Fabulous and Gluten Free – Holiday Cookies Everyone will Love
It’s holiday baking time, and lots of folks are looking for recipes that are decadent, delicious, and gluten free. Here at YRMC’s Your Healthy Kitchen, I’ve been testing gluten free chocolate chip cookie recipes for weeks, and have two great recipes to share. The first utilizes a variety of gluten free flours, including white and brown rice, potato and tapioca to create a buttery, crisp Tollhouse cookie that is pretty close to the original. The second is based on a simple blend of almond flour and oats, which results in a cake-like cookie that is satisfying, rich, and even a bit nutritious! Check them both out here, in our latest video, where you’ll also learn about gluten, gluten free flours, and tips for gluten free baking success. Recipe: Gluten Free Chocolate Chip Walnut Cookies Recipe: Gluten Free Oatmeal Chocolate Chip Cookies Remember to view all of our Your Healthy Kitchen videos and recipes at yrmchealthconnect.org. You’ll find something for everyone, including more great holiday recipes for soups, snacks, and dessert. You can follow me on Facebook too, at YRMC’s Your Healthy Kitchen, to see what I’m making at home this holiday season. Happy and healthy holidays!
A Re-Brand for a Common Group of Venous Disorders
Marketing professionals call it “brand recognition.” It’s consumer recall of a product – athletic shoes, a local coffee shop, or even the Olympics – by its name, logo or other characteristics. When medical experts gather for a similar discussion about a health condition, the stakes must be particularly high. In fact, it was the increasing frequency of certain venous conditions, and their lack of diagnosis, that led the American Vein and Lymphatic Society to convene an international, multidisciplinary panel. Their mission? To rebrand the conditions historically known as: May-Thurner syndrome, nutcracker syndrome, and pelvic congestion. “Those outdated names were actually hindering the diagnosis and treatment of a group of medical conditions.” says Anil Kumar, MD, MRCP, FACC, RPVI, RPhS, Medical Director, The Vein Center at Dignity Health, Yavapai Regional Medical Center (YRMC). “That’s why vascular surgeons, vein specialists and radiologists came together to give them a contemporary, understandable and meaningful name.” Dr. Kumar and other vein specialists hope the name refresh – pelvic venous disorders (PeVD) – is one patients will feel more compelled to discuss with their respective providers. The causes and symptoms of PeVD According to Dr. Kumar, PeVD is caused by varicose veins that develop in the body’s pelvis region and other unusual locations, including, for example, the abdomen (below the navel) as well as the upper thighs and groin area. It’s also a painful condition. “My patients describe their pain as a diffuse achiness or heaviness in lower back and pelvic area,” Dr. Kumar says. “It’s most noticeable during prolonged standing or periods of inactivity. It is worse at the end of the day. Usually the pain subsides after lying down or elevating the legs and pelvis.” Other PeVD-related symptoms may include: Swelling in one leg but not the other Blood in the urine Pain, discomfort or itching in the pelvic region Frequent urination (tests indicate no infection is present) Numbness at the base of the spine (even though an MRI does not show nerve compression or restriction in the back) Hemorrhoids Irritable bowel syndrome “Sometimes the only symptom, in addition to pain, is a subtle asymmetry of the legs. This is why we measure patients’ legs at the Vein Center,” explains Dr. Kumar. PeVD: From Pregnancy through Perimenopause PeVD often develops during pregnancy, when the body produces additional hormones. Women may find new veins in their lower abdomen, upper groin or buttocks area. These are frequently dismissed as temporary. “In reality, these women should be referred to a vascular or vein specialist at that time or following their pregnancy,” Dr. Kumar says. “PeVD will often continue to develop gradually in the decades that follow a pregnancy and become more pronounced with menopause.” This is why PeVD mostly affects postmenopausal women who have had multiple pregnancies. However, women in their 20s – who have not had children – may also experience PeVD . Unfortunately, the condition is frequently undiagnosed, even in patients who have classic symptoms. According to Dr. Kumar, this leads some people to pursue answers from pain experts, urologists, neurologists and psychiatrists. Diagnosing and Treating PeVD Diagnosing PeVD at the Vein Center begins with a thorough medical history, examination and an ultrasound study. It also involves education. Patients learn how to manage their PeVD and the associated pain by: Lying down and elevating their legs and pelvis Learning specific pelvic exercises Wearing compression pantyhose The Vein Center collaborates with a vascular surgeon and interventional radiologists for treatment of advanced PeVD cases. “PeVD is not simple to diagnose,” Dr. Kumar says. “It can involve many symptoms that when put together add up to a proper diagnosis. That’s the first step to making a big difference in someone’s life.” And that is something Dr. Kumar hopes will soon be part of the PeVD brand. For more information about PeVD, talk to your physician or call the Vein Center at YRMC at (928) 759-5890.
COVID-19 Monoclonal Antibody Treatment (Regeneron) at YRMC
Early treatment for COVID-19 infection with Monoclonal Antibody (MAB)Therapy for high risk patients is available at Dignity Health, Yavapai Regional Medical Center. A Physician Order and Appointment are required. What are monoclonal antibodies? Monoclonal antibodies are laboratory-made proteins that mimic your immune system’s ability to fight off harmful viruses. Casirivimab + Imdevimab (Regeneron) are monoclonal antibodies that are specifically designed to protect against the spike protein of COVID-19. These proteins are designed to stop the virus from entering the human cells. In November 2020, the U.S. Food and Drug Administration issued an Emergency Use Authorization to allow the use of monoclonal antibodies for the treatment of mild to moderate symptoms of COVID-19. Further data has been published showing the benefit of reducing hospitalization rates in people at high risk for severe COVID-19 infection. What are the criteria for COVID MAB therapy? A positive test result for SARS CoV-2 viral testing (COVID-19) is required, AND Must have mild to moderate symptoms for 10 days or less, AND Must be at least 18 years of age or older, AND Must be at high-risk for progressing to severe COVID-19 infection and/or hospitalization as determined by your physician Who cannot receive COVID MAB Therapy? Anyone still waiting for a COVID-19 test result Anyone who has received a negative COVID-19 test result People with symptoms for more than 10 days New or increased oxygen requirement, hospitalized patients People without risk factors for severe disease (some examples of risk factors may include age greater than 65, chronic lung or kidney disease, pregnancy, and others. Your doctor can help you determine if you do or don’t have risk factors) How do I schedule an appointment for COVID MAB Therapy? Call your doctor as soon as possible if you are sick and believe you qualify An order must be sent by your physician to the Infusion Center at Dignity Health, Yavapai Regional Medical Center. A representative from Dignity Health, Yavapai Regional Medical Center will call you to schedule your appointment once the physician order has been received.
