
YRMG Welcomes Accomplished Neurosurgeon to the Quad Cities
Neurosurgeon Sam Safavi-Abbasi, MD, is now performing advanced brain and spine surgeries as well as the latest minimally invasive procedures in the Quad Cities, thanks to an affiliation between Dignity Health, Yavapai Regional Medical Group (YRMG) and Barrow Brain and Spine. “This is a major step forward for neurosurgical services in our community and throughout northern Arizona,” says Ken Boush, Director, Marketing and Communications at Dignity Health, Yavapai Regional Medical Center (YRMC). “Dr. Safavi-Abbasi’s expertise as a neurosurgeon complements the care provided by the team at YRMG, Neurosurgical Medicine and Physiatry.” Training with Top Neurosurgeons Dr. Safavi-Abbasi studied spine biomechanics and spinal disorders as well as cerebrovascular and skull base brain tumors during neurosurgical fellowships at Barrow Neurological Institute in Phoenix, Arizona. Following his fellowships, Dr. Safavi-Abbasi joined Barrow Brain and Spine, a physician-owned practice that partners with Barrow Neurological Institute. He specializes in: Spinal diseases Spinal pain Spinal disorders Neck pain Low back pain General neurosurgery Brain and spinal tumors Neurosurgical spine surgery Neurotrauma An Excellent Medical Education Dr. Safavi-Abbasi earned his medical degree from Georg-August-University, Medical School in Göttingen, Germany and undertook additional training at the University of California San Diego School of Medicine. From there, he pursued an internship and residency at the University of Oklahoma, Department of Neurosurgery, in Oklahoma City. How to Reach Dr. Safavi-Abbasi Dr. Safavi-Abbasi is located on the campus of Yavapai Regional Medical Center (YRMC) West in the new Outpatient Services Building West at: 1001 Willow Creek Road Suite 3100 Prescott, Arizona 86301 (928) 445-4818

YRMG Cardiologist Lives Life with Heart
Many people have important childhood experiences that steer them towards their life’s work. Few, however, can point to an event as significant as testifying before the United Nations at 11 years old. That experience motivated Olufunso Odunukan, MD, MPH, FACC, FSCAI – an interventional cardiologist who recently joined Dignity Health, Yavapai Regional Medical Group (YRMG) – to pursue a career in medicine. “At the time, there was a big famine in Ethiopia,” says Dr. Odunukan, who was born and raised in the African country of Nigeria, approximately 2,000 miles west of Ethiopia. “That early exposure to advocacy and children’s health issues inspired me. I resolved to become a pediatrician. I did become a doctor, but as life would have it, I became intrigued by other subjects, one of them being cardiology.” The Interventional Cardiology Revolution Dr. Odunukan’s passion for cardiology was sparked during an internal medicine internship at the Mayo School of Graduate Medical Education in Rochester, Minnesota. There, he grew to appreciate how important the heart is to organs throughout the body. Inspired by this, Dr. Odunukan took his education to another level during two interventional cardiology fellowships at the prestigious Scripps Clinic in La Jolla, California. Dr. Odunukan’s medical education coincided with groundbreaking advancements that expanded non-surgical – or minimally invasive – treatment options for people with valvular heart disease, such as aortic stenosis, mitral valve regurgitation and more. These interventional cardiology procedures reduce the need for open heart surgeries, shorten hospital stays and return people to their lives quickly. “Basically, we’ve found ways to close holes and repair tight or leaky heart valves without even opening the heart,” says Dr. Odunukan. “This has given the frail elderly – many who are not strong enough for open heart surgery – a second chance at life. And that is so inspiring to me.” A Well-Rounded Education Dr. Odunukan’s avid curiosity has motivated him to seek new experiences throughout his medical education. He participated in two global health exchange programs: one in Finland and another in the Philippines. During his fellowships, Dr. Odunukan became intrigued with how interventional cardiology was practiced in areas with few resources. This led him to spend a month working – and learning – in the Cath Lab of the All India Institute of Medical Sciences, the leading healthcare institution in New Delhi, India. “In the U.S.,” Dr. Odunukan says, “I’ve lived in ten states in 15 years.” Many of these moves were related to Dr. Odunukan’s interventional cardiology training. However, he also pursued opportunities to practice cardiology in rural South Dakota, Georgia and West Virginia. For the Sake of Patients Dr. Odunukan’s experiences have made him an expert at caring for patients across the cardiology spectrum. “It’s incredibly gratifying to save someone’s life by removing a blood clot that’s blocking their heart and then to place a stent that will keep their blood flowing,” he says. “There’s also great joy in helping someone manage their risk factors – like hypertension and diabetes – to optimize their quality of life.” Embracing a New Community As you would expect of someone who has thrived in a variety of locations, Dr. Odunukan has wasted no time getting involved in his new community. He’s hiked the Tonto Rim Trail in the Grand Canyon with a group from Yavapai College and joined the Bike Prescott group. “The Quad Cities area is known for its excellent climate and outdoor activities,” Dr. Odunukan says. “There are lots of opportunities for a good work-life balance.” How to Reach Dr. Odunukan Dr. Odunukan is located on the campus of Yavapai Regional Medical Center (YRMC) West in the new Outpatient Services Building West at 1001 Willow Creek Road, Suite 2200, in Prescott. To schedule an appointment with Dr. Odunukan, call YRMG Cardiology at (928) 445-6025.

YRMC Announces the 2021 Volunteers of the Year
What’s the best job in the world? Working with volunteers, of course! Just ask Nancy Thomes, the Director of Volunteer Services at Dignity Health, Yavapai Regional Medical Center (YRMC). “I am so fortunate to be where I am because I work with top-notch people every day,” says Thomes. “It takes a giving heart to be a volunteer, and I’m surrounded by hundreds of volunteers with very generous hearts.” The volunteers are an integral part of the hospital, enhancing the patient experience and providing much needed support to YRMC staff. While the pandemic restricted their involvement over the past 2 years, YRMC is currently working to reopen additional service areas. Along the way, volunteers build friendships and enjoy the sense of purpose that volunteering provides. Each year, YRMC Volunteer Services recognizes three volunteers whose service to the hospital, its patients, and the community embodies the Mission and Vision of Dignity Health, Yavapai Regional Medical Center. Each recipient is recognized for the unique ways in which they make YRMC a better place. YRMC East Volunteer of the Year, Maggie Goltra “Nancy had asked if I could attend a meeting at the West Campus, and of course, if I can help in any way, I will be there,” recalls Goltra. “When we walked into the room, I recognized some of the staff, but still couldn’t figure out what I was doing there. When Nancy told me that I was Volunteer of the Year – East Campus, I was completely shocked – that never entered my mind! What an honor!” Goltra started volunteering at YRMC in 2007. Over the years, she has worked in Admitting, Care Management, and the Family Birthing Center, and now works at the East Campus Front Lobby. Volunteer Services Manager, Victoria Spears says that Goltra is one of those kinds of people that you just love being around. As the first point of contact when you walk through the hospital doors, the Front Desk volunteers have an important role. They can often set the tone for the patient or visitor’s experience, offering information and assurance. Duties include helping patients check in at the kiosk, helping visitors sign in, escorting patients and visitors throughout the hospital, delivering items, and regularly sanitizing the area. “Maggie does all of this with a big smile and gracious attitude,” notes Spears. “Everyone who is around Maggie cannot help but smile. She is a joy to be around!” Goltra gives credit to her fellow volunteers as well. “It’s nice to work with a group of people who are there because they want to be,” she says. “I work with Debbie, Wayne, and Gus, who are always there with a friendly hello and a readiness to help all of the patients and visitors who come in. These are the type of volunteers I would like to have welcome me to the hospital.” With more than 1,850 volunteer hours under her belt, Goltra is a true asset to YRMC. Yet she describes her role in simple terms: to be helpful, even if in a small way. “The best part about volunteering at YRMC is just being able to help make our patients’ time at the hospital a bit easier, in our small way,” she explains. “It’s important to be able to help where you can, especially if it is making someone’s day easier or less stressful.” YRMC West Volunteer of the Year, Mary Kerper Mary Kerper worked for 42 years for an international mechanical parts distributor, overseeing operations, training, auditing, and continuous improvement for more than 400 locations. Retirement brought her and her husband to Prescott in 2019. Their desire was to continue to contribute to their new community. “I have had chores, responsibilities, and jobs since elementary school,” says Kerper. “I was taught that work is important, and contribution is necessary to help others, as well as yourself. Volunteering helps me to maintain my sense of self while I provide support to others.” Nancy Thomes recognizes Kerper’s strong work ethic as she looks back on the past few years. “Mary is one of the volunteers who didn’t let COVID stop her from volunteering,” recalls Thomes. “She stayed active until we suspended all volunteers and returned immediately when we could open up the Information Desk – our only service area for a while. She took on an extra shift and was a ‘rock’ throughout that very uncertain time.” Staff and fellow volunteers agree. When asked why she is a stand-out volunteer, responses include: Mary is so vigilant – always alert to who is coming through the doors. She consistently subs for her fellow volunteers when she is available. One of Mary’s responsibilities is training new volunteers. They consistently remark how thorough she is with her training. She is helpful, compassionate, and caring, along with a friendly smile! The Front Desk is a challenging area of service, and she has remained calm throughout. Mary is a problem solver extraordinaire! “It is so amazing to come to a place of healing and do what I can to contribute to the patients, visitors, staff, and my fellow volunteers,” says Kerper. Yet on a larger scale, she reflects on the importance of her award. “This award reinforces the importance of the role of volunteers. It really shows the value that YRMC leadership places on the contributions the volunteers make. I love being part of this team. Leadership here at YRMC clearly includes volunteers as valuable members of their team.” “The new relationship between Dignity Health and YRMC has brought change, and will no doubt bring more change. But the community will benefit greatly,” she continues. “What I feel will not change is the commitment our leadership has to the hospital and to our community. The volunteers will always be here to help.” The Sandy Zinn Martin Award, Norma Bauer When describing Norma Bauer and her dedication to YRMC patients, staff, visitors, and fellow volunteers, Nancy Thomes is reminded of a television show. “There is a show called New Amsterdam. The setting is in a hospital, and the Medical Director is often seen moving about the hospital asking, ‘How can I help?’ The writers may not know this, but they must have fashioned that character after Norma Bauer.” Thomes continues, “She has been SUPER flexible, changing service areas often, and always willing to go where needed. When I ask for favors of volunteers, I often begin with a reminder that ‘No’ is an acceptable answer. That is a word that Norma rarely uses.” The award is named after a former volunteer, Sandy Zinn Martin, whose spirit lives on in the selfless service that Bauer demonstrates. It’s often the little things that show the true character of a person – the things that go unnoticed by most people. Thomes shares a brief but telling story. “A staff member sent me an e-mail after observing Norma assisting a patient who was having trouble getting something from a vending machine. Norma was a patient coach, gentle and kind.” “This award is a humbling honor; there are so many dedicated volunteers,” says Bauer. “I believe it indicates that staff and other volunteers have considered my presence and efforts in a positive light and kindly took the time to ‘say so.’” “Nearly every shift includes at least one interaction that stands out from the rest,” Bauer reflects. “What makes the greatest impact on me usually comes from a patient who expresses apprehension approaching a procedure. A brief suggestion to expect the staff to be caring and understanding can often serve to lessen the patient’s anxiety.” Bauer has been called a true role model in the Volunteer Services program, with some affectionately referring to her ‘old-world mannerisms.’ According to staff and fellow volunteers, Bauer’s gracious, polite, and professional approach informs everything she does. Comments include, “It was a privilege to be tutored and to subsequently work with Norma,” and, “She deserves this recognition.” When she was invited to consider volunteering at YRMC, Bauer didn’t hesitate. She was impressed with the quality of care given to her friends and family. “Volunteering at YRMC is an opportunity to support and give back to an organization that benefits our community,” she explains. “It gives me a sense of purpose and provides interests beyond myself. YRMC values its volunteers and demonstrates their appreciation of them.” “I sincerely enjoy volunteering at YRMC. It has become an enriching part of my life.” To learn more about becoming a volunteer at Yavapai Regional Medical Center, visit DignityHealth.org/YRMC. Or you can call Volunteer Services in Prescott at (928) 771-5678, or in Prescott Valley at (928) 442-8683.

