LivingWell-July2013

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THE ARIZONA REPUBLIC

A SPECIAL PUBLICATION CREATED BY REPUBLIC MEDIA CUSTOM PUBLISHING

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HEALTHCARE NEWS YOU CAN USE FOR YOUR WHOLE FAMILY

Vol. 3, No. 7

July 2013

IN THIS ISSUE: COVER/06: COSMETIC PROCEDURES COVER: STEM CELL TRANSPLANT 02: CLINICAL TRIALS 102 03: CHIROPRACTIC 04: OTC DOES NOT MEAN A-OK 04/05: SUPPORT GROUPS 05: TOP EVENTS 06: CARBOHYDRATES 07: DRIVE-THRU DINING DETAILS

RICK D’ELIA

PHOTO USED WITH PERMISSION OF BANNER HEALTH

HEALTHCARE News

Susan Van Dyke, M.D., uses a non-invasive fat reduction ultrasound machine, Liposonix, to help Ronalda Deal with some trouble areas. The ultrasound technique kills fat cells, shrinking the area of concern. Van Dyke, a board-certified cosmetic dermatologist, owns Van Dyke Laser and Skin in Paradise Valley.

Banner MD Anderson performs first stem cell transplant on patient

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PHOTO SCOTTSDALE HEALTHCARE

ocated in Gilbert, Banner MD Anderson Cancer Center has successfully performed its first stem cell transplant in a patient with multiple myeloma.

The patient, a 65-year-old man from San Tan Valley, received an autologous stem cell transplant following highdose chemotherapy. “With autologous transplants, a patient’s own stem cells are collected from blood, processed and frozen. Following the high-dose effective chemotherapy, these stem cells are thawed at the bedside and reintroduced to create healthy blood cells within a two-week period,” said Dr. Görgün Akpek, Director of Stem Cell Transplantation and Cellular Therapy.

“This therapy builds a new set of blood cells and bone marrow to put the cancer in remission.”

When healthy blood cells become crowded out by a hematologic cancer such as leukemia, lymphoma, myeloma and other hematologic disorders, stem cell transplantation can be the only potentially curative treatment option.

Banner MD Anderson Cancer Center on the Banner Gateway Campus delivers cancer care to patients in Arizona through the collaboration of Banner Health and The University of Texas MD Anderson Cancer Center.

More info: BannerMDAnderson.com

Scottsdale Healthcare Family Medicine Residency class of 2013: Clifford Gazda, M.D.; Louis Hagler, M.D.; Nathan Matthews, D.O.; Renee Tomazic, D.O.; Nicole Johnson, M.D.; William Gardella, M.D.; Jamie Beckman, D.O., Nicholas Dutro, M.D.

Scottsdale Healthcare graduates eight new family physicians

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fter three years of rigorous training, eight new family physicians recently graduated from Scottsdale Healthcare’s Family Medicine Residency Program. Helping address the state’s and nation’s shortage of family doctors, nearly 240 family physicians have graduated from the program since its founding in 1974. The program’s graduates have achieved a 100 percent pass rate on the American Board of Family Practice Certification Examination.

More info: shc.org

Cosmetic procedures Treatments range from noninvasive to surgically complex

BY DEBRA GELBART

M

ore than a dozen noninvasive cosmetic procedures keep boardcertified cosmetic dermatologists like Susan Van Dyke, M.D., busy. She provides injectable treatments such as Botox or dermal-fillers like Juvederm or Restalyne to plump up the skin, laser resurfacing treatments to improve the skin’s appearance, noninvasive fat reduction techniques and chemical peels.

“In my practice we do only noninvasive procedures that result in a moderate improvement in appearance,” Van Dyke said. “Noninvasive treatment is a niche between not doing anything and aggressive treatments like surgery.”

Some patients might benefit from actual surgery, Van Dyke noted. “If someone has dramatically sagging skin on the face or abdomen, for example, and he or she is willing to consider surgery, I would probably recommend that the patient get an opinion from a plastic surgeon.”

Plastic vs. cosmetic

It’s important to understand the difference between plastic surgery and cosmetic surgery.

While nearly all physicians who perform reconstructive (rather than purely cosmetic) procedures are trained as plastic surgeons, “any doctor can call him- or herself a cosmetic surgeon,” explained Daniel Shapiro, M.D., a plastic surgeon certified by the American Board of Plastic Surgery, whose medical practice is limited to surgical and nonsurgical cosmetic procedures.

“A general surgeon, GYN, family medicine practitioner or any other physician can be a cosmetic surgeon,” he said. “Ideally, the cosmetic surgeon you choose also has been trained as a plastic surgeon. I would advise patients to do their research and find out if the particular doctor they select to perform an invasive procedure has privileges at a hospital specifically for that procedure, rather than only for other types of surgery.”

By The Numbers

In 2012, just under 1.6 million cosmetic surgeries were performed in this country.

Breast augmentation and nose reshaping (rhinoplasty) were the two most popular procedures; more than 528,000 of those surgeries were performed. That compares with 13 million minimally invasive cosmetic procedures performed the same year, including more than 6 million Botox treatments for facial wrinkles.

Susan Van Dyke, M.D.

Amazing advancements

“One of the most revolutionary things to happen in the past 15 years,” Shapiro said, “is fat transfer.” A patient’s body fat is positioned elsewhere in the body to provide volume that’s been lost over the years — in the face and elsewhere, he said. “One of the best byproducts is that a patient’s own fat contains growth factor and stem cells, which are especially good for healing and rejuvenating tissues.”

The procedure, he said, involves extracting fat from the abdomen or thighs, placing it into a centrifuge to purify it and then injecting it using very small cannulas (blunt tubes) into other parts of the body. “Fat transfer with a facelift creates a very natural appearance,” he said.

Popular treatments

Popular treatments that Van Dyke provides include laser skin treatments that can make

— Source: American Society of Plastic Surgeons, plasticsurgery.org

the skin look younger and more refreshed.

Patients can choose how aggressive they want to be, she said, adding that a light laser treatment leaves a patient with reddened skin for just a day, while moderate laser resurfacing reddens the skin for about four days. An aggressive laser treatment requires about a week of downtime.

Van Dyke said fat reduction techniques for the abdomen or flanks (sides of the torso), such as CoolSculpting (that freezes fat) or Liposonics (that melts fat) also are in high demand.

