INSIDE Every second counts page 3
Saving lives at HDH’s Wetzell Family Emergency Department
Affordable dental care page 4
Program for low income youth is expanding
Biology of love page 9
West County Centers offer personal care and loving attention
Taking Charge of Your Health Who’s on your team when you’re sick? Perhaps even more important, who’s in charge of your staying healthy when you feel great? These days many doctors are the captain of a team that may include a nurse, medical assistant, nutritionist, psychologist, dentist, licensed clinical social worker and the most important member of the team: You! The doctor is there when you need him or her. But the rest of the time, stay on a healthy road with good eating and physical activity habits. You Are What You Eat A healthy variety of foods is important for good health. Sure, we all like burgers and pizza. Just eat smaller amounts and balance them with other foods like fruits, vegetables, nuts and grains. Where you eat is important, too. At the table we concentrate on the meal. In front of the TV, laptop or iPod, we concentrate on the show and lose track of how much we are eating. Tip:.If you want to snack while watching TV take a small handful of pretzels or a couple of cookies—Not the whole bag! Why you eat is important, too. Most people eat at a regular time of day when they are hungry and the food looks tempting. Eating from boredom, frustration, nervousness or sadness can pack on the pounds. Tip: If you catch
photo provided HEALTHY HIKING — Joe Dellaquilla, Candi Bialon, Carolyn Marcinkowski (in back) and Tim
McDonald hit one of the trails along Rockpile Road high above Lake Sonoma. yourself eating when not hungry do something else—exercise, call a friend, work on a craft, go for a walk. Looking Good, Feeling Good “Whenever I’m feeling down, I get out and go for a walk or bike ride,” says Maria Alvarez, PhD, at Alexander Valley Healthcare serving Geyserville
and Cloverdale. “I always feel better after some exercise, even mild exercise, and you will, too,” she added. Then do it every day for 20-30 minutes. In just a couple of weeks, you’ll feel better and start to look better with toned muscles.
See page 11
Federal reforms mean expansion at local clinics Federal healthcare reform, known as the Affordable Care Act, or sometimes Obamacare, is coming to a health system near you in the coming months, and community health centers are gearing up for growth. Alliance Medical Center, with clinics in Healdsburg and Windsor, is expecting at least 1,000 new patients, perhaps as many as 3,000, as new regulations and eligibility requirements are implemented. “More people are going to qualify for public health insurance
programs, like Medi-Cal,” explained Beatrice Bostick, CEO of Alliance. “The eligibility standards will change.” According to Bostick, currently most families that qualify for MediCal have dependent children at home. The new rules will allow single adults and families with adult children to apply for benefits. “Not everyone will qualify, but we will be able to help you find out if you do.” According to the American Public Health Association, in California
anyone whose family income is 138 percent of the federal poverty level may qualify for public health benefits. In 2012, that figure was $15,415 for an individual or $26,344 for a family of three. There are other reasons why an individual or family may not qualify, such as immigration or residency status. Alliance is currently in the process of doubling its staff of Certified Application Assisters, to deal with a large demand when
See page 11
© Sonoma West Publishers | July 25, 2013
Living Well
2
Emergency: When every second counts nothing short of miraculous. Thank God, the nearest hospital was HDH.” California Watch, an investigative group, reports that the average wait time in a California emergency room is over four hours. At HDH, life-saving emergencies are seen immediately and it usually takes only 20 minutes or less to see one of the highlyqualified Emergency Department physicians for all other emergencies. Regina Novello, Director of Emergency Services at HDH, says, “We have a great ER department.” She adds, “We provide Don and Debbie Peters personalized care with a genuine by Marie Giammona compassion for our patients and the When Don Peters suffered a heart community.” HDH is the winner of attack while volunteering at his an “Exceeding Patient Expectations church in Healdsburg, he went to Award” for five years in a row. Healdsburg District Hospital The Wetzel Family Emergency (HDH). Within minutes, the HDH Department at Healdsburg District Emergency Department physicians Hospital is a state-of-the-art facility, and quick-response medical team open 24/7 and close to home for the began treatment that immediately 60,000 north county residents of saved Don’s life. Cloverdale, Windsor, Healdsburg, Debbie Peters explains her Geyserville and the surrounding reaction to her husband’s heart region that it serves. attack, “My world was turned If you live in the Healdsburg upside down in the many days Don area, Healdsburg District Hospital was in a coma, during which the is the obvious choice in an doctor's and nurse's attentive care in emergency. For folks further away, the Emergency Department and Cloverdale is less than 15 minutes then the Intensive Care Unit was to Healdsburg District Hospital,
LIVING WELL is published by SONOMA WEST PUBLISHERS, INC.
