Vista Health and Wellness - 2017 by Times Media Group

Health & Wellness WINTER 2017

CRITICAL ADDITION

Abrazo expands medical resources. Page 6

EATING WELL Colorful fruits and veggies optimize health. Page 7

ALTERNATIVE MEDICINE

Examining the effectiveness of naturopathic treatments Page 28

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FROM THE ESSENTIALS OF LIFE TO THE BEST OF LIFE! Coming Spring of 2019 is Robson Reserve, a new luxury senior living community at PebbleCreek. Robson Reserve will be a place where you can enjoy all the freedoms you expect out of life without all the worries associated with traditional home ownership. Two outstanding living options will be offered to meet your needs and lifestyle: • Independent Living • Assisted Living Whichever option you choose, you’ll be able to continue an active and social lifestyle at Robson Reserve in beautiful PebbleCreek*

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Inside this issue

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PUBLISHER Steve Strickbine EDITORS Niki D’Andrea Christina Fuoco-Karasinski Connor Dziawura (Assistant Editor)

6 14 6 7 8 9 10 11 12 14 15 16 17 20 22 23 24 26 27 28 30 31 32 34 35 37 38

Health & Wellness

Abrazo’s Level 1 Trauma Center expands medical resources Go for colorful fruits and veggies for optimal health Banner Estrella employee receives ‘gift of life’ from supervisor Oncologist: HPV vaccine necessary Compounding pharmacy makes treatment personal Fast facts about Abrazo West

WRITERS Lori Baker Bill Bertolino Addalai Clark Gabriella J. Del Rio Justin Ferris Dr. Brian Gruber Dr. Christina Khoury Amber Miles Jeff Nelson Melissa Ritchey Dr. Cary Schneitzer ADVERTISING DIRECTOR Kent Johnson ADVERTISING SALES Laura Meehan DeAna Janco Dick Walters April Rice DESIGN AND ART Shannon Mead

Goodyear Chiropractic promotes wellness Banner Estrella embraces innovation Desert Vista Dental makes WV smile Pacify app introduces new mothers to helpful providers West Valley Medical Bios

250 Litchfield Rd., #130 Goodyear, AZ 85338 623.535.8439

Vitamin Shoppe’s Avondale distribution center opens West Valley Vision Center covers the board in eye treatment

westvalleyview.com

Knee replacement surgeries expected to rise Conventional and emerging hip treatments Young cancer patient inspires others through his battle Fit & Strong classes make exercise easier for people with arthritis Do naturopathic treatments work?

ALL RIGHTS RESERVED. NO PART OF THIS PUBLICATION MAY BE REPRINTED OR REPRODUCED WITHOUT THE PUBLISHER’S PERMISSION. STATEMENTS AND OPINIONS PRINTED IN THIS MAGAZINE ARE THOSE OF THE CONTRIBUTORS AND NOT NECESSARILY THOSE OF TIMES PUBLICATIONS OR ITS ADVERTISERS.

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Recreation programs abound in the WV The doctor’s office of the future might already be here Seniors are one of the largest demographics for getting skin cancer Cities at a glance State directory

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Abrazo’s Level I Trauma Center expands medical resources BY LORI BAKER

he Level I Trauma Center at Abrazo West Campus not only provides the highest level of care for injured patients, but it has prompted expansion of nontrauma medical resources for the community. Opened in 2014, Abrazo West Campus became the first Level 1 Trauma Center in western Maricopa County. Continued expansion has transformed Abrazo West Campus into a regional medical center that has grown from 300 to more than 640 medical staff members, said Chief Executive Officer Stan Holm. “We offer a wider range of high-quality outpatient medical and surgical options for area residents who might otherwise have had to travel long distances to get treatment,” he said. ”It’s an honor and a privilege to be able to touch the lives of those we serve. Now we are able to serve more people closer to home.” In addition to experienced trauma surgeons, there are various specialists practicing in areas including orthopedic surgery, neurosurgery, plastic surgery, facial surgery, hand surgery, cardiovascular surgery, ophthalmology and general surgery at the hospital, 13677 W. McDowell Road. While the Level 1 designation has had a positive economic impact, the greatest benefit has been the peace of mind and quality of life for residents of Goodyear and throughout the West Valley, Goodyear Mayor Georgia Lord said. “The health and well-being of our loved ones is important to all of us, and this designation assures us that the response to any emergency is a short trip away,” Lord said. Litchfield Park Mayor Thomas Schoaf said Abrazo West Campus has become a “very important resource that improves the lives of our families.” Buckeye Mayor Jackie Meck agreed. “Abrazo West Campus provides a much-needed state-of-the-art facility with exceptional health care services from the doctors, nurses and staff,” he said. “The trauma center also adds a much greater dimension to the city with a great resource for jobs.” The trauma center has treated more than 6,900 patients since opening, annually averaging 2,100 injured patients. Eighty-seven percent of patients have suffered blunt trauma including vehicle, motorcycle and golf cart crashes, falls and assaults. Patients come from as far as the California and Mexico borders. Abrazo West Campus received national recognition this year as Arizona’s only Level 1 Trauma Center to receive an “A” safety grade by the Leapfrog Group, a national nonprofit group that did an analysis for USA Today.

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VISTA HEALTH & WELLNESS 2017

(Photo courtesy Abrazo)

Abrazo West Campus Level 1 Trauma Center’s Tiffiny Strever and Dr. Patrick O’Neill. Abrazo West Campus is well-positioned to improve overall outcomes for critically injured patients. “Our multidisciplinary trauma team is trained to provide around-the-clock expert medical care to patients in complex emergency situations,” said Dr. Patrick J. O’Neill, Abrazo West’s Trauma Medical director. Tiffiny Strever, Abrazo West’s Trauma program manager, said, “When it comes to trauma, getting the patient to the right care as timely as possible is critical for the best outcome.” Southwest Valley fire chiefs said the increased level of health care helps first responders save more lives: “The close proximity of a Level 1 Trauma Center directly improves the care that we can deliver to critical patients, and greatly improves their chances of survival,” observed Goodyear Fire Chief Paul Luizzi. Having a critical resource like this in the West Valley is phenomenal for people who work and live in the area, said Buckeye Fire Chief Bob Costello. “The sooner we can get people to a facility that can provide the level of care

for their injury, the better the opportunity for a positive outcome,’’ he said. Since the Buckeye Valley Fire District provides ground ambulance care as far west as La Paz County, a Level 1 Trauma Center in the area is of significance to EMS operations, said Buckeye Valley Fire Chief Mike Duran. “Within the rural areas, the likelihood of experiencing trauma injuries is significantly high and multiple patients are often injured on the highway corridors,” Duran said. “Having Abrazo West as a Level 1 Trauma Center provides EMS responders the opportunity for immediate triage, treatment and transportation decision-making at incident sites.” Tolleson Fire Chief George Good agreed. “Unquestionably, this higher level of care can be considered nothing short of a win-win situation for our citizenry,” Good said. Disclaimer: Dr. Patrick O’Neill is an independent physician and is not an employee, agent or representative of Abrazo West Campus. He is solely responsible for the provision of his medical services to patients.

Go for colorful fruits and veggies for optimal health BY BILL BERTOLINO

t’s a fact: The foods we eat can reduce our risk of developing cancer. That same principle applies to those fighting cancer. Healthy eating keeps a body strong and provides the nutrients we need to tolerate and recover from cancer treatments. The golden rule in oncology nutrition: The stronger the body, the faster it can heal. “It is extremely important for people fighting cancer to seek out a registered dietitian who specializes in oncology,” said Sharon Day, chief of nutrition at Cancer Treatment Centers of America (CTCA) in the West Valley. “The key to healthy living is moderation and a well-balanced diet that’s rich in fruits, vegetables, whole grains and low in saturated fats.” Day oversees the nutrition division at CTCA in Goodyear, which has a team of clinical dieticians who provide nutritional (Photo courtesy Cancer Treatment support, education, counCenters of America) seling and individual nuSharon Day is the chief of nutrition at trition plans to patients Cancer Treatment Centers of America undergoing treatment. Below is a brief guide in the West Valley. to eating healthy, whether you have cancer or want to increase your odds of avoiding it: Go for the color: Eat nutrient-dense foods every day, such as yogurt, deep orange vegetables (carrots, sweet potatoes and squash), vegetables in the cabbage family (cabbage, cauliflower, broccoli, bok choy, Brussels sprouts), tomatoes, citrus and dark, leafy vegetables. Remember to go for color. The deeper the color, the more cancer-fighting power. Natural foods: Eat foods in a natural state whenever possible, such as whole and organic foods. Grow your own garden vegetables or visit your local farmers’ market. Gardening can provide a more nutritious and fun way to get exercise and stay active. Drink water: It may be bland next to coffee and soda, but the cells in your body don’t think so. Water is the most essential nutrient for your cells. Try adding lemon or lime slices for flavor. Also consider tea instead of coffee; black, green and white oolong tea leaves have anti-cancer benefits. Eat less fat: The average American eats the equivalent of a stick of margarine a day, most of which is hidden in processed foods such as snack cakes, potato chips, pastries, frozen pot pies and crackers. Balance: Eat meals containing a balance of carbohydrates, protein and fat. Examples include an egg and a bowl of fruit, or a protein smoothie with strawberries, bananas and milk. Don’t rely on supplements: Supplements work best when taken with a balanced diet. There is no substitute for eating whole foods. Visit cancercenter.com to read more about foods that have high nutritional values, as well as other wellness, prevention and cancer treatment-related information.

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Banner Estrella employee receives ‘gift of life’ from supervisor BY JEFF NELSON

hristine Hormann received a diagnosis two years ago that anyone would dread: Both kidneys were failing and, if she wanted to live, she’d need a new one. She got her life-saving wish – from her boss. “I am incredibly lucky,” Hormann said. “And incredibly thankful.” In September 2015, the 57-year-old Peoria resident began experiencing dizzy spells, feeling increasingly weak, and feeling pressure on her chest, as if a weight was sitting there. After a month of dealing with these symptoms on her own, she sought emergency medical attention at the hospital. There, tests revealed internal bleeding and blood pressure numbers so low she might have died had she arrived just a half hour later, doctors told her. The blood thinner she had been taking for years to avoid blood clots was likely the culprit. A blood transfusion helped restore all her organs to health, except for her kidneys, which were seriously damaged and functioning at only 23 percent. Over the next several months, her kidney function continued to deteriorate, and in March 2016, her doctor said she’d need a kidney transplant. Hormann was put on the kidney donor waiting list, expecting a one- to three-year wait.

An unexpected offer As Hormann’s supervisor in the Patient Financial Services department at Banner Estrella Medical Center, Crystal Mangano

. (Photo courtesy Banner)

Christine Hormann, left, reunites with Crystal Mangano at Banner - University Medical Center Phoenix after the kidney transplant surgery that saved Hormann’s life. became aware of her employee’s medical situation. Although Hormann did not ask if she could be a donor, Mangano said she felt compelled to try to help. Mangano, 27, credits two life-long, dear friends, whom she calls her “angels,” for her desire to help. “Growing up they were always there for

. (Photo courtesy Banner)

Transplant surgeon Dr. Alfredo Fabrega, left, surgically implants the donor kidney into Christine Hormann at Banner – University Medical Center Phoenix. 8

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VISTA HEALTH & WELLNESS 2017

me,” the Phoenix resident said. “One day I told them what amazing people they are and how grateful I was to have them in my life. I asked what I could ever do to repay them for loving me the way they have.” Their request: “If I was ever given the opportunity to help someone, I should take that opportunity.” So, when Mangano learned of Hormann’s situation, she said this was the opportunity to help someone else, to pay it forward. “And, besides that, how many people get a chance to save somebody’s life?” she said. Mangano underwent the necessary medical tests to determine if she was an eligible donor and, in March, learned that she was an excellent match (matching blood and tissue type). The successful transplant surgery took place April 19 during Donate Life Month at Banner – University Medical Center Phoenix, one of the leading organ transplant centers in the Phoenix area. By the time of the transplant, Hormann’s kidney function had dropped to just 14 percent. Hormann said she is obviously incredibly grateful to her supervisor for the gift of life her boss provided her. “It’s just incredible. I definitely feel more connected to her than ever before,” she said. Today, Hormann and Mangano are in excellent health and continue to work side by side at Banner Estrella Medical Center.

We Are Growing Please Welcome Our New Providers

Dr. Carlos Rodriguez, M.D. and Sara Royse, PA-C

(Photo courtesy Cancer Treatment Centers of America)

Oncologist Dr. Natalie Godbee of Cancer Treatment Centers of America understands the conversation about HPV vaccines is an uncomfortable one.

