living healthy in the central valley
With the Doctor
Sun Damage Repair
Keeping Your Summer Body
Caring for Aging Loved Ones
Teen Substance Abuse
Mercury Fillings
Sports Psychology
Navigating the Food Label
- Gilbert Dale, MD, President,
Urology Associates of
Central California
Urology Associates
of c ent r a l c a l iforn i a
is holding the following Prostate
Screening Health Fairs including
Early detection saves lives!
SATURDAY, SEPTEMBER 6, 2008 • 8:00AM – 12:00PM
California Cancer Center North
7257 N. Fresno St.
Fresno, CA 93720
Contact: American Cancer Society 559.451.0163
SATURDAY, SEPTEMBER 20, 2008 • 9:00AM-12:00PM
Madera Community Hospital Outpatient Center
1270 E. Almond Ave.
Madera, CA 93637
Contact: Rae Gomes 559.675.5503
SATURDAY. OCTOBER 11, 2008 • 8:00AM-12:00PM
Tulare District Hospital Outpatient Surgery Dept.
869 Cherry Ave.
Tulare, CA 93274
Contact: Kim Mello 559.685.3419
Urology Associates
of c ent r a l c a l iforn i a
7014 N. Whitney Ave.
Fresno, CA 93720
A PSA blood test
can save your life!”
T. Gary Forester, DDS
David P. Forester, DDS
Visit us in our beautiful NEW LOCATION
In our new, state of the art facility, our experienced team looks
forward to carrying out our vision for dental care utilizing
the following services:
CEREC one-visit porcelain crowns using CAD/CAM technology
Digital X-rays with reduced exposure
Digital intraoral photography
Laser detection of early cavities
Invisalign invisible orthodontics
Laser periodontal/gum surgery
Conservative porcelain veneers
Sports mouthguards
Appliances for sleep apnea and grinding teeth
Custom tooth whitening
Sedation dentistry
e value the relationships we have had with our patients over the past
thirty years and are excited about the opportunities for excellent,
comprehensive dentistry in the future. We always welcome new patients
and families to our practice.
At Forester Dental, we are committed to providing
comprehensive oral health care that is:
• Conservative • Preventative • Educational
• Aesthetic • Proactive rather than reactive
• Evidence-based and technologically current
7525 N. Cedar, #117
(at Alluvial)
Fresno, CA 93720
[email protected]
Issue NO. 9
Michael Avila
[email protected]
Michael Robbins
[email protected]
Katie Throckmorton
[email protected]
Michael Avila
Krista Dossetti
[email protected]
Belayneh A. Abejie, M.D., M.P.H, Krista
Dossetti, Robert Garabedian, D.D.S.,
Stephanie Lasher, Jamie Linenbach, L.E.,
C.P.M.A, Ray Linker, R.F.C., Laura Miess,
L.M.T., Ysmael Olvera, C.F.T, Michael Regier,
Ph.D., Brandon Segura, Jeremy Spencer,
C.F.T., Billy R. Ware, L.C.S.W.
Katie Throckmorton
Emily Genzoli
[email protected]
Steve Collins, Memory Lane Studio
Brandon Segura
[email protected]
Jeralynn Stout
[email protected]
Justin Pipes
[email protected]
Michael L’Heureux
Memory Lane Studio
Valley Health Magazine
5088 N. Fresno St.
Fresno, CA 93710
l Valley Health Magazine
Table of Contents
With the Doctor
15 Events
12 Champion of Fitness
41 Dental Profiles
45 Health Profiles
UCSF Fresno Medical
Education Program
Casey Olson
14 Spotlight
Keeping Your Summer Body
Caring for Aging Loved Ones
Teen Substance Abuse
Mercury Fillings
11 Non-Profit
Sun Damage Repair
Sports Psychology
Navigating the Food Label
Hinds Hospice
Hollywood Hullabaloo
David Hodge, M.D.
Valley Health Magazine l Contributors
Robert, L. Garabedian, D.D.S.
Contributing Writer
Dr. Robert L. Garabedian has been practicing
dentistry and providing high quality care in
a mercury-free environment since 1986. He
believes strongly in continuing education and
has taught at the Universities of Detroit, Calgary
and Louisiana State. Dr. Garabedian married
Sharon Bue in 1986 and together they have two
children, Kristina and Michael.
Jamie M. Linenbach, L.E., C.P.M.A.
Contributing Writer
Jamie M. Linenbach has been a Licensed
Aesthetician and Certified Permanent Makeup
Artist for five years. She specializes in “ChirallyCorrect” Skincare and Chemical Peels, Medifacials, Expert Waxing, and natural looking
permanent makeup. You can find Jamie at Tres
Jolie Salon in the Yosemite Ranch shopping
Laura Miess, L.M.T.
Contributing Writer
Laura Miess is a nationally licensed massage
therapist at Bella Vera Day Spa in Hanford.
Good massage in her opinion should be “a
conversation between two souls.” Laura has
extensive advanced training in Lymphatic
Drainage. She also is versed in Neuromuscular
(deep tissue), Raindrop Therapy, Aromatherapy,
Hot stone, Reflexology, Yoga Bodywork, Ear
Coning, Myofasial Release and Strain/Counter
Stephanie Lasher
Contributing Writer
Stephanie recently completed her dietetic
internship through Fresno State University in
cooperation with Madera Community Hospital.
She has a passion for eating healthy, fresh food
and enjoys being an educational resource for
people looking to improve their health through
better eating habits. Stephanie holds a B.A. in
Business Economics from UC Santa Barbara
and has completed graduate courses in Food
Science & Nutrition at San Jose State University.
l Valley Health Magazine
Copyright © 2008 by Valley Health
Magazine. All Rights Reserved.
For subscriptions, address changes
and adjustments, write to Valley Health
Magazine, 5088 N. Fresno Street,
Fresno, CA 93710 or visit our website at Eight weeks
are required for new subscriptions. For
permissions and reprint requests, call:
Valley Health Magazine is committed
to providing our readers with factual
information. All material and statements herein are based on information
and sources believed to be reliable, but
its accuracy or completeness cannot be
guaranteed. Valley Health Magazine
accepts or assumes no liability for
the material contained herein. This
magazine is for information only and is
not intended as an offer or solicitation
with respect to the purchase or sale of
any product. All statements and
expressions are the sole opinions of the
editors and are subject to change
without notice. While we believe all
sources of information to be factual and
reliable, in no way do we represent or
guarantee the accuracy thereof, nor
the statements made herein. The staff
of Valley Health Magazine are not
registered health professionals and do
not purport to offer personalized health
related advice. The profiles and other
editorial content of Valley Health
Magazine may contain forward-looking
statements relating to the expected
capabilities of the companies mentioned
herein. Readers should verify all claims
regarding any information mentioned.
Valley Health Magazine reserves the
right to edit any editorial, photos or ad
submissions for the purposes of layout,
design or grammar.
Valley Health Magazine
5088 N. Fresno St.
Fresno, CA 93710
Letter from the Managing Editor
t’s finally fall, and we’re looking forward to it. A
change in season is always a good time to start
new things, set new goals, and take stock of the
progress you’re making in life. And that’s what this
issue is all about. We didn’t necessarily plan it that
way, but as our articles came rolling in we realized
there was a general theme and mood amongst our
writers: making reparations for the past and plans
for the future. Although the ‘reparations’ part isn’t
a particularly popular aspect for most of us who
just prefer to ‘keep moving forward’ in life, where
you’re health is concerned, history definitely repeats itself.
Whether you want to kick start a new you by committing to going to the gym,
wearing sunscreen everyday or approximating your finances more carefully (see
our Beauty, Fitness, and Senior articles this issue), you may have to confront the
consequences of bad choices you’ve made in the past first. This point is well made
in our cover story this issue, How to Make the Most of Your Time With the Doctor,
by Dr. Belayneh A. Abejie, who gives sound advice regarding the level of honesty
and preparedness doctors need in order to help their patients. Simple things like
skewing the regularity of bad habits, and not mentioning or taking the time to
compile information on hereditary risks can seriously hinder treatment, diagnosis,
and your future health. In other words, not looking back can keep you from moving
forward. Likewise, in our Mental section for this issue, Sports Psychology and Peak
Performance by Dr. Michael Regier explains how the same techniques used to
coach professional athletes can be used by anyone in any situation, professional or
personal. An integral part, however, of achieving a perfect performance is more
complex than ‘practice makes perfect.’ Athletes (and you, too) must be able to
visualize poor performances, honing in on mistakes made in the past to not only
correct an action physically, but emotionally and mentally as well. By doing this you
will be creating new, positive instincts for yourself that can be applied to all
aspects of your life and health.
Perhaps the past generally gets a bad rap. Looking over your shoulder once
in awhile, particularly when faced with a new, daunting challenge, may give you
good reason to believe in yourself. That must certainly be the case for our Doctor
Spotlight this issue, Dr. David Hodge. As a pediatric surgeon in our community for
the past 29 years, Dr. Hodge has watched the medical community explode right
alongside the population. When he started working here in the early 80s, the
number of pediatric surgeons in town could be counted on one hand—with room
to spare. Now the Central Valley holds a well-deserved and hard earned reputation
as a national forerunner in pediatric care. Now that’s a past to be proud of!
If it’s a better, healthier future you seek, your personal history, physical and
emotional, can tell you a lot about where you’re succeeding and where you need
some help. By including a wide range of topics, it’s our hope at Valley Health
Magazine to help you turn a new leaf this fall. And if you’ve got a life-changing
success to share, we’d love to hear from you. Inspiration is contagious!
Best Wishes,
Krista Dossetti
Managing Editor
[email protected]
10 l Valley Health Magazine
UCSF Fresno Medical Education Program
of the University of California, San Francisco School of Medicine
“Health Science Center.” Under the leadership of Milo E. Rowell, a prominent
Fresno attorney, the community garnered
support for greater involvement of the
University of California in local medical
education affairs, and a decision was made
to build a permanent clinical branch in the
cine, family and community medicine,
Valley, with responsibility assigned to the
internal medicine, obstetrics/
UCSF campus. In 1975, the California
cal Education Program of the University
gynecology, pediatrics and psychiatry. This
State Legislature gave assurance of
of California, San Francisco School of
program gives Valley residents access to
continued support of this program. With
Medicine is training and educating physi-
the highest quality health care services
that, UCSF Fresno Medical Education and
cians, thereby improving health outcomes
while enabling doctors in training—working
Research program was inaugurated.
for residents of California’s Central Valley.
alongside the finest physicians—to experi-
The purpose of the UCSF Fresno Medi-
Valley Presence
ence the dynamic interplay of scholarship,
research, patient care and community health.
Welcome to the UCSF Fresno Medical
Education Program, a major branch of the
University of California San Francisco’s
School of Medicine. Every day in the
large urban center and small communi-
Volunteers make a tremendous difference at UCSF Fresno. We are currently
seeking volunteers interested in working
ties of California’s agriculturally rich
Central San Joaquin Valley you can see
with development and event activities. If
you are interested, call (559) 499-6425.
faculty, residents and students from a
Establishing a local medical school
world-class university at work. They are
program had been a long-standing inter-
providing superior care to sick children
est in the San Joaquin Valley because a
and adults, teaching the next generation
shortage of physicians, special needs in
Your generosity is tremendously
of doctors, uncovering new insights into
rural health services, and limited access
appreciated in numerous ways. Our goal
the course and causes of disease, and
to continuing professional education
is to recruit and train doctors for the
contributing their skills to community
were chronic problems in our area.
Central Valley and continue to strive
service projects. UCSF Fresno represents
After several earlier attempts to attract
to provide healthcare to all citizens in
a unique medical education and physi-
a medical school to the Valley, interest
the greater Fresno area. Please email
cian training program that is a model for
and efforts were revived when the 1970
[email protected] or call (559) 499-
community and university partnership.
report of the Carnegie Commission of
6425 for donation information.
Training for residents and some fellow-
Higher Education and the Nation’s Health
ships are available in: emergency medi-
identified Fresno as a desirable site for a
Valley Health Magazine l 11
Medical Clipboard
Casey “The Underdog”
> By Brandon Segura
PHOTO BY: Steve Collins
Casey “The Underdog” Olson has built a
record of 8 wins and only 2 losses in just three
short years as a professional Mixed Martial
Arts (MMA) fighter. He has proven himself to
be a serious contender in a sport where many
of his opponents have had much more experience in the ring. What seems to make Casey
“The Underdog” Olson a true champion,
however, is what he brings to the “ring” in his
daily life.
Casey Olson
asey began wrestling as a sophomore at Clovis High
By 2005, Casey was putting his education to good use managing
School. Even though he participated in other sports,
a popular Fresno restaurant when he had a chance to compete
including baseball and football, it was wrestling he loved
professionally in Mixed Martial Arts. Although he was working
best. “I loved that the pressure was all on me,” he says of wres-
full time at the restaurant, he used his days off to combine his
tling. “If I made a mistake, I couldn’t blame anyone but myself.”
wrestling knowledge with the practice of martial arts. He was
This competitive mindset and sense of personal accountability
approached by UFC’s famous fighter Chuck “The Iceman” Liddell.
enabled Casey to overcome many obstacles in those early years.
Chuck told Casey that he thought he had what it took to be great
At the end of his sophomore-wrestling season, Casey broke his
in this sport. And if Casey were willing to commit to full time
arm, causing his junior year to be what he calls, “one of my worst
training, Chuck Liddell would train him out of his San Luis Obispo
seasons.” And, during his senior year, at the California State
training camp, “The Pit.” Casey ultimately decided to give up a
Championship semi-finals, Casey was winning a match 7-3, with
solid job for his chance in the world of MMA fighting. He actually
just seven seconds left on the clock when his ankle broke.
fought his first match that same year, winning by a knock out.
