INSIDE New moms back to work guide page 3
Alliance Medical growing page 5
The truth behind diet myths page 9
Healing ways at Wound Center by Daniel Rose, MD Sandy Throne was diagnosed with breast cancer following a lumpectomy. She had multiple radiation treatments, and eighteen years later the cancer returned. The second occurrence required a mastectomy in the previously radiated area. Sandy’s cancer is gone. However, multiple surgeries and radiation treatments left her with incisions that would not heal and posed a high risk for infection. Sandy’s doctor referred her to Healdsburg District Hospital (HDH) Northern California Wound Care for hyperbaric oxygen therapy. (HBOT). Northern California Wound Care exceeds the national healing rate for wound care treatment, consistently healing 92-98 percent of cases seen. A multi-disciplinary team of physicians, nurses and hyperbaric technicians use state of the art treatment options to ensure a complete and safe recovery. It is the only hospital-based program that offers hyperbaric oxygen therapy between San Francisco and Ukiah. We explained to Sandy how hyperbaric oxygen therapy concentrates oxygen levels in the body to simulate growth of new blood vessels to heal radiation damaged tissue. Her wounds healed as a result of the hyperbaric treatments. Sandy explains, “My nurse, Karis,
photo provided TAKING CARE — Sandy Throne, successful Wound Care patient, horseback riding in Costa Rica.
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 bedside 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. I can do so much more now that I am healthy. I recently joined a travel group called Friendship Force International, which
See page 11
Six steps to control your blood pressure A routine doctor’s appointment often involves a health professional checking your blood pressure. The screening is not painful or stressful and typically takes less than a minute to measure. However, the results of this simple test may identify a condition that, when managed, could help reduce your chances for stroke or heart attack. High blood pressure, often referred to as the “silent killer,” does not have any symptoms, but can cause serious damage to arteries, leading to heart disease and stroke.
Nearly one in three adults in the United States has high blood pressure, and because there are no symptoms, many remain unaware of the condition for years, according to the American Medical Group Foundation (AMGF). A blood pressure screening in a doctor’s office can determine if you have healthy or high blood pressure. Doctors, nurses, pharmacists, and other health professionals can help
See page 11 © Sonoma West Publishers | July 24, 2014
Living Well
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New moms guide to going back to work
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oing back to work for new moms can be challenging. Learning to balance work and family while facing many new stressors can be overwhelming. Jill Smokler, author of the New York Times bestselling book “Confessions of a Scary Mommy” and “Motherhood Comes Naturally (and Other Vicious Lies),” shares tips and tricks on how new moms can acclimate back into to the working world.
• Plan ahead: After working a full day and driving to daycare to pick up your baby, the last thing you’re going to feel like doing is cooking dinner. My advice is to embrace the wonder of the crockpot by letting the machine fill your home with the scent of a freshly cooked meal while you’re miles away at work. Another time-saving tip is to lay out all your clothes for the week on Sunday to avoid that moment of tearing apart your closet when you should already be in the car. Also, always charge your cellphone overnight. Another important plan to have in place is your new baby’s feeding plan. Some moms find that substituting or supplementing breast milk with infant formula can make the transition into a working mom much easier. If you decide to choose that route, be smart about it. In the case of baby formula, skimping on price does not mean skimping on quality. The FDA strictly regulates infant formula to keep babies safe. Moms can rest assured knowing that store brand formulas have to meet strict FDA guidelines and regulations. • Celebrate the benefits: No, not the dental and vision plans, silly — the benefits you’ve been missing the last few months: Having a conversation that doesn’t revolve around the consistency or color of poop, being able to go to an actual restaurant over your lunch break, writing TGIF as your Facebook status update and appreciating that you know what day it is. • Reacquaint yourself with adult conversation before you head back to work: After months alone with a newborn, it’s natural to forget how to interact with adults on a daily basis. Practice conversing with adults other than your spouse a few weeks prior to your return to work.
Keep in mind not everyone can read your mind or understand that irrational screaming simply means you’re craving a hug. • Go shopping: Chances are you won’t be fitting perfectly into your pre-pregnancy wardrobe by the time you head back to work, leaving you with two choices: Rock the maternity outfits your co-workers saw you in all those months ago or, wear your mom uniform of stained, black yoga pants and an oversized shirt to the office. However, there is a third choice and that is to go shopping. Getting new clothes that actually fit will
LIVING WELL is published by SONOMA WEST PUBLISHERS, INC.
do wonders for your self-esteem. Just be sure to check your shoulders before you leave the house, as spit up can be more prominent on a black business suit than a ratty old T-shirt. • Give yourself a break: Whether you’re missing your baby, not missing your baby or missing one of your baby’s milestones, allow yourself to have an outburst every now and then. Just remember to pick yourself up and get back to work. Feeling guilty is a useless emotion that isn’t going to help you focus on your job or get you home sooner to cuddle that baby of yours.
ADVERTISING SALES Cherie Kelsay, Steve Pedersen, Neena Hanchett, Carol Rands
as a supplement to the July 24, 2014 issues of The Healdsburg Tribune, The Windsor Times, Sonoma West Times & News and the Cloverdale Reveille.
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Summer 2014
Protecting your cardiovascular system: keep your heart healthy
Keeping Quality Healthcare Close to Home We have a simple mission: Bring the community together in the support of healthcare in northern Sonoma County.
2014 Wine Country Cares initiatives: • Clinic and Healthy Farmworker Families Fund • Technology for our local Hospital (gifts are matched by Kalmanovitz Foundation) • “Healthy for Life” school program teaching healthy choices to grade school children • Family Nurse Practitioner Scholarships at Sonoma State University • “Health Happens Here” Community Forums
WE PROUDLY SUPPORT
Join us, together we’ll 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.
HEALTHCARE FOUNDATION NORTHERN SONOMA COUNTY
Living Well
Heart disease is the leading cause of death for both men and women in the United States. However, there are things that we can all do to prevent cardiovascular disease. Whether you have high blood pressure, high cholesterol, or are currently within the normal measurements, these tips will help you ensure that your heart stays healthy. A heart attack or stroke is when a blood clot reaches the small vessels in either your heart or brain and blocks the flow of blood, and thus oxygen, to that area causing the cells to die. We are finding that the viscosity, or thickness, of your blood has a lot to do with whether or not these clots form. Thin blood flows easier and clots less than thick blood.
forming and leading to heart attack or stroke. Here are some ways to prevent inflammation and high cholesterol: Avoid refined sugars – Sugar 1. is very inflammatory to your blood vessels. Keep your sugary snacks to a minimum and choose whole grains over “white” or processed grains. 2. Exercise – 150 minutes of moderate exercise per week will increase your levels of HDL (good) cholesterol which will decrease the inflammation in your blood vessels. 3. Eat Fiber – Fiber decreases your levels of LDL cholesterol. Fiber is present in vegetables and fruits with their skin and whole grains. Eating 20-35 grams of fiber per day is protective. Foods that are particularly good at lowering LDL (bad) cholesterol are oats, barley, beans, soy, apples, grapes, strawberries, citrus fruits, and nuts. 4. Eat antioxidant rich foodsAntioxidants help keep the cells of your circulatory system (and all your organs) from being damaged. Brightly colored fruits and vegetables all have antioxidants in them. Foods that are particularly high in antioxidants are blueberries, red and purple grapes, raspberries, black berries, strawberries, plumbs, broccoli, kale, spinach, and chard.
Foods that are particularly high in antioxidants are blueberries, red and purple grapes, raspberries, black berries, strawberries, plumbs, broccoli, kale, spinach, and chard.
Here are ways to keep your blood thin: 1. Stay hydrated – You should be drinking 1/3 of your body weight in ounces. For example a 150lb person should be drinking 50 ounces of water daily as a baseline. Then add 8 ounces of water for every cup of coffee, alcoholic beverage, or 30 minutes of exercise as these things dehydrate you. 2. Heat up your body – This should happen for 30 minutes per day. Ways of heating your body include exercise that makes you sweat, saunas, hot tubs, and being out in weather hot enough to make you sweat. 3. Consume omega 3 fatty acidsThese are found mostly in fish. Eating 4 ounces of fish 3 times per week is enough to protect your cardiovascular system. If you are not consuming this much fish, then I would suggest taking 3000mg of fish oil daily as a preventative measure. Krill oil is an excellent vegan option. High levels of LDL (bad) cholesterol and/or low levels of HDL (good) cholesterol and overall inflammation of the blood vessels also increase the risk of a clot
Considering these things when making food and activity choices will ensure that your cardiovascular system stays strong and healthy allowing you to keep doing the things you enjoy for many years to come. If you would like more information or tips on keeping your heart healthy, you can visit the American Heart Association’s website at www.heart.org. Kelley Barnes-Valdes, ND Healing Breeze Naturopathic Clinic www.healingbreezeclinic.com
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Alliance growing to meet increased demand for services Local clinics providing medical and dental care to help patients lead healthy lives
A
t Alliance Medical Center we believe everyone in our community deserves the highest quality care. We provide primary medical and dental care within a broad array of services that help our patients live healthier lives. Founded in 1971 by a group of dedicated volunteers, community members who answered a need for a clinic that would serve farmworkers and their families, Alliance has grown and prospered as we continue to serve the community. We are no longer just a “farmworker clinic.” We now serve everyone from newborns to elders, and our staff and providers are friendly, caring, and bilingual. Let's take a tour of recent highlights at Alliance! Healthcare Reform New opportunities exist for working families under the Affordable Care Act, and you might be eligible for benefits you did not qualify for before. The new regulations offer additional benefits to families with young children, families with adult children, and adults with no children. With new higher income levels you or your employees may be eligible for these benefits. Call 707-433-5494 extension 412 for details about free application assistance. Our Certified Enrollment Counselors are ready to help new and current patients navigate the process of applying for public health insurance. Dental Expansion Last month, Alliance Medical Center opened a new children's dental center. Thanks to generous grants from the Sonoma County First 5 Commission, the County of Sonoma, Healthcare Foundation Northern Sonoma County, and Sonoma County Vintners, we now have three new dental chairs just for kids! Fifty percent of Sonoma County children under 18 have never seen a dentist, and Alliance is working hard to address this unmet need in the north county. With this expansion, we now have a total of nine dental Healdsburg Clinic: 1381 University Avenue Healdsburg, CA 95448 Windsor Clinic: 8465 Old Redwood Highway, Suite 320 Windsor, CA 95492
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operatories. Discounts for Seniors Seniors in our community are welcome at Alliance Medical Center. Our providers are well-versed in elder care and are sympathetic to the needs of senior patients. Seniors have special dental needs – medications have an impact on your teeth, and fillings eventually need to be replaced. Unfortunately, Medicare does not cover dental care, so Alliance offers discounts and payment plans for senior dental patients. Medical Care The family physicians and providers at Alliance Medical Center are highly trained, motivated, and caring professionals who work in the Care Team model, an efficient system that allows our patients to get the best possible care at all times. In addition to primary care, we offer, pediatrics, OB, prenatal, chronic disease management, chiropractic, and mental health services. How You Can Help Please consider supporting Alliance Medical Center. More than 20 percent of our patients have no health insurance. You might be surprised to learn that most of them are employed. These working families are the most vulnerable in our community. You can make a difference for people you know and care about by donating to Alliance Medical Center. You can donate online at www.alliancemed.org – just look for the Donate button. We invite you to come see caring, compassion healthcare in action and experience firsthand how Alliance meets real needs in our Healdsburg and Windsor clinics. Please join us for a personal tour. Call 707-3852310 to schedule your visit or discuss how you can support Alliance Medical Center. Article submitted by Alliance Medical Center.