The Robert Altmanshofer Radiologic Technology Scholarship – Good Work in Our Own Backyard
While most 34-year-olds are busy building a career, paying the bills, and putting a little money away for the future, Robert Altmanshofer is concerned about what his legacy will be, long after he is gone. Altmanshofer is a radiologic technologist at Dignity Health, Yavapai Regional Medical Center (YRMC) in Prescott, Arizona. His dream is to build an endowment that will provide full-ride scholarships every year to students in the Radiologic Technology program at Yavapai College. He graduated from that program four years ago. And his dream of an endowment is very close to becoming a reality. If I Can Do This, Anyone Can “While I was doing my prerequisites, I got a few scholarships that were really helpful,” recalls Altmanshofer. “Then, when I applied to the Radiologic Technology program, the Jewish Community Foundation gave me a full-ride scholarship. I was beside myself with gratitude and excitement. Their generosity changed my life in so many ways.” He was able to fully focus on the rigorous program at Yavapai College. “They actually tell you that you should not work while you’re in this program because you will be so busy with school, clinicals, travel and preparing for board exams,” says Altmanshofer. “It’s an enormous commitment.” As a first-generation college student, Altmanshofer was doubtful that the academic world was even the right path for him. “I never saw myself going to college. I was sure I would fail. But when I started at Yavapai College and saw the opportunities coming my way, I realized that if I can do this, anyone can.” He carried a 4.0 GPA. An X-Ray Saved My Life Pursuing a career in Radiologic Technology was born from an experience Altmanshofer had when he was 23 years old. “An x-ray saved my life,” he explains. Altmanshofer had been experiencing intermittent bouts of severe abdominal pain for about 6 months. He was in and out of the Emergency Room a number of times. Upper GI tests, CAT scans and endoscopies showed no signs of abnormalities. Finally, an x-ray revealed a massive bowel obstruction. He underwent an immediate emergency bowel resection and removal of tumors in his small intestine. “I was in the hospital for two weeks and had a lot of time to think about what I should do with this new chance at life,” he remembers. “The radiologic technologists were always so friendly and helpful. They talked about what a great job it is, where you really get to help people get well. My mind was made up.” Giving Back Altmanshofer remembers the moment he decided to give back. “It was 2017. I made it through the program at Yavapai College and was just completing my last semester. I remember I was on campus, walking out to my car, and the idea hit me – I want to start a scholarship.” The Yavapai College Foundation staff offered guidance and encouragement. His newly established scholarship was $500. The scholarship amount has grown every year ever since. In 2020, Altmanshofer asked the Foundation about crowd funding. They helped him create a page on justgiving.com. His goal of $3,000 was met in six days. It had more than doubled after 30 days. He was able to award two students a $3,000 scholarship each. No Buyer’s Remorse This year, in keeping with his commitment to grow the scholarship year after year, Altmanshofer has taken the next step. “I started an endowment this year,” he says. “I prayed about it and talked to several mentors. I knew that I needed to really show my personal commitment to this effort. I started the endowment with $10,000 of my own money.” “I’m the kind of person who always has buyer’s remorse whenever I purchase something tangible,” he explains with a smile. “But this is different – we are getting something so intangible. The ripple effects of what we’re doing will serve people for decades. As soon as I hit ‘submit’ on that $10,000 contribution, I knew it was a good decision – no buyer’s remorse!” The target amount for the endowment was originally set at $30,000. YRMC physicians, surgeons, nurses, radiologic technologists, staff, and many community members continue to come forward with generous contributions. The fund has now exceeded the $30,000 goal and continues to grow. Altmanshofer is humbled. “If you would have asked me four years ago if I pictured myself doing this, I’d say no way. But we are making it happen. I’m hoping we’ll reach $50,000.” “To hear ‘we believe in you, we want to help you,’ humbles me,” he continues. “Being able to see the students come through the program and now have them working beside me at YRMC is beyond fulfilling. It brings so much meaning and purpose to my life.” “It feels so good to have started doing good things now – not waiting until some ideal time. I see what people have done for me. It is imperative for me to give back. If it made this much of a difference in my life, I hope and pray I can make a difference in someone else’s life. My ultimate goal is to have enough in the endowment to be able to give full-ride scholarships year after year.” Our Own Backyard Every recipient of the Robert Altmanshofer Radiologic Technology Scholarship at Yavapai College is employed at Dignity Health, Yavapai Regional Medical Center. “The beauty of this whole thing is that it is happening locally at our own hospital and through our own community college,” says Altmanshofer. “The people we are awarding these scholarships to are dedicating themselves to a career right here in our community, and on top of that, they’re helping people during a pandemic. It just gives you a sense of hope. There are still good people doing good work right here in our own backyard.” The Robert Altmanshofer Radiologic Technology Scholarship provides funds to Yavapai College students enrolled in the Radiologic Technology degree program. To learn more, and to contribute to the endowment, visit https://www.justgiving.com/fundraising/ycradtechendowment.
Focus on Fiber to Lower Breast Cancer Risk
Body weight, physical activity, and alcohol intake are three important factors known to influence a woman’s risk of breast cancer. In fact, the American Cancer Society states that the following healthy habits may offer significant protection against the disease. Be physically active, and get at least 300 minutes of moderate exercise, or 175 minutes of vigorous exercise each week. Maintain a healthy body weight throughout your lifetime and avoid excess weight gain as you age. Avoid alcohol or limit intake to one drink or less per day. While the links between diet and breast cancer are not completely clear, research also suggests that a high fiber diet featuring daily portions of fruits, vegetables, whole grains, beans, nuts and/or seeds may protect against breast cancer in a number of ways. Join me in our latest Dignity Health, YRMC’s Your Healthy Kitchen to learn more about the important role fiber seems to play in reducing a woman’s risk of breast cancer and check out our new, delicious recipe! It’s a gorgeous vegetable curry packed with fiber, cancer-fighting nutrients, and savory, seasonal flavors. Recipe: Pumpkin Vegetable Curry 25 High Fiber Foods Researchers offer a number of theories for why and how a plant-forward, high fiber diet may reduce breast cancer risk. As fiber moves through the digestive system, it binds with and removes estrogens and estrogen metabolites from the body. This may protect women from estrogen-positive breast cancer. A high fiber diet may also lower blood sugar and insulin levels after meals. Some research suggests that chronically elevated insulin levels in the blood – which can occur in diabetes, pre-diabetes, or even after high-carb, low fiber meals – may contribute to increased breast cancer risk. High fiber foods and meals fill us up and reduce cravings for munchies throughout the day. This likely helps us to maintain a healthy weight. In addition, many plant foods contain important phtyonutrients with anti-cancer properties. A few of the phytonutrients currently under study for protection against breast cancer include: Curcumin – present in turmeric. Ellagitannins – concentrated in berries, pomegranate seeds, and nuts. EGCG (Epigallocatechin gallate) – found in green tea. Quercitin – concentrated in onions. Other sources include raspberries, apples, cherries, tea, and red grapes. Kaempferol – mostly found in green leafy vegetables. Remember to check out dozens of additional videos and delicious recipes at yrmchealthconnect.org. Our recipes are curated or created with ease or preparation, cost, flavor, and health in mind, and you’ll find something for everyone on the Your Healthy Kitchen blog. You can also follow me on Facebook, at YRMC’s Your Healthy Kitchen, where I regularly post the plant-forward meals I make at home, plus share links to my favorite food and recipe sites on the web.