Because of this injury, he lost his acceptance to wrestle at several
Casey tells us that he had to take this chance and that, “I never
prominent colleges including Purdue and Nebraska.
wanted to think, ‘what if’,” knowing that he could always come
But Casey never gave up. Despite two injuries and having to
back to the restaurant industry. Casey is humble too, and always
undergo rehabilitation for his ankle, Casey decided to wrestle
makes sure to thank his support team, also known as “Team
at Fresno City College before transferring to California State
Underdog” and especially his family who, “Have been with me
University Fresno (CSUF). While wrestling for Fresno State, Casey
since day one.” He wants to remind us all that, “When I win, it’s
was team captain twice, won the California State Championship
not just me who got me there.”
twice, and was an All American twice. At the end of his fifth year at
CSUF, Casey nearly completed a degree in recreation management.
12 l Valley Health Magazine
After several setbacks at a young age when many athletes
don’t have the mental fortitude to push through injury and reha-
Medical Clipboard
bilitation, Casey already possessed the
heart and dedication of a world-class
fighter. When most people would have
quit, Casey’s perseverance and faith kept
him going. We know the term “Underdog” is used for someone who is not
expected to win, hence Casey’s choice
for using it as his MMA fighter nickname.
In addition to his injuries, Casey was told
many times that he was “too small” or
“couldn’t do it” and that maybe sports just
“wasn’t for him.” However, he loved being
told this because it made him work harder
to succeed, to overcome, and become the
person who, “always wanted to be the
one to take the shot.” Casey also says, “I
loved when people doubted me because
it motivated me to become more successful.” And winning is exactly what Casey
has been doing.
He tells us what gets him through life
is, “The spirit of God, belief in patience
and that you can’t rush things.” He also
wants us all to, “Remember, God has a
plan for you. Just remember to keep your
head up and moving forward.” This is the
message he shares as a motivational
speaker to many kids. He has spoken to
students at Clovis, Roosevelt, Fowler,
Hoover and Buchanan High Schools,
sharing with them messages of perseverance, goal setting and also making good
impressions. Casey advises these kids to
never quit, set goals, and make good
impressions because, “You never know
who you’re going to meet, when you’re
going to meet them and the first impression you’ll make on them.” He wants to
help these kids be better and feel better
about what they’re accomplishing. He
participates with the Clovis Police Activities
League, Cornerstone Youth Group, and has
served as an assistant coach for Buchanan
High School’s wrestling team. You can catch
him fighting for The Pit team at event fights
taking place at the Palace Fighting Championship at the Tachi Palace. Don’t miss his
next fight: Casey “The Underdog” Olson
vs. Aaron Miller, “Rumble at the Park,”
Saturday, August 23rd.
Magazine l l 109
David Hodge, M.D.
> by Krista Dossetti
avid Hodge originally planned
“We just seemed to fit,” Dr. Hodge
to study law at Northwestern
recalls, and he eventually accepted an
University in Chicago, Illinois.
offer to join Dr. Haws’ private practice.
Fortunately he changed his mind one
Nearly 29 years has passed since then,
summer while he was home from college:
filled with a lifetime of personal events
he sliced his finger badly and had to get
and professional growth. Dr. Hodge has
stitches. It was a simple enough proce-
excelled in his field locally and helped put
dure, yet it fascinated him, and provided
Children’s Hospital Central California on
a clearer, more straightforward way of
the map nationally, as he has maintained
helping people—compared to the justice
surgical privileges there since the Madera
system. He finished his undergraduate
site opened in 1999—the same year he
work at Northwestern (changing to pre-
famously separated Siamese twins as
med) before returning to his home state,
reported by The Fresno Bee. Dr. Hodge
where he completed his graduate work at
has also become a well-known name
the University of Kansas. It was there he
within religious and cultural minorities in
first fell in love with children and was
the Central Valley for his practice of
inspired to become a pediatric surgeon.
bloodless transfusions during surgery.
“As a junior in medical school, children
“There is good evidence that transfusions
sites in the kids, and now we do well-baby
were part of the rotation. To operate on
are harmful, and there’s a way to do things
(routine) checks. We’ve seen a big change
babies, to be able to give them a chance
‘bloodless’,” he says of an idea not all pe-
in the wellbeing of that community…an
at a normal life span…that was very
diatric surgeons agree upon but some
immense change.” And even after 19
appealing.” Dr. Hodge went on to
cultural beliefs require.
years, he still recalls specific cases that
complete a 5-year residency in general
surgery at Hennepin County Medical
Center in Minnesota and then a 2-year
Pediatric Fellowship at St. Christopher’s
Hospital for Children in Philadelphia.
Unlike a lot of doctors educated in the
Midwest who move to California to work
under sunnier skies, Dr. Hodge candidly
says, “California was the last place on the
face of the earth,” he wanted to work.
Because of the numerous malpractice
have really touched his heart. “There was
lawsuits and crisis of the late 70s and
an 11 year-old girl with a cleft pallet, and
her father wouldn’t let her go to school
out of embarrassment. The Rotarians
were able to arrange for her to have
surgery, and now she’s in school. Something like that makes it all worthwhile.”
Dr. Hodge has recently returned to
running his own private practice alone,
and is starting to think of retirement. He
plans to spend more time traveling and
hopes to learn Spanish. As he reflects on
early 80s in California, Hodge “couldn’t
In his spare time, Dr. Hodge travels
his early days in Fresno, it’s apparent
imagine” practicing medicine here. With-
annually to Mexico for Project Nino,
he’s become a true Californian at heart:
out many current prospects, however,
sponsored by the Rotary Club of Fresno.
“Really, you couldn’t ask for a nicer place
hard facts like being a newlywed and
Project Nino is a group of doctors,
to live,” he says of Fresno, “the cost of
needing money soon led him to check
including dentists, optometrists, regis-
living, the big cities are close…this is
employment postings through the American
tered nurses, etc. who travel to Mexico
beautiful country.” Likewise, he is proud
Pediatric Surgery Association. That was
and provide medical care and teach
of a long career that has seen immense
the first place he heard the name Dr.
preventative education. Since beginning
change in our corner of the world. “Radi-
Ernest Haws, one of precious few pedi-
to visit the same village 19 years ago, Dr.
ologists, pathologists, surgeons…the
atric specialists in Fresno recruiting help
Hodge’s excitement over the changes
sum total of pediatric specialties exists
for the growing area. Hodge wrote to Dr.
taking place in the community is near
here now. Medicine has progressed
Haws and the two scheduled a meeting.
contagious. “We used to see lots of para-
14 l Valley Health Magazine
HInds Hospice Hollywood Hullabaloo
Photos by Abla Verble
Valley Health Magazine l 15
Our health exists in a continuum. It
can range from optimum to critically ill,
and even death as it may be associated
with a particular disease, accident, or
natural cause. As humans, our goal is for
our health status to settle at the
beginning of this spectrum and stay
there, despite aging. To achieve this
goal, we invest part of our money, time
and other resources to find the best
health insurance, doctors and other
health care providers. Perhaps, making
these efforts isn’t enough.
If we were to list the busiest service
offices in the world, no doubt physicians’
offices will appear at the top of the list. If
we are lucky, we may have ten to fifteen
minutes to talk with our physicians during
regular visits. The question, therefore, is:
how can we wisely utilize this very limited
time to get the best out of our physicians,
and what may be the consequences if
we don’t?
How to Make the
Regardless of maintaining a good insurance policy, or even visiting the doctor
regularly, the quality of your visits to the
doctor is a large factor in understanding
your health and planning for the future.
As most of us realize, attending schools
or obtaining special training is not enough
to find dependable jobs. We invest our
time, money and energy to prepare
resumes, compose personal statements,
and search for the positions we dream
about. We do not stop there. We conduct rehearsals for interviews to get the
best out of our interviewers. Although the
Of Your Time With the Doctor
type and the degree of preparation may
By Belayneh A. Abejie, M.D., M.P.H.
doctor during our visits follows a similar
differ, the preparation we need to do to
make the most out of our time with the
pattern. Even though you are paying for a
service, health is an intrinsically personal
Valley Health Magazine l 17
and private matter. In order to get the best
never be welcomed by anyone working
valuable time with your doctor talking
from your visits, you must be willing to
in the office.
about your irritating in-laws or unfriendly
speak openly and prepare, much as you
would for an important interview.
fortune teller. A doctor makes decisions
based on the story the patient provides,
tion is smoother and more enjoyable
Pre-Visit Preparation
As you know, a physician is not a
Generally speaking, communica-
the physical examination performed,
when we know something of what
Pre-visit preparation enhances com-
laboratory and X-ray results, as well as
we are talking about ahead of time. If
munication with your doctor, saves time,
findings of other procedures completed.
possible, try to read books or surf the
and fosters attainment of comprehensive
The health story provided is the first and
Internet to have some idea about your
and quality health care. Here is some
most important step on the diagnosis
health problems. You should be able to
useful advice to consider when you
ladder. For example, if you don’t tell
describe the duration, severity, and the
prepare for a visit to the doctor.
your physician about problems in your
patterns of your symptoms. Similarly,
groin region, an area most of us don’t
remember the conditions that make your
ships with the clinic staff members,
want to talk about, the physician may
symptoms better or worse. Don’t waste
including receptionists, nurses, admin-
not take time to look at it. List all your
time scratching your head thinking about
istrators, medical assistants and others
symptoms before you turn on your
the duration, severity, and aggravating
who are working with your physician.
engine or sit on the bus. However,
and relieving factors of your back pain
Never underestimate the receptionists’
do not come to your doctor with an end-
while you are talking to your doctor.
role in health care services. Traditionally,
less laundry list of problems. Instead,
Like anybody else, physicians appreciate
receptionists are courteous or at least
prioritize your problems in the order of
organized clients and they want to
repeatedly instructed to be courteous at
urgency and importance. A human
keep these clients. Furthermore, getting
all times. Whenever speaking to a recep-
being cannot survive without oxygen
organized is one of the smartest ways to
tionist to schedule an appointment or to
for more than seconds, without water
save time asking questions and get more
request something else, be courteous. If
for more than days and without food
information about your health status.
you are the person who regularly yells at
for more than weeks. Therefore, do
4. As you might imagine, most chronic
receptionist, disturbs the office environ-
not complain about your brittle nails
medical and surgical problems have
ment, or blames others for not getting
complications. Your current health prob-
what you want when you want it, you will
breathing. Similarly, try not to waste
lem could be a consequence of the past.
1. Start building harmonious relation-
Generally speaking, communication is
smoother and more enjoyable when we
know something of what we are talking
about ahead of time. If possible, try to read
books or surf the Internet to have some
idea about your health problems.
For example, vision
due to a chronic history of diabetes, just
as belly pains could
be related to prior
care may also depend
on your past, and existing medical and surgical
vaccines are highly recommended to
patients with chronic obstructive lung
diseases such as emphysema and to
patients without a spleen. Keep lists of
all past surgeries and past and existing
medical problems.
5 Unfortunately, we inherit diseases
from our parents and grandparents in
addition to material wealth and blessings. Record all hereditary diseases
8. Traditionally, a physical examina-
known in your family and compile a
It is better to forget to bring
tion follows four steps: look, touch,
everything. Obtaining this information will
one of your ears than your
nation appropriately saves time. If you
assist your physician not only in making
medicine bottles or lists of
come in to your doctor’s office with a
tative measures for you. For example, an
medicines when you visit
almost certain. Wear clothes that can be
individual with a family history of colon
your physician.
health resume to show your physician if
you fear not being able to remember
a diagnosis, but also in planning preven-
cancer should start having colonoscopy
screenings earlier than those without.
It is better to forget to bring one
tap and listen. Dressing for your exami-
chronic cough, a chest examination is
easily removed from your chest. Generally speaking, clothes with zippers are
better than those with buttons, and
7. Certain health conditions are related
loose clothes are better than tight ones.
of your ears than your medicine bottles or lists of medicines when you visit
to social behaviors like tobacco use,
don’t wear tight jeans.
your physician. Bringing your medicine
excessive alcohol consumption, illicit
bottles means a lot to your physician
drug use, occupational hazards and
because your medicines provide him/her
travel. Provide detailed and candid
your physician, from hearing impair-
with lots of information including, but
information about your habits. “Yeah, I
ment for example, plan to bring a
not limited to, the kinds of diseases you
smoke once in a while when my boss
loved one with you.
have, whether some of your current
wears me out,” or “I drink on the week-
symptoms are related to the side effects
ends, more during football season,” is
of medicines, and whether dose adjust-
not sufficient information. Talk straight in
This is the time to deliver the infor-
ment or change of medicines is neces-
order to avoid further questions and to
mation assembled during the pre-visit
sary. The usual excuses, “I did not bring
save time. A good answer would be: “I
preparation to your physician, learn
my medicines because I thought you
started smoking at age 25 and I smoke 2
more about your health status, receive
had them on record,” or “I forgot
packs per day,” or “I drink a 6-pack three
treatment, and advice about precautions
because my teenager is driving me
times a week.” Also, certain medical
and preventative measures. Your pre-
crazy lately,” are fine enough excuses,
problems like malaria could be imported
visit preparation makes communication
but they will hinder your visit from being
from other countries. Make sure your
with your physician smoother and easier.
effective in the long run, which may also
physician is aware of your recent travel
Whether you have prepared ahead of
manifest as more future appointments
history, and discuss future travel plans
time or not, take advantage of the
and expenses.
and any necessary precautions.
following recommendations.
Similarly, if your problem is knee pain,
9. If you have difficulty expressing
your problems and/or understanding
During Your Visit
Valley Health Magazine l 19
prevent the progression or recurrence of
your medical problems. Discuss preventative measures such as colonoscopy,
mammogram, vaccines, and cholesterol
testing if they are recommended for your
sex, age and health conditions.
Post Doctor Visit
The pre-visit, the visit, and post-visit
preparations do not lie on a straight line.
They, in fact, revolve in a circular fashion.
The post-visit preparation is the beginning of the next pre-visit preparation.
