LivingWell-Sept2012

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SPECIAL TOPIC SENIOR FITNESS THE ARIZONA REPUBLIC

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A SPECIAL PUBLICATION CREATED BY REPUBLIC MEDIA CUSTOM PUBLISHING

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HEALTH-CARE NEWS YOU CAN USE FOR YOUR WHOLE FAMILY

Vol. 22, No. 9

September 2012

HEALTH-CARE News

New pain hospital opening Freedom Pain Hospital is a new specialty hospital focusing on compassionate patient care, the diagnostic process, pain education and pain research. Piloted

by Steven Siwek, M.D., Freedom Pain Hospital will offer patients the ability to see multiple health-care providers representing multiple specialties at one facility so that physicians can collaborate on comprehensive treatment plans.

Freedom Pain Hospital is located at 17500 N. Perimeter Drive in Scottsdale.

Info: FreedomPainHospital.com or 480-586-2300

Training for advanced practice nurses Scottsdale Healthcare is one of five U.S. hospitals selected to participate in a fouryear, $200M initiative to help meet the need for primary-care practitioners. Funded by the U.S. Department of Health and Human Services (HHS), the initiative will focus on training advanced practice nurses.

In Arizona, the Graduate Nurse Education Demonstration will be used to support clinical training of more than 400 nurse practitioners and clinical nurse specialists. Training will be provided at Scottsdale Healthcare hospitals in partnership with the nursing schools at ASU, NAU, the University of Arizona and Grand Canyon University, as well as community-based care organizations representing more than 30 health-care settings across the state.

Funding is provided over four years by HHS’s Center for Medicare and Medicaid Innovation Center, which was created by the Affordable Care Act. The Innovation Center is tasked with fostering health-care transformation by finding new ways to pay for and deliver care that improves health while lowering cost. Info: shc.org or innovations.cms.gov/initiatives/GNE/

IN THIS ISSUE:

COVER/08: SENIOR FITNESS 02: UNINSURED RESOURCES 03: MANAGING MENOPAUSE 04: BLOOD CANCERS 04: SLEEP DISORDERS 05: CONCUSSIONS 06: SUPPORT GROUPS/EVENTS 07: SUPPORT GROUPS/EXPERTS 08: OVARIAN & PROSTATE CANCER 09: REUSABLE GROCERY BAGS

David Block leads and teaches a tai chi class at the Asian Art Center in Phoenix. He believes that tai chi is good for everyone, but said that it is especially good for seniors since the slow movements help strengthen muscles needed for good balance.

Fitness at any age!

Maintaining healthy fitness habits as we age

A

s we age, it can be daunting to figure out what’s best for our physical health as well as our emotional well-being.

“The term ‘fitness’ itself can be intimidating because of the image created for physical fitness,” said Jane Petrin, 62, a certified personal trainer, licensed massage therapist and credentialed Senior Fitness Specialist (SFS), a designation she recently earned through the Chandler-based National Academy of Sports Medicine. The SFS online education program focuses on flexibility, heart and lung health, and nutrition for older adults.

Any activity you like

“Nowhere does it say you have to run a 5K or go to the gym every day to be physically fit,” Petrin said. “Physical fitness can begin with any activity you like, whether that’s gardening, biking, walking, dancing or swimming.”

Petrin, who also is a credentialed corrective exercise specialist focusing on how improved movement can help with daily life functions, knows what it’s like to start a fitness journey in midlife. She walked into a gym for the first time when she was 51 and overweight “because I knew I had to start somewhere.” She slowly developed a routine and by the time she was 56, “I was in the best shape of my life and I was addicted to feeling good from exercise.”

By y The NUMBERS

BY DEBRA GELBART

Today Petrin’s passion is sharing her enthusiasm while at the same time helping older adults understand that they don’t have to exhaust or strain themselves to reap the benefits of activity.

Physical and psychological

Walter Nieri, M.D., a geriatrician and internal medicine physician and director of Banner Sun Health Research Institute’s Center for Healthy Aging, notes that without exercise you can lose some of your functional ability, making you more susceptible to disease processes and injuries. “It’s just as important to exercise if you have arthritis or weak muscles, because otherwise your injury susceptibility can increase, making you more prone to sprains, strains and torn ligaments,” he said.

SPECIAL TOPIC SENIOR FITNESS

“It’s never too late to start an exercise program.”

PHOTO RICK D’ELIA

Mountain Vista Medical Center is partnering with the Mesa Fire and Medical Department to more appropriately respond to low-level 911 calls. The partnership pairs a physician assistant or higher from the medical staff at Mountain Vista with a Mesa Fire and Medical paramedic captain.

This two-person unit is equipped with a private area to treat patients, prescribe medications and diagnose and treat illnesses, reducing the strain on the fire department, emergency medical services personnel and hospital emergency departments. Info: mvmedicalcenter.com

PHOTO RICK D’ELIA

Mountain Vista and Mesa Fire partnership

— Jane Petrin, Senior Fitness Specialist Kathleen Waldron, a longtime faculty member at Arizona State University and the former director of ASU’s School of Aging and Lifespan Development, adds that exercise is also great for stress relief.

Continued on page 8 SENIOR FITNESS

Phoenix resident Barry Brooks, 69, teaches Zumba to senior citizens.

Zumba is one of a number of gentlemotion exercise/dance routines often recommended for older adults.

HEALTHY WEIGHT LOSS ONE DAY AT A TIME

1 POUND OF FAT, YOU NEED TO BURN 3,500 CALORIES MORE THAN YOU TAKE IN SO BY CUTTING 500 CALORIES A DAY YOU SHOULD LOSE ABOUT 1 POUND A WEEK

TO LOSE

E * Every person’s metabolism and caloric needs are different; check with your health-care p provider for information specific to your individual needs. —PAULA HUBBS COHEN

NEXT ISSUE:

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2 | LIVING WELL A-Z | WEDNESDAY, September 5, 2012

VITAL Signs

Dental and vision

For those in need of basic dental care at a reduced fee, there are several community dental clinics across the state, according to the Arizona Department of Health Services’ website, azdhs.gov.

One such resource is Midwestern University in Glendale. In fact, the medical school offers reduced-fee clinics in dentistry and optometry.

“There are over 145 community health centers throughout the state of Arizona.”

THINKSTOCK

— Tara McCollum Plese, Arizona Association of Community Health Centers

Health-care resources for the uninsured and under-insured

“Midwestern University provides our professional students the opportunity to serve the community through promoting better health,” said Kathleen H. Goeppinger, Ph.D., president and CEO of Midwestern University. “We do this in many ways: health fairs, sponsorships of special events, offering special educational programs for children and their families, and offering very affordable prices at our Dental and Eye Institutes to make it easier for under- and uninsured patients to receive proper health-care.”

Where to go when you don’t have adequate medical coverage Resources

BY MICHELLE TALSMA EVERSON

F

or those who are uninsured or underinsured, accessing basic health-care can be a daunting task.

“It’s a tough time right now for community health centers because of the increase in uninsured patients looking for access to health-care and the lack of capacity to serve all the uninsured who are seeking services,” said Tara McCollum Plese, the director of government and media relations for the Arizona Association of Community Health Centers (AACHC).

Lack of resources

Indeed, one piece of the puzzle is a lack of available health resources. For example, HealthCare Connect, a prominent program that provided discount medical

services in Maricopa County, closed its doors on Aug. 31, 2012.

Despite the need, free clinics for uninsured patients are hard to find.

