Livingwell AZ - May 2015 by LOCALiQ

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HEALTHCARE NEWS YOU CAN USE FOR YOUR WHOLE FAMILY

MAY 2015

IN THIS ISSUE | 2 National Nurses Week | 3 Recognizing stroke symptoms | 4-5 Top events and support groups | 5 Gland health

Arizona’s Top Docs

WOMEN’S WELLNESS

Find the best doctor for your family at TopDoctors.azcentral.com

MANAGING HORMONES

By Susan Lynne Fuchs

t can be hard to choose the right doctor — whether a general internist or a specialist — for you and your family. And that’s where a new website, TopDoctors.azcentral.com, comes in. Working with Castle Connolly Medical Ltd., TopDoctors.azcentral.com now includes information on some of the most respected doctors in the state in an easily searchable fashion. Indeed, since the 1991 founding of Castle Connolly, the company has identified and published lists of the nation’s best doctors in a variety of medical specialties in numerous parts of the country. To explain this service, we recently spoke with John Connolly, Ed.D., President and CEO of Castle Connolly Medical Ltd.

From girl-hood to grandmother-hood, hormones have a major impact on women’s lives STORY BY DEBRA GELBART | PHOTOS BY RICK D’ELIA

Thinkstock

ormones — estrogen, progesterone and a small amount of testosterone — dominate girls’ and women’s lives more than we may want to acknowledge. The effects can begin as young as 8 years old and the impact of gradual or sudden withdrawal of female hormones can last a lifetime.

What happens

Hormones are regulatory substances produced in certain organs to stimulate specific cells or tissues into action. Female hormones are predominantly produced by the ovaries; some production of hormones also comes from the adrenal glands. In girls, estrogen and progesterone begin affecting them typically around 10 years old, explained Leszek Grabowski, M.D., an obstetrician and gynecologist with Banner Health Center in Surprise. That’s when breast development becomes evident, he said, followed by the appearance of underarm and pubic hair, a growth spurt and the onset of menstruation. These phases will either happen sequentially — with about a year between each phase — or may overlap, he said.

When does it happen

However, Grabowski said that there are differences among ethnicities. Breast development often will begin in AfricanAmerican girls between the ages of 7 and 10; in Caucasian girls, it’s usually between ages 8 and 12. Among Hispanic girls, breast development often begins between ages 8 and 11. The average age for the growth spurt in girls is 11.4 years of age, Grabowski said, while the average age for start of the first menstrual period is 12.5 years old.

Regular care important

Because there are so many changes girls and women go through, regular visits to a primary care provider are recommended, said Laura Dalton, D.O., a family medicine physician who specializes in women’s health and is the medical director of Planned Parenthood Arizona. Planned Parenthood is expanding its primary care services, Dalton said. “For pre-teens and teens, hormonal changes can lead to emotional instability and severe PMS symptoms can be associated with depression and anxiety,” she said. “Medical professionals can help manage these issues.” Dalton also said that primary care through Planned Parenthood can cost less out-of-pocket, depending on individual circumstances, than through a private physician’s office.

CAN PHYSICIANS ON THE“TOP DOCTORS” LIST BE REMOVED? Physicians may be removed from the Top Doctors list if they retire, change their practice, are no longer available to patients or there is a change in the mix of specialists Castle Connolly presents for a given community. Physicians may also be removed for malpractice or disciplinary issues, negative physician or patient feedback, inappropriate professional demeanor or failure to be re-nominated.

Pregnancy hormones

The increase in estrogen during pregnancy raises the potential for enlargement of uterine fibroids (benign growths) already present, Dalton said. Accumulation of fluid produces swelling in the hands and feet, Grabowski said, and can cause blurred vision. “If a woman has any pre-existing vision conditions,” he said, “they may worsen temporarily during pregnancy.” This is different, Grabowski said, from an abnormal process called preeclampsia that can present with spots in front of the eyes or blurred vision, in addition to elevated blood pressure. If a pregnant woman experiences any of the signs of preeclampsia, it’s very important to see a doctor right away, he said. HORMONES, continued on page 5

HOW ARE“TOP DOCTORS”CHOSEN? Selection of Top Doctors is based on peer nominations. All licensed M.D.s and D.O.s are invited to nominate other doctors they feel are most outstanding in their medical specialties, either as the best in their region or among the very best in the nation. Nearly 100,000 nominations are received each year. Physicians cannot nominate themselves nor can anyone pay to include a physician in the Top Doctors list. Each of the selected doctors is asked to complete a comprehensive professional biography form with information on their areas of expertise. Castle Connolly’s physician-led research team makes tens of thousands of phone calls each year, talking with leading specialists and other knowledgeable medical leaders to verify submitted data and to gather further information regarding the top specialists. They review the credentials of every physician being considered including their medical education, training, board certifications, hospital appointments, administrative posts and professional achievements as well as malpractice and disciplinary history.

Laura Dalton, D.O., speaks with a patient about hormonal contraceptives at the Planned Parenthood office in Scottsdale. In addition to contraception, the medication is used to help women deal with hormonal issues.

MY DOCTOR IS NOT ON THE LIST. DOES THAT MEAN HE OR SHE IS A BAD PHYSICIAN? While the physicians identified through our research process are clearly among the very best, Castle Connolly does not claim to identify every excellent physician in the nation or in a region. There are always other very good physicians in any area. That is why our guides, websites and other distribution channels describe a process whereby consumers can identify excellent physicians using their own efforts.

More info

TopDoctors.azcentral.com

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2 | Livingwell a-z | Wednesday, May 6, 2015

National Nurses Week: May 6-12

All types of nurses play a crucial role in healthcare

By Meghann Finn Sepulveda

Advanced education

Nurses become advanced nurse practitioners (APRNs) by obtaining higher degrees such as a Master of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP). By earning these advanced degrees, nurses are able to conduct research and identify ways to improve practice and patient outcomes. The roles of APRNs include clinical nurse specialist (CNS), certified nurse midwife (CNM) and certified nurse anesthetist (CRNA). “APRNs are a vital part of the healthcare delivery system,” Schaeffer said. “The advanced education and certification allows these nurses to diagnose and manage patients, order and interpret diagnostic tests, and prescribe medication.”

