Living Well AZ Oct. 2012 by LOCALiQ

well

SPECIAL TOPIC BREAST CANCER THE ARIZONA REPUBLIC

A SPECIAL PUBLICATION CREATED BY REPUBLIC MEDIA CUSTOM PUBLISHING

HEALTH-CARE NEWS YOU CAN USE FOR YOUR WHOLE FAMILY

Vol. 2, No. 10 Vol

October 2012

MERCY GILBERT MEDICAL CENTER

HEALTH-CARE News

Researchers at Mercy Gilbert Medical Center have enrolled their first patient into Stemedica Cell Technologies, Inc.’s research study to evaluate the safety and tolerability of adult stem cells in stroke victims. Nabil Dib, M.D., M.Sc., F.A.C.C., director of cardiovascular research at Mercy Gilbert and Chandler Regional Medical Centers, is the principal investigator for this facility. The adult stem cells being evaluated in this study are obtained from the bone marrow of a single adult donor. Dib believes these stem cells may have the ability to become different types of cells and may repair damaged and/or replace lost cells in the body due to disease. “The information from this study may provide the data necessary to select safe and effective doses of adult stem cells to treat patients suffering from ischemic stroke or similar conditions,” Dib said. Info: 480-728-5414; ChandlerRegional.org/ Research; MercyGilbert.org/Research

Pancreatic cancer clinical trials

RICK D’ELIA

Research study to help stroke victims

Jasgit Sachdev, M.D., left, is a clinical research investigator and breast cancer expert with Virginia G. Piper Cancer Center Clinical Trials. She and Jackie Catoggio, clinical research associate at the center, confer on collection tubes to be used for the next round of blood draws for various ongoing clinical trials.

Myth-busters

12 facts about breast cancer that may surprise you

Researchers at the Virginia G. Piper Cancer Center at Scottsdale Healthcare have launched a clinical trial to learn whether tiny beads of radiation delivered through an IV with chemotherapy will successfully fight advanced pancreatic cancer. Virginia G. Piper Cancer Center is among the first five centers in the U.S. participating in the study. This Phase 1 clinical trial is now open at Virginia G. Piper Cancer Center Clinical Trials at Scottsdale Healthcare, a partnership with the Translational Genomics Research Institute (TGen). Info: 480-323-1339; 877-273-3713; clinicaltrials@shc.org.

Breast Imaging Center of Excellence Maricopa Integrated Health System (MIHS) has been named a Breast Imaging Center of Excellence by the American College of Radiology (ACR). By awarding facilities the status of a Breast Imaging Center of Excellence, the ACR recognizes breast imaging centers that have earned accreditation in mammography, stereotactic breast biopsy and breast ultrasound. Maricopa Integrated Health System is the public health-care system for Arizona. MIHS includes Maricopa Medical Center, the Arizona Burn Center, the Arizona Children’s Center, the Arizona Cancer Center, eleven Family Health Centers, two behavioral health centers and an attendant care program. Info: mihs.org

hen it comes to breast cancer, there is a wealth of information — and misinformation — that can unnecessarily frighten women or, conversely, lull them into a false sense of security. We asked three local breast cancer experts to comment on a dozen breast cancer memes related to statistics, exercise and nutrition, genetics, hormone risks, popular urban legends and more. Our experts include: Mary Cianfrocca, D.O., director of the breast cancer program at Banner MD Anderson Cancer Center; Luci Chen, M.D., a radiation oncologist with Arizona Breast Cancer Specialists; and Jasgit Sachdev, M.D., a clinical research investigator and breast cancer expert with Virginia G. Piper Cancer Center Clinical Trials.

Did you know: 1 ‘1 in 8’ doesn’t mean that among eight women in a room, one will get breast cancer. What it does mean is that women have a one-in-eight chance of developing cancer over their lifetime, which is likely to extend to age 84 or better. “The National Cancer Institute says if you follow 1,000 women starting at age 50 for 10 years, at the end of that period, 30 or fewer of them (no more than 3 percent) will have been diagnosed with breast cancer,” said Chen.

By The NUMBERS

K S TO T HIN

COVER/08: BREAST CANCER 02: PREVENTIVE CARE 03: GETTING RID OF LICE 04: HEALTH RELATED APPS 04: VEGAN/VEGETARIAN 05: TAKING CARE OF BURNS 06: SUPPORT GROUPS/EVENTS 07: SUPPORT GROUPS/EXPERTS 08: MEDICARE ENROLLMENT 09: SENIORS AND DRIVING

IN THIS ISSUE:

2 Breast cancer is not the leading killer of women. It’s not even the leading cancer killer in women (that would be lung cancer). The deadliest disease among women is the same one that men have to be most concerned about: heart disease. “Maybe because Rosie O’Donnell had a heart attack, awareness of heart disease among women will increase,” said Cianfrocca. “The truth about breast cancer is that the majority of women diagnosed with it live a very long time.”

“No evidence suggests any link between caffeine and breast cancer.” — Jasgit Sachdev, M.D. 3 Regular exercise is an important preventive measure. “Studies show that as little as one or two hours a week of moderate exercise can reduce your risk of breast cancer,” Chen said. “There is also a strong correlation between exercise after a diagnosis and reducing recurrence and mortality.” 4 There’s no ‘magic nutrition bullet’ to prevent breast cancer. Urban legend has suggested that green tea might thwart breast cancer. “The truth is there are no ‘super-foods’ to prevent the disease, said Sachdev. “But studies suggest a low-fat

diet, rich in fruits and vegetables, as well as maintaining a healthy body weight, can lower the risk of getting breast and other cancers.” 5 The connection between soy and breast cancer isn’t clear. “In Asian countries, women who consume a lot of soy have lower risks of breast cancer,” Cianfrocca said. But researchers aren’t sure why that is, she said, because soy contains estrogen, and too much circulating estrogen in a woman’s system is a risk factor for breast cancer. “The bottom line,” Cianfrocca said, “is if you like soy products, don’t shy away from them, but if you’re consuming soy only because you think it’s good for you, you may want to rethink that. We simply don’t have enough data yet.” 6 Alcohol can increase breast cancer risk. “Several studies that looked at breast cancer risk — with alcohol consumption and without — found there is no safe level of alcohol intake,” Chen said. In March of this year, European researchers published a study that concluded that having up to one drink a day raised women’s risk for the disease by four percent. However, if you’re wondering about a link between red wine and lowering your risk of heart disease, consult your health-care professional about your personal risk factors.

Continued on page 8 MYTH-BUSTERS

KNOW YOUR BLOOD PRESSURE CATEGORY

SYSTOLIC*

Normal Pre-hypertension High BP Stage 1 High BP Stage 2 Hypertensive crisis

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* Systolic (upper number): measures the pressure in the arteries when the heart beats ** Diastolic (lower number): measures the pressure in the arteries between heartbeats

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DIASTOLIC** —and— —or— —or— —or— —or—

<80 8 0–89 90–99 100+ 110+

Source: American Heart Association; heart.org —PAULA HUBBS COHEN

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Affordable Care Act mandates preventive care with no cost-sharing for majority of Americans BY DEBRA GELBART

ost of the preventive care mandates that are part of the Affordable Care Act (ACA) are now in force. For the majority of Americans, this means they can access preventive services — including immunizations, screenings and counseling — with no co-pays or deductibles. The Affordable Care Act was enacted on March 23, 2010. The legislation included phase-in dates for specific preventive services to be offered with no cost-sharing (see sidebar). The most recent phase-in date was Aug. 1, 2012, when eight additional preventive services for women became accessible with no cost-sharing.

Some exceptions

Not everyone, however, will be able to access preventive services at no cost to them. Here’s why: those who have health coverage from a plan that existed on or before March 23, 2010 are considered part of a ‘grandfathered’ plan, one that’s not required to offer these services with no cost-sharing. This is true whether someone is covered by an individual health-care policy or by a job-based health plan that an employer established before March 23, 2010, even if the employee enrolled in the plan later than that date. The good news is that most large group health plans will honor the ACA provisions. “Most grandfathered group health plans already offer preventive care services with little to no cost-sharing,” said Kerrey Hunt, president of Phoenix-based Resolute Health Care Advisors, a consulting firm that assists individuals and organizations with health insurance claims, payments and appeals concerning coverage. Individual health-care plans may be a different story, Hunt said, and people should check with their own health-care companies for information as to whether their plan is grandfathered or not.

