LivingWell AZ- March 2013 by LOCALiQ

well

THE ARIZONA REPUBLIC

A SPECIAL PUBLICATION CREATED BY REPUBLIC MEDIA CUSTOM PUBLISHING

HEALTHCARE NEWS YOU CAN USE FOR YOUR WHOLE FAMILY

Vol. 3, No. 3

March 2013

IN THIS ISSUE: COVER/04: PAIN AND PAIN MANAGEMENT 02: FOOT SMART, SHOE SAVVY 03: VISION SURGERY 04: SUPPORT GROUPS/EVENTS 05: SUPPORT GROUPS/DEALS 06: EARLY-ONSET PUBERTY 07: CARPAL TUNNEL SYNDROME

HEALTHCARE News

The American Academy of Neurology and the American Brain Foundation awarded the 2013 Potamkin Prize for Research in Pick’s, Alzheimer’s and Related Diseases to three physicians, including Eric M. Reiman, M.D., with Banner Alzheimer’s Institute. Reiman Reiman is being honored for his efforts to characterize some of the earliest brain changes associated with the predisposition to Alzheimer’s, accelerating the evaluation of promising prevention therapies and helping establish the Alzheimer’s Prevention Initiative. Reiman, the author of more than 250 research publications, is internationally recognized for his contributions to the fields of brain imaging, behavioral neurosciences and the study of Alzheimer’s before the onset of symptoms. More info: aan.com/patients; banneralz.org

Virginia G. Piper Cancer Center

Trial of pancreatic cancer drugs show great promise An international clinical trial led by physicians from Scottsdale Healthcare’s Virginia G. Piper Cancer Center shows that a combination of cancer drugs Abraxane and gemcitabine extends survival of late-stage pancreatic cancer patients compared to standard treatment. Study results showed a 59 percent increase in one-year median survival rates and more than double the two-year survival rate for patients receiving Abraxane plus gemcitabine, compared to patients receiving only gemcitibine. Daniel Von Hoff, M.D., chief scientific officer for Virginia G. Piper Cancer Center Clinical Trials at Scottsdale Healthcare and TGen’s physician-inchief, served as international lead investigator for the MPACT (Metastatic Pancreatic Adenocarcinoma Clinical Trial) study. Ramesh Ramanathan, M.D., medical director of Virginia G. Piper Cancer Center Clinical Trials at Scottsdale Healthcare, was principal investigator for the clinical trial in the United States. The MPACT study is the largest phase III clinical trial completed in advanced pancreatic cancer with more than 800 patients in 11 countries. More info: 480-323-1339; 877-2733713; clinicaltrials@shc.org; shc.org

RICK D’ELIA

Banner physician honored for Alzheimer’s research

Tory McJunkin, M.D., a double-board-certified interventional pain medicine physician, anesthesiologist and co-founder of Arizona Pain Specialists, gave Josh Filani a platelet-rich plasma treatment for Filani’s aching knees. Filani said the treatment gave him a complete turnaround in how he feels when he plays basketball and participates in other physical activities.

Pain, pain, go away...

Chronic pain affects millions of Americans

BY DEBRA GELBART

Does DEPRESSION cause pain or does pain cause depression?

Valley Spine and Sports Medicine Center. Pappoe and the center’s physical therapy director, Drew Marchesi, are working with Marcia Davis of Mesa, who had a hip replacement and other procedures.

Continued on page 4 PAIN MANAGEMENT

ince finding accurate information about various aspects of pain can be challenging, we asked local experts some important questions related to pain.

ANSWER: More than 50 percent of people who suffer from chronic pain develop clinically significant How does AGING impact with East Valley Spine and Sports depression or anxiety, said Tory pain and pain management? Medicine Center in Mesa, agreed that McJunkin, M.D., a double-boardANSWER: As we age, it becomes more older patients may not report their pain certified interventional pain medicine important to treat pain quickly to prevent to their doctor as readily as younger physician, anesthesiologist and it from becoming chronic, said Nikesh patients. “Sometimes patients mistakenly co-founder of Arizona Pain Specialists, Seth, M.D., an anesthesiologist and pain believe that aches or pains are a normal a medical practice with locations in management specialist with Scottsdale part of aging, so they don’t mention Scottsdale, Glendale and Chandler. Healthcare Comprehensive Pain Center. it,” he said. “Or they’re scared it might In more than 50 percent of patients “Older people may wait weeks or indicate a serious disease, so they’re with diagnosed depression, said Ian months before they seek help for knee reluctant to bring up the subject.” Sadler, Ph.D., staff clinical psychologist pain, for example,” he said. “Where a Because the liver and kidneys may at the Arizona Burn Center in Phoenix, 22-year-old’s knee pain might resolve not be working optimally in an older pain of some sort is one of their fairly quickly, an older person’s knee pain patient, Pappoe explained, medication most common physical complaints. could be more severe and if not treated dosages and an increased possibility of Sadler, who is also a clinical assistant appropriately, might lead to the need medication side effects are important professor in the departments for more aggressive treatment.” considerations for a physician prescribing of psychiatry and surgery at the Tutankhamen Pappoe, M.D., a physical a pain management program for an University of Arizona College of medicine and rehabilitation physician older patient. Medicine in Phoenix, also said that in some patients who have depression, the perception of pain is heightened. On the flip side, he noted that if someone has lingering pain from an injury and the person’s activity level or socialization is affected, he or she can easily become depressed. Sadler said narcotic medications for chronic pain can complicate clinical depression, because the medications by nature depress the central nervous system. When anti-depressant medications are added to pain medications, however, there are often beneficial effects, he said, “because if mood improves, the patient often Tutankhamen Pappoe, M.D., front, is a physical medicine and rehabilitation physician with East experiences less pain.”

50 AND FEARLESS: SCREENING COLONOSCOPIES SAVE LIVES Whether it’s fear of the prep, the procedure or potential results, fear is the top reason most 50-year-olds avoid a colonoscopy. To help ease these fears, Scottsdale Healthcare has launched its 50andFearless.org health education campaign featuring former NFL all-pro fullback Ron Wolfley.

Choose HealthSouth:

A screening colonoscopy is recommended starting at age 50, but if there is a family history, screenings should begin at age 40. The Centers for Disease Control and Prevention estimates that up to 60 percent of colorectal cancer deaths could be prevented if everyone aged 50 years and older were routinely screened.

Visit 50andFearless.org for more information about screening and scheduling a colonoscopy, treatment options and more.

A Higher Level of Care

You Deserve a Higher Level of Care rehabilitation hospital Characteristic

Rehabilitation Hospital

Nursing Home

Frequent visits by an attending physician

Required

Not required

Multidisciplinary team approach

Required

Not required

RN oversight and availability

24 hours/day

At least 8 consecutive hours/day

Specialty nursing training, rehabilitation expertise

5 - 7.5 hours/day

2.5 - 4 hours/day

PT, OT, and/or speech therapy level of service

3 hours/day (minimum)

No minimum

HealthSouth East Valley Rehabilitation Hospital 5652 E. Baseline Road Mesa, AZ 85206 480 567-0350 Fax 480 567-0352 healthsoutheastvalley.com

HealthSouth Scottsdale Rehabilitation Hospital 9630 E. Shea Blvd. Scottsdale, AZ 85260 480 551-5400 Fax 480 551-5401 healthsouthscottsdale.com

2 | LIVING WELL A-Z | WEDNESDAY, March 6, 2013

VITAL Signs

5 1

There’s really no difference between men’s and women’s shoes. Men’s tend to be a bit wider. Ergo, if women have trouble finding athletic shoes that fit, a men’s shoe might be the solution.