Oncologist: HPV vaccine necessary BY BILL BERTOLINO

f you could prevent cancer by getting one simple vaccine, would you do it? Without hesitation, many people would jump at the chance. After all, most Americans have embraced vaccinations – including routine flu shots – as effective tools for maintaining personal and public health. Yet when it comes to the human papillomavirus (HPV) vaccination, many youth and young adults – those most at risk of acquiring the virus – are going without the vaccine. The consequences can be serious, even life-threatening. Data from a recent study published in the Journal of Clinical Oncology show that survivors of childhood cancer are not getting the vaccine as regularly as those without cancer. This is leading top oncologists from across the country, including Dr. Natalie Godbee of Cancer Treatment Centers of America (CTCA) in the West Valley, to redouble efforts to spread the word about the vaccine’s life-saving potential. “The HPV vaccine is an effective, safe and affordable cancerprevention tool that is proven to save lives and significantly reduce the risks of an array of cancers,” said Godbee, a gynecologic oncologist at CTCA’s Western Regional Medical Center in Goodyear. HPV is a common sexually transmitted disease that may or may not cause symptoms. However, some strains of the virus can cause cancer in females and males. One of only a handful of female experts in the Southwest specializing in the treatment of gynecological cancers, Godbee recommends preteen girls and boys get vaccinated. The Centers for Disease Control and Prevention (CDC) recommends the HPV vaccination for boys and girls at age 11 or 12, she said, adding that the vaccine is effective for ages 9 through 26. She stressed that it’s important to remember that your child may not be at risk for HPV, but risk increases as he or she gets older and potentially becomes sexually active. Exposure can happen through any type of genital contact with someone who has HPV. There is no cure for HPV, so prevention truly is the key. Godbee understands this can be an uncomfortable subject for parents and their children. But her passion lies in preventing a multitude of HPV-related cancers she treats daily, such as vaginal, cervical, vulva and head/neck cancers. “As health care providers, it’s our job to have conversations about HPV and the vaccination. This is a conversation about cancer – not about sexual activity,” she said. “Simply put, this vaccine can save lives, and it’s my job to help save lives.”

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Compounding pharmacy makes treatment personal BY CONNOR DZIAWURA

nder NewSpring Pharmacy’s logo is one simple phrase: “Where Wellness Matters.” Giving patients the best medical experience possible has been the Avondale compounding pharmacy’s goal since 2013. CEO and pharmacist Dr. Lucas Nyabero said the tagline perfectly encapsulates his business. “Compounding gave me a chance to encourage wellness; customize something for patients; get something unique that patients will call their own; and do something that makes a difference,” he said. “I’m not interested in giving you the pill. I’m interested in wellness. Wellness is very important to me.” Combining ingredients and customizing dosages were common practices in the health care industry. But the trend of compounding medication changed as the industry shifted toward mass production, Nyabero said. “We commercialized it to where we have a pill that’s 500 mg for everybody,” he explained. “Not everybody needs 500 mg. Everybody is different.” With this practice again on the rise, NewSpring aims to combat mass production. NewSpring customizes medication, based on conversations with patients and their doctors, for a variety of ailments, including pain management, wound care, scar therapy and oncology. This personalization comes in many ways: altering dosages, interchanging ingredients or combining medication to reduce the number of pills taken. The method through which the medication is administered can also be changed. Rather than only prescribing capsules and tablets, NewSpring delivers topical creams, oral and nasal sprays, suppositories and even lollipops. To determine the patients’ best option, NewSpring utilizes pharmacogenetic testing. “Pharmacogenetics is the DNA testing that tells me what medications you can have and what medications you can’t have,” Nyabero explained. “Pharmacogenetic testing is very important in that it takes the study from a study of 10,000 people to a study of one person.” Pharmacogenetic testing is as simple as using a cotton swab on the patient’s cheek, Nyabero says. “It’s a common practice right now for medications,” he added. “You get a chemical, it works very well, you go and do a study – 10,000 people – and then you get a result; 65 percent of people got benefit out of it. “However, what happens to the other 35 to 40 percent? Why didn’t they get

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VISTA HEALTH & WELLNESS 2017

(Vista photo by Tim Sealy)

When Dr. Lucas Nyabero opened NewSpring Pharmacy, he wanted to configure a personal medical experience for each of his patients. He launched the pharmacy in Avondale in 2013. benefit from it? Not all studies are 100 percent representative.” Nyabero works closely with patients to build relationships and to get to know their medical history and needs. Nyabero said one patient could not take 500 mg dosages of Tylenol, so he compounded 250 mg tablets that were better suited for her. The pharmacy has also had patients who were allergic to fillers in some capsules. As a solution, NewSpring can custom-produce medications that contain the chemical medication mixed with rice powder. They can even integrate probiotics. NewSpring has specialized lab equipment that allows the staff to guarantee the proper chemical concentration. Nyabero uses outside labs to verify the machines are creating the proper concentration, as well as confirming the expiration date. “To us, it’s about wellness, and wellness is health, mental, physical, relationships. So, it’s a full wellness of the person,” Nyabero said. “We are not here to give pills. We are not here to just say, ‘Take this, go home and deal with it.’ We will talk to our patients. We will find out what’s going on. We’ll talk to doctors and the patients.” Going forward, Nyabero would like to serve more pets through the pharmacy’s veterinary services. As with humans, NewSpring can determine the best

delivery method, flavor and strength of a medication to be given to a pet. They can also avoid grains or promote organic products when necessary. In addition to boosting the pharmacy’s pet care services, Nyabero hopes to launch a diabetes center and open additional locations. However, there is one obstacle to expansion. “Expansion is good as long as we can replicate care,” he said. Nyabero is adamant about the need to promote and raise awareness of pharmacogenetic testing and pharmacy compounding because awareness is still a challenge. “Now, patients who understand that this is available for them are able to come in for it,” Nyabero said. “We don’t have the deep pockets to market really well for people to understand. This is literally customization of care. This is customization of your medications. You are getting your own medication that is specifically for you, that works for you. That is the difference between compounding and the regular stuff.” NewSpring Pharmacy 10750 W. McDowell Road, Building C, Suite 301 Avondale 623-932-9800 NewSpringRx.com 9 a.m. to 6 p.m. Monday to Friday

Fast facts about Abrazo West BY LORI BAKER

brazo Community Health Network’s Abrazo West Campus, a 188-bed acute care hospital in Goodyear, opened in 2003. In 2014, Abrazo West Campus, at 13677 W. McDowell Road, opened the first Level 1 Trauma Center in western Maricopa County, focusing on the Western Region of Arizona for those with traumatic injuries. “We continue enhancing our service lines which already include comprehensive orthopedics, neurosurgery, plastics, hand, cardiovascular with open-heart surgery, obstetrics, women’s health, advanced robotic surgical technology, wound care with hyperbaric treatment and therapy as well as 24-hour emergency plus trauma care,’’ said campus CEO Stan Holm. With the Abrazo West Campus growing quickly, the Abrazo Buckeye Emergency Center, 525 S. Watson Road in Buckeye, was created just a few years ago to provide emergency care to those (Photo courtesy Abrazo Community Health Network) who need it most. Abrazo West Campus has been recognized for high standards of quality and safe patient care by receiv“Having the outstanding Abrazo Buckeye Emergency Center in ing an “A’’ Safety Score rating by The Leapfrog Group. our community is a win-win for our residents,” said Buckeye Mayor Jackie Meck. “It’s also a wonderful amenity providing an employment resource so our residents can live, work and play in Buckeye.” Abrazo West Campus has been recognized for high standards GENERAL & COSMETIC DENTISTRY of quality and safe patient care by receiving an “A’’ Safety Score rating by The Leapfrog FOR ADULTS & CHILDREN Group. It also was named OPEN Same Day SAT. Southwest Valley Chamber Emergency of Commerce Large Business Welcome $ of the Year and the 2017 $ Buckeye Valley Chamber (in absence of gum disease) of Commerce Business of Zirconia $685 the Year. The hospital also received PebbleCreek’s 2017 DIGITAL Friends of Kare Bears Award. From The hospital hosts the $ X-RAYS (White) From annual Rescue Roundup with & EXAM several community partners to promote health and safety (new patients) Teeth Whitening education. * $ $ “Abrazo West, combined From FREE with our Abrazo Buckeye New 2nd Emergency Center, continue Patients Opinion *Restrictions Apply Mention This Ad Welcome! to improve the care we provide to those we serve,” (Photo courtesy Abrazo Holm said. “We intensely Community Health Network) Celebrating Our 11 Year Anniversary Stan Holm is the chief executive focus on listening to our patients and touching their officer of the Abrazo West Campus. CALL NOW FOR APPOINTMENT lives in a special way when they are with us during their most vulnerable times, when they are sick or injured. Reaching beyond our walls into the community has become an integral SE HABLA ESPAÑOL part of the great culture we have created.” 14551 W. Indian School Rd #200 • Goodyear, AZ The hospital is accredited by The Joint Commission and is a Joint Commission-designated Primary Stroke Center and Southeast Corner of Indian School & Bullard accredited Chest Pain Center.

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Goodyear Chiropractic promotes wellness BY CONNOR DZIAWURA

hen Jeffrey Trinka became a chiropractor 20 years ago, misconceptions about the field were rampant. Since then, he has seen public perception improve. “I feel like it has really become a lot more accepted and a lot of people just really know and understand what a chiropractor is and what they do,” Trinka said. But what is it that a chiropractor, or Trinka in particular, does? It doesn’t begin and end with chiropractic adjustments, or spinal manipulations used for treating subluxations. Trinka’s office, Goodyear Chiropractic, also houses a licensed massage therapist, and provides other physical treatments like muscle stimulation, ice and heat applications, and exercises. While many of Goodyear Chiropractic’s patients come in for auto accident-related injuries, or even (Vista photo by Jordan Christopher) twisted ankles and other issues, Goodyear Chiropractic Office, the facility isn’t limited. Many pa- located on the Southwest cortients are just looking for regular- ner of Central Avenue and Van ly scheduled maintenance. Buren Street in Avondale. He said it’s “just like tuning up your car sometimes. After so many miles, you just want to get it checked and aligned and make sure things are running smooth.” Trinka and his staff can even improve headaches and sciatic pain. Some chiropractors have made leaps and bounds helping the digestive and reproductive systems, as well as balancing hormones. “There is much more to chiropractic than just, ‘Oh, I’m going to fix your back,’” Trinka said with a laugh. While chiropractors’ reputations have improved, Trinka still hears worries of safety or claims that a chiropractor is not a “real doctor.” “Chiropractic care is one of the safest professions out there,” he explained. “Our malpractice insurance is among the lowest of all doctors.” Goodyear Chiropractic opened in the West Valley in 1974, but Trinka acquired the business in 2001. His goal, he said, is evident by their mission statement: “to convey the greatest good to our community by providing the greatest service to every individual.” Soon, that mission statement will continue in Buckeye, where a new location is plotted for a January launch. Goodyear Chiropractic 11 W. Van Buren Street, Suite 28 Avondale 623-932-4060 goodyearwellness.com

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VISTA HEALTH & WELLNESS 2017

(Vista photo by Jordan Christopher)

Dr. Jeffrey Trinka stands in the lobby with office staff – sisters Aimee, Christal and Leslie Valdez.

Meet MeetOur OurProviders Providers James James M. Johnson, M. Johnson, M.D. M.D.

Dr. Johnson Dr. Johnson attended attended undergraduate undergraduate school school at Northwest at Northwest Missouri Missouri StateState University, University, and and graduated graduated with awith degree a degree in pre-professional in pre-professional zoology zoology with awith chemistry a chemistry minor.minor. He attended He attended medical medical school school at University at University of Missouri of Missouri Columbia, Columbia, and completed and completed his residency his residency at Banner at Banner GoodGood Samaritan Samaritan Regional Regional Medical Medical Center Center in in Phoenix, Phoenix, Arizona, Arizona, specializing specializing in obstetrics in obstetrics and and gynecology. gynecology. He is a He board-certified is a board-certified physician physician with with interests interests in obstetrics in obstetrics and gynecologic and gynecologic surgery, surgery, including including robotic robotic assisted assisted minimally minimally invasive invasive surgery. surgery. Dr. Johnson Dr. Johnson is theis the Chairman Chairman for the forDepartment the Department of Obstetrics of Obstetrics and Gynecology and Gynecology and OB and OB Hospitalist Hospitalist Director Director at Banner at Banner Estrella Estrella Medical Medical Center. Center.

