Reduce Your Risk of Falling by Managing Your Medications
Anne is 65 years old and has been taking the same medications for years. But now, her physician has prescribed a new one. Anne is concerned about how the drugs may interact with each other, and whether she’ll experience any side effects. How can Anne safely take this new combination of medications, and where can she find guidance? Anne is right to be cautious. As we age, many of us need more types of medications. Drug interactions, combined with our changing metabolism, can cause new and unexpected side effects. Some of these possible side effects can put us at a greater risk for falling. Statistics show that 1 in 4 people aged 65 and older fall every year. In fact, falls are the number one cause of fatal and nonfatal injuries for older Americans. While the numbers are concerning, there are many things you can do to reduce your risk of falling, including being proactive about how and when you take your medications. Kimduy Nguyen, Pharm.D., Clinical Pharmacist at Yavapai Regional Medical Center, says that there are two main reasons why our senior population should keep track of their medications. First, as we age, the muscle mass, fat content and water content of our bodies change. In addition, our kidneys and liver may not work as well as they used to. “This can cause build up of the medication in the body, as we’re unable to metabolize or eliminate as we used to,” says Nguyen, “The distribution of the medication is different and the absorption as well. So this can increase the risk of falls, when the medications have more pronounce effects.” The second reason we should keep close track of our medications as we age has to do with polypharmacy, which is using more than 4 medications at a given time. This includes supplements as well. “When we have more medications, there’s more potential for drug-to-drug interaction, which is medications interacting among themselves, as well as drug-disease interaction,” Nguyen says. These interactions can cause pronounced side effects, which may include lightheadedness or dizziness. Dr. Nguyen offers a list of three important things to know when managing your medications: WHY you’re taking the medication, including the condition it is treating WHAT to expect when taking the medication, such as side effects HOW the medication works, so that you can take the medication at the time of day that’s the safest and most effective One easy ways to stay organized and aware of your medications is to write down what you are taking, why you are taking it, and what the dosage instructions are. Yavapai Regional Medical Center offers a free printable Medication Record at yrmc.org. Click here to download it. Another way to manage your medications is to use a pill minder, which is a container with small, separate compartments. You can place individual dosages in each compartment, organized by the days of the week and time of day. Pill minders can be found at most pharmacies and other stores. Finally, perhaps the best advice for a person like Anne, who is concerned about the side effects of a new medication, is one of the easiest to do. “One of the best practices for safe medication management is actually talking to your doctor or pharmacist about all of your medications,” says Nguyen. “Not only prescription medications, but also herbal supplements and vitamins, inhalers and other things.” By talking to your doctor or pharmacist, you can get the information you need to personalize a system for managing your medications. This may include what time of day to take each medication, which medications you can take at the same time, and whether you should take them on a full or empty stomach. Yavapai Regional Medical Center has teamed up with the Arizona Falls Prevention Coalition – Northern Chapter to offer our community information and resources about how to minimize your risk of falling. Our goal is to allow our citizens to enjoy an independent, active lifestyle for years to come. For more information, tips and resources about preventing falls, visit the Arizona Falls Prevention Coalition website at www.azstopfalls.org. Here are additional YRMC HealthConnect articles about preventing falls: Enjoying Retirement, Preventing Falls Falls Prevention: Improving Your Balance at Any Age
Curious About Patient Blood Management? Watch YRMC’s Live Broadcast on October 25
Yavapai Regional Medical Center (YRMC) is recognized worldwide as a pioneer in Patient Blood Management (PBM). The public has the opportunity to learn from these PBM pioneers by watching Patient Blood Management: Yesterday, Today and Tomorrow, YRMC’s sixth PBM Symposium. The Symposium will be broadcast live via the Internet for the public to watch from the comfort of their homes. Log-in to learn about the science and history behind PBM on: Date: Thursday, October 25, 2018 Time: 6:00 to 8:00 p.m., Mountain Standard Time Log-In Options: YRMCHealthConnect.org/pbm or Facebook.com/YavapaiRegionalMedicalCenter What is PBM? What does PBM mean to you as a patient? It minimizes blood loss, reduces unnecessary transfusions and improves patient outcomes when medical teams embrace evidence-based medical and surgical concepts guided by the principles of PBM. Watch YRMC Patient Blood Management Services on YouTube. YRMC’s PBM Symposium will include an expert panel and short videos that highlight significant PBM experiences among Symposium participants. PBM Symposium Experts: Informative & Interesting Additionally, these Prescott, Arizona PBM experts will give thought-provoking, informative talks on: The Wonder of Blood Daniel Beck, MD, Anesthesiologist, Prescott Anesthesia The History of Transfusion Medicine Pierre Tibi, MD, FACS, Medical Director, Patient Blood Management and the James Family Heart Center at YRMC West Transfusion Medicine, Where We are Today Elizabeth Black, Data Manager/Assistant Coordinator, Patient Blood Management Program, YRMC Transfusion Medicine, What the Future Holds Jared Head, AGACNP-BC, Hospitalist, NAZ Hospitalists Heart Surgery Without “Surgery” Soundos Moualla, MD, Cardiologist, YRMC PhysicianCare Nurses: Creating an Environment in Which Patients Thrive Selina Bliss, MS, PhD, RN, YRMC Out-of-Town, But Not Out-of-Time Dale Black, Patient Blood Management Program Coordinator, YRMC For more information about Patient Blood Management: Yesterday, Today and Tomorrow, visit YRMCHealthConnect.org/pbm.
Your Main Event. Find it on YRMC HealthConnect.
Living Well with Diabetes … Heart and Soul Breast Cancer Support Group … United Blood Services Blood Drive, Yavapai Regional Medical Center’s (YRMC’s) Community Outreach events probably feature something of interest to you. “YRMC has an incredibly robust menu of Community Outreach events,” said Ken Boush, YRMC’s Director of Marketing and Communications. “Now, it’s even easier to peruse our selection, register for an event and share your plans with your social media friends.” That’s because YRMC has introduced a new way to connect you to Community Outreach Events on YRMC HealthConnect. Here’s how it works: Open Events on the homepage of YRMC HealthConnect. Peruse the menu of upcoming events – some sponsored by YRMC and some by our community partners. Read the brief event description and then check out the time, date and location. If the event is right for you, click Register or call the number listed if an RSVP is necessary. Most YRMC Community Outreach events are free. Check out the event page to see if your Facebook or other social media friends are planning to attend the event. Click the Facebook, LinkedIn, Twitter or email icons to share your plans to participate with your friends. You’ll even find Google Maps on the page to guide you to the event location either at YRMC East, YRMC West or a community location, such as the Prescott Valley Public Library. Have a question about something not covered on the YRMC HealthConnect registration form? There’s a contact number so you can chat with a member of the YRMC team. “Our goal is to make YRMC’s Community Outreach events as accessible as possible,” Boush said. “We will continue to publish our monthly calendar in area publications and on yrmc.org so people have many options to find information about our events and to register for them.”