Shapiro and Van Dyke both offer the Ulthera® system, an ultrasound device that enables a noninvasive brow lift and tightening of the skin on the face and neck. Approved by the FDA just four years ago, “Ultherapy offers tightening of the skin from the inside out and is ideal for Continued on page 6 PROCEDURES

NUMBER OF WATER-RELATED DEATHS AND INCIDENTS IN MARICOPA AND PINAL COUNTIES OCCURRING BETWEEN JANUARY 1, 2013 AND JUNE 14, 2013:

54 INCIDENTS, RESULTING IN…17 DEATHS…5 OF WHICH WERE CHILDREN MESSAGE: WATCH 100% OF INDIVIDUALS AROUND WATER,

ESPECIALLY CHILDREN — 100% OF THE TIME

Source: Children’s Safety Zone, childrensafetyzone.com and Drowning Prevention Coaliton of Arizona, preventdrownings.org —PAULA HUBBS COHEN

2 | LIVING WELL A-Z | WEDNESDAY, July 3, 2013

VITAL Signs

One woman’s story

Translational Genomics Research Institute (TGen): tgen.org

—DEBRA GELBART

THINKSTOCK

Scottsdale Healthcare: shc.org/clinicaltrials

Lynne Jacoby of Phoenix has a newfound appreciation for clinical trials. The Stage 4 pancreatic cancer survivor had known for a long time that she was seriously ill before she was finally correctly diagnosed in April of 2012.

At the time, she was told that she could expect to live only another four months. “I didn’t want to accept that,” she said. “I would have gone anywhere — China, Mexico, wherever — to change that prognosis.”

But she only had to go as far as Scottsdale.

A relative referred her to the Virginia G. Piper Cancer Center Clinical Trials Program at Scottsdale Healthcare, where patients were being recruited for a pancreatic cancer drug study.

She was able to enroll in the study less than a month after her diagnosis, and

by July of last year, just three months after being told that she had 21 lesions in her liver, a CT scan revealed that the tumors had shrunk substantially.

By September, the liver tumors could no longer be seen on imaging scans and the tumors in her pancreas had shrunk to “barely measurable size”.

Until very recently her tumor markers (indicators of the presence of a tumor) were close to the same levels as someone without cancer. Last month, she underwent another CT scan and a very early reoccurrence of the cancer was detected, something that her doctors are confident can be treated.

“The way I view clinical trials is as the worst-case scenario turning into the best case, thanks to medical innovation,” Jacoby said. “In fact, this very early diagnosis was possible because of medical innovation.”

Clinical trials 102

Second in an on-going series about clinical trials

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typical medication or device in development goes through three phases of a clinical trial before being submitted to the Food and Drug Administration for approval. Each phase typically lasts from one to six years, depending on how long it takes to recruit patients.

Here’s what each phase means and what researchers are looking for in each phase, according to Joyce Schaffer, R.N., M.S.N., patient care coordinator at the Virginia G. Piper Cancer Center, which is part of Scottsdale Healthcare.

A medication or device is studied for safety in a small population, typically about 40 patients

Phase 1

in only three different medical centers around the country. “Patient recruitment is usually confined to a small group of people who meet strict criteria to participate,” added Shaun Opie, Ph.D., research operations director at Banner Research. “In the case of new oncology drugs, the investigators often seek patients who have exhausted current therapy options.”

The medication or device is studied in up to 100 people in several medical centers around the country. In this phase, researchers establish the most effective dosage and timing for administering the drug. This phase is ideally suited for patients interested in

Phase 2

Some clinical trials pay for participation Hospital-based trials typically are connected to medically complicated conditions, while the studies with independent research facilities you may hear advertised can be for all kinds of less serious conditions or issues.

“But other than being advertised on the radio, clinical trials at independent facilities aren’t that different from hospital-based studies,” said Shaun Opie, Ph.D., research operations director at Banner Research. All legitimate clinical trials are conducted according to an established scientific protocol and ethics committee oversight, he added.

Most of the studies that recruit over the radio compensate patients for their time; about 50 percent of the corporately sponsored clinical trials through Banner Research offer stipends for patients.

receiving investigational treatment in addition to standard-of-care treatments, Opie said.

The drug or device is tested in hundreds or thousands of individuals in many medical centers across the U.S. against the standard of care for a specific medical condition.

Opie noted that these patients often have similar clinical profiles to those enrolled in Phase II studies, but the increased number of participants helps the researchers identify rare adverse events. Depending on the outcome, the Food and Drug Administration may be asked to approve the drug for prescription availability.

Phase 3

Resources Banner Health: bannerhealth.com/clinicaltrials Food and Drug Administration: fda.gov National Institutes of Health: clinicaltrials.gov

SPECIAL ADVERTISING FEATURE

A Body in Motion: The Benefits of Regular Exercise for Healthy Aging

T

oday’s seniors are more active than ever. Whether it’s dancing, gardening or enjoying a round of golf, they lead full lives and want to keep doing all the activities they enjoy. But as we grow older, physical changes may prevent us from doing everything we want to do.

Exercise is the key to keeping your body in top working order. Physical activity enhances your quality of life by increasing your energy level, improving your mood, sharpening your mind, preventing injury and keeping diseases at bay. Best of all, being physically fit helps you stay strong and maintain your independence so you can enjoy all life has to offer for years to come.

Don’t Fall Behind When we become inactive, our bodies weaken in four key areas that are essential to staying healthy: endurance, strength, balance and flexibility. According to the National Institute on Aging, we should do a mix of exercises that focus on these areas as we grow older:

Endurance: Increased endurance enables you to walk farther, faster and uphill without tiring out quickly. Aerobic activities like brisk walking or swimming increase your breathing and heart rate, so you won’t have to cut short fun activities like pushing your grandchildren on the swings, working in the garden or playing tennis.

Strength: Strengthening your muscles will make your body stronger. Exercises like lifting weights and using resistance bands can increase muscle strength, which makes it easier for you to climb stairs, pick up your grandchildren and carry groceries.

AR-0008035548-01

BY DEBRA GELBART

Balance: Improving your balance helps you control your body. Exercises like tai chi can improve your ability to maintain your body’s position, whether you’re in motion or standing still. Good balance is essential to help you prevent falls, stand on tiptoe to reach something on the top shelf and walk up and down the stairs.

Flexibility: Increasing flexibility helps you stay limber and flexible. Exercises that involve stretching, like yoga and Pilates, can increase flexibility and give you more freedom of movement for everyday activities such as making the bed and bending over to tie your shoes.

Ready, Set…Move!

It’s never too late to start an exercise program. Here are a few tips: • If you haven’t exercised regularly, see your doctor first for recommendations on setting reasonable fitness goals.

• Schedule a time to exercise every day so it becomes a habit • Increase your daily physical activity gradually to prevent injury.

• Link up with an exercise buddy like your spouse or a friend.

• Buy a pedometer and gradually increase the number of steps you take each day.

• Track your daily physical activity by keeping a journal.

• Drink plenty of water and get your rest.

• Take advantage of benefits like Cigna’s Golden Vitality, a free wellness program that reimburses you up to $200 each year for the fitness center of your choice.

Cigna Medicare experts can be reached at 1-855-298-4382 to help answer your questions and discuss plan options available to you.

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Advances in Stem Cell Therapy

Chiropractic care

PROFESSIONAL ATHLETES HAVE USED STEM CELLS FOR YEARS.

