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ADVANTAGE Healthy Living Over 50 ISSUE #8 WINTER 2018 You And Your Heart Torrance Memorial doctors strive to be on the cutting edge of heart disease prevention and treatment. Here’s what they know now about CAD. H eart disease is serious business in America. Coronary artery disease (CAD) continues to be the leading cause of death for both men and women in the United States. It also continues to be an area of medicine in which break- throughs are constant. Torrance Memorial Physician Network cardiologist Victoria Shin, MD, points to the ability to treat heart valve problems “that used to require high-risk open heart surgery. We can now do minimally invasive procedures such as TAVR. e technology has evolved, and the quality of the equipment we use has improved by leaps and bounds.” Right now, though—even as doctors are quite excited about such developments— they also are being given new, stricter guide- lines for blood pressure (BP) limits and cho- lesterol levels that could help reduce CAD in their patients. “One of the big things that has come out of recent research is the more aggressive Ameri- can Heart Association (AHA) blood pressure recommendations,” says Gaurav Banka, MD, a cardiologist with COR Healthcare Asso- ciates. “Previously anyone with a BP level higher than 140/90 was considered high risk; now the threshold is 130/80, with the rec- ommendation for strict lifestyle changes and even medication to get that pressure down to 120 or lower.” e first question, of course, is how does one lower their BP? “I always start with logical non-pharmaceutical, steps,” explains Dr. Banka. “More cardiovascular exercise and smaller portion sizes, which can lead to weight loss. Less sodium in the diet. And very conscious stress-reduction. Once a patient has tried those steps and hasn’t seen a significant reduction, then we turn to medication. And there are a variety of them, so we are able to personalize an approach—depending on the patient and their health conditions. A diabet- ic, for instance, will be prescribed something different from a non-diabetic.” Whatever the medical approach, Dr. Banka stresses the need for stress-reduction. “We also try to personalize those recommenda- tions,” he says, “by identifying the causes— work, family, physical and mental health— New recommendations for safe blood pressure limits and cholesterol levels are changing the ways in which doctors treat their heart patients. Inside this issue 1 You and Your Heart 4 Ask the Doctor: Lessons From the Sleep Doc 6 Who Loves You? Medicare Does! Think of your Annual Wellness Visit as a Gift 7 Should You Be Eating Less Meat? A Torrance Doctor Weighs In 7 Torrance Home Health Wins Elite Status Award 8 Upcoming Classes and Events Continued on page 2

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ADVANTAGEHealthy Living Over 50

ISSUE #8 WINTER 2018

You And Your HeartTorrance Memorial doctors strive to be on the cutting edge of heart disease prevention and treatment. Here’s what they know now about CAD.

Heart disease is serious business in America. Coronary artery disease (CAD) continues to be the leading cause of death for both men and

women in the United States. It also continues to be an area of medicine in which break-throughs are constant.

Torrance Memorial Physician Network cardiologist Victoria Shin, MD, points to the ability to treat heart valve problems “that used to require high-risk open heart surgery. We can now do minimally invasive procedures such as TAVR. The technology has evolved, and the quality of the equipment we use has

improved by leaps and bounds.”Right now, though—even as doctors are

quite excited about such developments—they also are being given new, stricter guide-lines for blood pressure (BP) limits and cho-lesterol levels that could help reduce CAD in their patients. “One of the big things that has come out of

recent research is the more aggressive Ameri-can Heart Association (AHA) blood pressure recommendations,” says Gaurav Banka, MD, a cardiologist with COR Healthcare Asso-ciates. “Previously anyone with a BP level higher than 140/90 was considered high risk;

now the threshold is 130/80, with the rec-ommendation for strict lifestyle changes and even medication to get that pressure down to 120 or lower.”

The first question, of course, is how does one lower their BP? “I always start with logical non-pharmaceutical, steps,” explains Dr. Banka. “More cardiovascular exercise and smaller portion sizes, which can lead to weight loss. Less sodium in the diet. And very conscious stress-reduction. Once a patient has tried those steps and hasn’t seen a significant reduction, then we turn to medication. And there are a variety of them, so we are able to personalize an approach—depending on the patient and their health conditions. A diabet-ic, for instance, will be prescribed something different from a non-diabetic.”

Whatever the medical approach, Dr. Banka stresses the need for stress-reduction. “We also try to personalize those recommenda-tions,” he says, “by identifying the causes—work, family, physical and mental health—

New recommendations for safe blood pressure limits and cholesterol levels are changing the ways in which doctors treat their heart patients.

Inside this issue

1 You and Your Heart

4 Ask the Doctor: Lessons From the Sleep Doc

6 Who Loves You? Medicare Does! Think of your Annual Wellness Visit as a Gift

7 Should You Be Eating Less Meat? A Torrance Doctor Weighs In

7 Torrance Home Health Wins Elite Status Award

8 Upcoming Classes and Events

Continued on page 2

2 ADVANTAGE NEWSLETTER / Torrance Memorial Health System

then finding the approach that works for each individual: exercise, yoga and meditation, reading, even knitting. I recommend patients look at classes offered by Torrance Memorial.”

New guidelines from the AHA also challenge the way doctors look at and use blood cholesterol levels. Torrance Memorial primary care physi-cian and internal medicine doctor Ahad Shiraz, MD, explains: “In the past we were relying on the numbers to determine treatment for preventing heart attack and stroke. Anyone with a high LDL (bad) cholesterol level was placed on statins. Now we use an algorithm provided by the AHA—based on gender, age, medical history and lifestyle factors—that deter-mines the 10-year risk factor for heart disease. You actually get assigned a rating of your 10-year risk, which your doctor then uses for your recom-mendations: lifestyle changes, daily aspirin for men over 45 and women over 55 are certainly all good ideas that should be discussed in the clinic with your doctor.

Steps to CAD preventionThere’s no doubt that preventing heart disease is a prime interest of cardi-

ologists and other doctors, and most agree that regular exercise is the best weapon. “Yes, the more active you are, the better,” Dr. Shiraz agrees. “The minimum is 30 minutes of moderate aerobic exercise five times per week. Walking, for example, is considered moderate. Or 35 minutes three times a week of higher-intensity work like weightlifting, jogging or swimming. The point is to get the heart beating faster and building up a sweat. You not only strengthen your heart muscle, but you also rev up your metabo-lism, which is what keeps everything in check.”

“I recommend a combination of cardio and resistance exercise,” says Dr. Banka, “with an empha-sis on cardio. I like my patients to monitor their heart rate and work at 50% to 80% of their max capacity. So many times patients say they exercise, but that can mean different things, such as getting on the bike and watching TV. That’s not the most effective way to work.” And since being overweight and

obesity are risk factors for heart disease, diet plays a significant role. “We recommend a simple, healthy diet,” Dr. Banka says. “Avoid refined carbs such as white rice and bread, sugar, processed foods that are high in salt, and red meat. We used to advise avoiding foods high in fat, but some peer studies have found that high fat intake is associated with lower mortality. My hypothesis is when you eat more fats, you tend to cut carbs, which is more important. Studies have found a higher association between high carbohydrate consumption and mortality.”

Dr. Shiraz agrees, although he doesn’t tell people to stop eating red meat. “I try to encourage moderation, increased fruit and vegetables, fish and chicken and an occasional steak. But fiber is important, because it cuts down the amount of cholesterol your body absorbs from food. Try for 25 to 30 grams every day, mostly from your diet. If your GI tract is regular, you don’t need fiber supplements.”