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As stated, the first step in taking advantage of the ACA preventive care provision, Hunt said, is to find out if your plan is grandfathered, and if so, whether your plan will be covering preventive services at no cost to you. The next step, said Tricia Nguyen, M.D., the chief medical officer of the Banner Health Network, is to visit healthcare.gov to find out which services are covered. “Preventive care, such as immunizations, will keep you from contracting a disease, while many screenings will help you avoid late-stage disease,” Nguyen said, adding that the no-cost-share benefit only applies, however, to in-network providers. Nguyen also said if you see your doctor for any reason in addition to the preventive service, you will likely be charged a co-pay for the visit. The ACA specifies appropriate age and/ or recommended frequency for some of the preventive services. But in most cases, both Hunt and Nguyen said that a physician’s recommendation is all that’s required to access a preventive service with no cost-sharing as long as your doctor is in your health plan network.

What preventive services are mandated by the Affordable Care Act? What preventive services are mandated by the Affordable Care Act? (This is a simplified

overview designed to give you a general guideline. Visit healthcare.gov for more details and/or check with your health-care plan administrator for details about your specific coverage.)

FOR ADULTS

• Standard immunizations • Colorectal cancer screening • Certain sexually transmitted disease screenings • High blood pressure, diabetes and depression screenings • Screening and counseling in a primary-care setting for alcohol or substance abuse, tobacco use, obesity, diet and nutrition • BRCA/breast cancer gene screening • Mammography • Cervical cancer screening • FDA-approved contraceptive education, methods and counseling • Counseling and screening for domestic violence • Gestational diabetes screening • Well-woman visits • Prostate cancer screening • Abdominal aortic aneurysm screening for certain-aged men who have been smokers

FOR CHILDREN

• • • •

Developmental/autism screening Oral health risk assessment Lead and tuberculosis screening Major depressive disorders screening • Newborn screenings • Vision screening Source: healthcare.gov/news/ factsheets/2010/07/preventiveservices-list.html#CoveredPreventive ServicesforAdults

Resources Department of Health and Human Services Administration on Aging: aoa.gov Department of Health and Human Services: healthcare.gov Department of Health and Human Services: hrsa.gov/womensguidelines

General Manager: CAMI KAISER, ckaiser@republicmedia.com

WWW.IRONWOODCRC.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 health-care 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.

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

Managing Art Director: TRACEY PHALEN, tphalen@republicmedia.com Design: LISA QUIRIN, lisa_q@me.com Republic Media Intern: CATHERINE CROOK Advertising: RHONDA PRINGLE, 602-444-4929, rpringle@republicmedia.com. For general advertising inquiries, contact Republic Media at 602-444-8000.

WEDNESDAY, October 3, 2012 | LIVING WELL A-Z | 3

THINKSTOCK

HER Story KIDS’ Korner

Don’t bug me

Lice a pesky problem for parents

arning: An itchy scalp may mean lice are living it up on your little one’s head According to Shoana Anderson, office chief, Office of Infectious Disease Services at the Arizona Department of Health Services, these pesky parasites that bite the scalp and cause extreme itching and near constant head scratching can often spread from person to person via shared items like hats and brushes, but more likely, they spread by head-to-head contact.

Itching the first sign

While lice and their eggs or nits can be seen with the naked eye, itching is usually the first noticeable sign of infestation. “Adult lice move around a lot, particularly at night, which makes them more difficult to find,” Anderson said. “It’s the nits that we tend to see first. They stay in place pretty good, which means getting rid of them takes time and patience.”

BY KRISTINE BURNETT

Home sweet head

Lice live on the scalp and lay nits at the base of the hair shaft. As they hatch and take up residence on the scalp, their empty shells are left to grow out with the hair. The further the shells are from the scalp, the longer lice have been calling that head their home. Michele Earl, a pediatric nurse, mom and founder of TLC Shampoo and Comb-Out Service, a Phoenixarea business providing lice control information and support services, finds that most people have lice for four to six weeks before they recognize the symptoms or see a louse. Once lice or nits have been spotted, it’s time to launch an all-out attack to kill the bugs, annihilate their nits and prevent an outbreak. “Nits take a week or so to hatch, and they become adults in about nine to 12 days,” Anderson stated. “Lice can survive on a person’s head for up to 30 days, but they usually die a day or two after being removed from the head.”

tips for eliminating lice

Dry clothes, pillows and bedding in the dryer on high heat for 30 minutes daily.

Stuffed animals and toys that have hair or fur should be bagged for two weeks to kill bugs and nits waiting to hatch.

Put backpacks in the dryer on high heat for 30 minutes after school each day for two weeks.

Gather all hair combs, brushes and accessories and store in the freezer in a sealable bag.

Vacuum the house, car and car seats to suck up lice that may be hanging around looking for a new human head to call home.

Nit-picky advice

Parents can be successful in getting rid of lice, but the constant cycle of hatching and laying eggs can make the chore feel more like ‘mission impossible’. The best bet is to use shampoos specifically designed to kill lice. Since these shampoos can’t penetrate the eggs, removing the nits is the only way to banish the little buggers.

“Lice can be stressful for families and children.” — Michele Earl, The Lice Ladies Earl, who developed the all-natural Total Lice Control Shampoo in 1997, proves it pays to be nit-picky. In addition to her shampoo, which is a blend of tea tree, lavender and spearmint essential oils, Earl and her fellow nitpickers, known as The Lice Ladies, provide professional comb-out services. “It usually takes us about an hour to do a complete comb-out,” she said. Now stop scratching.

Source: Michele Earl, The Lice Ladies

Resources Arizona Department of Health Services: azdhs.gov Centers for Disease Control and Prevention: cdc.gov Food and Drug Administration: fda.gov (keyword ‘lice’) MedicineNet.com: medicinenet.com The Lice Ladies/Total Lice Control: TotalLiceControl.com; 602-558-4646

You’re invited to celebrate you.

Current cancer patients, cancer survivors and caregivers are invited to a free day of celebration. Join Banner MD Anderson Cancer Center experts as we explore the many facets of cancer survivorship. We’ll discuss genetics, lifestyle changes and ongoing challenges with sleep, pain management and fatigue. There will be opportunities to speak directly with physicians regarding specific issues associated with different types of cancers. The day will end with a special celebration of you! CELEBRATING YOU! CANCER SURVIVORSHIP DAY Saturday, Nov. 3 from 8:30 a.m. to 3 p.m. Banner MD Anderson Cancer Center • 2496 E. Banner Gateway Drive, Gilbert RSVP: www.BannerMDAnderson.com/events

US 60 & Higley Road • BannerMDAnderson.com Connect with us:

THINKSTOCK

4 | LIVING WELL A-Z | WEDNESDAY, October 3, 2012

Improving your

app-titude

Veganism and vegetarianism 101

Smartphone health-care apps run the gamut When followed correctly, can yield positive BY JAKE POINIER health results BY MICHELLE TALSMA EVERSON

Putting the eyes in the iPhone

here are literally tens of thousands of health-care, fitness and medical apps on the market. Beyond the gee-whiz factor of mobile information, “the takeaway is that people can use apps to control their health-care and their visits to the doctor,” said Francine Hardaway, co-founder of Stealthmode Partners, which counts numerous health-care companies among its 700 start-up advisee clients. “There are devices that can help you measure and monitor just about any aspect of your health,” Hardaway added, stating that it’s like maintaining your own car. “If it doesn’t change in six months, you might save six monthly visits.”

Jeremy Schmidt of Next Level Assistive Technology in Mesa can attest on two levels to the power of the iPhone, both as a blind person and as someone who trains blind and visually impaired users at Phoenix Veteran’s Administration Health Care System and elsewhere on using smartphone apps. Schmidt reels off a list of apps that have created a new world of independence for the visually impaired. • MONEY READER enables the user to point a phone camera and tell the difference between a $1, $5, $10 and $20 bill.

Consumer empowerment

Developed by Scottsdale Weight Loss Center, the FoodGauge app is a good example of consumer empowerment. Just type in the information from a food label — protein, fat, carbs, fiber and number of servings — and it rates the choice on a 1-to-5 scale. “Patients always ask us about the healthiness of various foods,” said Robert Ziltzer, M.D., co-founder of the center. “This makes it easy and it also takes the heat off parents at the grocery store. Rather than saying ‘no’ to a sugary cereal, hand your child the iPhone and tell them to FoodGauge it. If it’s a 4 or 5, you can put it in the cart.”

• COLOR FINDER uses the camera to identify the primary color of an object. • RECOGNIZER is an object recognition program that employs labels to help users distinguish household items such as oregano from parsley. • TEXT GRABBER can be used for tasks such as reading restaurant menus. “The iPhone has made the world accessible to the blind, and apps are changing the world of blindness,” Schmidt said.