My Memories of YRMC: Angelina Lopez Richardson
Angelina Lopez Richardson has a special place in her heart for Yavapai Regional Medical Center (YRMC) that spans 50 years. It began in 1968 when Angie – a kindergartner at the time – had a tonsillectomy and was recovering at Yavapai Community Hospital, now YRMC. Angie’s room had a Jack and Jill bathroom that she shared with a boy on the other side. She recalls the boy often locked her door so that she was unable to get into the bathroom. One day during her hospitalization, a nurse found Angie in tears. Angie shared her story with the nurse, who made sure the boy understood the door should remain unlocked. “That nurse took care of me just like my Mom,” Angie said. “I remember her bringing me Popsicles, spending time with me and even coloring pictures with me. I think about her to this day.” Watch My Memories of YRMC: Angelina Lopez Richardson on YouTube. A Return Visit to YRMC Fast forward five decades: Angie is married, a mother and grandmother with a career in healthcare. In February 2018, Angie experienced chest pains and went immediately to the Emergency Department at YRMC West. She was quickly admitted to the James Family Heart Center for observation and testing. “I had a heart attack,” she said, “and I needed triple bypass surgery.” Just like decades before, Angie knew she was in good hands at YRMC’s James Family Heart Center. After surgery, Angie began working with YRMC’s Cardiac Rehabilitation team. Today, she works out on the treadmill, walks and continues to heal. Angie Shares her Heart with YRMC Angie’s voice trembles when she speaks about her community hospital. It’s where her mother worked for decades and two sisters still work. It’s a place with people who cared for her as a youngster and as an adult. “Through the care of YRMC, I’m here today to share this moment with you,” Angie said. “I can’t think of another place I’d rather have medical care done.”
Seven Steps to Reduce Your Risk for Breast Cancer
There’s lots of information about breast cancer risk, prevention and detection. But, how do you know what’s best for your long term breast health? The experts at the BreastCare Center at Yavapai Regional Medical Center (YRMC) have identified seven steps to help you. In keeping with Share the Care – the BreastCare Center’s community-wide awareness program to support good breast health practices – we encourage you to share this information on social media and during other conversations with the women who are important to you. “You can Share the Care year-round and in many ways,” said Michael G. Macon, MD, Breast Surgeon and Medical Director of the BreastCare Center at YRMC. “This list has good information about learning your risk for breast cancer, creating a personal plan based on your individual risk and committing to healthy living practices.” In Yavapai County, these steps are particularly important as we have high rates of breast cancer, according to the National Cancer Institute. Now, let’s look at how you may be able to lower your risk for breast cancer. #1 Know your family history and your risk for inherited breast cancer. Understanding your risk for breast cancer that’s inherited begins by mapping your family’s cancer history. Here are factors to determine if you may be at risk for breast cancer that’s inherited: You had breast cancer before age 50. You had ovarian cancer. You have relatives with breast, ovarian, pancreatic or prostate cancer. There are any men in your family who have had breast cancer. You are of Ashkenazi Jewish ancestry. A family member has a BRCA1 or BRCA2 genetic mutation. #2 Consider genetic testing and counseling … from a professional. Genetic counseling is more than mailing your saliva to an online service for analysis and a report, according to Jody Pelusi, PhD, FNP, AOCNP. Dr. Pelusi is the Genetic Specialist at YRMC’s recently launched High Risk Genetic Clinic. She emphasizes the importance of identifying who may be at increased risk for a gene mutation as young as possible. A plan can then be developed to manage and monitor women based on their genetic test results. “We look at all risk factors as well as genetic testing results,” said Dr. Pelusi. “Most women who are at high risk for breast cancer do not have gene mutations. For example, we may recommend increased imaging surveillance for a woman who is found to be at high risk for breast cancer.” That may mean alternating Breast MRI scans with mammograms at six month intervals, instead of yearly mammograms. Or, depending on the woman’s age, risk factors and genetic test results, the woman may be offered adjuvant hormonal therapy or surgery to reduce the risk of breast cancer. “By beginning interventions at a younger age, we have the opportunity to change whether or not breast cancer ever occurs in these women,” Dr. Pelusi said. You may reach YRMC’s High Risk Genetic Clinic at (928) 442-8747. #3 Get regular breast screenings. This simple message has become more complicated in the past decade. Many believe that’s due to a 2009 update in breast cancer screening guidelines by the U.S. Preventive Services Task Force (USPSTF), an independent group of national experts in prevention and evidence-based medicine. In fact, a recent study in JAMA Surgery showed mammography screening is down among younger women since the USPSTF update. Talking with your doctor about your individual risk and health history is a good place to begin when considering breast screening. As a general guideline, YRMC’s BreastCare Center and the American College of Radiology recommend annual mammography start at age 40 for women at average risk of developing breast cancer. Additionally, the American Cancer Society (ACS) states that women ages 40 to 44 should have the choice to begin annual mammography. The ACS endorses annual mammograms for women ages 45 to 54. For women 55 and older, the ACS supports mammograms every one to two years. #4 Watch your weight, especially after menopause. Being overweight or obese at any age increases a woman’s breast cancer risk, but it’s especially true after menopause and for women who gain weight as adults. Why is that? After menopause, most of a woman’s estrogen comes from fat tissue. The more fat tissue, the more chance of breast cancer due to raised estrogen levels. Also, overweight women tend to have higher levels of insulin, which has been linked to breast and other cancers. #5 Get your heart rate up on a regular basis. Getting your workout is a good breast-healthy habit. You should aim for a weekly minimum of 150 minutes of moderate-intensity (think brisk walking), 75 minutes of vigorous activity spaced out across the week or a combination of both. #6 Get off your seat. There’s more and more evidence that shows sitting time increases the likelihood of cancer, especially for women. An ACS study showed women who spent six hours or more each day sitting when not working had a 10 percent greater risk for breast cancer. #7 Limit your alcohol intake. Women who have two to three alcoholic drinks a day have a 20 percent greater risk of breast cancer compared to women who don’t drink alcohol. Women who have one drink a day have a very small increased risk for breast cancer. Learn more at Share the Care or YRMC’s BreastCare Center. Contact Dr. Macon or Dr. Pelusi at (928) 442-8740 and the YRMC High Risk Genetic Clinic at (928) 442-8747.
Creative and Delicious Ways to Power up Your Plate with Summer Herbs!
