Living Well AZ - June 2013

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THE ARIZONA REPUBLIC

A SPECIAL PUBLICATION CREATED BY REPUBLIC MEDIA CUSTOM PUBLISHING

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HEALTHCARE NEWS YOU CAN USE FOR YOUR WHOLE FAMILY

Vol. 3, No. 6

June 2013

IN THIS ISSUE: COVER/03: HEART HEALTH COVER: CLINICAL TRIALS COVER: RUOK? 02: DNR ORDERS 04: FACE IN THE MIRROR 04/05: SUPPORT GROUPS 05: TOP EVENTS

HEALTHCARE News

RUOK? Are You Okay? aids vulnerable community members with daily telephone checks RUOK — Are You Okay? — is a free telephone service offered by the Maricopa County Sheriff’s Office (MCSO). It is designed to help the elderly and others by offering a daily automated check-in phone call. “The system will call them at a designated time of day to make sure everything is okay with them,” said MCSO communications supervisor Lisa Leitch. About 115 people now take advantage of the free program which was started about ten years ago by the Sun City Posse but is now run by MCSO.

How it works

“The system will call a number three times and if there is no response, it goes to an audible alert. A call for service is entered and we will notify the local Sheriff’s Posse to visit the residence. If there is no Posse in the area, a Sheriff’s deputy will respond,” Leitch said. RUOK is now set up in Sun City, Sun City West, Litchfield Park, Youngtown, Queen Creek, Cave Creek, Carefree, Fountain Hills and other areas covered by the MCSO. While RUOK is mostly for the elderly or those in a vulnerable position, Leitch said it can be done on a short-term basis if someone is sick and has no one to check on them, for the disabled, and even for latch-key kids.

RICK D’ELIA

BY RODNEY PLATT

Cardiologist Warren Breisblatt, M.D., of the John C. Lincoln Heart Institute in Phoenix said that since high blood pressure (hypertension) puts people at increased risk for heart attack, most cardiologists want the majority of their patients’ blood pressure to register under 120/80.

Heart news and you Knowing the facts can help keep you heart-healthy

BY DEBRA GELBART

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ecause heart disease is usually incremental, many people have an opportunity to prevent it before the disease becomes severe. And for those who can’t avoid heart disease, new medical and surgical advancements can help them live longer than those in any previous generation. We asked local heart specialists how they define heart disease, what can be done to prevent it and what the most prominent risk factors are as it relates to heart disease.

How to sign up

Leitch said there are no set qualifications to sign up for the program. “You just sign up with two forms: a waiver of liability and a field interview form,” she said. “With the field interview form, we ask a lot of confidential information such as family members, emergency contacts, a neighbor who has a key, clergy, etc.” Leitch said interested people should call 602-876-1000 and ask for the RUOK coordinator, or you can contact the local Posse and set it up with them. “A Posse member can go to your home, explain the process and get your information, which is then entered into an MCSO database,” Leitch said. A list of local Posses is online at mcso.org/About/Posse.aspx. Litchfield Park has the form online as a free service to the community at litchfield-park.org.

What is heart disease?

Technically, “any condition that limits your abilities, function, comfort or lifespan can be part of heart disease,” said Robert Strumpf, M.D., an interventional cardiologist with the Arizona Heart Institute in Phoenix. “Cardiovascular disease affects the brain and the extremities, too.” Heart disease can be a problem with blood flow, rhythm or structure, such as the valves of the heart, explained Kevin Brady, M.D., a Phoenix cardiovascular surgeon at Southwest Heart and Lung and affiliated with St. Joseph’s Hospital and Medical Center. “When we say ‘heart disease’, there may be other things going on, such as kidney disease, blockages in the carotid artery or a problem with the blood supply to the legs.” Doctors continue to emphasize heart disease prevention, “because when the horse is out of the barn we can’t always get it back in,” Strumpf said. “It’s much easier to prevent a problem than to treat it.”

Risk factors

Kevin Brady, M.D., a cardiovascular surgeon at Southwest Heart and Lung, said that transcatheter aortic valve replacement is a solution for people who are not a good candidate for full surgery.

All risk factors except family history or genetic predisposition can be modified, said Strumpf, Brady and cardiologist Warren Breisblatt, M.D., of the John C. Lincoln Heart Institute in Phoenix. The greatest risks come from smoking, high blood pressure, high cholesterol, diabetes, stress, obesity and a sedentary lifestyle. In addition, elevated levels of C-reactive protein (a protein found in the blood that rises in response to Continued on page 3 HEART HEALTH

Clinical trials – an overview First in a series about clinical trials in Arizona

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lot of people mistakenly believe that patients in clinical trials have no other options for survival, said Joyce Schaffer, R.N., M.S.N., the patient care coordinator for clinical cancer trials at Virginia G. Piper Cancer Center. The Virginia G. Piper Cancer Center Clinical Trials Program is a partnership between Scottsdale Healthcare and the Translational Genomics Research Institute in Phoenix (TGen); all of the cancer trials are conducted at the Piper Cancer Center.