Health-care information

Some insurance companies are taking the lead on providing a wide range of apps for their customers as well as the general public. For example, Julie Kling, mobile executive business lead for Humana, said that Humana is trying to “create something that’s convenient and can help patients reduce health-care costs.” For general consumers, Humana Fit tracks workouts, uses the phone’s accelerometer to measure steps and offers a social media link to share with friends and family. With MyHumana, members can receive daily medication reminders, refill and price-compare prescriptions, or use provider search to find a doctor’s qualifications, languages and availability. Non-members can even use the app to find the nearest urgent care.

Hip Health Apps

EPOCRATES: Reference source for drugs and interactions. FOODUCATE: More than 200,000 UPC codes; ‘grades’ your groceries and offers healthier alternatives. IBP: Track and analyze blood pressure readings. ITRIAGE: Check your symptoms to see if you need a doctor. LOSE IT! Set goals and establish a daily calorie budget.

“It’s hard to get people to change behavior,” Hardaway said. “But ‘gameification’ is creating a whole generation interested in quantified health, wearing devices that track things like sleep, weight and stress, and competing about who’s walked the most steps or miles. That’s what’s going to change health-care.”

What’s the difference?

While there are many subcategories of vegetarianism, as an umbrella term, vegetarian means “no flesh foods”, Johnston said. Essentially, vegetarians consume no meat, poultry or fish, but some might consume dairy products or eggs.

“With these diets, it is important to get adequate protein, iron, zinc and omega 3 fatty acids.”

MICOACH: GPS and real-time voicecoaching in your ear to pace your workout. RESTAURANT NUTRITION: Type in the food to learn the fat, protein, carbs and calories.

In contrast, vegans “consume no type of animal proteins at all,” said nutrition expert Chrissy Barth, MS, RD, BHT, RYT. Therefore, true vegans do not consume meat, poultry, fish, dairy or eggs.

Health benefits

When followed correctly, both vegan and vegetarian diets can yield many positive health results, with some medical experts citing that these diets can help prevent cancer, lower blood pressure, reduce the risk for diabetes and more. For those considering becoming a vegan or vegetarian, experts suggest seeking out a professional dietitian for help and information. There are also many websites and print magazines that cater to vegans and vegetarians, and more and more restaurants serve food of either genre as well.

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Resources Vegan Action: vegan.org Vegan Starter Kit: Vegankit.com Vegetarian Resource Group: vrg.org Vegetarian Times: vegetariantimes.com

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Here’s a quick take on a few healthcare-related app options.

Changing behaviors

o some folks, it may seem like becoming a vegetarian or vegan is a new thing. But, for people like Carol Johnston, PhD, RD, who has been a vegetarian since the mid-1970s, that couldn’t be farther from the truth. Johnston, a professor and the associate director of the nutrition program at Arizona State University’s School of Nutrition and Health Promotion, explained that most choose to become vegetarian or vegan initially on a moral basis, not a health one. Phoenix resident Cathy Martin, a vegan since 2010, said that she initially made the switch based on her love for animals and her growing concern over the treatment of ‘food’ animals. Marica Whittemore, 20, a junior at the University of Arizona, became vegetarian after she started college. “I’ve always loved animals and after having raised a few farm animals, I could never manage the thought of eating one.”

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

PULSE

Burn notice

Prevention and prompt action are key

ll it takes is just one little mistake, or a fraction of a second, and you can find yourself in here for a month or two, said Kevin Foster, M.D., M.B.A., F.A.C.S., director of the Arizona Burn Center (ABC) at Maricopa Medical Center in Phoenix, the nation’s second-largest burn center. While scalding injuries from hot liquids like tea, coffee, grease or even hot water are the most common burns, they certainly aren’t the only ones ABC handles. Foster said the facility sees quite a few flame burns from things like trash fires, occupational-related fires and house fires, along with electrical and chemical burns. And the Arizona Burn Center isn’t alone. Peter Grossman, M.D., F.A.C.S., medical director of the Grossman Burn Center at St. Luke’s Medical Center in Phoenix, said the plastic surgery-based center has been “busier than we thought we would be” since opening last year.

Tread carefully!

Not surprisingly, Arizona is well-known for one particular kind of burn, according to Grossman. Thanks to people stepping outside and onto hot asphalt or hot sidewalks in their bare feet, often to do a quick chore or errand, foot burns are something of a state specialty. The elderly, transients and anyone with a peripheral vascular problem, such as diabetes, are especially susceptible, he said.

Although he noted that at burn centers in general, nearly one-third of patients are children — 80 percent of whom are toddlers — Grossman said it’s important to remember that burns are equal opportunity injuries. “Burns don’t discern by age, race or socioeconomic status,” he said.

Burn prevention

As for burn prevention, Foster said common sense is the best line of defense. In other words: • When using the stove, keep pots and pans on the back burners as much as possible and turn handles so little hands cannot grab them — or bigger hands can’t knock them off. • Set your water heater temperature below 130 degrees Fahrenheit since water at 140 degrees Fahrenheit can burn a child in seconds. • Keep children out of the bathroom and kitchen unless it’s necessary. • Keep your home’s smoke detectors in proper working order. • Have a fire escape plan that the whole family knows and understands.

Don’t ignore a burn

Finally, if you do get burned, run cool water over the burn to minimize inflammation, Grossman said. Do not put ice on the site, as that can lead to further problems. If it seems serious, visit the

BY GREMLYN BRADLEY-WADDELL

emergency room. No matter what, you’ll want to watch the burn to make sure it’s healing. If you do get a burn and you’re not sure if you should head to the burn center or emergency room, Foster said that if a burn is bigger than the palm of your hand, if it is blistering and showing reddened skin, or if it affects the hands, face or genitalia, then a trip to a health-care provider or facility is in order. “What you don’t want to do is ignore a burn,” Grossman added. “Burns are progressive and dynamic by nature and what you see the first day isn’t necessarily what you’ll see the next day.”

Hot (dog) paws If barefooted Arizonans are prone to getting foot burns from hot pavement, are our four-footed best friends at risk, too? Yes! “Dogs have thick foot pads to protect their feet so they are less likely to have blistering burns and more likely to lose layers of this protective padding from heat injury,” said Sarah Marzke, D.V.M., who owns Topaz Veterinary Clinic in Tempe with her husband and fellow veterinarian, Geoffrey Berthiaume, D.V.M. To avoid paw problems, Marzke said you need to pay attention to your pup’s feet, especially in hot weather. Put your hand on the pavement and if it’s too hot for you to touch, it’s too hot for your dog to walk on. “In the summertime in Arizona, unless you’re getting up at 5 or 6 in the morning,” she added, “we don’t recommend taking your dog on a walk with you.” Marzke suggests trying dog booties, an option that effectively protects a dog’s feet, but noted they require some getting used to. “Dogs aren’t used to wearing shoes,” she said. “It takes a few tries.”

Resources American Burn Association: ameriburn.org Arizona Burn Center: azburncenter.org Arizona Burn Foundation: azburn.org Children’s Burn Foundation: childburn.org Grossman Burn Center at St. Luke’s Medical Center: stlukesmedcenter. com/services/burn-center/ Phoenix Society for Burn Survivors: phoenix-society.org

Burns are classified in the following ways: 1

FIRST-DEGREE: A superficial burn that affects only the outer layer of skin, this injury may look like it is blistering. These painful burns are typically caused by a propane flash or a sunburn and will heal without scarring.

SECOND-DEGREE: Also known as a ‘partial thickness burn’, this injury is the most common burn the Arizona Burn Center sees and indicates that the inner layer of skin has been burned. Blistering and pink-hued skin are typical, and surgery is sometimes necessary.

THIRD-DEGREE: Also called a ‘full thickness burn’, this is the kind of injury in which all layers of the skin have been burned off. Skin grafts are required at this stage.

FOURTH-DEGREE: Not necessarily an acknowledged degree of burn, this kind of injury occurs when a burn has affected more than the skin and has reached muscle, bone, a tendon or an artery. Source: Kevin Foster, M.D., M.B.A., F.A.C.S.

We provide doctors with answers and patients with care. Our dedication to providing patients with the respect and care they truly deserve is what sets us apart in the East Valley. With simple, centralized scheduling and comfortable, relaxing environments, we aim to be the Valley’s most-trusted provider of quality outpatient medical imaging. EVDI’s convenient outpatient centers are equipped with stateof-the-art imaging technology, providing comprehensive services from simple x-rays to advanced MRIs. And our staff of experienced, board-certiﬁed radiologists ensure that your reports not only convey accurate data, but the information needed to make a difference in your life.