Rita Carey Rubin, MS, RD, CDE, host of YRMC’s Your Healthy Kitchen recently joined Sandy Moss on the set of AZTV’s Sandy and Friends to share some creative ways to enjoy the flavor, beauty and nutrition of fresh summer herbs. In this segment she makes a delicious, quick sauce from parsley, oregano, garlic, lemon, olive oil, and mint that is a perfect topping for grilled or baked vegetables, chicken, fish or meat. She also blends herbs and dried chilies into butter for a spread that turns summer corn into something even more divine! For a refreshing finish, Sandy and Rita enjoy a cool glass of water that’s been steeped with a variety of fresh herbs and fruit! Watch Creative Ways to Use Summer Herbs on YouTube. Fresh herbs are easy to grow in a garden or pot, and they thrive well from summer through fall in our high desert environment. Try your hand at raising a crop of easy to grow chives, oregano, mint, parsley, tarragon, rosemary or, that queen of summer, basil! If you have a sunny window in your home, you can grow many of these herbs indoors, year round. There are also a variety of herbs available in the produce section of most supermarkets and at the Prescott Farmers Market! It’s easy to incorporate herbs into every meal. Some herbs go really well with fruit, so try tossing thinly sliced basil or mint with berries for a beautiful and delicious way to start your day. You might also whip up some scrambled eggs and flavor them with a minced handful of chives (which taste a bit like mild onions). Throw big handfuls of parsley, basil, tarragon, chives, or even mint into a salad at lunch. These herbs also go well with beans, pasta or potatoes. Adding fresh herbs to your favorite dishes is one of the easiest and most delicious ways to power up your meals with flavor and nutrition. Herbs are packed with valuable phytochemicals that have antioxidant, anti-inflammatory and antibacterial qualities. With all of that goodness to offer, herbs really are a delicious kind of medicine! Give one of these great recipes a try: Minted Chimichurri Infused Water Compound butter with chili
Need Health Insurance? Attend a FREE Health Insurance Enrollment Event
Yavapai Regional Medical Center (YRMC) is sponsoring a series of free Health Insurance Marketplace enrollment events during open enrollment, which takes place November 1-December 15, 2018. “Our goal is to help individuals and families enroll in a 2019 Health Insurance Marketplace health plan that works best for them,” said Robbie Nicol, Yavapai Regional Medical Center, Executive Director, Community Outreach and Philanthropy. “Our team will also provide assistance to people applying for AHCCCS, Arizona’s Medicaid.” Certified Application Counselors (CACs) from YRMC will be available for assistance during five Health Insurance Marketplace enrollment events. Call (928) 771-5151 to: Confirm which enrollment event you will attend; OR Schedule a time to meet with one of our counselors, if you can’t attend any of the events. The enrollment events take place at: YRMC West Admitting – 1003 Willow Creek Road, Prescott Wednesday, November 7 5:00–8:00 p.m. Saturday, November 17 9:00 a.m.–12 p.m. YRMC East Admitting – 7700 East Florentine Road, Prescott Valley Saturday, November 3 9:00 a.m.–12 p.m. Wednesday, November 21 5:00–8:00 p.m. Wednesday, November 28 5:00–8:00 p.m. What Do You Need to Bring? Below are the items you need in order to enroll in a Health Insurance Marketplace plan. Please bring these with you to the enrollment event you attend: Social Security Numbers Employer and income information for everyone in your family (for example, from pay stubs, W-2 forms, or wage and tax statements) Marketplace (healthcare.gov) login information (username and password). If you don’t have a login, you will need a valid email address Policy numbers for any current health insurance For people who enroll in a Health Insurance Marketplace plan during open enrollment, health insurance plan coverage will begin January 1, 2019. (Source: HealthCare.gov) Insurance Premiums and Premium Tax Credits Most of the 2019 Health Insurance Marketplace plans require low or no monthly premiums. Additionally, you may qualify for a premium tax credit. Below is information on who qualifies for the premium tax credit – based on household size and income – offered by the Health Insurance Marketplace. Household of one with an income of $48,000 Household of two with an income of $60,000 Household of three with an income of $80,000 Household of four with an income of $90,000 Household of five with an income of $100,000 Household of six with an income of $130,000 Essential Benefits: Health Insurance Marketplace Plans All Health Insurance Marketplace Plans must cover the benefits listed below. Plans also may offer additional benefits. Ambulatory patient services (outpatient care you get without being admitted to a hospital) Emergency services Hospitalization (like surgery and overnight stays) Pregnancy, maternity, and newborn care (both before and after birth) Mental health and substance use disorder services, including behavioral health treatment (this includes counseling and psychotherapy) Prescription drugs Rehabilitative and habilitative services and devices (services and devices to help people with injuries, disabilities, or chronic conditions gain or recover mental and physical skills) Laboratory services Preventive and wellness services and chronic disease management Pediatric services, including oral and vision care (adult dental and vision coverage aren’t essential health benefits (Source: HealthCare.gov) For more information about YRMC’s Health Insurance Marketplace enrollment events, please call YRMC at (928) 771-5151.
Five Tips to Prevent the Flu this Season
Autumn ranks as our country’s favorite season, but even it has its downside – namely, seasonal flu. “People tend to minimize the flu,” said Sharon Lee, FNP-C, Certified Family Nurse Practitioner, YRMC PhysicianCare Family and Internal Medicine in Prescott Valley. “The flu is more than a bad cold that keeps you down for a few days. It can be dangerous, especially for children and older adults.” Who should get an annual flu vaccine? Everyone six months of age and older should be vaccinated. It’s particularly important for high-risk groups: adults 65 and older, people with asthma and diabetes, and pregnant women. Each year, approximately 200,000 Americans are hospitalized for flu-related illness. Here are five tips to prevent the flu so you can pull on your favorite sweater and head outside to enjoy the beautiful fall weather. 1. Get the flu vaccine. The flu virus is very contagious and can spread before you even have symptoms. While no one can predict when the flu season will peak, it takes about two weeks for antibodies to form after receiving the flu vaccine so getting your annual flu shot is important. “The flu virus is most common during the fall and winter months, but it’s not unheard of for the season to stretch into May,” said Lee. “I recommend getting an annual flu shot when it’s available.” The 2018-19 flu vaccine is available now. You can find a location to get vaccinated here. 2. Boost your immune system. Your first line of defense against the flu is to keep yourself as healthy as possible. This means eating a balanced diet filled with fresh fruits and vegetables, exercising regularly, getting plenty of sleep and practicing self-care to help eliminate stress. 3. Hydrate. Drinking enough fluids may help defend against illness and assist in recovery if a cold or the flu comes knocking. Warm tea, soups and broths are soothing additions to your daily water intake and they will keep you well hydrated. 4. Keep your space clean. Disinfecting common areas and frequently used items can kill cold and flu viruses potentially living on your phones, remotes or kitchen countertops. Disposable disinfectant wipes and paper towels are better to use than a sponge. 5. Stop the transfer of germs. Our last, but definitely not least, flu prevention strategy is to use correct hand washing techniques and to understand how the flu virus is spread. “The virus can enter the body through your eyes, nose and mouth,” Lee said. “Make a conscious effort to not touch those areas and encourage your children or grandchildren to do the same.” When washing your hands, rub them together vigorously for 20 seconds using warm water and soap. Similarly, don’t share cups or utensils with others. If you do come down with the flu, your healthcare provider may prescribe antivirals that can speed up the recovery process if taken within the first day or two of becoming sick. It’s also recommended you: Stay home and avoid contact with others. Wear a face mask or use a tissue to cover coughs and sneezes if you must leave home. Wash your hands to prevent the spread of the virus. Contact your healthcare provider if you are concerned about your symptoms, become very ill or are in a high-risk group. What’s the good news about seasonal flu? It usually ends or weakens by spring, which is another favorite season. To schedule an appointment with Sharon Lee, FNP-C, contact YRMC PhysicianCare Family and Internal Medicine in Prescott Valley at (928) 442-8710.