Nursing programs

Arizona is home to several nursing programs at community college and university levels, including programs at The University of Arizona and at Arizona State University. The University of Arizona College of Nursing ranks in the top 10 percent of graduate nursing programs in the U.S.,

Livingwella-z

Thinkstock

rom pediatrics to geriatrics, there are many specialty areas of nursing. Nurses enter the profession following graduation from an accredited college or university. The two-year Associate Degree in Nursing (ADN) or Associate of Applied Science (AAS), or four-year Bachelor of Science in Nursing (BSN) are nationally recognized pre-licensure programs. Course work includes academic study and clinical rotations. “Upon completion, students are prepared to sit for the National Council Licensing Examination (NCLEX),” said Robin Schaeffer, RN, MSN and executive director for the Arizona Nurses Association. “A student becomes a licensed RN after successfully passing the exam and applying for a license with the state board of nursing.”

according to U.S. News & World Report. The nationally recognized program offers a pre-professional program, Bachelor of Science in Nursing program and Master’s Entry to the Profession of Nursing (MEPN) program. The College also offers online programs for Master of Science in Clinical Systems Leadership (RN-MS), Doctor of Nursing Practice (DNP) and Doctor of Philosophy (PhD). “Our accelerated Master’s Entry to the Profession of Nursing is highly competitive and can be completed within 15 months,” said Terry Badger, PhD, RN, professor, director of the Community and Systems Health Science Division and division director of the Doctor of Nursing Practice program at The University of Arizona. “This is an ideal program for someone interested in recareering into nursing.” The College of Nursing and Health Innovation at Arizona State University now offers a Concurrent Enrollment AssociateBaccalaureate Nursing Program (CEP) in partnership with participating community colleges and can be a good choice for those interested in earning a BSN while

May 2015 | Vol. 5, No. 5

Living Well A-Z publishes on the first Wednesday of the month. From A to Z, we tackle a broad range of health issues and offer resources to find more specific information. For questions concerning content in this publication, please contact Editor Paula Hubbs Cohen.

simultaneously pursing an AAS. The RN to BSN program is designed for practicing RNs to obtain a BSN while earning a salary in the workplace. “This program allows nurses to build on what they already know and apply [what they are learning] to their practice,” said Katherine Kenny, DNP, RN and associate dean of the College of Nursing and Health Innovation at Arizona State University. “These nurses can demonstrate clinical excellence and complete competencies while they are working in a clinical environment providing direct care to patients.”

Careers in nursing

While the roles of ADN and BSN-prepared nurses are similar, there are different skillsets learned and applied as well as different employment opportunities. What’s more, national recommendations from a 2010 study published by the Institute of Medicine calls to increase the number of baccalaureate-prepared nurses in the workforce to 80 percent by 2020. Some health systems require that nurses hold a minimum of a BSN, especially if

the hospital is applying for the Magnet Recognition Program®, which is considered to be the highest standard in nursing. “Education enhances both clinical competency and care delivery,” Schaeffer said. “There is increasing evidence that a BSN or higher degree allows nurses to deliver more complex care and assume more professional responsibilities in the hospital setting and in the community.” Higher-degreed nurses can more likely transition from the bedside into leadership and administrative roles. “Nurses have a wide range of opportunities to care for patients at hospitals and clinics, community health centers, schools, in public health departments and as advocates for national health policy,” Kenny said. “Every nurse – regardless of experience or educational background – is obligated to uphold the nursing code of ethics which guides our practice.” The theme for National Nurses Week 2015 is: Ethical Practice. Quality Care. Learn more at NursingWorld.org.

A division of The Arizona Republic, 200 E. Van Buren St., Phoenix, AZ 85004. For general advertising inquiries, contact Republic Media at 602-444-8000. General Manager: CAMI KAISER ckaiser@republicmedia.com Creative Development Director: ISAAC MOYA imoya@republicmedia.com

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Editorial Coordinator: NICK KOSTENKO nkostenko@republicmedia.com Advertising: RHONDA PRINGLE rpringle@republicmedia.com; 602-444-4929

CORNEA, VISION CORRECTION & CATARACT Robert Fintelmann, MD, FACS

AR-0008366200-01

Dr. Fintelmann provides excellence in care of corneal disease, cataract and vision correction surgery (including LASIK and ICL). He performs a range of procedures including partial, full thickness and laser assisted corneal transplants (DSAEK, DMEK, DALK). In addition, he teaches residents and medical students. BARNET DULANEY PERKINS EYE CENTER Locations throughout Arizona www.GoodEyes.com 800-966-7000

DERMATOLOGY Trevor Thompson, MD

AR-0008380479-03

Dr. Thompson completed his dermatology residency and was the chief resident at the University of Kansas Medical Center. Following his training, Dr. Thompson was an instructor at Harvard University Medical School and the Chief of Dermatology for the Cambridge Health Alliance. Dr. Thompson is Board Certiﬁed and addresses skin care issues through medical and surgical approaches. Banner Health Center 9165 W. Thunderbird Road, Suite 101, Peoria www.BannerHealth.com/HealthCenterNWDerm 623-583-5180

PEDIATRIC CARDIOLOGY Pankaj Jain, MD

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A graduate of B.J. Medical College in India, Dr. Pankaj Jain completed his residencies at King George’s Medical University in India and Metropolitan Hospital Center/New York Medical College. Dr. Jain is Board Certiﬁed and specializes in congenital and acquired heart diseases of children, transthoracic echocardiography, transesophageal echocardiography and fetal echocardiography. Banner Children’s Specialists 1400 S. Dobson Road, 2nd Floor, Mesa 480-412-6336 www.BannerChildrens.com/ClinicMesaCardio

PSYCHOLOGY Jamee Nicoletti, PhD

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A graduate of the Graduate Center at the City University of New York and fellowship-trained, Dr. Jamee Nicoletti specializes in the neuropsychological assessment of any neurological disease or disorder including traumatic brain injury (TBI), concussion, epilepsy, dementia, cerebrovascular accident (CVA), multiple sclerosis (MS), chemo brain and neurotoxicity.

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Banner Psychological Services 1920 N. Higley Road, Suite 106, Gilbert 480-543-2688 www.BannerHealth.com/ClinicGilbertPsychology AR-0008379680-01

Wednesday, May 6, 2015 | Livingwella-z | 3

Stroke: How to recognize symptoms 4easysignstolearnduring May,NationalStrokeMonth

By Susan Lynne Fuchs

ou don’t have to be a doctor to know when to call for help. All you have to know is “F-A-S-T.”

