Healthy Lifestyles September 2015.Indd 1 9/8/15 1:42 PM Monterey Bay 21 Upper Ragsdale Dr, Ste

HEALTHYFall 2015 Lifestyles

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02 Healthy Lifestyles September 2015.indd 2 9/8/15 1:42 PM Monterey Bay 21 Upper Ragsdale Dr, Ste. 200 Eye Center Ryan Ranch Monterey ASPIREHEALTHPLAN The care you need from people you know. SERVING MONTEREY COUNTY

The kids are on their own. The house is paid off. It’s our time now. Turning 65 couldn’t be sweeter.

02 Healthy Lifestyles September 2015.indd 3 9/8/15 1:42 PM THE CARMEL PINECONE HEALTHY Lifestyles Table of Fall 2015 CONTENTS

STORIES: 9 Nine Reasons Nine reasons to stop avoiding the dentist’s The Benefits of office: Two local dentists and a periodontist Alternativeprovide motivation for even the faintest of Medicinesheart to stop by for a checkup 10 Laughter & Longevity HEALTH |LIFELaughter |LONGEVITIY and longevity: | FAMILY The Pine | Cone’sWISDOM RHE (Resident Humor Expert), Larry Wilde, writes that laughter really is the best 9 medicine, and he can prove it!

12 Diabetes What’s your type? Skip the hand-wringing about the “diabetes epidemic” and get right to risk factors, symptoms and treatments

16 Helping Hands It’s all in a day’s work for plastic surgeons, who not only beautify aging hands, they help them work and feel better

18 Medicare 12 Failing to plan really is planning to fail — Medicare, Medi-Cal, long-term care and you: If you feel a little dazed when you contemplate long-term financial and The Best of Care – Advanced, Personalized and Close to Home healthcare planning, this article’s for you! For over forty years, Pacific Cancer Care has been leading the way in trusted oncology and

ALWAYS IN OUR ISSUE: hematology services across California’s Central Coast and throughout Monterey County. 26 Sorting it Out Everything we do is centered on our patient and restoring their health, quality of life and confidence. Local doctors provide facts about fibromyalgia and its treatment Our expert team of physicians and nurses, state-of-the-art treatments, cutting edge clinical trials and 26 compassionate supportive care services enable each patient to achieve the best outcome possible. 28 In the Kitchen: Mushroom chowder from Chef Kirk Larsen at Carmel Valley Manor will fill you up and www.pacificcancercare.com keep you warm this fall

Roger Shiffman, MD M. Zach Koontz, MD Monterey John Hausdorff, MD Jerome Rubin, MD Morgan Hill 5 Harris Ct., Bldg. T, Ste. 201 Arina Ganeles, MD Nancy Rubin, DO 18525 Sutter Boulevard, Suite 170 4 Healthy Lifestyles 831-375-4105 Denise DelGaudio, NP, AOCNP 408-779-9843 Laura Stampleman, MD (Research)

02 Healthy Lifestyles September 2015.indd 4 9/8/15 1:42 PM The Best of Care – Advanced, Personalized and Close to Home For over forty years, Pacific Cancer Care has been leading the way in trusted oncology and hematology services across California’s Central Coast and throughout Monterey County. Everything we do is centered on our patient and restoring their health, quality of life and confidence.

Our expert team of physicians and nurses, state-of-the-art treatments, cutting edge clinical trials and compassionate supportive care services enable each patient to achieve the best outcome possible.

www.pacificcancercare.com

Roger Shiffman, MD M. Zach Koontz, MD Monterey John Hausdorff, MD Jerome Rubin, MD Morgan Hill 5 Harris Ct., Bldg. T, Ste. 201 Arina Ganeles, MD Nancy Rubin, DO 18525 Sutter Boulevard, Suite 170 831-375-4105 Denise DelGaudio, NP, AOCNP Healthy408-779-9843 Lifestyles 5 Laura Stampleman, MD (Research)

02 Healthy Lifestyles September 2015.indd 5 9/8/15 1:42 PM EDITOR’S Discover a TheTRUSTED Carmel BY LOCALS AND LOVEDPine BY VISITORS SINCE Cone 1915 PUBLISHER: NOTE of senior living. PAUL MILLER [email protected] whole new view

EDITOR: ELAINE HESSER [email protected]

GRAPHIC ARTIST & DESIGNER: Welcome... VANESSA RAMIREZ [email protected]

PHOTOGRAPHY: ELAINE HESSER Views of the Ocean. Views of the Bay. And a whole new viewpoint on how rich life can be. KERRY BELSER Someone once said, “Denial is not a river in Egypt.” VANESSA RAMIREZ Nevertheless, there’s a whole generation that rejects the label “senior PRODUCTION/SALES MANAGER: citizen,” burns those AARP cards that come in the mail, and, if they JACKIE EDWARDS squint, convince themselves that Keith Richards and Mick Jagger still look [email protected] pretty good. And they squint a lot, because they don’t want to admit they need reading glasses. ADVERTISING SALES: Set in Pacific Grove on the Monterey Peninsula, Forest MEENA LEWELLEN • 831-274-8655 Of course, it’s the baby boomers — those born between 1946 and 1964. My people. Hill is a full service retirement community that is truly Hear what residents are saying: [email protected] | It was Forest Hill’s views of Monterey like no other. Here, residents enjoy breathtaking views BayBud that McHale first attracted him, but it was the spectacular Boomers started turning 65 in 2011, not so much with a bang, as with LARRY MYLANDER • 831-274-8590 of both the Monterey Bay and the Pacific Ocean, in a food, modern amenities and warm people that that face from Edvard Munch’s “The Scream.” [email protected] community with unique architectural features, beautiful clinched it. Bud and Christine also enjoy peace of All kidding aside, as we were putting this issue together, I was a little landscaping, and a variety of apartments and cottages. mind knowing assistance and skilled nursing care is VANESSA JIMENEZ • 831-274-8652 concerned that some people who might really benefit from the articles available if ever needed. [email protected] wouldn’t read it because of the word “Seniors” on the cover. This spectacular setting is matched with the finest | A cancer survivor and widow, amenities and the highest caliber of care. Our skilled JUNG YI-CRABBE • 831-274-8646 There’s a lot of useful information in here — navigating Medicare, pre- Barbara understands Johnson the importance of community [email protected] venting diabetes, getting to the truth about fibromyalgia — stuff that can nursing facility has been awarded the highest Medicare and living each day to its fullest. From different levels really help better your “Act 2,” or that of someone you care about. rating. And our dining is second to none with gourmet of care to friendly people who treat one another DISTRIBUTION: culinary creations from chef Chris Vicioso. Come in and like family, Barbara loves staying active and engaged SCOTT MACDONALD Also, we welcome humor columnist Larry Wilde, who explains why laugh- [email protected] ter is the best medicine, and doses some out. discover how Forest Hill can take life to new heights. at Forest Hill.