Keeping Your Immune System Healthy with Food
Over the last few years, we have heard a lot about the importance of having a strong and balanced immune system. Good research shows that regular exercise, solid sleep, and a nutrient-packed, anti-inflammatory diet all contribute to reduced risk of illness from viruses and chronic conditions like cancer, cardiovascular, and autoimmune disease. A nutritious, anti-inflammatory diet creates the foundation for healthy immune function in a number of ways. Meals that feature fresh vegetables, greens, fruit, nuts, seeds, and other healthy sources of protein provide essential nutrients that immune cells need to do their jobs. These nutrients include zinc, selenium, folic acid, and vitamins A, C, D and E. Phytochemicals found in a variety of plant foods — especially herbs, spices and dark green, red, orange and purple vegetables and fruit — reduce chronic inflammation, helping the immune system work more effectively. Fiber from plants feeds the microbiome, the collection of bacteria that live in the gut. A large part of immune function resides in the gut, where immune cells partner with healthy bacteria to keep us free from harmful pathogens and disease. Join me in our latest episode of YRMC’s Your Healthy Kitchen, where I dive into more details about the foods that protect us from illness, while preparing a delicious, immune-boosting soup! Recipe: Homemade Vegetable or Chicken Broth Recipe: Gingery and Garlicky Chicken Soup You can find many more nutrient-packed, immune-supportive meal ideas at yrmchealthconnect.org. Remember to follow me on Facebook as well, where I post photos and videos of the simple, healthy food I make at home, plus links to my favorite food and gardening destinations on the web.

Women and Chronic Pain: Life on Your Terms
Fibromyalgia, osteoarthritis, rheumatoid arthritis, spinal and pelvic disorders—they’re a few of the medical conditions many women face, all of which can lead to chronic pain. Pain is considered chronic when it persists longer than three to six months and essentially becomes imprinted on the nervous system. “In neuroscientific terms, pain is a necessary protective response from our nervous system,” explains Cheryl Van Demark PT, C-IAYT, Co-facilitator, Chronic Pain Self-Care Program at Dignity Health, Yavapai Regional Medical Center (YRMC). “We experience pain in situations of actual or anticipated threat.” Van Demark – a physical therapist and certified yoga therapist from YRMC’s Physical Rehabilitation Services – emphasizes that chronic pain is real and each individual’s experience with pain is unique. She notes that a history of trauma, adversity or prolonged periods of stress can affect how we experience pain. Learn How to Create Your Narrative YRMC’s Chronic Pain Self-Care Program includes five weekly, two-hour sessions of approximately 10 group participants. Van Demark is joined by co-facilitators – a physical therapist, yoga therapist, nutritional counselor, pharmacist and behavioral health specialist – who share information and dialogue with the group. A cornerstone discussion of the group is pain as influenced by perception. For example, a woman with osteoarthritis cannot change her medical condition, but she can change or develop self-care behaviors to improve how she lives with the condition. “That’s called life on your terms,” says Van Demark. “You don’t choose the circumstances, but you can create your own narrative. Developing mindful attention to our inner dialogue allows us to include self-affirming messages and challenge unhelpful mental chatter.” During the program, Van Demark and other co-facilitators foster a positive, supportive environment that has proven successful. “We remind participants that they are wise and intuitive and they should expect to be treated this way by the people from whom they seek treatment,” she says. “Because chronic pain tends to influence all facets of life – activity level, sleep, appetite, relationships, to name a few – their treatment also needs to touch all of those facets. This calls for self-honesty and courage.” Your Journey to Self-Care & Wellbeing YRMC’s Chronic Pain Self-Care Program includes self-care and wellbeing habits to: Reduce stress Feel sensations of comfort and relaxation Use food as medicine Face fear of movement Mitigate suffering Cope with uncertainty Befriend the body Pace physical activity Develop self-compassion The more participants repeat these behaviors, the stronger their self-compassion skills become. Many thrive under the encouragement of other group members. Others find inspiration by leaning into their personal religious and spiritual beliefs. “This support is very affirming for women as some tend to go out of their way to support everybody else and put themselves at the end of the line,” Van Demark says. “This jeopardizes our personal wellbeing. Pain tends to become more persistent when our wellbeing is compromised.” Following the five-week session, some participants opt for individual physical therapy sessions from Van Demark to work on specific areas of importance to them. Want to join YRMC’s Chronic Pain Self-Care Program? Tell your physician and ask for a referral. For more information, call (928) 771-5131, check out our program flyer or visit DignityHealth.org/YRMC.

YRMC Physician Treats Heart Rhythm Problems
When Nisha Tung, MD, was a young girl she wanted to be a surgeon when she grew up. After all, she came from a family of physicians and medicine was in her blood. But her family also had a history of heart problems and as an adult she decided to enter the field of cardiology, before going on to specialize in treating heart rhythm problems called arrhythmias. Dr. Tung started out at Indiana University in Indianapolis as a resident in internal medicine. She then moved to Arizona to complete a cardiology fellowship at the Mayo Clinic in Scottsdale, where she was then hired as a general cardiologist. Dr. Tung decided to specialize in electrophysiology, a subspecialty of cardiology, and moved to Los Angeles to receive training at the University of California. As a newly board-certified cardiac electrophysiologist and cardiologist, Dr. Tung returned to Phoenix and entered private practice. “I soon recognized the need for an electrophysiologist in Northern Arizona,” she said. “It was a real hardship for patients to come to Phoenix for consultation, procedures and follow-up. I decided it would be best to set up an outreach clinic in Northcentral Arizona. After falling in love with the community of Prescott I accepted an offer from Dignity Health, Yavapai Regional Medical Center to develop an electrophysiology program in 2015.” Today Dr. Tung is the director of a growing electrophysiology program within YRMC’s James Family Heart Center. “When the electrophysiology program opened in August 2015 we were already booked with procedures,” she said. “Since then procedures have doubled to about 500 a year. “I am extremely passionate about my patients,” she continued. “With me every patient is a VIP. I am deeply committed to achieving the best outcome for every patient in my care.” When not working Dr. Tung enjoys hiking, biking, tennis, racquetball and pickleball. She also enjoys spending time with her family and 10-year-old son who wants to be a doctor when he grows up. Electrophysiology Services at YRMC Electrophysiology is a subspecialty of general cardiology which deals exclusively with electrical pulses that regulate the heart. When these pulses beat steadily, they signal the heart to pump the blood that oxygenates, feeds and protects the body. When the heartbeat is off—either too fast, slow or erratic—arrhythmias, or irregular heart rhythms, develop. These arrhythmias can lead to stroke, heart attack or even sudden death. As an electrophysiologist with YRMC’s James Family Heart Center, Dr. Tung specializes in identifying and correcting these arrhythmias. Depending on the source of the problem, she may use cardiac ablation, a noninvasive procedure where she inserts a slim catheter and destroys problem cells by applying cold or heat. Or she may need to regulate the heart’s rhythm by implanting a device like a pacemaker or defibrillator, which she then monitors through remote follow-up technology. So how do you know if you have an arrhythmia? Symptoms include fluttering in the chest, chest pain, dizziness, shortness of breath, sweating and anxiety. If you experience these symptoms see your primary care physician or go to the ER if the pain is severe. If they think you have an arrhythmia, ask for a referral to see Dr. Tung.

What Are Your Tired Legs Telling You?
Do your tired legs keep you from doing what matters most to you? If your lower limbs feel fatigued even after minimal exercise, they may be sending an SOS. Tired legs may be caused by a vein disorder that can be easily diagnosed and treated. However, if it’s left untreated, that disorder can progress into a serious condition. “People often don’t associate tired legs with a health issue,” said Anil Kumar, MD, MRCP, FACC, RPVI, RPhS, Medical Director of the Vein Center at Dignity Health, Yavapai Regional Medical Center (YRMC) in Prescott Valley. “In reality, tired legs may be a symptom of chronic venous insufficiency.” An estimated 40 percent of Americans may suffer from chronic venous insufficiency (CVI), according to the Society for Vascular Surgery. It’s most common in women – especially after multiple pregnancies – and in people who are middle-aged or older. CVI occurs when the venous walls and/or the valves in the leg’s veins have been damaged. This makes it difficult for blood to move from the legs to the heart, which causes blood to pool above the ankles. Pull On Compression Stockings At the Vein Center, Dr. Kumar creates individual care plans to address CVI. Those plans include using compression stockings to promote better blood flow, reduce swelling and relieve discomfort. The team at the Vein Center can help you choose the right stockings to wear every day. Vein Ablation for Vein Health For some patients, Dr. Kumar recommends vein ablation, which closes the unhealthy vein and redirects the blood to a healthy vein. The Vein Center offers: VenaSeal Ablation Radiofrequency Ablation Liquid Sclerotherapy and Compression For more information about the Vein Center at YRMC, contact us at (928) 759-5890.