• F FOR FACE Can the person smile with both sides of his/her mouth? • A FOR ARMS Can the person lift both arms equally? • S FOR SPEECH Is it slurred or garbled? • T FOR TIME If the person has any stroke symptoms, call 9-1-1 immediately. You can save a life if you’re paying attention and respond rapidly.

According to the American Stroke Association, someone has a stroke every 40 seconds. Stroke is a leading cause of disability; every four minutes, someone dies of stroke. There are two types of stroke, according to the American Stroke Association’s website. “Ischemic,” the most common, is caused by a clot that blocks blood flow in the brain. The other, “hemorrhagic,” occurs when a blood vessel ruptures and bleeds in the brain.

FACE DROOPING

SPOT A STROKE

ARM WEAKNESS

SPEECH DIFFICULTY

TIME TO CALL 9-1-1

Stroke Warning Signs and Symptoms American Heart Association/American Stroke Association

The American Stroke Association (StrokeAssociation.org) provides this F-A-S-T visual that can be cut out and put on the refrigerator or in a wallet for a “fast” reference. The organization also offers a free app to help spot the symptoms of a stroke. In either case, quick action is urgent, said Victor Zach, M.D., stroke specialist and neurointensivist at HonorHealth John C. Lincoln Medical Center in Phoenix where he is director of Stroke and Neurocritical Care. “During a stroke, every minute costs about two million brain cells,” Zach said. “We have billions of brain cells, but the ones affected by stroke contain valuable memories or abilities that cannot be recovered quickly or — for a lot of people — at all.” If someone with an ischemic stroke arrives at an emergency department accredited as a Primary Stroke Center less than three hours after symptoms start, Zach said, the patient can be treated with a clot-buster called tPA (tissue plasminogen

activator). This drug dissolves the clot and restores normal blood flow in the brain. Hemorrhagic strokes sometimes can be treated surgically, Zach said, but have a higher mortality rate. The good news is that new research now provides additional interventional options for certain stroke victims. “We have the latest CT perfusion brain imaging and 3D reconstruction software to make diagnosis more accurate and help find those patients where additional procedures can help reverse the otherwise permanent onset of disability,” he said.

More info

AMERICAN STROKE ASSOCIATION StrokeAssociation.org

You never know when you’ll be called upon to help save a life By Susan Lynne Fuchs

Just like with CPR, you never know when you’ll be called upon to use medical information you may have learned in the past. Indeed, while I was in an airport, I was unexpectedly thrust into a situation where I needed to help a complete stranger. Here’s what happened: The TSA agent frowned as I handed him my driver’s license and boarding pass folder. I thought it was because I’d dropped my license, fractionally delaying the process. Then I noticed his forefinger was aimlessly doodling circles on the outside of my folder. After about 20 seconds, red flags flared in my mind. “Are you okay?”I said. Blankly, he looked up. Red flags became foghorns. “Can you smile?”I asked. One side of his mouth went up; the other sagged down. I’d never seen a stroke, but after writing about its warning signs for some time, I was pretty sure one was happening — right in front of me. I told him to raise both arms and slowly, one arm lifted. The other hung limply by his side. That’s when I started screaming for his supervisor to call 9-1-1. Everything I’d ever written about how to recognize stroke had proved true.

Free Stroke Screenings The American Heart Association and American Stroke Association are partnering with Valley hospitals to offer free comprehensive stroke assessments during May, National Stroke Month. All screenings include: Counseling by physicians, nurse practitioners and/or a registered dietician Educational materials Copies of screening results Blood pressure checks Body mass index (BMI) evaluations Pulse check Some screenings may also include: Ultrasound scan of carotid arteries Total lipid cholesterol and glucose screenings Ultrasound scan for abdominal aortic aneurysms Cardiac rhythm strip Appointments are limited and are available on a first-come, first-served basis.

ParticipatingValley hospitals include (not a complete list): MAY 11 MAY 13 MAY 6 9 a.m.–noon 8 a.m.–noon 7–11 a.m. Tempe St. Luke’s Hospital HonorHealth Deer Valley West Valley Hospital 877-351-WELL (9355) Medical Center 855-292-WELL (9355) 480-882-4636 MAY 12 MAY 6

8 a.m.–noon HonorHealth John C. Lincoln Medical Center 480-882-4636 MAY 8 8 a.m.–noon Paradise Valley Hospital 855-292-WELL (9355) MAY 11 9 a.m.–noon Mountain Vista Medical Center 877-924-WELL (9355)

8 a.m.–noon Arizona Heart Hospital 855-292-WELL (9355) MAY 12 2–4 p.m. Mayo Clinic Hospital 480-342-1000 MAY 12 4–8 p.m. Banner Desert Medical Center 602-230-CARE (2273)

MAY 20 8 a.m.–noon Maryvale Hospital 855-292-WELL (9355)

MAY 15 8 a.m.–noon Arrowhead Hospital 855-292-WELL (9355)

MAY 16 7–10 a.m. NOAH Cholla Health Center 480-882-4636

MAY 22 8 a.m.–noon Banner Boswell Medical Center 602-230-CARE (2273)

MAY 15 8 a.m.–noon Banner Del E. Webb Medical Center 602-230-CARE (2273)

MAY 16 8 a.m.–noon Banner Thunderbird Medical Center 602-230-CARE (2273)

MAY 22 8 a.m.–noon North Peoria Emergency Center 855-292-WELL (9355)

MAY 15 8 a.m.–noon Banner University Medical Center 602-230-CARE (2273)

MAY 16 8 a.m.–noon Dignity Health Chandler Regional Medical Center 877-602-4111

MAY 28 8 a.m.–noon Phoenix Baptist Hospital 855-292-WELL (9355)

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MAY 15 9–11 a.m.; noon–2 p.m. Banner Baywood Medical Center 602-230-CARE (2273)

MAY 30 8 a.m.–noon Banner Estrella Medical Center 602-230-CARE (2273) JUNE 5 8–11 a.m. Dignity Health St. Joseph’s Hospital and Medical Center 877-602-4111 Sources: Various medical facilities; American Heart Association; American Stroke Association Before you go: Call to confirm dates/times. If a hospital close to you is not listed, call to inquire about the possibility of free stroke checks.

