New pain hospital openingFreedom Pain Hospital is a new specialtyhospital focusing on compassionatepatient care, the diagnostic process, paineducation and pain research. Pilotedby Steven Siwek, M.D., Freedom PainHospital will offer patients the abilityto see multiple health-care providersrepresenting multiple specialties at onefacility so that physicians can collaborateon comprehensive treatment plans.

Freedom Pain Hospital is located at17500 N. Perimeter Drive in Scottsdale.Info: FreedomPainHospital.com or480-586-2300

Mountain Vista andMesa Fire partnershipMountain Vista Medical Center ispartnering with the Mesa Fire and MedicalDepartment to more appropriatelyrespond to low-level 911 calls. Thepartnership pairs a physician assistant orhigher from the medical staff at MountainVista with a Mesa Fire and Medicalparamedic captain.

This two-person unit is equipped witha private area to treat patients, prescribemedications and diagnose and treatillnesses, reducing the strain on the firedepartment, emergency medical servicespersonnel and hospital emergencydepartments. Info: mvmedicalcenter.com

Training for advancedpractice nursesScottsdale Healthcare is one of five U.S.hospitals selected to participate in a four-year, $200M initiative to helpmeet the needfor primary-care practitioners. Funded bythe U.S. Department of Health and HumanServices (HHS), the initiative will focus ontraining advanced practice nurses.

In Arizona, the Graduate NurseEducation Demonstration will be usedto support clinical training of more than400 nurse practitioners and clinical nursespecialists. Training will be providedat Scottsdale Healthcare hospitals inpartnership with the nursing schoolsat ASU, NAU, the University of Arizonaand Grand Canyon University, as well ascommunity-based care organizationsrepresenting more than 30 health-caresettings across the state.

Funding is provided over four years byHHS’s Center for Medicare and MedicaidInnovation Center, which was created bythe Affordable Care Act. The InnovationCenter is tasked with fostering health-caretransformation by finding new ways topay for and deliver care that improveshealth while lowering cost. Info: shc.orgor innovations.cms.gov/initiatives/GNE/

IN THIS ISSUE:COVER/08: SENIOR FITNESS02: UNINSURED RESOURCES03: MANAGING MENOPAUSE04: BLOOD CANCERS04: SLEEP DISORDERS05: CONCUSSIONS06: SUPPORT GROUPS/EVENTS07: SUPPORT GROUPS/EXPERTS08: OVARIAN & PROSTATE CANCER09: REUSABLE GROCERY BAGS

NEXT ISSUE:WEDNESDAY, OCTOBER 3

HEALTH-CARENews

As we age, it can be daunting to figureout what’s best for our physical

health as well as our emotional well-being.“The term ‘fitness’ itself can be

intimidating because of the image createdfor physical fitness,” said Jane Petrin, 62, acertified personal trainer, licensed massagetherapist and credentialed Senior FitnessSpecialist (SFS), a designation she recentlyearned through the Chandler-basedNational Academy of Sports Medicine. TheSFS online education program focuseson flexibility, heart and lung health, andnutrition for older adults.

Any activity you like“Nowhere does it say you have to run a 5Kor go to the gym every day to be physicallyfit,” Petrin said. “Physical fitness can beginwith any activity you like, whether that’sgardening, biking, walking, dancingor swimming.”Petrin, who also is a credentialed

corrective exercise specialist focusing onhow improved movement can help withdaily life functions, knows what it’s liketo start a fitness journey in midlife. Shewalked into a gym for the first time whenshe was 51 and overweight “becauseI knew I had to start somewhere.” Sheslowly developed a routine and by thetime she was 56, “I was in the best shapeof my life and I was addicted to feelinggood from exercise.”

Today Petrin’s passion is sharing herenthusiasm while at the same time helpingolder adults understand that they don’thave to exhaust or strain themselves toreap the benefits of activity.

Physical and psychologicalWalter Nieri, M.D., a geriatrician andinternal medicine physician and directorof Banner Sun Health Research Institute’sCenter for Healthy Aging, notes thatwithout exercise you can lose someof your functional ability, making youmore susceptible to disease processesand injuries. “It’s just as important toexercise if you have arthritis or weakmuscles, because otherwise your injurysusceptibility can increase, making youmore prone to sprains, strains and tornligaments,” he said.

Kathleen Waldron, a longtime facultymember at Arizona State University andthe former director of ASU’s School ofAging and Lifespan Development, addsthat exercise is also great for stress relief.

Fitness at any age!Maintaining healthy fitness habits as we age BY DEBRA GELBART

By The NUMBERS

Continued on page 8 SENIOR FITNESS

HEALTH-CARE NEWS YOU CAN USE FOR YOUR WHOLE FAMILYTHE ARIZONA REPUBLIC A SPECIAL PUBLICATION CREATED BY REPUBLIC MEDIA CUSTOM PUBLISHING Vol. 2, No. 9 September 2012HEALTH-CARE NEWS YOU CAN USE FOR YOUR WHOLE FAMILYA SPECIAL PUBLICATION CREATED BY REPUBLIC MEDIA CUSTOM PUBLISHING Vol. 2

wellaz-az-

HEALTHY WEIGHT LOSS ONE DAY AT A TIME

David Block leads and teaches a tai chi class at the Asian Art Center in Phoenix. He believes that tai chi is good for everyone,but said that it is especially good for seniors since the slowmovements help strengthenmuscles needed for good balance.

PHOTO

RICKD’ELIA

SPECIALTOPIC

SENIORFITNESS

* Every person’s metabolism and caloric needs are different; check with your health-careprovider for information specific to your individual needs. —PAULA HUBBS COHEN

“It’s never too late to startan exercise program.”

— Jane Petrin, Senior Fitness Specialist

SPECIALTOPICSENIORFITNESS

Phoenix resident Barry Brooks, 69,teaches Zumba to senior citizens.Zumba is one of a number of gentle-motion exercise/dance routines oftenrecommended for older adults.

PHOTO

RICKD’ELIA

y

* Ep

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Dental and visionFor those in need of basic dental care at areduced fee, there are several communitydental clinics across the state, accordingto the Arizona Department of HealthServices’ website, azdhs.gov.One such resource is Midwestern

University in Glendale. In fact, the medicalschool offers reduced-fee clinics indentistry and optometry.

“Midwestern University provides ourprofessional students the opportunityto serve the community throughpromoting better health,” said KathleenH. Goeppinger, Ph.D., president and CEOof Midwestern University. “We do this inmany ways: health fairs, sponsorshipsof special events, offering specialeducational programs for children andtheir families, and offering very affordableprices at our Dental and Eye Institutes tomake it easier for under- and uninsuredpatients to receive proper health-care.”

VITAL Signs

For those who are uninsured or under-insured, accessing basic health-care

can be a daunting task.“It’s a tough time right now for

community health centers because of theincrease in uninsured patients lookingfor access to health-care and the lack ofcapacity to serve all the uninsured whoare seeking services,” said Tara McCollumPlese, the director of governmentand media relations for the ArizonaAssociation of Community HealthCenters (AACHC).

Lack of resourcesIndeed, one piece of the puzzle is a lackof available health resources. For example,HealthCare Connect, a prominentprogram that provided discount medical

services in Maricopa County, closed itsdoors on Aug. 31, 2012.Despite the need, free clinics for

uninsured patients are hard to find.Instead, most patients who are uninsuredor under-insured and not covered by astate program (such as Arizona HealthCare Cost Containment System orAHCCCS) often need to pay some sortof fee for medical services.

Community health centersFor those without health coverage,community health centers can be ahealth-care option since they offer anarray of services for discounted pricesif patients qualify.“Community health centers serve

insured, under-insured and uninsured

people in the communities where theyare located. They provide a wide arrayof primary and preventative health-careservices including OB/GYN, pediatrics,vaccines, labs, radiology, pharmacies,dentistry, chronic disease managementand behavioral health services,” Pleseexplained. “They serve everybodyregardless of ability to pay, howeverthere is a sliding-fee scale for servicesrendered at a community health center.”Avein Saaty-Tafoya, CEO of Adelante

Healthcare, a not-for-profit group ofcommunity health centers, said thatAdelante community health centersoffer quality care for lower costs thanmost private practices. Still, uninsuredpatients need to qualify for discountsand have to pay minimal charges.

ResourcesAdelante Healthcare:adelantehealthcare.com; 877-809-5092

Arizona Associationof Community Health Centers:aachc.org; 602-253-0090

Arizona Department of HealthServices: azdhs.gov; 602-542-1025

Arizona Optometric Association:arizona.aoa.org; 800-346-2020

Foundation of AmericanAcademy of Ophthalmology(EyeCareAmerica):eyecareamerica.org; 877-887-6327

Maricopa Integrated HealthSystem:mihs.org; 602-344-1200

Midwestern University Clinics:mwuclinic.com; 623-537-6000

THINKS

TOCK

“There are over 145community healthcenters throughout thestate of Arizona.”