What to Consider When Finding Care for Your Aging Parents
What to Consider When Finding Care for Your Aging Parents Your parents may have expressed to you that as they get older, they hope to age in place in their own home. However, you may start to see indicators that they will need more care as time passes. Changes in their health, physical abilities or mental capacity may be the first clues that a conversation about senior living options may be needed. This can be a difficult discussion to initiate with your parents, and the choices may seem overwhelming. Experts suggest that you take some time to educate yourself about the various living options available before you begin talking with your parents. Include your parents’ healthcare provider. Encourage your parents to be active participants in the decision making, as much as they are able. Finally, keep in mind that there are no right or wrong solutions. Everyone’s retirement is different, and different living options appeal to, and are suitable for, different people. One of the best ways to begin is to evaluate your parents’ basic self-care tasks, known as ‘Activities of Daily Living’ or ADLs, such as bathing, personal hygiene, dressing, and feeding oneself. If you’re starting to notice that any of these tasks are getting more difficult, make sure that the option you and your parents choose offers this type of assistance. Other questions to consider are: Can my parent keep track of their medical – and other – appointments? Can they manage their medication(s) on their own? Are they able to prepare meals on their own? Are they able to safely move around their living space on their own? Are they engaged in an active social life? If they are living alone, do they seem isolated or overwhelmed? What financial limitations do we have? The good news is that retirement living options have evolved leaps and bounds over the last few decades. There is a variety of choices that offer a range of personal and health care services, including: care for those who can no longer live independently but do not yet need or wish to move into a specialized facility; independent living communities, which offer a rich social life and daily activities; and care facilities that provide a continuum of care as your parents’ needs change over time, allowing them to stay in place as time passes. Here is an overview of the most common senior living options: Independent Living – This may be the right choice for parents who are able to live on their own, but who are looking for a social life and group activities. Residents live in their own apartments, but they can take advantage of services such as community meals, housekeeping and transportation to appointments and other events. Adult Day Care – This option will ensure that your parents receive care and companionship during the day in a safe, friendly environment. These centers usually operate during normal business hours, Monday through Friday. Some centers focus primarily on social interaction, some provide medical care, and some specialize in Alzheimer’s and dementia care. Home Healthcare – This option will allow your parent to remain in their own home while still receiving necessary medical attention. A nurse visits regularly to help with medication management and other medical needs. Homecare workers can also assist with meals, housekeeping and other tasks as often as needed. Assisted Living – Designed for seniors who can no longer live independently, assisted living facilities offer ongoing support with daily tasks such as the administration of medications, bathing, dressing and grooming. Residents have their own living space, with the added assurance that help is nearby. While assisted living facilities do not offer medical care, they are continuously staffed to provide help when needed. Extended Care – If your parent has a health condition that requires constant monitoring by medical personnel, this may be the choice for you. Many extended care facilities offer social activities, a beauty salon and restaurant-style dining. Rooms may be private or shared. Some extended care facilities also specialize in caring for patients with dementia and Alzheimer’s disease. Regardless of the choice you make, keep in mind that you have an important role as your parent’s caregiver and advocate. Make sure you meet the staff who will be assisting your parent and learn about the daily schedule and other protocol. Help your parent settle in to their new home by decorating it with family photos and other familiar items from their previous home. Make an effort to meet their new neighbors and friends. Finally, frequent visits, and outings if possible, will help with the transition. Helping your parent move from the home they are familiar with can be a difficult and sometimes bittersweet experience – after many years, you are now the caregiver. It helps to keep in mind that the move is for your parent’s safety, security, health and well-being. There are many caregiver support groups that can help you along the way. A good place to start is with AARP’s Family Caregiving web page. Click here to learn more.

First Robotic-Arm Assisted Surgery Launches A New Era in Orthopedic Surgery
The Quad Cities’ first robotic-arm assisted surgery took place at Dignity Health, Yavapai Regional Medical Center (YRMC) in Prescott, Arizona on January 26. The successful operation – a knee replacement – was performed by Jason Weisstein, MD, MPH, FACS, Orthopedic Surgeon at Dignity Health, Yavapai Regional Medical Group (YRMG). Orthopedic Surgeon Dr. Jason Weisstein specializes in robotic-arm assisted surgery and joint replacement. “As the Quad Cities first robotic-arm assisted surgery, this is a medical milestone,” says Anthony Torres, MD, FACP, Chief Medical Officer, YRMC. “Going forward, we’re confident YRMC’s robotic-arm assisted surgery program will positively affect people from throughout northern Arizona who need partial or total knee replacement.” According to Dr. Torres, Dr. Weisstein has vast experience performing total and partial knee replacements using robotic-arm assisted technology. His background, combined with YRMC’s recently acquired Stryker Mako Robotic-Arm, are the key components of a state-of-the-art robotic surgery program. Robotic-arm assisted surgery allows specially trained orthopedic surgeons, like Dr. Weisstein, to create a 3-D, virtual model of the patient’s unique knee anatomy. During the procedure, the robotic arm guides the surgeon to the predefined area to prepare the bone for the implant. This results in a precise and better-aligned knee replacement. A Game-Changer for Patients What does the availability of robotic-arm assisted surgery mean for patients who need partial or total knee replacement? “It’s a game-changer in every aspect for knee replacement patients,” Dr. Weisstein says. “The accuracy and precision afforded by use of the robot is unparalleled, leading to better component position and improved patient satisfaction. It’s a major step forward for orthopedic care in Yavapai County.” Robotic-arm assisted knee replacement has many other benefits, including: Less soft tissue dissection Ability to preserve healthy bone and soft tissue Less post-operative pain Faster functional recovery and shorter hospitalization Learn More For more information, or to schedule an appointment at YRMG, Orthopedic Surgery, speak to your primary care provider or contact the clinic at (928) 708-4545. YRMG, Orthopedic Surgery is located at: 3195 Stillwater Drive, Suite D Prescott, Arizona 86305 Outpatient Services Building West on the YRMC West Campus 1001 Willow Creek Road, Suite 1300 Prescott, Arizona 86301 Del E. Webb Outpatient Center 3262 North Windsong Drive, Suite B Prescott Valley, Arizona 86314

Healthy Conversations Introduces Joint Replacement Expert Dr. Jason Weisstein
The Quad Cities and Jason Weisstein, MD, MPH, FACS, fit together as naturally as the ball-and-socket joint of the hip fits to the thighbone. That’s an apt description for how Dr. Weisstein – an accomplished orthopedic surgeon who recently joined Dignity Health, Yavapai Regional Medical Group (YRMG) – has taken to his new home. “The opportunity to live in a four-seasons community with great outdoor recreational activities is one reason we were interested in the Prescott area,” says Dr. Weisstein. “My family moved here from Colorado, which has a similar desert-alpine environment. Everything has just kind of fit.” Revolutionary Hip Replacement Surgery Professionally, the community is also a good fit for Dr. Weisstein. A joint replacement specialist, he performs anterior-approach hip replacement and also continues to teach other surgeons the technique. Anterior-approach hip replacement is an advanced, minimally invasive procedure that has enabled orthopedic surgeons to get patients back to the activities they enjoy faster than traditional hip replacement. However, the surgery is not widely available because only 10 to 20 percent of orthopedic surgeons are qualified to perform it. “This is probably my favorite procedure because patients who have it do so well,” says Dr. Weisstein. “In six-to-eight weeks they’re back doing what they enjoy whether that’s golf, tennis or pickleball.” More in Store for YRMC’s Orthopedic Services Dr. Weisstein is not only trained as an anterior-approach hip replacement surgeon, he also has vast experience with robotic knee replacement. YRMC recently acquired a Mako Robotic-Arm. Dr. Weisstein will help spearhead the organization’s robotic knee program, which will offer state-of-the-art partial and total knee replacement. And, how does Dr. Weisstein feel about the work he does as an orthopedic surgeon in our community? “It’s a great feeling to go home and know that I’ve spent the day affecting people’s lives in such a positive way,” he says. Schedule an Appointment To schedule an appointment with Dr. Weisstein, speak to your primary care provider or call YRMG, Orthopedic Surgery at (928) 708-4545. For more information about YRMG, Orthopedic Surgery, visit us here.

It’s Official: YRMC’s Breast Care Center is a Center of Excellence!
The word “excellence” has long been associated with the Breast Care Center at Dignity Health, Yavapai Regional Medical Center. But now it’s official. YRMC’s Breast Care Center was recently designated a Breast Imaging Center of Excellence (BICOE) by the American College of Radiology (ACR). The three-year accreditation recognizes that YRMC’s Breast Care Center excels in all aspects of breast imaging, including these breast imaging modalities: Breast MRI Breast ultrasound (including ultrasound-guided breast biopsy) Mammography Stereotactic breast biopsy ACR accreditation is voluntary and an addition to required imaging licenses, surveys and accreditations. The BICOE application process includes comprehensive evaluations conducted by board-certified physicians and medical physicists in each of the four breast imaging modalities. “Our team decided to pursue BICOE accreditation for our patients and community,” says Kathi Hoffer, Imaging Manager, Breast Care Center at Dignity Health, YRMC. “We were confident that the Breast Imaging Center of Excellence designation would validate the level of care we provide.” BICOE accreditation means YRMC’s Breast Care Center has achieved the highest practice standards in: Image excellence Staff qualifications Facility equipment Quality control standards Quality assurance procedures The ACR is a national professional organization founded in 1923 to advance the practice and science of radiological care. Today, the organization’s more than 41,000 diagnostic and interventional radiologists, radiation oncologists, nuclear medicine physicians and medical physicists work together in support of that mission. For more information about YRMC’s Breast Care Center, visit DignityHealth.org/YRMC or call (928) 442-8900.