Seven Steps to Reduce Your Risk for Breast Cancer
There’s lots of information about breast cancer risk, prevention and detection. But, how do you know what’s best for your long term breast health? The experts at the BreastCare Center at Yavapai Regional Medical Center (YRMC) have identified seven steps to help you. In keeping with Share the Care – the BreastCare Center’s community-wide awareness program to support good breast health practices – we encourage you to share this information on social media and during other conversations with the women who are important to you. “You can Share the Care year-round and in many ways,” said Michael G. Macon, MD, Breast Surgeon and Medical Director of the BreastCare Center at YRMC. “This list has good information about learning your risk for breast cancer, creating a personal plan based on your individual risk and committing to healthy living practices.” In Yavapai County, these steps are particularly important as we have high rates of breast cancer, according to the National Cancer Institute. Now, let’s look at how you may be able to lower your risk for breast cancer. #1 Know your family history and your risk for inherited breast cancer. Understanding your risk for breast cancer that’s inherited begins by mapping your family’s cancer history. Here are factors to determine if you may be at risk for breast cancer that’s inherited: You had breast cancer before age 50. You had ovarian cancer. You have relatives with breast, ovarian, pancreatic or prostate cancer. There are any men in your family who have had breast cancer. You are of Ashkenazi Jewish ancestry. A family member has a BRCA1 or BRCA2 genetic mutation. #2 Consider genetic testing and counseling … from a professional. Genetic counseling is more than mailing your saliva to an online service for analysis and a report, according to Jody Pelusi, PhD, FNP, AOCNP. Dr. Pelusi is the Genetic Specialist at YRMC’s recently launched High Risk Genetic Clinic. She emphasizes the importance of identifying who may be at increased risk for a gene mutation as young as possible. A plan can then be developed to manage and monitor women based on their genetic test results. “We look at all risk factors as well as genetic testing results,” said Dr. Pelusi. “Most women who are at high risk for breast cancer do not have gene mutations. For example, we may recommend increased imaging surveillance for a woman who is found to be at high risk for breast cancer.” That may mean alternating Breast MRI scans with mammograms at six month intervals, instead of yearly mammograms. Or, depending on the woman’s age, risk factors and genetic test results, the woman may be offered adjuvant hormonal therapy or surgery to reduce the risk of breast cancer. “By beginning interventions at a younger age, we have the opportunity to change whether or not breast cancer ever occurs in these women,” Dr. Pelusi said. You may reach YRMC’s High Risk Genetic Clinic at (928) 442-8747. #3 Get regular breast screenings. This simple message has become more complicated in the past decade. Many believe that’s due to a 2009 update in breast cancer screening guidelines by the U.S. Preventive Services Task Force (USPSTF), an independent group of national experts in prevention and evidence-based medicine. In fact, a recent study in JAMA Surgery showed mammography screening is down among younger women since the USPSTF update. Talking with your doctor about your individual risk and health history is a good place to begin when considering breast screening. As a general guideline, YRMC’s BreastCare Center and the American College of Radiology recommend annual mammography start at age 40 for women at average risk of developing breast cancer. Additionally, the American Cancer Society (ACS) states that women ages 40 to 44 should have the choice to begin annual mammography. The ACS endorses annual mammograms for women ages 45 to 54. For women 55 and older, the ACS supports mammograms every one to two years. #4 Watch your weight, especially after menopause. Being overweight or obese at any age increases a woman’s breast cancer risk, but it’s especially true after menopause and for women who gain weight as adults. Why is that? After menopause, most of a woman’s estrogen comes from fat tissue. The more fat tissue, the more chance of breast cancer due to raised estrogen levels. Also, overweight women tend to have higher levels of insulin, which has been linked to breast and other cancers. #5 Get your heart rate up on a regular basis. Getting your workout is a good breast-healthy habit. You should aim for a weekly minimum of 150 minutes of moderate-intensity (think brisk walking), 75 minutes of vigorous activity spaced out across the week or a combination of both. #6 Get off your seat. There’s more and more evidence that shows sitting time increases the likelihood of cancer, especially for women. An ACS study showed women who spent six hours or more each day sitting when not working had a 10 percent greater risk for breast cancer. #7 Limit your alcohol intake. Women who have two to three alcoholic drinks a day have a 20 percent greater risk of breast cancer compared to women who don’t drink alcohol. Women who have one drink a day have a very small increased risk for breast cancer. Learn more at Share the Care or YRMC’s BreastCare Center. Contact Dr. Macon or Dr. Pelusi at (928) 442-8740 and the YRMC High Risk Genetic Clinic at (928) 442-8747.
3D Tomosynthesis Mammography Units Added to YRMC Imaging Sites
Yavapai Regional Medical Center (YRMC) introduced two additional 3D Tomosynthesis mammography units to their imaging sites in March, bringing the total to three in the YRMC network. The evidence is clear that Tomosynthesis—3D mammography—is a more precise screening for breast cancer for certain women. According to Kathleen Hoffer, Imaging Operations Manager for the BreastCare Center at YRMC, “3D mammography is becoming the standard, especially for women with dense breast tissue, and we want to make it available throughout the community. This is why we placed a new Tomosynthesis unit at Prescott Medical Imaging in Prescott and an additional unit at the BreastCare Center in Prescott Valley.” Research confirms that breast cancer is the second most common type of cancer afflicting women in America, so detecting it is a high priority. The standard 2D mammogram creates a 2-dimensional image of the breast with two x-ray images of each breast. The 3-dimensional mammogram adds an additional view that allows breast tissue to be evaluated in greater detail with no significant increase to the radiation dose. The 3D mammogram is particularly important for women with dense breast tissue. Younger women often have denser breast tissue than older women do and will benefit even more from a 3D mammogram because of its increased accuracy rate. It also has less false positives and much lower call back rates, so a 3D mammogram is overall more accurate than a standard 2D mammogram. “When someone gets a call back and has to return for additional screening, it is very anxiety-provoking for the patient and their loved ones”, states Radiologist Brent Johnson, MD. “This is another reason 3D mammograms are better for the patient. If there is a 15 percent chance of being called back—using conventional 2D mammograms—some women may decide to avoid mammograms all together, which increases the chance of a breast cancer being missed entirely. It is very sad when I see advanced cancers that could have easily been detected much sooner simply by having a timely mammogram.” When a woman is screened with a 3D mammogram, the call back rate decreases by half from 15 percent to about 7 or 8 percent, which significantly reduces the need for additional testing and associated anxiety. Dr. Johnson states, “The extra cost of a 3D mammogram is mitigated by not having to do as many ultrasounds or extra views, a breast MRI or biopsy. Those extra tests are not only more expensive in the long run for patients, but often can ultimately increase radiation exposure compared to starting with a 3D mammogram.” Kathleen Hoffer adds, “3D mammograms are performed based on provider or radiologist recommendation. Patients who are aware that they have dense breast tissue should insist on a 3D mammogram.” Many insurance providers, including Medicare, have now opted to cover Tomosynthesis screenings, because it is actually less expensive in the long run, making the 3D mammogram better for patients in terms of cost. Some patients opt to pay the additional cost not covered by insurance simply for their peace of mind, knowing they are getting the most state-of-the-art mammogram. If you would like to have a 3D mammogram at the BreastCare Center in Prescott Valley or in Prescott at Prescott Medical Imaging, please speak to your primary care provider or call (928) 771-7577 for Prescott Medical Imaging or (928) 442-8900 for the BreastCare Center in Prescott Valley.
