San Joaquin HEALTH 2023 Edition

This is love before first sight.

Having a baby is the one time in your life when it’s perfectly acceptable to say, “It’s all about me.” This is your moment. You should get to decide where you’re going to have your baby. St. Joseph’s Medical Center is the premier destination for childbirth, featuring private birthing and postpartum suites, on-site breastfeeding support, and a Level III NICU. We have the resources, the people, the experience, and...a special love for moms.

Learn more at dignityhealth.org/stockton/maternity

MAKING IT ALL ABOUT HEALTH

Iswear my knees didn’t used to creak when I got out of bed, and I’m pretty sure this morning I spotted five grey hairs instead of the resident four I had become accustomed to. The signs of aging, day by day, are getting harder to ignore, and I’m trying desperately to embrace them. Well, I’m trying desperately to ignore them but when that doesn’t work, embracing them seems the next best step.

The truth is, I don’t feel old. I’m pretty sure I’m still 25, even though my oldest children have now surpassed that age. And for some reason touching my toes feels more difficult. The thing with aging is we can’t stop it, but we can take care of ourselves to stave off some symptoms and maintain our health while the years tick by.

Our annual Health magazine is aimed at sharing insider’s secrets and government guidelines for keeping ourselves healthy regardless of our age. From cutting edge therapies to preventative medicine, we cover it all with the help of our local experts. Dentists weigh in on oral health and hospitals share news of their newest departments and achievements. Whether it’s alternative medicine that has us intrigued or good old fashion doctor’s visits, you’ll find a wealth of knowledge inside our pages.

While the bulk of this issue is about being healthy from the inside out, we also cover cosmetic procedures. Whether you’re interested in Botox or want to understand the different options for plumping your lips, we’re here to keep you in the know. And when it comes to those little wrinkles that seem to be multiplying, well, we have some advice for that, too. All of our stories include information sourced from professionals, but we of course recommend checking in with a physician before starting any new routines.

PUBLISHER | EDITOR

Tony Zoccoli

EDITORIAL

MANAGING EDITOR: Nora Heston Tarte

TRAVEL EDITOR: Nora Heston Tarte

REGULAR CONTRIBUTING WRITERS: James Raia, Angela Rudolph, Jessica Zimmer

CREATIVE

CREATIVE DIRECTOR: Sybil Watson

ASSOCIATE DESIGNER: Lucas Zoccoli

MARKETING

ADVERTISING SALES MANAGER Michelle Cox

CIRCULATION

DISTRIBUTION Rebecca Ristrim

SAN JOAQUIN MAGAZINE PUBLICATION FAMILY

Happy reading!

TONY ZOCCOLI tony@sjmag.com

SALES OFFICE SAN JOAQUIN MAGAZINE 1463 Moffat Blvd, Suite 4, Manteca, CA 95336 Phone: 209) 833-9989

FOLLOW US ON SOCIAL MEDIA

facebook.com/sanjoaquinmagazine

Twitter: @SanJoaquinMag

Instagram: SanJoaquinMag

issuu.com/sanjoaquinmagazine

© 2020 Inside Magazines Publishing Company

ALWAYS PRINTED IN THE USA

He then went on to complete residency training in Internal Medicine at NYU-Winthrop Hospital in Long Island, NY and subsequently Allergy and Immunology Fellowship at Wake Forest Baptist Medical Center in Winston-Salem, NC.

Dr. Balduzzi is Board Certified in Internal Medicine, as well as a BC/BE trained specialist in Adult and Pediatric Allergy, Asthma

Lacrosse goalie for the University of Buffalo, Jeffrey continues to enjoy a variety of recreational activities including, but not limited to; golfing, fishing and alpine

Practicing with Dr.’s George Bensch, Gregory Bensch and Michael Balduzzi our providers continue the utmost care for your allergy, immunology & respiratory needs.

AIAMG CELEBRATES 50 YEARS OF PATIENT CARE

TO FOLLOW THE CURRENT COVID-19 CDC GUIDELINES TO HELP KEEP YOU SAFE

Thank You For Voting Us BEST ALLERGIST 6 Years In A Row!

Where Medicine Meets Art Botox/Dysport Dermal Fillers Microneedling

Platelet Rich Plasma

ZO Skin Health Coaching Gift Certificates & More Gift the Goldie Glow Mother’s Day National Nurses Day

Appreciation Bridal Showers Graduates 118 North Church Street, Downtown Lodi 209-867-7101

Injection specialist Brittany Gail Luiz, Nurse Practitioner We create long term, natural results in an intimate setting.

Creekside Center

5 star facility with medicare.gov

Creekside Center is a skilled nursing facility located in Stockton, CA. Our center has an attractive warm atmosphere in a neighborhood setting. Patients and family can stroll the beautiful courtyards and sit in the lounge by the fire. At Creekside Center, we offer select menus and snacks in dining rooms with a garden setting. The facility offers in-house therapy 7 days a week in our Rehab Recovery Suites. All care is patient-centered and promotes independence The goal is to return our patients to good health and spirit.

COSMETIC

GET PLUMPED!

A DEBRIEFING ON THE DIFFERENT TYPES OF LIP INJECTIONS

BY

NORA HESTON TARTE

Plush, pillowy lips are all the rage in the beauty industry right now. While there’s no pressure to hop on the trend, if you’re curious about giving your pout a little more oomph,

it’s important to be informed about your options. And perhaps the biggest benefit to a procedure becoming trendy, is that your options suddenly become more robust.

First, manage expectations. In general

lip injections provide a bee-stung aesthetic for six to twelve months, with waning results over time. Semi-permanent injections can last up to two years. After that, you’ll need a fresh round of injections if you want to maintain the look.

Collagen fillers once reigned supreme, but their popularity has dipped. The look of HA fillers (below) have a reputation for being more natural looking, but collagen fillers last longer.

HYALURONIC ACID fillers are chosen by many because they are made of a substance that occurs naturally in the body. Well-known brands Restylane and Juvéderm both make HA fillers that trap water in the lips giving them a natural, plumped look. The use of ultra-fine needles also makes these injections precise, helping the surgeon manage results, including bigger lips and a reduction in wrinkles around the mouth. Surgeons can even shape the products using their hands. Overall, results may take a few days to show, and bruising, bleeding, and allergic reactions can occur. In general, you’ll need a refresh every six to twelve months.

FAT TRANSFER lip injections use fat from the abdomen, butt, or thighs. The fat is removed from the patient, treated, and then inserted into the lips. Size, fullness, texture, and symmetry can all be increased with this procedure, and in general the results last longer than dermal fillers. Like fillers, fat transfers can also reduce the appearance of fine lines and wrinkles around the mouth. Swelling, bruising, stiffness, and chapped lips, are all possible for the weeks following the procedure, and some may experience a temporary overdone look. In general, it can take a few procedures to get this one just right as the injectables are less precise than dermal fillers.

PERMANENT SILICONE LIP FILLERS offer one major advantage: no maintenance. If needed, the silicone implants can be removed. The downside is that some patients complain their lips do not feel as natural.

