Living Well - Aug2012

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SPECIAL TOPIC BACK TO SCHOOL THE ARIZONA REPUBLIC

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A SPECIAL PUBLICATION CREATED BY REPUBLIC MEDIA CUSTOM PUBLISHING

HEALTH-CARE NEWS YOU CAN USE FOR YOUR WHOLE FAMILY

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Vol. 2, No. 8 Vo

August 2012

HEALTH-CARE News

New child restraint law For some time, Arizona has required motorists to strap children age 4 and younger into a child-restraint system.

On Aug. 2, a new law goes into effect that requires children ages 5 to 7, who are shorter than 4 feet 10 inches tall, to also be restrained in a child-restraint system.

Prior to the implementation of this law, Arizona was one of only three states that allowed a 5-year-old to use a seat belt instead of a car seat or booster seat.

More info: Arizona Governor’s Office of Highway Safety, azgohs.gov; Arizona Department of Health Services, azdhs. gov/phs/owch/ipcfr/safekids.htm

Duet, a local non-profit organization, is launching an online caregiver networking group to offer support to those caring for an aging friend or loved one. This free support group will meet online on the fourth Tuesday (7–8 p.m.) and second Saturday (9–10 a.m.) of each month. Next meetings: Aug. 11 (9–10 a.m.); Aug. 28, (7–8 p.m.) To register: duetaz.org, click on the ‘events’ tab.

Questions/info: Brett Petersen, 602-753-8381 or Petersen@duetaz.org

Free immunizations The Scottsdale Unified School District (SUSD) and Scottsdale Healthcare are partnering to offer immunization clinics Aug. 2–3 and Aug. 6–10 from 12–4 p.m. at the SUSD Education Center, 3811 N. 44 St., Phoenix.

Vaccines are supplied through the Vaccines for Children program. New 2012 state guidelines provide immunizations to all uninsured, KidsCare, AHCCCS, native American/Alaskan natives, and children of families whose insurance does not cover immunizations.

Immunizations will be available to any qualified student, not just those who may be enrolling. A parent or guardian must accompany each child and should bring each child’s immunization record.

More info: susd.org or 480-484-6110

Whooping cough/ pertussis The March of Dimes is spreading the word that the incidence of pertussis, also known as whooping cough, is on the rise. Pertussis is a highly contagious, vaccine-preventable disease that often results in severe health risks and even death for babies and young children.

Pertussis vaccinations begin at two months of age, but babies may not be fully protected until they’ve had at least three doses of DTaP (diphtheria, tetanus and acellular pertussis) vaccine. Family members and caregivers frequently pass pertussis on to babies, so getting vaccinated is a simple way for adults to protect not only themselves, but also vulnerable babies.

More info: Your health-care provider or marchofdimes.com/arizona/ news_5921.html

IN THIS ISSUE:

COVER/06: BACK-TO-SCHOOL INFO 02: TOP TIPS FOR ORAL HEALTH 03: PREVENTING FALLS 04: SUPPORT GROUPS; EVENTS 05: SUPPORT GROUPS; EXPERTS 06: COSMETIC SURGERY 101 07: TEENS & EATING DISORDERS

RICK D’ELIA

Online caregiver support group

Outfitted with all the must-have sports gear, backpacks and lunchbags, Sam, Lily and Claire Williams of Phoenix may not be on Abbey Road of Beatles fame, but they are on the road to the start of a new school year. (Photo taken outside of Desert Valley Elementary School in Glendale. Desert Valley is in the Peoria Unified School District.)

Time to hop on the back-to-school bus

Backpacks, brain food and more—oh my!

BY DEBRA GELBART, ALISON STANTON, GREMLYN BRADLEY-WADDELL AND MICHELLE TALSMA EVERSON

I

t’s still summer, but another school year already is underway in some Valley school districts, while many others will start later this month. Here’s a roundup of resources designed to help give you a great start to the school year — no matter the age of your child.

Chang urged students to carry their backpacks on both shoulders and in a manner where the bottom of the pack is positioned at the mid-back or higher. Both Chang and Skowronek cautioned students not to try to stand upright against the weight of a backpack.

A (back)pack of trouble

“Children who experience back pain seem to be likelier to experience back pain as adults.”

Although some schools might be seeing a trend toward the use of tablets and e-readers, for the vast majority of students, backpacks and book-bags are still an inescapable fact of life.

It’s important for parents to monitor their children’s use of backpacks, said Michael Chang, M.D., a board-certified spine surgeon with Sonoran Spine Center.

In fact, he said, one in three students complains about back pain believed to be related to carrying a backpack. “A child of 13 or 14 doesn’t have the core spine strength to carry around 30 pounds or more,” he said.

“If a child experiences pain that affects sleeping, has tingling or burning in their arms or shoulder-blades, or feels pain with lifting in the low back or shoulders, parents need to encourage their child to lighten the load,” said Mike Skowronek, P.T., a licensed physical therapist and senior manager of rehabilitation services at Banner Desert Medical Center in Mesa.

By The NUMBERS

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— Michael Chang, M.D.

Brain food

“A good lunch is essential for learning,” said Melissa Paton, M.S., R.D., a registered dietitian at Banner Baywood Medical Center in Mesa. “Hungry kids are not going to be able to pay attention if their growling stomach is keeping them distracted.”

Jenel Day, M.S., R.D., a bariatric coordinator at the Bridges Center for Surgical Weight Management at St. Luke’s Medical Center in Phoenix and Tempe St. Luke’s Hospital, said there are plenty of healthy and tasty alternatives for kids to take for lunch, including sliced or stick

How long do local kids have to eat lunch at school?

Copper Creek Elementary School, Glendale: 45 minutes Fremont Junior High School, Mesa: 30 minutes Gilbert Junior High School, Gilbert: 30 minutes Kyrene Akimel a-Al Middle School, Ahwatukee: 30 minutes Millenium High School, Goodyear: 29 minutes Mohave Middle School, Scottsdale: 32 minutes Peoria High School, Peoria: 33 minutes Pinnacle High School, Phoenix: 30 minutes Sources: Various school and school district websites

Continued on page 6 BACK TO SCHOOL

MODERATION AND AWARENESS ARE KEY COMPONENTS FOR MAINTAINING A HEALTHY DIET Did you know that 1 can of ‘regular’ soda contains the equivalent of approximately 10 teaspoons of sugar? (1 teaspoon of sugar = 4 grams)

12 OUNCE CAN = 140-150 CALORIES, 39-41 GRAMS OF SUGAR

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2 | LIVING WELL A-Z | WEDNESDAY, July August 4, 2012 1, 2012

VITAL Signs

Dentists offer top tips for better oral health

Y

ou probably know that you should be brushing and flossing your teeth every day, and it’s likely you’re aware that sugar is bad for your teeth. But you may not know the ‘top 10 things dentists wish their patients knew’.

1

2

Orall care suggestions • Toothbrush: Start with a toothbrush with soft or extra-soft bristles.

• Toothpaste: Any toothpaste with fluoride in it is recommended.

• Whiteners: Peroxide strips are more effective than pastes and mouthwashes.

• Mouthwash: Antibacterial mouthwashes are effective but not essential.

