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Livingwell
a-z
HEALTHCARE NEWS YOU CAN USE FOR YOUR WHOLE FAMILY
MARCH 2016
2 Preserving your vision | 3 After a cancer diagnosis: What’s next? | 3 Tips for kidney health | 4 Top events and support groups Many senior living communities, including Vi at Silverstone in Scottsdale, are designed to encourage socialization amongst residents.
BRUSH UP, ARIZONA!
Everything you need to know about caring for and protecting your teeth PRESENTED BY LIVINGWELL AZ AND THE ARIZONA DENTAL ASSOCIATION PA G E S 5 - 8
Harrowing headache with double vision? Don’t delay — rush to an emergency stroke center By Susan Lynne Fuchs
T
he worst headache of your life — especially if it’s sudden and comes with double vision — is a sign you should rush to an Emergency Department, preferably one accredited for stroke treatment. You may be experiencing a burst brain aneurysm, the rarest and most dangerous of strokes, said neurointensivist Victor Zach, M.D., director of the neurocritical intensive care unit and the accredited stroke center in the Emergency Department at HonorHealth John C. Lincoln Medical Center, Phoenix. Even if the aneurysm has not yet burst, he said, the symptoms mean your life may be at risk.
Weakened artery wall Brain aneurysms occur when the wall of an artery weakens, stretches and balloons outward, Zach said. Most develop at intersections where arteries branch and are smaller than a pea. Some are only shaped like a low hill. But rare ones can balloon to almost an inch in diameter, explained cerebrovascular neurosurgeon Peter Nakaji, M.D., who is on staff at Barrow Neurological Institute at Dignity Health St. Joseph’s Hospital and Medical Center, Phoenix. Brain aneurysms grow and rupture for reasons that are not fully understood, Nakaji said, but when they burst, they flood blood around adjacent arteries and into surrounding brain tissue. Ruptured brain aneurysms kill about half the patients who experience them, either before or after they get to the hospital, Nakaji said. Only about a quarter of his patients recover from burst brain aneurysms with no serious physiological damage, he said. Others who survive may have lifelong problems with speech, vision, balance, mental function, muscle weakness or mobility.
Treatment options Treatment is less complicated and more often successful if the aneurysm is diagnosed and treated before it bursts, both physicians agreed. This can be tricky because aneurysms in early stages of development may have no symptoms. “They are often discovered when patients have medical imaging, MRIs or CT angiograms for unrelated reasons,” Nakaji said. ! BRAIN ANEURYSM, continued on page 9
Vi at Silverstone
Seniorliving options What you need to know BY D E B R A G E L B A R T
M
ost senior living communities are available in a variety of configurations. Here are the hallmarks of each type, according to Sharon Grambow, executive vice president and chief operating officer for Sun Health Senior Living.
“We’re here to be advocates for healthy living and innovative programming that help people live well for as long as they possibly can.” —Sharon Grambow, Sun Health Senior Living Sun Health
INDEPENDENT LIVING IL: Some IL properties may provide additional services such as dining, housekeeping or security. If residents require a higher level of care, they must move to a property that offers the appropriate care or hire someone to provide in-home care services. INDEPENDENT LIVING/ASSISTED LIVING IL/AL: These are typically entrance-fee or rental properties providing a full menu of additional services such as dining, housekeeping or security as well as resident activities. If IL residents require a higher level of care, they can transfer to AL. “This can be a nice option for a spouse or significant other when one person needs a higher level of care,” Grambow said. ASSISTED LIVING ONLY: This option includes a wide range of choices including large communities as well as small residential-style group homes.
SKILLED NURSING FACILITY SNF: SNFs are for those who need assistance with three or more activities of daily living on a long-term basis or who require a transitional short-term stay while recovering from a hospitalization or medical incident. LIFE CARE CONTINUING CARE RETIREMENT COMMUNITY CCRC: CCRCs provide the guarantee of ‘life care’ with independent living, assisted living and skilled nursing on the same campus; some also offer memory care. A CCRC that doesn’t carry the designation of ‘life care’ typically does not offer skilled nursing on the same campus. When a CCRC provides a guarantee of life care and requires an entrance fee, a resident must be able to live independently when he or she first moves in and must qualify financially to be able to pay the monthly cost of living, said Kimberley Keim Bankofier, community relations manager for
Vi at Silverstone, a North Scottsdale CCRC. Residents live independently for as long as possible, but if they need assisted living or skilled nursing care later on, it’s available without moving to an entirely new location. In CCRCs where an upfront entrance fee isn’t paid, residents may move into assisted living from the start if they need it, but they’ll pay the market price for that service rather than an adjusted monthly fee as with a life-care plan, explained Lindsey Arrey, director of marketing for Fellowship Square, a not-for-profit Christian care community. Whether an entrance fee is paid or not, all CCRCs require a monthly fee for the apartment or townhouse. Some local CCRCs include Fellowship Square’s location in Phoenix; Maravilla Scottsdale; Sun Health Senior Living’s three locations in the West Valley; and ! SENIOR LIVING, continued on page 10
Your favorite cocktail could be a dangerous mix. Learn more about the dangers of mixing alcohol and energy drinks. HonorHealth.com/healthyaz
There’s a reason they say “ask your doctor.” Contact your HonorHealth doctor to answer your questions or call 623-580-5800 to +nd a doctor who can.
2 | Livingwell a-z | Wednesday, March 2, 2016
Preserving your vision Symptoms and treatments for common age-related eye diseases By Meghann Finn Sepulveda
! The Foundation for Blind Children
O
ur vision changes as we age. Eyes may take longer to adjust and focus, which is considered normal vision development in adults age 60 and older, according to the American Academy of Ophthalmology. Sometimes these changes can impact the ability to drive and affect other quality of life issues. Other times, more serious eye conditions can occur, causing vision loss and even blindness. Thankfully, there are comprehensive screening tools, diagnostic testing, advanced treatment options and resources available for seniors who are in need of eye care.
The Foundation for Blind Children provides education, tools and services to enable not just children but also adults who are blind or visually impaired to achieve greater independence. Financial assistance is available for optical aides at the Foundation's Low Vision Clinic, under the direction of Lisa Chiles, O.D., optometrist and clinic director, and includes the following: ! ! ! ! ! !
Cataracts Of the most common age-related eye diseases, cataracts are the most prevalent in the senior population. A cataract occurs when the lens in the eye becomes harder and less flexible which causes a clouding in the eye and can lead to blurry, cloudy or dim vision, according to the American Academy of Ophthalmology. “A cataract is part of the normal aging process,” said Vladimir Yevseyenkov, O.D., PhD, optometrist and clinical care coordinator for advanced ocular disease at the Midwestern University Eye Institute and associate professor at the Arizona College of Optometry. “While we can help slow the progression of the cataract, the only way to successfully remove and treat a cataract is with surgery.” According to Yevseyenkov, cataract surgery is considered to be the most common and successful outpatient eye procedure performed in the United States.
Livingwella-z
March 2016 | Vol. 6, No. 3
Living Well A-Z publishes on the first Wednesday of the month. From A to Z, we tackle a broad range of health issues and offer resources to find more specific information. For questions concerning content, please contact Editor Paula Hubbs Cohen.
