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2ND<br />

EDITION<br />

ACTIVE<br />

WELLNESS PROGRAM<br />

In Partnership with


<strong>Summit</strong> <strong>Healthcare</strong> Regional Medical Center<br />

Medical Staff Roster<br />

CARDIOLOGY<br />

Fuller, Brian, DO<br />

5171 Cub Lake Road, Ste. B220<br />

Show Low, AZ 85901<br />

P: 928-537-9944 F: 928-537-9945 Active<br />

Jackson, Christine, MD<br />

162 W Central Avenue • Eagar, AZ 85925<br />

P: 928-333-1030 F: 928-333-1033 Consulting<br />

Memon, Abdul, MD, PLLC<br />

5171 Cub Lake Road, Suite B220<br />

Show Low, AZ 85901<br />

P: 928-537-9944 F: 928-537-9945 Active<br />

Sherma, Arun, MD<br />

316 W White Mountain Blvd, Ste B<br />

Lakeside, AZ 85929<br />

P: 928-367-9958 F: 928-367-9960 Active<br />

CERTIFIED NURSE MIDWIFE<br />

Hall, Gwendolyn, CNM<br />

Snowflake/Heber Women`s Clinic<br />

P. O. Box 617 • Overgaard, AZ 85933<br />

P: 928-535-4539 F: 928-535-4895<br />

Allied Health Professional<br />

EAR, NOSE, THROAT<br />

Cox, Kent, MD<br />

White Mountain ENT<br />

5448 S. White Mountain Road, Ste140<br />

Lakeside, AZ 85929<br />

P: 928-532-0072 F: 928-532-0078 Active<br />

LeSueur, Jeffrey, MD<br />

5448 S White Mountain Blvd, Ste. 140<br />

Lakeside, AZ 85929<br />

P: 928-532-0072 F: 928-532-0078 Active<br />

FAMILY MEDICINE<br />

Bierer, Elizabeth, MD<br />

Lakeside Family Health Center<br />

5658 Highway 260 Suite 24<br />

Lakeside, AZ 85929<br />

P: 928-537-4379 F: 928-537-4653 Active<br />

Bornstein, Aaron, MD<br />

<strong>Summit</strong> <strong>Healthcare</strong> Heber/Overgaard Clinic<br />

2931 So. Hwy 260 • Overgaard, AZ 85933<br />

P: 928-535-3616 F: 928-535-3615 Affiliate<br />

Brady, Craig, DO<br />

151 N White Mountain Road, Suite E<br />

Show Low, AZ 85901<br />

P: 928-537-4347 F: 928-537-4348 Affiliate<br />

Casey, Robert, DO<br />

5171B Cub Lake Rd., Suite 270<br />

Show Low, AZ 85901<br />

P: 928-532-1220 F: 928-532-1222 Affiliate<br />

Coss, Lawrence, MD<br />

Snowflake Medical Center<br />

590 S. Main Street • Snowflake, AZ 85937<br />

P: 928-536-7519 F: 928-536-7305 Active<br />

DeWitt, Alan, MD<br />

Snowflake Medical Center<br />

590 S. Main Street • Snowflake, AZ 85937<br />

P: 928-536-7519 F: 928-536-7305 Active<br />

Garskof, Mark, MD<br />

Sierra Blanca Clinic<br />

2963 W. White Mt. Blvd • Lakeside, AZ 85929<br />

P: 928-368-0765 F: 928-368-4540 Affiliate<br />

Hastings, Scott, DO<br />

151 N White Mountain Road, Suite E<br />

Show Low, AZ 85901<br />

P: 928-537-8166 F: 928-537-4348 Active<br />

Nichols, Larry, MD<br />

Snowflake Medical Center<br />