Fork in the Road Restaurants Help “Boot Out Cancer” with Support for YRMC’s Breast Care Center
Pictured left to right: David Beasar, The Office Cantina; Mary Mallory, YRMC Foundation Board; Joe Terrinoni, Fork in the Road; Dr. LaNette Smith, YRMC Breast Surgeon; Bill Sonsin, YRMC Foundation Board Secretary/Treasurer; Wendy Price, Fork in the Road; Dave Barrett, YRMC Foundation Board Chair; Krystal Burge, Desert De Oro Foods; Chad Burge, Desert De Oro Foods. Members of Desert De Oro Foods, Inc. and the Yavapai Regional Medical Center (YRMC) Foundation, a member of Dignity Health, met recently to celebrate the success of this year’s “Boot Out Cancer” fundraising program to benefit the Breast Care Center at Dignity Health, Yavapai Regional Medical Center (YRMC). Krystal Burge, co-owner of Fork in the Road Restaurants, presented a check in the amount of $27,695 to Dave Barrett, Chair of the YRMC Foundation and YRMC breast surgeon Dr. LaNette Smith in support of the Center. Boot Out Cancer is an annual fundraiser held by Desert De Oro’s Fork in the Road restaurants including the Gurley St. Grill, Murphy’s and The Office Cantina during October to raise funds for YRMC patients with needs related to breast cancer. The tradition started 14 years ago to honor Sonya Peterson, Mark Peterson and Krystal Burge’s mother, who bravely fought a 20-year battle with breast cancer. Mark and Krystal wanted to help our communities where others may need support, and they match all funds raised at 100%. The Boot Out Cancer program has raised more than $125,000 in charitable support for the Breast Care Center. “We thank our employees and guests at all of our restaurants who support this journey with their donations each October in memory of our mother. We hope this tradition has improved the quality of lives of those who have been affected by breast cancer,” says Ms. Burge. Funds donated to the Breast Care Center are used to provide screening mammograms for those without insurance, essential health support for breast cancer patients including food cards, transportation vouchers and wigs, as well as continuing staff education. They also help ensure the Center has the latest technology, including the recent purchase of ultrasound units designed specifically for breast imaging. To learn more about the Breast Care Center at YRMC or to speak with a YRMC Foundation staff member, please contact (928) 771–5686 or foundation@yrmc.org or visit www.yrmcfoundation.org.

YRMC Foundation Provided More than $2 Million in 2021, Supporting a Wide Range of Services for our Community
Pictured above: The Woodruff Family Conference Center in the new Outpatient Services Building West at Dignity Health, Yavapai Regional Medical Center in Prescott. Dave Barrett, Board Chair of the Yavapai Regional Medical Center (YRMC) Foundation, is pleased to report that the Foundation provided $2,128,505 during 2021. The funds will support a wide range of Medical Center programs and services. “The generosity of our community of donors is really quite remarkable,” says Barrett. “Every gift, large or small, touches someone’s life in a positive way.” The variety of initiatives funded by the Foundation in 2021 includes: The purchase of next-generation ultrasound imaging systems for the Breast Care Center and James Family Heart Center Leasing fees for the YRMC COVID–19 Vaccination Center at the Prescott Gateway Mall Construction of the Woodruff Family Conference Center in the new Outpatient Services Building West at the Prescott Campus Planning and operational support for YRMC’s newly established Cognitive Assessment and Support Center and Alzheimer’s and Dementia Care Program Primary care and behavioral health services for children served by YRMC’s Partners for Healthy Students program Essential health support for breast cancer patients who do not qualify for other programs or community services New clean clothing for patients in need so they can be discharged with dignity Diabetes management supplies for financially vulnerable patients Toys for children in our Pediatric Unit and Emergency Department Reflecting on the importance and impact of our community’s charitable support of the Foundation, YRMC President and CEO John Amos stated, “It is vitally important to our mission. I often say that charitable support provides the margin between adequacy and excellence.” You change the world with your giving heart. To learn more about supporting the YRMC Foundation or to speak with a member of our staff, please contact (928) 771–5686 or foundation@yrmc.org, or visit www.yrmcfoundation.org.

Woodruff Family Conference Center Dedicated at Dignity Health, YRMC West
Benny and Ellen Benson at the newly dedicated Woodruff Family Conference Center, Dignity Health, Yavapai Regional Medical Center On December 7th, family and friends of Bob and Margaret Woodruff, together with members of the Yavapai Regional Medical Center (YRMC) Foundation (a member of Dignity Health), the YRMC Foundation Board and YRMC leadership, gathered at YRMC’s new Outpatient Services Building for the dedication of the Woodruff Family Conference Center. The Woodruffs moved to the Prescott community in the early 1980’s. Being recently retired, they quickly adopted Prescott as their new hometown and became involved in many local activities. In addition, they volunteered for community service organizations including Friends of the Library, Meals on Wheels, and Yavapai Regional Medical Center. Their daughter, Ellen Benson, noted, “My mother and father believed that it is through kindness and helping others, using the grace we have been given, that we meet the world in its needs. When my parents decided to include the Medical Center as a beneficiary of their estate, they did so knowing their gift would be invested wisely.” Ellen recognized the knowledge and learning that will be shared in the new Conference Center will enrich the lives of the people of our community and is a wonderful tribute to the legacy of Margaret and Bob. The Woodruff Family Conference Center is located on the first floor of the newly completed Outpatient Services Building at YRMC’s Prescott campus. The Conference Center, fully equipped with state-of-the-art conferencing technology, includes a multipurpose lecture room, two classrooms and a demonstration kitchen. “The Woodruff family has honored our organization and our community through their kindness and generosity,” said YRMC Foundation Executive Director Robbie Nicol. “The Center will serve as the hub for the continuous education of our staff, ensuring the ongoing delivery of quality and compassionate patient care. Additionally, it will be a gathering place for our community, a place for learning where community members can enjoy educational programs such as YRMC’s Healthy Conversations speaker series and the ‘Your Healthy Kitchen’ programs.” To learn more about community education at YRMC or to speak with a YRMC Foundation staff member, please contact (928) 771–5686 or foundation@yrmc.org, or visit www.yrmcfoundation.org.

YRMG Cardiologist Lives Life with Heart
Many people have important childhood experiences that steer them towards their life’s work. Few, however, can point to an event as significant as testifying before the United Nations at 11 years old. That experience motivated Olufunso Odunukan, MD, MPH, FACC, FSCAI – an interventional cardiologist who recently joined Dignity Health, Yavapai Regional Medical Group (YRMG) – to pursue a career in medicine. “At the time, there was a big famine in Ethiopia,” says Dr. Odunukan, who was born and raised in the African country of Nigeria, approximately 2,000 miles west of Ethiopia. “That early exposure to advocacy and children’s health issues inspired me. I resolved to become a pediatrician. I did become a doctor, but as life would have it, I became intrigued by other subjects, one of them being cardiology.” The Interventional Cardiology Revolution Dr. Odunukan’s passion for cardiology was sparked during an internal medicine internship at the Mayo School of Graduate Medical Education in Rochester, Minnesota. There, he grew to appreciate how important the heart is to organs throughout the body. Inspired by this, Dr. Odunukan took his education to another level during two interventional cardiology fellowships at the prestigious Scripps Clinic in La Jolla, California. Dr. Odunukan’s medical education coincided with groundbreaking advancements that expanded non-surgical – or minimally invasive – treatment options for people with valvular heart disease, such as aortic stenosis, mitral valve regurgitation and more. These interventional cardiology procedures reduce the need for open heart surgeries, shorten hospital stays and return people to their lives quickly. “Basically, we’ve found ways to close holes and repair tight or leaky heart valves without even opening the heart,” says Dr. Odunukan. “This has given the frail elderly – many who are not strong enough for open heart surgery – a second chance at life. And that is so inspiring to me.” A Well-Rounded Education Dr. Odunukan’s avid curiosity has motivated him to seek new experiences throughout his medical education. He participated in two global health exchange programs: one in Finland and another in the Philippines. During his fellowships, Dr. Odunukan became intrigued with how interventional cardiology was practiced in areas with few resources. This led him to spend a month working – and learning – in the Cath Lab of the All India Institute of Medical Sciences, the leading healthcare institution in New Delhi, India. “In the U.S.,” Dr. Odunukan says, “I’ve lived in ten states in 15 years.” Many of these moves were related to Dr. Odunukan’s interventional cardiology training. However, he also pursued opportunities to practice cardiology in rural South Dakota, Georgia and West Virginia. For the Sake of Patients Dr. Odunukan’s experiences have made him an expert at caring for patients across the cardiology spectrum. “It’s incredibly gratifying to save someone’s life by removing a blood clot that’s blocking their heart and then to place a stent that will keep their blood flowing,” he says. “There’s also great joy in helping someone manage their risk factors – like hypertension and diabetes – to optimize their quality of life.” Embracing a New Community As you would expect of someone who has thrived in a variety of locations, Dr. Odunukan has wasted no time getting involved in his new community. He’s hiked the Tonto Rim Trail in the Grand Canyon with a group from Yavapai College and joined the Bike Prescott group. “The Quad Cities area is known for its excellent climate and outdoor activities,” Dr. Odunukan says. “There are lots of opportunities for a good work-life balance.” How to Reach Dr. Odunukan Dr. Odunukan is located on the campus of Yavapai Regional Medical Center (YRMC) West in the new Outpatient Services Building West at 1001 Willow Creek Road, Suite 2200, in Prescott. To schedule an appointment with Dr. Odunukan, call YRMG Cardiology at (928) 445-6025.

