The Many Wonders of Water
Summer is a great time to step up your water intake. Days are warmer, and we tend to spend a lot of time outdoors exercising. But did you know that it’s important to maintain good hydration all year long? Water’s Benefits According to usgs.gov, up to 60% of the human adult body is water. That’s one of the reasons why it’s so important to stay hydrated. Drinking enough fluids helps support your cells and organs, keeps your skin healthy, aids digestion, regulates your body temperature, lubricates joints, helps keep your brain working at peak capacity, and more. Most experts agree that six to eight 8-ounce glasses of water each day is adequate. However, if you know you’re going to be out in the heat or have a physically active day, you may want to increase your intake. Hydration for Marathon Runners Marathon runners should take special care to stay hydrated before, during and after their race. It’s critical to start a good hydration routine at least 48 hours before race day. A couple of hours before the race, drink 16 ounces of water or a sports or electrolyte drink. This will give your system enough time to absorb the fluids. During the race, the American College of Sports Medicine suggests drinking 5 to 12 ounces of fluids every 15 to 20 minutes if possible. Many marathons, such as the annual Whiskey Row Marathon in Prescott, have water stops along the course. Some runners carry their own water bottle, edible water pods or water packs. You can experiment with your options well before the day of the race so that you can choose which option is best for you. When the race is over, remember to hydrate regularly. The effects of dehydration can be felt hours after a race. Symptoms include fatigue, headache, muscle cramping and dizziness. You can also check your urine after the race. If it is dark, it may be a sign that you need to drink more fluids. Fancy Fluids For runners and non-runners alike, plain water isn’t your only option. Ramp up the flavor with fruits or vegetables such as lemons, berries, orange slices or cucumber slices. Click here for refreshing infused water suggestions from Rita Carey Rubin, the host of YRMC’s Your Healthy Kitchen. Coffee or tea, especially herbal tea, can also be a substitute for some of your fluid intake. In addition, many foods such as watermelon, strawberries, cucumber, cantaloupe, lettuce, celery, peaches, and oranges have high water content and can provide some of your daily requirement. The key is to stay away from sugary beverages which can lead to weight gain and inflammation. Hydration is for Everyone Finally, as we age, it’s more important than ever to track how much fluid we’re taking in each day. Many older people don’t sense thirst as much as they did when they were younger, which can lead to dehydration. Symptoms may include fatigue, dizziness and/or confusion. The Cleveland Clinic offers a few easy ways to help increase your water intake each day: Choose a water bottle you love and always have it with you. Drink a glass of water after every bathroom break. Drink a glass of water before every meal. Use an app or ask technology to help. Regardless of your age, drinking enough water is key to staying healthy and functioning at your peak. You can discuss your specific needs with your healthcare provider, but in the meantime, pour yourself a tall one and drink up!
Prostate MRI: Detecting Cancer Early
Men of Yavapai County, here’s some important health information: Our county has the second highest rate of prostate cancer among Arizona’s 15 counties, according to the National Cancer Institute. Nationwide, one in eight men in the United States will be diagnosed with cancer of the prostate – a small gland below the bladder – during their lifetimes. But, there’s also reason to be optimistic. A non-invasive imaging study called prostate MRI (Magnetic Resonance Imaging) is finding prostate cancer early, when it’s most treatable. Even better news? Prostate MRI is available at Dignity Health Imaging Center in Prescott and Prescott Valley. “Prostate MRI is the most sensitive study available for detecting cancer in the prostate,” says Deven Cox, DO, Diagnostic Radiologist, Dignity Health Imaging Center. “If a patient has a lesion that’s very anterior in the prostate gland, a clinical exam will never detect that lesion. But prostate MRI does reveal those difficult-to-detect anterior tumors and others, too.” Should you have a prostate MRI exam? Dr. Cox – an expert in the non-invasive study – has reviewed more than 1,000 prostate MRI studies during his career. During National Prostate Cancer Awareness Month in September, he’s encouraging men ages 55–69 to talk to their physicians about whether prostate cancer testing is right for them. For men at high risk for prostate cancer – African-American men or males with a family history – discussions should begin between ages 40–54. Men with rising prostate-specific antigen (PSA) levels in their blood and struggles with “urinary retention” are also candidates for prostate MRI. In addition to diagnosing cancer, prostate MRI detects other conditions, including: Benign Prostatic Hyperplasia (BPH) – An enlarged prostate, which is most common in older males. Prostatitis – Inflammation or an infection of the prostate. “Prostate MRI studies provide important information that physicians use to develop treatment plans,” explains Dr. Cox. “These studies pinpoint the tumor location, determine its size and show if the cancer has spread outside of the prostate gland.” Contact us For more information about prostate MRI, speak to your physician or contact Dignity Health Imaging Center in Prescott or Prescott Valley at (928) 771-7577.
Healthy Conversations: With High Blood Pressure, What You Don’t Know Could Harm You
High blood pressure is another name for “hypertension.” Informally, it’s also known as “the silent killer,” one of the most alarming descriptions given to a medical condition by the medical community. “Just because the symptoms of high blood pressure are not apparent doesn’t mean it is not a serious condition,” says Olufunso Odunukan, MD, MPH, FACC, FSCAI, Interventional Cardiologist, Dignity Health, Yavapai Regional Medical Group (YRMG). “In fact, its lack of symptoms are exactly what can make hypertension so dangerous.” During this episode of Healthy Conversations, Dr. Odunukan highlights the causes, signs and dangers of high blood pressure. He also explains what your blood pressure numbers mean and discusses treatments for the condition, including an upcoming therapy for refractory hypertension—uncontrolled high blood pressure. Who is likely to have hypertension? While many factors – weight, family history, diet and more – can contribute to high blood pressure, age is the most common reason for high blood pressure. According to recent figures from the American Heart Association, 75 percent of women and 67 percent of men between the ages of 65 – 74 have high blood pressure. After age 75, approximately 84 percent of women and men suffer from the condition. What is high blood pressure? The formal definition of “blood pressure” can sound a bit like a math equation: Blood pressure is a measurement of the force exerted against the walls of your arteries as your heart pumps blood to your body. When Dr. Odunukan explains high blood pressure to patients, he compares it to a water hose under pressure. He also explains that as people age their blood vessels become less elastic and the heart has to work harder to push blood through the vessels to the body’s organs. “The organs – the brain, heart and kidneys – where the blood flow stops, take a pounding when your blood pressure increases,” says Dr. Odunukan. “The result can be significant damage to those organs and outcomes like stroke, heart failure and kidney failure.” People with sustained, untreated high blood pressure may experience: Severe headaches Nose bleeds Fatigue or confusion Vision problems Irregular heartbeat Difficulty breathing or chest pain Blood in the urine “When people have these symptoms, it’s an indication that their blood pressure is extremely high,” Dr. Odunukan says. “They need to seek immediate treatment to avoid a catastrophic medical event, like a stroke.” What do my blood pressure numbers mean? Blood pressure consists of two numbers: Systolic – The top number indicates how much pressure your blood is exerting against your artery walls when your heart beats. Diastolic – The bottom number measures the pressure against your artery walls while your heart is resting between beats. Normal blood pressure is less than 120/80. You’re considered to have high blood pressure when the systolic number is at or above 140 or the diastolic number is above 90. Treating high blood pressure “People in the pre-hypertensive phase don’t necessarily need medications,” Dr. Odunukan explains. “That is the time that lifestyle modifications – weight loss, dietary changes and increased physical activity – will have the greatest impact.” Dr. Odunukan partners with his patients, encouraging them to adopt healthy habits proven to lower blood pressure, including: Exercising at least 30 minutes a day Getting to a healthy weight if you’re overweight (even losing ten pounds can significantly lower your risk for stroke) Avoiding high-cholesterol foods Lowering your sodium intake Consuming a diet rich in fruits, vegetables, fish and whole grains Keeping alcohol consumption to a minimum Giving up smoking If you are diagnosed with hypertension, it’s important to continue these healthy lifestyle strategies. Your physician may also prescribe medication to help lower your blood pressure. Today’s blood pressure medications are very targeted so your physician may recommend a combination of prescriptions to manage your condition. Between appointments with your cardiologist or other healthcare provider, Dr. Odunukan recommends checking your blood pressure at your local pharmacy. If your numbers are good, keep taking your medications and continue your healthy lifestyle measures. “It may take some time for you and your physician to find what works best for you,” Dr. Odunukan says. “Once you find it, I cannot emphasize enough how important it is to remain on the medications.” Get in touch Dr. Odunukan specializes in non-surgical – or minimally invasive – treatments for valvular heart disease, coronary artery disease and peripheral arterial disease. He is located at the recently opened Outpatient Services Building West on the campus of YRMC West in Prescott: YRMG Cardiology 1001 Willow Creek Road Suite 2200 Prescott, Arizona 86301 (928) 445-6025
Managing Diabetes with Meals, Meds, and Motion
Managing and balancing blood sugar is essential to living a healthy life with diabetes. In fact, research shows that even moderately good glucose control can reduce the risk of blindness, kidney failure, nerve damage, cardiovascular disease, and possibly even dementia in people with both type 1 and type 2 diabetes. Fortunately, we have tools to get glucose under control, including medications, movement, and meals, plus great technology that makes it easier to track glucose numbers, patterns and trends. In our latest episode of YRMC’s Your Healthy Kitchen, we take a look at the role food plays in staying healthy with diabetes, while making a delicious meal that includes the nutrients we need for good glucose control. Recipe: Quinoa with Ginger, Citrus, and Fresh Herbs Scientific studies show that meals, medications, and motion are also effective tools for preventing type 2 diabetes. For example, the U.S. Diabetes Prevention Program (DPP) was a clinical trial conducted at 27 sites across the U.S. from 1996 to 2001. Over 3,000 adults participated, and were randomly selected to be part of one of three study groups: a diet and exercise group, a group that took metformin (a common medication used to improve blood sugar control), or a placebo group. Interestingly, individuals who took metformin had good results, but not as significant as the group that improved their diet and increased exercise. Adults in the metformin group reduced their transition from pre-diabetes to type 2 diabetes by 31%, while the diet and exercise group reduced type 2 diabetes by a whopping 58%. Ten years after the study ended, participants in the DPP diet and exercise group continued to delay the onset of type 2 diabetes by 49%, compared to the metformin group at 18%. Surprisingly, fifteen years after the study ended, both groups continued to reduce onset of the disease. Diet, exercise and medications are essential for the treatment and prevention of diabetes. You can learn more about diabetes, pre-diabetes, and the latest technology for tracking glucose patterns and trends from the Certified Diabetes Care and Education Specialists at Dignity Health, Yavapai Regional Medical Center. Give them a call at 928-771-5794 for information on classes and individual consultations, as well as the Adult Fitness Program at YRMC’s Pendleton Centers in Prescott and Prescott Valley. Also, be sure to check out our diabetes-friendly recipes and videos at yrmchealthconnect.org. All of our recipes feature whole, nutrient-packed ingredients that are easy to find and affordable. Remember to follow me on Facebook as well, at YRMC’s Your Healthy Kitchen, where I post photos, videos, and recipes of the meals I make at home, plus links to my favorite food and gardening destinations on the web.