A division of The Arizona Republic, 200 E. Van Buren St., Phoenix, AZ 85004. For general advertising inquiries, contact Republic Media at 602-444-8000. General Manager: CAMI KAISER, CKaiser@RepublicMedia.com Creative Development Director: ISAAC MOYA, IMoya@RepublicMedia.com Editor: PAULA HUBBS COHEN, Paula.Cohen@cox.net; 602-444-8658 Contributing Editor: JIM WILLIAMS, JLWilliams@RepublicMedia.com Project Manager, Custom Products: NICK KOSTENKO, NKostenko@RepublicMedia.com Design: CRAIG KURTZ, CraigRKurtz@gmail.com
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Floaters, dry eye Other common age-related eye conditions include dry eye and floaters, or small objects that appear in the field of vision which can often be seen as flashes of light. “If a patient experiences floaters that mimic falling snow, a more serious issue such as a tear or retinal detachment could be present,” Yevseyenkov said. For people who suffer from dry eye — a condition that occurs when the tear films break down and the quantity and the quality of tears are not keeping eyes healthy — different approaches to treatment are available such as lifestyle changes, over-the-counter eye drops, medication and other therapies. “We can test and improve the ocular surface of the eye to express oil glands and improve the volume of tears,” said Matthew Palmer, O.D., an optometrist at Southwestern Eye Center. “With the help of new technology, we are able to clean out the oil glands, remove build-up and keep tears from evaporating.”
Glaucoma According to the American Academy of Ophthalmology, glaucoma is a disease that damages the eye’s optic nerve as a result of fluid buildup.
Unfortunately for people who suffer from open-ended glaucoma, there are usually no early symptoms or warning signs that show the disease is present. Glaucoma can only be detected through an eye exam and testing. “It’s common for people to have gradual peripheral vision changes but it is not normally noticeable until it creeps into the line of sight,” said William Schiff, O.D., an optometrist at Barnet Dulaney Perkins Eye Centers. “We measure eye pressure to identify glaucoma and any areas of vision loss through a visual field test, a dilated eye exam or by measuring the thickness of the cornea.” Treatment for glaucoma can vary by the severity of the disease but often includes prescription eye drop medication, laser therapy or surgery. “A benefit of the in-office laser procedure is that we can increase fluid drainage to enlarge the drain so there is more outflow,” Schiff said. “Too much fluid puts pressure on the nerve.” Older adults, a family history, people who are of African-American or Hispanic decent, those who have diabetes, high blood pressure, migraines, poor blood circulation and other health problems are at higher risk of developing glaucoma.
Magnifiers Specialized glasses Telescopic systems Customized tints Electronic adaptive aids Closed Circuit TV (CCTV)
The non-profit organization also offers a vocational rehabilitation program for the vision-impaired and teaches skills needed to transition to a new job including computer training, braille training and more. MORE INFO: SeeItOurWay.org; 602-331-1470
Age-related macular degeneration Age-related macular degeneration is a common eye condition and leading cause of vision loss in the senior population which contributes to the deterioration or breakdown of the eye's macula, according to the National Eye Institute. “Age-related macular degeneration is prevalent in the older Caucasian population,” Yevseyenkov said. “It usually develops fast and can not only limit everyday lifestyle activities such as driving, reading and watching television, it can cause legal blindness.” Research performed at the National Eye Institute suggests a daily intake of certain high-dose vitamins and minerals can significantly slow the progression of age-related macular degeneration. Other preventative steps can be taken to effectively maintain vision. “Visiting the eye doctor regularly, eating a diet rich in healthy green vegetables, wearing sunglasses and controlling systemic diseases are great ways to care for your eyes and protect your vision,” Palmer said.
PUTTING
YOUR
BACK ON THE LINE
A MAN WHO SAVES LIVES OWES HIS OWN TO FRANCISCO PONCE, MD – AFTER A DIAGNOSIS OF SEVERE SPINAL STENOSIS LEADS TO A SUCCESSFUL SPINE SURGERY AT BARROW BRAIN & SPINE. 53-year old Scott Schneeweis is an avid distance swimmer and has spent his entire life pushing the boundaries of agility and endurance. When he retired from active duty as a Naval Officer after more than 30 years of service, Scott decided to apply his skills as a technical search and rescue volunteer with the Cochise County Sherriff ’s Department. Diagnosis Although Scott was very physically fit, ate well, and was in overall good health, one day he started to notice random muscle twitching throughout his body. When the issue didn’t go away he decided to get it checked out.
Gentle, Thoughtful Approach “Scott is very youthful and in great shape. I wanted to make sure we kept him in the game, so right away we discussed alternatives to fusion,” said Dr. Ponce, neurosurgeon at Barrow Brain and Spine.
“I chose Barrow because of their reputation as innovators and getting successful results for even the most challenging cases,” said Scott.
After undergoing a cervical MRI, Scott was diagnosed with severe spinal stenosis, which is the narrowing of spaces in the spine. This causes increased pressure on the spinal cord and nerves, which was causing Scott’s muscle twitching. In most cases, the surgery involved requires fusion of discs to relieve pain. However, fusion can significantly limit a patient’s range of motion, and Scott was not willing to compromise his ability to perform his highly physical and very fulfilling search and rescue work.
“I was determined to have full range of motion again after the surgery,” said Scott. Dr. Ponce and his team went in and performed a dual level arthroplasty, a surgery in which, after relieving pressure on the spinal cord, an artificial disc is placed between the vertebrae.
Scott was home by the next day, and the day after that he went for a hike with no post op pain medication other than an anti-inflammatory!
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Wednesday, March 2, 2016 | Livingwella-z | 3
After a cancer diagnosis: What’s next? Help is available to guide you through your journey By Meghann Finn Sepulveda
A
fter a cancer diagnosis, it’s common to be flooded with emotions — often a combination of worry, fear, stress and anxiety — along with questions about how you’ll manage treatment while balancing work and home life. Fortunately, there are patient navigators at local health organizations and hospitals who can answer questions and provide you and your family with an abundance of information and support services.
“We want patients to ask questions and be aware of all options available to them. We walk alongside our patients and guide them in every aspect of treatment and recovery.”
Receiving a diagnosis “It’s a very fragile time,” said Cathy Mikkelson, patient navigator at the American Cancer Society, referring to receiving a cancer diagnosis. “People are usually in shock.” She recommends the first thing people should do is call the National Cancer Information Center at 800-227-2345, noting that there is trained staff available 24 hours a day. You can also chat live with an information specialist from the American Cancer Society online at cancer.org. Through the organization’s Cancer Support Network, participants can register online by cancer type — either publicly or anonymously — and join discussion boards to connect with someone who has been on a similar journey.
— Joyce Schaffer, MSN, RN, advanced practice oncology nurse navigator, HonorHealth Virginia G. Piper Cancer Center in Scottsdale Thinkstock
Finding support Once the recommended treatment plan is communicated from the medical team to the patient, patient navigators like Kathy Tilmann, BSN, oncology certified nurse at Banner MD Anderson Cancer Center in Gilbert, often step in if a need is identified for care coordination. “Patients usually see multiple providers
during their treatment which can be overwhelming,” she said. “We meet with the medical team each week to make sure everyone is on the same page and that the patient is informed and tolerating the treatment regimen.” At the HonorHealth Virginia G. Piper Cancer Center in Scottsdale, advanced practice oncology nurse navigator Joyce
Schaffer, MSN, RN, encourages people to be advocates in their cancer journey. “We want patients to ask questions and be aware of all options available to them,” Schaffer said. “If the cancer isn’t responding to a medication or therapy, we work together to find something else that might work. We walk alongside our patients and guide them in every aspect of treatment and recovery.”
have kidney disease. Reduce your regular use of OTC drugs and never go over the recommended dosage.
leading causes of kidney disease and kidney failure. Managing high blood pressure and strict control of blood sugar levels can slow the progression of kidney disease.
5 tips for kidney health
M
arch is National Kidney Month and the National Kidney Foundation of Arizona (NKF AZ) is urging Arizonans to take five easy steps toward kidney health. The kidneys filter waste and perform vital functions that control red blood cell production and blood pressure. Over time, the kidneys can become damaged with little or no physical symptoms to serve as warning signs. According to NKF AZ, more than 600,000 Arizonans currently have kidney disease but due to the disease’s silent symptoms only 10 percent are aware they have it. Joseph Vassalotti, M.D., chief medical officer for the National Kidney Foundation,
offers the following advice to keep your kidneys healthy.