5 Reasons to Check Out Our Lung Cancer Screening Program
November is Lung Cancer Awareness Month, an excellent time for current and past smokers to check out Lung Cancer Screening and Care at Dignity Health, Yavapai Regional Medical Center (YRMC). The centerpiece of YRMC’s program is low-dose computed tomography (LDCT), which produces detailed images of the chest and lungs to detect lung cancer early, when it’s most treatable. LDCT scans also use about one-fifth the dose of radiation as compared to a standard CT scan. Need more motivation? Here are five reasons to join in this lifesaving program. Reason 1: More people (maybe you) are qualifying for LDCT thanks to recent changes in eligibility. Earlier this year, the United States Preventive Service Task Force (USPSTF) updated its recommendations for who should undergo LDCT. The new recommendations include people who are: Ages 50 – 80 Heavy smokers (one pack a day for 20 years or the equivalent) Current smokers or smokers who have quit in the last 15 years Free of any lung cancer symptoms “Dropping the qualifying age to 50-years-old from 55, and lowering the pack-per-day eligibility to 20 years from 30 years, makes more people eligible for lung cancer screening,” says Jennifer Harvey, RN, Nurse Navigator, Lung Cancer Screening and Care at YRMC. Arizona’s Medicaid – the Arizona Health Care Cost Containment System (AHCCCS) – quickly adopted the new LDCT coverage recommendations. The medical community is hopeful that Medicare and private insurance carriers will implement the USPSTF’s recommendations in early 2022. “In the meantime, people between the ages of 50 and 55 who want to be screened, should speak to their health insurance carriers about coverage,” Harvey says. Reason 2: Lung Cancer Screening and Care at YRMC is a dedicated healthcare partner. That partnership begins by ensuring you qualify for LDCT. Additionally, our nurse navigator is available to answer questions about LDCT, lung health, and assist with smoking cessation programs. Harvey reaches out to every Lung Cancer Screening and Care participant to remind them of their annual LDCT screening. That year-to-year continuity is an important aspect of Lung Cancer Screening and Care. “LDCT screening is not a one and done,” Harvey explains. “If you don’t have any signs of lung cancer after your first screening, you will be screened annually. I suggest that people think of their LDCT as they would a mammogram or colonoscopy. It’s a screening that you need even – and especially – if you have no symptoms.” If a patient’s LDCT findings are suspicious, a follow-up scan may be scheduled. The Lung Cancer Screening and Care team may also recommend a biopsy, in which case the patient would be referred to a procedural pulmonologist or a radiologist. If surgery is needed, the Lung Cancer Screening and Care team also includes a cardiothoracic surgeon. Reason 3: LDCT not only detects lung cancer early, but it can discover other potentially life-threatening illnesses before you’re experiencing symptoms. LDCT scans include a large part of the body. This means in addition to lung cancer, LDCT can also detect chronic pulmonary obstructive disorder (COPD) and heart disease, for example. “Lung Cancer Screening and Care can be a benefit to your health in so many ways,” Harvey says. “If you think you qualify for the program, speak to your healthcare provider.” Reason 4: If you’re a longtime smoker who wants to quit, you’ll receive support from Lung Cancer Screening and Care. First, let’s highlight a few of the health benefits of giving up smoking: One year after quitting smoking, a person’s risk for coronary heart disease decreases 50%. After 10 years, a person’s chances of developing lung cancer and dying from it are cut in half compared to someone who continues smoking. “It’s exciting how the body heals itself after giving up smoking,” Harvey says. “After someone quits, it’s recommended that they continue annual lung screening for at least 15 years. After that, their chances of developing lung cancer drops significantly.” Next, how do you get help quitting? While in-person smoking cessation classes have been temporarily suspended during the pandemic, the Arizona ASHLine sponsors Quit Coaching. This is a free, virtual program that supports and encourages people as they give up tobacco. Reason 5: When lung cancer is detected early through LDCT, cure is possible. “If lung cancer is found early, there’s an 80 percent chance of cure,” Harvey says. “That’s an amazing and hopeful statistic.” Want to learn more? Speak to your healthcare provider or contact Lung Cancer Screening and Care at (928) 771-5454.
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.
Free Health Insurance Marketplace Enrollment Help from Dignity Health, YRMC
Dignity Health, Yavapai Regional Medical Center (YRMC) is offering free expert assistance to families and individuals who want health insurance coverage through the Health Insurance Marketplace. During open enrollment 2022, which takes place November 1, 2021 through January 15, 2022, YRMC’s Certified Application Counselors (CACs) will provide assistance by appointment. Telephone and in-person appointments are available. “For years, YRMC has provided no-cost, expert assistance to individuals and families who want health insurance coverage through the Health Insurance Marketplace,” said Ken Boush, Director of Marketing and Communications at YRMC. “Our team also helps people applying for AHCCCS, Arizona’s Medicaid.” This tradition will continue even during COVID-19 with a few changes: Scheduling – In order to ensure social distancing, an appointment is needed. Both in-person and telephone appointments are available weekdays from 8 AM to 4 PM and may be scheduled by calling (928) 771-5151. Location – YRMC encourages people to schedule phone sessions for health insurance enrollment assistance. However, in-person assistance can be scheduled at the Financial Counseling Offices at YRMC West in Prescott and YRMC East in Prescott Valley by calling (928) 771-5151. In-Person Appointments – YRMC asks that one family representative attend in-person appointments with the CAC. People who don’t bring masks will be provided one. Prepare for Your Enrollment Meeting Whether you meet by phone or in person, YRMC recommends you have the following items ready for your meeting: Social Security Numbers for everyone on the application Employer and income information for all working family members (for example, pay stubs, W-2 forms, or wage and tax statements) Marketplace (healthcare.gov) login information (username and password) or a valid email address Policy numbers for any current health insurance In 2022, some people may qualify for premium tax credits as well as lower monthly premiums, lower deductibles and co-payments from the Health Insurance Marketplace. “Our counselors help people determine their benefits based on their financial situation, number of dependents and more,” said Boush. Basic Benefits and More All Health Insurance Marketplace Plans include the benefits listed below. Plans also may offer additional benefits. Ambulatory patient services (outpatient care) Emergency services Hospitalization Pregnancy, maternity and newborn care Mental health and substance use disorder services, including behavioral health treatment Prescription drugs Rehabilitative and habilitative services and devices (services/devices to help people with injuries, disabilities, or chronic conditions gain or recover mental and physical skills) Laboratory services Preventive and wellness services and chronic disease management Pediatric services, including oral and vision care Health insurance coverage begins January 1, 2022 for people who sign up during open enrollment. For more information about Health Insurance Marketplace enrollment or AHCCCS application assistance, please contact (928) 771-5151.
Focus on Fiber to Lower Breast Cancer Risk
Body weight, physical activity, and alcohol intake are three important factors known to influence a woman’s risk of breast cancer. In fact, the American Cancer Society states that the following healthy habits may offer significant protection against the disease. Be physically active, and get at least 300 minutes of moderate exercise, or 175 minutes of vigorous exercise each week. Maintain a healthy body weight throughout your lifetime and avoid excess weight gain as you age. Avoid alcohol or limit intake to one drink or less per day. While the links between diet and breast cancer are not completely clear, research also suggests that a high fiber diet featuring daily portions of fruits, vegetables, whole grains, beans, nuts and/or seeds may protect against breast cancer in a number of ways. Join me in our latest Dignity Health, YRMC’s Your Healthy Kitchen to learn more about the important role fiber seems to play in reducing a woman’s risk of breast cancer and check out our new, delicious recipe! It’s a gorgeous vegetable curry packed with fiber, cancer-fighting nutrients, and savory, seasonal flavors. Recipe: Pumpkin Vegetable Curry 25 High Fiber Foods Researchers offer a number of theories for why and how a plant-forward, high fiber diet may reduce breast cancer risk. As fiber moves through the digestive system, it binds with and removes estrogens and estrogen metabolites from the body. This may protect women from estrogen-positive breast cancer. A high fiber diet may also lower blood sugar and insulin levels after meals. Some research suggests that chronically elevated insulin levels in the blood – which can occur in diabetes, pre-diabetes, or even after high-carb, low fiber meals – may contribute to increased breast cancer risk. High fiber foods and meals fill us up and reduce cravings for munchies throughout the day. This likely helps us to maintain a healthy weight. In addition, many plant foods contain important phtyonutrients with anti-cancer properties. A few of the phytonutrients currently under study for protection against breast cancer include: Curcumin – present in turmeric. Ellagitannins – concentrated in berries, pomegranate seeds, and nuts. EGCG (Epigallocatechin gallate) – found in green tea. Quercitin – concentrated in onions. Other sources include raspberries, apples, cherries, tea, and red grapes. Kaempferol – mostly found in green leafy vegetables. Remember to check out dozens of additional videos and delicious recipes at yrmchealthconnect.org. Our recipes are curated or created with ease or preparation, cost, flavor, and health in mind, and you’ll find something for everyone on the Your Healthy Kitchen blog. You can also follow me on Facebook, at YRMC’s Your Healthy Kitchen, where I regularly post the plant-forward meals I make at home, plus share links to my favorite food and recipe sites on the web.
