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wellnessCOMMITTED TO IMPROVING DAVIS COUNTY HEALTH
JULY 2016DAVIS
summer skin dangerProtect yourself from wrinkles and worse dangers
sunburn life lessonsDon’t take your skin for granted
Mostly, my skin doesn’t sunburn. This is in part, I’ll admit, because I’m not a terribly big
fan of this whole “being outside” business. I love nature, but I don’t love the fact that Utah in the summer feels like Mother Na-ture has confused me with a cake she’s bak-ing. When I am stuck outdoors, my skin is usually kind enough not to make things harder for me – even if I gently redden, it usually ends up fading to a nice tan that only ends up looking ridiculous because I never pay proper attention to tan lines. Of course, it’s the “mostly” part that usually ends up getting me in trouble. For years I could get through a day at the beach with only an occasional application of sunscreen – I lived in Florida at the time, so I had plenty of practice – but then I went to Myrtle Beach in South Carolina and got sunburned so badly I ended up going to the doctor to get it checked out. Later, a beach in San Diego got me only in one particular spot on my neck and shoulder. My legs were fine, my arms were fine, but a whole section of my neck turned strawberry red and was sensitive to the touch for weeks afterward. As I pressed ice packs to the spot, rubbed in aloe vera and questioned all my life choices, I finally learned to stop taking my mostly tough skin for granted. I don’t understand the sun, or my skin for that matter, well enough to know what was so different about those two incidents that ended up going so wrong. But I do know that I don’t want to go through that kind of discomfort again, and so like a mouse that finally learns to hit a particular buzzer I now slather on the sunscreen any time I plan on spending a significant amount of time in the sun. How much smarter would it have been, though, if I’d learned to be cautious without needing to go through the pain-ful experiences first? It wasn’t as if I didn’t know that one application of sunblock doesn’t last for eternity, and that only some kinds of sunblock
do well if you’re planning on getting wet. In some ways, getting wet makes it even more important to regularly apply sunblock – water still lets enough UV light through to burn skin, and because of the coolness of the water you’re less likely to pay attention to how hot the sun gets. Nothing bad happens if you put on too much sunscreen, but avoiding it and suf-fering the consequences can cause perma-nent damage. Though my skin eventually healed from both burn experiences, the Skin Cancer Foundation has stated that the long-term effects on skin’s health can be permanent. Too many burns, and you put yourself at risk for skin cancer and prema-ture skin aging. We forget how fragile skin can be, a thin layer of tissue that keeps our nerve endings protected from the world and stops us from looking terrifying when we walk around the place. There’s a lot it can do, but it helps if it doesn’t have to do it alone. Mostly, my skin is pretty tough. If I remember to take care of it a little better, I can keep it that way.
PUBLISHERR. Gail Stahle
EdItoRIaLEditor | Jenniffer Wardell
adVERtISINGSales Manager | Reed Stahle
Wendy [email protected]
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BUSINESS oFFICEThe Davis Clipper
1370 South 500 WestBountiful, UT 84010
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Davis Wellness is published monthly by Utah Media Publishing and is dis-persed in the Davis Clipper newspa-per and in health providers’ offices throughout Davis County. Davis Well-ness is published on the last Thursday of every month.
Our mission is to promote ideas and education about health, happiness and well-being to
help our friends and neighbors in Davis County live longer,
more-fulfilling lives.
Utah Utah
UtahM E D I AP U B L I S H I N G
davis WellnessBY JENNIFFER WaRdELL
Beware the burn
2 | Davis Wellness
MANAGING CHRONIC PAINDiscover a variety of techniques de-signed to ease the burden of chronic pain and improve your quality of life. BY JOSHUA SHEP, HERD, DO, MBA
4
7 PREPARING FOR SURGERYLearn what you can do to help make an upcoming surgery less stressful, both physically and emotionally. BY TREVOR JOHNSON, PT, DPT
IN THIS ISSUE ...
3 EldER AbUSE A CANCERPhysical abuse isn’t the only way senior citizens can be at risk. Find out how you can protect yourself and your loved ones from risk. BY ROBYN WALTON
12 HEAlTH dIRECTORYA listing of local practitioners for a variety of health-related services, provided each month by Davis Wellness.
10 ObESITY MYTHSLosing weight is a more com-plicated prospect than many people realize. Find out what’s true and not about obesity and healthy body weight.
9 PROTECT YOUR SkINUtahns are at risk for everything from wrinkles to skin cancer because of our hot summers. Discover what you can do to protect your skin.
