LivingWell AZ- Jan.2012 by LOCALiQ

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Time: 12-30-2011 18:54 Product: PNIBrd PubDate: 01-04-2012 Zone: LivingWell Edition: 1 Page: LW-Cov Color: C K Y M

THE ARIZONA REPUBLIC

prevented LW3: Folic acid can prevent some birth defects

LW4&5: Over 150 listings

DISCOVER

LW7: Ask An Expert

LW2: Cervical cancer can be

UNDERSTAND

LEARN

COVER: Obesity: A weighty

problem

A SPECIAL PUBLICATION CREATED BY REPUBLIC MEDIA CUSTOM PUBLISHING

covering health-care support groups, classes and events

NEXT ISSUE February 1, 2012: Heart health

HEALTH-CARE NEWS YOU CAN USE FOR YOUR WHOLE FAMILY

Vol. 2, No. 1 January 2012

NEWS & TRENDS Innovations. News. Honors.

Information to keep you connected to your health-care community.

INNOVATIONS

RICK D'ELIA

New technology in use at several Banner Health facilities now helps medical staff strengthen the quality of patient care. ‘Positive Patient Identification’ is a handheld device that scans bar codes on patient wristbands and medications. The bar code on the patient's wristband tells the wireless scanner who the patient is and accesses the patient's electronic medical records to determine if there is an order for the medication about to be administered.

NEWS The Virginia G. Piper Cancer Center at Scottsdale Healthcare is one of four centers in the U.S. participating in a new study to find a cure for pancreatic cancer. The ‘Seena I’ clinical trial is named for Seena Magowitz, a cancer research advocate and patient who fell victim to pancreatic cancer. The Seena I trial consists of three treatment components used to attack the tumor cells, their support structure and their energy source. Info: 480-323-1339; 877-273-3713 or clinicaltrials@shc.org.

Vishu Jhaveri, M.D., senior vice president of health services and chief medical officer for Blue Cross Blue Shield of Arizona, believes that every day, a child should be getting five servings of fruits and vegetables, two hours or less of screen time, one hour or more of significant physical activity, and zero calories from soda.

Obesity:

A weighty problem

Banner Heart Hospital in Mesa and Banner Good Samaritan Medical Center in Phoenix are among the first medical facilities in the nation to offer a new procedure that can replace an aortic heart valve without the invasive surgery that was previously required. The Sapien Transcather Heart Valve is an innovative device that will make valve replacement possible for patients who may not be strong enough to undergo open heart surgery.

Health risks are real; some can be avoided BY ALISON STANTON

f tradition holds true, chances are good that for many of us, our New Year’s resolutions involve losing weight. Kurt W. Sprunger, M.D., FACS, is a board-certified surgeon specializing in advanced laparoscopic and bariatric surgery at Surgical Weight Loss Solutions at Tempe St. Luke’s Hospital. He said that obesity is defined as a body mass index or BMI—a calculation that quantifies an individual’s weight related to their height—of at least 30. “A person is considered severely obese when their BMI is 35 or greater. Morbid, meaning having damaging health effects, obesity refers to a BMI of 40 or more,” he said.

Mercy Gilbert Medical Center, a member of Catholic Healthcare West, is the first medical facility to utilize the Third Eye Retroscope during colonoscopy in Arizona, Utah, Colorado and New Mexico. Third Eye Retroscope is a new device that allows doctors to see hidden areas of the colon through a reverse view as well as the traditional forward-looking view while performing a colonoscopy.

Why people become obese

As Vishu Jhaveri, M.D., senior vice president of health services and chief medical officer for Blue Cross Blue Shield of Arizona pointed out, obesity has been a problem in our society for some time and is now affecting children as well as adults. “Obesity probably reflects many of the factors in our western culture like the changes in the way we cook and the ingredients that we use or don’t use,” he said. “More than one-third of kids today in our country are obese, and another one-third are overweight. So that is two-thirds

of our kids beyond what they should be in terms of their weight. That is a problem.” The modern diet is a major contributor to obesity because it is so unnaturally high in salt, sugar and fat, which in turn ends up confusing the nervous, endocrine and gastrointestinal systems, said Jason Reynoso, M.D., a bariatric surgeon at Scottsdale Healthcare. “The hormone system, which helps us avoid starvation, malfunctions and this can cause obesity,” he said.“There is also a genetic component. It is well-known that if a parent is obese, especially the mother while she is pregnant, the child is more likely to grow up to be obese as well.”

Medical issues

Obesity-related health issues are numerous, said Anne-Marie Reed, D.O., with Camelback Health Care in Phoenix. “The most common health issues associated with obesity are cardiovascular problems along with diabetes, high cholesterol, high triglycerides, thyroid disorders, asthma, sleep apnea, heartburn and gastroesophageal reflux disease or GERD,” she said.“Since having more weight can put a real strain on the joints, we commonly see more osteoarthritis in people who are obese. It really runs the whole gamut.” Continued on page 6

HONORS Chandler Regional Medical Center, a member of Catholic Healthcare West, has received board certification in Undersea and Hyperbaric Medicine from the American Board of Emergency Medicine. The Wound Healing and Hyperbaric Oxygen Center, managed by the National Healing Corporation, offers hyperbaric oxygen therapy to treat wounds that have not responded to traditional treatments. The therapy increases the amount of oxygen in the blood, allowing oxygen to pass more easily through the plasma into the wounds to heal them. Hyperbaric oxygen therapy has been approved by Medicare to treat conditions such as diabetic foot ulcers, radiation injuries to tissue and bone, necrotizing infections, compromised skin grafts and skin flaps, and some types of arterial insufficiency and ischemia.

By The Numbers

g and weight Body Mass Index (BMI) is a measure of body fat based on height

25 and 29.9 OBESE: An adult who has a BMI of 30 or higher OVERWEIGHT: An adult who has a BMI between

MORBIDLY OBESE: Typically defined as being 100 pounds or

more over ideal body weight or having a BMI of 40 or higher CALCULATING BMI:

There are many online calculators, however, the formula used is:

(weight in pounds × 703) ÷ (height in inches × height in inches)

You Have a Choice for Rehabilitation. Choose HealthSouth Physical or functional declines may relate to: • Amputation • Arthritis • Brain injury • Hip fracture

KNOW YOUR BMI

• Neurological disorders • Orthopedics • Spinal cord injury • Stroke

When you need rehabilitation, strengthening or reconditioning, choose HealthSouth.

– PAULA HUBBS COHEN

A Higher Level of Care

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

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2 | LIVING WELL A-Z | WEDNESDAY, January 4, 2012

VITAL SIGNS

Cervical cancer can be prevented

Doctors urge women to get screened regularly

One woman’s story

usan Martin wishes she could change the past. The art gallery manager and Phoenix resident went a decade without getting a Pap test because her primary care doctor at the time never suggested it. During that time, she experienced no symptoms of any problems. She had gotten regular mammograms and blood tests, but had not had a gynecological check-up.

HPV a significant culprit

Cervical cancer almost always is caused by the sexually transmitted human papillomavirus (HPV), which is present in 80 percent of all women at some time in their lives. Most cases of HPV do not turn into cervical cancer and the infection typically clears on its own, said Judith Wolf, M.D., a gynecologic oncologist and surgery section chief at Banner MD Anderson Cancer Center in Gilbert. Because cervical cancer is typically very slow-growing, it’s unlikely that the disease would develop between regular Pap tests, Wolf said. More commonly, she said, HPV can cause pre-cancerous changes in the cervix, called dysplasia. In most cases, dysplasia can be easily treated. However, left unmonitored and untreated, dysplasia can develop into cervical cancer.

Pap tests important

Although cervical cancer typically strikes younger women, it can affect a woman

THINKSTOCK

here’s a maddening irony to cervical cancer: it’s almost entirely preventable, but if a woman contracts it and she’s not diagnosed in a timely manner, allowing the cancer to metastasize, she has only a 25 percent chance of living for five more years once the disease is diagnosed. A diagnosis can be made by getting a regular Pap test, which takes just seconds. And if cervical cancer is caught and treated in its earliest stage, a patient has better than a 90 percent chance of surviving more than five years.

at any age. “It’s important to continue with regular Pap smears as you get older,” Wolf said. She and other doctors advise women to consider getting a Pap test annually, though other recommendations say a Pap test every three years is acceptable after three consecutive tests with normal results.

