SPECIAL TOPIC DIABETES THE ARIZONA REPUBLIC
A SPECIAL PUBLICATION CREATED BY REPUBLIC MEDIA CUSTOM PUBLISHING
HHEALTH-CARE NEWS YOU CAN USE FOR YOUR WHOLE FAMILY
Vol. 2, No. 11
November 2012
DALE BERGERSEN at DKBPhoto@smugmug
HEALTH-CARE News
Runners near the finish line of a recent Undy 5000 run.
The Arizona Chapter of the Colon Cancer Alliance (CCA) was recently honored with the Sapphire Award for the best Undy 5000 5K Run in the country, an award given by the national CCA organization. The all-ages annual fun-run/walk will be held this month on Nov. 17th in the State Capitol District at 1600 W. Washington Street in Phoenix. Participants, who are encouraged to wear family-friendly “undyattire”, will receive a commemorative pair of Undy 5000 boxer shorts. On-site registration begins at 7:30 a.m.; the dog- and stroller-friendly fun-run/walk begins at 9 a.m. Registration ranges from $25 to $35. More info and to register: undy5000.org; 202-434-8989
Banner Desert Named Primary Stroke Center Banner Desert Medical Center recently earned the Gold Seal of Approval as a nationally certified Primary Stroke Center by the Joint Commission for Advanced Certification in Stroke. The Joint Commission’s Certificate of Distinction for Primary Stroke Centers recognizes centers that make exceptional efforts to promote better outcomes for stroke care. Achievement of certification signifies that the services a hospital provides have the critical elements to achieve long-term success in improving the stroke patient’s outcomes. More info: BannerHealth.com
Lung procedure performed at Chandler Regional The first lung brachytherapy (internal radiation therapy) procedure in Arizona took place at Chandler Regional Medical Center, a Dignity Health™ Member. Gyu Gang, M.D., a cardiothoracic surgeon, performed a minimally invasive video-assisted thorascopic surgery to remove part of a lung where cancerous tissue was located. S. Eric Olyejar, M.D., a radiation oncologist, used a Cesium-131 brachytherapy mesh implant that contains radioactive seeds and applied it to the suture line. Currently, patients with stage one lung cancer who have limited lung function have less invasive surgery, and have a 16 to 20 percent chance of their cancer recurring. Targeted radiation lowers the recurrence rate and reduces the amount of damage that is done to the rest of the lung. More info: ChandlerRegional.org
RICK D’ELIA
Undy 5000 5K Fun-Run & Walk
Devendra Wadwekar, M.D., an endocrinologist in Gilbert, checks an insulin pump while checking in with his patient, Andrew Haws, who has Type I diabetes. Wadwekar says 15 percent of his patients use the pump and are those whose diabetes is more difficult to control with insulin injections.
All about diabetes Growth in number of Type 2 diabetics attributed primarily to lifestyle issues BY DEBRA GELBART
S
ince Type 2 diabetes, which accounts for up to 95 percent of all diabetes cases, is often linked to excessive body weight, it’s safe to say that the obesity epidemic in the U.S. is the primary cause for the dramatic increase in diagnosed and undiagnosed cases of Type 2 diabetes. But here’s the good news: the trend can be reversed with some relatively simple lifestyle changes.
Type 1 vs. Type 2
First, some definitions: Type 1 diabetes used to be commonly referred to as ‘juvenile diabetes’. With this disease, which is an autoimmune disorder like rheumatoid arthritis or lupus, the patient produces no insulin. Type 2 diabetes is a metabolic disorder resulting from the body’s inability to properly use or make enough insulin, which helps regulate sugar and other foods the body uses for energy. “Type 1 strikes suddenly and makes those affected dependent on insulin for life,” said Cindy Adams, Executive Director at JDRF Desert Southwest Chapter, an organization that provides support for children and adults with Type 1 diabetes. “Type 1 is usually diagnosed in childhood, but 85 percent of Type 1 diabetics are adults,” she said.
Preventing Type 2
In Phoenix, the Valley of the Sun YMCA is trying to slow the surge of diabetes. In fact, since September 2010, the YMCA has offered a year-long diabetes prevention program for those who have been diagnosed with pre-diabetes (also called ‘insulin resistance’) or who meet certain other criteria that puts them at high risk for the disease. Goals for program participants include losing 7 percent of body weight and gradually increasing physical activity to 150 minutes a week. “Participants can reduce their chances of converting to Type 2 diabetes or delay its onset,” said Sarah Shimchick, director of the program, “if they are willing to make significant lifestyle changes.”
3
startling statistics
1
Nearly 27 percent of the U.S. population age 65 and over has diabetes.
2
A total of 25.8 million adults and children in the U.S. (including 7 million who are undiagnosed) have diabetes.
3
It’s estimated that 79 million Americans have pre-diabetes. Source: American Diabetes Association; diabetes.org
The program is offered at about half of the 17 YMCA branches throughout the Valley as well as at some offsite locations. The cost is $150 for YMCA members and $250 for non-members; scholarships are available for those aged 65-plus who meet eligibility criteria. Continued on page 6 DIABETES
37TH ANNUAL GREAT AMERICAN SMOKEOUT: NOV. 15TH
By The NUMBERS
TIME ELAPSED AFTER QUITTING SMOKING (source: American Cancer Society, cancer.org)
IN THIS ISSUE:
COVER/06: DIABETES 02: FOOD & DRUG INTERACTIONS 03: PLANTAR FASCIITIS 04: SUPPORT GROUPS/EVENTS 05: SUPPORT GROUPS/EXPERTS 06: COFFEE, TEA AND CAFFEINE 07: STROKE 101
A patient is diagnosed with Type 2 when fasting blood sugar twice registers 126 mg/dL or higher or when a hemoglobin A1C test (a test that provides an index of average blood glucose for the previous three to four months) is pegged at 6.5 percent or higher. Fasting blood sugar between 100 and 125 mg/dL can suggest pre-diabetes, a condition that decreases insulin’s effectiveness in moving glucose from the blood into muscle cells.
T H IN K
S TO C K
2 weeks to 3 months 1 to 9 months 5 years
Circulation improves and lung function increases Coughing and shortness of breath decrease Risk of several cancers is cut in half
FREE HELP: Arizona Smokers’ Help Line (ASHLine.org), 800-556-6222. Located in the Mel and Enid Zuckerman College of Public Health at the University of Arizona and funded by the state tax on tobacco products, the ASHLine offers free telephone and Web-based quitting services. —PAULA HUBBS COHEN
Choose HealthSouth:
A Higher Level of Care
You Deserve a Higher Level of Care rehabilitation hospital Characteristic
Rehabilitation Hospital
Nursing Home
Frequent visits by an attending physician
Required
Not required
Multidisciplinary team approach
Required
Not required
RN oversight and availability
24 hours/day
At least 8 consecutive hours/day
Specialty nursing training, rehabilitation expertise
5 - 7.5 hours/day
2.5 - 4 hours/day
PT, OT, and/or speech therapy level of service
3 hours/day (minimum)
No minimum
HealthSouth East Valley Rehabilitation Hospital 5652 E. Baseline Road Mesa, AZ 85206 480 567-0350 Fax 480 567-0352 healthsoutheastvalley.com
HealthSouth Scottsdale Rehabilitation Hospital 9630 E. Shea Blvd. Scottsdale, AZ 85260 480 551-5400 Fax 480 551-5401 healthsouthscottsdale.com
HealthSouth Valley of the Sun Rehabilitation Hospital 13460 N. 67th Ave. Glendale, AZ 85304 623 878-8800 Fax 623 334-5360 healthsouthvalleyofthesun.com ©2011:HealthSouth Corporation:473726
2 | LIVING WELL A-Z | WEDNESDAY, November 7, 2012
VITAL Signs
Eat, drink and mind your meds
Food and drug interactions can pose serious health risks BY KRISTINE BURNETT
W
hen it comes to taking medication, what’s on the menu matters. How and what you take with medications can have a big impact on the way they work in the body. Indeed, the Institute of Medicine, an independent non-profit organization that works outside of the government to provide unbiased advice to the public, reports that more than two million adverse drug reactions occur each year, with interactions between food and medication being a key contributor. Some foods, beverages and over-thecounter vitamins, herbals and supplements can have unintended and potentially harmful consequences, including delayed, decreased or enhanced medication absorption. In addition, what we eat and drink can alter medication side effects.