590 S. Main Street • Snowflake, AZ 85937<br />

P: 928-536-7519 F: 928-536-7305 Affiliate<br />

Paxman, Thomas, DO<br />

Pinetop Medical Associates<br />

PO Box 2690 • Pinetop, AZ 85935<br />

P: 928-367-6688 F: 928-367-4916 Active<br />

Peace, Donna, MD<br />

Peace Family Medicine, PC<br />

218 W White Mountain Blvd, Suite D<br />

Lakeside, AZ 85929<br />

P: 928-367-9995 F: 928-367-9988 Affiliate<br />

Peterson, Dallas, MD<br />

Snowflake Medical Center<br />

590 S. Main Street • Snowflake, AZ 85937<br />

P: 928-536-7519 F: 928-536-7305 Affiliate<br />

Reeck, Leland, MD<br />

Your Family Practice Team<br />

2051 Evergreen Lane, Suite D<br />

Show Low, AZ 85901<br />

P: 928-537-2200 F: 928-537-2204 Active<br />

Robertson, Charles, MD<br />

Lakeside Family Health Center<br />

5658 Highway 260 Suite 24<br />

Lakeside, AZ 85929<br />

P: 928-537-4379 F: 928-537-4653 Active<br />

Ross, Regina, MD<br />

Peace Family Medicine, PC<br />

218 W White Mountain Blvd, Suite D<br />

Lakeside, AZ 85929<br />

P: 928-367-9995 F: 928-367-9988 Active<br />

Smithson, Bryan, MD<br />

Pinetop Medical Associates<br />

728 E. White Mt. Blvd. • Pinetop, AZ 85935<br />

P: 928-367-6688 F: 928-367-4916 Active<br />

Thompson, Becky, MD<br />

Your Family Practice Team<br />

2051 Evergreen Lane, Suite D<br />

Show Low, AZ 85901<br />

P: 928-537-2200 F: 928-537-2204 Active<br />

GASTROENTEROLOGY<br />

Serrano, Oluwagbenga, MD<br />

218 W White Mountain Blvd<br />

Lakeside, AZ 85929<br />

P: 928-367-3637 F: 928-367-3638 Active<br />

GENERAL SURGERY<br />

Greco, Anthony, MD<br />

5658 White Mountain Blvd, Suite 7<br />

Lakeside, AZ 85929<br />

P: 928-532-5463 F: 928-532-8474 Active<br />

Schneider, Doran, DO<br />

Valley View Surgical<br />

PO Box 2247 • Lakeside, AZ 85929<br />

P: 928-532-5463 F: 928-532-8474 Active<br />

Waldo, William, MD<br />

White Mt. Surgical Specialists<br />

2650 E. Show Low Lake Rd, Suite 2<br />

Show Low,, AZ 85901<br />

P: 928-537-4240 F: 928-537-4541 Active<br />

INTERNAL MEDICINE<br />

Ahmed, Osaf, MD<br />

2450 E. Show Low Lake Rd, Building 1<br />

Show Low, AZ 85901<br />

P: 928-537-6755 F: 928-537-9307 Active<br />

Driss, Leon, MD<br />

Internal Medicine Assoc.<br />

300 W. White Mountain Blvd, Suite A<br />

Lakeside, AZ 85929<br />

P: 928-367-1077 F: 928-367-1027 Active<br />

Foote, Michael, DO<br />

<strong>Summit</strong> <strong>Healthcare</strong> Regional Medical<br />

2200 E Show Low Lake Rd<br />

Show Low, AZ 85901<br />

P: 928-537-6976 Active<br />

Uhall, Belinda, MD<br />

<strong>Summit</strong> <strong>Healthcare</strong> RMC - Hospitalist Program<br />