versus a 35-minute drive to emergency services in Ukiah. HDH is also the closest emergency department to the central Windsor area and the only fully-equipped Emergency Department between Santa Rosa and Ukiah. HDH’s Emergency Department provides emergency and urgent care to more than 10,000 patients like Don Peters each year. In 2006, Harry and Maggie Wetzel, whose family founded Alexander Valley Vineyards in 1975, donated $2 million to The Healthcare Foundation Northern Sonoma County for HDH. The money went to the construction of the emergency department, which would not have been possible without this generous contribution. With eight treatment stations available, it is approximately five times the size of HDH’s previous Emergency Department, and features 21st-century technology that enables physicians to receive diagnostic results rapidly and accurately. The treatment rooms are spacious and equipped with the latest patient amenities. The revamped triage area provides privacy and confidentiality for each patient. The Emergency Department also provides multiple on-call specialties including general surgery, orthopaedics, critical care, neurology, anesthesia and other services to enhance a patient’s safety and experience. Not only does HDH’s Emergency Department bring intensive emergency care closer to home for north Sonoma County residents, it also helps combat the national crisis of emergency room overcrowding. Crucial problems that result from overcrowding include longer door-to-
needle times for suspected heart attack patients, overworked and rushed physicians, as well as prolonged agony for patients in pain from accidental injuries, among others. HDH emergency physicians, expert nursing staff, and a diverse group of specialists are justly proud of this exceptional, local facility, and the essential services it enables their team to provide to the region. Emergency Physician, Dr. Edward Wang says, “We are able to provide more personalized attention and shorter waiting times to our patients because we are not a large volume urban hospital. Both patients and physicians are happier in this environment.” Debbie Peters says, “The doctors didn’t give up on Don. If not for HDH’s expert ED doctors, the quickresponse medical team, and the Intensive Care team, my husband would not be here with me today. The whole team’s heroic efforts paid off and Don pulled through!” Don recalls a surreal conversation after waking up. “My doctor explained to me the type of heart attack I had is gloomily referred to as the “widow maker” as only about 10% of people survive it. I’m truly blessed to have arrived at HDH, where the quality of care enabled me to overcome the odds and make a full recovery.” “I thank Healdsburg District Hospital every day for granting me more time with my wonderful husband,” adds Debbie. Marie Giammona is Community Relations Director for Healdsburg District Hospital
ADVERTISING SALES Paula Wise, Steve Pedersen, Lacey Davis, Jeanne Pyle, Sara Braun, Neena Hanchett
as a supplement to the July 25, 2013 issues of The Healdsburg Tribune, The Windsor Times, Sonoma West Times & News and the Cloverdale Reveille.
ADVERTISING DESIGN & PRODUCTION
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email us about your ad at: production@sonomawest.com LIVING WELL Magazine Advertising and Editorial Offices, 9025 Old Redwood Highway, Windsor CA 95492 or P. O. Box 518, Healdsburg, CA 95448-0518 Phone: (707) 433-4451 (707) 823-7845 (707) 838-9211 www.sonomawest.com Additional copies available for free at our local newspaper offices in Healdsburg, Windsor, Cloverdale and Sebastopol.