Healthy Conversations: Let’s Talk About Speech-Language Pathology
It’s ironic that many people outside of healthcare don’t fully understand speech-language pathology—a profession devoted to helping improve communication. “When I found out in college that you could make a career out of helping people communicate, I jumped on it and never looked back,” says Niki Tomitz, MS, CCC-SLP, Speech-Language Pathologist, Dignity Health, Yavapai Regional Medical Center (YRMC). Tomitz is one of three professionals who comprise YRMC’s Speech Therapy team. Tomitz, Sean Gabaldon, MS, CF-SLP, and Andrea Woolstenhulme, MS, CCC-SLP, work with hospitalized patients at both YRMC West in Prescott and YRMC East in Prescott Valley. Team members also work with patients at the Outpatient Services Building West, on the campus of YRMC West. During this episode of Healthy Conversations, Tomitz talks about the sometimes surprising and always important role of speech-language pathology in treating patients with myriad conditions. Re-learning life skills “One aspect of being a speech-language pathologist I’ve enjoyed is helping people re-learn life skills that they thought were lost forever,” Tomitz says. That means assisting older adults recovering from serious medical events, facing progressive conditions or dealing with age-related issues. Some of those include: ALS Alzheimer’s disease/dementia Brain injury Cancer COVID-19 Multiple sclerosis (MS) Parkinson’s disease Stroke Voice disorders Dysphagia Dysphagia is a swallowing disorder associated with many of these conditions. People with dysphagia find it difficult to chew and swallow, which can lead to dehydration, malnutrition or food and liquids going into the airway (aspiration) and causing pneumonia. How a YRMC speech-language pathologist treats dysphagia depends on the medical condition causing the swallowing disorder. Tomitz and other YRMC speech-language pathologists evaluate patients’ dysphagia and develop individual treatment plans, which may include: dietary changes swallowing exercises to strengthen muscles alternative swallowing strategies posture changes to use when eating “The first thing I ask someone working to recover their ability to swallow is, ‘What do you want to be able to eat again?’” explains Tomitz. Her patients’ responses have varied from steak to popsicles to a roast beef sandwich. After her patients are cleared for that particular level of food or liquid, Tomitz personally delivers the food the person has been craving. “It’s my all-time favorite thing to do for a patient,” she says. Aphasia Aphasia is a disorder that makes it difficult for people to speak, comprehend, read, write or use numbers. This condition is often the result of a stroke or brain injury. People with aphasia struggle to find the words they want to use and also find it difficult to understand what others are saying. There are nine types of aphasia that YRMC’s speech-language pathologists are experts at diagnosing. They create individualized treatment plans to address each patient’s aphasia. Apraxia While aphasia relates to a person’s ability to understand or use words, apraxia is a motor-speech disorder that affects the lips, tongue and palate. People with apraxia may seem to be groping for their words. It also impacts the clarity and consistency of their speech. “I tell my patients with apraxia that they are predictably unpredictable,” Tomitz says with a smile. What else is in the SLP wheelhouse? YRMC’s speech-language pathologists are skilled at treating many other conditions, including: Voice disorders – Changes to how a person’s voice sounds, including their pitch, volume or quality. Dysarthria – Weakness or tightness of the speech muscles, which causes slurred, quiet or harsh-sounding speech. Cognitive communication disorders – These disorders are often related to Alzheimer’s disease and other forms of dementia. YRMC’s speech-language pathologists work with both the patient and their family members. To learn more about how YRMC’s speech-language pathology team can help you or someone you care about, ask your primary care physician or contact YRMC’s Physical Rehabilitation Services at (928) 771-5131.
Family Medicine Provider Joins Yavapai Regional Medical Group
Viviene Brown, MSN, APRN, has joined Dignity Health, Yavapai Regional Medical Group (YRMG), Primary Care in Prescott Valley. Brown is an accomplished advanced practice registered nurse who diagnoses and treats adult patients of all ages. She’s also experienced at caring for patients with chronic illnesses. Brown earned a Master of Science in Nursing from Brenau University in Gainesville, Georgia. Before that, she pursued a Bachelor of Science in Nursing and an Associate of Science in Nursing, both at St. Petersburg College in Pinellas Park, Florida. Schedule an Appointment Brown is currently taking new patients. To schedule an appointment, please contact: YRMG, Primary Care 7700 East Florentine Road Building B, Suite 101 Prescott Valley, Arizona 86314 (928) 442-8710
Start the School Year Strong with Partners for Healthy Students
The beginning of a new school year means a fresh start in a new grade, seeing one’s friends again after summer break, and hopefully, getting that homeroom teacher your child always wanted. It can also mean kicking off the year with a visit to the doctor for well-child or sports exams, updates on vaccinations, or just the reassurance that healthcare is available for any illnesses your child may develop throughout the school year. Unfortunately, there are many families in the Quad Cities who can’t afford to take their child to the doctor. Dignity Health, Yavapai Regional Medical Center (YRMC) has been offering a solution for many families for more than 20 years. Partners for Healthy Students (PHS) helps bridge the gap for uninsured or underinsured families, and those with AHCCCS or KidsCare, by bringing them no-cost healthcare. “These are working-class families,” says Amy Negovan, Certified Pediatric Nurse Practitioner, and Program Director for Partners for Healthy Students. “They have good jobs, but don’t have that extra $400 to $500 per month for healthcare. Unfortunately, some families end up needing to choose between food and healthcare at the end of month.” You may have seen the 38-foot Partners for Healthy Students Mobile Kids Health Clinic around town, which allows the medical team to offer healthcare at schools in rural areas like Mayer, Kirkland, and Paulden. But that’s just a small part of the services offered by PHS. The program also has two on-site, school-based health clinics. The school-based clinics and mobile clinic combined serve more than 50 schools in the Quad City area, including public, private and charter schools. “Healthy kids make better learners,” says Negovan. “We treat the whole patient, not just a symptom. At any given visit, we may ask if the student needs a physical or eye exam, or whether they’re up to date on their vaccines. We can even make referrals for mental health issues.” “Scheduling and transportation are often difficult for these families. With Partners for Healthy Students, the child is right there at school and can go right back to their classroom,” Negovan explains. “Best of all, it’s high-quality, comprehensive healthcare that’s free of charge.” Partners for Healthy Students’ Certified Pediatric Nurse Practitioners offer the following to those who qualify, as well as their siblings, aged 2 months to 18 years old: Free wellness and prevention visits Free exams, diagnoses, and treatment of illness Free medication for acute illnesses Free sports physicals Referrals to additional low-cost or no-cost community services such as vision care, dermatology, neurology and cardiology No-cost mental health care referrals, in partnership with the YRMC Foundation Susi Brouillette, RN works as the nurse on the Partners for Healthy Students Mobile Kids Health Clinic. She recently transferred to PHS after working 17 years in the Emergency Department and is enjoying her new responsibilities. “I can see that a lot of our families come into the clinic pretty burdened, and having a sick kiddo always makes those burdens heavier,” says Brouillette. “Most of our parents don’t know that our services are free, so when they learn there is no co-pay, there is always a sigh of relief!” “We want to be that place that brings preventative care to kids who have nowhere else to go,” Negovan says. “What’s better than this kind of outreach? Where else can you do this? It’s the best job in the world.” Overview of Eligibility: No health insurance Health insurance with both: a deductible over $2,500, AND no co-pays before your health insurance will cover medical expenses Attend a brick-and-mortar school or has a sibling who does Children with AHCCCS and KidsCare are eligible Vaccine eligibility is only for those who are uninsured, have AHCCCS or KidsCare, or are Native American or Native Alaskan For more information about PHS School-Based Health Clinics, including locations and eligibility requirements, click here or call (928) 771-5662. For more information about the PHS Mobile Kids Health Clinic, including locations it visits and eligibility requirements, click here or call (928) 771-5123.