2200 E Show Low Lake Road<br />

Show Low, AZ 85901<br />

P: 928-358-2117 F: 928-532-4479 Active<br />

NEPHROLOGY<br />

Seaton, Robert, MD<br />

AKDHC, LLC<br />

1500 S White Mountain Blvd #201<br />

Show Low, AZ 85901<br />

P: 928-251-0386 F: 928-251-0389 Active<br />

NURSE PRACTITIONER<br />

Schaber, Gretchen, ANP<br />

5171 Cub Lake Road, Suite 230B<br />

Show Low, AZ 85901<br />

P: 928-537-9944 Allied Health Professional<br />

OB WOMEN`S HEALTH<br />

NURSE PRACTITIONER<br />

Johnson, Kimberly, NP<br />

University OB/GYN<br />

5171 Cub Lake Road, Bldg B, #210<br />

Show Low, AZ 85901<br />

P: 928-537-9844 F: 928-537-4437<br />

Allied Health Professional<br />

OB/GYN<br />

Connelly, Patrick, MD<br />

5171 Cub Lake Road, Suite 210-B<br />

Show Low, AZ 85901<br />

P: 928-537-9844 F: 928-537-4437 Active<br />

Izenberg, Jeffrey, DO<br />

University OB/GYN<br />

5171 Cub Lake Road • Bldg B, #210<br />

Show Low, AZ 85901<br />

P: 928-537-9844 F: 928-537-4437 Active<br />

Kyrimis, Melissa, MD<br />

5448 South White Mountain Blvd<br />

Lakeside, AZ 85929<br />

P: 928-532-1575 F: 928-532-1580 Active<br />

continued on page 8


ACTIVE<br />

WELLNESS PROGRAM<br />

About <strong>Summit</strong> <strong>Healthcare</strong><br />

Regional Medical Center<br />

<strong>Summit</strong> <strong>Healthcare</strong> Regional Medical Center opened in December<br />

1970 as Navapache Hospital and through the years, has responded to<br />

the medical needs of the White Mountains and northeastern Arizona<br />

regions. Today, <strong>Summit</strong> <strong>Healthcare</strong> is a not-for-profit regional medical<br />