YRMC Physician Treats Heart Rhythm Problems
When Nisha Tung, MD, was a young girl she wanted to be a surgeon when she grew up. After all, she came from a family of physicians and medicine was in her blood. But her family also had a history of heart problems and as an adult she decided to enter the field of cardiology, before going on to specialize in treating heart rhythm problems called arrhythmias. Dr. Tung started out at Indiana University in Indianapolis as a resident in internal medicine. She then moved to Arizona to complete a cardiology fellowship at the Mayo Clinic in Scottsdale, where she was then hired as a general cardiologist. Dr. Tung decided to specialize in electrophysiology, a subspecialty of cardiology, and moved to Los Angeles to receive training at the University of California. As a newly board-certified cardiac electrophysiologist and cardiologist, Dr. Tung returned to Phoenix and entered private practice. “I soon recognized the need for an electrophysiologist in Northern Arizona,” she said. “It was a real hardship for patients to come to Phoenix for consultation, procedures and follow-up. I decided it would be best to set up an outreach clinic in Northcentral Arizona. After falling in love with the community of Prescott I accepted an offer from Dignity Health, Yavapai Regional Medical Center to develop an electrophysiology program in 2015.” Today Dr. Tung is the director of a growing electrophysiology program within YRMC’s James Family Heart Center. “When the electrophysiology program opened in August 2015 we were already booked with procedures,” she said. “Since then procedures have doubled to about 500 a year. “I am extremely passionate about my patients,” she continued. “With me every patient is a VIP. I am deeply committed to achieving the best outcome for every patient in my care.” When not working Dr. Tung enjoys hiking, biking, tennis, racquetball and pickleball. She also enjoys spending time with her family and 10-year-old son who wants to be a doctor when he grows up. Electrophysiology Services at YRMC Electrophysiology is a subspecialty of general cardiology which deals exclusively with electrical pulses that regulate the heart. When these pulses beat steadily, they signal the heart to pump the blood that oxygenates, feeds and protects the body. When the heartbeat is off—either too fast, slow or erratic—arrhythmias, or irregular heart rhythms, develop. These arrhythmias can lead to stroke, heart attack or even sudden death. As an electrophysiologist with YRMC’s James Family Heart Center, Dr. Tung specializes in identifying and correcting these arrhythmias. Depending on the source of the problem, she may use cardiac ablation, a noninvasive procedure where she inserts a slim catheter and destroys problem cells by applying cold or heat. Or she may need to regulate the heart’s rhythm by implanting a device like a pacemaker or defibrillator, which she then monitors through remote follow-up technology. So how do you know if you have an arrhythmia? Symptoms include fluttering in the chest, chest pain, dizziness, shortness of breath, sweating and anxiety. If you experience these symptoms see your primary care physician or go to the ER if the pain is severe. If they think you have an arrhythmia, ask for a referral to see Dr. Tung.

YRMC Announces the 2021 Volunteers of the Year
What’s the best job in the world? Working with volunteers, of course! Just ask Nancy Thomes, the Director of Volunteer Services at Dignity Health, Yavapai Regional Medical Center (YRMC). “I am so fortunate to be where I am because I work with top-notch people every day,” says Thomes. “It takes a giving heart to be a volunteer, and I’m surrounded by hundreds of volunteers with very generous hearts.” The volunteers are an integral part of the hospital, enhancing the patient experience and providing much needed support to YRMC staff. While the pandemic restricted their involvement over the past 2 years, YRMC is currently working to reopen additional service areas. Along the way, volunteers build friendships and enjoy the sense of purpose that volunteering provides. Each year, YRMC Volunteer Services recognizes three volunteers whose service to the hospital, its patients, and the community embodies the Mission and Vision of Dignity Health, Yavapai Regional Medical Center. Each recipient is recognized for the unique ways in which they make YRMC a better place. YRMC East Volunteer of the Year, Maggie Goltra “Nancy had asked if I could attend a meeting at the West Campus, and of course, if I can help in any way, I will be there,” recalls Goltra. “When we walked into the room, I recognized some of the staff, but still couldn’t figure out what I was doing there. When Nancy told me that I was Volunteer of the Year – East Campus, I was completely shocked – that never entered my mind! What an honor!” Goltra started volunteering at YRMC in 2007. Over the years, she has worked in Admitting, Care Management, and the Family Birthing Center, and now works at the East Campus Front Lobby. Volunteer Services Manager, Victoria Spears says that Goltra is one of those kinds of people that you just love being around. As the first point of contact when you walk through the hospital doors, the Front Desk volunteers have an important role. They can often set the tone for the patient or visitor’s experience, offering information and assurance. Duties include helping patients check in at the kiosk, helping visitors sign in, escorting patients and visitors throughout the hospital, delivering items, and regularly sanitizing the area. “Maggie does all of this with a big smile and gracious attitude,” notes Spears. “Everyone who is around Maggie cannot help but smile. She is a joy to be around!” Goltra gives credit to her fellow volunteers as well. “It’s nice to work with a group of people who are there because they want to be,” she says. “I work with Debbie, Wayne, and Gus, who are always there with a friendly hello and a readiness to help all of the patients and visitors who come in. These are the type of volunteers I would like to have welcome me to the hospital.” With more than 1,850 volunteer hours under her belt, Goltra is a true asset to YRMC. Yet she describes her role in simple terms: to be helpful, even if in a small way. “The best part about volunteering at YRMC is just being able to help make our patients’ time at the hospital a bit easier, in our small way,” she explains. “It’s important to be able to help where you can, especially if it is making someone’s day easier or less stressful.” YRMC West Volunteer of the Year, Mary Kerper Mary Kerper worked for 42 years for an international mechanical parts distributor, overseeing operations, training, auditing, and continuous improvement for more than 400 locations. Retirement brought her and her husband to Prescott in 2019. Their desire was to continue to contribute to their new community. “I have had chores, responsibilities, and jobs since elementary school,” says Kerper. “I was taught that work is important, and contribution is necessary to help others, as well as yourself. Volunteering helps me to maintain my sense of self while I provide support to others.” Nancy Thomes recognizes Kerper’s strong work ethic as she looks back on the past few years. “Mary is one of the volunteers who didn’t let COVID stop her from volunteering,” recalls Thomes. “She stayed active until we suspended all volunteers and returned immediately when we could open up the Information Desk – our only service area for a while. She took on an extra shift and was a ‘rock’ throughout that very uncertain time.” Staff and fellow volunteers agree. When asked why she is a stand-out volunteer, responses include: Mary is so vigilant – always alert to who is coming through the doors. She consistently subs for her fellow volunteers when she is available. One of Mary’s responsibilities is training new volunteers. They consistently remark how thorough she is with her training. She is helpful, compassionate, and caring, along with a friendly smile! The Front Desk is a challenging area of service, and she has remained calm throughout. Mary is a problem solver extraordinaire! “It is so amazing to come to a place of healing and do what I can to contribute to the patients, visitors, staff, and my fellow volunteers,” says Kerper. Yet on a larger scale, she reflects on the importance of her award. “This award reinforces the importance of the role of volunteers. It really shows the value that YRMC leadership places on the contributions the volunteers make. I love being part of this team. Leadership here at YRMC clearly includes volunteers as valuable members of their team.” “The new relationship between Dignity Health and YRMC has brought change, and will no doubt bring more change. But the community will benefit greatly,” she continues. “What I feel will not change is the commitment our leadership has to the hospital and to our community. The volunteers will always be here to help.” The Sandy Zinn Martin Award, Norma Bauer When describing Norma Bauer and her dedication to YRMC patients, staff, visitors, and fellow volunteers, Nancy Thomes is reminded of a television show. “There is a show called New Amsterdam. The setting is in a hospital, and the Medical Director is often seen moving about the hospital asking, ‘How can I help?’ The writers may not know this, but they must have fashioned that character after Norma Bauer.” Thomes continues, “She has been SUPER flexible, changing service areas often, and always willing to go where needed. When I ask for favors of volunteers, I often begin with a reminder that ‘No’ is an acceptable answer. That is a word that Norma rarely uses.” The award is named after a former volunteer, Sandy Zinn Martin, whose spirit lives on in the selfless service that Bauer demonstrates. It’s often the little things that show the true character of a person – the things that go unnoticed by most people. Thomes shares a brief but telling story. “A staff member sent me an e-mail after observing Norma assisting a patient who was having trouble getting something from a vending machine. Norma was a patient coach, gentle and kind.” “This award is a humbling honor; there are so many dedicated volunteers,” says Bauer. “I believe it indicates that staff and other volunteers have considered my presence and efforts in a positive light and kindly took the time to ‘say so.’” “Nearly every shift includes at least one interaction that stands out from the rest,” Bauer reflects. “What makes the greatest impact on me usually comes from a patient who expresses apprehension approaching a procedure. A brief suggestion to expect the staff to be caring and understanding can often serve to lessen the patient’s anxiety.” Bauer has been called a true role model in the Volunteer Services program, with some affectionately referring to her ‘old-world mannerisms.’ According to staff and fellow volunteers, Bauer’s gracious, polite, and professional approach informs everything she does. Comments include, “It was a privilege to be tutored and to subsequently work with Norma,” and, “She deserves this recognition.” When she was invited to consider volunteering at YRMC, Bauer didn’t hesitate. She was impressed with the quality of care given to her friends and family. “Volunteering at YRMC is an opportunity to support and give back to an organization that benefits our community,” she explains. “It gives me a sense of purpose and provides interests beyond myself. YRMC values its volunteers and demonstrates their appreciation of them.” “I sincerely enjoy volunteering at YRMC. It has become an enriching part of my life.” To learn more about becoming a volunteer at Yavapai Regional Medical Center, visit DignityHealth.org/YRMC. Or you can call Volunteer Services in Prescott at (928) 771-5678, or in Prescott Valley at (928) 442-8683.