1
GET TESTED. Ask your doctor for an ACR urine test or a GFR blood test annually if you have diabetes, high blood pressure, are over age 60 or have a family history of kidney failure. Get screened for free through the National Kidney Foundation’s KEEP Healthy program by visiting Kidney.org.
2
LIMIT OVERTHECOUNTER OTC DRUGS. OTC pain medicines — such as NSAIDs (non-steroidal anti-inflammatory drugs) — may alleviate aches and pains, but they can harm the kidneys especially if you already
3
CUT DOWN ON PROCESSED FOODS. Processed foods can be significant sources of sodium, nitrates and phosphates and have been linked to cancer, heart disease and kidney disease.
4
EXERCISE REGULARLY. Getting active for at least 30 minutes a day can help control your blood pressure and lower your blood sugar, which is vital to kidney health.
5
CONTROL BLOOD PRESSURE AND DIABETES. High blood pressure and diabetes are the
More tips and information will soon be available through the new Erma Bombeck Project landing page that NKF AZ is launching this April in honor of National Donor Awareness Month. The site will serve as a resource to anyone curious about kidney donation and will include videos, brochures, a living donor guide, quick facts and transplant center contact information. SOURCE: National Kidney Foundation of Arizona: AZKidney.org; 602-840-1644
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4 | Livingwell a-z | Wednesday, March 2, 2016
MARCH Take advantage of opportunities to meet others with similar issues and learn more about various aspects of your health – from A to Z. All groups and events are believed, but not guaranteed, to be free unless otherwise stated. Every effort has been made to verify accuracy, but please call before attending to confirm details.
WELLNESS & MORE HOW TO TALK TO YOUR DOCTOR March 8, 2–3 p.m. HonorHealth Scottsdale Thompson Peak 7400 E. Thompson Peak Pkwy., Scottsdale RSVP: 623-580-5800; HonorHealth.com MINI MED SCHOOL March 9, 5:30–7 p.m. The University of Arizona College of Medicine 600 E. Van Buren St., Phoenix 602-827-2002 COLON CANCER AWARENESS March 14, noon Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa MVMedicalCenter.com 877-924-WELL (9355) GET TO KNOW YOUR GUT March 22, noon–1 p.m. Humana Guidance Center 5943 E. McKellips Rd., Mesa 480-325-4707 IRRITABLE BOWEL SYNDROME March 23, noon Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa MVMedicalCenter.com 877-924-WELL (9355)
CAREGIVERS
Please call to confirm reservations and cost (if any).
INFO/REGISTER: 602-0507-4209; karen@azspinal.org
FRIDAYS
MARCH 19
GRIEF SUPPORT GROUP WHAT: Support and healing group featuring counselors, pastors and others who have coped with grief. WHERE: First Baptist Church, 9525 E. Riggs Rd., Sun Lakes WHEN: Fridays, 10–11:30 a.m. PRESENTED BY: First Baptist Church of Sun Lakes COST: Free INFO/REGISTER: 480-895-1088
CANCER SURVIVORS BREAKFAST WHAT: Pancake breakfast and community event to celebrate cancer survivors. WHERE: 3686 S. Rome St., Gilbert WHEN: 8–11 a.m. PRESENTED BY: Ironwood Cancer & Research Centers COST: Free INFO/REGISTER: IronwoodCRC.com/SurvivorsDay
MARCH 5
MARCH 19
WOMEN’S HEALTH: TEENS TO TWILIGHT WHAT: Female physicians will discuss issues that affect women. WHERE: Superstition Springs Golf Club, 6542 E. Baseline Rd., Mesa WHEN: 9 a.m.–noon PRESENTED BY: Mountain Vista Medical Center COST: Free INFO/REGISTER: 877-924-WELL (9355); MVMedicalCenter.com
LIVING WITH MYELOMA WHAT: Conference for multiple myeloma patients, their families and caregivers. WHERE: Chaparral/Embassy Suites, 5001 N. Scottsdale Rd., Scottsdale WHEN: 8 a.m.–4:30 p.m. PRESENTED BY: Arizona Myeloma Network COST: Free; includes breakfast and lunch INFO/REGISTER: 623-466-6246; AZMN.info
MARCH 11
APRIL 8
PUSH FORWARD CONFERENCE WHAT: For individuals with spinal cord injuries, family members, caregivers and professionals. WHERE: Desert Willow Conference Center, 4340 E. Cotton Center Blvd., Phoenix WHEN: 8 a.m.–4 p.m. PRESENTED BY: Arizona Spinal Cord Injury Association COST: $55–$75; includes lunch
STAND WITH PLANNED PARENTHOOD WHAT: Luncheon celebrating the Planned Parenthood centennial. WHERE: Arizona Biltmore Resort, 2400 E. Missouri Ave., Phoenix WHEN: 11:30 a.m.–1:30 p.m. PRESENTED BY: Planned Parenthood Arizona COST: $100 INFO/REGISTER: 602-263-4215; jmcdonald-olear@ppaz.org
PARKINSON’S EDUCATION, EXERCISE & SUPPORT GROUPS By Muhammad Ali Parkinson Center 602-406-3840; 602-406-4921 CAREGIVERS SUPPORT By Duet; 602-274-5022; DuetAZ.org PARKINSON’S SUPPORT March 15, 3–4:30 p.m. By Benevilla at Shepherd Hills Methodist 13658 W. Meeker Blvd., Sun City West 623-584-4999
ALZHEIMER’S/DEMENTIA ALZHEIMER’S EDUCATION & SUPPORT GROUPS Various dates, times & locations By Alzheimer’s Association Desert Southwest Chapter 602-528-0545; ALZ.org/DSW ALZHEIMER’S & MEMORY SUPPORT March 4, 9–11:30 a.m. Benevilla; 623-584-4999 13576 W. Camino Del Sol, Sun City West ALZHEIMER’S & MEMORY SUPPORT March 8, 15, 22 & 29, 10 a.m.–noon By Benevilla at Faith Presbyterian
CAREGIVERS SUPPORT March 14, call for time: 602-406-6688 Dignity Health St. Joseph’s 114 W. Thomas Rd., Phoenix CAREGIVERS SUPPORT March 18, 9–11 a.m. Benevilla; 623-584-4999 13576 W. Camino Del Sol, Sun City West
BOSOM BUDDIES SUPPORT GROUPS Ahwatukee/Chandler: 602-739-8822; 602-318-8462 East Valley: 480-358-0198 Southwest Valley: 623-328-5494 Sun City (Banner Boswell): 623-328-5494 West Valley: 602-531-9123; 623-979-4279 BREAST BUDS SUPPORT March 19, 11 a.m.–1 p.m. MidFirst Bank Conference Room 6508 W. Bell Rd., Glendale 480-657-0500; BreastBuds.org
CANCER SUPPORT GROUPS
DIABETES
LOOK GOOD FEEL BETTER Various dates, times & locations • By the American Cancer Society 800-ACS-2345; LookGoodFeelBetter.org CANCER SUPPORT COMMUNITY SUPPORT GROUPS 360 E. Palm Lane, Phoenix Info: 602-712-1006; rsvp@cscaz.org • MULTIPLE MYELOMA March 3, 10 a.m.–noon • LYMPHOMA March 5, 10–11:30 a.m. • PANCREATIC CANCER March 5, 10–11:30 a.m. • CARCINOID March 5, 1–2:30 p.m. • LUNG CANCER March 5, 1–2:30 p.m. • PROSTATE CANCER March 10, 6–7:30 p.m. • BREAST CANCER March 15, 6–7:30 p.m. • COLORECTAL CANCER March 19, 10–11:30 a.m. • OVARIAN CANCER March 19, 10–11:30 a.m.