Community Breast Health Advocates Share Insight in New YRMC Foundation Video
Breast health is a topic that affects just about everyone in our community. You might be a breast cancer survivor, or you may know someone who is dealing with it. Maybe you’re getting ready to schedule your annual mammogram. Perhaps you have donated your time or resources to a campaign for the cure. Or you may be aware of the abundance of publicity regarding lifestyle choices that may help prevent breast cancer. The Foundation at Dignity Health – Yavapai Regional Medical Center (YRMC) brings a timely, local angle to the sometimes-overwhelming information that’s out there. They had conversations with Quad-City breast health advocates from various walks of life. The outcome is a video that brings you valuable data, information about local resources and technology, tips and suggestions, and most importantly, encouragement regarding breast health for you, and those you love. You’ll hear from: 3-year breast cancer survivor Marnie Uhl, President and CEO of the Prescott Valley Chamber of Commerce, who shares a personal look into her own journey and how it has affected her life. Kathi Hoffer, Operations Manager at the Breast Care Center, Dignity Health – YRMC, offering compelling statistics regarding breast screening options and which approach is the best for catching cancer early and reducing mortality. Michael G. Macon, M.D., retired Breast Surgeon, with valuable insight from his years of experience working with breast cancer patients and their families. LaNette F. Smith, M.D., Breast Surgeon with Dignity Health, Yavapai Regional Medical Group, who explains why YRMC’s team approach from the very start of the patient’s journey is what drew her to become a part of their Breast Care team. Robbie Nicol, Executive Director of Community Outreach and Philanthropy at Dignity Health – YRMC, describing how the generosity of YRMC donors has allowed YRMC to purchase state of the art equipment and draw top-notch specialists. There’s even a fun, interactive quiz to help you brush up on your breast health knowledge. You can view the video here: For more information, contact the YRMC Foundation at foundation@yrmc.org or call (928) 771-5686.
Community Breast Health Advocates Share Insight in New YRMC Foundation Video
Breast health is a topic that affects just about everyone in our community. You might be a breast cancer survivor, or you may know someone who is dealing with it. Maybe you’re getting ready to schedule your annual mammogram. Perhaps you have donated your time or resources to a campaign for the cure. Or you may be aware of the abundance of publicity regarding lifestyle choices that may help prevent breast cancer. The Foundation at Dignity Health – Yavapai Regional Medical Center (YRMC) brings a timely, local angle to the sometimes-overwhelming information that’s out there. They had conversations with Quad-City breast health advocates from various walks of life. The outcome is a video that brings you valuable data, information about local resources and technology, tips and suggestions, and most importantly, encouragement regarding breast health for you, and those you love. You’ll hear from: 3-year breast cancer survivor Marnie Uhl, President and CEO of the Prescott Valley Chamber of Commerce, who shares a personal look into her own journey and how it has affected her life. Kathi Hoffer, Operations Manager at the Breast Care Center, Dignity Health – YRMC, offering compelling statistics regarding breast screening options and which approach is the best for catching cancer early and reducing mortality. Michael G. Macon, M.D., retired Breast Surgeon, with valuable insight from his years of experience working with breast cancer patients and their families. LaNette F. Smith, M.D., Breast Surgeon with Dignity Health, Yavapai Regional Medical Group, who explains why YRMC’s team approach from the very start of the patient’s journey is what drew her to become a part of their Breast Care team. Robbie Nicol, Executive Director of Community Outreach and Philanthropy at Dignity Health – YRMC, describing how the generosity of YRMC donors has allowed YRMC to purchase state of the art equipment and draw top-notch specialists. There’s even a fun, interactive quiz to help you brush up on your breast health knowledge. You can view the video here: For more information, contact the YRMC Foundation at foundation@yrmc.org or call (928) 771-5686.
7 Years and $40,000 Raised Wrangling Breast Cancer with Prescott Frontier Days
Members of Prescott Frontier Days, Inc., the Prescott Frontier Days Foundation, and the Yavapai Regional Medical Center (YRMC) Foundation, a member of Dignity Health, met recently to celebrate the success of this year’s Wrangler® “Tough Enough to Wear Pink” fundraising program to benefit the Breast Care Center at Dignity Health, Yavapai Regional Medical Center. “This year’s program which included our annual ‘Tough Enough to Wear Pink’ banquet and ‘Tough Enough’ featured night at the rodeo generated $7,500,” said Chris Graff, President of Prescott Frontier Days, Inc. “It is gratifying to see our rodeo fans and our community come together to support the Center and the patients and families it serves.” Funds donated to the Breast Care Center are used to provide screening mammograms for those without insurance, essential health supports to breast cancer patients, and continuing staff education. They also help ensure the Center has the latest technology. According to YRMC Foundation Executive Director Robbie Nicol, the Foundation was able to fund the purchase of three next-generation ultrasound units designed specifically for breast imaging. In accepting this year’s donation, Nicol stated, “We, the Prescott Frontiers Days organization and our Medical Center, share a common bond of service to our community. We are grateful for all they do throughout the year to make our community healthy and prosperous.” 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.
