Monthly Health Section

●RICH HEALTH-RELATED CONTENT• Themed topical main story each month• In-depth calendar of health-related events,including health fairs,free seminars, free workshops, fundraisers and more

• News briefs – people on the move, grand openings,awards & recognitions, construction updates and otherValley health newsworthy items

• Healthcare consumer issues• Disease prevention• Wellness for men, women and children

Readers appreciate Livingwell’s content and layout - 54% of thosesurveyed used the Livingwell section to make decisions about theirhealth or lifestyle.

“Good stuff that we all need to be reminded about eventhough we know what we “should” do....nice format!Very intriguing layout too!”

“Good suggestions for healthy exercise for older people.”

Source: Arizona Republic Article Effectiveness Panel(May /September 2012)

Dedicated to Providing Local HealthInformation to Valley ResidentsEach month, expect informative, well-researched stories with expertsources to bring Valley residents local health information to keep theirfamilies living well. We tackle a broad scope of health issues, from A to Z,affecting women and men, seniors and kids, and offer tips for keepinghealthcare costs in check.

• Full color, newsprint broadsheet section• Publishing the first Wednesday of each month• 12 times a year – nearly 381,000 average household circulation• Wednesday = high female readership

DedicatedInformationEachsourfamiliesafhealthcar

Dedicated to Providing Local HealthInformation to Valley ResidentsEach month, expect informative, well-researched stories from expertsources to bring Valley residents local health information to keep theirfamilies living well. We tackle a broad scope of health issues, from A to Z,affecting women and men, seniors and kids, and offer tips for keepinghealthcare costs in check.

• Full color, newsprint broadsheet section• Publishing the first Wednesday of each month• 12 times a year – nearly 575,800 average household readers• Wednesday = high female readership

RICH HEALTH-RELATED CONTENT• Themed topical main story each month• In-depth calendar of health-related events, including races and

walks, health fairs, seminars, workshops and more• Local news briefs including grand openings, people on the

move, awards• Healthcare trends affecting the Valley• Prevention, nutrition and exercise• Wellness for men, women and children

Readers appreciate Livingwell’s content and layout - 36% of thosesurveyed used the Livingwell section to make decisions about theirhealth or lifestyle.

“One cannot get enough reading on all the healthbenefits that are available to us. Also, information onwhat is important to good health is always welcomed.”

“Everything in these health issues are interesting, helpfulas well as relevant!”

“I read everything I see on health issues, and this wascertainly informative!”

Source: Arizona Republic Reader Panel, 2016

VITAL Signs

2 | LIVING WELL A-Z | WEDNESDAY, January 2, 2013

Dedicated to Providing Local HealthInformation to Valley ResidentsEach month, expect informative, well-researched stories from expertsources to bring Valley residents local health information to keep theirfamilies living well. We tackle a broad scope of health issues, from A to Z,affecting women and men, seniors and kids, and offer tips for keepinghealthcare costs in check.

test, a test that literally takes seconds in a

doctor’s office.Because cervical cancer is usually very

slow-growing, it’s unlikely that the disease

would develop between regular Pap

tests, Wolf said. More commonly, she said,

HPV can cause pre-cancerous changes

in the cervix, called dysplasia. In most

cases, dysplasia can be easily treated. Left

unmonitored and untreated, dysplasia can

develop into cervical cancer.Medical community guidelines for the

frequency of Pap tests say this, according

to Glendale gynecologist Lisa Jaacks, M.D.,

of Desert West Obstetrics & Gynecology:

if you’re 30 or over and you’ve had three

normal Pap tests in a row, you’re advised to

be screened every three years. Otherwise,

you should have a Pap test every year.Consider vaccinationFor girls and young women (and males,