Practicing Self-Care while Caring for Others
It can be challenging to find time to eat well, sleep well, exercise, and even relax when you are caring for a loved one, but poor self-care can negatively affect your physical and mental health over time — possibly contributing to cardiovascular disease, weight gain, diabetes, depression, memory loss and fatigue. If you’re feeling overwhelmed and wonder how to meet your own needs while caring for others, consider taking baby steps that don’t require a lot of your time. In our latest episode of YRMC’s Your Healthy Kitchen, I share two simple habits that can improve your energy, mood, and sense of well-being right away. Recipe: Berries and Cream Smoothie Recipe: Overnight Oats It sounds too good to be true, but staying well-hydrated is one of the most important things you can do for self-care. After all, when we are even just a little dehydrated, symptoms of fatigue, sugar cravings, hunger, brain fog and even depression can show up. In addition, good studies show that eating a healthy breakfast can improve mood, energy, mental clarity, and weight. A high-quality breakfast can also reduce sugar cravings, overeating later in the day, and even the nighttime munchies. A high-quality morning meal includes: Essential nutrients, like B vitamins, potassium, magnesium, vitamin C, phytonutrients, and more, that your body needs to manage stress, blood pressure, blood sugar, weight, and immune function. Fiber, which contributes to a sense of satisfaction after meals, improves blood sugar control, reduces sugar cravings, lowers cholesterol, and feeds the healthy bacteria in your gut (which may also improve your mood). Protein, which helps you to feel full after a meal and gives your metabolism a little jump-start. Carbohydrates, to fuel your body and brain. A healthy morning meal can be as quick and simple as a high-fiber smoothie, overnight oats, or any of the ideas you’ll see in our latest video. Remember to check out all of our easy, healthy recipes and videos at yrmchealthconnect.org. You can follow YRMC’s Your Healthy Kitchen on Facebook as well, where I post photos and videos of the simple, healthy food I make at home, plus links to my favorite food and gardening destinations on the web.

YRMC Announces the 2021 Volunteers of the Year
What’s the best job in the world? Working with volunteers, of course! Just ask Nancy Thomes, the Director of Volunteer Services at Dignity Health, Yavapai Regional Medical Center (YRMC). “I am so fortunate to be where I am because I work with top-notch people every day,” says Thomes. “It takes a giving heart to be a volunteer, and I’m surrounded by hundreds of volunteers with very generous hearts.” The volunteers are an integral part of the hospital, enhancing the patient experience and providing much needed support to YRMC staff. While the pandemic restricted their involvement over the past 2 years, YRMC is currently working to reopen additional service areas. Along the way, volunteers build friendships and enjoy the sense of purpose that volunteering provides. Each year, YRMC Volunteer Services recognizes three volunteers whose service to the hospital, its patients, and the community embodies the Mission and Vision of Dignity Health, Yavapai Regional Medical Center. Each recipient is recognized for the unique ways in which they make YRMC a better place. YRMC East Volunteer of the Year, Maggie Goltra “Nancy had asked if I could attend a meeting at the West Campus, and of course, if I can help in any way, I will be there,” recalls Goltra. “When we walked into the room, I recognized some of the staff, but still couldn’t figure out what I was doing there. When Nancy told me that I was Volunteer of the Year – East Campus, I was completely shocked – that never entered my mind! What an honor!” Goltra started volunteering at YRMC in 2007. Over the years, she has worked in Admitting, Care Management, and the Family Birthing Center, and now works at the East Campus Front Lobby. Volunteer Services Manager, Victoria Spears says that Goltra is one of those kinds of people that you just love being around. As the first point of contact when you walk through the hospital doors, the Front Desk volunteers have an important role. They can often set the tone for the patient or visitor’s experience, offering information and assurance. Duties include helping patients check in at the kiosk, helping visitors sign in, escorting patients and visitors throughout the hospital, delivering items, and regularly sanitizing the area. “Maggie does all of this with a big smile and gracious attitude,” notes Spears. “Everyone who is around Maggie cannot help but smile. She is a joy to be around!” Goltra gives credit to her fellow volunteers as well. “It’s nice to work with a group of people who are there because they want to be,” she says. “I work with Debbie, Wayne, and Gus, who are always there with a friendly hello and a readiness to help all of the patients and visitors who come in. These are the type of volunteers I would like to have welcome me to the hospital.” With more than 1,850 volunteer hours under her belt, Goltra is a true asset to YRMC. Yet she describes her role in simple terms: to be helpful, even if in a small way. “The best part about volunteering at YRMC is just being able to help make our patients’ time at the hospital a bit easier, in our small way,” she explains. “It’s important to be able to help where you can, especially if it is making someone’s day easier or less stressful.” YRMC West Volunteer of the Year, Mary Kerper Mary Kerper worked for 42 years for an international mechanical parts distributor, overseeing operations, training, auditing, and continuous improvement for more than 400 locations. Retirement brought her and her husband to Prescott in 2019. Their desire was to continue to contribute to their new community. “I have had chores, responsibilities, and jobs since elementary school,” says Kerper. “I was taught that work is important, and contribution is necessary to help others, as well as yourself. Volunteering helps me to maintain my sense of self while I provide support to others.” Nancy Thomes recognizes Kerper’s strong work ethic as she looks back on the past few years. “Mary is one of the volunteers who didn’t let COVID stop her from volunteering,” recalls Thomes. “She stayed active until we suspended all volunteers and returned immediately when we could open up the Information Desk – our only service area for a while. She took on an extra shift and was a ‘rock’ throughout that very uncertain time.” Staff and fellow volunteers agree. When asked why she is a stand-out volunteer, responses include: Mary is so vigilant – always alert to who is coming through the doors. She consistently subs for her fellow volunteers when she is available. One of Mary’s responsibilities is training new volunteers. They consistently remark how thorough she is with her training. She is helpful, compassionate, and caring, along with a friendly smile! The Front Desk is a challenging area of service, and she has remained calm throughout. Mary is a problem solver extraordinaire! “It is so amazing to come to a place of healing and do what I can to contribute to the patients, visitors, staff, and my fellow volunteers,” says Kerper. Yet on a larger scale, she reflects on the importance of her award. “This award reinforces the importance of the role of volunteers. It really shows the value that YRMC leadership places on the contributions the volunteers make. I love being part of this team. Leadership here at YRMC clearly includes volunteers as valuable members of their team.” “The new relationship between Dignity Health and YRMC has brought change, and will no doubt bring more change. But the community will benefit greatly,” she continues. “What I feel will not change is the commitment our leadership has to the hospital and to our community. The volunteers will always be here to help.” The Sandy Zinn Martin Award, Norma Bauer When describing Norma Bauer and her dedication to YRMC patients, staff, visitors, and fellow volunteers, Nancy Thomes is reminded of a television show. “There is a show called New Amsterdam. The setting is in a hospital, and the Medical Director is often seen moving about the hospital asking, ‘How can I help?’ The writers may not know this, but they must have fashioned that character after Norma Bauer.” Thomes continues, “She has been SUPER flexible, changing service areas often, and always willing to go where needed. When I ask for favors of volunteers, I often begin with a reminder that ‘No’ is an acceptable answer. That is a word that Norma rarely uses.” The award is named after a former volunteer, Sandy Zinn Martin, whose spirit lives on in the selfless service that Bauer demonstrates. It’s often the little things that show the true character of a person – the things that go unnoticed by most people. Thomes shares a brief but telling story. “A staff member sent me an e-mail after observing Norma assisting a patient who was having trouble getting something from a vending machine. Norma was a patient coach, gentle and kind.” “This award is a humbling honor; there are so many dedicated volunteers,” says Bauer. “I believe it indicates that staff and other volunteers have considered my presence and efforts in a positive light and kindly took the time to ‘say so.’” “Nearly every shift includes at least one interaction that stands out from the rest,” Bauer reflects. “What makes the greatest impact on me usually comes from a patient who expresses apprehension approaching a procedure. A brief suggestion to expect the staff to be caring and understanding can often serve to lessen the patient’s anxiety.” Bauer has been called a true role model in the Volunteer Services program, with some affectionately referring to her ‘old-world mannerisms.’ According to staff and fellow volunteers, Bauer’s gracious, polite, and professional approach informs everything she does. Comments include, “It was a privilege to be tutored and to subsequently work with Norma,” and, “She deserves this recognition.” When she was invited to consider volunteering at YRMC, Bauer didn’t hesitate. She was impressed with the quality of care given to her friends and family. “Volunteering at YRMC is an opportunity to support and give back to an organization that benefits our community,” she explains. “It gives me a sense of purpose and provides interests beyond myself. YRMC values its volunteers and demonstrates their appreciation of them.” “I sincerely enjoy volunteering at YRMC. It has become an enriching part of my life.” To learn more about becoming a volunteer at Yavapai Regional Medical Center, visit DignityHealth.org/YRMC. Or you can call Volunteer Services in Prescott at (928) 771-5678, or in Prescott Valley at (928) 442-8683.