Summer 2013
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Professional tips for Summer skin and body care by Dawn Stephens and Marjorie Sisneros-Smith Summer is the time to explore the great outdoors but all of the exposure to sun, hot winds, air conditioning, and chlorinated pools can wreak havoc on the skin and body. Even after years of long-term sun exposure it is never too late to start protecting your skin from harmful environmental elements. When you can’t make it to your local Spa, take special care of yourself with these summer specific tips during the warm season. With a combined experience of over 30 years we checked in with our Lead Therapists to see what tips they could share with the community on saving their skin this time of year. Hotel Healdsburg’s Lead Esthetician, Sharron Davis, recommends the following for face protection: 1. Stay hydrated! Sweating means loss of moisture in the skin and the body. Dry skin is old looking skin. Light serums that contain hyaluronic acid are perfect under sunscreen to keep additional hydration in the skin’s cells night and day. 2. Think about your sunscreen. You may want to try a mineral powder sunscreen if you are producing more oil and sweat in the heat. Perfect for people who feel that traditional sunscreen is just too heavy for the face. 3. Keep things cool! There are certain skin products that you can keep in your refrigerator when it is hot. Eye creams, or a cucumber slice for eye puffiness, feel very soothing when applied cold. Cool sprays and toners feel wonderful when sprayed throughout the day when you are hot. 4. Don’t forget to protect your neck, décolleté and lips from sun exposure. 5. Hats are great for additional protection for the hands and shoulders. Go get a gorgeous hat that looks beautiful on you, and you will look forward to wearing it all summer long! As for body care, Lead Massage Therapist Marjorie Sisneros-Smith offers the following:
1. Summer flip flops can lead to achy feet. A 15 minute soak with a few drops of peppermint essential oil, 3 tbs of lemon juice and a cup of Epson salts will be sure to revive them. Rest easy and elevate feet after soaking. For an extra special treat use ingredients in a full bath. 2. Alternating sun and air conditioning can dry out the skin quickly - leaving your skin like a summer lizard! Mix raw sugar, ¼ cup of olive oil (apricot oil works well too!), and the essential oil of your choice in a small bowl. Rub the mixture all over your body twice a week to reveal younger, brighter, skin. Rinse off in the shower and finish with the body cream of your choice. 3. Iced Hibiscus or Holy Basil Tea will perk your energy and reduce stress in the hot weather. With regular use your body will thank you for this quick relief! 4. Take advantage of local cycling, gardening, canoeing and hiking - we encourage anything that gets you moving! That said, when muscles start to get tight there is nothing better than a Deep Tissue massage. Make it a priority this summer to treat yourself to a massage. With these tips we hope you have a happy, healthy and relaxed summer.
Have a happy, healthy and relaxed summer
707/546-6000 0
www.comfirstcu.org
GUERNEVILLE ! HEALDSBURG ! NAPA APA ! SEBASTOPOL ! SANT ANTA TA ROSA X2
Here Fo For or G Good! ood! FREE checking & bill pay, FREE smartphone & online banking 28,100 FREE ATMs ATMs nationally, deposit accounts insured to $250k.
Living Well
Dawn Stephens is Spa Manager at Hotel Healdsburg and Marjorie Sisneros-Smith is Lead Massage Therapist
4
Low income youth win extra dental care through grant Thousands of low income children in Sonoma County suffer from lack of access to dental care. Dental problems in children can result in challenges throughout life, including decreased educational attainment from time missed at school. In northern Sonoma County, help is on the way. Alliance Medical Center is expanding its pediatric dental services, in part through a $516,000 grant from the First 5 Sonoma County Commission, which also awarded dental expansion grants to Santa Rosa Community Health Centers and St. Joseph Health. The grant allows Alliance to install three new dental operatories in its Healdsburg dental clinic and potentially serve up to 4,000 additional children in the north county, serving patients from Windsor to Cloverdale. “We received the grant because we were able to document the scarcity of services to this population,” said Beatrice Bostick, CEO of Alliance. “Low reimbursement rates and high administrative costs make it difficult for private practice dentists to treat
poor children. In Sonoma County there is a dentist for every 1,247 residents but for Medi-Cal patients the ratio is one dentist to every 7,266 patients, and many don't speak Spanish.” According to the California Health Interview Survey, 27.8 percent of Sonoma County children lack dental insurance, compared to 19.6 percent statewide. Among insured children, 16.4 percent missed two or more days of school during the last 12 months due to dental problems. But, 87.9 percent of uninsured children missed two or more days of school, a statistic that underscores the urgency of the need. The dental expansion allows Alliance to continue an innovative partnership between its medical and dental divisions. “Our dental staff is now providing dental assessments for children and pregnant women as part of their pediatric and prenatal visit. Our goal is early entry into dental care to prevent more serious problems in the future,” said Elvira Fiorentino, Dental Director at Alliance. “Based on the results of the assessment, children and moms are
referred for treatment at our Healdsburg dental clinic.” Periodontal infections in expectant mothers are an important issue, and are tied to low birth weight and premature births. In addition, certain dental problems can be exacerbated during pregnancy, making it especially important to offer treatment. The First 5 grant is a boost for Alliance, a 42-year-old community health center. It was only awarded after an exhaustive review of Alliance's finances and operations. “They expressed confidence in our ability to complete the expansion and offer the service to the community,” Bostick said. The grant, while generous, will not cover the full cost of remodeling a portion of the Healdsburg clinic, outfitting three modern dental operatories and expanding the dental staff. Alliance is working closely with Healthcare Foundation Northern Sonoma County to raise additional funds for this muchneeded service to the residents of the
north county. “Our dental expansion will allow us to see every child aged 0-5 that requires care, as well as all pediatric dental referrals from our neighbor clinic in Cloverdale,” said Bostick. Article submitted by Alliance Medical Center
photo provided BRUSH, BRUSH, BRUSH — Elvira Fiorentino, Dental Director at Alliance Medical Center practices good teeth brushing techniques with a young patient during a recent visit to the North County clinic.