The 44th Annual Whiskey Row Marathon Offers Something for Everyone
Prescott’s 44th Annual Whiskey Row Marathon is fast approaching, and Damon Olsen, the Director of the James Family Prescott YMCA, is happier than ever about the outlook at the Y. “The Prescott YMCA has a long standing tradition of 50 years of service in our community,” says Olsen. “An organization like ours never wants to be considered a best kept secret. And we are definitely not. Either you were, you are, or you’re going to be a member at the Prescott YMCA.” “It’s so good to see people back at the Y,” he continues. “Attendance at our youth programs in particular has been overwhelming. There are actually more kids in flag football than before COVID. We’re starting a new 3-on-3 basketball program as well. We have a multitude of sports-specific camps through our partnerships with Yavapai College and Prescott Unified School District. And membership keeps climbing too. We are now at about 90% of our pre-COVID numbers.” Additional ongoing programming includes swim classes, drowning prevention classes, after school care, sports, and summer day care. Hence, the proceeds from this year’s marathon are more important than ever. “The Whiskey Row Marathon is our largest event fundraiser each year. Thanks to the marathon and our other fundraising efforts, we don’t turn anyone away for inability to pay,” Olsen explains. “We can meet people halfway or even more. Inability to pay is not a barrier for people who want to come to the YMCA.” Olsen is particularly excited about some changes at this year’s October 8th event. “Last year was the first year we held the race at a different time of year – October instead of May. We sent a survey out afterward, and the response was overwhelming to keep it in October, so that’s what we’ve done,” he says. “Summer is over, people have settled into school mode, and they seem to really like it in the Fall.” The race also introduced another option for runners in 2021 that was so successful, it’s been included in the 2022 lineup. “We introduced a 5K last year, and it was very well received,” explains Olsen. “We were hoping it would be a nice introduction to running in Prescott for those who weren’t ready to run a 10K, and we were right. We heard several people say that they’re ready to do the 10K this year after running the 5K last year.” Regardless of your running ability, getting out there and enjoying the day is highly encouraged. “Last year when I was helping out at registration, some people were hesitant to sign up because they don’t consider themselves runners,” says Lexi Mullins, Assistant Race Director. “I want people to know that we have the .3 Mile High Fun Run, or you can just walk the 5K or 10K. You will be so glad you did!” The Whiskey Row Marathon holds the distinction of being the longest continuously running marathon in Arizona. Olsen says that the event’s popularity is not only a result of the challenging course. “Our altitude and terrain make the Whiskey Row Marathon one of the most difficult races in the U.S., and runners love a challenge,” Olsen says. “But I think another reason people keep coming back is that they just love coming to Prescott. They make a weekend out of it. They come for the race, but also to take in our beautiful weather, do a little sightseeing and enjoy some great meals while they’re here.” Prescott YMCA Sports Director and Whiskey Row Marathon Race Director Jaime DeJoseph is a very busy person this time of year, but she wouldn’t have it any other way. “Our focus is youth development, healthy living, and social responsibility. Bottom line is, we’re here for the community,” says DeJoseph. “The Y is about fitness but it’s also about mental health. That ‘healthy living’ component means mental health as well. The Y is a place to come and be with others, a place to belong. That’s my favorite part of being here – promoting health. Seeing our members, including the kids, happy and successful while participating in our community is so rewarding.” DeJoseph describes a variety of ways that even non-runners can get involved in this signature Prescott event. “We love our volunteers and couldn’t do any of this without them. There are so many ways you can get involved,” she says. “We have volunteer opportunities at our water stations, the refreshment garden or directing traffic. The day before the race, we need people to help distribute packets, T shirts and bags at the YMCA. Then of course, there’s set up at 4 AM on Saturday and the tear down when it’s all finished.” “Support also comes in the form of sponsorships,” says DeJoseph. “Our sponsors, including Dignity Health, YRMC are amazing. Some of our sponsors have been with us for years now, and we have quite a few new ones as well. It’s truly a team effort.” “Dignity Health YRMC is once again our Presenting Sponsor,” adds Olsen. “They have shown us so much support over the years. We’re so fortunate to have them as neighbors, right across the street. We’re thankful they’re there.” For more information about the Whiskey Row Marathon, including the schedule, the race route, online race registration, a list of volunteer opportunities, and online volunteer registration, visit whiskeyrowmarathon.com.
First Robotic-Arm Assisted Surgery Launches A New Era in Orthopedic Surgery
The Quad Cities’ first robotic-arm assisted surgery took place at Dignity Health, Yavapai Regional Medical Center (YRMC) in Prescott, Arizona on January 26. The successful operation – a knee replacement – was performed by Jason Weisstein, MD, MPH, FACS, Orthopedic Surgeon at Dignity Health, Yavapai Regional Medical Group (YRMG). Orthopedic Surgeon Dr. Jason Weisstein specializes in robotic-arm assisted surgery and joint replacement. “As the Quad Cities first robotic-arm assisted surgery, this is a medical milestone,” says Anthony Torres, MD, FACP, Chief Medical Officer, YRMC. “Going forward, we’re confident YRMC’s robotic-arm assisted surgery program will positively affect people from throughout northern Arizona who need partial or total knee replacement.” According to Dr. Torres, Dr. Weisstein has vast experience performing total and partial knee replacements using robotic-arm assisted technology. His background, combined with YRMC’s recently acquired Stryker Mako Robotic-Arm, are the key components of a state-of-the-art robotic surgery program. Robotic-arm assisted surgery allows specially trained orthopedic surgeons, like Dr. Weisstein, to create a 3-D, virtual model of the patient’s unique knee anatomy. During the procedure, the robotic arm guides the surgeon to the predefined area to prepare the bone for the implant. This results in a precise and better-aligned knee replacement. A Game-Changer for Patients What does the availability of robotic-arm assisted surgery mean for patients who need partial or total knee replacement? “It’s a game-changer in every aspect for knee replacement patients,” Dr. Weisstein says. “The accuracy and precision afforded by use of the robot is unparalleled, leading to better component position and improved patient satisfaction. It’s a major step forward for orthopedic care in Yavapai County.” Robotic-arm assisted knee replacement has many other benefits, including: Less soft tissue dissection Ability to preserve healthy bone and soft tissue Less post-operative pain Faster functional recovery and shorter hospitalization Learn More For more information, or to schedule an appointment at YRMG, Orthopedic Surgery, speak to your primary care provider or contact the clinic at (928) 708-4545. YRMG, Orthopedic Surgery is located at: 3195 Stillwater Drive, Suite D Prescott, Arizona 86305 Outpatient Services Building West on the YRMC West Campus 1001 Willow Creek Road, Suite 1300 Prescott, Arizona 86301 Del E. Webb Outpatient Center 3262 North Windsong Drive, Suite B Prescott Valley, Arizona 86314
Healthy Conversations Introduces Joint Replacement Expert Dr. Jason Weisstein
The Quad Cities and Jason Weisstein, MD, MPH, FACS, fit together as naturally as the ball-and-socket joint of the hip fits to the thighbone. That’s an apt description for how Dr. Weisstein – an accomplished orthopedic surgeon who recently joined Dignity Health, Yavapai Regional Medical Group (YRMG) – has taken to his new home. “The opportunity to live in a four-seasons community with great outdoor recreational activities is one reason we were interested in the Prescott area,” says Dr. Weisstein. “My family moved here from Colorado, which has a similar desert-alpine environment. Everything has just kind of fit.” Revolutionary Hip Replacement Surgery Professionally, the community is also a good fit for Dr. Weisstein. A joint replacement specialist, he performs anterior-approach hip replacement and also continues to teach other surgeons the technique. Anterior-approach hip replacement is an advanced, minimally invasive procedure that has enabled orthopedic surgeons to get patients back to the activities they enjoy faster than traditional hip replacement. However, the surgery is not widely available because only 10 to 20 percent of orthopedic surgeons are qualified to perform it. “This is probably my favorite procedure because patients who have it do so well,” says Dr. Weisstein. “In six-to-eight weeks they’re back doing what they enjoy whether that’s golf, tennis or pickleball.” More in Store for YRMC’s Orthopedic Services Dr. Weisstein is not only trained as an anterior-approach hip replacement surgeon, he also has vast experience with robotic knee replacement. YRMC recently acquired a Mako Robotic-Arm. Dr. Weisstein will help spearhead the organization’s robotic knee program, which will offer state-of-the-art partial and total knee replacement. And, how does Dr. Weisstein feel about the work he does as an orthopedic surgeon in our community? “It’s a great feeling to go home and know that I’ve spent the day affecting people’s lives in such a positive way,” he says. Schedule an Appointment To schedule an appointment with Dr. Weisstein, speak to your primary care provider or call YRMG, Orthopedic Surgery at (928) 708-4545. For more information about YRMG, Orthopedic Surgery, visit us here.
It’s Official: YRMC’s Breast Care Center is a Center of Excellence!
The word “excellence” has long been associated with the Breast Care Center at Dignity Health, Yavapai Regional Medical Center. But now it’s official. YRMC’s Breast Care Center was recently designated a Breast Imaging Center of Excellence (BICOE) by the American College of Radiology (ACR). The three-year accreditation recognizes that YRMC’s Breast Care Center excels in all aspects of breast imaging, including these breast imaging modalities: Breast MRI Breast ultrasound (including ultrasound-guided breast biopsy) Mammography Stereotactic breast biopsy ACR accreditation is voluntary and an addition to required imaging licenses, surveys and accreditations. The BICOE application process includes comprehensive evaluations conducted by board-certified physicians and medical physicists in each of the four breast imaging modalities. “Our team decided to pursue BICOE accreditation for our patients and community,” says Kathi Hoffer, Imaging Manager, Breast Care Center at Dignity Health, YRMC. “We were confident that the Breast Imaging Center of Excellence designation would validate the level of care we provide.” BICOE accreditation means YRMC’s Breast Care Center has achieved the highest practice standards in: Image excellence Staff qualifications Facility equipment Quality control standards Quality assurance procedures The ACR is a national professional organization founded in 1923 to advance the practice and science of radiological care. Today, the organization’s more than 41,000 diagnostic and interventional radiologists, radiation oncologists, nuclear medicine physicians and medical physicists work together in support of that mission. For more information about YRMC’s Breast Care Center, visit DignityHealth.org/YRMC or call (928) 442-8900.