Instead, most patients who are uninsured or under-insured and not covered by a state program (such as Arizona Health Care Cost Containment System or AHCCCS) often need to pay some sort of fee for medical services.

Community health centers For those without health coverage, community health centers can be a health-care option since they offer an array of services for discounted prices if patients qualify.

“Community health centers serve insured, under-insured and uninsured

people in the communities where they are located. They provide a wide array of primary and preventative health-care services including OB/GYN, pediatrics, vaccines, labs, radiology, pharmacies, dentistry, chronic disease management and behavioral health services,” Plese explained. “They serve everybody regardless of ability to pay, however there is a sliding-fee scale for services rendered at a community health center.”

Avein Saaty-Tafoya, CEO of Adelante Healthcare, a not-for-profit group of community health centers, said that Adelante community health centers offer quality care for lower costs than most private practices. Still, uninsured patients need to qualify for discounts and have to pay minimal charges.

Adelante Healthcare: adelantehealthcare.com; 877-809-5092 Arizona Association of Community Health Centers: aachc.org; 602-253-0090 Arizona Department of Health Services: azdhs.gov; 602-542-1025 Arizona Optometric Association: arizona.aoa.org; 800-346-2020 Foundation of American Academy of Ophthalmology (EyeCareAmerica): eyecareamerica.org; 877-887-6327 Maricopa Integrated Health System: mihs.org; 602-344-1200 Midwestern University Clinics: mwuclinic.com; 623-537-6000

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WEDNESDAY, September 5, 2012 | LIVING WELL A-Z | 3

HER Story

Managing menopause

To hormone or not to hormone, that is the question

BY ALISON STANTON

Not for everyone

Hormones should only be prescribed after a full physical examination including risk stratification for cardiovascular diseases and stroke, said Suzanne Sorof, M.D., an interventional cardiologist at Banner Heart Hospital.

“Women should speak with their primary-care doctor or gynecologist and a cardiologist before going on hormone replacement. This will help get an accurate assessment of the patient,” she said. Sorof added that she always tries to give the least amount of progesterone and estrogen and then follows up regularly with the patient so it can be taken for the least amount of time to minimize the patient’s symptoms.

HRT candidates

“In terms of risks of using hormone replacement therapy, there is just one patient population that I would not want to give it to, and that’s if a patient says she

has had breast cancer and been treated in the last five years,” DeRosa said. “I will give her testosterone but not estrogen, because if there are any breast cancer cells there, they will grow faster.”

Sorof believes that a current smoker is also not a good candidate for HRT. “That’s because hormones, and even birth control pills in a smoker approaching menopause, can directly cause blood clots that can be deadly, including pulmonary embolism,” she said.

S TO

CK

“Many of the symptoms of menopause can be treated with other things than hormone replacement therapy.

Hot flashes can be hard to treat though, and they can go on for a long time.”

INK

s women enter into menopause, one of the biggest decisions they have to make is whether or not to take hormone replacement therapy, often referred to as HRT. Angela DeRosa, D.O., MBA, CPE, president and chief managing officer of DeRosa Medical P.C., a private practice in Scottsdale, Sedona and Chandler, said the key is to deliver hormone replacement therapy safely.

“I never prescribe oral forms of hormones because when you take them orally, they have to first go through the GI [gastrointestinal] system and then to the liver before they get into the bloodstream,” she said. “When the liver metabolizes the hormones, it kicks out clotting factors which increase the risk for blood clots, heart attack and stroke.”

TH

A

Risk assessment

— Suzanne Sorof, M.D.

Regular vs. bio-identical

According to DeRosa, bio-identical hormones mimic exactly what a woman’s body makes.

“The ovaries produce a type of estrogen called 17-beta estradiol.

Synthetic estrogens look like it but they are not exactly the same, so when women take synthetic estrogen it tends to jam the locks, so to speak, and not work that effectively,” she explained.

“But with bio-identical hormones, they are exactly the same as what the ovaries make so they fit like a key right into the lock.”

In DeRosa’s opinion, hormones are “incredibly safe” when they are bio-identical, which typically come in creams, gels and in an under-the-tongue version called troches. They also come in pellets placed subcutaneously in the buttocks; the pellets release the hormones slowly over a period of four to six months.

Sorof said she feels that bio-identical hormones have the same risks [as synthetic hormones] even though they are tailored to meet what the patient is low in using a specific blood test designed for that patient. “But they are still not great to take if the patient has moderate or high risks for heart disease or stroke.”

What to ask

Before women speak with their doctor about HRT, they should be very aware of

their family history for cardiovascular issues and stroke, and be sure to share that information with their physician.

“Then they should ask their doctor ‘do you think I’m a good candidate for hormone replacement?’ and have an open discussion about it,” Sorof said.

“If a physician feels the patient is high risk for an event, then they should not offer the therapy, either prescribed or bio-identical-specific for that patient.”

Resources National Institutes of Health: nih.gov/PHTindex.htm Mayo Clinic: mayoclinic.com/health/ bioidentical-hormones/AN01133 WebMD: webmd.com/menopause/ guide/menopause-hormone-therapy

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

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Survival rates are higher than ever before

BY KRISTINE BURNETT

E

very four minutes someone in North America is diagnosed with a blood cancer.

There are three main groups of blood cancers, including lymphoma, leukemia and myeloma, each with many subtypes.

According to Uwe Klueppelberg, M.D., Ph.D., a medical oncologist at Banner MD Anderson Cancer Center, treatments differ for each blood cancer based on a person’s unique genetic mutations.

Symptoms

Klueppelberg noted that leukemia patients often present with symptoms of anemia such as sudden weakness, fatigue and dizziness. Detection often occurs when an abnormal blood count is discovered as part of a routine physical exam. In lymphoma, enlarged lymph nodes in the neck, under the arms or in the groin are among the first symptoms.

Advances in treatments

Chronic Myeloid Leukemia (CML) Awareness Day On Sept. 22, CML Awareness Day, a panel of health experts and representatives from The National CML Society, including Phoenix resident Pat Elliott, will host a free, web-based series of educational programs titled Living Well with CML: A Virtual Patient Summit. The event includes a Q-and-A session with basketball legend Kareem Abdul-Jabbar, a CML patient and advocate. Info/registration: CMLPatientSummit.com or NationalCMLSociety.org.

Jeffrey Schriber, M.D., medical director of the Cancer Transplant Institute at the Virginia G. Piper Cancer Center at Scottsdale Healthcare, said there are two types of transplants: autologous transplants that use a person’s own bone marrow or stem cells, and allogeneic transplants that rely on donor bone marrow or stem cells.

Depending on the type of blood cancer, treatment may entail chemotherapy, radiation, bone marrow or stem cell transplantation or, in some cases, a daily medication.