Exploring the Gut/Heart Connection with YRMC Cardiologist Phillip Tran, DO
If you have ever had a ‘gut feeling’ about something, you’ve sensed a connection that science is proving true: your gut communicates with the rest of your body. Specifically, research shows that the gut microbiome, or the collection of bacteria that live in the digestive tract, influences a host of bodily functions, including cholesterol metabolism, inflammation, blood pressure, and more. Recent studies suggest that an imbalance in the number and diversity of gut bacteria may even contribute to the development of cardiovascular disease (CVD), a group of conditions that includes atherosclerosis, heart attack, heart failure and stroke. As we learn more about the important role the gut microbiome plays in preserving health and triggering disease, a whole new box of tools for treating and preventing CVD may result. The Gut Microbiome Our bodies host trillions of bacteria that live on and within us, with the largest concentration of bacteria found in the lower digestive tract. These tiny organisms maintain the health of the lining of gut, produce important nutrients, regulate the immune system, and can trigger or reduce inflammation throughout the body. Research suggests that the number, diversity, and balance of different families of bacteria have a direct influence on cardiovascular health. Phillip Tran, DO, Cardiologist at Yavapai Regional Medical Group, is enthusiastic about these discoveries. “We know there are several known and common risk factors for CVD, including smoking, obesity, diabetes, and inactivity. Abnormal gut flora is now being considered another major risk factor. This may open up exciting new modalities for treating and preventing CVD.” Inflammation Inflammation results from a complex series of immune reactions in the body that can be triggered by a host of conditions. Dr. Tran states, “Chronic inflammation is a root cause of cardiovascular disease. An important factor in reducing inflammation in the body appears to be maintaining a healthy population of the bacteria that protect and feed the lining of the gut.” When bacterial populations are healthy and diverse, the lining of the gut, which prevents pro-inflammatory, disease-causing substances from entering the body, remains intact. However, when bacterial populations shift, either through dietary changes, stress, medications, or other causes, the gut lining itself can become damaged and inflamed, thus allowing disease-causing substances to enter the blood stream. This condition, often called leaky gut, may lead to an increased risk of cardiovascular disease. Cholesterol, Blood Pressure and TMAO Some of the most interesting medical research done in the last few years relates to the discovery of a potential link between gut bacteria, diet, increased CVD risk, and a chemical called trimethylamine N-oxide, or TMAO. Dr. Tran describes the connection. “TMA, or trimethylamine, is produced by certain gut bacteria when people regularly consume red meats. TMA is converted to TMAO in the liver, and research suggests that TMAO may increase inflammation in atherosclerotic plaque, decrease the elimination of cholesterol from the body, and indirectly promote increased cholesterol production. Foam cells, which are the cholesterol-filled cells found in plaque, may also increase in number and size under the influence of TMAO.” Several studies from the US and Europe have demonstrated that blood levels of TMAO are often linked to an increased risk of heart attack and stroke. Higher levels of TMAO have also been measured in people suffering from heart failure. Keeping in mind that these correlations do not prove that TMAO causes cardiovascular disease, researchers continue to study this intriguing connection. Prebiotics and Probiotics Several studies have shown that food and supplement-based pre and probiotics may reduce total cholesterol, LDL-cholesterol and inflammation. Prebiotics are plant fibers that feed the health-promoting bacteria living in the gut. These fibers may be one of the reasons why a high fiber, plant-based diet is strongly linked with better blood cholesterol levels, reduced inflammation, and reduced CVD risk. Probiotics include beneficial bacteria, yeasts and fungi, many of which are produced from the fermentation of a variety of foods. Probiotics can be taken as supplements or eaten as a natural part of fermented foods. Some common, probiotic-rich fermented foods include yogurt (dairy or plant based), sauerkraut, kimchi (a spicy Korean condiment), kefir, and kombucha (a type of fermented tea). Dr. Tran thinks we need more research to clarify and prove the benefits of taking probiotic supplements to prevent or treat CVD. He states, “Although many studies suggest that probiotics can favorably alter serum lipids, some human studies examining the benefits of probiotics on serum lipids have shown conflicting results.” Many researchers concur, stating that the science is new and will take time to determine what types and blends of probiotics might be therapeutic for certain conditions, and in what form probiotic supplements should be consumed for the best outcomes. Steps to Improve Gut and Cardiovascular Health Dr. Tran suggests the following steps to improve the health of your gut and possibly reduce your risk of CVD. Maintain healthy intestinal flora by eating a diet rich in high fiber, plant based foods, and by regularly consuming healthy fermented foods. Take antibiotics with caution and care as they kill all bacteria and can promote the growth of unhealthy bacteria in the gut. Supplement with prebiotics and probiotics whenever you take antibiotics. If you have cardiovascular disease, talk to your cardiologist about the potential benefits of pre and probiotics. While the science is not yet clear, boosting a healthy population of gut bacteria may reduce inflammatory processes that trigger cardiovascular conditions.
Women with Diabetes Have a Greater Risk of Heart Disease than Men
If you are a woman with diabetes, your risk of developing (and dying from) heart disease may be greater than you think. Diabetes seems to erase, or even reverse the protective effect of female gender against cardiovascular disease and heart attack, making women with diabetes significantly more susceptible than men with diabetes. While the reasons for this are not entirely clear, researchers and healthcare providers agree that women with diabetes need more careful prevention, treatment and tracking to protect their cardiovascular health. Women are Frequently Diagnosed with Diabetes at a More Advanced Stage Both type 1 and type 2 diabetes increase the risk of a number of health concerns in men and women, including cardiovascular disease, kidney disease, and neuropathy (nerve damage). The longer someone has diabetes, especially with poor glucose control, the greater the risk of complications. Similarly, the longer someone has prediabetes, when glucose levels are above normal, but not yet in diabetes range, the greater the risk of cardiovascular disease. Research suggests that more than 90% of people with prediabetes don’t know they have it and that women tend to have undiagnosed prediabetes for a longer period of time than men. Additional research suggests that men and women can have elevated blood sugar or insulin levels (a sign of impaired glucose tolerance) for up to 20 years before they are actually diagnosed with diabetes, and that women are often diagnosed with diabetes at a later stage than men. Women Have Different Responses to Disease and Medical Treatment Diabetes may be more damaging to the vascular system in females than in males, at any age. A study following a group of children and adolescents with well-controlled type 1 diabetes discovered that girls were more likely to have heart abnormalities and other indicators of early cardiovascular disease than boys. Indeed, research indicates that women and girls are more susceptible to the cellular and vascular damage caused by elevated blood glucose and low-grade inflammation, a chronic side effect of diabetes. Women may also not respond as well to medical treatment for cardiovascular disease. For example, data suggests that some medications, including those used to reduce blood clotting, may not be as effective in preventing heart attacks in women compared with men. Sub-optimal treatment may be a consequence of women historically being under represented in the clinical trials used to determine the effectiveness and proper dosage of drugs. There may even be disparities in healthcare for women when compared to men. Data indicate that women may be less likely to have their cardiac risk factors assessed by physicians, and are typically not treated as aggressively as men. Most critically, women with diabetes are more likely to die as the result of a heart attack than men. This could be partially due to the fact that women are typically diagnosed with heart disease at a later and more debilitated age, but other factors may also come into play. For example, research from a Scottish study suggests that the blood levels of troponin, a heart muscle protein, that when detected in the blood signals a heart attack, are often lower in women having a heart attack than men. Consequently, a woman having a heart attack may not receive appropriate emergency treatment. In addition, women may not experience classic heart attack symptoms, including pain in the chest, arms, back and jaw, heartburn and shortness of breath. The most common symptom of heart attack women may experience is unusual fatigue. In fact, in one study, women reported deep fatigue and disturbed sleep as much as a month or two before a heart attack. During a heart attack, only about one in eight women report chest pain, and tend to describe it as pressure, aching, or tightness rather than pain. Know Your Risks of Prediabetes, Diabetes and Cardiovascular Disease Considering all of the risks of cardiovascular disease for women with diabetes, researchers encourage women and their healthcare providers to take extra care and precautions; catching prediabetes, diabetes and signs of cardiovascular disease at their earliest possible stages. Women at risk for prediabetes, diabetes and cardiovascular disease include those who: Currently have or have had gestational diabetes Smoke Are inactive Carry extra abdominal fat Have polycystic ovarian syndrome (PCOS) Experience chronic stress Eat a poor diet Have periodontal disease Have a family history of diabetes and cardiovascular disease Some symptoms of diabetes or prediabetes are: Fatigue Depression and mood changes Increased cravings for sweets Sudden weight gain or weight loss Chronic vaginal yeast infections Chronic urinary tract infections Increased hunger, thirst and urination Sexual dysfunction If you have prediabetes or diabetes, check out the services and resources offered at the YRMC Pendleton Center. The Pendleton Center offers excellent classes and individualized counseling for people with prediabetes and diabetes and also has an adult fitness program, featuring a complete gym and large variety of exercise classes designed for people at all levels of fitness, flexibility and strength. Our education and fitness programs are designed to help anyone achieve good blood sugar control and improved fitness, which reduces the risk of cardiovascular disease. For more information, call 928-771-5794.