Socks matter. The material and compression of your socks is important for your foot health. Just be careful with cotton socks — they keep moisture on your feet and can promote fungal infections. Instead, some experts advise selecting microfiber, wool or silk.

Buy running shoes for daily wear. There’s a difference between a running shoe and a cross-trainer. Running shoes are designed to help the foot spring through a step. They tend to have more architectural support.

Constantly wearing flip-flops can be as bad as always wearing high heels. Walking in flip-flops eliminates any arch support which can result in joint issues. Similarly, high-heel wearing can shorten the Achilles tendon which means walking in flats later on can be painful.

Pedicures are not just a vanity treatment. A professional pedicure is actually good for your feet; it removes dead skin, promotes circulation and can keep your nails healthy. Just make sure you go to a nail salon that follows proper health-code procedures. — Elise Riley

THINKSTOCK

Foot smart and shoe savvy Take care of your feet and they’ll likely take care of you

ieutenant Dan had plenty of pearls of wisdom in Forrest Gump. But did you know he offered us some sage health advice? “First,” he said, “take care of your feet.” It’s true. The eyes might be the windows to your soul, but your body’s foundation is in your soles. The health of your feet affects the rest of your body — joint health, pain management, you name it. “Your body is built around an architectural system, the skeleton, and the feet are the foundation,” said Sue Orischak, a certified pedorthotist and owner of Foot Solutions in Scottsdale. A pedorthotist is someone who specializes in the use of footwear and supportive devices to address foot conditions. Orischak notes that anything that’s awry with the foot is going to mirror itself all the way up to the head. Instability in your feet forces your body to compensate in some capacity, meaning knee and/or hip issues are common, as is back pain, if foot problems are ignored.

Size it up

When it comes to shoes, it starts with choosing not only the right kinds of shoes, but also the best-fitting shoes.

“I would say that 80 to 90 percent of people are misfit in their current footwear,” Orischak said. “They buy what they always bought, or they buy self-help. If you’re wide, you buy shoes that are too long. If you’re narrow, they’re too short. If you’re a man, you buy the same shoe you wore in college — no matter what.” Orischak said her team takes four different measurements of each foot to ensure a proper fit. Correct sizing and fitting aligns the body and maintains a proper gait; incorrect sizing or fitting can result in bunions, inflammation, plantar fasciitis, fungal infections —and yes, football fans — turf toe.

Careful with high heels

Being careful doesn’t mean aficionados can never wear their beloved catwalk-style Jimmy Choos. Just like with your diet, it’s all about moderation. “There is a lot of compelling evidence out there about how footwear can lead to serious orthopedic problems,” said Denise McGinley, RN, MSNAd, director of the Center for Orthopaedic Innovation at St. Luke’s Medical Center in Phoenix. “The real culprit is not so much the style of shoes, it’s how much time you spend

BY ELISE RILEY

in them. Wearing babydoll flats is just as unhealthy as wearing six-inch stilettos if you wear them every day. It puts a lot of unnatural stress on your bones and joints.”

Aging a culprit

As with most of our physical attributes, as we age, our feet change. For example, the fat pockets at the bottoms of our feet shrink and our arch-support needs change. Simply due to aging, experts recommend getting re-sized every year or two. You should also toss out those old sneakers after about a year — chances are good they’ve worn out their welcome and you’ve worn out support in the shoe by then.

Resources American Orthopaedic Foot and Ankle Society: aofas.org/footcaremd Center for Orthopaedic Innovation at St. Luke’s Medical Center: stlukesmedcenter.com/services/ orthopedic Foot Solutions: footsolutions.com WebMD: webmd.com

FYIs regarding feet

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

Each month, we bring you local health information you can use to keep you and your family living well. From A to Z, we tackle a broad range of health issues and offer you a wealth of resources where you can find more specific information. 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. A division of The Arizona Republic. 200 E. Van Buren St., Phoenix, AZ 85004

General Manager: CAMI KAISER, ckaiser@republicmedia.com

Contributing Editor: JIM WILLIAMS, jlwilliams@republicmedia.com

Design: LISA QUIRIN, lisa_q@me.com

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

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

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

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

Check Out What’s In This Edition

TOTAL HELPING

S! PLU ur own

se te yo Crea ss cour ﬁtne

ARIZONA

PARENTS

RAISE HEALTH

Y KIDS AND

TEENS

KID ROBOTS TO THE RESCUE!

s i ng No ‘hournd’ arCoONCUSSIONS WITH

OF STAGES

TotalKid.azcentral.com Get Total Kid For iPad

PLUS: WHAT YOU When to stay home from school. SHOULD Fun & affordable family fitness. KNOW: Easy, healthy snacks. KIDS & Kids & migraines CONCUSSIONS Much, much more.

RAPID RECOVERIES

EXPERIENCED HEALTH CARE TEAM PROVIDING MORE RAPID RECOVERIES Our combined orthopaedic teams of expert physicians and staff are dedicated to helping patients achieve faster recoveries so they can get back to the things they enjoy. Through the use of minimally and microinvasive surgical approaches, we help patients return home sooner. Our patients also enjoy shorter hospital stays and lower rates of complications than the national average for hip and knee procedures.*

*Sources: Journal of the American Medical Association, American Academy of Orthopaedic Surgeons

Republic Media Intern: NICK KOSTENKO

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

Vision surgery may be key to staying focused Curative beneﬁts of eye surgery

BY KRISTINE BURNETT

Laser vision correction after age 50

f you’re having trouble seeing straight, vision surgery just might help bring things into focus. According to the National Eye Institute, part of the National Institutes of Health, more than 150 million Americans rely on corrective eyewear due to a refractive error that prevents the eye from focusing clearly. Hoping to shed glasses, contact lenses and medications as well as correct age- and health-related vision problems, more people are increasingly taking advantage of innovations in vision surgery.

Corneal transplantation

In addition to popular procedures like cataract surgery, Daryl Pfister, M.D., an ophthalmologist and cornea and cataract specialist at Southwestern Eye Center, noted that corneal transplantation may be necessary to treat some types of corneal disease or damage. “There are new options for cornea transplants that weren’t around just a few years ago,” Pfister explained. “Transplants that once required replacing the full thickness of the cornea [the outermost layer of the eye] and took up to 18 months to heal can now be done less

THINKSTOCK

Cataract surgery

“Cataract surgery is by far the number one vision surgery performed in this country,” said Scott Perkins, M.D., an ophthalmologist and medical director at Barnet Dulaney Perkins Eye Center. “Generally an age-related condition, most people undergo cataract surgery in their 70s.” Cataracts develop when the lens inside the eye becomes yellow or cloudy and impairs vision. The National Eye Institute reports that half of all Americans have a cataract by age 80. Treatment entails surgically removing the obscured lens and replacing it with an artificial one. Replacement lens options include those that enhance either distance or close vision, and while some newer lenses do both, they are not usually covered by insurance and may be cost-prohibitive. If you’re interested in this option, check with your insurance carrier for coverage details.

invasively by replacing only select layers of the cornea, a procedure that usually heals in about six to eight weeks.”