Protecting the Mouth from Gum Disease

STAY HEALTHY, BRUSH OFTEN

BY JESSICA ZIMMER

Gum disease, also known as periodontitis, is an infection of the soft gum tissue that surrounds the teeth. When left untreated, it can lead to pain, tooth loss, and further infection of the mouth. Generally, a patient can prevent gum disease by brushing and flossing after meals. Getting regular dental checkups and professional teeth cleanings also helps.

Signs of gum disease include swollen gums, gums that bleed easily, bad breath, loose teeth, gum recession (meaning the gums pulling away from the teeth), cavities, and a change in bite. Gum disease is worsened by genetics, smoking cigarettes, using chewing tobacco, alcohol and substance use, poor nutrition (especially a vitamin C deficiency), obesity, and hormonal changes like menopause. Gum disease usually begins with the development of plaque, a sticky, almost-invisible film

gum also prompts a regular flow of saliva, which helps to remove plaque. This method of self-care can be problematic for people who grind their teeth because chewing gum requires constant movement of the jaw and puts pressure on the teeth and these parts of the mouth may already be experiencing pain due to stress-related grinding.

Another method of preventing gum disease is brushing with prescription-strength fluoride toothpastes like Prevident. The best way, however, for a patient to determine which options will work for them is to consult a dentist.

made up of bacteria. Most plaque is easily removed by daily brushing and flossing.

Plaque that accumulates on the teeth and gums and hardens turns into tartar. Tartar can form quickly, within one or more days of failing to brush and floss. Tartar is composed of bacteria, calcium compounds, and other organic matter in the mouth. Tartar can range in color, from white and yellow to brown and black. A dentist or dental hygienist can remove tartar with scraping and ultrasonic tools.

Good gum health can help to prevent expensive dental, periodontal, and orthodontic care, such as gum grafts, crowns, veneers, and tooth removal. A person can improve gum health by chewing sugar-free gum and using alcohol-free mouthwash after eating. These behaviors change the pH level of the mouth, discouraging plaque from forming. Chewing

AGING Gracefully

Let’s face it—if we don’t want the signs of aging to appear on our face, we’re going to need to do something about it. While there is nothing wrong with aging and it isn’t something we should shy away from, there are ways to do it more gracefully. So, if you want to look young for as long as possible without going under the knife, follow these tips from local dermatologist offices.

PREVENTION

Part of maintaining a youthful appearance is taking care of your skin. This includes plenty of sun protection. Always wear sunscreen and avoid harmful UV rays as much as possible. Hats, sunglasses, and other accessories can help when you’ll be outside during peak sunshine hours.

AT-HOME CARE

“For some individuals the use of products or facials with ingredients such as vitamin C, hyaluronic acid, glycolic acid, alpha hydroxy acid, and peptide serums can be beneficial,” says Nicole James from LUX Dermatology. Although, she does warn consulting a dermatologist is the best first step as no product is without risk.

Nicole also recommends topical retinoid medications, available both as prescriptions and over the counter, to slow the wrinkling process.

Avis Chiu, PA-C, from Golden State Dermatology says a daily routine focused on anti-aging products is important. She suggests using vitamins C and E, as well as ferulic serum in the morning and retinol in the evenings, in addition to daily sunscreen.

IN-OFFICE TREATMENTS

For a little extra help, seek the care of an esthetician or dermatologist. Hydrafacials and microneedling every six to eight weeks will help maintain your skin’s elasticity and fight wrinkling. Needle-less treatments using a laser can also help.

WHAT ABOUT BOTOX AND FILLERS?

If you want a little more without going under the knife, Botox and fillers are two options that can be preventative and/or transformative. Patients as young as 18 walk into Golden State Dermatology for preventative Botox. For the best results, Dr. Chiu recommends getting injections every three to four months while Nicole at LUX says most injections last six to nine months.

“For filler, it’s an instant improvement of some small imperfections or to shape your face,” Dr. Chiu says. “Lips have been really popular for patients in their early 20s and face shaping methods have been more popular for 30s or older.”

“The decision to start such treatments should be made on an individualized basis with the full understanding of the risks and benefits of each treatment,” says Nicole.

“For filler, it’s an instant improvement of some small imperfections or to shape your face,“

— Dr. Chiu

STOCKTON LODI MANTECA TRACY SONORA JACKSON

Take a Shot at Spring Allergies

IMMUNOLOGY TREATMENTS TO TREAT SEVERE SYMPTOMS

BY NORA HESTON TARTE

Astaggering 81 million people in the United States were diagnosed with seasonal allergic rhinitis, or hay fever, in 2021. That equates to 26 percent of the adult population and 19 percent of children, according to the Asthma and Allergy Foundation of America. For most, over-thecounter remedies and even prescription medicines do the trick, however, some Americans simply need more.

While most allergy medicines address symptoms, immunology shots get to the root cause of allergies, effectively reducing the severity of reactions through a type of exposure therapy. Essentially, immunology shots contain small amounts of what a person is allergic to, usually pollen from trees, grasses, and weeds. By exposing the immune system to small doses of the culprits, it learns to react less aggressively to the stimulants.

While allergy shots are readily available (Allergy Immunology & Asthma Medical Group has eight locations through San Joa-

quin County and beyond), they are not for everyone. You may be a good candidate if your allergy symptoms are severe enough to interfere with daily life and over-the-counter remedies, prescription medicines, and a change in environment are not enough to relieve them.

If other remedies have failed you, and your reactions are severe (an aggressive runny or stuffy nose or allergy-induced asthma), then consult a professional about establishing a care plan that may include in-office allergy shots, also referred to as allergen immunotherapy injections.

The other candidate for these shots include those who experience life-threatening reactions to insect stings. According to professionals at Allergy and Immunology, most people will experience swelling, pain, redness, and even warmth at the site of

the sting for up to two days after an insect sting, but those that have hives, itching and swelling in areas other than the sting site, tightness in the chest, difficulty breathing, hoarse voice, swelling of the tongue, dizziness, and/or loss of consciousness due to a drop in blood pressure, are classified as severe reactions. And while less than 5% of people have this type of reaction, those who have it once have a 70% chance of experiencing it again.

For these types of reactions, it’s important to carry injectable epinephrine and antihistamine, but you may be able to reduce reactions by also exploring venom immunotherapy.

HYDRATION Wellness

QUICKLY BECOMING A MEDI-SPA STAPLE

BY NORA HESTON TARTE

Is it a spa treatment or a medical procedure? A beauty regimen or a health practice? The answer is both. IV hydration is more than just saline used to support dehydration in the hospital after a bout with the stomach flu. Now people can enjoy the benefits of hydration, with added elements, to meet their wellness goals whether that’s fighting dehydration, speeding up the metabolism, or correcting deficiencies and imbalances within the body.

WHO CAN ADMINISTER IT?

While IV hydration is offered in medical settings, it can also be administered in a doctor’s office, one equipped with the medical personnel required to place an IV bag and monitor patients. While the needs may be tied to overall wellness, a doctor or nurse are the only people in the state of California allowed legally to administer IV hydration.

WHAT IS USED IN IV HYDRATION?