too) between the ages of 9 and 26,

prevention of the four most common

types of HPV comes in the form of a

vaccine called Gardasil. Although some

nlike the lottery, here’s a situation

where the odds are mostly on your

side: cervical cancer is almost entirely

preventable. Even if you do contract it, a

local expert points out, you have more

than a 90 percent chance of surviving

at least five more years if it’s treated

in its earliest stage. On the flip side,

said Judith Wolf, M.D., a gynecologic

oncologist and surgery section chief at

Banner MD Anderson Cancer Center in

Gilbert, if the disease is not diagnosed

until after it has metastasized, a woman

has only a 25 percent chance of living

for five more years.Screening is keyCervical cancer almost always is caused

by the sexually transmitted human

papillomavirus (HPV), which is present

in 80 percent of all women at some

time in their lives. Most cases of HPV

do not turn into cervical cancer and the

infection typically clears on its own,

Wolf said. But if changes are occurring,

they can be discovered through a Pap

Cervical cancer can be prevented

Doctors urge women to get screened regularly BY DEBRA GELBART

Treatment variesTreatment of cervical cancer depends

on the extent of the disease, Wingo

said. An early Stage I tumor can be

treated with “fertility-sparing excision

of the cervix itself,” she explained. “A

higher Stage I tumor may require a

radical hysterectomy, while patients

presenting with advanced-stage cervical

cancer are treated with radiation and

chemotherapy.”Wingo notes that every patient she

has who is diagnosed with cervical

cancer that requires advanced treatment

has said “I wish I had just gone to the

doctor sooner.”

controversy exists about the vaccine

because it’s only been available for about

six years, many doctors are adamant

about its importance. “This is a vaccine

that prevents more than HPV — it can

prevent cancer,” Jaacks said. It’s now

recommended for boys and young men as

well, so that they can protect their future

sexual partners from exposure to HPV.

HPV is linked in some cases to penile,

anal and oral airway cancers, said Shana

Wingo, M.D., a gynecologic oncologist

with Arizona Oncology in Phoenix.

“So boys who get the vaccine are

not only protecting themselves from

future exposure to genital warts, but

malignancies as well,” Wingo said. “Now

that there is a vaccine available, I am

passionate about preventing HPV and

cancers associated with this virus.”

“Gardasil works best when administered

before someone has become sexually

active,” Jaacks said. “In our practice, where

hundreds of patients have been vaccinated

with Gardasil, the only side effect we’ve

seen is pain at the injection site.”

ResourcesAmerican Cancer Society:cancer.orgMedline Plus:nlm.nih.gov/medlineplusNational Cancer Institute:

cancer.gov

THINK

ST

OCK

A division of The Arizona Republic.

200 E. Van Buren St., Phoenix, AZ 85004General Manager: CAMI KAISER,

ckaiser@republicmedia.comManager Creative Development:

ISAAC MOYA,imoya@republicmedia.comEditor: PAULA HUBBS COHEN,

Paula.Cohen@cox.net

Look for Livingwell a-z on the first Wednesday of each month!

Each month, we bring you local health information you can use to keep you and your family living well. From A to Z,

we tackle a broad range of health issues and offer tips for keeping your healthcare costs in check. This publication is

produced by Republic Media Custom Publishing. For questions concerning any content included in this publication

please contact: Editor Paula Hubbs Cohen, Paula.Cohen@cox.net or call 602-444-8658.Contributing Editor: JIM WILLIAMS,

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Do you have PAD?I f you’ve received a stent to treat peripheral

artery disease (PAD) but have developed

new arterial blockages, a condition called

in-stent restenosis (ISR), you may qualify for

participation in a ground-breaking study.

The Abrazo Health Care Clinical and

Translational Research Institute is conducting

a clinical trial that will test the effectiveness of

laser technology as a treatment option for ISR.

Call 602-604-5211 for more information.

2632 N. 20th St. | Phoenix, AZ 85006

An illustration of lasertechnology used to treatan arterial blockage.

Candidates must be at least 18 years old with diagnosed PAD and ISR.

Study participation is covered by most major insurance and Medicare.

CATARACT & REFRACTIVE SURGERY

Scott A. Perkins, MDAs a nationally recognized ophthalmologist with Barnet Dulaney

Perkins Eye Center,Dr.Perkins has performed more than 50,000

cataract surgeries and more than 10,000 vision correction

procedures such as LASIK and Implantable Contact Lenses (ICLs).