Source: Steven Call, D.D.S., assistant professor of dentistry, Midwestern University in Glendale

3

A dry toothbrush is almost as effective as a toothbrush with toothpaste. Ideally, said Michael Thompson, D.D.S., a dentist practicing in Scottsdale, you should brush your teeth with toothpaste after every meal. But because that’s not practical, consider carrying a portable toothbrush with you to use after every meal or snack. When you get in your car after lunch, for example, just run your dry toothbrush over each tooth, Thompson suggested. “It really helps get rid of the lingering sugar and will keep your mouth healthier.”

For your mouth, the amount of sugar you consume in a day is not as significant as the frequency with which sugar is consumed. If you chew sugared gum most of the day or sip a can of soda throughout the afternoon, you’d be better off having dessert once during the day, said Steven Call, D.D.S., an assistant professor and clinical care coordinator in the dental clinic at Midwestern University in Glendale. “Exposure to sugar produces acid in your mouth that can eat into teeth and gums,” he explained. “If you consume a little bit of sugar all day long, you’re constantly fueling the bacteria that produce the acid.”

Tooth loss is preventable. You only have to floss the teeth you want to keep, Call said. “Everyone should have all their teeth at the end of their life.”

THINKSTOCK

Sink your teeth into this advice

BY DEBRA GELBART

4

You should undergo an oral cancer screening from your dentist at least once a year. At your dental checkup, Thompson said, your dentist should “examine your entire mouth and even your neck for signs of oral cancer. The dentist should lift up your tongue to look at the floor of your mouth and should examine your pharynx (throat), too. Then, he or she should palpate your neck to make sure you don’t have enlarged lymph nodes.”

8

The fewer procedures you have on your teeth (other than regular cleanings), the better off you are.

“Every time you get a filling it takes some of the tooth with it,” Call said, so preventing cavities should be a high priority. “If a filling needs to be replaced 10 years later, it will be a more complex and expensive restoration than the first time.” If you do need a filling, choose the most durable material available.

5

If your gums aren’t healthy, you could be at risk for heart disease, stroke, less controlled diabetes and even having a low birthweight baby. Unhealthy gums produce an inflammatory response in the body and that’s what can lead to other health problems.

“Doctors will tell you that it’s almost impossible to keep diabetes under control if the patient doesn’t take care of their gums,” Thompson said.

9

A dentist can help you manage snoring or sleep apnea. A dentist doesn’t prescribe a breathing machine like a sleep specialist might, but he or she can prescribe less bulky appliances to be worn during sleep that can manage mild or moderate snoring or sleep apnea, Thompson said.

6

7

It’s less expensive in the long run to save a tooth rather than extract a tooth. It may seem daunting to spend a lot of money for a crown when pulling the tooth can be much less expensive. But later on, you’ll discover why it’s money well spent, Call said. “The teeth that are left can lean forward without the support of all the teeth and that weakens those remaining teeth.” Wisdom teeth usually are an exception to this recommendation.

If you’re between 55 and 65, begin ’dental retirement planning’.

Individual dental insurance is very expensive over 65, Thompson said.

Ask your dentist to identify as many future potential problems in your mouth as possible, so those issues can be addressed now.

10 Pregnancy is tough on gums and teeth. Because of fluctuating hormones, a pregnant woman’s gums can bleed more easily and she’s more prone to tooth decay.

“Try to visit your dentist during the second trimester,” Call said.

“Your dentist can advise you about maintaining optimal oral health while you’re pregnant or nursing.”

Resources American Dental Association: ada.org/2624.aspx#faq Arizona Dental Association: azda.org Sesame Street: sesamestreet.org/parents/ topicsandactivities/toolkits/teeth WebMD: webmd.com/oral-health/ default.htm

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WEDNESDAY, August 1, 2012 | LIVING WELL A-Z | 3

PULSE

I’m (not) falling for you

Preventing and reducing falls

F

alling is a justifiable worry for lots of people for lots of reasons, but especially for the 40 million Americans age 65 and over. However, the good news is that there are plenty of simple lifestyle adjustments and modifications that can prevent a significant percentage of these often-devastating trips and tumbles.

Along with accidents, the leading causes of falls, according to Annie Fortnam, P.T., the director of rehabilitation at Paradise Valley Hospital in Phoenix, are gait and balance disorders, as well as muscle weakness, dizziness, syncope (fainting) and confusion. “If you or a loved one has fallen without an apparent reason,” she said, “it’s a good idea to have a health-care provider assess flexibility, strength, gait, posture and coordination.

It’s also important to evaluate the home environment to determine if there are hazards such as area rugs not securely placed or insufficient lighting.”

“One out of three adults age 65 years or older in the U.S. will suffer a fall each year.”

Fortnam said, “but swimming is great for people with joint problems. By exercising at least three times a week, you can help maintain your health and independence.”

WEAR APPROPRIATE SHOES. “Shoes with a greater sole surface, like well-fitting tennis shoes, significantly lower the risk of falling,” Fortnam said, adding that slip-on sandals or flip-flops can be risky for older people.

TAKE CARE OF ANYTHING ‘TRIPPABLE’ AND ‘SLIPPABLE’. Eliminate and/or secure items such as rugs and electrical cords.

USE ASSISTIVE DEVICES. Whether you need to rely on an item such as a cane or walker after surgery or an injury, or if you likely will need it the rest of your life, it’s important to use it. Additional devices, including stair railings and grab/safety bars in bathrooms, can literally be lifesavers.

Ways to reduce/prevent falls

If you or a loved one is susceptible to falling, it’s best to plan ahead and be proactive. Indeed, there are a number of easy things that can be done that will reduce the chance of a fall, said both Fortnam and Sue Koner, R.N., who is care manager for Banner Sun Health Care Transitions. Here are some of their suggestions:

THINKSTOCK

BE AWARE OF MEDICATION SIDE EFFECTS. “Many meds can make you feel lightheaded or dizzy due to a drop in blood pressure or heart rate,” Koner said.

“If you experience these kinds of side effects, make sure you stand up slowly from a sitting or reclining position.”

— Arizona Fall Prevention Coalition

STAY ACTIVE. “Walking is better than swimming to build bone strength,”

BY DEBRA GELBART

KEEP TRACK OF PETS. Small pets can be hazardous if people begin to experience challenges with vision, coordination and agility, Koner said. Knowing where your pet is situated in a room can prevent accidentally tripping over or bumping into your beloved furry companion.

BE VIGILANT ABOUT NUTRITION AND HYDRATION. Lack of proper nutrition can increase lightheadedness or weakness, Koner pointed out. Also, be sure you maintain adequate hydration; dehydration is well-known to cause lightheadedness.

SIGN UP FOR ALERT-TYPE BUTTONS. Especially if you live alone, consider subscribing to a service that gives you an alert button to wear as a necklace or bracelet so that you can easily summon help if you fall or otherwise need medical assistance. These services can often be set up to call either a family member or an emergency medical service, whichever you choose.

Resources American Academy of Orthopaedic Surgeons: orthoinfo.aaos.org/topic. cfm?topic=A00135 Arizona Fall Prevention Coalition: azstopfalls.org; 602-264-HELP (4357) Mayo Clinic: mayoclinic.com/health/ fall-prevention/HQ00657

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4 | LIVING WELL A-Z | WEDNESDAY, August 1, 2012

August

is National Immunization Awareness Month. More info: cdc.gov/vaccines/events/niam/default.htm

Take advantage of over 100 opportunities for you to meet others with similar issues and learn more about various aspects of your health – from A to Z.

MAKING MUSIC & MEMORIES Aug. 3, 10–11:30 a.m.