DIABETES OVERVIEW March 9, 5:30–7:30 p.m. HonorHealth Medical Group 6320 W. Union Hills Dr., Glendale RSVP: 632-580-5800; HonorHealth.com
Sun Health Grandview Terrace 14515 W. Granite Valley Dr., Sun City West Info: 623-207-1703 • CANCER SUPPORT March 15, 9:30–11 a.m.
GRIEF SUPPORT GRIEF SUPPORT Various dates, times & locations By Banner Hospice Rev. Cindy Darby cindy.darby@BannerHealth.com 480-657-1167; BannerHospice.com GRIEF SUPPORT Various dates, times & locations By Hospice of the Valley 602-530-6970; hov.org GRIEF BEFORE LOSS March 2, 9, 16, 23 & 30, 2–3 p.m. Benevilla; 623-584-4999 16752 N. Greasewood St., Surprise GRIEF & BEREAVEMENT March 10 & 24, 3 p.m. Benevilla; 623-584-4999 13576 W. Camino Del Sol, Sun City West
a-z I N F O R M AT I O N O N L I N E ABRAZO COMMUNITY HEALTH NETWORK: AbrazoHealth.com; 602-674-1400; Abrazo Arizona Heart Hospital; Abrazo Arrowhead Campus; Abrazo Central Campus; Abrazo Maryvale Campus; Abrazo Scottsdale Campus; Abrazo West Campus BANNER CHILDREN’S-CARDON CHILDREN’S: BannerChildrens.com; 480-412-KIDS (5437) BANNER HEALTH: BannerHealth.com; 602-747-4000; Numerous hospitals and medical centers BANNER POISON AND DRUG INFO CENTER HOTLINE: 800-222-1222 BARROW NEUROLOGICAL INSTITUTE: TheBarrow.org; 877-602-4111 DIGNITY HEALTH CHANDLER REGIONAL MEDICAL CENTER: DignityHealth.org/chandlerregional; 877-728-5414 DIGNITY HEALTH MERCY GILBERT MEDICAL CENTER: DignityHealth.org/mercygilbert; 877-728-5414 DIGNITY HEALTH ST. JOSEPH’S HOSPITAL AND MEDICAL CENTER: DignityHealth.org/stjosephs; 877-602-4111 DIGNITY HEALTH ST. JOSEPH’S WESTGATE MEDICAL CENTER: DignityHealth.org/westgate; 877-602-4111 HONORHEALTH (formerly Scottsdale Healthcare): HonorHealth.com; 623-580-5800; HonorHealth Scottsdale Shea; HonorHealth Scottsdale Thompson Peak; HonorHealth Scottsdale Osborn HONORHEALTH DEER VALLEY MEDICAL CENTER: HonorHealth.com; 623-580-5800 HONORHEALTH JOHN C. LINCOLN MEDICAL CENTER: HonorHealth.com; 623-580-5800 MARICOPA INTEGRATED HEALTH SYSTEM: MIHS.org; 602-344-5011 MAYO CLINIC: MayoClinic.org; 800-446-2279 MOUNTAIN VISTA MEDICAL CENTER: MVMedicalCenter.com; 480-358-6100 MUHAMMAD ALI PARKINSON CENTER: TheBarrow.org; 602-406-6262 PHOENIX CHILDREN’S HOSPITAL: PhoenixChildrens.org; 602-933-1000 ST. LUKE’S MEDICAL CENTER: StLukesMedCenter.com; 602-251-8100 TEMPE ST. LUKE’S HOSPITAL: TempeStLukesHospital.com; 480-784-5500 VALLEY FEVER CENTER FOR EXCELLENCE: vfce.arizona.edu; 602-406-8253
HONORHEALTH SUPPORT GROUPS Virginia G. Piper Cancer Center 10460 N. 92nd St., Scottsdale RSVP: 480-323-1321; HonorHealth.com/cancer • PANCREATIC CANCER March 8, 4–5:30 p.m. • BREAST CANCER March 9, noon–1:30 p.m. • GYNECOLOGICAL CANCER March 15, 4–5:30 p.m. • CAREGIVERS & FAMILY March 16, 5:30–6:30 p.m. • ORAL, HEAD & NECK CANCER March 17, 6:30–8 p.m. • LEUKEMIA & LYMPHOMA March 23, 5–6:30 p.m. • LYMPHEDEMA March 28, 6:30–8 p.m. Breast Cancer & Research Center 19646 N. 27th Ave., Phoenix RSVP: 623-780-4673; HonorHealth.com/cancer • BREAST CANCER March 10 & 24, 6–8 p.m. CANCER SUPPORT GROUP March 17, 6–7:30 p.m. Bluewater Grill 1720 E. Camelback Rd., Phoenix RSVP: 602-527-3776
HEART/STROKE STROKE CHECK Various dates, times & locations 480-882-4636; HonorHealth.com STROKE SUPPORT March 3, 5:45–7 p.m. HonorHealth Outpatient Therapy 3134 N. Civic Center Plaza, Scottsdale 480-882-6821; HonorHealth.com MENDED HEARTS SUPPORT March 3, 6:30–8:30 p.m. Deer Valley Medical Center 19841 N. 27th Ave., Phoenix RSVP: 623-580-5800; HonorHealth.com STROKE SUPPORT March 10, 1 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa MVMedicalCenter.com 877-924-WELL (9355) STROKE SUPPORT March 10, 1:30–2:30 p.m. Banner Baywood Medical Center 6644 E. Baywood Ave., Mesa 480-321-3848
BRAIN ANEURYSM SUPPORT March 16, 6–8 p.m. Dignity Health St. Joseph’s 350 W. Thomas Rd., Phoenix 760-333-7658 kimberly@joeniekrofoundation.org PROGRESSIVE SUPRANUCLEAR PALSY SUPPORT March 19, 1:30–3:30 p.m. Banner Boswell Hospital 13180 N. 103rd Dr., Sun City 602-920-4632; tsebastiani@cox.net
HEARING LOSS HEARING LOSS SUPPORT March 8, 1:30–3:30 p.m. First Presbyterian Church 12225 N. 103rd Ave., Sun City melanie.orourke@gmail.com HEARING LOSS SUPPORT March 10, 12:45–2:30 p.m. Ed Robson Library 9330 E. Riggs Rd., Sun Lakes reggiefaith@gmail.com
OSTOMY OSTOMY SUPPORT March 3, 2 p.m. Banner Boswell; 602-678-4441 13180 N. 103rd Dr., Sun City OSTOMY EDUCATION FAIR March 5, 10 a.m.–noon La Casa de Cristo Church 6300 E. Bell Rd., Scottsdale 623-580-4120 OSTOMY SUPPORT March 17, 12:30 p.m. La Casa de Cristo Church 6300 E. Bell Rd., Scottsdale 623-580-4120
GRANDPARENTING GRANDPARENTS RAISING GRANDCHILDREN • By Benevilla 623-207-6016; Benevilla.org • By Duet; 602-274-5022; DuetAZ.org
Arizona Professional Services For 10 years, our services have meet the needs of EVERY client, in their home. We offer non-medical, trusted companionship and home care for the elderly and home-bound loved ones. We offer services such as: Light housekeeping, Meal Prep, Personal Driving, Grooming Assistance, Conversation, Medication Reminders, and Much More. If you need something done, ask us! ARIZONA PROFESSIONAL SERVICES Valleywide Non-Medical Home Care info@arizonapcs.com 623-551-8381 • arizonapcs.com AR-0008514648-01
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Dr. Shanna Mortensen Happy Ears Hearing Center focuses on providing exceptional patient care and ongoing education. Our doctor of audiology helps you understand test results and provides you with the best hearing solutions. We treat children and adults with hearing loss and vertigo.
