortable. New pen needles as short as 4mm with a thinner gauge and a modified needle tip have been designed and shown to improve the comfort of injections. These shorter needles also lower the chance of accidentally injecting insulin into

East Valley Health News

Needles as short as 4mm are proven to be more comfortable than and just as effective as longer needles.

the muscle, which can be painful. Needles as short as 4mm are effective for children as well as adult patients, even those with a high body mass index (BMI). Longer needles could go too deep into the patient’s body and actually deliver insulin into the muscle, where absorption could be unpredictable and potentially create unanticipated hypoglycemic (low blood sugar) conditions. Another benefit of using a 4mm needle is that most patients don’t

have to “pinch up” the skin when injecting, making it possible to use only one hand. With a one-handed technique, patients can be more discreet when injecting and also rotate to more injection sites—such as the upper arm and buttocks—to avoid getting bumps (called “lipos”) under the skin. The American Association of Diabetes Educators recommends patients select the shortest needle possible. Continued needle advancements can help ease the hesitation or fear that patients might feel about injecting. If you or a loved one is new to injection therapy, you may wish to review shorter needle options with your healthcare professional. For patients who need to inject multiple times a day and are looking to improve comfort, consider switching to a shorter needle length with a thinner gauge. For more information, visit www.bd.com/nano.

Your Will is a Way to conquer lung disease. Today, more than ever, our friends understand that they can provide for those they care about most, while continuing to support the valuable work of the American Lung Association. A charitable bequest can perpetuate the things you value long after your lifetime. Call us for information at no obligation.

gift.planning@lungusa.org 1-800-701-4009

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Doctor Meet & Greet Monday, April 22nd 4:30-6 pm April doctors to be announced Some former guest speakers are listed below

Dr. Lewis Freed Foot & Ankle Specialist

Dr. Daniel Aschenbrener Orthodedic Surgeon Sports Medicine Specialist

Dr. Danton Dungy

Dr. Amit Sahasrabudhe

Orthodedic Surgeon Orthodedic Surgeon Joint Reconstruction Specialist Sports Medicine Specialist

Space is limited... Call TODAY to reserve a seat! Refreshments will be provided.

Phone (480)883-6734

Sun Lakes Professional Center 25229 S Sun Lakes Blvd. Suite 119 Riggs Rd & Sun Lakes Blvd