BY LISA NICITA

A

ccording to J.C. Richer, D.C., a chiropractor in Scottsdale, technology and general strain are taking a toll on the spine, as are car and workplace accidents.

“For every inch the nose moves forward, you have the equivalent of 10 to 12 pounds on the base of the neck,” Richer said. “It creates a big problem and we treat a lot of that.”

Richer said he also sees quite a few female patients at or around the time they hit or exit menopause, and men as they enter their 50s. He said hormonal changes and spinal issues often go hand in hand, and that symptoms such as lower back pain, headaches, energy and stamina loss can often be improved with chiropractic care.

Specialty practice

PHOTO USED WITH PERMISSION OF LASER SPINE INSTITUTE

Treating a variety of ailments

Now it’s your turn.

Seminar 6pm, Tuesday, July 16th Seminar 6pm, Tuesday, July 30th Your own body fat is incredibly rich source of stem cells. With a small sample of your fat we can remove the fat cells leaving a rich solution loaded with stem cells - this is called Stromal Vascular Fraction (SVF).

We are now conducting patient funded clinical investigations using your own SVF (rich in stem cells) for investigation of many illnesses, degenerative, autoimmune, inflammatory disorders and…

Anthony Gross, D.C., Laser Spine Institute

Chiropractic practice is a specialty that requires a four-year collegiate education, continuing professional education and additional state-specific requirements.

Anthony Gross, D.C., a chiropractor and clinical educator consultant at the Laser Spine Institute in Scottsdale, said chiropractic studies include exercise and nutrition, orthopedics, imaging and clinical diagnosis, among other courses.

Before they practice professionally, chiropractors must pass national board exams, and in many cases, including in Arizona, they also must pass state exams.

Richer said a minimum of 12 hours of continuing education is required on an annual basis.

3

What’s new?

Gross said he is seeing a transition in the profession, as more chiropractors integrate themselves into medical practices.

As the first on-staff chiropractor at the Laser Spine Institute, Gross said he is a current example of how the profession, and its image, is evolving. Part of his role is to ensure that patients seeking spinal surgery have exhausted all other options first, including chiropractic care.

“In essence, I’m a screening tool for the Laser Spine Institute,” Gross said. “I make jokes that the ‘D.C.’ after my name stands for ‘don’t cut.’”

AR-0008034655-01

Parkinson’s Disease

480-513-3376

20950 North Tatum Boulevard Suite 150 | Phoenix, Arizona 85050 PhoenixStemCellTreatmentCenter.com

Financing Available Affiliated Af with the California Calif Stem Cell Treatment Center for the investigational uuse se of SVF for degenerative conditions.

Investigational Inve vestigatioonal Review Board (IRB) Approved Research Network

HOLD YOUR PLACE

TIPS ON HOW TO FIND A GOOD CHIROPRACTOR

1 Ask a friend or family member for a referral 2 Visit the website of the American Chiropractic Association (acatoday.org)

3 Visit the website of the Arizona Board of

Chiropractic Examiners (azchiroboard.us)

Source: Anthony Gross, D.C., chiropractor and clinical educator consultant, Laser Spine Institute Scottsdale AR-0008011012-01

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4 | LIVING WELL A-Z | WEDNESDAY, July 3, 2013

July Take advantage of dozens of opportunities for you to meet others with similar issues and learn more about various aspects of your health – from A to Z.

THINKSTOCK

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.

OTC does not mean A-OK

Abusing or misusing over-the-counter meds can be dangerous

BY ALISON STANTON

W

hen it comes to over-the-counter (OTC) medications, it is definitely possible to get too much of a good thing.

J.A. (Butch) David, RPh., system director of the Ambulatory Pharmacy at Banner Health, said that OTC abuse can occur in two ways: (1) taking too much in order to get a “buzz” or “high” and (2) misuse from a misunderstanding of the proper use of the drug.

“The OTC drugs most frequently abused for a high include cough and cold

“Acetaminophen is blamed for over 200 liver failures per year. As little as 4,000 milligrams (eight acetaminophen extra-strength) per day can cause irreversible liver damage if taken consistently. One-time higher doses can also cause irreversible liver damage.”

— J.A. (Butch) David, RPh., Banner Health

remedies,” he said. The most misused and overused OTC drug —by far — David said, is acetaminophen, commonly known by the brand-name Tylenol, followed closely by ibuprofen (brand-name Advil).

“Other OTC drugs that are often abused include diet aids, laxatives, herbal diuretics, motion sickness remedies and many herbal remedies,” he added.

“All of these are safe if taken in the recommended dosage and for the

recommended ailment, but all can be dangerous if misused.”

Serious health issues

Chris Hogan, RPh., vice president of Pharmacy Management at Blue Cross Blue Shield of Arizona, said that data continues to show that, indeed, consumers often are taking more acetaminophen [than they should] and risking toxicity — including liver failure.

Hogan said that people need to check with their pharmacist to see if any of their prescription medicines contain acetaminophen, which may be identified as APAP, acetam or another shortened version. “Consumers can protect themselves by knowing which of their medications contain acetaminophen, calculating how much they are taking in a 24-hour period and checking with their healthcare providers, including their pharmacist, to see what the recommendations are for a safe dose,” he noted.

OTC cough preparations can be dangerous when used with prescription medications, David said, or if they are taken by people with certain disease states or conditions. “Cold preparations with decongestants can raise blood pressure, and any patient being treated for hypertension needs to check with their pharmacist or physician before using any medications with phenylephrine or pseudoephedrine.”

WEIGHT LOSS SURGERY SEMINARS Various dates, times & locations

By Scottsdale Healthcare Register: bariatricsurgeryaz.com; 480-882-4636 WEIGHT LOSS SURGERY SEMINARS Various dates, times & locations

By St. Luke’s Medical Center Register: 800-248-5553 CARPAL TUNNEL SYNDROME July 11, noon–1 p.m.

Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-9355 MINDFULNESS-BASED STRESS REDUCTION July 12 & 19, 1–2:30 p.m.

Banner Del E. Webb 14502 W. Meeker Blvd., Sun City West 623-524-4210 CHEST-COMPRESSION-ONLY CPR July 17, 9:30–10:30 a.m.

By Sun Health at Grandview Terrace 14515 W. Granite Valley Dr., Sun City Register: 623-455-5633 GALLBLADDER DISEASE July 22, noon–1 p.m.

Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-9355 ADVANCEMENTS IN HEMORRHOID SURGERY July 24, 9:30–10:30 a.m.

By Sun Health at Grandview Terrace 14515 W. Granite Valley Dr., Sun City West Register: 623-455-5633 PELVIC FLOOR DISORDERS July 25, 9:30–10:30 a.m.

By Sun Health at La Loma Village 14154 Denny Blvd., Litchfield Park Register: 623-455-5633 MANAGING SHOULDER PAIN & ARTHRITIS July 26, 9–10 a.m.