The physician needs to be informed
whether you followed the instructions
and recommendations during your next
visit. Your doctor should be informed if
the measures taken during the previous
visit were helpful or not. Start preparing
for the next visit right after you leave the
1. Always arrive on time. Since patients
office. Here are some things you should
Request explanations about
do before your visit has been completed.
to run late for the rest of the day. This
you had to sit for hours in the waiting
may cause unnecessary guilt on your
planned, and their alterna-
are assigned specific appointment times,
your delay could cause all appointments
part and affect your communication with
your physician. As we are all human,
ordered, procedures
tives. Never leave the exam
1. Thank the staff members, even if
Document the most important
parts of your discussion before you
being late and affecting the overall
room without being clear
operations of your doctor’s office may
about the medications pre-
reception staff or other patients forced
scribed, all side effects,
and adhere to precautions and behav-
to wait because of your delay.
and possible alternatives.
cause tension between you and the
2. Provide your health resume to your
Get the recommended tests on
time, take the medicines as prescribed,
ioral changes as recommended by your
4. Follow the progress of your health
physician if you have prepared one, and
if it wasn’t given to the receptionist
never be intimidated by medical jargon
condition and report it during the next
earlier. You may be asked a series of
your physician may use. In fact, your
visit. However, if your condition gets
questions based on the information you
physician might have experienced simi-
worse or you develop side effects from
provided to clarify unclear points on the
lar problems in a car shop while talking
medications, contact your physician
list, and to gather further relevant
to a mechanic about a broken car. Retain
information. Try your best to provide
your composure and ask about the
5. In most cases, it is good to stick to
short and clear answers. If you do not
diagnosis and what it means. Request an
one physician who knows you, but if
understand the question, ask for clarifi-
explanation about tests ordered, proce-
you are not satisfied with the service
cation. Be attentive and a good listener.
dures planned, and their alternatives.
provided, shop for a second or even
Your physician can’t possibly care more
Never leave the examination room
third opinion.
about your health than you do.
unless you are clear about the medica-
It is your time, your money and above
tions you have been prescribed, all side
all, your health. Prepare, prepare, pre-
effects, and possible alternatives.
pare! You build a resume to hunt for the
3. Honesty is a universal word of wisdom. Be honest with everyone involved
in your health care at all times.
5. Non-medical treatments like exer-
best job. Your health resume will nurture
Physician-patient relationships
cise, diet, counseling and others are as
the best health care. Remember, the
work both ways. Do not just be a lis-
important as medical treatments. Ask
patient-doctor relationship is a two-way
tener. Ask questions and explain any
about behavioral and lifestyle changes,
street. Do your part and expect your
concerns you may have. No question is
activity levels and other precautions you
physician to do theirs.
silly when it comes to your health and
may need to take into consideration to
20 l Valley Health Magazine
t’s that time again. The days
spent by the pool, vacationing,
or soaking up sun, are starting to dwindle. Summer is almost
finished and the Valley heat rays
have taken a toll on your skin.
The golden tan you worked so hard for
in June and July is starting to fade, and
overexposure to UV rays has potentially
left your skin feeling leathery, dry, dull, and
of course, sunburned. Even if you’re
someone who tries to avoid the sun, we
all need to know the facts about sun
damage, the effects it can have on our
health, and once the damage has been
done (mostly during the sunny, summer
months), what we can do about it. The fall
is always a great time to re-hydrate and
“kick-start” the skin! Options are available
for you whether it’s trying a new store
bought item, or even something stronger
like calling upon the help of a professional.
For skin that needs attention because of
accumulative sun damage, stronger, more
effective treatments are available also. The
best treatments are ones that have been
designed just for you.
Many women and young adults strive to
achieve that “healthy” glow by spending
hours in swim trunks and bikinis, and even
applying acceleration products to “maximize” their time in the sun. Unfortunately,
they are also accelerating their natural
aging process and even possibly causing
skin cancer down the road. According to
the World Health Organization, skin cancer
kills 60,000 people per year. Most of these
By Jamie M. Linenbach, L.E., C.P.M.A.
deaths are entirely preventable. Many
people do not know exactly what a tan is,
and you might be surprised to find out. A
tan is actually your body’s defense mechanism against damaging rays. Deep in the
skin layers, we produce a skin pigment
called melanin. Melanin gives our skin it’s
coloring. Everyone has different amounts
of melanin and reacts differently to sun
exposure. That golden, bronzed look
everyone craves is actually your body
telling you something is wrong. In fact, men
and women who tan compulsively are
Valley Health Magazine l 21
causing melanin accumulation, a condi-
summer months, we need to be especially
for that matter, from increased damage.
tion where the skin loses its restorative
careful because we spend more time
The real trouble is most people don’t
capabilities and becomes permanently
outdoors. Sun blocks and Sunscreens
seek treatment until the damage becomes
darker than a person’s natural skin color. If
come in two forms: chemical or physical.
visible. As we mature we start seeing fine
you are a tanner, beware. Many tanning
Both are effective in protecting the skin
lines, changes in the texture of our skin,
companies tell their customers that their
if worn properly. Sun block should always
and color irregularities sometimes referred
tanning beds only deliver certain, “non-
be reapplied often throughout the day
to as sunspots, but these signs of aging
damaging” rays. The truth is that ALL
and always after getting out of water. If
actually begin much earlier.
rays produce a traumatic, inflammatory
wearing sun block daily, opt for a protec-
When using store bought products,
effect, and are very offensive to the skin’s
tion that is easy to reapply such as a spray
look carefully at the ingredients. Regardless
or some companies are even producing
of what a product claims, the ingredients
mineral sun block powders that can be
will tell you what results you can expect.
Every day of our lives we are exposed to
used like makeup. Investing in a sun block
Buying items rich in vitamins and antioxi-
ultraviolet rays. UV rays are invisible and
that contains Titanium Dioxide and Zinc
dants is a good place to start. Particularly
are a part of the energy produced by the
Oxide in it’s top ingredients will help pro-
if lightening is your goal, products rich in
sun. The sun produces four different types
tect the skin and is also safe for children.
vitamins A, C, E & K can be useful. Products
of rays, UVAI, UVAII, UVB and UVC radia-
Making sun block a part of your daily
that contain Hydroquinone, Mulberry
tion. UVC is almost completely absorbed
routine, 365 days a year, and reapplying
Root extract, Azelaic Acid, L-lactic acid,
by the ozone layer. UVB rays affect the
every couple of hours when participating
outer layers of the skin and are the primary
in outdoor activities is really the key to
cause of sunburns. This ray is more intense
staying safe.
in the summer months when the weather
Making sun block a part of
is hotter. UVA rays I and II are major con-
So you think the damage is done? Well,
your daily routine, 365 days
tributors to a person’s skin damage
in all honesty, some of it is. But, you’ve still
throughout their life. This type of ray is
got years of fun in the sun to deal with, and
a year, and reapplying every
more intense and penetrates deeper into
the biggest factor here is cumulative expo-
couple of hours when partici-
the layers of the skin. UV rays are an every-
sure. Almost all of us have some amount of
pating in outdoor activities is
day occurrence and can cause harm even
damage as a consequence of unprotected
on overcast days. Protecting yourself year-
time outdoors. But this doesn’t mean you
really the key to staying safe.
round is important, however in the hot
still can’t save your skin, or your child’s skin
Willow herb, Licorice Root extract, or the
best choice L-Arbutin, can also help lighten
sun damage. The best thing about store
bought products is their affordability. If
exfoliation is what you want, there are some
guidelines. First, stay away from abrasive
products with ingredients like sand, ground
seashells, nutshells or even plastics in them.
These items may make skin feel smoother,
but ultimately damage newly developing
skin. Second, treat your skin like you would
an infant’s when using an exfoliant. Rub
gently with the fingertips, avoiding the
delicate eye area. Another important thing
to remember about store-bought products
is not just to look for certain ingredients,
but to also avoid certain others. Beware
of any product with perfumes, dyes,
colors, or chemicals. These are very common ingredients and many people experience irritation, rash, and/or redness when
exposed to them.
22 l Valley Health Magazine
If you choose to seek out a licensed skin
care professional or dermatologist, they will
most likely offer a wide range of treatment
options. Usually some type of exfoliation
such as peels at different depth levels,
microdermabrasion, the use of light therapy
or even laser treatment will be suggested.
Peels can make positive changes in the skin
as long as they are done in a non-traumatic
way. Different acids are used in peels and
your skin care therapist or dermatologist
should be well versed in them. Some
ingredients may be under FDA investigation
or even banned in the USA. Fortunately,
there are peels available today that maximize results while minimizing irritation and
common side affects such as prolonged
redness, severe dryness, cracking, and
excessive peeling of the skin.
The professional should let you know
cost, all possible side effects, prepping
regimens, after care and preventative
measures for the future. Wearing a good
sun block after any treatment should
be strongly recommended. Being well
educated about your choice and skin-care
therapist will eliminate surprises and upsets
after the treatment has been done. You
may even want to ask to see before and
after pictures and ask how long the person
has been administering treatment.
Last, and most importantly when
seeking solace from sun damage, make
sure to do a full body exam and look for
moles that have changed in color, shape
and size. Always check the feet, the ears,
the scalp, and between the toes, too. You
should have a dermatologist look at moles
that have irregular borders, hurt, or bleed,
so they can be tested for skin cancer.
Having a dermatologist do a full body
In addition to dilligently wearing
sunscreen, to thoroughly protect
yourself from the damaging
effects of the sun, it is adviseable
to take as many of the following
action steps as you can:
Avoid sun tanning and tanning beds
Apply sunscreen generously
Wear protective clothing
Seek out shaded areas
Use extra caution near water, snow & sand
where the sun’s rays are more instense
Watch the UV index report
Find ways to get vitamin D safely
sun exposure to a minimum is the best
answer, and if you are a candidate for UV
light therapy, keep in mind that this doesn’t
give you free license to sit in the sun. UV
light therapy is a prescription for sun exposure or certain wavelengths of light for a
specific time period, or even time of day,
and should only be used in conjunction with
your health care provider.
Although avoiding the sun entirely is
impossible, we can still take a preventative
approach and enjoy the outdoors while
keeping safe. It’s entirely possible to seek
treatment for current sun damage and learn
to minimize future effects through lifestyle
changes, quality products, and good habits. And, if you’re a parent, do your child
the favor of teaching them to protect their
skin now. As stated before, much of sun
damage takes place during childhood and
adolescence when kids take sunshine as
a cue to play outdoors, unaware of any
screening is taking a pro-active approach
leads to the deterioration of skin tissue,
possible harm. In Australian elementary
and could save your life.
destruction of our healthy, normal function-
schools the children are required to apply
ing cells, DNA and DNA repair. While
sunscreen on their breaks before going
So can you get too much of a good
our bodies need sunlight and the vitamin
outdoors. Some places around the world
thing? In this case…yes! Too much sun
D that comes from the sun to survive, we
are more dangerous than others because
exposure will result in sunburn, skin dam-
often take in too much over a lifetime.
of climate and weather patterns—and
age, sunspots, melanin accumulation, fine
Moderate sun exposure aids in the healthy
we are living in one of them. Here in the
lines, wrinkles and ultimately aging faster.
production of our bones and teeth. It also
Central Valley we should learn to become
Collagen breaks down over time and
helps our immune system fight off certain
sun safe!
the skin loses its elasticity and durability.
diseases. UV light therapy can also assist
The formation of free radicals are greatly
psoriasis patients and although not advised,
increased with sun exposure, which also
even help in the healing of acne. Keeping
Valley Health Magazine l 23
STAY FIT: Keeping Your
If you already have a gym membership, or are considering getting one, you know that the
cost is significant. And, if you’re like many people, it seems like a great idea in advance
that usually results in confusion at what classes to take, times to go, and which equipment
looks like it won’t kill you. Having a plan in place before going to the gym not only helps
you maximize your gym dollars, but also your fitness results. For the beginner in particular,
learning to correctly use gym equipment may also afford greater stability and safety. With
summer nearly gone, the temptation to pack on winter pounds, overindulge throughout
the holidays, and abandon your usual workout routine seems inevitable—but it doesn’t
have to be. Plus, when it’s swimsuit time next year, you’ll have saved yourself a lot legwork
(literally!). Here, we feature a work-out plan for beginner and intermediate fitness levels
designed to help you look and feel your best all year long.
Valley Health Magazine l 25
Body Parts Worked:
Workout by: Jeremy Spencer, C.F.T. & Ysmael Olvera, C.F.T.
Photos by: Steve Collins
Challenge Level 1: THE PUSH UP
Challenge Level 2:
Begin this exercise keeping your fore-
arms perpendicular to the floor and the
body in a plank position parallel to the
Begin by laying flat on a bench with your
floor. While flexing the elbows, lower
arms extended straight up in the air
your body to a 90 degree angle and push
holding two dumb bells. Slowly lower
yourself back to starting position. This is
one arm to make a 90 degree angle at
a great exercise to develop your chest
the elbow, then return to starting posi-
and core muscles.
tion. Repeat this movement while alternating arms, remembering to keep your
wrists over your elbows.This is a great
exercise to isolate the chest.
Body Parts Worked:
Challenge Level 1:
Sit perpendicular on the bench with
knees slightly bent, pull the weight
keeping elbows tight and squeeze the
shoulder blades together. Keep your
belly button drawn to your spine. This is
a great beginning exercise to develop
the back.
Challenge Level 2:
This exercise is great for isolating the
back. Begin with one knee and one arm
on a bench. In the other arm hold a
dumbbell. Pull the dumbbell to the
ceiling then lower to starting position.
26 l Valley Health Magazine
Body Parts Worked:
Challenge Level 2:
While standing in proper alignment step
forward and descend slowly by bending at
the hips, knees and ankles until your knees
form a 90 degree angle. Return to starting
position and alternate legs.
Challenge Level 1:
Begin by standing in “proper alignment”: feet shoulder width apart and
toes forward. Allow your body to lower
and form a 90 degree angle at the knee.
Keep belly button drawn to the spine
and back perpendicular to the floor.
Body Parts Worked:
Challenge Level 1:
Drawing the belly button to
the spine, begin by holding
the barbells slightly wider than
the shoulders with your palms
facing up. Slowly lift the barbell
to the chest keeping the elbows
tucked at the waist.
Challenge Level 2:
Placing your hands on a bench
slightly wider than the body,
lower yourself until the elbows
make a 90 degree angle. Keep
your feet together and knees
slightly bent. Extend the triceps back to starting position
and repeat.
Valley Health Magazine l 27
alzheimer’s &
dementia care
at its finest
R Individualized activities
R Support groups
R Comfortable private and
shared apartments
R Social and wellness
R 24 hour staffing
People ...