center with 89 licensed beds, providing a wide array of services:<br />

obstetrical, surgical, cardiology, respiratory and oncology, as well as<br />

state-of-the-art diagnostic imagining, clinical laboratory, pharmacy,<br />

physical therapy and 24-hour emergency service.<br />

in this issue<br />

Inside Front Cover<br />

Medical Staff Roster<br />

1<br />

Why Real Men See the Doctor<br />

2<br />

Facts About Skin Cancer<br />

4<br />

First FDA-Approved Treatment for<br />

Heart Disease Patients Who Also<br />

Have Diabetes<br />

5<br />

An Ounce of Caution Prevents<br />

Heat-Related Illness<br />

6<br />

Community and Hospital Discounts<br />

to <strong>Summit</strong> Active Members<br />

7<br />

Construction Update<br />

8<br />

Medical Staff Roster<br />

(continued from inside front cover)<br />

back cover<br />

Seminars, Events<br />

and Hospital Services


Why<br />

Real Men<br />

See the<br />

Doctor<br />

It’s easy to get most men to a ball game or a hardware store.<br />

But for a lot of guys, a trip to the doctor is about as high a<br />

priority as a day of shoe-shopping.<br />

One reason men may not see a doctor<br />

is pride. In a culture that equates being<br />

male with being healthy and strong, a hint<br />

of vulnerability to illness might be seen as a<br />

sign of weakness.<br />

This is dangerous thinking. Waiting until<br />

you are ill before you see your health care<br />

provider can put your health in jeopardy.<br />

If you let shortness of breath or chest<br />

discomfort go unchecked, you might face<br />

a heart attack. A change in bowel habits<br />

could warn of diseases like colon cancer.<br />

Headache or dizziness might stem from<br />

high blood pressure, which can lead to kidney<br />

damage and stroke. Blood in the urine<br />

can mean a kidney stone or prostate cancer,<br />

and it’s always cause to visit a doctor.<br />

But seeing the doctor also can aid your<br />

peace of mind. Symptoms that could signal<br />

a serious illness can also point to simple,<br />

easily treated problems. That blood in the<br />

urine, for instance, could come from an<br />

infection.<br />

“I think men are getting better at seeing<br />

the doctor, but there’s still hesitancy<br />

and denial,” says Larry S. Fields, M.D.,<br />

president of the American Academy of<br />

Family Physicians. “Many men still have to<br />

be pushed to the doctor by their wives or<br />

children.”<br />

It’s not just better for a man’s health<br />

if he visits a doctor. It’s better for his son’s<br />

health, too. Boys often model their father’s<br />

behavior. If dad sees the doctor, there’s a<br />

better chance his son will grow up to do<br />

the same.<br />

“There’s a rather good and simple reason<br />

for men to see their doctor,” Dr. Fields<br />

says. “It gives the doctor and the patient<br />

the opportunity to catch a problem early,<br />

leading to a better quality of life—and a<br />

longer life, too.”<br />

1 <strong>Summit</strong> Active<br />

Tests you need<br />

The U.S. Preventive Services Task Force<br />

recommends that men get regular screening<br />

for certain diseases and medical conditions.<br />

Talk to your health care provider if you<br />

have questions about which screenings are<br />

appropriate for you.<br />

Cholesterol. You should have your cholesterol<br />

checked at least every five years,<br />

starting at age 35. If you smoke, have<br />

diabetes or if you have a family history<br />

of heart disease, you should have your<br />

cholesterol checked beginning at age 20.<br />

Blood pressure. You should have your<br />

blood pressure checked every two years.<br />

Colorectal cancer. Screening for this<br />

cancer should begin when you are 50.<br />

Diabetes. You should be screened for<br />

diabetes if you have high blood pressure<br />

or high cholesterol.<br />

Depression. Talk to your doctor if you<br />

feel sad or hopeless, or if you have lost<br />

interest in normal activities for two<br />

weeks straight. You may have depression.<br />

Sexually transmitted diseases. Talk to<br />

your doctor to see if you should be<br />

screened for any STDs, such as HIV.<br />

Prostate cancer. Talk to your doctor<br />

about whether you should be screened<br />

for this type of cancer.<br />

Staying healthy<br />

Here are recommendations from the Agency<br />

for <strong>Healthcare</strong> Research and Quality:<br />

Don't smoke. If you do smoke, talk to<br />

your doctor about how to quit.<br />

Follow a healthy diet. Your diet should<br />

eat a variety of foods, including fruits,<br />