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6 | LIVING WELL A-Z | WEDNESDAY, October 3, 2012

is National Breast Cancer Awareness Month, nbcam.org

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

WELLNESS TRADITIONAL CHINESE MEDICINE Oct. 10, 1–2 p.m. By Scottsdale Healthcare at Desert Foothills Library 38443 N. Schoolhouse Rd., Cave Creek Register: shc.org/events; 480-882-4636 BONE UP ON BONE HEALTH Oct. 11, 1–2 p.m. By Scottsdale Healthcare at Civic Center Library 3839 N. Drinkwater Blvd., Scottsdale Register: shc.org/events; 480-882-4636 MINIMALLY INVASIVE SPINE SURGERY Oct. 12, noon, by Laser Spine Institute at Windemere Hotel, 5750 E. Main St., Mesa Oct. 13, 10 a.m., Laser Spine Institute, 8888 E. Raintree Dr., Scottsdale Register: SpineSeminar.com; 866-811-3275

OH MY ACHING JOINTS Oct. 18, noon–1 p.m. By Scottsdale Healthcare at Desert Foothills Library 38443 N. Schoolhouse Rd., Cave Creek Register: shc.org/events; 480-882-4636 NEUROPATHY Oct. 25, 1–2 p.m. By Scottsdale Healthcare at Civic Center Library 3839 N. Drinkwater Blvd., Scottsdale Register: shc.org/events; 480-882-4636

US TOO: PROSTATE CANCER Oct. 8, 7 p.m. St. Joseph’s 350 W. Thomas Rd., Phoenix 602-242-3131 PROSTATE SUPPORT GROUP Oct. 22, 7–9 p.m. Banner Desert 1400 S. Dobson Rd., Mesa 480-412-HOPE (4673) FREE PSA SCREENINGS Oct. 26, noon–3 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-WELL (9355)

HEART/STROKE CONGESTIVE HEART FAILURE Oct. 3, 10, 17, 24 & 31, 6:30–7:30 p.m. Chandler Regional 1955 W. Frye Rd., Chandler 480-728-5414 STROKE Oct. 4, 1:30–2:30 p.m. Banner Boswell Rehab 10601 W. Santa Fe Dr., Sun City 623-832-7000 STROKE SUPPORT GROUP Oct. 4 & Nov. 1, 5:30–6:30 p.m. Banner Good Samaritan 1111 E. McDowell Rd., Phoenix 602-839-3667 STROKE SUPPORT GROUP Oct. 8, 2:30–4 p.m. Chandler Regional 1955 W. Frye Rd., Chandler 480-728-3828

ABCs OF CARDIOLOGY Oct. 12, noon–1 p.m., Tempe St. Luke’s, 1500 S. Mill Ave. Oct. 25, noon–1 p.m., St. Luke’s, 1800 E. Van Buren St., Phoenix Register: 877-351-WELL (9355) STROKE SUPPORT GROUP Oct. 16, 3–4 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-WELL (9355) WHAT IS HEART FAILURE? Oct. 17, 5:30–7 p.m. Banner Thunderbird 5555 W. Thunderbird Rd., Glendale Register: 602-230-2273 MENDED HEARTS Oct. 17, 6:30 p.m. Banner Heart Hospital 6750 E. Baywood Ave., Mesa 480-854-5070

SUN PROTECTION FOR EYES Oct. 16, 6:30–7:30 p.m. By Midwestern Univ. at Foothills Library 19055 N. 57 Ave., Glendale 623-930-3868

PROSTATE CANCER

STROKE SUPPORT GROUP Oct. 11, 1:30–3 p.m. Banner Baywood 6644 E. Baywood Ave., Mesa 480-321-4790

HEART CARE Oct. 30, 9:30 a.m. Banner Boswell 13180 N. 103 Dr., Sun City 602-230-2273

DIABETES

CLASS FOR CAREGIVERS Oct. 8, 10 a.m.–noon Banner Alzheimer’s Institute 901 E. Willetta St., Phoenix Register: 602-839-6850; Baiinfo@bannerhealth.com CHALLENGING BEHAVIORS Oct 12, 10:30 a.m.–noon By Banner Alzheimer’s at Musical Instrument Museum 4725 E. Mayo Blvd., Phoenix Register: 602-230-2273 CHALLENGING BEHAVIORS Oct. 16, 10–11 a.m. By Alzheimer’s Association at First United Methodist Church 7102 N. 58 Dr., Glendale Register: 602-528-0545 ALZHEIMER’S CAREGIVERS Oct. 16, 12:30–2 p.m. Church of the Beatitudes 555 W. Glendale Ave., Phoenix 602-274-5022

SUPPORT GROUP (lunch provided) Oct. 21, 11 a.m.–12:30 p.m. St. Joseph’s Huger Mercy Living Center 2345 W. Orangewood Ave., Phoenix 602-406-5600 CAREGIVERS SUPPORT GROUP Oct. 29, 1:30–3:30 p.m. Banner Sun Health Research 10515 W. Santa Fe Dr., Sun City 623-832-5328

SUPPORT GROUP Oct. 11, 1–2 p.m. St. Luke’s 1800 E. Van Buren St., Phoenix 877-351-WELL (9355)

FREE MEMORY SCREENING Oct. 30, 9 a.m.–1 p.m. By Banner Alzheimer’s at Via Linda Senior Center 10440 E. Via Linda, Scottsdale Appointments: 602-230-2273

TAKING CONTROL Oct. 11, 18 & 25, 2–3 p.m. Paradise Valley Hospital Outpatient 3815 E. Bell Rd., Phoenix RSVP: 602-923-5813 SUPPORT GROUP Oct. 15, 3–4 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa 877-924-WELL (9355) DIABETES SUPPORT Oct. 16, 3–4 p.m. Banner Baywood 6644 E. Baywood Ave., Mesa 480-321-4578 TEEN SUPPORT GROUP Oct. 19, 6–8:30 p.m. By Cardon Children’s at Brunswick Bowling 1754 W. Southern Ave., Mesa RSVP: 480-412-4557

ALZHEIMER’S/ DEMENTIA 10 SIGNS OF ALZHEIMER’S By the Alzheimer’s Association Various dates, times & locations Register: 602-528-0545 ALZHEIMER’S CAREGIVERS Oct. 4 & 18, 1:30–3 p.m. Tempe St. Luke’s 1500 S. Mill Ave., Tempe 877-351-WELL (9355) MUSIC & MEMORIES Oct. 5, 10–11:30 a.m. By Banner Alzheimer’s at Pyle Adult Rec Center 655 E. Southern Ave., Tempe Register: Baiinfo@bannerhealth.com; 602-839-6850

ARTHRITIS FOUNDATION EXERCISE Oct. 9, 16, 23 & 30, 9–10 a.m. Tempe St. Luke’s 1500 S. Mill Ave., Tempe 877-351-WELL (9355) GUARDIANSHIP CLINIC (DUET) Oct. 12, 3–5 p.m. Church of the Beatitudes 555 W. Glendale Ave., Phoenix Reservations: 602-274-5022 UNDERSTANDING ASSISTED LIVING Oct. 15, 6:30–7:45 p.m. By Assisted Living Advantage at Mustang Library 10101 N. 90 St., Scottsdale Register: 480-419-4202; beckyfeola@gmail.com PERIPHERAL VASCULAR DISEASE Oct.18, noon–1 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-WELL (9355)

GYNECOLOGIC Oct. 9, 5–6:15 p.m. Banner Desert 1400 S. Dobson Rd., Mesa 480-412-HOPE (4673)

WHAT: Fire and water safety prevention, fire truck tours, bike rodeo, pumpkin patch, inflatables, helmet and booster seat fittings, food and vendors, etc. WHERE: St. Joseph’s Medical Group-Peoria North Clinic TIME: 8 a.m.–noon COST: Free events; $10 adult flu shots INFO: 623-773-7137; peoriaaz.gov/specialevents SPONSORED BY: St. Joseph’s Medical Group-Peoria North Clinic and the City of Peoria

WHAT: Free event for those diagnosed with early-stage Alzheimer’s disease and their care-partners. Lunch included. OCT 6: Sun City Christian Church, 9745 W. Palmeras Dr., Sun City OCT. 27: Escalante Senior Center, 2150 E. Orange St., Tempe TIME: 10:30 a.m.–2:30 p.m. COST: Free REGISTER: 602-528-0545 SPONSORED BY: The Alzheimer’s Association

WHAT: Children ages six to 12 will receive free screenings, cleanings and molar sealants from dental students under the supervision of licensed dental faculty. WHERE: Midwestern University, 19389 N. 59th Ave., Glendale TIME: 8 a.m.–2 p.m. COST: Free REGISTER: 623-572-3213 SPONSORED BY: Midwestern University’s College of Dental Medicine-Arizona and Delta Dental of Arizona Foundation

Oct. 27 Medicare plans comparison seminar WHAT: Info about various Medicare plans, including Parts A-D, supplemental plans, benefits comparisons, changes in prescription coverage and the 2013 ‘donut hole’. WHERE: St. Joseph’s Hospital and Medical Center, 350 W. Thomas Rd., Phoenix TIME: 10–11 a.m. COST: Free REGISTER: 877-728-5414 INFO: Private appointments also available. SPONSORED BY: Dignity Health Arizona

Oct. 11 & Oct. 29 Minimally invasive spine surgery WHAT: Find out how you can get moving again with minimally invasive spine surgery. WHERE: Scottsdale Healthcare Shea Medical Center, 9003 E. Shea Blvd, Scottsdale TIME: 6–7:30 p.m. COST: Free RSVP: shc.org/events; 480-882-4636.