As an innovator in the field of ophthalmology,he has participated

in over 25 clinical trials for both pharmaceutical and ophthalmic

devices.In addition,Dr.Perkins serves on the Board of Directors for

ArizonaVisionaries, a donor driven non-profit organization

providing cataract surgery and eyeglass fittings in third world

countries.He is not only trusted for his surgical talents and modest nature,but is also well known

for his compassion and ability to connect with and comfort patients.

Board Certified by theAmerican Board of Ophthalmology.

Member of theAmerican Society of Cataract and Refractive Surgery.

Fellow of theAmericanAcademy of Opthalmology.

Locations throughout Arizona

800.966.7000 • www.GoodEyes.com

EXPERTS

U nlike the lottery, here’s a situation

where the odds are mostly on your

side: cervical cancer is almost entirely

Cervical cancer can be prevented

Doctors urge women to get screened regularly

Full Page

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Cover Feature Secondary feature

January 31 Things to a Healthier You Palliative Care

February Affordable Care Act The ABC’s of Medications

March Motherhood Do’s and Don’t’s of the ER

April Heart Care Senior Care Giving

May Women’s Health Issue Vein Care and Treatments

June Men’s Health Issue ED: Symptoms and Treatments

July Orthopedic Sleep Apnea

August Dental Care Vision Care

September Health Insurance Open Enrollment Concussions

October Cancer Care Medicare

November Pain Management Managing Cholesterol

December Fitness Training Diabetes

●EDITORIAL CALENDAR:

●DEADLINES:

Today, he said, he wei

ghs 245 pounds.

602.258.1519 • www.BannerHealth.com/BMG-GoodSamSurgery

;

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January Extreme Fitness Diet, excercise, muscle building

February Heart & Soul Heart care and prevention

March Life After 50 Senior living, aging, orthopedic care

April Women’s Health Focus on women’s health

May Mind and Body Stress relief, sleep, brain food

June Safe Travels Get in shape, sun safety

July Ultimate Food Prevention foods, cooking raw, local sources

August School and Sports Check-ups, sports injury prevention, healthy habits

September Pain Management Identifying the pain, treatments, excercise

October Healthy Tech New tech procedures, wearables, trends

November Men’s Health Focus on men’s health

December Elective Surgery 5 Things your HSA can do, vision, dental

Cover Feature About

January 18 January 9 January 13February 8 January 25 February 3March 1 February 15 February 24April 5 March 22 March 31May 3 April 19 April 28June 7 May 24 June 2July 5 June 21 June 30August 2 July 19 July 28September 6 August 23 September 1October 4 September 20 September 29November 1 October 18 October 27December 6 November 21 December 1

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●●

Continued fromcoverWEIGH

T-LOSS SURGERY

The band,a synthetic

device placed

around the upperpart of the

stomach,

provides apartial barr

ier to food

intake without alterin

g hormonal and

physiologic abnormalities that

lead to

severe obesity in the f

irst place, said Kurt

Sprunger, M.D., a bariat

ric surgeonwith

the Phoenix Bariatric C

enter at Paradise

Valley Hospital.

Some patientswithout dia

betes who

have up to about 70pounds to

lose

may do wellwith a gast

ric band, said

Daniel Fang, M.D., co-medical direc

tor of

the Bridges Center fo

r Surgical Weight

Management at St. Luke’s Medical Cen

ter.

“These patients may not nee

d the added

benefits ofgastric byp

ass,” he said.

However, he noted that gastric

band

placement has comprised less than

10 percentof the weig

ht-loss surgeries

he has performed this year.

“The patients who do

the best with the

band are those who underst

and that the

band has to be frequently a

nd actively

managed—tightened

or loosened by

the surgeon initially e

very threeweeks

as weight changes,” sa

id Michael Orris,

D.O., a bariatric surge

on with Weight Loss

Institute ofArizona. “W

ith properdiet,

exercise and behavior m

odification, the

band serves to reduce a pat

ient’s hunger

and increase cognitive res

traint with

regard to food.”

Gastric bypass

Gastric bypass surgery

has been

performed laparoscopically (using

small

incisions near the bel

ly button) for about

18 years, Sprunger said

, and involves

dividing the stomach into a s

mall upper

pouch separated from the remainder

of the stomach and rearrangin

g the

small intestineto connect

directly to

the stomach pouch. “The large

r leftover

portion ofthe stomach is bypa

ssed,”

Podkameni said.