Wonderful people!
It’s all about the
7442 N. Millbrook Ave.
Fresno, CA 93720
Lic.# 107201526 & 107201502
(559) 446-1266
or Aging Loved Ones
When the time comes for you to take
By Ray Linker, R.F.C.
care of your loved ones, you may be
A personal data record is a document
certain of only two things: Your loved
that lists information you need in case
You can not be expected to know
ones need you, and you need help.
your loved one becomes incapacitated
everything, and you probably do not have
Caring for your aging loved ones can
or dies. The first step you should take is
enough time to learn everything. This is why
encompass both immediate and future
to ask your loved ones to help you pre-
you should seek advice from professionals.
needs. Your first step to start preparing
pare a personal data record. Once this is
Some advice will be free, and some you will
is to know where to get advice and
completed keep all the records in a safe
have to pay for. If you live far from your loved
information for preparing a personal
place. The personal data record will allow
ones or are too overwhelmed to handle all
data record, getting legal and healthcare
you to execute their wishes for health care
their affairs, you can hire a geriatric care
advice, support, and financial planning
and financial needs in the event of
manager who will evaluate your loved ones
advice. This can be an overwhelming
incapacitation. The data record should
situation, suggest options, and coordinate
task for all involved. Start caring for your
include financial, medical, legal and insur-
professionals who can help. A good website
aging loved ones now by talking with
ance information. Contact information
to try is:
them about their needs and wishes. Also,
regarding their professional advisors and
be familiar with local support groups
the location of important records is also
offering advice on a variety of topics.
If you are uncertain of your loved ones
mental or physical capabilities, ask his or
Valley Health Magazine l 29
Helping your parents, grandparents, siblings or others
prepare for the future and
reassuring them you will
do everything within your
power to help them maintain their independence,
dignity, and financial security may not be easy to do or
talk about.
If your loved ones need help managing their finances, you may need to
contact the appropriate professionals
whose advice both you and your loved
ones can trust. Some specific examples of
these financial professionals would include
a financial planner, an accountant, and
attorney. These advisors can help you plan
for your loved ones incapacity and prepare
documents such as power of attorneys,
health care directives, and living wills. A
professional can help set up and monitor
guardianship, give tax advice, and provide
bill payment assistance.
Do not try caring for your loved ones
alone. Many local and national caregiver
support groups and community services
are available to help you cope with caring
for your loved ones. If you do not know
where to start, visit the Fresno-Madera
Area Agency on Aging website at
Many support groups are available to
her physician to recommend somewhere
and your loved one will receive advice
provide information and emotional sup-
you can take your loved one to undergo
regarding care options.
port on broad topics such as aging or
an assessment. These assessments can
If your loved ones are like many older
specific topics such as heart disease. You
be done at hospitals or clinics. Your
individuals, their health can be somewhat
may find these support groups helpful if
loved one will be evaluated to determine
dependent on their living environment.
you know little about caring for your
his or her capabilities. The evaluation
As they age their health may deteriorate
aging loved ones. Such groups also
determines whether the individual can
so much that they can no longer live on
provide an opportunity to help others
take care of himself or herself on a day-
their own. At this point, you may need to
by sharing your experiences.
to-day basis, including such things as
review your options. Housing options can
bathing, dressing, eating, using the tele-
include in-home care, health care within
phone, doing housework, and managing
a retirement community, or nursing
money. Based on this evaluation, you
30 l Valley Health Magazine
Caring for your aging loved ones is
not only an emotional burden for you but
a financial one as well. Since many adults
today are becoming first-time parents in
their thirties, and others are remarrying
and rearing second families, increasing
Caring for an Aging Parent Checklist
1. Has relevant personal information been gathered?
• Name, phone number, and address of parent
numbers of adults are finding themselves
Parent’s date of birth and Social Security number
in the “sandwich generation.” They face
Name, phone number, and address of attorney, physician, geriatric care
manager, or other advisor
dren including college expenses, plan for
Parent’s legal state of residence
their own retirement, and support their
Parent’s health status
aging loved ones financially. It is impor-
Parent’s marital status
tant to plan not only your loved ones
Family members available for support
having to pay expenses of growing chil-
finances, but your own as well.
Making sure that your parents won’t
outlive their money is a critical step in
2. Has the parent’s financial situation been assessed?
• Income from pension, Social Security, employment, or other source
Expenses and Liabilities
ensuring that your own finances will remain
sound. You need to make sure that your
1. Does the parent have life insurance?
parent is receiving all the benefits to
2. Does the parent have long-term care insurance?
which he or she is entitled and that his
3. Does the parent have adequate health insurance?
• Medicare
or her money is invested wisely. You’ll
also need to create a financial profile for
your parents, a statement that includes
income, expenses, and net worth. If you
have a financial advisor he or she can
advise you on how to do this. If, after
considering your parent’s financial condition it’s clear that they won’t have enough
4. Does the parent have an adequate amount of other types of insurance?
• Homeowners insurance
Auto insurance
Umbrella liability insurance
resources to pay for their own care, you’ll
1. Does the parent have an updated will?
need to find ways to supplement their
2. Has the parent prepared advanced directives?
• Durable power of attorney
expenses. You may need to look into MediCal for benefits which can help with inhome services and skilled nursing, or ask
other relatives for help.
Besides caring for your loved ones,
you have a lot of other financial obliga-
Living will
Health-care proxy
3. Has the parent prepared letters of instruction?
4. If the parent’s estate is likely to be subject to estate tax, have ways to
minimize estate taxes been considered?
5. Has the parent made funeral arrangements?
tions. Before you can determine the best
way to help your loved ones financially,
1. Is the parent’s current housing situation satisfactory?
you will have to look at your own financial
plan. Not only will you need to consider
2. If so, have contingency plans been made in case a housing change is necessary
in the future?
your current expenses, but you will have to
3. Have the parent’s wishes regarding housing been considered?
look down the road a few years, consider-
4. Have the child’s wishes regarding housing been considered?
ing how much you will need to save for
your own retirement and, perhaps, for
your children’s education.
Federal income tax law provides several
tax benefits for you if you are supporting
5. Does the parent currently need nursing home care?
6. Have alternative housing options been explored?
• Remaining in home (possibly with in-home care)
Moving in with relative
• Assisted living • Nursing home
Continuing care retirement communities
• Senior apartments
7. Have adult day-care options been discussed and evaluated?
Valley Health Magazine l 31
your loved ones financially. If you have a de-
1. Does the parent have enough money from income and savings to sustain his
or her lifestyle?
pretax dollars into the account that you can
2. Is his or her asset allocation still suitable?
3. Is the parent able to make appropriate financial decisions?
pendant care account at work, you can put
use to pay for some costs associated with
caring for your dependant loved ones. You
may be able to claim an exemption for your
4. Should the child’s name be added to accounts?
loved ones as dependants, and you may be
5. Does Medi-Cal planning need to be considered?
entitled to claim a dependant care credit. In
6. Will the parent be dependent on the child for financial support?
addition, you may be able to file your taxes
7. If so, have the child’s financial needs been considered?
8. Have distribution strategies been discussed and evaluated?
1. Has a list of important documents and records been prepared?
as head of household and deduct medical
expenses you paid for loved ones. Consult
your tax advisor to see how you benefit.
At the end of the day, the best thing
anyone can do for those they love is to be
Bank account records (statements and passbooks)
proactive about planning for as many
Stock certificates, bonds, and other investment records
issues associated with aging as possible.
Credit card statements
Mortgage, insurance, utility bills
Retirement plan statements
Income tax returns for the last three years
maintain their independence, dignity,
Real estate deeds, mortgages, and other property ownership records
and financial security may not be easy to
Vehicle titles
do or talk about. Thankfully, there is help
Business agreements
available. Take advantage of community
Insurance policies
Will, trust, advanced directives, letters of instruction, and other documents
Location of and key to safe-deposit box
Birth certificate and marriage or divorce certificates
time will be available in the future to
Citizenship records
spend on the things that really matter—
enjoying your relationships, mutual inter-
Military records
2. If the parent has an interest in a business, have arrangements been made to
continue or dispose of the interest in the event of incapacity or death?
32 l Valley Health Magazine
siblings or others prepare for the future
and reassuring them you will do everything within your power to help them
resources, tax benefits, support groups,
and free consultations. Then decide
which services are most important to you.
The more planning you do now, the more
ests and hobbies with those you care
By Billy R. Ware, L.C.S.W.
I treat young people that have problems with drug use. Many people do not
want to admit that they have a problem
with drugs. I have treated young people
all across the Central Valley: as far as
Oakhurst, Kingsburg, Hanford, Madera,
and just about every city within Fresno
County. I operate an Intensive Outpatient Program, which is the best treatment of choice when it comes to dealing
with drug problems. Adolescents don’t
like the process because it takes up so
much of their precious time. And they
don’t like their parents to be involved
because that means increased accountability. I will never treat any youth unless
their parent commits to participating in
the treatment.
Valley Health Magazine l 33
opinions about how these goals might
First, let’s begin with the drugs kids
are being exposed to these days in our
community, and especially at school.
A lot of busy parents really
be achieved. Some of the suggestions
given here may draw criticism, but I
They are exposed to alcohol, marijuana,
don’t know whom their chil-
dren are hanging out with,
responsibility to intervene, hold their
amines (crank), ecstasy (“X”), oxycontin,
and the last message a par-
child accountable, and get them the
LSD (acid), mushrooms, heroin, PCP,
inhalants, over-the-counter cold medi-
ent wants to send to their
maintain that it is ultimately the parent’s
treatment they need.
First and foremost, stay involved with
cine, pain medication, and sleep aids. In
child is that they don’t care
your children. Many parents don’t require
other words, just about everything.
who their friends are.
formal sit-down dinners anymore where
Ask any of your high school and
the entire family is gathered, face-to-
junior high students what they know
face. What better way to see and hear
about drugs being on campus, and if
often replaced by the development of
your child than sitting them down right in
they are being honest, most will give
another, regular habit. Children who are
front of you? It will be very difficult for
the above list. Even if you’re secure that
them to hide a problem from you if this
your child isn’t on drugs, you still may be
start staying away from family and
occurs regularly. Likewise, it will be very
surprised at the average 16-year-old’s
school functions. Mood swings, appetite
difficult for you, the parent, to ignore or
narcotic vocabulary nowadays.
changes, and changes in friends are
miss a problem if you are familiar with
some more clues.
your child’s normal personality and daily
What are some clues that may
suggest your child has a drug-related
What can you do to protect your
activities. Drug users are generally not
problem? The biggest clues are grades
child, prevent drug problems and/or
fans of family dinners as they provide
and attendance. If either starts drop-
stop a drug problem from growing?
families an opportunity to gauge each
ping, get answers. Regular ditching is
There are many ways and professional
other’s mood, appearance, and wellbeing.
34 l Valley Health Magazine
Second, ask yourself if you really know
users, especially regarding the safety
your child’s friends. Not only should you
of other students, is controversial. It
know their first and last names, but also
is understandable that the parent of
the names and addresses of their par-
a drug-free child wouldn’t want a sub-
ents, particularly if your child spends any
stance abuser near their child. However,
amount of time at their friends’ homes.
it is in the best interest of the child
A lot of busy parents really don’t know
with the problem to remain in an envi-
whom their children are hanging out
ronment with increased accountability
with, and the last message a parent
and surrounded by positive influences.
wants to send to their child is that they
Try talking to school officials about a
40 percent of those who started
don’t care who their friends are. Some
probationary period, or provide them
drinking at age 13 or younger
parents even believe wholeheartedly
with proof that your child is enrolled in
developed alcohol dependence
that their child is mature and responsible
an outpatient program.
later in life. Ten percent of teens
enough to make decisions by themselves,
Most likely, you will have to fight
tooth-and-nail to keep them in a regular
through good behavior. Although privi-
school, but it’s worth it. In the event that
leges should be rewarded to adolescents
disciplinary action is taken against your
who act responsibly, less involvement in
child and they must attend a continua-
their life on your part shouldn’t be one
tion school, organize and stick to a strict
of them.
schedule for them, with supervision, that
Third, take the temperature of your
child’s tone of voice and communication
mirrors a normal day—not the schedule
followed by continuation schools.
Underage drinking costs the
United States more than $58
billion every year.
who began drinking after the age
of 17 developed dependence.
Teens that drink are 50 times
more likely to use cocaine than
teens who never consume alcohol.
63 percent of the youth who
drink alcohol say that they
skills. In treatment of adolescents with
Finally, don’t be afraid to search your
drug problems, many parents are being
youth’s room if you suspect drug use.
initially got the alcohol from
“held hostage” by their children’s erratic
This should only be done if something
their own or their friend’s homes.
and abusive behavior. Allowing your
like any of the above
child to speak to you using derogatory
has taken place.
language or with a raised voice is a sign
that the authority roles within your home
have been reversed. Showing a child
that actions reap consequences starts at
home with effective communication. If
your child doesn’t show you respect
within your home, it is unlikely they will
continue to respect your wishes once
they are outside of it.
Alcohol kills 6 ½ times more
teenagers than all other illicit
drugs combined.
Teenagers whose parents talk to
them on a regular basis about the
dangers of drug use are 42
percent less likely to use drugs
than those whose parents don’t.
Fourth, know your child’s teachers
and be a regular face at school func-
More than 60 percent of teens
tions. Many schools and public
said that drugs were sold, used,
officials do very little to help a
or kept at their school.
child when they are caught
with drugs or alcohol. Most
shipped off to a continuation high school of some
kind, which usually offers
a more lax schedule and
an environment filled with
other abusers and temptations—exactly what a drug
20 percent of 8th graders report
that they’ve tried marijuana.
28 percent of teens know a
classmate or friend who has used
user wants. Whether or not
schools should be involved
and how they handle drug
Valley Health Magazine l 35
Treatment is a separate issue to
the worse. Reversing this idea in a child’s
even more effective when combined
tackle. Again, there are many avenues
mind and showing them how friends can
with a support group of some kind.
and professional opinions about the
be positive inspirations in the group
Getting your child the help they
best way to achieve positive results.
therapy setting is an important lesson
need can be difficult for several reasons.