Every IV bag typically starts with saline (although at Aesthetics Lab in Modesto and Turlock Lactated Ringer’s may also be used) then vitamins, minerals, and antioxidants are added to improve bodily function. By administering these nutrients intravenously, the results can be more immediate. At Aesthetic Lab, Nandeesh Veerappa, MD, and Gifty Aidoo, FNP-C, help choose the right nutrients for you, but in general common inclusions are vitamins B and C, as well as calcium, magnesium, zinc, and glutathione. Each one has its own unique benefits, and of course everyone may experiences different outcomes.

WHAT ARE THE BENEFITS?

All IV hydration therapies of course hydrate you, but other benefits exist based on the unique cocktail created to serve your body. Many say they experience more energy after a treatment or better athletic performance or recovery. Skin health can also benefit. For those suffering from a headache or a hangover, IV hydration can also allevi ate those symptoms, and offer an overall boost to immunity even if you are already experiencing cold and flu symptoms. For those on a weight loss management plan, offered by Aesthetics Lab, IV hydration may be part of it, offering more energy to workout as well as boosting metabolism performance.

All IV hydration therapies of course hydrate you, but other benefits exist based on the unique cocktail created to serve your body.

AESTHETIC LAB

Locations in Modesto and Turlock Modesto: (209) 457-5077 Turlock: (209) 600-6220 AestheticLabInc.com

journey.

Introducing Aesthetic Lab, the award-winning medical spa with two locations in Modesto and Turlock, California, led by Gifty Aidoo FNP-C and Dr. Nandeesh Veerappa. A team of highly trained professionals, dedicated to providing exceptional and personalized aesthetic services to help you look and feel your best. Voted Modesto Best MedSpa 2022, we take pride in our commitment to safety, the latest scientific evidence, and quality products to achieve outstanding results. Join us at Aesthetic Lab and experience personalized care and outstanding results in a warm and welcoming environment.

Whether you’re seeking injectables, skin rejuvenation, body contouring, or other aesthetic services,we’re here to support your beauty

STRETCH It Out

IT’S GOOD FOR YOUR HEALTH

BY NORA HESTON TARTE

Stretching has a lot of benefits, and it can vary in intensity. Overall, it keeps muscles flexible, strong, and healthy. Sometimes, stretching is the majority of the workout (think yoga classes focused on holding poses for prolonged periods of time), and if you’re recovering from an illness or injury, it can be the first exercise you’re allowed to do when getting back into a routine.

Stretching is important because, regardless of age, it can improve flexibility and range of motion, which leads to improved physical performance in other areas of life and reduces risk of injury. While a well-rounded workout routine is most beneficial, including cardio, strength training, and stretching, this is undeniably an important part of any regimen.

On a more cellular level, stretching also helps to improve blood circulation and alleviate sore or tight muscles. If you stretch daily, you’ll quickly notice a difference in your daily movements both functional and athletic.

The American College of Sports Medicine specifically recommends static stretching and an active warm up two to three times each week. Each stretch should be held for 15-30 seconds and repeated two to four times.

If you’re looking to lose weight, stretching is more of a positive component to a more robust exercise regimen because stretching itself only burns a small number of calories. However, when you work stretching into other workouts such as yoga and pilates, you will quickly see an increase that can reach up to several hun-

dred calories burned in just one hour.

While it’s important to stretch often, stretching before or after a workout is most important. Stretching before an intense workout such as a run or weight lifting will warm up your muscles and make them more pliable. This, in turn, reduces your risk for injury. After a workout, stretching creates an opportunity for the body to cool down and for your heartbeat to return to its resting rate.

Scientifically, when you work out, lactic acid is released, and stretching stops lactic acid from building up, allowing for recovery and repair of the whole body. You will also notice less soreness if you stretch after a workout and, because muscles loosen during stretching, your risk of injury again is reduced.

FITNESS

KAISER PERMANENTE RECOGNIZED FOR HIGH-QUALITY STROKE CARE

According to the CDC, someone dies of a stroke every threeand-a-half minutes. A stroke happens when a blood vessel in the brain is blocked or bursts. With a stroke, every minute counts as immediate treatment increases the chance of survival and decreases the likelihood of disability.

Kaiser Permanente Northern California hospitals have been at the forefront of both stroke and cardiac care for decades.

Studies show that Kaiser Permanente Northern California’s telestroke program — Stroke Express — provides patients with lifesaving treatment within an average of 34 minutes of their arrival to a medical center, nearly twice as fast as the national average.

“All Kaiser Permanente Medical Centers have the unique Stroke Express protocol enabling physicians to rapidly diagnose and quickly

ACCOLADES

administer medications, leading to life-saving outcomes,” says Saviour Achilike, MD, neurologist and stroke program medical director for Kaiser Permanente Central Valley. “For those who suffer a stroke, Kaiser Permanente’s team of experts work together around the clock to ensure the best possible care and outcome. Strokes are very treatable if people know the signs and seek treatment immediately.”

Following a stroke, the American Heart Association and American Stroke Association recommend a “door-toneedle” time — time from a patient’s arrival at a medical center to administration of clot-busting medication — of 60 minutes or less for the best possible outcome.

Kaiser Permanente Northern California hospitals are consistently recognized for providing high-quality stroke and cardiac care.

Last year, 20 Kaiser Permanente Northern California

hospitals received the Get With The Guidelines®-Heart Failure Gold Plus Quality Achievement Award, the Get With The Guidelines®-Stroke Gold Plus Quality Achievement Award, and the Tar get Stroke Honor Roll Elite Plus Award, includ ing Modesto, Sacramento area, and Bay Area medical centers.

The awards are distributed based on several factors, such as providing individualized care to meet a patient’s needs and relying on upto-date scientific research and methods to provide the best outcomes. Kaiser Permanente’s stroke program is accredited by the Joint Commission and recognized by the American Heart Association.

LOVE THE Skin YOU’RE IN AND PROTECT IT FROM MELANOMA

BY NORA HESTON TARTE

Sometimes taking care of your skin isn’t about putting creams and serums on your face; and even more important than a monthly facial is an annual skin exam.

The American Academy of Dermatology recommends that everyone get a full-body skin exam every year, and for those that have a history of skin cancer, screenings may be needed more often than that. During skin exams, dermatologists use tools to inspect marks on your skin from moles to dark spots. From this exam they are able to tell if any contain potentially cancerous properties or could be of concern later on.

“You should make an appointment if you notice any changes in your skin, such as a new mole or a mole changing in size, shape, or color,” says Jack Sharkey, PA-C, MMs, who works in the Lodi clinic of Golden State Dermatology.

Three types of appointments exist. The first is a visual skin exam, a good starting point. During the exam, a clinician looks for any suspicious moles or lesions on your skin. A dermoscopy is a magnified exam of the skin and can help to identify moles or lesions that are likely to be cancerous. Lastly, when needed, a biopsy is performed by removing a small piece of skin and examining it under a microscope to identify cancer

definitively.

While moles should always be checked, there are some signs that may more likely indicate cancer. These include spots that are bleeding or oozing and have not healed in two weeks. The other is moles that are changing over time (which is one reason self-checks are important, too).

THE ABCDES OF MELANOMA (FROM THE AMERICAN ACADEMY OF DERMATOLOGY)

A is for Asymmetry

One half of the spot is unlike the other half.

B is for Border

The spot has an irregular, scalloped, or poorly defined border.