Unaltered,the stomach can typ

ically

hold between 35 and 50 ounces

of food,

Sprunger said. Gastric

bypass reduces

the capacity of the sto

mach pouchto

just one ounce.

The success rate for g

astric bypass far

exceeds the gastric ba

nd, Blackstone

said. “Onlyseven perc

ent of gastric

bypass patients exper

ience regaining

lost weight— often betw

een 80 and

130 pounds— after two d

ecades,” she

said. “About 67 percen

t of these patients

experienceremission of di

abetes.” The risk

of complications from the surgery

is low,

she said; less than fou

r percent of patients

may experience postope

rative bleeding

or infection.

Phoenix resident Michael Bedo

re,

57, who is apatient of B

lackstone’s,

underwent gastric by

pass surgery in 2009.

He weighed 454 poun

ds before surgery;

six months later, he weighe

d 288 pounds.

“The biggest change i

n my life, besides

the obvious weight lo

ss, is that instead

of mindless eating, I have

to focus on

mindful eating,” Bedore

said.

Sleeve gastrectomy

A techniqueknown as s

leeve gastrectomy

involves surgically rem

oving three-

quarters ofthe stomach, reduci

ng the

size of thestomach to acco

mmodate

three to four ounces o

f food at atime,

Sprunger said.

Podkameni said that the patients

who are the best cand

idates for this

procedureare those w

ho do not have

diabetes, adding that patien

ts with

gastroesophageal refl

ux disease(caused

by stomach acid going into the esophagus)

should not have agastrectom

y, because

the diseasecan be wor

sened as aresult.

Duodenal switch

Another weight-loss s

urgical technique is

called the duodenal sw

itch, a combination

of gastrectomy and intes

tinal bypass,

Podkameni said. This techniqu

e is most

appropriate for patien

ts with diabetes

whose BMI is above 55, he said, b

ecause

it often results in grea

ter weightloss.

Follow-upimportan

t

Follow-upfor weight-

loss surgery patien

typically continues for

five years,the

surgeons said, and includes bl

ood tests

to check vitamin and mineral level

s.

Working with a dietitian after s

urgery t

ensure proper eating

habits is essentia

for success, said Michael Murphy, R.D.

a registered dietitian

with Weight Los

Institute ofArizona.

Finally, Sprunger wan

ts the comm

to understand that “sever

e obesity i

metabolic disease. It’s n

ot a character

flaw or a failureof willpow

er. That is

terrible misrepresentation of the m

facts.” Because severe

obesity resu

physiologic changes

in metabolism,

said, “research has sho

wn that for

with severeobesity, all

nonsurgic

treatments have alasting succes

of five percent or less.

”

Michael Bedore underwent gastric bypass

surgery in 2009when he weighed 454

pounds. He now weighs 245 pounds thanks

to surgery and a drastic change in his eating

habits.

He frequents theDistrict American Kitchen&

Wine Bar at the Sheraton Phoenix Downtown

Hotel where his favorite meal is their black

bean hummuswith lemon, grilled pita,

lavash, vegetables and olive oil.

RICK

D’ELIA

Resources

Banner GatewayWeight L

Institute: bannerhealth

.com

480-543-2606

Bridges Center for Su

rgical

Management: stlukesmed

602-251-8100

Phoenix Bariatric Cen

ter:

phxbariatric.com; 602-422

ScottsdaleHealthcare

Center: shc.org; 480-88

Weight LossInstitute

wliaz.com; 480-829-610

EXPERTS

Heeran Abawi, MD

Board certified in family medicine, Dr. Abawi has a special interest

in women’s healthand the treatment of diab

etes, hypertension,

heart disease and osteoporos

is. She earned her medical degree from

the Ross University School of Medicine in Roseau, W

est Indies. Dr.

Abawi completed her internship and residency at St. Josep

h’s Hospital

and Medical Center in Phoenix.