| Ted and Georgia Hollister had no 734 Lighthouse Ave., Pacific Grove CA 93950 So, if you need one, here’s your excuse when you’re caught in posses- Ted Hollister sion of a magazine with the “S” word on the cover: Just smile, make Call 831-646-6489 today to schedule a trouble making the decision to move to a full service Healthy Lifestyles is published quarterly eye contact, and say, “I’m reading it because one of my friends/family/ retirement community. Their advice: Do it while you The Carmel Pine Cone co-workers is really getting up there, and I want to be able to help.” tour and see for yourself all that this dynamic full service can, on your terms, and while you are still able to do © Copyright 2015 retirement community has to offer. all the activities you enjoy. Carmel Communications, Inc. Don’t laugh, Gen-X’ers. Your day is coming. www.carmelpinecone.com Elaine Hesser Editor 551 Gibson Ave. | Pacific Grove, CA 93950 www.foresthillretirement.org

6 Healthy Lifestyles Owned and operated by California-Nevada Methodist Homes, a California non-profit organization. RCFE Lic # 270700245 | COA #050

02 Healthy Lifestyles September 2015.indd 6 9/8/15 1:42 PM Discover a

whole new of seniorview living.

Views of the Ocean. Views of the Bay. And a whole new viewpoint on how rich life can be.

Set in Pacific Grove on the Monterey Peninsula, Forest

Hill is a full service retirement community that is truly Hear what| It wasresidents Forest Hill’s areviews ofsaying: Monterey like no other. Here, residents enjoy breathtaking views BayBud that McHale first attracted him, but it was the spectacular of both the Monterey Bay and the Pacific Ocean, in a food, modern amenities and warm people that community with unique architectural features, beautiful clinched it. Bud and Christine also enjoy peace of landscaping, and a variety of apartments and cottages. mind knowing assistance and skilled nursing care is available if ever needed. This spectacular setting is matched with the finest | A cancer survivor and widow, amenities and the highest caliber of care. Our skilled Barbara understands Johnson the importance of community nursing facility has been awarded the highest Medicare and living each day to its fullest. From different levels rating. And our dining is second to none with gourmet of care to friendly people who treat one another culinary creations from chef Chris Vicioso. Come in and like family, Barbara loves staying active and engaged discover how Forest Hill can take life to new heights. at Forest Hill.

| Ted and Georgia Hollister had no Ted Hollister Call 831-646-6489 today to schedule a trouble making the decision to move to a full service retirement community. Their advice: Do it while you tour and see for yourself all that this dynamic full service can, on your terms, and while you are still able to do retirement community has to offer. all the activities you enjoy.

551 Gibson Ave. | Pacific Grove, CA 93950 www.foresthillretirement.org

Owned and operated by California-Nevada Methodist Homes, a California non-profit organization. RCFEHealthy Lic # 270700245 Lifestyles | COA #050 7

02 Healthy Lifestyles September 2015.indd 7 9/8/15 1:42 PM Dr. Jochen Pechak’s Perio and Implant Center is an example of the state-of-the art setting of today’s dentistry

If your last memory of the dentist’s office is like dentist Arlen Lackey’s antique exhibit (right), it’s time to make an appointment. His modern office features art and photos from his visits to Africa (left)

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02 Healthy Lifestyles September 2015.indd 8 9/8/15 1:42 PM Nine reasons to STOP AVOIDING the dentist’s office By ELAINE HESSER

MANY PEOPLE remember the dentist’s office 9. Even if all your teeth sit in a jar by the bed at as a frightening place with unpleasant noises and night, regular oral checkups will make sure smells, not to mention painful procedures. Then, those dentures continue to fit well. Love said of course, there’s that dreadful dental scene from that, over time, the shape of gums could “Marathon Man.” You can Google it. change, making the dentures loose fitting. That Actually, it’s probably better if you don’t. can lead to gum pain, sores and infections. Unfortunately, those images not only do today’s 8. Dentists are often the first to detect oral dentistry an injustice, but they keep people from cancer. Lackey and Love both noted the getting the care they need. importance of regular screenings. “Age is a risk Dental care has come a long way in the last few factor for oral cancer,” said Lackey. “It’s serious decades. Anesthesia is better, and the introduction and it’s ugly.” of sedation dentistry means some patients can 7. Technology has improved dental care sleep through their procedures, often taking care dramatically. For example, digital X-rays reduce of multiple problems in one visit. a patient’s exposure to radiation by 80 to 90 Also, the state of dental education in California percent compared with traditional X-rays, is excellent, according to dentist Arlen Lackey of according to Lackey. Plus, there’s no waiting Pacific Grove. He pointed out that every dentist for film to develop. is required to complete 50 hours of continuing He also said the latest dental implants “cut education every two years. And practitioners who healing time by two-thirds.” Getting those implants take pride in staying current with all the latest has become a lot faster and easier, too. techniques often do more than four or five times Pechak showed off a 3-D imaging system he that many hours. uses to create a virtual map of where implants will In addition to Lackey, David Love of Carmel, go. The map is used to produce a plastic model along with periodontist Jochen Pechak of Ryan and a guide for inserting the implants, speeding up Ranch, gave several reasons to quit procrastinating the procedure and making it more precise. when it comes to getting that checkup. Among Pechak’s other high-tech solutions Maybe one or two will help you, or someone is laser removal of diseased gum tissue. The you care about, work gums are numbed, so there’s no pain during the up the courage to procedure. Even better, Pechak said, “Overall, the make — and keep post-op discomfort is about 90 percent less than — an important traditional scalpel gum surgery. Some patients do appointment with your not take any pain meds, and some take them just a dentist. couple of days.”

David Love, DDS, Continues on page 20 DENTIST helps explain why regular checkups are Healthy Lifestyles 9 important