By Banner Alzheimer’s at Pyle Adult Recreation Center 655 E. Southern Ave., Tempe Register: 602-839-6850; Deidra.Colvin@bannerhealth.com

BARIATRIC INFO SESSIONS Various dates & times Banner Gateway 1900 N. Higley Rd., Gilbert 480-543-2606

NATUROPATHIC MEDICINE 101 Aug. 29, 7–8 p.m.

By Scottsdale Healthcare at Barnes & Noble 10500 N. 90 St., Scottsdale Register: shc.org/events; 480-882-4636

WEIGHT LOSS SURGERY SEMINAR Various dates, times & locations St. Luke’s, Phoenix Tempe St. Luke’s, Tempe 800-248-5553

HEART/STROKE

GLUCOSE & CHOLESTEROL SCREENINGS Aug. 3, 8–11:30 a.m.

Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-WELL (9355)

CONGESTIVE HEART FAILURE Aug. 1, 8, 15, 22 & 29, 6:30–7:30 p.m.

Chandler Regional 1955 W. Frye Rd., Chandler 480-728-5414

BONE MEDICATIONS: PROS & CONS Aug. 8, 1–2 p.m.

By Scottsdale Healthcare at Appaloosa Library 7377 E. Silverstone Dr., Scottsdale Register: shc.org/events; 480-882-4636

ABC’S OF CARDIOLOGY Aug. 2, noon–1 p.m.

Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-WELL (9355) STROKE SUPPORT GROUP Aug. 2 & Sept. 6, 5:30–6:30 p.m.

Banner Good Samaritan 1111 E. McDowell Rd., Phoenix 602-839-3667

EXERCISE FOR LOW BACK PAIN Aug. 9, 1–2 p.m.

By Scottsdale Healthcare at Civic Center Library 3839 N. Drinkwater Blvd., Scottsdale Register: shc.org/events; 480-882-4636

MENDED HEARTS SUPPORT GROUP Aug. 15, 6:30 p.m.

Banner Heart Hospital 6750 E. Baywood Ave., Mesa 480-854-5070

MINIMALLY INVASIVE SPINE SURGERY Aug. 16, 6 p.m. & Aug. 18, 10 a.m.

Laser Spine Institute 8888 E. Raintree Dr., Scottsdale Register: SpineSeminar.com; 866-811-3275

STROKE SUPPORT GROUP Aug. 22, 3–4 p.m.

Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-WELL (9355)

MINIMALLY INVASIVE SPINE SURGERY Aug. 17, noon

By Laser Spine Institute at Renaissance Glendale Hotel & Spa 9495 W. Coyotes Blvd., Glendale Register: SpineSeminar.com; 866-811-3275

DIABETES

FISH OIL & DIETARY SUPPLEMENTS Aug. 21, 6:30–7:30 p.m.

By Midwestern University at Glendale Foothills Library 19055 N. 57 Ave., Glendale 623-930-3868

DIABETES SUPPORT GROUP Aug. 9, 1–2 p.m.

St. Luke’s 1800 E. Van Buren St., Phoenix 877-351-WELL (9355)

SENIORS GRANDPARENTS RAISING GRANDCHILDREN (DUET) Various dates, times & locations 602-274-5022 HEALTHY COOKING Aug. 1, 10–11 a.m.

Humana Guidance Center 5943 E. McKellips Rd., Mesa 480-325-4707

DIABETES WORKSHOP Various dates, 10 a.m.–noon Phoenix Baptist Hospital 2040 W. Bethany Home Rd., Phoenix Register: azhealthyhours.com; 855-292-WELL

TAI CHI Aug. 3 & 17, 9–10 a.m.

Humana Guidance Center 5943 E. McKellips Rd., Mesa 480-325-4707 ARTHRITIS FOUNDATION EXERCISE PROGRAM Aug. 7, 14, 21 & 28, 9–10 a.m.

Tempe St. Luke’s 1500 S. Mill Ave., Tempe 877-351-WELL (9355)

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BREAST CANCER SUPPORT Aug. 4, 10 a.m.–noon Co-sponsoredbyTheWellnessCommunity Banner Good Samaritan 1111 E. McDowell Rd., Phoenix 602-712-1006

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METASTATIC SUPPORT GROUP Aug. 1, 11:30 a.m.–1 p.m.

Banner Desert 1400 S. Dobson Rd., Mesa 480-412- HOPE (4673)

WHAT: Discussion and Q&A session with Jamie Sellar, MA, LPC, program director, and Margie Tate, registered dietician, from The Wellness Community-AZ. WHERE: John C. Lincoln Deer Valley, Medical Office Building 1, 19841 N. 27 Ave., Phoenix SPONSORED BY: John C. Lincoln and The Wellness Community-AZ TIME: 6–8 p.m.

COST: Free RSVP: rsvp@twccaz.org; 602-712-1006

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BOSOM BUDDIES/ AHWATUKEE CHANDLER Aug. 11, 10 a.m.–noon Morrison Building (next to Chandler Regional Medical Center) 1875 W. Frye Rd., Chandler 480-893-8900 SUPPORT GROUP Aug. 11, 10 a.m.–noon Virginia G. Piper Cancer Center at Scottsdale Healthcare 10460 N. 92 St., Scottsdale Register: 480-323-1990; tinastreasures@shc.org BOSOM BUDDIES/EAST VALLEY Aug. 14, 6:30–8:30 p.m.

Women’s Center at Baywood Medical Center 6644 E. Baywood Ave., Mesa 480-969-4119 BOSOM BUDDIES/SCOTTSDALE Aug. 18, 10 a.m.–noon Scottsdale Healthcare Thompson Peak 7400 E. Thompson Peak Pkwy, Scottsdale 623-236-6616 EAST VALLEY YOUNG SURVIVORS (age 40 and under) Aug. 18, 10 a.m.–noon Dynamic Life Coaching Center 1701 S. Mill Ave., Tempe 480-326-7023 BLACKS AGAINST BREAST CANCER Aug. 19, 3–5 p.m.

The Wellness Community 360 E. Palm Lane, Phoenix 602-320-0502

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THRIVE YOUNG SURVIVORS (Ages 40 and younger) Aug. 7, 6–8 p.m.

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WHAT: Learn how to manage life after a cancer diagnosis.

WHERE: Banner Desert, 1400 S. Dobson Rd., Mesa TIME: 4–5:30 p.m.

TOPICS: Aug. 13, Yoga, relaxation & visualization; Aug. 14, Tai Chi & managing sleep difficulties; Aug. 15, Living well with cancer (includes mini-massage); Aug. 16, Cancer-fighting nutrition; Aug. 17, My Journey jewelry project COST: Free INFO: 480-412-HOPE (4673)

LEARNING ABOUT MEDICARE Aug. 22, 1 p.m.

CareMore Care Center 5225 N. Scottsdale Rd., Scottsdale RSVP: 480-429-3422

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Aug. 13–17 Pathway to Wellness

BOSOM BUDDIES/WEST VALLEY Aug. 2, 6:30–8:30 p.m.

La Quinta Inn & Suites 16321 N. 83 Ave., Peoria 623-979-4279

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LINE DANCE LESSONS Aug. 8, 15, 22 & 29, 11 a.m.–noon Humana Guidance Center 5943 E. McKellips Rd., Mesa 480-325-4707

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WHAT: An orthopedic expert will discuss the latest surgical advancements in treating hip pain, including the less invasive anterior approach to total hip replacement.

