Women's Health

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women’s

Maui Health System leads the way in women’s health care

Skin Care Boutique touts ✿ Bella preventative approach

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health

Om Maui promotes mind-body connection to fitness

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Upcountry’s Healing Catalyst offers unique healing methods

A Supplement of THE MAUI NEWS – Friday, August 9, 2019 – Page T1

EARLY DETECTION

SAVES LIVES DID YOU KNOW *?

About 1 in 8 U.S. women (about 12%) will develop invasive breast cancer over the course of her lifetime.

85%

268,600 new cases in 2019

About 85% of breast cancers occur in women who have no family history of breast cancer.

In 2019, an estimated 268,600 new cases of invasive breast cancer are expected to be diagnosed in women in the U.S.

*Learn more at BreastCancer.org.

WHY MAUI MEMORIAL MEDICAL CENTER? Maui Memorial Medical Center’s GE Senographe Mammography System produces some of the highest quality images available in Hawaii.

Its ergonomic build provides a more comfortable patient experience.

KOKUA 4 A CAUSE

Sponsor a mammogram!

Help provide uninsured and under-insured women access to this potentially life-saving exam by donating funds towards a mammogram.

Individuals: Consider getting a team of family and friends together to sponsor a mammogram.

Businesses: Contact us to learn about sponsorship packages and other ways to support.

To donate, or for more information, contact the Maui Health Foundation at 242-2632 or cassie.chavez@kp.org.

Women do not need a physician referral to get a mammogram. Maui Memorial offers mammography screenings by self-referral and accepts all insurance types.

Schedule your mammogram today.

Call (808) 243-3012

A Supplement of THE MAUI NEWS – Friday, August 9, 2019 – Page T2

Women’s Health • August 2019

Leading the way in women’s health care and community support

Maui Health System

By CATHERINE KENAR Special Sections Editor

n apple a day alone may not keep the doctor away, but regular health screenings are a proven effective method to catch disease early on when successful treatment is most likely to lead to lower mortality rates.

For generations of women, standard health screenings have included yearly mammograms, which are proven to be very effective at identifying breast cancer early, affording a successful outcome.

Statistics from www.breastcancer.org state breast cancer will affect one in every eight women. It is the most frequently diagnosed cancer in U.S. women (excluding cancers of the skin) and accounts for 30 percent of newly diagnosed cancers. While breast cancer ranks as the No. 2 cause of cancer death in women (after lung cancer), survival rates have increased dramatically from even just a generation ago.

Early detection is one step in helping those odds. Early detection means the cancer doesn’t have a chance to metastisize to other organs and bones. It also means less aggressive and invasive treatments are needed, taking less physical and emotional toll on the patient and their families.

Maui Memorial Medical Center’s Diagnostic Imaging department offers the most advanced imaging equipment on Maui, and some of the most advanced equipment available in Hawaii to help with early detection.

A

Photo courtesy MHS

Front entrance of Maui Memorial Medical Center Director of Diagnostic Imaging Dennis McKeon had spent over 10 years in an academic medical center on the Mainland (Robert Wood Johnson University Hospital in New Brunswick, N.J.), and he excitedly pointed out MMMC has equipment on par with teaching-hospital equipment.

The MRI machine at MMMC is the Philips 3 Tesla MRI. It has the strongest magnet you can use in health care, and produces the highest quality and most detailed images of any MRI machine currently available to

hospitals. The scans are ultra fast, reducing the amount of time a patient spends in the machine.

The Toshiba 640-slice CT scanner can image the entire heart in one-third of a second, resulting in less radiation exposure for the patient. Similarly, the GE Senographe Mammography System provides higher quality images using lower radiation dosages than older machines.

Since one of the goals of health screenings is to discover the cancer or other illness as quickly as possible, having See MAUI HEALTH SYSTEM on Page T4

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Women’s Health • August 2019

Maui Health System Continued from Page T3 these quality machines here on Maui helps improve patient’s recovery chances as well as ultimately saving money and time.