Consider vaccination

For girls and young women between the ages of 9 and 26, prevention of the four most common types of HPV comes in the form of a vaccine called Gardasil. Although some controversy exists about the vaccine because it’s fairly new, many doctors are adamant about its importance. “This is a vaccine that can prevent cancer,” Wolf said. It’s now recommended for boys and young men as well, so that they can protect their future sexual partners from exposure to HPV. HPV is linked in some cases to penile, anal and oral airway cancers, said Shana Wingo, M.D., a gynecologic oncologist with Arizona Oncology in Phoenix. “So boys who get the

vaccine are not only protecting themselves from future exposure to genital warts, but malignancies as well,” Wingo said. “Now that there is a vaccine available, I am passionate about preventing HPV and cancers associated with this virus.”

Treatment varies

Treatment of cervical cancer depends on the extent of the disease, Wingo said. An early Stage I tumor can be treated with “fertility-sparing excision of the cervix itself,” she explained. “A higher Stage I tumor may require a radical hysterectomy, while patients presenting with advanced-stage cervical cancer are treated with radiation and chemotherapy.” Every patient she has who has been diagnosed with cervical cancer that requires advanced treatment has said to her, “I wish I had just gone to the doctor sooner.”

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

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.

In 2011, she changed primary care doctors. Her new doctor was “furious that I hadn’t had a Pap test in 10 years,” Martin said. And unfortunately, the Pap test Martin finally had revealed that she had ‘in situ’ (early and localized) cervical cancer. She was referred to gynecologic oncologist and surgeon Shana Wingo, M.D. Martin underwent a hysterectomy and radiation to cure her cervical cancer.“If I can help just one person by talking about how important it is to get regular Pap smears, that would be fabulous,” she said.

COURTESY OF SUSAN MARTIN

BY DEBRA GELBART

Susan Martin

General Manager: CAMI KAISER, ckaiser@republicmedia.com Manager Creative Development: ISAAC MOYA, imoya@republicmedia.com Editor: PAULA HUBBS COHEN, Paula.Cohen@cox.net Contributing Editor: JIM WILLIAMS, jlwilliams@republicmedia.com Managing Art Director: TRACEY PHALEN, tphalen@republicmedia.com Design: SW!TCH s t u d i o Editorial Intern: JESSICA RUSH Advertising: RHONDA PRINGLE, 602-444-4929, rpringle@republicmedia.com For general advertising inquiries, contact Republic Media at 602-444-8000.

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WEDNESDAY, January 4, 2012 | LIVING WELL A-Z | 3

Folic acid 101

A major player in preventing some birth defects

ake pity on folic acid. “It’s such an ugly word for a vitamin,” said Terri Spitz, director of communications for the Arizona chapter of the March of Dimes, laughing a bit as she reflected on folic acid’s PR problem. “It doesn’t have a nice ring.” But the truth, she said, is that folic acid is an essential vitamin for everyone – it plays a part in the production of red blood cells and may prevent other health issues – and it holds particularly wonderful benefits for women of childbearing age. Spitz said folic acid can help prevent birth defects that affect the brain and spinal cord by up to 70 percent. “That’s a huge number and why it’s so important to get the word out,” she said – especially with January being Birth Defects Prevention Month.

Neural tube defects

Known as neural tube defects, or NTDs, the birth defects that folic acid appears to affect include spina bifida, or ‘open spine,’ which can lead to varying degrees of leg paralysis, bladder and bowel problems and anencephaly, a fatal condition in which a large part of the brain and skull are missing. Folic acid also may aid in preventing heart defects as well as cleft lip and palate. But what exactly is a neural tube, anyway? In lay terms, Spitz said it is a ribbon-like piece of embryonic tissue that develops into a baby’s brain and spinal cord. When development happens properly, the tissue forms a tube-like structure; if it does not develop correctly, the neural tube does not close completely and birth defects may occur. As for how folic acid works, Spitz said researchers don’t exactly understand the entire process, but there have been studies that suggest it may somehow correct a nutritional deficiency. In 1998, the FDA began requiring food products

such as cereals and bread to be fortified with folic acid. “And when that started happening, it decreased NTDs by one-third,” Spitz said.

Looking for tasty ways to add more folic acid into your diet? Try these foods: • • • • • • • •

Supplementing your diet

Caroline Carrion, M.D., an obstetrician and gynecologist with St. Joseph’s Hospital and Medical Center in Phoenix, said that’s why it’s important that women of reproductive age – regardless of whether or not they are planning to get pregnant anytime soon – supplement their diet with folic acid. Spitz added that the reality is that nearly half the pregnancies in the United States are unplanned, so it’s for the best that the vitamin is already in a woman’s system at the time of conception. A recent study, she said, suggests that women who take folic acid for at least one year before they become pregnant

Spinach Dried beans and legumes Oranges and orange juice Fortified cereals and bread Melon Broccoli Peas Lentils

Reaching out

can cut their risk for having a premature baby (born before 37 completed weeks of pregnancy) by half. The study also suggests that these women can reduce their risk of having a very premature baby (born before 32 completed weeks) by up to 70 percent. While eating certain foods, such as spinach and melon, can help with your daily intake of folate, the natural form of folic acid, the vitamin is water-soluble so Spitz said that means the body needs a continuous supply. “You can’t get it just through your food,” Carrion said. The March of Dimes recommends a daily amount of 400 micrograms, and Spitz said the best way to get that is through a multivitamin. Pregnant women are advised to get at least 600 micrograms daily, and Carrion said taking a typical prenatal vitamin will ensure that a woman is getting enough folic acid.

Still, not enough women are aware of folic acid’s impact, so Spitz said the state’s March of Dimes chapter is reaching out to high school-age females and giving presentations during health classes. While a teen most likely is not planning a family anytime soon, the goal is to get a young woman thinking about a healthy future and not learning about folic acid the same day that a doctor informs her she’s pregnant. Another focus of the March of Dimes is the Hispanic population, a group that traditionally tends to not be a large consumer of fortified-grain products. The nonprofit organization is campaigning nationwide to get corn masa flour, a staple in many Latin American diets, fortified with folic acid.

The bottom line…

So, what’s the take-away? Take your vitamins, eat your spinach (and peas… and broccoli) and shop carefully for fortified or ‘enriched’ grain products. In doing so, you’ll be helping yourself and helping make NTDs a thing of the past.

Mark your calendar THINKSTOCK

BY GREMLYN BRADLEY-WADDELL

Support the March of Dimes and its mission to prevent prematurity, birth defects and infant mortality by taking part in the March for Babies walk on April 14 at Wesley Bolin Plaza in Phoenix. For more information, visit marchforbabies.org.

The history of cancer meets a future of hope.

400 BC

3000 BC

Signs of cancer found on bones from ancient Egypt.

2011

1946

Banner MD Anderson Cancer Center opens in Arizona.

Chemotherapy is developed.

The term cancer originates.

1899

The X-ray revolutionizes tumor discovery.

1976

American Cancer Society recommends mammograms.

Banner Health has teamed up with MD Anderson Cancer Center, ranked # 1 in cancer care by U.S.News and World Report’s “America’s Best Hospitals” survey, to open Banner MD Anderson Cancer Center. We’re fighting cancer like never before with a powerful combination of groundbreaking treatments, revolutionary facilities, and the world-class expertise of professionals like Medical Director, Edgardo Rivera, M.D. (pictured here). It’s time to expect more in the battle against cancer. Banner MD Anderson Cancer Center – bringing new hope to cancer patients.

Call (480) 256-6444 to schedule an appointment.