4 | Livingwell a-z | Wednesday, May 6, 2015

MAY

Take advantage of opportunities to meet others with similar issues and learn more about various aspects of your health – from A to Z. Allgroupsandeventsarebelieved, butnotguaranteed,tobefreeunless otherwisestated.Everyefforthasbeen madetoverifyaccuracy,butpleasecall beforeattendingtoconfirmdetails.

WELLNESS MEDICATION CHECKS Call to schedule a personal meeting St. Luke’s, 1800 E. Van Buren St., Phoenix Tempe St. Luke’s, 1500 S. Mill Ave., Tempe Register: 877-351-WELL (9355) WALKING GROUP Various dates & locations By Humana; 480-325-4707 FABULOUS FIBER May 6, 7–8 p.m. Barnes & Noble 10500 N. 90th St., Scottsdale 480-882-4636; HonorHealth.com HEALTHY VISION May 13, 10:30 a.m.–12:30 p.m. Humana Guidance Center 5943 E. McKellips Rd., Mesa 480-325-4707 ACUPUNCTURE & CHINESE MEDICINE May 14, 1–2 p.m. Civic Center Auditorium 3839 N. Drinkwater Blvd., Scottsdale 480-882-4636; HonorHealth.com THYROID & METABOLISM May 20, 7–8 p.m. Barnes & Noble 10500 N. 90th St., Scottsdale 480-882-4636; HonorHealth.com PERIPHERAL ARTERY DISEASE May 21, noon–1 p.m. Tempe Public Library 3500 S. Rural Rd., Tempe Register: 877-351-WELL (9355) LUNCH-N-LEARN: SKIN CANCER May 26, noon–1 p.m. Virginia G. Piper Cancer Center 10460 N. 92nd St., Scottsdale 480-882-4636; HonorHealth.com

CAREGIVERS CAREGIVERS SUPPORT Various dates, times & locations By Duet; 602-274-5022; DuetAZ.org CAREGIVERS SUPPORT May 11 (for time: 602-406-6688) St. Joseph’s Outpatient Rehab 114 W. Thomas Rd., Phoenix CAREGIVERS SUPPORT May 13, 2:30 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-WELL (9355) CAREGIVERS SUPPORT May 15, 9–11 a.m. Birt’s Bistro; 623-584-4999 16752 N. Greasewood St., Surprise LEWY BODY DEMENTIA CAREGIVERS SUPPORT May 28, 1–2:30 p.m. Arbor Rose Senior Living 6063 E. Arbor Ave., Mesa 480-641-2531

GRIEF SUPPORT GROUPS GRIEF SUPPORT GROUPS Various dates, times & locations By Banner Hospice Rev. Cindy Darby, cindy.darby@BannerHealth.com BannerHospice.com; 480-657-1167

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a-z T O P E V E N T S

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

GRIEF SUPPORT Various dates & times Dignity Health St. Joseph’s 350 W. Thomas Rd., Phoenix 602-406-3275 GRIEF SUPPORT Various dates, times & locations By Hospice of the Valley hov.org/grief-support-groups; 602-530-6970 GRIEF BEFORE LOSS May 6, 13, 20 & 27, 2–3 p.m. Benevilla; 623-584-4999 16752 N. Greasewood St., Surprise

ABRAZO HEALTH STROKE CHECK WHAT: Free screenings for blood pressure, heart rate, body mass index, glucose levels and more. WHERE/WHEN: Various dates, times & locations PRESENTED BY: Abrazo Health COST: Free INFO/REGISTER: 855-292-9355; AbrazoHealth.com

PREGNANCY & INFANT LOSS May 7, 6–8 p.m. Virginia G. Piper Cancer Center 10460 N. 92nd St., Scottsdale 480-323-3878; HonorHealth.com GRIEF SUPPORT May 12 & 26, 3–4:30 p.m. By Hospice of the Valley Virginia G. Piper Cancer Center 10460 N. 92nd St., Scottsdale 480-323-1321; HonorHealth.com CHILD LOSS SUPPORT May 18, 6–8 p.m. Virginia G. Piper Cancer Center 10460 N. 92nd St., Scottsdale 480-323-3878; HonorHealth.com

MINI-MED SCHOOL WHAT: Experience a glimpse of whatmedstudentsarelearning. WHERE: Health Sciences Education Building,435N.5thSt.,Phoenix WHEN: 5:30–7 p.m. PARTICIPANTS: For high-schoolers to retirees; can sign up for one or more sessions PRESENTED BY: The University of Arizona College of Medicine – Phoenix COST: Free INFO/REGISTER: 602-827-2024; phoenixmed.arizona.edu/ mini-med

PAIN INTRO TO FIBROMYALGIA May 6, 13, 20 & 27, 5:30–6:30 p.m. Fibromyalgia Wellness Center 8300 N. Hayden Rd., Scottsdale 480-948-4955 FibroWellnessCenter.com CHRONIC PAIN SUPPORT May 13, 6:30–8 p.m. Scottsdale Senior Center 10440 E. Via Linda, Scottsdale 480-314-2330; theacpa.org PAIN MANAGEMENT SEMINAR May 14, 10 a.m. By Santé of Chandler; Santé of Mesa; Santé of North Scottsdale; and Santé of Surprise • 825 S. 94th St., Chandler 480-630-3676;santechandler.com • 5358 E. Baseline Rd., Mesa 480-630-3005; santemesa.com • 17490 N. 93rd St., Scottsdale 480-630-3749; santenorthscottsdale.com • 14755 W. Yorkshire Dr., Surprise 623-377-9698; santesurprise.com CHRONIC PAIN SUPPORT May 14 & 28, 6–7:30 p.m. Freedom Pain Hospital 17500 N. Perimeter Dr., Scottsdale 480-586-2300 FreedomPainHospital.com

HEART/STROKE STROKE CHECK Various dates, times & locations 480-882-4636; HonorHealth.com STROKE SUPPORT May 6, 5:45–7 p.m. HonorHealth Outpatient Therapy 3134 N. Civic Center Plaza, Scottsdale 480-882-6821; HonorHealth.com STROKE SUPPORT May 7, noon Paradise Valley Hospital 3805 E. Bell Rd., Phoenix 602-923-5546 SRitchie@AbrazoHealth.com MENDED HEARTS SUPPORT May 7, 6:30–8 p.m. Deer Valley Medical Center 19841 N. 27th Ave., Phoenix 623-879-5583; HonorHealth.com STROKE CHECK May 11, 9 a.m.–noon By IASIS; various locations Register: 877-351-WELL (9355) STROKE SURVIVOR SUPPORT May 14, 2:30–4 p.m. Dignity Health Chandler Regional 1955 W. Frye Rd., Chandler 480-728-5414