Indeed, chronic myelogenous leukemia Cutting-edge research (CML), a rare form of leukemia caused Findings such as the breakthrough by a single gene mutation that leads to discovery of a drug that can suppress CML excessive production of white blood and spare healthy tissue in the process are cells, was previously a terminal diagnosis ushering in a new era of targeted cancer for most patients. However, in a major therapy research. breakthrough in “Many of the cancer treatment, advancements that “There are about new targeted drug have been made in 10 million registered therapy in pill form cancer care started was approved in 2001, in researching blood bone marrow donors, and has become the cancer,” said Ruben but minorities are standard of treatment Mesa, M.D., deputy for CML. director of the Mayo under-represented and Pat Elliott of Phoenix, Clinic Cancer Center, there is a great need a CML patient and a chair of Hematology/ patient advocate with Oncology and for Native American The National CML director of Acute and and Hispanic donors, Society, described Chronic Leukemia at the medication as a Mayo Clinic. “We can particularly in Arizona.” molecularly targeted frequently apply what drug that blocks the we learn about one — Jeffrey Schriber, M.D. growth of cancer illness to other related by interfering with illnesses.” specific molecules involved in tumor growth and progression. Unfortunately, it Clinical trials is possible for the leukemia to develop a One clinical trial currently underway is resistance to the drug, but two additional the Myeloproliferative Neoplasms (MPN) medications have been introduced and Research Initiative being spearheaded more are currently being evaluated in by 23andMe, Inc., a personal genetics clinical trials. research company that is using DNA While medication can make CML a analysis and web-based tools to explore manageable chronic disease for most why specific blood cancers develop and patients, not everyone is a candidate. For find better ways to treat them. Mesa, a those individuals, a transplant may be scientific advisor for the initiative, said they their only option. hope to enroll 1,000 participants who have one of four forms of blood cancer.

“One of the greatest success stories in blood cancer was developing a medication to manage CML,” he said. “We’re hoping to emulate that model for other diseases and find ways to put them into remission and go dormant.”

‘Be The Match’ In recognition of National Blood Cancer Awareness Month, Scottsdale Healthcare and Arizona Oncology are hosting ‘Just Swab It’, a bone marrow registration event.

Jeffrey Zetino, patient services manager for the Arizona chapter of the Leukemia and Lymphoma Society, which is also sponsoring the event, said that joining the Be The Match registry is as simple as having your cheek swabbed.

See page 6 for details.

For additional information about bone marrow registration, visit marrow.org or call 800-MARROW2 (627-7692).

THINKSTOCK

Blood cancers: Remarkable progress Sleep disorders Getting enough Z’s isn’t always as easy as A-B-C

BY DEBRA GELBART

S

ome sleep experts estimate that as many as 100 million adults in the U.S. have a sleep disorder. Most commonly, Americans have insomnia, but a significant percentage suffers from obstructive sleep apnea, a condition where breathing stops for seconds at a time multiple times during a sleep cycle.

If you’re not getting proper sleep, you could be hurting your heart and risking a host of other medical conditions. “Ideally, you should get seven to nine hours of sleep a night,” said Lauri Leadley, a sleep technologist and owner of Valley Sleep Center which has five locations in greater Phoenix. “If you can’t get nine hours a night, then certainly aim for more than the five-and-a-half or six hours a night that most people get.”

Depression and sleep

The most common causes of insomnia are mood disorders, including depression and anxiety, said Harmeet Gill, M.D., a pulmonary and sleep disorders specialist and the director of Banner Baywood Medical Center’s Sleep Disorders Center in Mesa.

“Many patients tell me the reason they’re feeling sad is because they don’t get enough sleep,” he said, “when in many cases, it’s just the opposite.” He said most people with insomnia do not need an overnight sleep study, but they may be able to benefit from evaluation and treatment. Through a combination of improving what’s called ‘sleep hygiene’, which includes such steps as regulating your body clock, sleeping in a dark, quiet environment, and addressing any psychological issues, a person’s insomnia is often minimized, he said.

Don’t do this

“The worst steps to take in an attempt to treat insomnia yourself include drinking alcohol or smoking right before bed, eating high-calorie foods to induce drowsiness, or going to the gym late at night,” said Lois E. Krahn, M.D., a sleep physician and psychiatrist at Mayo Clinic in Scottsdale. “None of these promotes sleep”.

Instead, Gill suggested that you involve yourself in an activity such as reading a magazine or listening to gentle music.

Treating sleep apnea If you or someone you know exhibits symptoms of obstructive sleep apnea, which includes loud snoring during sleep and feeling extremely exhausted during your waking hours, an evaluation of the situation is probably in order, said Harmeet Gill, M.D., director of the Sleep Disorders Center at Banner Baywood Medical Center in Mesa.

Sleep technologist Lauri Leadley of Valley Sleep Center said treatment for sleep apnea doesn’t necessarily mean wearing a Continuous Positive Airway Pressure (CPAP) mask, which some patients don’t like. “Some patients can be prescribed oral appliances,” she said, adding that patients who can benefit from these may be referred to a dentist who specializes in sleep medicine.

According to the National Institute of Neurological Disorders and Stroke, RLS is a neurological disorder characterized by “throbbing, pulling, creeping or other unpleasant sensations in the legs and an uncontrollable and sometimes overwhelming urge to move them.

Symptoms occur primarily at night when a person is relaxing or at rest and can increase in severity during the night.

Moving the legs relieves the discomfort.”

Krahn said prescription medicines can be used to treat restless legs syndrome, which can be brought on by other conditions such as an iron deficiency or peripheral neuropathy. Exercising, establishing good sleep hygiene, avoiding caffeine and cutting back on alcohol also can alleviate symptoms of RLS, she said.

Sleep apnea

Obesity or being overweight are risk factors for sleep apnea, because extra pounds can make it likelier for the upper airway to vibrate excessively or narrow to the point of collapse, explained Leadley and Gill. Although other risk factors include enlarged tonsils, a large tongue or a recessed jaw, “a big neck is the single biggest predictor of sleep apnea,” Gill said. “When fatty tissue replaces muscular tissue, the airway can collapse a lot more easily.”

Restless legs

Another common sleep disorder is restless legs syndrome or RLS, Krahn said.

Resources Banner Baywood Sleep Disorders Center: bannerhealth.com; 480-321-4553 Mayo Clinic: mayoclinic.org/ sleep-disorders; 800-446-2279 National Institutes of Health Medline Plus: nlm.nih.gov/ medlineplus/ency/article/000800.htm National Sleep Foundation: sleepfoundation.org/articles/ sleep-disorders WebMD: webmd.com/ sleep-disorders/default.htm

Resources 23andMe Research: 23andme.com/research Children’s Oncology Group: childrensoncologygroup.org Leukemia and Lymphoma Society: lls.org; Arizona Chapter: lls.org/az National Cancer Institute: cancer.gov National CML Society: NationalCMLSociety.org National Marrow Donor Program: marrow.org or 800-MARROW2 (627-7692)

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WEDNESDAY, September 5, 2012 | LIVING WELL A-Z | 5

KIDS’ Korner

Keeping your head in the game

Concussion a serious concern in youth sports

G

etting your ‘bell rung’ was once considered a badge of honor among high school athletes, but increased awareness of the dangers of sports-related head injuries has made concussion a focus both on and off the field.

Signs and symptoms

Javier Cárdenas, M.D., director of Barrow Resource for Acquired Injury to the Nervous System (B.R.A.I.N.S.), a program of Barrow Neurological Institute at St. Joseph’s Hospital and Medical Center, described concussion as a mild traumatic

Brainbook

brain injury in which there is an alteration in consciousness resulting from direct or indirect trauma to the head. Most concussions happen when someone is struck or hit in a way that leaves them feeling dazed and confused.

Cárdenas explained that typically, the prolonged symptoms of concussion include headache, dizziness, confusion and vomiting coupled with cognitive problems like short-term memory loss.

However, contrary to popular belief, loss of consciousness is not a prerequisite for concussion since less than 10 percent of people with concussions actually lose consciousness.

Risks and recovery

The AIA’s primary concussion education resource is Brainbook, a 50-minute online, multi-media education module. It has a Facebook-like format and includes videos of professional athletes as well as computer-generated animation and footage of actual injuries on the field. The training is a participation requirement for all student athletes in AIA schools.