LIVING & COPING Oct. 16, 5:30 p.m. Banner MD Anderson 2946 E. Banner Gateway Dr., Gilbert 480-256-4141

I CAN COPE Oct. 22, 6 p.m. Banner Thunderbird 5555 W. Thunderbird Rd., Glendale 602-865-5450

KIDS CAN COPE Oct. 16, 7 p.m. Banner Thunderbird 5555 W. Thunderbird Rd., Glendale 602-865-5450

SURVIVE & THRIVE Oct. 23, 2–4 p.m. Banner Good Samaritan 1111 E. McDowell Rd., Phoenix 602-839-5799

FACING FORWARD (WOMEN) Oct. 10, 1–3 p.m. Virginia G. Piper Cancer Center 10460 N. 92 St., Scottsdale Register: shc.org/events; 480-882-4636

YOGA & MEDITATION Oct. 17, 9–11 a.m. Co-sponsoredbyTheWellnessCommunity Sun Health Grandview 14505 W. Granite Valley Dr., Sun City West 602-712-1006

CREATIVITY TO COPE Oct. 25, 2:30–4 p.m. Ironwood Cancer & Research 6111 E. Arbor Ave, Mesa Register: 480-540-2610; mveselovsky@ironwoodcrc.com

OVARIAN CANCER Oct. 11, 6–8 p.m. The Wellness Community 360 E. Palm Ln., Phoenix RSVP: 602-712-1006

ORAL, HEAD & NECK Oct. 17, 4:30–6:30 p.m. Banner Desert 1400 S. Dobson Rd., Mesa 480-412-HOPE (4673)

LOOK GOOD, FEEL BETTER Oct. 22, 5:30 p.m. Co-sponsoredbyAmericanCancerSociety Ironwood Cancer & Research 1432 S. Dobson Rd., Mesa Register: 480-696-3637

COLORECTAL Oct. 18, 6 p.m. Banner Thunderbird 5555 W. Thunderbird Rd., Glendale 602-865-5450

YOUNG WOMEN’S SUPPORT Oct. 9, 6:30 p.m. Banner Thunderbird 5555 W. Thunderbird Rd., Glendale 602-865-5450

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

WOMEN & CANCER

Oct. 6 & Oct. 27 Early-Stage Alzheimer’s Mini-Conference

GYNECOLOGIC Oct. 9, 5:30–7 p.m. Co-sponsoredbyTheWellnessCommunity Cancer Center at St. Joseph’s 500 W. Thomas Rd., Phoenix 602-712-1006

SENIORS

PULMONARY DISORDERS Oct. 25, noon–1 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-WELL (9355)

Oct. 6 Family Health & Safety Fair

Oct. 6 Super Sealant Saturday

COMPASS FOR CAREGIVERS Oct.17,10–11:30a.m.,Oct.29,4–5:30p.m. Banner Alzheimer’s 901 E. Willetta St., Phoenix Register: Baiinfo@bannerhealth.com; 602-839-6850

TAKING CONTROL Every Mon., Wed. & Fri., 10 a.m.–noon Phoenix Baptist Hospital 2040 W. Bethany Home Rd., Phoenix Register: azhealthyhours.com; 855-292-WELL

TOP Events

THINKSTOCK

October

CANCER SUPPORT COPING WITH CANCER Oct. 10 & 24, 6:30 p.m. Banner Thunderbird 5555 W. Thunderbird Rd., Glendale 602-865-5450 CAVE CREEK Oct. 13, 10 a.m.–noon By Scottsdale Healthcare at Good Shepherd Episcopal Church 6502 E. Cave Creek Rd., Cave Creek RSVP: 480-488-3283 LUNG Oct. 13, 1–3 p.m. BySt.Joseph’satTheWellnessCommunity 360 E. Palm Ln., Phoenix 602-712-1006

BREAST CANCER YOGA & MEDITATION Oct. 4 & 18, 6–8 p.m. Co-sponsoredbyTheWellnessCommunity John C. Lincoln Breast Center 19646 N. 27 Ave., Phoenix 602-712-1006 BREAST CANCER SURVIVORSHIP Oct. 6, 8 a.m.–noon St. Joseph’s 350 W. Thomas Rd., Phoenix Register: 877-602-4111

ESOPHAGEAL Oct. 18, 6–7:30 p.m. Banner Good Samaritan 1111 E. McDowell Rd., Phoenix 602-839-4970

SUPPORT GROUP Oct. 6, 10 a.m.–noon Banner Good Samaritan 1111 E. McDowell Rd., Phoenix 602-712-1006

COPING WITH CANCER’S COST Oct. 18, 6–8 p.m. The Wellness Community 360 E. Palm Ln., Phoenix RSVP: 602-712-1006

YOUNG SURVIVAL COALITION Oct. 9, 6–8 p.m. John C. Lincoln Breast Center 19646 N. 27 Ave., Phoenix 602-712-1006

STRESS REDUCTION Oct. 18, 6–8 p.m. Co-sponsoredbyTheWellnessCommunity Paradise Valley Methodist Church 4455 E. Lincoln Dr., Paradise Valley RSVP: 602-712-1006

BREAST CANCER SUPPORT Oct. 10, 5:30–7 p.m. Co-sponsoredbyTheWellnessCommunity Banner Good Samaritan 1111 E. McDowell Rd., Phoenix 602-712-1006

ORAL, HEAD & NECK Oct. 18, 6:30–8 p.m. Virginia G. Piper Cancer Center 10460 N. 92 St., Scottsdale 602-439-1192

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WEDNESDAY, October 3, 2012 | LIVING WELL A-Z | 7

LEARN & SUPPORT GROUP Oct. 11 & 25, 6–8 p.m. Co-sponsoredbyTheWellnessCommunity John C. Lincoln Breast Center 19646 N. 27 Ave., Phoenix 602-712-1006 SUPPORT GROUP Oct. 13, 10 a.m.–noon Virginia G. Piper Cancer Center 10460 N. 92 St., Scottsdale Register: tinastreasures@shc.org; 480-323-1990 YOUNG SURVIVORS Oct. 20, 10 a.m.–noon Dynamic Life Coaching Center 1701 S. Mill Ave., Tempe 480-326-7023 BLACKS AGAINST BREAST CANCER Oct. 21, 3–5 p.m. The Wellness Community 360 E. Palm Lane, Phoenix 602-320-0502 LIVING WITH LYMPHEDEMA Oct. 22, 6:30–8:30 p.m. Virginia G. Piper Cancer Center 10460 N. 92 St., Scottsdale Register: tinastreasures@shc.org; 480-323-1990 SUPPORT GROUP Oct. 23, 5–6:15 p.m. Banner Desert 1400 S. Dobson Rd., Mesa 480-412-HOPE (4673) TRIPLE NEGATIVE Oct. 24, 5:30–7 p.m. Co-sponsoredbyTheWellnessCommunity Banner Good Samaritan 1111 E. McDowell Rd., Phoenix 602-712-1006

PARKINSON’S EXERCISE; TAI CHI; YOGA; DANCE Various dates, times & locations By Muhammad Ali Parkinson Center at St. Joseph’s Info: 602-406-6903 WESTSIDE TREMBLE CLEFS (singing program) Oct. 3, 10, 17 & 24, 10 a.m.–noon By Muhammad Ali Parkinson Center at St. Joseph’s Shepherd of Desert Lutheran Church 11025 N. 111 Ave., Sun City Register: 602-406-3840 EASTSIDE TREMBLE CLEFS Oct. 4, 11, 18 & 25, 4–6 p.m. By Muhammad Ali Parkinson Center at St. Joseph’s Granite Reef Senior Center 1700 N. Granite Reef Rd., Scottsdale 480-991-0451 PARKINSON’S Oct. 8, 10–11:30 a.m. Banner Sun Health Research 10515 W. Santa Fe Dr., Sun City 602-942-9008 PARKINSON’S CAREGIVERS (DUET) Oct. 10, 1:30–3 p.m. Church of the Beatitudes 555 W. Glendale Ave., Phoenix 602-274-5022 PARKINSON’S GOOD START (Newly diagnosed) Oct. 12, 2 p.m. Banner Sun Health Research 10515 W. Santa Fe Dr., Sun City 602-942-9008 DEEP BRAIN STIMULATION Oct. 20, 10:30 a.m. Banner Sun Health Research 10515 W. Santa Fe Dr., Sun City 623-832-5328 PARKINSON’S & PARTNERS Oct. 22, 10–11:30 a.m. Banner Sun Health Research 10515 W. Santa Fe Dr., Sun City 602-942-9008