VARIOUS DATES

MAY 6

MAY 8 DEMENTIA & PARKINSON’S WHAT: Ideas and solutions to help caregivers restore balance and maintain a sense of self. WHERE: AZ Museum of Natural History, 53 N. MacDonald, Mesa WHEN: 10:30 a.m.–noon PRESENTED BY: Banner Alzheimer’s Institute; Banner Sun Health Research Institute COST: Free; reservations required INFO/REGISTER: 602-230-CARE (2273); BannerAlz.org

MAY 15

WHERE: Burton Barr Library, 1221 N. Central Ave., Phoenix WHEN: noon–1 p.m. PRESENTED BY: St. Luke’s Behavioral Center COST: Free INFO/REGISTER: 877-351-WELL (9355)

MAY 16 WOMEN’S HEALTH & WELLNESS EXPO WHAT: Screenings; health, wellness and beauty exhibits; brunch; infant and child safety resources; special appearance by Phoenix Mercury personalities. WHERE: 1301 S. Crismon Rd., Mesa WHEN: 9 a.m.–noon PRESENTED BY: Mountain Vista Medical Center COST: Free INFO/REGISTER: 877-924-WELL (9355); mvmedicalcenter.com

MAY 19 CAPTIONED TELEPHONE OPEN HOUSE WHAT: Learn about caption telephone apps and services for those with hearing and speech challenges. WHERE: 100 N. 15th Ave., Phoenix WHEN: 10 a.m.–2 p.m. PRESENTED BY: AZ Commission for the Deaf and Hard of Hearing; AZ Telecommunications Equipment Distribution Program COST: Free INFO/REGISTER: 602-545-3365; 866-223-3412

MAY 20 DEMENTIA DIALOGUE WEBINAR WHAT: Experts in dementia care offer this monthly online seminar. WHERE: Online WHEN: noon–1 p.m. PRESENTED BY: Banner Alzheimer’s Institute COST: Free INFO/REGISTER: 623-832-3248; BannerHealth.com/ ResearchOnlineEdu

MAY 30 CIGNA SUMMER – FIESTA DEL AGUA WHAT: Summer kick-off event. Phoenix firefighters’ CPR demo and instruction, swimming, water safety info, prizes, games and lunch. WHERE: Maryvale Pool, 4444 N. 51st Ave., Phoenix WHEN: 2–5 p.m. PRESENTED BY: Cigna; Phoenix Parks and Recreation Department COST: Free INFO/REGISTER: 602-534-6587; aquatics.pks@phoenix.gov; phoenix.gov/parks/pools

MAY 6: Mini-Med School, presented by The University of Arizona College of Medicine – Phoenix

MINDFULNESS – HOW TO LIVE IN THE MOMENT WHAT: Chip Coffey, MAPC, LPC, NCC, director of therapy services at St. Luke’s Behavioral Health Center, discusses the practice of mindfulness. Lunch provided. Thinkstock

STROKE SUPPORT May 20, 1 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-WELL (9355)

MULTIPLE SCLEROSIS May 30, 10 a.m. St. Joseph’s Barrow 350 W. Thomas Rd., Phoenix 480-829-6563

HEART SERIES May 20, 5–7 p.m. Banner Heart Hospital 6750 E. Baywood Ave., Mesa Register: 602-230-2273 STROKE CAREGIVER SUPPORT May 28, 2:30–3:30 p.m. Dignity Health Mercy Gilbert 3555 S. Val Vista Dr., Gilbert 480-728-5414

DIABETES

WOMEN SEMINARS CELEBRATING WOMEN’S HEALTH May 11–15, various times & topics Dignity Health Mercy Gilbert 3555 S. Val Vista Dr., Gilbert Register: 480-728-5414 MENOPAUSE SUPPORT GROUP May 18, noon–1 p.m. Scottsdale Shea Medical Center 9003 E. Shea Blvd., Scottsdale 480-323-3663; HonorHealth.com WOMEN’S HEALTH IN TWILIGHT YEARS May 21, noon Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-WELL (9355)

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MANAGING DIABETES Various dates, times & topics Dignity Health Center for Diabetes Management 1760 E. Pecos Rd., Gilbert 480-728-3535 DIABETES SUPPORT May 7, 7–8 p.m. The Nutrition Professionals 1237 S. Val Vista Dr., Mesa 480-294-6543 Michelle@NutritionPro.net DIABETES SUPPORT May 11, 3 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-WELL (9355)

ARTHRITIS & ORTHOPEDICSRELATED HIP REPLACEMENT May 12, 6–7:30 p.m. Orthopedic Institute 20401 N. 73rd St., Scottsdale 480-882-4636 AZHipReplacement.com HIP & KNEE OSTEOARTHRITIS May 21, 6 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-WELL (9355)

ALZHEIMER’S/DEMENTIA ALZHEIMER’S & MEMORY SUPPORT May 12, 19 & 26, 10 a.m.–noon Faith Presbyterian Church 16000 N. Del Webb Blvd., Sun City 623-584-4999 PLANNING AHEAD FOR CAREGIVERS May 12, 4–6 p.m. Banner Alzheimer’s Institute 901 E. Willetta St., Phoenix Register: 602-839-6850 AVOIDING ARGUMENTS May 13, 12:30–2:30 p.m. Banner Alzheimer’s Institute 901 E. Willetta St., Phoenix Register: 602-839-6850 ARIZONA LONG-TERM CARE SYSTEM May 13, 2–3:30 p.m. Banner Sun Health Research Institute 10515 W. Santa Fe Rd., Sun City Register: 623-832-3248