COVID-19 Monoclonal Antibody Treatment (Regeneron) at YRMC
Early treatment for COVID-19 infection with Monoclonal Antibody (MAB)Therapy for high risk patients is available at Dignity Health, Yavapai Regional Medical Center. A Physician Order and Appointment are required. What are monoclonal antibodies? Monoclonal antibodies are laboratory-made proteins that mimic your immune system’s ability to fight off harmful viruses. Casirivimab + Imdevimab (Regeneron) are monoclonal antibodies that are specifically designed to protect against the spike protein of COVID-19. These proteins are designed to stop the virus from entering the human cells. In November 2020, the U.S. Food and Drug Administration issued an Emergency Use Authorization to allow the use of monoclonal antibodies for the treatment of mild to moderate symptoms of COVID-19. Further data has been published showing the benefit of reducing hospitalization rates in people at high risk for severe COVID-19 infection. What are the criteria for COVID MAB therapy? A positive test result for SARS CoV-2 viral testing (COVID-19) is required, AND Must have mild to moderate symptoms for 10 days or less, AND Must be at least 18 years of age or older, AND Must be at high-risk for progressing to severe COVID-19 infection and/or hospitalization as determined by your physician Who cannot receive COVID MAB Therapy? Anyone still waiting for a COVID-19 test result Anyone who has received a negative COVID-19 test result People with symptoms for more than 10 days New or increased oxygen requirement, hospitalized patients People without risk factors for severe disease (some examples of risk factors may include age greater than 65, chronic lung or kidney disease, pregnancy, and others. Your doctor can help you determine if you do or don’t have risk factors) How do I schedule an appointment for COVID MAB Therapy? Call your doctor as soon as possible if you are sick and believe you qualify An order must be sent by your physician to the Infusion Center at Dignity Health, Yavapai Regional Medical Center. A representative from Dignity Health, Yavapai Regional Medical Center will call you to schedule your appointment once the physician order has been received.
The Robert Altmanshofer Radiologic Technology Scholarship – Good Work in Our Own Backyard
While most 34-year-olds are busy building a career, paying the bills, and putting a little money away for the future, Robert Altmanshofer is concerned about what his legacy will be, long after he is gone. Altmanshofer is a radiologic technologist at Dignity Health, Yavapai Regional Medical Center (YRMC) in Prescott, Arizona. His dream is to build an endowment that will provide full-ride scholarships every year to students in the Radiologic Technology program at Yavapai College. He graduated from that program four years ago. And his dream of an endowment is very close to becoming a reality. If I Can Do This, Anyone Can “While I was doing my prerequisites, I got a few scholarships that were really helpful,” recalls Altmanshofer. “Then, when I applied to the Radiologic Technology program, the Jewish Community Foundation gave me a full-ride scholarship. I was beside myself with gratitude and excitement. Their generosity changed my life in so many ways.” He was able to fully focus on the rigorous program at Yavapai College. “They actually tell you that you should not work while you’re in this program because you will be so busy with school, clinicals, travel and preparing for board exams,” says Altmanshofer. “It’s an enormous commitment.” As a first-generation college student, Altmanshofer was doubtful that the academic world was even the right path for him. “I never saw myself going to college. I was sure I would fail. But when I started at Yavapai College and saw the opportunities coming my way, I realized that if I can do this, anyone can.” He carried a 4.0 GPA. An X-Ray Saved My Life Pursuing a career in Radiologic Technology was born from an experience Altmanshofer had when he was 23 years old. “An x-ray saved my life,” he explains. Altmanshofer had been experiencing intermittent bouts of severe abdominal pain for about 6 months. He was in and out of the Emergency Room a number of times. Upper GI tests, CAT scans and endoscopies showed no signs of abnormalities. Finally, an x-ray revealed a massive bowel obstruction. He underwent an immediate emergency bowel resection and removal of tumors in his small intestine. “I was in the hospital for two weeks and had a lot of time to think about what I should do with this new chance at life,” he remembers. “The radiologic technologists were always so friendly and helpful. They talked about what a great job it is, where you really get to help people get well. My mind was made up.” Giving Back Altmanshofer remembers the moment he decided to give back. “It was 2017. I made it through the program at Yavapai College and was just completing my last semester. I remember I was on campus, walking out to my car, and the idea hit me – I want to start a scholarship.” The Yavapai College Foundation staff offered guidance and encouragement. His newly established scholarship was $500. The scholarship amount has grown every year ever since. In 2020, Altmanshofer asked the Foundation about crowd funding. They helped him create a page on justgiving.com. His goal of $3,000 was met in six days. It had more than doubled after 30 days. He was able to award two students a $3,000 scholarship each. No Buyer’s Remorse This year, in keeping with his commitment to grow the scholarship year after year, Altmanshofer has taken the next step. “I started an endowment this year,” he says. “I prayed about it and talked to several mentors. I knew that I needed to really show my personal commitment to this effort. I started the endowment with $10,000 of my own money.” “I’m the kind of person who always has buyer’s remorse whenever I purchase something tangible,” he explains with a smile. “But this is different – we are getting something so intangible. The ripple effects of what we’re doing will serve people for decades. As soon as I hit ‘submit’ on that $10,000 contribution, I knew it was a good decision – no buyer’s remorse!” The target amount for the endowment was originally set at $30,000. YRMC physicians, surgeons, nurses, radiologic technologists, staff, and many community members continue to come forward with generous contributions. The fund has now exceeded the $30,000 goal and continues to grow. Altmanshofer is humbled. “If you would have asked me four years ago if I pictured myself doing this, I’d say no way. But we are making it happen. I’m hoping we’ll reach $50,000.” “To hear ‘we believe in you, we want to help you,’ humbles me,” he continues. “Being able to see the students come through the program and now have them working beside me at YRMC is beyond fulfilling. It brings so much meaning and purpose to my life.” “It feels so good to have started doing good things now – not waiting until some ideal time. I see what people have done for me. It is imperative for me to give back. If it made this much of a difference in my life, I hope and pray I can make a difference in someone else’s life. My ultimate goal is to have enough in the endowment to be able to give full-ride scholarships year after year.” Our Own Backyard Every recipient of the Robert Altmanshofer Radiologic Technology Scholarship at Yavapai College is employed at Dignity Health, Yavapai Regional Medical Center. “The beauty of this whole thing is that it is happening locally at our own hospital and through our own community college,” says Altmanshofer. “The people we are awarding these scholarships to are dedicating themselves to a career right here in our community, and on top of that, they’re helping people during a pandemic. It just gives you a sense of hope. There are still good people doing good work right here in our own backyard.” The Robert Altmanshofer Radiologic Technology Scholarship provides funds to Yavapai College students enrolled in the Radiologic Technology degree program. To learn more, and to contribute to the endowment, visit https://www.justgiving.com/fundraising/ycradtechendowment.
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.