WHERE: Scottsdale Healthcare Thompson Peak, 7400 E. Thompson Peak Pkwy, Scottsdale TIME: 6–7:30 p.m.

COST: Free RSVP: shc.org/events; 480-882-4636

MEDICATION CHECKS Aug. 14, 10–11 a.m.

Tempe St. Luke’s 1500 S. Mill Ave., Tempe Register: 877-351-WELL (9355)

AGING INTO MEDICARE Aug. 29, 5 p.m.

CareMore Care Center 8435 E. Baseline Rd., Mesa RSVP: 480-429-3422

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WHAT: Health screenings including glucose, blood pressure, body fat, cholesterol checks, etc. Also pregnancy testing, dental checks, hearing and vision screenings, resource booths and immunizations for children.

WHERE: Comprehensive Healthcare Center at Maricopa Medical Center, 2601 E. Roosevelt St., Phoenix TIME: 9 a.m.–noon COST: Free INFO: 602-344-1841

YOGA FOR RECOVERY Aug. 2 & 16, 6–8 p.m.

Co-sponsoredbyTheWellnessCommunity John C. Lincoln Breast Center 19646 N. 27 Ave., Phoenix 602-712-1006

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Aug. 21 Total Hip Replacement Surgery

HEARING PRESENTATION & SCREENING Aug. 10, noon–1 p.m.

St. Luke’s 1800 E. Van Buren St., Phoenix Register: 877-351-WELL (9355)

HEARING PRESENTATION & SCREENING Aug. 24, noon–1 p.m.

Tempe St. Luke’s 1500 S. Mill Ave., Tempe Register: 877-351-WELL (9355)

MEDICATION CHECKS Aug. 7, 10–11 a.m.

Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-351-WELL (9355)

DIABETES SUPPORT GROUP Aug. 13, 3–4 p.m.

Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa 877-924-WELL (9355)

FOOT & TOENAIL FUNGUS Aug. 22, noon–1 p.m.

Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-WELL (9355)

SUN LAKES EARLY-STAGE SUPPORT GROUP Aug. 9 & 23, 9–10 a.m.

By The Alzheimer’s Association at Sun Lakes United Methodist Church 2958 E. Riggs Rd., Sun Lakes Register: 602-528-0545

ALZHEIMER’S SUPPORT GROUP (lunch provided) Aug. 19, 11 a.m.–12:30 p.m.

St. Joseph’s Huger Mercy Living Center 2345 W. Orangewood Ave., Phoenix 602-406-5600

WINE & DINE YOUR HEART Aug. 15, 5:30–7 p.m.

Banner Thunderbird 5555 W. Thunderbird Rd., Glendale Register: 602-230-2273

MEDICAL QI GONG Aug. 16, 1:30–2:30 p.m.

By Scottsdale Healthcare at Desert Foothills Library 38442 N. Schoolhouse Rd., Cave Creek Register: shc.org/events; 480-882-4636

WHAT: Obtain help completing custody paperwork for your grandchild or minor relative.

WHERE: Church of the Beatitudes, 555 W. Glendale Ave., Phoenix SPONSORED BY: Duet and the Children’s Law Center TIME: 3–5 p.m.

COST: Free RSVP: 602-274-5022, x44

Aug. 11 National Health Centers Week Health Fair

ALZHEIMER’S CAREGIVERS Aug. 16, 1:30–3 p.m.

Tempe St. Luke’s 1500 S. Mill Ave., Tempe 877-351-WELL (9355)

STROKE SUPPORT GROUP Aug. 8, 2:30–4 p.m.

Chandler Regional 1955 W. Frye Rd., Chandler 480-728-3828

GOODNESS OF GRAINS Aug. 15, 7–8 p.m.

By Scottsdale Healthcare at Barnes & Noble 10500 N. 90 St., Scottsdale Register: shc.org/events; 480-882-4636

PHOENIX EARLY-STAGE SUPPORT GROUP Aug. 9 & 23, 9–10 a.m.

By The Alzheimer’s Association at Parkway Community Church 1752 E. Maryland Ave., Phoenix Register: 602-528-0545

COMPASS FOR CAREGIVERS Aug. 16, 10–11:30 a.m.; Aug. 27, 4–5:30 p.m.

Banner Alzheimer’s 901 E. Willetta St., Phoenix Register: 602-839-6850; Deidra.Colvin@bannerhealth.com

HEART-HEALTHY EATING Aug. 7 & 21, 11 a.m.–noon Banner Heart Hospital 6750 E. Baywood Ave., Mesa 480-854-5401

BETTER BREATHERS Aug. 15, 2–3 p.m.

Chandler Regional 1875 W. Frye Rd., Chandler 480-728-5414

Aug. 10 Guardianship Clinic

AVOIDING ARGUMENTS & IMPROVING COMMUNICATIONS Aug. 10, 10:30 a.m.–noon

By Banner Alzheimer’s at AZ Museum of Natural History 53 N. Macdonald, Mesa Register: 602-230-CARE (2272)

COMPRESSION-ONLY CPR Aug. 4, 9–10:30 a.m.

Banner Desert 1400 S. Dobson Rd., Mesa 602-230-CARE (2273)

HEARING TESTS Aug. 14, 15 & 16, 8 a.m.–4 p.m.

John C. Lincoln Audiologist at Tatum Health Center 18404 N. Tatum Blvd., Phoenix Appointments: 602-494-6237

PLANNING AHEAD CLASS FOR CAREGIVERS Aug. 6, 4–6 p.m.

Banner Alzheimer’s 901 E. Willetta St., Phoenix Register: 602-839-6850; Deidra.Colvin@bannerhealth.com

THINKSTOCK

EYE INFECTIONS Aug. 29, noon–1 p.m.

Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-WELL (9355)

WELLNESS

!

W E N

ALZHEIMER’S/ DEMENTIA

BETTER BREATHERS Aug. 23, 1:30–3 p.m.

John C. Lincoln North Mountain 9229 N. Fourth St., Phoenix 602-870-6060, x5793

All groups and events are believed, but not guaranteed, to be free unless otherwise stated. Every effort has been made to verify accuracy, but please call before attending to confirm details.

TOP Events

Yuma 928.328.8198 Safford 928.792.4133

Chandler Fashion Center 480.389.3466

Casa Grande 520.366.8400

Save 30% Purchase one ME 2100 hearing aid for $1695. Offer valid at participating Miracle-Ear® locations. Limit 1 coupon per purchase. May not be combined with other offers and does not apply to prior sales. See store for details. No cash value. Offer expires 8/31/12.

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Good only from participating Miracle-Ear® representatives. One coupon per purchase. No other offers or discounts apply. Discount does not apply to prior sales. Offer valid on ME-1, ME-2, ME-3 Solutions. Cannot combine with any other offers. Cash value 1/20 cent. Offer expires 8/31/12.

Call Today to Schedule Your FREE Hearing Test and Video Otoscope Inspection*

Flagstaff Mall 928.225.3020

*Our hearing test and video otoscopic inspection are always free. Hearing test is an audiometric test to determine proper amplification needs only. These are not medical exams or diagnoses nor are they intended to replace a physician’s care. If you suspect a medical problem, please seek treatment from your doctor. See store for details. ©2012 Miracle-Ear, Inc.