ALZHEIMER’S SUPPORT May 16, 11 a.m.–12:30 p.m. Dignity Health Huger Mercy Center 2345 W. Orangewood Ave., Phoenix Lunch provided; 602-406-5600 ALZHEIMER’S CAREGIVER SUPPORT May 18, 1:30–3 p.m. By Tempe St. Luke’s Hospital at Pyle Adult Recreation Center 655 E. Southern Ave., Tempe Register: 877-924-WELL (9355) DIRECTIONS FOR CAREGIVERS May 18, 4–5:30 p.m. Banner Alzheimer’s Institute 901 E. Willetta St., Phoenix Register: 602-839-6850 AVOIDING ARGUMENTS May 19, 9:30–11:30 a.m. Grandview Terrace 14515 W. Granite Valley Dr., Sun City West Register: 623-207-1703 SOLVING PROBLEM BEHAVIORS May 19, 10–11:30 a.m. Mesa Red Mountain Library 635 N. Power Rd., Mesa Register: 602-839-6850 CAREGIVER SUPPORT May 19, 12:30–2 p.m. Duet, 555 W. Glendale Ave., Phoenix 602-274-5022; DuetAZ.org CIRCLE OF FRIENDS SUPPORT May 19, 12:30–2 p.m. Fellowship Square 6945 E. Main St., Mesa 602-839-6850

BREAST CANCER BREAST CANCER SUPPORT May 9, 10 a.m.–noon Virginia G. Piper Cancer Center 10460 N. 92nd St., Scottsdale 480-323-1321; HonorHealth.com LEARN & SUPPORT May 14 & 28, 6–8 p.m. Breast Health and Research Center 19646 N. 27th Ave., Phoenix 623-780-4673; HonorHealth.com BREAST BUDS SUPPORT May 16, 11 a.m.–1 p.m. MidFirst Bank Conference Room 6508 W. Bell Rd., Glendale 480-657-0500; BreastBuds.org

CANCER SUPPORT GROUPS CANCER SUPPORT COMMUNITY SUPPORT GROUPS 360 E. Palm Lane, Phoenix Info: 602-712-1006; rsvp@cscaz.org • CANCER SUPPORT Various dates & times • MULTIPLE MYELOMA May 7, 10–11:30 a.m. • LYMPHOMA May 9, 10–11:30 a.m. • PANCREATIC May 9, 10–11:30 a.m.

• CARCINOID May 9, 1–2:30 p.m. • LUNG May 9, 1–2:30 p.m. • NEWLY DIAGNOSED May 12, 6–7:30 p.m. • TEEN CANCER May 12, 6–7:30 p.m. • PROSTATE May 14, 6–7:30 p.m. • COLORECTAL May 16, 10–11:30 a.m. • OVARIAN May 16, 10–11:30 a.m. IRONWOOD CANCER & RESEARCH CENTERS SUPPORT GROUPS 685 S. Dobson Rd., Chandler Info: 480-340-4013; IronwoodCRC.com • BREAST May 11, 2–4 p.m. • PROSTATE May 11, 7–9 p.m. • CAREGIVERS May 16, 10 a.m.–noon • HEAD AND NECK May 18, 2–4:30 p.m. • METASTATIC May 27, 3–4:30 p.m. LOOK GOOD FEEL BETTER Various dates, times & locations 800-ACS-2345; LookGoodFeelBetter.org CANCER SURVIVORS SUPPORT May 6, 6:30–7:30 p.m. Virginia G. Piper Cancer Center 10460 N. 92nd St., Scottsdale 480-323-1321; HonorHealth.com PANCREATIC CANCER SUPPORT May 12, 4–5:30 p.m. Piper Cancer Center/Bisgrove Pavilion 10510 N. 92nd St., Scottsdale 480-323-1321; HonorHealth.com NON-HODGKIN’S LYMPHOMA SUPPORT May 14, 6–8 p.m. Virginia G. Piper Cancer Center 10460 N. 92nd St., Scottsdale 480-323-1321; HonorHealth.com LOOK GOOD FEEL BETTER May 18, 5:30-7:30 p.m. Banner Desert Cancer Center 1400 S. Dobson Rd., Mesa Register: 602-230-2273 NEWLY DIAGNOSED SUPPORT May 18, 6:30–7:30 p.m. Virginia G. Piper Cancer Center 10460 N. 92nd St., Scottsdale 480-323-1321; HonorHealth.com CAREGIVER & FAMILY SUPPORT May 20, 6:30–7:30 p.m. Virginia G. Piper Cancer Center 10460 N. 92nd St., Scottsdale 480-323-1321; HonorHealth.com LUNG CANCER May 21, 6–7:30 p.m. By Cancer Support Group Meeting at Bluewater Grill 1720 E. Camelback Rd., Phoenix RSVP: 602-527-3776 ORAL, HEAD & NECK May 21, 6:30–8:30 p.m. Virginia G. Piper Cancer Center 10460 N. 92nd St., Scottsdale 480-323-1321 HonorHealth.com

PARKINSON’S PARKINSON’S EDUCATION, EXERCISE & SUPPORT GROUPS Various dates, times & locations By Muhammad Ali Parkinson Center 602-406-3840; 602-406-4921 CAREGIVER SUPPORT May 6, 1:30–3 p.m. By Duet at Red Mountain Center 7550 E. Adobe St., Mesa 602-274-5022; DuetAZ.org CAREGIVER SUPPORT May 13, 1:30–3 p.m. Duet, 555 W. Glendale Ave., Phoenix 602-274-5022; DuetAZ.org PARKINSON’S SUPPORT May 19, 3–4 p.m. Shepherd Hills Methodist Church 13658 Meeker Blvd., Sun City West 623-584-4999

GASTROINTESTINAL OSTOMY SUPPORT May 7, 2 p.m. Banner Boswell 13180 N. 103 Dr., Sun City 602-678-4441 OSTOMY SUPPORT May 12, 6 p.m. Elite Home Healthcare Services 2140 W. Greenway Rd., Phoenix 602-246-8221 OSTOMY SUPPORT May 17, 2–4 p.m. Fellowship Hall 161 N. Mesa Dr., Mesa 480-524-4819 OSTOMY SUPPORT May 21, 12:30 p.m. La Casa de Cristo Church 6300 E. Bell Rd., Scottsdale 623-580-4120

RESPIRATORY BETTER BREATHERS/ COPD SUPPORT Various dates, times & locations By the American Lung Association 602-429-0005 BreatheEasyAZ.info GET PAST ASTHMA May 14, 6:30–8 p.m. Deer Valley Medical Center 19841 N. 27th Ave., Phoenix 623-879-5452 HonorHealth.com