Elective surgeries

While surgical intervention is sometimes a medical necessity, less severe vision deficiencies like nearsightedness (difficulty seeing distant objects), farsightedness (difficulty seeing close objects) and astigmatism (distorted or blurred vision) can be managed with corrective eyewear. However, advanced lasers and precision blades used in refractive or laser vision correction surgery present several practical and popular options for saying goodbye to glasses. Perkins described LASIK (laserassisted in situ keratomileusis), PRK (photorefractive keratectomy) and ICL (implantable contact lenses) as three common types of refractive surgery that are eliminating the need for corrective eyewear. However, he cautioned that since fluctuations in vision continue into early adulthood, refractive surgery should not be performed until vision stabilizes, typically around age 20.

in which 3conditions vision surgery might be helpful 1

Diabetic retinopathy (diabetic condition causing blood vessels in the eye to leak)

Glaucoma (increased pressure inside the eye that can lead to blindness)

Macular degeneration (chronic condition causing central vision loss)

Correction vs. cataracts

Pfister said that if someone is over about age 50 and is considering laser vision correction such as LAKIK, PRK or ICL, they should first be evaluated for cataract surgery. Although laser vision correction does not exclude someone from future cataract surgery, it can make the procedure more difficult to predict refractive results. “If you’re at an age where you’re making a choice between laser vision correction and cataract surgery, go with cataract surgery,” Pfister suggested.

LASIK and PRK are the most popular forms of refractive surgery, but they are not for everyone. Due to the onset of cataracts, those in their 50s and 60s may achieve better results from a procedure called a clear lens exchange, also known as refractive lensectomy, according to Mark Peller, O.D., vice president of professional services at Nationwide Vision. As with cataract surgery, clear lens exchange replaces the natural lens with a synthetic one. Once done, a cataract will never develop in that eye. The procedure also improves nearsightedness and farsightedness. Jodi Mitchell, director of operations for refractive surgery at Nationwide Vision Laser Center, explained that reading glasses are typically still needed after LASIK and PRK, but a clear lens exchange may eliminate the need for glasses altogether. Several factors can preclude someone from having refractive surgery, including certain medications, disease pathologies and irregular corneal shape and thickness. Since refractive surgery isn’t ‘one size fits all’, individual health and lifestyle factors must be considered.

Resources American Society of Cataract and Refractive Surgery: ascrs.org Barnet Dulaney Perkins Eye Center: goodeyes.com Nationwide Vision: nationwidevision.com Southwestern Eye Center: sweye.com

Can you guess this man’s age? Is he

38?

Maybe

42?

46 according to

his heart.

Surprised? What’s your

Heart Age? Find out what your heart age is by taking our informative assessment. It only takes five minutes and provides an evaluation of your heart health. The free test compares your actual age to your heart’s biological age and calculates your risk for cardiovascular disease. You may be on course for continued heart health, or you may be at a higher risk than you think. Learn where you stand and take action for your heart.

www.BannerHealth.com/Heart Connect with us:

4 | LIVING WELL A-Z | WEDNESDAY, March 6, 2013

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

PROSTATE CANCER

WELLNESS

US TOO SUPPORT GROUP March 11, 7 p.m. St. Joseph’s 350 W. Thomas Rd., Phoenix 623-242-3131

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

SUPPORT GROUP March 25, 7–9 p.m. Banner Desert 1400 S. Dobson Rd., Mesa 480-412-4673

WALKING GROUP Various dates & times By Humana Guidance Center at Red Mountain Park 7745 E. Brown Rd., Mesa Register: 480-325-4707 WEIGHT LOSS SURGERY SEMINARS Various dates, times & locations By Scottsdale Healthcare Register: bariatricsurgeryaz.com; 480-882-4636 WEIGHT LOSS SURGERY SEMINARS Various dates, times & locations By St. Luke’s Medical Center Register: 800-248-5553 LIVING WITH ARTHRITIS March 6, 7–8 p.m. By Scottsdale Healthcare at Barnes & Noble 10500 N. 90 St., Scottsdale Register: shc.org/events; 480-882-4636 BACK PAIN 101 March 7, noon–1 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-9355 ADVANCE CARE PLANNING March 8, 10–11:30 a.m. By Sun Health at First Baptist Church 11019 W. Peoria Ave., Sun City Register: 623-455-5633; sunhealth.org TOTAL JOINT REPLACEMENT March 13, 20 & 27, 9 a.m. Banner Gateway 1900 N. Higley Rd., Gilbert 602-239-2273 EXERCISE FOR LOW BACK PAIN March 13, 1–2 p.m. By Scottsdale Healthcare at Appaloosa Library 7377 E. Silverstone Dr., Scottsdale Register: shc.org/events; 480-882-4636 CHOLESTEROL & YOU March 18, noon–1 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-9355 BLOOD PRESSURE CLINICS March 19, 9 –11 a.m. By Sun Health at Grandview Care Center 14505 W. Granite Valley Dr., Sun City West (walk-ins welcome) ALLERGIES & SINUSPLASTY March 20, 6:30 p.m. By John C. Lincoln at Cowden Center 9202 N. Second St., Phoenix 623-434-6265 HEALTHY VISION FOR LIFE March 20, 7–8 p.m. By Scottsdale Healthcare at Barnes & Noble 10500 N. 90 St., Scottsdale Register: shc.org/events; 480-882-4636 MAKOPLASTY SEMINAR March 21, 6–7 p.m. Arrowhead Hospital 18701 N. 67 Ave., Glendale Register: 855-292-9355; azhealthyhours.com TOBACCO CESSATION PROGRAM March 21, 6–7 p.m. Scottsdale Healthcare Osborn 7301 E. Fourth St., Scottsdale Register: shc.org/events; 480-882-5761

HEART/STROKE CONGESTIVE HEART FAILURE March 6, 13, 20 & 27, 6:30–7:30 p.m. Chandler Regional 1955 W. Frye Rd., Chandler 480-728-5414 STROKE March 7, 1:30–2:30 p.m. Banner Boswell Rehab 10601 W. Santa Fe Dr., Sun City 623-832-7000 STROKE SUPPORT March 14, 10 a.m. Banner Thunderbird 5555 W. Thunderbird Rd., Glendale 602-230-2273 STROKE SUPPORT GROUP March 14, 1:30–3 p.m. Banner Baywood 6644 E. Baywood Ave., Mesa 480-321-4790 STROKE SURVIVOR March 14, 2:30–4 p.m. Chandler Regional 1875 W. Frye Rd., Chandler 480-728-5414 HEART-HEALTHY EATING March 19, 11 a.m. Banner Heart Hospital 6750 E. Baywood Ave., Mesa 480-854-5401 STROKE SUPPORT GROUP March 19, 3–4 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-9355 WOMEN’S CARDIAC HEALTH March 26, 9:30–10:30 a.m. By Sun Health and Banner Health at Banner Boswell 13180 N. 103 Dr., Sun City Register: 623-455-5633; sunhealth.org STROKE CAREGIVER March 28, 2:30–3:30 p.m. Mercy Gilbert 3420 S. Mercy Rd., Gilbert 480-728-5414 CARDIAC REHAB SUPPORT April 1, 5 p.m. Banner Desert 1530 S. Dobson Rd., Mesa 480-412-3785

DIABETES DIABETES SUPPORT GROUP Cardon Children’s Medical Center 1400 S. Dobson Rd., Mesa Call for dates & times: 480-412-4557 TAKING CONTROL OF DIABETES Various dates, 6–7 p.m. By Abrazo Health at Pastoral Care Associates 2040 W. Bethany Home Rd., Phoenix Register: 855-292-9355; azhealthyhours.com TAKING CONTROL (3-CLASS SERIES) Various dates & times Paradise Valley Hospital 3815 E. Bell Rd., Phoenix Register: 602-923-5813; jrinehart@abrazohealth.com

Continued from cover

PAIN MANAGEMENT What is FIBROMYALGIA and why is it often so hard to diagnose and treat?