By Sun Health at the Colonnade 19116 Colonnade Way, Surprise Register: 623-455-5633

HEART/STROKE

National Institutes of Health MedlinePlus: nlm.nih.gov/medlineplus

BLOOD PRESSURE CLINIC July 16, 9–11 a.m.

By Sun Health at Grandview Care Center 14505 W. Granite Valley Dr., Sun City Info: 623-455-5633 Walk-ins welcome; no registration required

NotMyKid: notmykid.org

An increasingly common problem

BY ALISON STANTON

may be too much for a child, this can lead to serious problems.”

To prevent this situation from occurring, Brooks said that parents, grandparents and caretakers should: • Limit their own use of medications • Secure all medications • Properly discard unused/unneeded medications • Educate their kids about the dangers of medication misuse/abuse If parents or other adults suspect a child has taken a prescription drug not intended for them, Brooks said they should call the Poison Center at 1-800-222-1222.

General Manager: CAMI KAISER, ckaiser@republicmedia.com

A division of The Arizona Republic.

200 E. Van Buren St., Phoenix, AZ 85004

Manager Creative Development: ISAAC MOYA, imoya@republicmedia.com

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

Contributing Editor: JIM WILLIAMS, jlwilliams@republicmedia.com

Each month, we bring you local health information you can use to keep you and your family living well. From A to Z, we tackle a broad range of health issues and offer tips for keeping your healthcare costs in check. This publication is produced by Republic Media Custom Publishing.

For questions concerning any content included in this publication please contact: Editor Paula Hubbs Cohen, Paula.Cohen@cox.net or call 602-444-8658.

WALKING GROUP Various dates, times and locations

By Humana Guidance Center Register: 480-325-4707

Resources

Kids taking adult medicines Daniel Brooks, M.D., medical toxicologist and co-medical director of the Banner Good Samaritan Poison and Drug Information Center, said there has been a definite increase in the number of pediatric exposures — both accidental and intentional misuse/abuse — to prescription medications.

The side-effects and adverse effects profile of these medications are the same in both kids and adults, Brooks said.

“This means that a drug — for example, morphine — that results in decreased mentation and respiratory drive in adults will do the same thing in a child,” he said.

“Since the adult dose of a medication

WELLNESS

PERIPHERAL ARTERY DISEASE July 17, noon–1 p.m.

Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-9355 TAKING CARE OF YOUR HEART July 23, 9:30–10:30 a.m.

By Sun Health at Banner Boswell Medical Center 13180 N. 103 Dr., Sun City Register: 623-455-5633 STROKE SUPPORT GROUP July 23, 3–4 p.m.

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

DIABETES TAKING CONTROL OF DIABETES Various dates, 6–7 p.m.

Phoenix Baptist Hospital 2040 W. Bethany Home Rd., Phoenix Register: pastoralcareaz.org; 602-841-5505

YOGA FOR RECOVERY July 10, 17, 24 & 31, 6–7:30 p.m.

John C. Lincoln 19841 N. 27 Ave., Phoenix 602-712-1006

DIABETES SUPPORT GROUP July 11, 1–2 p.m.

St. Luke’s Medical Center 1800 E. Van Buren St., Phoenix Register: 877-351-9355

COPING WITH CANCER July 10 & 24, 6:30–8 p.m.

Banner Thunderbird 5555 W. Thunderbird Rd., Glendale 602-865-5450

ALZHEIMER’S/ DEMENTIA SUPPORT GROUP July 5, 9–11 a.m.

By Benevilla at Birt’s Bistro 16752 N. Greasewood St., Surprise Register: 623-584-4999 ALZHEIMER’S & MEMORY SUPPORT GROUP July 8, 16, 23 & 30, 10 a.m.–noon

By Benevilla at Faith Presbyterian 16000 N. Del Webb Blvd., Sun City 623-584-4999 ALZHEIMER’S & MEMORY KOFFEE KLATCH July 11 & 25, 10:30 a.m.–12:30 p.m.

By Benevilla at Birt’s Bistro 16752 N. Greasewood St., Surprise 623-584-4999 MEMORY LOSS & DEMENTIA July 12, 9:30–10:30 a.m.

By Sun Health at Grandview Terrace 14515 W. Granite Valley Dr., Sun City Register: 623-455-5633 CAREGIVER SUPPORT GROUP July 15, 1:30–3 p.m.

By Tempe St. Luke’s at Pyle Adult Rec Center 655 E. Southern Ave., Tempe Register: 877-351-9355 CAREGIVER SUPPORT (DUET) July 16, 12:30–2 p.m.

Church of the Beatitudes 555 W. Glendale Ave., Phoenix 602-274-5022 SUPPORT GROUP Lunch provided July 21, 11 a.m.–12:30 p.m.

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

SENIORS BUNION BASICS July 10, noon–1 p.m.

Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-9355 CONSTIPATION IN OLDER ADULTS July 12, 9:30–10:30 a.m.

By Sun Health at the Colonnade 19116 Colonnade Way, Surprise Register: 623-455-5633 MEDICATION MANAGEMENT & OSTEOPOROSIS July 16, 9:30–10:30 a.m.

By Sun Health at the Colonnade 19116 Colonnade Way, Surprise Register: 623-455-5633 FALL PREVENTION EDUCATION July 19, 1:30–3 p.m.

By Sun Health at El Dorado of Sun City 10330 W. Thunderbird Blvd., Sun City Register: 623-455-5633

CANCER SUPPORT LOOK GOOD, FEEL BETTER Various dates, times & locations

By Ironwood Cancer & Research Register: 480-855-2224 TAI CHI FOR PATIENTS AND CAREGIVERS July 9, 16 & 23, 4:30 p.m.

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

CAVE CREEK CANCER SUPPORT July 13, 10 a.m.–noon

By Scottsdale Healthcare at Good Shepherd Episcopal Church 6502 E. Cave Creek Rd., Cave Creek Register: 480-488-3283 LUNG CANCER July 13, 1–3 p.m.

By St. Joseph’s at The Wellness Community 360 E. Palm Ln., Phoenix 602-712-1006 CAPS FOR THE CURE July 15, 1–3 p.m.

Humana Guidance Center 5943 E. McKellips Rd., Mesa 480-325-4707 KIDS CAN COPE July 16, 7–8 p.m.

Banner Thunderbird 5555 W. Thunderbird Rd., Glendale 602-865-5450 ESOPHAGEAL Dinner provided July 18, 6–7:30 p.m.

Banner Good Samaritan 1111 E. McDowell Rd., Phoenix 602-839-4970 ORAL, HEAD & NECK July 18, 6:30–8 p.m.

Virginia G. Piper Cancer Center 10460 N. 92 St., Scottsdale 602-439-1192 COOKING FOR YOUR HEALTH July 22, 6–9 p.m.