THE WORD ON SUPPLEMENTS

Fiber. The daily recommendation is 25 to 30 grams of dietary fiber daily—men over 50 should try for 38 grams a day. If bowel movements and GI tract func-tion are normal, most people don’t need to supple-ment; if not, there are lots of good supplements on the market.

Fish oil. Again, most doctors advise getting your omega-3 acids from foods, not supplements. “The data really is mixed on how much fish oil supplements help to decrease mortality,” says Dr. Shiraz. “I don’t usually advocate an omega-3 supplement, but there’s no danger in taking one.”

Garlic. Not only does it make food delicious, it also could slow the buildup of plaque in your arteries and lower blood pressure. “It certainly can help, and using garlic in food is one of those things that help reduce inflammation,” says Dr. Shiraz. “Fresh garlic is good for you, but there’s no evidence that garlic supple-ments help reduce heart disease.”

Turmeric. “Most of the studies showing turmeric’s health and prevention benefits have not been dupli-cated here in the U.S.,” Dr. Shiraz notes, “so we can’t call for a turmeric supplement as standard of care. But in food preparation I believe turmeric absolutely can help and certainly doesn’t hurt.”

Coenzyme Q10. This antioxidant is thought to be important protection against many forms of CAD. “CoQ10 is a crucial molecule in our bodies,” says Dr. Shiraz, “but it’s hard to know whether supplements do more good than food, because most folks have enough in their bodies. Your doctor can’t measure it. So it’s another ‘might help, can’t hurt’ supplement.”

Continued from cover

Victoria Shin, MD

Issue #8 Winter 2018 3

Heart Disease: He vs. She Perhaps the most notable improvement in the field of CAD is the rec-

ognition of how crucial heart disease awareness is for women by doctors and researchers., says Dr. Shin. “Heart disease used to be considered a ‘man’s disease,’” she says. “Thankfully, with more research and more public education, that false paradigm is shifting. More women have died from CAD than from breast cancer, lung disease, Alzheimer’s and other diseases, but breast cancer gets most of the press.” “More women than men die of heart disease,” she continues. And even

though the typical onset of CAD for women lags behind men by about 10 years (20 years for clinical events such as heart attack and sudden death), the consequences are worse for women. “Among individuals with premature (under 50) heart attack, women experience a two-times-higher mortality rate. And among older patients (over 65), women are more likely to die within the first year after a heart attack.”

Why? “Studies suggest women with heart disease are treated less aggressively than men,” Dr. Shin answers, “both with medications once diagnosed and also with delay in diagnosis or delay in presentation by the patient due to the atypical nature of symptoms.” Fortunately that is changing, but certainly not as rapidly as many in the field would like. “It’s not that the medical profession is innately sexist,” says Dr. Shin,

“but rather the ability to accurately diagnose and treat is delayed due to a different set of risk factors, pathophysiology and presentations. More research that includes women needs to be pursued in the cardi-ology community.”

As Dr. Shin notes, 80% of heart disease can be prevented by reducing controllable risk factors such as hypertension, smoking, inactivity, type 2 diabetes and obesity. In fact, she says, “The impact of obesity on the development of heart disease appears to be greater in women than in men. Among individuals in the Framingham Heart Study, obesity in-creased the risk of heart disease by 64% in women, as opposed to 46% in men.” See “She and He,” at right, for other comparisons.

Bottom line for men and women: “Check with your primary doctor for the traditional risk factors—high blood pressure, blood cholesterol, diabetes—and ask for the 10-year risk assessment. Stop smoking, get daily exercise, lose weight and eat as healthfully as you can.” ●

Do you have questions about your heart health? Contact your primary care doctor; if you don’t have a doctor, call our physician coordinators at 310-891-6717.

She & He: THE GENDER DIFFERENCES

She CAD Risk Factors• Age (55+)• Family history• Obesity• Smoking• Diabetes• Unhealthy blood

cholesterol levels• Inactivity• Chronic inflammation

• Insulin resistance• Stress• Alcohol use• Auto immune disease• Polycystic ovarian

syndrome• Preeclampsia during

pregnancy• Breast cancer therapy

Symptoms Of Heart Attack• Shortness of breath• Extreme fatigue (that might have started

weeks ago)• Decrease in exercise tolerance • Nausea, heartburn, indigestion or stomach pain

He CAD Risk Factors• Age (45+)• Family history• Obesity• Smoking • Diabetes• Unhealthy blood

cholesterol levels

• Inactivity• Chronic inflammation • Insulin resistance• Stress• Alcohol use• Sleep apnea/snoring

Symptoms Of Heart Attack• Chest discomfort (like an elephant sitting on

your chest)• Chest tightness with activity• Nausea, heartburn, indigestion or stomach pain• Pain spreading to the arm• Pain or pressure that spreads to the jaw• Cold sweat

“Women, in general, tend to have more vague symptoms,” explains cardiologist Victoria Shin, “and we as physicians need to be mindful of the different symptoms and evaluate the patient’s overall risk profile. For example, if a woman who had several CAD risk factors such as hypertension, diabetes, obesity, presented with vague symptoms, I would be more apt to check for heart-related problems. It would be ideal to educate patients as well, to be as specific about their description of symptoms as possible.”

4 ADVANTAGE NEWSLETTER / Torrance Memorial Health System

Lessons From The Sleep DocIs an undetected sleep disorder wrecking your health?

With an estimated 50 million to 70 million Amer-icans suffering

from some kind of sleep disorder, we’re clearly a country in trou-ble. Researchers have found that chronic sleep deprivation can be as bad for our health as smoking, and that driving while sleep-de-prived is as dangerous as driving drunk. Yes, an occasional sleepless night might just render you tired the next day, but chronic sleep deprivation and insom- nia can cause long-term health problems such as type 2 diabetes, hypertension, heart attack, stroke and depression, and make it nearly impossible to maintain a healthy weight.

New guidelines from the National Sleep Foundation suggest adults need a mini-mum of seven hours of sleep.

“Sleep problems are very common and very prominent,” says Torrance Memorial Physician Network internist Khalid Eltawil, MD, who is board-certified in pulmonary critical care and sleep dis-orders. “So many people don’t realize they have a sleep issue and/or are embarrassed to mention sleepiness to their doctors. They think it’s just laziness or age-related. But without good sleep their overall health is being impacted.”

Many who have sleep issues might be sur-prised to find they are referred to a pulmo-nary specialist. So we asked Dr. Eltawil the following questions:

Why is someone suffering from sleep deprivation sent to a pulmonary doctor?

“There are many specialties that deal with sleep—neurologists, psychiatrists, even dentists, but the most common cause of sleep deprivation is sleep apnea, which is a pulmonary issue. Men are especially vulner-able. About 50% of men over 50 have some degree of sleep apnea.”

What is sleep apnea? And how do I know I might have it?

“Sleep apnea involves an ep-isode during sleep when the air flow stops or decreases, and you wake up because you can’t breathe—often due to a throat airway obstruction. It happens repeatedly over the night, and therefore your sleep is constantly disrupted. You aren’t aware of it,

but often a partner will hear a pause in your breathing, then a snort, and you’re back to sleep. So even though you have been asleep for eight hours, you wake up feeling tired and not rested. If you live alone, you might not even realize it’s happening, although you feel tired. Some might think it’s normal, and it’s just what happens as you get into your 60s, for instance. But sleep apnea has a very negative effect and can raise blood pressure and lead to atherosclerotic tract problems such as heart attack. The warning signs are simple: If you are getting a full night’s sleep and still need a nap, or doze off reading or watching TV, you should see a specialist.”