Myths vs. realities

“It’s a myth that most patients in clinical trials are terminally ill,” Schaffer said. “The best candidates for clinical trials are people in otherwise good health. Ideally, we’re looking for patients who not only meet the study’s criteria, but also have good liver

“Depending on the type of cancer you have, one of the best times to enroll in a clinical trial can be right after you’ve been diagnosed.” — Joyce Schaffer, R.N., M.S.N., Virginia G. Piper Cancer Center

and kidney function and can walk and take care of themselves. Depending on the type of cancer you have, one of the best times to enroll in a clinical trial can be right after you’ve been diagnosed.” Another myth associated with clinical trials concerns placebos. It’s unusual for cancer patients to receive only a placebo

BY DEBRA GELBART

in a clinical trial, Schaffer said, noting that currently no cancer trials in her program are using a placebo. “Placebos can be administered in a clinical trial for rare cancers for which there is no evidencebased standard of care treatment,” she said. More typically, said Shaun Opie, Ph.D., research operations director at Banner Research, “patients receive at the very least the standard of care for the particular diagnosis connected to the study.” He added that placebo use is more common in non-cancer patients, but its use in any clinical trial is always carefully evaluated and approved by an ethics committee.

Finding a trial

Schaffer said that primary care doctors and specialists may not know about every trial, therefore, she encourages

patients and family members looking for cancer clinical trials to call her directly at 480-323-1339. Opie commented that interested individuals can also visit the U.S. National Institutes of Health website (clinicaltrials.gov) where there is a wealth of information related to clinical trials across the country.

Resources Banner Health: bannerhealth.com Mayo Clinic: mayo.edu Scottsdale Healthcare: shc.org St. Joseph’s: stjosephs-phx.org TGen: tgen.org


2 | LIVING WELL A-Z | WEDNESDAY, June 5, 2013

VITAL Signs

Do you need a DNR?

Understanding Do Not Resuscitate orders BY DOLORES TROPIANO

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DNR is a legal order that alerts the medical or emergency response community to not resuscitate a person in a situation involving the loss of heart or lung function. “It is specifically related to the heart and lungs,” said Edward Perrin, president of the Arizona Geriatrics Society and a family doctor specializing in geriatric, hospice and palliative medicine for Banner Health. “If the heart or lungs are failing, a DNR means no one will attempt to get the heart or lungs working with the help of medical interventions, chemical medications, machines or CPR.”

Communicating wishes

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EXPERTS PAIN RELIEF Dr. Theodore Manos Dr. Manos is a Board Certified Specialist in Anesthesiology and Pain Management. He specializes in procedures such as epidural steroid treatments and facet joint block procedures that can relieve lower back pain and help improve patient’s daily comfort level. Whether it’s arthritis, a herniated disc, sciatica or spinal stenosis of the lower back, his treatments can help patients regain mobility and functionality. These treatments can help eliminate or reduce the use of oral pain medications that patients may be taking on a regular basis. Anyone experiencing chronic lower back pain may be a candidate. In most cases, pain therapy can last for long periods of time. During the first appointment Dr. Manos will evaluate the patients’ unique condition and develop a treatment plan specific to their needs. Cigna Medical Group | Outpatient Surgery Center 3003 N. 3rd Street, 2nd Floor Phoenix, AZ 85012 602.282.9600

Medical wishes are expressed through a Prehospital Medical Care Directive form that can be found in a doctor’s office or can be printed off of the Attorney General’s website on letter-sized, staterequired orange paper. DNRs must be signed by a doctor and should be placed on a refrigerator or otherwise prominently displayed to make it obvious and easy for emergency personnel to see. Perrin explained that patients in a hospital or nursing home may be given a DNR bracelet so staff knows their wishes. In addition, the Secretary of State’s office has a registry of advance directives and provides those registered with wallet cards.

Who should have a DNR?

“Any senior citizen looking at lifeplanning documents such as wills and powers of attorney should at least review a DNR to determine if they want one,” said Linda Arters, elder care advocate and a former licensed EMT in Arizona. If a clear conversation concerning end-of-life wishes takes place between an individual and their family and doctor, there should be no legal issues. Problems arise when a person’s wishes are unknown and caretakers are in conflict about medical decisions. “A family is going to be distraught in a situation where a 911 crew is called where there is no DNR and they have different opinions about what to do,” Arters said. “In an emergency response, if there are any doubts, procedural treatment would proceed.”

Resources Arizona Attorney General: azag.gov/seniors/life-care-planning Arizona Department of Health Services: azdhs.gov/bems/resources/ DNR.htm Arizona Secretary of State: azsos.gov/adv_dir/

General Manager: CAMI KAISER, ckaiser@republicmedia.com A division of The Arizona Republic. 200 E. Van Buren St., Phoenix, AZ 85004

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

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 healthcare 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.

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: LISA QUIRIN, lisa_q@me.com Republic Media Intern: NICK KOSTENKO Advertising: RHONDA PRINGLE, 602-444-4929, rpringle@republicmedia.com. For general advertising inquiries, contact Republic Media at 602-444-8000.