Fork in the Road Restaurants Help “Boot Out Cancer” with Support for YRMC’s Breast Care Center
Pictured left to right: David Beasar, The Office Cantina; Mary Mallory, YRMC Foundation Board; Joe Terrinoni, Fork in the Road; Dr. LaNette Smith, YRMC Breast Surgeon; Bill Sonsin, YRMC Foundation Board Secretary/Treasurer; Wendy Price, Fork in the Road; Dave Barrett, YRMC Foundation Board Chair; Krystal Burge, Desert De Oro Foods; Chad Burge, Desert De Oro Foods. Members of Desert De Oro Foods, Inc. and the Yavapai Regional Medical Center (YRMC) Foundation, a member of Dignity Health, met recently to celebrate the success of this year’s “Boot Out Cancer” fundraising program to benefit the Breast Care Center at Dignity Health, Yavapai Regional Medical Center (YRMC). Krystal Burge, co-owner of Fork in the Road Restaurants, presented a check in the amount of $27,695 to Dave Barrett, Chair of the YRMC Foundation and YRMC breast surgeon Dr. LaNette Smith in support of the Center. Boot Out Cancer is an annual fundraiser held by Desert De Oro’s Fork in the Road restaurants including the Gurley St. Grill, Murphy’s and The Office Cantina during October to raise funds for YRMC patients with needs related to breast cancer. The tradition started 14 years ago to honor Sonya Peterson, Mark Peterson and Krystal Burge’s mother, who bravely fought a 20-year battle with breast cancer. Mark and Krystal wanted to help our communities where others may need support, and they match all funds raised at 100%. The Boot Out Cancer program has raised more than $125,000 in charitable support for the Breast Care Center. “We thank our employees and guests at all of our restaurants who support this journey with their donations each October in memory of our mother. We hope this tradition has improved the quality of lives of those who have been affected by breast cancer,” says Ms. Burge. Funds donated to the Breast Care Center are used to provide screening mammograms for those without insurance, essential health support for breast cancer patients including food cards, transportation vouchers and wigs, as well as continuing staff education. They also help ensure the Center has the latest technology, including the recent purchase of ultrasound units designed specifically for breast imaging. To learn more about the Breast Care Center at YRMC or to speak with a YRMC Foundation staff member, please contact (928) 771–5686 or foundation@yrmc.org or visit www.yrmcfoundation.org.
YRMC Foundation Provided More than $2 Million in 2021, Supporting a Wide Range of Services for our Community
Pictured above: The Woodruff Family Conference Center in the new Outpatient Services Building West at Dignity Health, Yavapai Regional Medical Center in Prescott. Dave Barrett, Board Chair of the Yavapai Regional Medical Center (YRMC) Foundation, is pleased to report that the Foundation provided $2,128,505 during 2021. The funds will support a wide range of Medical Center programs and services. “The generosity of our community of donors is really quite remarkable,” says Barrett. “Every gift, large or small, touches someone’s life in a positive way.” The variety of initiatives funded by the Foundation in 2021 includes: The purchase of next-generation ultrasound imaging systems for the Breast Care Center and James Family Heart Center Leasing fees for the YRMC COVID–19 Vaccination Center at the Prescott Gateway Mall Construction of the Woodruff Family Conference Center in the new Outpatient Services Building West at the Prescott Campus Planning and operational support for YRMC’s newly established Cognitive Assessment and Support Center and Alzheimer’s and Dementia Care Program Primary care and behavioral health services for children served by YRMC’s Partners for Healthy Students program Essential health support for breast cancer patients who do not qualify for other programs or community services New clean clothing for patients in need so they can be discharged with dignity Diabetes management supplies for financially vulnerable patients Toys for children in our Pediatric Unit and Emergency Department Reflecting on the importance and impact of our community’s charitable support of the Foundation, YRMC President and CEO John Amos stated, “It is vitally important to our mission. I often say that charitable support provides the margin between adequacy and excellence.” You change the world with your giving heart. To learn more about supporting the YRMC Foundation or to speak with a member of our staff, please contact (928) 771–5686 or foundation@yrmc.org, or visit www.yrmcfoundation.org.
Woodruff Family Conference Center Dedicated at Dignity Health, YRMC West
Benny and Ellen Benson at the newly dedicated Woodruff Family Conference Center, Dignity Health, Yavapai Regional Medical Center On December 7th, family and friends of Bob and Margaret Woodruff, together with members of the Yavapai Regional Medical Center (YRMC) Foundation (a member of Dignity Health), the YRMC Foundation Board and YRMC leadership, gathered at YRMC’s new Outpatient Services Building for the dedication of the Woodruff Family Conference Center. The Woodruffs moved to the Prescott community in the early 1980’s. Being recently retired, they quickly adopted Prescott as their new hometown and became involved in many local activities. In addition, they volunteered for community service organizations including Friends of the Library, Meals on Wheels, and Yavapai Regional Medical Center. Their daughter, Ellen Benson, noted, “My mother and father believed that it is through kindness and helping others, using the grace we have been given, that we meet the world in its needs. When my parents decided to include the Medical Center as a beneficiary of their estate, they did so knowing their gift would be invested wisely.” Ellen recognized the knowledge and learning that will be shared in the new Conference Center will enrich the lives of the people of our community and is a wonderful tribute to the legacy of Margaret and Bob. The Woodruff Family Conference Center is located on the first floor of the newly completed Outpatient Services Building at YRMC’s Prescott campus. The Conference Center, fully equipped with state-of-the-art conferencing technology, includes a multipurpose lecture room, two classrooms and a demonstration kitchen. “The Woodruff family has honored our organization and our community through their kindness and generosity,” said YRMC Foundation Executive Director Robbie Nicol. “The Center will serve as the hub for the continuous education of our staff, ensuring the ongoing delivery of quality and compassionate patient care. Additionally, it will be a gathering place for our community, a place for learning where community members can enjoy educational programs such as YRMC’s Healthy Conversations speaker series and the ‘Your Healthy Kitchen’ programs.” To learn more about community education at YRMC or to speak with a YRMC Foundation staff member, please contact (928) 771–5686 or foundation@yrmc.org, or visit www.yrmcfoundation.org.
Healthy Conversations: With High Blood Pressure, What You Don’t Know Could Harm You
High blood pressure is another name for “hypertension.” Informally, it’s also known as “the silent killer,” one of the most alarming descriptions given to a medical condition by the medical community. “Just because the symptoms of high blood pressure are not apparent doesn’t mean it is not a serious condition,” says Olufunso Odunukan, MD, MPH, FACC, FSCAI, Interventional Cardiologist, Dignity Health, Yavapai Regional Medical Group (YRMG). “In fact, its lack of symptoms are exactly what can make hypertension so dangerous.” During this episode of Healthy Conversations, Dr. Odunukan highlights the causes, signs and dangers of high blood pressure. He also explains what your blood pressure numbers mean and discusses treatments for the condition, including an upcoming therapy for refractory hypertension—uncontrolled high blood pressure. Who is likely to have hypertension? While many factors – weight, family history, diet and more – can contribute to high blood pressure, age is the most common reason for high blood pressure. According to recent figures from the American Heart Association, 75 percent of women and 67 percent of men between the ages of 65 – 74 have high blood pressure. After age 75, approximately 84 percent of women and men suffer from the condition. What is high blood pressure? The formal definition of “blood pressure” can sound a bit like a math equation: Blood pressure is a measurement of the force exerted against the walls of your arteries as your heart pumps blood to your body. When Dr. Odunukan explains high blood pressure to patients, he compares it to a water hose under pressure. He also explains that as people age their blood vessels become less elastic and the heart has to work harder to push blood through the vessels to the body’s organs. “The organs – the brain, heart and kidneys – where the blood flow stops, take a pounding when your blood pressure increases,” says Dr. Odunukan. “The result can be significant damage to those organs and outcomes like stroke, heart failure and kidney failure.” People with sustained, untreated high blood pressure may experience: Severe headaches Nose bleeds Fatigue or confusion Vision problems Irregular heartbeat Difficulty breathing or chest pain Blood in the urine “When people have these symptoms, it’s an indication that their blood pressure is extremely high,” Dr. Odunukan says. “They need to seek immediate treatment to avoid a catastrophic medical event, like a stroke.” What do my blood pressure numbers mean? Blood pressure consists of two numbers: Systolic – The top number indicates how much pressure your blood is exerting against your artery walls when your heart beats. Diastolic – The bottom number measures the pressure against your artery walls while your heart is resting between beats. Normal blood pressure is less than 120/80. You’re considered to have high blood pressure when the systolic number is at or above 140 or the diastolic number is above 90. Treating high blood pressure “People in the pre-hypertensive phase don’t necessarily need medications,” Dr. Odunukan explains. “That is the time that lifestyle modifications – weight loss, dietary changes and increased physical activity – will have the greatest impact.” Dr. Odunukan partners with his patients, encouraging them to adopt healthy habits proven to lower blood pressure, including: Exercising at least 30 minutes a day Getting to a healthy weight if you’re overweight (even losing ten pounds can significantly lower your risk for stroke) Avoiding high-cholesterol foods Lowering your sodium intake Consuming a diet rich in fruits, vegetables, fish and whole grains Keeping alcohol consumption to a minimum Giving up smoking If you are diagnosed with hypertension, it’s important to continue these healthy lifestyle strategies. Your physician may also prescribe medication to help lower your blood pressure. Today’s blood pressure medications are very targeted so your physician may recommend a combination of prescriptions to manage your condition. Between appointments with your cardiologist or other healthcare provider, Dr. Odunukan recommends checking your blood pressure at your local pharmacy. If your numbers are good, keep taking your medications and continue your healthy lifestyle measures. “It may take some time for you and your physician to find what works best for you,” Dr. Odunukan says. “Once you find it, I cannot emphasize enough how important it is to remain on the medications.” Get in touch Dr. Odunukan specializes in non-surgical – or minimally invasive – treatments for valvular heart disease, coronary artery disease and peripheral arterial disease. He is located at the recently opened Outpatient Services Building West on the campus of YRMC West in Prescott: YRMG Cardiology 1001 Willow Creek Road Suite 2200 Prescott, Arizona 86301 (928) 445-6025
Dignity Health, Yavapai Regional Medical Group, Welcomes Ernesto Cruz, MD
The providers at Dignity Health, Yavapai Regional Medical Group (YRMG) combine excellent healthcare with humankindness. And now there’s even more. Ernesto Cruz, MD, has joined YRMG Cardiology in Prescott Valley. Dr. Cruz is certified by the American Board of Internal Medicine, Cardiology, and is a member of the American College of Cardiology. He attended medical school at the University of the East, Quezon City in the Philippines, and completed cardiology fellowships at the University of California, San Francisco in San Francisco, California and at Valley Medical Center in Fresno, California. His internal medicine residency was at Valleywise Health Medical Center in Phoenix, Arizona, and Yale New Haven Hospital, Saint Raphael Campus in New Haven, Connecticut. YRMG Cardiology is located at 7700 East Florentine Road, Building B, Suite 206 in Prescott Valley, Arizona. Call (928) 442-8117 for more information.