Maria Maria DiLeo, DiLeo, M.D. M.D.

Dr. DiLeo Dr. DiLeo is a Phoenix is a Phoenix native, native, attending attending the the University University of Arizona of Arizona for both for both undergraduate undergraduate and medical and medical school school educations educations in Tucson. in Tucson. She returned She returned to Phoenix to Phoenix for residency for residency training training with PIROG with PIROG (Phoenix (Phoenix Integrated Integrated Residency Residency in in Obstetrics Obstetrics and Gynecology) and Gynecology) at Maricopa at Maricopa Medical Medical Center Center and St. andJoseph’s St. Joseph’s Hospital Hospital and Medical and Medical Center, Center, a program a program with which with which she isshe still is affiliated. still affiliated. She isShe a board-certified is a board-certified physician physician with interests with interests in all aspects in all aspects of gynecology of gynecology and obstetrics. and obstetrics.

Briggs Briggs Geier, Geier, D.O. D.O.

Dr. Geier Dr. Geier graduated graduated from from Arizona Arizona StateState University University with with a degree a degree in Biology. in Biology. She She Raymond Raymond D. Suarez, D. Suarez, M.D. M.D. attended attended medical medical school school at Midwestern at Midwestern Dr. Suarez Dr. Suarez completed completed undergraduate undergraduate school school University University in Glendale, in Glendale, Arizona Arizona and completed and completed at Creighton at Creighton University. University. He attended He attended medical medical residency residency in obstetrics in obstetrics and gynecology and gynecology at at school school at Georgetown at Georgetown University, University, and and Banner Banner GoodGood Samaritan Samaritan Regional Regional Medical Medical finished finished with his withresidency his residency at Northwestern at Northwestern Center Center in Phoenix. in Phoenix. She is She a board-certified is a board-certified in Chicago, in Chicago, Illinois Illinois specializing specializing in obstetrics in obstetrics physician. physician. She She is a member is a member of American of American and and gynecology. gynecology. He isHea is board-certified a board-certified Medical Medical Association Association and the and American the American College College physician physician with with interests interests in obstetrics in obstetrics and and of Obstetrics of Obstetrics and Gynecology and Gynecology with interests with interests in in gynecology, gynecology, including including robotic robotic assisted assisted all aspects all aspects of general of general obstetrics obstetrics and gynecology. and gynecology. minimally minimally invasive invasive surgery. surgery.

Erica Erica McLaughlin, McLaughlin, M.D. M.D.

Dr. McLaughlin Dr. McLaughlin graduated graduated from from University University of Nevada of Nevada RenoReno with with a BS/MS a BS/MS degree degree in in Dr. Fernandez Dr. Fernandez attended attended undergraduate undergraduate Biotechnology. Biotechnology. She then She then attended attended medical medical school school at University at University of Florida. of Florida. She completed She completed school school at University at University of Nevada of Nevada School School of of medical medical school school at theatUniversity the University of Florida of Florida Medicine Medicine and completed and completed residency residency training training - College - College of Medicine, of Medicine, and finished and finished with her with her in obstetrics in obstetrics and and gynecology gynecology at Banner at Banner residency residency at Brown at Brown University University specializing specializing in in GoodGood Samaritan Samaritan Regional Regional Medical Medical Center Center in in obstetrics obstetrics and gynecology. and gynecology. She is She a boardis a boardPhoenix. Phoenix. She is She a board-certified is a board-certified physician. physician. certified certified physician physician with interests with interests in general in general She is She a member is a member of theofAmerican the American College College obstetrics obstetrics and gynecology. and gynecology. of Obstetrics of Obstetrics and Gynecology, and Gynecology, with interest with interest in obstetric in obstetric and gynecologic and gynecologic surgery, surgery, including including minimally minimally invasive invasive surgery surgery technique. technique. She recently She recently assisted assisted in thein production the production of a robotic of a robotic surgical surgical videovideo that was that awarded was awarded Best Best Robotic Robotic videovideo by the byAAGL the AAGL CariCari L. Cowling, L. Cowling, M.D. M.D. worldworld congress. congress. OtherOther interests interests include include adolescent adolescent gynecology gynecology and and Dr. Cowling Dr. Cowling received received her undergraduate her undergraduate menopausal menopausal medicine. medicine. degree degree from from TexasTexas A&M A&M University University with with a a degree degree in genetics. in genetics. She completed She completed medical medical KimKim Roberts, Roberts, W.H.N.P. W.H.N.P. school school at theat University the University of Texas of Texas Southwestern Southwestern Kim attended Kim attended undergraduate undergraduate school school at Arizona at Arizona in Dallas. in Dallas. She finished She finished with her withresidency her residency in in StateState University. University. She completed She completed her master’s her master’s obstetrics obstetrics and gynecology and gynecology at UTat Southwestern UT Southwestern degree degree in Women’s in Women’s Health Health as a as Nurse a Nurse Medical Medical Center Center and and Parkland Parkland Memorial Memorial Practitioner Practitioner also at also Arizona at Arizona StateState University. University. Hospital. Hospital. She is She a board-certified is a board-certified physician physician and enjoys and enjoys the full thespectrum full spectrum of obstetrics of obstetrics and gynecology and gynecology including including robotic robotic assisted assisted minimally minimally invasive invasive surgery. surgery.

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early a year before the first scoop of dirt was lifted from the former cotton field along the Loop 101 Freeway at Thomas Road – the site that would eventually become Banner Estrella Medical Center – Banner Health gathered a group of medical experts and futurists from across the country to help imagine what a hospital might look like. It was March 14, 2002. “We knew we had this golden opportunity to build a hospital unlike anything else,” said hospital spokesman Jeff Nelson, who worked with then-CEO Connie Harmsen to organize the visioning session. “Obviously we wanted to incorporate the latest medical technology and practices, but we also wanted the hospital to be flexible enough design-wise to adapt to future advances in medicine. “I’m sure it sounded a bit audacious, maybe even a bit arrogant, at the time, but our goal was to transform the health care experience.” By most measures, those efforts would pay off for the team that opened Banner Estrella on January 14, 2005, at 9201 W. Thomas Road in west Phoenix. Modern Healthcare, the leading national health industry magazine, honored the hospital with its Best of the Best award, stating, “It is as close to the hospital of the future that exists today.” The Southwest Valley hospital would influence hospital design around the world. It was featured in a prominent book on hospital design published in 2008, titled An Introduction to Evidence-based Design: Exploring Healthcare and Design, and teams of people from North America, Asia, Europe and the Middle East flocked to the Southwest Valley to tour the hospital and learn from those who created it. Among other things, Banner Estrella was one of the first hospitals in the world to: • Be fully electronic, requiring doctors and nurses to document into an electronic medical record, a technology that significantly reduces medical errors • Eliminate the traditional centralized nurses’ station, putting nurses outside every patient room so they could easily monitor their patients and respond quickly when needed • Incorporate building materials specifically designed to reduce noise and light levels in patient care areas, including special sound-absorbing ceiling tiles and flooring • Encourage families to participate in their loved ones’ care by allowing overnight guests and providing couches that convert to a twin-size bed and guest closet space “Many of these things are commonplace in hospitals today but they were quite innovative when Banner Estrella opened,” said Courtney Ophaug, who joined Banner Estrella as its chief executive officer three years ago. Today, Banner Estrella continues to embrace innovation and change. It incorporates the latest advances in medical care into its programs and services, including robot-assisted surgery and advanced diagnostic imaging. Further, its focus on patient satisfaction has helped it consistently rank in the top 10 percent for patient satisfaction within Banner, a Phoenix-based system with 28 hospitals in six Western states. “Nobody wants to be in a hospital,” Ophaug said. “So, we constantly ask ourselves what we can do to make their experience less stressful, less traumatic and more comfortable, while also making sure that they get the best care possible.” That patient-centered focus has driven a higher demand for its services. Since opening, the hospital has doubled in size to 317 beds. It also has one of the busiest emergency rooms in the state. This year, nearly 100,000 patients will be cared for in its recently expanded emergency room.

Desert Vista Dental makes WV smile BY CONNOR DZIAWURA

or nearly 15 years, Desert Vista Dental has called the West Valley home, with its Goodyear facility bringing bright smiles to residents across the region. The clinic’s mission, according to Dr. Joy Collier, is “to provide excellent dentistry in a relaxed, comfortable, fun environment.” These are ideas that Desert Vista Dental has promoted since its inception in October 2003. As a full-functioning dentistry office, Desert Vista Dental generally treats everything Valley residents have come to expect from this profession. Desert Vista Dental is focused on perfecting patients’ smiles, including preventive measures to treating tooth decay through its checkups and cleanings, restorative installations like crowns and bridges, and cosmetic features like teeth whitening and Invisalign fittings. Periodontal therapies, dental technologies, and the breakthrough Chao Pinhole minimally invasive surgical technique used to reverse gum recession are also available. “I’ve always loved smiles,” Collier said. “I’m kind of a perfectionist. I think teeth are just incredibly important not only for looks but overall health as well.” Patients don’t often associate other health factors with their teeth. As such, Desert Vista Dental treats ailments like sleep apnea, which, if left untreated, can in turn

(Photo courtesy Desert Vista Dental)

Drs. Matthew Smith and Joy Collier stand among staff at Desert Vista Dental’s Goodyear location. lead to other issues like high blood pressure. In treating this condition, Desert Vista Dental partners with a local sleep doctor, also using oral appliance therapy for its patients. Custom appliances are created. “I think a lot of patients aren’t even aware they have sleep apnea or maybe some of the things that go along with that,” Collier said.

Desert Vista Dental is in Goodyear and Scottsdale. Collier has worked at the Goodyear location for nine years. Desert Vista Dental 1646 N. Litchfield Road, Suite 125 Goodyear 623-935-2755 desertvistadental.com

Estrella Women’s Health Center Florian T. Walter, D.O. • Raj S. Rathee, M.D. • Jordan Oland, M.D. • B.J. Ho, D.O. • Sarah Colwell, D.O. Ingrid Gold, CNM • Jenny Boles, RNC, WHNP • Britt Michie, RNC, MSN, WHNP Jennifer Woodruff, RNC, WHNP • Morgan Pellegrini, PA-C

9930 W. Indian School Road, Phoenix, AZ 85037 | 1170 N. Estrella Parkway, Goodyear, AZ 85338

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Pacify app introduces new mothers to helpful providers BY CHRISTINA FUOCO-KARASINSKI

are1st Health Plan Arizona wants what is best for mothers and their children. To help expectant mothers and those up to 12 months postpartum, Care1st teamed with Pacify to provide a live video chat service that gives women immediate access to certified providers, including lactation consultants and nutritionists. It is available 24/7 through smartphones’ Pacify app. Mothers can receive breastfeeding support as well as guidance related to any health issues their babies may be experiencing such as colic, digestion, transitioning to solid foods and more. “We understand how important these early years are to both mothers and their young children when instilling healthy habits that will affect a lifetime,” said Scott Cummings, state president of Care1st, an AHCCCS and KidsCare health plan in Maricopa and Pima counties. “This collaboration is exciting because it will aid us as we strive to promote the health and wellness of our members in a more interactive and modern way.” The Pacify app also features push

notifications that appear regularly on the mobile devices of registered members. These alerts include health and safety tips that are beneficial to mothers and their babies. “The Pacify mobile app will provide immediate, cutting-edge support for new moms at the touch of a button,” said George Brandes, co-founder and chief operating officer of Pacify Health Inc. “Care1st members will now have an unprecedented level of access to care, with video-enabled consults available even in the middle of the night and on weekends when there aren’t a lot of other options.” Cummings said the response has been positive since Pacify became available in late summer. He described the app as similar to Uber. “They hit the app and say they want to talk to a lactation expert, or someone different,” he said. “It uses an Uber-type model. A nutrition or lactation expert will sign on from somewhere in the country when they want to. The average time to connect is under 30 seconds, then

they’re Facetiming with someone who can help them.” At the end of the call, clients are asked to rank the service, which Cummings said gives new mothers a peace of mind and resource after hours. Cummings has been with Care1st for 11 years, before it was acquired by WellCare Health Plans in January. Care1st partnered with the city of Avondale in 2009 to open a family housing and resource center at 328 W. Western Avenue, Avondale. For more information, visit care1staz.com. “The city has staff there who work with the health and human services agencies,” he said. “Avondale is pretty remote. They were finding their clients were traveling to Phoenix for services.” The services available in Avondale include Adelante Healthcare; A New Life, support group for survivors of domestic violence; DUET monthly support groups; Area Agency on Aging; Avondale Family Education and Resource Program and Teenage Outreach and Pregnancy Services.