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Summer 2013
Financial lessons your kids didn’t learn in college It’s up to you to help them become financially responsible adults.
Keeping Quality Healthcare Close to Home
by Loretta Strong
The Healthcare Foundation Northern Sonoma County has a simple mission: Bring together the community to engage donors in the support of healthcare in northern Sonoma County.
WE PROUDLY SUPPORT
2013 Wine Country Cares initiatives: • • • •
Clinic Expansion Fund Technology Advancements Healthy Children “Health Happens Here” Community Forums Next topic: “The Brain” on September 19th
Join us to invest in healthcare solutions and keep quality healthcare close to home. For more information or to donate, call the Foundation at 707-473-0583 or visit www.healthcarefoundation.net.
Four or more years of higher education may have given your child a great career start, but your graduate might still need some reallife skills on how to responsibly handle money. Now, it falls to you to fill in the gaps in your child’s financial education. Here are some important lessons you’ll want to cover before you find yourself with an empty nest and an emptier wallet. As young adults, your children will need to know how to: 1. Budget and pay bills on time. Chances are your children have not really had to create and follow a budget before. You’ll need to explain how to budget for utilities, food, gas, insurance, rent and cell phone service before spending on discretionary items. In addition, reinforce the idea of paying bills on time so your children will know what’s left to spend on other expenses and savings. 2. Manage debt. Many college students graduate with credit card debt and student loans. Show your children how quickly credit card debt, fees and interest can accumulate and get out of hand. Help them be smart about using credit wisely. While you’re at it, discuss fees involved with
some credit cards and bank accounts. 3. Build credit. A debit card won’t help build credit. So talk to your kids about using a credit card that can be paid off each month. Building a good credit history could help increase their chances of borrowing at lower rates later on, say for a mortgage. 4. Save for a rainy day or a large purchase. Help your children establish good saving habits and set them up for a successful future. Entourage them to set aside a percentage of each paycheck toward retirement goals - maybe in a plan offered by their employers - and save three months of expenses in an emergency fund. Compounding will help both accounts grow over time. 5. Manage money. Explain the basics of investing, including the benefits, risks, costs and tax implications. A strong foundation here can help your children make smarter financial decisions later. For more guidance, visit moneyasyougrow.org and consult your financial and tax professionals. The information contained herein has been obtained from sources considered reliable, but we do not guarantee that the foregoing material is accurate or complete. Investing involves risk and investors may incur a profit or loss. Loretta Strong is a financial advisor with Raymond James. Her office is located in Healdsburg.
DBA STRONG FINANCIAL STRATEGIES Financial Advisor Securities offered through
FINANCIAL SERVICES, INC. HEALTHCARE FOUNDATION NORTHERN SONOMA COUNTY
Living Well
Individual Solutions from Independent Advisors
Stocks • Bonds • Mutual Funds • IRAS • Long Term Care Life Insurance • Retirement Plans CA Ins. License #0B77570 133 North St., Healdsburg, CA 95448 (707) 473-8033 Loretta.Strong@raymondjames.com • www.strongfinancialstrategies.com
6
All about strokes by Allan L Bernstein MD Stroke is the third most common cause of death in the United States (after cardiovascular disease and cancer). It affects people of all ages, and results in significant long-term disability for a great number of people. The most important thing to know about strokes is that they are both preventable and treatable in a significant number of situations. There are two major categories of stroke: Ischemic stroke, which is a blood clot in an artery either leading to the brain or in the brain itself; and hemorrhagic stroke, which occurs from direct bleeding into the brain. Ischemic strokes are the most common and the most preventable. Major studies have shown that the leading causes of stroke are age, high blood pressure, elevated lipids (cholesterol, triglycerides, LDL), diabetes, smoking, and having had a previous stroke. We can’t do anything about age, but the rest are considered modifiable factors. Medical management and behavior changes can dramatically reduce the risk of stroke. Strokes are sudden attacks of loss of control of one side of the body or face, loss of sensation in one side of the body, loss of speech, double vision, loss of vision in one eye or one side of space, incoordination or inability to move. Waking up with this kind of deficit is typical of a stroke, as many strokes occur during sleep. Another type of stroke is a ‘ministroke’, also called a transient ischemic attack or TIA. This is a brief event with symptoms identical to those of a stroke, but clearing in less than one hour. A TIA is a warning that a major stroke may be near, and should be considered a medical emergency even though the symptoms are gone. The risk of a major stroke increases as much as 10 percent in the 24