The Many Wonders of Water
Summer is a great time to step up your water intake. Days are warmer, and we tend to spend a lot of time outdoors exercising. But did you know that it’s important to maintain good hydration all year long? Water’s Benefits According to usgs.gov, up to 60% of the human adult body is water. That’s one of the reasons why it’s so important to stay hydrated. Drinking enough fluids helps support your cells and organs, keeps your skin healthy, aids digestion, regulates your body temperature, lubricates joints, helps keep your brain working at peak capacity, and more. Most experts agree that six to eight 8-ounce glasses of water each day is adequate. However, if you know you’re going to be out in the heat or have a physically active day, you may want to increase your intake. Hydration for Marathon Runners Marathon runners should take special care to stay hydrated before, during and after their race. It’s critical to start a good hydration routine at least 48 hours before race day. A couple of hours before the race, drink 16 ounces of water or a sports or electrolyte drink. This will give your system enough time to absorb the fluids. During the race, the American College of Sports Medicine suggests drinking 5 to 12 ounces of fluids every 15 to 20 minutes if possible. Many marathons, such as the annual Whiskey Row Marathon in Prescott, have water stops along the course. Some runners carry their own water bottle, edible water pods or water packs. You can experiment with your options well before the day of the race so that you can choose which option is best for you. When the race is over, remember to hydrate regularly. The effects of dehydration can be felt hours after a race. Symptoms include fatigue, headache, muscle cramping and dizziness. You can also check your urine after the race. If it is dark, it may be a sign that you need to drink more fluids. Fancy Fluids For runners and non-runners alike, plain water isn’t your only option. Ramp up the flavor with fruits or vegetables such as lemons, berries, orange slices or cucumber slices. Click here for refreshing infused water suggestions from Rita Carey Rubin, the host of YRMC’s Your Healthy Kitchen. Coffee or tea, especially herbal tea, can also be a substitute for some of your fluid intake. In addition, many foods such as watermelon, strawberries, cucumber, cantaloupe, lettuce, celery, peaches, and oranges have high water content and can provide some of your daily requirement. The key is to stay away from sugary beverages which can lead to weight gain and inflammation. Hydration is for Everyone Finally, as we age, it’s more important than ever to track how much fluid we’re taking in each day. Many older people don’t sense thirst as much as they did when they were younger, which can lead to dehydration. Symptoms may include fatigue, dizziness and/or confusion. The Cleveland Clinic offers a few easy ways to help increase your water intake each day: Choose a water bottle you love and always have it with you. Drink a glass of water after every bathroom break. Drink a glass of water before every meal. Use an app or ask technology to help. Regardless of your age, drinking enough water is key to staying healthy and functioning at your peak. You can discuss your specific needs with your healthcare provider, but in the meantime, pour yourself a tall one and drink up!
The 44th Annual Whiskey Row Marathon Offers Something for Everyone
Prescott’s 44th Annual Whiskey Row Marathon is fast approaching, and Damon Olsen, the Director of the James Family Prescott YMCA, is happier than ever about the outlook at the Y. “The Prescott YMCA has a long standing tradition of 50 years of service in our community,” says Olsen. “An organization like ours never wants to be considered a best kept secret. And we are definitely not. Either you were, you are, or you’re going to be a member at the Prescott YMCA.” “It’s so good to see people back at the Y,” he continues. “Attendance at our youth programs in particular has been overwhelming. There are actually more kids in flag football than before COVID. We’re starting a new 3-on-3 basketball program as well. We have a multitude of sports-specific camps through our partnerships with Yavapai College and Prescott Unified School District. And membership keeps climbing too. We are now at about 90% of our pre-COVID numbers.” Additional ongoing programming includes swim classes, drowning prevention classes, after school care, sports, and summer day care. Hence, the proceeds from this year’s marathon are more important than ever. “The Whiskey Row Marathon is our largest event fundraiser each year. Thanks to the marathon and our other fundraising efforts, we don’t turn anyone away for inability to pay,” Olsen explains. “We can meet people halfway or even more. Inability to pay is not a barrier for people who want to come to the YMCA.” Olsen is particularly excited about some changes at this year’s October 8th event. “Last year was the first year we held the race at a different time of year – October instead of May. We sent a survey out afterward, and the response was overwhelming to keep it in October, so that’s what we’ve done,” he says. “Summer is over, people have settled into school mode, and they seem to really like it in the Fall.” The race also introduced another option for runners in 2021 that was so successful, it’s been included in the 2022 lineup. “We introduced a 5K last year, and it was very well received,” explains Olsen. “We were hoping it would be a nice introduction to running in Prescott for those who weren’t ready to run a 10K, and we were right. We heard several people say that they’re ready to do the 10K this year after running the 5K last year.” Regardless of your running ability, getting out there and enjoying the day is highly encouraged. “Last year when I was helping out at registration, some people were hesitant to sign up because they don’t consider themselves runners,” says Lexi Mullins, Assistant Race Director. “I want people to know that we have the .3 Mile High Fun Run, or you can just walk the 5K or 10K. You will be so glad you did!” The Whiskey Row Marathon holds the distinction of being the longest continuously running marathon in Arizona. Olsen says that the event’s popularity is not only a result of the challenging course. “Our altitude and terrain make the Whiskey Row Marathon one of the most difficult races in the U.S., and runners love a challenge,” Olsen says. “But I think another reason people keep coming back is that they just love coming to Prescott. They make a weekend out of it. They come for the race, but also to take in our beautiful weather, do a little sightseeing and enjoy some great meals while they’re here.” Prescott YMCA Sports Director and Whiskey Row Marathon Race Director Jaime DeJoseph is a very busy person this time of year, but she wouldn’t have it any other way. “Our focus is youth development, healthy living, and social responsibility. Bottom line is, we’re here for the community,” says DeJoseph. “The Y is about fitness but it’s also about mental health. That ‘healthy living’ component means mental health as well. The Y is a place to come and be with others, a place to belong. That’s my favorite part of being here – promoting health. Seeing our members, including the kids, happy and successful while participating in our community is so rewarding.” DeJoseph describes a variety of ways that even non-runners can get involved in this signature Prescott event. “We love our volunteers and couldn’t do any of this without them. There are so many ways you can get involved,” she says. “We have volunteer opportunities at our water stations, the refreshment garden or directing traffic. The day before the race, we need people to help distribute packets, T shirts and bags at the YMCA. Then of course, there’s set up at 4 AM on Saturday and the tear down when it’s all finished.” “Support also comes in the form of sponsorships,” says DeJoseph. “Our sponsors, including Dignity Health, YRMC are amazing. Some of our sponsors have been with us for years now, and we have quite a few new ones as well. It’s truly a team effort.” “Dignity Health YRMC is once again our Presenting Sponsor,” adds Olsen. “They have shown us so much support over the years. We’re so fortunate to have them as neighbors, right across the street. We’re thankful they’re there.” For more information about the Whiskey Row Marathon, including the schedule, the race route, online race registration, a list of volunteer opportunities, and online volunteer registration, visit whiskeyrowmarathon.com.