YRMC’s Kim Haugen Named PV Chamber of Commerce 2020 Volunteer of the Year
Photo: Kim Haugen, Prescott Valley Chamber of Commerce 2020 Volunteer of the Year (center) with Frank Almendarez, YRMC East Chief Administrative Officer (left) and Chris Graff, Chair of the PV Chamber of Commerce (right). After working in corporate management in Illinois, Kim Haugen moved to Prescott and became a Medical Transcriptionist. She enjoyed working from home and appreciated the flexibility the job offered. However, Haugen sometimes felt like she was missing out on regular interaction with others. Eleven years ago, after some thoughtful consideration, she decided to volunteer once a week with the PAWS (Pets are Warm Support) pet visitation program at Yavapai Regional Medical Center (YRMC) with her then two-year-old Bouvier dog, Dirk. “Joining PAWS at YRMC was one of most worthwhile things I have ever done,” says Haugen. “There’s nothing like that connection between a dog and a person. He has touched so many lives. People have even recognized him on the street!” Dirk is now 13 years old and no longer joins Haugen at YRMC. “When Dirk could no longer walk, I requested a different job on Thursdays,” Haugen continues. “It was important to me to keep seeing the other YRMC volunteers, management and staff who had become my friends.” She started delivering the mail each Thursday, and over the years has tackled positions as varied as stocking supplies in the Family Birthing Center and Nutrition Department, helping with the ‘Pet Partners’ certification process, working as an Escort and serving at the Information Desk. She has become a well-respected volunteer throughout the hospital, known for her dedication and hard work. Victoria Spears, YRMC East Volunteer Services Manager, wanted to give Haugen special recognition for all she has done for YRMC. She submitted a nomination to the Prescott Valley Chamber of Commerce for their Volunteer of the Year Award. “Kim constantly goes above and beyond the call of duty,” states Spears. “When she sees a need, Kim is the first one to offer to fill it. She displays all the qualities of a valuable volunteer, exemplifying the spirit of cooperation. She is respected not only by the other volunteers but by staff as well.” The Chamber chooses one recipient each year for their Norm Pariseau Volunteer of the Year Award. Pariseau was a longtime member of the Prescott Valley Early Bird Lions and was Board Chairman of the Prescott Valley Chamber. Each year, the winner exemplifies Pariseau’s commitment to the community and generosity of spirit. Haugen won the award. “Kim not only works hard and does an excellent job, but she truly loves to serve YRMC and our community and this is very apparent when you see her in action,” says Spears. Haugen was not expecting the honor. “This certainly surprised the heck out of me!” admits Haugen. “It’s very humbling. There are so many wonderful, deserving volunteers. And I was chosen not only from YRMC, but from all over Prescott Valley. It’s so exciting.” Haugen continues, “I like to think of this as an honor not only for me, but for YRMC – for the way they have cared for the community, not only during the pandemic, but over the years. I felt that the award was as much for the hospital as for me, and this was the Chamber’s way of thanking the hospital through me.” “Volunteering makes you feel like you are helping the community. It’s so nice to give back, to feel like you’re making a difference in someone’s life,” says Haugen. “And even behind the scenes – helping make the staff’s job easier. That’s a good feeling. You’re giving the workers a chance for more quality time with their patients.” Haugen’s beloved dog Dirk was, in many ways, responsible for bringing her to YRMC and launching her years-long commitment to the hospital. It’s nice to know that while Dirk has ‘retired’ from volunteering, he has a little brother named Sebastian. Haugen is happy to report that Sebastian may begin visiting YRMC patients through the PAWS Program in the not too distant future! 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) 442-8678.
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.
The Robert Altmanshofer Radiologic Technology Scholarship – Good Work in Our Own Backyard
While most 34-year-olds are busy building a career, paying the bills, and putting a little money away for the future, Robert Altmanshofer is concerned about what his legacy will be, long after he is gone. Altmanshofer is a radiologic technologist at Dignity Health, Yavapai Regional Medical Center (YRMC) in Prescott, Arizona. His dream is to build an endowment that will provide full-ride scholarships every year to students in the Radiologic Technology program at Yavapai College. He graduated from that program four years ago. And his dream of an endowment is very close to becoming a reality. If I Can Do This, Anyone Can “While I was doing my prerequisites, I got a few scholarships that were really helpful,” recalls Altmanshofer. “Then, when I applied to the Radiologic Technology program, the Jewish Community Foundation gave me a full-ride scholarship. I was beside myself with gratitude and excitement. Their generosity changed my life in so many ways.” He was able to fully focus on the rigorous program at Yavapai College. “They actually tell you that you should not work while you’re in this program because you will be so busy with school, clinicals, travel and preparing for board exams,” says Altmanshofer. “It’s an enormous commitment.” As a first-generation college student, Altmanshofer was doubtful that the academic world was even the right path for him. “I never saw myself going to college. I was sure I would fail. But when I started at Yavapai College and saw the opportunities coming my way, I realized that if I can do this, anyone can.” He carried a 4.0 GPA. An X-Ray Saved My Life Pursuing a career in Radiologic Technology was born from an experience Altmanshofer had when he was 23 years old. “An x-ray saved my life,” he explains. Altmanshofer had been experiencing intermittent bouts of severe abdominal pain for about 6 months. He was in and out of the Emergency Room a number of times. Upper GI tests, CAT scans and endoscopies showed no signs of abnormalities. Finally, an x-ray revealed a massive bowel obstruction. He underwent an immediate emergency bowel resection and removal of tumors in his small intestine. “I was in the hospital for two weeks and had a lot of time to think about what I should do with this new chance at life,” he remembers. “The radiologic technologists were always so friendly and helpful. They talked about what a great job it is, where you really get to help people get well. My mind was made up.” Giving Back Altmanshofer remembers the moment he decided to give back. “It was 2017. I made it through the program at Yavapai College and was just completing my last semester. I remember I was on campus, walking out to my car, and the idea hit me – I want to start a scholarship.” The Yavapai College Foundation staff offered guidance and encouragement. His newly established scholarship was $500. The scholarship amount has grown every year ever since. In 2020, Altmanshofer asked the Foundation about crowd funding. They helped him create a page on justgiving.com. His goal of $3,000 was met in six days. It had more than doubled after 30 days. He was able to award two students a $3,000 scholarship each. No Buyer’s Remorse This year, in keeping with his commitment to grow the scholarship year after year, Altmanshofer has taken the next step. “I started an endowment this year,” he says. “I prayed about it and talked to several mentors. I knew that I needed to really show my personal commitment to this effort. I started the endowment with $10,000 of my own money.” “I’m the kind of person who always has buyer’s remorse whenever I purchase something tangible,” he explains with a smile. “But this is different – we are getting something so intangible. The ripple effects of what we’re doing will serve people for decades. As soon as I hit ‘submit’ on that $10,000 contribution, I knew it was a good decision – no buyer’s remorse!” The target amount for the endowment was originally set at $30,000. YRMC physicians, surgeons, nurses, radiologic technologists, staff, and many community members continue to come forward with generous contributions. The fund has now exceeded the $30,000 goal and continues to grow. Altmanshofer is humbled. “If you would have asked me four years ago if I pictured myself doing this, I’d say no way. But we are making it happen. I’m hoping we’ll reach $50,000.” “To hear ‘we believe in you, we want to help you,’ humbles me,” he continues. “Being able to see the students come through the program and now have them working beside me at YRMC is beyond fulfilling. It brings so much meaning and purpose to my life.” “It feels so good to have started doing good things now – not waiting until some ideal time. I see what people have done for me. It is imperative for me to give back. If it made this much of a difference in my life, I hope and pray I can make a difference in someone else’s life. My ultimate goal is to have enough in the endowment to be able to give full-ride scholarships year after year.” Our Own Backyard Every recipient of the Robert Altmanshofer Radiologic Technology Scholarship at Yavapai College is employed at Dignity Health, Yavapai Regional Medical Center. “The beauty of this whole thing is that it is happening locally at our own hospital and through our own community college,” says Altmanshofer. “The people we are awarding these scholarships to are dedicating themselves to a career right here in our community, and on top of that, they’re helping people during a pandemic. It just gives you a sense of hope. There are still good people doing good work right here in our own backyard.” The Robert Altmanshofer Radiologic Technology Scholarship provides funds to Yavapai College students enrolled in the Radiologic Technology degree program. To learn more, and to contribute to the endowment, visit https://www.justgiving.com/fundraising/ycradtechendowment.