BREASTFEEDING BREASTFEEDING Oct. 3, 10, 17, 24 & 31, 11 a.m. Chandler Regional 1875 W. Frye Rd., Chandler 480-728-5414

BREASTFEEDING SUPPORT Oct. 4, 11, 18 & 25, 1–2:30 p.m. Banner Desert 1400 S. Dobson Rd., Mesa 480-412-3035 BREASTFEEDING Oct. 5, 12, 19 & 26, 10 a.m. Mercy Gilbert 3555 S. Val Vista Dr., Gilbert 480-728-5414 SUPPORT GROUP Oct. 9 & 23, 10 a.m. Banner Ironwood 37000 N. Gantzel Rd., San Tan Valley 480-394-4000 NURSING MOMS SUPPORT Oct. 9, 10:30 a.m.–noon Banner Del E. Webb 14502 W. Meeker Blvd., Sun City West 602-230-2273 BREASTFEEDING SUPPORT Oct. 15, 6–7:30 p.m. Banner Good Samaritan 1111 E. McDowell Rd., Phoenix 602-839-3502

PARENTING/ KIDS POSTPARTUM DEPRESSION Oct. 3, 10, 17, 24 & 31, 1–2:30 p.m. Chandler Regional 1875 W. Frye Rd., Chandler 480-728-5414 CIRCLE OF MOTHERS Oct. 4 & 18, 5–7 p.m. Banner Estrella 9201 W. Thomas Rd., Phoenix 623- 327-4000 PREGNANCY, PARENTING & PLAY Oct. 4, 11, 18 & 25, 7–9 p.m. Banner Baywood 6644 E. Baywood Ave., Mesa 480-321-4455 POSTPARTUM DEPRESSION Oct. 9, 16, 23 & 30, 10–11:30 a.m. Banner Desert 1400 S. Dobson Rd., Mesa 480-412-5292 POSTPARTUM SUPPORT Oct. 9 & 23, 11 a.m. Banner Thunderbird 5555 W. Thunderbird Rd., Glendale 602-865-5908 NEWBORN PARENTING Oct. 9, 2–3:30 p.m. Banner Baywood 6644 E. Baywood Ave., Mesa 480-321-4455

GASTROINTESTINAL CELIAC DISEASE Oct. 3, 7–9 p.m. Paradise Valley Retirement Center 11645 N. 25 Place, Phoenix 623-587-8885 OSTOMY Oct. 4, 2–4 p.m. Banner Boswell 13180 N. 103 Dr., Sun City 623-935-7514 RAISING OUR CELIAC KIDS Oct. 11, 6:30 p.m. Whole Foods Market 7111 E. Mayo Blvd., Scottsdale phoenixceliackids@gmail.com; facebook.com/PHX.ROCK

BETTER BREATHERS Oct. 17, 2–3 p.m. Chandler Regional 1875 W. Frye Rd., Chandler 480-728-5414

BRAIN BRAIN INJURY Oct. 8, 7–8:15 p.m. Barrow Neurological 350 W. Thomas Rd., Phoenix 602-406-3333 APHASIA Oct. 9 & 23, 10–11 a.m. Banner Boswell 13180 N. 103 Dr., Sun City 623-972-4263 SYRINGO & CHIARI Oct. 18, 11 a.m.–1 p.m. St. Joseph’s Outpatient Rehab 114 W. Thomas Rd., Phoenix 623-561-9606 BRAIN TUMOR Oct. 25, 6–8 p.m. St. Joseph’s 350 W. Thomas Rd., Phoenix 623-205-6446

ADDITIONAL SUPPORT GROUPS LARYNGECTOMY Oct. 16, 4–5 p.m. Banner Boswell 13180 N. 103 Dr., Sun City 623-832-5349 VESTIBULAR Oct. 18, noon Banner Good Samaritan 1111 E. McDowell Rd., Phoenix 602-839-2317 MEN’S DISABILITY ISSUES Oct. 18, 5:30–7 p.m. Disability Empowerment Center 5025 E. Washington St., Phoenix 602-980-3232; DonP@abil.org MULTIPLE SCLEROSIS (WOMEN) Oct. 27, 10 a.m. St. Joseph’s 350 W. Thomas Rd., Phoenix 480-829-6563

CAREGIVERS SUPPORT GROUPS (DUET) Various dates, times & locations 602-274-5022 CAREGIVERS SUPPORT Oct. 12, 2:30–4 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-WELL (9355) ONLINE NETWORKING (DUET) Oct. 13, 9–11 a.m.; Oct. 23, 7–8 p.m. Register: www.DuetAZ.org (Events tab) CAREGIVERS SUPPORT Oct. 24, 2:30–3:30 p.m. St. Luke’s 1800 E. Van Buren St., Phoenix Register: 877-351-WELL (9355)

BEHAVIORAL HEALTH ALANON & ALCOHOLICS ANONYMOUS Oct. 6, 13, 20 & 27, 7 p.m. Banner Thunderbird 5555 W. Thunderbird Rd., Glendale

ASK An Expert Question: Can hearing loss increase the risk of f alling? ANSWER: Yes, it definitely can. In fact, even a mild hearing loss can significantly increase a person’s risk of falling, according to a study led by a Johns Hopkins University School of Medicine researcher. The study, which involved 2,017 participants age 49 to 69 years old, found that people with a 25-decibel hearing loss (considered ‘mild’) are three times more likely to fall, compared with normal-hearing individuals. Each additional 10 decibels of hearing loss increases the risk of falling by 1.4-fold. Researchers aren’t sure why hearing loss contributes to the risk of falling. They speculate that people who can’t hear well may not have a good overall awareness of their environment, making them more susceptible to tripping and falling. Another possible reason is that hearing loss places a large ‘cognitive load’ on individuals, interfering with their ability to maintain balance and gait. Each year, approximately one-third of adults 65 years and older experience a fall, according to a report from the government’s Healthcare Cost and Utilization Project. If you suspect a hearing loss, no matter your age, but especially if you’re older, be sure to get your hearing checked as soon as possible. ROBERT BABER IS A BOARD-CERTIFIED HEARING INSTRUMENT SPECIALIST AND OWNER OF 21 MIRACLE-EAR CENTERS LOCATED THROUGHOUT ARIZONA

Question: What is lactose intolerance? ANSWER: Lactose intolerance develops when the body does not produce enough of the digestive enzyme lactase to sufficiently breakdown lactose, a sugar found in milk and other dairy products. As a result, dairy consumption can lead to uncomfortable and sometimes painful symptoms including bloating, gas, loose stools, abdominal pain and cramping. The best way to avoid these symptoms is to not eat or drink foods and beverages containing lactose such as milk, cheese, yogurt, sour cream and ice cream. However, a lack of dairy products in one’s diet can hinder the body from getting enough calcium and vitamin D, which can ultimately lead to bonethinning and osteoporosis. Lactose-free and plant-based milk products like soy, rice and almond milks are safe alternatives to cow and goat’s milk and they are a good source of calcium and vitamin D. Other ways to increase calcium intake include mineral supplements and calcium-rich foods. If you suspect that lactose intolerance is the source of your symptoms, try switching to lactosefree or plant-based milk products to see if you find relief. As always, speak with your health-care provider to determine if other factors may be leading to your discomfort. MARY ELLEN DIRLAM, M.D., PhD, IS AN INTERNAL MEDICINE PHYSICIAN ON STAFF AT BANNER GOOD SAMARITAN MEDICAL CENTER

Question: Can Parkinson’s disease cause aphasia? ANSWER: Aphasia is defined as an abnormality in the ability of a patient to perform language. Language is both expressed as well as understood, so patients may have problems with one or both of these abilities. Parkinson’s disease may cause aphasia, but it is usually associated with other symptoms, including other cognitive problems. Sometimes the slowness of a Parkinson’s patient to respond may be mistaken as a language problem or aphasia, however, in that case, the problem is the slowness of the motor system, not a language problem. If aphasia is prominent in isolation, another diagnosis besides Parkinson’s disease may be present. A thorough medical evaluation can help clarify the situation. JOHN N. CAVINESS, M.D., IS A PROFESSOR OF NEUROLOGY IN THE MAYO CLINIC COLLEGE OF MEDICINE

Living Well a-z invites readers to submit questions to a panel of health-care experts. The short questions and answers will offer readers a little more information about hot topics in medicine and refer you to other resources where you can learn more. Responses will also arm you with information so you know what to ask your own health-care providers. If you would like your question to be considered for the November 7, 2012 issue of Living Well a-z, please write to editor: Paula Hubbs Cohen, Paula.Cohen@cox.net or c/o The Arizona Republic, 200 E. Van Buren St., CA22, Phoenix, AZ 85004.