BY LOUISE R. SHAW
Skin & BeautyNutrition & Diet Healthy Aging Dental Care Health Care Innovation Physical Fitness
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BY ROBYN WALTON June is Elder Abuse Awareness month. While many of us may think physical abuse is rare and that elder abuse is limited to as-saults, the truth is that neglect and financial exploitation of the elderly are some of the fastest growing crimes in Utah. Statistics provided by Utah Division of Aging and Adult Services shows that up to $1 million a day is stolen from senior citizens in Utah. This problem is growing. The amounts stolen from the elderly has in-creased 50 percent in just a two year period. Aging and Adult Services reports that 57 percent of seniors have money stolen by family members. Broken down, the findings show thefts are 40 percent by children, 13 percent by grandchildren and 4 percent by other relatives. Top 3 Ways Seniors are exploited: 1. Deeding their home to a relative. This is problematic because the senior may get kicked out of the house because they no longer control it. The home may get repossessed if the recipient mortgages the property or has lawsuits or creditors.
2. Setting up relatives to "sign" on financial accounts. Utah law states that someone added as a signer on a bank account be-comes a joint owner in most situations. This means the account belongs to the relative as much as the senior. This gives full access to the "helper" to spend money from the ac-count and blurs the lines of what the senior is paying for and what the helper is paying for. Law enforcement reports a recent case of a child purchasing a $95,000 motorcycle for his 92 year old mother. 3. Beware of financial power of attorney. These documents can give unlimited power to a helper including power to sell the house or change the deed, car and bank-ing accounts. This creates temptations for people with financial problems.
Solutions are creating documents for seniors in advance of declining mental or physical health with safeguards and moni-tors from other family members. Utah's Adult Protective Services is the state agency charged with investigat-ing abuse of the elderly. APS investigated 6,105 allegations of elder abuse in 2014 according to a recent Clipper article by Becky Ginos. Ninety percent of the abuse involved family members and goes unre-ported. Utah Elder Abuse statutes contains mandatory reporting requirements. This means that, if anyone even suspects abuse or financial improprieties between a senior of 65 years of age or older and another person, the suspicions must be reported. All reports are confidential and can elimi-nate concerns for legitimate situations. All suspicions of abuse, neglect or ex-ploitation of vulnerable adults can be made to Adult Protective Services by calling l-800-371-7897 statewide and made easier now with online reporting. Visit daas.utah. gov.
Elder abuse - the cancer of modern society
4| Davis Wellness
It is estimated that more than 100 million Americans suffer from chronic pain which imposes a huge economic burden on the U.S. health care system and signifi-cantly impacts our economy due to disability, lost work days and lost wages. Unlike an episode of acute pain, chronic pain persists – sometimes for weeks, months and even years. Sometimes this pain begins as part of a disease or injury that leads to persistent pain, but in other cases chronic pain may occur with no history of injury or evi-dence of damage to the body. The most common forms of chronic pain are: headache or migraine, low back pain, neck pain, cancer pain, arthritis pain, facial pain, and neurogenic pain (caused by damage to the peripheral nerve or central nervous system). Back pain is the leading cause of disability in Americans under age 45. Sadly, more than half of pa-tients suffering from chronic pain feel they have little or no control over their pain. The decreased quality of life can lead to depres-sion, lower energy levels, and poor sleep. The hopeful news is that once diagnosed by a Pain Management specialist, there are many treatment options available to help find relief from chronic pain. Today’s treat-ment options include: •NerveBlocksorNeuralBlockade Epidural Injections •Medicationmanagement •PhysicalandOccupationalTherapy •SpinalCordStimulation •Treatmentoftheunderlyingcauses of pain which could include: diabetes, thyroid disease or vitamin deficiencies •TransforaminalEpiduralInjections •FacetJointBlocks •StrokeRehabilitation
•RadiofrequencyNeurotomy •JointInjections •Electromyography(EMG) •Kyphoplasty Medications, both over-the-coun-ter and prescription, are often part of a pain management strategy. The most common medications used for chronic pain include: Nonsteroidalanti-inflammato-rydrugs(NSAIDS)andAcet-aminophen can be very effective for acute muscular and bone pain as well as some types of chronic pain syndromes. Antidepressants, especially some of the older categories, may be very helpful in controlling pain; specifically the tricyclic antidepres-sants. Anti-Seizure medications can be very helpful for some kinds of nerve type pain (such as burning, shooting pain). Muscle relaxants are most often used in the acute setting of muscle spasm. Opioids,whenusedappro-priately, may be very effective in controlling certain types of chronic pain. Successful pain management requires a customized treatment plan and a close working relation-ship between the provider and the patient. The goal of treatment is to minimize or manage pain, while maximizing physical function and mobility to allow the patient to lead a healthy lifestyle.