Banner Good Samaritan 1111 E. McDowell Rd., Phoenix Register: 602-712-1006 SUPPORT GROUP FOR PATIENTS & CAREGIVERS July 25, 4:30–5:30 p.m.

By Ironwood Cancer & Research 3465 S. Rome St., Gilbert Register: 480-855-2224

BREAST CANCER LOOK GOOD, FEEL BETTER July 9, 6–8 p.m.

John C. Lincoln 19646 N. 27 Ave., Phoenix 602-780-4673 THRIVE! YOUNG BREAST CANCER SURVIVOR GROUP July 9, 6–8 p.m.

By John C. Lincoln & The Wellness Community 19646 N. 27 Ave., Phoenix 602-712-1006 TRIPLE NEGATIVE July 10 & 24, 5:30–7 p.m.

Banner Good Samaritan 1111 E. McDowell Rd., Phoenix Register: 602-712-1006 BREAST CANCER LEARN & SUPPORT July 11 & 25, 6–8 p.m.

John C. Lincoln 19646 N. 27 Ave., Phoenix 602-712-1006 BOSOM BUDDIES SUPPORT GROUP July 16, 6–8 p.m.

Banner Boswell Medical Center 10401 W. Thunderbird Blvd., Sun City beckybosombud@gmail.com FOR MEN ONLY July 25, 6–8 p.m.

John C. Lincoln 19646 N. 27 Ave., Phoenix 602-780-4673

HEALTH EXPERTS

Editor: PAULA HUBBS COHEN, Paula.Cohen@cox.net

PODIATRY

Managing Art Director: TRACEY PHALEN, tphalen@republicmedia.com

Dr. John Ferguson

Design: LISA QUIRIN, lisa_q@me.com

Dr. Ferguson is a Board Certified Podiatric Physician and Surgeon, specializing in both the medical and surgical treatment of conditions of the lower leg, ankle and foot for both children and adults including Diabetic wound care. He has many years experience in the evaluation and comprehensive treatment of injuries to the foot and ankle, including fractures, sprains, puncture wounds, sports injuries and disease of the skin and nails of the lower extremity. In addition to Dr. Ferguson, Cigna Medical Group has five additional Board Certified Podiatrists, serving Cigna patients at four locations throughout the valley.

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

PEDIATRICS

Cigna Medical Group 3003 N. 3rd Street, 2nd Floor Phoenix, AZ 85012 602.282.9800

Tina Liao, MD Dr. Liao is a board-certified pediatrician who received her medical degree from the St. George’s University School of Medicine in the West Indies. She completed her internship and residency at State University of New York in Brooklyn. Dr. Liao is a member of Phi Beta Kappa, the Golden Key National Honor Society, the American Academy of Pediatrics and the American Medical Association. She focuses on making every visit as comfortable as possibly by taking time to listen and educate patients and their families.

Banner Health Center Specializing in Pediatrics 155 E. Warner Road • Gilbert (480) 649-6600 • www.BannerHealth.com/HealthCenterGilbert

DIABETES SUPPORT GROUP July 8, 3–4 p.m.

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

CATARACT & REFRACTIVE SURGERY Scott A. Perkins, MD As a nationally recognized ophthalmologist with Barnet Dulaney Perkins Eye Center, Dr. Perkins has performed more than 50,000 cataract surgeries and more than 10,000 vision correction procedures such as LASIK and Implantable Contact Lenses (ICLs). As an innovator in the field of ophthalmology, he has participated in over 25 clinical trials for both pharmaceutical and ophthalmic devices.

In addition, Dr. Perkins serves on the Board of Directors for Arizona Visionaries, a donor driven non-profit organization providing cataract surgery and eyeglass fittings in third world countries. He is not only trusted for his surgical talents and modest nature, but is also well known for his compassion and ability to connect with and comfort patients.

Board Certified by the American Board of Ophthalmology Member of the American Society of Cataract and Refractive Surgery Fellow of the American Academy of Ophthalmology

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

WEDNESDAY, July 3, 2013 | LIVING WELL A-Z | 5

Planning ahead: Scottsdale Healthcare seeking participants for national cancer prevention study

TOP Events July 10 Heart Health Lecture

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

WHAT: Community lecture entitled “Heart Failure, Irregular Heartbeats and Treatments” WHERE: Banner Thunderbird Medical Center, 5555 W. Thunderbird Rd., Glendale TIME: 5:30–7 p.m.

COST: Free PRESENTED BY: Banner Thunderbird Medical Center REGISTER: 602-230-2273

July 6 Blood Glucose Testing Seminar

July 16 Grand Canyon Hiking Info Session

DANCE, EXERCISE, YOGA, ART & TAI CHI Various dates, times & locations

By Muhammad Ali Parkinson Center Register: 602-406-6903

SUPPORT GROUP July 9, 1–2 p.m.

HealthSouth Valley of the Sun 13460 N. 67 Ave., Glendale 623-878-8800 SUPPORT GROUP July 16, 3–5 p.m.

By Benevilla at Shepherd of the Hills United Methodist Church 13658 Meeker Blvd., Sun City West 623-584-4999

BREASTFEEDING NURSING MOMS SUPPORT Various dates & times Banner Del E. Webb 14502 W. Meeker Blvd., Sun City West 623-524-4283 BREASTFEEDING July 8, 15, 22 & 29, 10–11:30 a.m.

St. Joseph’s 350 W. Thomas, Phoenix 602-406-4954

PARENTING CHILDBIRTH EDUCATION (2–WEEK CLASS) English and Spanish Various dates, 6:30–9:30 p.m.

Maryvale Hospital 5102 W. Campbell Ave., Phoenix Register: azhealthyhours.com; 855-292-9355

THINKSTOCK

SUPPORT GROUP July 5, 12, 19 & 26, 9–10 a.m.

Banner Neuro Wellness Center 207 N. Gilbert Rd., Gilbert 480-699-0537

WHAT: Pros and cons of blood glucose testing; is it the right practice for all diabetes patients WHERE: Mayo Clinic Hospital, 5777 E. Mayo Blvd., Phoenix TIME: 10 a.m.–noon COST: Free PRESENTED BY: Mayo Clinic INFO: 480-342-1697

CELIAC DISEASE August 7, 7–8:30 p.m.

Paradise Valley Retirement Center 11645 N. 25 Pl., Phoenix 623-587-8885

RESPIRATORY LUNG TRANSPLANT SUPPORT July 9, 11:45 a.m.–1 p.m.

St. Joseph’s 350 W. Thomas Rd., Phoenix 623-406-7009

GRANDPARENTS RAISING GRANDCHILDREN

By Duet Various dates, times & locations 602-274-5022

CHILDREN’S ASTHMA SUPPORT GROUP July 13, 1 p.m.

Cardon Children’s Medical Center 1400 S. Dobson Rd., Mesa Register: 480-412-5437

GRANDPARENTS RAISING GRANDCHILDREN

By Benevilla Various dates, times & locations 623-207-6016

BETTER BREATHERS July 21, 1:30 p.m.