Wednesday, May 6, 2015 | Livingwella-z | 5

BRAIN/NEUROLOGICAL YOUNG ADULT BRAIN INJURY May 13, 6–7:30 p.m. St. Joseph’s Barrow 350 W. Thomas Rd., Phoenix 602-996-1396; 602-406-6688 PROGRESSIVE SUPRANUCLEAR PALSY SUPPORT May 16, 1:30–3:30 p.m. Banner Thunderbird 5555 W. Thunderbird Rd., Glendale 602-920-4632 tsebastiani@cox.net BRAIN ANEURYSM SUPPORT May 20, 6–8 p.m. St. Joseph’s Barrow 350 W. Thomas Rd., Phoenix 760-333-7658 Kimberly@JoeNiekroFoundation.org BRAIN TUMOR SUPPORT May 26, 6–8 p.m. St. Joseph’s Barrow 350 W. Thomas Rd., Phoenix 623-205-6446 BRAIN INJURY SUPPORT May 28, 6–7:30 p.m. St. Joseph’s Barrow 350 W. Thomas Rd., Phoenix 602-508-8024; 602-406-6688

HEARING LOSS HEARING LOSS SUPPORT May 14, 12:45–2:30 p.m. By Hearing Loss Association at Ed Robson Library 9330 E. Riggs Rd., Sun Lakes 301-657-2248; HearingLoss.org; ReggieFaith@gmail.com HEARING LOSS SUPPORT May 21, 1:30–3:30 p.m. By Hearing Loss Association at Sun City Library 16828 N. 99th Ave., Sun City 301-657-2248; HearingLoss.org; melanie.orourke@gmail.com HEARING LOSS SUPPORT May 27, 1:30-3:30 p.m. By Hearing Loss Association at Fountain Hills Community Center 13001 N. La Montana Dr., Ftn Hills 301-657-2248; HearingLoss.org; KFonville@fhfh.az.gov

PARENTING BREASTFEEDING SUPPORT Various dates, times & locations By Dignity Health 480-728-5414; 602-406-4954 GRANDPARENTS RAISING GRANDCHILDREN Various dates, times & locations By Benevilla; 623-207-6016; Benevilla.org By Duet; 602-274-5022; DuetAZ.org

MOMS ON THE MOVE Various dates, times & locations 480-323-3878; HonorHealth.com T.E.E.N.S. 4 TEENS SUPPORT May 7, 14, 21 & 28, 6–7 p.m. Dignity Health Chandler Regional 1875 W. Frye Rd., Chandler 480-728-5414 INFANT BRAIN DEVELOPMENT CLASS May 9, 9 a.m.–1 p.m. Tempe St. Luke’s Hospital 1500 S. Mill Ave., Tempe Register: 480-784-5588 BREASTFEEDING SUPPORT May 11, 18 & 25, 1 p.m. Banner Estrella; 602-230-2273 9201 W. Thomas Rd., Phoenix MOTHER-TO-MOTHER SUPPORT May 22, 10–11:30 a.m. St. Joseph’s; 877-602-4111 350 W. Thomas Rd., Phoenix PREPARING FOR PREGNANCY May 27, 6 p.m. Mountain Vista Medical Center 1301 S. Crimson Rd., Mesa Register: 877-924-WELL (9355)

SENIORS FOOT CARE May 12, noon Mountain Vista Medical Center 1301 S. Crimson Rd., Mesa Register: 877-924-WELL (9355) CRISIS HELP May 13, 2:30 p.m. Mountain Vista Medical Center 1301 S. Crimson Rd., Mesa Register: 877-924-WELL (9355) AZ GERIATRICS SOCIETY CAREGIVER FORUM May 19, 1–5 p.m. Foundation for Senior Living 1201 E. Thomas Rd., Phoenix 602-265-0211; ArizonaGeriatrics.org EDUCATION CONNECTION May 21, 1–2 p.m. Fellowship Square 35 W. Brown, Mesa 480-290-7025; azfs.org HEALTH & FITNESS DAY May 27, 9:30–11:30 a.m. Partners in Primary Care Various locations; 480-477-4808

BARIATRIC SURGERY SEMINARS BANNER HEALTH BannerHealth.com; 480-543-2606 HONORHEALTH BariatricSurgeryAZ.com 480-882-4636 ST. LUKE’S MEDICAL CENTER BridgesAZ.com; 800-248-5553

a-z I N F O R M AT I O N O N L I N E

ABRAZO HEALTH CARE: AbrazoHealth.com; 602-674-1400; Arizona Heart Hospital, Arizona Heart Institute and Arrowhead, Maryvale, Paradise Valley, Phoenix Baptist and West Valley hospitals BANNER CHILDREN’S-CARDON CHILDREN’S: BannerChildrens.com; 480-412-KIDS (5437) BANNER HEALTH: BannerHealth.com; 602-747-4000; Numerous hospitals and medical centers BANNER POISON AND DRUG INFO CENTER HOTLINE: 800-222-1222 BARROW NEUROLOGICAL INSTITUTE: TheBarrow.org; 877-602-4111 DIGNITY HEALTH CHANDLER REGIONAL MEDICAL CENTER: DignityHealth.org/chandlerregional; 877-728-5414 DIGNITY HEALTH MERCY GILBERT MEDICAL CENTER: DignityHealth.org/mercygilbert; 877-728-5414 DIGNITY HEALTH ST. JOSEPH’S HOSPITAL AND MEDICAL CENTER: DignityHealth.org/stjosephs; 877-602-4111 DIGNITY HEALTH ST. JOSEPH’S WESTGATE MEDICAL CENTER: DignityHealth.org/westgate; 877-602-4111 HONORHEALTH (formerly Scottsdale Healthcare): HonorHealth.com; 623-580-5800; HonorHealth Scottsdale Shea; HonorHealth Scottsdale Thompson Peak; HonorHealth Scottsdale Osborn HONORHEALTH DEER VALLEY MEDICAL CENTER: HonorHealth.com; 623-580-5800 HONORHEALTH JOHN C. LINCOLN MEDICAL CENTER: HonorHealth.com;623-580-5800 MARICOPA INTEGRATED HEALTH SYSTEM: MIHS.org; 602-344-5011 MAYO CLINIC: MayoClinic.org; 800-446-2279 MOUNTAINVISTAMEDICALCENTER:MVMedicalCenter.com;480-358-6100 MUHAMMAD ALI PARKINSON CENTER: TheBarrow.org; 602-406-6262 PHOENIX CHILDREN’S HOSPITAL: PhoenixChildrens.org; 602-933-1000 ST. LUKE’S MEDICAL CENTER: StLukesMedCenter.com; 602-251-8100 TEMPE ST. LUKE’S HOSPITAL: TempeStLukesHospital.com; 480-784-5500 VALLEYFEVERCENTERFOREXCELLENCE: vfce.arizona.edu;602-406-8253