BannerMDAnderson.com Connect with us:

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4 | LIVING WELL A-Z | WEDNESDAY, January 4, 2012

January

is Cervical Health Awareness Month (nccc-online.org) and National Birth Defects Prevention Month (nbdpn.org)

If your New Year’s resolutions include taking better control of your health and health-care needs, we invite you to take advantage of this month’s expanded Calendar listings, which includes over 150 opportunities for you to meet others with similar issues and learn more about various aspects of your health – from A to Z.

Top Events

Heart Healthy Eating Jan. 17, 11 a.m.-noon. Banner Heart, 6750 E. Baywood Ave., Mesa. 480-854-5401

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.

GRIEF RECOVERY® OUTREACH PROGRAM Two-hour weekly sessions, various dates & times depending on location What: Offered by Banner Hospice, this 12-week program guides participants as they return to a full life after suffering the loss of a loved one. Where/When: BannerThunderbird, Glendale: Jan. 1-Mar. 18. Banner Del E.Webb, Sun CityWest: Jan. 5-Mar. 22. Banner Gateway, Gilbert: Feb. 6-Apr. 23. Banner Baywood, Mesa: Feb. 1-Apr. 25. Banner Desert, Mesa: Jan. 4-Mar. 28. Banner Behavioral Health, Scottsdale: Jan. 3-Mar. 27 Cost: $15 Register:480-657-1167(participants canjoinuntilthefourthsession)

Women’s Incontinence & Prolapse (Dr. Jain) Jan. 17, 6-7 p.m. Arrowhead Hospital, 18701 N. 67 Ave., Glendale. 855-292-9355

WELLNESS Taking Control Of Diabetes Workshop Various dates, 10 a.m.-noon. Phoenix Baptist, 2000 W. Bethany Home Rd., Phx. 602-841-5505

Controlling Diabetes (3-Part Series) Jan. 17, 24 & 31, 6-7:30 p.m. Paradise Valley Hospital, 3929 E. Bell Rd., Phx. 602-923-5608

Weight Loss Surgery Seminar Various dates & times. St. Luke's in Phoenix. Tempe St. Luke's in Tempe. 800-248-5553

Eye Health After Age 50: About Cataracts Jan. 18, noon-1 p.m. Mountain Vista Medical Center, 1301 S. Crismon Rd., Mesa. 877-924-WELL (9355)

Scottsdale Healthcare: Newly Developed Medications Jan. 4, 7-8 p.m. Barnes & Noble, 10500 N. 90 St., Scottsdale. Register: shc.org/events; 480-882-4636

Sleep Apnea & Cardiac Disease Jan. 18, 5:30-7 p.m. Banner Thunderbird, 5555 W. Thunderbird Rd., Glendale. 602-230-2273

Brain Injury & Caregiver Jan. 5, 6:30-7:30 p.m. Sponsored by Brain Injury Assoc. of AZ, HealthSouth, 13460 N. 67 Ave., Glendale. 602-508-80

Drug-Free Treatment Options For Impotence (Dr. Shawn Blick) Jan. 18, 6-7 p.m. Paradise Valley Hospital, 3929 E. Bell Rd., Phx. 855-292-9355

Taking Control Of Diabetes (3-Part Series) Jan. 9, 16 & 23, 6-7:30 p.m. West Valley Hospital, 13677 W. McDowell Rd., Goodyear. 602-923-5608

Living Healthy With Diabetes Jan. 18 & Feb. 1, 6-7 p.m. John C. Lincoln Deer Valley, 19841 N. 27 Ave., Phx. Register: 602-421-0209

Managing Chronic Illnesses (Spanish) Jan. 10-Feb. 14, 9-11:30 a.m. (6-week course in Spanish offered by Maricopa County Department of Public Health; caregivers welcome). Maryvale Hospital, 5102 W. Campbell Ave., Phx. 602-372-7272

Scottsdale Healthcare: Mystified By Menopause Jan. 18, 7-8 p.m. Barnes & Noble, 10500 N. 90 St., Scottsdale. Register: shc.org/events; 480-882-4636

Tai Chi Chih Jan. 10, 17 & 24, 6:30-7:30 p.m. SponsoredbyTheWellnessCommunity-AZ, ParadiseValley United Methodist Church, 4455 E. Lincoln Dr., Paradise Valley. 602-712-1006 Treating Foot & Ankle Problems (Dr. Bruce Weber) Jan. 10, 7-8 p.m. Paradise Valley Hospital, 3929 E. Bell Rd., Phx. 855-292-9355 Scottsdale Healthcare: Brain Fitness Fun-Use It Or Lose It Jan. 11, 1-2 p.m. Scottsdale Library, Appaloosa Branch, 7377 E. Silverstone Dr., Scottsdale. Register: shc.org/events; 480-882-4636 Probiotics Through Foods Nutrition Class Jan. 11, 6-7:30 p.m. Virginia G. Piper Cancer Center, 10460 N. 92 St., Scottsdale. Register: shc.org/events; 480-882-4636 Scottsdale Healthcare: Healthy New Year’s Resolutions Jan. 12, 1-2 p.m. Scottsdale Library, Civic Center Branch, 3839 N. Drinkwater Blvd., Scottsdale. Register: shc.org/events; 480-882-4636 Bariatric Info Seminar Jan. 14, 10 a.m.-noon. Jan. 18, 11:30 a.m.-12:30 p.m. Jan. 23, 10 a.m.-noon. Banner Gateway, 1900 N. Higley Rd., Gilbert. 480-543-2606

Amputee Clinic Jan. 19, 10 a.m.-noon. HealthSouth, 5652 E. Baseline Rd., Mesa. 480-477-7141 D.A.S.H./Heart-Healthy Diet Seminar Jan. 19, 2-3 p.m. Banner Heart Hospital, 6750 E. Baywood Ave., Mesa. 602-230-CARE Food: More Than Something To Eat Jan. 19, 6-8 p.m. SponsoredbyTheWellnessCommunity-AZ, ParadiseValley United Methodist Church, 4455 E. Lincoln Dr., Paradise Valley. 602-712-1006 Fast Facts Of Fats: How They Affect Cholesterol Jan. 24, noon-1 p.m. Mountain Vista Medical Center, 1301 S. Crismon Rd., Mesa. 877-924-WELL (9355) Minimally Invasive Treatment Options For Lumbar Spinal Stenosis (Dr. Daniel Choi) Jan. 24, 7-8 p.m. Paradise Valley Hospital, 3929 E. Bell Rd., Phx. 855-292-9355 Guide To Vascular Health (Dr. David Terry) Jan. 26, 10 a.m. West Valley Hospital, 13677 W. McDowell Rd., Goodyear. 855-292-9355

Hearing Tests (John C. Lincoln Audiologist) Jan 17, 18 & 19, 8 a.m.-4 p.m. Tatum Health Center, 18404 N. Tatum Blvd., Phx. Appointments: 602-494-6237

Stroke Clinic Jan. 26, 10 a.m.-noon. HealthSouth, 5652 E. Baseline Rd., Mesa. 480-477-7141

FREE ORTHOPEDIC SCREENINGS & LECTURES Monday, Jan. 16 What:Orthopedicscreeningandlectureswithexpertorthopedicsurgeons andphysicaltherapyspecialists. Where: Scottsdale Healthcare Shea Medical Center, Conference Center, 9003 E. Shea Blvd., Scottsdale When: Screenings: 3-7 p.m.; Lectures: 6-7 p.m. Register: 480-882-4636; freescreeningevent.org

Where: Dynamic Life Coaching Center, 1701 S. Mill, #103, Tempe When: 10 a.m.-noon Info: 480-326-7023 GENETICS & CANCER RISK ASSESSMENT Tuesday, Jan. 24 What: Linda Benaderet, D.O., will discuss who is a good candidate, what role family history plays, etc. Light refreshments. Where: John C. Lincoln Deer Valley Hospital, Medical Building I, 19841 N. 27 Ave., Phoenix When: 6-8 p.m. Register: 602-712-1006; RSVP@twccaz.org TAMING INFLAMMATION FOR BETTER HEALTH Thursday, Jan. 26 What: How to use exercise, food and stress management tools, including the HeartMath method, to reduce inflammation and optimize health. Where: Virginia G. Piper Cancer Center at Scottsdale Healthcare, 10460 N. 92 St., Scottsdale When: 6:30-8 p.m. Register: 480-882-4636 ; shc.org/events