Group therapy for adolescents can be
they will be able to depend on when
Many parents feel a child’s substance
very useful. Because peer pressure
formal treatment ends.
abuse problem is a reflection of poor
usually gets them involved with drugs,
Individual therapy is another option,
parenting. In some cases this may
it also stands to reason that it can help
but mostly effective for those in the
be true, but it’s never too late, and as
them get out of it. Being confronted by
beginning stages of a drug or alcohol
stated at the beginning, the parent or
peers who are committed to holding
problem. Adolescents who want to con-
guardian is the only person who can
each other accountable can be very
sider this must be 100% committed,
truly intervene.
powerful for adolescents. It’s safe to say
along with their parents, to getting help.
If, as a parent, you feel you have
that drug users impact one another for
Still, individual therapy sessions are
helped to create the problem, you have
Many parents feel a child’s
substance abuse problem
is a reflection of poor parenting. In some cases this
may be true, but it’s never
too late, and as stated at
the beginning, the parent or
guardian is the only person
who can truly intervene.
an obligation to your child to be part
of the solution. Parents may want to
consider family or individual therapy
for themselves in addition to group or
individual therapy for their child. If there
are other siblings involved, talk to your
treatment provider about how they may
be affected by the substance abuse and
when/where it may be appropriate for
them to participate in the treatment
process. Never stop believing your
child doesn’t have the right to function
and take part in normal activities on
most substance abusers don’t want
help. Initially, your commitment to their
recovery will be more important than
whether or not your child thinks he/she
needs help.
36 l Valley Health Magazine
What’s All the Fuss?
By Robert L. Garabedian, D.D.S.
et’s start with some history of
mercury (silver or amalgam) fillings
in America. Mercury fillings arrived
on our shores in 1832. By 1840 a debate
had already arisen over the toxicity of
mercury fillings. Their major advantage was
that they were cheap. Many people referred
to this first attempt to withdraw the use of
mercury fillings as “Amalgam War I.” In the
late 1920’s Dr. Alfred Stock, a biochemist,
wrote over two-dozen articles describing the
ADA modified their position on amalgam
Mercury is capable of altering DNA within any cell.
Mercury ions, once in the
body, will combine with a
methyl ion, resulting in a
new compound that is 100
times more toxic than the
fillings, stating that the amounts of mercury
original mercury ion alone.
major component, I call them mercury fill-
toxicity of mercury fillings. This became
being released from fillings was not sufficient enough to cause harm.
Why do I refer to them as mercury
fillings? Mercury fillings are comprised of
many metals with the following approximate
composition: 50% mercury, 30% copper,
20% tin, silver, and zinc. Since mercury is the
ings. Why then, are they commonly called
“silver or amalgam” fillings throughout the
known as “Amalgam War II.” “Amalgam
in amalgam fillings, creating a stable
dental profession? My best guess is this is a
War III” began in 1973 when more than a
compound from which no mercury vapor
marketing ploy intended to distract patients
few dentists and patients began noticing
escaped. Studies from the 1970s, however,
from the fact that these fillings contain
that their health issues were considerably
demonstrated that mercury vapor was
mercury. Mercury is the most toxic, non-
improved after their mercury fillings were
constantly being released from amalgam,
radioactive element on our planet.
removed. The debate was in full swing then,
corroborating the first such study by Dr.
There are several hundred studies
and to this day has not stopped.
Eugene S. Talbot published in 1882 in the
describing the wide-ranging effects mer-
The American Dental Association (ADA)
Ohio State Journal of Dental Science. In
cury has on the human body. In his book,
long maintained that mercury was bound
1984, in response to these studies, the
Tooth Traitors, Ernie Mezei, B.Sc., B.A.Sc.
Valley Health Magazine l 37
provides a good analysis of the NHANES
III study, a 6-year survey (1988-1994)
funded by the federal government to the
tune of $120,000,000. According to Mezei,
and perhaps at the root of the debate, is
the drastic decrease in disease and illness
in the absence of amalgam fillings. According to NHANES III, the general population
has a filling rate of 78%. Of those patients
suffering from “Category C” illnesses (nervous system and respiratory disorders,
tumors, blood disease, etc.), as much as
89% of 180,072,328 patients had amalgam
fillings. While some may say amalgam fill-
Neurological damage, Birth Defects,
Optic Nerve–Eyes, Nasal Passage,
Lungs, Red Blood Cells and White
Blood Cells
Peripheral Nerves, Liver, Kidney,
DNA, Cell Membrane, Stomach,
Gastrointestinal Tract and Destroys
Red Blood Cells
Blood Brain Barrier, Birth Defects,
bonds, which means it likes kidneys,
livers, red blood cells, and the central
nervous system, American Journal of
Neurological Diseases, Endocrine
Dysfunction, Tremors, Brain Fog,
Muscle Weakness
#1: Hg˚
Medical Journal, Vol. 32, No. 1, 1976
and Environmental Health Perspective,
electrical current is referred to as the
Galvanic current. In mercury fillings there
medium for the transportation of electricity.
The electricity generated ranges between
.1 to 150 microamps per tooth. The human
brain only runs on 2-3 nanoamps. The roots
of our upper molars are only two inches
away from our brains. It does not take a
mental giant to understand that when you
have electrical currents of this magnitude
created very close to the brain that some
disruption may be occurring, and we
should therefore take notice. Exposure to
#2: Hg++
mercury vapor from dental fillings as low as
4ug/1 can affect mood, motor function,
and cognition, FASEB, No. 12, pp.971-
Physiology, 261, 30 R1010-R1014, 1991
*Mercury affects fetal formation, British
electricity is created in your mouth. This
tin, silver, and zinc. Our saliva is a great
the associated benefit of removing them
*Mercury has a great affinity for sulfide
your car creates electricity, and exactly how
are five dissimilar metals: mercury, copper,
Hg++ Ionic Mercury- #2
MeHg Methyl Mercury- #3
To summarize a few more studies:
in a solution that transmits electricity, you
create a battery. That’s how the battery in
Hg° Mercury Vapor - #1
ings aren’t the cause of health problems,
has overwhelming implications.
When you place dissimilar metals together
#3: CH3
980. Another side effect of this Galvanic
current is, the higher the negative readings
of each mercury filling, the faster the mer-
Vol. 108, No. 3, pp. 373-4, 2000.
cury, copper, tin, silver and zinc is coming
*Mercury alters gastrointestinal tract
out of the filling and into your system.
bacteria, which affects digestion, Anti-
In September 2006, Dr. Hal Huggins
microbial Agents and Chemotherapy,
presented over 200,000 blood tests to the
pp. 825-834, April, 1993.
FDA’s joint panel advisors on dental amal-
*Mercury is capable of inducing auto-
gam toxicity, conclusively demonstrating
immune diseases. Mercury can cause
the adverse effects on the human body.
people to be at risk for lower fertility,
“Changes measured in white blood cells,
Journal of Toxicology and Environ-
lymphocyte viability, spinal tap proteins,
mental Health, Part A, No. 54, pp. 593-
urinary porphyrin excretion, cholesterol
611, 1998.
and albumin tend to prove that the ‘Stabil-
Mercury is capable of altering DNA
ity Point’ of chemistries can be approached
within any cell. Mercury ions, once in the
in the absence of multiple toxins.” The
body, will combine with a methyl ion,
‘Stability Point’ is the variable point in each
resulting in a new compound that is 100
individual where toxins are minimized, and
times more toxic than the original mercury
function and health are optimized. Over
ion alone. Mercury alters…well, you get
200,000 people were able to reach their
the idea. Mercury impacts and/or destroys
‘Stability Point’ after having their amalgam
any and all cells it comes in contact
fillings removed.
with. Some of the diseases and conditions
So why aren’t people racing to their
attributed to mercury exposure are: Chronic
dentists’ offices and demanding to have
their mercury (silver or amalgam) fillings
Memory Loss, Seizures, Sinus Problems,
removed? Great question! To begin with,
Rashes, Immune Supression, Chemical
the American Dental Association (ADA)
Sensitivities, Maldigestion, and many others.
code of ethics states, “…the removal of
If that’s not enough, there is a second
amalgam restorations from the non-allergic
fundamental flaw with mercury fillings.
patient for the alleged purpose of removing
38 l Valley Health Magazine
toxic substances from the body when such
treatment is performed solely at the recommendation of the dentist is improper
and unethical...,” ADA Resolution 42H1986. This means that despite the known
dangers of mercury and the array of
conditions associated with exposure to this
toxic element, the burden of connecting
a specific symptom to mercury exposure
lays with the dentist. Unless the patient
compatible materials to be used instead of
Ask your dentist what procedure they follow and if they
are a member of an organization that provides dentists with a high standard of
education and protocol for
mercury removal.
requests removal of mercury fillings, the
amalgam, as determined by a blood compatibility test. A blood compatibility test
exposes your blood to hundreds of different materials in order to determine which
materials will pose the least amount of
threat to your immune system. All materials
will have some effect. No dentist, in good
conscious, can replace mercury fillings
with any dental material that may be just
as toxic as the one removed. Finally, in
dentist is at severe risk for recommending
the removal of amalgam fillings, ask your
it. On the basis of the ADA’s code of ethics,
mercury levels in tissue or urine, or any
dentist about Immune Cycle Determina-
state dental boards have taken disciplinary
condition your physician believes is caused
tion. Your immune system runs on a seven-
action against dentists who promote
by mercury exposure. Because many things
day cycle. This means that seven days after
removal of mercury fillings in accordance
contribute to your health risks, you may
a toxic insult to your immune system (i.e.
with current scientific knowledge. The dis-
have to request specific tests be done.
having an amalgam filling placed and/or
ciplinary action has ranged from practice
Second, ask your dentist what procedure
removed), the immune system is at a low
restrictions to the loss of dental licensing.
they follow and if they are a member of an
point of protection. Having additional fill-
The threat of a dentist losing their hard-
organization that provides dentists with a
ings placed/removed without regard for
earned license is a chilling thought.
high standard of education and protocol
your immune cycle will drive your body’s
What does each person need to know
for mercury removal. A sample protocol
ability to protect itself even lower.
before having any mercury fillings removed?
would include: a negative ion generator,
If your dentist does not comply with
First, be clear about why you want to have
use of IV vitamin C or Liveon vitamin C,
safe guards that protect them and you,
your fillings removed. Some common reasons
electrical testing, rubber dam, high vacu-
you need to find one that does. Your
are: any autoimmune disease, elevated
um suction, charcoal, and the appropriate
health depends on it.
Valley Health Magazine l 39
Where does mercury stand in our soci-
Congresswoman Diane E. Watson, serv-
ety? The disinfectant Mercurochrome has
ing California’s 33rd Congressional District,
been banned, the Centers for Disease
in a September 7, 2006 press release titled,
Control ordered mercury preservatives
“FDA’s Ruling Signals Beginning of End of
removed from childhood vaccines, mercury
Mercury Fillings,” stated, “Today a joint
preservatives are no longer used in contact
panel of the Food and Drug Administration
lens solution. The FDA has banned the use
(FDA) rejected a FDA staff white paper
of mercury in all veterinary products. Mer-
concluding that dental amalgams used by
cury has been removed from many paints,
millions of patients are safe.”
and California and many other states have
banned mercury thermometers.
The countries of Canada, Sweden,
Norway, and Germany have prohibited the
use of mercury fillings in children, pregnant
and nursing women. In the U.S., some
major amalgam manufacturers have said
that amalgam is CONTRAINDICATED,
which means “Do Not Use” for children
and pregnant women.
There are several Internet sites on
amalgam fillings that maintain that mercury
in amalgam fillings is “stable.” These
the basis of research studies in the exact
same manner that mercury-free dentists
Mercury Makes Headlines
warn against the use of amalgam fillings.
“Silver-colored metal fillings contain
are baffling, to say the least. Doing your
mercury that may cause health
own research, independent of any dentist
problems in pregnant women, children & fetuses, the Food and Drug
Administration said after settling a
related lawsuit.”
-Susan Heavey (Reuters News Service)
Charles Brown, a lawyer for one of
the groups suing the FDA, said “the
agency’s move represented an aboutface. Gone, gone, gone are all of FDA’s
claim that no science exists that
amalgam is unsafe.”
-Susan Heavey (Reuters News Service)
The FDA had been ordered by Congress
in 1976 to reclassify amalgam. The
reason the FDA did not classify amalgams was because amalgams could
not pass a simple safety testing program because of the amount of mercury they release. The above settlement
now requires the FDA to reclassify
amalgam by July 2009.
40 l Valley Health Magazine
sources promote the safety of amalgam on
-Reuters News Service
For the patient, these contradictory claims
(mercury-free or otherwise), will arm you
with the questions you need answered.
Even if you end up disagreeing over this
important issue, there is no lack of alternative materials that can be used in place of
amalgam fillings, and no reason why a
dentist who values your business wouldn’t
want to comply with your wishes.
Arthur Schopenhauer, a 19th century
philosopher stated, “All truth is passed
through three stages: first it is ridiculed,
second it is violently opposed, third it is
accepted as self-evident.” Where does the
dental profession stand concerning mercury fillings with regard to this statement?
It is my great hope that we are leaving
“violently opposed” and heading towards
“self evident.”
l Special Advertising Section l
Dental Profiles
People of the Valley have many choices when it comes to quality dental care and finding the right dentist,
orthodontist, periodontist, or oral surgeon can seem overwhelming at times. Rest assured, these medical
professionals are at the top of their game and offer the best care available for your family.
Table of Contents
Robert L. Garabedian, D.D.S. - 42
Donna Blair, D.D.S. - 43
Pacific Academy for Dental Assisting - 43
Mark A. Lowe, D.D.S. - 44
Valley Health Magazine l 41
l Special Advertising Section l
Robert L. Garabedian, D.D.S.
Biological & Family Dentistry
This family-oriented office recognizes that
everyone’s time is valuable and ensures that no
one is kept waiting for their appointments. Dr.
Garabedian and staff have the utmost respect for
their clients and take time to answer all questions
their clients may have.