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Learn more—and get a FREE gift***! Attend one of our fun valley-wide seminars. To RSVP and to find one near you: Call 1-855-298-4379 (TTY 711) 7 days a week, 8 am - 8 pm or Visit stillu.cignamedicareaz.com *You must continue to pay your Medicare Part B premium. **Plan performance star ratings are assessed each year and may change from one year to the next. ***No obligation to enroll. “Cigna” and the “Tree of Life” logo are registered service marks and “GO YOU” is a service mark of Cigna Intellectual Property, Inc., licensed for use by Cigna Corporation and its operating subsidiaries. All products and services are provided by or through such operating subsidiaries, including Cigna HealthCare of Arizona, Inc., and not by Cigna Corporation. Cigna HealthCare of Arizona, Inc. is a Medicare Advantage organization with a Medicare contract and a Dual special needs plan contract with the Arizona Medicaid (AHCCCS) program. As of the date of publication, Cigna Medicare Select Plus Rx plans are offered to employers and individuals in Maricopa County and certain zip codes in Pinal County, Arizona only. H0354_162013a CMS Accepted AR-0008020205-01

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RICK D’ELIA

Continued from cover HEART HEALTH

Cardiologist Kevin Brady, M.D., talks with Frederick McBride of Phoenix about the transcatheter aortic valve replacement.

inflammation), presents a hint of higher risk for heart disease, said Fredric Klopf, M.D., a cardiologist with Cardiac Solutions and affiliated with Banner Baywood Medical Center in Mesa.

Blood pressure

High blood pressure (hypertension) puts people at increased risk for heart attack or stroke, Breisblatt pointed out, and doctors are getting more aggressive about managing blood pressure. Two decades ago, most doctors told their patients that any blood pressure reading under 140/90 was acceptable. Today, most cardiologists want the majority of their patients’ blood pressure to register under 120/80, Breisblatt said. That’s especially important for patients with other risk factors, he said. If lifestyle changes can’t bring down blood pressure, he recommends medication for most patients with stubborn hypertension. For high cholesterol that doesn’t budge enough from lifestyle adjustments, cholesterol-lowering drugs — called statins — have an anti-inflammatory effect on the lining of blood vessels in the brain and in the peripheral arteries, Breisblatt said. High C-reactive protein levels also can be managed with statins, he said.

Family history

Family history as a significant risk is broadly defined for men as having at least one close male relative (father, brother, uncle or grandparent) who

“Smoking, high blood pressure, high cholesterol and diabetes, plus family history, explain 80 percent of all blockages in arteries.” — Robert Strumpf, M.D., interventional cardiologist, Arizona Heart Institute

develops heart disease before age 50, Breisblatt said. For women, any close female relative who develops heart disease before menopause (or shortly after) translates into a significant family history, Breisblatt added. The more close relatives you have with heart disease, the greater your risk, especially if they were diagnosed by age 60, he said. Significant family history requires regular screenings from an early age, Brady said. People in this situation should start talking to their primary care doctor about screenings such as an electrocardiogram, echocardiogram or a stress test about 10 years before the age their relative was when he or she was diagnosed with heart disease, Brady said.

Resources American Heart Association: heart.org

Can you guess this woman’s age? Is she

38? Maybe

42?

46 according to her heart. Surprised?

What’s your

Heart Age? 35%" #46 (7-6 &#4: 7<-:6 -9< 58 ,& 6-15%9 #4: 5%;#:'-652< -88<88'<%6) .6 #%/& 6-1<8 +2< '5%46<8 -%" !:#25"<8 -% <2-/4-65#% #; &#4: 7<-:6 7<-/67) 07< ;:<< 6<86 $#'!-:<8 &#4: -$64-/ -9< 6# &#4: 7<-:6*8 ,5#/#95$-/ -9< -%" calculates your risk for cardiovascular disease. You may be on course for continued heart health, or you may be at a higher risk than you think. Learn where you stand and take action for your heart.

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4 | LIVING WELL A-Z | WEDNESDAY, June 5, 2013

Face in the Mirror Foundation Non-profit provides ‘medicine for the spirit’ for cancer patients BY ALISON STANTON

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hen Barbara MacLean’s sister, Charlotte Mae McCracken, was fighting breast cancer, MacLean offered to make her feel better by fixing her wig and giving her a makeover. After applying makeup to her sister’s face, drawing in an eyebrow and combing her wig, Charlotte asked MacLean to promise to do this for others after she was gone. At that moment, MacLean realized there was a great need to help people like her sister in ways that were not related to medicine…and Face in the Mirror (FIM) was born.

The gift of pampering

“Many women can deal with the cancer itself,” MacLean said. “But if they lose their hair, they often are totally depressed without much hope of ever ‘finding themselves’. We can help give that back to them.” Through the gift of pampering — facials, foot and hand massages, wigs, hats, books, music and more — MacLean said Face in the Mirror helps people “find calm in the midst of their personal storm.”

Over 30,000 visits

Since 2004, MacLean’s team of volunteers has visited over 30,000 people with cancer. She has also started two additional programs: All About Us Kids and FIM4Men. MacLean said the non-profit organization works with many Valley hospitals and medical facilities including Banner Good Samaritan, Banner Desert, St. Joseph’s, Barrow Neurological, Phoenix Children’s and Maricopa Integrated Health Systems. “We also partner with Hospice of the Valley,” she added.