ANSWER: Fibromyalgia is a chronic medical condition characterized by pain in the soft tissues in all quadrants of the body; it is diagnosed through exclusion, meaning that other conditions must be ruled out first. There is no initial test for fibromyalgia. Possibly caused by chemical imbalances, fibromyalgia overwhelmingly affects women, but doctors don’t know why, said Sandra Miller, M.D., a family medicine physician with the Family Medicine Center at Banner Good Samaritan Medical Center in Phoenix. “Fibromyalgia is strongly associated with sleep disorders,” she said. “If sleep apnea is managed, a fibromyalgia patient’s pain can be greatly diminished.” Once other conditions are ruled out, fibromyalgia may be diagnosed if a patient has at least 11 of 18 ‘tender points’ above and below the waist and on both sides of the body (the back of the neck, elbows and hips are three of the 18). The criterion for diagnosis may soon be revised, Miller said, to simply be pain in all quadrants of the body.

DIABETES SUPPORT GROUP March 11, 3–4 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-9355 DIABETES SUPPORT GROUP March 14, 1–2 p.m. St. Luke’s Medical Center 1800 E. Van Buren St., Phoenix Register: 877-351-9355 DIABETES SUPPORT March 19, 3–4 p.m. Banner Baywood 6644 E. Baywood Ave., Mesa 480-321-4578 DIABETES PUMPERS GROUP March 19, 7–8 p.m. By Mercy Gilbert at Rome Towers 1760 E. Pecos Rd., Gilbert; 480-728-3535

ALZHEIMER’S/ DEMENTIA ALZHEIMER’S & MEMORY SUPPORT Various dates, times & locations By Benevilla; 623-584-4999 COMPASS FOR CAREGIVERS Various dates & times Banner Alzheimer’s Institute 901 E. Willetta St., Phoenix Register: baiinfo@bannerhealth.com; 602-839-6850 SUPPORT GROUP March 8, 12:30–2 p.m. Banner Alzheimer’s Institute 901 E. Willetta St., Phoenix Register: baiinfo@bannerhealth.com; 602-839-4617 MEMORY SCREENING March 15, 9 a.m.–1 p.m. By Banner Alzheimer’s Institute at Pecos Community Center 17010 S. 48 St., Phoenix Register: 602-230-2273 SUPPORT GROUP Lunch provided March 17, 11 a.m.–12:30 p.m. St. Joseph’s Huger Mercy 2345 W. Orangewood Ave., Phoenix 623-406-5600 CAREGIVER SUPPORT March 18, 1:30–3 p.m. By St. Luke’s at Pyle Adult Rec. Center 655 E. Southern Ave., Tempe Register: 877-351-9355 CAREGIVER SUPPORT (DUET) March 19, 12:30–2 p.m. Church of the Beatitudes 555 W. Glendale Ave., Phoenix 602-274-5022 CAREGIVERS SUPPORT GROUP March 25, 1:30–3:30 p.m. Banner Sun Health Research 10515 W. Santa Fe Dr., Sun City 623-832-5328 CAREGIVERS SUPPORT April 1, 3–4:30 p.m. Banner Estrella 9201 W. Thomas Rd., Phoenix 602-528-0545

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

March 17 Ostomy Products Fair

March 9 BreastCancerCopingCamp

WHAT: Ostomy products,s, medical accessories, demonstrations. o Private ons. consultations, tips on how w to travel. WHERE: Banner Desert Medical Center, 1400 S. Dobson Rd., Mesa PRESENTED BY: East Valley Ostomy Support Group TIME: 11 a.m.–3 p.m. COST: Free INFO: 480-451-3815

WHAT: Seminars for survivors, spouses, caregivers, children. Includes communication strategies, coping skills. WHERE: Country Inn and Suites Deer Valley, 20221 N. 29 Ave., Phoenix PRESENTED BY: John C. Lincoln Deer Valley Hospital; Arizona Young Breast Cancer Survivor Support Initiative; Men Against Breast Cancer TIME: 9 a.m.–2:30 p.m. COST: Free REGISTER: azbreastcancer@jcl.com or 623-434-2784

March 16 Arizona Sjögren’s Autoimmune Disease Awareness Health Fair WHAT: Advice, information, health screenings. Silent auction, snacks, prizes, music. WHERE: Inside Paradise Valley Mall, 4568 E. Cactus Rd., Phoenix PRESENTED BY: Arizona Sjögren’s Syndrome Support Group TIME: 9–11 a.m. COST: Free INFO: grandy2@cox.net or 480-391-2522

DEMENTIA/DELIRIUM/DEPRESSION March 19, 1-5 p.m. By AZ Geriatrics Society at Foundation for Senior Living Caregiver House 1201 E. Thomas Rd., Phoenix Register: 602-265-0211

WOMEN & CANCER GYNECOLOGIC March 12, 5–6:15 p.m. Banner Desert 1400 S. Dobson Rd., Mesa; 480-412-4673 YOUNG WOMEN’S SUPPORT March 12, 6:30 p.m. Banner Thunderbird 5555 W. Thunderbird Rd., Glendale 602-865-5450 FACING FORWARD March 13, 1–3 p.m. Virginia G. Piper Cancer Center 10460 N. 92 St., Scottsdale Register: shc.org/events; 480-882-4636

March 19 & 26 Five Wishes Workshop WHAT: How to discuss with doctors/ family members medical treatment related to serious illness and death. WHERE: Church of the Beatitudes, 555 W. Glendale Ave., Phoenix PRESENTED BY: Duet TIME: March 19, 9–11:30 a.m. or March 26, 6:30–8 p.m. COST: Free REGISTER: 602-274-5022

March 20 Colon Cancer Awareness WHAT: Presentations on preventing colon cancer, health vendors, more. WHERE: Virginia G. Piper Cancer Center, 10460 N. 92 St., Scottsdale PRESENTED BY: Virginia G. Piper Cancer Center TIME: 6–8:30 p.m. COST: Free REGISTER: shc.org/events or 480-882-4636

CAVE CREEK SUPPORT March 9, 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 March 9, 1–3 p.m. By St. Joseph’s at The Wellness Community 360 E. Palm Ln., Phoenix 602-712-1006 TAI CHI March 12 & 19, 4:30 p.m. Ironwood Cancer & Research 3855 S. Val Vista Dr., Gilbert Register: 480-855-2224 COLORECTAL March 12, 5:30 p.m. Banner MD Anderson 2946 E. Banner Gateway Dr., Gilbert 480-256-4141 COLORECTAL CANCER PREVENTION March 13, 6 p.m. Banner MD Anderson 2946 E. Banner Gateway Dr., Gilbert 480-256-4141

SENIORS

CANCER SUPPORT

MEDICATION CHECKS March 6, 11 a.m.–noon St. Luke’s Medical Center 1800 E. Van Buren St., Phoenix Register: 877-351-9355

LOOK GOOD, FEEL BETTER Various dates, times & locations Ironwood Cancer & Research Register: 480-855-2224

COPING WITH CANCER March 13 & 27, 6:30 p.m. Banner Thunderbird 5555 W. Thunderbird Rd., Glendale 602-865-5450

YOGA FOR CANCER PATIENTS Various dates & times Banner MD Anderson 2946 E. Banner Gateway Dr., Gilbert 480-256-4141

KIDS CAN COPE March 19, 7 p.m. Banner Thunderbird 5555 W. Thunderbird Rd., Glendale 602-865-5450

YOGA/MEDITATION March 7 & 21, 6–8 p.m. By John C. Lincoln and The Wellness Community 19841 N. 27 Ave., Phoenix 602-712-1006

ORAL, HEAD & NECK March 20, 4:30–6:30 p.m. Banner Desert 1400 S. Dobson Rd., Mesa 480-412-4673

HEARING SCREENING March 8, 1–4 p.m. Tempe St. Luke’s 1500 S. Mill Ave., Tempe Register: 877-924-9355 DEPRESSION IN SENIORS March 19, noon–1 p.m. St. Luke’s Medical Center 1800 E. Van Buren St., Phoenix Register: 877-351-9355

What are some COMMON TREATMENTS for chronic pain?