02 Healthy Lifestyles September 2015.indd 9 9/8/15 1:42 PM Laughter and Longevity By LARRY WILDE

ON HIS 99th birthday, comedian George Burns was asked, Medicare visit with her doctor. One of her chief complaints “What is the secret to a long life?” was feeling tired all the time. The doc said, “You need to get Burns replied, “Keep breathing.” more exercise.” I would amend his answer and add, “Keep laughing.” She said, “Nonsense. I get more exercise now than I ever More and more medical research shows that a good sense did.” of humor is linked with longevity. The Bible says, “A merry He asked her to explain. heart doeth good like a medicine,” and studies now bear out “I’m forgetful,” she said, “so I log several miles a day just that pearl of ancient wisdom. walking around the house looking for my keys and glasses. Today, we recognize that one of the greatest assets And since I’m not as coordinated as I used to be, I drop humans can possess in their golden years is a keen sense things. So I’m constantly bending, stretching and lifting. And of humor. It’s a natural tonic for mind, body and spirit always my bladder is weak, so I have to run to the toilet a million at the ready to help us handle the myriad challenges of times day and night.” advancing years. “I see,” said the doctor. “Well, no wonder you’re so tired.” Speaking to a group of seniors not long ago, I asked them, Several years ago at a health conference, I had the ”What’s funny about aging?” pleasure of spending time with Norman Cousins, the former Someone in the back shouted, “Nothing!” Then somebody editor of Saturday Review. His book, “Anatomy of an Illness,” up front yelled, “Everything!” The audience laughed and was a best seller. In it, he described how he helped get applauded, except for a few sourpusses. Some people would through a life-threatening ailment by incorporating belly rather die than laugh. And many do. As Phyllis Diller used to laughs into his daily medical regimen. say, “Most grumps don’t live longer — it just seems like it.” We all face a multitude of unavoidable hurdles in later years — coping with sudden change, learning to live with Having the ability to face life with disability, dealing with physical and mental infirmity, grappling a light-hearted attitude allows us to with loss and loneliness. None of these issues is particularly funny. But that’s what humor is for — to help take the bite manage stress. out of adversity. A humorous attitude helps people maintain a positive It turned out that 10 minutes of belly laughs produced an perspective, which in turn helps to minimize setbacks. Having anesthetic effect that allowed at least two hours of pain-free the ability to face life with a light-hearted attitude allows us to sleep. Blood tests taken before and after those laughter manage stress. It provides the resilience we need to roll with exercises also provided quantifiable evidence that laughing is the inevitable punches. indeed good medicine. I received an e-mail recently from a woman who said her When Cousins reported his findings in the New England doctor told her the best medicine to get through her cancer Journal of Medicine, his article prompted more than 3,000 treatments was to letters of support from doctors who had observed similar laugh. She embraced results in their patients. his advice, and she’s Cousins’ book opened new avenues in medical research, now on the road to and forever changed the thinking about the connection recovery. between humor and health. He told me, “If negative forces And a friend who’s like tension and stress could weaken the body to the point got a great knack for where it could succumb to illness, then positive forces — seeing things funny confidence, joy, faith, hope, love, laughter and the will to live recently told me — might have the opposite effect.” He also said that humor about her annual interrupts the panic cycle of illness and helps to restore a feeling of well being. Larry Wilde Since then, medical research has shown that laughter has provides a a positive effect on immunity, too. glimpse into Cousins called laughter “internal jogging.” And studies the serious have confirmed that belly laughs produce some of the same side of humor Continues on page 22 LAUGHTER 10 Healthy Lifestyles

02 Healthy Lifestyles September 2015.indd 10 9/8/15 1:42 PM Healthy Lifestyles 11

02 Healthy Lifestyles September 2015.indd 11 9/8/15 1:42 PM from hype, as quacks push “miracle” pills and potions they say will prevent or treat the disease. Diabetes — The Pine Cone went to Dr. James W. Chu, a board- certified endocrinologist who treats diabetes, to get the straight scoop. Chu is a Stanford grad who works at the Monterey Endocrine and Diabetes Institute, which is part of What’s your Community Hospital of the Monterey Peninsula. So, what is diabetes? In a healthy person, an organ called the pancreas secretes insulin, which enables glucose, or sugar, to move type? into the body’s cells and be converted into energy. In diabetes, this process is impaired, and symptoms like those By ELAINE HESSER Edwards experienced result. When sugar can’t move into cells, it builds up in the blood and is flushed out through the kidneys. That causes YOU HEAR a lot about diabetes in the news. Gladys more frequent urination, and therefore, increased thirst. Edwards did, too. Gladys is Mom to The Pine Cone’s Since glucose isn’t being converted to energy, the person production and sales manager, Jackie Edwards, who may also feel fatigued, or even dizzy and faint. suggested this story after seeing what her mom went The natural healing process is also impaired, so people through with undetected diabetes. with diabetes tend to heal more slowly. If left untreated, Gladys said she’d heard of the disease but knew little diabetes can cause blurred vision and even blindness, and it about it, and when it snuck up on her, she didn’t realize how can lead to many other complications. serious it could be. The two most common types of diabetes are Type 1 and “I had every symptom in the book,” she said — and she Type 2. Chu said Type 1 is a disorder in which the pancreas was rationalizing every one of them. can’t produce insulin. She was tired and slept a lot, and she was thirsty all the Type 1 has a genetic component, so if you have a close time, but didn’t think anything was really amiss. During a relative who’s had the disease, it’s more likely you’ll have follow-up visit after an unrelated surgery, Edwards’ surgeon it. However, the causes are not clearly understood. Patients noticed high sugar levels and gave her a slip with the lab are usually diagnosed when they’re young, and must work results to take to her primary care doctor. replace the insulin their bodies cannot make via injections, “I didn’t do it,” she said, meaning she never dropped off pills or an insulin pump. the slip. “I didn’t have diabetes. I was in denial.” Type 2 diabetes is far more common — it’s responsible Later, while reviewing the results of routine blood work, for 90 percent of all diabetes diagnoses — and more another doctor was shocked to see that Edwards’ blood complicated. Chu said it’s the result of dysfunction in sugar was dangerously high. He called her and told her to multiple systems go to the emergency room. Immediately. and organs, and “I fought him,” she said. So he passed the phone to is sometimes a nurse, who finally persuaded her to go to the hospital. related to Edwards was given insulin, and she said, “The next day, my high blood symptoms started going away.” pressure and That was about eight months ago. Since then, Edwards heart disease. has been seeing a nutritionist, started exercising, lost Genetics can some weight, and monitors her blood sugar regularly. play a role, but “Everything’s OK right now,” she said, “as long as I eat right so do weight and and get exercise.” physical activity. Edwards was lucky, and she’s not alone. In 2014, the

medical journal, The Lancet, published a study predicting that 40 percent of all Americans will develop diabetes Dr. James W. during their lifetimes. Chu fights fear While fear of diabetes is everywhere, news reports don’t of diabetes talk much about symptoms and treatments. You have to with facts look for that information — and you have to sort out fact

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02 Healthy Lifestyles September 2015.indd 12 9/8/15 1:42 PM One surprising thing Chu said was that regular exercise lowers people’s risk of getting Type 2 diabetes, independent of weight loss. In other words, even if you don’t lose a KNOW THE WARNING pound but you get three or four hours of cardiovascular exercise a week, you’ll lower your risk. SIGNS OF DIABETES Of course, weight loss also helps — and it doesn’t have to be a lot. Chu said that just 5 to 7 percent could make a The National Institutes of Health’s Institute of difference. For a person who weighs 200 pounds, that’s just Diabetes and Digestive and Kidney Diseases 10 to 14 pounds. “It’s not an all-or-nothing thing,” Chu said. “Staying active offers this list of signs and symptoms of even once or twice a week is better than sitting.” diabetes: In addition to lifestyle changes, Chu said there are many • Being very thirsty drugs that can be prescribed to treat the disease. Because so many body systems are involved, individual treatment • Urinating often plans will vary. • Feeling very hungry Some drugs help the body produce insulin, and others • Feeling very tired help muscles take up sugar in the blood. Still others help • Losing weight without trying control appetite and slow down the release of glucose during digestion. • Sores that heal slowly People with diabetes should monitor their blood sugar • Dry, itchy skin regularly to make sure they’re meeting targets their doctors • Feelings of pins and needles in your feet provide. A healthy diet that includes complex carbohydrates • Losing feeling in your feet and limits processed foods — which tend to be high in the • Blurry eyesight simple carbs and sugar that cause blood sugar spikes — is a necessity. Remember, however, that some people have The important thing is to know the truth about your blood diabetes and have mild or no symptoms. The only sugar, and the best way to find out is with routine blood way to know for sure is to see your doctor and have work that your doctor can order. Chu said fear keeps people from gaining the knowledge your blood tested. that can save their health — and often their lives. Don’t be afraid. Talk to your doctor.