C is for Color

` The spot has varying colors from one area to the next, such as shades of tan, brown or black, or areas of white, red, or blue.

D is for Diameter

While melanomas are usually greater than 6 millimeters, or about the size of a pencil eraser, when diagnosed, they can be smaller.

E is for Evolving

The spot looks different from the rest or is changing in size, shape, or color.

GOLDEN STATE DERMATOLOGY

Multiple Locations

GoldenStateDermatology.com

Jack Sharkey, PA-C

Raylene Blandino, PA-C

Sahar Khourdaji, Esthetician Christian Jones, MD Erin McGee, NP-C

Minh Dang, MD Mariam Amin, MD Avis Chiu, PA-C

Heal Your Skin From Within BEAUTIFUL INSIDE

AND OUT

 BY NORA HESTON TARTE

Skin that looks beautiful on the outside is also healthy on the inside. While makeup may cover blemishes and hide uneven skin tones, it’s how you take care of your skin when the makeup is off that creates that under-glow. Keeping your skin healthy requires daily, weekly, and monthly care. If you wear makeup, be sure to start with makeup remover (and not a makeup wipe). Micellar water is one option that is affordable and accessible to most. Next, a daily (or twice daily) cleanser is a good second step. Choose something with gentle ingredients that will not irritate your skin and avoid daily use of an exfoliant. Lastly, moisturize. Keeping your skin hydrated reduces the appearance of fine lines and wrinkles and combats crepe-y looking skin. Always use an eye cream, as well. These three steps are a basic routine that can be repeated twice per day (morning and night). Adding in additional ingredients, however,

will give you more bang for your buck. Just don’t overdo it.

Try daily serums. Those rich in vitamin C will have a brightening effect, fighting signs of aging and diminishing dark spots. At night, choose a serum rich in hyaluronic acid to hydrate the skin and provide anti-aging properties. If you struggle with dry skin, add a hydrating spray into the routine and rub it in with your moisturizer.

Remember, it can take several weeks for results to show, but consistency is key. Using the same products and sticking to your routine allows skin to adjust and see its full potential. Weekly you may add in a few more products that are not suitable for daily use such as a sheet mask, mud mask, or exfoliant. It is best to discuss your concerns and products with an esthetician or other skin professional. Then, schedule monthly facials to back up the work you’re doing at home. These facials can include

anything from hydrotherapy to oxygenation. Switch up your monthly facials and experiment with new methods to learn what your skin responds to best, and, if your medi-spa offers it, dermaplaning is a great way to remove dead skin cells and unwanted peach fuzz.

SKINCARE

Doggett, M.D.

Joselyn Johnson, MSN, FNP

Ron Bedford, MSN, NP-C

HORMONE REPLACEMENT THERAPY AND

OTHER TREATMENTS

 BY JESSICA ZIMMER

Hormone replacement therapy (HRT) is one method to treat negative symptoms associated with perimenopause, the beginning of the body’s transition to menopause, as well as menopause, the point at which the ovaries stop the production of estrogen. Utilizing HRT, especially for long periods of time, however, has risks, including strokes, heart attacks, blood clots, breast cancer, gallbladder disease, and dementia. These risks increase as patients age. HRT is not advisable for patients with certain chronic health conditions, including breast or uterine cancer. For these reasons, a patient should consult with a primary healthcare provider before starting HRT.

Symptoms of menopause include hot flashes, night sweats, brain fog, and disturbed sleep, as well as anxiety and depression related to these concerns. Other issues include joint pain, loss of bladder control, and vaginal dryness. In the past, HRT involved taking estrogen, a female sex hormone, and progesterone, aka the “pregnancy hormone,” which is also produced by male adrenal glands. Today, HRT may also include testosterone, which is produced by testicles or ovaries, to address low energy, low sexual drive, and brain fog.

A patient choosing HRT should use the lowest effective dose for the shortest time possible, and always under the care of a physician. Many changes associated with perimenopause and menopause can be addressed with lifestyle changes. These include avoiding alcohol and nicotine, which can worsen symptoms, layering blankets to allow the removal of covers during night sweats, and using lubricants to reduce vaginal dryness. Selective serotonin reuptake inhibitors (SSRIs) like Lexapro can help

alleviate anxiety, depression, and hot flashes. Non-medicinal therapeutic treatments like relaxation exercises and cognitive behavioral therapy (CBT) also benefit some.

HRT can reduce the severity of symptoms noted above. It may help improve bone strength and overall cardiovascular health, as well. Negative side effects of HRT include nausea, headaches, mood swings, acne, breast tenderness, and fluid retention. People using HRT to address menopause are usually encouraged to stop using it within 10 years.

A patient should work with their primary care physician and at times, their OB/GYN, to assess whether HRT is meeting their needs. It is important that a patient’s HRT prescriptions do not interact negatively with other prescriptions. Trans men, non-binary, and gender non-conforming people who were assigned female at birth may benefit from HRT. Trans women who lower their estrogen dose or stop transition-related HRT as they age can expect symptoms such as joint pain. These concerns may be mitigated if the organs present at birth continue to produce testosterone.

HRT comes in many forms, including pills, skin patches, sprays, gels, creams, suppositories, vaginal rings, and vaginal preparations. The two basic types of medication are systemic hormone therapy and low-dose vaginal products. Systemic hormone therapy comes in all forms except vaginal preparations. This type of treatment provides a high dose of estrogen, which is absorbed throughout the body. Lowdose vaginal products typically come in creams, pills, or vaginal rings. This type of treatment minimizes the amount of estrogen absorbed by the body while low-dose vaginal products primarily treat vaginal and urinary symptoms.

Symptoms of menopause include hot flashes, night sweats, brain fog, and disturbed sleep, as well as anxiety and depression related to these concerns.

Treating Bruxism Get off the grind

BY JESSICA ZIMMER

Bruxism, the involuntary and habitual clenching and grinding of teeth, can lead to many medical problems, including muscle pain around the head and neck, headaches, temporomandibular joint disorder (TMJ), gum recession, and fractures in teeth and dental restorations like crowns. Reducing bruxism means reducing stress, says Dr. Maywell Inong, DDS, based in Stockton. “Because clenching and grinding can happen during the day or at night, some are unaware of their condition and the issues it creates,” says Inong.

Treating the condition can involve behavior management to reduce stress, as well as medication to relax muscles, says Dr. Manjeet Samra, DDS, also based in Stockton. One of the typical ways to reduce tooth wear is a bite guard at night, which you can get from an orthodontist with a 3D printer to make a custom guard in-house. Otherwise, the orthodontist’s

office sends the work to a lab.

According to Samra, an orthodontist can correct a bite with braces or Invisalign (transparent teeth aligners). Additional orthodontic treatment is also an option, but its effects on bruxism are not clear and most dental insurance plans cover only a portion of orthodontic treatment.

Young children often suffer from bruxism as well, however, the behavior may wane as they get older. If a child grinds their teeth, a parent should seek treatment to limit gum recession and prevent damage to the child’s adult teeth.

Bruxism tends to run in families. It is a good idea for a person suffering from bruxism to share their family history with their dentist and orthodontist. The use of certain antidepressants, smoking cigarettes, drinking caffeinated beverages or alcohol, and using recreational drugs can all increase the risk of bruxism.