— TaraMcCollum Plese,Arizona Association ofCommunity Health Centers

Health-care resources for theuninsured and under-insuredWhere to go when you don’t have adequate medical coverageBY MICHELLE TALSMA EVERSON

2 | LIVING WELL A-Z | WEDNESDAY, September 5, 2012

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has had breast cancer and been treatedin the last five years,” DeRosa said. “I willgive her testosterone but not estrogen,because if there are any breast cancercells there, they will grow faster.”

Sorof believes that a current smokeris also not a good candidate for HRT.“That’s because hormones, and even birthcontrol pills in a smoker approachingmenopause, can directly cause bloodclots that can be deadly, includingpulmonary embolism,” she said.

Regular vs. bio-identicalAccording to DeRosa, bio-identicalhormones mimic exactly what a woman’sbody makes.

“The ovaries produce a type ofestrogen called 17-beta estradiol.Synthetic estrogens look like it butthey are not exactly the same, so whenwomen take synthetic estrogen it tendsto jam the locks, so to speak, and notwork that effectively,” she explained.“But with bio-identical hormones, theyare exactly the same as what the ovariesmake so they fit like a key right intothe lock.”

Risk assessmentIn DeRosa’s opinion, hormones are“incredibly safe” when they arebio-identical, which typically come increams, gels and in an under-the-tongueversion called troches. They also comein pellets placed subcutaneously in thebuttocks; the pellets release the hormonesslowly over a period of fourto six months.

Sorof said she feels that bio-identicalhormones have the same risks [as synthetichormones] even though they are tailoredto meet what the patient is low in usinga specific blood test designed for thatpatient. “But they are still not great totake if the patient has moderate or highrisks for heart disease or stroke.”

What to askBefore women speak with their doctorabout HRT, they should be very aware of

HER Story

ResourcesNational Institutes of Health:nih.gov/PHTindex.htm

Mayo Clinic:mayoclinic.com/health/bioidentical-hormones/AN01133

WebMD:webmd.com/menopause/guide/menopause-hormone-therapy

As women enter into menopause,one of the biggest decisions they

have to make is whether or not to takehormone replacement therapy, oftenreferred to as HRT.

Angela DeRosa, D.O., MBA, CPE,president and chief managing officer ofDeRosa Medical P.C., a private practice inScottsdale, Sedona and Chandler, said thekey is to deliver hormone replacementtherapy safely.

“I never prescribe oral forms ofhormones because when you take themorally, they have to first go through theGI [gastrointestinal] system and thento the liver before they get into thebloodstream,” she said. “When the livermetabolizes the hormones, it kicks outclotting factors which increase the risk forblood clots, heart attack and stroke.”

Not for everyoneHormones should only be prescribed aftera full physical examination including riskstratification for cardiovascular diseasesand stroke, said Suzanne Sorof, M.D., aninterventional cardiologist at BannerHeart Hospital.

“Women should speak with theirprimary-care doctor or gynecologist anda cardiologist before going on hormonereplacement. This will help get anaccurate assessment of the patient,” shesaid. Sorof added that she always tries togive the least amount of progesteroneand estrogen and then follows upregularly with the patient so it can betaken for the least amount of time tominimize the patient’s symptoms.

HRT candidates“In terms of risks of using hormonereplacement therapy, there is just onepatient population that I would not wantto give it to, and that’s if a patient says she

ManagingmenopauseTo hormone or not to hormone, that is the questionBY ALISON STANTON

THINKSTO

CK

“Many of the symptomsof menopause canbe treated with otherthings than hormonereplacement therapy.Hot flashes can behard to treat though,and they can go on fora long time.”

— Suzanne Sorof, M.D.

their family history for cardiovascularissues and stroke, and be sure to sharethat information with their physician.

“Then they should ask their doctor‘do you think I’m a good candidate forhormone replacement?’ and have anopen discussion about it,” Sorof said.“If a physician feels the patient is highrisk for an event, then they should notoffer the therapy, either prescribed orbio-identical-specific for that patient.”

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

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Connect with us:

A division of The Arizona Republic.200 E. Van Buren St., Phoenix, AZ 85004

Look for Livingwell a-z on thefirst Wednesday of each month!Each month, we bring you local health information you canuse to keep you and your family living well. From A to Z,we tackle a broad range of health issues and offer tips forkeeping your health-care costs in check. This publicationis produced by Republic Media Custom Publishing.For questions concerning any content included in thispublication please contact: Editor Paula Hubbs Cohen,Paula.Cohen@cox.net or call 602-444-8658.

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Jeffrey Schriber, M.D., medical directorof the Cancer Transplant Institute atthe Virginia G. Piper Cancer Center atScottsdale Healthcare, said there aretwo types of transplants: autologoustransplants that use a person’s own bonemarrow or stem cells, and allogeneictransplants that rely on donor bonemarrow or stem cells.

Cutting-edge researchFindings such as the breakthroughdiscovery of a drug that can suppress CMLand spare healthy tissue in the process areushering in a new era of targeted cancertherapy research.

“Many of theadvancements thathave been made incancer care startedin researching bloodcancer,” said RubenMesa, M.D., deputydirector of the MayoClinic Cancer Center,chair of Hematology/Oncology anddirector of Acute andChronic Leukemia atMayo Clinic. “We canfrequently apply whatwe learn about oneillness to other relatedillnesses.”

Clinical trialsOne clinical trial currently underway isthe Myeloproliferative Neoplasms (MPN)Research Initiative being spearheadedby 23andMe, Inc., a personal geneticsresearch company that is using DNAanalysis and web-based tools to explorewhy specific blood cancers develop andfind better ways to treat them. Mesa, ascientific advisor for the initiative, said theyhope to enroll 1,000 participants who haveone of four forms of blood cancer.“One of the greatest success stories in

blood cancer was developing a medicationto manage CML,” he said. “We’re hoping toemulate that model for other diseases andfind ways to put them into remission andgo dormant.”

Resources23andMe Research:23andme.com/research

Children’s Oncology Group:childrensoncologygroup.org

Leukemia and Lymphoma Society:lls.org; Arizona Chapter: lls.org/az

National Cancer Institute:cancer.gov

National CML Society:NationalCMLSociety.org

National Marrow Donor Program:marrow.org or 800-MARROW2(627-7692)

Every four minutes someone in NorthAmerica is diagnosed with a blood

cancer.There are three main groups of blood

cancers, including lymphoma, leukemiaand myeloma, each with many subtypes.According to Uwe Klueppelberg, M.D.,Ph.D., a medical oncologist at Banner MDAnderson Cancer Center, treatments differfor each blood cancer based on a person’sunique genetic mutations.

SymptomsKlueppelberg noted that leukemiapatients often present with symptomsof anemia such as sudden weakness,fatigue and dizziness. Detection oftenoccurs when an abnormal blood count isdiscovered as part of a routine physicalexam. In lymphoma, enlarged lymphnodes in the neck, under the arms or inthe groin are among the first symptoms.

Advances in treatmentsDepending on the type of blood cancer,treatment may entail chemotherapy,radiation, bone marrow or stem celltransplantation or, in some cases,a daily medication.Indeed, chronic myelogenous leukemia

(CML), a rare form of leukemia causedby a single gene mutation that leads toexcessive production of white bloodcells, was previously a terminal diagnosisfor most patients. However, in a majorbreakthrough incancer treatment,new targeted drugtherapy in pill formwas approved in 2001,and has become thestandard of treatmentfor CML.Pat Elliott of Phoenix,

a CML patient and apatient advocate withThe National CMLSociety, describedthe medication as amolecularly targeteddrug that blocks thegrowth of cancerby interfering withspecific molecules involved in tumorgrowth and progression. Unfortunately, itis possible for the leukemia to develop aresistance to the drug, but two additionalmedications have been introduced andmore are currently being evaluated inclinical trials.While medication can make CML a

manageable chronic disease for mostpatients, not everyone is a candidate. Forthose individuals, a transplant may betheir only option.

“There are about10 million registeredbone marrow donors,but minorities areunder-represented andthere is a great needfor Native Americanand Hispanic donors,particularly in Arizona.”

— Jeffrey Schriber, M.D.

ChronicMyeloidLeukemia (CML)Awareness DayOn Sept. 22, CML Awareness Day,a panel of health experts andrepresentatives from The NationalCML Society, including Phoenixresident Pat Elliott, will host a free,web-based series of educationalprograms titled LivingWell withCML: A Virtual Patient Summit. Theevent includes a Q-and-A sessionwith basketball legend KareemAbdul-Jabbar, a CML patientand advocate. Info/registration:CMLPatientSummit.com orNationalCMLSociety.org.