TREATMENTS FOR TYPE 1 AND TYPE 2 DIABETES According to Monterey endocrinologist James Chu, there are many treatment options available for people diagnosed with diabetes. Some of these include: • Increasing exercise • Eating a healthy diet • Losing weight, if necessary • Oral medications • Insulin injections

What’s important is to work with your doctor and healthcare team to follow the path that’s right for you. Healthy Lifestyles 13

02 Healthy Lifestyles September 2015.indd 13 9/8/15 1:42 PM GUM RECESSION, WEARINGWEARING YOUYOU DOWN?DOWN? NO CUT NO DOWNTIME Minimally invasive with instant results!

Announcing the Pinhole Surgical Technique (TM) As seen on ABC 7 “The Doctors” show on January 21, 2014

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A periodontal infection is a live, active infection and bacteria from your mouth is the sewage that can seep into your blood stream, and is a known cause for heart disease. Love your heart, talk to our team anytime. Jochen P. Pechak DDS MSD Diplomate, American Board of Periodontology

Perio & Implant Center Sedation “SLEEP” Dentistry Read more about it, Dr. Pechak anytime

www.DrPechak.com

By Stanford Medical Center Ryan Ranch 777 Welch Road, 21 Upper Ragsdale Drive, Palo Alto, CA. Monterey, CA.

We are a Delta Dental provide ~ Courtesy billing for all insurances ~ Interest Free Financing available! 831 . 920 . 0009 14 Healthy Lifestyles

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Announcing the Pinhole Surgical Technique (TM) As seen on ABC 7 “The Doctors” show on January 21, 2014

Performed by a board certified Periodontist trained in this procedure— you’re in great hands! Peace of mind for yourself A periodontal infection is a live, active infection and bacteria from your mouth is the sewage that can seep into your blood stream, and is a known cause for heart disease. and your loved ones.

Love your heart, talk to our team anytime. Monterey Bay Village provides Jochen P. Pechak DDS MSD trustworthy and reliable concierge Diplomate, American Board of Periodontology assistance, offering screened service providers and volunteers for: Perio & Implant Center • HOME MAINTENANCE Sedation “SLEEP” Dentistry • HOUSEHOLD TASKS Read more about it, Dr. Pechak anytime • COMPUTER HELP • FRIENDLY VISITS www.DrPechak.com • TRANSPORTATION, AND MORE… Helping seniors By Stanford Medical Center Ryan Ranch 777 Welch Road, 21 Upper Ragsdale Drive, live independently Palo Alto, CA. Monterey, CA. in their homes. We are a Delta Dental provide ~ Courtesy billing for all insurances ~ Interest Free Financing available! 831 . 920 . 0009 831.620.8717 • montereybayvillage.org Healthy Lifestyles 15

02 Healthy Lifestyles September 2015.indd 15 9/8/15 1:43 PM Helping hands is all in a day’s

Dr. David work for some Morwood advocates for prevention — but if there is damage people to skin, he’s By ELAINE HESSER ready to help.

OUR HANDS say a lot about who we are. Think about stone’s throw away from Morwood’s — pointed out. it — First, there are each person’s unique fingerprints. As we age, we lose fat in our hands. That leads to cold Then, the firmness of someone’s handshake is often our hands, more visible veins and bones, and increased first impression. The feel of a person’s hands — whether bruising. they’re calloused or soft — can show how physically taxing their work is. In his book “Kitchen Confidential,” Anthony Bourdain When you need someone has a beautiful passage describing the history of his work as a chef from the scars on his hands. And in the holiday to hold your hand, you classic, “Miracle on 34th Street,” much is made of the fact that Macy’s store psychologist bites his nails. only want the best. Unfortunately, another thing our hands betray about us is our age. And since our hands are indeed what Monterey Both surgeons perform what are called “fat grafts.” plastic surgeon David Morwood refers to as “a social Although it doesn’t sound pretty, it’s a simple procedure in organ,” for some people, aging hands can impact their which fat is removed from somewhere on the body where confidence. it’s, um, excess, and injected into the hands. But the consequences of aging go even further, as Sunde explained, “After the procedure, people’s hands plastic surgeon Douglas Sunde — whose office is a are warmer and smoother.” He added that the same

Dr. Douglas Sunde helps seniors whose hands need a little TLC to look and feel better.

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02 Healthy Lifestyles September 2015.indd 16 9/8/15 1:43 PM procedure could also be done on the face to restore a more youthful appearance. In addition, Morwood pointed out that our hands are not always well-protected from sunlight, and sometimes they’re exposed to chemicals, like household cleaners, that dry out the epidermis, the outermost layer of the skin. Remember that old commercial where a mother and daughter compare hands and don’t see a lot of difference, thanks to using a certain brand of dishwashing liquid? There was a grain of truth in it. For those kinds of issues, Morwood uses various kinds of lasers to remove sunspots or even do some dermabrasion to remove damaged layers of skin. Arthritis is another painful issue for many people as they age. Sunde said that with today’s microsurgical techniques, it’s possible to replace many of the joints in the hands if they become too painful, just as someone might have a knee or Personal Care in a Home Like Setting hip replacement. He noted that anesthesia’s gotten much safer over the Skilled Nursing • Assisted Living years, and that the techniques used today are less invasive. Residential Care Home “We’re better at pain control, too,” he said. Both doctors said it’s important to make sure you choose 831.373.1216 a board-certified plastic surgeon to ensure the highest 1249 Josselyn Canyon Road • Monterey quality of care. After all, when you need someone to hold www.avemariamonterey.com your hand, you only want the best. Residential Care Lic # 275294336 • Assisted Living Lic # 275294335 Skilled Nursing Lic # 070000009

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Pine Cone Healthy Living Issue 9/2015 1/2 7.666 x 4.75 02 Healthy Lifestyles September 2015.indd 17 9/8/15 1:43 PM Monterey Bay Neurofeedback Center Failing to plan really is planning to fail — Medicare, Medi-Cal, long term care and you