What is the treatment for sleep apnea? “A lot depends on what the problems

are. There might be other reasons a patient can’t sleep. They might have insomnia or abnormal leg or body movements that keep them awake. We go over medical history and medications and look for red flags. We examine them and see if we can get a diagnosis. They might get set up for a sleep study.”

What happens in a sleep study? “There are two different kinds of sleep

studies. Nowadays we do the majority at home. The patient brings home a small recording device and wears it for one night, then brings it back and we see what’s on it. It will show us patterns of sleep apnea, if they are occurring.

“For the second type of sleep study, we bring them into the sleep lab to spend the night. It’s not bad—it’s a simulated bed-

ASK THE DOCTOR

Khalid Eltawil, MD

Needto See a

Doctor?

Offices located in: Torrance, Carson,Redondo Beach, Manhattan Beach,

Hermosa Beach and San Pedro

Appointments scheduledM-F, 8 a.m. to 5 p.m.

Dr. Ahad ShirazPrimary Care

855 Manhattan Bch. Blvd., Ste. 201Manhattan Beach • 310-939-7847

Dr. Nicole LeePrimary Care

705 Pier AvenueHermosa Beach • 310-891-6708

Dr. Gary TsaiPrimary Care

2900 Lomita BoulevardTorrance • 310-257-7260

Dr. Ana KwiatkouskiPrimary Care

1970 S. Prospect Avenue, Suite 3Redondo Beach • 310-944-9344

Call Our PhysicianReferral Coordinator to

Schedule An Appointment.310-891-6717

TMPhysicianNetwork.org

Issue #8 Winter 2018 5

Good NightThe first step in solving our nationwide sleep

crisis, pulmonary physician Khalid Eltawil, MD, believes, is recognizing the importance of a good nights’ sleep and vowing to make it part of your overall healthy lifestyle. Here are some tips from him and other experts:

★ Establish a sleep routine “This means going to bed at the same time

every night,” Dr. Eltawil explains. “Also getting up at the same time and creating rituals, such as meditating, deep breathing, reading, taking a bath or shower.” A pre-sleep routine lets the body know what’s coming. And that in turn regulates your circadian rhythms—key to healthy, all-night snoozing.

★ Clean sleep hygiene Make sure your room is completely dark (not

even a speck of light, according to Andrew Weil, MD), quiet and cool. Turn all electronic devices off; in fact, the UCLA Sleep Research Center sug-gests not even looking at a screen for two hours prior to bedtime. Open the windows. And do everything to make your bed comfortable to you, whatever that means. Feather beds, waterbeds, down comforters and pillows; just get cozy.

★ Avoid sleep saboteurs  Alcohol, tobacco, caffeine, and recreational

and prescription drugs all can disrupt your som-nolent efforts. “Alcohol becomes a problem be-cause people get dependent on it. It does make you sleepy,” says Dr. Eltawil, “but then as it wears off, that disruption can keep you awake. Don’t ingest caffeine (coffee, tea, soda) after 2 p.m. It’s also best to avoid large meals just before bedtime, but have a light snack so that hunger doesn’t rouse you in the middle of the night.”

And the jury is out on how marijuana might change the stages of sleep. Research in the U.S. has not been allowed the past few decades, so it’s too early to say whether it helps or hurts.

Finally, try not to worry about not getting enough sleep. “Anxiety and stress are some of the biggest issues causing insomnia,” says Dr. Etawil, adding that if these tips don’t work, you should seek professional help. There are behav-ioral techniques such as relaxation and breathing exercises that a pro can teach you. It’s all about controlling your environment and setting the stage for a good night’s sleep.

The Relaxing BreathIntegrative physician Andrew Weil, MD, teaches a breath, AKA the 4-7-8 breath, that can help put you to sleep:

• Exhale completely through your mouth, making a whoosh sound.• Close your mouth and inhale quietly through your nose to a mental count of 4.• Hold your breath for a count of 7.• Exhale completely through your mouth, making a whoosh sound to a count of 8.• This is one breath. Now inhale again and repeat the cycle three more times for

a total of four breaths.• Do this in bed instead of counting sheep. It really works.

room or hotel room, made as comfort-able as we can make it feel. The patient is hooked up to wires that monitor different systems. The majority of people have no trouble with it.

“If we determine that it is sleep apnea, we often prescribe a feedback machine, which is a small device—a mask worn over the face that provides a puff of air down the throat, just enough pressure that when the patient breathes, they breathe more comfortably without the airways collapsing. It really is the easiest and most effective treatment. The mask is worn during sleep and only until there has been a change. People often get better.

“The big change people can make on their own is weight loss. Mild to moderate sleep apnea often subsides with just a few pounds of weight loss. If these measures are not successful, we discuss surgery, which will depend on the facial anatomy.”

What about those nasal strips? “The Breathe Right® strips can be

helpful when you have nasal congestion or something obstructing your nasal pas-sages. Unfortunately, the bulk of sleep apnea occurs in the back of the throat, so they don’t help with sleep apnea.”

What if the diagnosis is insomnia? “That can be much more challenging.

There are so many things that can lead to insomnia, so you have to look at all the lifestyle issues, such as watching TV or using your iPad in bed. Medications

or chemicals can disrupt sleep—the most common being caffeine in cof-fee and soda. Next we look at alcohol. People end up becoming dependent on it to fall asleep and, in turn, alcohol can hinder sleep.

“Anxiety, stress and depression are factors in about 35% of insomnia cases. And many seniors have chronic pain issues, too, so you have to address all of those possibilities. We start with lifestyle, sleep hygiene, and medical and chemi-cal issues, and start to manipulate sleep times and habits. Sometimes we might have to use sleep aids, but I prefer to start with good hygiene and avoiding caffeine and alcohol first.” (See “Good Night,” Dr. Eltawil’s sleep tips, at right.)

What about melatonin and valerian? “Melatonin is an interesting chemical.

Its main goal is to tell your body what time it is. When melatonin levels are high, it’s time to go to bed. Not being a drug or medicine, it’s not very well regu-lated, so doses can vary from 1 mg to 10 mg, and there’s no exact absorption from one person to another. You just have to go with trial and error. It does have a sedating effect, so that is a positive. But some of it might be a placebo effect so taking more is not necessarily better.

“Another natural agent is valerian root, which seems to help people sleep. The root is made up of so many components, we are unsure which is working … but it can be sleep-promoting.” ●

Khalid Eltawil, MD is a member of Torrance Memorial Physician Network. He can be reached at 310-517-8950.

6 ADVANTAGE NEWSLETTER / Torrance Memorial Health System

To Eat Meat Or Not To Eat MeatShould we be eating less? A Torrance doctor weighs in.

It’s a question many are contem-plating these days. As children and grandchildren announce they are vegan (no animal products

whatsoever) or vegetarian (no meat, but dairy and eggs are allowed) or hybrids like pescatarian (fish is allowed) and even Paleo (don’t ask), one has to wonder: Is eating less meat a good thing? “Absolutely, yes,” Torrance Memo-

rial Physician Network primary care doctor Sarwat Mahmud, MD, says emphatically. “Several observational studies have found plant-based or vegetarian diets are associated with lower rates of hypertension, type 2 diabetes, obesity and heart disease.” Dr. Mahmud talks to her patients often about nutrition. “Especially for those conditions, unless nutri-tion can be incorporated with med-ical treatment, we don’t have a plan and we don’t have much of a chance of healing people.”