Regaining dignity

When she sees a woman with cancer who is feeling despondent regain her sense of dignity and hope, MacLean said she knows that Face in the Mirror is providing an essential service. “It’s not medicine — but it’s medicine for the soul,” she said. “We are lifting dignity to another level and we are healing in another way.”

Resources

June Take advantage of more than 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.

UNITED BLOOD SERVICES BLOOD DRIVE June 13, 7–11 a.m. Tempe St. Luke’s 1500 S. Mill Ave., Tempe Register: 877-351-9355

WELLNESS

HEALTH TUNES FROM THE iDOC June 14, noon–1 p.m. By Tempe St. Luke’s at Tempe Public Library 3500 S. Rural Rd., Tempe Register: 877-351-9355

FORTIFY YOUR BONES Various dates, times & locations By Banner Health 602-230-2273 WALKING GROUP Various dates, times and locations By Humana Guidance Center Register: 480-325-4707 WEIGHT LOSS SURGERY SEMINARS Various dates, times & locations By Scottsdale Healthcare Register: bariatricsurgeryaz.com; 480-882-4636 WEIGHT LOSS SURGERY SEMINARS Various dates, times & locations By St. Luke’s Medical Center Register: 800-248-5553 MAKOPLASTY HIP REPLACEMENT SEMINAR June 6, 6–7 p.m. Arrowhead Hospital 18701 N. 67 Ave., Glendale Register: azhealthyhours.com; 855-292-9355 LOSE WEIGHT NOW June 11, 6–7 p.m. 1727 E. Bell Rd., Phoenix Register: medicalweightlossphx.com; 602-867-7246 ROBOTIC KNEE SURGERY June 11, 6–7:30 p.m. Scottsdale Healthcare Thompson Peak 7400 E. Thompson Peak Pkwy., Scottsdale Register: azkneereplacement.com; 480-882-4636 OSTEOPOROSIS SEMINAR June 12, 10–11 a.m. Humana Guidance Center 5943 E. McKellips Rd., Mesa 480-325-4707 HEALTHY SUMMER EATING June 12, 12:30–1:30 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-351-9355

For more information about the free services provided to cancer patients by Face in the Mirror Foundation, visit faceinthemirror.org.

HEART/STROKE CONGESTIVE HEART FAILURE June 12, 19 & 26, 6:30–7:30 p.m. Chandler Regional 1955 W. Frye Rd., Chandler 877-728-5414 STROKE SURVIVOR June 13, 2:30–4 p.m. Chandler Regional 1875 W. Frye Rd., Chandler 877-728-5414

TOTAL HIP REPLACEMENT June 18, 6–7:30 p.m. Scottsdale Healthcare Thompson Peak 7400 E. Thompson Peak Pkwy., Scottsdale Register: azhipreplacement.com; 480-882-4636

CAREGIVER SUPPORT June 17, 1:30–3 p.m. By Tempe St. Luke’s at Pyle Adult Rec Center 655 E. Southern Ave., Tempe Register: 877-351-9355

MAKOPLASTY KNEE REPLACEMENT SEMINAR June 19, 6–7 p.m. Arrowhead Hospital 18701 N. 67 Ave., Glendale Register: azhealthyhours.com; 855-292-9355

STROKE SUPPORT GROUP June 18, 3–4 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-9355

SKIN CANCER 101 June 20, noon–1 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-351-9355 METABOLIC SYNDROME RISKS June 20, 6:30–8 p.m. Banner Health Center 20751 W. Market St., Buckeye 602-230-2273 ALTERNATIVES TO SPINE SURGERY June 25, 6–7 p.m. 1727 E. Bell Rd., Phoenix Register: spineanddisc.com; 602-765-7246 MINIMALLY INVASIVE SPINE SURGERY June 27, 6–7:30 p.m. Scottsdale Healthcare Thompson Peak 7400 E. Thompson Peak Pkwy., Scottsdale Register: shc.org/events; 480-882-4636

PROSTATE CANCER US TOO SUPPORT GROUP June 10, 7 p.m. St. Joseph’s 350 W. Thomas Rd., Phoenix 623-242-3131

ATRIAL FIBRILLATION, CRYOABLATION June 25, 9:30–10:30 a.m. Banner Boswell 13180 N. 103 Dr., Sun City Register: 602-230-2273 STROKE CAREGIVER June 27, 2:30–3:30 p.m. Mercy Gilbert 3420 S. Mercy Rd., Gilbert 877-728-5414

DIABETES TAKING CONTROL OF DIABETES Various dates, 6–7 p.m. Phoenix Baptist Hospital 2040 W. Bethany Home Rd., Phoenix Register: pastoralcareaz.org; 602-841-5505 DIABETES SUPPORT GROUP June 10, 3–4 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-9355 DIABETES SUPPORT GROUP June 13, 1–2 p.m. St. Luke’s 1800 E. Van Buren St., Phoenix Register: 877-351-9355 DIABETES PUMPERS GROUP June 18, 7–8 p.m. By Mercy Gilbert at Rome Towers 1760 E. Pecos Rd., Gilbert 877-728-3535

MANAGING DIABETES June 21, noon–1 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-9355