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

HEALTHSOUTH REHABILITATION: healthsouth.com IRONWOOD CANCER AND RESEARCH CENTERS: IronwoodCRC.com JOHN C. LINCOLN HOSPITAL: JCL.com LASER SPINE INSTITUTE: laserspineinstitute.com MAYO CLINIC: mayoclinic.com MERCYGILBERTMEDICALCENTER: MercyGilbert.org MIRACLE EAR: miracle-ear.com

MOUNTAIN VISTA MEDICAL CENTER: mvmedicalcenter.com NORTHVALLEYPLASTICSURGERY: nvpsaz.com PHOENIX CHILDREN’S HOSPITAL: phoenixchildrens.com SCOTTSDALE HEALTHCARE:shc.org ST. JOSEPH’S HOSPITAL AND MEDICAL CENTER:stjosephs-phx.org ST. LUKE’S MEDICAL CENTER, PHOENIX: stlukesmedcenter.com TEMPE ST. LUKE’S: tempestlukeshospital.com

OSTOMY Oct. 21, 2–4 p.m. First Presbyterian Church 161 N. Mesa Dr., Mesa 480-812-0324

RESPIRATORY RESPIRATORY Oct. 11, 1:30 p.m. Banner Boswell 13180 N. 103 Dr., Sun City 623-832-5708

BARIATRIC PROGRAM Hear about medical & surgical treatments for obesity.

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

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

(480) 301-4533 MayoClinic.org/Arizona

FREE

Celebrating You! Cancer Survivorship Day

HEARING TEST 26 Arizona Locations

Current cancer patients, cancer survivors and caregivers are invited to a day of celebration. Saturday, November 3 8:30 a.m. - 3 p.m. Banner MD Anderson Cancer Center

RSVP: (602) 230-CARE (2273)

www.bannermdanderson.com/events

Call 602-814-0072

www.Miracle-Ear-Phoenix.com Not a medical exam.Audiometric test to determine proper ampliﬁcation needs only. Good only from participating Miracle-Ear providers. See store for details.

I taught my three children to never give up. After my breast cancer diagnosis I followed my own advice and got a second opinion. There’s always hope. My answer was Mayo Clinic. Kim Loving Like Kim, thousands of patients come to Mayo Clinic every year for cancer treatment, diagnosis or a second opinion. Our team approach to care means you have a compassionate group of specialists - all working together for you. We work with many insurance companies and are an in-network provider for many people, most of whom don’t need a physician’s referral. Find your answer at Mayo Clinic.

Visit mayoclinic.org/arizona

8 | LIVING WELL A-Z | WEDNESDAY, October 3, 2012

Continued from cover

Medicare choices, explained Open Enrollment Period starts Oct. 15th

hanging your Medicare plan can be confusing, but there are ways to make it easier. The Open Enrollment Period (OEP) begins Oct. 15 and ends Dec. 7. If you already signed up for Medicare Part B (traditional Medicare), Medicare Part C (a Medicare Advantage plan) or Part D (drug coverage) during other enrollment periods and want to change plans or switch from Part B to Part C — or vice versa — the OEP is for you.

Switching plans

To make it easier to switch your prescription drug plan, visit medicare.gov and click on “Find health and drug plans”. You can compare all drug plans (and Medicare Advantage plans) offered in the Phoenix area. Switching from one Medicare Advantage plan to another can be challenging, but free assistance is available by phone, email or with an in-person appointment through the Area Agency on Aging’s benefits assistance program. Call 602-264-2255 or visit aaaphx.org for more information. Even if you’re happy with your current Medicare Advantage Plan, check with your doctors and preferred hospital during the OEP to make sure they will remain as providers on your plan in 2013, advised Glen Spencer, benefits assistance program director for the Area Agency on Aging, Region One.

Premiums and deductibles

In 2012, the standard monthly premium for Medicare Part B is $99.90 for individuals whose annual income is $85,000 or below (the minimum premium may rise for 2013). Whether you choose traditional Medicare or a Medicare Advantage plan, that is the minimum you will pay to receive Medicare benefits. Most seniors who select Part D pay an additional premium. Steve Stedman, Arizona sales director for Humana, said that a monthly premium

BY DEBRA GELBART

for a Medicare Advantage plan may be in addition to the standard Part B premium each month, depending on the plan you select, and the premium may include drug coverage. “If you’re willing to stay within a network of providers, you may not pay an additional premium over Medicare’s charge for Part B,” he said. For some Medicare Advantage plans, there is no additional charge for Part D coverage. For example, Humana offers two such plans in Arizona, Stedman said, noting that for those who want more choice can opt for a PPO Medicare Advantage plan that carries an additional premium starting at about $79 a month. Medicare Advantage plans typically have no deductible, but that’s not the case with traditional Medicare. In addition to a deductible, most services provided through traditional Medicare require 20 percent co-insurance with no out-ofpocket limit. Medicare Advantage plans have an out-of-pocket maximum.

What’s best for you?

So how can you decide whether traditional Medicare or a Medicare Advantage plan is better for you? Compare the out-of-pocket costs for both traditional Medicare and Part C. “Make sure the health-care providers you want are in the network you’re thinking of signing up for through a Medicare Advantage plan,” Stedman said. “And find out if the prescription drugs you need are part of the plan’s formulary [approved drug list].”

Resources Area Agency on Aging: aaaphx.org Medicare.gov: medicare.gov Medicare Rights Center: medicarerights.org

7 Your father’s family history of breast cancer is as important as your mother’s. “It’s a myth that the father’s family history doesn’t matter,” Cianfrocca said. “The genes from both parents are equal in importance. Breast cancer genes are not sex-linked and can raise the risk not just for breast cancer but also prostate and pancreatic cancer.” 8 Risks are not the same for all hormone-based medications. “HRT [hormone replacement therapy] that’s a combination of estrogen and progestin can result in a slightly increased risk,” Sachdev said. “Doctors will typically prescribe the lowest dose HRT available for as short a time as possible and often will recommend non-hormone remedies instead, such as yoga, acupressure and relaxation techniques for menopausal symptoms.” Meanwhile, data on birth control pills is conflicting. “Studies that showed higher risk with birth control pills looked at higher-dose estrogen birth control pills available in the past, but newer birth control pills with lower estrogen content may not have the same risk,” Sachdev said. “The slightly increased risk with birth control pills also decreases over time after stopping use. Birth control pills with a low dose of estrogen are the best choice.” She added that no evidence suggests a higher risk of breast cancer is associated with infertility treatments. 9 There is no evidence that antiperspirants, underwire bras, sleeping while wearing a bra or trauma to the breast increase the risk of breast cancer. No valid studies suggest any link between these and breast cancer, according to Cianfrocca.

RICK D’ELIA

MYTH-BUSTERS

Oncologist Mary Cianfrocca, M.D., helps to dispel some of the myths regarding breast cancer. She treats breast cancer patients at Banner MD Anderson Cancer Center in Gilbert. 11 Men can be diagnosed with breast cancer. This year 2,000 American men may be diagnosed with breast cancer. The risk factors that predispose men are radiation to the chest wall and family history of breast cancer, Sachdev said. A breast cancer diagnosis in a man should prompt genetic testing and genetic counseling because with male breast cancer “there is almost always a strong family history that suggests a genetic link,” Sachdev said, with Cianfrocca adding that just as with women, men should be alert to any lumps in the chest area or changes in the skin near the breast. 12 Breast cancer vaccines are being researched, but are probably years away. A vaccine against breast cancer has been developed by a researcher at the Cleveland Clinic but has yet to be tested in humans. The researcher is trying to get funding to start studies in humans, Cianfrocca said, but prevention clinical studies are very expensive.

10 A painful lump isn’t necessarily cancer; likewise, a painless lump is not necessarily non-cancerous. Eighty percent of breast lumps are benign, Chen pointed out. “A painful lump is not a reliable predictor for whether it turns out to be benign,” Sachdev said. “A lump or a change in the architecture of the breast needs to be checked out by a medical professional. A physician will decide what follow-up is needed.”