A person who grinds their teeth often

should schedule a consultation with an orthodontist to hear about different options. A consultation usually involves taking pictures and x-rays to evaluate different courses of actions.

A person suffering from bruxism may have other sleep disorders as well, such as snoring and pauses in breathing, called sleep apnea. If you suspect one of these may be at play, consult a physician.

FREE SHARPS & MEDICATION COLLECTION PROGRAM

SAFELY DISPOSE OF MEDICAL SHARPS AND UNWANTED MEDICATIONS

ACCEPTABLE SHARPS INCLUDE: Syringes, lancets, needles, auto-injectors and EpiPens.

SHARPS MUST BE IN A CONTAINER

No loose sharps allowed. FDA-cleared containers are recommended. Empty, heavy-duty, household containers that have puncture-proof lids with no leaks are acceptable.

TAKE CONTAINER TO A DROP-OFF LOCATION

Once sharps are collected in an acceptable container, take to an authorized sharps drop-o location.

REMOVE INFORMATION

Remove or black-out personal information from all prescription bottles and containers.

SEAL ALL MEDICATIONS

All medications must be in a container or sealed in a plastic bag. No loose medications! Keep all liquids, powders and ointments in original container.

TAKE MEDICATIONS TO A DROP-OFF LOCATION

Take medications to an authorized medications drop-o location.

RIPON Ripon Police Dept. 259 N. Wilma Ave. Ripon, CA 95366 (209) 599-2101

Reich’s Pharmacy 39 W. 10th St. Tracy, CA 95376 (209) 835-1832 Lodi Police Dept. 215 Elm St. Lodi, CA 95240 (209) 333-6727

Community Medical Center 2401 W. Turner Rd., Ste. #450 Lodi, CA 95242 (209) 370-1700

832-7080

Fairmont Pharmacy 1121 W. Vine St., Ste. #13 Lodi, CA 95240 (209) 625-8633

Manteca Police Dept. 1001 W. Center St. Manteca, CA 95337 (209) 239-8401

Community Medical Center 200 Cottage Ave., Ste. #103 Manteca, CA 95336 (209) 624-5800

LATHROP Lathrop Police Dept. 940 River Islands Pkwy Lathrop, CA 95330 (209) 647-6400

Young’s Payless IGA Markets 18980 N. Highway 88 Lockeford, CA 95237 (209) 727-3762 Sharps Only

Escalon Police Dept. 2040 McHenry Ave. Escalon, CA 95320 (209) 838-7093

Vineyard Pharmacy & Gifts 1900 McHenry Ave., Ste. #202 Escalon, CA 95320 (209) 838-0511

NOTICE: Collection locations are subject to change at any time. Please contact location prior to dropping o sharps and medications.

ACCOLADES

ST. JOSEPH’S MEDICAL CENTER IS A CERTIFIED PRIMARY STROKE CENTER

Being classified as a Primary Stroke Center means meeting the highest standards established by the Joint Commission, standards based on stroke outcomes from admission to discharge. Dignity Health - St. Joseph’s Medical Center leverages partnerships with community organizations such as Healings In Motion to support stroke survivors and caregivers. They are also a Five-Star Recipient for Treatment of Stroke and received a Get with the Guidelines Gold plus award for stroke care.

In addition to accolades associated with its stroke center, St. Joseph’s Medical Center was also ranked one of America’s 250 Best Hospitals for 2023, according to research released by Healthgrades, and received the Critical Care Excellence Award.

Part of the hospital’s excellence in this area is related to community outreach, and professionals know that recognizing

the signs of stroke is an important step to getting quality care. If you or someone near you is suffering from a stroke, your first step should be to call 9-1-1.

THE ACRONYM BEFAST IS A SIMPLE WAY TO IDENTIFY MOST STROKE SYMPTOMS.

Balance: sudden loss of balance, dizziness, or walking differently

Eyes: sudden vision loss, blurry or double vision

Face: uneven or drooping on one side of the face, numbness, uneven smile

Arm: numbness or an arm that drifts when raised

Speech: speech is hard to understand, confusion, trouble with comprehension

Time: time is of the essence, call 9-11 and note time of first symptoms

The sooner someone is transported to a stroke center, the better their chance of a positive outcome. “The effects of stroke vary from no disability to severe disability and even death,” says Kimberly Tomasi, MSN, RN, and stroke coordinator at St. Joseph’s Medical Center. “The level and severity of injury to the brain depend on where in the brain the stroke occurs, how large the area affected, and how long before treatment.”

BY NORA HESTON TARTE

Feeling lost and over whelmed?

Let us help you regain control and take your life back. At St. Joseph’s Behavioral Health Center, we are committed to providing compassionate, quality care, in an environment that fosters communication, trust, and personal growth. Our inpatient and outpatient programs are dedicated to helping those we serve to achieve their goals and improve their quality of life. In addition, we have a Medication-Assisted Treatment Program designed to meet the needs of adults who are uninsured or underinsured with a history of opioid or stimulant use dependency. Whether you need assistance dealing with depression, anxiety, or substance dependency, or are seeking counseling, we can help.

Learn more at dignityhealth.org/stockton/behavioralhealth

WHERE WE STAND WITH COVID-19

BY JESSICA ZIMMER

As of spring 2023, there have been considerable changes regarding the COVID-19 pandemic. In February 2023, California Governor Gavin Newsom declared the statewide COVID-19 state of emergency over; the frequency of new COVID-19 cases and deaths is much lower than it was in winter 2021-2022; children are not required to get the COVID-19 vaccine to attend school; and California students have not been required to wear masks in schools since March 2022, however California K-12 school or childcare facilities must allow any person to wear a mask if they choose to do so.

When it comes to where and when to wear a mask, the federal government dropped the requirement to wear masks on public transportation in April 2022.

The California Department of Public Health (CDPH), however, still encourages wearing a mask in indoor areas and while taking public transportation. CDPH recommends N95, KN95, and KN94 masks in particular.

Long gone are the complicated colorcoded systems that indicated risk. Instead, California counties, including San Joaquin County, established COVID-19 community levels (CCLs) like low, medium, and high regarding COVID-19 transmission. CCLs are based on hospitalization rates, hospital bed occupancy, and COVID-19 incidence during the preceding period of evaluation. At all CCLs, CDPH strongly recommends all persons stay up to date with COVID-19 vaccination, including all primary series doses and boosters.

5 FAST FACTS

Since March 2020, doctors and scientists have learned more about COVID-19.

1. People with prediabetes and diabetes may experience more severe and long-lasting effects from catching COVID.

2. Catching COVID-19 is likely to have more serious consequences for a person with liver or kidney problems. COVID-19 can increase the risk of blood clots, which makes dialysis difficult.

3. Smoking cigarettes or using alcohol worsens the symptoms of COVID-19 infection. Both can weaken the activity of the immune system proteins that aid in recovery.

4. Improving respiratory health assists the body in recovering from COVID-19. Strive to avoid indoor and outdoor air pollutants, get regular exercise, and schedule annual checkups.

5. Certain symptoms help to distinguish COVID-19 from seasonal allergies. These include fever, chills, muscle and body aches, nausea, and diarrhea. Symptoms of seasonal allergies that may also be indicators of COVID-19, another type of coronavirus, or the flu include runny nose, headaches, itchy eyes, and fatigue.