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VISTA HEALTH & WELLNESS 2017

W Roosevelt St

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SPONSORED CONTENT

Robert J Houchin, D.D.S General Dentistry, Sleep Apnea Value Dental Centers

1100 North Estrella Pkwy , Goodyear, AZ 85338 (480)462-6629 osa@valuedentalcenters.com

Dr. Robert J Houchin is responsible for leading the organization’s dental policy, clinical quality, practice standards, and best practices programs. Dr. Houchin is a Graduate of the Georgetown University School of Dentistry, where he received the degree Doctor of Dental Surgery. He received his Master of Science Degree in Microbiology at California State University. He is a recipient of the Gold Key of Knowledge awarded to the top 10 students at the University by the departments of Chemistry, Physics, English and History and has been a member of Mensa International for over 40 years. He has been recognized in Top Dentists in America for many years. He is licensed to practice dentistry in the States of California, Arizona, and Nevada and also holds a license to practice oral sedation dentistry. Also, Dr. Houchin has spent hundreds of hours in additional training to provide his patients with the most current procedures available such as laser dentistry, implants, cosmetic procedures, treatment of sleep apnea, invisalign orthodontics and recently completed the Healthy Start treatment for children. Dr. Houchin served in the United States Navy as a Hospital Corpsman. Dr. Houchin has been married to his wife, Linda, who is a Hospital Pharmacist, for 48 years. They have two daughters, Kelly and Elizabeth.

Dr. Vicente Diaz-Gonzalez, MD, FACC. MAAC Internal Medicine/Pediatrics Arizona Medical Institute 3050 N. Litchfield Rd., Suite 130 Goodyear, AZ 85395 623-536-7600

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Dr. Daniel Charous treats a wide array of ear, nose & throat conditions. He specializes in chronic nasal and sinus conditions, including in-office balloon sinuplasty, as well as snoring solutions, thyroid surgery, and pediatric procedures. Dr. Charous holds degrees from Cornell University and New York University Schools of Medicine and completed his residency at the prestigious Thomas Jefferson University Hospital. We accept most major insurances, including Medicare, Medicaid, (AHCCCS) and commercial plans. Please visit our website www.imsaz.com for a complete list.

Dr. Vicente completed his Doctor of Medicine degree at La Salle University in Mexico City in 1993. With a dual specialty in internal medicine and pediatrics, he started his dual residency at Brookdale University Hospital and Medical Center in Brooklyn, N.Y and completed this at Morristown Memorial Hospital (Atlantic Health System) in Morristown, N.J. in 2001. He was an infectious disease fellow at University of Texas Hermann Hospital, Houston, TX from 1995-1996. Dr. Vicente has been Medical Director at Arizona Medical Institute for 10 years, and at Revitalize Studio Med Spa for over 1 year. He’s also been chairman of the Department of Pediatrics at Abrazo West Campus Hospital, Goodyear, AZ since 2016 and was chairman of the pediatrics department at Maryvale Hospital and Medical Center from 2008-2010. He is also member of Banner Estrella and Medical Center in the West Valley. He started Revitalize Studio Med Spa in September, 2016. He underwent medical aesthetics training at National Laser Institute, Scottsdale, AZ in October, 2016, and knows about injectables, Botox, Dysport, and dermal fillers. He received hands-on training in the SculpSure Laser System in September, 2016, and also has hands-on training in Pelleve, and Icon from Cynosure. Originally from Mexico City, Mexico, Dr. Vicente is married and has 7- and 11-year-old girls. He enjoys music, reading, movies, raquetball, and spending time with family.

2017 VISTA HEALTH & WELLNESS

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Vitamin Shoppe’s Avondale distribution center opens BY CONNOR DZIAWURA

itamin Shoppe runs on three ideas: “inspire, nourish and thrive every day,” according to CEO Colin Watts. Celebrating its 40th anniversary, Vitamin Shoppe is continuing to emphasize those concepts with the launch of an Avondale distribution center. The New Jersey-based company hosted a grand opening and ribbon-cutting ceremony earlier this fall. “It was a very unique idea back in the day, this idea of a retailer that did nothing but focus on supplements and products to help people be healthy,” Watts said. “A lot of people in this world go to doctors, go to nurses – I do, too – when I’m sick… But there are very few places, actually, that you can go to when you are healthy to stay healthier, and when you want to do a little bit better for yourself, a place that can help you to do a little bit better for yourself.” The omni-channel specialty retailer, however, fills that gap in the market. By selling vitamins, multivitamins and supplements such as whey protein and creatine, Vitamin Shoppe allows customers to maintain their health and boost their fitness regimen whether they shop online or brick and mortar. The company has more than 700 stores in 45 states, with 12 in Arizona. While having just celebrated its opening, Avondale’s new climate-controlled, 187,000-square-foot distribution center, located on West Van Buren Street and North 127th Avenue, has been slowly ramping up operations for the past several months. Having chosen Arizona as the best place to serve the West Coast, the company designated the new facility to serve Southern and Northern California, Dallas – Fort Worth, the Pacific Northwest, and Hawaii and China, according to process manager Matthew Ryan. “We’ve been operating now for about two months,” Ryan said. “It started slowly with just shipments coming in, getting stuff on the shelves, a lot of inbound activity. Kind of all our activity was focused on getting stuff on the shelves and all that.” Once the plant is fully operational, Ryan estimates Vitamin Shoppe will employ upward of 80 to 90 employees during the weekday shifts and 40 to 50 from Friday through Sunday. Jobs at Vitamin Shoppe’s distribution center, however, don’t necessarily require prior experience in that industry. “We’re definitely willing to train anybody who wants to come in and learn and has that positive work ethic,” Ryan said. “If they’ve got experience, even better.”

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VISTA HEALTH & WELLNESS 2017

(Vista photo by Connor Dziawura)

Vitamin Shoppe’s new distribution center helps store and ship the company’s large inventory. With the support of the local community, Vitamin Shoppe could bring operations to the West Valley. “The city of Avondale has been awesome, (as well as) the police department, the fire department, the city planning department. It’s been great,” said Jeremy Smith, the new facility’s general manager. “Also thank you to the engineers, the construction team, the ownership and the management team. It’s just been seamless throughout, really helping us get this building ready to go. So, thank you to them.” While the process began with the goal of serving the (Vista photo by Connor Dziawura) West Coast, Avondale was The 187,000-square-foot distribution center is located at ultimately chosen as the Coldwater Depot Logistics Center in Avondale. best possible location for such an operation. council and government here to work with “This was a germ of an idea a couple us, and they’ve been, honestly, nothing years ago,” Watts said. “We looked across but amazing to work with.” the country. We could have chosen a lot of different markets... we decided on Vitamin Shoppe Distribution Center Avondale because we heard there were 925 N. 127th Avenue great, great people in this community. We Avondale knew that there was an amazing, amazing vitaminshoppe.com

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West Valley Vision Center covers the board in eye treatment

(Photo courtesy West Valley Vision)

(Back row from left): Dr. Stephen Martin, Dr. Christopher Furey, Dr. Brent Wilson and Dr. Brayden Lundquist. (Front row from left): Dr. Stacee Burson, Dr. Nicole Anderson and Dr. Anna Moore. BY CONNOR DZIAWURA

oodyear’s West Valley Vision Center has provided proper eye care for more than 50 years. The practice opened in 1962, but Dr. Christopher Furey took over in 1992, eventually expanding to its current location in 2003.

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VISTA HEALTH & WELLNESS 2017

The longstanding clinic’s mission, according to its website, is “to provide each patient a lifetime of healthy vision through superior comprehensive eye care, thereby enhancing their quality of life.” For optometrist Dr. Brent Wilson, however, it goes beyond this. “I stuck around because this is a tremendous practice and all of us here really do strive to give quality care to our patients,” he said. Wilson sees two types of patients: those receiving comprehensive exams, and those facing more serious eye disease or damages from a plethora of ailments. “(The latter) is going to be composed largely of treating the variety of red eyes, which can relate to infections, allergy, inflammation, or different causes of that,” Wilson said. Other eye-affecting ailments include chronic dry eye, glaucoma and diabetes. The practice’s ability to treat is more far-reaching and comprehensive, though. “Those would be the most common ones but certainly not the limit,” Wilson added. Eye care is more important than some realize, however. Some people shy away from eye doctors if they are not yet seeing issues, according to Wilson. “If they’re not having any problems, people will often stay away, which is always a concern because a lot of times, the initial stages of many eye diseases are symptom-free and there aren’t initially vision changes even though there are changes going on with the eye,” Wilson explained. The most common issue is improper contact care, Wilson said. It’s important to regularly clean and change contacts, he said. Finally, he added, children should have regular eye checkups from the beginning. “It’s easier to make a difference if you catch it earlier.” West Valley Vision Center 2580 N. Litchfield Road Goodyear 623-932-2020 westvalleyvision.com

Knee replacement surgeries expected to rise BY DR. CHRISTINA KHOURY

n 1968, the Green Bay Packers won the beneficial to patients of all ages dependSuper Bowl, Hot Wheels made their de- ing on the individualâ&#x20AC;&#x2122;s levels of pain and but, and Richard Nixon disability. was elected president. A complete medical It was also the year that history will be taken prithe first knee replaceor to surgery and a physment surgery was perical examination will be formed. completed to assess the Today, more than range of motion, stability, 600,000 total knee reand strength in the knee. placements are perX-rays may also be done formed in the United to evaluate the extent of States each year to help knee damage. relieve pain and decrease The majority of knee redisability. With an aging placement procedures last population staying in the approximately one to two workforce longer and obehours and require some sity on the rise, demand form of anesthesia, either for total knee replace(Photo courtesy Abrazo West Campus) general or spinal. During ment surgery is expected Dr. Christina Khoury is an ortho- this time, the surgeon will to continue to grow. pedic surgeon on staff at Abrazo make an incision that is The knee joint, which is approximately eight inchone of the largest in the West Campus in Goodyear. es long in the knee area, body, can wear out for move the kneecap aside, numerous reasons, such as inflammation remove the damaged cartilage and then caused by arthritis, injury or everyday insert the new metal and plastic knee wear and tear. Knee replacement sur- joint. gery may be recommended if pain limits After spending a short time in a reactivities, chronic inflammation in the covery room, knee replacement surgery knee does not improve with medications, patients are moved to a hospital room the knee is stiff or deformed, or there where they will generally stay for one to is moderate-to-severe pain that occurs two days before being discharged. There during rest. Most patients who undergo is a huge focus on perioperative pain knee replacement surgery are older than control throughout the hospital stay. age 50. However, the procedure may be One new technique is a pain pump that is

inserted during the time of surgery and stays in place for three to five days to help provide optimal post-surgical pain control. During the hospital stay, blood thinners, support hose and compression boots (inflatable leg coverings) may be used to help prevent blood clots and decrease swelling. A continuous passive motion machine may also be used to bend the leg back and forth to increase blood flow and mobility. Knee replacement surgery patients can usually quit using their crutches and resume normal daily activities after about six weeks. Low-impact activities are encouraged after recovery, such as walking, swimming, biking or playing golf. Full recovery time is typically three to six months, but may take up to a year. There are very few limitations enforced after knee replacement surgery. For more information about knee replacement surgery, talk with a doctor. A free knee risk assessment is available at abrazohealth.com. Dr. Christina Khoury is an orthopedic surgeon on staff at Abrazo West Campus in Goodyear. For more information, call 844-860-8648. Disclaimer: Dr. Christina Khoury is an independent physician and is not an employee, agent or representative of Abrazo West Campus. She is solely responsible for the provision of her medical services to patients.

2017 VISTA HEALTH & WELLNESS

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Conventional and emerging hip treatments BY DR. BRIAN GRUBER, MBA, BOARD-CERTIFIED ORTHOPEDIC SURGEON

aintaining joint health as we age is a priority for many active seniors, and understandably so. The most common conditions that affect the joints as we age include hip osteoarthritis; trochanteric bursitis (inflammation of the bursa that lies next to the trochanteric bursae); and osteonecrosis of the femoral head (death of bone tissue due to a lack of blood supply). Fortunately, orthopedic medicine offers many options for healthy hips, and increasingly so with advances in regenerative medicine.