Visit www.Miracle-Ear-Phoenix.com

WEDNESDAY, August 1, 2012 | LIVING WELL A-Z | 5

COOKING FOR WELLNESS Aug. 21, 6–8 p.m.

Co-sponsoredbyTheWellnessCommunity John C. Lincoln Breast Center 19646 N. 27 Ave., Phoenix 602-712-1006 CIRCLE OF HELP/ADVANCED BREAST CANCER Aug. 23, 6–8 p.m.

By Bosom Buddies at John C. Lincoln Breast Center 19646 N. 27 Ave., Phoenix advancedbreastcancer@gmail.com; 623-236-6616 SUPPORT GROUP Aug. 28, 5–6:15 p.m.

Banner Desert 1400 S. Dobson Rd., Mesa 480-412-HOPE (4673)

CANCER SUPPORT GROUPS LOOK GOOD, FEEL BETTER Aug. 1, 6–8 p.m.

Banner Thunderbird 5555 W. Thunderbird Rd., Glendale Register: 602-865-5450 MORNING MEDITATIONS Aug. 6, 13, 20 & 27, 9:30 a.m.

Banner MD Anderson 2946 E. Banner Gateway Dr., Gilbert 480-256-4141 CHAIR YOGA Aug. 6, 13, 20 & 27, 10 a.m.

Banner MD Anderson 2946 E. Banner Gateway Dr., Gilbert 480-256-4141 COLON Aug. 7, 5:15–6:15 p.m.

Banner Desert 1400 S. Dobson Rd., Mesa 480-412-HOPE (4673) HEAD & NECK Aug. 7, 5:30–7:30 p.m.

St. Joseph’s 500 W. Thomas Rd., Phoenix 602-406-6621 COLORECTAL Aug. 7, 6–8 p.m.

Co-sponsoredbyTheWellnessCommunity Banner Good Samaritan 1111 E. McDowell Rd., Phoenix 602-712-1006 FACING FORWARD (WOMEN) Aug. 8, 1–3 p.m.

Virginia G. Piper Cancer Center at Scottsdale Healthcare 10460 N. 92 St., Scottsdale Register: shc.org/events; 480-882-4636 GENTLE YOGA Aug. 9, 16, 23 & 30, 4 p.m.

Banner MD Anderson 2946 E. Banner Gateway Dr., Gilbert 480-256-4141 LUNG Aug. 11, 1–3 p.m.

By St. Joseph’s at The Wellness Community 360 E. Palm Ln., Phoenix 602-712-1006 DRUMMING CIRCLE Aug. 13, 6–7:30 p.m.

Virginia G. Piper Cancer Center at Scottsdale Healthcare 10460 N. 92 St., Scottsdale Register: shc.org/events; 480-882-4636 US TOO: PROSTATE CANCER Aug. 13, 7 p.m.

St. Joseph’s 350 W. Thomas Rd., Phoenix 602-242-3131 GYNECOLOGIC Aug. 14, 5–6:15 p.m.

Banner Desert 1400 S. Dobson Rd., Mesa 480-412-HOPE (4673) JOURNEY TO WELLNESS (bone health & balance) Aug. 15, 4 p.m.

Banner MD Anderson 2946 E. Banner Gateway Dr., Gilbert 480-256-4141

ORAL, HEAD & NECK Aug. 15, 4:30–6:30 p.m.

Banner Desert 1400 S. Dobson Rd., Mesa 480-412-HOPE (4673)

LUNG TRANSPLANT Aug. 14, 11:45 a.m.–1 p.m.

St. Joseph’s 350 W. Thomas Rd., Phoenix 602-406-7009

ESOPHAGEAL Aug. 16, 6–7:30 p.m.

Banner Good Samaritan 1111 E. McDowell Rd., Phoenix Free valet parking; dinner provided 602-839-4970; 602-527-3776 esophagealcancersupportphoenix.com

SYRINGO & CHIARI Aug. 16, 11 a.m.–1 p.m.

St. Joseph’s Outpatient Rehabilitation 114 W. Thomas Rd., Phoenix 623-561-9606

CANCER Aug. 21, 5–6:15 p.m.

Banner Desert 1400 S. Dobson Rd., Mesa 480-412-HOPE (4673) COOKING FOR HEALTH Aug. 21, 6–8 p.m.

Co-sponsoredbyTheWellnessCommunity Banner Good Samaritan 1111 E. McDowell Rd., Phoenix RSVP: 602-712-1006

PARENTING/ KIDS OB ORIENTATION Various dates & times Banner Gateway 1900 N. Higley Rd., Gilbert 602-230-2273 OB ORIENTATION TOUR Various dates & times Banner Good Samaritan 1111 E. McDowell Rd., Phoenix 602-230-2273 MAKE YOUR OWN BABY FOOD Aug. 1, 10:30–11:30 a.m.

Maryvale Hospital 5102 W. Campbell Ave., Phoenix Register: 602-304-1166 BREASTFEEDING Aug. 1, 8, 15, 22 & 29, 11 a.m.

Chandler Regional 1875 W. Frye Rd., Chandler 480-728-5414 POSTPARTUM DEPRESSION Aug. 1, 8, 15, 22 & 29, 1–2:30 p.m.

Chandler Regional 1875 W. Frye Rd., Chandler 480-728-5414 CHILDBIRTH EDUCATION (2-WEEK CLASS) Aug. 1 & 8 or Aug. 15 & 22, 6:15–9:30 p.m.

Maryvale Hospital 5102 W. Campbell Ave., Phoenix Register: azhealthyhours.com; 855-292-WELL BREASTFEEDING SUPPORT GROUP Aug. 2, 9, 16, 23 & 30, 1–2:30 p.m.

Banner Desert 1400 S. Dobson Rd., Mesa 480-412-3035 WOMEN’S SERVICES UNIT TOURS Aug. 2 & 16, 7 p.m.

Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-WELL (9355) BREASTFEEDING Aug. 3, 10, 17, 24 & 31, 10 a.m.

Mercy Gilbert 3555 S. Val Vista Dr., Gilbert 480-728-5414 CHILDREN’S IMMUNIZATION CLINIC Aug. 4 & 18, 8 a.m.–noon Scottsdale Healthcare Osborn 3634 N. Drinkwater Blvd., Scottsdale 480-882-4317 POSTPARTUM DEPRESSION Aug. 7, 14, 21 & 28, 10–11:30 a.m.

Banner Desert 1400 S. Dobson Rd., Mesa 480-412-5292

SUPPORT GROUPS BRAIN INJURY Aug. 13, 7–8:15 p.m.

St. Joseph’s Barrow Neurological Institute 350 W. Thomas Rd., Phoenix 602-406-3333

ASK An Expert

MEN’S DISABILITY ISSUES Aug. 16, 5:30–7 p.m.

Disability Empowerment Center 5025 E. Washington St., Phoenix 602-980-3232; DonP@abil.org OSTOMY Aug. 19, 2–4 p.m.

First Presbyterian Church 161 N. Mesa Dr., Mesa 480-812-0324 HUNTINGTON’S Aug. 20, 6–8 p.m.

St. Joseph’s 350 W. Thomas Rd., Phoenix 602-406-4931 MULTIPLE SCLEROSIS (WOMEN) Aug. 25, 10 a.m.

St. Joseph’s 350 W. Thomas Rd., Phoenix 480-829-6563 BIRTH PARENT Aug. 28, 6–8 p.m.

St. Joseph’s 350 W. Thomas Rd., Phoenix 888-818-4454 BRAIN TUMOR Aug. 28, 6–8 p.m.