EV (EAST VALLEY) YOUNG SURVIVORS OF BREAST CANCER Saturday, Jan. 21 What: Support group for women age 40 and under with breast cancer

2012 AZ COLOR RUN Saturday, Jan. 28 What: 5K race benefiting Cardon Children’s Medical Center. Participants receive a white t-shirt and are sprayed with color throughout the course. Who: Walkers and runners of all ages, sizes and speeds

Interventional Pain Management: Improving Quality Of Life Jan. 26, noon-1 p.m. Mountain Vista Medical Center, 1301 S. Crismon Rd., Mesa. 877-924-WELL (9355)

GPS Memory Lecture (Banner Alzheimer’s) Jan. 13, 10:30 a.m.-noon. Musical Instrument Museum, 4725 E. Mayo Blvd., Phx. 602-230-CARE (2273)

Orthopedics: Spine Injuries & Treatments Jan. 27, 11 a.m.-noon. Banner Del E. Webb, 14502 W. Meeker Blvd., Sun City West. 800-230-CARE (2273)

COMPASS Class For Care Partners Jan. 19, 10-11:30 a.m. Banner Alzheimer’s, 901 E. Willetta St., Phx. 602-839-6850

Hips, Shoulders, Hands & Knees (St. Luke’s Medical Center) Jan. 28, 9 a.m.-noon. Embassy Suites Biltmore, 2630 E. Camelback Rd., Phx. 877-351-WELL (9355) Latest Treatment For Acid Reflux Jan. 31, 6-7 p.m. Mountain Vista Medical Center, 1301 S. Crismon Rd., Mesa. 877-924-WELL (9355)

ALZHEIMER’S

COMPASS Class For Care Partners Jan. 23, 4-5:30 p.m. Banner Alzheimer’s, 901 E. Willetta St., Phx. 602-839-6850

SENIORS Arthritis Foundation Exercise Program Various dates, times & locations. Mountain Vista Medical Center in Mesa. St. Luke's in Phoenix. Tempe St. Luke's in Tempe. 877-924-WELL (9355) Grandparents Raising Grandchildren (Duet) Valley-wide: Various dates, times & locations. Info: 602-274-5022

Men Who Care Support Group Jan. 4, 7:30-9 a.m. (next: Feb. 1) Banner Alzheimer’s, 901 E. Willetta St., Phx. 602-839-6850 Circle Of Friends Care Partners Support Group Jan. 12, 12:30-2 p.m. Banner Alzheimer’s, 901 E. Willetta St., Phx. 602-839-6850

Medication Checks Various dates, times & locations. Mountain Vista Medical Center in Mesa. St. Luke's in Phoenix. Tempe St. Luke's in Tempe. 877-351-WELL (9355)

Where: Tempe Beach Park, 54 W. Rio Salado Pkwy, Tempe When: 9 a.m. Cost: Individual $45; Team (4+ people) $35/person Register: thecolorrun.com/Arizona A LITTLE D.A.S.H. WILL DO YOU Tuesday, Jan. 31 What: Learn benefits of the D.A.S.H. diet plus the pros and cons of electrolytes and all about sodium levels in different foods. Who: James Ganem, M.D., interventional cardiologist at Banner Desert, and Lillian Swatek, registered dietitian at Banner Desert Where: Banner Desert, 1400 S. Dobson Rd., Mesa When: 6-7:30 p.m. Register: 602-230-CARE (2273); bannerhealth.com/230CARE THE IMPACT OF FAITH ON MENTAL & PHYSICAL HEALTH Thursday, Feb. 9 What: Conference for faith community nurses, congregational lay leaders and anyone interested in the connection between faith and health. Speaker: Dr. Harold Koenig, co-directorofDukeUniversity’s Center forSpirituality,TheologyandHealth Where: Duet, 555W. Glendale Ave., Phoenix When: 8 a.m.-2 p.m. Cost: $60 before Jan. 20; $75 after Jan. 20; $30 for students Register:By Feb. 3; 602-274-5022; duetaz.org

Healthy Cooking Demonstration For Seniors Jan. 5, 10-11 a.m. Humana Guidance Center, 5943 E. McKellips Rd., Mesa. 480-325-4707 Keeping Fit In 2012 Jan. 16, noon-1 p.m. St. Luke’s, 1800 E. Van Buren St., Phx. 877-351-WELL (9355) Rheumatoid Arthritis: What You Need To Know Jan. 19, noon-1 p.m. Mountain Vista Medical Center, 1301 S. Crismon Rd., Mesa. 877-924-WELL (9355) Snowflake Ice Cream Social Jan. 20, 2:30-4 p.m. Mountain Vista Medical Center, 1301 S. Crismon Rd., Mesa. 877-924-WELL (9355) Keeping Fit In 2012 Jan. 23, noon-1 p.m. Tempe St. Luke’s, 1500 S. Mill Ave., Tempe. 877-351-WELL (9355) Neuropathy: How It Affects Feet Jan. 25, noon-1 p.m. Mountain Vista Medical Center, 1301 S. Crismon Rd., Mesa. 877-924-WELL (9355) Sip N’ Stitch/Caring Crafters Jan. 27, 1-3 p.m. Mountain Vista Medical Center, 1301 S. Crismon Rd., Mesa. 877-924-WELL (9355)

CANCER SUPPORT/ NETWORKING GROUPS Oral, Head & Neck Jan. 4, 5:30-7:30 p.m. Chandler Regional, 1875 W. Frye Rd., Chandler. 877-728-5414 Multiple Myeloma Jan. 5, 10 a.m.-noon. The Wellness Community-AZ, 360 E. Palm Lane, Phx. 602-712-1006 Colon Jan. 5, 5-6:30 p.m. Banner Desert, 1400 S. Dobson Rd., Mesa. 480-412-4073 Prostate Jan. 5, 6-8 p.m. The Wellness Community-AZ, 360 E. Palm Lane, Phx. 602-712-1006 Yoga For Recovery Jan. 5 & 19, 6-8 p.m. Co-sponsored by The Wellness Community-AZ, John C. Lincoln Deer Valley, 19841 N. 27 Ave., Phx. 602-712-1006 Thyroid Jan. 5, 6:30-8:30 p.m. Chandler Regional, 1875 W. Frye Rd., Chandler. 877-728-5414 Cancer Jan. 5 & 19, 7-8:30 p.m. Banner Desert, 1400 S. Dobson Rd., Mesa. 480-412-4073 Cave Creek Support Group Jan. 6, 10 a.m.-noon. Good Shepherd of the Hills Episcopal Church, 6502 E. Cave Creek Rd., Cave Creek. RSVP: 480-488-3283 Caps For The Cure (Knit/Crochet Caps For Chemo Patients) Jan. 9 & 23, 1-3 p.m. Humana Guidance Center, 5943 E. McKellips Rd., Mesa. 480-325-4707 Cancer Jan. 9, 16, 23 & 30, 2-3:30 p.m. Chandler Regional, 1875 W. Frye Rd., Chandler. 877-728-5414 Yoga Jan. 9, 16, 23 & 30, 6-7 p.m. Banner Desert, 1400 S. Dobson Rd., Mesa. 602-230-CARE (2273) Drumming Circle Jan. 9, 6-7:30 p.m. Virginia G. Piper Cancer Center, 10460 N. 92 St., Scottsdale. Register: shc.org/events; 480-882-4636 Cancer Survivorship Jan. 10, 4 p.m. Banner MD Anderson, 2946 E. Banner Gateway Dr., Gilbert. 480-256-4141 Spirituality & Health Jan. 10, 4-5 p.m. Banner Desert, 1400 S. Dobson Rd., Mesa. 480-412-3817 Spanish-Speaking Jan. 10, 6-7:30 p.m. Banner Desert, 1400 S. Dobson Rd., Mesa. 480-412-4073