to 48 hours following a TIA. One of the major advances in stroke care has been the development of clotdissolving medications that can clear a clogged artery in minutes. The good news is that they work well. The bad news is that they are only safe to use if given within three hours of the onset of the event. If you think you’re having a stroke, don’t wait! Once you get to the hospital, it takes time for a CT scan, laboratory work, and a consultation with a stroke specialist before the medication can be given. The reason most people fail to get this treatment is because they wait too long to come to the hospital. Stroke is a medical emergency. The number to call is not a friend to drive you, but 911. Another advance in stroke care has been the development of Stroke Centers at local hospitals – Palm Drive Hospital, Kaiser Permanente Santa Rosa Medical Center and Santa Rosa Memorial Hospital. These programs encompass not only the emergency aspect of care, such as clot-dissolving drugs, but also hospitalbased programs designed to prevent secondary complications such as pneumonias, blood clots in the legs, falls, and bladder infections. Other components of a Stroke Center include rehabilitation programs, physical therapy, occupational therapy, speech and swallowing training, and education to prevent another event. While we can’t entirely prevent strokes, we can reduce their frequency by preventive programs and reduce their severity in many cases by emergency use of clot- dissolving medications. Early recognition of stroke symptoms is essential to getting the best care. Time is critical. The nearest hospital is the place to go in an emergency, and stroke is an emergency. Dr. Bernstein is Medical Director, Stroke Program Palm Drive Hospital, Sebastopol
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Summer 2013
Innovative Wound Center: Healthcare with a Personal Touch by Marie Giammona Healdsburg District Hospital has deep roots in the community. It began life in 1905, in the right wing of the home of Dr. J. Walter Seawall at 211 North Street — now the Camellia Inn. It was called Healdsburg General Hospital then, and a doctor's visit cost $2. Dr. Seawall and his partner, Dr. Frank E. Sohler, were hardworking, dedicated, and innovative physicians who insisted on the best equipment and the latest medical technology for their north county hospital. As the town of Healdsburg grew along with the necessity for quality healthcare, the community was committed to keeping HDH as its flagship hospital for northern Sonoma County. Many of the staff members and volunteers are long-time Healdsburg residents, dedicated to caring for their fellow north county friends and neighbors. Stacy Powell, Therapy Services Director, is a fifthgeneration Healdsburg resident. Inpatient Services Director, Conni Whitemore, is third-generation. Many of the physicians on staff have been serving here for decades. HDH is the first-line inpatient, outpatient, and emergency care facility for Windsor, Healdsburg, Geyserville, Cloverdale and the surrounding area. It is dedicated to providing outstanding care through its many services, including a Woman’s Diagnostic Center, the Kozel Stroke Institute, the Wetzel Family Emergency Department, the Patricia and Raymond Chambers Intensive Care Unit, and Northern California Wound Care Lifelong Sonoma County resident and Geyserville volunteer firefighter, Richard Dilworth, owns a beautiful
ranch in Cloverdale where he raises horses and grows grapes. Richard fell from one of his horses a few years ago. Due to his injury, he eventually developed debilitating arthritic pain. Richard went to see Dr. John Tomasin for a solution. Richard explains, “Working with my horses is my greatest passion in life, and I simply couldn’t provide them the proper care with my crippling pain. Dr. Tomasin and his colleagues at HDH’s Total Joint Replacement Program have a reputation in the area as the best in the business, so I knew where to turn when I could no longer put up with the pain. Dr. Tomasin performed total joint replacement on my left knee, and the day after surgery I was amazed to find I could climb a flight of stairs with almost no pain whatsoever.” The award-winning program offers full-spectrum, state-of-the-art services, including hand surgery, ACL repair, joint replacement, and more. There is in-house rehabilitation with expert physical therapists. Joining the staff of the orthopedic and total joint program this summer is Dr. Theresa Colosi. She will be offering her expertise in hand and upper extremity and orthopaedic oncology surgery and will be the only oncology orthopaedist between San Francisco and Portland. A native of Northern California, Dr. Colosi completed her fellowship in orthopaedic oncology from the New York-based Sloan–Kettering Cancer Center and is excited about working with colleague Dr. Tomasin and the Healdsburg District Hospital’s program, which has been distinguished nationally and has been ranked in the top 10% in the
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United States for orthopedic healthcare by HealthGrades®. “The lack of pain I felt during my quick recovery reflects Dr. Tomasin’s tremendous skill in the operating room,” said Richard. “Deciding to have the surgery and choosing Healdsburg District Hospital and Dr. Tomasin was one of the best decisions I’ve ever made.” Healdsburg District Hospital’s Northern California Wound Care has also proven to be an indispensable service. Multiple surgeries and radiation treatments for cancer left Sandy Throne with incisions that would not heal and were vulnerable to infections. Sandy’s doctor referred her to HDH’s Northern California Wound Care for Hyperbaric Oxygen Therapy (HBOT). Medical Director, Dr. Daniel Rose, explained to Sandy how HBOT concentrates oxygen levels in the body to stimulate new growth of blood vessels and heal radiation damaged tissue. Sandy was incredibly relieved once she began the therapy and her wounds began healing properly. She explains, “My nurse, Karis, and the entire staff at HDH went out of their way to help me, and I couldn’t have felt more comfortable under Dr. Rose’s knowledgeable care and compassionate manner. I’m eternally grateful to HDH not only for healing me, but also for helping me to keep a positive attitude throughout the process and for making me a stronger person.”