vegetables, whole grains, and protein.<br />

Watch how much saturated fat you eat.<br />

Be <strong>active</strong>. Pick an activity you enjoy and<br />

stick with it. Try for a total of 20 to 30<br />

minutes of moderate activity most days<br />

of the week.<br />

Maintain a healthy weight. Balance the<br />

amount of calories you eat with the<br />

amount of activity you get.<br />

Don't drink or drink in moderation. If<br />

you drink alcohol, have no more than<br />

two drinks a day. A drink is 12 ounces of<br />

beer, 5 ounces of wine or 1.5 ounces of<br />

distilled spirits.<br />

Keep your immunizations up to date.<br />

Talk to your doctor about which immunizations<br />

you may need.<br />

Consider taking aspirin. Talk to your<br />

doctor about taking aspirin to prevent<br />

heart disease if you are older than 40


FACTS about<br />

Skin Cancer<br />

Skin cancer is the most common type of cancer in the United<br />

States, with more than two million new cases diagnosed each year.<br />

Up to 50 percent of Americans who reach age 65 will have some<br />

type of skin cancer. It’s also increasing in young people.<br />

The skin is made up of three main layers:<br />

the epidermis (outer layer); the dermis<br />

(middle layer); and the subcutis (the deepest<br />

layer). The epidermis has three different<br />

types of cells: squamous cells form the top<br />

level; basal cells form the next layer; and<br />

the deepest layer contains melanocytes,<br />

cells that give skin its color. Skin cancers<br />

are caused when DNA of cells are damaged<br />

and the cells grow uncontrollably to form<br />

a tumor.<br />

There are three major types of skin<br />

cancer. The names of the three types come<br />

from the type of skin cell in which they<br />

begin: basal cell carcinoma; squamous cell<br />

carcinoma; and melanoma. (Carcinoma is<br />

the name given to cancers that begin in<br />

cells that cover or line an organ.) Other<br />

skin cancers combined make up less than 1<br />

percent of cases. These include Merkel cell<br />

carcinoma, adnexal tumors, various types of<br />

sarcomas, and cutaneous lymphomas.<br />

Basal cell carcinoma<br />

(BCC)<br />

This is the most common cancer, accounting<br />

for about 80 percent of diagnosed<br />

cases. Most BCCs are on skin that has<br />

extensive exposure to the sun, such as face,<br />

ears, scalp, and upper chest and back. These<br />

are slow-growing cancers that rarely spread<br />

(metastasize). Early diagnosis and treatment<br />

can prevent damage to areas around the<br />

cancer and metastasis. Usually, BCCs look<br />

like small, smooth, pearly or waxy bumps.<br />

Squamous cell carcinoma<br />

(SCC)<br />

This is the second most common type,<br />

accounting for about 20 percent of cases.<br />

SCCs often come from spots that are dry,<br />

scaly, reddish-brown, yellowish-black, or<br />

normal skin color and are called actinic<br />

keratoses. Most SCCs are on areas of the<br />

skin that have had exposure to the sun, but<br />

they can be found on other areas, such as<br />

the mouth and genital area. The majority<br />

occur in fair-skinned and elderly people.<br />

SCCs can metastasize if not treated. Usually<br />

squamous cell cancers look like firm, red<br />

bumps, or rough, scaly flat areas that may<br />

itch, bleed, and form a crust.<br />

Basal cell and squamous<br />

cell carcinomas can cause<br />

considerable damage and<br />

disfigurement if untreated.<br />

If detected and treated early,<br />

however, these carcinomas<br />

have a cure rate of more<br />

than 95 percent.<br />

Melanoma<br />

This form of skin cancer<br />

is least common, causing<br />

less than 5 percent of skin<br />

cancer cases. It begins in the<br />

melanocytes, the cells in the<br />

skin that give skin its color.<br />

This type of cancer usually<br />

develops in a mole or a spot<br />

that looks like a mole.<br />

Malignant melanoma causes a large majority<br />

of all deaths from skin cancer. This<br />

disease can spread to the lymph system and<br />

other organs, most commonly the lungs,<br />

liver, and brain. Malignant melanoma diagnosed<br />

at an early stage usually can be cured,<br />

but melanoma diagnosed at a late stage is<br />

more likely to have spread and cause death.<br />

Causes<br />

Exposure to the sun’s ultraviolet (UV)<br />

rays appears to be the most important<br />

environmental factor in the development<br />

of all three types of skin cancer. The sun’s<br />

ultraviolet rays (UV) damage the DNA of<br />

skin cells.<br />