Dr. Garabedian spends his vacation time
providing dental treatment to orphans in
Armenia. He recently shipped an entire container
load of donated medical and dental supplies. His
entire family is involved. His 22 year-old daughter, Kristina, started her own non-profit called
ShoeBox Sharing, which provides orphans with
basic items such as school supplies and fleece
blankets to make life easier on them.
Dr. Garabedian’s office offers a confortable
environment, treats you with respect, honors
your time, provides the ultimate in protection and
cares about your well-being.
Dr. Garabedian is trained by Dr. Hal
Huggins, and certified as 1 of only 56
Alliance members in the U.S. for the safe
removal of mercury fillings. Dr. Huggins
protocol is strictly followed including special
air filtration systems in the room utilized
for removing mercury fillings. Over the last
20 years, Dr. Garabedian has emphasized
Robert L. Garabedian, D.D.S.
r. Robert L. Garabedian is a dentist
who doesn’t just care about the health
of your teeth and gums. The entire
health of his patients is his number one priority.
Dr. Garabedian is a Fresno native who graduated from the University of Pacific Dental School.
He taught post graduate education for 19 years at
some of the top universities in North America.
During the past 40 years, he has specialized in
treating people with environmental challenges. He
pain or removal of sensitive tooth structures can
focuses on utilizing the safest materials possible
result in a gorgeous smile.
for the individual client using biological dentistry.
“We look at our patients as clients. Clients take
Dry Heat Sterilization and a special Air Filtration
part in their own health and see their time spent
System are used for patient protection. Mercury
here as a partnership to bettering their overall
fillings are never placed!
health, “ says Dr. Garabedian. “Our goal is that
Dr. Garabedian offers an exciting new opportunity to enhance your smile – Lumineers! No shots,
42 l Valley Health Magazine
when you walk out the door, you have peace of
treating people with autoimmune diseases
and continues to be mercury free. Dr.
Garabedian and staff are wonderful
with the whole family.
Bilogical Dentistry
Bite Correction for the Elimination
of Headaches, neck pain, etc.
Non-Surgical Gum Treatment
Robert L. Garabedian, D.D.S.
1616 W. Shaw Ave., Suite C-2
Fresno, CA 93711
(559) 229-6553
l Special Advertising Section l
Q&A With Donna J. Blair, D.D.S.
Cosmetics and Neuromuscular Dentistry
Why do you sometimes hear of “Opening the Bite” when someone is getting
their teeth fixed?
On many occasions, I have the opportunity to consult with a patient who is
interested in having their smile rejuvenated to
be made more youthful and color enhanced.
Unfortunately, sometimes cosmetic dentistry
has to take a back seat to having the occlusion
or bite, developed to a position that will allow
the cosmetics to be accomplished.
One patient (shown right) had no TMJ pain
and only wanted his teeth to look better. In his
before photos you can see the great amount of
overlap that he has, to the point of not being
able to see his lower teeth! This is called an
“Overclosed Bite”. There was no way for me to
build up his lower teeth and make them bigger
in his existing bite position…there was no room.
We did Neuromuscular Treatments to get his
jaw to it’s natural “Physiologic Rest Position”
which allowed me to then rejuvenate his smile.
Neuromuscular treatment is also what I use
when working with patients who have TMJ
and Headache Pain. The “Physiologic Rest”
position allows for less potential for any porcelain breakage due to the relaxed position of the
jaw muscles and elimination of bruxism and
grinding. Usually, as in the mentioned case, the
rest position for the jaw muscles is having the
bite open. However, I have had patients who
were not in a rest position and had to have their
bite closed down as well. The teeth direct where
your muscles rest (or not rest if you are a headache or chronic pain patient), so they sometimes pay a big price in terms of wearing down
prematurely if the muscles are grinding all of
the time to try and find a rested position.
In the after pictures (shown right) the patient
has his permanent crowns on the upper and has
a much more youthful smile. Who wouldn’t
want to look younger? Your smile can do
wonders! Do you want to know more? Call us
for a complimentary consultation at 431-4488.
Actual patient before
Actual patient before
Actual patient after
Donna J. Blair, D.D.S.
5777 N. Fresno St., #108
Fresno, CA 93710
(559) 431-4488
Pacific Academy for Dental Assisting
On-Site Dental Training
ince he began practicing in 1994, Dr.
Edward A. Trevino has recognized the
need for well-trained dental assistants
and the difficulty in attracting and maintaining
efficient help. The Pacific Academy for Dental
Assisting was born to help ease this problem.
At Pacific Academy for Dental Assisting,
Dr. Trevino and his staff utilize a hands-on
educational approach where students learn
by doing. Equipping individuals with the
knowledge and technical proficiency they
need to become immediately employable is the
primary goal. The Dental Assisting Program
maintains the highest educational standard
offered in the shortest possible time. If you
want to be career ready in 4 months, call
to enroll.
5325 N. Fresno St., #101
Fresno, CA 93710
(559) 221-1224
Valley Health Magazine l 43
l Special Advertising Section l
Mark A. Lowe, D.D.S.
Elite Invisalign Practice
Back Row (left to right): Erica Biezunski, Karlie Houston, Mark A. Lowe, Kristin Routt - Front Row (left to right): Karli Bodine, Arianna DiCicco, Rachel DeVoll, Dee Rodriguez
s the only Premier Elite Orthodontic
removable aligners that are worn for 2 weeks.
had your complimentary orthodontic consulta-
provider in the Central Valley, Dr. Lowe
Each aligner gradually moves your teeth. Most
tion with Fresno’s only Elite Invisalign Provider.
has the most experience providing
treatment time with Invisalign is shorter than
With over 400 successful Invisalign cases we are
Invisalign. Since 2000 our office has offered
traditional braces. The aligners are easily removed
confident the Invisalign system can work for you.
Invisalign to treat crowding, spacing, deep bite,
for eating and brushing. Invisalign treatment fee’s
overbite and crossbite cases. We have achieved
are comparable to traditional braces and is covered
great results and satisfied our patients using this
by most orthodontic insurance plans.
invisible teeth straightening system.
If you have been told that Invisalign won’t work
Invisalign is a series of clear, custom-made,
Display & Inform
for you, make an informed decision after you have
7 P? D ;
e cent
y in th
l valle
Valley Health Magazine’s profile section offers a forum to
display your practice and inform our readers to what the
Valley has to offer.
WOM ds
ore Pe
No M
IN de to purchasupinpgoanlicy
a gui
ual or
8413 N. Millbrook, Suite 101
Fresno, CA 93720
gn La
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The Sc
... AN
If you would like to receive more information on
profile options, please call:
(559) 227-7362
44 l Valley Health Magazine
l Special Advertising Section l
Health Profiles
People of the Valley have many choices when it comes to quality healthcare and finding the right doctor can
seem overwhelming at times. Rest assured, these medical professionals are at the top of their game and
offer the best care available for your family.
Table of Contents
D. Kevin Lester, M.D. - 46-47
Fogg, Maxwell, Lanier & Remington EyeCare - 48
Childrens Hospital Central California - 49
Natural Path Health Center - 49
Valley Health Magazine l 45
l Special Advertising Section l
D. Kevin Lester, M.D.
Exclusively offering Mini Incision Knee Replacement with ON-Q C-BLOC
- Frank Chacone
r. Kevin Lester developed the MiniIncision (MIS) technique in 1986. His
goal was to offer patients a less invasive
joint replacement procedure with the benefits
of less pain and faster healing. In his quest to
continually improve patient recovery, Dr. Lester
introduces yet another exciting advancement to the
Central Valley: ON-Q C-BLOC. ON-Q C-BLOC
is a small pump attached to a catheter placed
during surgery that provides a slow, steady dose
of non-narcotic pain relief directly to the nerves
surrounding the joint replacement site. Traditionally after surgery, pain equals medications,
which leaves patients groggy and unable to start
Frank Chacone walking Gracie 1 month after Partial Knee Replacement
moving for days. Immobility further weakens
the supporting tissues and nerves affected by
Frank Chacone, 58, had been suffering from
minimal, Dr. Lester explained. Frank was skeptical
surgery, creating a discouraging cycle of pain and
the early symptoms of arthritis for years. Minor
(and afraid of the pain) but he agreed to attend a
diminished sense of wellbeing. ON-Q allows
aches and pains in his knees eventually led to sleep-
monthly educational social given by Dr. Lester
patients to wake from surgery pain-free and begin
less nights, swollen legs at the end of the work day,
where new patients can talk to other patients who
immediate rehabilitation goals within hours, not
and the inability to spend time doing the things he
have undergone the same procedure. “I got to talk
days. Without the unwanted side affects of
loves—like yard work and taking Gracie for her
to people who did the same thing and they said it
prescription medications, Dr. Lester and ON-Q
walks at Woodward Park. When things got to the
was great. They made it clear exactly what it would
have broken the circle of fear, pain, and prolonged
point that climbing stairs and kneeling, daily activi-
be like,” says Frank. And now that Frank’s
leaves of absences from work commonly associated
ties required by his job at the Fresno Waste, Water
partial knee replacement is finished, he couldn’t be
with surgical procedures. Why wait? As Dr.
Treatment Plant became difficult, he knew some-
happier. “I’m still in physical therapy, but the people
Lester tells his patients, “Get Your Life Back Now!”
thing had to be done. A friend referred him to Dr.
there are surprised at how well I’m doing. I’m heal-
Kevin Lester of the Center for Excellence, who rec-
ing much faster compared to other patients. At first
ommended that Frank have a partial knee replace-
they told me it might be three months before I
ment. This would be done with the help of ON-Q
could back to work. Three months without a pay-
C-BLOC, a catheter attached to a small, discreet
check—that’s tough. Now it will be sooner.” In fact,
pouch that dispenses local anesthetic directly to the
Frank is so pleased and surprised at how easy the
surgical site. ON-Q would make the whole proce-
procedure was he’s actually looking forward to the
dure virtually painless, the recovery process faster,
next one: “I’m going to have my other knee done,
and the need for other post-op pain medications
46 l Valley Health Magazine
Attend a FREE Monthly Seminar
to learn more about joint
replacement, non-surgical
solutions, and to hear patient
testimonies. Seminar held once a
month. Call to make a reservation:
l Special Advertising Section l
• Recover and rehabilitate quicker because
of Dr. Lesters Minimally Invasive
Surgical Techniques and ON-Q pain
• Eliminate side effects of traditional
narcotics that may cause nausea, constipation, grogginess, difficulty breathing, and may become habit-forming.
patients ambulate sooner, experience very
little or no pain at the surgical site and have
decreased post-opertive nausea and vomiting.”
Gloria says.
Knee replacement surgeries have tripled
among adults 45-65 in the last ten years, according to a recent study by the Department of Health
& Human Services. This is due to the increased
population of baby boomers coinciding with
Once the non surgical options have been tried,
technical advancements. These technical advance-
• Dr. Lester has a hand picked team of
professionals trained in the safe and
effective use of ON-Q C-BLOC.
you may be facing surgery. It’s likely you have
ments in joint replacement include Minimally
talked with friends or family and are probably
Invasive Surgery, Partial Knee Replacements,
concerned about pain afterwards. In fact many
and now ON-Q C-BLOC. Although Dr. Lester
• ON-Q C-BLOC provides continuous
relief that lasts up to ten times longer
than a single injection.
people postpone having an elective operation
maintains that joint replacement surgery is not
because they are worried about a long uncom-
always necessary, patients who need surgery
fortable recovery. As part of the team that
will experience minimal pain and maximum
works with Dr.Lester, Gloria Lovering, N.P.,
A Closer Look
monitors the progress of each patient to help
“Partial or total knee surgery is not for
provide a rapid recovery with virtually no
everyone,” says Dr.Lester, “I also offer patients
pain at all during their stay on the orthopedic
non surgical solutions that can help reduce pain
unit at Community Regional Medical Center.
and regain mobility before the need for surgery.”
“Simply stated, the benefits observed are; the
D. Kevin Lester, M.D.
6085 N. First St., #101
Fresno, CA 93710
(559) 431-2332
Valley Health Magazine l 47
l Special Advertising Section l
Fogg, Maxwell, Lanier & Remington EyeCare
cataracts and lens implants, glaucoma, laser
surgery, pediatric ophthalmology, refractive
surgery, aesthetic procedures, diabetes
exams, eye muscle disorders, glasses and
contact lenses.
From the moment you walk into our
offices, each member of our team plays
an important role in your care and is
committed to making your experience a
pleasant one. We have five offices to serve
you in Fresno, Clovis, Madera and
Oakhurst. We offer extended hours
including Saturdays, are always accepting
new patients, and in most cases, can accommodate new patient appointments within a
week. Fogg, Maxwell, Lanier & Remington
EyeCare consists of five Ophthalmologists,
eight Optometrists and many helpful team
members ready to assist you with complete
eye care for your entire family.
he vision experts at Fogg, Maxwell,
Lanier & Remington EyeCare are
skilled in detecting the many
possible disorders that can affect the eye,
often long before they impact your vision.
Yet we never forget that care includes more
than just clinical and surgical skill. It also
means providing friendly service, answering
questions, easing concerns and seeking your
complete satisfaction.
Fogg, Maxwell, Lanier & Remington
EyeCare offers a comprehensive range of
services which includes vision testing,
dispensing of glasses and contact lenses,
and the diagnosis and treatment of eye
disorders and diseases–all provided by
48 l Valley Health Magazine
experienced professionals committed to
quality care and good vision.
To give our patients every opportunity
to enjoy improved and restored vision, we’ve
kept pace with the rapid development of
new techniques and advanced technologies
that have revolutionized eye surgery.
Our doctors are well-versed in the use of
lasers, microsurgical instruments and other
leading-edge technologies. We can teach
what we practice by instructing other
doctors from around the world in the most
up-to-date technologies.