“There is a continuity of care that now happens in imaging after a screening mammogram,” explained McKeon.

“The images are viewed right away, so if we need additional pictures, the patient will get a diagnostic mammogram right in the facility.”

A diagnostic mammogram takes images of different views and positions of the breast at higher magnification than that used in the screening mammogram. McKeon added that once the images are reviewed, if there’s a concern that needs to be looked at further, the patient will go for an ultrasound or back into mammography for a biopsy.

Thanks to the recent acquisition of a Faxitron, which is like a mini X-ray machine in the operating room, the sample can be read immediately right in the operating room by the radiologist (who will likely be in their office). In the past, the tissue sample would have to be taken from the operating room to the imaging department. By using the Faxitron, the time saved has the benefit of having the patient under anaesthesia for less time as well as allowing the doctor to make sure all the necessary tissue has been removed.

For uninsured and underinsured women, Maui Health Foundation works with Malama I Ke Ola Health Center to

Paia Town Center behind Charley’s restaurant, on-site parking and free validations (808) 856-0222

Photo courtesy MHS

Andrea Kaulupali (left), lead mammographer, and Dennis McKeon, director of Diagnostic Imaging Services, stand before the GE Senographe Mammography System. cover the cost of mammograms as funds are available once the women qualify for financial help. Since its inception in 2005, MHF has helped more than 900 Maui women by providing life-saving cancer screenings.

This year, McKeon and Long Term Care and Critical Access Senior Director Kerry Pitcher saw a need and kicked off a pilot program to bring women over from Lanai for mammograms. MHF selected a group of women, booked their travel on Expeditions Maui-Lanai Ferry, scheduled mammograms, treated them to lunch and returned them home to Lanai.

“Lanai has no service,” offered McKeon, explaining the reasoning behind this project. “We’re going to keep this program running twice a year. We provide [the Lanai women] with education too, including self breast exams.

They were so appreciative.

“Some of the things we heard from them were, ‘You know, . . . no one has taught me how to do a proper breast

exam,’ and ‘We have a lot of immigrants from Polynesia, and they don’t know how [to do a breast exam]; we’ll teach them!’ ” It should be noted, too, that anyone can self-refer for a mammogram screening; just call 243-3012 and say, “I’d like to self-refer for a mammogram screening.” You must have a physician to receive and interpret the report, but thanks to the Food and Drug Administration’s implementation of the Mammography Quality Standards Act, women are ensured to have “access to quality mammography for the detection of breast cancer in its earliest, most treatable stages.”

In addition to the help MHF provides to uninsured women and the academic medical center-quality equipment now available, McKeon assured that MMMC and Maui Health System are focused on quality care — “you save money when people are healthy.”

One innovative change that came about in the past year is MMMC’s contract with a new radiology group, Renaissance Imaging Medical Associates. This is a group of more than 100 physicians, which includes existing MMMC physicians as well as Mainland physicians, who aid in diagnosing radiology reports.

“Now, while our doctors can interpret an image, they have access to a doctor in California who is specially trained in that area,” explained McKeon. “Our doctors can then focus on what they specialize in. We have also partnered with Pacific Cancer Institute. We’re doing exams for their patients and [supporting] radiologists onsite.”

In order to continue helping those women with no health insurance, a new fundraising campaign from MHF, Kokua for a Cause — Sponsor a Mammogram, was established. Officially kicking off in October during Breast Cancer Awareness month, but active currently (if anyone reading this feels inclined to help), this campaign allows someone to donate any amount of money to the foundation to help cover the costs of a mammogram or biopsy — and the money goes specifically for that purpose. For a $500 donation, the cost of someone’s mammogram will be covered; for $5,000 to $10,000 a woman’s biopsy will be paid for, depending on the procedure. Individuals and/or businesses can donate online at www.mauihospital Continued on next page

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Women’s Health • August 2019 foundation.org or by calling 242-2630.