YRMC 2020 Volunteers of the Year: Service, Friendship, Family
There are as many reasons to volunteer as there are volunteers. Some who step up are looking for added meaning to their lives. Some are hoping to find new friends. Some wish to continue using the skills they developed during their professional careers. Some want to feel like they are part of a larger effort. And some simply want to give back. Described as “the cream of the crop” by Nancy Thomes, Director of Volunteer Services, YRMC volunteers enhance the patient experience and provide much needed support to YRMC staff and physicians. They work in a myriad of ways across the hospital to keep things running smoothly. Recently, YRMC Volunteer Services named its choices for the 2020 Volunteers of the Year. An annual tradition, it celebrates three deserving volunteers whose service to the hospital, its patients and the community at large embodies the Mission and Vision of YRMC. While the top picks for 2020 have a wide range of reasons for volunteering, they share one impressive trait: a true passion for the work they do. Tom Hubbard – West Campus 2020 Volunteer of the Year Hubbard was not new to volunteering when he joined YRMC. He had previously volunteered for Meals on Wheels and the Lions Club. In 2012, his wife died after a long illness. “After a while, I decided that I could either sit at home doing nothing or get out and get busy. I got on with the Emergency Department at YRMC,” Hubbard says. He has been a volunteer at YRMC for 8 years and has logged more than 4,000 hours. Hubbard had continued his involvement with the Lions newspaper recycling project as well, collecting newspaper from around town and making sure the shredded documents from YRMC are bagged and out to the curb for pick up each week. “As COVID 19 restrictions started lifting and we started to re-open some of the volunteer service areas, Tom was first to say, ‘put me where you need me,’” Thomes recalls. “We were so grateful. He is now supporting the Information Desk, which is where we had the greatest need.” “I like this job because I’m up and moving all the time,” says Hubbard. “I get to the various departments and see lots of people. We help with registration, get authorization for early visitors, log people coming and going, and deliver flowers and other items to the patients. But I especially like helping the patients and visitors feel comfortable.” Hubbard’s fellow volunteers look forward to their shifts together. Comments include: If the afternoon volunteers are running late, he stays at the desk longer to ensure things progress as smoothly as possible. He is always the first to offer to fill in if there is a shift that isn’t covered. Tom is a can-do, proactive person who treats patients like his own family members. He is a great teacher, willing to share his knowledge. Tom is a great partner. Beyond the superb effort, his humor makes the shift seem too short. Hubbard chuckles at the comment about his sense of humor and casually describes the camaraderie he has with his fellow volunteers. “I’m very copasetic with the people I work with. We have a lot of fun,” he says. “I guess I have to admit, even though I’m 83 years old, I have a case of arrested adolescence.” With his signature humility, Hubbard reflects on what this recognition means. “I feel very proud, but I have to say that the notoriety makes me uncomfortable,” he says. “I just enjoy working with the patients, visitors and the staff. I don’t have any family here in the area – they’re all out of state, so I consider the folks I work with as part of my family. It’s very rewarding on so many levels.” Micki Freshour – East Campus 2020 Volunteer of the Year “I’m a natural caregiver and I’m very compassionate,” Freshour states. “I naturally take people under my wing, like a mother figure. That’s why I needed to be in a volunteer job where I could work one-on-one with patients. The Breast Care Center was a perfect fit. I wouldn’t want to be anywhere else.” Like Hubbard, Freshour is a long-time volunteer. Prior to her work at YRMC, she spent 14 years volunteering at a hospital in California and 11 years at a hospice in Arizona. She has been with the YRMC Breast Care Center since January, 2014 and has given more than 1,500 hours. “My job is to bring the patients back, show them the dressing area and keep them company while they’re waiting,” Freshour explains. “When they’re finished with their procedure, I cut their wrist band off and walk them out. Then I clean and sanitize everything and prepare the room for the next patient.” “But really, the main thing I do is help our patients feel comfortable. It can be stressful for our patients, particularly those who are having biopsies. I explain what they can expect and try to comfort them.” The added companionship and reassurance that Freshour offers helps to make the Breast Care Center patient experience brighter and easier. Her fellow volunteers and staff are grateful for the role she plays during her volunteer shifts. Comments include: Micki is very comforting to our patients. Micki goes above and beyond. She will not leave until all the patients have left, even though it is after her scheduled time frame. She is joyful and happy to help. Micki keeps things flowing smoothly. We love having her, she makes our days easier. She is a hard worker, she is compassionate, a pleasure to work with and a valued member of our team. Freshour was blindsided by the award. “Nancy called me and asked me to come to the West Campus because they needed some photos taken. It seemed odd, but I agreed,” Freshour recalls. “I met her in the lobby with two other volunteers, then we went into a conference room. Oh my goodness, there were whistles, balloons, yelling and screaming. And I couldn’t figure out why! When they introduced Tom Hubbard as the West Campus Volunteer of the Year, I thought, ‘Well, that is so nice. It’s like something you always dream of!’ But it still didn’t register why I was there.” “Then when they said my name, I just cried, I was so humbled. It’s so special, I can’t put it into words. I couldn’t wait to get my pin on my badge. I’m so proud of it!” “When people say that it’s ‘just’ volunteering, I immediately disagree,” Freshour continues. “The staff and patients count on me. I always say that I do get paid, but the payment I get is not monetary – It’s emotional. And that’s better than gold.” Carol Shepherd – Sandy Zinn Martin 2020 Award Winner “Carol embodies the spirit of this award. Like Sandy Zinn Martin, the former volunteer for whom this award was named, Carol is quick to extend support and assistance to other volunteers,” says Thomes. “Whether it’s taking meals over after a volunteer has had a procedure, offering to take in a volunteer’s dog after a volunteer injury, picking up volunteers for social gatherings, or regular calls to check in, she is always ready with a meaningful and timely offer.” Shepherd’s response to this generous description? “Well, I just do these things – it’s in my nature!” “It’s my way of giving back,” she continues. “I have so many things to be grateful for, both in my working career and my personal life. I’ve always worked with the public, so this is a natural thing for me. Volunteering is just a part of me. I love helping people, showing compassion, and offering a gentle word or gentle touch to our patients and visitors. I get more out of it than they do.” Shepherd has been volunteering at YRMC for three years, working in the Cath Lab, Registration, and as an Escort at the Front Desk. “You get to know the people you work with. They become family,” Shepherd says. “If I don’t see someone for a couple of weeks, I get concerned and will check in or ask about them. We’re a source of emotional support for each other when we have personal issues.” In true form, Shepherd initiated ‘Thursday Night Hamburger Nights’ with her fellow volunteers. On Thursday evenings, they’d meet for a burger and socializing, which led to taking turns hosting everyone in their homes, not to mention lasting friendships. “Volunteering is a great way to make new friends, and they’re always there for you,” she continues. “In fact, my husband said yesterday, ‘Two days a week, you’re up at 7 AM and out the door with a smile on your face!’ Well, those are the days I volunteer at YRMC.” There are even more YRMC friendships on the horizon for Shepherd. She explains: “A few days ago, a fellow volunteer handed me a nice card congratulating me on the Sandy Zinn Martin award. She said that she had gotten the same award in a previous year and said with a smile, ‘Welcome to our Club!’” “So now I’m determined to track down all the other recipients so that we can all celebrate together!” To learn more about becoming a volunteer at Yavapai Regional Medical Center, visit yrmc.org. Or you can call Volunteer Services in Prescott at (928) 771-5678, or in Prescott Valley at (928) 442-8683.

Taking Charge of a Precious Resource with Patient Blood Management
Patient-shared decision making is an important aspect of healthcare today. However, advocating for yourself – or someone you love – requires information, especially with a relatively new concept like patient blood management (PBM). This is one reason the Society for the Advancement of Patient Blood Management (SABM) is sponsoring its 15th annual SABM Patient Blood Management Awareness Week®, November 1-5, 2021. This worldwide awareness week is dedicated to informing patients about the importance of blood health, particularly when it comes to hospitalization and surgical procedures. In our community, Dignity Health, Yavapai Regional Medical Center (YRMC) is home to Arizona’s only PBM program that’s recognized by SABM. Local leaders also understand the importance of PBM. Mayor Greg Mengarelli, for example, is continuing a 10-year tradition by issuing a proclamation declaring “Patient Blood Management Week” in Prescott. “Dignity Health, YRMC has been forward-thinking in its implementation of PBM nearly a decade ago,” says Dale Black, Program Coordinator, Patient Blood Management at Dignity Health, YRMC. “The people of Yavapai County are fortunate that YRMC has embraced blood conservation. This means residents have access to local providers for information about PBM.” In fact, he notes that in October 2021 – nearly 10 years after YRMC introduced PBM – the World Health Organization (WHO) released a policy brief titled, The Urgent Need To Implement Patient Blood Management. Getting to Know PBM What is PBM and why is it important to you? “PBM is about keeping your blood in you and keeping it working well,” explains Beth Black, Administrative Assistant and Program Data Manager, Patient Blood Management at Dignity Health, YRMC. This Healthy Conversations – Patient Blood Management: Your Blood, Your Call – focuses on how PBM supports your good health by preventing anemia, an underdiagnosed condition among people of all ages. And, because PBM is patient-centered, you’ll learn how to put PBM into practice before, during and after surgery. The Pillars of PBM YRMC’s successful PBM program uses a team approach to: Manage anemia Ensure that bleeding is under control and blood is clotting appropriately (not too much, not too little) Utilize blood-conserving measures during surgery Involve patients in decision making about their blood Blood tests – particularly during hospitalization – provide your physician important information about your health. However, drawing too much blood can lead to anemia in hospitalized patients. That’s why “phlebotomy stewardship” is becoming more and more important. This means taking only the needed amount of blood for testing in order to avoid hospital-acquired anemia. A Few Words About Anemia When you have anemia, your body lacks the healthy red blood cells needed to carry oxygen to your body’s tissues. Symptoms of anemia include, for example: Fatigue Weakness Cold hands and feet Dizziness Irregular heart rhythm Shortness of breath Headache Pale or yellowish skin “Once a year, ask your physician to order a complete work up of your blood,” Dale Black says. “If you are anemic, work with your doctor to learn the underlying cause of your anemia.” Prepping for Surgery with PBM If a surgery is in your future, ask your physician to order blood work two to four weeks before the procedure. If your blood counts are low, your doctor may recommend dietary changes. You may also need iron, vitamin B-12 or folic acid to fuel red blood cell production before surgery. “You’ll also want to discuss any herbals you take, along with other over-the-counter medications, such as ibuprofen,” says Beth Black. “These can all affect your body’s ability to clot.” In the Operating Room Before your operation, talk to your surgeon about strategies that reduce blood loss. If you’re undergoing heart or orthopedic surgery – which are known to cause blood loss – discuss collecting blood lost during surgery for immediate post-operative reinfusion, if needed. Medications and blood products that promote clotting and reduce bleeding are also available. PBM is About You, the Patient Want to ensure blood conservation is part of your healthcare? Talk to your providers about PBM, especially prior to hospitalization. “Let your team know that you want to be treated in a manner that conserves your blood,” says Dale Black. “You can even mention your desire for minimal blood draws – just what is necessary for testing – during your hospitalization. With PBM, you are in charge of that precious resource, your blood.” Interested in learning more about YRMC’s PBM program? Check out these PBM resources or call (928) 771-5109.