Coaches complete a separate education program from the NFHS. More than 100,000 students throughout Arizona have completed Brainbook education, which was made possible by charitable contributions to Barrow Neurological Foundation in support of the B.R.A.I.N.S. program.

Suffering a second concussion before fully recovering from a first concussion poses the greatest health risk and increases the likelihood of more severe complications related to concussion.

“We simply don’t know the long-term implications, but in very rare yet real instances, sustaining another concussion can lead to brain swelling, permanent paralysis or even death,” Cárdenas warned. “That’s why child athletes cannot return to play until they have completely recovered, regardless of the sport.”

Children and adolescents usually take 7 to 10 days to recover. Those with a history of migraines, attention deficit disorder, depression or anxiety may need more time.

Protecting young athletes

To prevent coaches, players and parents from dismissing the potential dangers of

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BY KRISTINE BURNETT

a head injury, the Arizona Interscholastic Association (AIA), part of the National Federation of High School Associations (NFHS) and the state’s primary governing body for athletics in public, private and charter high schools, began discussions on the topic of concussions in youth sports in 2009. Bylaws governing concussion education for AIA member schools were established in late 2010.

In 2011, the Arizona Legislature passed Senate Bill 1521 mandating concussion education. The bill, which mirrors AIA bylaws in many ways, also outlines policies on the removal and return of players to games following concussion, including a requirement that they be cleared by a physician, not a team trainer.

“The risks [of concussion] are higher for young athletes because their brains are still developing.”

5

signs of concussion

1

Disorientation or confusion

2

Headache

3

Dizziness

4

Vomiting

5

Difficulty with speech and/or short-term memory

Resources Arizona Interscholastic Association: aiaonline.org Barrow Neurological Institute: thebarrow.org B.R.A.I.N.S. (Barrow Resource for Acquired Injury to the Nervous System): thebarrow.org/brains

— Javier Cárdenas, M.D.

Heightened awareness

Chuck Schmidt, AIA associate executive director, stated that awareness is changing cultural perceptions about the seriousness of concussion.

“Children need to recognize the symptoms, understand how they manifest and know what to do in the event of a concussion,” he said. “You can’t underestimate the risk.”

Centers for Disease Control and Prevention (Concussions in Youth Sports): cdc.gov/concussion/HeadsUp/youth.html National Collegiate Athletic Association (NCAA): ncaa.org Little League: littleleague.org/learn/ programs/childprotection/concussions/ ConcussionsArizona.htm

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6 | LIVING WELL A-Z | WEDNESDAY, September 5, 2012

Take advantage of over 100 opportunities for you to meet others with similar issues and learn more about various aspects of your health – from A to Z. All groups and events are believed, but not guaranteed, to be free unless otherwise stated. Every effort has been made to verify accuracy, but please call before attending to confirm details.

WELLNESS

HYPOTHYROID Sept. 27, 1–2 p.m.

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

PROSTATE CANCER

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

US TOO: PROSTATE CANCER Sept. 10, 7 p.m.

St. Joseph’s 350 W. Thomas Rd., Phoenix 602-242-3131

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

PROSTATE CANCER LUNCH & LEARN Sept. 19, noon–1 p.m.

By The Wellness Community at Banner Good Samaritan 1111 E. McDowell Rd., Phoenix RSVP: 602-712-1006

HEARING TESTS Sept 11, 12 & 13, 8 a.m.–4 p.m.

John C. Lincoln Audiologist at Tatum Health Center 18404 N. Tatum Blvd, Phoenix Appointments: 602-494-6237 CHRONIC PAIN, LIVE BETTER Sept. 13, 1–2 p.m.

By Scottsdale Healthcare at Civic Center Library 3839 N. Drinkwater Blvd, Scottsdale Register: shc.org/events; 480-882-4636 BLOOD PRESSURE CLINICS Sept. 18, 9–11 a.m.

By Sun Health at Grandview Care Center 14505 W. Granite Valley Dr., Sun City West Info: 623-455-5633; walk-ins welcome AYERVEDIC MEDICINE Sept. 18, 1–2 p.m.

By Scottsdale Healthcare at Desert Foothills Library 38443 N. Schoolhouse Rd., Cave Creek Register: shc.org/events; 480-882-4636 SKINNY ON HIGH CHOLESTEROL Sept. 18, 6:30–7:30 p.m.

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

PROSTATE SUPPORT GROUP Sept. 24, 7–9 p.m.

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

HEART/STROKE CONGESTIVE HEART FAILURE Sept. 5, 12, 19 & 26, 6:30–7:30 p.m.

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

STROKE SUPPORT GROUP Sept. 6 & Oct. 4, 5:30–6:30 p.m.

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

STROKE SUPPORT GROUP Sept. 18, 3–4 p.m.

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

GLAUCOMA & MACULAR DEGENERATION Sept. 19, 6–7 p.m.

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

ATRIAL FIBRILLATION Sept. 24, noon–1 p.m.

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

UTERINE FIBROID SEMINAR Sept. 19, 6–7 p.m.

John C. Lincoln Support Services 2500 W. Utopia Rd., Phoenix RVSP: 623-434-6265; RSVP@JCL.com ROBOTIC KNEE SURGERY Sept. 19, 7–8 p.m.

By Scottsdale Healthcare at Barnes & Noble 10500 N. 90 St., Scottsdale Register: shc.org/events; 480-882-4636 MINIMALLY INVASIVE SPINE SURGERY Sept. 21, noon Laser Spine Institute at Windmill Suites, 12545 W. Bell Rd., Surprise Sept. 22, 10 a.m., Laser Spine Institute, 8888 E. Raintree Dr., Scottsdale Register: SpineSeminar.com; 866-811-3275

WHAT: Eight-week tobacco cessation program taught by tobacco treatment experts.

WHERE: Scottsdale Healthcare Osborn, 7301 E. 4th St., Scottsdale TIME: 5–6 p.m.

COST: Free REGISTER: 480-882-5761; prutt@shc.org INFO: shc.org/events

PREVENTING PRE-DIABETES PROGRESSION Sept. 27, 9:30–10:30 a.m.

By Sun Health at La Loma Village 14154 Denny Blvd., Litchfield Park Register: 623-455-5633; tinyurl.com/SHCommEd2012

ALZHEIMER’S/ DEMENTIA

Sept. 8, 15 & 29 AZ Pain Specialists Chronic Pain Awareness Expos

10 SIGNS OF ALZHEIMER’S By the Alzheimer’s Association Various dates, times & locations Register: 602-528-0545 MAKING MUSIC & MEMORIES Sept. 7, 10–11:30 a.m.

By Banner Alzheimer’s at Pyle Adult Rec Center 655 E. Southern Ave., Tempe Register: 602-839-6850; Deidra.Colvin@bannerhealth.com CHALLENGING BEHAVIORS By the Alzheimer’s Association Sept. 11, 1–2 p.m., Red Mountain Library, 635 N. Power Rd., Mesa Sept. 21, 10–11 a.m., Church of the Palms, 14808 N. Boswell Blvd., Sun City Register: 602-528-0545

IMPROVING COMMUNICATIONS Sept. 14, 10:30 a.m.–noon

By Banner Alzheimer’s at Rio Vista Rec Center 8866 W. Thunderbird Rd., Peoria Register: 602-230-CARE

CANCER SUPPORT

COMPASS FOR CAREGIVERS Sept 20, 10–11:30 a.m., Sept. 24, 4–5:30 p.m.