Breast health may be the first thing many people consider when thinking about women’s health, but MMMC and MHS offer additional wellness care to the community.

Support groups for diabetics, stroke survivors and people impacted by Alzheimer’s disease are held regularly in the MMMC Nutrition Education Room (located inside the cafeteria), are free and open to the community and are not just for people who have had an inpatient stay.

On the second Wednesday of every month from 5 to 6 p.m., MHS Diabetes Coordinator Jolly Uclaray, MSN, RN, CDE, provides education, life skills and other resources to diabetes patients, their families, those who may be pre-diabetic or are at risk for diabetes. Speakers are brought in to discuss daily management of diabetes and suggest ways to prevent the disease, along with tips on diet and nutrition, and foot and eye care. For more information about the Diabetes Education Support Group, call 442-5773.

For individuals who are recovering from a stroke or families and caregivers who provide care to stroke survivors, each third Wednesday of the month from 4 to 5 p.m. the Maui Health System Stroke Support Group meets to share education, encouragement and other helpful resources. Each meeting focuses on a different topic with guest speakers providing additional information on stroke education and prevention. For more information about the Maui Health Stroke Support Group, contact Stroke Program Manager Mariah Mossman, RN at 442-5255.

On the third Tuesday of each month from 5:30 to 7 p.m., the Alzheimer’s Association Aloha Chapter holds a support group for caregivers and families of people living with Alzheimer’s disease or related dementia. Each meeting offers people a safe place to exchange practical information on caregiving challenges and solutions as well as allowing people to talk through ways of coping with their situation. Attendees share feelings, needs and concerns.

For more information about the Alzheimer’s Association Aloha Chapter support group and to register, call 5912771, ext. 8235.

As part of its community outreach, MMMC holds three health fairs throughout the year that are open to the public:

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a heart health fair in February, a stroke fair in May and coming up in November, a diabetes health fair. These fairs offer education, blood pressure/BMI screening and feature at least three physicians who present talks on the specific health topic.

Something many may be unaware of but is quite an honor, in 2019 MMMC was the only hospital in the state of Hawaii to earn the highest recognition for heart failure care from American Heart/Stroke Association as reported in U.S. News & World Report. It received a Gold Plus Target: Heart Failure Honor Roll.

Additionally, the award received for stroke care — Gold Plus Target: Stroke Elite Honor Roll — was higher than that awarded last year. MMMC is consistently awarded gold or higher and is at the top in the state for quality of care in heart and stroke services.

MMMC has also recently acquired a software program called Profusion Scanning. Be glad if you have that stroke here on Maui — Profusion Scanning lets the physician know the viability of the brain tissue following the stroke and whether the tissue can be salvaged. If it can, you’ll be wheeled back into Radiology and the Heart-Brain Vascular lab where the interventional radiologist can perform work to save the brain tissue. Fascinating stuff!

MMMC has the capability of mapping out a patient’s lymph system using Lymphoscintigraphy, which helps physicians determine if there is metastisis from the breast cancer. Furthermore, upon treatment options, MMMC has

a nuclear medicine department (or molecular imaging), which allows a drug to be attached to a radioactive isotope so that drug can be “tracked” as it goes through your body, and doctors can see whether it gets to the organ/area it needs to go.

“Doctors are discovering we have capabilities they didn’t know we had,” added McKeon.

“The coconut wireless can hamper the narrative,” Public Relations and Digital Marketing Manager Mahie Wong concluded. “The information out there is either old or wrong. We are an incredible facility. If your doctor says they’re going to send you to Oahu, you need to ask, ‘Why can’t I stay here?’ ” Maui Health System and Maui Memorial Medical Center are not the hospital and facility from even five years ago. With multiple Gold Plus Target awards recently awarded for heart and stroke care, state-of-the-art diagnostic and treatment options, upgrades of all services for inpatients and outpatients, and a firm commitment to provide the best treatment and preventive care to the Maui community and visitors alike, it’s apparent Maui Health System is creating a community hospital that rivals its bigcity counterparts. ❖ For more information about Maui Health Foundation or to make a donation to help uninsured and underinsured women, call 242-2630 or visit www.mauihospitalfoundation.org. If you’d like to schedule a mammogram, call 243-3012.