St. Joseph’s 350 W. Thomas Rd., Phoenix 623-205-6446

CAREGIVERS CAREGIVERS Aug. 1, 10:30 a.m.–noon Desert Mission Neighborhood Renewal Office John C. Lincoln North Mountain 9229 N. Fourth St., Phoenix 602-870-6374 LGBT CAREGIVER GROUP (DUET) Aug. 6, 9–10 a.m.

One Voice Community Center 4442 N. Seventh Ave., Phoenix 602-274-5022 CAREGIVERS SUPPORT GROUP Aug. 8, 2:30–4 p.m.

Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-WELL (9355) CAREGIVERS SUPPORT GROUP Aug. 13 St. Joseph’s Outpatient Rehabilitation 114 W. Thomas Rd., Phoenix Call for time: 602-406-6688 CAREGIVERS SUPPORT GROUP Aug. 22, 2:30–3:30 p.m.

St. Luke’s 1800 E. Van Buren St., Phoenix Register: 877-924-WELL (9355)

PRESENTED IN SPANISH CHILDBIRTH EDUCATION (2-WEEK CLASS) Aug. 7 & 14 or Aug. 21 & 28, 6:15–9:30 p.m.

Maryvale Hospital 5102 W. Campbell Ave., Phoenix Register: azhealthyhours.com; 855-292-WELL CANCER SUPPORT GROUP Aug. 14, 6–7:30 p.m.

Banner Desert 1400 S. Dobson Rd., Mesa 480-412-HOPE (4673)

Question: When will noise affect my hearing?

ANSWER: We live in a world full of noise, but most people don’t realize what all that noise is doing to their hearing. In fact, excessive noise damages the delicate hair cells in the inner ear, resulting in hearing loss.

Dangerous levels of noise can come from working in noisy occupations or engaging in loud recreational activities. In fact, when exposed to any noise, whether work-related or recreational, be sure to wear hearing protection such as foam plugs or muffs. Better yet, there are specialized custom ear-protections that can be fitted by your audiologist or hearing instrument specialist.

So how loud does noise have to be before it starts to affect hearing? (dB = decibel, a unit of measurement related to the volume of sounds): 30dB: Whisper 88dB: Lawnmower; hearing damage can occur in four hours 94dB: Electric drill; hearing damage can occur in one hour 97dB: Motorcycle; hearing damage can occur in 30 minutes 100dB: MP3 players; hearing damage can occur in 15 minutes 120dB: Rock concert, ambulance siren; hearing damage can occur in eight seconds 140dB: Jet engine at take off, gunshot; immediate danger to hearing ROBERT BABER, BOARD-CERTIFIED HEARING INSTRUMENT SPECIALIST AND OWNER OF 21 MIRACLE-EAR CENTERS LOCATED THROUGHOUT ARIZONA

Question: What causes shingles?

ANSWER: Shingles is caused by the varicella-zoster virus. When we are first exposed to this virus, we get chicken pox. Most people get chicken pox or the chicken pox vaccine in childhood. After this exposure, through the infection or vaccine, the varicella-zoster virus lives dormant in our bodies.

The reactivation of this dormant virus causes shingles to occur. This often happens when our immune system is weakened, which occurs with aging but can also be caused by a stressful event in our life. At times, there is no obvious reason why the virus was reactivated.

Shingles leads to a rash, typically on one side of the body, which can be quite painful. The rash often looks like grouped blisters with redness in the skin surrounding it.

A characteristic feature of this rash is that it does not cross the mid-line of the body. Rarely, the varicella-zoster virus can cause pain of the skin and deep tissue without causing a rash.

Occasionally the pain can precede the rash by several days.

You cannot ‘catch’ shingles by being exposed to someone with the active virus. However, if a person has not had chicken pox and they are around a person with shingles, they can get chicken pox.

Ask your doctor if you are a good candidate for the shingles vaccine.

You can still get shingles following the vaccine, but the incidence of this occurring is greatly reduced.

BETTY DAVIS, M.D., DERMATOLOGY, BANNER HEALTH CENTER, SUN CITY WEST

ANSWER: While sometimes disease or infection is involved, the causes of overactive bladder (OAB) can often only be related to age, hormonal status, previous pelvic surgery or childbirth, processes that can make the bladder muscle unstable which can lead to symptoms.

Once any potential underlying diseases are ruled out, the mainstays of treatment are medications targeted at calming the bladder muscle to make it less spastic and irritable.

Additionally, biofeedback and physical therapy techniques can be taught to give the patient more bladder control.

Correction of underlying pelvic support defects through physical therapy or even surgery may also play a role in correcting OAB. If these measures fail to improve symptoms, then a treatment called neuromodulation may be in order. This is accomplished by applying electrical energy to nerves running through the pelvis.

CHRISTOPHER WOLTER, M.D., UROLOGIST AND ASSISTANT PROFESSOR OF UROLOGY, MAYO CLINIC IN ARIZONA

Living Well a-z invites readers to submit questions to a panel of health-care experts. The short questions and answers will offer readers a little more information about hot topics in medicine and refer you to other resources where you can learn more. Responses will also arm you with information so you know what to ask your own health-care providers. If you would like your question to be considered for the September 5, 2012 issue of Living Well a-z, please write to editor: Paula Hubbs Cohen Paula.Cohen@cox.net or c/o The Arizona Republic, 200 E. Van Buren St., CA22 Phoenix, AZ 85004

INFO Online ABRAZO HEALTH CARE (AZ Heart Institute and AZ Heart, Arrowhead, Maryvale, Paradise Valley, Phoenix Baptist and West Valley hospitals): abrazohealth.com BANNER HEALTH: bannerhealth.com BARNET DULANEY PERKINS: goodeyes.com CARDON CHILDREN’S MEDICAL CENTER: bannerhealth.com CHANDLER REGIONAL MEDICAL CENTER: ChandlerRegional.org

HEALTHSOUTH REHABILITATION: healthsouth.com JOHN C. LINCOLN HEALTH NETWORK: JCL.com LASER SPINE INSTITUTE: laserspineinstitute.com MAYO CLINIC: mayoclinic.com MERCYGILBERTMEDICALCENTER: MercyGilbert.org MIRACLE EAR: miracle-ear.com MOUNTAIN VISTA MEDICAL CENTER: mvmedicalcenter.com

FREE

UNA REUNION (Latino Cancer Outreach Task Force) Aug. 21, 6–7:30 p.m.

St. Joseph’s Cancer Center 500 W. Thomas Rd., Phoenix 602-567-7640

Question: What causes overactive bladder?

HEARING TEST 26 Arizona Locations

Call 602-814-0072

www.Miracle-Ear-Phoenix.com Not a medical exam.Audiometric test to determine proper amplification needs only.

Good only from participating Miracle-Ear providers. See store for details.

Strategies for Communicating with people with Dementia

AZ Natural History Museum, 53 N. McDonald, Mesa Friday, August 10 10:30 a.m.- 12 p.m.

RSVP: (602) 230-CARE (2273) www.BannerHealth.com/events

NORTH VALLEY PLASTIC SURGERY: nvpsaz.com PHOENIX CHILDREN’S HOSPITAL: phoenixchildrens.com SCOTTSDALE HEALTHCARE:shc.org ST. JOSEPH’S HOSPITAL AND MEDICAL CENTER: stjosephs-phx.org ST. LUKE’S MEDICAL CENTER: stlukesmedcenter.com TEMPE ST. LUKE’S HOSPITAL: tempestlukeshospital.com

BARIATRIC PROGRAM Hear about medical & surgical treatments for obesity.