John C. Lincoln 250 E. Dunlap Ave., Phoenix 602-870-6060

SUPPORT THROUGH OTHER PARENTS (STOP) Various dates & locations, 7–9 p.m.

623-846-5464

BRAIN

MOTHER-TO-MOTHER SUPPORT GROUP July 5 & 26, 10–11:30 a.m.

St. Joseph’s 350 W. Thomas, Phoenix 877-602-4111 BIRTH PARENT SUPPORT July 23, 6–8 p.m.

St. Joseph’s 350 W. Thomas Rd., Phoenix 888-818-4445 CLASS FOR NEW DADS July 25, 6–8 p.m.

Banner Desert 1400 S. Dobson Rd., Mesa 480-412-3000

GASTROINTESTINAL GASTROINTESTINAL CANCER SUPPORT July 18, 6–7:30 p.m.

Banner Thunderbird 5555 W. Thunderbird Rd., Glendale 602-865-5450

BRAIN INJURY SURVIVOR’S GROUP July 8, 7–8:15 p.m.

St. Joseph’s 350 W. Thomas Rd., Phoenix 623-508-8024 SYRINGO & CHIARI July 18, 11 a.m.–1 p.m.

St. Joseph’s Outpatient Rehab 114 W. Thomas Rd., Phoenix 602-504-0883 BRAIN TUMOR July 23, 6–8 p.m.

St. Joseph’s 350 W. Thomas Rd., Phoenix 623-205-6446

CAREGIVERS ONLINE NETWORKING (DUET) Various dates & times Register: DuetAZ.org (Events tab) 602-274-5022 SUPPORT GROUPS (DUET) Various dates, times & locations 602-274-5022

July 27 Back to School Health Fair WHAT: Sports physicals (registration required), vision screenings, nutrition sessions, Zumba classes, bike safety, more WHERE: Rio Vista Recreation Center, 8866 W. Thunderbird Rd., Peoria TIME: 9 a.m.–noon COST: Free PRESENTED BY: Rio Vista Recreation Center and St. Joseph Medical Group Peoria North Clinic INFO: 623-773-8600

What:

Scottsdale Healthcare is partnering with the American Cancer Society to enroll local participants for a national cancer prevention study (CPS-3). Researchers seek to better understand the behavioral, environmental, genetic and lifestyle factors that cause or prevent cancer.

Who:

Participants should be between 30 and 65 years old, never diagnosed with cancer (excluding basal or squamous cell skin cancer) and willing to make a long-term commitment to the study, which involves completing periodic follow-up questionnaires.

WHAT: What to expect and how to prepare for a three-day trek through the Grand Canyon WHERE: Foothills Library, 19055 N. 57 Ave., Glendale TIME: 6:30–7:30 p.m.

COST: Free PRESENTED BY: Midwestern University INFO: 623-930-3868

To enroll: Make an appointment either online (cps3shc.org) or call 888-604-5888.

You will then need to attend an enrollment session (listed below) to give a blood sample and to have waist circumference and other measurements taken.

Enrollment sessions:

SUPPORT GROUP July 8 St. Joseph’s Outpatient Rehab 114 W. Thomas Rd., Phoenix Call for time: 602-406-6688

MEN’S DISABILITY ISSUES July 18, 5:30–7 p.m.

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

SUPPORT GROUP July 12, 2:30–4 p.m.

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

HEPATITIS C EDUCATIONAL GROUP July 19, 6–7 p.m.

By Banner Health Transplant Center and Advanced Liver Disease Center 1300 N. 12 St., Phoenix 602-823-2606

SUPPORT GROUP July 19, 9–11 a.m.

By Benevilla at Birt’s Bistro 16752 N. Greasewood St., Surprise Register: 623-584-4999 CAREGIVER SUPPORT July 24, 2:30–3:30 p.m.

St. Luke’s Medical Center 1800 E. Van Buren St., Phoenix Register: 877-351-9355 CAREGIVER SUPPORT Aug. 7, 10:30 a.m.

By John C. Lincoln at Cowden Center 9202 N. Second St., Phoenix 602-870-6374

ADDITIONAL SUPPORT GROUPS EPILEPSY EMPOWERMENT GROUP July 8, 6:30 p.m.

Banner Good Samaritan 1111 E. McDowell Rd., Phoenix 602-839-0664

DYSTONIA SUPPORT GROUP July 21, 1–3 p.m.

Banner Good Samaritan 1111 E. McDowell Rd., Phoenix 602-839-6533 MULTIPLE SCLEROSIS (WOMEN) July 27, 10 a.m.

St. Joseph’s 350 W. Thomas Rd., Phoenix 480-829-6563 GRIEF & BEREAVEMENT SUPPORT July 31, 10 a.m.–noon

By Benevilla at Birt’s Bistro 16752 N. Greasewood St., Surprise Register: 623-584-4999

Cost:

Free

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

LASER SPINE INSTITUTE: laserspineinstitute.com

BANNER HEALTH: bannerhealth.com

MOUNTAIN VISTA MEDICAL CENTER: mvmedicalcenter.com

BARNET DULANEY PERKINS EYE CENTER: goodeyes.com

PHOENIX CHILDREN’S HOSPITAL: phoenixchildrens.com

MERCY GILBERT MEDICAL CENTER: mercygilbert.org

SCOTTSDALE HEALTHCARE: shc.org

BARROW NEUROLOGICAL INSTITUTE:thebarrow.org

BANNER GOOD SAMARITAN POISON AND DRUG INFORMATION CENTER HOTLINE 800-222-1222

CARDON CHILDREN’S MEDICAL CENTER: bannerhealth.com

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

CHANDLER REGIONAL MEDICAL CENTER: chandlerregional.org

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

CIGNA: cigna.com

TEMPE ST. LUKE’S HOSPITAL: tempestlukeshospital.com

JOHN C. LINCOLN HOSPITAL: jcl.com

MEDICARE ADVANTAGE PLANS

GRUPO DE APOYO EMOCIONAL (In Spanish) July 16, 6–7:30 p.m.

By St. Joseph’s and the Latino Cancer Outreach Task Force 350 W. Thomas Rd., Phoenix 602-567-7640

MAYO CLINIC: mayoclinic.com

POISON CONTROL

AMPUTEE SUPPORT GROUP July 9, 6–7 p.m.

HealthSouth Valley of the Sun 13460 N. 67 Ave., Glendale 623-334-5358 PAIN SUPPORT GROUP July 11 & 25, 6–8 p.m.

HealthSouth Valley of the Sun 13460 N. 67 Ave., Glendale 623-334-5437

• Aug. 20: Scottsdale Healthcare Thompson Peak, 7400 E. Thompson Peak Pkwy, Scottsdale, 7–11 a.m.