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Women’s Health • August 2019

Women find relief at unique Upcountry healing practice aui residents and visitors alike find relief from both physical and emotional problems with Denise LaBarre’s Healing Catalyst blend of healing modalities including massage therapy, psychotherapy and traditional healing methods.

Clients with issues ranging from stress, joint problems, and back pain, to fibromyalgia, anxiety, eating disorders and depression

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have visited and found relief with LaBarre’s unique approach.

“Our bodies naturally use sensation and symptoms to communicate with us,” explains LaBarre. “But early on, we are taught to ignore our body’s messages and suppress discomfort and unwanted emotions. At See HEALING CATALYST on Page T8

Photo courtesy Denis LaBarre

At Healing Catalyst, a blend of healing modalities relieve wide-ranging health issues.

Maui County Office on Aging Supports Healthy Aging with an Evidence-Based Program

A low-cost, ongoing, evidence-based group exercise and falls prevention program that helps older adults at all levels of fitness become more active, energized, and empowered to sustain independent lives.

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THE FACE PLACE SKINCARE CLINIC At The Face Place, we are changing people’s lives — one face at a time.

We offer exclusive corrective and nurturing facial services customized for each individual to provide optimal results. The clinic is located in a private location in the Wailea Town Center, 161 Wailea Ike Pl., B-103, Wailea / MauiFacePlace.com / Info@MauiFacePlace.com / 808-875-1000. Jeannie Pereira, Owner

ENHANCE®FITNESS is a great way to stay independent or get stronger after an illness or surgery. Helps improve energy, strength, and balance as you age.

For more information contact Enhance®Fitness Master Trainer, Paula Keele (808) 870-5530 or Wellness Coordinator (808) 463-3166 Email: mcoa.adrc@mauicounty.gov Online: www.mauicountyadrc.org We have space for new participants on Lanai, Kalama Heights (Kihei), Hale Mahaolu Ehiku (Kihei), Lahaina, and Holy Rosary Church (Paia).

Enhance®Fitness is provided through a partnership of Maui County Office on Aging, Hawaii State Executive Office on Aging and the University of Hawaii with funding from the County of Maui.

A Supplement of THE MAUI NEWS – Friday, August 9, 2019 – Page T6

Women’s Health • August 2019

Fitness, health and happiness found at Om Maui Studio or years, the idea of fitness boiled down to a few basic concepts — physical function, proficiency of skill and a “fit� body. As fitness concepts evolve and more emphasis is placed on quality, balanced workouts, it is also recognized that thoughts, feelings and attitudes are powerful factors in positively affecting one’s health.

Om Maui Studio strives to promote this equally important, though less recognized, aspect of fitness and health — the connection of mind and body that furthers well-being.

To honor this mind-body connection, classes are offered that encourage lasting change and continued development through self-reflection and personal growth, whether it be a calorie-blasting cardio circuit, a strengthening Brazilian lift class or soothing gentle yoga. The instructors are passionate about using fitness and yoga as a platform to inspire students to nurture the whole self, and move toward a heathy, happy and balanced state.

There are simple ways to incorporate stability of mind and body into everyday life. For starters, get at least 15 minutes of moderate to fast-paced exercise daily. Not only does taking a quick walk or bike ride boost one’s mood, it’s also crucial for heart health and building physical stamina.

Incorporating yoga into a routine also helps foster the mindbody connection, building awareness, strength, coordination and flexibility while calming the mind.