Dick Dilworth and friends Opened in June 2010, the program has exceeded the national healing rate for wound care treatments and consistently heals 95-97% of wound cases seen. It is the only hospital-based program that offers HBOT between San Francisco and Ukiah. As part of a not for profit healthcare district, Healdsburg District Hospital’s sole mission is delivering the best medical and surgical services possible to the 60,000 residents here in the north county. Marie Giammona is Community Relations Director for Healdsburg District Hospital
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HOSPITALS H Santa Rosa Memorial Hospital
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1450 Medical Center Drive, Suite 1 Rohnert Park, CA 94928 707-521-6450
5 Windsor Draw Station
6580 Hembree Lane, Suite 270 Windsor, CA 95492 707-838-2455
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500 Doyle Park Drive, Suite G01 Santa Rosa, CA 95405 707-525-5270
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4730 Hoen Ave., Suite B Santa Rosa, CA 95405 707-528-2238
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HOSPICE SERVICES Memorial Hospice 11 11 439 College Ave. Santa Rosa, CA 95401 707-568-1094
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110 Lynch Creek Way, Suite B Petaluma, CA 94954 707-778-2749
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1 Urgent Care-Santa Rosa
1450 Medical Center Drive Rohnert Park, CA 95404 707-584-0672
2012-2013 Consumer Choice Award Winner
Shiloh Rd.
URGENT CARE CENTERS
2 Urgent Care-Rohnert Park
400 N. McDowell Blvd. Petaluma, CA 94954 707-778-1111
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416 Payran St. Petaluma, CA 94952 707-778-6242
13 13 North County Hospice 205 East St. Healdsburg, CA 95448 707-431-1135
PHY SICAL THERAPY PHYSICAL
1 14 4 St. Joseph Health Physical Therapy 1255 North Dutton Ave., Suite B Santa Rosa, CA 95401 707-547-4618
ANNADEL MEDICAL GROUP 16 Pediatrics, Family Medicine Internal 16 Medicine, and Ear, Nose & Throat 500 Doyle Park Drive Santa Rosa, CA 95405 707-266-2335
17 1 7 Family Medicine-Santa Rosa 4750 Hoen Ave. Santa Rosa, CA 95405 707-542-1611
18 1 8 Family Medicine-Petaluma 24 W. El Rose Drive Petaluma, CA 94952 707-763-9891
19 1 9 Internal Medicineâ&#x20AC;&#x201C;Petaluma 141 Lynch Creek Way Petaluma, CA 94954 707-763-0802
20 After Hours Primary Care 52 Mission Blvd., Suite 121 Santa Rosa, CA 95409 707-303-1712
21 Psychiatryâ&#x20AC;&#x201C;Santa Rosa 1335 N. Dutton Ave. Santa Rosa, CA 95401 707-579-8703
22 Developmental Pediatrics 1144 Sonoma Ave., Suite 113 Santa Rosa, CA 95401 707-545-2082
23 Digestive Care Center
85 Brookwood Ave., Suite 10 Santa Rosa, CA 95404 707-303-8349
24 Obstetrics & Gynecology
1550A Professional Dr., Suite 100 Petaluma, CA 94954 707-763-2900
25 General Surgery
106 Lynch Creek Way, Suite 9B Petaluma, CA 94954 707-763-1575
26 Cardiology & Nephrology
108 Lynch Creek Way, Suite 2 Petaluma, CA 94954 707-762-5078
BEHAVIORAL HEALTH
27 Outpatient Behavioral Health 405 W. College Ave., Suite F Santa Rosa, CA 95401 707-547-5450
OUTPATIENT DIAGNOSTICS
28 Lynch Creek Imaging 110 Lynch Creek Way, Suite B Petaluma, CA 94954 707-778-8704
29 St. Joseph Diagnostic Cardiology 500 Doyle Park Drive, Suite G03 Santa Rosa, CA 95405 707-547-4606
30 Outpatient X-Ray
500 Doyle Park Drive, Suite G01 Santa Rosa, CA 95405 707-525-5369
HOME CARE NETWORK
31 St. Joseph Home Care Network 4PUPZPNF 4U 4PUPZPNF 4U 4BOUB 3PTB, 4BOUB 3PTB, CA 99 707-206-9124
1 5 Outpatient Physical Therapy 15 1170 Montgomery Drive Santa Rosa, CA 95405 707-542-4704
sstjosephhealth.org tjosephhealth.org Summer 2013
Studying and learning the biology of love by Dr. Gary Pace With all of the research in brain function and neurobiology, are we making progress towards better understanding that most mysterious of human emotions—love? What can we do to improve our feelings of love and attachment (or change the behavior of our partners)? The science exploring the neurobiology of love and sex is still very new, and conclusions are lacking, but there are some interesting findings. The Building Blocks There appear to be three distinct areas of the brain that correlate with specific aspects of human love— sex, early romantic involvement, and long term attachment. When they do research with functional MRI machines, specific areas of the brain are activated when the subjects are experiencing each of these different facets of love. This finding has important implications, because on a basic brain level, the infatuation phase of a relationship appears to have different biologic underpinnings than the “marriage” phase. Certain people may have stronger affinity to one phase or the