Conventional treatments Let’s start with more conventional orthopedic options for hip health. The basics of maintaining and improving joint health – including the hips – start with having an exercise program and maintaining a healthy weight. Research consistently demonstrates that patients who lose weight, even in modest amounts, see reductions in their pain and disability. While there is more research to support the effects of weight loss on knee arthritis, weight loss is likely helpful for hip OA and other hip conditions as well. Exercise programs that include strength training, aerobics and range of motion exercises can help with both pain and physical function. Notably, strengthening exercises can help with hip OA.

In our clinic, we often use two types of conventional treatments for hip arthritis and hip conditions: • Corticosteroid injections: Corticosteroid compounds injected directly into the affected joints can be useful for shortterm pain reduction. Reoccurring injections can be utilized judiciously (two or three times per year) to maintain relief, although many patients and providers are cautious with longterm corticosteroid injection therapy. Physician Supervised Care • Hyaluronic acid injections: Hyaluronic acid mimics the body’s Physician Supervised Care natural substance that gives joint fluid its viscosity. Research shows hyaluronic acid injections typically reach their peak Laser Hair Reduction • UNLIMITED SESSIONS effectiveness at around eight weeks after being given and last $ (pay for only 24 months) for about 24 weeks. The HA injections are excellent for knee Without the Meds, Surgery or Downtime arthritis. Unfortunately, these are considered off-label for the BOTOX $ hip and not covered by insurance for this body part. $ Is Here for Him... Medications and supplements that can help with mild-to$10/Unit Is Here for Her... Dermal Microneedling moderate hip OA include: Plus FREE Fillers reg price $275 • Acetaminophen (Tylenol) – Long-term use is a concern because Treat Female urinary PCA Chemical Treat ErectilePeel Dysfunction of the risks of ulcers, GI bleeding and loss of kidney function for incontinence/ vaginal laxity/ in 20 min. as Featured on healthy individuals. For those with pre-existing conditions such dryness in under 30 min. ‘The Doctors’Services TV ShowOffered: as diabetes, high blood pressure, cardiovascular disease, GI Laser Hair Reduction and Tattoo Removal bleeding and kidney failure, this medication is likely unsuitable. Services Offered: ® ® Laser Facials • Botox • Fillers • Kybella • Nonsteroidal anti-inflammatory drugs (NSAIDS) – These LaserPlatelet-Rich Hair Reduction and(Vampire) Tattoo Removal Plasma Facials drugs can be an option for pain relief, but come with more risks ® ® Sclerotherapy (Spider Veins) • Vivace Microneedling than acetaminophen, typically, and should be used with caution. Laser Facials • Botox • Fillers • Kybella Those with cardiovascular disease or GI bleeding should likely Medical Grade Chemical Peels • Hair Restoration Platelet-Rich Plasma (Vampire) Facials avoid NSAIDS completely and others with certain pre-existing Feminine Rejuvenation O-Shot (No Surgery Needed) Vivace Microneedling • Hair Restoration conditions should ask their doctor before using them even for Male Priapus Shot short-term use. Medical Grade Chemical Peels • Glucosamine – While scientific evidence has yet to fully Financing Available Feminine Rejuvenation O-Shot • Male Priapus Shot support the use of glucosamine for joint health, some studies 13575 W. Indian School Rd., show it improves pain and physical discomfort in hip OA and Ste. 300 • Litchfield Park may be worth a try.

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Regenerative medicine Now let’s turn to regenerative medicine, an increasingly evidence-based form of medicine that offers exciting new SEE HIP

HEALTH PAGE 25

HIP HEALTH FROM PAGE 24 solutions for orthopedic patients. Hip conditions with aging, including hip replacement surgery, are relatively common. While there are times when surgery is the best option, increasingly regenerative medicine offers a safe and effective treatment alternative to more conventional therapies. At a minimum, it can buy time for patients on track for a total hip replacement. I’ve seen evidence of this many times over in my practice. What is regenerative medicine? When tissue such as muscle, tendon, ligament or cartilage is injured, the body tries to heal the injury through its own repair mechanism. However, in certain situations (especially in areas where there is lack of blood flow – such as inside and around the joints) the body can’t heal the injury adequately, if at all. With regenerative medicine, we aim to augment the natural healing process to heal or even “grow back” the damaged tissue. Within orthopedics, there are two forms of regenerative medicine we practice: Stem cell therapy – Stem cell-based therapies for the repair or regeneration of muscle and tendon represent a promising technology going forward for numerous diseases. A type of stem cell called mesenchymal stem cells (MSCs) have gained the most attention in the field of surgery due to their ability to differentiate into the tissues of interest for the surgeon. These multipotent stem cells in adults originate from mesenchymal tissues such as bone marrow, tendon, adipose (fat) and muscle tissue. In orthopedics, we primary harvest stem cells from the bone, notably the iliac crest of the pelvis. As stem cell therapy continues to emerge, we will eventually add adipose (fat) stem cell harvesting. We conduct many stem cell procedures right in the clinic – as opposed to in the operating room, where it’s costlier to the patient and often less comfortable. We pre-medicate patients to make them as comfortable as possible. Then the pelvis –

where the stem cells will be harvested from – is anesthetized. A special needle called a Jamshidi needle is used to harvest the bone marrow. Platelet-rich plasma therapy (PRP) – PRP involves the use of the platelets from blood, which is mainly a liquid composed of plasma, but also contains red cells, white cells and platelets. Platelets contain hundreds of proteins called growth factors, which are very important in healing injuries. PRP is conducted in the clinic unless it is being used as an addition to a surgical procedure. It begins with a standard blood draw on a patient, where we draw 15 milliliters of blood. PRP is then prepared by separating the platelets from other blood cells and increasing their concentration in a process called centrifugation. This is done in a centrifuge device, and a trained representative from the device company is on site to prepare the PRP. The PRP with its increased concentration of platelets is combined with the remaining blood and injected via guided ultrasound into the injured tissue. The use of ultrasound is important as it allows us to be very exacting in placing the PRP. Both forms of regenerative medicine are appealing to patients as they are minimally invasive and often performed in the clinic in a relaxed setting with little down time. Both stem cells and PRP can be performed as an adjunct to surgery to enhance its outcome or as a standalone procedure done right in the clinic. A major advantage of regenerative medicine that appeals to patients is that it leverages the natural healing process using the body’s own tissue. Additionally, the ease of preparation and administration; relative safety; and cost-effectiveness (compared with surgical options) are attractive to patients. Both forms of regenerative medicine can be used to treat some aging-related hip conditions and offer an exciting option for patients. To learn more about Dr. Brian Gruber and his orthopedic and physical therapy practice, visit integratedorthopedicsaz.com.

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Young cancer patient inspires others through his battle BY ADDALAI CLARK

endrick Taylor has suffered from a rare form of cancer since he was 3 months old, but the 2-year-old Litchfield Park boy isn’t letting it stop him. “He just puts a smile on everyone’s face,” said his mother, Angela Taylor. Taylor described her son as having a “crazy little personality” that makes all those around him happy when he rolls down the hospital halls in his wheelchair. Kendrick loves Spider-Man, motorcycles and playing with his older brother, Jax. Kendrick has myxoid sarcoma, a form of cancer that, because it’s in his spine, is rare. His parents were told he’s the only child in the nation with it. The boy was diagnosed after his parents, Devin and Angela, noticed Kendrick didn’t have movements in his legs. They perceived he was having pain when they changed his diapers. Angela took him to a chiropractor first, then to his primary care physician, and then to the emergency room. “The emergency room sent us to Phoenix Children’s Hospital where they did a lot of scans and X-rays, but didn’t find anything,” Angela said. “Then, the next morning, they did an MRI and they found a mass, about the size of my thumb, growing inside of his spinal cord.” Kendrick had two surgeries, nine months apart, to remove the tumor. When his cancer came back a third time, they opted against additional surgeries. “If we went in for another surgery, that could jeopardize the movement he has and it would not guarantee that the tumor wouldn’t come back again,” she said. “So they gave me three options. One was radiation and that would paralyze him from the waist down for the rest of his life. Or we could try chemo, which chemo had never worked on this type of cancer, but just test it out. And the third option was to sever his spinal cord and that would actually paralyze him also from the waist down.” None of the options would guarantee Kendrick would be free of cancer, so his parents searched for a new form of treatment. “We did a gene therapy to find out what cell was mutating, and we found an experimental medication that had just come out of clinical trials,” she said. “In March we started that medication.” The medication is called Pazopanib, also known as Votrient. It is a tyrosine kinase inhibitor that is used to block or inhibit the growth of a tumor. Since then, Kendrick’s cancer has stopped growing. The drug will not be the last step in treatment for Kendrick’s cancer, but will stop the spinal tumor’s growth until another option becomes available.

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VISTA HEALTH & WELLNESS 2017

(Photo courtesy Evolve)

Kendrick Taylor cruises along in The Stander, a customized wheelchair that allows him to stand upright. Each week, Kendrick spends at least two days with his physical therapist, Natalia Jeschien, with whom he has been working since he was 4 months old. He calls her his “best friend.” “Kendrick is incredibly motivated, so he makes my job a lot easier,” Jeschien said. “Even though he is young and he’s never done this, I teach him something and he’s able to reciprocate it and practice at home independently.” Angela said because of where Kendrick’s tumor is located, he is paralyzed from the knees down which interferes with his mobility, including standing and walking. To get around, Kendrick must use

The Stander, a customized wheelchair that allows him to stand upright at the hospital. Phoenix Children’s Hospital is like family to the Taylors. Kendrick has occupational and physical therapy, and sees a neurologist, oncologist, orthopedist and a cardiologist. However, he keeps his spirits up and inspires those around him. “He is such a go-getter,” Jeschien said. “He’s going to get through so much in life because, even at such a young age, he continually pushes himself to be better than the previous week with me. It’s pretty amazing to see that in a 2-yearold.”

Help children like Kendrick Taylor Phoenix Children’s Hospital is encouraging the public to donate to the facility and deduct the amount from their 2018 taxes. Contributions to Phoenix Children’s will be matched dollar for dollar, up to $427,000, by a friend of the hospital through the end of the year. Single and head-of-household individuals can claim $400, up from $200, and married couples filing jointly can claim $800, up from $400. For more information on how to take advantage of the charitable tax credit, visit GivetoPCH.org/BeTheStar.

Fit & Strong classes make exercise easier for people with arthritis BY GABRIELLA J. DEL RIO

e often forget how fortunate we can be to have our joints move smoothly. More than 27 million Americans suffer with osteoarthritis, a joint disease in which the cartilage between the bones breaks down and makes movements in the joints painful, rendering everyday activities, exercise and even walking more difficult. An exercise program new to Arizona, Fit & Strong aims to change the game for people with arthritis. Fit & Strong classes, which began June 1 at the Buckeye Community Center, are geared toward adults over age 50, or people with lower extremity osteoarthritis. “The program includes gentle stretches, aerobic walking or low impact aerobics, and exercises to improve lower extremity muscle strength,” said Philip Yabes, Buckeye Community Center Manager. Classes are designed to manage or prevent arthritis and decrease joint pain and stiffness through low-impact exercises. They also have the potential to reduce anxiety and depression, and help people develop healthy lifestyles. (Photo courtesy of the Fit & Strong! Program) One of the anonymous testimonials on the Fit & Strong website asserts, “It has really Fit & Strong classes are designed for people over age 50 or who have osteoarthritis. helped my arthritis and I have less pain. I feel like getting up and doing something. I like doing housework and view it now as a form of exercise.” The program was developed by the Center for Research on Health and Aging, a national organization that focuses on ways for older adults to maintain their health and examines how the healthcare system can address the health needs of older adults. The award-winning program was founded in Illinois and has been established in nine states across the country: Illinois, Massachusetts, Michigan, Minnesota, North Carolina, Nebraska, New Hampshire, Nevada, Texas, and now Arizona. Each Fit & Strong class includes 60 minutes of exercise, followed by a 30-minute group discussion on a variety of health topics. “It is different from other exercise programs because it also includes a half hour during which you will discuss your goals for exercise and managing your arthritis,” Yabes explained. “This part of the program is very important because it provides SculpSure helps you safely reduce information on how to exercise safely and how to manage other stubborn fat in problem areas such as the aspects of osteoarthritis.” belly, love handles, back, and thighs with In 2006, the program received an honorable mention from a treatment plan that is customized to the the Archstone Foundation Award for Excellence in Program results you desire. Innovation. According to the Fit & Strong website, the award “recognizes best practice models that have effectively linked academic theory with applied practice in the field of Public Health and Aging.” In 2008, Fit & Strong won the Healthcare and Aging Award, with the review committee declaring that the field and practice of healthcare and health promotion is advanced by sharing Fit & Strong! with others in the field. “…The program has added another level to our exercise programming at the Senior Center,” a Fit & Strong instructor wrote on the company’s website. “We are blessed to be able to implement an evidence-based program such as Fit & Strong that has proven to improve the quality of life.” Classes are held every Tuesday and Thursday from 8:45 to 3050 N. Litchfield Rd • #103 • Goodyear • AZ 10:15 a.m. at the Buckeye Community Center, 201 E. Centre (623) 537-7313 • revitalizestudio.com Avenue in Buckeye. For more information, call 623-349-6600 or visit buckeyeaz.gov/parks-recreation/senior-programs.