How to successfully manage chronic pain for a healthier lifestyle
Pain Management Specialist, Neuroscience & Rehabilitation Specialists
By JoSHua SHeP-HeRd, do, MBa
If you are having an elective surgery in the near future, it pays to think ahead. Many people plan on and go into surgery without knowing a whole lot about the procedure they are having. This can leave many people with a recovery they are not expecting. Whether you are having a major orthopedic procedure such as a total joint replacement, or a more simple procedure such as an ingrown toenail removed, here are some tips to help get you prepared. •Know your surgeon – Do some research about your doctor. During your preoperative ap-pointments, ask about his or her experience with the procedure you are considering. Read your surgeon’s biography provided by the doctor’s office or look them up online to read reviews and other people’s experiences. •Know your procedure – Take time to learn about the procedure you are having. Is it an open procedure or ar-throscopic? How long will the procedure take? Do I go home the same day or is there a hospi-tal stay following the surgery? •Know what recovery to expect – Many times people do not think about the recovery as-sociated with a surgery. Talk to your surgeon about any precau-tions you will have afterwards, this will help you know what help to arrange or modifications
you need to make to your home environment. Find out if there will be any after services required such as physical therapy, imaging, or blood tests. Try to have any equipment that you will need before the surgery. This way, you will not have to worry about trying to arrange help or get equipment in addition to trying to recover from you surgery. •Take time to prepare physi-cally – Recovery time for many surgeries can be reduced by being in good physical condition before the procedure is done. Generally it is beneficial to strengthen your whole body before surgery by doing activities like walking, jog-ging, swimming, biking, or light resistance training to improve your physical condition. Talk to your surgeon about specific things to do physically to prepare and about anything you should avoid doing before surgery. He may recommend you see a physi-cal therapist or other medical professional to do more formal preparation. Preparation for a surgery is very important and can help
minimize your recovery time. Working with and communicat-ing with your surgeon and other medical professionals before your surgery is key to having a success-ful outcome after your surgery. Preparing physically will help you recover your strength more quickly and knowing as much as you can about the procedure and
your surgeon can help ease your mind about the process. You will also be more prepared for what lies ahead during your recovery. Use these four items to help prepare for an upcoming surgery and you will feel more confident going in and have a faster recov-ery coming out.
Davis Wellness | 5
Knee or Hip surgery in your future?
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Thursday • July 28th at 3 pm
The purpose of Pre-Hab is to minimize recovery time and improve surgical outcomes.
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By Trevor Johnson, PT, DPT
Physical Therapistorchard Cove orthopeadic
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Surgery in your near future? Some tips to prepare
6 | Davis Wellness
8 | Davis Wellness
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When you’re discussing skin care with an expert in the field, chances are the conversa-tion will come back to sun protection. And not just once. Because keeping your skin soft and smooth might be important, but keeping it safe from the sun is vital. Jennifer Walker is a physician’s assistant for Dr. Amy Curtis at Integrated Derma-tology of Bountiful. She has worked in dermatology for seven years, both inside and outside the state. “Skin cancer is an especially big problem here in Utah because of the high elevation, the outdoor activity and fair people,” said Walker. “Ninety percent of non-melanomas are from sun exposure and 65 percent of melanomas are from the sun. If you’ve had just one blistering sunburn in your life, it increases the risk of cancer by 40 percent.” And if that doesn’t scare you, how about wrinkles? Curtis recommends patients wear sunscreen every day, even if they’re not at a beach, just to slow wrinkles that come from aging. Utah is also famous for its dryness, and Walker recommends using a cream in a jar rather than a lotion to keep the moisture in.
“Avoid long, hot showers that dry your skin,” she said. “Pat yourself dry and slather on a good, thick moistur-izing cream.” She recommends Ce-taphil and CeraVe creams, products available at stores like Walmart and Target. For those trying to avoid chemi-cals, she recommends Vanicream products. “Creams really help,” she said. “A lot of times you need to use them for two or three weeks to see improvements, but they will help hold the moisture into the skin.” But again, she emphasized, sun damage is the biggest concern when the goal is to keep skin young and healthy. “You don’t realize how quickly sunscreen wears off,” said Walker. When you’re outside, she recommends reapplying sunscreen at least every two hours. If you’re sweating or swimming, reapply it every 40 minutes. Avoid tanning beds which, she said, “have brought a major increase in skin cancer risk.” Protective clothing is preferred for sun protection since we aren’t always as thorough as we need to be with sunscreen. Wide-brimmed hats and long sleeved shirts are effective. A plain white shirt only offers a very limited amount of sun protection, she said,
but darker colors and thicker fabrics can help avoid sun damage. Coolibar is a brand she recommends that sells protective clothing such as tights for swimming. Walker said men should wear hats when outside since their shorter hair gives less protection. In addition to sunscreen, some may want to try an anti-aging, anti-oxidant serum, such as a Heliocare pill, that can help protect from sun damage in other ways, she said. It is not enough alone, however, so sunscreen is still a must. With its dry air and sunny days, Utah’s climate is enviable in many ways. Careful at-tention to the needs of your skin can help you enjoy it safely.