According to the National Institute ofNeurological Disorders and Stroke, RLSis a neurological disorder characterizedby “throbbing, pulling, creeping orother unpleasant sensations in the legsand an uncontrollable and sometimesoverwhelming urge to move them.Symptoms occur primarily at night whena person is relaxing or at rest and canincrease in severity during the night.Moving the legs relieves the discomfort.”Krahn said prescription medicines can

be used to treat restless legs syndrome,which can be brought on by otherconditions such as an iron deficiencyor peripheral neuropathy. Exercising,establishing good sleep hygiene, avoidingcaffeine and cutting back on alcohol alsocan alleviate symptoms of RLS, she said.

ResourcesBanner Baywood Sleep DisordersCenter: bannerhealth.com;480-321-4553

Mayo Clinic: mayoclinic.org/sleep-disorders; 800-446-2279

National Institutes of HealthMedline Plus: nlm.nih.gov/medlineplus/ency/article/000800.htm

National Sleep Foundation:sleepfoundation.org/articles/sleep-disorders

WebMD: webmd.com/sleep-disorders/default.htm

Some sleep experts estimate that asmany as 100 million adults in the U.S.

have a sleep disorder. Most commonly,Americans have insomnia, but a significantpercentage suffers from obstructive sleepapnea, a condition where breathing stopsfor seconds at a time multiple times duringa sleep cycle.If you’re not getting proper sleep, you

could be hurting your heart and risking ahost of other medical conditions. “Ideally,you should get seven to nine hours ofsleep a night,” said Lauri Leadley, a sleeptechnologist and owner of Valley SleepCenter which has five locations in greaterPhoenix. “If you can’t get nine hours anight, then certainly aim for more thanthe five-and-a-half or six hours a nightthat most people get.”

Depression and sleepThe most common causes of insomniaare mood disorders, including depressionand anxiety, said Harmeet Gill, M.D., apulmonary and sleep disorders specialistand the director of Banner BaywoodMedical Center’s Sleep Disorders Centerin Mesa.“Many patients tell me the reason

they’re feeling sad is because they don’tget enough sleep,” he said, “when inmany cases, it’s just the opposite.” Hesaid most people with insomnia do notneed an overnight sleep study, but theymay be able to benefit from evaluationand treatment. Through a combination ofimproving what’s called ‘sleep hygiene’,which includes such steps as regulatingyour body clock, sleeping in a dark,quiet environment, and addressing anypsychological issues, a person’s insomniais often minimized, he said.

Don’t do this“The worst steps to take in an attempt totreat insomnia yourself include drinkingalcohol or smoking right before bed,eating high-calorie foods to inducedrowsiness, or going to the gym late atnight,” said Lois E. Krahn, M.D., a sleepphysician and psychiatrist at Mayo Clinic inScottsdale. “None of these promotes sleep”.Instead, Gill suggested that you involve

yourself in an activity such as reading amagazine or listening to gentle music.

Sleep apneaObesity or being overweight are riskfactors for sleep apnea, because extrapounds can make it likelier for the upperairway to vibrate excessively or narrowto the point of collapse, explained Leadleyand Gill. Although other risk factorsinclude enlarged tonsils, a large tongueor a recessed jaw, “a big neck is the singlebiggest predictor of sleep apnea,” Gillsaid. “When fatty tissue replaces musculartissue, the airway can collapse a lotmore easily.”

Restless legsAnother common sleep disorder isrestless legs syndrome or RLS, Krahn said.

Sleep disordersGetting enough Z’s isn’t always as easy as A-B-CBY DEBRAGELBART

THINKS

TOCK

TreatingsleepapneaIf you or someone you knowexhibits symptoms of obstructivesleep apnea, which includes loudsnoring during sleep and feelingextremely exhausted during yourwaking hours, an evaluation of thesituation is probably in order, saidHarmeet Gill, M.D., director of theSleep Disorders Center at BannerBaywood Medical Center in Mesa.Sleep technologist Lauri

Leadley of Valley Sleep Centersaid treatment for sleep apneadoesn’t necessarily mean wearinga Continuous Positive AirwayPressure (CPAP) mask, which somepatients don’t like. “Some patientscan be prescribed oral appliances,”she said, adding that patientswho can benefit from these maybe referred to a dentist whospecializes in sleep medicine.

‘BeTheMatch’In recognition of National BloodCancer Awareness Month,Scottsdale Healthcare and ArizonaOncology are hosting ‘Just Swab It’,a bone marrow registration event.Jeffrey Zetino, patient services

manager for the Arizona chapterof the Leukemia and LymphomaSociety, which is also sponsoringthe event, said that joining theBe The Match registry is as simpleas having your cheek swabbed.See page 6 for details.For additional information about

bone marrow registration, visitmarrow.org or call 800-MARROW2(627-7692).

Bloodcancers:Remarkable progressoffers much hopeSurvival rates are higher than ever beforeBY KRISTINE BURNETT

4 | LIVING WELL A-Z | WEDNESDAY, September 5, 2012

EXPERTS

David Glassman, D.O

With a special interest in laproscopic surgery, Dr. Glassman offers all aspectsof gynecologic care. He earned his medical degree at the Arizona Collegeof Osteopathic Medicine of Midwestern University in Glendale, AZ, beforecompleting his internship and residency at Banner Good Samaritan MedicalCenter in Phoenix.A board certified gynecologist, Dr. Glassman is activein a number of professional organizations and continues to teach medicalstudents at his alma mater.

GYNECOLOGY

Banner Health ClinicSpecializing in Gynecology4444 N. 32nd Street • Phoenix602.747.7026 • www.BannerHealth.com/BMG-32ndStreetGyn

Kelly V. Dale, MD

Dr. Dale is an obstetrician/gynecologist who is dedicated to all aspects ofwomen’s health. She specializes in menstrual disorders, contraception andminimally invasive and vaginal surgery. Dr. Dale received her medical degreefrom the University of Arizona College of Medicine and completed herresidency at the University of California Medical Center in Los Angeleswhere she received the Outstanding Research Presentation Award. Hercare philosophy is to give her patients both education and care in a way thatprovides understanding and comfort to women through all stages of their lives.

GYNECOLOGY/OBSTETRICS

Banner Health ClinicSpecializing in Obstetrics and Gynecology6553 E. Baywood Ave. Suite 210, Mesa480.543.6754 • www.BannerHealth.com/BMG-BaywoodOBGYN

Pooja Shah, MD

Dr. Shah specializes in low and high risk pregnancies, contraceptive options,in-office procedures and reproductive care. She enjoys providing education,treatment and continuity of care to both adult and adolescent women andbelieves in working in cooperation with them to provide compassionatehealth care. She completed her medical education and residency at theUniversity of Illinois School of Medicine in Chicago and is a member ofAmerican College of Obstetrics and Gynecology. Dr. Shah has been inpractice since 2009.

GYNECOLOGY/OBSTETRICS

Banner Health ClinicSpecializing in Obstetrics and Gynecology6553 E. Baywood Ave. Suite 210 • Mesa480.543.6754 • www.BannerHealth.com/BMG-BaywoodOBGYN

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brain injury in which there is an alterationin consciousness resulting from director indirect trauma to the head. Mostconcussions happen when someone isstruck or hit in a way that leaves themfeeling dazed and confused.

Cárdenas explained that typically,the prolonged symptoms of concussioninclude headache, dizziness, confusionand vomiting coupled with cognitiveproblems like short-term memory loss.However, contrary to popular belief, lossof consciousness is not a prerequisite forconcussion since less than 10 percent ofpeople with concussions actually loseconsciousness.

Risks and recoverySuffering a second concussion beforefully recovering from a first concussionposes the greatest health risk andincreases the likelihood of more severecomplications related to concussion.

“We simply don’t know the long-termimplications, but in very rare yet realinstances, sustaining another concussioncan lead to brain swelling, permanentparalysis or even death,” Cárdenaswarned. “That’s why child athletes cannotreturn to play until they have completelyrecovered, regardless of the sport.”

Children and adolescents usually take7 to 10 days to recover. Those with ahistory of migraines, attention deficitdisorder, depression or anxiety mayneed more time.

Protecting young athletesTo prevent coaches, players and parentsfrom dismissing the potential dangers of

a head injury, the Arizona InterscholasticAssociation (AIA), part of the NationalFederation of High School Associations(NFHS) and the state’s primary governingbody for athletics in public, private andcharter high schools, began discussions onthe topic of concussions in youth sportsin 2009. Bylaws governing concussioneducation for AIA member schools wereestablished in late 2010.

In 2011, the Arizona Legislature passedSenate Bill 1521 mandating concussioneducation. The bill, which mirrors AIAbylaws in many ways, also outlines policieson the removal and return of players togames following concussion, includinga requirement that they be cleared bya physician, not a team trainer.