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Do naturopathic treatments work? BY AMBER MILES

n one of his many essays, Mark Twain wrote, “If another citizen preferred to toy with death, and buy death in small parcels, to bribe death with a sugar pill to stay away, or go to the grave with all the original sweeteners undrenched out of him, then the individual adopted the ‘like cures like’ system, and called in a homeopath physician as being a pleasant friend of death’s.” The lauded American author’s assessment, written circa 1867, may seem harsh in a modern light, when the National Center for Complementary and Integrated Health estimates more than 38 percent of adults use some form of alternative medicine, and celebrities from Paul McCartney and Gwyneth Paltrow to Mahatma Gandhi and Cindy Crawford have touted its benefits. But this field of holistic, nature-based care has long received mixed reviews: Some people regard naturopathy as an effective medical treatment; others consider it a placebo at best and a danger at worst. Whatever the perception, alternative medicine has found a home in Arizona— one of 19 states with registration laws for naturopathic physicians, who are licensed through the state’s Naturopathic Physicians Medical Board.

‘The healer within’

medicine, nutrition and acupuncture, said Dr. Ravi Chandiramani of Blue Door Therapeutics, an opioid addiction treatment clinic. Medical marijuana is among the alternative treatment options at Blue Door. When it comes to cannabis and other forms of naturopathic medicine, Chandiramani said, “Education really is key in having people understand.”

Naturopathic medicine emphasizes providing natural treatment and preventive care while minimizing any potential harm, according to the American Association of Naturopathic Physicians (AANP). Practitioners say it’s Pitching to Boomers all about maximizing an individual’s selfDr. YoungJu Lee said patients of all healing abilities. ages can benefit from naturopathic “The methods used are treatment, and added that often the ones the patient physicians may adjust their is most receptive to, as their approaches depending on a greatest healer is within,” patient’s age. said Dr. YoungJu Lee of “As people age, the body Sarang Natural Medicine, becomes more depleted and which provides services imbalanced,” she explained. including acupuncture, Because of this, older people botanical medicine and reiki require “a less aggressive (a Japanese technique that approach that nourishes and purportedly channels healing harmonizes all aspects of the energy into patients). person, such as acupuncture, Naturopaths believe massage, constitutional treating the whole patient is hydrotherapy, diet and important. When addressing nutrition as well as relaxation (Photo courtesy of Sarang a patient’s health concerns, techniques and mind-body Natural Medicine) naturopathic practitioners medicine to work through Dr. YoungJu Lee leads examine a variety of any underlying emotional Sarang Natural Medifactors, including physical, issues.” mental, emotional, genetic, cine in Mesa. Naturopathic medicine environmental and spiritual. is especially beneficial for The discipline includes a wide range of people over the age of 50 because it treatment options, including nutrition and can reduce their reliance on prescription diet, yoga, acupuncture and acupressure medications, said Dr. Suneil Jain of massage, herbal supplements, magnet Rejuvena. therapy and auriculotherapy (stimulation To maintain good memory and of the external ear). Most naturopathic cognition, Lee recommends reducing physicians practice with a broad scope sugar intake, staying active, hydrating of tools and must be familiar with not and consuming good fats such as fish only conventional pharmacotherapeutics oils. For pain management, Lee suggests but also botanical medicine, physical acupuncture. Dietary adjustments and 28

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VISTA HEALTH & WELLNESS 2017

ozone therapy—a form of treatment that aims to increase the amount of oxygen in a person’s body—can also help, Jain added. Ultimately, however, Lee stresses the importance of preventive care to avoid conditions such as stroke, heart disease and diabetes later in life. “The emphasis is on building health rather than on fighting disease,” Lee said. However, she added naturopathic therapies can treat chronic conditions and nonemergency acute conditions, such as the flu. Recognizing naturopathy’s limitations and referring a patient “to the appropriate healing force” is important, said Dr. David Arneson of the Source Naturopathic Medical Clinic in Phoenix. When it comes to emergency situations — such as motor vehicle accidents, conditions requiring surgeries or life-threatening ailments — naturopathic medicine should not be a patient’s first step, the physicians agree. “Certainly, if I broke my arm, I would not be going to a naturopathic physician; I would be going to an ER and getting a cast. If I needed surgery, there’s no question I would do that,” Chandiramani said.

A danger zone? Many patients say they turned to naturopathic medicine after not seeing desired results from traditional medicine—but naturopathy has its share of detractors, who don’t believe it’s an effective treatment avenue for any health conditions. There are no universally accepted, peer-reviewed scientific studies showing its overall efficacy. “It is a myth that naturopathy can SEE ALTERNATIVE PAGE

ALTERNATIVE FROM PAGE 28

— but that is not enough, according to Hermes. She said naturopaths lack the safely and effectively solve any acute or chronic health disease using homeopathic appropriate training to safely practice remedies, special diets, herbs, water, or conventional medicine or prescribe any other naturopathic therapy,” said medications. Consequently, “patients Britt Hermes, an outspoken critic of with chronic diseases or who are taking prescription medications are at an naturopathic medicine. Hermes was a naturopathic physician elevated risk of harm under the care of a naturopath,” Hermes said. in Tucson until 2014. She “General lifestyle left the profession, she said, recommendations… will after discovering a colleague contribute to an overall had been importing a nonsense of well-being and FDA-approved drug. Since may improve some health then, she has challenged conditions,” she said, but the efficacy of naturopathy “naturopathy does not offer as well as the training effective medical care.” naturopathic physicians Naturopathic physicians receive. make promises they According to the AANP, to cannot keep, said former receive a license to practice naturopathic patient in Arizona, naturopathic Deborah Davis, who sought physicians must graduate care for posttraumatic (Photo courtesy of Serendipit from an accredited fourConsulting) stress disorder stemming year residential naturopathic medical school — such as Physician Ravi Chan- from military sexual trauma. Tempe-based Southwest diramani practices at Davis went to a naturopathic College of Naturopathic Blue Door Therapeutics physician in her home city, San Diego, in 2012 after Medicine — and pass in Scottsdale. trying medication and a postdoctoral board therapy through the U.S. examination. SCNM’s four-year ND program includes courses in biology, Department of Veterans Affairs. Davis tried different homeopathic anatomy and physiology, as well as courses in naturopathic treatments like remedies for two years but did not feel botanical medicine and homeopathy. The any better. “It was a total mess,” she said. program requires students to take at least In fact, the experience exacerbated her two courses in pharmacotherapeutics anxiety. Naturopathic physicians “strike a note of fear into people,” Davis said,

Goodyear Chiropractic

explaining her physicians would tell her distressing things about conventional medicine. One of Hermes’ former patients, Emilie Bishop, tried naturopathic medicine hoping for relief from endometriosis pain and help with fertility problems. She pursued naturopathic treatment after her OB/GYN suggested it, which “speaks to how well naturopaths have been able to sell themselves and their credentials,” Bishop said. Bishop said her care was expensive; even though insurance covered her visits to Hermes at the same rate it covered most doctors, it did not cover the herbs, vitamins or homeopathic treatments — none of which worked, Bishop said. Removing dairy and meat from her diet, as Hermes suggested, did not help, either. “It just felt like we were trying so hard to make ineffective treatments work,” Bishop explained. “We could easily have gone way off the deep end with eliminating this or that food, to the point of doing harm, if I hadn’t gotten impatient with it.” Ultimately, it’s up to individuals to do their own research and form their opinion. Chandiramani points out there is “more than one path towards becoming a physician,” and there is more than one way to approach medical care. Source Naturopathic Medical Clinic’s Dr. Arneson added: “The beauty of holistic medicine is that we understand and believe that nothing works in a vacuum.”

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Revitalize Studio offers myriad aesthetic services

BY CHRISTINA FUOCO-KARASINSKI

A (Photo courtesy Arizona Medical Institute)

Medical aesthetician Victoria Sierra, Dr. Vicente Diaz-Gonzalez and Dr. Grissell Ramos head up Arizona Medical Institute and Revitalize Studio.

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VISTA HEALTH & WELLNESS 2017

22-year medical practitioner, Dr. Vicente Diaz-Gonzalez felt a calling to explore aesthetics to help women and men look their best. Diaz-Gonzalez, an internal medicine doctor and pediatrician, was asked about new technology by one patient and the requests snowballed. Now he is the medical director of the recently opened Revitalize Studio Laser Clinic and Medical Spa in Goodyear, adjacent to his full-time medical practice, Arizona Medical Institute. His wife, Dr. Grissell Ramos, is an aesthetic specialist, as well as founder and manager. “He found a need for a med spa in the West Valley,” said Ramos, who lives in Litchfield Park with her husband. “One time, one of the drug reps from a laser company came to offer him a machine for body contouring. It’s called SculpSure. We thought that could be good. We started offering that service first and it continued from there.” Diaz-Gonzalez was the first to train and practice SculpSure in the West Valley. He has performed more than 100 SculpSure procedures so far. “SculpSure is one of our favorite services because it is noninvasive permanent fat cells destruction that will make you look as you always wanted, but skipping the surgery,” Ramos said. Revitalize Studio, which opened in July, also offers injectables, fillers, skin tightening and more. Patient Lourdes Guerrero likes that the facility is a one-stop shop. “Why go someplace else, when you know that Dr. Diaz-Gonzalez and his staff will be sure to make you look your best, naturally, and you always feel safe with the procedures,” she said. Ramos’ goal is to have her own facility in the area, so DiazGonzalez can still act as medical director. His patients feel comfortable knowing he is always on site and practices and trains on all the services along with his staff, she said. Dr. Diaz loves to help patients forget about their medical conditions and look and feel beautiful. “We’ve been a medical office for so long,” she said. “We see patients with diabetes and hypertension for treatment, but this is the other side. When they come to the studio, they forget about their illnesses. Those are not going to go away, but looking better and feeling better will help them get better. They forget about the other issues. They say, ‘Yes, I am beautiful and I feel like it.’” Arizona Medical Institute and Revitalize Studio 3050 N. Litchfield Road Suite 130 Goodyear 623-299-2403 arizonamedicalinstitute.com

Seven items to bring with you when going to the emergency department BY MELISSA RITCHEY, RN, MSN

ife happens and at one time or another, we may experience the need for emergency care. Hospitals recognize these situations can happen quickly and unexpectedly – if possible, it is important to bring certain items that will be helpful for the ED medical team and for you, the patient. 1: An updated medication list, including the name of the medicine, the dosage and the number of times a day you take it. The list should include any known allergies, as well as supplements such as vitamins or over-the-counter medicines. Having a list of all medications you are taking helps your ED provider double-check for interactions between drugs and know the best dose for your condition. Tell your family members about it and keep the information in your wallet in a visible place, so if you cannot communicate, emergency responders will have access to the information. 2: A list of your providers, including your primary care provider and any specialists you might be seeing, as well as contact information for your pharmacy. Medical conditions can sometimes be complex to manage. Sharing the list makes sure the emergency department can connect with the provider who best knows your situation, and also helps make

sure your provider is ready for your follow-up care after you leave the hospital. 3: An advocate. When you’re experiencing discomfort, pain or fear, you aren’t as likely to retain information. If you can, bring a loved one or friend with you who can help ask and answer questions and remember instructions. 4: A list of your chronic conditions and any recent test results. 5: Your insurance card. Federal law requires anyone coming to an emergency department to be stabilized and treated, regardless of their insurance status or financial condition. But if you do have an insurance card, it helps smooth out billing later on. 6: If the visit is for your child or grandchild, grab your child’s favorite toy, blanket or other item that can serve as a distraction or a comfort. If you forget, ask if the hospital has a child-life specialist who can assist. 7: Your questions – and don’t leave until they are answered. Make sure you understand the side effects of any medications and whether it’s OK to take

them with any current medications you are taking. Be sure you receive contact information if follow-up care is needed. Please understand that it is not required to bring this information with you to the emergency department, and that it will not affect the treatment and care you receive. While we hope that you and your family do not need emergency department services, we want community members to be informed and prepared for medical emergencies. Making preparations to have these items and information readily available can help patients avoid additional stress during and after an ED visit. Melissa Ritchey is director of patient care services at Tucson Medical Center.