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Time: 12-30-2011 18:54 Product: PNIBrd PubDate: 01-04-2012 Zone: LivingWell Edition: 1 Page: LW-E Color: C K Y M

WEDNESDAY, January 4, 2012 | LIVING WELL A-Z | 5

Brain Tumor Jan. 10, 6-8 p.m. Co-sponsored by Barrow Neurological Institute, The Wellness Community-AZ, 360 E. Palm Lane, Phx. 602-712-1006 Gynecologic Jan. 10, 7-8:30 p.m. Banner Desert, 1400 S. Dobson Rd., Mesa. 480-412-5578 Cooking For Health Jan. 11, 9-11 a.m. Co-sponsored by The Wellness Community-AZ, Sun Health Grandview Care Center, 14505W. GraniteValley Dr., Sun CityWest. 602-712-1006 Facing Forward (Women) Jan. 11, 1-3 p.m. Virginia G. Piper Cancer Center, 10460 N. 92 St., Scottsdale. Register: shc.org/events; 480-882-4636

Oral, Head & Neck Jan. 18, 4:30-6:30 p.m. Banner Desert, 1400 S. Dobson Rd., Mesa. 480-412-3627

Women’s Services Unit Tours Jan. 5 & 19, 6 p.m. Mountain Vista Medical Center, 1301 S. Crismon Rd., Mesa. 877-924-WELL (9355)

Leukemia & Lymphoma Jan. 18, 6-7:30 p.m. Chandler Regional, 1875 W. Frye Rd., Chandler. 877-728-5414

Breastfeeding Jan. 6, 13, 20 & 27, 10 a.m. Mercy Gilbert, 3555 S. Val Vista Dr., Gilbert. 877-728-5414

Intro To Chemo & Radiation Jan. 19, 4-5 p.m. Banner Desert, 1400 S. Dobson Rd., Mesa. 480-412-3817

Breastfeeding Jan. 6, 13, 20 & 27, 11 a.m. Chandler Regional, 1875 W. Frye Rd., Chandler. 877-728-5414

Esophageal (Bruce Mallin, M.D., FACS: Musculoskeletal Oncology) Jan. 19, 6-7:30 p.m. Banner Good Samaritan, 1111 E. McDowell Rd., Phx. Free catered event. 602-839-4970; 602-264-0240; esophagealcancersupportphoenix.com

Living Well With Cancer Jan. 11, 4-5 p.m. Banner Desert, 1400 S. Dobson Rd., Mesa. 480-412-3817

Tai Chi Jan. 10, 17, 24 & 31, 6-7:30 p.m. Banner Desert, 1400 S. Dobson Rd., Mesa. 602-230-CARE (2273)

Relaxation & Visualization Jan. 12, 4-5 p.m. Banner Desert, 1400 S. Dobson Rd., Mesa. 480-412-3817

Couples Group Jan. 21, 10 a.m.-noon. The Wellness Community-AZ, 360 E. Palm Lane, Phx. 602-712-1006

Lymphoma Jan. 14, 10 a.m.-noon. The Wellness Community-AZ, 360 E. Palm Lane, Phx. 602-712-1006

Ovarian Jan. 21, 10 a.m.-noon. The Wellness Community-AZ, 360 E. Palm Lane, Phx. 602-712-1006

Pancreatic Jan. 14, 10 a.m.-noon. The Wellness Community-AZ, 360 E. Palm Lane, Phx. 602-712-1006

HPV & Cancer Jan. 23, noon-1:30 p.m. Co-sponsored by The Wellness Community-AZ, Banner Good Samaritan, 1111 E. McDowell Rd., Phx. 602-712-1006

Carcinoid Jan. 14, 1-3 p.m. The Wellness Community-AZ, 360 E. Palm Lane, Phx. 602-712-1006 Lung Jan. 14, 1-3 p.m. The Wellness Community-AZ, 360 E. Palm Lane, Phx. 602-712-1006 Prostate Jan. 16, 4-5:30 p.m. Chandler Regional, 1875 W. Frye Rd., Chandler. 877-728-5414 Music Therapy & Relaxation Jan. 17, 4-5 p.m. Banner Desert, 1400 S. Dobson Rd., Mesa. 480-412-3817 Colorectal Jan. 17, 6-8 p.m. The Wellness Community-AZ, 360 E. Palm Lane, Phx. 602-712-1006 Cooking For Health Jan. 17, 6-8 p.m. Co-sponsored by The Wellness Community-AZ, Banner Good Samaritan, 1111 E. McDowell Rd., Phx. 602-712-1006 Writing For Wellness Jan. 18, 9-11 a.m. Co-sponsored by The Wellness Community-AZ, Sun Health Grandview Care Center, 14505W. GraniteValley Dr., Sun CityWest. 602-712-1006 Journey To Wellness Jan. 18, 4 p.m. Banner MD Anderson, 2946 E. Banner Gateway Dr., Gilbert. 480-256-4141 Managing Fatigue & Sleep Jan. 18, 4-5 p.m. Banner Desert, 1400 S. Dobson Rd., Mesa. 480-412-3817

OB Orientation Jan. 9, 16, 17, 21 & 23 11:30 a.m., 12:30 p.m., 6 p.m. & 7 p.m. Banner Gateway, 1900 N. Higley Rd., Gilbert. 602-230-2273

Look Good Feel Better Jan. 23, 5:30-7:30 p.m. Banner Desert, 1400 S. Dobson Rd., Mesa. 602-230-CARE (2273) Prostate Jan. 23, 7-9 p.m. Banner Desert, 1400 S. Dobson Rd., Mesa. 480-412-4073 Cancer-Fighting Nutrition Jan. 24, 4-5 p.m. Banner Desert, 1400 S. Dobson Rd., Mesa. 480-412-3817 Mindfulness Class For Survivors Jan. 25, 4 p.m. Banner MD Anderson, 2946 E. Banner Gateway Dr., Gilbert. 480-256-4141 Reducing Caregiver Chaos Jan. 25, 4-5 p.m. Banner Desert, 1400 S. Dobson Rd., Mesa. 480-412-3817 Get The Best Out Of Treatment Jan. 26, 4-5 p.m. Banner Desert, 1400 S. Dobson Rd., Mesa. 480-412-3817 Drumming Circle Jan. 26, 6-7:30 p.m. SponsoredbyTheWellnessCommunity-AZ, ParadiseValley United Methodist Church, 4455 E. Lincoln Dr., Paradise Valley. 602-712-1006 Exercise Guidelines For Survivors Jan. 31, 10 a.m. Banner MD Anderson, 2946 E. Banner Gateway Dr., Gilbert. 480-256-4141

BREAST CANCER Metastatic Support Group Jan. 4, 11:30 a.m.-1 p.m. Banner Desert, 1400 S. Dobson Rd., Mesa. 480-412-5578

Postpartum Depression Support Group Jan. 10, 17, 24 & 31, 10-11:30 a.m. Banner Desert, 1400 S. Dobson Rd., Mesa. 480-412-5292 Breastfeeding Support Group Jan. 11 & 18, 10-11 a.m. Phoenix Baptist, 2000 W. Bethany Home Rd., Phx. 855-292-9355

Breast Cancer Learn & Support Group Jan. 7, 10 a.m.-noon. Co-sponsored by The Wellness Community-AZ, Banner Good Samaritan, 1111 E. McDowell Rd., Phx. 602-712-1006 Breast Cancer Support Group Jan. 14, 10 a.m.-noon. Virginia G. Piper Cancer Center, 10460 N. 92St., Scottsdale. Register: tinastreasures@shc.org; 480-323-1990 Coalition Of Blacks Against Breast Cancer Jan. 15, 3-5 p.m. The Wellness Community-AZ, 360 E. Palm Lane, Phx. 602-320-0502; cbbcaz.org Bosom Buddies Jan. 21, 10 a.m.-noon. Scottsdale Healthcare Thompson Peak, 7400 E. Thompson Peak, Scottsdale. 623-547-2206 Breast Cancer Jan. 21, 1-3 p.m. The Wellness Community-AZ, 360 E. Palm Lane, Phx. 602-712-1006