Heightened awarenessChuck Schmidt, AIA associate executivedirector, stated that awareness is changingcultural perceptions about the seriousnessof concussion.

“Children need to recognize thesymptoms, understand how theymanifest and know what to do in theevent of a concussion,” he said. “You can’tunderestimate the risk.”

ResourcesArizona InterscholasticAssociation: aiaonline.org

Barrow Neurological Institute:thebarrow.org

B.R.A.I.N.S. (Barrow Resource forAcquired Injury to the NervousSystem): thebarrow.org/brains

Centers for DiseaseControl and Prevention(Concussions in Youth Sports):cdc.gov/concussion/HeadsUp/youth.html

National Collegiate AthleticAssociation (NCAA): ncaa.org

Little League: littleleague.org/learn/programs/childprotection/concussions/ConcussionsArizona.htm

Getting your ‘bell rung’ was onceconsidered a badge of honor

among high school athletes, but increasedawareness of the dangers of sports-relatedhead injuries has made concussion a focusboth on and off the field.

Signs and symptomsJavier Cárdenas, M.D., director of BarrowResource for Acquired Injury to theNervous System (B.R.A.I.N.S.), a programof Barrow Neurological Institute atSt. Joseph’s Hospital and Medical Center,described concussion as a mild traumatic

“The risks [of concussion]are higher for youngathletes becausetheir brains are stilldeveloping.”

— Javier Cárdenas, M.D.

5 signs ofconcussion

1 Disorientation or confusion

2 Headache

3 Dizziness

4 Vomiting

5 Difficulty with speech and/orshort-term memory

BrainbookThe AIA’s primary concussioneducation resource is Brainbook,a 50-minute online, multi-mediaeducation module. It has aFacebook-like format and includesvideos of professional athletesas well as computer-generatedanimation and footage of actualinjuries on the field. The trainingis a participation requirement forall student athletes in AIA schools.Coaches complete a separateeducation program from the NFHS.

More than 100,000 studentsthroughout Arizona havecompleted Brainbook education,which was made possible bycharitable contributions to BarrowNeurological Foundation insupport of the B.R.A.I.N.S. program.

KIDS’ Korner

Keeping your head in the gameConcussion a serious concern in youth sports BY KRISTINE BURNETT

WEDNESDAY, September 5, 2012 | LIVING WELL A-Z | 5

GENTLE YOGASept. 11 & 18, 4 p.m.Banner MD Anderson2946 E. Banner Gateway Dr., Gilbert480-256-4141

TAI CHISept. 11 & 18, 4:30 p.m.Ironwood Cancer & Research Centers3855 S. Val Vista Dr., GilbertRegister: 480-855-2224

GYNECOLOGICSept. 11, 5–6:15 p.m.Banner Desert1400 S. Dobson Rd., Mesa480-412-HOPE (4673)

FACING FORWARD (WOMEN)Sept. 12, 1–3 p.m.Virginia G. Piper Cancer Centerat Scottsdale Healthcare10460 N. 92 St., ScottsdaleRegister: shc.org/events; 480-882-4636

CREATIVITY TO COPESept. 13, 2:30–4 p.m.Ironwood Cancer & Research Centers6111 E. Arbor Ave, MesaRegister:mveselovsky@ironwoodcrc.com;480-540-2610

LOOK GOOD, FEEL BETTERSept. 17, 4 p.m.Co-sponsored byAmerican Cancer SocietyIronwood Cancer & Research Centers3645 S. Rome St, GilbertRegister: 480-855-2224

CANCERSept. 18, 5–6:15 p.m.Banner Desert1400 S. Dobson Rd., Mesa480-412-HOPE (4673)

JOURNEY TOWELLNESSSept. 19, 4 p.m.Banner MD Anderson2946 E. Banner Gateway Dr., Gilbert480-256-4141

All groups and events are believed,but not guaranteed, to be free unlessotherwise stated. Every effort has beenmade to verify accuracy, but please callbefore attending to confirm details.

WELLNESS

BARIATRIC INFO SESSIONSVarious dates & timesBanner Gateway1900 N. Higley Rd., Gilbert480-543-2606

WEIGHT LOSS SURGERY SEMINARVarious dates, times & locationsSt. Luke’s, PhoenixTempe St. Luke’s, Tempe800-248-5553

HEARING TESTSSept 11, 12 & 13, 8 a.m.–4 p.m.John C. Lincoln Audiologistat TatumHealth Center18404 N. Tatum Blvd, PhoenixAppointments: 602-494-6237

CHRONIC PAIN, LIVE BETTERSept. 13, 1–2 p.m.By Scottsdale Healthcareat Civic Center Library3839 N. Drinkwater Blvd, ScottsdaleRegister: shc.org/events; 480-882-4636

BLOOD PRESSURE CLINICSSept. 18, 9–11 a.m.By Sun Health at Grandview Care Center14505W.Granite Valley Dr., Sun CityWestInfo: 623-455-5633; walk-ins welcome

AYERVEDIC MEDICINESept. 18, 1–2 p.m.By Scottsdale Healthcareat Desert Foothills Library38443 N. Schoolhouse Rd., Cave CreekRegister: shc.org/events; 480-882-4636

SKINNY ON HIGH CHOLESTEROLSept. 18, 6:30–7:30 p.m.ByMidwestern Universityat Glendale Foothills Library19055 N. 57 Ave., Glendale623-930-3868

SKIN CANCER DETECTIONSept. 19, 9–11 a.m.By Sun Health at The ColonnadeRecreation Village19116 ColonnadeWay, SurpriseRegister: 623-455-5633;tinyurl.com/SHCommEd2012

PVD: LEG PAINSept. 19, 5:30–7 p.m.Banner Thunderbird5555W. Thunderbird Rd., GlendaleRegister: 602-230-2273

GLAUCOMA &MACULARDEGENERATIONSept. 19, 6–7 p.m.Mountain VistaMedical Center1301 S. Crismon Rd., MesaRegister: 877-924-WELL (9355)

UTERINE FIBROID SEMINARSept. 19, 6–7 p.m.John C. Lincoln Support Services2500W. Utopia Rd., PhoenixRVSP: 623-434-6265; RSVP@JCL.com

ROBOTIC KNEE SURGERYSept. 19, 7–8 p.m.By Scottsdale Healthcareat Barnes & Noble10500 N. 90 St., ScottsdaleRegister: shc.org/events; 480-882-4636

MINIMALLY INVASIVESPINE SURGERYSept. 21, noonLaser Spine Institute atWindmill Suites,12545W. Bell Rd., SurpriseSept. 22, 10 a.m., Laser Spine Institute,8888 E. Raintree Dr., ScottsdaleRegister: SpineSeminar.com;866-811-3275

HYPOTHYROIDSept. 27, 1–2 p.m.By Scottsdale Healthcareat Civic Center Library3839 N. Drinkwater Blvd., ScottsdaleRegister: shc.org/events; 480-882-4636

PROSTATECANCER

US TOO: PROSTATE CANCERSept. 10, 7 p.m.St. Joseph’s350W. Thomas Rd., Phoenix602-242-3131

PROSTATE CANCER LUNCH & LEARNSept. 19, noon–1 p.m.By TheWellness Communityat Banner Good Samaritan1111 E. McDowell Rd., PhoenixRSVP: 602-712-1006

PROSTATE SUPPORT GROUPSept. 24, 7–9 p.m.Banner Desert1400 S. Dobson Rd., Mesa480-412-HOPE (4673)

HEART/STROKE

CONGESTIVE HEART FAILURESept. 5, 12, 19 & 26, 6:30–7:30 p.m.Chandler Regional1955W. Frye Rd., Chandler480-728-5414

STROKESept. 6, 1:30–2:30 p.m.Banner Boswell Rehab10601W. Santa Fe Dr., Sun City623-832-7000

STROKE SUPPORT GROUPSept. 6 & Oct. 4, 5:30–6:30 p.m.Banner Good Samaritan1111 E. McDowell Rd., Phoenix602-839-3667

STROKE SUPPORT GROUPSept. 10, 2:30–4 p.m.Chandler Regional1955W. Frye Rd., Chandler480-728-3828

STROKE PREVENTIONSept. 13, noon–1 p.m.Mountain VistaMedical Center1301 S. Crismon Rd., MesaRegister: 877-924-WELL (9355)

STROKE SUPPORT GROUPSept. 18, 3–4 p.m.Mountain VistaMedical Center1301 S. Crismon Rd., MesaRegister: 877-924-WELL (9355)

ATRIAL FIBRILLATIONSept. 24, noon–1 p.m.Mountain VistaMedical Center1301 S. Crismon Rd., MesaRegister: 877-924-WELL (9355)