The services you need, provided with
the care you and your family deserve are as
follows: diseases and surgery of the eye,
Fogg, Maxwell, Lanier &
Remington EyeCare
1360 E. Herndon, Ste. 401
Fresno, CA 93720
(559) 449-5010
l Special Advertising Section l
Children’s Hospital Central California
Physician Focus
Peter Witt, MD - Medical Director of Plastic Surgery
r. Peter Witt, an expert in cleft palate
treatment and other plastic surgery
techniques, joined the Children’s
Hospital Central California medical staff
in 2002. A board-certified plastic surgeon,
Dr. Witt has had an unarguable impact on
Central California’s pediatric population as
part of a team that performs more than 500
procedures a year. Dr. Witt publishes regularly
in journals including the Journal of Plastic &
Reconstructive Surgery and The Annals of
Plastic Surgery.
Dr. Witt’s expertise is in cleft-lip and
palate repair and he takes a personal interest
Michael Allshouse, DO – Medical Director of Pediatric
Surgery and Pediatric Trauma
in the subsequent speech issues. His practice
operates a Craniofacial Clinic that has 1,600
visits a year and uses a team-based approach
in accordance with the American Cleft Palate
Association (ACPA) standards. The Plastic
Surgery Division also specializes in hand
surgery and many other procedures.
Dr. Witt places high value in faith and
family and spends free time with his wife Alice
and their five children.
Dr. Michael Allshouse returned to
Children’s Hospital Central California as
the Medical Director of Pediatric Surgery
and Pediatric Trauma in September 2007.
He is a board certified surgeon with special
qualifications in pediatric surgery and surgical
critical care and is renowned for his work
with children with biliary tract disorders and
congenital anorectal malformations.
He is a national expert in the care of
children with Down syndrome, serving as
the only pediatric surgical member of the
Down Syndrome Medical Interest Group.
Dr. Allshouse has expertise in many aspects
of pediatric and neonatal surgery, including
traditional and minimally invasive surgical
options for newborns, children, teens and
young adults.
Dr. Allshouse’s free time is occupied by
his wife Denise and their five children - all
of whom have received world-class care at
9300 Valley Children’s Place
Madera, California 93636
(559) 353-3000
Natural Path Health Center
Weight Loss Resistance Program
id you know that our bodies
are designed to burn fat?
If this is true, why are so
many people fat storing instead of
fat burning? It could be due to an
underlying physiological problem that
causes a resistance to weight loss. You
may have a great diet, and exercise like
crazy, but still keep packing on the
pounds. It doesn’t seem fair! Instead
of a diet program that is short lived
and unsuccessful, try a healthy lifestyle program that fixes the root
problem! Food should not be your enemy. And changing how your
body processes it could turn your body into a fat burning machine!
The Weight Loss Resistance program is designed to pinpoint all of the
reasons your body may be fat storing, and not fat burning. This program
helps to permanently fix the problems so weight becomes a non-issue
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“jumpstart” weight loss program.
Call the office for more details or
information on upcoming classes.
The longer you wait the fatter
you may get!
Dr. Mikell Suzanne Parsons
6103 N. First St #104
Fresno, CA 93710
(559) 447-1404
Valley Health Magazine l 49
Imagine. A life free of foot problems, foot pain and discomfort.
Ankle Pain
Arthritis of the Foot
• Bunions
• Childrens Foot Care
• Diabetic Foot Care
• Foot Injuries
• Foot Warts
Hammer Toes
Heel Spurs
• Ingrown Toenails
• Nail Fungus Infections
• Sports Medicine
• Skin Conditions
(Dermatitis, Athletes Foot)
Dr. Scortt and Dr. Mukker have active privileges at
Saint Agnes Medical Center & Community Regional
Medical Center (Most insurances accepted)
JOIN DR. SCORTT for a live interview every
Friday at 3pm on
50 l Valley Health Magazine
Call today
for a complimentary foot exam and consultation
(559) 224-5101
4005 North Fresno Street, Suite 106
Fresno, California 93726
By Laura Miess, L.M.T.
When I smell the coffee brewing, I feel comforted. When I
inhale the scent of buttery popcorn at the movie theatre, my
brain registers enjoyment. The crisp smell of ripe apples on fall
trees reminds me of my childhood in New York. Most of us are
aware that smells change our mood, jog memories, and influence our decisions, but is it true that smell may also provide
healing, rejuvenation, and a greater sense of wellbeing? Is it
possible to get smells to work for our greater good?
Valley Health Magazine l 51
The answer is yes. Anyone who has
for thousands of years. Ancient Egyp-
ever stepped inside a home, bath,
tians wore myrrh coated wax hats that
beauty, or even gift shop can attest to it.
melted throughout the day to protect
We have all seen the plethora of aroma-
them from the sun—ancient sunscreen.
therapy candles, soaps, lotions, etc., on
Grave robbers in times of the plague
the market. However, when it comes to
coated themselves in a mixture of clove,
The calming sent of Roman chamomile
can do some magic here. It is said to
have been used by mothers to calm
crying children.
feeling good, I am more certain that the
cinnamon, lemon and rosemary oils to
smell of chocolate chip cookies heals my
avoid contracting disease from dead
soul, than I am that the lavender sachet
bodies. In the Bible, Jesus was presented
in my pillow makes me sleepy. If you find
with frankincense and myrrh by the three
the smell of a candle or your favorite
wise men. To this day, at least 30% of
bubble bath erases the tension of a hard
the prescription drugs in the U.S. are
day’s work, the understanding and use
based on compounds that occur natu-
of essential oils may afford you increased
rally in plants. Essential oils are highly
power over your mood, energy and
concentrated plant extracts. In some
cases an entire plant only produces one
Here are a few conditions (amongst millions) that Aromatherapy may improve and
their historical and modern uses Relax with some ylang-ylang. Historically, the beds of newlywed couples
were covered in ylang-ylang flowers.
Breathing Problems
Basil leaves may help you breath easier.
In the 16th century basil leaves were
crushed to a powder and used to help
with chest infections.
Try a blend of clove, cinnamon, eucalyptus, rosemary, and lemon called
“thieves”. This formula protected the
15th century grave robbers from the
Versatile frankincense can be uplifting. It
was referred to in the ebers papyrus,
one of the oldest medical records, which
dates back to 16th century BC.
The stimulating fragrance of peppermint may energize you.
Try the fresh scent of wintergreen.
Leaves were said to have been chewed
by Native Americans when performing
difficult labor.
Lavender can be calming and relaxing.
The University of Miami found that
inhaling lavender increased brain beta
waves, suggesting heightened relaxation.
The spicy scent of ginger is traditionally
the right medicine.
Cedarwood’s earthly smell is one
option. It is a common ingredient in
traditional Tibetan medicine.
52 l Valley Health Magazine
Essential oils, the building blocks
drop of essential oil, which is why
of aromatherapy (the practice of using
essential oils are completely different
concentrated plant based oils to pro-
from fresh or dried herbs. Essential oils
mote health, primarily through smell),
are different from fatty vegetable oils
are a very popular prod-
like olive and peanut oils, too. Essential
uct to diffuse, inhale
oils are not greasy and they do not clog
directly, steam, or
pores. Essential oils will also never go
put in a humidi-
rancid: in 1922 King Tut’s tomb was
fier to achieve a
opened and the essential oils in alabas-
therapeutic effect.
ter jars were still preserved.
History provides a
The quality of the plants, method of
great basis for the mod-
distillation, and purity of the oil all have
ern use of essen-
a great effect on the oil’s potency. In the
tial oils, which have
U.S. there are no laws or
been highly prized
standards on the production of essential oils. Therefore, we have to ensure for
ourselves that we are getting the
full therapeutic benefit from the
oils we purchase. Light and plastic can
that uses an air pump to combine the oil
something we generally think we can
deteriorate essential oils. Some compa-
with the air, and achieves the maximum
“select”, it can be monitored much in
nies will distill plants with chemicals such
therapeutic benefits. If the expense of a
the same way we choose to watch or
as kerosene. I can’t imagine any positive
cold-air diffuser has to stay on your wish
touch certain things, and not others.
effect kerosene has on the soul. It is also
list for a while, no worries. There are
Every smell affects every individual
common to mix similar, less expensive
plenty of affordable options to consider.
differently. We can limit the amount of
plants or alcohol to expand the volume
Place cotton balls with essential oils in
synthetics and chemicals that are pro-
of oil produced. Another common prac-
your air vents at home or in your car;
cessed by our olfactory sense (sense of
tice is to distill the same batch of plants
sprinkle a wash cloth with essential oils
smell) and exchange headaches, nausea,
two or three times which produces a
and put it in your dryer instead of fabric
and tension for calmness, relaxation, and
more and more diluted product. Look
softener; wear the oils like a perfume, or
positive energy. Next time you need a
for dark colored glass bottles with the
just open the bottle and inhale when the
boost, try smelling a little peppermint
Latin name of the plant and these words:
feeling strikes you.
and forego your usual high sugar, caf-
100% pure therapeutic grade essential
Caution should always be used in the
feinated energy drink. With the use of
oilî. It is worth the extra expense. If you
application of essential oils, especially if
aromatherapy, there is no risk of calories
don’t believe me, buy a $12 bottle of
the quality is unknown. Some general
from sugar, and no “crash” afterward. I
lavender in a clear glass bottle and
rules are: do not apply oils directly to
have watched my non-believing, insom-
compare its aroma to therapeutic grade
children under the age of 18 months;
niac husband sleep like a baby with the
lavender (Lavandula Angustifolia). You
people with epilepsy and pregnant women
addition of some diffused sandalwood
can feel and smell the difference in top-
should use some caution; allergies should
and juniper. That works for him. Find out
shelf oils whose quality is so pure you
always be considered; skin sensitivity
what works best for you.
could literally will them to your children.
could result; oils should never be applied
With these high quality oils, one of the
in ears or eyes; and some oils can cause
worst things you can do is to change
sun sensitivity.
their beautiful chemical composition.
High heat will do this.
The benefits of aromatherapy are as
numerous as the plants that exist in the
Essential Science Publishing, Essential
Oils Desk Reference, September 2007.
Maximum therapeutic effects are not
world, and people have been tapping
achieved with candles and diffusers that
into the power of essential oils for
heat oils. Invest in a cold-air diffuser
thousands of years. Although smell isn’t
Valley Health Magazine l 53
54 l Valley Health Magazine
By Michael Regier, Ph.D.
ports psychology is all about optimization. Anyone who wants to live to
their full potential can benefit from the kind of services that sports psychologists offer. Sports psychologists specialize in optimizing the mental,
emotional and physical factors that motivate performance. They increase potential
by teaching athletes to maximize positive thoughts and emotions while minimizing
the psychological effects of injury and poor performance.
The great thing about athletic competition is that being the best at your sport is always
the goal of the game. Being the best at a sport requires a great deal of personal discipline
and focus—discipline and focus that can easily be transferred to other areas of life. Many of the
strategies that sports psychologists teach college and world-class athletes can be applied to
acceleration in business, professional life and personal development.
Maximizing personal potential requires two keys of mastery that sports psychologists help toprated professional and college athletes achieve:
Valley Health Magazine l 55
Knowledge Of Yourself: Psychologists
coaches to master thoughts and emotions
or depressants often experience perfor-
specialize in psychological assessment.
that are distracting them from training and
mance breakdown during competition.
Assessment is being used in professional
performing up to their potential. They
• Unresolved memories of failure and
sports in a number of ways to develop
help athletes become more aware of their
past mistakes can damage performance.
world-class athletic programs. One research
capacity to work with others to achieve
Negative attitudes, ideas, and opinions
sometimes block effective performance.
personal and group goals. They identify
predicted 75% of athletes that would be
the kind of leadership skills that team
Some of the most important skills taught
selected for Olympic competition. There
leaders need to have to motivate others
are goal setting, imagery, relaxation, self-
are several different types of assessments
to strive for peak performance.
talk, visual-motor behavioral rehearsal, and
used to help measure and coach athletes
Personal Performance Success Skills:
for peak performance. Some of these areas
While circumstances have a role in affecting
of testing will include:
who will rise and fall, there are many skills
Psychological state measurements
associated with performance excellence.
Goal Setting: Research has shown that the
quantify the amount of stress and anxiety
Many of these skills can and must be devel-
most effective goals are specific, difficult
that athletes have before and during com-
oped and mastered in order for athletes to
and realistic. It is important to set specific
petition. Tests of motivation measure goal
perform well over time. Anyone with talent
goals that address the individual needs of
setting, self worth, and functional and
can shine brightly for a few moments. We
the athlete. If goals are not difficult enough,
dysfunctional emotions.
relaxation training.
have all seen examples of teams that per-
the athlete will not be challenged enough
Cohesion measurements quantify how
form well when they are full of adrenaline
to exert the mental and physical energy
well an athlete works with others to achieve
and fall apart when their emotions are low.
necessary to achieve peak performance. If
goals, as well as their needs for control,
Too many athletic programs focus on physi-
goals are too challenging and unrealistic,
acceptance and affection.
cal conditioning and fail to do the harder
the athlete will regress into a state of learned
Psychological skills and attributes mea-
psychological work to prepare their athletes
helplessness and fail to rise to the chal-
surements quantify an athlete’s capacity
to prevail during the ups and downs of con-
lenges of competition.
to control thoughts and emotions during
ditioning and competition. Dysfunctional
As important as it is to rise to the
performance. Specific attributes that these
lifestyle and unresolved issues from upbring-
challenges of competition, it is a mistake to
tests measure include attention, leadership,
ing must be confronted and cleared up.
base goals primarily on competition rather
and capacity to tolerate workout intensity.
Otherwise, they linger as impairments and
than performance excellence. The level of
hindrances that can impact performance.
competition is always changing. What
Using testing instruments to assess
areas of personality and lifestyle, sports
How self aware are you? There are
psychologists can help athletes and
thousands of assessment methods avail-
in performance.
able that can help you understand how
Goal setting requires developing a
your gifts, skills, and habitual behaviors
plan for success. It is important that spe-
contribute to (or hinder) your performance
cific objectives be identified that allow the
excellence. The simplest form of assess-
athlete to self-monitor his or her training
ment is to ask trusted friends or colleagues
success. Research has shown that daily,
for an honest appraisal of your strengths
weekly and monthly objectives help ath-
and weakness in a given area. For those
letes to understand and appreciate the
who want standardized feedback based on
relationship between effort and accom-
the scientific comparisons tools offered by
plishment. Specific short-term and long-
sports psychologists, consulting a profes-
term objectives provide important struc-
sional can be very helpful.
ture in an individual’s daily life, and when
Dysfunctional personal behaviors can
goals and objectives are written and
affect performance. Some examples
shared with others there is a high proba-
bility that those goals will be achieved.