But what about something in be-tween strict vegetarianism and being a full-blown carnivore? It’s what

The first visit is called the one-time Welcome to Medicare Preventive Visit. Subsequent visits are called Annual Wellness Visits, and you cannot get one in the same year as your Welcome to Medicare visit.

The Annual Wellness Visit and Welcome to Medicare preventive visit are not head-to-toe physical exams.

You will always leave your AWV with a follow-up plan, such as screenings or testing due, education programs and classes.

Who Loves You? Medicare does!Think of your Annual Wellness Visit as a gift to your health.

Did you know that Medicare gives you a yearly appointment to discuss your plan of preventive care for the coming 12 months? It’s called the

Medicare Annual Wellness Visit (MAWV), and it’s a perk of your coverage each year. But surprisingly, many Medicare beneficiaries don’t take full advantage of it. “It’s an opportunity to connect with our

seniors and evaluate their chronic health con-ditions, focus on quality of life and preventive care, and provide many on-the-spot screenings,” says Kelley Prince, MD, chief medical officer at the nonprofit Torrance Health Independent Physicians Association (THIPA). “We do it be-cause seniors have diverse health needs, and we want to partner in the best approach to their care. There is no co-pay for this visit.”

If you’ve looked into the MAWV, you’ve seen a checklist—guidelines each provider uses to assess their patients’ needs. Dr. Prince explains,

“We do a review of a patient’s medical and family history and complete a Health Risk As-sessment, as well as on-the-spot screenings and vaccinations. The MAWV is also an opportuni-ty for us to discuss advance care planning and for each patient to share their health wishes for the future. Visit medicare.gov for more details.“We have quality measures and preventive

screenings we are responsible for,” adds Lana Kwong, MPH, CPH, CPHQ, quality pro-gram manager for THIPA. “It’s a great way to coordinate care and make sure our members are seeing the appropriate specialists. We do a fall risk assessment, screen for dementia and

any cognitive, mental or emotional health con-cerns, and we help schedule mammograms and colonoscopies. As the visits are mainly done in discussion format, it doesn’t take much time.”“During the MAWV, we’ll review a list of

medications, their side effects and any other medication concerns,” Dr. Prince says. “We want to come away with a preventive plan to help our patients stay healthy and well.”

In some cases, if there is a new concern the physician might suggest a separate physical exam, which is not included in the MAWV. And that’s where some patients get confused and call the assessment a “physical.” “If they happen to come in with an acute

need, we want to make sure we address it. This might mean ordering additional testing,” Dr. Prince notes. “We also want to make sure seniors don’t miss an opportunity to meet with a health advocate to support their needs.”

So in some cases the assessment might lead to other appointments, for which there may be an out-of-pocket cost or co-pay. “But it’s always the physician’s call with the patient’s support to identify the best plan for the pa-tient’s health needs,” Dr. Prince says.

“We want to make sure seniors don’t miss an opportunity to meet with a health advocate to support their needs.”

➊ ➋ ➌5 THINGS YOU SHOULD KNOW ABOUT THE ANNUAL WELLNESS VISIT

Issue #8 Winter 2018 7

House-bound patients may be able to arrange for their AWV to be done at home. Currently the house call is available to THIPA members only. THIPA members: If you have any questions, call THIPA Member Services at 866-568-4472 for additional information.

There is no co-pay for your Annual Wellness Visit. Think of it as a gift to your health. Schedule an Annual Wellness Visit with your physician today.

some call a “flexitarian” diet. “I urge patients toward a Mediterranean

diet, which is a diet rich in nuts and seeds, fruits and vegetables, whole grains and beans,” says Dr. Mahmud. Just Google the words “Mediterranean diet,” and you will find lots of information and eating plans.

“Olive oil and avocados are the main source of monounsaturated fats, and it allows for a low to moderate consumption of red wine: 4 ounces a day for women, 6 for men. It minimizes the consumption of animal fat and red meat, because they have been proven to be associated with mortality.”

Dr. Mahmud says that one or two servings of oily fish per week is optimal, and “better wild than farmed. Wild fish has all the nutrients and none of the harmful chemicals of farmed fish. Make sure the mercury content is low as well. Here in California, tilapia is danger-ously high in mercury, and you should limit your consumption of canned tuna. Wild salmon, shrimp and sardines are all great.” She also recommends organically fed chicken raised without antibiotics or growth hormones.

A flexitarian diet might look different to different people. New York Times food columnist Mark Bittman has written a book (VB6: Eat Vegan Before 6:00 to Lose Weight and Restore Your Health … for Good) about his system of eating vegan all day; then if he feels like a burger for dinner, he eats it. But Dr. Mahmud avoids any regi-

mented plan, opting instead for “a balance, a change in lifestyle that includes exercise and a Mediterranean-style diet. “For example, protein is available from

many sources that don’t include meat. You can eat eggs—if I have organic eggs, I eat the yolk and the white, but if I don’t, I stick to just the white—and you also can get protein from unsalted nuts and seeds, and lentils. For breakfast I always add chia and flax seeds to oatmeal. At lunch I

do smoothies with pineapple and banana, kale and spinach and some kind of protein powder. It really keeps me full and happy.”

If you are looking for ideas on eating more plants and less meat, check out Torrance Memorial’s Eat Clean & Green Plant-Based Living Group (PBLG), which was created to support those inspired by Forks Over Knives and other documentaries, or who are simply curious about eating more plant-based meals.

For more details on the Torrance Memorial Eat Clean & Green PBLG visit torrancememorial.org/classes. Dr. Mahmud is a member of Torrance Memorial Physician Network and accepts THIPA patients. She can be reached at 310-287-7260.

Don’t wait! If you haven’t scheduled your Medicare Annual Wellness Visit, contact your primary physician’s office. If you don’t have a primary care doctor, call our physician referral coordinator at 310-891-6717. If you are a THIPA member, you can call Member Services for more information at 866-568-4472.

➍ ➎

No Place Like Home Torrance Memorial Home Health earns Elite award for the fourth year in a row.

If you’re reading this, you probably already know and appreciate Torrance Memorial Medical Center’s excellence as a hospital. But the medical center provides top-notch

services beyond its walls. Case in point: its award-winning home care-providing agency.

Recently Torrance Memorial Home Health was granted Home Care Elite status—for the fourth consecutive year—from Decision Health, which rewards the top 25% of home health agencies in the country. Agencies are judged on publicly reported Medicare data, in-cluding quality of care, patient experience and financial performance.

Theresa Ferry, RN, BSN, MBA, CHCA, is executive director of Torrance Memorial Home Health and Hospice and knows why the agency continues to win these awards. “We work really hard,” she says, “and we’re focused on a high bar for quality. It starts at the top, with our CEO [Craig Leach]. Our quality metrics are high, and this hospital puts a big emphasis on patient experience.”