Healdsburg Medical: 707-433-5494 Healdsburg Dental: 707-433-8161 Windsor Medical: 707-687-2498
WIC: 707-431-0831 Teen Health Center: 707-431-1170 Confidential support and care to teens
photo provided DENTAL CARE FOR KIDS — 2-year-old Christopher Tapia Anguiano, pictured here with his mother, Candelaria Anguiano, was the first patient in Alliance Medical Center's new pediatric dental area.
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Drr. James Hunt (707) 838-3400 8465 Old Redwood Hwy. Suite 615, Windsor www.jameshuntmd.com Summer 2014
New pain management program launched at AVA by Mark Thayer As prescription drug overdose passes car wrecks as a leading cause of death nationwide, the doctors at Alexander Valley Healthcare are joining their colleagues in 14 northern California counties in reviewing how they treat chronic pain. Earlier this month, the U.S. Food and Drug administration approved prescription use of a life-saving drug, called Evzio, for people who overdose on narcotics. Previously the drug was only available from emergency responders and hospitals or doctors’ offices. A single dose reverses the effects of an overdose and will be used on those who have stopped breathing or lost consciousness. The handheld device is similar to the Epipen used to stop allergic reactions and will be available later this summer according to the FDA. “The quick approval by FDA – 15 weeks – is an indication of the severity of the problem nationally,� said Gary Pace, MD and Chief Medical Officer at Alexander Valley Healthcare.
The impact of narcotic mis-use is stunning. For every death there are ten treatment admissions for abuse, 32 Emergency Department visits for misuse or abuse and 825 non-medical users. “Beginning in the late 1990s, the accepted course for chronic pain was high doses of narcotics to control chronic pain,â€? said Pace. “Now we have shared responsibility to ensure safe opioid prescribing.â€? About three years ago, peerreviewed studies began showing unwanted side effects of prescription narcotics. These include: • Cardiac problems • Decreased testosterone in men • Increase in sleep Apnea • Decreased Mental Clarity (foggy thinking, loss of motivation) Over time, in non-cancer patients, the narcotics dose had to be increased and the effectiveness seemed to diminish. “What the studies show,â€? Pace continued, “is that reducing or eliminating the high doses in noncancer patients may result in the pain
going away.� He defined a high dose as 12 Vicodin or six Norco daily. “When a patient with chronic pain has a one-month prescription for this many pills, there’s a potential for misuse or theft,� he noted. This includes such things as family members helping themselves to the patients’ medication or selling it on the street. The doctors at AVH will continue to treat acute pain with a goal of avoiding narcotic dependency or tolerance. These measures will include non-narcotics as a first line of therapy, short term prescriptions for patients with traumatic injuries or more severe pain and alternate therapies. These include acupuncture, chiropractic, physical therapy, exercise, Osteopathy and counseling. Having each of our patients function at the highest level possible is the ultimate goal. “With or without narcotics, this may mean some will experience a level of continued pain,� Pace said. Insurance companies are starting to take the lead in limiting the amounts prescribed. Partnership Health Plan is the managed Medi-Cal provider for Sonoma County. “By taking the lead in this, Partnership is helping with patient outcomes to reduce the complications from the use of narcotic medications and by cutting street availability helps society as well as the patient,� Pace concluded. The six doctors and family nurse practitioners at AVH provide primary care to more than 4,000 patients in northern Sonoma and southern Mendocino County. Each patient has their own provider who leads a care team that includes a nurse, medical assistant and other staff where appropriate. AVH also provides behavioral health services, dental for Medi-Cal patients and has on staff two Licensed
photo provided DOC — Gary Pace, M.D., and Chief Medical Officer, Alexander Valley Healthcare.
Clinical Social Workers. New patients are always welcome and established patients usually enjoy “same day� appointments. AVH is open Monday to Friday from 8 a.m. to 7 p.m. except Wednesday when it closes at 6 p.m. Call 894-4229 for an appointment. AVH will soon launch substance abuse classes in cooperation with the California Department of Human Development. To participate you need not be a patient or have insurance. This means northern Sonoma County residents with court-mandated obligations can take care of them locally. Watch for an announcement when the program begins.
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Living Well
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‘Brain exercises’ may delay memory decline in dementia Study shows six leisurely activities that promote vitality People who engage in activities that exercise the brain, such as reading, writing, and playing card games, may delay the rapid memory decline that occurs if they later develop dementia, according to a study published in a recent issue of Neurology, the medical journal of the American Academy of Neurology. The study involved 488 people age 75 to 85 who did not have dementia at the start of the study. They were followed for an average of five years; during that time 101 of the people developed dementia. At the beginning of the study, people reported how often they participated in six leisure activities that engage the brain: reading, writing, doing crossword puzzles, playing board or card games, having group discussions and playing music. For each activity, daily participation was rated at seven points, several days a week was rated at four points and weekly participation was rated at one point. The average score for those who later developed dementia was seven points total, meaning they took part in one of the six activities each day, on average. Ten people reported no activities, and 11
reported only one activity per week. The researchers then looked at the point when memory loss started accelerating rapidly for the participants. They found that for every additional activity a person participated in, the onset of rapid memory loss was delayed by 0.18 years. "The point of accelerated decline was delayed by 1.29 years for the person who participated in 11 activities per week compared to the person who participated in only four activities per week," said study author Charles B. Hall, PhD, of Albert Einstein College of Medicine in Bronx, NY. The results remained valid after researchers factored in the education level of the participants. “The effect of these activities in late life appears to be independent of education,” Hall said. “These activities might help maintain brain vitality. Further studies are needed to determine if increasing participation in these activities could prevent or delay dementia.”
The point of accelerated decline was delayed by 1.29 years for the person who participated in 11 activities per week compared to the person who participated in only four activities per week.
Article submitted Carol Brohmer RN, Right at Home - Sonoma County. She can be reached at 843-5192.
September Is Healthy Aging Month September is the annual Healthy Aging Month when Americans nationwide are reminded to focus on the positive aspects of growing older and take personal responsibility for one’s health – physically, socially, mentally or financially.
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Test your brain health IQ How much do you know about your brain and memory? The brain is like any other part of the body. Certain natural, predictable changes take place as we grow older. But today, brain researchers are learning more and more about the mysteries of the aging mind. True or False? As we age, we inevitably lose our mental abilities. 1. 2. Young people remember things better than older adults do. 3. We lose brain cells our whole life, and they never grow back. 4. Physical activity is one of the most important things an older adult can do to remain mentally sharp. We inherit our memory and intelligence. 5. 6. If a person has memory problems, he or she probably has Alzheimer's disease, and nothing can be done. 7. Getting enough (and the right kind of) sleep is important for brain health. 8. Around the age of 70, we begin having a harder time remembering names and words. 9. You can "train" your memory. 10. Saturated fat is bad for the brain. Answers to “Test Your Brain Health IQ” 1. As we grow older, we inevitably lose our mental abilities. False. In reality, older adults can do much to retain, and even improve, mental ability. And although our brains may not be as quick as when we were younger, we have gained instinctive, increased knowledge about the world — otherwise known as wisdom. 2. Young people remember things better than older adults do. True ... and False. While older adults are less efficient at recalling recent events, researchers believe the older brain is "smarter" about what it does and does not need to remember. 3. We lose brain cells our whole life, and they never grow back. False. Recent research proves that certain important areas of the brain can grow replacement cells throughout life. 4. Physical activity is one of the most important things an older adult can do to remain mentally sharp. True. Exercise increases blood flow to the brain, and stimulates the production of substances that protect it. 5. We inherit our memory and intelligence. True ... and False. Genes do enter in, but many other factors determine intelligence and memory skills. Education, nutrition, exercise and other lifestyle choices are equally important. 6. If a person has memory problems, he or she has Alzheimer's disease, and nothing can be done. False. While Alzheimer's is a common cause of memory loss, many other conditions (including stroke, depression and overmedication) can also impair the memory. Many of these causes may be treatable, even reversible. 7. Getting enough (and the right kind of) sleep is important for brain health. True. Not only does the brain "recharge" during sleep, but sleep is also necessary for memories of the previous day to be retained. 8. Around the age of 70, we begin having a harder time remembering names and words. False. The process actually begins when we are younger. Most people begin to notice this around the age of 40. 9. You can “train” your memory. True. Older adults, even people with earlier stage Alzheimer's or other memory impairment, can learn skills and tricks to enhance memory. 10. Saturated fat is bad for the brain. True. More and more researcher confirms that foods which are bad for the heart are also bad for the brain. Remember: a "heart smart" diet is also "brain smart"!