For current information about local COVID-19 testing and vaccination events, visit San Joaquin County’s Office of Emergency Services at SJReady.org/Events/ Covid19/Testing.html. Public Health Services of San Joaquin County can answer questions about COVID-19 tests and vaccinations at (209) 4683400.

COVID-19

MODERN HEALTH

Get High FOR HEALTH

CBD VERSUS THC

BY NORA HESTON TARTE

It’s been nearly seven years since marijuana was legalized for recreational use in the state of California, yet many still seem mystified by its usage. Whether you’re weed-curious or a casual user looking to learn more, we’ve got the basics.

Q: ARE CBD AND THC LEGAL?

A: In 2016 the recreational use of marijuana was legalized in California. Technically it is still illegal for recreational use at the federal level, which is where some of the confusion comes in. Federally, however, CBD derived from hemp plants is legal, but is not legalized in all states.

Q: WHAT IS THE DIFFERENCE BETWEEN CBD AND THC?

A: Both CBD and THC are cannabinoids found in cannabis plants. They are often used to treat the same issues or illnesses but the biggest difference is that THC causes a person to feel high while CBD does not. Many associate CBD more with a body high, or extreme state of relaxation, versus a head high like THC.

Q: WHY USE CBD?

A: CBD can provide relief from physical and mental issues, including pain, nausea, anxiety, and depression. Of course, you should consult a doctor before using it to treat any diagnosed illnesses and learn how it may work with other medications or in their place. The proof, however, is mostly circumstantial. Scientific evidence doesn’t support CBD as a treatment for all of these ailments, but public opinion seems to.

Q: WHY USE THC?

A: THC treats many of the same ailments as CBD, plus others. In general, those who are looking for pain relief, improved sleep, reduced nausea and vomiting, improved appetite, and anxiety relief (although too much

THC can have the reverse effect), may benefit from THC. THC will provide the classic high feeling while also relieving these symptoms.

Q: WHAT ARE THE DIFFERENT TYPES OF THC?

A: THC can come from sativa or indica and deciding which is right for you depends on what you’re looking to get out of the experience. Sativa is associated with a head high that many use to reduce stress and anxiety while also increasing creativity and focus. Indica on the other hand provides full body sensations promoting deep relaxation and aiding in quality sleep. A hybrid is a mix of the two.

SAN JOAQUIN GENERAL HOSPITAL IS THE REGION’S ONLY DESIGNATED TRAUMA CENTER

ACCOLADES

San Joaquin General Hospital provides the only designated and verified level II Trauma Center in the county and surrounding area. As a Level II Trauma Center, the specially trained team of experts are ready to provide optimal care for the injured patient 24-hours a day.

There are five levels of trauma centers in the country ranging from a basic emergency room (level five) to a hospital that can provide complete care for every injury (level one), and SJGH has been a level two center since 2021. A level two trauma center is able to provide care for all injured patients.

As a level two trauma center, the team consists of dedicated emergency physicians,

trauma surgeons, and specially trained trauma nurses, intensive care nurses, emergency department nurses, and respiratory and radiology technicians. Surgical specialists in trauma, neurosurgery, vascular, thoracic, anesthesia, and orthopedic surgery are on-call at all times.

The main difference between a level one and level two trauma center is the hospital’s ability to care for the full scope of an injury from evaluation to rehabilitation. At a level two trauma center, the initial injury can be cared for, but there may be a need to send patients outside of the center for aftercare.

Prior to earning its level two distinction, SJGH was a level three trauma center, but

continued advancements and emphasis on emergency care and increasing staff.

SJGH has an overall survival rate of 96 percent and all staffed trauma surgeons are double board certified in general surgery and surgical critical care. Having a trauma center nearby should ease patient’s worries and provide peace of mind should the worst happen. Nationally, trauma is the number one killer for people ages 1-46, with a secondary peak after the age of 65. While the trauma center sees a variety of different patients each year, over 3,600 are trauma patients.

Hospice of San Joaquin

Hospice of San Joaquin is one of the most trusted Hospice providers in San Joaquin. Founded in 1980 by a group of volunteer nurses, social workers and citizens, who came together out of concern for lack of end-of-life care in our region. Dignity in death is a founding principle of Hospice of San Joaquin, one that is afforded to all.

Hospice of San Joaquin is the only Hospice in San Joaquin with a Hospice House, a special in-patient facility that provides 24hour on-site health professionals and caregivers, respite care and a home away from home for those in need.

Hospice of San Joaquin never turn anyone away for their ability to pay and offers a range of services, including:

• Hospice Care

• Palliative Care (pain and symptom management for non-terminal patients)

• Camp Caterpillar (free children’s grief day camp)

• Free grief support to patient families and the community Hospice House (24-hour in-patient facility)

HOSPICE OF SAN JOAQUIN

3888 Pacific Ave., Stockton

(209) 957-3888

HospiceSJ.org

Yusuke Suzuki, DMD & Associates | Family Dentistry

We are committed to providing you with the personalized, high quality dental care that you deserve. Dr. Suzuki and Benedictson stay up to date on the latest advancements in dentistry to provide our patients with the most current treatment options. If you hate going to the dentist because your past experiences left you scared, fearful, or downright terrified, there is a solution. Dental sedation helps you achieve the smile of your dreams with ease once more. Our sedation technique allows several treatments to be performed in a single visit. For many, the beauty of this sedation is how easy it is to wake up and remember very little to nothing at all about your visit. We help heal a lifetime of compromising dental disease, replace missing teeth, brighten your smile, and restore function along with creating the gorgeous smile you’ve always dreamed of. We provide Cosmetic dentistry such as crowns, veneers, and whitening; orthodontics with clear braces and 6 Months Smile short term system; dental implants for missing teeth. At the core of our dental practice is a friendly team of professionals that are dedicated to your utmost comfort and optimal oral health. We view each patient as a unique individual, and tailor each treatment to your specific needs. As part of our commitment to providing close, personalized attention to every patient, we want to encourage patient communication. Please know that we are here to provide outstanding patient care, and that we value the trust you have placed in us. Visit our website which contains a library of videos related to the dental procedures and treatment options we offer. SuzukiDMD.com. Contact our office today to schedule your appointment.

Hugh L. Vu, MD, MPH, FACS | Board Certified Plastic Surgeon

Board-Certified and San Joaquin magazine reader-celebrated, Dr. Hugh L. Vu treats his plastic surgery patients like they are members of his own family. He meticulously plans and customizes every procedure to give his patients beautiful, naturallooking results. Dr. Vu specializes in facial rejuvenation, body contouring, and all breast procedures, while his Skin & Laser Center offers advanced medical grade services such as laser hair reduction, Botox, collagen remodeling, cellulite treatments, microdermabrasion, and much more. In addition to cosmetic surgery, Dr. Vu brings to Stockton his reconstructive surgery expertise from his teaching career at UC Davis and as senior plastic surgeon at Sacramento’s Shriners Hospital for Children. Dr. Vu’s commitment to safety and excellence has earned him the confidence of patients and colleagues in Northern California and internationally.