Alcohol a key culprit
Frank LoVecchio, M.D., a medical toxicologist and co-medical director of the Banner Good Samaritan Poison and Drug Information Center, explained that alcohol is known to interact with most pain relief and fever-reducing medications. “Consuming alcohol with these drugs compounds and intensifies their side effects,” he said. “If drowsiness is a known side effect, then drinking alcohol will increase sleepiness. The effects of alcohol are also heightened, making a person become unpredictably inebriated or drunk quicker.” He warned that taking mind-altering medications and those that affect the central nervous system with alcohol can
unpleasant side effects like nausea, diarrhea “Medications that are not and vomiting. “Calcium binds to the drug metabolized stay in the body. and inhibits absorption so that you get Over time, this can cause a none of the drug benefits, but most of the dangerous and possibly toxic side effects,” LoVecchio stated. buildup of the drug.” Know the guidelines
Source: Frank LoVecchio, M.D.
be toxic to the stomach and may result in internal bleeding.
Grapefruit and dairy
According to Susan Moravec, PharmD, director of the pharmacy department at John C. Lincoln North Mountain Hospital, food and drug interactions typically occur as a result of changes in the stomach’s pH or acidity level and the liver’s inability to properly metabolize medication. That’s because, like food and drinks, most drugs are metabolized by the liver. “When we eat or drink something that is not intended to be taken with a specific medication, there’s a good chance the two will compete for the liver’s attention,” Moravec said. “Ultimately, only one gets metabolized. In the case of something like grapefruit juice and cholesterol-lowering medications, the grapefruit juice wins.” On the flip side, some antibiotic drug classes, particularly tetracyclines and quinolones that are used to treat everything from acne to urinary tract infections, can be rendered ineffective if taken with milk or other dairy products. Mixing dairy with these medications can also lead to
Look for Livingwell a-z on the first Wednesday of each month! A division of The Arizona Republic. 200 E. Van Buren St., Phoenix, AZ 85004
With many medications posing unique risks for interaction, it is important to know the guidelines and recommendations for your prescription and over-the-counter medications. Parents also must take into account that baby formula is considered a food and should be treated accordingly. “Always read drug labels and ask your doctor or pharmacist if medications will interact with food and whether they should be taken with food or on an empty stomach,” Moravec suggested. When in doubt about potential drug interactions, contact the local poison center at 800-222-1222.
Resources Arizona Poison and Drug Information Center: pharmacy.arizona.edu Banner Good Samaritan Poison and Drug Information Center: bannerhealth.com Food and Drug Administration: fda.gov U.S. Department of Health and Human Services: healthfinder.gov
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.
3
common food-drug interactions
Moravec cautioned that even seemingly harmless foods can lead to adverse drug reactions. Foods that are most commonly associated with medication interactions include:
1
DAIRY products like milk, cheese and yogurt when consumed with antibiotics.
2
FRUITS AND VEGETABLES, including grapefruit and dark leafy greens rich in Vitamin A, for those taking blood thinners and other medications used to prevent heart attack and stroke.
3
CHOCOLATE, which has a natural caffeine-like effect and can increase the stimulant effect of medications like Ritalin. However, since Ritalin has the opposite effect in children and is generally prescribed to help them slow down and stay focused, chocolate counteracts the intended calming purpose of the drug.
General Manager: CAMI KAISER, ckaiser@republicmedia.com
Managing Art Director: TRACEY PHALEN, tphalen@republicmedia.com
Manager Creative Development: ISAAC MOYA, imoya@republicmedia.com
Design: LISA QUIRIN, lisa_q@me.com
Editor: PAULA HUBBS COHEN, Paula.Cohen@cox.net
Advertising: RHONDA PRINGLE, 602-444-4929, rpringle@republicmedia.com. For general advertising inquiries, contact Republic Media at 602-444-8000.
Contributing Editor: JIM WILLIAMS, jlwilliams@republicmedia.com
Republic Media Intern: NICK KOSTENKO
etes b ia d h it w le peop Empowering , healthier lives r to live happie
W
hether you’ve been living with diabetes for years or have been recently diagnosed, the Outpatient Diabetes Clinic is here to help. Our certified diabetes educators and nurse practitioners will create a customized diabetes management program that includes education, counseling, planning and more — all designed to help you take control of your diabetes.
Call 602-923-5813 to schedule an appointment.
For a complete list of seminars, visit abrazohealth.com/diabetes
Outpatient Diabetes Clinic keyword “abrazo health”
Bring your life into focus. With LASIK and the Implantable Contact Lens (ICL) (ICL), glasses or contacts will no longer stand between you and the rest of the world. For over 35 years, more people have trusted their eye surgery to the doctors of Barnet Dulaney Perkins Eye Center than anywhere else in Arizona. Schedule a consultation today and make blurry vision a thing of the past.
Schedule a consultation today!
Call 602-955-1000 or visit goodeyes.com facebook.com/bdpec Barnet Dulaney Perkins Eye Center does not discriminate against any person on the basis of race, color, national origin, disability, or age in admission, treatment, or participation in its programs, services and activities, or in employment.
3815 E. Bell Road, Suite 3500B, Phoenix AZ 85032 abrazohealth.com/diabetes
4 | LIVING WELL A-Z | WEDNESDAY, November 7, 2012
November
is American Diabetes Month, diabetes.org; Alzheimer’s Disease Awareness Month, alz.org; COPD Awareness Month, lungusa.org; Lung Cancer Awareness Month, lungcanceralliance.org
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. 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.