Gland health

Glands regulate many body functions

By Debra Gelbart

ost of us rarely — if ever — think about our adrenal glands (located on top of the kidneys), the pituitary gland (located at the base of the brain) or the thyroid gland (located near the base of the neck). First, a brief primer on what they do. The adrenal glands produce adrenaline (also known as the “fight or flight” hormone called epinephrine), which helps you react to stress; cortisol, released when you’re under stress to help the body convert fats, proteins and carbohydrates to energy; and norepinephrine, which works with epinephrine in response to stress. Think of the pituitary gland as the “master endocrine gland that controls the endocrine system,” said Harmeet Singh Narula, M.D., an endocrinologist at Banner Health Center in Sun City West. The pituitary releases human growth hormone and thyroid stimulating hormone, Narula said. Meanwhile, the thyroid gland helps regulate body weight, energy level, metabolism and body temperature, he said.

Adrenal glands

Narula cautions readers not to be misled by those who talk about “adrenal fatigue” and who recommend expensive supplements to “re-energize” tired adrenal glands. True “adrenal insufficiency” indicates a serious but rare medical condition called Addison’s disease that can

YO U R H E A LT H H E A D T O T O E

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only be properly diagnosed by a medical professional, he said. Only about one in every 100,000 people are diagnosed with adrenal insufficiency every year. Symptoms include weight loss and decreased appetite; low blood pressure; low blood sugar; a craving for salt; and nausea, diarrhea or vomiting. If you don’t have any of these symptoms, chances are you don’t have adrenal insufficiency, Narula said.

Pituitary gland

The pituitary gland can be affected by obesity or by being significantly underweight, Narula said. It also can be affected by benign pituitary tumors or by head injuries. Many pituitary disorders are discovered when a patient is being evaluated for headaches, visual disturbances or suddenly irregular menstrual periods, Narula said. Benign pituitary tumors are common on MRI scans, he said, but pituitary dysfunction is rare.

Thyroid gland

The thyroid gland can become either underactive (“hypothyroidism”) or

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overactive (“hyperthyroidism”). These disorders affect about 12 percent of the population, Narula said, noting that an underactive thyroid is more common than an overactive thyroid. He advises patients NOT to take iodine supplements to help regulate thyroid function. “They may do more harm than good, especially in someone with a diseased thyroid gland,” he said. “We all get plenty of iodine in our food.” Only pregnant women need an iodine supplement; a prenatal vitamin containing iodine is sufficient. The treatment for hypothyroidism, whose symptoms include weight gain and fatigue, is often a prescription for an oral medication that costs as little as $4 a month, Narula said. Pregnant women who have been diagnosed with hypothyroidism must continue to take their medication during pregnancy, he said. Treatments for hyperthyroidism, whose symptoms can include rapid resting pulse and unexplained weight loss, include prescribed medication as well. If you are having any persistent symptoms of a thyroid disorder, see your healthcare practitioner, Narula advised.

Hormones continued from the cover

Navigating change

Donald Northfelt, M.D., is the associate medical director of the Breast Clinic at Mayo Clinic in Scottsdale. Both he and Dalton of Planned Parenthood Arizona said that the transition from childbearing years to perimenopause and menopause doesn’t have to be difficult. “I can’t think of a better time in life to focus on improving nutrition and physical activity,” Northfelt said. “Women have the opportunity to improve their lives and to maintain their health, often without the risks associated with medications. A thoughtful physician can assist a woman in that effort and guide her to great resources on the topic.”

HRT — yes or no?

Hormone replacement therapy (HRT) has not been as widely recommended in the past decade or so as it once was because of a landmark clinical study published in 2002 that showed years-long use of HRT can lead to breast cancer. Part of the risk for breast cancer comes from aging and continual exposure to estrogen after menopause, Northfelt explained. Because estrogen is also produced by adipose (fatty) tissue, women who are overweight or obese after menopause are at greater risk for breast cancer, he said. With regard to HRT, “make sure you’re not utilizing a one-size-fits-all approach,” Dalton said, “because every woman deals with bodily and hormone changes differently. It’s important for a woman to determine what quality of life means to her. A good doctor will help her determine whether she could benefit from a short course of hormone

According to the American Stroke Association, on average, a stroke occurs every 40 seconds. May is National Stroke Awareness Month, and Mountain Vista Medical Center and Tempe St. Luke’s Hospital encourages the community to increase their awareness of stroke risk factors, and its signs and symptoms through a free stroke risk assessment.

Donald Northfelt, M.D., associate director of the Breast Clinic at the Mayo Clinic, checks in with Bettie Clark during a routine visit. “Every woman deserves to have personalized, effective care from a practitioner who pays attention to her and her individual needs,” Northfelt said. replacement therapy or whether she would be better off with treatments that aren’t hormonally based.” Grabowski, of Banner Health Center in Surprise, said HRT should only be administered if a patient is experiencing hot flashes. The ideal candidate for HRT, he said, is a woman in her late 40s or early 50s who is experiencing hot flashes severe enough to affect wher quality of life. “Women that age probably will not yet have gone through any changes in their heart health or bone structure because of diminishing hormones and they’re not as vulnerable to the risk of breast cancer as older women,” he said. The bone health of these younger women is more likely to be protected by HRT than older women who may already have experienced

some degree of post-menopausal bone loss. For women who went through menopause more than five years ago but are experiencing hot flashes now, non-hormonal treatments may be a better option, he said. In general, Northfelt said, postmenopausal women who could benefit from HRT should receive the lowest dose possible and for the briefest period of time possible to control their symptoms.

A doctor’s advice

Here’s Dalton’s advice for determining which treatment might be best for menopausal symptoms: “Stop Googling information that isn’t personalized for you and see a doctor who can tailor care for your specific needs.”

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