<strong>Summit</strong> Active 2


Skin cancer is largely a preventable<br />

disease if you consistently follow protective<br />

practices and behaviors. UV rays from artificial<br />

sources of light, such as tanning beds<br />

and sun lamps are just as dangerous as those<br />

from the sun, and should be avoided.<br />

UV light is further defined as either<br />

UVA or UVB. About 30 to 50 times<br />

more UVA rays reach the earth than UVB<br />

rays. UVA is present with about the same<br />

intensity during all daylight hours throughout<br />

the year, and these rays can go through<br />

clouds and glass. The highest amount of<br />

UVB hits the U.S. between 10 a.m. and 4<br />

p.m. from April to October. These rays do<br />

not come through glass well, but they can<br />

damage skin year round.<br />

UVA<br />

UVA rays cause rapid tanning. These<br />

rays are present throughout the year and<br />

can penetrate deeply, reaching the dermis<br />

and the fat layer just below the skin. Exposure<br />

to UVA radiation over time causes<br />

damage to the connective tissue under the<br />

skin, leading to wrinkles.<br />

UVB<br />

UVB rays cause the most harm to skin.<br />

These rays are greatest during the summer,<br />

but snow and ice reflect UVB radiation, so<br />

excess exposure can occur in winter, too.<br />

UVB radiation delivers a high amount of<br />

energy to the outer layers of the epidermis.<br />

UVB is primarily responsible for sunburn,<br />

suntan, inflammation, and the changes in<br />

the DNA of skin cells that leads to skin<br />

cancer. It is most intense when the sun is<br />

directly overhead between 10 a.m. and 4<br />

p.m.<br />

The total amount of lifetime sun exposure<br />

is the cause of basal cell and squamous<br />

cell skin cancers. Severe sunburns, most<br />

often before age 18, can cause a melanoma<br />

later in life. Other causes can be frequent<br />

exposure to X-rays, having scars from<br />

burns or disease, and exposure to certain<br />

chemicals.<br />

Who’s at risk?<br />

Although anyone can get skin cancer,<br />

people with certain risk factors are particularly<br />

at risk. These are risk factors for skin<br />

cancer:<br />

Non-melanoma skin cancer (squamous<br />

cell and basal cell carcinomas)<br />

Chronic exposure to the sun, or tanning<br />

lamps or booths<br />

Light skin color<br />

Family history of skin cancer<br />

3 <strong>Summit</strong> Senior Active Wellness<br />

Personal history of skin cancer<br />

Gender; males are twice as likely as females<br />

to have this cancer<br />

Poor tanning ability and easily sunburned<br />

Red or blonde hair, light-colored eyes,<br />

light skin color<br />

Freckles, which indicate sun sensitivity<br />

and sun damage<br />

Exposure to certain chemicals like arsenic,<br />

tar, and paraffin<br />

Radiation treatment, which increases<br />

the risk for cancer in the skin over the<br />

treated area<br />

People who smoke are at an increased<br />

risk of skin cancer, especially on the lips<br />

Melanoma<br />

Unusual moles, change in existing mole,<br />

new moles<br />

Exposure to sunlight, especially severe<br />

sunburn before age 18<br />

Using tanning booths<br />

Family or personal history of melanoma<br />

Red or blonde hair, light-colored eyes,<br />

light skin color<br />

Gender; males have a higher risk<br />

Suppressed immune system<br />

Symptoms<br />

Skin cancers can occur anywhere on<br />

the body, but most often are found on areas<br />

exposed to the sun.<br />

The most common symptom is a new<br />

growth on the skin or a sore that does not<br />

heal in the usual time. The first sign of a<br />

melanoma is frequently a change in the<br />

shape, color, or size of an existing mole, or<br />

the appearance of a new mole. It is important<br />

to look for changes in existing moles<br />

and new moles. You can remember what<br />

type of changes to look for in an existing<br />

mole by remembering the ABCD rule:<br />

Asymmetry: The shape of one half of<br />

the mole is different from the other half<br />

Borders: The outside edges of the mole<br />

are ragged<br />

Color: The mole has different shades of<br />

colors, such as brown, black, tan, red,<br />

or blue (although some can be white or<br />

have no color change)<br />

Diameter: The size of the mole has<br />

changed<br />

If you notice any of these changes in<br />

a mole or the growth of a new mole, or<br />

a mole begins to bleed or ooze fluid, see<br />

your health care provider. Skin cancer is<br />

diagnosed by a biopsy.