ALZHEIMER’S/ DEMENTIA ALZHEIMER’S & MEMORY SUPPORT GROUP Various dates, times & locations (Sun City & Surprise) By Benevilla Register: 623-584-4999 LEWY BODY DEMENTIA June 7, 12:30–2 p.m. Banner Alzheimer’s Institute 901 E. Willetta St., Phoenix Register: 602-839-6850 SUPPORT GROUP Lunch provided June 16, 11 a.m.–12:30 p.m. St. Joseph’s Huger Mercy 2345 W. Orangewood Ave., Phoenix 623-406-5600 CAREGIVER SUPPORT (DUET) June 18, 12:30–2 p.m. Church of the Beatitudes 555 W. Glendale Ave., Phoenix 602-274-5022 MEMORY SCREENING June 21, 9 a.m.–2 p.m. Banner Alzheimer’s Institute 901 E. Willetta St., Phoenix Register: 602-230-2273 PLANNING AHEAD FOR CAREGIVERS June 27, 10 a.m.–noon Banner Alzheimer’s Institute 901 E. Willetta St., Phoenix Register: 602-839-6850

SENIORS CATARACTS & CATARACT SURGERY June 10, noon–1 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-351-9355 MEDICATION CHECKS June 11, 10–11 a.m. Tempe St. Luke’s 1500 S. Mill Ave., Tempe Register: 877-351-9355

SPECIAL ADVERTISING FEATURE

Finding the Advantages in Medicare Advantage By Kristi Thomason

Vice President of Medicare Administration Cigna HealthCare of Arizona taying healthy used to be as easy as following a few simple rules – Eat right. Exercise. Get adequate sleep.

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While those basic guidelines still apply, there’s so much more to think about as we age. To get the most value from your health care, it’s essential to have good partners on your side. Good health care is not just about treating illness. It’s about improving health and living life to the fullest. Navigating Medicare Choices All persons aged 65 and older, or those disabled for longer than 24 months, are eligible for Medicare services. Original Medicare, provided directly through the federal government and the Centers for Medicare & Medicaid Services (CMS), charges a monthly premium for hospital and medical coverage, which represents Medicare Parts A and B. However, that does not include prescription drug coverage or other supplemental coverage, such as vision, dental or hearing, or provide a limit to out-of-pocket spending. Many seniors choose additional healthcare coverage outside of Original Medicare to protect their financial and physical well-being. The most popular options are Medicare Advantage or supplement plans such as Medigap policies. In order to qualify for Medicare Advantage or supplement plans, you must have both Medicare Parts A and B and continue to pay your Part B monthly premium, as stipulated by CMS. When making your Medicare choices, some important questions to ask include: • Are my prescription drugs covered? • What are the copay amounts for primary care, specialist and hospital visits? • Do the doctors and hospitals in the provider network meet my needs? • Are there coinsurance or deductible amounts associated with procedures and/or visits? • Is there a limit on out-of-pocket spending for both prescription drugs and other care needs? • What extra benefits are offered (dental, vision, hearing, fitness club, etc.)? Medicare Advantage and You Today, about 1 in 4 people eligible for Medicare choose a Medicare Advantage plani. Many

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seniors choose Medicare Advantage, commonly referred to as Medicare Part C, because it’s an all-around good value: the extra benefits over and above original Medicare contribute to high quality coordinated care and outcomes – all at an affordable cost. As the name implies, the advantages of Medicare Advantage lie in the extra benefits not covered by Original Medicare. But not all Medicare Advantage plans are created equal. While many Medicare Advantage plans include options with zero or low monthly premiums, they vary in price and the extra benefits they offer, so it’s important to compare the plans available in your area and talk to your doctor and family about what is right for you, both physically and financially. Enrollment Guidelines Knowing when to enroll for Original Medicare and exploring Medicare Advantage options can be confusing. In the simplest terms, you can sign up: • When you turn 65. You can sign up during the 7-month period that begins 3 months before the month you turn 65, includes the month you turn 65, and ends 3 months after the month you turn 65. • If you move to a new address that isn’t in your plan’s service area. • If you leave coverage from your employer or union (including COBRA coverage). • If you have a chronic condition, and there is a Medicare Chronic Care Special Needs Plan (SNP) available that serves people with your condition. • If you qualify for Extra Help with Medicare prescription drug costs. • During the Annual Enrollment Period, from October 15th to December 7th Looking ahead Education is an important part of this process and it’s never too early to start preparing. Start asking questions now so when you are eligible for Medicare enrollment you get the care that suits both your lifestyle and your wallet. Call 1-800-MEDICARE (TTY: 1-877-486-2048) (available 24 hours a day, 7 days a week) today to learn more and see if you qualify to enroll. Locally, our Cigna Medicare experts can be reached at 1-800-532-6460 (TTY 711) to help answer your questions and discuss plan options available to you. Representatives are available 7 days a week, 8 am – 8 pm. Centers for Medicare & Medicaid enrollment data, April 2012.

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EXPERTS PEDIATRICS Suzanne Nielsen, MD Dr. Nielsen is a board-certified pediatrician who cares for children from the newborn stage through the teenage years. Originally from Philadelphia, Penn., she received her medical degree there from the Temple University School of Medicine. Dr. Nielsen then completed her residency at the Jefferson Medical College/A.I. DuPont Hospital for Children in Wilmington, Del. She is a fellow of the American Academy of Pediatrics.