WELLNESS WEIGHT LOSS SURGERY SEMINARS Various dates, times & locations. By Scottsdale Healthcare Register: bariatricsurgeryaz.com; 480-882-4636
HEART CARE Nov. 27, 9:30 a.m. Banner Boswell 13180 N. 103 Dr., Sun City 602-230-2273 STROKE SUPPORT GROUP Nov. 27, 3–4 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-WELL (9355)
DIABETES
MANAGING BLOOD PRESSURE Nov. 8, 1–2 p.m. By Scottsdale Healthcare at Civic Center Library 3839 N. Drinkwater Blvd., Scottsdale Register: shc.org/events; 480-882-4636
TAKING CONTROL Nov. 8, 15 & 29, 2–3 p.m. Paradise Valley Hospital 3815 E. Bell Rd., Phoenix Register: 602-923-5813; jrinehart@abrazohealth.com
BONE MEDICATIONS Nov. 14, 1–2 p.m. By Scottsdale Healthcare at Appaloosa Library 7377 E. Silverstone Dr., Scottsdale Register: shc.org/events; 480-882-4636
SUPPORT GROUP Nov. 12, 3–4 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa 877-924-WELL (9355)
TAI CHI FOR SENIORS Nov. 16, 9–10 a.m. Humana Guidance Center 5943 E. McKellips Rd., Mesa. 480-325-4707
MY DIABETES PATH Nov. 14, 1 p.m. Humana Guidance Center 5943 E. McKellips Rd., Mesa 480-325-4707
ALL ABOUT CATARACTS Nov. 28, noon–1 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-WELL (9355)
WHAT YOU NEED TO KNOW Nov. 15, noon–1 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa 877-924-WELL (9355)
WOMEN & CANCER
SEIZURES: AN OVERVIEW Nov. 29, noon–1 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa 877-924-WELL (9355)
PROSTATE CANCER US TOO: PROSTATE CANCER Nov. 12, 7 p.m. St. Joseph’s 350 W. Thomas Rd., Phoenix 602-242-3131 PROSTATE SUPPORT GROUP Nov. 26, 7–9 p.m. Banner Desert 1400 S. Dobson Rd., Mesa 480-412-HOPE (4673)
HEART/STROKE CONGESTIVE HEART FAILURE Nov. 7, 14, 21 & 28, 6:30–7:30 p.m. Chandler Regional 1955 W. Frye Rd., Chandler 480-728-5414 STROKE SUPPORT GROUP Nov. 8, 1:30–3 p.m. Banner Baywood 6644 E. Baywood Ave., Mesa 480-321-4790 STROKE SUPPORT GROUP Nov. 12, 2:30–4 p.m. Chandler Regional 1955 W. Frye Rd., Chandler 480-728-3828 STROKE SUPPORT GROUP Nov. 14, 6 p.m. Banner Thunderbird 5555 W. Thunderbird Rd., Glendale 602-865-5450
DIABETES SUPPORT Nov. 20, 3–4 p.m. Banner Baywood 6644 E. Baywood Ave., Mesa 480-321-4578 SUPPORT GROUP Nov. 29, 1–2 p.m. St. Luke’s 1800 E. Van Buren St., Phoenix 877-351-WELL (9355) FEET & DIABETES Nov. 30, noon–1 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa 877-924-WELL (9355)
ALZHEIMER’S/ DEMENTIA CREATING MEANING, HAVING FUN Nov. 9, 10:30 a.m.–noon By Banner Alzheimer’s at AZ Museum of Natural History 53 N. MacDonald, Mesa Register: 602-230-CARE COMPASS FOR CAREGIVERS Nov. 15, 10–11:30 a.m., Nov. 29, 4–5:30 p.m. Banner Alzheimer’s Institute 901 E. Willetta St., Phoenix Register: Baiinfo@bannerhealth.com; 602-839-6850 FREE MEMORY SCREENING Nov. 16, 9 a.m.–1 p.m. Banner Alzheimer’s Institute 901 E. Willetta St., Phoenix Appointments: 602-230-CARE
HEART-HEALTHY EATING CLASS Nov. 20 & Dec. 4, 11 a.m. Banner Heart Hospital 6750 E. Baywood Ave., Mesa 480-854-5401
SUPPORT GROUP (lunch provided) Nov. 18, 11 a.m.–12:30 p.m. St. Joseph’s Huger Mercy Living Center 2345 W. Orangewood Ave., Phoenix 602-406-5600
MENDED HEARTS Nov. 21, 6:30 p.m. Banner Heart Hospital 6750 E. Baywood Ave., Mesa 480-854-5070
CAREGIVERS SUPPORT GROUP Nov. 26, 1:30–3:30 p.m. Banner Sun Health Research 10515 W. Santa Fe Dr., Sun City 623-832-5328
WHAT: Dr. Sanford Silverman will discuss stress, the impact it has on your mental well-being, and how you can manage it more effectively. WHERE: Center for Attention Deficit and Learning Disorders, 10229 N. 92nd St. Suite 101, Scottsdale TIME: 7–8 p.m. INFO: 480-609-1798 REGISTER: centerforadd-az.com
MEMORY LOSS, DEMENTIA & ALZHEIMER’S Nov. 29, 12:15–1 p.m. By Alzheimer’s Association at Surprise Senior Center 15832 N. Hollyhock St., Surprise Register: 602-528-0545
TAKING CONTROL Mon., Wed. & Fri., 10 a.m.–noon Pastoral Care Associates 2040 W. Bethany Home Rd., Phoenix Register: azhealthyhours.com; 855-292-9355
SNORING & HEALTH Nov. 20, 6:30–7:30 p.m. By Midwestern Univ. at Foothills Library 19055 N. 57 Ave., Glendale 623-930-3868
Nov. 8 Managing Stress Seminar
ALZHEIMER’S & SAFETY ISSUES Nov. 27, 1–2 p.m. By Alzheimer’s Association at Granite Reef Senior Center 1700 N. Granite Reef Rd., Scottsdale Register: 602-528-0545
I CAN’T SLEEP! Nov. 7, 7–8 p.m. By Scottsdale Healthcare at Barnes & Noble 10500 N. 90 St., Scottsdale Register: shc.org/events; 480-882-4636
SENIORS GRANDPARENTS RAISING GRANDCHILDREN (DUET) Various dates, times & locations. 602-274-5022
Nov. 27 Coping with Holiday Stress
GUARDIANSHIP CLINIC (DUET) Nov. 9, 3–5 p.m. Church of the Beatitudes 555 W. Glendale Ave., Phoenix Reservations: 602-274-5022
WHAT: For grandparents raising grandchildren; learn how to get through the holidays happily. WHERE: Care 1st Avondale Resource Center, 328 W. Western Ave., Avondale TIME: 5–7 p.m. RSVP/INFO: duetaz.org; 602-274-5022
GYNECOLOGIC Nov. 13, 5:30–7 p.m. Co-sponsoredbyTheWellnessCommunity Cancer Center at St. Joseph’s 500 W. Thomas Rd., Phoenix 602-712-1006 YOUNG WOMEN’S SUPPORT Nov. 13, 6:30 p.m. Banner Thunderbird 5555 W. Thunderbird Rd., Glendale 602-865-5450
CANCER SUPPORT
LUNG Nov. 10, 1–3 p.m. BySt.Joseph’satTheWellnessCommunity 360 E. Palm Lane, Phoenix 602-712-1006 LOOK GOOD, FEEL BETTER Nov. 12 & 19, 4 p.m. Co-sponsoredbyAmericanCancerSociety Ironwood Cancer & Research Nov. 12: 3645 S. Rome St., Gilbert Nov. 19: 6111 E. Arbor Ave., Mesa Register: 480-855-2224
COLORECTAL, GASTRIC & PANCREATIC Nov. 13, 5:30–7 p.m. By The Wellness Community Banner MD Anderson 2946 E. Banner Gateway Dr., Gilbert 602-712-1006
Parkinson’s Disease SPONSORED BY: Muhammad Ali Parkinson Center INFO: 602-406-2453
Cancer WHAT: Cancer Support Group WHEN: Nov. 13, 6–7:30 p.m. WHERE: Banner Desert, 1400 S. Dobson Rd., Mesa INFO: 480-412-HOPE (4673)
WHAT: El Arte del Movimiento WHEN: Nov. 10, 17 & 24; 9:30–10:30 a.m. WHERE: Church of the Beatitudes, 555 W. Glendale Ave., Phoenix
WHAT: Grupo de Apoyo Emocional WHEN: Nov. 27, 6–8 p.m. WHERE: Cancer Center at St. Joseph’s, 500 W. Thomas Rd., Phoenix CO SPONSORED BY: The Wellness Community INFO: 602-712-1006
WHAT: Groupo Musical “Voces Unidas” WHEN: Nov. 10, 17 & 24; 10:30 a.m.–noon WHERE: Church of the Beatitudes, 555 W. Glendale Ave., Phoenix WHAT: Comadres/Compadres WHEN: Nov. 15, 3–5 p.m. WHERE: Pyle Adult Recreation Center, 655 E. Southern Ave., Tempe