By ELAINE HESSER

ON A sunny day, when turquoise waves crash onto think about it just like homeowner’s insurance or auto the craggy shore along 17 Mile Drive and a cool ocean insurance.” breeze is blowing, it seems as if all’s right with the McKee’s conversation is laden with “mays” and world. Picnicking, strolling on the beach, and examining “probablies,” as she explains there is no one-size-fits-all healthcare options for retirement would all be great approach to the government-run retirement healthcare ways to spend the day. program. If that last option made you think of a needle There are four parts to Medicare: A, B, C and D. Most scratching its way across a vinyl record, you’re not alone people are automatically enrolled in Part A, which covers — but if you’re old enough to remember vinyl records, inpatient services, when they apply for Social Security. it’s definitely something you should be thinking about. There is no monthly premium, but there are deductibles Getting the basics of Medicare, Medi-Cal, and long- and co-insurance. term care insurance is a good starting point, but it’s a If you delay Social Security, you’ll want to look into complicated system, and it helps to have a guide. actively enrolling in Medicare Part A. Tamara McKee manages the Health Insurance Part B covers outpatient services, and Part D covers Counseling and Advocacy Program at The Alliance on self-administered drugs. Both of these programs are Aging. HICAP is a program of the California Department optional and have monthly premiums, co-insurances, of Aging. McKee and a dozen other counselors receive copayments and deductibles. There are currently training and support from California Health Advocates, a 32 different Part D plans offered in California, so it’s nonprofit agency. important to evaluate them carefully to see which one As part of their outreach, McKee and her team makes the most sense with the medications a person is members give 90-minute seminars on Medicare basics taking. throughout Monterey County. People who still have Part C, also called Medicare Advantage, replaces questions after attending the seminars can make traditional Medicare Parts A and B and works more like appointments for one-on-one consultations. McKee says it’s Getting the basics of important to start looking Medicare, Medi-Cal, and at options before you turn 65, because there long-term care insurance is are time limits and there a good starting point, but it’s can be late enrollment penalties that apply to the a complicated system, and it various programs. She helps to have a guide. said, “Boomers don’t want to associate with a PPO or HMO — the kind of insurance most people are Medicare,” but “you familiar with from the workplace. Community Hospital’s have to prepare for Aspire program is one example. These types of plans the unforeseen and usually — but not always — include Part D coverage. Part C plans are run and purchased privately, but are Deborah Juran approved and regulated by Medicare’s administering of RBC Wealth body, the Centers for Medicare and Medicaid Services. Management McKee said it’s important to re-evaluate Part C and Part helps clients with D plans annually, as both circumstances and policies can goals for long- change, and HICAP can help with that process. term healthcare Medigap refers to privately offered supplemental and financial insurance policies that do what the name implies: Fill in planning

18 Healthy Lifestyles

02 Healthy Lifestyles September 2015.indd 18 9/8/15 1:43 PM Unlike this some gaps in Medicare Parts labyrinth, the A and B, by helping out with “Medicare co-payments and co-insurance. Maze” doesn’t Benefits vary, so again, it’s inspire important to evaluate and re- Experience matters. meditation evaluate regularly. — but there are McKee said that one Let us show you why. people ready to common and important By any measure, 27 years help navigate it misconception about Medicare is that it covers long-term care. It does cover of experience in senior living is a lot. temporary skilled-nursing care, but only for 100 And through the years, we’ve helped many days, and only if certain criteria are met. Days people find a lifestyle perfectly suited to them. one to 20 are usually covered at 100 percent, Our secret? We listen. And we’ve found but there is a co-pay for days 21 through 100. Medigap insurance may help with the co-pay. that every person’s need or desire to move is After day 100, you’re on your own. incredibly unique. We’ve created equally unique That’s where long term-care insurance comes places to live with great social opportunities, into play. Deborah Juran is senior vice president fine dining, accredited care services, and more. with RBC Wealth Management in Monterey, All with you in mind. Come see how good focusing on wealth issues. She said fewer companies offer long-term care it feels to have experience on your side. policies, since the risk of insuring for an aging Please call The Park Lane today to schedule population with longer life expectancies is hard your complimentary lunch and tour. to quantify. The companies that still offer the policies are faced with increasing their premiums to cover costs. A solution that is relatively new, according to Juran, is a hybrid life insurance and long term care plan with fixed premiums. Their plans aren’t cheap, but considering that the U.S. Department of Health and Human Services estimates that 70 percent of adults turning 65 will need long-term care at some point, they’re a good investment for Independent & Assisted Living those who can afford them. Memory Care Of course, long term care insurance isn’t the only way to plan for the future. Reverse 200 Glenwood Circle • Monterey, CA mortgages, investments and just plain smart TheParkLaneMonterey.com • 831.204.1884 planning can also avert the financial problems RCFE# 275294322 Continues on page 24 MEDICARE Healthy Lifestyles 19

02 Healthy Lifestyles September 2015.indd 19 9/8/15 1:43 PM Continued from page 9 DENTIST

He also uses a minimally invasive technique with no Saliva’s important to oral health because it helps fight scalpels or sutures to restore receding gums, and uses the bacteria and helps move food particles away from teeth. patient’s own platelets to speed healing in many procedures, As the amount decreases and gums recede, screening to reducing down time. prevent and detect root caries, or cavities, becomes more 6. Preventing gum disease may prevent stroke and heart important. Early intervention can help to avoid painful disease. No, really. Research shows that people with abscesses. high levels of some of the bacteria that cause gum 3. You’re never too old to have a beautiful smile. Lackey disease also tend to have more atherosclerosis in their has a gallery in his waiting room with before and after carotid arteries. That’s the $20 word for “hardening of the photos of patients who’ve had chipped teeth repaired, arteries” because of fat and other deposits. straightened, evened out and whitened — and the results Pechak provides patients with a handout listing studies are remarkable. that also link gum disease with diabetes, rheumatoid arthritis 2. Little problems are easier to fix than big ones. Love and pneumonia. pointed out that many dental problems don’t cause Of course, correlation isn’t causation — but if things as any pain until they become serious, so you can prevent simple as getting regular checkups, brushing and flossing painful dental conditions and the need for major might have even greater benefits, why not do them? procedures by going when you feel fine. 5. Dentists can detect bone loss in the jaw that often 1. Little problems are less expensive to fix than big ones. accompanies aging, which can cause teeth to loosen and Pine Cone readers are pretty savvy about managing fall out. It’s important to be screened regularly because money. If you can’t force yourself to go get a checkup for the bone loss may not have any symptoms until it’s the sake of your health, how about doing it to save cash severe. that would be much more fun to spend on a Caraccioli 4. People take saliva for granted, but as you age, you sparkler or Lula’s chocolates? produce less of it. In addition, Love said, there are many medications that reduce saliva production. Just make sure you remember to brush and floss later.