• Aug. 21: Virginia G. Piper Cancer Center at Scottsdale Healthcare, 10460 N. 92 St., Scottsdale, 7–11a.m.

• Aug. 22: Scottsdale Healthcare Osborn, 7300 E. Fourth St., Scottsdale, 5–9 p.m.

• Aug. 23: Scottsdale Healthcare Shea, 9003 E. Shea Blvd., Scottsdale, 7–11 a.m.

INFO Online

Learn About Medicare Advantage HMO Plans from Cigna.

A sales person will be present with information and applications.

For accommodation of persons with special needs at sales meetings call 855.298.4382 (TTY 711).

WEEKLY

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

REGISTER: 855.298.4382

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PARKINSON’S

Ask the expert about women & heart disease at our free lecture.

Thursday, July 11, 2013 9 AM - 10 AM 14502 W. Meeker Blvd, Sun City West Register online at www.BannerHealth.com/230CARE or call (602) 230-CARE(2273)

AR-0008032069-01

BARIATRIC PROGRAM Hear about medical & surgical treatments for obesity.

THURS., JULY 11: 6-6:45PM

TUES., JULY 23: 6-6:45PM

(480) 342-2869 MayoClinic.org/Arizona

I’m a three-time national rodeo champion.

One day after training I had a seizure.

Tests showed I had a rare brain tumor, and surgery to remove it could have left me paralyzed. Today, I’m back in the saddle.

My answer was Mayo Clinic.

Raley Mae Radomske, New Mexico

Thousands travel to Mayo Clinic each year for treatment, diagnosis, or a second opinion.

Mayo Clinic is an in-network provider for millions, and a physician’s referral is typically not required. To request an appointment, visit MayoClinic.org.

Visit MayoClinic.org/Arizona

AR-0008022224-01

6 | LIVING WELL A-Z | WEDNESDAY, July 3, 2013

Carbohydrates

Continued from cover PROCEDURES

Their role in health is often misunderstood

BY MICHELLE TALSMA EVERSON

C

arbohydrates often get a bad rap, but they play many important health-related roles. Indeed, Robert Martin, MS, a fitness and nutrition faculty member at Scottsdale Community College and Glendale Community College, said that the “primary use of carbohydrates in our body is to provide a fuel to our brain and our muscles during some types of exercise.”

Coral Quiet, M.D., a radiation oncologist with Arizona Breast Cancer Specialists, said that a healthy diet includes avoiding or limiting refined sugars while emphasizing “whole foods” including whole grains and complex carbs.

As a physician specializing in cancer treatment, she said that ongoing studies have found potential links between exercise and proper diet — including proper carb intake — and reduced rates of cancer growth, heart disease and other serious health issues.

“I think there needs to be a shift in ‘eating for our mouths’ and ‘eating for our bodies,’” Quiet said. “Your mouth may crave sweet foods, but your body craves healthy, whole foods.

Examples of low, medium and high glycemic index foods • 100% stone-ground whole wheat or pumpernickel bread • Oatmeal (rolled or steel-cut), oat bran, muesli • Pasta, converted rice, barley, bulgar • Sweet potatoes, corn, yam, lima/butter beans, peas, legumes and lentils • Most fruits, non-starchy vegetables and carrots • Whole wheat, rye, pita bread • Quick oats

• Brown, wild or basmati rice, couscous

High (70 or more)

• White bread or bagel • Corn flakes, puffed rice, bran flakes, instant oatmeal • Short-grain white rice, rice pasta, macaroni and cheese from mix • Russet potatoes, pumpkin • Pretzels, rice cakes, popcorn, saltine crackers • Melons and pineapple Source: American Diabetes Association, diabetes.org

Van Dyke said the noninvasive procedures she performs range from several hundred to several thousand dollars, depending on the complexity of the procedure. Shapiro said a surgical facelift that addresses the entire face typically costs about $20,000.

Insurance companies rarely cover any cosmetic procedure.

Who’s getting treatments?

Board-certified plastic surgeon Daniel Shapiro, M.D., says he sees patients who range in age from about 15 to 85.

“My patients come from all walks of life,” he said, including those who have been laid off from a job. “They want to make their appearance more youthful because they see that as an investment in their future,” he said.

In Shapiro’s practice, 25 percent of facelift patients are men. Men also opt for breast reduction surgery, nose reshaping, brow lifts, liposuction and dermal fillers, he said.

Board-certified cosmetic dermatologist Susan Van Dyke, M.D., estimates that 10 percent of the patients in her practice are men. Men request most of the same procedures as women, she said, especially Botox, fat reduction and skin resurfacing.

Shapiro said not everyone is a good candidate for surgery. If a patient’s anatomy doesn’t “lend itself well to what we’re trying to accomplish,” it might not be a good idea to proceed, he said. “I also might turn away someone who has unreasonable expectations. I’m interviewing the patient at the same time I’m being interviewed.”

Resources American Academy of Cosmetic Surgery: cosmeticsurgery.org American Society of Plastic Surgeons: plasticsurgery.org Arizona Medical Board: azmd.gov

A patient of Daniel Shapiro, M.D., is having surgical marks drawn on her face in preparation for a fat transfer procedure at Paradise Valley Cosmetic Surgery Center. Fat transfer is where a patient’s own fat is removed from one part of the body, purified in a centrifuge and injected into areas of the face where the patient and doctor want to add volume.

Banner Good Samaritan Medical Center

EXPERTS

You want to change lives – and an entire industry.

FAMILY MEDICINE Steven Cox, D.O.

You belong here.

Dr. Cox is a board certified osteopathic family physician. He received his medical degree from the Kirksville College of Osteopathic Medicine in Kirksville, Mo. Dr. Cox then completed his internship at Mesa General Hospital in Arizona and his residency at Des Peres Hospital in Florissant, Mo. He is a member of the American Osteopathic Association and is board certified by the American College of Osteopathic Family Physicians.

Banner Health Center Specializing in Family Medicine 9780 South Estrella Parkway • Goodyear 623.474.8101 • www.BannerHealth.com/HealthCenterEstrella

OR RNs - $10,000 Incentive If you believe that to be your best, you need to be with the best, you belong at Banner Good Samaritan Medical Center.

Consistently recognized by U.S. News and World Report as one of America’s Best Hospitals, our 650-bed, Level I trauma center and teaching hospital is the premier provider of quality patient care for the people of Phoenix.

GYNECOLOGY/ OBSTETRICS Paul Mikel, MD Dr. Mikel cares for women at every stage of life and has a special interest in preventive medicine, hormonal balancing and optimizing nutrition. He graduated from the School of Medicine at the University of California at Irvine before completing both his internship and residency at the Phoenix Integrated Residency in Obstetrics and Gynecology in Arizona.

Our surgical capabilities are a big part of our strong reputation. As an internationally-recognized leader in OR design and technology, we attract the top professionals in the field who provide the kind of care people from around the world depend on. In this setting, you’ll be able to take your nursing career to another level.