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Enjoy Extraordinary Retirement Living at Maravilla Scottsdale Boasting extraordinary amenities, award-winning design and a spectacular North Scottsdale location, Maravilla Scottsdale offers a blend of independent living casitas and courtyard homes as well as assisted living and memory-care residences. Here, residents live an engaging lifestyle with daily opportunities for socializing, continued learning and connectivity. To learn more, visit MaravillaScottsdale.com. MARAVILLA SCOTTSDALE Resort Retirement Living 7325 E. Princess Blvd., Scottsdale 480-359-3195 • MaravillaScottsdale.com
Sun Health at Home Sun Health at Home is a “continuing care at home” program offering highly personalized support and coordinated services to help you age in place safely and confidently. Sun Health at Home is brought to you by Sun Health, a leading advocate for healthy living and care for nearly 50 years.
BRAIN/NEUROLOGICAL YOUNG ADULT BRAIN INJURY March 9, 6–7:30 p.m. Dignity Health St. Joseph’s 350 W. Thomas Rd., Phoenix 602-996-1396; 602-406-6688
RESPIRATORY BETTER BREATHERS/ COPD SUPPORT By the American Lung Association 602-429-0005; BreatheEasyAZ.info
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Barrow Neurological Institute 240 W. Thomas Rd., Phoenix 602-528-0545; ALZ.org/DSW
SENIOR CARE
CAREGIVERS SUPPORT By Duet; 602-274-5022; DuetAZ.org CAREGIVERS SUPPORT March 3, 6 p.m. (includes dinner) Church at Cactus 8133 W. Cactus Rd., Peoria 623-584-4999
16000 N. Del Webb Blvd., Sun City 623-584-4999; Benevilla.org HEALTHY LIVING FOR BRAIN & BODY March 9, 1–2 p.m. Barrow Neurological Institute 240 W. Thomas Rd., Phoenix 602-528-0545; ALZ.org/DSW ALZHEIMER’S SUPPORT March 15, noon–2 p.m. By Duet; 602-274-5022; DuetAZ.org 555 W. Glendale Ave., Phoenix 10 SIGNS OF ALZHEIMER’S March 16, 3:30–4:30 p.m. Alzheimer’s Association 1028 E. McDowell Rd., Phoenix 602-528-0545; ALZ.org/ DEMENTIA CONVERSATIONS March 21, 11 a.m.–noon Holy Trinity Lutheran Church 739 W. Erie St., Chandler 602-528-0545; ALZ.org/DSW LIVING WITH ALZHEIMER’S: MIDDLE STAGE March 23, 30 & April 6, 9–11 a.m. Peoria Public Library 8463 W. Monroe St., Peoria 602-528-0545; ALZ.org/DSW EFFECTIVE COMMUNICATION STRATEGIES March 23, 1–2 p.m.
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Wednesday, March 2, 2016 | Liv Livingwell Living ingwella-z | 5
PRESENTED BY LIVINGWELL A-Z AND
THE ARIZONA DENTAL ASSOCIATION
BRUSH UP, ARIZONA!
Everything you need to know about caring for and protecting your teeth By Meghann Finn Sepulveda
W
e all want the perfect smile. By taking a few preventative steps to care for your teeth, you can not only achieve a beautiful smile but also prevent cavities and decay and ensure good oral and overall health. The Arizona Dental Association recommends regular dental checkups and a consistent brushing and flossing regimen to remove plaque and harmful bacteria so you can keep your mouth healthy. Schedule routine dental visits A visit to the dentist’s office is an investment in yourself. These twice yearly recommended visits are important to professionally clean teeth, remove plaque and check for cavities and any signs of tooth decay, gum disease or oral cancer. A visit to the dentist is also an opportunity to ask questions and discuss any pain, problems or other concerns. “The great thing about dental care is that it focuses on prevention,” said Dr. Brian Powley, president of the Arizona Dental Association. “Patients who see the dentist on a regular basis receive X-rays, cleanings and other important screenings to avoid the need for future treatment such as root canals, dental crowns or costly implants.” While the recommended number of annual visits to the dentist may vary per individual, the Centers for Disease Control and Prevention (CDC) stress that it is important for adults to see a dentist on a regular basis to care for and maintain the overall health of the teeth and mouth. Periodontal disease and tooth decay are the most frequent causes of tooth loss, according to the CDC. People with a higher risk of dental disease, such as smokers, pregnant women, diabetics and those with a weakened immune system, may need to see the dentist more frequently. The American Academy of Pediatric Dentistry recommends children go to the dentist by age one or within six months after the first tooth erupts. Arizona Dental Association dentists also suggest eating a healthy, balanced diet and eliminating sugary food and drinks, such as soda and hard candy, because sugars bind with the bacteria in the mouth to create acids that cause decay. Parents should also be aware that children should not be put to bed with bottles filled with juice or milk.
This can lead to rampant decay and an infection known as “baby bottle caries.” “Parents may also not be aware that bacteria can easily transmit from parent to a child. Never clean off a pacifier that has fallen to the ground by placing it in your own mouth, and avoid sharing utensils at the table,” Powley said. “Baby teeth are important to your child’s development. Although they will eventually fall out, they serve an important role to maintaining the space for the development of permanent teeth.” Children should also get routine applications of topical fluoride, to protect the teeth from the acids that cause tooth decay. Sealants are also recommended for permanent teeth. Children with untreated tooth decay can experience pain and develop infections that may lead to problems with eating, speaking, playing and learning, according to the CDC. In fact, toothaches are the leading reason for school absences. Oral health is inseparable from overall health and well-being.
IMPLANT STUDY
Practice good oral hygiene To prevent oral health disease, the Arizona Dental Association recommends people brush their teeth twice a day with a soft-bristled toothbrush and toothpaste that contains fluoride to help strengthen teeth. In 2012, approximately 58 percent of Arizona’s population on community water received fluoridated water, which keeps teeth strong, reduces cavities and prevents tooth decay. Flossing daily helps remove food particles that a toothbrush cannot reach and eliminates bacteria. The CDC recommends people should avoid tobacco in any form, which increases the risk for periodontal disease, oral and throat cancers, and oral fungal infection. More than one-third of all cancer patients also develop complications that affect the mouth, according to the National Institute of Dental and Craniofacial Research. Therefore, it is important that cancer patients
are engaged with their dentist when undergoing chemotherapy or radiation treatment. Regardless of whether proper oral hygiene has been achieved, it’s never too late to see a dentist for treatment. “Don’t be fearful or ashamed,” Powley said. “A dentist can get your smile back so you can be happy and healthy again.”
Did you know that not all dentists are members of the American Dental Association (ADA)? Furthermore, nearly 3 out of 4 patients said that knowing that a dentist was a member of the trusted ADA would influence whom they selected. Find your local ADA dentist here in Arizona at azda.org/findadentist.
“Patients who see the dentist on a regular basis receive X-rays, cleanings and other important screenings to avoid the need for future treatment such as root canals, dental crowns or costly implants.” — Dr. Brian Powley, President, Arizona Dental Association *FIRST TWENTY CALLERS MAY QUALIFY FOR ADDITIONAL DISCOUNTS.