Banner Health Center Specializing in Pediatrics 155 East Warner Road • Gilbert 480.649.6600 • www.BannerHealth.com/HealthCenterGilbert

FAMILY MEDICINE David Patchett, D.O. Dr. Patchett is a board-certified doctor of osteopathy who specializes in family practice. Prior to receiving his doctorate of osteopathic medicine from The University of New England College of Osteopathic Medicine in Biddeford, Maine, he graduated with a bachelor’s degree in nutrition from Arizona State University in Tempe. Dr. Patchett completed his internship and residency at the Mayo Clinic Scottsdale Family Medicine program followed by a Faculty Development Fellowship at the University of Arizona. He is certified by the American Board of Family Medicine and the American Osteopathic Board of Family Physicians and serves on the editorial board of the Journal of the American Osteopathic Association. Banner Health Center Specializing in Family Medicine 155 East Warner Road • Gilbert 480.649.6600 • www.BannerHealth.com/HealthCenterGilbert

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

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WEDNESDAY, June 5, 2013 | LIVING WELL A-Z | 5

TOP Events

FACING FORWARD June 12, 1–3 p.m. By Scottsdale Healthcare at Virginia G. Piper Cancer Center 10460 N. 92 St., Scottsdale Register: shc.org/events; 480-882-4636

CANCER SUPPORT EASIER EATING COOKING CLASSES June 7 & 21, noon–1:30 p.m. By Scottsdale Healthcare at Virginia G. Piper Cancer Center 10460 N. 92 St., Scottsdale Register: shc.org/events; 480-882-4636 CAVE CREEK CANCER SUPPORT June 8, 10 a.m.–noon By Scottsdale Healthcare at Good Shepherd Episcopal Church 6502 E. Cave Creek Rd., Cave Creek Register: 480-488-3283 LUNG CANCER June 8, 1–3 p.m. By St. Joseph’s at The Wellness Community 360 E. Palm Ln., Phoenix 602-712-1006 REFLUX & LUNG CANCER Continental breakfast provided June 15, 9–11 a.m. By St. Joseph’s at Rio Vista Rec Center 8866 W. Thunderbird Rd., Peoria Register: 800-602-4111 GENETIC RELATIONSHIPS IN CANCER Free valet parking; dinner provided June 20, 6-7:30 p.m. Banner Good Samaritan 1111 E. McDowell Rd., Phoenix RSVP: 602-839-4970 or 602-527-3776 ORAL, HEAD & NECK June 20, 6:30–8 p.m. Virginia G. Piper Cancer Center 10460 N. 92 St., Scottsdale 602-439-1192

BREAST CANCER BOSOM BUDDIES SUPPORT GROUPS Various dates, times & locations Ahwatukee/Chandler: 480-893-8900 East Valley: 480-969-4119 Scottsdale: 623-236-6616 West Valley: 623-979-4279 YOGA FOR RECOVERY June 6 & 20, 6–8 p.m. By John C. Lincoln and The Wellness Community 19841 N. 27 Ave., Phoenix 602-712-1006 THRIVE! YOUNG BREAST CANCER SURVIVOR GROUP June 11, 6–8 p.m. By John C. Lincoln and The Wellness Community 19646 N. 27 Ave., Phoenix 602-712-1006 BREAST CANCER LEARN & SUPPORT June 13 & 27, 6–8 p.m. By John C. Lincoln and The Wellness Community 19646 N. 27 Ave., Phoenix 602-712-1006 COOKING FOR WELLNESS June 18, 6–8 p.m. By John C. Lincoln and The Wellness Community 19646 N. 27 Ave., Phoenix 602-712-1006 FOR MEN ONLY (For male caregivers) June 27, 6–8 p.m. John C. Lincoln 19646 N. 27 Ave., Phoenix 602-780-4673

CAREGIVERS SUPPORT GROUP (DUET) Various dates, times & locations 602-274-5022 DANCE, EXERCISE, YOGA, ART & TAI CHI Various dates, times & locations By the Muhammad Ali Parkinson Center Register: 602-406-6903 SUPPORT GROUP June 11 & 12, 1–2 p.m. HealthSouth Valley of the Sun 13460 N. 67 Ave., Glendale 623-878-8800 SUPPORT GROUP June 18, 3–4 p.m. By Benevilla and the Muhammad Ali Parkinson Center at Shepherd of the Hills United Methodist Church 13658 Meeker Blvd., Sun City West Register: 623-584-4999

BREASTFEEDING NURSING MOMS SUPPORT Various dates & times Banner Del E. Webb 14502 W. Meeker Blvd., Sun City West 602-230-2273 BREASTFEEDING June 7, 14, 21 & 28, 10 a.m. Mercy Gilbert 3555 S. Val Vista Dr., Gilbert 877-728-5414 BREASTFEEDING June 10, 17 & 24, 10–11:30 a.m. St. Joseph’s 350 W. Thomas, Phoenix 602-406-4954 BREASTFEEDING June 12, 19 & 26, 11 a.m. Chandler Regional 1875 W. Frye Rd., Chandler 877-728-5414