THURS., AUG 9: 6-6:45PM

TUES., AUG 21: 6-6:45PM

(480) 301-4533 MayoClinic.org/Arizona

All of my big plans were put on hold when I thought I had a bad cold and it turned out to be heart failure.

After a heart transplant, I feel lucky to be here. My answer was Mayo Clinic.

Adam Janusz

At Mayo Clinic, Adam was diagnosed with giant cell myocarditis, a devastating disease that often affects young, otherwise healthy people. He was outfitted with a Bi-Ventricular Assist Device (BVAD) and was able to go home to wait for his new heart. For more information or to schedule an appointment, visit mayoclinic.org/arizona or call 1-800-446-2279.

Visit mayoclinic.org/arizona

6 | LIVING WELL A-Z | WEDNESDAY, August 1, 2012

BACK TO SCHOOL

HER Story

Continued from cover cheese, rolled up deli meat slices, sliced fruit and whole wheat crackers.

For kids who are devoted to their peanut butter and jelly, Paton said the ‘P’ portion of the sandwich is an excellent source of protein, but the ‘J’ is where the nutritional value can get into trouble since jellies are mostly sugar. Paton suggested looking for brands of nut butters without added sugar or vegetable oils. “And don’t be dismayed by the layer of oil on the ‘natural brands’ — you just need to stir before using,” she said.

THINKSTOCK

Keeping young athletes safe

Cosmetic surgery 101 Experts stress the importance of research and safety

ablo Prichard, M.D., the medical director of plastic and reconstructive surgery at John C. Lincoln Hospital, can think of plenty of reasons that patients should not have cosmetic surgery. “It should not be done to change your life or to save a relationship,” he said. “I don’t operate on everyone who comes through my door.”

Cosmetic vs. plastic surgery

Cosmetic surgery is not the same as plastic surgery, according to the American Board of Cosmetic Surgery. Cosmetic surgery focuses on enhancing appearance through surgical and medical techniques and is practiced by doctors from a variety of medical fields including dermatologists, plastic surgeons, general surgeons, gynecologists, oral and maxillofacial surgeons, ophthalmologists and otolaryngologists.

Meanwhile, plastic surgery is a surgical specialty that focuses on repairing and reconstructing abnormal structures of the body caused by birth defects, developmental abnormalities, trauma, infection, tumors or disease. Most plastic surgeons perform cosmetic surgery as well.

Healthy lifestyle important

“For those who are looking for some immediate motivation,” said Robert Cohen, M.D., a board-certified plastic surgeon and medical director of the Scottsdale Center for Plastic Surgery, “it [cosmetic surgery] can help you with problems that cannot be corrected with diet and exercise. But you still need to stay on track with your healthy lifestyle.”

Prichard agreed, stating that cosmetic surgery by itself is not going to make you healthier. “You need to work on your body, nutrition, exercise and mental health,” he said. “I’ll often refer patients to a nutritionist or personal trainer because all kinds of people help in the ultimate goal of somebody looking better and feeling better. It’s about all facets of health.”

Do your research

If you’re considering cosmetic surgery, Heidi Regenass, M.D., a board-certified plastic surgeon with North Valley Plastic Surgery, advises the following: • Educate yourself about the procedure and its risks • Research the surgeon’s qualifications, previous work and accreditation by the American Board of Plastic Surgery • Be healthy and in good physical shape before surgery • Have realistic expectations • Quit smoking if you’re a smoker • Opt for a natural look “Make sure you meet with the surgeon before the procedure is performed,” she said, “to feel comfortable not only with the doctor but also with the office staff.” She

“Many school districts provide information on their website with details on vaccinations for each age group.”

— Danielle Airey, spokeswoman, Peoria Unified School District

BY MICHELLE TALSMA EVERSON

P

While a sports physical covers much of the same material as an annual exam, said Manisha Thakkar, M.D., of Advance Care Pediatrics in Chandler, it’s not necessarily a good idea to combine the two in a single visit, especially if you’re seeing a new careprovider and don’t yet have an established relationship. She recommends that parents check first with their physician’s office to see if it’s acceptable to do so.

Javier Cárdenas, M.D., a St. Joseph’s Barrow Neurological Institute neurologist who specializes in brain injuries and serves as chair of the Arizona Interscholastic Association’s Sports Medicine Advisory Committee, said any student planning to play sports in high school or play on a club sports team is required to have a pre-participation physical evaluation and be cleared to play. Some junior high or middle schools may also require the pre-participation exam. Along with the actual exam, the family’s overall health is also addressed, something that Cárdenas said is just as important, if not more so, than the rest of the exam.

also recommends that patients share their entire medical history when completing the necessary forms at the first doctor visit. “Depending on the patient’s history and current medical status, an elective procedure may not be appropriate,” she said. For example, she added, diabetes and uncontrolled high blood pressure can increase the risk of complications during surgery.

“Cosmetic surgery is still surgery. The risks are quite low, but there are still risks involved.”

— Robert Cohen, M.D.

Recent trends

Similar to any field, cosmetic surgery has trends in popular procedures.

Remus Repta, M.D., co-author of The Atlas of Abdominoplasty, said that the procedure known as the ‘mommy makeover’ is actually a combination of classic surgeries (like a tummy tuck or breast augmentation) that are uniquely combined for each patient’s individual needs.

“A mommy makeover is any surgery to regain — or potentially improve — how a patient looked before having children,” Repta said. “It’s all about skin. You cannot exercise skin and we don’t have the technology to shrink it yet, so you have to remove it.”

For women considering a mommy makeover, Repta suggests waiting an appropriate amount of time after having children and also making sure the procedure will be a welcome addition to your life, not something you stress over or can’t afford financially.

Cohen noted that a positive trend is that patients want to look natural. “They want to look like themselves, only better,” he said. “Patients aren’t coming into my office wanting to look like celebrities.”

Many surgeons have also noticed an upswing in male patients seeking cosmetic surgery. “Men are getting more comfortable with cosmetic surgery, maybe because it’s becoming more socially acceptable,” Prichard said.

Resources American Board of Cosmetic Surgery: americanboardcosmeticsurgery.org American Board of Medical Specialties: abms.org American Board of Plastic Surgery, Inc.: abplsurg.org American Society of Plastic Surgeons: plasticsurgery.org

Vaccinations

Parents today don’t see what parents used to have to deal with, such as children dying from some of the diseases that kids are now vaccinated against, said Karen Lewis, M.D., medical director of the Arizona Immunization Program Office.

The reason behind requiring vaccinations for all children in daycare or school is to create a “wall of protection” around those who cannot be vaccinated, Lewis explained. “For example, measles is very contagious and needs an immunization rate of around 95 percent in order to prevent its spread.”

While some parents may be concerned about the safety of immunizations, Lewis noted that vaccines are “some of the most studied medicines in the world and are very safe. The autism claim [against

vaccinations] is a myth. Multiple studies have failed to prove any link between vaccinations and autism,” she emphasized.

Dorm dos and don’ts

A lot has changed since many of us went to college, starting with the term ‘dorm’.