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2600 E. Southern Ave. • Suite B-1 • Tempe, AZ 85282 Phone: 480-839-4550 • www.DrFletcherDMD.com
6 | Liv Livingwell Living ingwell a-z | Wednesday, March 2, 2016
PRESENTED BY LIVINGWELL A-Z AND
THE ARIZONA DENTAL ASSOCIATION
Dental benefit for ALTCS enrollees may return By Debra Gelbart
I
magine someone who’s physically disabled, elderly and disabled, or developmentally disabled, relies on state government for medical care but can’t get covered care from a dentist. For the approximately 50,000 Arizonans who are part of the Arizona Long-Term Care System (ALTCS) and have significant developmental or physical disabilities, that has been the reality for the past decade. But the situation may be about to change. Gov. Doug Ducey’s proposed FY 2017 state budget reintroduces a $1,000 annual dental benefit for this population. This benefit was eliminated about 10 years ago and hasn’t been part of ALTCS since.
Importance of dental health Good oral health affects your entire quality of life, said Kevin Earle, executive director of the Arizona Dental Association. “We found that after this benefit was eliminated, ‘treat and release’ visits to hospital emergency departments for mouth pain and infection rose precipitously,” he said. “Because there are no dentists in hospital settings, patients are given antibiotics and pain medication to treat the symptoms but the underlying dental condition is not addressed,” he said, adding that many of
17 percent of adults likely to miss work because of children's dental needs. As for themselves 9 percent are likely to miss work for personal dental needs.
Kevin Earle (left), executive director, Arizona Dental Association, and Will Humble, director, Division of Health Policy & Program Evaluation, Center for Population Science and Discovery, The University of Arizona Health Sciences Center. these individuals return several times for the same complaint. The drugs only lead to dependence on pain medication and antibiotic resistance, Earle said. The number of admissions to hospitals with more acute systemic infections that require several days of hospital care also has risen dramatically, Earle said. Compared to the general public, “people with disabilities are more susceptible to oral diseases that can further jeopardize their health,” said Will Humble, former director of the Arizona Department of Health Services and now director of the Division of Health Policy & Program Evaluation in the Center for Population Science and Discovery at
The University of Arizona Health Sciences Center. “Arizonans living with disabilities currently face challenges getting proper treatment for dental issues in time, often resulting in more expensive treatment in emergency departments and hospitals.” Earle said a majority of state House representatives and senators have indicated support for restoring the dental benefit for the ALTCS population. “They’re sympathetic and understand that investment in dental care is the right thing to do,” he said. Earle is hopeful the funding will remain in the governor’s proposed budget and said Senate Bill 1507, introduced by state Sen. Carlyle Begay (R-Ganado), further clarifies the intent to reinstate the dental benefit. If approved, the dental benefit for ALTCS enrollees would take effect by the end of this year.
AHCCCS dental benefit restoration The dental benefit for AHCCCS (Medicaid) enrollees was eliminated in 2009 but likely won’t be restored this year for the adult enrollees in that program. Yet Humble is hopeful that the 2018 state budget may include restoring the dental benefit for all AHCCCS enrollees. When he was named to head the health policy division, he undertook a study to determine the impact
of cutting the dental benefit to the state’s poorest residents. “We found a noticeable increase in the rate of emergency department visits for oral health reasons by adult Medicaid members in the first 18 months after dental services were eliminated,” Humble said. When childless adults again became eligible for AHCCCS enrollment in July 2014 after three years of non-eligibility, “we again saw the rate of emergency department use increase for oral health problems among adult Medicaid members.” Humble said more study is needed. “It’ll be awhile before we can definitively say whether the elimination of the dental benefit saved the state or whether it in fact ended up costing more than it saved,” he said. “But it certainly looks like it didn’t save as much as was thought, and may not have saved anything at all.” The results of the full health economics study will be published in a peer-reviewed journal this summer, Humble said, “so the results of our study should be available to inform legislators and the executive branch by the next legislative session.” “Mr. Humble's work will demonstrate that the state is essentially paying for medical care that is not resolving the underlying health condition,” n, Earle said.
4 misconceptions about oral health
1
DENTISTRY IS EXPENSIVE: Tooth decay and periodontal problems are a progressive disease. Avoiding routine annual checkups and failing to take care of dental problems early will only increase the likelihood of more expensive procedures in the future.
2 3 4
IF MY GUMS DON’T BLEED I DON’T HAVE GUM DISEASE: This couldn’t be further from the truth. A regular checkup is the best way to keep gum disease at bay.
ORAL HEALTH DOESN’T AFFECT OVERALL HEALTH: Oftentimes poor oral health can lead to the discovery of diabetes, heart and immune system problems.
BABY TEETH DON’T MATTER. They are temporary, but they can also harbor tooth decay and infection. If not treated, decayy can lead to pain and serious health consequences for your child. Baby teeth also serve as 'spacers' to ensure that permanent teeth come in correctly.
DENTAL CARE PROVIDER James Poyak, DDS Dr. Poyak, is a native Ohioan. He and his family moved to AZ in 1985. A general dentist and current presidentelect of the International Association for Orthodontics, he will be speaking in Poland, India, Germany, UAE, and the Philippines this year. If you are looking for excellence in dentistry and a caring environment, we are the perfect office for you. Orthodontics, Cosmetic & Family Dentistry 9755 N. 90th St., Suite 190, Scottsdale, AZ 85258 480-451-0908 • Drpoyak.com
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Wednesday, March 2, 2016 | Liv Livingwell Living ingwella-z | 7
PRESENTED BY LIVINGWELL A-Z AND
THE ARIZONA DENTAL ASSOCIATION
Arizona dental community supports those in need By Brian Sodoma
D
aniel Overman, 67, is one of the thousands of Arizonans hit hard by cutbacks in state dental benefit funding. A couple of years ago, with no dental insurance, his oral health began to suffer; he needed a tooth extraction, but did not have the funds to pay for it. Then, a friend told him about Mission of Mercy, a dental charity event involving some 1,500 dental industry volunteers, held each December at Veteran’s Memorial Coliseum. Overman endured a 12-hour wait for his extraction, but he couldn’t be happier with the results. “If you know that in 12 hours you’re not going to hurt anymore, it’s really worth it,” he added. “I’m so grateful for this.” Event organizers also referred him to the Arizona Community Dental Clinic (ACDC), which operates on a sliding-fee scale. There, he was able to have additional dental work done at a reasonable cost. Overman is just one example of thousands of Arizonans benefitted by the dental community’s charitable outreach efforts. Here’s a quick glimpse into how the state’s dental community helps untold numbers of Arizonans in need every year.
clothing and medical needs, but this year will also include a 20-chair dental clinic at Chase Field, Conroy said. In Southern Arizona, Dr. Dean Hauseman, a Tucson endodontist, has been overseeing the dental portion of the Tucson HopeFest for 19 years. Each year, about 280 volunteers help some 500 to 600 people with hygiene, fillings, restorative care and make referrals to area dentists for oral surgeries and root canals.
Give Kids a Smile Run by the Arizona Dental Foundation, this unique program works with Phoenix-area Title I school nurses to identify students missing school due to dental problems. It’s a problem for thousands of children around the country, said Ginger Froncek, executive director of the Foundation. The program also works with area dental and dental hygiene schools to offer care to children during coordinated spring and fall events. During the events, kids are bussed to sites where the care, like fillings, root canals and other procedures, can be performed. In its 13-year run in Arizona, Give Kids a Smile has provided $5 million in free care.
Dental Dent Mission of Mercy
HopeFest Hope CADSF CADS will also be involved with this year’s Phoenix HopeFest effort. The April event offers Arizonans access to food,
NEUROSURGEON Luis M. Tumialán, MD Specializing in simple to complex spine surgery and minimally invasive techniques, Dr. Tumialán strongly believes that alleviating suffering and improving quality of life begins with careful listening, thoughtful diagnosis and precisely treating spinal disorders with minimal disruption of the native spine. To refer a patient or schedule an appointment, please call 480-425-8004
Arizona Community Dental Clinic (ACDC) Also run by the Arizona Dental Foundation, this downtown Phoenix site opened in 2013. It offers reduced fee dental services to patients who are under 200 percent of the federal poverty level. The site is staffed by volunteers and sees about 1,500 patients a year. ACDC is looking to add a clinical director and expand capacity soon.