Treatment<br />

Treatment depends on the type of<br />

skin cancer and the extent to which it has<br />

spread. Basal and squamous skin cancers can<br />

be treated by:<br />

Mohs surgery. This is a special type of<br />

surgery for skin cancer that shaves one<br />

layer of cancerous tissue at a time. The<br />

tissue is immediately checked under a<br />

microscope to see if it contains cancer<br />

cells. The layers are removed until no<br />

cancer cells are found in the shaved cells.<br />

Curettage and electrodessication. In<br />

curettage, the cancer cells are scooped<br />

out using a special instrument called<br />

a curette. A special instrument applies<br />

an electric current to the area to stop<br />

bleeding and kill any cancer cells in the<br />

margin; this process is called electrodessication.<br />

Cryosurgery. This freezes the cells with<br />

liquid nitrogen, killing abnormal cells.<br />

Laser therapy. This uses a narrow beam<br />

of intense light to kill cancer cells.<br />

Chemotherapy. This uses drugs to kill<br />

cancerous cells. The drugs can be given<br />

orally, injected, infused intravenously (in<br />

a vein), or put right on the skin.<br />

Radiation. This uses high-energy rays<br />

(such as x-rays) or particles (such as photons,<br />

electrons, or protons) to kill cancer<br />

cells.<br />

Melanomas can be treated by surgery, chemotherapy,<br />

radiation, and biologic therapy,<br />

which are treatments that help the body’s<br />

immune system fight the cancer.<br />

Prevention<br />

Your exposure to UV depends on the<br />

strength of the sunlight, which is determined<br />

by where you live; the length of<br />

exposure; and whether you protect your<br />

skin with sunscreen and clothing. The areas<br />

of the body that receive the most sun exposure<br />

over a lifetime are the face, back of the<br />

neck, bald head, upper chest, forearms,<br />

backs of the hands, and lower legs. You<br />

can tell how much sunlight has changed<br />

your skin by comparing the sunexposed<br />

surfaces, such as the top of<br />

your forearm, with the inside of your<br />

forearm, which is usually protected<br />

from the sun.<br />

Sun exposure adds up, so protecting<br />

yourself from too much exposure is<br />

important. People can take simple steps to<br />

plan ahead and protect themselves from the<br />

sun’s UV rays. These options are important<br />

to remember year round and during all<br />

outdoor activities, and not just when at the<br />

beach or pool.<br />

Clothing<br />

Covering up with clothing is the best<br />

protection. Up to 80 percent of nonmelanoma<br />

skin cancers occur on the head<br />

and neck, so a wide-brimmed hat should<br />

be worn to shade the face, ears, scalp, and<br />

neck from the sun’s UV rays. A hat with a<br />

four-inch brim provides the most protection.<br />

If a baseball cap is worn, sunscreen<br />

with a sun protection factor (SPF) of at<br />

least 30 should also be used to protect the<br />

ears and neck.<br />

The best protection<br />

for the body<br />

is a long-sleeved<br />

shirt and long pants.<br />

Dark colors provide<br />

better protection<br />

than light colors.<br />

Wet fabric gives<br />

less protection than<br />

dry. Some clothing<br />

has SPF protection<br />

added; a typical<br />

shirt, however,<br />

has an SPF rating<br />

substantially lower<br />

than the recommended<br />

SPF 15, so<br />

it is wise to double<br />

up on protection by using sunscreen with<br />

at least SPF 30 and staying in the shade<br />

when possible.<br />

Seek shade<br />

Because the sun’s UV rays are strongest<br />

and do the most damage during midday,<br />

outdoor activities should be avoided at this<br />

time. If this is not possible, then finding the<br />

shade of a tree, beach umbrella, or tent is a<br />

practical way to protect<br />

the skin.<br />

Sunscreen<br />

There are two types of sunscreens:<br />

Physical sunscreens, such as zinc or titanium<br />

oxide, contain particles that scatter<br />

and reflect sunlight from the skin.<br />

Chemical sunscreens, which absorb<br />

radiation.<br />

Sunscreens generally do a good job filtering<br />

out the UVB rays, which cause sunburn.<br />

But most sunscreens don’t defend nearly as<br />

well against the UVA rays. That’s true even<br />

for some products labeled ‘’broad-spectrum<br />

UVA/UVB protection.”<br />

SPF refers only to protection from<br />

UVB rays. SPF 15 blocks about 93 percent<br />

of UVB rays, and SPF 50,<br />

often more expensive,<br />

blocks about 98 percent. A<br />

higher SPF rating does not<br />

mean you can spend more<br />

time in the sun.<br />

Experts say the best<br />

protection against UVA is a<br />

sunscreen that includes zinc<br />

oxide, titanium dioxide,<br />

oxybenzone, or avobenzone.<br />

Most people do not apply<br />

enough of the sunscreen<br />

to get the full SPF rating.<br />