It’s been replaced by ‘residence hall’, explained Gretchen Wesbrock, associate director for residence life staffing at Northern Arizona University, stating that ‘dorm’ really refers to a physical structure while ‘residence hall’ focuses beyond the structure to the community.

Whatever you call student housing, a lot of students bring too many possessions with them. “If a student is planning to rent a truck for the move, he or she is bringing too much,” said Kendra Hunter, director of residence life at Arizona State University.

Wesbrock recommends bringing a couple of items of sentimental value, such as small framed photos, so students can personalize their space, adding that students are sometimes surprised to find out they can’t bring candles or incense.

“Those present a real fire hazard and they’re not allowed.”

Wesbrock and Hunter recommend reading the college’s guidelines then creating a personalized list. When in doubt, consult the university Residence Life office before arriving on campus.

Resources Backpack safety: American Physical Therapy Association: apta.org WebMD: webmd.com/parenting/ features/kids-backpacks-101

Exams & sports physicals: Arizona Interscholastic Association: aiaonline.org Your pediatrician or school health office

Healthy school lunches: Food Safety.gov: foodsafety.gov/ blog/school_lunch.html

10

nutritious lunch/snack ideas

U.S. Department of Agriculture: healthymeals.nal.usda.gov/ resource-library/food-safety/ packing-food-safely

Vaccinations: Arizona Department of Health Services: azdhs.gov/phs/immun/ back2school.htm

1

Air-popped popcorn

2

Applesauce

3

Baby carrots

4

Celery sticks

5

Cherry tomatoes

6

Fruit slices

7

Hummus

Maricopa County Department of Public Health: maricopa.gov/ publichealth/Services/immunizations/ child/locations.aspx

8

Low fat cheese

Dorm dos and don’ts:

9

Pre-packaged nuts

ASU: asu.edu/housing/handbook/ housingPolicies.html

10

Pretzels

NAU: nau.edu/Residence-Life/ Life-on-Campus/What-to-Bring

Sources: Melissa Paton M.S., R.D. and Jenel Day, M.S., R.D.

Baby Shots program (free immunization clinics): phoenix.gov/fire/babyshots.html Community Information and Referral Services (free/low cost immunizations): cir.org/immunizations

UA: life.arizona.edu

General Manager: CAMI KAISER, ckaiser@republicmedia.com A division of The Arizona Republic.

200 E. Van Buren St., Phoenix, AZ 85004

Manager Creative Development: ISAAC MOYA, imoya@republicmedia.com

Look for Livingwell a-z on the first Wednesday of each month!

Contributing Editor: JIM WILLIAMS, jlwilliams@republicmedia.com

Each month, we bring you local health information you can use to keep you and your family living well. From A to Z, we tackle a broad range of health issues and offer tips for keeping your health-care costs in check. This publication is produced by Republic Media Custom Publishing.

For questions concerning any content included in this publication please contact: Editor Paula Hubbs Cohen, Paula.Cohen@cox.net or call 602-444-8658.

Editor: PAULA HUBBS COHEN, Paula.Cohen@cox.net

Managing Art Director: TRACEY PHALEN, tphalen@republicmedia.com Design: LISA QUIRIN, lisa_q@me.com Republic Media Intern: JESSICA RUSH Advertising: RHONDA PRINGLE, 602-444-4929, rpringle@republicmedia.com. For general advertising inquiries, contact Republic Media at 602-444-8000.

WEDNESDAY, August 1, 2012 | LIVING WELL A-Z | 7

KIDS’ Korner

Teens and eating disorders

While anorexia and bulimia more commonly affect girls, these potentially life-threatening diseases are not uncommon in boys.

Potential life-long consequences

A

“

norexia, bulimia, and binge eating disorder are all illnesses — serious mental illnesses — that can cause lifetime complications and lifetime psychological issues,” said Dena Cabrera, Psy.D., C.E.D.S., a licensed psychologist with Rosewood Centers for Eating Disorders in Wickenburg, where she also serves as clinical director of adolescent services.

“But, if identified and treated early, a successful outcome is possible.”

Startling statistics

Rachel Brogan, M.S., R.D., C.E.D.R.D., a registered dietitian with Doorways LLC, a clinic in Phoenix that offers counseling and psychiatric services for adolescents and young adults, said the statistics are startling. Approximately 95 percent of those struggling with an eating disorder experience the onset between the ages of 12 and 25, and one out of every 100 adolescent girls will struggle with anorexia.

“A teenager with anorexia nervosa is typically a perfectionist and a high achiever in school.”

— American Academy of Child and Adolescent Psychiatry “It’s the third most common chronic illness among adolescent girls,” she said of the condition more formally known as anorexia nervosa, “and it has the highest mortality rate of any mental illness.”

Risk factors

While anorexia and bulimia more commonly affect girls, these potentially life-threatening diseases are not uncommon in boys. Cabrera said it’s important to realize that teens of either sex

don’t set out to have an eating disorder, but because of their age and vulnerability, things can get out of control faster than they can with adults. And while there are a lot of reasons why eating disorders arise in the first place, including poor body image, low self esteem, media pressure to look a certain way, family issues and bullying (all of which may contribute and act as stressors), she wants to spread the message that an eating disorder is not caused by one single thing.

“It is a combination between genetics and environment, which makes it so complicated,” she said. “No one is to blame, and we need to work together as a society to bring awareness, prevention and treatment to these deadly illnesses.”

Warning signs

Some of the telltale signs that a teen may have an eating disorder include: • increased isolation • a rapid weight change (up or down) • changes in mood that are abnormal • low self esteem • extreme perfectionism • frequent bathroom visits after meals • varied excuses not to eat • increased anxiety and/or depression If a parent, friend or loved one sees warning signs, experts indicate it is time to make sure that the lines of communication are open. “Some kids want help but may not act like it,” Brogan said. “Tell them that you’re concerned and listen to what they have to say.”

What’s on your plate tonight?

THINKSTOCK

BY GREMLYN BRADLEY-WADDELL

Get help quickly

Although parents and/or guardians will probably encounter resistance, they should make an appointment with a school counselor, a pediatrician or a therapist (preferably an adolescent eating disorder specialist) if their teen’s weight has been compromised in any way.

Most importantly, don’t wait. “I see so many parents wait until the end of a sports season or the end of a semester,” Brogan added. “At that point, your adolescent’s health could have greatly diminished.”

Resources

Definitions fi iti ANOREXIA NERVOSA: An intense fear of gaining weight or becoming fat. A person with anorexia may practice unhealthy behaviors such as restricting calories, only eating specific foods or skipping meals frequently.

BULIMIA NERVOSA: Also an intense fear of gaining weight or becoming fat.

Someone with bulimia may eat large amounts of food in a short period of time and then eliminate the food by making themselves vomit or by using laxatives, diuretics or diet pills.

National Association of Anorexia Nervosa and Related Disorders Arizona support groups: anad.org/ get-help/support-groups/arizona/

BINGE EATING DISORDER: Frequent episodes of eating very large amounts of food rapidly to the point of feeling sick or uncomfortable.

When binge eating, a person feels like they cannot stop eating or control what or how much is eaten.

National Institute of Mental Health: nimh.nih.gov/health/publications/ eating-disorders/complete-index.shtml/ index.shtml

Source: Condensed from anad.org/ get-information/about-eating-disorders/ general-information (National Association of Anorexia Nervosa and Associated Disorders)

Eating Disorders Anonymous: eatingdisordersanonymous.org/ meetings.html#AZ

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