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

RESTORATIVE YOGA Sept. 6, 13 & 20, 10 a.m.

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

ALZHEIMER’S CAREGIVERS Sept. 20, 1:30–3 p.m.

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

STROKE SUPPORT GROUP Sept. 26, 5:30–6:30 p.m.

HealthSouth East Valley 5652 E. Baseline Rd., Mesa 480-477-7141

EFFECTIVE COMMUNICATION Sept. 25, 1–2 p.m.

By the Alzheimer’s Association at Granite Reef Senior Center 1700 N. Granite Reef Rd., Scottsdale Register: 602-528-0545

DIABETES

SENIORS

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

GRANDPARENTS RAISING GRANDCHILDREN (DUET) Various dates, times & locations 602-274-5022

DIABETES SUPPORT GROUP Sept. 10, 3–4 p.m.

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

CAVE CREEK Sept. 8, 10 a.m.–noon

By Scottsdale Healthcare at Good Shepherd Episcopal Church 6502 E. Cave Creek Rd., Cave Creek RSVP: 480-488-3283 LUNG Sept. 8, 1–3 p.m.

By St. Joseph’s at The Wellness Community 360 E. Palm Ln., Phoenix 602-712-1006

LOOK GOOD, FEEL BETTER Sept. 10, 4 p.m.

Co-sponsored by American Cancer Society Ironwood Cancer & Research Centers 695 S. Dobson Rd. Chandler Register: 480-855-2224

TAI CHI Sept. 7, 9–10 a.m.

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

DRUMMING CIRCLE Sept. 10, 6–7:30 p.m.

Virginia G. Piper Cancer Center at Scottsdale Healthcare 10460 N. 92 St., Scottsdale Register: shc.org/events; 480-882-4636

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WHAT: Support group for families with children with celiac disease or who adhere to a gluten-free lifestyle because of medical needs.

WHERE:PhoenixChildren’sHospital, 1919 E. Thomas Rd., Phoenix TIME: 6:30 p.m.

COST: Free INFO: phoenixceliackids@gmail.com SPEAKER: Gary Silber, M.D., Division Chief of Pediatric Gastroenterology at Phoenix Children’s Hospital

Sept. 22 Tim Barber Walk for POP: Prostate On-site Project WHAT: Walk in recognition of Prostate Cancer Awareness Month and to raise money for POP, which consists of mobile prostate screening units that travel to workplaces, health fairs and community events.

WHERE: Tempe Kiwanis Park, 6111 S. All America Way, Tempe TIME: 7:30 a.m.

COST: $20 for walkers 12 years and older; $15 under age 12 REGISTER: 480-964-3013; prostatecheckup.org INFO: prostatecheckup.org WHAT ELSE: First 100 men who register receive a free prostate screening

Sept. 29 ‘Just Swab It’ Bone Marrow Registration WHAT: Thousands of leukemia and lymphoma patients need a bone marrow transplant from an unrelated donor. With a simple cheek swab, you become a member of the ‘Be The Match’ bone marrow registry.

WHERE: Carlos O’Brien’s Restaurant, 7111 E. Bell Rd., Scottsdale TIME: 10 a.m.–1 p.m.

COST: Free; no pre-registration required INFO: 480-323-1573 SPONSORED BY: Cancer Transplant Institute at the Virginia G. Piper Cancer Center, Arizona Oncology, the Leukemia & Lymphoma Society and Carlos O’Brien’s

GENTLE YOGA Sept. 11 & 18, 4 p.m.

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

ORAL, HEAD & NECK Sept. 19, 4:30–6:30 p.m.

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

TAI CHI Sept. 11 & 18, 4:30 p.m.

Ironwood Cancer & Research Centers 3855 S. Val Vista Dr., Gilbert Register: 480-855-2224

ESOPHAGEAL Sept. 20, 6–7:30 p.m.

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

GYNECOLOGIC Sept. 11, 5–6:15 p.m.

Banner Desert 1400 S. Dobson Rd., Mesa 480-412-HOPE (4673) FACING FORWARD (WOMEN) Sept. 12, 1–3 p.m.

Virginia G. Piper Cancer Center at Scottsdale Healthcare 10460 N. 92 St., Scottsdale Register: shc.org/events; 480-882-4636

LOOK GOOD, FEEL BETTER Sept. 17, 4 p.m.

Co-sponsored by American Cancer Society Ironwood Cancer & Research Centers 3645 S. Rome St, Gilbert Register: 480-855-2224 CANCER Sept. 18, 5–6:15 p.m.

Banner Desert 1400 S. Dobson Rd., Mesa 480-412-HOPE (4673) JOURNEY TO WELLNESS Sept. 19, 4 p.m.

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

ORAL, HEAD & NECK Sept. 20, 6:30–8 p.m.

Virginia G. Piper Cancer Center at Scottsdale Healthcare 10460 N. 92 St., Scottsdale 602-439-1192 LOOK GOOD, FEEL BETTER Sept. 24, 4 p.m.

Co-sponsored by American Cancer Society Ironwood Cancer & Research Centers 6111 E. Arbor Ave., Mesa Register: 480-855-2224

BREAST CANCER YOGA FOR RECOVERY Sept. 6 & 20, 6–8 p.m.

Co-sponsoredbyTheWellnessCommunity John C. Lincoln Breast Center 19646 N. 27 Ave., Phoenix 602-712-1006 BOSOM BUDDIES/WEST VALLEY Sept. 6, 6:30–8:30 p.m.

La Quinta Inn & Suites 16321 N. 83 Ave., Peoria 623-979-4279 BOSOM BUDDIES/AHWATUKEE CHANDLER Sept. 8, 10 a.m.–noon Morrison Building 1875 W. Frye Rd., Chandler 480-893-8900

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Sept. 13 R.O.C.K.–Raising Our Celiac Kids

CREATIVITY TO COPE Sept. 13, 2:30–4 p.m.

Ironwood Cancer & Research Centers 6111 E. Arbor Ave, Mesa Register: mveselovsky@ironwoodcrc.com; 480-540-2610

CHAIR YOGA Sept. 10, 17 & 24, 10 a.m.

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

ARTHRITIS FOUNDATION EXERCISE Sept. 11 & 25, 9–10 a.m.

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

DIABETES SUPPORT GROUP Sept. 13, 1–2 p.m.

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

WHAT: In observance of Pain Awareness Month, these expos will highlight chronic pain topics, community resources, support groups, related vendors plus Q & A with doctors.

SEPT. 8: 10 a.m.–4 p.m., 18555 N. 79 Ave., Glendale SEPT. 15: 10 a.m.–4 p.m., 655 S. Dobson, Chandler SEPT. 29: 10 a.m.–4 p.m., 9787 N. 91 St., Scottsdale COST: Free RSVP: 480-563-6400; pattik@boostmedical.com INFO: arizonapain.com

HIP & KNEE ARTHRITIS Sept. 14, noon–1 p.m., Tempe St. Luke’s, 1500 S. Mill Ave., Tempe Sept. 21, noon–1 p.m., St. Luke’s, 1800 E. Van Buren St., Phoenix Register: 877-351-WELL (9355)

ALZHEIMER’S SUPPORT GROUP (lunch provided) Sept. 16, 11 a.m.–12:30 p.m.

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

STROKE PREVENTION Sept. 13, noon–1 p.m.

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

PVD: LEG PAIN Sept. 19, 5:30–7 p.m.