YRMC Announces the 2021 Volunteers of the Year
What’s the best job in the world? Working with volunteers, of course! Just ask Nancy Thomes, the Director of Volunteer Services at Dignity Health, Yavapai Regional Medical Center (YRMC). “I am so fortunate to be where I am because I work with top-notch people every day,” says Thomes. “It takes a giving heart to be a volunteer, and I’m surrounded by hundreds of volunteers with very generous hearts.” The volunteers are an integral part of the hospital, enhancing the patient experience and providing much needed support to YRMC staff. While the pandemic restricted their involvement over the past 2 years, YRMC is currently working to reopen additional service areas. Along the way, volunteers build friendships and enjoy the sense of purpose that volunteering provides. Each year, YRMC Volunteer Services recognizes three volunteers whose service to the hospital, its patients, and the community embodies the Mission and Vision of Dignity Health, Yavapai Regional Medical Center. Each recipient is recognized for the unique ways in which they make YRMC a better place. YRMC East Volunteer of the Year, Maggie Goltra “Nancy had asked if I could attend a meeting at the West Campus, and of course, if I can help in any way, I will be there,” recalls Goltra. “When we walked into the room, I recognized some of the staff, but still couldn’t figure out what I was doing there. When Nancy told me that I was Volunteer of the Year – East Campus, I was completely shocked – that never entered my mind! What an honor!” Goltra started volunteering at YRMC in 2007. Over the years, she has worked in Admitting, Care Management, and the Family Birthing Center, and now works at the East Campus Front Lobby. Volunteer Services Manager, Victoria Spears says that Goltra is one of those kinds of people that you just love being around. As the first point of contact when you walk through the hospital doors, the Front Desk volunteers have an important role. They can often set the tone for the patient or visitor’s experience, offering information and assurance. Duties include helping patients check in at the kiosk, helping visitors sign in, escorting patients and visitors throughout the hospital, delivering items, and regularly sanitizing the area. “Maggie does all of this with a big smile and gracious attitude,” notes Spears. “Everyone who is around Maggie cannot help but smile. She is a joy to be around!” Goltra gives credit to her fellow volunteers as well. “It’s nice to work with a group of people who are there because they want to be,” she says. “I work with Debbie, Wayne, and Gus, who are always there with a friendly hello and a readiness to help all of the patients and visitors who come in. These are the type of volunteers I would like to have welcome me to the hospital.” With more than 1,850 volunteer hours under her belt, Goltra is a true asset to YRMC. Yet she describes her role in simple terms: to be helpful, even if in a small way. “The best part about volunteering at YRMC is just being able to help make our patients’ time at the hospital a bit easier, in our small way,” she explains. “It’s important to be able to help where you can, especially if it is making someone’s day easier or less stressful.” YRMC West Volunteer of the Year, Mary Kerper Mary Kerper worked for 42 years for an international mechanical parts distributor, overseeing operations, training, auditing, and continuous improvement for more than 400 locations. Retirement brought her and her husband to Prescott in 2019. Their desire was to continue to contribute to their new community. “I have had chores, responsibilities, and jobs since elementary school,” says Kerper. “I was taught that work is important, and contribution is necessary to help others, as well as yourself. Volunteering helps me to maintain my sense of self while I provide support to others.” Nancy Thomes recognizes Kerper’s strong work ethic as she looks back on the past few years. “Mary is one of the volunteers who didn’t let COVID stop her from volunteering,” recalls Thomes. “She stayed active until we suspended all volunteers and returned immediately when we could open up the Information Desk – our only service area for a while. She took on an extra shift and was a ‘rock’ throughout that very uncertain time.” Staff and fellow volunteers agree. When asked why she is a stand-out volunteer, responses include: Mary is so vigilant – always alert to who is coming through the doors. She consistently subs for her fellow volunteers when she is available. One of Mary’s responsibilities is training new volunteers. They consistently remark how thorough she is with her training. She is helpful, compassionate, and caring, along with a friendly smile! The Front Desk is a challenging area of service, and she has remained calm throughout. Mary is a problem solver extraordinaire! “It is so amazing to come to a place of healing and do what I can to contribute to the patients, visitors, staff, and my fellow volunteers,” says Kerper. Yet on a larger scale, she reflects on the importance of her award. “This award reinforces the importance of the role of volunteers. It really shows the value that YRMC leadership places on the contributions the volunteers make. I love being part of this team. Leadership here at YRMC clearly includes volunteers as valuable members of their team.” “The new relationship between Dignity Health and YRMC has brought change, and will no doubt bring more change. But the community will benefit greatly,” she continues. “What I feel will not change is the commitment our leadership has to the hospital and to our community. The volunteers will always be here to help.” The Sandy Zinn Martin Award, Norma Bauer When describing Norma Bauer and her dedication to YRMC patients, staff, visitors, and fellow volunteers, Nancy Thomes is reminded of a television show. “There is a show called New Amsterdam. The setting is in a hospital, and the Medical Director is often seen moving about the hospital asking, ‘How can I help?’ The writers may not know this, but they must have fashioned that character after Norma Bauer.” Thomes continues, “She has been SUPER flexible, changing service areas often, and always willing to go where needed. When I ask for favors of volunteers, I often begin with a reminder that ‘No’ is an acceptable answer. That is a word that Norma rarely uses.” The award is named after a former volunteer, Sandy Zinn Martin, whose spirit lives on in the selfless service that Bauer demonstrates. It’s often the little things that show the true character of a person – the things that go unnoticed by most people. Thomes shares a brief but telling story. “A staff member sent me an e-mail after observing Norma assisting a patient who was having trouble getting something from a vending machine. Norma was a patient coach, gentle and kind.” “This award is a humbling honor; there are so many dedicated volunteers,” says Bauer. “I believe it indicates that staff and other volunteers have considered my presence and efforts in a positive light and kindly took the time to ‘say so.’” “Nearly every shift includes at least one interaction that stands out from the rest,” Bauer reflects. “What makes the greatest impact on me usually comes from a patient who expresses apprehension approaching a procedure. A brief suggestion to expect the staff to be caring and understanding can often serve to lessen the patient’s anxiety.” Bauer has been called a true role model in the Volunteer Services program, with some affectionately referring to her ‘old-world mannerisms.’ According to staff and fellow volunteers, Bauer’s gracious, polite, and professional approach informs everything she does. Comments include, “It was a privilege to be tutored and to subsequently work with Norma,” and, “She deserves this recognition.” When she was invited to consider volunteering at YRMC, Bauer didn’t hesitate. She was impressed with the quality of care given to her friends and family. “Volunteering at YRMC is an opportunity to support and give back to an organization that benefits our community,” she explains. “It gives me a sense of purpose and provides interests beyond myself. YRMC values its volunteers and demonstrates their appreciation of them.” “I sincerely enjoy volunteering at YRMC. It has become an enriching part of my life.” To learn more about becoming a volunteer at Yavapai Regional Medical Center, visit DignityHealth.org/YRMC. Or you can call Volunteer Services in Prescott at (928) 771-5678, or in Prescott Valley at (928) 442-8683.
YRMC 2020 Volunteers of the Year: Service, Friendship, Family
There are as many reasons to volunteer as there are volunteers. Some who step up are looking for added meaning to their lives. Some are hoping to find new friends. Some wish to continue using the skills they developed during their professional careers. Some want to feel like they are part of a larger effort. And some simply want to give back. Described as “the cream of the crop” by Nancy Thomes, Director of Volunteer Services, YRMC volunteers enhance the patient experience and provide much needed support to YRMC staff and physicians. They work in a myriad of ways across the hospital to keep things running smoothly. Recently, YRMC Volunteer Services named its choices for the 2020 Volunteers of the Year. An annual tradition, it celebrates three deserving volunteers whose service to the hospital, its patients and the community at large embodies the Mission and Vision of YRMC. While the top picks for 2020 have a wide range of reasons for volunteering, they share one impressive trait: a true passion for the work they do. Tom Hubbard – West Campus 2020 Volunteer of the Year Hubbard was not new to volunteering when he joined YRMC. He had previously volunteered for Meals on Wheels and the Lions Club. In 2012, his wife died after a long illness. “After a while, I decided that I could either sit at home doing nothing or get out and get busy. I got on with the Emergency Department at YRMC,” Hubbard says. He has been a volunteer at YRMC for 8 years and has logged more than 4,000 hours. Hubbard had continued his involvement with the Lions newspaper recycling project as well, collecting newspaper from around town and making sure the shredded documents from YRMC are bagged and out to the curb for pick up each week. “As COVID 19 restrictions started lifting and we started to re-open some of the volunteer service areas, Tom was first to say, ‘put me where you need me,’” Thomes recalls. “We were so grateful. He is now supporting the Information Desk, which is where we had the greatest need.” “I like this job because I’m up and moving all the time,” says Hubbard. “I get to the various departments and see lots of people. We help with registration, get authorization for early visitors, log people coming and going, and deliver flowers and other items to the patients. But I especially like helping the patients and visitors feel comfortable.” Hubbard’s fellow volunteers look forward to their shifts together. Comments include: If the afternoon volunteers are running late, he stays at the desk longer to ensure things progress as smoothly as possible. He is always the first to offer to fill in if there is a shift that isn’t covered. Tom is a can-do, proactive person who treats patients like his own family members. He is a great teacher, willing to share his knowledge. Tom is a great partner. Beyond the superb effort, his humor makes the shift seem too short. Hubbard chuckles at the comment about his sense of humor and casually describes the camaraderie he has with his fellow volunteers. “I’m very copasetic with the people I work with. We have a lot of fun,” he says. “I guess I have to admit, even though I’m 83 years old, I have a case of arrested adolescence.” With his signature humility, Hubbard reflects on what this recognition means. “I feel very proud, but I have to say that the notoriety makes me uncomfortable,” he says. “I just enjoy working with the patients, visitors and the staff. I don’t have any family here in the area – they’re all out of state, so I consider the folks I work with as part of my family. It’s very rewarding on so many levels.” Micki Freshour – East Campus 2020 Volunteer of the Year “I’m a natural caregiver and I’m very compassionate,” Freshour states. “I naturally take people under my wing, like a mother figure. That’s why I needed to be in a volunteer job where I could work one-on-one with patients. The Breast Care Center was a perfect fit. I wouldn’t want to be anywhere else.” Like Hubbard, Freshour is a long-time volunteer. Prior to her work at YRMC, she spent 14 years volunteering at a hospital in California and 11 years at a hospice in Arizona. She has been with the YRMC Breast Care Center since January, 2014 and has given more than 1,500 hours. “My job is to bring the patients back, show them the dressing area and keep them company while they’re waiting,” Freshour explains. “When they’re finished with their procedure, I cut their wrist band off and walk them out. Then I clean and sanitize everything and prepare the room for the next patient.” “But really, the main thing I do is help our patients feel comfortable. It can be stressful for our patients, particularly those who are having biopsies. I explain what they can expect and try to comfort them.” The added companionship and reassurance that Freshour offers helps to make the Breast Care Center patient experience brighter and easier. Her fellow volunteers and staff are grateful for the role she plays during her volunteer shifts. Comments include: Micki is very comforting to our patients. Micki goes above and beyond. She will not leave until all the patients have left, even though it is after her scheduled time frame. She is joyful and happy to help. Micki keeps things flowing smoothly. We love having her, she makes our days easier. She is a hard worker, she is compassionate, a pleasure to work with and a valued member of our team. Freshour was blindsided by the award. “Nancy called me and asked me to come to the West Campus because they needed some photos taken. It seemed odd, but I agreed,” Freshour recalls. “I met her in the lobby with two other volunteers, then we went into a conference room. Oh my goodness, there were whistles, balloons, yelling and screaming. And I couldn’t figure out why! When they introduced Tom Hubbard as the West Campus Volunteer of the Year, I thought, ‘Well, that is so nice. It’s like something you always dream of!’ But it still didn’t register why I was there.” “Then when they said my name, I just cried, I was so humbled. It’s so special, I can’t put it into words. I couldn’t wait to get my pin on my badge. I’m so proud of it!” “When people say that it’s ‘just’ volunteering, I immediately disagree,” Freshour continues. “The staff and patients count on me. I always say that I do get paid, but the payment I get is not monetary – It’s emotional. And that’s better than gold.” Carol Shepherd – Sandy Zinn Martin 2020 Award Winner “Carol embodies the spirit of this award. Like Sandy Zinn Martin, the former volunteer for whom this award was named, Carol is quick to extend support and assistance to other volunteers,” says Thomes. “Whether it’s taking meals over after a volunteer has had a procedure, offering to take in a volunteer’s dog after a volunteer injury, picking up volunteers for social gatherings, or regular calls to check in, she is always ready with a meaningful and timely offer.” Shepherd’s response to this generous description? “Well, I just do these things – it’s in my nature!” “It’s my way of giving back,” she continues. “I have so many things to be grateful for, both in my working career and my personal life. I’ve always worked with the public, so this is a natural thing for me. Volunteering is just a part of me. I love helping people, showing compassion, and offering a gentle word or gentle touch to our patients and visitors. I get more out of it than they do.” Shepherd has been volunteering at YRMC for three years, working in the Cath Lab, Registration, and as an Escort at the Front Desk. “You get to know the people you work with. They become family,” Shepherd says. “If I don’t see someone for a couple of weeks, I get concerned and will check in or ask about them. We’re a source of emotional support for each other when we have personal issues.” In true form, Shepherd initiated ‘Thursday Night Hamburger Nights’ with her fellow volunteers. On Thursday evenings, they’d meet for a burger and socializing, which led to taking turns hosting everyone in their homes, not to mention lasting friendships. “Volunteering is a great way to make new friends, and they’re always there for you,” she continues. “In fact, my husband said yesterday, ‘Two days a week, you’re up at 7 AM and out the door with a smile on your face!’ Well, those are the days I volunteer at YRMC.” There are even more YRMC friendships on the horizon for Shepherd. She explains: “A few days ago, a fellow volunteer handed me a nice card congratulating me on the Sandy Zinn Martin award. She said that she had gotten the same award in a previous year and said with a smile, ‘Welcome to our Club!’” “So now I’m determined to track down all the other recipients so that we can all celebrate together!” To learn more about becoming a volunteer at Yavapai Regional Medical Center, visit yrmc.org. Or you can call Volunteer Services in Prescott at (928) 771-5678, or in Prescott Valley at (928) 442-8683.