Thank you for voting Dr. Vu “Best Cosmetic Surgeon” for 15 Years in a row. We look forward to serving you in 2022!

VU PLASTIC & COSMETIC SURGERY

1617 St. Marks Plaza, Ste. E & F, Stockton

(209) 476-7074, VuPlasticSurgery.com

Manjeet Samra, DDS | Orthodontics

At Samra Orthodontics, we truly believe our purpose is to make sure you live, smile, and laugh every single day – we just happen to straighten teeth. We use top-notch technology including digital impressions for Invisalign or Braces to help craft your perfect smile. No matter the treatment option you choose, rest assured we will always treat you with kindness, respect, and excitement. Come visit us and see for yourself.

SAMRA ORTHODONTICS

1110 W Robinhood Dr., Stockton

(209) 478-4666

LiveSmileLaugh.com

Zeiter Eye Medical Group, Inc. | Vision Is Our Passion

Another Dr. Zeiter is joining Zeiter Eye Medical Group. John Zeiter, Jr. grew up in Stockton, graduating as valedictorian from St. Mary’s High School in 2008. He then moved across the country to Dartmouth College for his undergraduate work in chemistry, finishing in 2012. He completed medical school in 2017 at Baylor College of Medicine in Houston, followed by four years of ophthalmology training at the Kresge Eye Institute in the Detroit Medical Center, graduating in 2022. Finally, Dr. John, Jr. completed a one-year fellowship in Glaucoma at the UCSF Medical Center. His glaucoma training included extensive medical, laser, and minimally invasive glaucoma surgery (MIGS) in addition to complex anterior segment glaucoma and cataract surgery.

Dr. John Jr. and his wife, Amy, have two children, Liliana and Braden. Their hobbies include skiing, rock climbing, hiking, biking, listening to classic rock, and playing video games.

Dr. John Jr. is excited to join the Zeiter work family, which has served the residents of Stockton for more than 60 years, providing residents the gift of sight. The practice started with Henry Zeiter, who founded Zeiter Eye Medical Group and opened the first office in downtown Stockton in 1962. At that time, it consisted of just one ophthalmologist practicing. During the past four decades, Zeiter Eye Medical Group has grown to include seven ophthalmologists and six optometrists practicing in seven Northern California locations, including Stockton, Lodi, Tracy, Manteca, Sonora and Jackson. Zeiter Eye also provides its patients the convenience of a state-of-the-art Ambulatory Surgical Center.

Ramin Manshadi, MD, FACC | Manshadi Heart Institute, Inc.

Dr. Manshadi’s philosophy parallels the true art of medicine taught and practiced by the father of medicine, Hippocrates: “To treat patients with kindness and compassion” utilizing the latest in medical knowledge and technology. To schedule an appointment please call (209) 944-5530.

FELLOWSHIP TRAINING: UC Davis Medical Center, Sacramento, Calif. INTERNSHIP AND RESIDENCY: California Pacific Medical center in Affiliation with UCSF San Francisco, Calif. MEDICAL EDUCATION: Medical Doctor, UHS/ The Chicago Medical School, Master of Science in Physiology, UHS/The Chicago Medical School Bachelor of Science in Physiology, UC Davis.

AWARDS: Future Leader Award, CA, American College of Cardiology Young Physician Award, San Joaquin Medical Society, Americas Top Doctors, Castle Connolly Top Doctors. CERTIFICATIONS: ABIM; Internal Medicine, ABIM; Cardiovascular Medicine, ABIM; Interventional Cardiology. PRESENT AND PAST POSITIONS: Trustee, California Medical Association. Member, Health Affairs Committee, American College of Cardiology. Past President, American College of Cardiology, California Chapter, Team Cardiologist, Sacramento Republic professional Soccer Team Past President, San Joaquin Medical Society, Clinical Professor, UC Davis. EXPERTISE: Sport Cardiology, Interventional Cardiology, Trans Aortic Valve Replacements Lipids, Congestive Heart Failure, Venous Ablations for Varicose veins.

MANSHADI HEART INSTITUTE, INC.

Stockton: 2633 Pacific Ave., Stockton

Lodi: 1210 W Tokay St., Lodi

(209) 370-3580, DrManshadi.com

Pankaj K. Patel, DMD

Shailesh K. Patel, DDS

Salida Surgery Center- A Family Owned and Operated Pediatric Dental Surgery Center

LUX Dermatology

Lux Dermatology Offers the Latest Advanced Technology and Treatments for Skin Disorders

The medical staff at LUX Dermatology believe in nourishing the health and look of each person’s skin. At our offices in Stockton and Manteca, the doctors and staff offer medical, surgical, and cosmetic dermatology services to help people achieve healthy and youthfullooking skin.

LUX Dermatology staff specializes in skin cancer detection and treatment. The practitioners offer annual skin cancer screenings. They also provide immediate treatment for precancerous lesions.

In 1998 while helping establish the Central California Dental Surgery Center in Atwater, California, Dr. Pankaj Patel had been building his private practice and found a desperate need for pediatric dental surgery centers in the Central Valley. With profound ambition, Dr. Pankaj Patel started developing and building Salida Surgery Center in 2004. This led to eventually opening the doors in 2005 with his business partner and brother Dr. Shailesh Patel, whom already had over 13 years of successful dental offices in the Los Angeles area. Together over the last 17 years, they have taken a hand in caring for over 35,000 pediatric patients in the Central Valley alone.

Their family-owned pediatric dental surgery center provides full mouth dental restoration for children ranging from 1 ½ years old up to 12 years old. Salida Surgery Center is reliant on a tight-knit referral network with local Dental offices throughout California. With the facility being easily accessible off of highway 99, it makes Salida Surgery Center an ideal care center for patients coming from long distances. Salida Surgery Center provides the pediatric community with safe and ethical dental treatment under general anesthesia with their professional team of Dentists, Dental Anesthesiologists, Registered Nurses, and Dental Assistants.

If skin cancer is found, our dermatologists offer the latest technologies and treatments to the patient. Skin cancer therapies include Mohs micrographic surgery and Electronic Brachytherapy.

Our staff has a genuine passion for skin care. They are experts in treating skin problems like eczema, psoriasis, acne, and rosacea, to name just a few. For those seeking a fresher, brighter appearance, LUX Dermatology offers a full range of Cosmetic Services such as Botox, dermal fillers, and retail products from Skinceuticals and Elta MD.

Schedule your appointment at our Manteca or Stockton location today.

LUX

5757

(209) 490-5050

LUX DERMATOLOGY MANTECA

296 Cottage Avenue Manteca

(209) 624-7006

LuxDermatologists.com

Hammer Lane Pharmacy

Dr Amir Khan is a Stockton native and has been serving his community as a pharmacist for over 25 years. Amir is an alumni of the University of the Pacific (UOP), where he received his Doctorate of Pharmacology. Aside from working as a community pharmacist, Amir has served as an adjunct professor with UOP and CNCP for over 19 years, helping future pharmacists gain experience in the practice of community pharmacy. To serve the community better, Amir opened Hammer Lane Pharmacy in 2018. It is located next to Sutter Gould in the Food Source Shopping Center. Combined with Amir’s experience, knowledge, expertise and an amazing staff, the entire crew at Hammer Lane Pharmacy provides patients with a genuine caring attitude and superior service. Here, patients feel valued and taken care of.