Summer 2014
Five surprising facts about baby boomers Including one that could save your life Were you born from 1945 through 1965? If so, you’re part of the unique generation known as the baby boomers. Here are interesting facts about baby boomers in America. One of them could save your life. 1. Baby boomers are one of the largest generations in U.S. history. The baby boomer generation, made up of a staggering 77 million Americans, is rivaled in size only by millennials — many of whom are the children of boomers. The millennial generation, born from 1980 through 1999, similarly includes approximately 77 million Americans. 2. Baby boomers support their children in and out of the nest. More than a third of baby boomers have children younger than 18 living in their homes, and research from the National Endowment for Financial Education shows that 60 percent of boomers also provide some form of financial support to their adult children. 3. Baby boomers are living longer than previous generations. Compared to previous generations, baby boomers are living longer and
they are also more likely to remain independent and stay in their own homes as they age. 4. Many baby boomers are working longer. Boomers plan to continue working once they are eligible for retirement, despite having the option to stop. In fact, only 11 percent of baby boomers plan to stop working entirely once they reach retirement age, according to a survey by AARP. 5. Hepatitis C is a silent epidemic among baby boomers. People born from 1945 through 1965 are five times more likely to be infected with Hepatitis C and account for more than three out of every four Americans living with the disease. That’s why the Centers for Disease Control and Prevention (CDC) recommend that everyone born from 1945 to 1965 get a blood test for Hepatitis C. Many baby boomers living with Hepatitis C don’t know how or when they got infected. Hepatitis C is a virus that attacks the liver and, if left untreated, can lead to serious liver disease. In fact, Hepatitis C is
77 million — Baby boomers are one of the largest generations in U.S. history.
the leading cause of liver cancer. The CDC estimates that testing everyone born from 1945 to 1965 could identify 800,000 people unaware of their Hepatitis C infection, and over time, could save 120,000 lives. Testing baby boomers for Hepatitis C is important, because people with Hepatitis C often have no symptoms and can live with the disease for decades without feeling
sick. All the while, liver damage may be silently occurring. Fortunately, new treatments are available that can cure Hepatitis C. If you were born from 1945 through 1965, talk to your doctor about getting tested for Hepatitis C. It could save your life. To learn more about Hepatitis C, visit the CDC website at www.cdc.gov/knowmorehepatitis.
Seniors willing to discuss driving abilities, yet conversations rarely happen There are currently more than 23 million licensed drivers aged 70 and older, and with baby boomers beginning to reach 70 years of age, the number of seniors on the road will rise steadily over the next two decades. A new survey released by Liberty Mutual Insurance finds that the majority of senior drivers are behind the wheel regularly, even with reported limited physical abilities. Though many seniors drive safely well into their later years, it’s likely that they will eventually have to face the diffi-
cult decision to stop driving. While the majority of senior drivers surveyed are open to conversations about limiting or stopping their driving, only 6 percent have spoken with someone about their driving abilities. “These are difficult conversations but important to have early and often, because everyone ages differently,” says David Melton, driving safety expert with Liberty Mutual Insurance and managing director of global safety. “Too often, these discussions are avoided until warning signs appear or,
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worse, there is an accident. It’s a step we all need to take to ensure the safety of our loved ones and the community.” The report reveals that despite declining physical abilities, many seniors still drive several times a week or even every day. In the past six months, the majority surveyed reported driving regularly despite slow reaction times, difficulty seeing or hearing, getting lost or feeling confused while driving. While nearly all senior drivers would consider limiting or stopping their driving if presented with the right reason, most are hesitant about transitioning to the passenger seat. Top concerns among seniors about limiting or stopping driving include losing independence, becoming less active, difficulty finding alternative forms of transportation, and feeling isolated. In 2013, Liberty Mutual Insurance conducted a survey of children of elderly drivers to determine if they were having conversations about driving with their aging parents, and if not, what was preventing them. The survey found that more than half of children with senior parents were concerned about their parents’ driving abilities and safety, yet nearly onethird avoided initiating the conversation. However, this new report reveals
that people may be avoiding conversations with aging drivers more than self-reported, while more seniors are actually open to talking: • Only 6 percent of senior drivers report having had a discussion about their driving abilities, despite 84 percent saying that they would be open to talking about the issue. • The majority of seniors who have not yet had a conversation report they would feel most comfortable being approached by their children or doctor. • Seniors cite a doctor’s recommendation and recognition of their own declining physical abilities as top reasons to limit or stop driving. “We know from our surveys that seniors are more receptive to conversations about driving than their children assume, which often prevents conversations from happening,” says Melton. “In reality, seniors are usually so receptive to these conversations that many stop driving within six months of talking about it with their loved ones. These are tough conversations, but caregivers should take comfort knowing that these discussions are typically easier than expected and usually have positive outcomes.” It’s more important than ever for children and loved ones of senior drivers to have conversations about driving early and often, before it’s time to stop.
8
Getting to the truth behind common diet myths Dieting trends are all the rage these days, but the truth is, they're nothing new. One of the earliest dieting fads on record goes back nearly 200 years. In 1820, Lord Byron gave birth to the celebrity diet icon with his Vinegar and Water Diet. Despite its ill effects, his popularity fueled the frenzy until it eventually fizzled out in favor of the next big thing. Look up fad diets today, and you'll find a list of more than 100. There's the Eat-Clean diet, the Cabbage soup diet, the Mediterranean diet, the Slow-carb diet and everything in between. Nutrition expert Jessica Fishman Levinson, a registered dietitian nutritionist, says these getthin-quick diets rarely, if ever, achieve sustained weight loss. "If you're looking to lose or maintain your weight, it's not about eliminating certain foods, beverages or ingredients from your diet," Levinson says. "Weight management is a numbers game of calories in versus calories out. It's key to look at how much you're taking in and balance that with how much energy your body is using, which is where exercise is of key importance." Levinson is an active member of the Academy of Nutrition and Dietetics, as well as a consultant for food and beverage companies, including The Coca-Cola Company. Levinson offers her thoughts on some of the most common dieting myths: Myth: It's healthier to be glutenfree. Truth: Eliminating an entire category of food that you've previously eaten can put you at risk for nutritional deficiencies, so unless you have celiac disease or a confirmed gluten sensitivity, you shouldn't be going gluten-free to become "healthier" or to lose weight. Although gluten itself does not offer any particular
on key nutrients and may be weakening their immune systems. Plus, the potential side effects range from nausea to fatigue, pain and more.
nutritional benefits, many of the whole grains that contain gluten are good sources of vitamin B, iron and fiber. It's best to speak with your doctor if you think you have a gluten allergy. Myth: Avoid sweets to lose weight. Truth: Losing weight isn't about depriving yourself. It's about finding the right balance of calories in versus out. If you love the taste of something sweet, look for smaller portion sizes like single-serving snack packs or soda mini cans to help reduce your calorie intake, or opt for a low- or no-calorie version. Low- and no-calorie sweeteners can be found in more than 6,000 products ranging from beverages to yogurts, pastries, chewing gum and more. Health groups that include the Academy of Nutrition and Dietetics and the American Heart Association recognize these as great tools for managing your weight.
probably lead to initial weight loss, it's not likely to be long-lasting. This temporary weight loss stems from a loss of water weight and lean muscle mass rather than fat. But these types of diets can slow down your metabolism, which often leads to weight gain once a normal diet is resumed. Not to mention that your body has "detox" organs that do this work for you. People who jump from cleanse to cleanse could be losing out
Myth: Losing weight is expensive and requires a lot of extra time. Truth: Think you need a fancy gym membership, personal trainer and shopping cart filled with only organic foods to lose weight? Think again! Many simple, no-cost ways can help burn calories everywhere you already spend most of your time. Sites like eatright.org offer fun ways to incorporate exercise anywhere, even with short amounts of time. Now that the cold weather's over, it's a perfect time to take a bike ride with the kids, jog around the local park or throw the Frisbee with your dog. These sites also share delicious lower-calorie recipes that won't require a special trip to the store. People can learn a lot from history. Lord Byron pioneered the fad diet movement, and for the 194 years that have followed, thousands have reinvented it. But the approach that sticks is the one that was always there — everything in moderation.
Myth: A 10-day cleanse is a great way to jumpstart long-term weight loss. Truth: While a diet such as the Master Cleanse (lemonade diet) will
Emotional FreedomTechniques Clearing the Way for Health and Well-Being Through Inner Peace. Call me For a FREE 20 Minute Consultation
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9
Summer 2014
Windsor Wellness Partnership to embark on planning process The Windsor Wellness Partnership, a coalition of healthcare providers, local government leaders, educators, business owners, and community volunteers, is about to embark on a strategic planning process. "We were fortunate to be informed by the County of Sonoma Department of Health Services that we will be the recipient of a grant," said Ray Holley, Community Relations Director for Alliance Medical Center and co-chair of the group. Cheryl Scholar, the other cochair and former Windsor Town Councilmember, wrote the successful grant application and is leading the process to choose a strategic planning consultant. The consultant, expected to be chosen soon, will help the partnership focus on strategic goals and capacity building. "Our goal is that Windsor be the healthiest community in Sonoma County," said Holley, "and we want to encourage positive change in systems, families, and individuals." In 2011, the Windsor Wellness Partnership became the first regional chapter of Sonoma County Health Action, and aligned itself with Health Action's 10 goals.
Family and Cosmetic metic Care Implants/ Restorations estorations
Sonoma County Health Action Goals 1. Youth graduate from high school on time. 2. Families have the economic resources to make ends meet. 3. Residents are connected to their communities and participate in community life. 4. Residents eat healthy food. 5. Residents are physically active. 6. Residents do not abuse alcohol or prescription drugs and do not use tobacco or illicit drugs. 7. Resident enjoy good mental health. 8. Residents take steps to prevent injury. 9. Residents have health care coverage. 10. Residents are connected with a trusted source of prevention-focused primary care that coordinates patient care across the continuum of health care and community-based services. For more information visit www.sonomahealthaction.org.