Home Health provides nurses, speech ther-apists, rehab staff, social workers, bathing aids and many more who make visits to patients’ homes to perform wound care, physical thera-py, infusions, assessments, help finding caregiv-ers and even advance directive planning. It’s a trend toward helping seniors stay at home and in touch with those they love, and it is surpris-ingly cost-effective. “We started a program called ‘I Will,’ and

what it means is that all of our caregivers—be-fore they walk through someone’s front door—stop and say to themselves, “Today I will …” Some days it will be: ‘I will treat this patient like they are my mom.’ Other days it might be: ‘I will put everything but this patient out of my head.’ And patients see it, feel it … that dedication of our staff.”

Ferry had her own business and started with the group as a consultant. But she soon joined the staff and has been executive director for 10 years. “I just love it and am really proud. It’s a well-deserved award.”

For more information on Torrance Memorial Home Health and Hospice, call 310-784-3751.

8 ADVANTAGE NEWSLETTER / Torrance Memorial Health System

Health and Wellness ClassesRegistration required for all classes both free and fee. Call 310-517-4666 or register online at torrancememorial.org/classes. For fee information, see page 15.

AARP Driver Safety ProgramJanuary 13, February 10, March 10Learn the latest driver skills and safety techniques in the nation’s first and largest course designed for drivers over age 50. Upon completion you’ll receive a CA certificate that may qualify you for a discount on auto insurance. One 8-hour class. Saturday, 9 a.m. to 5 p.m. $15 AARP members; $20 nonmembers.

AARP Driver Safety Program(Refresher Course)January 20, February 17, March 17If you have taken the 8-hour class within the past three years and are looking to renew your driving certificate, this 4-hour refresher course is for you. Bring your current AARP driver certificate. Saturday, 9 a.m. to 1:30 p.m. $15 AARP members; $20 nonmembers.

Advance Health Care DirectiveFebruary 7Learn methods of communicating your health care wishes in writing to your family, friends and health care team. Topics include updates in laws regarding advance directives. Wednesday, 6 to 7:30 p.m. Free.

A Taste of Meditation IntroductionJanuary 17 This class is a good first step on the path of mindfulness practice—a meditation that can reduce stress, ease some types of physical and emotional challenges, and lead to a more compassionate out-look on life. Wednesday, 6 to 8 p.m. $15; $12 ADVANTAGE members.

Balance Checks February 26Do you have problems with balance, or are you concerned about falling? Come for a balance assessment. Monday, 9 to 11:30 a.m. Free.

BEST: Balance, Endurance and Strength Training January 29 – March 19This small group exercise group is led by a physical therapist and focused on reduc-ing your fear of falling. Intermediate-level class; must be able to walk with a cane. Pre-testing is required, so call 310-517-4666. Tuesday, 11:30 a.m. to 12:20 p.m. $85; $80 ADVANTAGE members.

Caring for Someone with DementiaJanuary 24 – February 21 People caring for Alzheimer’s patients face difficult challenges. Learn how to care for a loved one with Alzheimer’s, while also caring for yourself. Wednesday, 6:15 to 8:45 p.m. $60; $55 for ADVAN-TAGE members. Registration required.

Call 310-517-4666 or register online at torrancememorial.org/classes.

Fall Prevention & Balance ImprovementMarch 5 – April 9Taught by a physical and an occupational therapist, this six-week series will intro-duce you to several different disciplines that can assist in long-term improvement of balance skills. Monday, 1:30 to 3 p.m. $85; $80 ADVANTAGE members.

How to B.E.A.T. Everyday Stress February 28 – March 28Stress is a part of life, but your reaction to stress contributes either positively or neg-atively to your overall health. Learn new ways to respond to stress that lead you to optimal health. Wednesday, 6:30 to 8 p.m. $60; $55 ADVANTAGE members.

Power Balance February 1 – March 22Class is designed to improve balance by using exercises on a trampoline, agility training and cardio equipment. Taught by a physical therapist. Thursday, 4:15 to 5:05 p.m. $85; $80 ADVANTAGE members.

Questions for the Pharmacist February 1, March 1Do you have questions about your medications? Sit down with a Torrance Memorial pharmacist and get the answers you need. Please bring your “brown bag” of medicines you’re currently taking. Thursday, noon to 1 p.m. Free. Registration required.

Reiki Relaxation ExchangeJanuary 28, February 25, March 25At a Reiki Exchange, mini-treatments are provided in a small group session to calm the mind, allowing energy to flow through the body and helping it feel peaceful and

Upcoming Classes and Events

Issue #8 Winter 2018 9

balanced. Facilitated by a certified Reiki master-teacher. Sunday, 10 a.m. to 1 p.m. $40; $35 ADVANTAGE members.

Reiki IntroductionFebruary 1An experiential introduction to Reiki, a Japanese relaxation technique that helps to calm the mind, soothe the body and relieve stress. Thursday, 6:30 to 8 p.m. Free. Registration required.

Sounder SleepJanuary 5 – February 9February 23 – March 30 Learn unique self-healing techniques based on the Sounder Sleep System and the teachings of Dr. Moshe Feldenkrais. Reduce stress tension and anxiety during the day and promote restful sleep and quick recovery from awakenings during the night. Friday, 1:00 to 2:15 p.m. $70; $65 ADVANTAGE members.

Exercise & Movement ClassesClasses held at The Center For Healthy Living At Malaga Cove, 2550 Via Tejon,Palos Verdes Estates. For cost and registration, see page 15.

Chair YogaJanuary 3 – February 21March 7 – April 25This class is for pre- and post-opera-tive, disabled adults, senior citizens, weight-challenged, sedentary and desk-bound individuals. These chair exercises include an emphasis on posture, breath work, strengthening, stretching, resistance training and mental awareness. They have been shown to improve arthritis and lower blood pressure. Wednesday, 3 to 4 p.m.

Dancing to the Oldies But GoodiesJanuary 8 – February 26March 5 – April 23 Get a good aerobic workout while exercis-ing to rock ‘n’ roll and disco music. Have fun while you burn calories. Friday, 12:45 to 1:45 p.m.

Healthy Back: The Feldenkrais Method for Strengthening Your BackJanuary 4 – February 22March 8 – April 26Experiencing chronic back pain? By doing gentle floor exercises using the Felden-krais Method, you can improve posture, free mobility and become a participant in your own healing. Thursday, 11:30 a.m. to 12:30 p.m.

Healthy Brain: The Feldenkrais Method for Boosting your BrainJanuary 3 – February 21March 7 – April 25Using the principles of neuroplasticity, this class will focus on Feldenkrais exer-cises that help improve brain function and reorganize neurological connections that boost your brain health. Wednesday, noon to 1 p.m.

Mat Pilates, Intermediate/AdvancedJanuary 3 – February 21 March 7 – April 25Fast-paced and dynamic class that fo-cuses on strengthening core muscles to help improve balance and provide support for your spine. Participants must have a moderate fitness and flexibility level. Recent mat Pilates experience is required. Wednesday, 10:30 to 11:20 a.m.

Muscle Strengthening: Beginning January 8 – February 26March 5 – April 23Strengthen your upper and lower body safely using flexible exercise bands. In-cludes warm-up, cooldown and stretching. Monday, 11:30 a.m. to 12:15 p.m.

Muscle Strengthening: Advanced January 5 – February 23March 9 – April 27Strengthen your upper and lower body safely using flexible exercise bands. Class requires hand weights. Includes warm-up, cooldown and stretching. Friday, 12 to 12:45 p.m.