PARENTING CHILDBIRTH EDUCATION (2–WEEK CLASS) Various dates, 6:30–9:30 p.m. Maryvale Hospital 5102 W. Campbell Ave., Phoenix Register: azhealthyhours.com; 855-292-9355 GRANDFAMILIES RAISING GRANDCHILDREN By Benevilla Various dates, times & locations (Peoria & Surprise) 623-207-6016 GRANDPARENTS RAISING GRANDCHILDREN By Duet Various dates, times & locations 602-274-5022 SUPPORT THROUGH OTHER PARENTS (STOP) Various dates & locations, 7–9 p.m. 623-846-5464 POSTPARTUM DEPRESSION June 12, 19 & 26, 1–2:30 p.m. Chandler Regional 1875 W. Frye Rd., Chandler 877-728-5414 GUARDIANSHIP CLINIC (DUET) June 15, 3–5 p.m. Church of the Beatitudes 555 W. Glendale Ave., Phoenix Register: 602-274-5022 BIRTH PARENT SUPPORT June 27, 6–8 p.m. St. Joseph’s 350 W. Thomas Rd., Phoenix 888-818-4445

GASTROINTESTINAL

Ongoing Medicare Advantage Plans Seminar

SOLVING DIGESTIVE DISORDERS June 22, 9–10:30 a.m. Banner Health Center 17900 N. Porter Rd., Maricopa Register: bannerhealth.com/230care; 800-230-CARE (2273) CELIAC DISEASE July 3, 7–8:30 p.m. Paradise Valley Retirement Center 11645 N. 25 Pl., Phoenix 623-587-8885

RESPIRATORY BETTER BREATHERS June 19, 2–3 p.m. Chandler Regional 1875 W. Frye Rd., Chandler 877-728-5414 BETTER BREATHERS June 27, 1:30 p.m. John C. Lincoln 250 E. Dunlap Ave., Phoenix 602-870-6060

BRAIN BRAIN INJURY & CAREGIVER June 6, 6:30–7:30 p.m. HealthSouth Valley of the Sun 13460 N. 67 Ave., Glendale 602-508-8024 SYRINGO & CHIARI June 20, 11 a.m.–1 p.m. St. Joseph’s Outpatient Rehab 114 W. Thomas Rd., Phoenix 623-561-9606 BRAIN TUMOR June 27, 6–8 p.m. St. Joseph’s 350 W. Thomas Rd., Phoenix 623-205-6446

CAREGIVERS ONLINE NETWORKING (DUET) Various dates & times Register: DuetAZ.org (Events tab) 602-274-5022 SUPPORT GROUPS (DUET) Various dates, times & locations 602-274-5022 CAREGIVER SUPPORT June 5 & July 3, 10:30 a.m. By John C. Lincoln at Cowden Center 9202 N. Second St., Phoenix 602-870-6374 SUPPORT GROUP June 10 St. Joseph’s Outpatient Rehab 114 W. Thomas Rd., Phoenix Call for time: 602-406-6688 SUPPORT GROUP June 14, 2:30–4 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-351-9355 SUPPORT GROUP June 21, 9–10 a.m. By Benevilla and the Area Agency on Aging at Birt’s Bistro 16752 N. Greasewood St., Surprise Register: 623-584-4999

ADDITIONAL SUPPORT GROUPS AMPUTEE SUPPORT June 11, 6–7 p.m. HealthSouth Valley of the Sun 13460 N. 67 Ave., Glendale 602-334-5358 PAIN SUPPORT GROUP June 14 & 27, 6–8 p.m. HealthSouth Valley of the Sun 13460 N. 67 Ave., Glendale 623-334-5437

Please call to confirm reservations and cost (if any).

Ongoing classes for seniors • 55+ Alive Aerobics • Silver Sneakers Exercise Programs • Silver Splash Water Fitness • Yoga WHAT: 55+ Alive: Low-impact aerobics classes designed to improve balance, strength and overall fitness. Silver Sneakers: Beginner and advanced workout classes. Silver Splash: In-water classes designed to improve agility, flexibility and endurance (no swimming skills required). Yoga: Designed to increase flexibility and range of movement. WHERE: Various YMCA locations TIME: Call for schedule and locations COST: $10 for YMCA Program members; free for YMCA members INFO & REGISTER: 602-404-9622 or valleyymca.org

GRUPO DE APOYO EMOCIONAL (In Spanish) June 18, 6–7:30 p.m. By St. Joseph’s and the Latino Cancer Outreach Task Force 350 W. Thomas Rd., Phoenix 602-567-7640 MEN’S DISABILITY ISSUES June 20, 5:30–7 p.m. Disability Empowerment Center 5025 E. Washington St., Phoenix donp@abil.org; 602-980-3232 GRIEF & BEREAVEMENT SUPPORT June 21, 10–11 a.m. By Benevilla at Birt’s Bistro 16752 N. Greasewood St., Surprise Register: 623-584-4999 MULTIPLE SCLEROSIS (WOMEN) June 22, 10 a.m. St. Joseph’s 350 W. Thomas Rd., Phoenix 480-829-6563

POISON CONTROL Banner Good Samaritan Poison and Drug Information Center hotline: 800-222-1222

BARIATRIC PROGRAM Hear about medical & surgical treatments for obesity.