A 2020 vision for Sonoma County Health Action is the framework for a community engagement effort to get people involved in creating a healthier Sonoma County. It starts at home with a personal commitment. It continues at work and school with wellness-focus policies and opportunities that encourage healthy living. It culminates in the community with a shared vision for overall good health. The Vision Health Action’s vision is that, by the year 2020, Sonoma County is a healthy place to live, work and play… a place where people thrive and achieve their life potential. The mission of Health Action is health improvement. Health Action mobilizes community partnerships and resources to focus on opportunities for action that are most likely to improve health status. Efforts of Health Action are supported by the backbone organization, Sonoma County’s Department of Health Services. Focus Health Action recently developed its Action Plan (2013-2016) that will foster collaboration and bold action in the following three focus areas: • Educational Attainment: New planning and mobilization to increase educational attainment in Sonoma County. • Strengthening Primary Care and Coordination of Care across the continuum of local providers: A continuation and expansion of the work of the Primary Care Workgroup, an ad hoc workgroup of Health Action. • Economic Security to assure that community members have sufficient income and the ability to have control of their life situation History In August 2007, the Sonoma County Board of Supervisors authorized the Department of Health Services to convene a health action council (now called “Health Action”) to work on improving health and health care for all Sonoma County residents.
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HEALING From page one organizes cultural exchanges around the world. In February, I travelled to Costa Rica, and I’ve volunteered to be the Exchange Director for a three-week trip to Australia.” Sandy is one of many success stories. Northern California Wound Care treated another patient who suffered for 22 years from a non-healing leg wound. The wound was so extensive it affected his home life. Through the years, this patient had many surgeries. When he came to our Wound Care clinic, we used special techniques and devices that promoted new healing tissue to support a skin graft. Ultimately, he made a complete recovery, which allowed him to have a normal and positive life. Tummy tucks are a popular surgery. A patient sought treatment from us after suffering from repeated infections at her surgery site. She was previously treated with multiple courses of antibiotics. At Wound Care we treated her with negative pressure wound therapy. The treatment was a success and she returned to swimming with her grandchildren. One of the most challenging cases so far was a diabetic patient who survived a serious life-threatening bacterial infection. She arrived at Wound Care with two open wounds. She was treated with hyperbaric oxygen therapy and negative pressure. A skin graft was successful, and now the wounds are completely healed. Northern California Wound Care at Healdsburg District Hospital remains on the forefront of patient care. We have a new piece of equipment known as a CelluTome. This system enables skin grafts to be done awake in the clinic as opposed to a procedure done under general anesthesia in the
HEART From page one patients understand the risk factors for high blood pressure and its health problems, and recommend lifestyle modifications and/or medicines to control the disease. The Measure Up/Pressure Down national high blood pressure campaign is an initiative of AMGF to encourage adults to get in control by using lifestyle changes, including: 1. Know your numbers Understanding what blood pressure is and what your numbers are is an important first step. At its simplest, blood pressure is the force of blood pushing against the walls of the arteries as the heart pumps blood. Work with your health care
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photo provided WOUND CARE — State of the art hyperbaric chamber for wound healing at Healdsburg District Hospital
hospital operating room. Another example of innovative healing being used at Wound Care is a bandage that generates electrical impulses which stimulate wound healing.
Referrals to Northern California Wound Care can be made by physicians, patients, family members, or any member of the healthcare team by calling (707)473-4404.
team to determine your individual blood pressure goals and treatment plan if your numbers are too high.
4. Reduce stress Many Americans respond to stressful situations by eating more, getting less exercise, drinking or smoking. Plus, a stressful situation can also increase blood pressure for a short period of time. Try to reduce the occurrence of these situations and look for healthy ways - like meditation or walking — to help you deal with stress.
damage to the lining of arteries. If you’re interested in quitting your tobacco use, call 1-800-QUIT-NOW.
5. Set alcohol limits and eliminate tobacco Over time, consuming a high amount of alcohol can damage the heart. Recommendations are for women to limit themselves to one drink a day and for men to two drinks to avoid seeing an increase in blood pressure. Tobacco use and secondhand smoke can immediately raise blood pressure levels and cause
With Measure Up/Pressure Down, Americans are encouraged to measure, monitor and maintain their blood pressure levels to stay in control of this health condition. If you don’t know your blood pressure levels and want more information to determine if you might be at risk for high blood pressure, visit MeasureUpPressureDown.com.
2. Eat right A diet with excessive sodium (salt) may cause a person to retain fluid, which can lead to higher blood pressure. Potassium can help the body balance this sodium. Foods high in potassium include bananas, plain baked potatoes, avocados and cooked white beans. 3. Stay active On average, people who are more active tend to have lower heart rates, which means the heart does less work each time it contracts, reducing the pressure on arteries. Adults should be active at least 30 minutes each day.
— Daniel Rose, MD is the Medical Director of Healdsburg District Hospital’s Northern California Wound Care.
6. Take medication Your doctor may recommend taking a blood pressure medication to keep levels steady. Be sure to follow the directions provided for taking the medications to ensure you’re getting the most benefit from them.
Summer 2014
Self-esteem: A top tool for
Keys to managing stress If there is one aspect of life in the modern world that affects all of us, it's stress. In fact, it's so prevalent and can have such a serious effect on our health, that April has been named Stress Awareness Month. Yet despite the potential negative effects of stress, it can also be beneficial. Stress can lead to a wide variety of health conditions including impaired immune function, headaches, sleep problems, cardiovascular diseases, uncharacteristic anger, anxiety and even depression, according to the U.S. Centers for Disease Control and Prevention. Stress can also have a negative financial effect. It has been estimated that stress related medical expenses, lost wages and lost productivity among employers costs the U.S. economy upward of $300 billion per year. The key to managing stress is in our ability to identify its causes, according to Anna Zendell, PhD, MSW, and Carol Shenise, MS, RN of Excelsior College’s School of Health Sciences. Events or conditions that cause stress trigger our mind and body into action in an effort to cope with the situation. When this happens, the body releases adrenaline and cortisol which can provide quick energy and sharpened focus. This can be beneficial when experiencing shortterm situations such as running late for an appointment, preparing for a test at school, having to take a traffic detour, or making a presentation to our boss. It’s when a stressful situation overcomes our ability to cope with it, or becomes the norm and continues for long periods of time, that its negative effects can become a real health problem. Managing stress, whether shortor long-term, can depend upon the source of the factors or stressors that caused it in the first place. There
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could be environmental factors such as the change in seasons and natural or man-made toxins. Social factors such as living or working in crowded conditions and financial downturns are common triggers. Even our personal values and beliefs can come in conflict with everyday events which can cause or aggravate an existing situation. Understanding what causes or increases our stress levels is the first step toward finding a means to lessen its negative effects. The impacts of stress on daily life are often unique to each individual as these tend to manifest in our weaker areas. Our bodies and minds can become fatigued and we feel tired or worn out. Our immune systems can become slow to respond so that we become ill more often or recovery from an existing illness becomes much more difficult to achieve. One or more important areas of our social lives may be affected such as work and personal relationships, and parenting. We just don't find pleasure and take less time to do the things that will help to relieve stress and promote relaxation. While we cannot always change or eliminate the things that trigger stress in our lives, we can make a conscious effort to change our behaviors in response to these factors. We can say no to new responsibilities, or put limits to what we take on. We can take care of our bodies by healthful eating, drinking plenty of water, and exercising. Stress-causing situations may be common place in our fast-paced society but this doesn't mean that we have to accept their consequences as a fact of life. This, Zendell and Shenise say, is where exercising our personal power to take control and either change the conditions or our response to situations can make all the difference.
empowering kids to stay smoke-free
PARENT INVOLVEMENT — Parental dialogue and role-modeling are important keys to keeping your kids from picking up a cigarette.
E
ach day, 4,000 American children take up smoking, according to the Food and Drug Administration. Most are probably aware of the health risks, but the internal pressure they place on themselves to fit in with peers can drive their decision to try that first cigarette. Self-esteem — and the conviction that they deserve the better health that comes from smoke-free living — can go a long way toward ensuring kids never begin smoking. “Parental dialogue and role-modeling are important if parents want to keep kids from smoking, but helping children build selfesteem, teaching them to trust in their own value as people — those things are also vital,” says Dr. Michael Popkin, author of numerous parenting books. Popkin offers some advice for parents to help keep kids smoke free: • Avoid focusing on mistakes and weaknesses. While errors in judgment are learning opportunities, parents should help children discern the lesson and then move on. Dwelling on past mistakes can lead children to believe they’re not capable of making better decisions. • Believe in your child’s abilities and
he will believe in himself, too. At the same time, it’s important to keep your expectations realistic. Encourage children to be the best they can be, but don’t hold them to an unachievable standard. • Nurture strengths and growth, rather than emphasizing a specific end result. Success will be a natural outgrowth of developing children’s strengths. • Stimulate independence. Children learn by doing, and that includes learning how to make good decisions by making their own choices. Parents will need to make some decisions for kids, of course, but whenever it’s appropriate for children to do so, parents should allow them to make their own decisions. • Give yourself credit. As parents, it’s easy to feel overwhelmed by the challenge of helping guide kids toward good choices. Acknowledge that it’s not an easy task, and that by seeking guidance, help and advice you’re striving to do the best you can for your children.
Nurture strengths and growth, rather than emphasizing a specific end result. Success will be a natural outgrowth of developing children’s strengths.
Dr. Michael Popkin has authored an ebook about helping children build selfesteem. It’s available online at www.realparentsrealanswers.com.