Nursing Moms Support Group Jan. 11, 10:30 a.m.-noon. Banner Del E. Webb, 14502 W. Meeker Blvd., Sun City West. 800-230-CARE (2273) Breastfeeding Class Jan. 16, 6:30-9 p.m. West Valley Hospital, 13677 W. McDowell Rd., Goodyear. 855-292-9355 Breastfeeding Class Jan. 25, 10 a.m.-noon. Phoenix Baptist, 2000 W. Bethany Home Rd., Phx. 855-292-9355 Mother & Newborn Health Fair Jan. 28, 10 a.m.-2 p.m. Arrowhead Hospital, 18701 N. 67 Ave., Glendale. 855-292-9355

GENERAL SUPPORT GROUPS Caregivers (Duet) Valley-wide: Various dates, times & locations. Info: 602-274-5022

Celiac Disease Jan. 4, 7-9 p.m. Paradise Valley Retirement Center, 11645 N. 25 Place, Phx. 623-587-8885; phoenixceliac.org Stroke Jan. 5, 1:30-2:30 p.m. Banner Boswell Rehab Center, 10601 W. Santa Fe Dr., Sun City. 623-832-7000 Ostomy Jan. 5, 2-4 p.m. Banner Boswell, 13180 N. 103 Dr., Sun City. 623-975-3671 Stroke Jan. 5, 5:30-6:30 p.m. HealthSouth, 13460 N. 67 Ave., Glendale. 623-334-5437 Interstitial Cystitis Jan. 8, 2-4 p.m. John C. Lincoln, 250 E. Dunlap Ave., Phx. 602-469-2766 Parkinson’s Jan. 9, 10-11:30 a.m. Banner Sun Health Research Institute, 10515 W. Santa Fe Dr., Sun City. 602-942-9008 Diabetes Jan. 9, 1-2 p.m. Tempe St. Luke’s, 1500 S. Mill Ave., Tempe. 877-351-WELL (9355) Insulin Pumpers Jan. 9, 6:30-8:30 p.m. John C. Lincoln North Mountain, 9202 N. Second St., Phx. 602-870-6060 Aphasia Jan. 10 & 24, 10-11 a.m. Banner Boswell, 13180 N. 103 Dr., Sun City. 623-972-4263 Next Step Grief Support Group Jan. 10 & 24, 4:30-6 p.m. Facilitated by Hospice of the Valley, Virginia G. Piper Cancer Center, 10460 N. 92 St., Scottsdale. 480-323-1321 Parkinson’s Caregivers (Duet) Jan. 11, 1:30-3 p.m. Church of the Beatitudes, 555 W. Glendale Ave., Phx. 602-274-5022

PARENTING/KIDS

• Cardon Children’s Medical Center: bannerhealth.com

Breastfeeding Jan. 5, 12, 19 & 26, 1-2:30 p.m. Banner Desert, 1400 S. Dobson Rd., Mesa. 480-412-3035

Respiratory Jan. 12, 2-3 p.m. Banner Boswell, 13180 N. 103 Dr., Sun City. 623-832-5708 Pain Jan. 12 & 26, 6-8 p.m. HealthSouth, 13460 N. 67 Ave., Glendale. 623-334-5437 Parkinson’s Jan. 13, 10 a.m.-noon. Sponsored by Muhammad Ali Parkinson Center, HealthSouth, 9630 E. Shea Blvd., Scottsdale. 602-406-3840 Newly Diagnosed With Parkinson’s (Holly Shill, M.D.) Jan. 13, 2-3:30 p.m. Banner Sun Health Research Institute, 10515 W. Santa Fe Dr., Sun City. Register: 623-832-6587 Stroke Jan. 13, 2:30-4 p.m. Chandler Regional, 475 S. Dobson Rd., Chandler. 480-728-3828 Alzheimer’s Caregivers (Duet) Jan. 17, 12:30-2 p.m. Church of the Beatitudes, 555 W. Glendale Ave., Phx. 602-274-5022 Stroke Jan. 17, 3-4 p.m. Mountain Vista Medical Center, 1301 S. Crismon Rd., Mesa. 877-924-WELL (9355) Laryngectomy Jan. 17, 4-5 p.m. Banner Boswell, 13180 N. 103 Dr., Sun City. 623-832-5349

WEBSITES FOR MORE INFORMATION • Abrazo Health Care (Arizona Heart Hospital, Arizona Heart Institute, Arrowhead Hospital, Maryvale Hospital, Paradise Valley Hospital, Phoenix Baptist Hospital,WestValley Hospital): abrazohealth.com

Postpartum Depression Jan. 4, 11, 18 & 25, 1-2:30 p.m. Chandler Regional, 1875 W. Frye Rd., Chandler. 877-728-5414

Diabetes Jan. 12, 1-2 p.m. St. Luke’s, 1800 E. Van Buren St., Phx. 877-351-WELL (9355)

Mended Hearts Jan. 11, 6:30-8 p.m. John C. Lincoln Deer Valley, 19841 N. 27 Ave., Phx. 623-879-5765

Breast Cancer Support Group Jan. 24, 7-8:30 p.m. Banner Desert, 1400 S. Dobson Rd., Mesa. 480-412-5578

Childhood Prep/Education, Tours Of Mother & Newborn Care Centers Various dates/times, some in Spanish, call for details & schedule: 855-292-9355. Arrowhead Hospital in Glendale. Maryvale Hospital in Phoenix. Paradise Valley Hospital in Phoenix. Phoenix Baptist Hospital in Phoenix. West Valley Hospital in Goodyear.

Aphasia/Stroke Jan. 12, 19 & 26, 10-11 a.m. HealthSouth, 9630 E. Shea Blvd., Scottsdale. 480-551-5481

• Banner Health: bannerhealth.com • Chandler Regional Medical Center: ChandlerRegional.org • Duet, Partners in Health & Aging: duetaz.org • HealthSouth Rehabilitation: healthsouth.com

• • • • • • • • •

Humana: humana.com John C. Lincoln Hospital: jcl.com Mercy Gilbert Medical Center: MercyGilbert.org MountainVista Medical Center: mvmedicalcenter.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 TheWellness Community-AZ: twccaz.org

LIVING WITH CANCER SYMPOSIUM

FREE

HEARING TEST 26 Arizona Locations

Call 602-814-0072 www.miracle-ear.com Not a medical exam.Audiometric test to determine proper ampliﬁcation needs only. Good only from participating Miracle-Ear providers. See store for details.

JAN 14TH:

JAN 15TH:

8AM-5PM 8AM-NOON The Westin Kierland Resort and Spa, Scottsdale This free 2 day event includes a continental breakfast, refreshments, lunch and reception. Open to Mayo Clinic and non-Mayo Clinic patients and their loved ones.

Call 480-342-3490 to register. Questions may also be directed to mcaevents@mayo.edu.

New Year, New You Understanding your metabolism and is bariatric surgery right for you? Saturday, Jan. 28 9 – 11 a.m.

RSVP: 602.230.CARE (2273) www.BannerHealth.com/events

I was caught off guard when a test showed I had a forerunner to esophageal cancer. Mayo listened and made me feel everything would be okay. My answer was Mayo Clinic. Benny Andujar

For over 100 years, people from all walks of life have come to Mayo Clinic for answers. Mayo is an in-network provider for millions of people and a physician referral is not typically required. For more information or to schedule an appointment, visit mayoclinic.org/cancer or call (800) 446-2279.

Visit mayoclinic.org/cancer

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Time: 12-30-2011 18:54 Product: PNIBrd PubDate: 01-04-2012 Zone: LivingWell Edition: 1 Page: LW-F Color: C K Y M

6 | LIVING WELL A-Z | WEDNESDAY, January 4, 2012

Adam Petropolis, district fitness manager for Mountainside Fitness, said his trainers work successfully with a lot of obese clients who want to start a safe and effective exercise program. “The first thing we do is find out a bit about them, for example, their health history, were they athletic at one time, are they doing any exercising now or are they sedentary? That will help us a lot,” he said. Much of exercising and getting fit is more psychological than physical, Petropolis said, adding that it’s really about creating habits. “We certainly don’t want to get them out running or doing anything that is overwhelming,” he said. “They don’t have to be a superhero—we want them to do what they can handle with their current schedule.”