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Recreation programs abound in the WV BY CONNOR DZIAWURA

eeping a sound mind and body is an important part of being healthy. There are many ways to stay healthy and fit, whether it is through diet, exercise and sports, or always being on top of scheduling regular check-ups. Throughout the West Valley, in the cities of Avondale, Buckeye, Goodyear and Litchfield Park, there are many opportunities through the various cities’ recreation departments to be productive and boost your lifestyle in a positive, healthy way. From free health screenings to yoga and CPR lessons, there are many ways you can be active and involved moving into the new year, regardless of in which West Valley locale you reside. So first, let’s start with the former.

AVONDALE No-Cost Health Screenings In Avondale, free health screenings are offered via a partnership between Avondale Neighborhood Family Services Department and University of Arizona, College of Public Health. Get your weight, height, blood glucose and blood pressure tested, as well as HIV or hepatitis C upon availability. Fluoride varnish application is also available for children, as well as flu vaccines at certain availabilities. These screenings also give orientation and education about chronic diseases, as well as health insurance enrollment assistance. Care1st Resource Center, 328 W. Western Avenue, Avondale, 1 to 4 p.m. every third Friday of the month, free. First Teeth First It’s simple – free dental screenings, fluoride, varnishing and proper mouth care will be provided and taught to children ages 0 to 5 and pregnant women. Be sure to take advantage of this Maricopa County program, funded by First Things First. Care1st Resource Center, 328 W. Western Avenue, Avondale, 8:30 a.m. to 3 p.m. Mondays and Tuesdays, free. Girls on Mountaintops Empowerment of women meets wellness at this reoccurring Avondale program. Through Girls on Mountaintops, Avondale is looking to provide an array of hiking trails that range from novice to advanced in terms of difficulty, and promote teamwork. On January 20, the group will meet at Turnbuckle Loop Trail in Skyline Regional Park; on February 17, the group will meet at Tom’s Thumb in McDowell Sonoran Preserve; and on March 24, the group will convene at Pinnacle Peak in Pinnacle Peak Park. All meet-ups start at 8 a.m., but be sure to register and sign a waiver no later than a week before the hike you plan to attend, as that is the deadline. For more information, or for registration, call or email Stacy Lafortune at 623-333-2413 or slafortune@avondale. org, respectively. 32

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Various trails, Avondale, 8 a.m. January 20, February 17 and March 24, free.

BUCKEYE Fitness in the Park Looking to boost your fitness and get healthy? Look no further than Fitness in the Park. For just one hour every Monday through Thursday, classes will be available at Sundance Park. The program reoccurs often and has a new set of classes starting January 8. Mondays become Ignite Yoga, Tuesdays are PiYo (Pilates and yoga), Wednesdays are POUND, and the week concludes with CrossFit on Thursdays. All classes are free and led by trained professional instructors. For more information, visit buckeyeaz.gov/ rec, email recreation@buckeyeaz.gov or call 623-349-6350. Sundance Park, 22865 W. Lower Buckeye Road, Buckeye, 6:30 to 7:30 p.m. Mondays through Thursdays, free. CPR & First Aid This Cross’ Lifeline Training-instructed event covers it all – CPR, bleeding, shock and burns. The event fulfills OSHA and state childcare licensing requirements through training, aiding in CPR and first aid protocols for adults, children and even infants. Ultimately, participants who successfully complete the seminar will receive two years’ certification in these fields. It costs $35 for Buckeye residents, or $45 for non-residents. Dr. Saide Recreation Center, 1003 E. Eason Avenue, Buckeye, 6 to 9 p.m. Thursday, January 11, $35-$45, 16+. Aerobics for a Better You Start your Mondays, Wednesdays and Fridays with a great free session of aerobics led by a volunteer instructor. Strength training, balance and flexibility are all components that will be focused on in this aerobics session that will create a “better you.” Be sure, however,

to bring your own exercise mat and hand weights. While this event is thrice weekly, no meetings will be held on December 22, December 25, December 29, January 1 or January 15. Dr. Saide Recreation Center, 1003 E. Eason Avenue, Buckeye, 8 to 9 a.m. Monday, Wednesday, Friday through April 27, free, 18+. Child Care & Babysitting Safety Preteens, tweens and teens can come to this event to get a firm grasp on the responsibility that comes with child care and babysitting. Right about that age to start babysitting for friends and family, and watching younger siblings, tweens and teens will learn the important details of this duty. Diapering, feeding, CPR and first aid are all subjects that will be covered. Cross’ Lifeline Training will once again be conducting this event, and those who complete it will receive two-year certification. Buckeye residents must pay $45, whereas the cost is $55 for nonresidents. If you attend, bring lunch and snacks. Dr. Saide Recreation Center, 1003 E. Eason Avenue, Buckeye, 9 a.m. to 1 p.m. Saturday, January 13, $45-$55, ages 1016. Latin Dance Aerobics Beginning January 2 and concluding April 30, this daily event – Mondays through Fridays – will start your day by getting you moving under the supervision of a volunteer instructor. This free event is for adults 18 and older, it is free and runs from 9 to 10 a.m. daily (except weekends). There isn’t a meeting on January 15. Dr. Saide Recreaton Center, 1003 E. Eason Avenue, Buckeye, 9 to 10 a.m. Tuesday, January 2, through Monday, April 30, free, 18+. SEE PROGRAMS PAGE

Goodyear, 7 to 11 a.m. Saturday, February 3, $15-$25.

PROGRAMS FROM PAGE 32 After-School Yoga End your day after a long session of classes with after-school yoga for children ages 6 through 10. The class runs Tuesdays from 5 to 6 p.m. starting January 9. Ignite Yoga will be leading the sessions, which will instruct children on posture, breathing, self-esteem, stress management and anti-bullying. Buckeye residents must pay $65; cost for nonresidents is $70. Dr. Saide Recreation Center, 1003 E. Eason Avenue, Buckeye, 5 to 6 p.m. Tuesday, January 9, through Tuesday, February 27, $65-$70, ages 6-10.

GOODYEAR Heart and Sole 5K/1M February is National Heart Health Month! In honor of the wellness-conscious celebration, the annual Heart and Sole 5K race will return once again. This is the 11th installment for the annual run. While the 5K is the central focus, a family-aimed onemile (1M) run will also occur with the hopes of inspiring younger athletes. The pre-race packet pickup is held from 4 to 6 p.m. Friday, February 2. On race day, Saturday, February 3, packet pickup and registration will begin at 7 a.m. The 5K starts at 8:15 a.m. with awards held at 9:15 a.m., whereas the 1M starts at 8:20 a.m. Admission to the 5K costs $25 with a $2.50 registration fee, while the 1M costs $15 with a $2.50 registration fee. Registration opens January 13 and closes February 2. Goodyear Ballpark, 1933 S. Ballpark Way,

Lifeguard & Water Safety Certification Two American Red Cross certification programs are coming back for several courses this spring. First, there are lifeguard training courses for those ages 15 and over. The $150 fee ($170 for nonresidents) includes books and a CPR mask. A lifeguard certification card and CPR/AED & Basic First Aid certification card will be provided upon successful course completion. Class dates are 8 a.m. to 5 p.m. Saturday, March 10, through Monday, March 12, and 8 a.m. to 12 p.m. Tuesday, March 13. Water safety certification courses will be held from 12 to 5 p.m. Tuesday, March 13; 8 a.m. to 5 p.m. Wednesday, March 14, through Friday, March 16; and 8 a.m. to 2 p.m. Saturday, March 17. These courses cost $160 ($180 for nonresidents) and focus on a variety of elements for maintaining safety while in water, such as emergency response protocols, hydrodynamics, floating and other swim techniques. Signees must be at least 16 by the last scheduled class. Registration opens January 1 for certification in these fields. For more information, including prerequisites, contact Goodyear’s recreation department at 623.882.7525. Goodyear Pool, 430 E. Loma Linda Boulevard, Goodyear, various dates and times.

Your #1 Heart Specialists

LITCHFIELD PARK Balance & Stretch Class Sign up at the turn of the year for this balance and stretch class. The next session begins Wednesday, January 3, and concludes Friday, February 2. It is a recurring class, however, so keep an eye out for more instances of Balance & Stretch Class in each of the following months, and make sure you improve your mobility, range of motion, balance and stability. This three-times-weekly event meets Mondays, Wednesdays and Fridays, and costs $32 for citizens of Litchfield Park; otherwise, the entry fee is $38. Litchfield Park Recreation Center, 100 S. Old Litchfield Road, Litchfield Park, 9 to 10 a.m. Monday, Wednesday, Friday January 3 through February 2, except January 15, $32-$38, 16+. Yoga in the Park A new yoga class starts January 6. It’s located on the lawn between the Litchfield Park Recreation Center and Library. Classes for individuals ages 16 and over will be from 9 to 10 a.m. Then, family yoga is from 10:15 through 11 a.m. Each Yoga in the Park session lasts four Saturdays. Individual classes cost $42 for residents and $53 for nonresidents. Family classes cost $35 for adult residents and $42 for adult nonresidents, as well as a $5 flat rate per child. Ages 3-15 also allowed. Bring your own mat! Litchfield Park Recreation Center, 100 S. Old Litchfield Road, Litchfield Park, 9 a.m. Saturdays, starting January 6, $5-$53.

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The doctor’s office of the future might already be here BY JUSTIN FERRIS

edical technology continues to improve at an astounding rate. From precise surgical robots and minimally invasive diagnostics procedures to low-cost, in-home medical equipment and wearable monitoring gadgets, new wonders appear yearly. When it comes to standard doctor’s visits, however, the average patient experience has remained largely unchanged from 50 or even 100 years ago. You call up your doctor’s office, wrangle an appointment far in the future, wait around once you show up, and spend little actual face-time with the doctor. Then you do the whole thing a few weeks later to follow up on any lab work or other tests. While major hospitals and emergency rooms now offer mobile apps to schedule appointments or fill prescriptions – and apps like ZocDoc (zocdoc.com) can help smaller practices – established medical providers don’t possess the time, money or know-how to create far-reaching tech solutions to streamline the process. They’re focused mainly on medicine – as they should be. Fortunately, a new wave of medical startups are building high-tech systems that make it easier – and possibly cheaper – to connect with medical professionals.

One Medical Group Started in San Francisco in 2007, One Medical Group (www.onemedical.com) was built from the ground up to merge technology and medical care. It created its own nationwide network of primary care physicians and boutique clinics that continues to grow. Using the app or website, you can book appointments, get prescriptions, review your medical records, find doctors and get email consultations. Thanks to a robust digital appointment system, same-day visits are available and appointments start on time. Plus, no matter which boutique clinic you visit around the country, they will have all your current information. Of course, the perks aren’t free. You will need to shell out $149-$199 a year for full access. Still, if it saves you from waiting two weeks to visit a doctor, it might be worth it. And it does accept most medical insurance.

Forward An even more high-tech option called Forward (goforward.com) just started in 2016. It’s the brain child of employees from Google, Facebook, Uber and other tech heavy hitters. 34

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VISTA HEALTH & WELLNESS 2017

The futuristic office visit starts with self sign-in and a body scanner that can take all your vitals – weight, blood pressure, temperature, etc. - in 45 seconds. There’s also real-time blood testing and a genetic risk assessment available. A comprehensive app offers access to your medical information, plus regular contact with your doctor and real-time monitoring for various takehome sensors. The first office, in San Francisco, came online back in January, and more are expected to roll out in the near future. Initial pricing costs a steep $149 a month and it doesn’t take insurance. However, as with most tech ventures, expect prices to drop.

Parsley Health A 2014 startup, Parsley Health (www. parsleyhealth.com) aims for a more holistic health system. At $150 a month, it offers five doctor visits and 24 health coach visits annually, in addition to online care. Instead of one or two yearly visits, you continually communicate with your health provider to track down problems and build a healthier lifestyle. Unlike the 15-minute visits at many medical offices, the average visit lasts 50 minutes. Right now Parsley is only located in New York, Los Angeles and San Francisco, but it should continue to expand to other major cities. Like Forward, it costs $150

a month. However, you can pay the membership fees through an FSA/HSA and it does take insurance for most tests.