Protecting skin from sun keeps it young, healthy
By LOUISE R. [email protected]
10 | Davis Wellness
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edited version
More than a third of adults in the Unit-ed States, 35.1 percent, are obese, accord-ing to the Centers for Disease Control. Nearly 70 percent are at least overweight, and obesity in adolescents has quadrupled in the past three decades. “Despite all the attention, an unhealthy amount of body fat remains an insidious problem,” said Dr. Eleazar Kadile, director of the Center for Integrative Medicine and author of the book, “Stop Dying Fat.” She specializes in treating patients with obesity and associated chronic disease. “Most of us know we’re facing a na-tional health crisis, yet diets for millions of Americans continue to be based in heavily processed foods,” she said. “Obese people often live in perpetual shame, and many others believe they are right to blame the overweight and obese for their problem.” Dr. Kadile said poor attitudes and lack of understanding contribute significantly to this national crisis, which contributes to
our national healthcare difficulties. He de-bunks five myths about being overweight and obese. •“It’syourfaultthatyou’refat.”Obesi-ty is caused by complex imbalances within a person’s body and his or her environ-ment. Some imbalances are exacerbated by poor dietary choices based on bad dietary info., personal history and psychological patterns. Together, the physiological, psy-chological, social and environmental causes of the disease of obesity create a predica-ment that obese people can’t get out of. •Obesepeopleareamongthe“fatandhappy.” Large people can be masters at suppressing the indignities they suffer in society. The obese often have to pay first-class fare since cheaper seats for trans-portation are designed for thinner people. Obese patients also spend an average of nearly $1,500 more each year on medical care than other Americans. •Obeseandoverweightpeoplejust
need the right diet. There’s no shortage of diets promoted by beautiful people who promise amazing results. If only overweight people eat what they eat, then they’llbebeautiful,too.Butthat’sjustnottrue.Whatandhowoneeatsisjustapart of an excessive body mass index level. •Foodisnotanobeseindividual’sfriend;exerciseis.Eatless;exercisemore;loseweight – those have been the command-ments in the religion of weight loss. But most obese people have tried this and it hasn’t worked. •Fatpeopleneedto“justdoit”–loseweight. This attitude is not based in real-ity;it’sanover-simplisticresponseforafrustrating problem.“I ask about eating, sleeping and activity patterns, as well as medical conditions, emotional patterns, etc. That’s the effective and safe way of doing it.” Inotherwords,“justdoit”justdoesn’tcover it.
Five myths about being overweight and obese
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Health & Wellness Providers
wellnessDAVIS
Dr. JareD r. HeatonJared Heaton is an attentive and thorough dermatologist, in Bountiful, Utah. Dr. Heaton is Board-certified in dermatology, and he is currently a member of the American Society of MOHs Surgeons. Dr. Heaton prides himself in serving all patient populations, treating all areas of dermatology
from children through retirement ae. He places a strong emphasis on catering specifically to the retirement population in his commu-nity, as skin cancer is more relevant in that age group. Dr. Heaton performs dermatology consultations, annual skin screenings, Mohs surgery, wart freezing, and laser treatments including Co2 and V-Beam. He welcomes patients to his practice who are experiencing psoriasis, eczema, rash, varicose veins, age spots, skin cancer and other various skin conditions. Dr. Heaton earned his undergraduate degree at Brigham Young University, medical degree from Arizona College of Osteopathic Medicine and completed his dermatology residency in Clearwater, Florida. In his spare time, Dr. Heaton enjoys mountain biking, snowboard-ing, parafoil kite flying, but mostly, spending time with his wife and three children.
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roWe & WaLton PC 801.298.0640915 S. Main St., Bountiful rowewalton.comThe mission of Rowe & Walton is to provide up-to-date and afford-able estate planning services which include the preparation of wills, trusts, powers of attorney and medical directives.