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

Sept. 6–Oct. 25 Tobacco Cessation

MANAGING DIABETES Sept. 26, noon–1 p.m.

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

COMPASS FOR CAREGIVERS Sept. 12, 6–7:30 p.m.

By Banner Alzheimer’s at Tempe Library 3500 S. Rural Rd., Tempe Register: 602-839-6850; Deidra.Colvin@bannerhealth.com

STROKE Sept. 6, 1:30–2:30 p.m.

Banner Boswell Rehab 10601 W. Santa Fe Dr., Sun City 623-832-7000

STROKE SUPPORT GROUP Sept. 10, 2:30–4 p.m.

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

SKIN CANCER DETECTION Sept. 19, 9–11 a.m.

By Sun Health at The Colonnade Recreation Village 19116 Colonnade Way, Surprise Register: 623-455-5633; tinyurl.com/SHCommEd2012

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WEDNESDAY, September 5, 2012 | LIVING WELL A-Z | 7

YOUNG SURVIVAL COALITION Sept. 11, 6–8 p.m.

John C. Lincoln Breast Center 19646 N. 27 Ave., Phoenix 602-712-1006 BOSOM BUDDIES/EAST VALLEY Sept. 11, 6:30–8:30 p.m.

Baywood Medical Center 6644 E. Baywood Ave., Mesa 480-969-4119 LEARN & SUPPORT GROUP Sept. 13 & 27, 6–8 p.m.

Co-sponsoredbyTheWellnessCommunity John C. Lincoln Breast Center 19646 N. 27 Ave., Phoenix 602-712-1006 BOSOM BUDDIES/SCOTTSDALE Sept. 15, 10 a.m.–noon Scottsdale Healthcare Thompson Peak 7400 E. Thompson Peak Pkwy, Scottsdale 623-236-6616 EAST VALLEY YOUNG SURVIVORS (age 40 and under) Sept. 15, 10 a.m.–noon Dynamic Life Coaching Center 1701 S. Mill Ave., Tempe 480-326-7023 BLACKS AGAINST BREAST CANCER Sept. 16, 3–5 p.m.

The Wellness Community 360 E. Palm Lane, Phoenix 602-320-0502 SUPPORT GROUP Sept. 25, 5–6:15 p.m.

Banner Desert 1400 S. Dobson Rd., Mesa 480-412-HOPE (4673) ADVANCED BREAST CANCER Sept. 27, 6–8 p.m.

By Bosom Buddies at John C. Lincoln Breast Center 19646 N. 27 Ave., Phoenix advancedbreastcancer@gmail.com; 623-236-6616

PARKINSON’S ART OF MOVING; TAI CHI; YOGA; DANCE Various dates, times & locations.

By the Muhammad Ali Parkinson Center at St. Joseph’s Info: 602-406-6903 PARKINSON’S MOVEMENT GROUP Various dates, 4:30–5:30 p.m.

HealthSouth East Valley 5652 E. Baseline Rd., Mesa 480-477-7141 WESTSIDE TREMBLE CLEFS (singing program) Sept. 5, 12, 19 & 26, 10 a.m.–noon By the Muhammad Ali Parkinson Center at St. Joseph’s Shepherd of the Desert Lutheran Church 11025 N. 111 Ave., Sun City Register: 602-406-3840 EASTSIDE TREMBLE CLEFS Sept. 6, 13, 20 & 27, 4–6 p.m.

By the Muhammad Ali Parkinson Center at St. Joseph’s Granite Reef Senior Center 1700 N. Granite Reef Rd., Scottsdale 480-991-0451 PARKINSON’S Sept. 10, 10–11:30 a.m.

Banner Sun Health Research Institute 10515 W. Santa Fe Dr., Sun City 602-942-9008 PARKINSON’S CAREGIVERS (DUET) Sept. 12, 1:30–3 p.m.

Church of the Beatitudes 555 W. Glendale Ave., Phoenix 602-274-5022 PARKINSON’S CAREGIVERS Sept. 13, 10–11 a.m.

By the Muhammad Ali Parkinson Center at St. Joseph’s, Skyway Church 14900 W. Van Buren, Goodyear 602-406-6903 YOUNG ONSET PARKINSON’S Sept. 19, 26, Oct. 3 & 10, 10 a.m.–noon Muhammad Ali Parkinson Center at St. Joseph’s 240 W. Thomas Rd., Phoenix Register: 800-227-7691

PARKINSON’S & PARTNERS Sept. 24, 10–11:30 a.m.

Banner Sun Health Research Institute 10515 W. Santa Fe Dr., Sun City 602-942-9008

NEW MOMS BREASTFEEDING Sept. 5, 12, 19 & 26, 11 a.m.

Chandler Regional 1875 W. Frye Rd., Chandler 480-728-5414 POSTPARTUM DEPRESSION Sept. 5, 12, 19 & 26, 1–2:30 p.m.

Chandler Regional 1875 W. Frye Rd., Chandler 480-728-5414 BREASTFEEDING SUPPORT Sept. 6, 13, 20 & 27, 1–2:30 p.m.

Banner Desert 1400 S. Dobson Rd., Mesa 480-412-3035 BREASTFEEDING Sept. 7, 14, 21 & 28, 10 a.m.

Mercy Gilbert 3555 S. Val Vista Dr., Gilbert 480-728-5414 POSTPARTUM DEPRESSION Sept. 11, 18 & 25, 10–11:30 a.m.

Banner Desert 1400 S. Dobson Rd., Mesa 480-412-5292 NURSING MOMS SUPPORT Sept. 12, 10:30 a.m.–noon Banner Del E. Webb 14502 W. Meeker Blvd., Sun City West 800-230-CARE (2273)

SUPPORT GROUPS CELIAC DISEASE Sept. 5, 7–9 p.m.

Paradise Valley Retirement Center 11645 N. 25 Place, Phoenix 623-587-8885 OSTOMY Sept. 6, 2–4 p.m.

Banner Boswell 13180 N. 103 Dr., Sun City 623-935-7514 BRAIN INJURY Sept. 10, 7–8:15 p.m.

St. Joseph’s Barrow Neurological 350 W. Thomas Rd., Phoenix 602-406-3333 APHASIA Sept. 11 & 25, 10–11 a.m.

Banner Boswell 13180 N. 103 Dr., Sun City 623-972-4263 RESPIRATORY Sept. 13, 1:30 p.m.

Banner Boswell 13180 N. 103 Dr., Sun City 623-832-5708 LARYNGECTOMY Sept. 18, 4–5 p.m.

Banner Boswell 13180 N. 103 Dr., Sun City 623-832-5349 BETTER BREATHERS Sept. 19, 1–2 p.m.

HealthSouth East Valley 5652 E. Baseline Rd., Mesa 480-567-0350 BETTER BREATHERS Sept. 19, 2–3 p.m.

Chandler Regional 1875 W. Frye Rd., Chandler 480-728-5414 SYRINGO & CHIARI Sept. 20, 11 a.m.–1 p.m.

St. Joseph’s Outpatient Rehab 114 W. Thomas Rd., Phoenix 623-561-9606 MEN’S DISABILITY ISSUES Sept. 20, 5:30–7 p.m.

Disability Empowerment Center 5025 E. Washington St., Phoenix 602-980-3232; DonP@abil.org

AMPUTEE SUPPORT Sept. 24, 6–8 p.m.

HealthSouth East Valley 5652 E. Baseline Rd., Mesa 480-477-7109 BRAIN TUMOR Sept. 25, 6–8 p.m.