Childbirth WHAT: Childbirth Education (2-week class) WHEN: Nov. 13 & 27, 6:15–9:30 p.m. WHERE: Maryvale Hospital, 5102 W. Campbell Ave., Phoenix REGISTER: azhealthyhours.com; 855-292-WELL
WHAT: Comadres/Compadres WHEN: Nov. 16, 9:30–11:30 a.m. WHERE: Church of the Beatitudes, 555 W. Glendale Ave., Phoenix BOSOM BUDDIES/SCOTTSDALE Nov. 17, 10 a.m.–noon Scottsdale Healthcare Thompson Peak 7400 E. Thompson Peak Pkwy, Scottsdale 623-236-6616
ORAL, HEAD & NECK Nov. 21, 4:30–6:30 p.m. Banner Desert 1400 S. Dobson Rd., Mesa 480-412-HOPE (4673)
YOUNG SURVIVORS Nov. 17, 10 a.m.–noon Dynamic Life Coaching Center 1701 S. Mill Ave., Tempe 480-326-7023
ABOUT LUNG CANCER Nov. 15, 6–8 p.m. Co-sponsoredbyTheWellnessCommunity Paradise Valley Methodist Church 4455 E. Lincoln Dr., Paradise Valley RSVP 602-712-1006
SURVIVE & THRIVE Nov. 27, 2–4 p.m. Banner Good Samaritan 1111 E. McDowell Rd., Phoenix 602-839-5799
BLACKS AGAINST BREAST CANCER Nov. 18, 3–5 p.m. The Wellness Community 360 E. Palm Lane, Phoenix 602-320-0502
ESOPHAGEAL Nov. 15, 6–7:30 p.m. Banner Good Samaritan 1111 E. McDowell Rd., Phoenix 602-839-4970
BREAST CANCER
CREATIVITY TO COPE Nov. 15, 2:30–4 p.m. Ironwood Cancer & Research 6111 E. Arbor Ave, Mesa Register: 480-981-1326; mveselovsky@ironwoodcrc.com
NEW DISCOVERIES Nov. 15, 6–8 p.m. The Wellness Community 360 E. Palm Lane, Phoenix RSVP: 602-712-1006
CAVE CREEK Nov. 10, 10 a.m.–noon By Scottsdale Healthcare at Good Shepherd Episcopal Church 6502 E. Cave Creek Rd., Cave Creek RSVP: 480-488-3283
Events/Activities in Spanish
YOGA & MEDITATION Nov. 21, 9–11 a.m. Co-sponsoredbyTheWellnessCommunity Sun Health Grandview 14505 W. Granite Valley Dr., Sun City West 602-712-1006
COPING WITH CANCER Nov. 14 & 28, 6:30 p.m. Banner Thunderbird 5555 W. Thunderbird Rd., Glendale 602-865-5450
GYNECOLOGIC Nov. 13, 5–6:15 p.m. Banner Desert 1400 S. Dobson Rd., Mesa 480-412-HOPE (4673)
TAI CHI Nov. 13 & 20, 4:30 p.m. Ironwood Cancer & Research 3855 S. Val Vista Dr., Gilbert Register: 480-855-2224
TOP Events
ORAL, HEAD & NECK Nov. 15, 6:30–8 p.m. Virginia G. Piper Cancer Center 10460 N. 92 St., Scottsdale 602-439-1192 LUNG CANCER SURVIVORSHIP SEMINAR Nov. 17, 9–11 a.m. St. Joseph’s 350 W. Thomas Rd. Phoenix Register: 877-602-4111 SUPPORT GROUP Nov. 20, 5–6:15 p.m. Banner Desert 1400 S. Dobson Rd., Mesa 480-412-HOPE (4673) COLORECTAL Nov. 20, 6 p.m. Banner Thunderbird 5555 W. Thunderbird Rd., Glendale 602-865-5450 KIDS CAN COPE Nov. 20, 7 p.m. Banner Thunderbird 5555 W. Thunderbird Rd., Glendale 602-865-5450
SUPPORT GROUP Nov. 26, 5–6:15 p.m. Banner Desert 1400 S. Dobson Rd., Mesa 480-412-HOPE (4673)
LEARN & SUPPORT GROUP Nov. 8, 6–8 p.m. Co-sponsoredbyTheWellnessCommunity John C. Lincoln Breast Center 19646 N. 27 Ave., Phoenix 602-712-1006
BREAST CANCER SUPPORT Nov 27, 5:30–7 p.m. By The Wellness Community Banner MD Anderson 2946 E. Banner Gateway Dr., Gilbert 602-712-1006
BOSOM BUDDIES/AHWATUKEE CHANDLER Nov. 10, 10 a.m.–noon Morrison Building 1875 W. Frye Rd., Chandler 480-893-8900
TRIPLE NEGATIVE Nov. 28, 5:30–7 p.m. Co-sponsoredbyTheWellnessCommunity Banner Good Samaritan 1111 E. McDowell Rd., Phoenix 602-712-1006
YOUNG SURVIVAL COALITION Nov. 13, 6–8 p.m. John C. Lincoln Breast Center 19646 N. 27 Ave., Phoenix 602-712-1006
PARKINSON’S
BOSOM BUDDIES/EAST VALLEY Nov. 13, 6:30–8:30 p.m. Baywood Medical Center 6644 E. Baywood Ave., Mesa 480-969-4119
EXERCISE; TAI CHI; YOGA; DANCE Various dates, times & locations. By Muhammad Ali Parkinson Center 602-406-6903
BREAST CANCER SUPPORT Nov. 14, 5:30–7 p.m. Co-sponsoredbyTheWellnessCommunity Banner Good Samaritan 1111 E. McDowell Rd., Phoenix 602-712-1006
WESTSIDE TREMBLE CLEFS (singing program) Nov. 7, 14, 21 & 28, 10 a.m.–noon By Muhammad Ali Parkinson Center Shepherd of Desert Lutheran Church 11025 N. 111 Ave., Sun City 602-406-3840
YOGA & MEDITATION Nov. 15 & Dec. 6, 6–8 p.m. Co-sponsoredbyTheWellnessCommunity John C. Lincoln Breast Center 19646 N. 27 Ave., Phoenix 602-712-1006
EASTSIDE TREMBLE CLEFS Nov. 8, 15 & 29, 4–6 p.m. By Muhammad Ali Parkinson Center Granite Reef Senior Center 1700 N. Granite Reef Rd., Scottsdale 480-991-0451
Our Quality Is Timeless. This Price Isn’t! Miracle-Ear Quality For $995. Why Wait? Hearing is believing! Right now, for a very limited time, you can get a fully digital, genuine Miracle-Ear® hearing aid for less than $1,000. This is one of our smallest, most discreet hearing solutions. Complete with Miracle-Ear sound quality, custom fitting and a comprehensive service and warranty program. Don’t wait, this special offer ends November 30, 2012.
FREE Ear Canal Inspections†
A miniature camera “tours” your ear canal. You may not have a hearing loss, it may be nothing more than earwax.
FREE Hearing Test† A complete hearing test that reveals where you need hearing help. Recommended annually.
Schedule Your Appointment for a free In-Store Demonstration of our NEWEST Miracle-Ear® Hearing Aids - Hear the difference for yourself!
Sun City 623.565.9186 Surprise 623.242.0377 Carefree 480.374.8104
Mesa 480.389.3482 Scottsdale 480.389.2413 Payson 928.478.8707
LOCATIONS:
Save on one of our
smallest custom digital hearing aids! Valid on model ME200CIC
Now Only $
995!
Valid at participating Miracle-Ear locations only. Limit one coupon per purchase. May not be combined with other offers and does not apply to prior sales. Cash value 1/20 cent. Offer expires 11/30/12
Another Great Way to Save
~
Make your appointment today!
BUY 1 GET 1
50% Off
Save on our full line of digital hearing solutions.
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 11/30/12.
IN:
Prescott Show Low Casa Grande Metrocenter Mall Flagstaff Mall 928.227.3088 928.251.4599 520.366.8400 602.635.4944 928.225.3020 Prescott Valley Yuma Safford Paradise Valley Mall Fiesta Mall 928.227.3114 928.328.8198 928.792.4133 602.910.2902 480.389.3493 Cottonwood Chandler Fashion Center 928.202.4075 Visit www.Miracle-Ear-Phoenix.com 480.389.3466
*ME200 not included **Hearing aids do not restore natural hearing. Individual experiences vary depending on severity of hearing loss, accuracy of evaluation, proper fit and ability to adapt to amplification. †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. ©2011 Miracle-Ear, Inc.