5 Reasons to Check Out Our Lung Cancer Screening Program
November is Lung Cancer Awareness Month, an excellent time for current and past smokers to check out Lung Cancer Screening and Care at Dignity Health, Yavapai Regional Medical Center (YRMC). The centerpiece of YRMC’s program is low-dose computed tomography (LDCT), which produces detailed images of the chest and lungs to detect lung cancer early, when it’s most treatable. LDCT scans also use about one-fifth the dose of radiation as compared to a standard CT scan. Need more motivation? Here are five reasons to join in this lifesaving program. Reason 1: More people (maybe you) are qualifying for LDCT thanks to recent changes in eligibility. Earlier this year, the United States Preventive Service Task Force (USPSTF) updated its recommendations for who should undergo LDCT. The new recommendations include people who are: Ages 50 – 80 Heavy smokers (one pack a day for 20 years or the equivalent) Current smokers or smokers who have quit in the last 15 years Free of any lung cancer symptoms “Dropping the qualifying age to 50-years-old from 55, and lowering the pack-per-day eligibility to 20 years from 30 years, makes more people eligible for lung cancer screening,” says Jennifer Harvey, RN, Nurse Navigator, Lung Cancer Screening and Care at YRMC. Arizona’s Medicaid – the Arizona Health Care Cost Containment System (AHCCCS) – quickly adopted the new LDCT coverage recommendations. The medical community is hopeful that Medicare and private insurance carriers will implement the USPSTF’s recommendations in early 2022. “In the meantime, people between the ages of 50 and 55 who want to be screened, should speak to their health insurance carriers about coverage,” Harvey says. Reason 2: Lung Cancer Screening and Care at YRMC is a dedicated healthcare partner. That partnership begins by ensuring you qualify for LDCT. Additionally, our nurse navigator is available to answer questions about LDCT, lung health, and assist with smoking cessation programs. Harvey reaches out to every Lung Cancer Screening and Care participant to remind them of their annual LDCT screening. That year-to-year continuity is an important aspect of Lung Cancer Screening and Care. “LDCT screening is not a one and done,” Harvey explains. “If you don’t have any signs of lung cancer after your first screening, you will be screened annually. I suggest that people think of their LDCT as they would a mammogram or colonoscopy. It’s a screening that you need even – and especially – if you have no symptoms.” If a patient’s LDCT findings are suspicious, a follow-up scan may be scheduled. The Lung Cancer Screening and Care team may also recommend a biopsy, in which case the patient would be referred to a procedural pulmonologist or a radiologist. If surgery is needed, the Lung Cancer Screening and Care team also includes a cardiothoracic surgeon. Reason 3: LDCT not only detects lung cancer early, but it can discover other potentially life-threatening illnesses before you’re experiencing symptoms. LDCT scans include a large part of the body. This means in addition to lung cancer, LDCT can also detect chronic pulmonary obstructive disorder (COPD) and heart disease, for example. “Lung Cancer Screening and Care can be a benefit to your health in so many ways,” Harvey says. “If you think you qualify for the program, speak to your healthcare provider.” Reason 4: If you’re a longtime smoker who wants to quit, you’ll receive support from Lung Cancer Screening and Care. First, let’s highlight a few of the health benefits of giving up smoking: One year after quitting smoking, a person’s risk for coronary heart disease decreases 50%. After 10 years, a person’s chances of developing lung cancer and dying from it are cut in half compared to someone who continues smoking. “It’s exciting how the body heals itself after giving up smoking,” Harvey says. “After someone quits, it’s recommended that they continue annual lung screening for at least 15 years. After that, their chances of developing lung cancer drops significantly.” Next, how do you get help quitting? While in-person smoking cessation classes have been temporarily suspended during the pandemic, the Arizona ASHLine sponsors Quit Coaching. This is a free, virtual program that supports and encourages people as they give up tobacco. Reason 5: When lung cancer is detected early through LDCT, cure is possible. “If lung cancer is found early, there’s an 80 percent chance of cure,” Harvey says. “That’s an amazing and hopeful statistic.” Want to learn more? Speak to your healthcare provider or contact Lung Cancer Screening and Care at (928) 771-5454.
Fabulous and Gluten Free – Holiday Cookies Everyone will Love
It’s holiday baking time, and lots of folks are looking for recipes that are decadent, delicious, and gluten free. Here at YRMC’s Your Healthy Kitchen, I’ve been testing gluten free chocolate chip cookie recipes for weeks, and have two great recipes to share. The first utilizes a variety of gluten free flours, including white and brown rice, potato and tapioca to create a buttery, crisp Tollhouse cookie that is pretty close to the original. The second is based on a simple blend of almond flour and oats, which results in a cake-like cookie that is satisfying, rich, and even a bit nutritious! Check them both out here, in our latest video, where you’ll also learn about gluten, gluten free flours, and tips for gluten free baking success. Recipe: Gluten Free Chocolate Chip Walnut Cookies Recipe: Gluten Free Oatmeal Chocolate Chip Cookies Remember to view all of our Your Healthy Kitchen videos and recipes at yrmchealthconnect.org. You’ll find something for everyone, including more great holiday recipes for soups, snacks, and dessert. You can follow me on Facebook too, at YRMC’s Your Healthy Kitchen, to see what I’m making at home this holiday season. Happy and healthy holidays!
Focus on Fiber to Lower Breast Cancer Risk
Body weight, physical activity, and alcohol intake are three important factors known to influence a woman’s risk of breast cancer. In fact, the American Cancer Society states that the following healthy habits may offer significant protection against the disease. Be physically active, and get at least 300 minutes of moderate exercise, or 175 minutes of vigorous exercise each week. Maintain a healthy body weight throughout your lifetime and avoid excess weight gain as you age. Avoid alcohol or limit intake to one drink or less per day. While the links between diet and breast cancer are not completely clear, research also suggests that a high fiber diet featuring daily portions of fruits, vegetables, whole grains, beans, nuts and/or seeds may protect against breast cancer in a number of ways. Join me in our latest Dignity Health, YRMC’s Your Healthy Kitchen to learn more about the important role fiber seems to play in reducing a woman’s risk of breast cancer and check out our new, delicious recipe! It’s a gorgeous vegetable curry packed with fiber, cancer-fighting nutrients, and savory, seasonal flavors. Recipe: Pumpkin Vegetable Curry 25 High Fiber Foods Researchers offer a number of theories for why and how a plant-forward, high fiber diet may reduce breast cancer risk. As fiber moves through the digestive system, it binds with and removes estrogens and estrogen metabolites from the body. This may protect women from estrogen-positive breast cancer. A high fiber diet may also lower blood sugar and insulin levels after meals. Some research suggests that chronically elevated insulin levels in the blood – which can occur in diabetes, pre-diabetes, or even after high-carb, low fiber meals – may contribute to increased breast cancer risk. High fiber foods and meals fill us up and reduce cravings for munchies throughout the day. This likely helps us to maintain a healthy weight. In addition, many plant foods contain important phtyonutrients with anti-cancer properties. A few of the phytonutrients currently under study for protection against breast cancer include: Curcumin – present in turmeric. Ellagitannins – concentrated in berries, pomegranate seeds, and nuts. EGCG (Epigallocatechin gallate) – found in green tea. Quercitin – concentrated in onions. Other sources include raspberries, apples, cherries, tea, and red grapes. Kaempferol – mostly found in green leafy vegetables. Remember to check out dozens of additional videos and delicious recipes at yrmchealthconnect.org. Our recipes are curated or created with ease or preparation, cost, flavor, and health in mind, and you’ll find something for everyone on the Your Healthy Kitchen blog. You can also follow me on Facebook, at YRMC’s Your Healthy Kitchen, where I regularly post the plant-forward meals I make at home, plus share links to my favorite food and recipe sites on the web.