Why diets often fail

With so many obese people trying to lose their excessive weight, why does it seem so rare to find those who are successful at shedding extra pounds? Megan Kniskern, M.S., R.D., executive clinical nutrition director at Rosewood Centers for Eating Disorders in Wickenburg, said that too often, people start diets that are just too restrictive. “You don’t want to eliminate entire food groups like fats, carbohydrates or fruits. That sets people up to fail. We can’t maintain that type of diet forever and it usually just leads to temporary weight loss,” she said. Reed agreed. “Fad dieting is not the way to go. Losing weight is really a combination of teamwork between the physician and patient, healthy eating habits and regular exercise,” she said. “What I tell my patients is that they need to have a concrete plan for healthy eating and exercise.”

Surgical options

Some obese people are turning to surgical procedures in order to lose weight. Reynoso

Search for doctors in over 30 medical specialties Phoenix’s most respected physicians A full list can also be found in the January issue of AZ Magazine.

AR-0007663263-01

RICK D'ELIA

Exercising for those who are obese

explained.“Since we are changing the route of the intestines, there can be a hernia inside the belly that can cause an intestinal blockage that would require another surgery to fix.” When deciding who is a good candidate for gastric bypass surgery, Reynoso said looking at the patient’s BMI score is the first step. “If it’s over 40, it is generally accepted that bypass surgery is appropriate and that it would be beneficial,” he said. “For this group, the risks of surgery are less than the risks of being obese. If the BMI is 35 and up and there are obesity-related co-morbidities like diabetes or hypertension, the surgery can also be beneficial.”

Continued from COVER: Obesity

Jason Reynoso, M.D., a bariatric surgeon at Scottsdale Healthcare, said that one obesityrelated complication that gastric bypass surgery helps with is type 2 diabetes. "In some cases, the patient doesn’t even have to wait for the weight to come off completely before seeing an improvement in this area.”

said the main bariatric surgery he performs is a gastric bypass procedure called Roux-en-Y. “We turn the stomach into a 15-milliliter pouch and attach the small intestines to it,” he said. “The food goes straight from the pouch to the small intestines, bypassing the stomach, the pancreas, the duodenum and other organs.” A benefit of this surgery, in addition to typically significant weight loss, Reynoso said, is that conditions like type 2 diabetes are often reversed. “By changing the way food travels through the intestines, there is a change in the hormones. The patient doesn’t even have to wait for the weight to come off completely in some cases before seeing an improvement in this area [of type 2 diabetes],” he said. Like any surgical procedure, Reynoso said gastric bypass does involve some risks, including pneumonia and pulmonary embolism or blood clots.“There can also be a leak in the staples that we use to seal the intestine, and if the staples don’t line up and hold properly, gastric fluid can leak out and cause the patient to become septic,” he

“

Little changes help

Despite the fact that so many people have tried unsuccessfully to lose weight, Reed said there is definitely hope for those who need to trim down. She acknowledged that it’s not easy, but with a lot of effort, discipline and determination, it can be done. “People need to have a good understanding of nutrition, they need to exercise regularly and do portion control,” she said. “They also need to eat smaller, more frequent meals, which can help increase metabolism. Drinking a lot of water can also really help.” Kniskern added that overall, the best strategy is to eat three meals and three snacks a day.“Meals have to be smaller, but doing it this way helps keep the metabolism going and the energy levels up,” she said.

Combating childhood obesity

Jhaveri said it is important for parents to focus on the amount of physical activity their kids are getting, taking into account how much time they are spending with technology like phones and video games. “The American Academy of Pediatrics and the Arizona chapter put out an initiative based on a national model that we like here at Blue Cross Blue Shield of Arizona called 5-2-1-0,” Jhaveri said. “This is based on a child getting five servings of fruits and vegetables a day, two hours or less of screen time, one hour or more of significant physical activity, and zero calories from soda. A lot of states have rallied around these concepts.”

“There is a huge lack of mindfulness and awareness about the food we are putting into our bodies.We are so busy and people are so overwhelmed in their daily lives.We spend a lot of time on the computer, and there is a lack of being in tune with what our bodies need and what we want.” MEGAN KNISKERN, M.S., R.D.

EXPERTS GYNECOLOGY, OBSTETRICS Karen A. Starkey, MD Dr. Starkey focuses on women’s health care for all ages. She provides general OB/ GYN care, but has particular interest and expertise in hormone replacement therapy, pregnancies, minimally invasive treatments and vaginal reconstructive surgery. Board certiﬁed by the American College of Obstetricians and Gynecologists and the Royal College of Physicians and Surgeons of Canada, Dr. Starkey is also a fellow of both organizations. She received her medical degree from the University of Western Ontario where she also ﬁnished her residency and she completed her internship at St. Joseph’s Health Care Center in London, Ontario, Canada.

Banner Ironwood Physicians - Obstetrics, Gynecology 37100 N. Gantzel Road • Ste 201 • San Tan Valley 480.394.4620 • www.BannerHealth.com/BMG-IronwoodOBGYN

GYNECOLOGY, OBSTETRICS Tiffany Weathers, MD An OB/GYN, Dr.Weathers specializes in personalized obstetric care, minimally invasive surgery and preventative medicine. She received her medical degree from the Universidad Autonoma de Guadalajara School of Medicine in Mexico and then completed several internships in Puerto Rico and the U.S. She then went on to Women and Children’s Hospital in Buffalo, N.Y., for her residency where she was selected as Best Teaching Resident. She is a board certiﬁed OB/GYN and fellow of the Congress of Obstetricians and Gynecologists. In 2008, she was named as one of the Best Doctors in America. Dr.Weathers speaks ﬂuent Spanish.

Banner Ironwood Physicians - Obstetrics, Gynecology 37100 N. Gantzel Road • Ste 201 • San Tan Valley 480.394.4620 • www.BannerHealth.com/BMG-IronwoodOBGYN

CATARACT & REFRACTIVE SURGEON Scott A. Perkins, MD

As a nationally recognized ophthalmologist with Barnet Dulaney Perkins Eye Center, Dr. Perkins has performed more than 50,000 cataract surgeries and more than 10,000 vision correction procedures such as LASIK and Implantable Contact Lenses (ICLs).As an innovator in the field of ophthalmology, he has participated in over 25 clinical trials for both pharmaceutical and ophthalmic devices. In addition, Dr. Perkins serves on the Board of Directors for Arizona Visionaries, a donor driven non-profit organization providing cataract surgery and eyeglass fittings in third world countries. He is not only trusted for his surgical talents and modest nature, but is also well known for his compassion and ability to connect with and comfort patients. Board Certified by the American Board of Ophthalmology Member of the American Society of Cataract and Refractive Surgery Fellow of the American Academy of Ophthalmology

Locations throughout Arizona (800) 966-7000 / www.GoodEyes.com

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Time: 12-30-2011 18:54 Product: PNIBrd PubDate: 01-04-2012 Zone: LivingWell Edition: 1 Page: LW-G Color: C K Y M

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Health-care advice

QUESTION: What is the best treatment for hemorrhoids?

Answer: Hemorrhoids are enlarged and swollen veins in the rectum that are characterized by rectal bleeding, itching and pain. Treatment varies depending on the type and severity of the symptoms. Conservative treatments are successful for most patients such as increasing fiber in the diet to soften stool and help prevent future occurrences. Over-the-counter analgesic and hydrocortisone creams as well as hydrocortisone suppositories are available to help relieve irritation and itching. Simple measures like ice packs applied several times a day to the anal region can help relieve some pain and inflammation. Keep the anal area clean by using pre-moistened wipes (fragrance- and alcohol-free) rather than dry toilet paper. If symptoms do not respond to the above therapies, consult with your physician about the many minimally invasive treatment techniques.