FAMILY MEDICINE

Banner Health Center

Specializing in Family Medicine

14416 West Meeker Blvd, Building C, Suite 200 • Sun City West

623.876.3980 • www.BannerHealth.com/BAMC-PrimaryCare

Erin Labesky- Scoggin, DO

Dr. Labesky-Scoggin is committed to meeting the physical, em

otional

and educationalneeds of he

r patients and specializes in

adolescent

female reproductivehealth and minimally invasive surgery.

She is a graduate of the University of KirksvilleCollege of

Osteopathic Medicine in Missouri and completed her residency

through the Ohio University College of Medicine at

Grandview Hospital in Dayton.

Dr. Labesky-Scoggin sees patient

s at the Banner Health Centers in

Maricopa, Chandler andGilbert.

GYNECOLOGY, OBSTETRICS

Banner Health Center

Specializing in Obstetrics and Gynecology

17900 N. Porter Road, Maricopa

(520) 233-2500 www.BannerHealth.com/HealthCenterMaricopa

Robert Fintelmann, MD

Dr. Fintelmann is a board certified Ophthalmologist by th

eAmerican

Board of Ophthalmology and a fellow of theAmericanAcademy of

Ophthalmology.He provides exce

llence in care of corneal

disease,

as well as cataract and vision correction s

urgery. Besides catarac

t

surgery andvision corre

ction (including LASIK and ICL), he per

forms

a range of procedures in

cluding corneal transplan

ts,partial thickness

corneal transplants (DSA

EK), and laser surgery to implant intraco

rneal

segments for keratoconus (In

tacs).He has presented

at national and

international meetings and

has published multiple peer-

reviewed

articles.

CORNEA,VISION CORRECTION & CATARACT

Barnet Dulaney Perkins Eye Center

Cornea,Vision Correcti

on and CataractSurgery

Locations througho

ut Arizona

800.966.7000 • www.GoodEyes

.com

Aimee Lee, MD

Dr. Lee is a board certified family medicine physician who enjoys

working closely with patients andtheir families to ensure that all of

their questions and concerns ar

e addressed.A graduate of the Mount

Sinai School of Medicine in New York, she completed her internsh

ip,

residency and geriatrics fellowship at Kaiser Pe

rmanente Los Angeles

Medical Center.

FAMILY MEDICINE

Banner Health Center

Specializing in Family Medicine

1435 South Alma School Road • Chandler

480.668.1600 • www.BannerHealth.com/HealthCenterChandler

AR-0008122592-01

PAIN RELIEF

Dr. TheodoreManos

Dr. Manos is a Board Certified Specialist inAnesthesiolo

gy and

Pain Management. He specializesin procedures

such as epidural

steroid treatments and facet joint block procedures

that

can relieve lower back pain and help improve patient’s daily

comfort level. Whether it’s

arthritis, aherniated disc, sciatic

a

or spinal stenosis of th

e lower back, histreatments can help

patients regain mobility and functionalit

y. These treatments can

help eliminate or reduce the use of oral painmedications

that

patients may be taking on a regular basis. Anyone experiencin

g

chronic lower back pain may be a candidate.In most cases,

pain therapy can last for long periods of

time. During the first

appointment Dr. Manos will evaluatethe patients’ un

ique

condition and develop a treatment plan specific to their needs.

Cigna Medical Group | Outpatient Surgery

Center

3003 N. 3rd Street, 2nd Floor

Phoenix,AZ 85012

602.282.9600

Richard Perry, MD, FACS

Board certified in general surgery, Dr. Perry specializes i

n treating

diseases ofthe breast, end

ocrine system and gastrointestinal tract

and is experienced in advanced laparoscop

ic procedures. A graduate

of the University of Arizona College of Medicine in Tucson, he

completed both his internship and residency at Emory University and

Affiliated Hospitals in Atlanta.

GENERAL SURGERY

Banner Good Samaritan Surgical Associates

Specializing in General Surgery

1300 North 12th Street, Suite 512 • Phoenix

son

se

atients

ests

ery to

ential

R.D.,Loss

mmunity

ity is a

aracter

hat is a

he medical

results in

abolism, he

t for patients

urgical

ccess rate

eight Loss.com;

SurgicalWeight

medcenter.com

enter:2-422-9690

HealthcareBariatric

-882-4000

ute of Arizona:

-6100

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