ANSWER: McJunkin, of Arizona Pain Specialists, said that commonly used treatments include physical therapy, anti-inflammatory medications, non-narcotic pain medications, muscle relaxers and epidural steroid injections. Additional treatments include facet injections (steroid injections into the small joints at each segment of the spine); radio frequency ablation that destroys the nerves causing the pain; a spinal cord stimulator (McJunkin calls it a “pacemaker for pain relief”); and vertebroplasty (bone cement is injected through a small hole in the skin into a fractured vertebra with the goal of relieving back pain). McJunkin noted that treatments soon to become routine include injections of platelet-rich plasma and stem cells directly into painful areas.

What are the benefits of an INTEGRATED APPROACH to pain management?

ANSWER: “We know pain is multifaceted and that if you don’t take an integrated approach to alleviating it, the pain often doesn’t get better,” said Shannon Scott, D.O., clinical assistant professor at the Arizona College of Osteopathic Medicine and a family medicine physician at the Midwestern University Multispecialty Clinic in Glendale. “It’s important to integrate multiple modalities into the treatment plan,” she said. “This includes psychological evaluation and behavioral therapy, physical therapy, manual medicine (osteopathic manipulation), exercise and oral or injected medications.” Often a [pain] patient in a family medicine practice is also being seen by specialists such as a surgeon, a physical medicine doctor, a rehabilitation doctor and/or an anesthesiologist who also specializes in pain management, Scott added.

Why is BACK PAIN so prevalent?

ANSWER: “One of the most common reasons is age,” said Michael Perry, M.D., medical director of the Laser Spine Institute, a national organization with a location in Scottsdale. “As we get older, conditions of the spine deteriorate and therefore lead to back pain symptoms. Another issue is being overweight. When you increase the load on your spine, it increases the risk of injury or trauma.” Perry added that people with laborintensive jobs need to be cognizant of the wear and tear they may be causing on their spine. “And everyone should practice proper mechanics while moving, bending, lifting and twisting,” he said. Seth, of Scottsdale Healthcare Comprehensive Pain Center, said conservative treatment includes back braces, yoga, medications and injections. When conservative treatment fails, surgery may be an option.

T HIN

K S TO

March 23 Third Annual Cancer Survivors Day Celebration WHAT: Pancake breakfast, head and neck screening, face-painting, children’s crafts, info and resources. WHERE: 695 S. Dobson Rd., Chandler PRESENTEDBY:IronwoodCancer & Research Centers; Chandler Regional and Mercy Gilbert Medical Centers TIME: 8–11 a.m. COST: Free INFO: ironwoodcrc.com or 480-855-2224

March 23 Easter Egg Hunt & Family Health Fair WHAT: 40th annual egg hunt and health fair. Bounce house, games, prizes. Health screenings, info on community resources. WHERE: St. Luke’s Medical Center, 1800 E. Van Buren St., Phoenix PRESENTED BY: St. Luke’s Medical Center TIME: 9–11:30 a.m. COST: Free INFO: 877-351-9355 LARYNGECTOMEE March 21, 1 p.m. Banner MD Anderson 2946 E. Banner Gateway Dr., Gilbert 480-256-4141 COLORECTAL March 21, 6 p.m. Banner Thunderbird 5555 W. Thunderbird Rd., Glendale 602-865-5450 ESOPHAGEAL March 21, 6–7:30 p.m. Banner Good Samaritan 1111 E. McDowell Rd., Phoenix 602-839-4970 ORAL, HEAD & NECK March 21, 6:30–8 p.m. Virginia G. Piper Cancer Center 10460 N. 92 St., Scottsdale 602-439-1192 I CAN COPE March 25, 6 p.m. Banner Thunderbird 5555 W. Thunderbird Rd., Glendale 602-865-5450 LYMPHEDEMA March 25, 6:30–8:30 p.m. Virginia G. Piper Cancer Center 10460 N. 92 St., Scottsdale Register: 480-882-4636; shc.org/events PANCREATIC March 27, 9–11 a.m. By Sun Health at Grandview Care Center 14505 W. Granite Valley Dr., Sun City West Register: 623-455-5633; sunhealth.org LIVING & COPING March 28, 4:30 p.m. Banner MD Anderson 2946 E. Banner Gateway Dr., Gilbert 480-256-4141

How is CANCER RELATED pain treated?

ANSWER: “Long- and short-acting narcotics or combinations of them are the most often-used remedies for pain associated with cancer,” said John Bibb, M.D., a medical oncologist with Arizona Oncology, a medical practice with multiple locations in the Valley. For patients with throat cancer pain that prevents them from swallowing [and patients with other types of pain], narcotic analgesics such as Fentanyl can be administered through a patch applied to the skin, allowing the medication to be absorbed into the bloodstream.

What should you do if your doctor CAN’T FIND THE CAUSE of your chronic pain? ANSWER: Consider seeking a second (or third...) opinion and discuss with your doctor the most effective ways to treat and manage your pain.

Resources Chronic Pain Association (ACPA): theacpa.org; parickhoff3@yahoo.com Chronic Pain Anonymous: chronicpainanonymous.org Pain-related support groups: (See Calendar listings page 5)

WEDNESDAY, March 6, 2013 | LIVING WELL A-Z | 5

COLON CANCER April 2, 5–6:15 p.m. Banner Desert 1400 S. Dobson Rd., Mesa 480-412–4673 COLORECTAL CANCER April 2, 6 p.m. Banner Good Samaritan 1111 E. McDowell Rd., Phoenix 602-839-4970

BREAST CANCER BOSOM BUDDIES SUPPORT GROUPS Various dates, times & locations Ahwatukee/Chandler: 480-893-8900 East Valley: 480-969-4119 Scottsdale: 623-236-6616 West Valley: 623-979-4279 LOOK GOOD, FEEL BETTER March 12, 4:30–6:30 p.m. By John C. Lincoln & American Cancer Society John C. Lincoln Breast Center 19646 N. 27 Ave., Phoenix 623-434-2784 YOUNG SURVIVOR GROUP March 12, 6–8 p.m. By John C. Lincoln, The Wellness Community & Southwest Ambulance John C. Lincoln Breast Center 19646 N. 27 Ave., Phoenix 602-712-1006 LEARN & SUPPORT March 13, 5:30 p.m. Banner Good Samaritan 1111 E. McDowell Rd., Phoenix Register: 602-712-1006 LEARN & SUPPORT March 14 & 28, 6–8 p.m. John C. Lincoln Breast Center 19646 N. 27 Ave, Phoenix 602-712-1006 SUPPORT GROUP March 26, 5–6:15 p.m. Banner Desert 1400 S. Dobson Rd., Mesa 480-412-4673 SUPPORT GROUP March 26, 5:30 p.m. Banner MD Anderson 2946 E. Banner Gateway Dr., Gilbert 480-256-4141 TRIPLE NEGATIVE March 27, 5:30 p.m. Banner Good Samaritan 1111 E. McDowell Rd., Phoenix Register: 602-712-1006 CIRCLE OF HELP March 28, 6–8 p.m. By Bosom Buddies at John C. Lincoln 19646 N. 27 Ave., Phoenix 602-236-6616; advancedbreastcenter@gmail.com METASTATIC SUPPORT April 3, 11:30 a.m.–1 p.m. Banner Desert 1400 S. Dobson Rd., Mesa. 480-412-4673