First WATCHMAN Procedure at YRMC’s James Family Heart Center
The James Family Heart Center at Yavapai Regional Medical Center (YRMC) has reached another significant medical milestone with the introduction of the left atrial appendage closure (LAAC) procedure, better known as the “WATCHMAN™.” “The launch of this new service is another excellent example of why the community can be proud to have this state-of-the-art Heart Center right here at home,” said Pierre Tibi, MD, Medical Director of The James Family Heart Center at YRMC. “ The WATCHMAN™ is performed in YRMC’s hybrid operating suite – regarded as among the finest in the nation – by either Soundos K. Moualla, MD, YRMC Structural and Interventional Cardiologist, or Nisha Tung-Takher, MD, YRMC Cardiac Electrophysiologist. Who is eligible for the WATCHMAN™? The procedure is designed for people with Afib (atrial fibrillation) that’s not related to a heart valve problem as well as people who don’t respond well to blood thinners. Afib affects the heart’s ability to pump blood normally. It can cause blood to pool in the left atrial appendage and form a clot. A permanent heart implant, the WATCHMAN™, reduces the risk of blood clots originating in the left atrial appendage. “These blood clots can escape from the left atrial appendage, enter the bloodstream and cause a stroke,” said Gwen Rhodes, RN, YRMC Patient Navigator. “Many stroke-causing clots that come from the heart are formed in the left atrial appendage. That’s why closing off this part of the heart is recommended for some people as a way to reduce their risk of stroke.” Specially trained physicians like Drs. Moualla and Tung-Takher use computer guidance to implant the WATCHMAN™ device, which is about the size of a quarter. After making a small incision in the upper leg, these physicians insert a narrow tube, similar to a standard stent procedure, and guide the WATCHMAN™ into the left atrial appendage. The WATCHMAN™ device closes off that part of the heart to stop blood clots from escaping. Visit YRMC’s website for more information about the WATCHMAN™ and other YRMC James Family Heart Center services.
To Boost Health and Wellness, Sit Less and Stand More!
Boosting health and wellness can be as easy as sitting less and standing more! Numerous studies prove that taking short breaks throughout the day to stand (or move around a bit) improves health and wellness in previously unimagined ways. Standing and/or engaging in frequent light activity (like walking around your office, standing while talking on the phone, or even just doing chores) improves mood and energy, sharpens mental focus, controls appetite, and dramatically improves blood sugar control. In fact, standing or moving for five minutes every hour may be just as important as a weekly exercise routine for reducing your risk of heart disease, diabetes, and other chronic conditions. Research Links Standing with Better Mood, Concentration, and Appetite Control Anyone with a desk job knows that prolonged sitting leads to stiff and painful hips and knees! However, sitting too much also reduces your ability to concentrate, and can increase mental stress. A study at the University of Colorado found that people who took frequent 5-10 minute standing or walking breaks during a six-hour workday enjoyed improved feelings of alertness and wellbeing, lower stress levels, and even reduced appetite compared to those who sat at their desks for most of the day. Remarkably, for most participants in the study, those regular breaks produced better results than starting the day with a brisk, 30-minute walk. Sitting also contributes to boredom and fatigue, which commonly triggers a search for snacks! Researchers theorize that low energy states, like boredom, trigger your brain to tell you to do something to improve your mood. Eating, even if you are not hungry, does help improve energy and concentration for a short period of time. However, simple, light activity produces the same results, with no added calories! Sitting Less Improves Blood Sugar, Blood Pressure and Risk of Chronic Disease One of the largest studies to examine the links between sitting and health is the Australian Diabetes, Obesity and Lifestyle Study. Researchers followed more than 11,000 adults without diabetes and compared the time people spent each day watching television with a number of health markers. As might be expected, glucose and insulin levels, blood pressure, and waist measurements increased with every extra hour people spent watching TV. Researchers were surprised, however, when they discovered that regular, moderate exercise (at least 150 minutes a week) did not improve the health of anyone who spent more than a few hours each day watching television. In other words, thirty minutes or more of concentrated exercise most days of the week did not ameliorate the negative health effects of sitting too much. Other studies show that taking a walk, or simply standing after meals (even just to do the dishes), can significantly lower post-meal blood sugar levels in people with diabetes. In addition, and perhaps most intriguingly, long-term studies also find a decreased risk of death from any cause (including diabetes, heart disease, and cancer), in people who simply sit less during the day and move more. Standing Burns More Fat and Calories! How does standing more and sitting less improve health? Scientists aren’t exactly sure, but it might have something to do with our ability to use fat as fuel. Muscles that are important for postural support (standing) are quite good at siphoning off fat that is circulating in the bloodstream (as triglycerides and cholesterol), and using it for energy. When we sit too much, those muscles lose some of their ability to use circulating fat for fuel. This could contribute to some of the symptoms of pre-diabetes and metabolic syndrome, including high triglycerides, increased waist circumference and insulin resistance. When we stand or engage in light activity, we also burn more calories. In fact, most people can burn 500-800 additional calories by standing at work; engaging in ‘walking meetings’; taking regular movement breaks; and just not sitting more than a total of six hours a day! Burning more calories helps us achieve a healthier weight, which lowers the risk for many chronic diseases. Tools to Create New Habits Once you get into the habit, it’s easy to cut back on daily chair time. Numerous online tools are available to remind you to take a break from sitting. Check out Apple’s Stand Up – The Work Break Timer or Google Chrome’s Office Fit for just a few useful apps you can use at work or home. There are also many options out there for converting your work area into a sit/stand/or walk environment. Encourage walking meetings at work, and stand up while working whenever possible. Even walking to talk to someone in your office instead of calling or sending an email will get you out of your chair more often. If you are into playing video games at home, try some of the active options on the Nintendo Wii. Get off the couch during television ads to do chores or walk in place for a while. Even better, watch a lot less TV! Just sit less and stand more. You’ll feel better when you do!