THINKSTOCK

MEET YOUR PERFECT

TIFFANY GRAYBILL, D.O., IS AN INTERNAL MEDICINE PHYSICIAN WITH BANNER HEALTH

QUESTION: What are the different styles of hearing aids?

QUESTION: What is bipolar disorder? Answer: Alsoknownasmanicdepressive illness,bipolardisorderisatypeofmood disorder.Symptomsmostcommonlybegin inthelateteenageorearlyadultyearsand includedepressionandmania.Bipolardisorder isthoughttobecausedbyacombinationof biology(genetics,neurotransmitters)andstress. Clinical depression lasts at least two weeks and can include crying spells, feelings of hopelessness or worthlessness, and a lack of energy and motivation. The person may have trouble concentrating, lose interest in sex and lose their capacity for joy. A severely depressed person may isolate themselves, stop eating, bathing or getting out of bed, and may have suicidal thoughts. In mania, the mood is euphoric or extremely irritable and agitated.There is little need for sleep, thoughts are scattered and sexual promiscuity or grandiose thoughts may occur. There may be reckless and impulsive behavior, and when extremely ill, the person may hear voices or have beliefs that are not based in reality. With medications for mood stabilization and counseling, many people with bipolar disorder live stable and productive lives.

Answer: There are basically two styles of hearing aids. The first is the custom in-theear style. Some fill the entire bowl of the ear, while canal hearing aids go mostly into the ear canal and do not show as much. Lastly, you have the virtually invisible completely-in-the-canal hearing aids. The second style is the behind-the-ear (BTE) hearing aid. These have been around the longest but there have been many changes made to this style. The basic BTE fits behind the ear and has a tube attached to an earmold which is placed into the bowl of the ear. Another style of BTE is the ‘open fit’. These are usually very small and have a slim tube attached to a small dome that holds the tube in place in the ear. The newest BTE is the‘receiver-in-the-canal’ style. These are smaller yet because the receiver is not in the hearing aid but is in the ear canal itself. Typically, people with severe hearing loss will wear either a full-shell custom product or a standard BTE instrument, while people with mild to moderately severe hearing loss can wear pretty much any style they prefer. ROBERT BABER IS A BOARD-CERTIFIED HEARING INSTRUMENT SPECIALIST AND OWNER OF 21 MIRACLEEAR CENTERS LOCATED THROUGHOUT ARIZONA

ROBERT BRIGHT, M.D., IS A PSYCHIATRIST WITH 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 February 1, 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

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Mayo Clinic Symposium to Help Patients Overcome Cancer Challenges

AQUAVÍ

™

Advanced engineering produces a hearing solution that is waterproof and supports active lifestyle

hile hearing aids enhance the quality of life for the hearing impaired, until now they came with some limitations on lifestyle activities that involve water or moisture, dust, and shock or impact risks. With the introduction of the Aquaví hearing aid, those limitations are a thing of the past. Aquaví is the first hearing aid that is truly waterproof, not just water-resistant. Wearers can enjoy swimming, engage in strenuous physical activity – even get caught in the rain – without worrying about damage to their hearing aid from water, sweat or moisture. The device offers the added benefits of being dustproof and virtually shockproof, which means that it stands up to even the most adverse on-the-job or recreational activities. Innovative engineering and unique materials combine to create a one-piece, watertight case housing that is attached to the battery compartment with a silicone sealant. This design has earned Aquaví an Ingress Protection Rating of IP57, meaning the device can be completely submerged in water up to three feet deep for up to 30 minutes without damage to the instrument. The device is also built to be virtually shockproof and features a soft rubber surface to ensure a snug fit that prevents slipping. This design, combined with the instrument’s waterproof features, makes it ideal for active people with a hearing loss. In addition to its groundbreaking waterproof attributes, Aquaví delivers a number of innovative features designed to enhance the wearer’s experience. • Feedback reduction: Aquaví offers the fastest feedback reduction available, virtually eliminating embarrassing “whistling,” even in the presence of music or microwave tones, and making speech sound clearer even in noisy environments.

For more information on Miracle-Ear and the new Aquaví hearing aid, visit miracle-ear.com.

• SoundBoost: This feature helps manage extended exposure to high frequency ampliﬁed sound to allow wearers to experience more brilliant sound quality at concerts or in other sound-rich environments. • VoiceTarget: Aquaví automatically adjusts to focus on the area of highest speech activity, including speech from the rear. For the wearer, this offers better speech recognition no matter where the speaker is located. Now grandparents can easily hear what their grandchildren in the backseat of the car are saying without turning around! • Intelligent Peak Smoothing: This feature reduces spontaneous short duration loud sounds so that the wearer is not bothered by sudden loud sounds that happen quickly and are gone. Sounds that previously made hearing aid users uncomfortable – like the sound of a plate dropping on the kitchen ﬂoor – are detected and reduced to comfortable levels automatically. Miracle-Ear is proud to make this extraordinary new device available to the Valley. This type of innovation and sensitivity to the needs of hearing aid wearers is what sets Miracle-Ear apart as the premier hearing solution provider in Arizona. Aquaví addresses some very real quality-of-life concerns for many hearing aid users with its revolutionary waterproof, dustproof and virtually shockproof design. We believe that these innovations will help enhance the adoption, usability and effectiveness of this hearing aid solution. Miracle-Ear offers a complimentary, comprehensive hearing assessment that includes a complete hearing health history, visual ear canal inspection and a comprehensive diagnostic hearing evaluation. If test results indicate a hearing loss, Miracle-Ear tailors a hearing aid solution to the individual’s lifestyle, working with the customer to determine which solution best meets his or her individual needs.

Dr. Ruben Mesa, Chair, Division of Hematology and Medical Oncology, Mayo Clinic in Arizona

A wide range of emotions and a long cancer diagnosis often triggers a

list of questions. Was my cancer inherited? Should I change my diet? How do I tell my employer? What can I do to improve my quality of life moving forward? “Living with Cancer, a Mayo Clinic Symposium for Patients and Their Loved Ones,” is a two-day event, January 14-15, featuring Mayo Clinic specialists who will provide information on treatment and lifestyle issues for those being treated for cancer or in recovery. The event’s message is a simple one: knowledge is power when it comes to dealing with a major health issue. “The Living with Cancer Symposium is about fighting back against your disease with knowledge,” explains Dr. Ruben Mesa, an internationally-renowned hematologist and Chair of Mayo Clinic’s Division of Hematology & Medical Oncology. “It’s information about the latest methods available for the diagnosis and treatment of your disease as well as information on how to overcome the other challenges cancer brings to patients, including financial, legal, nutritional, emotional, and spiritual issues,” Dr. Mesa added.

The first day of sessions will cover topics including chemotherapy, radiation, prescriptions and alternative medicine. Day two continues with lifestyle seminars that run the gamut of issues including financial planning when ill, employment, insurance, intimacy, and spirituality. The agenda also includes disease specific breakout sessions covering breast cancer, prostate cancer, lung cancer, colorectal cancer and hematological-based cancers including Leukemia, Lymphoma, Myeloma and Myeloproliferative disorders. There is still time to register for this special event which takes place January 14 and 15, from 8 a.m. to-5 p.m. (Jan. 14) and from 8 a.m. to noon (Jan. 15) at the Westin Kierland Resort and Spa in Scottsdale. This free 2-day event includes a continental breakfast, refreshments, lunch and reception. This event is open to both patients of Mayo Clinic and non-Mayo patients as well as their loved ones. Please visit: http://www.mayoclinic. org/arizona/living-with-cancer.html for additional information. Or you may call 480-342-3490 to ask questions and register for the event.

Phoenix Campus

5777 E. Mayo Blvd | Phoenix, AZ 85054 | 480.301.8000

Scottsdale Campus

13400 E. Shea Blvd | Scottsdale, AZ 85259 | 480.301.8000

or: C K Y M

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Time: 12-30-2011 18:54 Product: PNIBrd PubDate: 01-04-2012 Zone: LivingWell Edition: 1 Page: LW-FullPageFCAd-A Col-

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