St. Joseph’s 350 W. Thomas Rd., Phoenix 623-205-6446 MULTIPLE SCLEROSIS (WOMEN) Sept. 29, 10 a.m.

St. Joseph’s 350 W. Thomas Rd., Phoenix 480-829-6563 OSTOMY Sept. 30, 2–4 p.m.

First Presbyterian Church 161 N. Mesa Dr., Mesa 480-812-0324

CAREGIVERS CAREGIVERS SUPPORT GROUPS (DUET) Various dates, times & locations 602-274-5022 ONLINE CAREGIVER NETWORKING (DUET) Sept. 8, 9–11 a.m.; Sept. 25, 7–8 p.m.

Register: DuetAZ.org (Events tab) CAREGIVERS SUPPORT Sept. 10 St. Joseph’s Outpatient Rehab 114 W. Thomas Rd., Phoenix Call for time: 602-406-6688 CAREGIVERS SUPPORT Sept. 12, 2:30–4 p.m.

Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-WELL (9355) CAREGIVERS SUPPORT Sept. 26, 2:30–3:30 p.m.

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

ASK An Expert Question: How do we hear?

Question: What are gallstones?

ANSWER: The ear can be divided into three parts leading up to the brain: the outer ear, middle ear and inner ear.

The outer ear consists of the pinna (the part on the side of our head), the ear canal and the eardrum.

Sounds are collected by the pinna and funneled down the ear canal striking the eardrum and causing it to vibrate.

The middle ear is a space behind the eardrum that contains the three smallest bones in our body called ossicles (the hammer, anvil and stirrup). This chain of tiny bones is connected to the eardrum at one end and to an opening to the inner ear at the other end. Vibrations from the eardrum cause the ossicles to vibrate which in turn creates movement of fluid in the inner ear.

Movement of the fluid in the inner ear, or cochlea, causes changes in the tiny structures called hair cells.

This movement of hair cells sends electric signals from the inner ear up the auditory nerve to the brain. The brain then interprets the electrical signals as sound.

ANSWER: Gallstones are hardened deposits of digestive fluid that can form in the gallbladder, a pearshaped organ in the right upper abdominal quadrant just beneath the liver. Risk factors for developing gallstones include being female, older than 40, pregnancy, ogen therapy, family history, obesity, rapid weight loss and diabetes mellitus.

Many patients with gallstones have no symptoms, but in those who develop symptoms, it is usually due to the gallstone lodging against the gallbladder outlet causing gallbladder contraction and pain known as biliary colic. The pain can occasionally present as chest pain and can also radiate to the back and right shoulder. It classically follows a fatty meal, but not always.

Patients can present with other symptoms such as bloating, belching, indigestion, heartburn and fat intolerance that may or may not be associated with gallstones.

Patients should seek immediate care if signs and symptoms develop such as abdominal pain so intense they can’t sit still or find a comfortable position, yellowing of the skin and whites of the eyes, and/or high fever with chills.

ROBERT BABER IS A BOARD-CERTIFIED HEARING INSTRUMENT SPECIALIST AND OWNER OF 21 MIRACLE-EAR CENTERS LOCATED THROUGHOUT ARIZONA

IN SPANISH COMADRES/COMPADRES (Parkinson’s support)

By Muhammad Ali Parkinson Center at St. Joseph’s Sept. 6 & 20, 3–5 p.m., Pyle Adult Rec Center, 655 E. Southern Ave., Tempe Sept. 7 & 21, 9:30–11:30 a.m., Church of the Beatitudes, 555 W. Glendale Ave., Phoenix 602-406-2453 EL ARTE DEL MOVIMIENTO (Parkinson’s) Sept. 8, 15, 22 & 29, 9:30–10:30 a.m.

By Muhammad Ali Parkinson Center at St. Joseph’s Church of the Beatitudes 555 W. Glendale Ave., Phoenix 602-406-6903 VOCES UNIDAS (Singing program for Parkinson’s) Sept. 8, 15, 22 & 29, 10:30 a.m.–noon

By Muhammad Ali Parkinson Center at St. Joseph’s Church of the Beatitudes 555 W. Glendale Ave., Phoenix 602-406-2453 CANCER SUPPORT Sept. 11, 6–7:30 p.m.

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

ANSWER: While the flu vaccine is important to your health, it can’t protect you against pneumonia on its own. Pneumonia is very serious and is our nation’s leading cause of death among vaccinepreventable illnesses.

While anyone can get pneumonia, certain groups are more vulnerable to it including anyone over 65 years old, children under age 2, those with heart or lung disease, and others who have chronic health conditions affecting the immune system.

Fortunately, there is a safe and effective pneumonia vaccine available which guards against many strains of the illness. The Centers for Disease Control recommends that anyone over the age of 65 as well as others in high-risk categories get a pneumonia vaccine annually.

Talk with your doctor during your next visit or yearly wellness appointment to discuss which vaccines are recommended for you based on your health history and age.

CHRISTOPHER BONATI, M.D., IS A FAMILY MEDICINE PHYSICIAN AT THE BANNER HEALTH CENTER IN VERRADO

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 October 3, 2012 issue of Living Well a-z, please write to editor: Paula Hubbs Cohen Paula.Cohen@cox.net or c/o The Arizona Republic, 200 E. Van Buren St., CA22 Phoenix, AZ 85004.

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

UNA REUNION (Latino Cancer Outreach Task Force) Sept. 18, 6–7:30 p.m.

UA Cancer Center at St. Joseph’s 500 W. Thomas Rd., Phoenix 602-567-7640 SEMINARIO PARKINSON’S Sept. 22 & 29, 9:30 a.m.–3 p.m.

Muhammad Ali Parkinson Center at St. Joseph’s 240 W. Thomas Rd., Phoenix Register: 602-406-2453

JONATHAN LEIGHTON, M.D., IS A PROFESSOR OF MEDICINE AND CHAIR OF GASTROENTEROLOGY AT MAYO CLINIC

Question: Will the flu vaccine protect me against pneumonia?

FREE

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CHANDLER REGIONAL MEDICAL CENTER: ChandlerRegional.org

MOUNTAIN VISTA MEDICAL CENTER: mvmedicalcenter.com

HEALTHSOUTH REHABILITATION: healthsouth.com

NORTHVALLEYPLASTICSURGERY: nvpsaz.com

JOHN C. LINCOLN HOSPITAL: JCL.com

PHOENIX CHILDREN’S HOSPITAL: phoenixchildrens.com

LASER SPINE INSTITUTE: laserspineinstitute.com

SCOTTSDALE HEALTHCARE:shc.org

MAYO CLINIC: mayoclinic.com

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

MERCYGILBERTMEDICALCENTER: MercyGilbert.org

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

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TEMPE ST. LUKE’S: tempestlukeshospital.com

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Most people my age don’t think they can get skin cancer. But I was diagnosed with stage one melanoma at 17. Now, I wear my scar proudly and tell my friends how important it is to get regular skin checks.

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Because of Mayo Clinic’s collaborative model of care, Caity had an entire team on her side, focused on her recovery. Now, she is cancer-free and attending college. 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. In most cases you don’t need a physician referral. For more information or to schedule an appointment, visit mayoclinic.org.

Visit mayoclinic.org/arizona

8 | LIVING WELL A-Z | WEDNESDAY, September 5, 2012

Ovarian and prostate cancer Deadly diseases, but there is hope

S

eptember is “awareness month” for many diseases and conditions, including ovarian cancer and prostate cancer.