Resources American Cancer Society: cancer.org Bosom Buddies of Arizona: bosombuddies-az.org Breast Cancer Awareness: facebook. com/BreastCancerAwareness National Cancer Institute, National Institutes of Health: cancer.gov Susan G. Komen For the Cure: komen.org

EXPERTS FAMILY MEDICINE Christopher Bonati, M.D. Dr. Bonati is a Family Medicine physician who treats acute ailments such as rashes, earaches, colds and coughs, as well as chronic conditions like diabetes, hypertension, asthma and high cholesterol. He enjoys getting to know his patients and providing them with quality care, which to him equates to respecting patients’ time, listening to their concerns and providing successful treatments with coordinated follow-up. A graduate of the American University of the Caribbean in St. Maarten, Dr. Bonati completed his family medicine residency at Scottsdale Healthcare in Scottsdale, Arizona. Banner Health Center Specializing in Family Medicine 20751 W. Market St. • Buckeye 623.463.5000 • www.BannerHealth.com/healthcenterverrado

PEDIATRICS Mark Pyle, D.O. Dr. Pyle is a physician specializing in pediatrics. He received his medical degree from Lake Erie College of Osteopathic Medicine in Erie, PA and completed his internship and residency at Dayton Children’s Hospital in Dayton, Ohio.

Bring your life into focus.

Dr. Pyle is certiﬁed by the American Board of Pediatrics and is a fellow of the American Academy of Pediatrics.

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.

Banner Health Center Specializing in Pediatrics 20751 W. Market St. • Buckeye 623.463.5000 • www.BannerHealth.com/healthcenterverrado

BECOME A PATIENT Preventive care is always best, and during fall open enrollment for employee beneﬁts, you’ll likely notice an emphasis on wellness this year. More companies are focused on preventive health care and teaching healthy lifestyle choices to improve the overall health of their workforces. It is important to select a primary care physician before you have health issues – even if you only see your physician once a year for a physical – he or she will have a baseline for your future relationship and will be able to proactively work with you over the years for the healthiest life possible. For more information visit JCL.com/open.

Call 623-580-5800 or go to JCL.com/open to become a patient of the John C. Lincoln Physician Network.

Schedule a consultation today!

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.

THINKSTOCK

WEDNESDAY, October 3, 2012 | LIVING WELL A-Z | 9

Seniors and driving

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s we get older, our ability to drive can be hampered by a variety of factors. Lynn Hedrick is a certified driving specialist and owner of Drivable Solutions in Phoenix, an adaptive driving school for people with disabilities. Drivable Solutions also offers driving testing and training for the senior population. Although some seniors will “self-restrict” their driving, Hedrick said, for example, limiting freeway driving, avoiding

Loss of independence “Driving represents independence for most older adults, and losing that privilege can signify an increasingly narrow world. Now, the person must impose on the willingness of others and their time-table. The loss of driving can require moving to a more convenient location, such as near a bus line or adult children, and others’ needs must take priority. Family members need to keep the symbology of this loss in mind and imagine how they would feel if they could no longer drive. It is not just the loss of driving — it is the loss of control over your own world.” — Kathleen Waldron, longtime faculty member at ASU and former director of ASU’s School of Aging and Lifespan Development

B ALISON BY ALI LISO SON N STANTON STAN ST ANTO TON N

left-hand turns at intersections and eliminating night-time driving, the seniors she worries about are the ones who do not have that level of self-insight and continue to drive.

“There is no liability for the children of the parents, however spouses can be held liable, and in the case of a lawsuit due to a major traffic accident or fatality, personal assets can be tapped,” she said.

private or public,” she said. “Churches are a great place to find people to hire or volunteer to drive for weekly appointments.”

Medical issues

Licenses last till age 65

People who are concerned about someone’s poor or unsafe driving behavior can fill out a Driver Condition Behavior Report and submit it to the Motor Vehicle Division (MVD), Sanders said. “It does require people to include their contact information in order for MVD to verify the described poor/unsafe driving, but the submitter’s contact information is not provided to the driver,” he said. “We want to make sure we have obtained complete information for review in order to determine the appropriate agency response.”

Hedrick notes that research shows that changes in the “useful field of view” affects driving as people get older, meaning that they are not able to visually process things as quickly. “This type of problem is more cognitive in nature and will cause seniors to do things like roll up to an intersection and miss a stop sign. It’s because they are not visually processing it the way they used to,” Hedrick said, adding that the mental speed of processing also slows with aging and people cannot alternate their attention in complex traffic as well. “This and reduced vision are why they drive under the speed limit.” Arthritis can impact the ability to physically complete turns, as can neuropathy of the lower extremities, which can result in people confusing the gas and brake pedals because they cannot properly feel their feet. “Lately, we are seeing more fatalities and major wrecks due to this diagnosis,” Hedrick said.

Legal ramifications

In regards to possible legal ramifications for relatives who knew an older relative was having issues driving but did not report it, Hedrick said it depends on the family member.

EXPERTS ONCOLOGY/HEMATOLOGY Monique Chang, M.D. Dr. Chang is board certiﬁed in Oncology and Hematology and has a special interest in breast and gynecological cancers. She completed Internal Medicine residency and Oncology/Hematology fellowship at Winthrop University Hospital in Mineola, NY, earned a medical degree from Mount Sinai School of Medicine in 2000 and is a Diplomate of the American Board of Internal Medicine. She received the 2000 Dr. Milton C. Engel Prize for Excellence in Geriatrics and the 1999 American Federation of Aging Research Fellows Grant. She is board-certiﬁed in Internal Medicine, Hematology, and Oncology and has presented at the American Society of Clinical Oncology. Ironwood Cancer & Research Centers Specializing in Medical Oncology and Hematology 6111 E. Arbor Avenue • Mesa 480-981-1326 • www.ironwoodcrc.com

RADIATION ONCOLOGY Alice Tsai, M.D. Dr.Tsai is a board certiﬁed Radiation-Oncologist whose expertise includes a special focus in breast and prostate cancers. She completed residency at Fox Chase Cancer Center in Philadelphia, PA and earned her MD at the University of Chicago Pritzker School of Medicine. Dr.Tsai is skilled in accelerated partial breast irradiation (breast brachytherapy), stereotactic radiosurgery, IMRT and prostate cancer seed implants. She is widely published and has presented at the American Brachytherapy Society, American Society of Therapeutic Radiation Oncology, and the American Society of Human Genetics. Ironwood Cancer & Research Centers Specializing in Radiation Oncology 695 S. Dobson Rd. • Chandler • 480-821-2838 6111 E. Arbor Avenue • Mesa • 480-981-1326 www.ironwoodcrc.com

CATARACT & REFRACTIVE SURGEON 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

In Arizona, most driver’s licenses are considered extended licenses, meaning they expire on the person’s 65th birthday. In order to renew their license, the driver will have to go through a renewal process that involves a vision test. If they pass, the renewal will last for five years, said Harold Sanders, public information officer for the Arizona Department of Transportation. Licenses in Arizona used to expire at age 60, but the legislature changed the law to 65 some years ago. “The reason why the age of 65 was chosen is that there is medical study data that indicates there is very little, if any, deterioration in vision or motor skills between 60 to 65,” Sanders said.

Helpful hints

When you think about the quintessential little old lady barely seeing over the steering wheel, Hedrick said that they try to get her properly seated up higher in the car, changing what she can see. “However, once seniors are sitting up higher in the seat they might not be able to reach the pedals. Then we might fit them for pedal extensions.” Hedrick said that her goal is to keep seniors driving safely for as long as possible.”When that is no longer possible, we try to help solve the transportation problem through referral services, either

Reporting unsafe drivers

Resources AAA Senior Driving Information: seniordriving.aaa.com AARP Driver Safety: aarp.org/home-garden/transportation/ driver_safety ADOT MVD: azdot.gov/mvd Caregiver List: caregiverlist.com/ SeniorsDriving.aspx Drivable Solutions: driveablesolutions.com Road and Travel: roadandtravel.com/ safetyandsecurity/seniordriving.htm

Expect more from your primary care doctor.

I do.

Find out out why why at JCL.com/open Venita, patient

When you choose the John C. Lincoln Physician Network, you get more than a trusted health partner who takes the time to get to know you and your individual needs. You get a network of primary care physicians that offer same day appointments at convenient locations throughout the Valley – so you can be sure you’re getting highly coordinated care from highly qualiﬁed providers wherever you are. Your health deserves more. Visit JCL.com/open to hear stories from patients just like you, or call 623-580-5800 to become a patient today.

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

JCL.com/open

Just two weeks ago I had back surgery. Thank you 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. Friday, October 12 at 12 p.m.

Windemere Hotel and Conference Center 5750 E. Main St. Mesa, AZ 85205

Saturday, October 13 at 10 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 s uch as:

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*As each patient is different, results may vary.

Medicaid currently not accepted.