Don’t see what you’re looking for?Check torrancememorial.org/classes for more information or call 310-517-4666.

10 ADVANTAGE NEWSLETTER / Torrance Memorial Health System

Posture is Power January 8 – February 26March 5 – April 23Plagued by back, neck, shoulder, knee, ankle and/or foot pain? Move away from postural limitations with simple assess-ments, self-massage, stretches and cor-rective exercises that restore vitality from head to toe. Monday, 5:45 to 6:45 p.m.

Restorative Zen YogaJanuary 2 – February 20March 6 – April 24Quieting, supportive, deeply nourish-ing practice that calms and restores the nervous system, activating the relaxation response. We use props such as blankets and bolsters to support postures, surren-der and release deeply held tension in the body and mind. Tuesday, 7:30 to 8:30 p.m.

Strengthening with Hand WeightsJanuary 2 – February 20March 6 – April 24An all-levels class that will help you tone muscles. Exercises performed standing or sitting in a chair. Tuesday, 1:15 to 2 p.m.

Stretching for Better BalanceJanuary 4 – February 22January 8 – February 26March 5 – April 23March 8 – April 26A fun, gentle workout designed to help increase flexibility and mobility to help prevent injuries. Monday, 10:30 to 11:15 a.m., January 8 to February 26 and March 5 to April 23; Thursday, 1:15 p.m. to 2 p.m., January 4 to February 22 and March 8 to April 26.

Tai Chi, Beginning/IntermediateJanuary 8 – February 26March 5 – April 23 A sophisticated Chi-nese exercise that inspires physical and mental well-being. This class is an intro-duction to the form that consists of slow, graceful, circular movements that improve balance and coordination. Appropriate for all ages and strength levels. Monday, 3 to 4 p.m.

Tai Chi, AdvancedJanuary 8 – February 26March 5 – April 23Once basic forms are learned, students will go deeper into the fine points of this Chinese discipline, refining movements and their connections that lead to improved health and mental focus. Monday, 2 to 3 p.m.

Unity 2-DayJanuary 2 – February 22March 6 – April 26This class offers a unique, full-body circuit program with an emphasis on strength and stability. Individualized attention allows for emphasis on correct form and injury prevention, ensuring optimal results. All levels welcome. Taught by a certified personal trainer. Tuesday and Thursday, 5 to 6 p.m. or 6 to 7 p.m. $144 for the series; $128 ADVANTAGE members.

Unity 3-Day January 8 – February 23March 5 – April 27 This class offers a unique, full-body circuit program with an emphasis on strength and stability. Individualized attention allows for emphasis on correct form and injury prevention, ensuring optimal results. All levels welcome. Taught by a certified personal trainer. Meets Monday, Wednes-day and Friday, 9:15 to 10:15 a.m. $168 for the series.

Courses Offered in Collaboration with Lomita Parks and RecreationMuscle Strengthening $16/eight-week series plus equipment fee if needed. Tuesday, 9:45 to 10:25 a.m. Call Lomita Parks and Recreation Center at 310-326-0140 for dates and more information or to register.

Muscle Strengthening$16/eight-week series plus equipment fee if needed. Thursday, 9:45 to 10:25 a.m. Call Lomita Parks and Recreation Center at 310-326-0140 for dates and more information or to register.

Courses Offered in Collaboration with Torrance Adult School

Chair YogaJanuary 9 – March 22Yoga adapted for a seated chair position. Tuesday and Thursday, 9 to 10:15 a.m. $55. Reservations required; go to tastusd.org or call 310-533-4689 for more information.

Issue #8 Winter 2018 11

Unity 3-Day January 8 – February 23March 5 – April 27 This class is a fast-paced, full-body circuit program with an emphasis on strength, stability and core training. Please, no beginners. This is an advanced class to Unity 3-day. Taught by a certified personal trainer. Meets Monday, Wednesday and Friday, 8:15 to 9:15 a.m. or 9:15 to 10:15 a.m. $168 for the series.

Yoga BasicsJanuary 3 – February 21January 4 – February 22January 6 – February 24January 8 – February 26March 5 – April 23March 7 – April 25March 8 – April 26March 10 – April 28Harmonize body, mind and spirit through gentle stretching exercises, traditional yoga poses, breathing techniques and guided relaxation. Monday, 4:15 to 5:15 p.m., January 8 to February 26 and March 5 to April 23; Wednesday, 5:30 to 6:30 p.m., January 3 to February 21 and March 7 to April 25; Thursday, 3:45 to 4:45 p.m., January 4 to February 22 and March 8 to April 26; Saturday, 9 to 10:15 a.m., January 6 to February 24 and March 10 to April 28.

Yoga Basics/Restorative YogaJanuary 6 - February 24March 10 – April 28This class is a combination of gentle yoga, body and postural awareness exercises and restorative yoga poses, plus breath work to help strengthen your body and mind as you age. Recommended for those experiencing stress, wanting to gently unwind, relax and renew. Saturday, 10:30 to 11:45 a.m.

Exercise & Movement ClassesClasses held at The Health Education Center, 3105 Lomita Blvd., Torrance. For registration and fees see page 15.

Chair Yoga to Improve Balance & Strengthen BonesJanuary 4 – February 26March 8 – April 26A beginner, level 1 class using a chair in seated and standing poses. Perfect for those diagnosed with osteopenia or oste-oporosis. Thursday, 2 to 3 p.m.

Feldenkrais Chair LessonsJanuary 8 – February 26March 5 – April 23 These chair lessons, designed specifical-ly for sitting, provide the opportunity to learn while minimizing the likelihood of strains or injury. They teach you how to apply attention and awareness to improve physical function and promote greater freedom of movement. Monday, 10:30 to 11:30 a.m.

Healthy Bones: The Feldenkrais Method for Improving BonesJanuary 8 – February 26March 5 – April 23Concerned about losing bone density? Di-agnosed with osteopenia or osteoporosis? This class will focus on the Feldenkrais exercises that help support bone health. Monday, 9 to 10 a.m.

Inner Core Pelvic Floor FitnessJanuary 3 – February 21January 8 – February 26March 5 – April 23March 7 – April 25Smaller waist, stronger bladder and less back pain after 50! A revolutionary pro-gram that uses neuromuscular retraining (imagery and visualization techniques) coupled with anatomy awareness that will trigger this involuntary activation of

Don’t see what you’re looking for?Check torrancememorial.org/classes for more information or call 310-517-4666.

TORRANCE MEMORIAL

HUNT CANCER INSTITUTE Mastectomy/Breast Reconstruction Pre-Op ClassJanuary 4 – May 3This class will prepare you for surgery and your hospital stay, and help you to care for yourself at home post-op. Meets the first Thursday of every month, 5:30 to 7:30, West Tower, 2nd Floor, Room B.

Smoking Cessation Program January 9 – February 20March 13 – April 24 Seven-week sessions provide coping strate-gies, advice on medications, lifestyle chang-es, weight management and stress reduc-tion, all designed to help you quit smoking. $25. Tuesday, 5:30 to 7:30 p.m. Contact Wendy Nuval, RN Thoracic Nurse Navigator at 310-517-1072, [email protected].

SUPPORT GROUPS Women’s Cancer Support Group A gathering of women that offers an oppor-tunity to share stories, gather information and be surrounded by others who have embarked on a similar journey of healing. Tuesday, 10 to 11:30 a.m., Torrance Memorial Medical Center, Hoffman Health Conference Center, Room 3.