Ovarian cancer

Ovarian cancer, once known as the ‘silent killer’ for its seemingly benign symptoms, is the ninth most prevalent cancer among women (excluding skin cancer) but the fifth mostly deadly, according to the American Cancer Society (ACS).

Because of its easily misinterpreted symptoms, many cases of ovarian cancer aren’t diagnosed until the later stages.

Like all cancers, early diagnosis can save lives, making it all the more important for women to be educated about the disease.

Signs and symptoms

In 2007, the ACS cites that it teamed up with the Gynecological Cancer Foundation and the Society of Gynecologic Oncology to determine the most common symptoms of ovarian cancer. They list these as bloating, pelvic or abdominal pain, trouble eating or feeling full quickly, and urinary symptoms (such as frequent feelings of needing to go to the restroom). In patients with ovarian cancer, the symptoms tend to be ongoing rather than sporadic.

Diagnosis and treatment

If a patient is suspected to have ovarian cancer, there are several different steps to diagnosis it including a pelvic exam, a CA-125 blood test and a trans-vaginal ultrasound. If cancer is suspected during one of these steps, surgery and a biopsy are the only ways to officially confirm the disease.

Once diagnosed, patients usually go through surgery and a chemotherapy regimen. This often includes removing the ovaries and tumor, a process known as debulking. There are clinical trials and new drugs that are aimed at slowing the progression of ovarian cancer.

Prostate cancer

Also according to the American Cancer Society, one in six men will develop prostate cancer in his lifetime. But even with such startling statistics, there is plenty of hope, in fact, there are more than 2.5 million prostate cancer survivors in the U.S., cites ACS findings.

Located at the bottom of a man’s bladder, the prostate is a small gland that can cause big problems. Prostate cancer happens when cells within the prostate become cancerous and begin to form

10

a tumor, cites the Us TOO International Prostate Cancer Education & Support Network website, ustoo.com.

DRINK PLENTY OF WATER. “Keep

2

EAT NUTRITIOUS FOODS. Don’t think

4

STRETCH APPROPRIATELY. Walter

5

6

What’s on your plate tonight?

You’ll notice changes in the way you feel if you can exercise with any degree of regularity, but especially if you can average a minimum of 30 minutes three times a week.

BE REALISTIC. “I know an

9

Ovarian Cancer National Alliance: ovariancancer.org

Us TOO International Prostate Cancer Education & Support Network: ustoo.com

DO WHAT YOU CAN, WHEN YOU CAN.

8

Ovarian Cancer Alliance of Arizona: ocaz.org

The University of Arizona Cancer Center: azcc.arizona.edu

FIND ALTERNATIVES TO SIT UPS AND CRUNCHES. Using a stability

FORGET ‘NO PAIN, NO GAIN’. Being

American Cancer Society: cancer.org

National Ovarian Cancer Coalition: ovarian.org

Nieri, M.D., a geriatrician and internal medicine physician and director of Banner Sun Health Research Institute’s Center for Healthy Aging, said stretching after a workout can help reduce post-exercise aches and pains.

7

Resources National Cancer Institute at the National Institutes of Health: cancer.gov

muscles a chance to rest at least a day between weight training sessions,” Petrin said.

ball or a stack of mats for crunches is preferable to lying directly on the carpet, Petrin said. “Lifting your arms over your head while standing up lifts your rib cage and forces your abs to work in a functional way.”

Not just a ‘senior’ disease

In June 2009, at age 40, Tempe police detective Tim Barber was diagnosed with advanced prostate cancer. Barber, who underwent a series of treatments, succumbed to the disease in August 2011 at 42. Up to just days before his passing, he spread awareness of prostate cancer and early testing to anyone who would listen. The annual “Walk for POP: Prostate On-site Project” was recently named in his memory. For more information, see page 6.

of what you consume as your ‘diet’, Petrin said. “Look at the first three letters of that word.

Forget dieting; focus on eating healthy foods.”

GET ENOUGH REST. “Give your

Diagnosis and treatment

Prostate cancer can be found by testing for prostate-specific antigen (PSA) in a man’s blood or by a digital rectal exam (DRE).

The ACS recommends that screening takes place between the ages of 40 and 50 depending on a patient’s risk factors.

If diagnosed, prostate cancer is treated by everything from ‘watchful waiting’ to surgery and chemotherapy, depending on the severity. As with ovarian cancer and many other types of cancer, there are clinical trials and new drugs under development that are aimed at slowing the progression of the disease.

in mind that with aging, the thirst mechanism diminishes,” said Jane Petrin, Senior Fitness Specialist.

3

Signs and symptoms

Symptoms of prostate cancer can include: • Frequent, difficult or painful urination • Blood in the urine • Pelvic and other bone pain • Painful ejaculation • Loss of appetite and weight

things to help you get/stay fit

1

BY MICHELLE TALSMA EVERSON

10

PHOTO RICK D’ELIA

THINKSTOCK

Continued from cover SENIOR FITNESS

a little bit sore after a workout is okay, Petrin said, but if you’re wincing while exercising or afterward, you’re working too hard.

82-year-old who can do the splits,” said Senior Fitness Specialist Penny Bailey.

“However, it is important to be realistic about your abilities.

Gentle forms of exercise can serve older adults well.”

VARY YOUR ROUTINE. Ideally,

Nieri said your routine should include a combination of aerobic exercises, resistance weight training, yoga and/or tai chi or exercises using a stability ball.

GIVE YOURSELF TIME. It may take

six weeks or six months to see improvement in your function and how you feel.

(Seated, front to rear, Louise Minton, Marion Slobodnjk and Lorraine Woodruff.)

Barry Brooks conducts a Zumba Gold class at Pueblo Norte Senior Living Community in Scottsdale. After retiring, the former co-owner of Cookies from Home took up a new career teaching Zumba, a Latininspired fitness class.

“Exercise releases endorphins, which can elevate positive mood, and older adults can benefit from that,” said Waldron, who now teaches in the ASU School of Nutrition and Health Promotion.

“Exercise also can improve older adults’ balance, flexibility and endurance. This leads to a lessened fear of falling, a willingness to tackle activities that require energy and stamina, and reduced chance of injury.”

Zumba, tai chi, yoga

For an older adult, walking into a gym where there are athletes running on treadmills and loud music can sometimes be uncomfortable.

That’s why Senior Fitness Specialist Penny Bailey recommends seeking out other settings that may be more inviting. Tai chi classes that focus on slow movement, or martial arts or yoga classes may be a good alternative, Bailey said.

Aquatic classes or Zumba classes for older adults are other options, she said, adding that it’s important for classes like these to be taught by qualified instructors who understand the limitations and challenges posed by common medical conditions.

Don’t be afraid to ask the instructor about his or her training in proper exercise techniques for older adults, she advised.

Limited mobility

If your mobility is limited or your health status is compromised, you may still be able to do tai chi or yoga in a chair as part of special classes for people with physical limitations, Bailey said, but she emphasized the importance of getting approval from a medical professional before beginning an exercise program.

Resources American Senior Fitness Association: seniorfitness.net/sfahist.htm Arizona Center on Aging at The University of Arizona: azgec.med.arizona.edu Arizona State University: nursingandhealth.asu.edu Banner Sun Health Research Institute’s Center for Healthy Aging: bannerhealth.com/Research Senior Exercise and Fitness Tips: helpguide.org/life/senior_fitness_ sports.htm Silver Sneakers Fitness Program: silversneakers.com

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