• Problems with interpersonal relationships
56 l Valley Health Magazine
should not change is the goal of perfection
Students, corporate executives, and
off the field can cause problems between
parents can also make use of specific short
coaches and athletes during competition.
and long-term goal setting. You will find
• Poor dietary choices and eating habits
this to be more enjoyable and useful when
can result in lowered energy levels and
you involve others in encouraging you and
negative mental states.
holding you accountable to keep climbing
• Athletes that manage stress using mind-
your personal mountain of success.
altering substances, like alcohol, stimulants,
Positive Self-Talk: Our minds are constantly
speaking to us about how we think and feel
Imagery will be most effective when you ded-
about ourselves and the world around us.
Research has shown that
Negative self-talk leads to depressive and
daily, weekly and monthly
success scenario until it becomes a reality.
anxious feelings and low self-esteem, which
objectives help athletes to
Visual-Motor Behavior Rehearsal: VMBR is
can cause poor performance. Self-confidence
icate regular, daily time to rehearsing your
a technique that involves the components
is an important key to success. This is devel-
understand and appreciate
oped through positive self-communication.
the relationship between
process of imagining the specific motor
effort and accomplishment.
movements necessary for perfect perfor-
“Thought stopping” is a technique
used to combat negative self-talk. This
technique helps people screen out nega-
of relaxation and imagery rehearsal. It is the
mance. This begins by having a crystal clear
understanding of what movements/deci-
tive, unwanted thought patterns. Thought
The imagery technique is all about picturing
sions are required to achieve perfection.
stopping can promote greater mental
perfect performance and winning the
Once these movements are understood the
toughness and increase the ability of an
competition. By eliminating every possibility
athlete can use VMBR to “burn” the steps
individual to respond positively to adversity
of failure in our minds before an event
of the skill into his or her neural pathways.
during difficult times. The key is to develop
occurs, the probability of perfection under
There are three phases included in this
the habit of using positive self-talk. Self-talk
the pressure of competition is increased.
increases mental endurance that can be
Concentrated, practiced imagery is a pow-
• Relaxation
applied to all areas of achievement.
erful tool to enhance performance. Imagery
• Practicing imagery
You can use thought stopping to
works best in a relaxed mental state. A com-
• Applying specific imagery skills
prevent past memories and negative
fortable, relaxed state of mind allows visual-
For example, the baseball pitcher
mental programming from hindering your
ization of detailed images of different per-
achieves a state of relaxation, followed by
success. Commit yourself to only agreeing
formance situations. For example, a quarter-
practicing imagery of perfect pitching, and
with what you have determined to be
back visualizes throwing a perfect pass to a
finishes by imagining specific throwing skills
positive and true about your life, goals,
receiver, or a skier visualizes making every
that facilitate a transfer of learning.
and potential. Refuse to listen to any
turn perfectly on a downhill course.
The transfer phase improves the proba-
negative thoughts that contradict your
Imagery can also be useful in dealing
bility that a skill initially practiced in one situ-
personal truth. Success is a state of mind
with fear, anxiety, and over-arousal. For
ation will transfer to another. VMBR is like
that you can develop by refusing to be
imagery to become a positive mental train-
making a mental videotape before an event
defeated in your “thought life.”
ing tool, the images should be positive and
and using it to analyze and correct errors.
Imagery: Sports Psychologists teach ath-
realistic. The images should focus on the
The goal of VMBR is to remove unwanted
letes to use imagery that creates an ideal
athlete mentally repeating positive images
and undesirable movements to achieve:
picture of their desired performance. Imag-
and overcoming obstacles.
• Technique enhancement
ery is a form of mental rehearsal that acts as
Imagery can be used to picture your
• Error analysis and correction
a corrective technique, an energizer, and
success in sales, public speaking, passing
• Preparation for competition
controller of physiological responses.
a test, or climbing the corporate ladder.
• Skill enhancement
Valley Health Magazine l 57
Relaxing into pure focus is
about getting into a zone
where the crowd disappears
and the athlete achieves absolute mental clarity. In the
movie For Love of the Game,
Kevin Costner used this technique to tune out the screaming crowd, move through his
muscular pain and throw a
perfect no-hitter.
This technique has been used widely
it was and to verify that no one had been on
program to meet the specific needs of
among Olympic and professional athletes.
base. Notice that Costner’s character was
the individual. Using the feedback from
It is a technique that can be applied to all
also unconcerned with the details of a
the assessment, the athlete will learn to
kinds of performance challenges, such as
particular competition and purely focused
capitalize on strengths and train hard to
playing a musical instrument, job inter-
on perfect performance.
minimize weaknesses.
viewing, or making a public presentation.
Consider using relaxation the next time
Sports psychologists continually remind
Relaxation Training: The main goal of
you need to have a difficult talk with an
coaches and athletes that it is highly trained
relaxation training is to reduce anxiety
employee or family member. Let go of your
brains that help to produce perfect physical
under conditions of high emotional stress.
anxiety, relax your muscles and focus on the
performance. By setting specific, realistic,
By using relaxation techniques, athletes
positive message that needs to be commu-
challenging goals, benchmarks are created
can learn to remain calm during stressful,
nicated that will improve the listener’s per-
for performance excellence. Using positive
competitive situations. They can focus their
formance or your relationship with them. Be
self-talk, imagery, visual-motor behavior
thinking and avoid negative feelings that
real and authentic. Refuse to let how you
rehearsal, and relaxation, the athlete can
interfere with success. Relaxation is often
think they may respond hinder the clarity of
mentally rehearse and maintain a state of
combined with imagery and visualization
your communication.
mind that will optimize capacity for great
training in a regular training schedule.
achievement. Using these same techniques,
Athletes train themselves to be sensitive to
With the use of assessment tools, the
muscular tension, and to self-diagnose
sports psychologist can customize a
how they need to respond to their bodies.
Athletes also learn to relax muscles to quiet
themselves for pure focus.
Relaxing into pure focus is about
getting into a zone where the crowd disappears and the athlete achieves absolute
mental clarity. In the movie, For Love of the
Game, Kevin Costner used this technique
to tune out the screaming crowd, move
through his muscular pain and throw a perfect no-hitter. He would say to himself
“clear the mechanism” to move into a zone
of clarity where all he saw was the pitcher’s
glove. He was so `in the zone’ that at one
point he had to ask the catcher what inning
58 l Valley Health Magazine
anyone can enhance their ability to be their
best and achieve their goals.
Diet & Nutrition
A guide to
making better
food choices
By Stephanie Lasher
Eating healthier is on everyone’s
mind these days. We are learning that making better choices
at the grocery store can have a
big impact on our health.
The risk for many chronic health problems like heart disease, cancer, obesity,
and high cholesterol can all be lowered by
sticking to a healthy diet. But what foods
should you actually be eating and where
can you go to make sure a product that
claims itself to be low-fat, heart-healthy, or
all natural is telling the truth? You guessed
it, on the food label. But, have you stopped
to read the food label lately? If you’ve ever
asked yourself what all those percentages
and numbers mean, you are not alone.
Many consumers want to eat better yet
feel overwhelmed trying to understand
how to find and use the information on a
food label.
Valley Health Magazine l 59
Diet & Nutrition
Label Lingo: Digesting the Facts
Start here
Check calories
Quick guide to % of DV
5% or less is low
20% or more is high
Limit these
Get enough of these
Help is on the way. Once you learn
and would need 130% of the daily value
TIP: Make sure you notice the serving
the basics of reading the food label you
listed on the food label. The USDA web-
size of the foods you are eating. A large
are well on your way to making healthier
site provides a comprehensive table for
bag of crunchy cheese flavored snacks
choices for you and your family. The dia-
vitamins, minerals and macronutrients,
can have more than 9 servings and over
gram above is an example of a commonly
organized by age and gender. Look
100 grams of fat!
seen food label.
under Dietary Reference intakes (DRI).
The nutrition facts on the food label
Let’s start at the top of the label. The
are a great way to make sure you are
FDA requires that certain information be
limiting certain nutrients and getting
listed on the food label. These items
enough of others. For good health, it’s
include calories, fat, cholesterol, sodium,
Trans fat is the newest
carbohydrate, protein, vitamin A, vitamin
addition to the food label.
lesterol and sodium in your diet. These
C, calcium and iron. Manufacturers may
Experts agree that trans fat
items are still considered “nutrients” and
choose to include other vitamins or minerals on the label, but this is not required.
should be minimized in the
important to limit the amount of fat, cho-
your body does need them in small
amounts. When looking at the food label,
The serving size is the portion size
diet. Scientific research has
you’ll notice these items are listed at the
used for all the values on the label. The
linked trans fats with raising
top. For these items, remember less is
percent daily value (%DV) is based on a
2,000 calorie diet; some people may
blood LDL (“bad” cholesterol
require more or less of a certain nutrient.
levels), which has been as-
Your needs may differ based on your age,
sociated with an increased
sex and physical activity. For example,
with calcium, a teenager has a higher
requirement than is listed on the label
60 l Valley Health Magazine
risk of heart disease.
more. On the flip side, getting enough
fiber, vitamin A, vitamin C, calcium and
iron is even more important for a healthy,
well balanced diet. These are listed on
the bottom part of the food label. The
vitamins and minerals are listed in %DV.
Anything less than 5% is considered low
and anything above 20% is considered
a good source.
TIP: Did you know that the ingredients on the label are listed by weight? If
sugar or corn syrup is listed first, that
product is loaded with sugar.
Trans fat is the newest addition to the
food label. Experts agree that trans fat
should be minimized in the diet. Scientific
research has linked trans fats with raising
Choosing fresh foods is the
best way to obtain nutrients
without worrying about labels and how to limit all
the sodium, trans fats, sugar, etc. that are byproducts
of preserving the food in a
blood LDL (“bad” cholesterol levels),
which has been associated with an
increased risk of heart disease. Manufacturers can list trans fat as 0% if the product
contains less than 0.5 grams per serving.
But look for the term partially hydrogenated. This means that the item contains
some trans fat.
What about the terms “reduced,”
What it all means
“light,” or “low-fat”? What exactly do
HIGH (rich in, excellent source)
20% or more of the Daily Value
these terms mean?
10% to 19% of the Daily Value
10% of the Daily Value of a nutrient
It is too small an amount to affect you or your diet
Fewer calories or 50% less fat than the original
product. If more than half the calories are from fat,
fat content must be reduced by 50% or more
At least 25% fewer calories
fat is taken out, it’s replaced with extra
3 grams or less total fat
sugar to maintain the taste.
At least 25% less fat than the regular version
Less than 10 g fat, 4.5 g or less saturated fat, and
less than 95 mg of cholesterol per serving
Less than 5 g fat, less than 2 g saturated fat, and
less than 95 mg of cholesterol per serving
Well, they don’t
necessarily mean that these foods are
healthier for you or lower in calories or
sugar. These claims must meet strict
government regulations. Take a look at
the table on the right to discover how
these regulations are defined.
TIP: A food labeled low fat is not
necessarily lower in calories. Often when
Terms like healthy, natural, or organic
on the label can also cause confusion.
The FDA policy states the word natural
means the product does not contain synthetic or artificial ingredients. Healthy, as
defined by regulation, means the product
Valley Health Magazine l 61
Diet & Nutrition
must meet specific criteria that requires
about food label claims can be found on
minimum amounts of vitamins, minerals,
the USDA website at
or other beneficial nutrients, yet limits the
and the FDA website at
amounts of fat, saturated fat, cholesterol,
What about foods that have no label,
and sodium. Food labeled organic must
like fresh produce and meat? It is generally
meet the guidelines set by the United
accepted that fresh foods are nutritionally
States Department of Agriculture (USDA).
superior to processed and packaged
Organic food differs from conventionally
foods. However, canned or frozen vege-
produced food in the way it is grown or
tables are still preferable to no vegeta-
produced. However, the USDA makes
bles at all. Often the nutritional value of
no claims that organically produced food
fresh foods depends on the weight and
is more nutritious or safer than conven-
size. A lot of grocery stores list the
tionally produced food. More information
primary nutrients found in vegetables
Mediterranean/European Cuisine
“Dolce Arte
European Bakery”
A beautiful display of
the desserts buffet
“Savor the Valley’s finest.”
You get the casual
feel of the Riviera with the
menu offerings of local farmer’s
market fresh fruit
and vegetables.
Tuesday - Friday
7:30am - 9:30pm
5pm - 10pm
62 l Valley Health Magazine
for easy access while shopping. Choosing
fresh foods is the best way to obtain
nutrients without worrying about labels
and how to limit all the sodium, trans fats,
Breakfast Pastries
Lunch and Dinner
Wine Lounge
sugar, etc. that are byproducts of preserv-
Cooking classes
Personal Chef
Full Service Catering
website allows users to find out what
(by Kasabella Catering)
Summer Tomato Salad
and fruits under the name of the produce
Dinner Special: All entrees
& pastas are $15 from 5-6pm.
Wine Special: 1/2 price on
selected wine bottles–
Saturdays 5-9pm.
To-Go Entrees: $15
ing the food in a package. A great
resource to find out what nutrients are in
fresh foods is This
nutrients your body needs and to plan
menus to meet these needs.
Keep these simple steps in mind and
you should be on the road to making
better choices: choose foods with less
than 5 grams of total fat per serving, less
than 1 gram of saturated fat, and no trans
fats. Limit sodium to less than 300 mg per
serving. Pick items that have more than 3
grams of fiber and get important vitamins
and minerals by choosing foods containing
“Seasonal Cuisine
Prepared Fresh
over 20% of the daily value.
(559) 440-9603
5789 N. Palm Ave
(SW Corner of Palm & Bullard)
Need help with
weight management?
Look in a New
Weight Management Center’s physician supervised
programs are customized to help you achieve your weight goals.
YOU CAN COUNT ON OUR TEAM to help you reach new
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Because you’re worth it.
(559) 438-1999