Five Tips to Prevent the Flu this Season
Autumn ranks as our country’s favorite season, but even it has its downside – namely, seasonal flu. “People tend to minimize the flu,” said Sharon Lee, FNP-C, Certified Family Nurse Practitioner, YRMC PhysicianCare Family and Internal Medicine in Prescott Valley. “The flu is more than a bad cold that keeps you down for a few days. It can be dangerous, especially for children and older adults.” Who should get an annual flu vaccine? Everyone six months of age and older should be vaccinated. It’s particularly important for high-risk groups: adults 65 and older, people with asthma and diabetes, and pregnant women. Each year, approximately 200,000 Americans are hospitalized for flu-related illness. Here are five tips to prevent the flu so you can pull on your favorite sweater and head outside to enjoy the beautiful fall weather. 1. Get the flu vaccine. The flu virus is very contagious and can spread before you even have symptoms. While no one can predict when the flu season will peak, it takes about two weeks for antibodies to form after receiving the flu vaccine so getting your annual flu shot is important. “The flu virus is most common during the fall and winter months, but it’s not unheard of for the season to stretch into May,” said Lee. “I recommend getting an annual flu shot when it’s available.” The 2018-19 flu vaccine is available now. You can find a location to get vaccinated here. 2. Boost your immune system. Your first line of defense against the flu is to keep yourself as healthy as possible. This means eating a balanced diet filled with fresh fruits and vegetables, exercising regularly, getting plenty of sleep and practicing self-care to help eliminate stress. 3. Hydrate. Drinking enough fluids may help defend against illness and assist in recovery if a cold or the flu comes knocking. Warm tea, soups and broths are soothing additions to your daily water intake and they will keep you well hydrated. 4. Keep your space clean. Disinfecting common areas and frequently used items can kill cold and flu viruses potentially living on your phones, remotes or kitchen countertops. Disposable disinfectant wipes and paper towels are better to use than a sponge. 5. Stop the transfer of germs. Our last, but definitely not least, flu prevention strategy is to use correct hand washing techniques and to understand how the flu virus is spread. “The virus can enter the body through your eyes, nose and mouth,” Lee said. “Make a conscious effort to not touch those areas and encourage your children or grandchildren to do the same.” When washing your hands, rub them together vigorously for 20 seconds using warm water and soap. Similarly, don’t share cups or utensils with others. If you do come down with the flu, your healthcare provider may prescribe antivirals that can speed up the recovery process if taken within the first day or two of becoming sick. It’s also recommended you: Stay home and avoid contact with others. Wear a face mask or use a tissue to cover coughs and sneezes if you must leave home. Wash your hands to prevent the spread of the virus. Contact your healthcare provider if you are concerned about your symptoms, become very ill or are in a high-risk group. What’s the good news about seasonal flu? It usually ends or weakens by spring, which is another favorite season. To schedule an appointment with Sharon Lee, FNP-C, contact YRMC PhysicianCare Family and Internal Medicine in Prescott Valley at (928) 442-8710.
Prescott Area Youth Hit the Biking Trails this Summer with Prescott Mountain Bike Alliance
We’ve all seen the reports: the Prescott area is frequently rated one of the best places in the country to live. One of the foremost reasons is that our region is an ideal destination for outdoor recreation and leisure activities due to the near-perfect climate and clean air. The hiking and biking trails are nationally acclaimed. But how do we get our local youth connected to what our environment has to offer? That’s the question raised by the Prescott Mountain Bike Alliance (PMBA), a chapter of the International Mountain Bicycling Association. Since 2010, the Prescott Mountain Bike Alliance has been dedicated to planning and building trails, as well as developing recreational riding opportunities for the citizens of Prescott. This year, the alliance is kicking off a prescott summer youth program to engage Prescott area youth in the fun and rewarding sport of mountain biking. The program will also offer our youth community service engagement opportunities. When asked why this engagement is critical, Brent Roberts, President of PMBA, offers a two-fold response, “There’s a superficial answer in that we want to give kids something to do that’s healthy, fun and offers group cohesiveness and a social outlet. But the deeper goal is that experiential programs that get kids doing things outdoors are critical for long-term mental health and well-being. We want kids to challenge themselves; to realize that they have more capability than they originally thought.” Throughout the summer, PMBA will offer weekly mountain bike rides, skills clinics and bike repair workshops, all organized around age and ability and led by trained and experienced coaches and instructors. The program is free of charge to all area youth. “When we wrote the grant for the program, we wondered if we were going to be able to raise the needed matching funds,” says Roberts. However, members of PMBA were pleasantly surprised. “It was amazing to see how much enthusiasm there was for this project. People responded so quickly and organizations were eager to support us. It was gratifying to see that our community was ready for a summer youth program like this.” Yavapai Regional Medical Center is among the PMBA Summer Youth Program supporters. “The Prescott Mountain Bike Alliance Summer Youth Program dovetails perfectly with Yavapai Regional Medical Center’s Mission,” says Ken Boush, Director of Marketing and Communications at YRMC. “As the community’s not-for-profit healthcare provider, healing is only one aspect of what we do. YRMC also promotes health education, preventive medicine and ways to encourage a healthy lifestyle for all ages. We’re proud to be involved in a program that offers kids, sometimes for the first time, a love for getting outdoors and exercising.” The weekly rides, skills clinics and bike workshops will take place Wednesday and Thursday mornings, beginning June 6th. In addition, kids and their families have an opportunity to participate in trail stewardship, where they work with a team to maintain local trails. “This gives our youth a first-hand glimpse at what it takes for a public asset like a trail system to stay in shape,” says Roberts. “They’ll see that the privilege of using public lands goes hand-in-hand with a responsibility to be stewards of those assets and to commit time and energy to maintain them.” Roberts insists that the adults involved will get as much, or more, from working with the youth. “It’s such a positive experience for the leaders, instructors and even the parents,” he says. “Some of these kids begin programs like this feeling like they don’t have anything going for them. To watch them let go of that negative self-talk and connect with a new identity and a skill they never knew they were capable of… it’s incredibly rewarding.” For more information about PMBA and the Summer Youth Program, contact Brent Roberts at (928) 713-9825 or visit prescottmtb.com.