Your abilities define our possibilities.

Banner Health Center Specializing in Gynecology & Obstetrics 17900 North Porter Road • Maricopa 520.233.2500 • www.BannerHealth.com/HealthCenterMaricopa

Your skill mastery and career development are top priorities for us. In addition to competitive benefits, we provide ongoing opportunities for professional growth and advancement within one of the country’s most innovative health care systems. If you want to see just how far your talents and ambition can take you, we invite you to explore our current opportunities.

PEDIATRICS Tina Liao, MD Dr. Liao is a board-certified pediatrician who received her medical degree from the St. George’s University School of Medicine in the West Indies. She completed her internship and residency at State University of New York in Brooklyn. Dr. Liao is a member of Phi Beta Kappa, the Golden Key National Honor Society, the American Academy of Pediatrics and the American Medical Association. She focuses on making every visit as comfortable as possibly by taking time to listen and educate patients and their families.

Banner Health Center Specializing in Pediatrics 155 E. Warner Road • Gilbert (480) 649-6600 • www.BannerHealth.com/HealthCenterGilbert

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Learn more at:

BannerHealth.com/careers

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Medium (56–69)

someone who doesn’t want a surgical facelift,” Shapiro said. “You see results immediately.”

Wallet workout

Emphasize ‘whole foods’

Low (55 or less)

“Any doctor can call him- or herself a cosmetic surgeon,” said Daniel Shapiro, M.D., a plastic surgeon certified by the American Board of Plastic Surgery. “Ideally, the cosmetic surgeon you choose also has been trained as a plastic surgeon.”

RICK D’ELIA

Simple vs. complex

The Centers for Disease Control and Prevention (cdc.gov) breaks carbs down into two categories: simple and complex.

Simple carbohydrates include foods that have refined sugars and starches such as pasta and bread products made with white flour, non-diet sodas, packaged cereal, cake, candies and similar foods.

Complex carbs are found in more nutritious foods such as breads and pastas made with whole wheat, certain vegetables and fruits, beans, select dairy products and more.

Martin explained that one way to calculate the healthfulness of carbohydrates is to utilize the glycemic index (GI). “The glycemic index is how fast a carbohydrate food is digested and absorbed,” he said. “The higher-fiber, lower-sugar foods take longer to digest and absorb, and have a low glycemic index.”

EOE/AA. We support a tobacco-free and drug-free workplace.

Connect with Banner Health Careers:

WEDNESDAY, July 3, 2013 | LIVING WELL A-Z | 7

Fast-food doesn’t have to mean fat-food Make your drive-thru meal healthier with these 5 tips

BY ELISE RILEY

A

h…a quick meal handed to you ready-to-eat right through your car window — one of life’s guilty pleasures doesn’t have to be an all-bad choice.

Indeed, drive-thru diners just need to do a little Nancy Drew-style digging and find out the facts about what’s in that admittedly often-quite-tasty food.

Here are five tips for dining smarter on the road: Choose smarter sides: Rather than salt-laden fries to accompany a burger, try a salad or fruit.

At Wendy’s, customers can choose from apple slices, salads or even a baked potato in place of fries. The result?

Apples are 40 calories with zero grams of fat compared to 320 calories and 16 grams of fat for fries.

1

Think before you drink: The sugary goodness that is a frothy soda can make even the hottest Arizona day more bearable. But a 16-oz. regular soda brings with it an awful lot of sugar plus approximately 200 calories, depending on the beverage. Try unsweetened iced tea or a diet soda instead. Some folks who just don’t like the taste of diet soda ask for their soda “half and half” — you’ll at least cut half the sugar and half the calories vs. a regular soda.

2

Gobble wisely: Don’t assume chicken is automatically better than beef — consumers still have to choose wisely. The Tendergrill Chicken Sandwich at Burger King has 1,350 mg of sodium — slightly more than a double bacon cheeseburger at Five Guys. Chicken options do tend to be much lower in fat than burgers; however, choose grilled, not fried, items to lower fat and calorie intake.

Some restaurants even offer wraps, which feature lower-carb tortillas in place of buns.

3

Making healthier decisions on-the-go is easier than you think.

Item Arby’s Roast Beef Mid Turkey Classic Burger King Whopper BK Veggie Burger Chick-Fil-A Classic Chicken Sandwich Grilled Chicken Cool Wrap

Calories

Item Jack In The Box Jumbo Jack with cheese Chicken Fajita Pita McDonald’s Big Mac Hamburger Wendy’s Baconator Smoky Honey Mustard Flatbread

Calories

Fat (g) Cholesterol(mg) Sodium(mg) Carbs (g) Sugars (g)

460 280

21 5

95 35

1420 1150

35 36

6 7

630 410

35 16

65 5

980 960

57 48

13 10

440 330

18 12

55 65

1390 990

41 28

5 3

Fat (g) Cholesterol(mg) Sodium(mg) Carbs (g) Sugars (g)

572 326

30 11

81 63

1315 987

45 35

8 4

550 250

29 9

75 25

970 480

46 31

9 6

970 370

59 15

210 50

1890 610

41 38

9 8

Downsize: Portion size is another secret weapon of smart drivethru diners. For example, consider ordering a smaller version of one of your must-have cravings. Just ordering a single burger at Five Guys, compared to its bacon double cheeseburger, reduces the total calorie haul from a hefty 920 to a more-manageable 480.

4

Download an app: Most, if not all, restaurants offer online menus with extensive nutrition information, as well as tips on how to make smarter dining choices. Wendy’s has an app for iOS and Android devices called My Wendy’s that lets users select items from the menu to determine the most healthy meal. McDonald’s also has an app that provides nutrition information at the tap of a finger.

5

Sources: arbys.com, bk.com, chick-fil-a.com, jackinthebox.com, mcdonalds.com, wendys.com

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Just two weeks ago I had back surgery.

Thank you, Laser Spine Institute.

Not an actual patient of Laser Spine Institute

If you’ve been putting off neck or back surgery, come learn about a proven technique that’s minimally invasive. Bring your MRI or CT scans and meet one-on-one with our physicians who will review them and discuss treatment for your specific condition.

Learn more by attending our

FREE MEDICAL SEMINAR on neck and back surgery options.

Saturday, July 20 at 11 a.m.

Laser Spine Institute 8888 E. Raintree Drive Scottsdale, AZ 85260

The advantages of endoscopic surgery at Laser Spine Institute:

We are experts in treating conditions such as:

J No lengthy recovery* J No open back procedures J Less than 1-inch incision J Outpatient procedure J 97% of patients recommend the procedures

J Spinal stenosis J Sciatica J Herniated/bulging disc J Scoliosis J Arthritis of the spine J Pinched nerve

To register, call:

1-855-333-7854 or visit SpineSeminar.com

*As each patient is different, results may vary.

AR-0008032543-01

Medicaid currently not accepted.