Mastectomy/Breast Reconstruction Support GroupThis group helps and supports mastecto-my/breast cancer reconstruction patients. It is a place where women can share stories and get to know other survivors who had mastectomy/breast reconstruction. Free, but reservations are required. Every second Thursday of the month, 5:30 to 7 p.m. West Tower, 2nd Floor, Room B. For more informa-tion call 310-784-6384.

Lung Cancer Support GroupOngoing group for lung cancer patients and loved ones. First and third Wednesday of each month, 6 to 7:30 p.m. West Tower, 2nd Floor, Room B. For more information, please call 310-517-1072.

For a complete list of support groups visit torrancememorial.org/supportgroups

12 ADVANTAGE NEWSLETTER / Torrance Memorial Health System

your inner core set. Monday, 5:15 to 6:05 p.m., January 8 to February 26 and March 5 to April 23; Wednesday, 11 a.m. to noon, January 3 to February 21 and March 7 to April 25.

Integrated YogaJanuary 3 – February 21March 7 – April 25A yoga class integrating pranayama (breath work), asana (postures) and deep-ly relaxing meditation, such as yoga nidra, which can be the equivalent of four hours of sleep. Wednesday, 7:30 to 8:30 p.m.

Lymphatic Flow Chair YogaJanuary 8 – February 26March 5 – April 23A yoga class adapted to a seated chair position with the goal of gently stimu-lating lymphatic flow, which is especially helpful for those with compromised im-mune systems. It can reduce swelling and aid the body’s ability to ward off colds and flu. Monday, 2:30 to 3:30 p.m.

Somatic Yoga Therapy  January 2 – February 20January 4 – February 22 March 6 – April 24  March 8 – April 26  Somatic yoga therapy is a blend of gentle yoga therapy and somatic movements that results in the unification of mind and body. Designed to address chronic neck, shoulder, hip and low back pain, and to comfortably increase flexibility, mobility, balance and strength. The class is appro-priate for students looking to ease into yoga, older beginners, those recovering

from an illness or injury, or those who sim-ply prefer a slower-paced class. Tuesday, 9:30 to 10:30 a.m., January 2 to February 20 and March 6 to April 24; Thursday, 9:30 to 10:30 a.m., January 4 to February 22 and March 8 to April 26.  

Somatic Yoga IntermediateJanuary 5 – February 23March 9 – April 27A more advanced class of blended gentle yoga therapy and somatic movements that results in the unification of mind and body. Designed to address chronic neck, shoulder, hip and low back pain, and to comfortably increase flexibility, mobility, balance and strength. The class is appro-priate for intermediate students who have already completed basic somatic yoga therapy. Friday, 9:30 to 10:30 a.m.

Tai Chi, BeginningJanuary 2 – February 20March 6 – April 24A sophisticated Chinese exercise that in-spires physical and mental well-being.This class is an introduction to the form that consists of slow, graceful, circular movements that improve balance and coordination. Appropriate for all ages and strength levels. Tuesday, 3:30 to 4:30 p.m.

Tai Chi, IntermediateJanuary 2 – February 20January 3 – February 21March 6 – April 24March 7 – April 25As students become more familiar with the techniques of balancing and relax-ation, they will learn more of the move-ments to complete the tai chi form. Tuesday, 2:30 to 3:30 p.m., January 2 to February 20 and March 6 to April 24; Wednesday, 4 to 5 p.m., January 3 to February 21 and March 7 to April 25.

Tai Chi, AdvancedJanuary 3 – February 21March 7 – April 25Once basic forms are learned, students will go deeper into the fine points of tai chi, refining movements and their con-nections that lead to improved health and mental focus. Wednesday, 3 to 4 p.m.

Yoga for BalanceJanuary 4 – February 22March 8 – April 26This class specifically focuses on poses that will reinforce body awareness, improve reflexes and strengthen the core and postural muscles that aid in the ability to prevent falls. Thursday, 12:30 to 1:45 p.m.

Yoga for FibromyalgiaJanuary 8 – February 26March 5 –April 23Slow, calming movements help relax the body and mind in this gentle, restorative class. The emphasis will be on increasing your range of motion and slowly loosen-ing cramped muscles to decrease your pain. We will use simple movements, breathing techniques and guided visual-ization to release endorphins, which are the body’s natural painkillers. Please wear loose comfortable clothing and socks. All levels welcome. Monday, 1:30-2:30 p.m.

Yoga for OsteoporosisJanuary 2 – February 20 January 4 – February 22      March 6 – Apr 24March 8 – April 26A yoga class for anyone who wants to maintain and build bone strength, while increasing balance and flexibility. Those with osteoporosis welcome. If you are new to yoga, consult with your doctor about physical limitations. Tuesday, 11:00 a.m. to 12:15 p.m., January 2 to February 20 and March 6 to April 24; Thursday, January 4 to February 22  and March 8 to April 26.

Yoga for WellnessJanuary 3 – February 21 March 7 – April 25Yoga can increase your strength, flexibility and range of motion and lung capacity. This class focuses on correct postural alignment for maximum health benefits. Wednesday, 9:30 to 10:45 a.m.

Issue #8 Winter 2018 13

Don’t see what you’re looking for?Check torrancememorial.org/classes for more information or call 310-517-4666.

Gardening ClassesStart Your Own Edible GardenJanuary 17 or January 22Grow delicious, nutritious fruit and veg-etables in your own backyard. In this course, you’ll learn how to give your gar-den a healthy start and keep it growing strong all season. Whether you want to provide your family with nutritious food, save money, get some exercise, or just be more self-sufficient, this course will give you the skills and knowledge you need to be on your way to a successful harvest.

Small Space Food GardensFebruary 24 or February 26If you can provide three basics: sun, water and great soil, you can vegetable garden regardless of how much space you have. You'll learn to make efficient use of in-ground space, intensive/succession plant-ing techniques, raised bed/container/ver-tical gardening tips, season extension, and building and maintaining healthy soils.

Growing a Cook’s GardenMarch 24 or March 26If you have a spot in your garden, balco-ny, or deck that gets more than six hours of direct sunlight, you can grow fresh herbs and vegetables. We’ll cover how to grow the best essential ingredients for your kitchen: tomatoes, onions, peppers, squash, garlic, and leafy greens. You’ll learn the basics of soil preparation, plant selec-tion, protecting your harvest from pests, extending the crops from spring through fall, and ideas for food preparation.

Classes held Mondays and Saturdays, outdoors at the Torrance Memorial Learn-ing Garden, Columbia Park Community Garden Presentation Area, 4045 W. 190th St., Torrance (unless otherwise indicated). Instructor: Judith Gerber. $10 per class. Dressing in layers is best; wear clothes that can get a little dirty. Registration required, call 310-517-4711 or register online at torrancememorial.org/classes.

Medicare 101 Educational ProgramJanuary 31, February 28, March 28 (6:30-8pm)

FREE – Learn about Medicare and the different types of insurance plans available to you including: Medicare HMO & PPO, supplements (or Medigap) and Part D prescription drug plans.*Doors open at 6 p.m. for registration. *Light refreshments will be served.Location: Torrance Memorial Hoffman Health Conference Center

3315 Medical Center Dr., Torrance, CA 90505. Seating is limited. RSVP today at thipa.org/medicare101 or 310-257-7239. Moderated by Norman Panitch, MD, Chairman, THIPA Physician Council

DO YOU HAVE MEDICARE?