STROKE SUPPORT GROUPSept. 26, 5:30–6:30 p.m.HealthSouth East Valley5652 E. Baseline Rd., Mesa480-477-7141

DIABETES

DIABETESWORKSHOPVarious dates, 10 a.m.–noonPhoenix Baptist Hospital2040W. Bethany Home Rd., PhoenixRegister: azhealthyhours.com;855-292-WELL

DIABETES SUPPORT GROUPSept. 10, 3–4 p.m.Mountain VistaMedical Center1301 S. Crismon Rd., Mesa877-924-WELL (9355)

DIABETES SUPPORT GROUPSept. 13, 1–2 p.m.St. Luke’s1800 E. Van Buren St., Phoenix877-351-WELL (9355)

MANAGING DIABETESSept. 26, noon–1 p.m.Mountain VistaMedical Center1301 S. Crismon Rd., MesaRegister: 877-924-WELL (9355)

PREVENTING PRE-DIABETESPROGRESSIONSept. 27, 9:30–10:30 a.m.By Sun Health at La Loma Village14154 Denny Blvd., Litchfield ParkRegister: 623-455-5633;tinyurl.com/SHCommEd2012

ALZHEIMER’S/DEMENTIA

10 SIGNS OF ALZHEIMER’SBy the Alzheimer’s AssociationVarious dates, times & locationsRegister: 602-528-0545

MAKINGMUSIC &MEMORIESSept. 7, 10–11:30 a.m.By Banner Alzheimer’sat Pyle Adult Rec Center655 E. Southern Ave., TempeRegister: 602-839-6850;Deidra.Colvin@bannerhealth.com

CHALLENGING BEHAVIORSBy the Alzheimer’s AssociationSept. 11, 1–2 p.m., RedMountainLibrary, 635 N. Power Rd., MesaSept. 21, 10–11 a.m., Church of thePalms, 14808 N. Boswell Blvd., Sun CityRegister: 602-528-0545

COMPASS FOR CAREGIVERSSept. 12, 6–7:30 p.m.By Banner Alzheimer’s at Tempe Library3500 S. Rural Rd., TempeRegister: 602-839-6850;Deidra.Colvin@bannerhealth.com

IMPROVING COMMUNICATIONSSept. 14, 10:30 a.m.–noonBy Banner Alzheimer’sat Rio Vista Rec Center8866W. Thunderbird Rd., PeoriaRegister: 602-230-CARE

ALZHEIMER’S SUPPORT GROUP(lunch provided)Sept. 16, 11 a.m.–12:30 p.m.St. Joseph’s Huger Mercy Living Center2345W. Orangewood Ave., Phoenix602-406-5600

COMPASS FOR CAREGIVERSSept 20, 10–11:30 a.m.,Sept. 24, 4–5:30 p.m.Banner Alzheimer’s901 E.Willetta St., PhoenixRegister: 602-839-6850;Deidra.Colvin@bannerhealth.com

ALZHEIMER’S CAREGIVERSSept. 20, 1:30–3 p.m.Tempe St. Luke’s1500 S. Mill Ave., Tempe877-351-WELL (9355)

EFFECTIVE COMMUNICATIONSept. 25, 1–2 p.m.By the Alzheimer’s Associationat Granite Reef Senior Center1700 N. Granite Reef Rd., ScottsdaleRegister: 602-528-0545

SENIORS

GRANDPARENTS RAISINGGRANDCHILDREN (DUET)Various dates, times & locations602-274-5022

TAI CHISept. 7, 9–10 a.m.Humana Guidance Center5943 E. McKellips Rd., Mesa480-325-4707

ARTHRITIS FOUNDATION EXERCISESept. 11 & 25, 9–10 a.m.Tempe St. Luke’s1500 S. Mill Ave., Tempe877-351-WELL (9355)

HIP & KNEE ARTHRITISSept. 14, noon–1 p.m., Tempe St. Luke’s,1500 S. Mill Ave., TempeSept. 21, noon–1 p.m., St. Luke’s,1800 E. Van Buren St., PhoenixRegister: 877-351-WELL (9355)

CANCERSUPPORT

RESTORATIVE YOGASept. 6, 13 & 20, 10 a.m.Banner MD Anderson2946 E. Banner Gateway Dr., Gilbert480-256-4141

CAVE CREEKSept. 8, 10 a.m.–noonBy Scottsdale Healthcareat Good Shepherd Episcopal Church6502 E. Cave Creek Rd., Cave CreekRSVP: 480-488-3283

LUNGSept. 8, 1–3 p.m.By St. Joseph’sat TheWellness Community360 E. Palm Ln., Phoenix602-712-1006

CHAIR YOGASept. 10, 17 & 24, 10 a.m.Banner MD Anderson2946 E. Banner Gateway Dr., Gilbert480-256-4141

LOOK GOOD, FEEL BETTERSept. 10, 4 p.m.Co-sponsored byAmerican Cancer SocietyIronwood Cancer & Research Centers695 S. Dobson Rd. ChandlerRegister: 480-855-2224

DRUMMING CIRCLESept. 10, 6–7:30 p.m.Virginia G. Piper Cancer Centerat Scottsdale Healthcare10460 N. 92 St., ScottsdaleRegister: shc.org/events; 480-882-4636

ORAL, HEAD & NECKSept. 19, 4:30–6:30 p.m.Banner Desert1400 S. Dobson Rd., Mesa480-412-HOPE (4673)

ESOPHAGEALSept. 20, 6–7:30 p.m.Banner Good Samaritan1111 E. McDowell Rd., PhoenixFree valet parking; dinner provided602-839-4970; 602-527-3776

ORAL, HEAD & NECKSept. 20, 6:30–8 p.m.Virginia G. Piper Cancer Centerat Scottsdale Healthcare10460 N. 92 St., Scottsdale602-439-1192

LOOK GOOD, FEEL BETTERSept. 24, 4 p.m.Co-sponsored byAmerican Cancer SocietyIronwood Cancer & Research Centers6111 E. Arbor Ave., MesaRegister: 480-855-2224

BREAST CANCER

YOGA FOR RECOVERYSept. 6 & 20, 6–8 p.m.Co-sponsoredbyTheWellnessCommunityJohn C. Lincoln Breast Center19646 N. 27 Ave., Phoenix602-712-1006

BOSOM BUDDIES/WEST VALLEYSept. 6, 6:30–8:30 p.m.La Quinta Inn & Suites16321 N. 83 Ave., Peoria623-979-4279

BOSOM BUDDIES/AHWATUKEECHANDLERSept. 8, 10 a.m.–noonMorrison Building1875W. Frye Rd., Chandler480-893-8900

Take advantage of over 100 opportunities for youto meet others with similar issues and learn moreabout various aspects of your health – from A to Z.

Sept. 6–Oct. 25Tobacco CessationWHAT: Eight-week tobaccocessation program taught bytobacco treatment experts.WHERE: Scottsdale HealthcareOsborn, 7301 E. 4th St., ScottsdaleTIME: 5–6 p.m.COST: FreeREGISTER: 480-882-5761;prutt@shc.orgINFO: shc.org/events

Sept. 8, 15 & 29AZ Pain SpecialistsChronic PainAwareness ExposWHAT: In observance ofPain Awareness Month, theseexpos will highlight chronic paintopics, community resources,support groups, related vendorsplus Q & Awith doctors.SEPT. 8: 10 a.m.–4 p.m.,18555 N. 79 Ave., GlendaleSEPT. 15: 10 a.m.–4 p.m.,655 S. Dobson, ChandlerSEPT. 29: 10 a.m.–4 p.m.,9787 N. 91 St., ScottsdaleCOST: FreeRSVP: 480-563-6400;pattik@boostmedical.comINFO: arizonapain.com

September is Leukemia & Lymphoma Awareness Month, lls.org; Ovarian Cancer Awareness Month, ovarian.org;Pain Awareness Month, acpa.org; Prostate Cancer Awareness Month, zerocancer.org

TOP Events

THINKS

TOCK

Sept. 13R.O.C.K.–RaisingOur Celiac KidsWHAT: Support group for familieswith childrenwith celiac diseaseor who adhere to a gluten-freelifestyle because ofmedical needs.WHERE:PhoenixChildren’sHospital,1919 E. Thomas Rd., PhoenixTIME: 6:30 p.m.COST: FreeINFO: phoenixceliackids@gmail.comSPEAKER: Gary Silber, M.D.,Division Chief of PediatricGastroenterology at PhoenixChildren’s Hospital

Sept. 22Tim Barber Walk for POP:Prostate On-site ProjectWHAT:Walk in recognition ofProstate Cancer AwarenessMonth and to raisemoney forPOP, which consists of mobileprostate screening units that travelto workplaces, health fairs andcommunity events.WHERE: Tempe Kiwanis Park,6111 S. All AmericaWay, TempeTIME: 7:30 a.m.COST: $20 for walkers 12 yearsand older; $15 under age 12REGISTER: 480-964-3013;prostatecheckup.orgINFO: prostatecheckup.orgWHAT ELSE: First 100menwho register receive a freeprostate screening