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This effort started in Kansas about e 25 years ago. In 2012, local endodontist, ye Dr. Jacqueline Allen, and other dental Ja health healt professionals, organized Mission of Mercy in Arizona for the first time. The Me 3-day December event is now held each year at a Veteran’s Memorial Coliseum and serves serve between 1,600 and 2,000 uninsured people peop annually with fillings, extractions, crowns crow and other procedures. “The economy [and 2010 state legisla“Th ture elimination of AHCCCS adult dental e benefits] really sparked the event,” said benef Kevin Conroy, executive director of the Central Centr Arizona Dental Society Foundation (CADSF), which organizes and oversees the (CAD effort. effort “The dentists saw a huge need for this.” Between 250 and 300 dentists volunteer Bet for the th event each year.
BARROW BRAIN AND SPINE 7301 East 2nd Street, Suite 106 Scottsdale, AZ 85251 480-425-8004 www.BarrowBrainandSpine.com
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8 | Liv Livingwell Living ingwell a-z | Wednesday, March 2, 2016
PRESENTED BY LIVINGWELL A-Z AND
THE ARIZONA DENTAL ASSOCIATION
True or False?
Arizona Community Dental Clinic:
CHANGING LIVES PAMELA LOVE CHAVEZ hadn’t seen a dentist in 33 years. Caring for her teeth just wasn’t a priority while she was raising her five children. It wasn’t until a tooth in the front of her mouth started to deteriorate, break and eventually fall out that she knew it was time to seek care. Last year she discovered the Arizona Community Dental Clinic. “The people there are all so wonderful and amazing,” Chavez said. “The students and dentists contribute their time to help others.” Chavez had 19 cavities treated and will soon have a permanent crown. “I am so very thankful. This has truly been an answer to my prayers.” It had been a struggle
for 66-year-old Mesa veteran EDWARD LUZ to find affordable dental care. Luz needed new plates for both upper and lower areas of his mouth. “Two teeth had cracked and were causing me pain,” Luz said. “The Clinic was able to completely replace the bottom plate and made a partial plate for the top.” Luz credits the staff of volunteer dentists who made his time at the Arizona Community Dental Clinic a life-changing experience. “It is a big deal to me and made such a huge difference in my life,” Luz said. “Now when I look in the mirror, I crack a smile. I love it.”
Oral Health Knowledge Among Adults in 2015
59%
TRUE OR FALSE: IF MY TEETH LOOK FINE AND THERE’S NO PAIN, I DON’T HAVE TO SEE A DENTIST FALSE: How often you service your car depends on its age, its mileage and the manufacturer’s recommendations. Your teeth are the same. Experts recommend that adults should be recalled for check-ups, depending on risk factors including alcohol and tobacco use and diet. So they suggest every three months for those most at risk of dental problems and every two years for those with the lowest risk. It’s wise to visit your dental team regularly even if you are not experiencing any problems with your mouth or teeth. Attending regularly helps you and your dentist keep your teeth and gums healthy and pain-free. They will understand your needs and will recommend how often you visit based on their assessment. Go to mouthhealthy.com for more information TRUE OR FALSE: A LITTLE BLEEDING OF THE GUMS AFTER BRUSHING OR FLOSSING IS NORMAL FALSE: Bleeding gums are never normal. If your gums bleed when you brush, it
TRUE OR FALSE: I CAN’T HAVE DENTAL XRAYS IF I’M PREGNANT FALSE: Dental X-rays are sometimes necessary if you suffer a dental emergency or need a dental problem diagnosed. Your dentist or hygienist will cover you with a leaded apron that minimizes exposure to the abdomen and, whenever possible, will cover your throat with a leaded thyroid collar to protect the thyroid from radiation. TRUE OR FALSE: TOOTHPASTE CAN HELP CLEAR UP PIMPLES FALSE: Applying toothpaste to your skin can cause irritation or allergic reactions in people with certain sensitivities. The result? You could develop a rash or even rosacea – a chronic condition of redness and skins sores that closely resemble acne.
“Your aunt Dot is tossed!”
48%
OF HIGHINCOME ARIONA ADULTS
could be a sign of gingivitis, the early stage of gum disease. It also could be something simple like brushing or flossing too hard. If your gums bleed regularly or enough to worry you, make an appointment with your dentist. Go to mouthhealthy.com for more information.
OF LOWINCOME ARIONA ADULTS
ANSWERED ALL OF HPI'S ORAL HEALTH KNOWLEDGE SURVEY QUESTIONS CORRECTLY COMPARED TO 52% OF HIGH-INCOME AND 44% OF LOW-INCOME U.S. ADULTS
Oral Health Status Among Adults in 2015 10 8 6
Poor Oral Health
4
8.8
HIGHINCOME ADULTS
6.3
8.2 7.2
HIGHINCOME ADULTS
LOWINCOME ADULTS
LOWINCOME ADULTS
2 0
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Our Mission
Our mission is to provide the highest level of oral health care | We will invest our utmost efforts to treat each patient as an individual with individual needs | We will invest our time to continually improve our knowledge and skills | We will invest in technology to provide advanced level care | We will strive to educate our patients with the information they need to optimize their oral health and enhance their overall health | Above all, we will treat our patients with the highest degree of respect, integrity, and ethics.
About Us: We are a husband and wife dental team! We have been in practice together for 32 years. We have 3 grown kids. Dr. Griego is a native of Phoenix. Dr. Metter is from Bakersfield, CA. We are a family practice and see patients from 3 to 103.
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Welcome to Chandler Memory Care, a home away from home designed speci!cally for those who have Alzheimer’s disease or other forms of dementia, as well as loved ones and families also affected by the disease. Our amenities include: • Each resident is placed in a neighborhood with residents of the same cognitive ability • 24/7 on-site licensed nurses • We offer Adult Day Stay and Respite Care Services • Private and companion rooms • Beautifully landscaped gardens and patios in a secure environment • Community outings and events
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Ask us about: Air Abrasion Cavity Removal. No shots. No drilling. Conserves precious tooth structure. All services provided by Drs. Mettler and Griego and their highly trained staff.
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Wednesday, March 2, 2016 | Livingwella-z | 9
! Risk factors for brain aneurysms GENETICS: Family history of strokes GENDER: Women are at higher risk than men SMOKING: Tobacco use dramatically increases stroke risk
Scottsdale
HYPERTENSION: High blood pressure puts more stress on brain arteries AGE: The majority of brain aneurysms occur in people in their 40s and 50s —Victor Zach, M.D.
The peace of mind you want. The quality of life they deserve.
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Brain aneurysm " continued from the cover Treatment may be done via “flexible noodles” which are endovascular catheters that run from the groin to the aneurysm, usually in the center of the brain, Zach, of HonorHealth John C. Lincoln Medical Center, said. The catheter can deliver a titanium clip, installed at the balloon base, to stop blood from entering. Alternatively, Zach said, the catheter can pack the aneurysm with extremely tiny platinum coils that block out blood. Some aneurysms can be sealed with surgical glue. Nakaji, of Barrow Neurological Institute at Dignity Health St. Joseph’s Hospital and Medical Center, said other treatments involve wrapping them with fabric — either cotton muslin or medical Gore-Tex®. If catheter treatment is not feasible, Zach said, a specially trained neurosurgeon can open the skull, delicately separate brain tissue to reach the aneurysm and manually clip or otherwise seal it off. While surgery can take five or more hours, Nakaji said, “we try to get in and out as quickly as possible. Brain tissue does not like to be handled.” No matter how the aneurysm is treated,
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post-procedural care in an accredited neurocritical intensive care unit can significantly improve the patient’s chances for survival and recovery, Zach said. Among other reasons, Nakaji said, that’s because blood vessels that have been surrounded by blood from a burst aneurysm are subject to contracting, cutting off blood flow and causing a subsequent stroke. Vigilance is necessary to detect and stop this process of “vasospasm” as quickly as possible to prevent additional damage.