YRMC Volunteer Spotlight: John Peters and Richard McBride
If you’ve spent any time at Yavapai Regional Medical Center, you’ve probably heard the sound of a hand bell throughout the halls twice a day. The bell heralds the arrival of the snack cart, and the ringer is a member of the snack cart volunteer team, serving hot coffee, juices, fruit, yogurt and other goodies to visitors and staff at the hospital. On any given morning, you might be served by YRMC volunteers John Peters and Richard McBride. The duo often resembles a comedy team more than hospital volunteers. Employees and visitors who purchase snacks from the cart can’t help but join in the banter and good-natured teasing. But don’t let the lightheartedness fool you. They take their job very seriously. “A big philosophy we have is that we go the extra mile,” says Peters, “Let’s say that you have a nurse caring for a patient in one of the rooms in ICU. I know one nurse in particular who always wants a bag of cheddar popcorn and a string cheese. I’ll get her badge from her, ring it up and take it back there to her station.” Peters and McBride are particularly proud of their dedication. “Our record for uninterrupted service is 79 weeks without missing a day,” says Peters. A snowstorm prevented the volunteers from coming in on the 80th day. When asked why this dedication is so important, Peters responds, ”I really can’t explain it. I’m sure it’s this way for all the other volunteers. It’s just a sense of good feeling that you’re providing a service.” Peters describes the camaraderie and friendship as an added bonus to volunteering at YRMC, including getting to know the staff and fellow volunteers, learning about their families, grandchildren and travels. As McBride picks up the hand bell and starts down the hall to ring their arrival, Peters sums it up this way, “Volunteering is a wonderful experience. Period. It’s the only way to explain it.” The YRMC Volunteer Services Department welcomes inquiries about volunteering for the snack cart as well as a wide variety of other volunteer opportunities. For more information, call: Volunteer Services, YRMC West, Prescott: (928) 771-5678 Volunteer Services, YRMC East, Prescott Valley: (928) 442-8678
Volunteer Spotlight: Don Packard, PAWS Pet Therapy Program
Anyone who owns a dog or other pet knows the calming effect they can have. When we pet our animal friends, stress and worry often seem to melt away. Scientific studies have now proven this to be true. Pets can lower blood pressure and reduce anxiety. In addition, petting an animal can release endorphins that have a calming effect and can enhance healing. In keeping with our Vision of treating the whole patient — body, mind and spirit — Yavapai Regional Medical Center offers visits from specially trained therapy animals through the Pets Are Warm Support (PAWS) program. YRMC accepts dogs who are certified through Pet Partners, a national organization that evaluates and tests all animals to ensure that their health, skills and aptitude meet rigorous standards. Visits from PAWS pets can reduce boredom, increase socialization and communication, and provide comfort, especially for those patients who are missing their own pets at home. PAWS program volunteer Don Packard brings Sailor, his beautiful Australian Shepherd, to YRMC every Tuesday. “Of course I’m giving back, but there’s more to it than that,” says Packard, “It gives me satisfaction seeing these folks who don’t get to see dogs. It does their heart good, and it does mine too.” Patients aren’t the only people who enjoy the therapy pets at YRMC. The staff looks forward to their regularly scheduled visits as well. “He’s a therapy dog for everybody,” says Packard, “The staff really likes him too. He’s well known. ‘It’s Tuesday and Sailor’s here!’ That’s what they say.” You can take a preliminary quiz to see if your dog may have the right temperament to be a therapy dog at petpartners.org. If you’re a patient at YRMC and would like to arrange a PAWS visit, check with your caregiver first, then call Volunteer Services. In Prescott, the phone number is (928) 771-5678. In Prescott Valley, call (928) 442-8678. YRMC Volunteer Services welcomes inquiries about volunteering for the PAWS program as well as a wide variety of other volunteer opportunities. For more information call: Volunteer Services, YRMC West, Prescott: (928) 771-5678 Volunteer Services, YRMC East, Prescott Valley: (928) 442-8678
Curious About Patient Blood Management? Watch YRMC’s Live Broadcast on October 25
Yavapai Regional Medical Center (YRMC) is recognized worldwide as a pioneer in Patient Blood Management (PBM). The public has the opportunity to learn from these PBM pioneers by watching Patient Blood Management: Yesterday, Today and Tomorrow, YRMC’s sixth PBM Symposium. The Symposium will be broadcast live via the Internet for the public to watch from the comfort of their homes. Log-in to learn about the science and history behind PBM on: Date: Thursday, October 25, 2018 Time: 6:00 to 8:00 p.m., Mountain Standard Time Log-In Options: YRMCHealthConnect.org/pbm or Facebook.com/YavapaiRegionalMedicalCenter What is PBM? What does PBM mean to you as a patient? It minimizes blood loss, reduces unnecessary transfusions and improves patient outcomes when medical teams embrace evidence-based medical and surgical concepts guided by the principles of PBM. Watch YRMC Patient Blood Management Services on YouTube. YRMC’s PBM Symposium will include an expert panel and short videos that highlight significant PBM experiences among Symposium participants. PBM Symposium Experts: Informative & Interesting Additionally, these Prescott, Arizona PBM experts will give thought-provoking, informative talks on: The Wonder of Blood Daniel Beck, MD, Anesthesiologist, Prescott Anesthesia The History of Transfusion Medicine Pierre Tibi, MD, FACS, Medical Director, Patient Blood Management and the James Family Heart Center at YRMC West Transfusion Medicine, Where We are Today Elizabeth Black, Data Manager/Assistant Coordinator, Patient Blood Management Program, YRMC Transfusion Medicine, What the Future Holds Jared Head, AGACNP-BC, Hospitalist, NAZ Hospitalists Heart Surgery Without “Surgery” Soundos Moualla, MD, Cardiologist, YRMC PhysicianCare Nurses: Creating an Environment in Which Patients Thrive Selina Bliss, MS, PhD, RN, YRMC Out-of-Town, But Not Out-of-Time Dale Black, Patient Blood Management Program Coordinator, YRMC For more information about Patient Blood Management: Yesterday, Today and Tomorrow, visit YRMCHealthConnect.org/pbm.
YRMC’s Patient Blood Management Videos Now at One Convenient Location
Patient Blood Management is a widely respected and widely practiced approach to patient care, particularly before, during and after surgical procedures. It emphasizes safe and effective medical and surgical techniques, which are designed to prevent anemia, decrease bleeding and improve the outcome of your procedure. Since 2012, Yavapai Regional Medical Center has practiced Patient Blood Management, reducing the need for blood transfusions, which can carry inherent risks. Learn more about Patient Blood Management and how it is being used at Yavapai Regional Medical Center. It’s important to make decisions now, prior to a scheduled or unexpected surgical procedure. Visit yrmchealthconnect.org/pbm to learn more.
This Hometown Girl Has Many Talents: How Jennifer Harvey is Making a Difference
If you have ever had the privilege of hearing Jennifer Harvey sing with her Femme-Folk Pop-Rock band, The Gurley Girls, you will know instantly that this busy lady’s got skills. She is a wife, mom, daughter, sister, aunt, cousin, niece, friend and cake pop baker in addition to her role as the Patient Navigator for the Lung Cancer Screening and Care program at Yavapai Regional Medical Center (YRMC). Her title is a mouthful and so is her job! YRMC started the Lung Cancer Screening and Care program in response to a national push to provide annual low dose CT scanning as a screening method for detecting lung cancer early. This program started as a result of a large-scale study known as the National Lung Screening Trial, which was sponsored by the National Cancer Institute (NCI) and conducted by the American College of Radiology (ACR). This study showed that “for the first time, we have a modality that’s proven by research to catch lung cancer early and it is effective and can save lives,” explained Jennifer. Early detection of lung cancer can increase the five-year survival rate. Jennifer added, “YRMC started this program to support our community because we have a high volume of smokers and we know that when people wait until they have symptoms of lung cancer, they are not likely to survive their diagnosis.” Jennifer’s role in the process is to help identify high risk groups and to inform practitioners as well as people in the community that this service is available; to act as a liaison between providers and specialists such as pulmonologists, radiologists, oncologists and surgeons; to connect patients to the screening program and treatments they may need after the screening; and to create educational materials and classes to help patients become healthier. “So, I act as a hub in this busy wheel,” said Jennifer. The day before a patient arrives for the first appointment, Jennifer calls them and explains how “the program is not a one and done type of thing. You come back annually for screening.” When they initially arrive at the clinic, Jennifer goes through a patient information folder she creates and develops a personal relationship with the patients. She wants them “to feel fully supported, to put a face with a name, and to really help them through the process.” There are some additional benefits of entering the program such as “smokers who enter the program often decide to quit smoking after realizing what smoking does to them,” Jennifer states. Another benefit of this program is that incidental findings may also be detected because of the screening. If someone has coronary artery disease, the calcifications can be spotted through CT screening and the patient can be referred to a cardiologist so that a heart attack may be prevented. A thyroid nodule may be discovered or another type of medical concern might also be noticed. “They might get help for something they didn’t even know they had,” explains Jennifer. If you think that lung cancer screening is something you should consider, please speak to your primary care physician or contact Jennifer at (928) 771-5454.