Taking Charge of a Precious Resource with Patient Blood Management
Patient-shared decision making is an important aspect of healthcare today. However, advocating for yourself – or someone you love – requires information, especially with a relatively new concept like patient blood management (PBM). This is one reason the Society for the Advancement of Patient Blood Management (SABM) is sponsoring its 15th annual SABM Patient Blood Management Awareness Week®, November 1-5, 2021. This worldwide awareness week is dedicated to informing patients about the importance of blood health, particularly when it comes to hospitalization and surgical procedures. In our community, Dignity Health, Yavapai Regional Medical Center (YRMC) is home to Arizona’s only PBM program that’s recognized by SABM. Local leaders also understand the importance of PBM. Mayor Greg Mengarelli, for example, is continuing a 10-year tradition by issuing a proclamation declaring “Patient Blood Management Week” in Prescott. “Dignity Health, YRMC has been forward-thinking in its implementation of PBM nearly a decade ago,” says Dale Black, Program Coordinator, Patient Blood Management at Dignity Health, YRMC. “The people of Yavapai County are fortunate that YRMC has embraced blood conservation. This means residents have access to local providers for information about PBM.” In fact, he notes that in October 2021 – nearly 10 years after YRMC introduced PBM – the World Health Organization (WHO) released a policy brief titled, The Urgent Need To Implement Patient Blood Management. Getting to Know PBM What is PBM and why is it important to you? “PBM is about keeping your blood in you and keeping it working well,” explains Beth Black, Administrative Assistant and Program Data Manager, Patient Blood Management at Dignity Health, YRMC. This Healthy Conversations – Patient Blood Management: Your Blood, Your Call – focuses on how PBM supports your good health by preventing anemia, an underdiagnosed condition among people of all ages. And, because PBM is patient-centered, you’ll learn how to put PBM into practice before, during and after surgery. The Pillars of PBM YRMC’s successful PBM program uses a team approach to: Manage anemia Ensure that bleeding is under control and blood is clotting appropriately (not too much, not too little) Utilize blood-conserving measures during surgery Involve patients in decision making about their blood Blood tests – particularly during hospitalization – provide your physician important information about your health. However, drawing too much blood can lead to anemia in hospitalized patients. That’s why “phlebotomy stewardship” is becoming more and more important. This means taking only the needed amount of blood for testing in order to avoid hospital-acquired anemia. A Few Words About Anemia When you have anemia, your body lacks the healthy red blood cells needed to carry oxygen to your body’s tissues. Symptoms of anemia include, for example: Fatigue Weakness Cold hands and feet Dizziness Irregular heart rhythm Shortness of breath Headache Pale or yellowish skin “Once a year, ask your physician to order a complete work up of your blood,” Dale Black says. “If you are anemic, work with your doctor to learn the underlying cause of your anemia.” Prepping for Surgery with PBM If a surgery is in your future, ask your physician to order blood work two to four weeks before the procedure. If your blood counts are low, your doctor may recommend dietary changes. You may also need iron, vitamin B-12 or folic acid to fuel red blood cell production before surgery. “You’ll also want to discuss any herbals you take, along with other over-the-counter medications, such as ibuprofen,” says Beth Black. “These can all affect your body’s ability to clot.” In the Operating Room Before your operation, talk to your surgeon about strategies that reduce blood loss. If you’re undergoing heart or orthopedic surgery – which are known to cause blood loss – discuss collecting blood lost during surgery for immediate post-operative reinfusion, if needed. Medications and blood products that promote clotting and reduce bleeding are also available. PBM is About You, the Patient Want to ensure blood conservation is part of your healthcare? Talk to your providers about PBM, especially prior to hospitalization. “Let your team know that you want to be treated in a manner that conserves your blood,” says Dale Black. “You can even mention your desire for minimal blood draws – just what is necessary for testing – during your hospitalization. With PBM, you are in charge of that precious resource, your blood.” Interested in learning more about YRMC’s PBM program? Check out these PBM resources or call (928) 771-5109.
Your Blood, Your Call
Patient Blood Management (PBM) is a multi-disciplinary approach to maximizing your own blood health and supply. Often this is most crucial during surgery. When large amounts of blood are lost in surgery, it is often possible to get the blood you need by electing to use your own blood. Not blood from a donor, not blood limited by type. And not blood straining the nation’s precious blood supply. (This is especially important during COVID-19 when national blood banks have experienced a drop in donations, which in turn reduces blood supply and drives up blood costs.) The decision is yours—the YRMC PBM program hinges on informed consent. Meaning you have the right to be informed of your choices. Then you have the right to choose to optimize and/or use your own blood (captured and reinfused during surgery), receive someone else’s blood, or receive a combination of both when necessary. It’s your blood, your call. Based on your decision, a team of medical professionals will assess your blood management needs and develop a clinically sound, evidence-based plan of care during your hospital stay. This plan marshals pharmaceuticals, technology and medical techniques to decrease blood loss and enhance blood cell production—which reduces or eliminates the need for a blood transfusion. Progressive Leadership Yavapai Regional Medical Center (YRMC) has the only officially recognized PBM program in Arizona and one of the relatively few in the nation. When it comes to PBM, your local hospital is doing some of the highest caliber work in the country and even the world. That’s why YRMC hosts an annual PBM Symposium in Prescott, an event viewed internationally and presented by some of the world’s leading PBM experts. How did this happen? “We owe our PBM program to progressive leaders and top-notch medical professionals at our hospital,” said PBM Program Coordinator Dale Black. The program started in 2012 after Black and Pierre Tibi, MD broached the subject with hospital administrators. “It never would have happened without leadership’s forward-thinking mindset and ongoing commitment over the past eight years,” Black said. “In less than a decade we’ve become part of a worldwide initiative that uses evidence-based science to achieve better patient outcomes using blood management principles.” Today Dr. Tibi is a leading authority on PBM and serves as the Medical Director of the YRMC PBM Program and The James Family Heart Center. Better Outcomes While blood transfusions remain a vital life-saving procedure, growing evidence shows that patients who maximize their own blood supply benefit from: lower infection rates. less anemia. fewer kidney, lung and heart complications. less exposure to viruses and other blood-borne disease. shorter hospital stays. all-around better surgical outcomes. A Continuum of Care YRMC’s PBM program provides you with care and support before, during and after surgery. Presurgical measures center on optimizing red blood cell mass to prevent anemia. This may involve iron therapy, a vitamin regime, nutritional support and medication management. Erythropoietin-stimulating agents (ESAs) may be administered via a shot to stimulate the production of additional red blood cells. Surgical techniques may include removing a calculated amount of blood, adding non-blood expanders, and reinfusing red cells back to the patient. Or they may include cell-salvage, collecting blood lost during surgery—then washing, filtering and reinfusing red blood cells back to the patient. Hemostatic agents may be used to promote rapid blood coagulation. Postsurgical procedures include detecting and mitigating bleeding, minimizing the frequency and volume of blood draws, nutritional support, and continued iron therapy, possibly in conjunction with ESA administration if appropriate. The next time you are scheduled for surgery at YRMC, be sure to ask about Patient Blood Management, or PBM. For more information you can also contact Dale Black directly at dblack2@yrmc.org or (928) 771-5109. You can also visit the Society for the Advancement of Blood Management and download their Patient Guide.