DermatologyLegaCy DermatoLogy 801.797.9121320 W. 500 S. Ste. 210, Bountiful legacy-dermatology.comLegacy Dermatology in Bountiful, Utah, is a full-service dermatology clinic that specializes in medical, surgical, and cosmetic dermato-logical treatments and procedures.
robyn WaLton, attorney at LaWRobyn is passionate about making legal decisions before an emergency arises. Legal fitness begins with executing medical directives, powers of attorney, wills or trusts consistent with your family’s unique needs.
12 | Davis Wellness
HaroLD PergLer, mCD, CCC-a, F-aaa, F-aDaHarold has spent most of his life in the pursuit of successfully helping people hear better. Through his schooling and passion for helping others, Harold is unique in his approach to audiology and patient relationships.He has received national recognition for his continual education in Audiology.
Harold’s practice and ideals follow the motto, “People don’t care how much yourknow until they know how much you care.”
AudiologybountiFuL Hearing Center 801.295.9644425 S. Medical Dr. Suite #200, Btfl. bountifulhearing.com
Clinical Audiologist, Harold Pergler owns and operates Bounti-ful Hearing Center and has spent most of his life in the pursuit of successfully helping people hear better. He attended BYU and has a Masters of Communicative Disorders and a Bachelor of Science.
HiLLFieLD PeDiatriC anD FamiLy Care DentiStry2112 N. Hillfield Road #1, Layton 801.774.0770
At Hillfield Pediatric and Family Care Dentistry, our ultimate goal is to help you maintain good oral and dental health and restore your confi-dence. We provide a complete range of services to meet the needs of every member of your family. We use the very latest technologies and advanced methods to make the procedure com-
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DentistryDr. JuStin ParkinSon, m.D.After graduating from Idaho State University in Po-catello, Dr. Parkinson earned his medical degree from the University of Utah where he graduated with honors. He continued his training with an internship in general surgery and completed his residency at the University of Iowa Hospitals and Clinics (where he was named the Chief Resident). He began his practice in Utah in 2006. Dr. Par-kinson treats patients in all areas of urology but has a particular interest in bladder function and dysfunction treatment of bladder disorders. He is a member of the American Urological Association, American Medical Association and the Utah Medi-cal Association.
UrologySummit uroLogy grouP 801.797.90331551 S. Renaissance Town Ste 370, Bountiful
Davis Wellness | 13
First-ever hearing aid to connect to the Internet
BY HAROLD PERGLER
He is an audiologist who owns and manages Bountiful Hearing Center.
Oticon, the leading manufacturer in the hearing aid industry is thrilled to introduce the brand new Oticon Opn, a revolutionary hearing aid with BrainHearing technology. Sounds occur around us virtually all the time and they start and stop unpredictably. We constantly monitor these changes and choose to interact with some of the sounds, for instance, when engaging in a conversation with a familiar voice. In our daily lives, navigating and communicating in complex noise environments is met with the most difficulty and is the largest unmet need of people with a hearing impair-ment. Having to guess what people are saying forces us to concen-trate harder and that extra effort leaves less mental capacity for remembering conversations. You may feel tired after conversa-tions and you’re more tempted to withdraw from social interaction as a result. The Opn reduces the effort involved in listening, thus improv-ing your recall of a conversation. The Opn literally scans and balances all the sounds in the environment and removes disturbing noise. It allows you to hear in 3D so you can follow conversations that come from differ-ent directions in a room. It literally works like a shield to protect the clarity of speech, even in noisy environments. A hearing aid can only be as good as the digital processing chips and the platform architecture used for it. The chip defines the maximum speed, precision, type and amount of processing available. Without getting too technical, Oticon has started from the ground up and created the new VELOX chip. The benefits are a faster, more precise and more powerful processing hearing aid. The VELOX chip is 50 times faster than previous technology – it scans, analyzes and reacts to the sounds all around you at more than 100 times per second. For example, if you were on a flight to Denver that would normally take two hours, that kind of technology would reduce your flight time to approximately two minutes. Opn technology is that kind of fast. The small, discreet hearing aid is a powerhouse of innovative technology. Opn offers easy wireless connec-tivity to a variety of smartphones and other iOS and Android devices. Audio is streamed directly to the hearing aids using Bluetooth technology developed especially for hearing aids. Oticon Opn is the world’s first hearing aid that connects directly to the Internet. Wearers can connect to a range of devices used in everyday life such as door bells, thermostats and baby monitors. Be one of the first to try this groundbreaking technology. Call today. A qualified audiologist will be able to introduce you to the best hearing device on the market today. The Oticon Opn.