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02 Healthy Lifestyles September 2015.indd 21 9/8/15 1:43 PM Continued from page 10 LAUGHTER Laughing out loud is contagious — it spreads the joy around. Considering that Mel Brooks, Carl Reiner and cardiovascular benefits as strenuous exercise. A good laugh Jerry Lewis have each spent nine decades laughing and can actually burn off calories. It also stimulates circulation making others laugh, it’s entirely possible that spreading and aids digestion. laughter around might also contribute to longevity. In a study of patients subjected to prolonged 3. Laugh at yourself. The person who can chuckle at his hospitalization, laughter improved morale, decreased anxiety or her own expense will never run out of good comedy and restored a feeling of wellness and calm. material. For many, laughter reduces stress better than vodka or 4. Try to see the funny side of life — no matter how unfunny Valium. Plus it’s salt free, low calorie, polyunsaturated, you things might seem. Comedian Bob Hope said, “I have don’t need a prescription, it doesn’t cost a dime, and there seen what a laugh can do. It can transform almost are no harmful side effects. unbearable tears into something bearable — even For the chronologically advantaged, here’s the best part: hopeful.” Laughter can actually slow the aging process. 5. Expose yourself to something funny every day — even How do you put more humor into your life? if you have to take off all your clothes and look in Start with this 5-step plan: the mirror. But before you cry, consider the words of 1. Make a personal Humor First Aid Kit for yourself. comedian Phyllis Diller: “If you don’t have wrinkles, you Nobody knows what makes you laugh better than you haven’t laughed enough.” do. Assemble a collection of everything that really tickles your funny bone. Humorous books, jokes, Larry Wilde is a former stand-up comedian, author of 53 stories, movies, TV shows, cartoons, and magazine and books on the topic of humor, a leading motivational humorist newspaper clippings. These will become a reliable source and a columnist for The Carmel Pine Cone. He has spoken of laughter whenever you need a lift. to hundreds of corporations, associations and healthcare 2. Laugh out loud. Big belly laughs are the best way to give professionals world wide helping people tap into the power your funny bone — and your entire system — a good of humor. His latest book, “When You’re Up to Your Eyeballs workout. And since the physical act of laughing is so In Alligators,” explores the role of humor in wellness, beneficial, aim for at least 15 rib-rocking laughs every day. longevity and quality of life.

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02 Healthy Lifestyles September 2015.indd 23 9/8/15 1:43 PM Continued from page 18 MEDICARE

that so often accompany health crises. resource for getting started. You can go to their website at Juran said the best way to ensure your financial future’s allianceonaging.org, click on the programs tab, and then the secure is to find a qualified advisor who can assess your link for the HICAP Medicare Counseling Program for more current situation, set goals with you, and coach you toward information. achieving them. Taking time to get good advice, and thinking and planning At the other end of the economic spectrum, Medi-Cal ahead, can make a big difference in the quality of life and — California’s version of Medicaid — is often the solution healthcare a person will receive in the future. to long-term care needs. In fact, according to the California And when you’re finished, you can really enjoy that day at Healthcare Foundation, two-thirds of all nursing-home the beach! residents receive Medi-Cal benefits. Mary Hiebner, who works at the Monterey County Department of Social Services, said if a person meets the needs test, which is tied to the federal poverty level, Medicare serves as their primary insurance, and Medi-Cal becomes secondary. She added that there are also programs to help out with Medicare Part A and B expenses. A primary home is not considered in the needs test as long as the person intends to return there, Hiebner said, but the State of California could put a lien against it. The state can then attempt to recoup some or all of its expenses when the property sells, either before or after the owner’s death. Those are just the basics of the programs most people will have to make decisions about. If it’s making your head spin, that’s understandable — it’s complicated. And that’s why people like McKee’s team at the Alliance on Aging are a great

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By ELAINE HESSER

FIBROMYALGIA IS frustrating. It’s frustrating for the Common symptoms are widespread pain and patient and doctor trying to pinpoint what’s wrong, and exhaustion for at least three months, often with pain at it’s frustrating to try to figure out which treatments in what specific tender points throughout the body. Bernstein said combinations will help. his patients describe their symptoms as “deep, aching Carmel neurologist Alejandro Centurion, Monterey squeezing pain; throbbing tightness.” rheumatologist Neville Udwadia, and doctor of osteopathy It’s often accompanied by what’s called Richard Bernstein from the Monterey Peninsula “fibro fog,” a lack of mental clarity and an Orthopaedic and Sports Medicine Institute took some time inability to focus. Sleep is also disrupted. out of their busy schedules to bring some clarity to this All three doctors said it’s a “diagnosis perplexing disorder. of exclusion,” meaning there’s no specific Even with their expert help, and after more than 20 years test for it, so it’s what’s left after ruling out of research, there are still some question marks when a long list of other conditions and diseases it comes to fibromyalgia, its causes and its treatments. through tests and laboratory work. It was first diagnosed in the late 1900s, although some Some of those conditions include multiple researchers trace descriptions to the 1800s, and one doctor sclerosis, rheumatoid arthritis, endocrine even suggested on his website that it might have been part issues, low thyroid, and lupus, all of which can of Job’s troubles. also co-exist with fibromyalgia. “It’s a mimicker The textbook definition from the Mayo Clinic is, “a of other things,” said Udwadia. Centurion said, disorder characterized by widespread musculoskeletal pain “The symptoms overlap,” with those of many accompanied by fatigue, sleep, memory and mood issues.” other conditions. That’s what makes it difficult to get a diagnosis and, adding insult to injury, there was a period in the not-too-distant past when patients’ complaints weren’t always taken seriously. Happily, that’s changed in recent years. Centurion said most people are diagnosed between the ages of 30 and 50, although it’s been diagnosed in children Expert Dermatology Care, Dr. Roya Javid and senior citizens, as well. • Skin Cancer It sometimes comes on gradually and other times • Mohs Surgery quickly, especially • Acne/Rosacea after a person • Dry skin/Eczema sustains a severe • Botox/Xeomin emotional trauma, • Fillers an injury or • Laser Resurfacing contracts a viral • Microneedling illness. Although • Laser Hair Removal the causes are • Body Contouring not yet known, • Skin Tightening Centurion said Roya Javid, MD, MHS • Aesthetician Services genetics plays a Accepting New Medical Patients role. A person with Most Insurances Welcome

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02 Healthy Lifestyles September 2015.indd 26 9/8/15 1:43 PM fibromyalgia, for example, is eight times more likely to have an immediate family member who also has the disorder than someone who does not. That can be compared to lupus and rheumatoid arthritis, where it’s only two or three times as likely. Based on studies of twins, it appears the disorder is about 50 percent genetic and 50 percent environmental. It’s also far more common in women than it is in men. Menopause may be a risk factor as well. Bernstein said a chemical in the brain called “substance p” is out of balance in some patients with