Prescott Radiologists Welcomes Peter Mamalakis, MD
Prescott Radiologists has hired a musculoskeletal radiologist with specialty expertise in diagnosing diseases and abnormalities of bones and joints based on images from MRI, CT scan, x-ray and ultrasound. Dr. Mamalakis was born and raised in Milwaukee, Wisconsin. He is one of 12 children born to parents of Greek origin. He has quite varied experiences including studying Genetics at the University of Wisconsin, teaching for an adult education firm in North Carolina, and working in Internet Technology and Business Engineering. He ultimately decided Medicine was a better fit for him because, as he shared “I realized that in medicine, it would always be a challenge and I would always have to learn.” Dr. Mamalakis earned his medical degree from Wake Forest University, Bowman Gray School of Medicine, in Winston-Salem, North Carolina. He completed his residency training in Diagnostic Radiology at Rochester General Hospital. Dr. Mamalakis said, “One of the best ways to keep me engaged is to give me the biggest, most complicated puzzle and then just let me see if I can figure out what the answer is.” Radiology is a great fit in terms of figuring out puzzles. He decided to do his musculoskeletal fellowship because, according to Dr. Mamalakis, “It offers hands-on interaction with patients as well as the challenge and focus it takes to read MRI, which can be extremely detailed and extremely sensitive. So it is a nice balance for me.” He completed his fellowship at VCU-MCV in Richmond, Virginia. Dr. Mamalakis has over five years of specialty imaging experience in Maryland and Arizona and is a member of the American College of Radiology and the Radiological Society of North America. Arizona suits his interests well, as in his spare time he enjoys mountain biking, hiking, swimming and skiing. He loves national parks and has hiked the Grand Canyon, Zion and Bryce Canyon. “I highly recommend hiking Bryce Canyon in the winter time,” he said. He also likes to read, shoot pool and play darts. This board certified musculoskeletal radiologist is the only specialist in this field in the Quad Cities area, and Prescott Radiologists, YRMC, and the community are very fortunate to have this doctor with this remarkable skill set.
Creative and Delicious Ways to Power up Your Plate with Summer Herbs!
Rita Carey Rubin, MS, RD, CDE, host of YRMC’s Your Healthy Kitchen recently joined Sandy Moss on the set of AZTV’s Sandy and Friends to share some creative ways to enjoy the flavor, beauty and nutrition of fresh summer herbs. In this segment she makes a delicious, quick sauce from parsley, oregano, garlic, lemon, olive oil, and mint that is a perfect topping for grilled or baked vegetables, chicken, fish or meat. She also blends herbs and dried chilies into butter for a spread that turns summer corn into something even more divine! For a refreshing finish, Sandy and Rita enjoy a cool glass of water that’s been steeped with a variety of fresh herbs and fruit! Watch Creative Ways to Use Summer Herbs on YouTube. Fresh herbs are easy to grow in a garden or pot, and they thrive well from summer through fall in our high desert environment. Try your hand at raising a crop of easy to grow chives, oregano, mint, parsley, tarragon, rosemary or, that queen of summer, basil! If you have a sunny window in your home, you can grow many of these herbs indoors, year round. There are also a variety of herbs available in the produce section of most supermarkets and at the Prescott Farmers Market! It’s easy to incorporate herbs into every meal. Some herbs go really well with fruit, so try tossing thinly sliced basil or mint with berries for a beautiful and delicious way to start your day. You might also whip up some scrambled eggs and flavor them with a minced handful of chives (which taste a bit like mild onions). Throw big handfuls of parsley, basil, tarragon, chives, or even mint into a salad at lunch. These herbs also go well with beans, pasta or potatoes. Adding fresh herbs to your favorite dishes is one of the easiest and most delicious ways to power up your meals with flavor and nutrition. Herbs are packed with valuable phytochemicals that have antioxidant, anti-inflammatory and antibacterial qualities. With all of that goodness to offer, herbs really are a delicious kind of medicine! Give one of these great recipes a try: Minted Chimichurri Infused Water Compound butter with chili
Summer Harvest at Prescott Community Gardens
Along Granite Creek Trail, just a few blocks from Prescott’s Courthouse Square, gardeners are harvesting, watering, weeding, chatting and laughing among the plots of zucchini, cucumbers, tomatoes and other fresh-for-picking produce at Prescott Community Gardens. The beauty is, any member of our community can participate. Spring, summer and fall garden spaces are available to rent. Included in the $60 annual fee are a raised organic garden bed, water, tools, seeds, compost and free entry to various special events throughout the year. Each year, after the enjoyment of pulling fresh summer produce and herbs from her garden, board member Patti Indelicato prepares some favorite nutritious, tasty family recipes. “The biggest benefits of community gardening are the quality of the vegetables I grow and the interactions I enjoy with the other gardeners,” says Patti. Patti recently shared her mother’s recipe for Cool Cucumber Salad as well as a recipe for Baked Zucchini Rounds with Rita Carey Rubin, host of Yavapai Regional Medical Center’s Your Healthy Kitchen. Watch A Visit to Prescott Community Gardens on YouTube. Prescott Community Gardens is the brainchild of Prescott resident Colleen Sorenson. In 2008, Colleen was considering a masters thesis project for college and discovered a similar garden in Seattle. In 2011, the gardens became a reality. Colleen’s goal is to teach the community about sustainability, how to grow food in the difficult high desert, and how to live more sustainability. A diverse group of people and organizations have enthusiastically joined the effort. “That’s the thing that has been the most beautiful about this garden; building relationships,” Colleen says. “Prescott College, Launch Pad with the teenagers, YRMC, Over the Hill Gang, Alta Vista Garden Club, Master Gardeners. It’s been a really intense relationship, which has been great.” The community of friends has flourished. “A garden is a safe place to share ideas no matter your background,” Colleen smiles. “What better place to share knowledge than with your hands in the dirt, together?” Those who join the group often volunteer by helping out with watering, weeding, maintenance, special events, advertising, and more. Special community events include a Soil Amendment Day, Basil Fest, and a Fall Harvest Festival with garden-fresh food, music, children’s activities and Master Gardeners on hand to answer your gardening questions. To learn more, or to rent a garden space, visit prescott community gardens. Click below to download and print Patti’s recipes: Cool Cucumber Salad Baked Zucchini Rounds YRMC’s Your Healthy Kitchen is one of the many ways that Yavapai Regional Medical Center provides health and wellness education to our community. For affordable, healthy meal ideas, downloadable recipes, tips, videos and more, visit yrmchealthconnect.org. You can also follow us on Facebook.