WEDNESDAY, November 7, 2012 | LIVING WELL A-Z | 5
RECENTLY DIAGNOSED Nov. 9, 10 a.m.–noon By Muhammad Ali Parkinson Center HealthSouth Scottsdale 9630 E. Shea Blvd., Scottsdale 602-406-3840 DEEP BRAIN STIMULATION Nov. 9, 10:30 a.m. Banner Sun Health Research 10515 W. Santa Fe Dr., Sun City 623-832-5328 PARKINSON’S Nov. 12, 10–11:30 a.m. Banner Sun Health Research 10515 W. Santa Fe Dr., Sun City 602-942-9008
CHILDBIRTH EDUCATION (2-WEEK CLASS) Nov. 7 & 14 OR Nov. 28 & Dec. 5, 6:15–9 p.m. Maryvale Hospital 5102 W. Campbell Ave., Phoenix Register: azhealthyhours.com; 855-292-WELL PREGNANCY, PARENTING & PLAY Nov. 8, 15 & 29, 7–9 p.m. Banner Baywood 6644 E. Baywood Ave., Mesa 480-321-4455 POSTPARTUM DEPRESSION Nov. 13, 20 & 27, 10–11:30 a.m. Banner Desert 1400 S. Dobson Rd., Mesa 480-412-5292
PD 101: PARKINSON’S INFO Nov. 12, 19, 26 & Dec. 3, 1–3 p.m. By Muhammad Ali Parkinson Center Fountain View Village 16455 E. Avenue of the Fountains, Fountain Hills Register: 800-227-7691
POSTPARTUM SUPPORT Nov. 13 & 27, 11 a.m. Banner Thunderbird 5555 W. Thunderbird Rd., Glendale 602-865-5908
PARKINSON’S SUPPORT GROUP Nov. 13, 1–2 p.m. HealthSouth Valley of the Sun 13460 N. 67th Ave., Glendale 623-878-8800
NEWBORN PARENTING Nov. 13, 2–3:30 p.m. Banner Baywood 6644 E. Baywood Ave., Mesa 480-321-4455
PARKINSON’S CAREGIVERS (DUET) Nov. 14, 1:30–3 p.m. Church of the Beatitudes 555 W. Glendale Ave., Phoenix 602-274-5022
SHARING DOWN SYNDROME AZ Nov. 15, 7–9 p.m. Mesa Student Services Center 1025 N. Country Club, Mesa 480-926-6500; sharingds.org
PARKINSON’S & PARTNERS Nov. 26, 10–11:30 a.m. Banner Sun Health Research 10515 W. Santa Fe Dr., Sun City 602-942-9008
CIRCLE OF MOTHERS Nov. 20, 5–7 p.m. Banner Estrella 9201 W. Thomas Rd., Phoenix 623-327-4000
BREASTFEEDING
GASTROINTESTINAL
BREASTFEEDING SUPPORT Nov. 7 & 14, 10–11 a.m. Phoenix Baptist Hospital 2000 W. Bethany Home Rd., Phoenix Register: azhealthyhours.com; 855-292-WELL BREASTFEEDING Nov. 7, 14, 21 & 28, 11 a.m. Chandler Regional 1875 W. Frye Rd., Chandler 480-728-5414 BREASTFEEDING SUPPORT Nov. 8, 15 & 29, 1–2:30 p.m. Banner Desert 1400 S. Dobson Rd., Mesa 480-412-3035 BREASTFEEDING Nov. 9, 16, 23 & 30, 10 a.m. Mercy Gilbert 3555 S. Val Vista Dr., Gilbert 480-728-5414 LACTATION SUPPORT Nov. 12, 19 & 26, 1–2 p.m. Banner Estrella 9201 W. Thomas Rd., Phoenix 623-327-8001 SUPPORT GROUP Nov. 13 & 27, 10 a.m. Banner Ironwood 37000 N. Gantzel Rd., San Tan Valley 480-394-4000 NURSING MOMS SUPPORT Nov. 14, 10:30 a.m.–noon Banner Del E. Webb 14502 W. Meeker Blvd., Sun City West 602-230-2273 BREASTFEEDING SUPPORT Nov. 19, 6–7:30 p.m. Banner Good Samaritan 1111 E. McDowell Rd., Phoenix 602-839-3502
PARENTING POSTPARTUM DEPRESSION Nov. 7, 14, 21 & 28, 1–2:30 p.m. Chandler Regional 1875 W. Frye Rd., Chandler 480-728-5414
CELIAC DISEASE Nov. 7 & Dec. 5, 7–9 p.m. Paradise Valley Retirement Center 11645 N. 25 Place, Phoenix 623-587-8885 RAISING OUR CELIAC KIDS Nov. 8, 6 p.m. Arabian Library 10215 E. McDowell Mountain Ranch Rd., Scottsdale phoenixceliackids@gmail.com; facebook.com/PHX.ROCK OSTOMY Nov. 18, 2–4 p.m. First Presbyterian Church 161 N. Mesa Dr., Mesa 480-812-0324
RESPIRATORY RESPIRATORY SUPPORT GROUP Nov. 8, 1:30 p.m. Banner Boswell 13180 N. 103 Dr., Sun City 623-832-5708 BETTER BREATHERS Nov. 21, 2–3 p.m. Chandler Regional 1875 W. Frye Rd., Chandler 480-728-5414
BRAIN APHASIA Nov. 8, 15 & 29, 10–11 a.m. HealthSouth Scottsdale 9630 E. Shea Blvd., Scottsdale 480-551-5481 BRAIN INJURY Nov. 12, 7–8:15 p.m. Barrow Neurological 350 W. Thomas Rd., Phoenix 602-406-3333 APHASIA Nov. 13 & 27, 10–11 a.m. Banner Boswell 13180 N. 103 Dr., Sun City 623-972-4263 SYRINGO & CHIARI Nov. 15, 11 a.m.–1 p.m. St. Joseph’s Outpatient Rehab 114 W. Thomas Rd., Phoenix 623-561-9606
BRAIN TUMOR Nov. 27, 6–8 p.m. St. Joseph’s 350 W. Thomas Rd., Phoenix 623-205-6446
ADDITIONAL SUPPORT GROUPS DIABETES & ASTHMA Cardon Children’s Medical Center 1400 S. Dobson Rd., Mesa Call for dates & times: 480-412-4557 PAIN Nov. 8 & 22, 6–8 p.m. HealthSouth Valley of the Sun 13460 N. 67th Ave., Glendale 623-334-5437 LUNG TRANSPLANT Nov. 13, 11:45 a.m.–1 p.m. St. Joseph’s 350 W. Thomas Rd., Phoenix 602-406-7009 AMPUTEE Nov. 13, 6–7 p.m. HealthSouth Valley of the Sun 13460 N. 67th Ave., Glendale 623-334-5358 VESTIBULAR Nov. 15, noon Banner Good Samaritan 1111 E. McDowell Rd., Phoenix 602-839-2317 MEN’S DISABILITY ISSUES Nov. 15, 5:30–7 p.m. Disability Empowerment Center 5025 E. Washington St., Phoenix 602-980-3232; DonP@abil.org LARYNGECTOMY Nov. 20, 4–5 p.m. Banner Boswell 13180 N. 103 Dr., Sun City 623-832-5349 MULTIPLE SCLEROSIS (WOMEN) Nov. 24, 10 a.m. St. Joseph’s 350 W. Thomas Rd., Phoenix 480-829-6563
CAREGIVERS SUPPORT GROUPS (DUET) Various dates, times & locations. 602-274-5022 ONLINE NETWORKING (DUET) Nov. 10, 9–10 a.m.; Nov. 29, 7–8 p.m. Register: DuetAZ.org (Events tab) 602-274-5022 CAREGIVERS SUPPORT Nov. 12 St. Joseph’s Outpatient Rehab 114 W. Thomas Rd., Phoenix Call for time: 602-406-6688 CAREGIVERS SUPPORT Nov. 16, 2:30–4 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-WELL (9355) CAREGIVERS SUPPORT Nov. 28, 2:30–3:30 p.m. St. Luke’s 1800 E. Van Buren St., Phoenix Register: 877-351-WELL (9355)
BEHAVIORAL HEALTH ‘ANONYMOUS’ MEETINGS Obsessive-Compulsive; Alcoholics; Al-Anon; Cocaine; Heroin; Depression Various dates & times. Banner Behavioral Health 7575 E. Earll Dr., Scottsdale Info: BannerHealth.com AL-ANON & ALCOHOLICS ANONYMOUS Nov. 10, 17 & 24, 7 p.m. Banner Thunderbird 5555 W. Thunderbird Rd., Glendale Info: BannerHealth.com
ASK An Expert Question: Can bariatric surgery help with diabetes?