PARKINSON’S CAREGIVERS’ SUPPORT GROUPS (DUET) Various dates, times & locations 602-274-5022 DANCE, EXERCISE, YOGA, ART & TAI CHI Various dates, times & locations By Muhammad Ali Parkinson Center Register: 602-406-6903 PD 202: PARKINSON’S INFO March 8, 15 & 22, 10 a.m.–noon By Muhammad Ali Parkinson Center at Legacy Retirement Residence 5625 E. McKellips Rd., Mesa Register: 800-227-7691 DEEP BRAIN STIMULATION March 8, 10:30 a.m. Banner Sun Health Research 10515 W. Santa Fe Dr., Sun City 623-832-5328

PARKINSON’S March 11, 10–11:30 a.m. Banner Sun Health Research 10515 W. Santa Fe Dr., Sun City 602-942-9008 PARKINSON’S SUPPORT GROUP March 12, 1–2 p.m. HealthSouth Valley of the Sun 13460 N. 67 Ave., Glendale 623-878-8800 PARKINSON’S SUPPORT GROUP March 19, 3 p.m. By Benevilla at Shepherd of the Hills Methodist Church 13658 W. Meeker Blvd., Sun City West 623-584-4999 PARKINSON’S & PARTNERS March 25, 10–11:30 a.m. Banner Sun Health Research 10515 W. Santa Fe Dr., Sun City 602-942-9008 PARKINSON’S FORUM March 26, noon–3 p.m. By Benevilla at Shepherd of the Hills Methodist Church 13658 W. Meeker Blvd., Sun City West Register: 623-584-4999

BREASTFEEDING NURSING MOMS SUPPORT Various dates & times Banner Del E. Webb 14502 W. Meeker Blvd., Sun City West 602-230-2273 BREASTFEEDING March 6, 13, 20 & 27, 11 a.m. Chandler Regional 1875 W. Frye Rd., Chandler 480-728-5414 BREASTFEEDING March 7, 14, 21 & 28, 1–2:30 p.m. Banner Desert 1400 S. Dobson Rd., Mesa 480-412-3035

HEALTHCARE Deals Save $1,000 on bilateral Lasik or ICL THE DEAL: Use your tax refund at Barnet Dulaney Perkins Eye Center and receive $1,000 savings. Restrictions apply. DATES VALID: Through June 30, 2013 HOW TO GET THE DEAL: 602-955-1000 WHERE: Visit goodeyes.com for locations and details

$199 lung cancer screening program THE DEAL: Comprehensive screening: CT scan of the chest cavity, coronary calcium scoring, review of results, consultation with physician. DATES VALID: Ongoing HOW TO GET THE DEAL: Call 855-586-4727 WHERE: St. Joseph’s Hospital, 350 W. Thomas Rd., Phoenix

2-week trial at Mountainside Fitness THE DEAL: Free 2-week trial plus sign-up for membership within the trial period and receive half-off enrollment. DATES VALID: Through March 31, 3013 HOW TO GET THE DEAL: Visit any Mountainside Fitness in the Valley WHERE: Locations listed on mountainsidefitness.com

LIVING WITH KIDNEY DISEASE March 26, 9:30–11:30 a.m. By Sun Health at La Loma Village 14154 Denny Blvd., Litchfield Park Register: 623-455-5633; sunhealth.org

NEWBORN PARENTING March 12, 2–3:30 p.m. Banner Baywood 6644 E. Baywood Ave., Mesa 480-321-4455

PREGNANCY & INFANT LOSS April 1, 7 p.m. Banner Desert 1400 S. Dobson Rd., Mesa 480-412–3595

BREASTFEEDING March 12 & 26, 10 a.m. Banner Ironwood 37000 N. Gantzel Rd., San Tan Valley 480-394-4000

GASTROINTESTINAL

SUPPORT THROUGH OTHER PARENTS (STOP) March 7, 14, 21 & 28, 7–9 p.m. First Presbyterian Church 161 N. Mesa Dr., Mesa 623-846-5464

VESTIBULAR March 21, noon Banner Good Samaritan 1111 E. McDowell Rd., Phoenix 602-839-2317

BETTER BREATHERS March 28, 1:30 p.m. John C. Lincoln 250 E. Dunlap Ave., Phoenix 602-870-6060

LACTATION SUPPORT March 11, 18 & 25, 1–2 p.m. Banner Estrella 9201 W. Thomas Rd., Phoenix 623-327-8001

PREGNANCY, PARENTING & PLAY March 7, 14, 21 & 28, 7–9 p.m. Banner Baywood 6644 E. Baywood Ave., Mesa 480-321-4455

RENAL FAILURE March 21, 9:30–11:30 a.m. By Sun Health at La Loma Village 14154 Denny Blvd., Litchfield Park Register: 623-455-5633; sunhealth.org

POSTPARTUM SUPPORT March 12 & 26, 11 a.m. Banner Thunderbird 5555 W. Thunderbird Rd., Glendale 602-865-5908

BIRTH PARENT SUPPORT March 26, 6–8 p.m. St. Joseph’s 350 W. Thomas Rd., Phoenix 888-818-4445

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

LARYNGECTOMY March 19, 4–5 p.m. Banner Boswell 13180 N. 103 Dr., Sun City 623-832-5349

MEN’S DISABILITY ISSUES March 21, 5:30–7 p.m. Disability Empowerment Center 5025 E. Washington St., Phoenix 602-980-3232; donp@abil.org

BREASTFEEDING March 11, 18 & 25, 10–11:30 a.m. St. Joseph’s 350 W. Thomas, Phoenix 602-406-4954

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

AMPUTEE March 12, 6–7 p.m. HealthSouth Valley of the Sun 13460 N. 67 Ave., Glendale 623-334-5358

BETTER BREATHERS March 20, 2–3 p.m. Chandler Regional 1875 W. Frye Rd., Chandler 480-728-5414

SUPPORT THROUGH OTHER PARENTS (STOP) March 12, 19 & 26, 7–9 p.m. Larkspur Christian Church 3302 W. Larkspur Dr., Phoenix 623-846-5464

PARENTING

SPASTICITY CLINIC March 7, 1–4 p.m. HealthSouth Valley of the Sun 13460 N. 67 Ave., Glendale 623-878-8800

PREGNANCY & POSTPARTUM March 12, 19 & 26, 10–11:30 a.m. Banner Desert 1400 S. Dobson Rd., Mesa 480-412-5292

BREASTFEEDING March 8, 15, 22, 29, 10 a.m. Mercy Gilbert 3555 S. Val Vista Dr., Gilbert 480-728-5414

BREASTFEEDING SUPPORT March 18, 6–7:30 p.m. Banner Good Samaritan 1111 E. McDowell Rd., Phoenix 602-839-3502

ADDITIONAL SUPPORT GROUPS

CELIAC DISEASE March 6, 7–8:30 p.m. Paradise Valley Retirement Center 11645 N. 25 Pl., Phoenix 623-587-8885 OSTOMY March 7, 2–4 p.m. Banner Boswell 13180 N. 103 Dr., Sun City 623-935-7514

RESPIRATORY ASTHMA SUPPORT GROUP Cardon Children’s Medical Center 1400 S. Dobson Rd., Mesa Call for dates & times: 480-412-7902 BETTER BREATHERS March 11, 2–4 p.m. By Sun Health at The Colonnade Recreation Village 19116 Colonnade Way, Surprise Register: 623-455-5633; sunhealth.org RESPIRATORY March 14, 1:30 p.m. Banner Boswell 13180 N. 103 Dr., Sun City 623-832-5708