ARE YOU TURNING 65 OR ON A RETIREE PLAN?

Learn about your options including Medicare HMO & PPO, Supplements (Medi-gap) and Part D Prescription Plans.

Find a free Medicare event near you at thipa.org/Medicare101 or call 310-257-7239 for a no-cost consultation.

14 ADVANTAGE NEWSLETTER / Torrance Memorial Health System

Support Groups of TorranceMemorial Medical CenterAphasia Support Group An ongoing support group with open and facilitated discussions for people with aphasia. Meets the second Wednesday of the month, noon to 1 p.m. Free. For more information call Katie or Rina at 310-325-9110, ext. 21009.

Bereavement Drop-In Support GroupWeekly. Monday, 6 to 7:30 p.m.; Tuesday, 6 to 7:30 p.m.; Thursday, 3 to 4:30 p.m. Free. For more information call 310-784-3751.

Caregiver Support GroupWeekly. Tuesday, 6:30 to 8 p.m. First class is free, then $2/person. West Tower, Room H. For more information call 310-517-4711.

Eat Clean & Green Torrance Memorial’s Plant-Based Living Group is a welcoming environment in which to share ideas, resources and strategies for moving toward a whole-food, plant-based diet. Meets the second Monday of the month, 6:30 to 8 p.m. Free. West Tower Auditorium. For more information call 310-517-4711.

Fibromyalgia Support GroupSponsored by the Arthritis Foundation for people with fibromyalgia. Meets the second Saturday of the month, 1 to 3 p.m. $2 donation if affordable. West Tower Room B. For more information call William Horn at 310-324-6810.

Nicotine AnonymousDrop-in support group for people who have quit or who are trying to quit smok-ing. Weekly. Mondays, 7 to 8:30 p.m. Free. Thelma McMillen Center, Suite 300. For more information call 310-517-4711.

For a complete list of support groups visit torrancememorial.org/supportgroups.

Miracle Of LivingJoin us the third Wednesday of the

month at 7 p.m. for Torrance Memorial Medical Center’s popular health lecture

series. Hoffman Health Conference Center, Rooms 1 & 2. Free. No reservations required.

January 17Incontinence (men and women)

February 21Heart Health

March 21Common Colon Conditions

MISSED A MIRACLE OF LIVING LECTURE?

View online at torrancememorial.org/mol or come to the video replay, 10 a.m. to noon the following Monday.

Reservations required. Call 310-517-4711.

Past lectures include sports injury prevention and other orthopedic issues presented by orthopedic

surgeon Nicholas Silvino, MDF; heart disease, complications of diabetes

and stroke, valve disease and peripheral artery disease presented

by cardiologist Marc Lurie, MD; and a variety of psychological topics such

as depression, anxiety, substance abuse, eating disorders and violence

presented by Moe Gelbart, PhD, executive director of the Thelma

McMillen Center for Alcohol and Drug Treatment at Torrance Memorial.

Issue #8 Winter 2018 15

Financial Health Check-UpJoin Torrance Memorial’s Professional Advisory Council for its series of interactive seminars on a variety of financial topics to help you take care of your financial health. Seminars are strictly educational.

January 13 / Individual Taxation: Wrapping Up 2017 and Planning for 2018 Speakers: Scott Donnelly, CPA, and Alexis Jensen, CPALearn about 2017 tax return filing updates, changes to tax laws and regulations in 2018 and planning for 2018 and beyond.

February 10 / Your Investment Strategy in Today’s Global EconomySpeakers: Stephen Connors, certified financial planner, Gregory Schill, certified finan-cial planner, and Larry Takahaski, certified financial plannerGet the latest perspectives on the current state of the economy, the importance of diversification and how to develop a prudent investment strategy.

March 10 / Families at War: Family Dynamics and IsolationSpeakers: Troy Martin, attorney, and Deborah Keesey, attorneyNavigating family relationships can be tricky and painful. In this seminar you’ll learn from celebrity experiences (such as the Peter Falk and Casey Kasem cases), discover the current legal efforts to protect seniors from financial and social abuse, and learn how to manage the affairs of a loved one with incapacity or dementia. 

All seminars are free and take place on Saturdays from 9 to 11 a.m. at the Hoffman Health Conference Center, 3315 Medical Center Drive,Torrance. Continental breakfast is provided. Please RSVP to Nina Guidry at 310-517-4728 or [email protected].

Cost and Registration for Class Series (unless otherwise noted in listing)

Registration required. Call 310-517-4666 or register online at torrancememorial.org/classes.

ONCE-WEEKLY CLASSES Regular Rate: $72 for 8 weeks ($64 ADVANTAGE members) $36 for last 4 weeks ($32 ADVANTAGE members)

THIPA members and Torrance Memorial Physician Network patients get 40% off regular rate: $43.20 for 8 weeks, $21.60 for last 4 weeks.

TWICE-WEEKLY CLASSES Regular Rate: $144 for 8 weeks ($128 ADVANTAGE members) $72 for last 4 weeks ($64 ADVANTAGE members)

THIPA members and Torrance Memorial Physician Network patients get 40% off regular rate: $86.40 for 8 weeks, $43.20 for the last 4 weeks.

THREE TIMES PER WEEK CLASSESFrequent Exerciser Rate: $168 for 8 weeks, $84 for last 4 weeks

THIPA members and Torrance Memorial Physician Network patients pay a reduced rate: $129.60 for 8 weeks, $64.80 for last 4 weeks.

Not sure if your doctor is with the Torrance Memorial Physician Network? Visit tmphysiciannetwork.org/physicians and find out.

LOSEWEIGHTAND GETHEALTHYThe Torrance-South Bay YMCAand Torrance Memorial MedicalCenter are now offering classesto help you lose weight and toimprove your health for life.This year-long program willteach you ways to eat healthy,boost your energy and reduceyour risk for type 2 diabetes.

Session topics include:• Ways to eat less• Problem solving• Ways to stay motivated• Four keys to healthyeating out

VisitTorranceMemorial.org/diabetes

ADVANTAGEHealthy Living Over 50

ISSUE #8 WINTER 2018

3330 Lomita Boulevard, Torrance, CA 90505-5073

www.torrancememorial.org

Like ushttp://www.facebook.com/torrancememorial

NON-PROFIT ORGUS POSTAGE PAIDTORRANCE, CAPERMIT NO 381

Torrance Memorial Medical Center310-325-9110 TorranceMemorial.org

ADVANTAGE Program Information310-517-4666Mon. - Fri. 9 a.m. – 4:15 p.m.

Torrance Health IPA (THIPA)Learn More: 310-257-7239 THIPA.orgTHIPA Members: Toll-Free: 1 866-568-4472 TTY/TDD: 711 Monday -Friday 8:30 a.m. - 5:00 p.m.

Torrance Memorial Physician Network310-891-6717 TMPhysicianNetwork.orgMon. – Fri. 7:30 a.m. – 4 p.m.

INSIDE THIS ISSUE:

1 You and Your Heart

4 Ask the Doctor: Lessons From the Sleep Doc

6 Who Loves You? Medicare Does! Think of your Annual Wellness Visit as a Gift

7 Should You Be Eating Less Meat? A Torrance Doctor Weighs In

7 Torrance Home Health Wins Elite Status Award

8 Upcoming classes and events