Question: Whatis‘beautyparlor stroke’?
Question: Can untreated hearing loss lead to dementia?
ANSWER: A study reported in the New England Journal of Medicine compared people enrolled in a study to assess their development of Type 2 diabetes 15 years after starting interventions. One group had bariatric surgery (1,658 people) and the other (1,771 people) had the interventions of diet and exercise. At the end of the study period, 392 people in the control group had developed Type 2 diabetes compared with 110 in the bariatric-surgery group. The authors concluded that “bariatric surgery appears to be markedly more efficient than usual care in the prevention of Type 2 diabetes in obese persons.” During a different trial, a group of diabetes patients had gastric bypass, sleeve gastrectomy or maximal medical therapy. Those who had surgery showed a remarkable improvement in glucose control and a significant number were able to go off their glucose-lowering therapy. Also important was the fact that some weight loss was demonstrated in the control group (maximal medical therapy), proving those patients were compliant with therapy. DAVID PODKAMENI, M.D., IS A BARIATRIC SURGEON AND THE MEDICAL DIRECTOR OF BANNER GATEWAY BARIATRICS
ANSWER: Case reports have demonstrated that hyperextension of the neck (head hanging back) during hair shampooing in a hairdressing salon is a risk factor for stroke. Warning signs may include the sudden onset of vertigo, dizziness, headache, nausea, vomiting, double vision, weakness or numbness on one or both sides of the body, unsteadiness, or loss of consciousness. The most probable mechanism of beauty parlor stroke syndrome is stenosis (narrowing) or occlusion (blockage) of the vertebral artery caused by compression at the atlanto-occipital junction (at the base of the skull). This leads to damage of the intimal layer of the artery, thrombus (clot) formation, further stenosis of the artery by fibrosis (scarring), or embolism (dislodged clot traveling in artery), followed by ischemic stroke in the brain stem or cerebellum. Education of beauty parlor clients and personnel should lead to avoidance of the hyperextension position during hair washing and other hair treatments. Assuming other head postures during such treatments is advisable to prevent such attacks. BART DEMAERSCHALK, M.D., IS A NEUROLOGIST AT MAYO CLINIC IN ARIZONA
ANSWER: Seniors who have untreated hearing loss may be at an increased risk for developing dementia. This is the finding of a study conducted by researchers from the Division of Otology at Johns Hopkins University School of Medicine. Over the span of 18 years, researchers found that study participants who had hearing loss at the beginning of the study were significantly more likely to develop dementia by the end of the study. How might hearing loss and dementia be connected? Investigators aren’t sure, but think a common pathology may underlie both conditions, or possibly the strain of decoding sounds over the years may overwhelm the brains of people with hearing loss, leaving them more vulnerable to dementia. The article concludes that these findings may offer a starting point for further research as to whether interventions, even as simple as hearing aids, could delay or prevent dementia by improving hearing. ROBERT BABER IS A BOARD CERTIFIED HEARING INSTRUMENT SPECIALIST
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 December 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 BARROWNEUROLOGICALINSTITUTE: thebarrow.org CARDON CHILDREN’S MEDICAL CENTER: bannerhealth.com CHANDLER REGIONAL MEDICAL CENTER: ChandlerRegional.org
HEALTHSOUTH REHABILITATION: healthsouth.com IRONWOOD CANCER AND RESEARCH CENTERS: IronwoodCRC.com JOHN C. LINCOLN HOSPITAL: JCL.com LASER SPINE INSTITUTE: laserspineinstitute.com MAYO CLINIC: mayoclinic.com MERCYGILBERTMEDICALCENTER: MercyGilbert.org MIRACLE EAR: miracle-ear.com
BARIATRIC PROGRAM Hear about medical & surgical treatments for obesity.
FREE
HEARING TEST 26 Arizona Locations
THURS., NOV 8: 6-6:45PM
TUES., NOV 20: 6-6:45PM
(480) 301-4533 MayoClinic.org/Arizona
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.
MOUNTAIN VISTA MEDICAL CENTER: mvmedicalcenter.com NORTHVALLEYPLASTICSURGERY: 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, PHOENIX: stlukesmedcenter.com TEMPE ST. LUKE’S: tempestlukeshospital.com
Girls’ Night Out
Food, Fashion & Friendship Pebble Creek Resort, Goodyear Wednesday, Nov. 28 Val Vista Lakes Club, Chandler Wednesday, Dec. 5
RSVP to (602) 230-CARE www.BannerHealth.com/Events
I taught my three children to never give up. After my breast cancer diagnosis I followed my own advice and got a second opinion. There’s always hope. My answer was Mayo Clinic. Kim Loving Like Kim, thousands of patients come to Mayo Clinic every year for cancer treatment, diagnosis or a second opinion. Our team approach to care means you have a compassionate group of specialists - all working together for you. We work with many insurance companies and are an in-network provider for many people, most of whom don’t need a physician’s referral. Find your answer at Mayo Clinic.
Visit mayoclinic.org/arizona
Continued from cover DIABETES
RICK D’ELIA
6 | LIVING WELL A-Z | WEDNESDAY, November 7, 2012
From left: Stefania Done, Ph.D.; Elena Eddy, research associate; and Lucrecia Alvarez, Ph.D., discuss their diabetes research at the Translational Genomics Research Institute (TGen) in Phoenix. Researchers at TGen are studying a number of issues in trying to better understand diabetes.
See what the experts say about coffee, tea and caffeine BY ALISON STANTON
A
s far as Mona Morstein, ND, chairman of nutrition at Southwest College of Naturopathic Medicine is concerned, if her patients can sleep through the night and don’t wake up thinking ‘I need coffee’, then she doesn’t care if they drink it. “Also, if they can not drink it and then not have headaches or other signs of withdrawal, then I’m okay with it,� she said.
that consuming very high amounts of any source of high-dose caffeine carries the risk of precipitating heart rhythm problems. “I tell my patients to try and drink [just] one cup of caffeinated coffee a day, especially those who are bothered by palpitations which can be precipitated by high intake,� he said.
Effects on heart rhythm
What about decaf?
James Ganem, M.D., a cardiologist and the medical director of the cardiac catheterization lab at Banner Desert Medical Center in Mesa, said that the medical community has gone back and forth for years over the subject of caffeine.