Your Blood, Your Call
Patient Blood Management (PBM) is a multi-disciplinary approach to maximizing your own blood health and supply. Often this is most crucial during surgery. When large amounts of blood are lost in surgery, it is often possible to get the blood you need by electing to use your own blood. Not blood from a donor, not blood limited by type. And not blood straining the nation’s precious blood supply. (This is especially important during COVID-19 when national blood banks have experienced a drop in donations, which in turn reduces blood supply and drives up blood costs.) The decision is yours—the YRMC PBM program hinges on informed consent. Meaning you have the right to be informed of your choices. Then you have the right to choose to optimize and/or use your own blood (captured and reinfused during surgery), receive someone else’s blood, or receive a combination of both when necessary. It’s your blood, your call. Based on your decision, a team of medical professionals will assess your blood management needs and develop a clinically sound, evidence-based plan of care during your hospital stay. This plan marshals pharmaceuticals, technology and medical techniques to decrease blood loss and enhance blood cell production—which reduces or eliminates the need for a blood transfusion. Progressive Leadership Yavapai Regional Medical Center (YRMC) has the only officially recognized PBM program in Arizona and one of the relatively few in the nation. When it comes to PBM, your local hospital is doing some of the highest caliber work in the country and even the world. That’s why YRMC hosts an annual PBM Symposium in Prescott, an event viewed internationally and presented by some of the world’s leading PBM experts. How did this happen? “We owe our PBM program to progressive leaders and top-notch medical professionals at our hospital,” said PBM Program Coordinator Dale Black. The program started in 2012 after Black and Pierre Tibi, MD broached the subject with hospital administrators. “It never would have happened without leadership’s forward-thinking mindset and ongoing commitment over the past eight years,” Black said. “In less than a decade we’ve become part of a worldwide initiative that uses evidence-based science to achieve better patient outcomes using blood management principles.” Today Dr. Tibi is a leading authority on PBM and serves as the Medical Director of the YRMC PBM Program and The James Family Heart Center. Better Outcomes While blood transfusions remain a vital life-saving procedure, growing evidence shows that patients who maximize their own blood supply benefit from: lower infection rates. less anemia. fewer kidney, lung and heart complications. less exposure to viruses and other blood-borne disease. shorter hospital stays. all-around better surgical outcomes. A Continuum of Care YRMC’s PBM program provides you with care and support before, during and after surgery. Presurgical measures center on optimizing red blood cell mass to prevent anemia. This may involve iron therapy, a vitamin regime, nutritional support and medication management. Erythropoietin-stimulating agents (ESAs) may be administered via a shot to stimulate the production of additional red blood cells. Surgical techniques may include removing a calculated amount of blood, adding non-blood expanders, and reinfusing red cells back to the patient. Or they may include cell-salvage, collecting blood lost during surgery—then washing, filtering and reinfusing red blood cells back to the patient. Hemostatic agents may be used to promote rapid blood coagulation. Postsurgical procedures include detecting and mitigating bleeding, minimizing the frequency and volume of blood draws, nutritional support, and continued iron therapy, possibly in conjunction with ESA administration if appropriate. The next time you are scheduled for surgery at YRMC, be sure to ask about Patient Blood Management, or PBM. For more information you can also contact Dale Black directly at dblack2@yrmc.org or (928) 771-5109. You can also visit the Society for the Advancement of Blood Management and download their Patient Guide.

It’s Official: YRMC’s Breast Care Center is a Center of Excellence!
The word “excellence” has long been associated with the Breast Care Center at Dignity Health, Yavapai Regional Medical Center. But now it’s official. YRMC’s Breast Care Center was recently designated a Breast Imaging Center of Excellence (BICOE) by the American College of Radiology (ACR). The three-year accreditation recognizes that YRMC’s Breast Care Center excels in all aspects of breast imaging, including these breast imaging modalities: Breast MRI Breast ultrasound (including ultrasound-guided breast biopsy) Mammography Stereotactic breast biopsy ACR accreditation is voluntary and an addition to required imaging licenses, surveys and accreditations. The BICOE application process includes comprehensive evaluations conducted by board-certified physicians and medical physicists in each of the four breast imaging modalities. “Our team decided to pursue BICOE accreditation for our patients and community,” says Kathi Hoffer, Imaging Manager, Breast Care Center at Dignity Health, YRMC. “We were confident that the Breast Imaging Center of Excellence designation would validate the level of care we provide.” BICOE accreditation means YRMC’s Breast Care Center has achieved the highest practice standards in: Image excellence Staff qualifications Facility equipment Quality control standards Quality assurance procedures The ACR is a national professional organization founded in 1923 to advance the practice and science of radiological care. Today, the organization’s more than 41,000 diagnostic and interventional radiologists, radiation oncologists, nuclear medicine physicians and medical physicists work together in support of that mission. For more information about YRMC’s Breast Care Center, visit DignityHealth.org/YRMC or call (928) 442-8900.

Longtime Smokers: Learn about Lung Cancer Screening
Early and regular screening has made lung cancer – the leading cause of all cancer deaths – a potentially curable disease. With low-dose computed tomography (LDCT), 80 percent of lung cancers detected early can be cured. “This is a giant leap forward for many reasons,” says Sierra-Amber Mabry, RT, Prescott Medical Imaging (PMI) at Dignity Health, Yavapai Regional Medical Center (YRMC). “LDCT not only catches lung cancer early, the screening exam also uses a very low dose of radiation.” LDCT is available at both Dignity Health Imaging Centers — Prescott Medical Imaging and Prescott Valley Medical Imaging (PVMI). The radiologic technologists from PMI and PVMI are enthusiastic supporters of LDCT and YRMC’s Lung Cancer Screening and Care program. Do you think LDCT would be good for you or someone important to you? Check out the Healthy Conversations video below to learn how Mabry and the PMI-PVMI team make the process easy for you. How does LDCT work? The technical definition of LDCT includes a CT scan – a diagnostic tool that combines special x-ray equipment with sophisticated computers – which takes cross-sectional pictures of the lungs. Mabry’s explanation of LDCT, however, is more patient friendly. “I explain LDCT by comparing the body, particularly the chest area, to a loaf of bread,” Mabry says. “To study a certain area within the chest cavity, the LDCT images are sliced into pieces, much like a loaf a bread. Our radiologists are then able to pull out a single slice from the loaf, examine that slice, return it to the loaf, then pull out another slice, and so on.” LDCT can detect nodules and other issues while using 90 percent less radiation than a conventional chest CT scan. Making LDCT easy for you PMI-PVMI radiologic technologists are experts at alleviating any concerns people may have about their LDCT. Are you worried the CT scan equipment may make you claustrophobic? Mabry and other radiologic technologists are ready with a warm or cool washcloth to cover your eyes. They’re also good at talking people through the exams. And, you can ask your physician for a prescription to relax you before you arrive for your LDCT. “The actual exam only takes eight seconds,” she says. “That’s a surprise to people. So with registration, changing in and out of a gown, and positioning on the table, people are usually out the door and on with their day in about 30 minutes.” If it’s your first LDCT, just prior to your exam you’ll meet briefly with Jennifer Harvey, RN, Patient Navigator for YRMC’s Lung Cancer Screening and Care program. She will answer questions about LDCT and discuss the Lung Cancer Screening and Care program. Getting screened for lung cancer Are you eligible for a LDCT? The best way to find out, is to contact YRMC’s Lung Cancer Screening and Care patient navigator. But basically, the program includes people who are: Current smokers or smokers who have quit in the last 15 years 55 – 77 years of age and in some cases 50 – 80 years of age Free of any lung cancer symptoms with no prior lung cancers Heavy smokers (1 pack a day for 30 years or the equivalent) For more information about LDCT, speak with your primary care provider or contact: Lung Cancer Screening and Care program at (928) 771-5454 PMI or PVMI at (928) 771-4728

Keeping Your Immune System Healthy with Food
Over the last few years, we have heard a lot about the importance of having a strong and balanced immune system. Good research shows that regular exercise, solid sleep, and a nutrient-packed, anti-inflammatory diet all contribute to reduced risk of illness from viruses and chronic conditions like cancer, cardiovascular, and autoimmune disease. A nutritious, anti-inflammatory diet creates the foundation for healthy immune function in a number of ways. Meals that feature fresh vegetables, greens, fruit, nuts, seeds, and other healthy sources of protein provide essential nutrients that immune cells need to do their jobs. These nutrients include zinc, selenium, folic acid, and vitamins A, C, D and E. Phytochemicals found in a variety of plant foods — especially herbs, spices and dark green, red, orange and purple vegetables and fruit — reduce chronic inflammation, helping the immune system work more effectively. Fiber from plants feeds the microbiome, the collection of bacteria that live in the gut. A large part of immune function resides in the gut, where immune cells partner with healthy bacteria to keep us free from harmful pathogens and disease. Join me in our latest episode of YRMC’s Your Healthy Kitchen, where I dive into more details about the foods that protect us from illness, while preparing a delicious, immune-boosting soup! Recipe: Homemade Vegetable or Chicken Broth Recipe: Gingery and Garlicky Chicken Soup You can find many more nutrient-packed, immune-supportive meal ideas at yrmchealthconnect.org. Remember to follow me on Facebook as well, where I post photos and videos of the simple, healthy food I make at home, plus links to my favorite food and gardening destinations on the web.

Practicing Self-Care while Caring for Others
It can be challenging to find time to eat well, sleep well, exercise, and even relax when you are caring for a loved one, but poor self-care can negatively affect your physical and mental health over time — possibly contributing to cardiovascular disease, weight gain, diabetes, depression, memory loss and fatigue. If you’re feeling overwhelmed and wonder how to meet your own needs while caring for others, consider taking baby steps that don’t require a lot of your time. In our latest episode of YRMC’s Your Healthy Kitchen, I share two simple habits that can improve your energy, mood, and sense of well-being right away. Recipe: Berries and Cream Smoothie Recipe: Overnight Oats It sounds too good to be true, but staying well-hydrated is one of the most important things you can do for self-care. After all, when we are even just a little dehydrated, symptoms of fatigue, sugar cravings, hunger, brain fog and even depression can show up. In addition, good studies show that eating a healthy breakfast can improve mood, energy, mental clarity, and weight. A high-quality breakfast can also reduce sugar cravings, overeating later in the day, and even the nighttime munchies. A high-quality morning meal includes: Essential nutrients, like B vitamins, potassium, magnesium, vitamin C, phytonutrients, and more, that your body needs to manage stress, blood pressure, blood sugar, weight, and immune function. Fiber, which contributes to a sense of satisfaction after meals, improves blood sugar control, reduces sugar cravings, lowers cholesterol, and feeds the healthy bacteria in your gut (which may also improve your mood). Protein, which helps you to feel full after a meal and gives your metabolism a little jump-start. Carbohydrates, to fuel your body and brain. A healthy morning meal can be as quick and simple as a high-fiber smoothie, overnight oats, or any of the ideas you’ll see in our latest video. Remember to check out all of our easy, healthy recipes and videos at yrmchealthconnect.org. You can follow YRMC’s Your Healthy Kitchen on Facebook as well, where I post photos and videos of the simple, healthy food I make at home, plus links to my favorite food and gardening destinations on the web.