other based on underlying brain function. Certain diets or activities may help to support the brain chemistry of one phase, and different behaviors may support the other. Studies often look at the chemicals that circulate in the brain and act as the messengers to different areas. These neurotransmitters include dopamine, oxytocin, vasopressin, and serotonin. Dopamine seems to be involved with reward behavior, also very prominent in addiction. Higher levels of dopamine are seen in the infatuation stage. This may lead to the feeling of being “addicted to love.” Oxytocin was thought to be mainly a female hormone, involved in breastfeeding, but now we see it is found in both genders and is instrumental in bonding and nurturing. It seems to balance the fight or flight response and leads to a lower heart rate and to a sense of calmness. Higher levels are found after orgasm, and they are also noted in successful, long-term couples. Vasopressin, oxytocin-like, is more prominent in males. Higher levels in rodents lead to more territoriality. Men with marital problems have been found
in some studies to have lower levels of vasopressin. Serotonin (low levels are seen in depression) is elevated in the early stages of attraction. Chemically, the serotonin effects of being infatuated have a similar chemical appearance to obsessive-compulsive disorder; which may explain the constant thinking about a new love interest. Hormones, including testosterone and estrogen, are also involved in this mix. Adequate brain levels of testosterone seem important in humans for both male and female sexual behavior. Other Findings In reading a book which outlines much of this research, “Dirty Minds: How our Brains Influence Love, Sex, and Relationships”, by Kayt Sukel, many interesting observations grabbed my attention — even though the author avoids specific conclusions. Examples of these little tidbits from the scientific literature include: The jury is still out on whether men and women approach love differently from a neurobiological perspective. Sexual imagery is very potent. It lights up the brain scanner 2-3x stronger than any other image. In men, the visual imagery causes a stronger reaction than
in females. There are changes in brain functioning as the length of a relationship increases. One study showed a decrease in activity in the “passionate love” area of brain after six months in a relationship, but there was a small group of long-term “in love” couples for whom this wasn’t true. The brain areas activated in the early mother-child bond are very similar to those responding in romantic love. So how does this all fit together? In humans, these neurotransmitters can influence desire and behavior, but clearly they do not completely determine what we do. In rats, when the hormones tell them to mate, they mate. In primates, social context has an impact, and in humans this is even more pronounced. In the end, it seems that we are not slaves to our hormones, even though they do seem to have an effect on motivation. So, don’t spend the money on those oxytocin supplements for your partner just yet, but stay tuned as the scientists get more interested in these fascinating areas of human behavior. Dr. Gary Pace is a physician with the West County Health Centers
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Taking charge From page one Before starting a vigorous exercise program, check with your primary care doctor or nurse practitioner. Don’t have a Medical Home?.In Cloverdale or Geyserville call Alexander Valley Healthcare at 894-4229.In Healdsburg or Windsor call Alliance Medical Center at 433-5494. In Sebastopol, western Sonoma County and Guerneville call West County Health Centers at 8249999. These Community Health Centers generally take Medicare, MediCal, most insurance plans like Blue Cross, Blue Shield and have people on staff who can help low income residents learn if
Reforms From page one enrollment in the new system begins on October 1. Those who will be newly eligible for benefits may not use them until 2014, but early enrollment is encouraged due to an anticipated backlog at the state. “Anyone who thinks they may qualify can utilize the services of our CAAs,” Bostick said, even if