Sept. 29‘Just Swab It’ BoneMarrow RegistrationWHAT: Thousands of leukemiaand lymphoma patients need abonemarrow transplant froman unrelated donor. With asimple cheek swab, you becomeamember of the ‘Be TheMatch’bonemarrow registry.WHERE: Carlos O’Brien’sRestaurant, 7111 E. Bell Rd.,ScottsdaleTIME: 10 a.m.–1 p.m.COST: Free; no pre-registrationrequiredINFO: 480-323-1573SPONSORED BY: CancerTransplant Institute at theVirginia G. Piper Cancer Center,Arizona Oncology, the Leukemia& Lymphoma Society andCarlos O’Brien’s

6 | LIVING WELL A-Z | WEDNESDAY, September 5, 2012

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YOUNG SURVIVAL COALITIONSept. 11, 6–8 p.m.John C. Lincoln Breast Center19646 N. 27 Ave., Phoenix602-712-1006

BOSOM BUDDIES/EAST VALLEYSept. 11, 6:30–8:30 p.m.BaywoodMedical Center6644 E. Baywood Ave., Mesa480-969-4119

LEARN & SUPPORT GROUPSept. 13 & 27, 6–8 p.m.Co-sponsoredbyTheWellnessCommunityJohn C. Lincoln Breast Center19646 N. 27 Ave., Phoenix602-712-1006

BOSOM BUDDIES/SCOTTSDALESept. 15, 10 a.m.–noonScottsdale Healthcare Thompson Peak7400 E. ThompsonPeak Pkwy, Scottsdale623-236-6616

EAST VALLEY YOUNG SURVIVORS(age 40 and under)Sept. 15, 10 a.m.–noonDynamic Life Coaching Center1701 S. Mill Ave., Tempe480-326-7023

BLACKS AGAINST BREAST CANCERSept. 16, 3–5 p.m.TheWellness Community360 E. Palm Lane, Phoenix602-320-0502

SUPPORT GROUPSept. 25, 5–6:15 p.m.Banner Desert1400 S. Dobson Rd., Mesa480-412-HOPE (4673)

ADVANCED BREAST CANCERSept. 27, 6–8 p.m.By Bosom Buddiesat John C. Lincoln Breast Center19646 N. 27 Ave., Phoenixadvancedbreastcancer@gmail.com;623-236-6616

PARKINSON’S

ART OFMOVING; TAI CHI;YOGA; DANCEVarious dates, times & locations.By theMuhammad Ali Parkinson Centerat St. Joseph’sInfo: 602-406-6903

PARKINSON’S MOVEMENT GROUPVarious dates, 4:30–5:30 p.m.HealthSouth East Valley5652 E. Baseline Rd., Mesa480-477-7141

WESTSIDE TREMBLE CLEFS(singing program)Sept. 5, 12, 19 & 26, 10 a.m.–noonBy theMuhammad Ali Parkinson Centerat St. Joseph’sShepherd of the Desert Lutheran Church11025 N. 111 Ave., Sun CityRegister: 602-406-3840

EASTSIDE TREMBLE CLEFSSept. 6, 13, 20 & 27, 4–6 p.m.By theMuhammad Ali Parkinson Centerat St. Joseph’sGranite Reef Senior Center1700 N. Granite Reef Rd., Scottsdale480-991-0451

PARKINSON’SSept. 10, 10–11:30 a.m.Banner Sun Health Research Institute10515W. Santa Fe Dr., Sun City602-942-9008

PARKINSON’S CAREGIVERS (DUET)Sept. 12, 1:30–3 p.m.Church of the Beatitudes555W. Glendale Ave., Phoenix602-274-5022

PARKINSON’S CAREGIVERSSept. 13, 10–11 a.m.By theMuhammad Ali Parkinson Centerat St. Joseph’s, Skyway Church14900W. Van Buren, Goodyear602-406-6903

YOUNG ONSET PARKINSON’SSept. 19, 26, Oct. 3 & 10, 10 a.m.–noonMuhammad Ali Parkinson Centerat St. Joseph’s240W. Thomas Rd., PhoenixRegister: 800-227-7691

PARKINSON’S & PARTNERSSept. 24, 10–11:30 a.m.Banner Sun Health Research Institute10515W. Santa Fe Dr., Sun City602-942-9008

NEWMOMS

BREASTFEEDINGSept. 5, 12, 19 & 26, 11 a.m.Chandler Regional1875W. Frye Rd., Chandler480-728-5414

POSTPARTUM DEPRESSIONSept. 5, 12, 19 & 26, 1–2:30 p.m.Chandler Regional1875W. Frye Rd., Chandler480-728-5414

BREASTFEEDING SUPPORTSept. 6, 13, 20 & 27, 1–2:30 p.m.Banner Desert1400 S. Dobson Rd., Mesa480-412-3035

BREASTFEEDINGSept. 7, 14, 21 & 28, 10 a.m.Mercy Gilbert3555 S. Val Vista Dr., Gilbert480-728-5414

POSTPARTUM DEPRESSIONSept. 11, 18 & 25, 10–11:30 a.m.Banner Desert1400 S. Dobson Rd., Mesa480-412-5292

NURSINGMOMS SUPPORTSept. 12, 10:30 a.m.–noonBanner Del E. Webb14502W.Meeker Blvd., Sun CityWest800-230-CARE (2273)

SUPPORTGROUPS

CELIAC DISEASESept. 5, 7–9 p.m.Paradise Valley Retirement Center11645 N. 25 Place, Phoenix623-587-8885

OSTOMYSept. 6, 2–4 p.m.Banner Boswell13180 N. 103 Dr., Sun City623-935-7514

BRAIN INJURYSept. 10, 7–8:15 p.m.St. Joseph’s Barrow Neurological350W. Thomas Rd., Phoenix602-406-3333

APHASIASept. 11 & 25, 10–11 a.m.Banner Boswell13180 N. 103 Dr., Sun City623-972-4263

RESPIRATORYSept. 13, 1:30 p.m.Banner Boswell13180 N. 103 Dr., Sun City623-832-5708

LARYNGECTOMYSept. 18, 4–5 p.m.Banner Boswell13180 N. 103 Dr., Sun City623-832-5349

BETTER BREATHERSSept. 19, 1–2 p.m.HealthSouth East Valley5652 E. Baseline Rd., Mesa480-567-0350

BETTER BREATHERSSept. 19, 2–3 p.m.Chandler Regional1875W. Frye Rd., Chandler480-728-5414

SYRINGO & CHIARISept. 20, 11 a.m.–1 p.m.St. Joseph’s Outpatient Rehab114W. Thomas Rd., Phoenix623-561-9606

MEN’S DISABILITY ISSUESSept. 20, 5:30–7 p.m.Disability Empowerment Center5025 E.Washington St., Phoenix602-980-3232; DonP@abil.org

AMPUTEE SUPPORTSept. 24, 6–8 p.m.HealthSouth East Valley5652 E. Baseline Rd., Mesa480-477-7109

BRAIN TUMORSept. 25, 6–8 p.m.St. Joseph’s350W. Thomas Rd., Phoenix623-205-6446

MULTIPLE SCLEROSIS (WOMEN)Sept. 29, 10 a.m.St. Joseph’s350W. Thomas Rd., Phoenix480-829-6563

OSTOMYSept. 30, 2–4 p.m.First Presbyterian Church161 N. Mesa Dr., Mesa480-812-0324

CAREGIVERS

CAREGIVERS SUPPORTGROUPS (DUET)Various dates, times & locations602-274-5022

ONLINE CAREGIVERNETWORKING (DUET)Sept. 8, 9–11 a.m.; Sept. 25, 7–8 p.m.Register: DuetAZ.org (Events tab)

CAREGIVERS SUPPORTSept. 10St. Joseph’s Outpatient Rehab114W. Thomas Rd., PhoenixCall for time: 602-406-6688

CAREGIVERS SUPPORTSept. 12, 2:30–4 p.m.Mountain VistaMedical Center1301 S. Crismon Rd., MesaRegister: 877-924-WELL (9355)

CAREGIVERS SUPPORTSept. 26, 2:30–3:30 p.m.St. Luke’s1800 E. Van Buren St., PhoenixRegister: 877-351-WELL (9355)

IN SPANISH

COMADRES/COMPADRES(Parkinson’s support)ByMuhammad Ali Parkinson Centerat St. Joseph’sSept. 6 & 20, 3–5 p.m., Pyle Adult RecCenter, 655 E. Southern Ave., TempeSept. 7 & 21, 9:30–11:30 a.m.,Church of the Beatitudes,555W. Glendale Ave., Phoenix602-406-2453