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Downsizing the home: Tips for seniors and family caregivers
T
he Civil War sword. Firstedition books. The vintage jewelry. Truckstop plates from all 50 states. Grandpa’s farm tools. Grandma’s china set. Heirlooms or have-to-go’s? It all depends on your point of view. After meticulously protecting and displaying valued possessions for years, the very thought of parting with any beloved treasures is often a tortuous proposal for seniors. Whether older adults face downsizing from their homes because of retirement, finances, health, death of a spouse or coaxing from family, letting go of longtime belongings can be a daunting roadblock. Seniors may resist while their families persist. “For older adults, decades of memories are typically built around their home,” said Carol Brohmer RN from Right. “Also, one’s personal identity can be closely tied to a home and belongings, so living without these valued possessions is distressing. Navigating the downsizing process for seniors involves recognizing the emotions and planning for the practicalities of transitioning from the familiar to the unfamiliar.” Fortunately, there are workable solutions for the elderly leaving a long-term house for the smaller square footage of a condo, apartment or townhome. Ways to help seniors tackle downsizing include the following: Plan for the reduced space. Realtors or apartment managers can help with the square footage of the rooms in the new home. Use this to gauge which essentials will fit. Consider the older loved one’s future lifestyle. If group entertaining is not in the plan, then
it’s time to pare down the cookware, tableware and kitchen gadgets. Recruit family and friends. Moving is meant to be a team effort. Every bit of help makes the process more manageable. Downsizing is often the perfect time to make legacy gifts of special belongings to children, grandchildren, friends and others. Hearing the stories behind the bequeathed treasures is a gift to recipients, too. Start small. Reducing years’ worth of belongings can feel overwhelming. Start with the room that is least used in the home and work on a closet or drawers first. Once this room is decluttered or packed up, you can use it to temporarily store items that will not be moved to the new home. Work at a comfortable pace and take breaks along the way to allow your senior to share memories about possessions or the home itself. Create sorting categories. Set up piles for keep, toss, to give away and donate. Relocation experts advise to only handle the item once. Some moving pros discourage a “maybe” pile, but indecision is natural in parting with long-held possessions, so allow some flexibility when seniors express reluctance in the sorting process. Sell, donate or recycle. A “moving sale” attracts more buyers than a yard sale. With bigger items like furniture or appliances, advertise in the local newspaper and on craigslist. Consider donating items to charities, and for certain antiques and memorabilia, check with museums, schools and libraries. “Assisting older adults through or after downsizing involves a listening ear and help with adjusting to the new home’s surroundings,” Brohmer
Three myths about microwave foods
said. “Sometimes that’s demonstrating how to use the stove or simply sitting down to look through old photo albums together.” Carol Brohmer RN offers these suggestions for family caregivers helping an aging loved one downsize: 1. Communicate openly. If possible, start talking early about the eventual realities of needing to reduce clutter and limit items to fit into the new home. Together, discuss the nonnegotiable items to keep. Offer reassurance that the move will prove to be beneficial in the long run (e.g., less household maintenance, lower utility costs, little or no yard work, etc.). 2. Show respect. Many possessions of older loved ones are handed down for generations. What may seem like a pile of junk to others may hold priceless significance to the elderly. Honor the senior’s choices in what is most valuable. Avoid the “let us get rid of all this for you” approach to helping older loved ones downsize. 3. Practice patience. Allow the senior time to process decisions. Many older folks deal with limited hearing and slowed thinking and reflexes. Control your opinions about what needs to head to the trash. Stay calm if the downsizing process takes longer than you’d like. Preserving the relationship with your aging loved one is one cherished possession that can’t be replaced. The Sonoma County office of Right at Home is a locally owned and operated franchise office of Right at Home, Inc. For more information, contact us at 707843-5192, by e-mail at info@rahsonomacounty.net, or see our website at www.RAHSonomaCounty.net.