For those living with physical limitations, meditation can be an excellent route to improving mood, attention, immune function and creativity — all while leaving the person in a state of bliss. Finally, take time each day to show gratitude for the things one is thankful for. Whether

who come together with one common goal — to base their wellness journey on respect, personal responsibility, honesty and caring. Om Maui Studio empowers students to believe in their own physical and mental strength, and encourages students to take full control of their efforts, knowing that they can achieve all goals through self-belief and determination.

The Om Maui Ohana extends a welcome while helping connect mind and body to create a fit, healthy and happy version of all. ■Om Maui Studio is located at 12 Kiop‘a St., Suite 102, Makawao. For more information, call 573-5566 or visit www.ommauistudio.com

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Photo courtesy Om Maui Studio

Om Maui Studio promotes the mind-body connection aspect of fitness and health that furthers a person’s well-being. it’s family, friends, health or the surrounding beauty of Maui, make time to write down or think about the things that give happiness, and feel the results of positive thoughts and actions on overall wellness.

At Om Maui Studio, a variety of class formats are offered for all levels and abilities. The community is made up of men and women of all ages, from novices to old pros,

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Women’s Health • August 2019 Healing Catalyst Continued from Page T6

some point, the body begins to signal a backlog of stuck emotional energy with physical problems. We call this stress but there’s more to it. I help people ‘hear’ what their bodies have been trying to communicate through pain, illness and disease. This reconnection kick starts the healing process on multiple levels.”

LaBarre’s book, “Issues in Your Tissues: Heal Body and Emotion from the Inside Out” has cartoons, stories and simple exercises to help readers “feel into their own bodies” and make healing

connections for themselves.

LaBarre, a universitytrained linguist and licensed massage therapist with a background in psychology, ran a translation agency in San Francisco before moving to Maui 27 years ago. In her healing work, she uses her hands, her intuition and decades of skill and experience to translate the body’s messages for the mind.

“I don’t do the healing,” she insists. “That’s up to your body and the divine.

But I help you make connections on physical, emotional, mental and spiritual levels that catalyze deep and lasting healing.”

90-minute private sessions are available in her

Makawao office. A session begins as a traditional spa massage, then evolves into a customized treatment based on the needs of each client.

No two sessions look or feel the same. Play and emotional release are important aspects of the process.

LaBarre prides herself on her ability to “hold safe space” for anything that wants to happen. The emphasis is on felt experience. ❖ For more information, visit www.healingcatalyst .com, www.mauihealer .com or https://www.you tube.com/watch?v=nxJ6d 6Ibjcs&t=10s. For an appointment, call 575-2244.

Get on board with us on the voyage to end breast cancer.

Prevention is more important than treatment at Bella Skin Care Boutique kin care aesthetic treatments are gaining in popularity. From being something that only the rich and famous do to a necessity in today’s “selfie” social media-driven generation, aesthetic treatments go hand in hand with monthly gym memberships and regular teeth cleanings for self-care.

At Bella Skin Care, prevention is more important than treatment. Professional athome care programs can do wonders to improve one’s skin. Monthly or semi-annual treatments help maintain the skin’s framework. Preventative botox injections used to help smooth out wrinkles may eliminate the need for fillers later in life. Daily sunscreen use is already known to prevent the irreversible damage seen from the sun.

Owner Jennifer Sheehan has over 16 years experience in skin care aesthetics.

Joining her at Bella Skin Care are Medical Director Annelle Onishi, MD and Heather Davison, RN BSN. Davison was one of the first to bring platelet rich plasma and stem cell treatments to the island at Maui Regenerative Medicine in Haiku (www .mauiregenerativemedicine.com), and now provides a variety of treatments at both individual business locations.

Bella Skin Care provides quality service and professional care administered by highly trained skin technicians at 42 Luna Pl., No. 103, in Paia. ❖ For more information, call Bella Skin Care Boutique at 268-8555 or visit www.bellaskincaremaui.com.

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