Teladoc If you don’t want to leave the house, there are telemedicine services like Teladoc (www.teladoc.com). Teladoc allows you to talk to, or video chat with, a licensed doctor via web, phone or the mobile app 24/7. Even with 20 million reported members, the average doctor response time is just 10 minutes. In addition to general medicine, an array of medical specialties, including dermatologists and therapists, are available. Through the app, each doctor can see your medical history so you don’t need to fill them in every time. Plus, they can write prescriptions and you can send it to your preferred pharmacy. Teladoc pricing depends on your medical insurance co-pay. Some insurance companies also offer limited, free use as a perk.

The future In addition to the companies listed above, there are dozens more already in the marketplace or poised to enter. While that’s good for competition, it does mean some won’t last or might not be that good. As with any other tech product or service, check the company history and online reviews to make sure it’s right for you before you buy in.

Seniors are one of the largest demographics for getting skin cancer BY DR. CARY SCHNITZER, SENIOR MEDICAL DIRECTOR, POPULATION HEALTH, OPTUMCARE ARIZONA

n Arizona, we experience triple-digit temperatures for months. While we don’t hang out outside during the summer months, any time that is spent outside can still be detrimental to our health. Unfortunately, many of us go outside without proper sun protection, which is why melanoma, the deadliest form of skin cancer, is also the most rapidly increasing cancer in the United States over the past 40 years. While everyone is at risk for melanoma, the largest demographic at risk of getting the cancer is the elderly. There are multiple factors that impact this trend, including the fact the elderly may have a harder time seeing moles in hard-to-view areas for screening (like the scalp or back), loss of a partner’s input on home examinations, poor vision and the fact that early detection programs for melanoma have generally targeted younger age groups. According to the EPA, about 171 people in Arizona die of melanoma every year. Since 1975, the melanoma death rate in Arizona has risen by an average of about 1 percent per year among residents over the age of 50. Melanoma is a cancer that begins in the (Stock Photo Image) melanocytes, cells that make a brown pigment While everyone is at risk for melanoma, the largest demographic at risk of getting called melanin, which gives the skin its tan or brown the cancer is the elderly. color. Melanin protects the skin from the harmful effects of the sun. Melanoma is caused by UV rays from sunlight or artificial sources such as tanning beds. The good news is, melanoma is preventable and treatable. The keys are to avoid harmful UV rays from the midday sun (between 10 a.m. – 3 p.m.), wear protective clothing and sunscreen and get screened. If detected early, the cure rate for melanoma is around 95 percent. All people, but especially elderly men and women, need to pay attention and follow these steps when it comes to the sun, UV rays and melanoma: • Wear a sunscreen with SPF 30 or higher and reapply every two hours. • Wear a hat, sun glasses and clothes with UV projection. • Avoid midday sun (10 a.m. – 3 p.m.) whenever possible. • Seek shade whenever possible. • Avoid tanning beds. • See a doctor if a mole is bleeding, scaly, changing shape or color. • Get checked yearly or as recommended by your physician. • Examine your skin on a regular basis and follow the ABCDE rules. If a mole has these traits, it should be checked by a doctor: • Asymmetry: The mole is not symmetrical. Normal moles are symmetrical, meaning the left half matches the right half if you draw a line down the middle of the mole. • Border: The mole’s border is not smooth or even; it may have a notch or look scalloped. • Color: The mole’s color is varied – could be different shades of 1981 N Pebble Creek Parkway, Suite C-5 brown, black, or tan; may have red, blue and white. Goodyear, AZ 85395 • Diameter: The diameter is larger than a pencil eraser (about 1/4 inch or 6 mm); rarely can be smaller. 623.536.6676 • Evolving: The mole is changing in size, color, shape, elevation www.footsolutions.com or is bleeding, itching, or crusting. It’s time to break the cycle and prevent melanoma. Let’s *Offer valid at the above location only. Cannot be combined with other offers or insurance purchases. Expires 11/30/17. make a conscious effort to stay protected this summer.

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Cities at a Glance Year of incorporation: 1946 Population: 85,167 Median age: 32 Median household annual income: $64,785 Land area: 54 square miles City Hall: 11465 W. Civic Center Drive (623-333-1000) www.ci.avondale.az.us Mayor: Kenn Weise Vice mayor: Bryan Kilgore Council: Lorenzo Sierra, Veronica Malone, Pat Dennis, Mike Pineda and Tina Conde City manager: David Fitzhugh

Police Dept.: 11485 W. Civic Center Drive (623-333-7000) Police chief: Dale Nannenga Fire Dept.: 1825 N. 107th Ave. (623-333-6000) Fire chief: Paul Adams Libraries: Avondale Civic Center Library, 11350 W. Civic Center Drive (623-333-2602); Sam Garcia Western Avenue Library, 495 E. Western Ave. (623-333-2665) Post Offices: Avondale Post Office, 401 W. Western Ave. (623-882-9148); Cashion Post Office, 1216 N. 111th Drive (623-936-1362)

Year of incorporation: 1929 Population: 62,582 Median age: 32.5 Median household annual income: $60,983 Land area: 600 square miles City Hall: 530 E. Monroe Ave. (623-349-6000) www.buckeyeaz.gov Mayor: Jackie Meck Vice mayor: Craig Heustis Council: Jeanine Guy, G. Patrick HagEstad, Michelle Hess, Eric Orsborn and Tony Youngker

City manager: Roger Klingler Police Dept.: 100 N. Apache Road, Suite D (623-349-6499) Police chief: Larry Hall Fire Dept.: 21699 W. Yuma Road, Suite 101 (623-349-6700) Fire chief: Bob Costello Libraries: Downtown Branch, 310 N. Sixth St.; Coyote Branch, 21699 W. Yuma Road, Suite 116 (623-349-6300) Post Office: 51 E. Monroe Ave. (623-386-3117)

Year of incorporation: 1946 Population: 77,776 Median age: 36.7 Median household annual income: $69,078 Land area: 190 square miles City Hall: 190 N. Litchfield Road (623-932-3910) www.goodyearaz.gov Mayor: Georgia Lord Vice mayor: Wally Campbell Council: Joanne Osborne, Joe Pizzillo, Sheri Lauritano, Bill Stipp and Brannon Hampton

City manager: Brian Dalke Police Dept.: 11 N. 145th Ave. (623-932-1220) Police chief: Jerry Geier Fire Dept.: 14455 W. Van Buren St., Suite E-102 (623-932-2300) Fire chief: Paul Luizzi Library: 14455 W. Van Buren St., Suite C-101 (602-652-3000) Post Office: 875 S. Estrella Parkway (623-882-9148)

Year of incorporation: 1987 Population: 5,392 Median age: 44.2 Median household annual income: $77,481 Land area: 3.3 square miles City Hall: 214 W. Wigwam Blvd. (623-935-5033) www.litchfield-park.org Mayor: Tom Schoaf Vice mayor: Paul Faith Council: Tim Blake, Ann Donahue, Peter Mahoney, Jeff Raible and John Romack

Interim city manager: Sonny Culbreth Police Dept.: Maricopa County Sheriffâ&#x20AC;&#x2122;s Office (602-876-1011) Fire Dept.: Goodyear Fire Department (623-932-2300) Library: 101 W. Wigwam Blvd. (602-652-3000 Post Office: 591 Plaza Circle (623-935-2089)

Year of incorporation: 1929 Population: 7,008 Median age: 30.8 Median household annual income: $34,485 Land area: 6 square miles City Hall: 9555 W. Van Buren St. (623-936-7111) www.tollesonaz.org Mayor: Anna Tovar Vice mayor: Juan Rodriguez Council: Lupe Leyva Bandin, John Carnero, Clorinda Erives, Linda Laborin and Albert Mendoza City manager: Reyes Medrano Jr.

Police Dept.: 8350 W. Van Buren St. (623-936-7186) Police chief: Wayne Booher Fire Dept.: 203 N. 92nd Ave. (623-936-8500) Fire chief: George Good Library: 9555 W. Van Buren St. (623-936-2746) Post Office: 8805 W. Van Buren St. (623-907-0206)

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State Directory U.S. Senate Sen. John McCain (R)

U.S. House of Representatives District 3

218 Russell Senate Office Building, Washington, D.C. 20510 202-224-2235; mccain.senate.gov Local office: 2201 E. Camelback Road, Suite 115, Phoenix, AZ 85016 • 602-952-2410

Sen. Jeff Flake (R)

413 Russell Senate Office Building Washington, D.C. 20510 202-224-4521; flake.senate.gov Local office: 2200 E. Camelback Road, Suite 120, Phoenix, AZ 85016 • 602-840-1891

AZ Governor Gov. Doug Ducey (R) 1700 W. Washington St., Phoenix, AZ 85007 602-542-4331 azgovernor.gov

District 4

Steve Gallardo (D)

District 5, which includes Goodyear, Tolleson, Avondale, south Buckeye

301 W. Jefferson Ave., 10th floor Phoenix, AZ 85003 602-506-7092 district5@mail.maricopa.gov 38

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VISTA HEALTH & WELLNESS 2017

Sen. Lisa Otondo (D)

District 19

Rep. Charlene R. Fernandez (D)

Rep. Mark A. Cardenas (D)

Rep. Geraldine Peten (D)

Rep. Diego Espinoza (D)

1700 W. Washington St., Room 339 Phoenix, AZ 85007 602-926-3014; mcardenas@azleg.gov

1700 W. Washington St., Room 308 Phoenix, AZ 85007 602-926-3135; despinoza@azleg.gov

1700 W. Washington St., Room 334 Phoenix, AZ 85007 602-926-4842; gpeten@azleg.gov District 13

Sen. Lupe Contreras (D) 1700 W. Washington St., Room 305 Phoenix, AZ 85007 602-926-5284; lcontreras@azleg.gov

1700 W. Washington St., Room 322 Phoenix, AZ 85007 602-926-3098; cfernandez@azleg.gov

Sheriff Paul Penzone (D)

301 W. Jefferson Ave., 10th floor Phoenix, AZ 85003 602-506-7642 chickman@mail.maricopa.gov

Rep. Trent Franks (R)

2435 Rayburn HOB Washington, D.C. 20515 202-225-4576; franks.house.gov Local office: 7121 W. Bell Road, Suite 200 Glendale, AZ 85308 • 623-776-7911

1700 W. Washington St., Room 308 Phoenix, AZ 85007 602-926-3002; lotondo@azleg.gov

Maricopa County Sheriff

District 4, which includes Avondale, Litchfield Park, Goodyear, north Buckeye

District 8

State Legislature

1700 W. Washington St., Fl 7 Phoenix, AZ 85007 602-542-4285 azsos.gov

Clint L. Hickman (R)

Rep. Paul Gosar (R)

Rep. Ruben Gallego (D) 1218 Longworth HOB Washington, D.C. 20515 202-225-4065; rubengallego.house.gov Local office: 411 N. Central Ave., Suite 150 Phoenix, AZ 85004 • 602-256-0551

504 Cannon HOB Washington, D.C. 20515 202-225-2315; gosar.house.gov

Michele Reagan (R)

Maricopa County Board of Supervisors

District 7

1511 Longworth HOB Washington, D.C. 20515 202-225-2435; grijalva.house.gov Local office: 1412 N. Central Ave., Suite B, Avondale, AZ 85323 • 623-536-3388

AZ Secretary of State

550 W. Jackson Phoenix, AZ 85003 602-876-1000 mcso.org

Rep. Raul Grijalva (D)

Sen. Steve Montenegro (R)

1700 W. Washington St., Room 303B Phoenix, AZ 85007 602-926-5955; smontenegro@azleg.gov

Rep. Darin Mitchell (R) 1700 W. Washington St., Room 313 Phoenix, AZ 85007 602-926-5894; dmitchell@azleg.gov

Rep. Don Shooter (R) 1700 W. Washington St., Room 222 Phoenix, AZ 85007 602-926-4139; dshooter@azleg.gov

District 29

Sen. Martin Quezada (D) 1700 W. Washington St., Room 313 Phoenix, AZ 85007 602-926-5911; mquezada@azleg.gov

Rep. Richard C. Andrade (D)

1700 W. Washington St., Room 337 Phoenix, AZ 85007 602-926-3130; randrade@azleg.gov

Rep. Cesar Chavez (D) 1700 W. Washington St., Room 318 Phoenix, AZ 85007 602-926-4862; cchavez@azleg.gov

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