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Everyone has their favorite foods they save for a special treat, or to make an already enjoyable occasion even better. But with a constant flow of information about food and health trends, it’s often difficult to know which are the best choice for you and your family. Is what you’re hearing even true? Myth 1: Microwave popcorn is toxic Reality: Microwave popcorn is safe and contains no added diacetyl or trans fats. Most major microwave popcorn brands removed these ingredients years ago. Most of these popcorns provide a whole grain, gluten-free snack — so you can feel good about snacking away.” Myth 2: Microwaves are harmful and kill nutrients in food Reality: Microwaves are a convenient tool for cooking and heating foods and can even preserve nutrients. In fact, microwaving vegetables can preserve up to 80 percent of their vitamins and nutrients, which is comparable to boiling them. Also, fruits and vegetables are flash frozen at their peak of ripeness, so there is virtually no nutritional difference between fresh and frozen. Additionally, frozen meals are made with fresh ingredients like fruits and vegetables and are a great option to get the recommended amounts of daily nutrients. Myth 3: Food should be eaten raw to get the enzymes you need Reality: Cooked foods can be just as healthy as raw. While the nutrient contents of certain foods, like broccoli, can be affected by exposure to heat, heating can be beneficial for other foods. For example, the antioxidant lycopene in tomatoes can be absorbed by the body much more readily in cooked tomatoes rather than raw tomatoes.
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The Healdsburg Tribune
Summer 2014
Thomas Tho mas Yatteau, Yatteau, MD
Feeling F eeling Blue B About Y Your our Healthc Healthcare? are? Here’s Here’’s an R RX X fr from rom om your Concie Concierge rgge Physician! D DŽƐƚ ƚƌĂǀĞůůĞĚ ƉĞŽƉůĞ ƵŶĚĞƌƐƚĂŶĚ ƚŚĞ ďĞŶĞĮƚƐ ŽĨ ŽƐƚ ƚƌĂǀĞůůĞĚ ƉĞŽƉůĞ ƵŶĚĞƌƐƚĂŶĚ ƚŚĞ ďĞŶĞĮƚƐ ŽĨ ŚĂǀŝŶŐ ŚŽƚĞů ŚĞůƉ ĮŶĚ ŚĂǀŝŶŐ ĂĂ Ś ŽƚĞů ĐĐŽŶĐŝĞƌŐĞ ŽŶĐŝĞƌŐĞ ƚƚŽ Ž Ś ĞůƉ ƚƚŚĞŵ ŚĞŵ Į ŶĚ ƚƚŚĞ ŚĞ ďĞƐƚ ďĞƐƚ ƐŚŽǁƐ͕ ƐŚŽǁƐ͕ ƌĞƐƚĂƵƌĂŶƚƐ͕ ƌĞƐƚĂƵƌĂŶƚƐ͕ ƐŚŽƉƉŝŶŐ͕ ƐŚŽƉƉŝŶŐ͕ ĂĂƩƌĂĐƟŽŶƐ͕ ƩƌĂĐƟŽŶƐ͕ etc. etc. A concierge concierge is a trusted trusted resource resource with ĞdžĐĞƉƟŽŶĂů ŬŶŽǁůĞĚŐĞ ŽĨ ƚŚĞŝƌ ŐƵĞƐƚƐΖ ŶĞĞĚƐ͘ Ƶƚ ĞdžĐĞƉƟŽŶĂů ŬŶŽǁůĞĚŐĞ ŽĨ ƚŚĞŝƌ ŐƵĞƐƚƐΖ ŶĞĞĚƐ͘ Ƶƚ ƚŚĞ ŵŽƌĞ ƚŚĞ ĐŽŶĐĞƉƚ ĐŽŶĐĞƉƚ ŽĨ ŽĨ ĐĐŽŶĐŝĞƌŐĞ ŽŶĐŝĞƌŐĞ ĂƉƉůŝĞƐ ĂƉƉůŝĞƐ ƚƚŽ Ž ŵ ŽƌĞ ƚƚŚĂŶ ŚĂŶ ŚŽƚĞůƐ ĂŶĚ ƚŽƵƌŝƐƚ ĂƩƌĂĐƟŽŶƐ͘ Ś ŽƚĞůƐ ĂŶĚ ƚŽƵƌŝƐƚ ĂƩƌĂĐƟŽŶƐ͘ /Ŷ /Ŷ ϮϬϬϳ͕ ϮϬϬϳ͕ ĂŌĞƌ ĂŌĞƌ ƚŚŽƌŽƵŐŚůLJ ƚŚŽƌŽƵŐŚůLJ ƌĞƐĞĂƌĐŚŝŶŐ ƌĞƐĞĂƌĐŚŝŶŐ ǁŚĞƌĞ ǁŚĞƌĞ ƚŚĞ ƚŚĞ ďĞƐƚ ŵĞĚŝĐŝŶĞ ǁĞƌĞ EŽƌƚŚ ď ĞƐƚ ƉƌĂĐƟĐĞƐ ƉƌĂĐƟĐĞƐ ŝŝŶ Ŷ ŵ ĞĚŝĐŝŶĞ ǁ ĞƌĞ ŚĞĂĚŝŶŐ͕ ŚĞĂĚŝŶŐ͕ E ŽƌƚŚ ĂLJ ĨĂŵŝůLJ ĚŽĐƚŽƌ͕ dŚŽŵĂƐ zĂƩĞĂƵ͕ ƚŽŽŬ ƚŚĞ ůĞĂƉ ĂLJ ĨĂŵŝůLJ ĚŽĐƚŽƌ͕ dŚŽŵĂƐ zĂƩĞĂƵ͕ ƚŽŽŬ ƚŚĞ ůĞĂƉ ŽƵŶƚLJΖƐ ĮƌƐƚ ƚƚŽ Ž ďĞĐŽŵĞ ďĞĐŽŵĞ ^ŽŶŽŵĂ ^ŽŶŽŵĂ ŽƵŶƚLJΖƐ Į ƌƐƚ ĐĐŽŶĐŝĞƌŐĞ ŽŶĐŝĞƌŐĞ ƉŚLJƐŝĐŝĂŶ͕ ŽŶĞ ŽĨ ƚŚĞ ĨĞǁ ŝŶ ĂůŝĨŽƌŶŝĂ͘ dŚŝƐ ƵŶŝƋƵĞ Ɖ ŚLJƐŝĐŝĂŶ͕ ŽŶĞ ŽĨ ƚŚĞ ĨĞǁ ŝŶ ĂůŝĨŽƌŶŝĂ͘ dŚŝƐ ƵŶŝƋƵĞ Śŝŵ ƉƌŽǀŝĚĞ ĞdžĐĞƉƟŽŶĂů͕ ĂĂƉƉƌŽĂĐŚ ƉƉƌŽĂĐŚ ĂĂůůŽǁƐ ůůŽǁƐ Ś ŝŵ ƚƚŽ Ž Ɖ ƌŽǀŝĚĞ Ğ džĐĞƉƟŽŶĂů͕ ŚŝŐŚůLJ ĂƩĞŶƟǀĞ ĂŶĚ ǀĞƌLJ ƉĞƌƐŽŶĂůŝnjĞĚ ĐĂƌĞ͘ :ƵƐƚ ŚŝŐŚůLJ ĂƩĞŶƟǀĞ ĂŶĚ ǀĞƌLJ ƉĞƌƐŽŶĂůŝnjĞĚ ĐĂƌĞ͘ :ƵƐƚ ŚĞ ŚŝƐ ƉĂƟĞŶƚƐ ĂĂƐ Ɛ ŝŵƉŽƌƚĂŶƚ͕ ŝŵƉŽƌƚĂŶƚ͕ Ś Ğ ŝŝƐ Ɛ ĂĂďůĞ ďůĞ ƚƚŽ Ž ŐŐƵŝĚĞ ƵŝĚĞ Ś ŝƐ Ɖ ĂƟĞŶƚƐ ƚŚƌŽƵŐŚ ďĞƐƚ ĞƐƚ ƚŚƌŽƵŐŚ ƐƐLJƐƚĞŵͲǁŝĚĞ LJƐƚĞŵͲǁŝĚĞ ƌƌŽĂĚďůŽĐŬƐ ŽĂĚďůŽĐŬƐ ƚƚŽ Ž ƚƚŚĞ ŚĞ ď ŚĞĂůƚŚ ƉƌĂĐƟĐĞƐ͕ ŵĞĚŝĐĂů ŚĞĂůƚŚ ƚƚƌĞĂƚŵĞŶƚƐ ƌĞĂƚŵĞŶƚƐ ĂŶĚ ĂŶĚ Ɖ ƌĂĐƟĐĞƐ͕ ďĞƐƚ ďĞƐƚ ŵĞĚŝĐĂů specialists, bestt hospit hospitals, etc. specialists, bes als, e tc. ƌ͘ ďŽĂƌĚͲĐĞƌƟĮĞĚ WŚLJƐŝĐŝĂŶ͕ ƌ͘ zĂƩĞĂƵ zĂƩĞĂƵ ŝŝƐ Ɛ ĂĂ ď ŽĂƌĚͲĐĞƌƟĮĞĚ &&ĂŵŝůLJ ĂŵŝůLJ W ŚLJƐŝĐŝĂŶ͕ ƉƌŽǀŝĚŝŶŐ ƚŚĞ ƐĂŵĞ ĨƵůů ƌĂŶŐĞ ŽĨ ŵĞĚŝĐĂů ƐĞƌǀŝĐĞƐ Ɖ ƌŽǀŝĚŝŶŐ ƚŚĞ ƐĂŵĞ ĨƵůů ƌĂŶŐĞ ŽĨ ŵĞĚŝĐĂů ƐĞƌǀŝĐĞƐ ŽƚŚĞƌ Ƶƚ ŚĂƚ ͛Ɛ ŽƚŚĞƌ ďŽĂƌĚͲĐĞƌƟĮĞĚ ďŽĂƌĚͲĐĞƌƟĮĞĚ ƉƌĂĐƟĐĞƐ ƉƌĂĐƟĐĞƐ ĚŽ͘ ĚŽ͘ Ƶƚ ƚƚŚĂƚ͛Ɛ ǁŚĞƌĞ ƚŚĞ ƐŝŵŝůĂƌŝƚLJ ĞŶĚƐ͕ ďĞĐĂƵƐĞ ĂƐ Ă ĐŽŶĐŝĞƌŐĞ ǁ ŚĞƌĞ ƚŚĞ ƐŝŵŝůĂƌŝƚLJ ĞŶĚƐ͕ ďĞĐĂƵƐĞ ĂƐ Ă ĐŽŶĐŝĞƌŐĞ ƉŚLJƐŝĐŝĂŶ͕ ŽĨ ŚĂǀŝŶŐ ƉŚLJƐŝĐŝĂŶ͕ ŝŝŶƐƚĞĂĚ ŶƐƚĞĂĚ Ž Ĩ Ś ĂǀŝŶŐ ĂĂ ĨĨĞǁ Ğǁ ƚƚŚŽƵƐĂŶĚ ŚŽƵƐĂŶĚ ƉĂƟĞŶƚƐ ƉƌĂĐƟĐĞƐ ĚŽ͕ ŚĞ Ğ ƉĂƟĞŶƚƐ ůůŝŬĞ ŝŬĞ ƚƚƌĂĚŝƟŽŶĂů ƌĂĚŝƟŽŶĂů Ɖ ƌĂĐƟĐĞƐ Ě Ž͕ Ś ĚĞůŝďĞƌĂƚĞůLJ ŵƵĐŚ ĚĞůŝďĞƌĂƚĞůLJ ĐŽŶĐĞŶƚƌĂƚĞƐ ĐŽŶĐĞŶƚƌĂƚĞƐ ŽŶ ŽŶ ĂĂ ŵ ƵĐŚ ƐƐŵĂůůĞƌ ŵĂůůĞƌ ŶƵŵďĞƌ ƉĂƟĞŶƚƐ͘ ŵĂŬĞƐ Śŝŵ Ž ŶƵŵďĞƌ ŽĨ ŽĨ Ɖ ĂƟĞŶƚƐ͘ ddŚŝƐ ŚŝƐ ŵ ĂŬĞƐ Ś ŝŵ ĂĂǀĂŝůĂďůĞ ǀĂŝůĂďůĞ ƚƚŽ ƉĂƟĞŶƚƐ Ϯϰͬϳͬϯϲϱ ĞŶĂďůĞƐ Śŝŵ ƉƌŽǀŝĚĞ ƉĂƟĞŶƚƐ Ϯ ϰͬϳͬϯϲϱ ĂĂŶĚ ŶĚ Ğ ŶĂďůĞƐ Ś ŝŵ ƚƚŽ Ž Ɖ ƌŽǀŝĚĞ ĂĂ ŚŽƐƚ ŽĨ ƐĞƌǀŝĐĞƐ ŚĞƌĞƚŽĨŽƌĞ ƵŶŚĞĂƌĚ ŽĨ͘ ŚŽƐƚ ŽĨ ƐĞƌǀŝĐĞƐ ŚĞƌĞƚŽĨŽƌĞ ƵŶŚĞĂƌĚ ŽĨ͘͘ WĂƟĞŶƚƐ ĐĂŶ ƌĞĂĐŚ Śŝŵ ĂŶLJƟŵĞ͕ ďĞ ƐĞĞŶ ƚŚĞ ƐĂŵĞ W ĂƟĞŶƚƐ ĐĂŶ ƌĞĂĐŚ Śŝŵ ĂŶLJƟŵĞ͕ ďĞ ƐĞĞŶ ƚŚĞ ƐĂŵĞ ĚĂLJ ƚŚĞLJ ĐĂůů͕ ĂŶĚ ƌĞĐĞŝǀĞ Ăůů ƚŚĞ ƟŵĞ ƚŚĞLJ ŶĞĞĚ Ě ĂLJ ƚŚĞLJ ĐĂůů͕ ĂŶĚ ƌĞĐĞŝǀĞ Ăůů ƚŚĞ ƟŵĞ ƚŚĞLJ ŶĞĞĚ ĚƵƌŝŶŐ ƚŚĞŝƌ ǀŝƐŝƚ͘ ,ŽƵƐĞ ĐĂůůƐ ĂƌĞ ĞĂƐŝůLJ ĂƌƌĂŶŐĞĚ͘ Ě ƵƌŝŶŐ ƚŚĞŝƌ ǀŝƐŝƚ͘ ,ŽƵƐĞ ĐĂůůƐ ĂƌĞ ĞĂƐŝůLJ ĂƌƌĂŶŐĞĚ͘ ŶLJƟŵĞ ĂŶ ĂĚŵŝƐƐŝŽŶ ƚŽ ƚŚĞ ŚŽƐƉŝƚĂů ŝƐ ŶĞĐĞƐƐĂƌLJ͕ ŶLJƟŵĞ ĂŶ ĂĚŵŝƐƐŝŽŶ ƚŽ ƚŚĞ ŚŽƐƉŝƚĂů ŝƐ ŶĞĐĞƐƐĂƌLJ͕ ŚĞ ĞĂĐŚ ƉĂƟĞŶƚ ĚĂŝůLJ ŚĞ ƉĞƌƐŽŶĂůůLJ ƉĞƌƐŽŶĂůůLJ ǀǀŝƐŝƚƐ ŝƐŝƚƐ Ğ ĂĐ Ś Ɖ ĂƟĞŶƚ Ě ĂŝůLJ ;;Ă Ă ƌƌĂƌŝƚLJ ĂƌŝƚLJ ƚŚĞƐĞ ĚŽĐƚŽƌƐͿ ƚŚĞƐĞ ĚĂLJƐ ĚĂLJƐ ĨŽƌ ĨŽƌ ĐĐŽŵŵƵŶŝƚLJͲďĂƐĞĚ ŽŵŵƵŶŝƚLJͲďĂƐĞĚ Ě ŽĐƚŽƌƐͿ ƚƚŽ Ž ensure ensure the best best possible ccare are is being given given and ƚŚĂƚ ƚŚĞŝƌ ƐƚĂLJ ŝƐ ŶŽƚ ĂďƌƵƉƚůLJ ďƌŽƵŐŚƚ ƚŽ Ă ĐůŽƐĞ͘ ƚŚĂƚ ƚŚĞŝƌ ƐƚĂLJ ŝƐ ŶŽƚ ĂďƌƵƉƚůLJ ďƌŽƵŐŚƚ ƚŽ Ă ĐůŽƐĞ͘ Ɛ ƐŽŽŶ ĂƐ LJŽƵ ũŽŝŶ Ă ĐŽŶĐŝĞƌŐĞ ŵĞĚŝĐĂů ƉƌĂĐƟĐĞ Ɛ ƐŽŽŶ ĂƐ LJŽƵ ũŽŝŶ Ă ĐŽŶĐŝĞƌŐĞ ŵĞĚŝĐĂů ƉƌĂĐƟĐĞ LJŽƵ ĂƌĞ ĂǁĂƌĞ ŽĨ Ă ƉĂůƉĂďůĞ ĞŵƉŚĂƐŝƐ ŽŶ ƐĞƌǀŝĐĞ͕ LJŽƵ ĂƌĞ ĂǁĂƌĞ ŽĨ Ă ƉĂůƉĂďůĞ ĞŵƉŚĂƐŝƐ ŽŶ ƐĞƌǀŝĐĞ͕ ĐŽŶǀĞŶŝĞŶĐĞ͕ ĚŝůŝŐĞŶĐĞ ĚĞƚĂŝů ĐŽŶǀĞŶŝĞŶĐĞ͕ Ě ŝůŝŐĞŶĐĞ ƚƚŽ Ž Ě ĞƚĂŝů ĂĂŶĚ ŶĚ ĂĂĚǀŽĐĂĐLJ͘ ĚǀŽĐĂĐLJ͘ ^^ŽŵĞ ƐĂLJ ƚŚĂƚ ŝƚ ŝƐ ŽŶůLJ ĨŽƌ ƚŚĞ ƌŝĐŚ͘ tŚŝůĞ ƚŚĞƌĞ ŝƐ ŽŵĞ ƐĂLJ ƚŚĂƚ ŝƚ ŝƐ ŽŶůLJ ĨŽƌ ƚŚĞ ƌŝĐŚ͘ tŚŝůĞ ƚŚĞƌĞ ŝƐ
Living Well
ƐƐŽŵĞ ĐŽƐƚ ŽƵƚ ŽĨ ƉŽĐŬĞƚ͕ ĂŶ ĞdžƉĞŶƐĞ LJŽƵ ǁŽƵůĚŶΖƚ ŽŵĞ ĐŽƐƚ ŽƵƚ ŽĨ ƉŽĐŬĞƚ͕ ĂŶ ĞdžƉĞŶƐĞ LJŽƵ ǁŽƵůĚŶΖƚ ƉĂLJ ŝŶ Ă ĐŽŶǀĞŶƟŽŶĂů ƉƌĂĐƟĐĞ͖ ƚŚĞ ƐĂǀŝŶŐƐ ƚŽ LJŽƵ Ɖ ĂLJ ŝŶ Ă ĐŽŶǀĞŶƟŽŶĂů ƉƌĂĐƟĐĞ͖ ƚŚĞ ƐĂǀŝŶŐƐ ƚŽ LJŽƵ ĨĨƌŽŵ ŝŵŵĞĚŝĂƚĞ Ϯϰͬϳ ĂĐĐĞƐƐ͕ ĂŵƉůĞ ƟŵĞ ĨŽƌ ĞĂĐŚ ƌŽŵ ŝŵŵĞĚŝĂƚĞ Ϯϰͬϳ ĂĐĐĞƐƐ͕ ĂŵƉůĞ ƟŵĞ ĨŽƌ ĞĂĐŚ ĂĂƉƉŽŝŶƚŵĞŶƚ͕ ĂŶĚ ĂƉƉƌŽĂĐŚĞƐ ĨŽƌ LJŽƵƌ ŚĞĂůƚŚ ĂƌĞ ƉƉŽŝŶƚŵĞŶƚ͕ ĂŶĚ ĂƉƉƌŽĂĐŚĞƐ ĨŽƌ LJŽƵƌ ŚĞĂůƚŚ ĂƌĞ ďŽƚŚ ƟŵĞͲǁŝƐĞ ĮŶĂŶĐŝĂůůLJ͘ ƐƐŝŐŶŝĮĐĂŶƚ ŝŐŶŝĮĐĂŶƚ ď ŽƚŚ Ɵ ŵĞͲǁŝƐĞ ĂĂŶĚ ŶĚ Į ŶĂŶĐŝĂůůLJ͘ ddŚĞ ŚĞ ĐĐŽŶĐŝĞƌŐĞ ƉŚLJƐŝĐŝĂŶ ĂŶĚ ŚŝƐͬŚĞƌ ƐƚĂī ƵŶĚĞƌƐƚĂŶĚ ŽŶĐŝĞƌŐĞ ƉŚLJƐŝĐŝĂŶ ĂŶĚ ŚŝƐͬŚĞƌ ƐƚĂī ƵŶĚĞƌƐƚĂŶĚ ƉĂƟĞŶƚƐ ĚĞƐĞƌǀĞ ĨĂƌ ďĞƩĞƌ͖ ƚŚĞLJ ƵŶĚĞƌƐƚĂŶĚ ŚŽǁ Ɖ ĂƟĞŶƚƐ ĚĞƐĞƌǀĞ ĨĂƌ ďĞƩĞƌ͖ ƚŚĞLJ ƵŶĚĞƌƐƚĂŶĚ ŚŽǁ ŝŝŵƉŽƌƚĂŶƚ ŝƚ ŝƐ ƚŽ ďĞ ĂďůĞ ƚŽ ŵĂŬĞ ƚŚŝŶŐƐ ŚĂƉƉĞŶ͕ ŵƉŽƌƚĂŶƚ ŝƚ ŝƐ ƚŽ ďĞ ĂďůĞ ƚŽ ŵĂŬĞ ƚŚŝŶŐƐ ŚĂƉƉĞŶ͕ ŐŐĞƚ ƚŚŝŶŐƐ ĚŽŶĞ ĂŶĚ ĮŐŚƚ ĨŽƌ ƚŚĞŝƌ ƉĂƟĞŶƚƐ͛ ƌŝŐŚƚƐ͘ Ğƚ ƚŚŝŶŐƐ ĚŽŶĞ ĂŶĚ ĮŐŚƚ ĨŽƌ ƚŚĞŝƌ ƉĂƟĞŶƚƐ͛ ƌŝŐŚƚƐ͘
Concierge C oncierge Medical Medical Practice Practice Highly H ighly attentive a t t e n t i ve personalized p ersonalized medical medical care you and c are ffor or y ou a nd your y our lloved oved ones... ones . . .
hŶůŝŬĞ ƐŽ ŵĂŶLJ ŽƚŚĞƌ ƉŚLJƐŝĐŝĂŶƐ͕ ƌ͘ zĂƩĞĂƵ ŚĂƐ h ŶůŝŬĞ ƐŽ ŵĂŶLJ ŽƚŚĞƌ ƉŚLJƐŝĐŝĂŶƐ͕ ƌ͘͘ zĂƩĞĂƵ ŚĂƐ ƌĞƐŝƐƚĞĚ ƵƌŐĞ ŚŝƐ ƉƌĂĐƟĐĞ ƌĞƐŝƐƚĞĚ ƚƚŚĞ ŚĞ Ƶ ƌŐĞ ƚŽ ƚŽ ƐƐĞůů Ğůů Ś ŝƐ Ɖ ƌĂĐƟĐĞ ƚƚŽ Ž ĂĂ ůůĂƌŐĞ ĂƌŐĞ ƵŵďƌĞůůĂ ŽƌŐĂŶŝnjĂƟŽŶ͘ dŚŝƐ ŝŶĚĞƉĞŶĚĞŶĐĞ ĂůůŽǁƐ Ƶ ŵďƌĞůůĂ ŽƌŐĂŶŝnjĂƟŽŶ͘ dŚŝƐ ŝŶĚĞƉĞŶĚĞŶĐĞ ĂůůŽǁƐ Śŝŵ Śŝŵ ƚƚŽ Ž ĂĂƐƐĞƐƐ͕ ƐƐĞƐƐ͕ ƚƚƌĞĂƚ ƌĞĂƚ ĂĂŶĚ ŶĚ ƌƌĞĨĞƌ ĞĨĞƌ ǁŝƚŚŽƵƚ ǁŝƚŚŽƵƚ ƚƚŚĞ ŚĞ ƌĞƐƚƌŝĐƟŽŶƐ ƚŚĂƚ ĐŽŵĞ ǁŝƚŚ ďĞŝŶŐ ƉĂƌƚ ŽĨ Ă ŵƵĐŚ ƌĞƐƚƌŝĐƟŽŶƐ ƚŚĂƚ ĐŽŵĞ ǁŝƚŚ ďĞŝŶŐ ƉĂƌƚ ŽĨ Ă ŵƵĐŚ ǁŚĞŶ ŐƌŽƵƉ͕ ĞƐƉĞĐŝĂůůLJ ůůĂƌŐĞƌ ĂƌŐĞƌ ŐƌŽƵƉ͕ ĞƐƉĞĐŝĂůůLJ ǁ ŚĞŶ ĂĂ ĐĐŽŵƉůŝĐĂƚĞĚ ŽŵƉůŝĐĂƚĞĚ problem arises. pr oblem arise s. “Dr. Yatteau has excellent Dr. Y Ya atteau h as an an e ex xcellent