If caffeine is added to a food, it must be included in the listing of ingredients required on food product labels. Source: Food and Drug Administration, fda.gov “Certainly coffee and tea bring pleasure and can help start one’s day,� he said, adding that the effects of stimulants such as caffeine are mostly dose-related. To that end, Ganem advises that people practice moderation, noting that while one recent study showed a possible benefit in preventing congestive heart failure in coffee drinkers, it is his experience
While drinking decaffeinated coffee and tea is one way to cut back on the amount of caffeine that people are getting, Morstein suggests that people first do a little research on the beverages. “It’s important to look at how it is processed,� she said. ‘Do they decaffeinate it with hexane or water? Preferably it is done without any chemical solvents.�
How much is too much
In regards to how much caffeine is too much, Ganem said this can really vary from person to person. “Everyone has different tolerances and there is no absolute limit, however, moderation and avoidance of overdoing it is best. Your body will let you know,� he said. Keeping accurate track of how much caffeine is actually being consumed on a daily basis is also important, Morstein said. “People may say ‘I drink one or two cups of coffee’, but they don’t mention the 32 ounces of iced tea and other things they drink during the day, like energy drinks, that might also have caffeine in them,� she said.
Overall perspective
Know your tea to a T GREEN TEA, which is the major tea in Asia, is unfermented. OOLONG TEA is partially fermented. BLACK TEA, which is the major tea in European and Western countries, is fermented and contains the most caffeine. Source: Mona Morstein, ND
“Caffeine can cause us to lose bone, can cause heartburn and our adrenals to burn out, and can cause a feeling of urgency in the bladder,� Morstein said. “So when I look at people in toto and they are having these issues, it could be the one or two cups of coffee they are drinking a day plus all of the iced tea.�
Resources Harvard Health Publications: health.harvard.edu Mayo Clinic: mayoclinic.com Science Daily: sciencedaily.com
must be very compliant with checking their blood sugars and eating their meals appropriately.� Leman emphasized that patients who transition to insulin dependence shouldn’t view that step as a failure to manage their diabetes. “Insulin is simply another tool to control blood sugar,� she said. “Unfortunately, it’s a myth that if you take perfect care of yourself after a diagnosis of diabetes, you’ll avoid insulin dependence.�
Risk factors for Type 2 diabetes, in addition to excessive weight, include a sedentary lifestyle, family history and an age of 45 or older. Another risk factor for women is having been diagnosed with gestational diabetes which can predispose those patients to Type 2 diabetes later on, said Richard Blumrick, M.D., a high-risk obstetrician with Dignity Health in Phoenix. Blumrick notes that up to 60 percent of pregnant women who develop gestational diabetes go on to develop Type 2 diabetes 10 to 20 years later.
Weight loss surgery
For individuals who are considered morbidly obese, one treatment for pre-diabetes or diabetes is bariatric weight loss surgery. “With surgery, a pre-diabetic patient likely will never become diabetic,� said Hilario Juarez, M.D., a bariatric surgeon at Bridges Center for Surgical Weight Management. “A diabetic patient has an 80 percent chance of no longer needing oral medications. Among insulin-dependent patients, the majority will no longer have to take insulin after weight loss surgery.� To qualify for weight loss surgery, Juarez said that most patients must be at least 100 pounds overweight.
“People with diabetes can be very healthy if they’re willing to take care of themselves.� — Rosalie Leman, nurse and certified diabetes educator, Banner Baywood Hospital
Genetics an influence
“Genetics has a strong influence on development of Type 2 diabetes,� said Rosalie Leman, a nurse and certified diabetes educator at Banner Baywood Hospital in Mesa. “Someone with a firstdegree relative who has Type 2 has a 40 percent chance of becoming diabetic.� Leman added that people who work hard to avoid diabetes and then still get the disease should not be made to feel guilty for not trying hard enough, when there is nothing they can do about their genetic makeup.
On-going research
Some diabetes research centers on enhanced treatment strategies for Type 2. For example, at the Translational Genomics Research Institute (TGen) in Phoenix, Johanna DiStefano, Ph.D., director of the diabetes research unit, is investigating strategies to prevent the development and progression of Type 2 diabetes. “We are also focused on preventing secondary kidney complications from the disease,� she said. “Our research on complications is relevant to both Types 1 and 2.�
Successful management
Fortunately, there are a number of ways to successfully manage the disease, Leman said. First, one of the best things to do to thwart insulin resistance, Leman said, is exercise. Moderate to vigorous activity is very effective in forcing insulin to attach to muscle cells, thereby facilitating transport of blood glucose (sugar) into the muscle tissue, she said. For non-insulin-dependent diabetics, prescribed oral medication helps to control the amount of glucose in the blood. When oral medication no longer controls blood glucose and the patient can’t maintain an A1C of 7 percent or less, insulin may be prescribed. Devendra Wadwekar, M.D., an endocrinologist in Gilbert, said that in his practice, about 15 percent of patients use an insulin pump instead of a needle. “Patients put on the pump are those whose control is very difficult with injections,� he said. “Patients on an insulin pump
Typical symptoms • • • •
Increased thirst Frequent urination Fatigue Blurred vision
Source: American Diabetes Association diabetes.org
Resources American Diabetes Association: diabetes.org Mayo Clinic: mayoclinic.com National Institutes of Health: nlm.nih.gov/medlineplus Valley of the Sun YMCA: valleyymca.org
APPARENTLY, YOU CAN WAVE A WAND AND TURN BACK TIME. November Seminars NOV. 8TH
NOV. 13TH
NOV. 15TH
NOV. 20TH
Sculptra Skin Lift
LifetimeLiftÂŽ
Bio-Identical Hormone Replacement
Ulthera: Ultrasound Facelift
NOV. 27TH
Stem Cell Rejuvenation: Are you a candidate for IRB Protocols?
N O R T H
V A L L E Y
PLASTIC SURGERY
All Seminars include a $200 Coupon, food & drinks
Introducing Ultherapy, Ultherapy a new treatment using non-surgical ultrasound to tighten, ďŹ rm and lift your skin in 30-45 minutes. FEATURED ON DR. OZ, RACHEL RAY, & THE DOCTORS. { BEFORE }
{ AFTER }
SCAN TO SEE VIDEO AR-0007885128-01
Need a java jolt to get moving in the morning?
Risk factors
NON INVASIVE • NO DOWN TIME BRE NO RECOVERY TIME AUGM AST
$
250
BROWLIFT WITH ULTHERAPY
$
800 NECK LIFT
ENTAT
Starting ION at
$3,400 *Cash P * rice
Call today to schedule your consultation! 480.447.3880 • NorthPlastic.com • 20950 N. Tatum Blvd.
F.
T.
A. S.
Stroke 101
Act fast at first sign of symptoms
S
troke doesn’t fight fair. This devastating condition causes very little pain — you might even sleep through one, in fact — and occurs seemingly out of the blue. “Stroke hits suddenly,” said Jacqueline Carter, M.D., stroke director at Banner Desert Medical Center in Mesa. “It’s like a thunderclap. All of a sudden, it’s there.” Stroke occurs when there’s an interruption of the oxygen-rich blood supply to the brain and the brain cells die, often leading to a loss in memory, speech or mobility. A staggering 800,000 Americans suffer a stroke each year, she said, and — not including the possible need for a nursing home — it can cost those who survive it tens of thousands of dollars in terms of lost wages, a hospital stay and rehabilitation assistance. In addition, stroke is also the fourth-leading cause of death and the top cause of admittance to nursing homes. “Strokes don’t kill you,” Carter said. “They disable you.”
Hardening of arteries
Stroke is classified in one of two ways. Ischemic stroke affects approximately 85 percent of patients and is brought on by a clot that forms in a blood vessel, she said. The other type, hemorragic stroke, occurs in about 15 percent of patients and is caused by a blood vessel that ruptures and spills blood into the brain or onto the surface of the brain. Stroke affects people from all walks of life, regardless of age, ethnicity or gender, and typically, it’s brought on by hardening of the arteries, which is a buildup of plaque or cholesterol, which in turn can cause a clot. Thanks to our diet, Carter added, most Americans’ arteries begin hardening around age 12. “By and large, stroke is a function of lifestyle,” she said, noting many modifiable risk factors include high blood pressure, diabetes, smoking, obesity, inactivity, illicit drug use and elevated LDL, the ‘bad’ cholesterol. Two other factors that don’t get as much attention, she said, are the use of oral contraceptives and having breast implants.