BRAIN BRAIN INJURY & CAREGIVER March 7, 6:30–7:30 p.m. HealthSouth Valley of the Sun 13460 N. 67 Ave., Glendale 602-508-8024 BRAIN INJURY SURVIVORS March 11, 7–8:15 p.m. St. Joseph’s 350 W. Thomas Rd., Phoenix 602-406-3333 APHASIA March 12 & 26, 10–11 a.m. Banner Boswell 13180 N. 103 Dr., Sun City 623-972-4263 SYRINGO & CHIARI March 21, 11 a.m.–1 p.m. St. Joseph’s Outpatient Rehab 114 W. Thomas Rd., Phoenix 623-561-9606 BRAIN TUMOR March 26, 6–8 p.m. St. Joseph’s 350 W. Thomas Rd., Phoenix 623-205-6446 BRAIN HEALTH March 28, 1–2 p.m. By Scottsdale Healthcare at Granite Reef Senior Center 1700 N. Granite Reef Rd., Scottsdale Register: shc.org/events; 480-882-4636

PAIN CHRONIC PAIN March 8 & 22, 6–8 p.m. By American Chronic Pain Assoc. at Catholic Outreach Center 12301 W. Bell Rd., Surprise 602-532-2981 CHRONIC PAIN March 13 & 27, 6:30–8 p.m. By American Chronic Pain Assoc. at Via Linda Senior Center 10440 E. Via Linda, Scottsdale 480-314-2330 PAIN SUPPORT GROUP March 14 & 28, 6–8 p.m. HealthSouth Valley of the Sun 13460 N. 67 Ave., Glendale 623-334-5437

GRIEF BEFORE LOSS March 27, 10 a.m. By Benevilla at Birt’s Bistro & Bookstore 16752 N. Greasewood St., Surprise 623-584-4999

MULTIPLE SCLEROSIS (WOMEN) March 30, 10 a.m. St. Joseph’s 350 W. Thomas Rd., Phoenix 480-829-6563

CAREGIVERS SUPPORT GROUPS INCLUDING LGBT (DUET) Various dates, times & locations 602-274-5022 CAREGIVER SUPPORT March 6, 10:30 a.m. By John C. Lincoln at Cowden Center 9202 N. Second St., Phoenix 602-870-6374 SUPPORT GROUP March 8, 2:30–4 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-351-9355 ONLINE NETWORKING (DUET) March 9 & 26, 9–11 a.m. Register: DuetAZ.org (Events tab) 602-274-5022 SUPPORT GROUP March 11 St. Joseph’s Outpatient Rehab 114 W. Thomas Rd., Phoenix Call for time: 602-406-6688 CAREGIVER SUPPORT GROUP March 15, 9 a.m. By Benevilla at Birt’s Bistro & Bookstore 16752 N. Greasewood St., Surprise 623-584-4999 CAREGIVER SUPPORT March 27, 2:30–3:30 p.m. St. Luke’s Medical Center 1800 E. Van Buren St., Phoenix Register: 877-351-9355

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

IRONWOOD CANCER AND RESEARCH CENTERS: ironwoodcrc.com JOHN C. LINCOLN HOSPITAL: jcl.com

BANNER HEALTH: bannerhealth.com

LASER SPINE INSTITUTE: laserspineinstitute.com

BARNET DULANEY PERKINS EYE CENTER: goodeyes.com

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

BARROW NEUROLOGICAL INSTITUTE:thebarrow.org

MOUNTAIN VISTA MEDICAL CENTER: mvmedicalcenter.com

CARDON CHILDREN’S MEDICAL CENTER: bannerhealth.com

PHOENIXCHILDREN’SHOSPITAL: phoenixchildrens.com

CHANDLER REGIONAL MEDICAL CENTER: chandlerregional.org

SCOTTSDALE HEALTHCARE: shc.org

DUET: duetaz.org

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

FOOT SOLUTIONS: footsolutions.com HEALTHSOUTHREHABILITATION: healthsouth.com

Taking Care of Your Heart Learn about Women’s Cardiac Health

Tuesday, March 26 9:30 - 10:30 a.m. RSVP: (602) 230-CARE (2273) www.BannerHealth.com/events

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

BARIATRIC PROGRAM Hear about medical & surgical treatments for obesity.

THURS., MAR 7: 6-6:45PM

TUES., MAR 19: 6-6:45PM

(480) 342-2869 MayoClinic.org/Arizona

I taught my children to never give up. After my breast cancer diagnosis, I followed my own advice and got a second opinion. My answer was Mayo Clinic. Kim Loving

Kim had an entire team of world-renowned Mayo Clinic Cancer Center experts focused on her recovery. If you are diagnosed with breast cancer, you deserve the best as well. Mayo Clinic patients with breast cancer have substantially higher five-year survival rates compared to the U.S. National Cancer Database. We are an in-network provider for most people and a physician referral is rarely required. To schedule an appointment, call (480) 301-8000 or call our Breast Clinic directly at (480) 301-4000.

Visit mayoclinic.org/breastcancer

6 | LIVING WELL A-Z | WEDNESDAY, March 6, 2013

TH IN KS TO CK

KIDS Korner

Early-onset puberty: myth or reality? Is puberty starting earlier than it used to? If so, why?

n the late 1800s, the average age of How is it determined? the first menstrual period was 15, said Interestingly, the bones of the hands Don McClellan, M.D., chief of the division provide doctors with an excellent of pediatric endocrinology at Phoenix indication of early-onset puberty. Children’s Hospital. “There are a lot of growth plates in the Currently, he noted, it is 12 and a half. hands and it can help me determine the While early-onset puberty can affect current bone age of the child,” McClellan both boys and girls, McClellan said he said. “In one case, I treated a little girl rarely sees male new patients who are who was four years showing signs of and nine months, “We are concerned if a early puberty. “On and she was found girl starts puberty before to have a bone the other hand, a few times a month age of nine, which 8 years old or if a boy I will see girls whose was remarkably starts before 9 years old.” advanced.” parents suspect they are in early Since girls with — Cindy Chin, M.D. puberty,” he said. a bone age of 14 and boys with Why is this happening? a bone age of 16 or so will typically be Cindy Chin, M.D., an assistant professor in done growing, the information McClellan the University of Arizona’s department of obtains from X-rays will help determine pediatrics and a pediatric endocrinologist his approach. at the University of Arizona Health “So if the child’s growing is done by the Network, said that one of the major factors age of seven, she will be profoundly short, for early puberty in girls is the prevalence and we would want to do something of obesity in the pediatric population. about it in terms of treatment. Whereas, a “Higher body mass index has been girl who is seven with a bone age of nine, correlated with younger age at onset of she would still have a long time to grow.” puberty in girls as well as earlier menarche [menstruation],” she said. “In boys, it seems Should it be delayed? that a higher BMI is associated with later “Pathological central precocious puberty puberty. We don’t yet understand why these can be delayed with treatments such differences exist. Additionally, there may be as gonadrotropin-releasing hormone environmental factors that play an as-yet(GnRH) agonists,” Chin said, adding that unknown role in affecting pubertal onset.” the decision to treat is very individualized

BY ALISON STANTON

and should be discussed with the patient’s endocrinologist. McClellan also uses a case-by-case method to treat his patients. “Some parents say ‘she is only eight — I want the signs of early puberty to stop,’” he said. “But it usually takes about two and a half years after the first signs of puberty to have the first menstrual cycle. The average age of the first menstrual cycle is 12 years and four months, and the standard deviation is two years above and two years below that. So a girl who is showing signs of early puberty at eight might get her first period at the age of 10, which is still perfectly normal.” In general, McClellan said that for girls who are age six or younger, it’s likely that the benefits of treatment will outweigh the risks.