Rare occurrences Fortunately, Zach said that brain aneurysms are rare, with fewer than 75,000 a year. According to Nakaji, approximately 30,000 of those aneurysms burst. To put those numbers in context, the federal Centers for Disease Control report close to 800,000 people in the United States have strokes each year, most caused when a clot blocks blood flow in the brain. Without fresh oxygen-rich blood, brain cells begin to die. A smaller percentage of strokes occur when the brain’s tiniest arteries, or capillaries, leak blood. Brain aneurysms are rarest of all.
Call for details. Call for details.
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EXPLORE
PLAY
Ultimately, it’s your experience that matters. To be sure, we’re proud of our 28 years of experience in senior living. But, to us, what really matters is your experience at our communities. We do everything with that idea clearly in mind. So, go ahead, enjoy yourself with great social opportunities and amenities. Savor fine dining every day. And feel assured that assisted living services are always available if needed. We invite you to experience Maravilla Scottsdale for yourself at a complimentary lunch and tour. Please call 480.359.3195 to schedule.
Hidden Treasures Antique Appraisal Thursday, March 10th • 10am-3pm
INDULGE
What is “successful aging” and how do you get there? In our new guide, Defining the New Older Adult — now available for free download—we share practical tips
unique
insights
from
Dr. Roger Landry,
a noted expert in preventative medicine and successful aging. Dr. Landry is the author of the award-winning book
Live Long, Die Short .
Discover the potential value of your treasures at our antique appraisal event. Don’t have an item to be appraised? No problem! Join us in learning about the appraisal process and the priceless lifestyle offered at Maravilla Scottsdale.
www.SunHealthSeniorLiving.org / Republic
Please RSVP to 480.359.3195. Limit: two hand-carried pieces per guest.
623.239.4307
RESORT RETIREMENT LIVING
7325 E. Princess Blvd. Scottsdale, AZ 480.359.3195 MaravillaScottsdale.com
DOWNLOAD FREE GUIDE :
LEARN MORE :
THREE UNIQUE LIFE CARE COMMUNITIES GRANDVIEW TERRACE
THE COLONNADE
LA LOMA VILLAGE
Sun City West
Sun City Grand, Surprise
Litchfield Park
Casitas | Court ya r d R esidences Independent & Assisted Li v ing | Memory Ca r e AR-0008513440-01
and
AR-0008517924-01
10 | Livingwella-z | Wednesday, March 2, 2016
Independent Living Starting at $2,525 Assisted Living Starting at $3,895
Outdoor dining patios at Vi at Silverstone allow residents to enjoy and take advantage of Arizona's many months of temperate weather.
Includes Personalized Service & 24 hour care
Vi at Silverstone
Senior living ! continued from the cover Vi at Silverstone. Maravilla, Vi and Sun Health properties require an entrance fee. Fellowship Square requires only a monthly fee. Maravilla Scottsdale’s continuum of care community includes independent living, assisted living and memory care, said Donna Thomas of Senior Resource Group, Maravilla’s parent company. “While Maravilla is an entrance-fee community, unlike life care communities, its independent-living residents are charged a more affordable monthly fee since they are not pre-paying for care.”
An emphasis on health and wellness All CCRCs emphasize staying healthy as long as possible. For example, at Sun Health Senior Living communities, a concept called Masterpiece Living® guides the philosophy and activities offered at its communities: Grandview Terrace in Sun City West, La Loma Village in Litchfield Park and The Colonnade in Surprise. “The mission of Masterpiece Living is to change the experience and perception of aging and the vision is of a society in which aging means growth, engagement, vitality and purpose,” Sun Health’s Grambow said. “Everything that we do is based around the four dimensions of successful aging: spiritual, social, intellectual and physical.” Maravilla offers multiple restaurant dining venues, a heated saltwater indoor
swimming pool and spa, a fully equipped fitness center, putting green, art studio, on-site cinema and a bocce ball court. At Vi, residents enjoy luxurious grounds, beautiful views of the McDowell Mountains, a heated saltwater indoor and outdoor pool and spa, a dog park, fitness center, three dining venues, a private dining room, salon and theater.
When and how to choose a community “The best time to decide on a senior living arrangement is prior to a medical incident because the options available to someone in generally good health may be limited after a health status change,” Grambow said, adding that a good rule of thumb for when to start the process is when an older adult begins to observe neighbors move away, pass away or go into some type of senior housing. “We find that those who move in when they’re still relatively active and in good health are able to make the transition more easily,” Arrey of Fellowship Square said. “They’re able to enjoy the community to its fullest, make friends and become comfortable with their new home. To begin the process of researching and finding the best community for yourself or a loved one, Grambow recommends visiting communities in person as well as doing online research. “Location is often an important factor,” she said. “Do you want to stay close to where you are now, or move closer to family?” Other important considerations include proximity to friends and social circles, religious activities and medical providers.
LIVE A VIBRANT LIFE
CAMPUS EXPANSION UNDERWAY!
Coming Soon… M E M O RY
Additional Assisted Living and Memory Care
C A R E
Independent and Assisted Living Community and Memory Care. 1 & 2 bedroom apartment homes ranging from 641-1264 square feet. Lifestyle Package covers rent, meals, utilities, weekly housekeeping services, room service, chauffeur service, many resident activities and so much more.
The peace of mind you want. The quality of life they deserve.
Opening Spring 2016
Pre-Grand Opening Special
LIFETIME PRICING Secure your LIFETIME PRICING prior to our public Grand Opening.
Call
623-792-9121 to schedule a tour
Welcome to Surprise Memory Care, a home away from home designed specifically for those who have Alzheimer’s disease or other forms of dementia. Located in Surprise, next to the Surprise Stadium on Parkview Place, our community is committed to providing a secure environment with a caring and trained staff combined with the best programs, services, and amenities available. Our amenities include: • 24/7 on-site licensed nurses • Furnished private or companion suites, each with a private bathroom • Secured environment with the freedom to enjoy outside patios • Weekly community outings and events
9508 E RIGGS RD, SUN LAKES
W. Greenway Rd.
Surprise Stadium
AR-0008512182-01
N. Bullard Ave.
Owned and operated by Avenir Senior Living, LLP
N. Parkview Pl.
Call (623) 792-9121 AR-0008514632-01
ASSISTED LIVING NOW OPEN!
W. Bell Rd.
N. Reems Rd.
Surprise Memory Care 16465 N. Parkview Place, Surprise, AZ 85374 www.SurpriseMemoryCare.com
Luxury Retirement Living At Sun Lakes
480-516-0668
RENAISSANCERETIREMENT.COM
THE HOUSING AT RENAISSANCE IS INTENDED FOR OCCUPANCY BY AT LEAST ONE PERSON 55 YEARS OF AGE OR OLDER PER UNIT. NO ONE IN PERMANENT RESIDENT UNDER 19 YEARS OF AGE. THE DEVELOPER OF THE PROJECT AND THE SELLER OF HOMES IS AN AFFILIATE OF ROBSON COMMUNITIES, INC. INFORMATION SUBJECT TO CHANGE WITHOUT NOTICE. SUN LAKES CONSTRUCTION CO. INC ROC LICENSE 191426 & ROC 192909 ®2010 ROBSON COMMUNITIES INC 10/10ARC684