The CoasT and The hills May be Rugged, Aquatic classes like this one can help fibromyalgia fibromyalgia. buT life heRe is anyThing buT. patients get moving in spite ofIt the plays pain a role in transmitting pain impulses and may be responsible for increased response to painful stimuli. Also, serotonin, a chemical Escape the everyday and discover Carmel associated with calming and reducing anxiety, is often Valley Manor. For retirees, it’s an oasis of lower in people with fibromyalgia. Centurion said improving sleep was the No. 1 priority calm in a world-class destination. The resort for his patients. “If you can’t sleep well, the pain won’t get lifestyle at this not for profit community better.” offers fabulous meals, lush grounds, limitless Stress can make symptoms worse, so reducing it is also helpful. And though exercise may be the farthest thing activities and gorgeous views of our scenic from someone’s mind when they’re suffering from pain valley. Come and enjoy every moment, and fatigue, it’s an important part of treatment. Patients are instructed to start out slowly, with low-impact activities like knowing Life Care is there for you, too. To swimming, water aerobics, bicycling or yoga. find out more, call Bernstein especially recommended exercising in a (800) 544-5546 or heated pool. “If you stop moving, the muscles get tight and atrophy,” he said, adding that the water makes people feel visit cvmanor.com supported and safe. The Food and Drug Administration has approved numerous medications that can be effective, but finding the right ones can take time. Bernstein said the long-term 8545 Carmel Valley Rd, Carmel, CA 93923 side effects and risks of painkillers like ibuprofen (Motrin License #270700110 | COA #082 and Advil), acetaminophen (Tylenol), and opioids have most doctors steering patients away from them.

Continues on page 30 FIBRO Healthy Lifestyles 27

02 Healthy Lifestyles September 2015.indd 27 9/8/15 1:43 PM MIREPOIX & EXOTIC MUSHROOM CHOWDER Provided by Chef Kirk Larson of Carmel Valley Manor

Welcome everybody home with a savory fall soup! Mushrooms are delicious, and they’re good for you, too. Chef Kirk Larsen of Carmel Valley Manor sent photos of the finished dish that include a small grilled cheese sandwich made with Leerdammer cheese, a Dutch version of Swiss cheese available at the Cheese Shop in Carmel Plaza and in larger grocery stores. While Chef Kirk’s version calls for exotic varieties of mushrooms, you can use whatever you find in your store or farmers market. “Mirepoix” refers to the mix of chopped vegetables that form the base of the chowder. This recipe makes plenty of soup, so you can have some now and freeze the rest for a rainy winter’s day.

(Makes 3 1/2 Quarts) 2 finely diced shallots Soak overnight in at least 4-5 cups of hot water: 1 T. fresh thyme leaves 2 oz. dried wild mushrooms. Chef Kirk used Dried Fresh cracked black pepper and kosher salt to taste Chef’s Wild Mushroom Blend, Northwest Mix To finish the chowder: Mushrooms, available in larger grocery stores 2 oz. unsalted butter Olive oil for sauté 1 leek (approximately 6 oz.) white part only, 14 oz. mixed wild and/or domestic mushrooms, quartered, washed and drained thoroughly cleaned and sliced. Chef Kirk used 2 ounces each 1/2 large sweet onion, diced small of Chanterelles, Hen of the Wood, Royal Trumpets, 4 ribs celery, diced small Beech, Abalone Mushrooms, Morels, and Ceps 1 T. finely chopped fresh garlic 2 T. finely chopped fresh garlic 1/2 t. fresh thyme leaves 1/2 oz. porcini mushroom powder — you can make A California Olive Oil Experience this by grinding up dried porcini mushrooms in a spice or coffee grinder 4 C. vegetable stock or broth 1 C. heavy cream (optional) 1/4 C. dry sherry wine (step away from anything labeled “cooking sherry”) Fresh cracked black pepper and kosher salt to taste 2 1/2 oz. each of butter and all-purpose flour 6 oz. white carrots (not parsnips — use regular carrots if you can’t find white), diced small and blanched “al dente” The foundation for health is at 3 Russet potatoes (about 12 oz. total), pared, diced small the heart of The Quail & Olive and blanched “al dente” a California Sourced Extra Virgin For the garnish: Olive Oil Reserved sauteed mushrooms and freshly chopped parsley a Balsamic and Speciality Vinegars a Gourmet preserves and spices To prepare the mushrooms: a Olive Oil base beauty products Soak the dried mushrooms overnight in hot water. a Handcrafted gifts and kitchen Remove the mushrooms from the liquid and squeeze as accessories much excess liquid as possible back into the bowl. Slice the mushrooms into bite-size pieces and set aside. Strain 4 cups of the soaking liquid through a coffee filter 3 Pilot Rd., CaRmel Valley Village | 831.659.4288 quailandoliVe.Com and add the porcini powder. Mix thoroughly to make a nice

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02 Healthy Lifestyles September 2015.indd 28 9/8/15 1:43 PM mushroom stock. Sauté all the mushrooms in olive oil until lightly About the Chef browned and then add the onions and thyme. WHEN YOU think of retirement communities, When the onions turn brown, add the garlic, salt excellent food isn’t usually the and pepper. When you smell the garlic, remove first thing that comes to mind. everything from the pan and transfer to a bowl. Still, Kirk Larsen has been Set aside some mushrooms for the garnish. turning out delicious meals at Carmel Valley Manor for 15 To finish the chowder: years as executive chef. Melt butter, add leeks and onions and cook until A graduate of the Culinary light brown. Add celery, garlic and thyme, and sauté Institute of America in Hyde a few more minutes, until you can smell the garlic. Park, N.Y., Larsen’s first job Add the mushrooms, stock from the soaking liquid was at Domaine Chandon and the cream, if you’re using it. in Yountville. While working Simmer until the leeks and onions are soft. Adjust there, he met chefs Cal Stamenov and Jerry Regester, the seasoning with salt and pepper, then add the and the three became sherry. friends. In a separate pan, combine the butter and After stints at a few other flour over medium heat, stirring Kirk Larsen restaurants, he accepted a constantly until a position as executive chef at M. Point in San thick paste, or roux, Francisco. While there, he volunteered for charity events, is formed. Don’t let it including the Masters of Food and Wine at the Highlands brown. Whisk it into Inn. He came to Carmel in 1999 to help Stamenov open the simmering chowder Bernardus Lodge, where Larsen worked as sous chef. a little at a time, until With that resume, it’s no wonder his cuisine at Carmel you like the thickness. Valley Manor is a cut above what you might expect. After Simmer for 15 to 20 all, shouldn’t good food be a source of pleasure at any age? minutes to cook out the flour flavor. Stir in the blanched MEMORY, AGING & DEMENTIA SERVICES carrots and potatoes, and season with salt and Loss of interest • Misplacing keys, wallet, personal items pepper one last time. Difficulty organizing your life • Memory problems Garnish with reserved sautéed mushrooms and Are you noticing these issues in yourself or a loved freshly chopped parsley. one and wonder if it is ‘just to be Have you or a loved one expected’ as we age? been diagnosed with Mild Cognitive Impairment, Are you a caregiver for someone with Alzheimers Early Stage Dementia Disease or other Cognitive Disorders? or other Issues?