WHAT: Learn about Medicare Advantage HMO plans from Cigna. A salesperson will be present with information and applications. For accommodation of persons with special needs at sales meetings, call 855-298-4382 (TTY 711). WHERE: Cigna Medical Group locations throughout the Valley TIME: Morning and afternoon seminars are available COST: Free seminar; receive a free no-obligation gift SPONSORED BY: Cigna INFO & REGISTER: 855-298-4382

June 14 or 28 Babysitting Class WHAT: Half-day babysitting training for teens and pre-teens 11 years and older. Basic information about CPR, infant care, activity planning, safety, etc. A CPR certification card will not be issued for this class. WHERE: Banner Desert Medical Center, 1400 S. Dobson Rd., Mesa TIME: 9 a.m.–1 p.m. COST: $35 INFO & REGISTER: 480-230-CARE or bannerhealth.com/230care

WHAT: Learn about treatment, symptom and/or side effect management, lifestyle maintenance and more. For patients as well as friends and family. WHERE: The Wellness Community, 360 E. Palm Lane, Phoenix TIME: 6–8 p.m. COST: Free OFFERED BY: Bayer HealthCare and Onyx Pharmaceuticals INFO & REGISTER: 602-712-1006 or twccaz.org or cancersupportcommunity.org

LASER SPINE INSTITUTE: laserspineinstitute.com

BANNER HEALTH: bannerhealth.com

MOUNTAIN VISTA MEDICAL CENTER: mvmedicalcenter.com

BARNET DULANEY PERKINS EYE CENTER: goodeyes.com

PHOENIX CHILDREN’S HOSPITAL: phoenixchildrens.com

BARROW NEUROLOGICAL INSTITUTE:thebarrow.org

MAYO CLINIC: mayoclinic.com MERCY GILBERT MEDICAL CENTER: mercygilbert.org

SCOTTSDALE HEALTHCARE: shc.org

CARDON CHILDREN’S MEDICAL CENTER: bannerhealth.com

ST. JOSEPH’S HOSPITAL AND MEDICAL CENTER: stjosephs-phx.org

CHANDLER REGIONAL MEDICAL CENTER: chandlerregional.org

ST. LUKE’S MEDICAL CENTER, PHOENIX: stlukesmedcenter.com

CIGNA: cigna.com

TEMPE ST. LUKE’S HOSPITAL: tempestlukeshospital.com

JOHN C. LINCOLN HOSPITAL: jcl.com

MEDICARE ADVANTAGE PLANS

TUES., JUNE 18:

Saturday, June 8, 2013 9 AM – 12 PM

(480) 342-2869 MayoClinic.org/Arizona

June 27 Liver Cancer Workshop

ABRAZO HEALTH CARE (AZ Heart Institute and AZ Heart, Arrowhead, Maryvale, Paradise Valley, Phoenix Baptist and West Valley hospitals): abrazohealth.com

Join us at our community open house.

6-6:45PM

WHAT: Half-day workshop for grandparents who are raising their grandchildren. Includes seminars on establishing healthy relationships and dealing with substance abuse. WHERE: Christ Evangelical Lutheran Church, 918 S. Litchfield Rd., Goodyear TIME: 10 a.m.–1:30 p.m. COST: Free OFFERED BY: Duet INFO & REGISTER: 602-274-5022 (by June 14)

INFO Online

THURS., JUNE 6: 6-6:45PM

June 22 Confidence Building for Grandparents

2050 W. Southern Ave, Apache Junction, AZ 85120 www.BannerHealth.com/Events

AR-0008017586-01

Learn About Medicare Advantage HMO Plans from Cigna. A sales person will be present with information and applications. For accommodation of persons with special needs at sales meetings call 855.298.4382 (TTY 711).

WEEKLY

morning and afternoon seminars are available WHERE: Cigna Medical Group locations throughout the valley COST: Free seminar, receive a free no obligation gift

REGISTER: 855.298.4382

As a photographer, I can control how others see the world. When a routine colonoscopy discovered colorectal cancer, I took control by choosing ,(* &$*., ,*-% !"..'+#*) My answer was Mayo Clinic. $&*'21) $+.("-,(&"3 #*!/-)2%(3 40 Because of Mayo Clinic’s collaborative model of care, Richard had an entire team of experts focused on his recovery. Now, he is cancer-free and working with other survivors to share their lives through art and encourage people to get regular screenings. 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. To schedule an appointment, call (480) 301-8000.

Visit mayoclinic.org/arizona

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WOMEN & CANCER

PARKINSON’S

THINKSTOCK

HEART DISEASE & DIABETES June 24, noon–1 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-351-9355


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. Saturday, June 22 at 11 a.m.

Laser Spine Institute 8888 E. Raintree Drive 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/bulging disc ! Scoliosis ! Arthritis of the spine ! Pinched nerve

To register, call:

1-855-333-7854

or visit SpineSeminar.com

*As each patient is different, results may vary.

Medicaid currently not accepted.


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