Warning signs
When a stroke occurs, the warning signs appear suddenly and can range from
BY GREMLYN BRADLEY-WADDELL
“the worst headache you’ve ever had in your life,” Carter said, to a loss of balance or weakness and numbness on one side of the body. Facial weakness and clouded vision are typical, as is confusion or difficulty speaking or understanding language. One way to discern if you are or if someone else is experiencing a stroke is to “act F-A-S-T,” she said. Carter said to think of it like this: F (FOR FACE): Ask the person to smile. If the smile’s asymmetrical, that’s abnormal. A (FOR ARMS): Ask the person to raise both arms. If one arm falls, or the person cannot raise one, that’s abnormal. S (FOR SPEECH): Ask the person to say a sentence. If speech is slurred or the person is confused, that’s abnormal. T (FOR TIME): Note the time when you first notice potential stroke symptoms and call 9-1-1 immediately. Emergency personnel have a 3- to 4.5-hour window of time in which to administer tPA, or tissue plasminogen activator, a treatment that can help reverse the effects of stroke. “If we get you to the ER and can treat you,” she said, “we might be able to get you back home.”
Study holds hope
As for the future, researchers at Mercy Gilbert Medical Center are among those trying to make it a brighter one for stroke survivors. In August, the hospital enrolled its first patient in a study that will evaluate the use of adult stem cells in the treatment of stroke victims. At present, there is no specific treatment for the chronic neurological symptoms brought on by stroke, said Nabil Dib, M.D., M.Sc., F.A.C.C., director of cardiovascular research at both Mercy Gilbert and Chandler Regional Medical Centers and the study’s principal investigator. But the intent is, he said, to learn if adult stem cells will either regenerate or repair cells harmed by the effects of stroke. Dib said that stroke is fairly similar to a heart attack, in that both occur when the blood supply to the brain is interrupted. In early clinical research studies, adult stem cells have been shown to decrease
Living with knee pain? You may be a good candidate for MAKOplasty® partial knee resurfacing, a minimally invasive advanced robotic treatment option resulting in a faster recovery and rapid return to daily activities. Come to a FREE educational seminar at Arrowhead Hospital and learn about this new procedure from an affiliated orthopedic surgeon who is currently performing MAKOplasty®.
Wednesday, Nov. 14 and Dec. 5 at 6 p.m. Arrowhead Hospital, Sierra Room 18701 N. 67th Ave., Glendale, AZ 85308
CALL TO REGISTER 1.855.330.knee (5633) abrazohealth.com/kneepain keyword “abrazo health”
Info and Support Groups
inflammation and repair tissue damage, so the hope is that the adult stem cells will do the same for stroke patients. Jonathan Hodgson, D.O., medical director of Mercy Gilbert’s Stroke Center and sub-investigator for the study, says the hospital is “actively recruiting” volunteers to take part in the research, which is sponsored by San Diego-based Stemedica Cell Technologies, Inc. Hodgson said that the criteria are fairly specific. To be considered as a volunteer, a patient should: • be 18 years of age or older • have experienced a stroke six months ago or longer • be experiencing chronic neurological complication from a stroke • require assistance or a wheelchair For more information about the study, or to learn how to become involved as a research volunteer, call 480-728-5414 or visit ChandlerRegional.org/Research or MercyGilbert.org/Research.
There are many support groups offered for stroke survivors and their families, a number of which are listed in the calendar of events on pages 4 and 5 of this issue. One such group is offered at Banner Good Samaritan Medical Center. Melinda May-Cowgill, R.N., patient education advocate and stroke coordinator, said topics like risk factors and symptoms are discussed at meetings because one of the group’s goals is stroke prevention. Indeed, statistics indicate that one in three stroke victims will have another stroke. “We want to improve their quality of life, get their questions answered and address their concerns,” May-Cowgill said. Banner Good Samaritan’s Stroke Support Group meets from 5:30 to 6:30 p.m. on the first Thursday of each month at the hospital, 1111 E. McDowell Road in Phoenix. Registration is not necessary. The group’s next meeting is Dec. 5. For more info, call 602-839-3667.
EXPERTS GYNECOLOGY/OBSTETRICS Kelly V. Dale, MD Dr. Dale is an obstetrician/gynecologist who is dedicated to all aspects of women’s health. She specializes in menstrual disorders, contraception and minimally invasive and vaginal surgery. Dr. Dale received her medical degree from the University of Arizona College of Medicine and completed her residency at the University of California Medical Center in Los Angeles where she received the Outstanding Research Presentation Award. Her care philosophy is to give her patients both education and care in a way that provides understanding and comfort to women through all stages of their lives.
Banner Health Clinic Specializing in Obstetrics and Gynecology 6553 E. Baywood Ave. Suite 210, Mesa 480.543.6754 • www.BannerHealth.com/BMG-BaywoodOBGYN
GYNECOLOGY/OBSTETRICS Pooja Shah, MD Dr. Shah specializes in low and high risk pregnancies, contraceptive options, in-office procedures and reproductive care. She enjoys providing education, treatment and continuity of care to both adult and adolescent women and believes in working in cooperation with them to provide compassionate health care. She completed her medical education and residency at the University of Illinois School of Medicine in Chicago and is a member of American College of Obstetrics and Gynecology. Dr. Shah has been in practice since 2009.
Banner Health Clinic Specializing in Obstetrics and Gynecology 6553 E. Baywood Ave. Suite 210 • Mesa 480.543.6754 • www.BannerHealth.com/BMG-BaywoodOBGYN
CORNEA,VISION CORRECTION & CATARACT Robert Fintelmann, MD Dr. Fintelmann is a board certified Ophthalmologist by the American Board of Ophthalmology and a fellow of the American Academy of Ophthalmology. He provides excellence in care of corneal disease, as well as cataract and vision correction surgery. Besides cataract surgery and vision correction (including LASIK and ICL), he performs a range of procedures including corneal transplants, partial thickness corneal transplants (DSAEK), and laser surgery to implant intracorneal segments for keratoconus (Intacs). He has presented at national and international meetings and has published multiple peer-reviewed articles.
Barnet Dulaney Perkins Eye Center Cornea, Vision Correction and Cataract Surgery Locations throughout Arizona (800) 966-7000 / www.GoodEyes.com
THINKSTOCK
WEDNESDAY, November 7, 2012 | LIVING WELL A-Z | 7
Just two weeks ago I had back surgery. Thank you Laser Spine Institute.
Not an actual patient of Laser Spine Institute
If you’ve been putting off neck or back surgery, come learn about a proven technique that’s minimally invasive. Bring your MRI or CT scans and meet one-on-one with our physicians who will review them and discuss treatment for your specific condition.
Learn more by attending our
FREE MEDICAL SEMINAR on neck and back surgery options. Friday, November 9 at 12 p.m.
Windmill Suites 12545 W. Bell Rd. Surprise, AZ 85374
Saturday, November 17 at 10 a.m.
Laser Spine Institute 8888 E. Raintree Dr. Scottsdale, AZ 85260
The advantages of endoscopic surgery at Laser Spine Institute:
We are experts in treating conditions such as:
• No lengthy recovery* • No open back procedures • Less than 1-inch incision • Outpatient procedure • 97% of patients recommend the procedures
• Spinal stenosis • Sciatica • Herniated disc • Degenerative disc disease • Bone spurs • Other chronic conditions
To register, call:
1-866-811-3275 or visit SpineSeminar.com
*As each patient is different, results may vary.
Medicaid currently not accepted.