EL ARTE DEL MOVIMIENTO(Parkinson’s)Sept. 8, 15, 22 & 29, 9:30–10:30 a.m.ByMuhammad Ali Parkinson Centerat St. Joseph’sChurch of the Beatitudes555W. Glendale Ave., Phoenix602-406-6903

VOCES UNIDAS(Singing program for Parkinson’s)Sept. 8, 15, 22 & 29, 10:30 a.m.–noonByMuhammad Ali Parkinson Centerat St. Joseph’sChurch of the Beatitudes555W. Glendale Ave., Phoenix602-406-2453

CANCER SUPPORTSept. 11, 6–7:30 p.m.Banner Desert1400 S. Dobson Rd., Mesa480-412-HOPE (4673)

UNA REUNION(Latino Cancer Outreach Task Force)Sept. 18, 6–7:30 p.m.UA Cancer Center at St. Joseph’s500W. Thomas Rd., Phoenix602-567-7640

SEMINARIO PARKINSON’SSept. 22 & 29, 9:30 a.m.–3 p.m.Muhammad Ali Parkinson Centerat St. Joseph’s240W. Thomas Rd., PhoenixRegister: 602-406-2453

Question:What are gallstones?ANSWER: Gallstones are hardeneddeposits of digestive fluid that canform in the gallbladder, a pear-shaped organ in the right upperabdominal quadrant just beneaththe liver. Risk factors for developinggallstones include being female,older than 40, pregnancy, ogentherapy, family history, obesity,rapid weight loss and diabetesmellitus.Many patients with gallstones

have no symptoms, but in thosewho develop symptoms, it is usuallydue to the gallstone lodging againstthe gallbladder outlet causinggallbladder contraction and painknown as biliary colic. The pain canoccasionally present as chest painand can also radiate to the back andright shoulder. It classically follows afattymeal, but not always.Patients can present with other

symptoms such as bloating,belching, indigestion, heartburnand fat intolerance thatmay ormaynot be associatedwith gallstones.Patients should seek immediate careif signs and symptoms develop suchas abdominal pain so intense theycan’t sit still or find a comfortableposition, yellowing of the skin andwhites of the eyes, and/or high feverwith chills.

JONATHAN LEIGHTON,M.D.,IS A PROFESSOR OFMEDICINE ANDCHAIR OF GASTROENTEROLOGYATMAYO CLINIC

Question:How dowe hear?ANSWER: The ear can be dividedinto three parts leading up to thebrain: the outer ear, middle ear andinner ear.The outer ear consists of the pinna

(the part on the side of our head),the ear canal and the eardrum.Sounds are collected by the pinnaand funneled down the ear canalstriking the eardrum and causingit to vibrate.Themiddle ear is a space behind

the eardrum that contains the threesmallest bones in our body calledossicles (the hammer, anvil andstirrup). This chain of tiny bones isconnected to the eardrum at one endand to an opening to the inner ear atthe other end. Vibrations from theeardrum cause the ossicles to vibratewhich in turn createsmovement offluid in the inner ear.Movement of the fluid in the inner

ear, or cochlea, causes changes inthe tiny structures called hair cells.This movement of hair cells sendselectric signals from the inner ear upthe auditory nerve to the brain. Thebrain then interprets the electricalsignals as sound.

ROBERT BABER IS A BOARD-CERTIFIEDHEARING INSTRUMENT SPECIALIST ANDOWNEROF 21MIRACLE-EAR CENTERSLOCATED THROUGHOUT ARIZONA

Question:Will the flu vaccineprotect me againstpneumonia?ANSWER:While the flu vaccine isimportant to your health, it can’tprotect you against pneumoniaon its own. Pneumonia is veryserious and is our nation’s leadingcause of death among vaccine-preventable illnesses.While anyone can get

pneumonia, certain groups aremore vulnerable to it includinganyone over 65 years old,children under age 2, thosewith heart or lung disease, andothers who have chronic healthconditions affecting the immunesystem.Fortunately, there is a safe and

effective pneumonia vaccineavailable which guards againstmany strains of the illness. TheCenters for Disease Controlrecommends that anyone overthe age of 65 as well as othersin high-risk categories get apneumonia vaccine annually.Talk with your doctor during

your next visit or yearly wellnessappointment to discuss whichvaccines are recommended foryou based on your health historyand age.

CHRISTOPHER BONATI, M.D.,IS A FAMILYMEDICINE PHYSICIANAT THE BANNERHEALTH CENTERIN VERRADO

ASK An Expert

LivingWell a-z invites readers to submit questions to a panel of health-care experts. The shortquestions and answers will offer readers a little more information about hot topics in medicine andrefer you to other resources where you can learn more. Responses will also arm you with informationso you know what to ask your own health-care providers. If you would like your question to beconsidered for theOctober 3, 2012 issue of Living Well a-z, please write to editor: Paula Hubbs CohenPaula.Cohen@cox.net or c/o The Arizona Republic, 200 E. Van Buren St., CA22 Phoenix, AZ 85004.

CHANDLER REGIONAL MEDICALCENTER: ChandlerRegional.org

HEALTHSOUTH REHABILITATION:healthsouth.com

JOHN C. LINCOLN HOSPITAL:JCL.com

LASER SPINE INSTITUTE:laserspineinstitute.com

MAYO CLINIC:mayoclinic.com

MERCYGILBERTMEDICALCENTER:MercyGilbert.org

MIRACLE EAR:miracle-ear.com

ABRAZO HEALTH CARE(AZ Heart Institute and AZ Heart,Arrowhead, Maryvale, ParadiseValley, Phoenix Baptist andWestValley hospitals): abrazohealth.com

BANNER HEALTH:bannerhealth.com

BARNET DULANEY PERKINS:goodeyes.com

BARROWNEUROLOGICALINSTITUTE:thebarrow.org

CARDON CHILDREN’S MEDICALCENTER: bannerhealth.com

MOUNTAIN VISTA MEDICALCENTER:mvmedicalcenter.com

NORTHVALLEYPLASTICSURGERY:nvpsaz.com

PHOENIX CHILDREN’S HOSPITAL:phoenixchildrens.com

SCOTTSDALEHEALTHCARE: shc.org

ST. JOSEPH’S HOSPITAL ANDMEDICAL CENTER: stjosephs-phx.org

ST. LUKE’S MEDICAL CENTER,PHOENIX: stlukesmedcenter.com

TEMPE ST. LUKE’S:tempestlukeshospital.com

INFO Online

WEDNESDAY, September 5, 2012 | LIVING WELL A-Z | 7

FREEHEARING TEST

26 Arizona Locations

Call 602-814-0072www.Miracle-Ear-Phoenix.com

Not a medical exam.Audiometric testto determine proper amplification needs only.Good only from participating Miracle-Earproviders. See store for details.

Safe Babysitting ClassThis class will give you the skillsand confidence you need to be a

wonderful babysitter!

Cost: $35 per personSaturday, September 8

Banner Desert Medical Center

RSVP: (602) 230-CARE (2273)www.BannerHealth.com/events

Visit mayoclinic.org/arizona

Most people my age don’t think they can getskin cancer. But I was diagnosed with stageone melanoma at 17. Now, I wear my scarproudly and tell my friends how importantit is to get regular skin checks.My answer was Mayo Clinic.

Caitlyn Potter, Phoenix, AZ

Because ofMayo Clinic’s collaborativemodel of care, Caity had an entire team on her side, focusedon her recovery. Now, she is cancer-free and attending college. For over 100 years, people from allwalks of life have come to Mayo Clinic for answers. Mayo is an in-network provider for millionsof people. In most cases you don’t need a physician referral. For more information or to schedulean appointment, visit mayoclinic.org.

BARIATRIC PROGRAMHear aboutmedical& surgical

treatments for obesity.

THURS., SEPT 13:6-6:45PM

TUES., SEPT 25:6-6:45PM

(480) 301-4533MayoClinic.org/Arizona

What’s onyour platetonight?

Meals To Go is the perfect mealtime solution for your healthy lifestyle. Deliciousand nutritionally sound, each gourmet meal is approximately 500 calories. Orderfor a day or order for the whole week.

Now available for pick up at any of our Abrazo Hospitals.

Order Meals To Go 24 hours in advance online atabrazohealth.com/mealstogo or call 602.923.5660.