Hammer Lane Pharmacy has been recognized, for a fourth year in a row, as the Winner of the Best Independent Pharmacy for 2019, 2020, 2021 and 2022 by San Joaquin Magazine. The entire team is very proud and thankful for their award. The team at Hammer Lane Pharmacy feels what separates them from their competition is personalized service, short wait times, offering curbside pick-up, free local home delivery, being open 7 days a week, accepting almost all insurances, and having many immunizations to be offered including COVID-19 as well pneumonia, Shingrix, Tdap, flu shots plus all other immunizations in stock and administered in a private room. They also offer compliance packaging and, not to mention, carry many OTC and home healthcare products.

Community Hospice

Community Hospice is an independent, community-based nonprofit organization that has served patients and families in the Central Valley since 1979. We believe everyone deserves dignity, compassionate care and quality of life, no matter where one is in life. Offering an array of services including hospice care, palliative care, bereavement for adults and children, and mental/ behavioral health support through Hope Counseling, Community Hospice is committed to embracing individuals and families facing lifechanging journeys, enhancing quality of life for all.

As the oldest and largest, nonprofit hospice organization in the Central Valley, Community Hospice has the background, staff expertise and reputation to meet the end-of-life care needs of our community friends and neighbors. The organization serves community members in Stanislaus, San Joaquin, Merced, Calaveras, Mariposa, Tuolumne, and parts of Contra Costa, Sacramento, Alameda and Santa Clara counties, with offices located in Stanislaus and San Joaquin.

COMMUNITY HOSPICE

2431 W. March Lane, Suite 100, Stockton (209) 578-6300 Hospiceheart.org

Allergy, Immunology & Asthma Medical Group

Allergy, Immunology & Asthma Medical Group will celebrate 50 years serving our communities by providing high-quality patient care. Our physicians, Dr.’s George and Gregory Bensch, and Dr.’s Michael and Jeffrey Balduzzi specialize in respiratory, allergic, & immunologic disorders.

Welcome

Dr. Jeffrey Balduzzi

AIAMG provides the evaluation and treatment of environmental, food, drug, insect sting allergies, hay fever, sinus disease, anaphylaxis, chronic respiratory conditions, asthma, and allergic skin conditions such as hives and eczema. We have eight convenient office locations in the Central Valley. Our friendly office staff are eager to help with all your appointment needs. AIAMG accepts all insurance plans. Learn more by visiting our website at www.allergyimm.com or call the office at (209) 951-5353. Voted the best allergist four years in a row.

Allergy, Immunology & Asthma

Medical Group welcomes Dr. Jeffrey Balduzzi to their practice. Dr. Jeffrey Balduzzi obtained his Medical Degree from the University of Virginia School of Medicine, in Charlottesville, VA. He then went on to complete residency training in Internal Medicine at NYU-Winthrop Hospital in Long Island, NY and subsequently Allergy and Immunology Fellowship at Wake Forest Baptist Medical Center in Winston-Salem, NC.

Dr. Balduzzi is Board Certified in Internal Medicine, as well as a BC/BE trained specialist in Adult and Pediatric Allergy, Asthma

and Immunologic Disorders. He is an active member of AAAAI, ACAAI and WAO. Dr. Balduzzi is an avid fan the Buffalo Bills, and follows both professional and colle giate sports actively. A former Lacrosse goalie for the University of Buffalo, Jeffrey continues enjoy a variety of recreational activities including, but not ed to; golfing, fishing and

Practicing with Dr.’s George Bensch, Gregory Bensch Michael Balduzzi our providers continue the utmost care allergy, immunology & respirato ry needs.

50 YEARS

San Joaquin Health Centers

Farhan Fadoo, M.D., Chief Executive Officer and Chief Medical Officer

San Joaquin Health Centers (SJ Health) offers a full suite of primary care services for individuals and families in San Joaquin County through its three conveniently located sites in Stockton, French Camp and Manteca. In addition to primary care, pediatrics, women’s health, and virtual primary and immediate care, SJ Health also collaborates with regional partners to bring health care access to neighborhoods and underserved communities through its mobile health center.

SJ Health accepts many health programs such as Medicare, Medi-Cal (including Health Plan of San Joaquin and Health Net), and Family Pact. Uninsured patients can also receive low-cost services through a “Sliding Fee Scale” based on income.

Operating in one of California’s most diverse and underserved regions, SJ Health serves over 30,000 unique patients annually through over 130,000 visits. With goals to increase access and health care delivery both within our health centers and in the community, SJ Health is committed to developing and deploying innovative programs and services, to expanding reach through partnerships, and to building simplicity for our patients.

San Joaquin Health Centers (SJ Health) is recognized as a Federally Qualified Health Center Lookalike (FQHC-LAL) and 501 (c)(3) tax exempt organization.

SAN JOAQUIN HEALTH CENTERS

1414 N California Street / French Camp – 500 W. Hospital Road / Manteca – 283 Spreckels Avenue

(209) 953-6400

sjhealth.org

Whether you’re looking for a long-term option or a shortterm care facility, Creekside Center in Stockton is there to care for you and your loved ones. The Skilled Nursing Facility offers post acute services, memory support, ShortStay care, LongTerm care, respite care, palliative care, and rehabilitation therapy, and patients will feel at-home during their time at Creekside, a charming facility in a neighborhood setting that boasts beautiful courtyards, a fireplace, a beauty salon and barber services, on-site housekeeping and laundry, mail and newspaper service, pharmaceutical delivery service, cable, and wireless internet. Regardless of how long you stay, patients can take solace knowing they will be comfortable in their spacious private and semi-private rooms, each with private bathrooms, with time spent lounging in the reception area, recovering in the rehab gym, or dining from a menu of meals and snacks. The goal in every case is returning each resident to good health and spirit, with seven-day-per- week, in-house therapy and rehab-recovery suites, amenities catered to caring for the whole patient, and a talented and professional interdisciplinary team there to meet all patient needs. CREEKSIDE

Creekside Center

Golden State Dermatology

Golden State Dermatology is proud to have three locations serving the San Joaquin Community: Lodi, Manteca, and Tracy. Across these clinics, we have four board-certified dermatologists, Dr. Christian Jones, Dr. Mariam Amin, Dr. Minh Dang, and Dr. Abdallah Khourdaji. Dr. Dang and Dr. Khourdaji also specialize in Mohs micrographic surgery for skin cancer.

Our group, Golden State Dermatology, is a leader in medical, surgical, and cosmetic dermatology with multiple locations across California. GSD offers state-of-the-art treatments for everything from acne to skin cancer treatments, as well as popular cosmetic services including Fraxel, BOTOX® and fillers, laser hair and tattoo removal, esthetician services, prescription-grade skin care products, and much more.

Our physicians also want to remind everyone to have any skin changes checked and a full, skin cancer screening by a board-certified dermatologist at least once a year.

LICENSED AND CERTIFIED LEVEL III

NEONATAL INTENSIVE CARE UNIT

Our NICU team is fully staffed with trained physicians and onsite 24/7 neonatal specialty trained RN’s. Social workers & follow up support programs along with high risk infant clinic.