Prostate MRI: Detecting Cancer Early
Men of Yavapai County, here’s some important health information: Our county has the second highest rate of prostate cancer among Arizona’s 15 counties, according to the National Cancer Institute. Nationwide, one in eight men in the United States will be diagnosed with cancer of the prostate – a small gland below the bladder – during their lifetimes. But, there’s also reason to be optimistic. A non-invasive imaging study called prostate MRI (Magnetic Resonance Imaging) is finding prostate cancer early, when it’s most treatable. Even better news? Prostate MRI is available at Dignity Health Imaging Center in Prescott and Prescott Valley. “Prostate MRI is the most sensitive study available for detecting cancer in the prostate,” says Deven Cox, DO, Diagnostic Radiologist, Dignity Health Imaging Center. “If a patient has a lesion that’s very anterior in the prostate gland, a clinical exam will never detect that lesion. But prostate MRI does reveal those difficult-to-detect anterior tumors and others, too.” Should you have a prostate MRI exam? Dr. Cox – an expert in the non-invasive study – has reviewed more than 1,000 prostate MRI studies during his career. During National Prostate Cancer Awareness Month in September, he’s encouraging men ages 55–69 to talk to their physicians about whether prostate cancer testing is right for them. For men at high risk for prostate cancer – African-American men or males with a family history – discussions should begin between ages 40–54. Men with rising prostate-specific antigen (PSA) levels in their blood and struggles with “urinary retention” are also candidates for prostate MRI. In addition to diagnosing cancer, prostate MRI detects other conditions, including: Benign Prostatic Hyperplasia (BPH) – An enlarged prostate, which is most common in older males. Prostatitis – Inflammation or an infection of the prostate. “Prostate MRI studies provide important information that physicians use to develop treatment plans,” explains Dr. Cox. “These studies pinpoint the tumor location, determine its size and show if the cancer has spread outside of the prostate gland.” Contact us For more information about prostate MRI, speak to your physician or contact Dignity Health Imaging Center in Prescott or Prescott Valley at (928) 771-7577.
New Names for Prescott Medical Imaging and Prescott Valley Medical Imaging
Prescott Medical Imaging (PMI) and Prescott Valley Medical Imaging (PVMI) are introducing new names as part of Yavapai Regional Medical Center’s (YRMC) affiliation with Dignity Health. The outpatient imaging facilities are now: Dignity Health Imaging Center, Prescott Dignity Health Imaging Center, Prescott Valley “This change is part of the rebranding rollout plan launched in conjunction with the YRMC–Dignity Health affiliation,” says Ken Boush, Director of Marketing and Communications at Dignity Health, YRMC. “Patients and community members will begin to see new signage at both imaging centers. We want them to be aware that the name change is related to YRMC’s network-wide rebrand. It will not affect the care or services at our Imaging Centers in Prescott and Prescott Valley.” Local Radiologists Provide Exceptional Service For example, experienced, local radiologists will continue to interpret imaging studies and procedures performed at both locations, according to Mary Sterling, Imaging Services Director at Dignity Health, YRMC. “Our locally based radiology team has always differentiated us from other imaging centers, many of which use radiologists based in markets outside of Yavapai County to interpret imaging studies,” says Sterling. “At our Imaging Centers in Prescott and Prescott Valley, an imaging study performed in our community is interpreted by radiologists who live and work in our community.” Sterling adds that Dignity Health Imaging Center radiologists have long-established, working relationships with physicians throughout the area. This collaboration, she says, is a benefit to both individual patients and overall quality of care. Dignity Health Imaging Center radiologists and radiologic imaging technologists also are: Certified by the American College of Radiologists (ACR) and the American Registry of Radiologic Technologists (ARRT) Experts in advanced radiology modalities Graduates of leading medical schools and radiologic technology programs Accredited & Comprehensive Imaging Services Michael Locke, Operations Manager, Dignity Health Imaging Center, notes that the Imaging Centers have also earned ACR accreditation. “This means our Prescott and Prescott Valley facilities have undergone rigorous, objective evaluations by board-certified radiologists and medical physicists,” Locke explains. He also emphasizes that both facilities – along with the Breast Care Center at Dignity Health, YRMC – will continue to offer an all-inclusive menu of computer-enhanced, digital imaging services. YRMC’s Imaging Center facilities – both of which may be reached at (928) 771-7577 – are located in: Prescott – 810 Whipple Street Prescott Valley – 7700 East Florentine Road, Building B, Suite 105 Learn more about YRMC’s Imaging Centers and all YRMC services at DignityHealth.org/YRMC.
The Many Wonders of Water
Summer is a great time to step up your water intake. Days are warmer, and we tend to spend a lot of time outdoors exercising. But did you know that it’s important to maintain good hydration all year long? Water’s Benefits According to usgs.gov, up to 60% of the human adult body is water. That’s one of the reasons why it’s so important to stay hydrated. Drinking enough fluids helps support your cells and organs, keeps your skin healthy, aids digestion, regulates your body temperature, lubricates joints, helps keep your brain working at peak capacity, and more. Most experts agree that six to eight 8-ounce glasses of water each day is adequate. However, if you know you’re going to be out in the heat or have a physically active day, you may want to increase your intake. Hydration for Marathon Runners Marathon runners should take special care to stay hydrated before, during and after their race. It’s critical to start a good hydration routine at least 48 hours before race day. A couple of hours before the race, drink 16 ounces of water or a sports or electrolyte drink. This will give your system enough time to absorb the fluids. During the race, the American College of Sports Medicine suggests drinking 5 to 12 ounces of fluids every 15 to 20 minutes if possible. Many marathons, such as the annual Whiskey Row Marathon in Prescott, have water stops along the course. Some runners carry their own water bottle, edible water pods or water packs. You can experiment with your options well before the day of the race so that you can choose which option is best for you. When the race is over, remember to hydrate regularly. The effects of dehydration can be felt hours after a race. Symptoms include fatigue, headache, muscle cramping and dizziness. You can also check your urine after the race. If it is dark, it may be a sign that you need to drink more fluids. Fancy Fluids For runners and non-runners alike, plain water isn’t your only option. Ramp up the flavor with fruits or vegetables such as lemons, berries, orange slices or cucumber slices. Click here for refreshing infused water suggestions from Rita Carey Rubin, the host of YRMC’s Your Healthy Kitchen. Coffee or tea, especially herbal tea, can also be a substitute for some of your fluid intake. In addition, many foods such as watermelon, strawberries, cucumber, cantaloupe, lettuce, celery, peaches, and oranges have high water content and can provide some of your daily requirement. The key is to stay away from sugary beverages which can lead to weight gain and inflammation. Hydration is for Everyone Finally, as we age, it’s more important than ever to track how much fluid we’re taking in each day. Many older people don’t sense thirst as much as they did when they were younger, which can lead to dehydration. Symptoms may include fatigue, dizziness and/or confusion. The Cleveland Clinic offers a few easy ways to help increase your water intake each day: Choose a water bottle you love and always have it with you. Drink a glass of water after every bathroom break. Drink a glass of water before every meal. Use an app or ask technology to help. Regardless of your age, drinking enough water is key to staying healthy and functioning at your peak. You can discuss your specific needs with your healthcare provider, but in the meantime, pour yourself a tall one and drink up!
Managing Diabetes with Meals, Meds, and Motion
Managing and balancing blood sugar is essential to living a healthy life with diabetes. In fact, research shows that even moderately good glucose control can reduce the risk of blindness, kidney failure, nerve damage, cardiovascular disease, and possibly even dementia in people with both type 1 and type 2 diabetes. Fortunately, we have tools to get glucose under control, including medications, movement, and meals, plus great technology that makes it easier to track glucose numbers, patterns and trends. In our latest episode of YRMC’s Your Healthy Kitchen, we take a look at the role food plays in staying healthy with diabetes, while making a delicious meal that includes the nutrients we need for good glucose control. Recipe: Quinoa with Ginger, Citrus, and Fresh Herbs Scientific studies show that meals, medications, and motion are also effective tools for preventing type 2 diabetes. For example, the U.S. Diabetes Prevention Program (DPP) was a clinical trial conducted at 27 sites across the U.S. from 1996 to 2001. Over 3,000 adults participated, and were randomly selected to be part of one of three study groups: a diet and exercise group, a group that took metformin (a common medication used to improve blood sugar control), or a placebo group. Interestingly, individuals who took metformin had good results, but not as significant as the group that improved their diet and increased exercise. Adults in the metformin group reduced their transition from pre-diabetes to type 2 diabetes by 31%, while the diet and exercise group reduced type 2 diabetes by a whopping 58%. Ten years after the study ended, participants in the DPP diet and exercise group continued to delay the onset of type 2 diabetes by 49%, compared to the metformin group at 18%. Surprisingly, fifteen years after the study ended, both groups continued to reduce onset of the disease. Diet, exercise and medications are essential for the treatment and prevention of diabetes. You can learn more about diabetes, pre-diabetes, and the latest technology for tracking glucose patterns and trends from the Certified Diabetes Care and Education Specialists at Dignity Health, Yavapai Regional Medical Center. Give them a call at 928-771-5794 for information on classes and individual consultations, as well as the Adult Fitness Program at YRMC’s Pendleton Centers in Prescott and Prescott Valley. Also, be sure to check out our diabetes-friendly recipes and videos at yrmchealthconnect.org. All of our recipes feature whole, nutrient-packed ingredients that are easy to find and affordable. Remember to follow me on Facebook as well, at YRMC’s Your Healthy Kitchen, where I post photos, videos, and recipes of the meals I make at home, plus links to my favorite food and gardening destinations on the web.