they qualify for any public programs. Don’t Let Chronic Conditions Get You Down First, understand what it is and know what it takes to keep it under control. For seniors, the American College of Sports Medicine and the American Medical Association recommend 30 minutes of moderate intensity exercise most days and stretching at least two days a week. Medication can help with the condition itself or associated pain. Tip:.Not taking medication properly leads to many hospital stays. Knowing how to manage your medication is key. Food is fuel for the incredible machine that is your body. Does what you eat have an impact on how you feel?.Only you can tell.
According to The Successful Aging study and others, social support and social connections are more important predictors of longevity than chronic illness or even risk factors such as smoking. So, get involved in your community and stay in touch with friends and relatives. The diagnosis and management of a chronic health condition may trigger emotional difficulties. These emotions can impact your overall sense of wellbeing. Finding ways to express your emotions positively can help you to get into balance and gain control. Feeling stress? Humor and laughter have been demonstrated to alleviate stress, improve mood and boost the immune system. Other stress management techniques include
relaxation and guided imagery which can help to bring about good things related to the management of your condition. Depression can be quite common with some health conditions and it is vital that you recognize it if it comes your way. If you are having trouble coping, finding that you can’t get moving, aren’t interested in your normal activities, have a decreased appetite, have trouble sleeping or other such symptoms, tell your doctor immediately.
they then choose to use another provider besides Alliance. “We want to be able to help everyone in our area.” In addition to new patients, community clinic leaders hope that existing patients can receive new benefits. Almost a third of Alliance's 12,000 patients have no health insurance, a financial strain on the healthcare system and a direct result of the recession. “Our mission dictates that we serve
everyone who comes to our door,” Bostick said, “but those with no health insurance only pay what they can afford, and that doesn't cover the cost of caring for them.” For the working poor, the recession is not over. Today, community health centers like Alliance Medical Center and Cloverdale's Alexander Valley Health treat one out of three people nationally who are living in poverty. By 2015, Federally Qualified
Health Centers are expected to serve 40 million patients – one out of every eight Americans will get their healthcare at a community clinic, and investments in capacity are urgently needed. To find out if you qualify for public health benefits under healthcare reform, call the application assistance office at Alliance Medical Center at 707-3852343.
Submitted by Alexander Valley Healthcare. To contact them, call 8944229.
DON’T STRUGGLE WITH AGING. FIND A SOLUTION . Finding appropriate accommodations for all the places life can go can be a challenge for seniors. But we can steer you in a direction that can improve your quality of life. Call 1-855-804-7858 to find out how you can navigate the senior network.
Growing older doesn’t mean the options for life have to shrink
Assisted Living 907 Adele Drive | Windsor, California 95492 1-855-804-7858 brookdale.com RCFE # 496802025
ALL THE PLACES LIFE CAN GO is a Trademark of Brookdale Senior Living Inc., Nashville, TN, USA. 00780-ROP01-0713 SC
11
Summer 2013
Quality Healthcare Close to Home
you did not qualify for before. With new higher income
Families with young children â&#x20AC;˘ Families with adult children â&#x20AC;˘ Adults with no children Call 707-385-2343 for free application assistance. Family Practice â&#x20AC;˘ Specialty Care â&#x20AC;˘ Pediatric Care Dental Care â&#x20AC;˘ Chronic Disease Care â&#x20AC;˘ Nutrition 1381 University Avenue, Healdsburg â&#x20AC;˘ 707-433-5494 8465 Old Redwood Highway, Windsor â&#x20AC;˘ 707-687-2498 www.alliancemed.org
Treat your family to the modern facilities and caring staff at a locally managed healthcare provider!