ƌ͘ zĂƩĞĂƵ ƌĞĐĂůůƐ͕ ΗtŚĞŶ / ŚĂĚ ϯϬϬϬ ƉĂƟĞŶƚƐ ĂŶĚ ƌ͘͘ zĂƩĞĂƵ ƌĞĐĂůůƐ͕ ΗtŚĞŶ / ŚĂĚ ϯϬϬϬ ƉĂƟĞŶƚƐ ĂŶĚ ŽŶůLJ ϭϬ ŵŝŶƵƚĞƐ ƚŽ ƐĞĞ ĞĂĐŚ ƉĞƌƐŽŶ͕ ŝƚ ǁĂƐŶ͛ƚ ĞĂƐLJ Ž ŶůLJ ϭϬ ŵŝŶƵƚĞƐ ƚŽ ƐĞĞ ĞĂĐŚ ƉĞƌƐŽŶ͕ ŝƚ ǁĂƐŶ͛ƚ ĞĂƐLJ ĚĞǀĞůŽƉ ŐŐĞƫŶŐ ĞƫŶŐ ƚŽ ƚŽ ŬŬŶŽǁ ŶŽǁ ƚƚŚĞ ŚĞ ŝŝŶĚŝǀŝĚƵĂů ŶĚŝǀŝĚƵĂů ĂĂŶĚ ŶĚ Ě ĞǀĞůŽƉ ƚƚŚĂƚ ŚĂƚ ƚƚƌƵƐƟŶŐ ďŽŶĚ͘ Ƶƚ ĂƐ Ă ĐŽŶĐŝĞƌŐĞ ƉŚLJƐŝĐŝĂŶ / ĐĂŶ ƌƵƐƟŶŐ ďŽŶĚ͘ Ƶƚ ĂƐ Ă ĐŽŶĐŝĞƌŐĞ ƉŚLJƐŝĐŝĂŶ / ĐĂŶ ĚŽ ũƵƐƚ ƚŚĂƚ͘ ŶĚ / ůĞĂƌŶĞĚ ƚŚĂƚ ǁŚĞŶ LJŽƵƌ ƉĂƟĞŶƚ Ě Ž ũƵƐƚ ƚŚĂƚ͘ ŶĚ / ůĞĂƌŶĞĚ ƚŚĂƚ ǁŚĞŶ LJŽƵƌ ƉĂƟĞŶƚ ƟŵĞ ŶĞĞĚ ŚŝƐͬŚĞƌ ŝŝƐ Ɛ ŐŐŝǀĞŶ ŝǀĞŶ ĂĂůů ůů ƚƚŚĞ ŚĞ Ɵ ŝƐͬŚĞƌ ŵĞ ƚƚŚĞLJ ŚĞLJ Ŷ ĞĞĚ ƚƚŽ Ž ƌƌĞůĂƚĞ ĞůĂƚĞ Ś ƉƌŽďůĞŵƐ͕ ŵƵĐŚ ŵŽƌĞ ŚĞůƉĨƵů ƉƌŽďůĞŵƐ͕ ƐŽ ƐŽ ŵ ƵĐŚ ŵ ŽƌĞ Ś ĞůƉĨƵů ŝŝŶĨŽƌŵĂƟŽŶ ŶĨŽƌŵĂƟŽŶ ĐŽŵĞƐ ŶŽƚ ĐŽŵĞƐ ƚŽ ƚŽ ƚƚŚĞ ŚĞ ƐƐƵƌĨĂĐĞ ƵƌĨĂĐĞ ƚƚŚĂƚ ŚĂƚ ƚƚŚĞŶ ŚĞŶ ŝŝůůƵŵŝŶĂƚĞƐ ůůƵŵŝŶĂƚĞƐ Ŷ Žƚ ŽŶůLJ ƚŚĞ ƉƌŽďůĞŵ͕ ďƵƚ ĐƌĞĂƟǀĞ ƐŽůƵƟŽŶƐ ƚŽ ƚŚŽƐĞ ŽŶůLJ ƚŚĞ ƉƌŽďůĞŵ͕ ďƵƚ ĐƌĞĂƟǀĞ ƐŽůƵƟŽŶƐ ƚŽ ƚŚŽƐĞ ƉƌŽďůĞŵƐ͘Η ƉƌŽďůĞŵƐ͘Η
reputation nurses the reputattion amongst among ng gst n urrses ffor fo or tth he care they see him give his patients care tth hey s se ee h im g gi ive h is pa patients in the hospital. makes every effort the h ospital. H He em akes e very eff ef ef fort to to talk with patients concerned talk w ith p pa atients and and iis sc co onc cerne ed about the whole person doesn’t about tth he w wh hole p erson – he he do d oesn’t compartmentalize. feel very compartmentalliiz iz ze e. I ffe eel v ve er y fortunate having him as doctor.” fortuna ate h avin ng h im a im s my my d do octor.” – Sue Hicks, Hicks, R egistered N urse –Sue Registered Nurse
Dr.. T Tom Yatteau County’s Dr om Y atteau tteau - Sonoma County’ s first st and most experienced xperienced rienced d concierge ge ph physician an - is now ow accepting a o l limited numbe n number er of new patients.
Stanford-trained S t anford-trai ned F Family am i ly P Physician hysician
dŽĚĂLJ ƌ͘ zĂƩĞĂƵΖƐ ŵĞĚŝĐĂů ƉƌĂĐƟĐĞ ŝƐ ƐƚƌŽŶŐ ĂŶĚ dŽĚĂLJ ƌ͘ zĂƩĞĂƵΖƐ ŵĞĚŝĐĂů ƉƌĂĐƟĐĞ ŝƐ ƐƚƌŽŶŐ ĂŶĚ his ccommitment greater ommitment tto o cconcierge oncierge medicine medicine gr eater ƚŚĂŶ ĞǀĞƌ͘ ,Ğ ŶŽƚ ĞǀĞƌLJŽŶĞ͘ Ƶƚ Ğ ŬŶŽǁƐ ŬŶŽǁƐ ŝŝƚ͛Ɛ ƚ ͛Ɛ Ŷ Žƚ ĨĨŽƌ Žƌ Ğ ǀĞƌLJŽŶĞ͘ Ƶƚ ƚŚĂŶ Ğ ǀĞƌ͘ ƌ͘ , ŽǀĞƌ ƚŚĞ LJĞĂƌƐ͕ ƉĞŽƉůĞ ŚĂǀĞ ĐŽŵĞ ƚŽ ĞŵďƌĂĐĞ ƚŚĞ Ž ǀĞƌ ƚŚĞ LJĞĂƌƐ͕ ƉĞŽƉůĞ ŚĂǀĞ ĐŽŵĞ ƚŽ ĞŵďƌĂĐĞ ƚŚĞ ĐĐŽŶĐĞƉƚ ĂŶĚ ĂƌĞ ǁŝůůŝŶŐ ƚŽ ĐŽŶƐŝĚĞƌ ƚŚĞ ĂĚĚŝƟŽŶĂů ŽŶĐĞƉƚ ĂŶĚ ĂƌĞ ǁŝůůŝŶŐ ƚŽ ĐŽŶƐŝĚĞƌ ƚŚĞ ĂĚĚŝƟŽŶĂů ĐŽƐƚ ŚŝŐŚůLJ ƉĞƌƐŽŶĂůŝnjĞĚ ŚĞĂůƚŚ ĐŽƐƚ ƐƐƵĐŚ ƵĐŚ Ś ŝŐŚůLJ Ɖ ĞƌƐŽŶĂůŝnjĞĚ Ś ĞĂůƚŚ ĐĐĂƌĞ ĂƌĞ ƌĞƋƵŝƌĞƐ͕ ŶŽ ƌĞƋƵŝƌĞƐ͕ Ă Ă ĐŽƐƚ ĐŽƐƚ ƚƚŚĂƚ ŚĂƚ ŝŝƐ Ɛ Ŷ Ž ŐŐƌĞĂƚĞƌ ƌĞĂƚĞƌ ƚƚŚĂŶ ŚĂŶ ĂĂ membership membership in the local local health club. zŽƵ ŵŝŐŚƚ ŐƵĞƐƐ ƚŚĂƚ Ă ĚŽĐƚŽƌ ƉƌŽǀŝĚŝŶŐ ƚŚŝƐ ůĞǀĞů zŽƵ ŵŝŐŚƚ ŐƵĞƐƐ ƚŚĂƚ Ă ĚŽĐƚŽƌ ƉƌŽǀŝĚŝŶŐ ƚŚŝƐ ůĞǀĞů ŽĨ ǁŽƵůĚ ĞŶĚ ƵƉ ĚĞǀĞůŽƉŝŶŐ ƵŶŝƋƵĞůLJ Ž Ĩ ƐƐĞƌǀŝĐĞ ĞƌǀŝĐĞ ǁ ŽƵůĚ Ğ ŶĚ Ƶ Ɖ Ě ĞǀĞůŽƉŝŶŐ ĂĂ Ƶ ŶŝƋƵĞůLJ ƉĞƌƐŽŶĂů ĂŶĚ ƉƌŽĨĞƐƐŝŽŶĂů ƌĞůĂƟŽŶƐŚŝƉ ǁŝƚŚ ĞĂĐŚ ĞƐƐŝŽŶĂů ƌĞůĂƟŽŶƐŚŝƉ ǁŝƚŚ ĞĂĐŚ Ɖ ĞƌƐŽŶĂů ĂŶĚ ƉƌŽĨĞ ŽĨ ŚŝƐ ƉĂƟĞŶƚƐ͘ ǁŽƵůĚ ďĞ ŽĞƐ ŽĨ Ś ŝƐ Ɖ ĂƟĞŶƚƐ͘ zzŽƵ ŽƵ ǁ ŽƵůĚ ď Ğ ƌƌŝŐŚƚ͘ ŝŐŚƚ͘ ŽĞƐ ƚƚŚŝƐ ŚŝƐ ƌĞĂůůLJ ĞŶĚ ƵƉ ŵĂƩĞƌŝŶŐ͍ zŽƵ ďĞƚ ŝƚ ĚŽĞƐ͘ ƌĞĂůůLJ ĞŶĚ ƵƉ ŵĂƩĞƌŝŶŐ͍ zŽƵ ďĞƚ ŝƚ ĚŽĞƐ͘
VIP V IP Treatment, Treatment , Unrushed Appointments Unr ushed A ppointments Available phone A Av vai lable b by hone y ccell el l p or or pager pager 24/7 24/7 Strong Effective Advocate S trong E ffective A dvocate L ife A dv isor ffo or P ersona l Life Advisor for Personal Profe & Professional fessiona l Development Development
707-579-1400 7 07-579 79-1 1400 44 Doctors octors P Park ark D Drive, riv ive, 4 4D Santa Rosa S anta R osa
Thomas F. F Y Yatteau atteau MD Board ard Certified
www.MyPatientsFirst.com w w w. MyPatients First.com
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Alexander Valley Healthcare putting the CARE in healthcare. $ )HGHUDOO\ 4XDOL¿HG +HDOWK &HQWHU
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Summer 2014
Quality Healthcare Close to Home Business owners and managers, do you have uninsured employees due to part time work or other factors? Do you have employees with uninsured family members? You can help provide high quality, low cost medical care for the people who work for you and for those they love by telling your employees and your Human Resources Director about Alliance Medical Center. Family Practice • Specialty Care • Pediatric Care Dental Care • Chronic Disease Care • Nutrition 1381 University Avenue, Healdsburg • 707-433-5494 8465 Old Redwood Highway, Windsor • 707-687-2498 www.alliancemed.org
Treat your family to the modern facilities and caring staff at a locally managed healthcare provider!