Hormones in food?

In the 1980s, McClellan said there was an outbreak of precocious puberty in Puerto Rico. “It was found to be tied to chicken farmers that were pumping estrogen into their chickens and the kids were eating the chicken,” he recalled. “Farmers stopped the practice and the problem was resolved.” Chin said she is not aware of any similar situations in the U.S., but she does understand parents’ concern. “There is concern that children are exposed to chemicals in food, personal care products

and household cleaners that may have developmental, reproductive, neurological and immune effects,” she said. “But more research needs to be done to understand these consequences and the causes of these effects.”

When to be concerned

Even if doctors are seeing puberty at younger ages, Chin cautioned, this does not necessarily mean the phenomenon is normal. “As pediatric endocrinologists, we are still concerned if a girl starts puberty before 8 years old or if a boy starts before 9 years old,” she said. “If a family is concerned that their child is showing signs of puberty too early or is progressing through puberty too rapidly, I would recommend that the child be evaluated to assess whether his/her pubertal development is pathological.”

Resources KidsHealth: kidshealth.org Mayo Clinic: mayoclinic.com Phoenix Children’s Hospital: phoenixchildrens.com University of Arizona Department of Pediatrics: peds.arizona.edu

EXPERTS GYNECOLOGY/OBSTETRICS Pooja Shah, MD Dr. Shah specializes in low and high risk pregnancies, contraceptive options, in-ofﬁce procedures and reproductive care. She enjoys providing education, treatment and continuity of care to both adult and adolescent women and believes in working in cooperation with them to provide compassionate health care. She completed her medical education and residency at the University of Illinois School of Medicine in Chicago and is a member of American College of Obstetrics and Gynecology. Dr. Shah has been in practice since 2009.

Banner Health Clinic Specializing in Obstetrics and Gynecology 6553 E. Baywood Ave. Suite 210 • Mesa 480.543.6754 • www.BannerHealth.com/BMG-BaywoodOBGYN

GYNECOLOGY/OBSTETRICS Kelly V. Dale, MD

My health. Online and on my schedule. JCLMyChart. Enjoy the beneﬁts of JCLMyChart, your personal electronic health record. It lets you manage your health information easily from your computer, digital tablet or iPhone or Android phone. 4 Receive test and lab results online. 4 Request an appointment. 4 Request a prescription reﬁll. 4 Review post-visit instructions from your provider.

Dr. Dale is an obstetrician/gynecologist who is dedicated to all aspects of women’s health. She specializes in menstrual disorders, contraception and minimally invasive and vaginal surgery. Dr. Dale received her medical degree from the University of Arizona College of Medicine and completed her residency at the University of California Medical Center in Los Angeles where she received the Outstanding Research Presentation Award. Her care philosophy is to give her patients both education and care in a way that provides understanding and comfort to women through all stages of their lives.

Banner Health Clinic Specializing in Obstetrics and Gynecology 6553 E. Baywood Ave. Suite 210, Mesa 480.543.6754 • www.BannerHealth.com/BMG-BaywoodOBGYN

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.

Call 623-580-5800 for more information or visit JCLMyChart.com

Board Certiﬁed by the American Board of Ophthalmology. Member of the American Society of Cataract and Refractive Surgery. Fellow of the American Academy of Opthalmology. Locations throughout Arizona 800.966.7000 • www.GoodEyes.com

Carpal tunnel syndrome Causes and treatments

BY DOLORES TROPIANO

Causes

Carpal tunnel syndrome can be caused by injuries to the wrist, certain health issues such as arthritis, and possibly repetitive patterns of hand use. Indeed, David Tallman, a licensed naturopathic medical doctor specializing in prolotherapy, said that carpal tunnel is an occupational problem caused by the excessive use or misuse of the wrist. “It’s a blanket term denoting certain median nerve symptom patterns caused by increased pressure in the carpal tunnel,” he added. According to John Shaff, a physician assistant with OrthoArizona, Arizona Hand and Wrist Specialists, there isn’t really one type of activity that specifically causes carpal tunnel syndrome, which he said affects five percent of the population. “It can range from repetitive activities, to accidents, to medical conditions such as diabetes, thyroid dysfunction and even pregnancy,” Shaff said.

Treatments

For those suffering from carpal tunnel syndrome, nonsurgical treatments may include exercise (such as stretching out the fingers), frequent breaks and ice packs. Conservative treatments could also include a wrist splint or an injection of cortisone. Shaff said that when symptoms last for more than seven weeks and conservative treatments fail, surgery may be necessary. “Regardless of the technique utilized, the goal is to increase the space in the carpal canal thus decompressing the median nerve,” he said.

THINKSTOCK

he carpal tunnel is a narrow, rigid passageway of ligament and bones at the base of the hand that houses the median nerve and tendons. Located on the palm side of the wrist, it protects the main median nerve which runs from the forearm to the hand. Carpal tunnel syndrome takes place when a nerve within the carpal tunnel becomes pinched or compressed.

There are two types of surgery used to treat carpal tunnel syndrome. One is endoscopic surgery in which a television cameralike device enables the doctor to see into the carpal tunnel and perform surgery with small incisions to the hand or wrist. Open surgery is also an option involving a larger incision in the palm of the hand over the carpal tunnel.

Bring your life into focus. With LASIK and the Implantable Contact Lens (ICL), (ICL) glasses or contacts will no longer stand between you and the rest of the world. For over 35 years, more people have trusted their eye surgery to the doctors of Barnet Dulaney Perkins Eye Center than anywhere else in Arizona. Schedule a consultation today and make blurry vision a thing of the past.

Source: John Shaff, OrthoArizona, Arizona Hand and Wrist Specialists

Resources Arizona Hand and Wrist Specialists: azhandwristspecialists.com

Schedule a consultation today!

Arizona Prolotherapy: arizonaprolotherapy.com PubMed Health, U.S. National Library of Medicine: ncbi.nlm.nih.gov/pubmedhealth

Call 602-955-1000 or visit goodeyes.com facebook.com/bdpec Barnet Dulaney Perkins Eye Center does not discriminate against any person on the basis of race, color, national origin, disability, or age in admission, treatment, or participation in its programs, services and activities, or in employment.

Knee pain. Hip pain. They’re just that — a pain. Decrease pain and increase the quality of your life with advanced treatments at Arrowhead Hospital.

At Arrowhead Hospital, we help patients get back on their feet and back to life fast. In fact, we’re the only hospital in Arizona to offer state-of-the-art robotic treatment, MAKOplasty®, for hip replacements and the only one in the West Valley to offer it for partial knee resurfacing too. Find out more about this advanced robotic treatment option by registering for a FREE educational seminar today.

Benefits of MAKOplasty® include: • Offers More Accurate Implant Placement • Provides Smaller Incision & Less Scarring • Enhances Stability & Mobility • Restores an Active Lifestyle

Abrazo Health

Knee Seminars

March 21 & April 17

abrazohealth.com/kneepain 1-855-330-KNEE

Hip Seminar

April 11

abrazohealth.com/mako-hip 1-855-469-HIPS All seminars will be at 6 p.m. at Arrowhead Hospital in the Sierra Room. 18701 N. 67th Ave., Glendale, AZ 85308

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, March 16 at 11 a.m. Saturday, March 23 at 11 a.m.

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

The advantages of endoscopic surgery at Laser Spine Institute:

We are experts in treating conditions such as:

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

• Spinal stenosis • Sciatica • Herniated disc • Degenerative disc disease • Bone spurs • Other chronic conditions

To register, call:

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

*As each patient is different, results may vary.

Medicaid currently not accepted.