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Healthy Lifestyles 29

02 Healthy Lifestyles September 2015.indd 29 9/8/15 1:43 PM PAID ADVERTISEMENT Continued from page 27 FIBRO What does help? For some people, it might be muscle he recommends it to his patients. UCLA’s Center for East- relaxants. In others, an antidepressant or an anticonvulsant West Medicine also endorses acupuncture for fibromyalgia, Peripheral Neuropathy WARNING! — a drug originally developed to treat seizures — is part of based on its review of research literature. the answer. There’s no way to predict fibromyalgia’s course. Some Centurion said, “Depression is very common in these people experience dramatic improvement and even go Monterey, CA- The most common method your Dr. Susan White, DC, at Natural Foundations patients because of the constant fatigue and pain.” It’s into remission for years, while for others, it becomes doctor will recommend to treat your neuropathy Chiropractic Center, will do a neuropathy compounded by the fact that while some family members progressively worse. It is important to note is with prescription drugs that may temporarily severity examination to determine the extent of are supportive and understanding, sometimes a spouse that it is not fatal, reduce your symptoms. These drugs have names the nerve damage for only $60. This or close relative is not as tolerant of the patient’s constant however. such as Gabapentin, Lyrica, Cymbalta, and neuropathy severity examination will consist complaints. With so many Neurontin, and are primarily antidepressant of a detailed sensory evaluation, and a detailed From a psychological standpoint, cognitive behavioral symptoms and or anti-seizure drugs. These drugs may cause analysis of the findings of your therapy has been shown to help patients with fibromyalgia. possible treatments, you to feel uncomfortable and have a variety neuropathy. Dr. Susan White, DC, will be offering this neuropathy severity examination The patient and a counselor, psychologist or psychiatrist the process of of harmful side effects. Peripheral neuropathy In order to effectively treat your neuropathy, for a limited time. work together to replace negative thought patterns with narrowing down is a result of damage to the nerves often causing three factors must be determined: weakness, pain, numbness, tingling, and the positive ones. what’s right for Call (831) 684-7473 to make an most debilitating balance problems. This 1) What is the underlying cause? While a healthy diet is a good idea for anyone, it’s any one patient is appointment with Dr. Susan White, DC damage is commonly caused by a lack of blood 2) How much nerve damage has been sustained? particularly important for fibromyalgia patients, as the like nailing Jell-O to to determine if your peripheral flow to the nerves in the hands and feet which NOTE: Once you have sustained 85% nerve disorder is sometimes accompanied by irritable bowel the wall. But with loss, there is likely nothing that we can do neuropathy can be treated. syndrome. patience, and the causes the nerves to begin to degenerate due to lack of nutrient flow. for you. With medical science unable to provide definitive right practitioner, it is 3) How much treatment will your condition answers about causes or treatment, it’s understandable possible to find relief. require? that some patients turn to alternative therapies — although they have little support in the way of large, randomized The treatment provided by Natural studies. But Bernstein noted that acupuncture has been Foundations Center has three main goals: shown to balance levels of substance p in the brain, and 1) Increase blood flow 2) Stimulate small fiber nerves 3) Decrease brain based pain

The treatment to increase blood flow utilizes a specialized low level light therapy using light emitting diode technology. This technology was originally developed by NASA to assist in increasing blood flow. The low level light therapy is like watering a plant. The light therapy will allow the blood vessels to grow back around the peripheral nerves and provide them with the proper nutrients to heal and repair. It’s like adding water to a plant and seeing the roots grow deeper and deeper. As you can see in Figure 1, as the blood vessels The amount of treatment needed to allow the that surround the nerves become diseased, they nerves to fully recover varies from person to shrivel up, which causes the nerves to not get person and can only be determined after a the nutrients to continue to survive. When these detailed neurological and vascular evaluation. nerves begin to “die”, they cause you to have balance problems, pain, numbness, tingling, As long as you have not sustained at least 85% burning, and many additional symptoms. nerve damage, there is hope! The main problem is that your doctor has told you to just live with the problem or try the drugs which you don’t like taking because they make you feel uncomfortable. Roofing & Solar Perfected There is now a facility right here in Monterey Visit our Showroom that offers you hope without taking those 2106 SUNSET DRIVE • PACIFIC GROVE endless drugs with serious side effects. (See the (831) 375-8158 • www.dorityroofing.com special neuropathy severity examination at the end of this article.) 30 Healthy Lifestyles

02 Healthy Lifestyles September 2015.indd 30 9/8/15 1:43 PM PAID ADVERTISEMENT Peripheral Neuropathy WARNING!

Monterey, CA- The most common method your Dr. Susan White, DC, at Natural Foundations doctor will recommend to treat your neuropathy Chiropractic Center, will do a neuropathy is with prescription drugs that may temporarily severity examination to determine the extent of reduce your symptoms. These drugs have names the nerve damage for only $60. This such as Gabapentin, Lyrica, Cymbalta, and neuropathy severity examination will consist Neurontin, and are primarily antidepressant of a detailed sensory evaluation, and a detailed or anti-seizure drugs. These drugs may cause analysis of the findings of your you to feel uncomfortable and have a variety neuropathy. Dr. Susan White, DC, will be of harmful side effects. Peripheral neuropathy In order to effectively treat your neuropathy, offering this neuropathy severity examination for a limited time. is a result of damage to the nerves often causing three factors must be determined: weakness, pain, numbness, tingling, and the Call (831) 684-7473 to make an most debilitating balance problems. This 1) What is the underlying cause? appointment with Dr. Susan White, DC damage is commonly caused by a lack of blood 2) How much nerve damage has been sustained? to determine if your peripheral flow to the nerves in the hands and feet which NOTE: Once you have sustained 85% nerve neuropathy can be treated. causes the nerves to begin to degenerate due to loss, there is likely nothing that we can do lack of nutrient flow. for you. 3) How much treatment will your condition require?

The treatment provided by Natural Foundations Center has three main goals:

1) Increase blood flow 2) Stimulate small fiber nerves 3) Decrease brain based pain

The treatment to increase blood flow utilizes a specialized low level light therapy using light emitting diode technology. This technology was originally developed by NASA to assist in increasing blood flow. The low level light therapy is like watering a plant. The light therapy will allow the blood vessels to grow back around the peripheral nerves and provide them with the proper nutrients to heal and repair. It’s like adding water to a plant and seeing the roots grow deeper and deeper. As you can see in Figure 1, as the blood vessels The amount of treatment needed to allow the that surround the nerves become diseased, they nerves to fully recover varies from person to shrivel up, which causes the nerves to not get person and can only be determined after a the nutrients to continue to survive. When these detailed neurological and vascular evaluation. nerves begin to “die”, they cause you to have balance problems, pain, numbness, tingling, As long as you have not sustained at least 85% burning, and many additional symptoms. nerve damage, there is hope! The main problem is that your doctor has told you to just live with the problem or try the drugs which you don’t like taking because they make you feel uncomfortable. There is now a facility right here in Monterey that offers you hope without taking those endless drugs with serious side effects. (See the special neuropathy severity examination at the end of this article.) Healthy Lifestyles 31

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02 Healthy Lifestyles September 2015.indd 32 9/8/15 1:43 PM