Arizona Heart HospitalArrowhead HospitalMaryvale HospitalParadise Valley HospitalPhoenix Baptist HospitalWest Valley Hospital

abrazohealth.com/mealstogoSTAY CONNECTED

keyword “abrazo health”

EXPERTSScott A. Perkins, MDAs a nationally recognized ophthalmologist with Barnet Dulaney Perkins Eye Center, Dr. Perkins has performed morethan 50,000 cataract surgeries and more than 10,000 vision correction procedures such as LASIK and ImplantableContact Lenses (ICLs).As an innovator in the field of ophthalmology, he has participated in over 25 clinical trials for bothpharmaceutical and ophthalmic devices.In addition, Dr. Perkins serves on the Board of Directors for Arizona Visionaries, a donor driven non-profit organizationproviding cataract surgery and eyeglass fittings in third world countries. He is not only trusted for his surgical talents andmodest nature, but is also well known for his compassion and ability to connect with and comfort patients.Board Certified by the American Board of OphthalmologyMember of the American Society of Cataract and Refractive SurgeryFellow of the American Academy of Ophthalmology

CATARACT & REFRACTIVE SURGEON

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

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

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

BECOME A PATIENT

ResourcesAmerican SeniorFitness Association:seniorfitness.net/sfahist.htm

Arizona Center on Agingat The University of Arizona:azgec.med.arizona.edu

Arizona State University:nursingandhealth.asu.edu

Banner Sun Health ResearchInstitute’s Center for HealthyAging: bannerhealth.com/Research

Senior Exercise and Fitness Tips:helpguide.org/life/senior_fitness_sports.htm

Silver Sneakers Fitness Program:silversneakers.com

September is “awareness month”for many diseases and conditions,

including ovarian cancer and prostatecancer.

Ovarian cancerOvarian cancer, once known as the ‘silentkiller’ for its seemingly benign symptoms,is the ninth most prevalent cancer amongwomen (excluding skin cancer) but thefifth mostly deadly, according to theAmerican Cancer Society (ACS).Because of its easily misinterpreted

symptoms, many cases of ovarian canceraren’t diagnosed until the later stages.Like all cancers, early diagnosis can savelives, making it all the more important forwomen to be educated about the disease.

Signs and symptomsIn 2007, the ACS cites that it teamed upwith the Gynecological Cancer Foundationand the Society of Gynecologic Oncologyto determine the most common symptomsof ovarian cancer. They list these asbloating, pelvic or abdominal pain, troubleeating or feeling full quickly, and urinarysymptoms (such as frequent feelings ofneeding to go to the restroom). In patientswith ovarian cancer, the symptoms tendto be ongoing rather than sporadic.

Diagnosis and treatmentIf a patient is suspected to have ovariancancer, there are several different stepsto diagnosis it including a pelvic exam,a CA-125 blood test and a trans-vaginalultrasound. If cancer is suspected duringone of these steps, surgery and a biopsyare the only ways to officially confirmthe disease.Once diagnosed, patients usually go

through surgery and a chemotherapyregimen. This often includes removingthe ovaries and tumor, a process knownas debulking. There are clinical trials andnew drugs that are aimed at slowing theprogression of ovarian cancer.

Prostate cancerAlso according to the American CancerSociety, one in six men will developprostate cancer in his lifetime. But evenwith such startling statistics, there is plentyof hope, in fact, there are more than2.5 million prostate cancer survivors inthe U.S., cites ACS findings.Located at the bottom of a man’s

bladder, the prostate is a small gland thatcan cause big problems. Prostate cancerhappens when cells within the prostatebecome cancerous and begin to form

Ovarian andprostate cancerDeadly diseases, but there is hope BYMICHELLE TALSMA EVERSON

10 things to helpyou get/stay fit

1 DRINK PLENTY OF WATER. “Keepin mind that with aging, thethirst mechanism diminishes,”said Jane Petrin, Senior FitnessSpecialist.

2 EAT NUTRITIOUS FOODS.Don’t thinkof what you consume as your‘diet’, Petrin said. “Look at thefirst three letters of that word.Forget dieting; focus on eatinghealthy foods.”

3 GET ENOUGH REST. “Give yourmuscles a chance to rest atleast a day between weighttraining sessions,” Petrin said.

4 STRETCH APPROPRIATELY.WalterNieri, M.D., a geriatrician andinternal medicine physician anddirector of Banner Sun HealthResearch Institute’s Center forHealthy Aging, said stretchingafter a workout can help reducepost-exercise aches and pains.

5 FIND ALTERNATIVES TO SIT UPSAND CRUNCHES. Using a stabilityball or a stack of mats forcrunches is preferable to lyingdirectly on the carpet, Petrinsaid. “Lifting your arms overyour head while standing uplifts your rib cage and forcesyour abs to work in a functionalway.”

6 DO WHAT YOU CAN, WHEN YOU CAN.You’ll notice changes in the wayyou feel if you can exercise withany degree of regularity, butespecially if you can average aminimum of 30 minutes threetimes a week.

7 FORGET ‘NO PAIN, NO GAIN’. Beinga little bit sore after a workoutis okay, Petrin said, but if you’rewincing while exercising orafterward, you’re workingtoo hard.

8 BE REALISTIC. “I know an82-year-old who can do thesplits,” said Senior FitnessSpecialist Penny Bailey.“However, it is important to berealistic about your abilities.Gentle forms of exercise canserve older adults well.”

9 VARY YOUR ROUTINE. Ideally,Nieri said your routine shouldinclude a combination ofaerobic exercises, resistanceweight training, yoga and/ortai chi or exercises usinga stability ball.

10 GIVE YOURSELF TIME. It may takesix weeks or six months to seeimprovement in your functionand how you feel.

“Exercise releases endorphins, whichcan elevate positive mood, and olderadults can benefit from that,” saidWaldron, who now teaches in the ASUSchool of Nutrition and Health Promotion.“Exercise also can improve older adults’balance, flexibility and endurance. Thisleads to a lessened fear of falling, awillingness to tackle activities that requireenergy and stamina, and reduced chanceof injury.”

Zumba, tai chi, yogaFor an older adult, walking into a gymwhere there are athletes running ontreadmills and loud music can sometimesbe uncomfortable.That’s why Senior Fitness Specialist

Penny Bailey recommends seekingout other settings that may be moreinviting. Tai chi classes that focus on slowmovement, or martial arts or yoga classesmay be a good alternative, Bailey said.Aquatic classes or Zumba classes for olderadults are other options, she said, addingthat it’s important for classes like theseto be taught by qualified instructors whounderstand the limitations and challengesposed by commonmedical conditions.Don’t be afraid to ask the instructor abouthis or her training in proper exercisetechniques for older adults, she advised.

LimitedmobilityIf your mobility is limited or your healthstatus is compromised, you may still beable to do tai chi or yoga in a chair aspart of special classes for people withphysical limitations, Bailey said, but sheemphasized the importance of gettingapproval from a medical professionalbefore beginning an exercise program.

Continued from coverSENIOR FITNESS

a tumor, cites the Us TOO InternationalProstate Cancer Education & SupportNetwork website, ustoo.com.

Signs and symptomsSymptoms of prostate cancer can include:• Frequent, difficult or painful urination• Blood in the urine• Pelvic and other bone pain• Painful ejaculation• Loss of appetite and weight

Diagnosis and treatmentProstate cancer can be found by testing forprostate-specific antigen (PSA) in a man’sblood or by a digital rectal exam (DRE).The ACS recommends that screeningtakes place between the ages of 40 and 50depending on a patient’s risk factors.If diagnosed, prostate cancer is treated

by everything from ‘watchful waiting’ tosurgery and chemotherapy, dependingon the severity. As with ovarian cancerand many other types of cancer, thereare clinical trials and new drugs underdevelopment that are aimed at slowingthe progression of the disease.

Not just a ‘senior’ diseaseIn June 2009, at age 40, Tempe policedetective Tim Barber was diagnosedwith advanced prostate cancer. Barber,who underwent a series of treatments,succumbed to the disease in August 2011at 42. Up to just days before his passing,he spread awareness of prostate cancerand early testing to anyone who wouldlisten. The annual “Walk for POP: ProstateOn-site Project” was recently named in hismemory. For more information, see page 6.

ResourcesAmerican Cancer Society:cancer.org

National Cancer Institute at theNational Institutes of Health:cancer.gov

National Ovarian Cancer Coalition:ovarian.org

Ovarian Cancer Alliance of Arizona:ocaz.org

Ovarian Cancer National Alliance:ovariancancer.org

The University of Arizona CancerCenter: azcc.arizona.edu

Us TOO International ProstateCancer Education & SupportNetwork: ustoo.com

(Seated, front to rear, Louise Minton,Marion Slobodnjk and Lorraine Woodruff.)Barry Brooks conducts a Zumba Gold classat Pueblo Norte Senior Living Communityin Scottsdale. After retiring, the formerco-owner of Cookies from Home took upa new career teaching Zumba, a Latin-inspired fitness class.

THINKS

TOCK

PHOTO

RICKD’ELIA

8 | LIVING WELL A-Z | WEDNESDAY, September 5, 2012

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