An adult should use enough<br />

sunscreen to fill a shot glass<br />

and use it to cover arms,<br />

legs, neck and face. If you are using insect<br />

repellant or other lotions, apply the sunscreen<br />

first.<br />

For adults and children, sunscreens<br />

should be applied 20 to 30 minutes before<br />

exposure and every two hours afterward, as<br />

well as after swimming or sweating.<br />

Babies younger than six months should<br />

be kept out of direct sunlight and protected<br />

from the sun using hats and protective<br />

clothing. Sunscreens should not be used on<br />

infants younger than six months, unless adequate<br />

clothing and shade are not available.<br />

Use a lip balm with sunscreen to<br />

protect lips.<br />

Sunglasses<br />

Sunglasses protect the tender<br />

skin around the eyes and reduce the<br />

risk for developing cataracts. Look<br />

for sunglasses that block both UVA<br />

and UVB rays. Wrap-around lenses are<br />

ideal because they keep UV rays from<br />

hitting the sides of the eyes.<br />

<strong>Summit</strong> Active 4


AN OUNCE OF CAUTION<br />

Prevents<br />

Heat-Related<br />

Illness<br />

After a few quick stretches, the hiker<br />

goes out on the trail for a long hike. After<br />

a several miles, he or she starts to climb<br />

a small hill. Suddenly, their leg freezes in<br />

a cramp, and they fall down in pain—a<br />

victim of the heat. The four most common<br />

heat-related emergencies are cramps, fainting,<br />

exhaustion, and heat strokes. These<br />

illnesses occur when the body can no<br />

longer cool itself properly.<br />

Heat-related illnesses may be fatal in<br />

extreme cases, but are fortunately preventable,<br />

according to the Centers for Disease<br />

Control and Prevention (CDC).<br />

Older adults, infants and children,<br />

people with certain medical conditions,<br />

those who work in hot environments, and<br />

athletes are at greatest risk for injury. When<br />

weather forecasters talk about a heat index<br />

of 90 degrees or above—that’s the temperature<br />

in the shade—everyone should take<br />

extra precautions.<br />

High humidity and high air pollution<br />

increase the risk of heat-related illnesses.<br />

Evaporation of sweat keeps the body<br />

cool. When you can no longer sweat or<br />

your sweat can’t evaporate because of high<br />

humidity, you can no longer dissipate<br />

heat and your body temperature may rise.<br />

When the body temperature increases too<br />

much, most people experience headache,<br />

dizziness, muscle weakness, cramps, or<br />

nausea. This is called hyperthermia. If body<br />

temperature goes too high or hyperthermia<br />

persists too long, collapse and death may<br />

follow.<br />

Take time to prepare<br />

Heat-related illnesses can be prevented<br />

by gradually acclimating to increasing temperatures.<br />

Athletes and exercisers should<br />

begin with sessions at 50 percent of their<br />

performance level in the month before<br />

beginning competition or regular exercise.<br />

According to the CDC, there are<br />

several rules of thumb for exercising and<br />

drinking fluids. If you exercise in the heat<br />

for an hour, you should drink water at least<br />

15 minutes before exercising and every 15<br />

minutes during exercise. For exercise lasting<br />

longer than 60 to 90 minutes, athletes<br />

should drink a commercial carbohydrate<br />

and salt replacement fluid.<br />

Heat cramps<br />

This is a form of muscle spasm and<br />

tightening that occurs as a result of intense<br />

exercise in the heat. It could be caused by<br />

a lack of sodium and fluids. Treatment:<br />

Rest, cool down, stretch, and drink rehydrating<br />

solutions.<br />

Heat syncope (fainting)<br />

This is caused by dehydration and<br />

sudden cessation of exercise. Treatment:<br />

Drink fluids and lie down in a cool place<br />

with your feet elevated. To avoid heat<br />

syncope, gradually end your workout with<br />

a cool-down activity like slowly walking or<br />

pedaling a bicycle.<br />

Heat exhaustion<br />

Symptoms of heat exhaustion are exhaustion;<br />

weakness; feeling faint; excessive<br />

sweating; hot, red skin; slightly elevated<br />

temperature (less than 104 degrees F);<br />

decreased urine; and disorientation. Other<br />

symptoms include heat cramps, headache,<br />

rapid heartbeat, fainting, muscle aches,<br />

vomiting, and diarrhea. Treatment: Rest,<br />

cool down rapidly with fans and ice packs,<br />

and drink fluids. IV fluids may be needed.<br />

Seek further medical attention if necessary.<br />

Heat stroke<br />

Heat stroke is a medical emergency.<br />

Heat stroke occurs when the body loses its<br />

ability to regulate its temperature through<br />

sweating. The most telling signs of heat<br />

stroke are an elevated temperature (greater<br />

than 104 degrees F), rapid heartbeat, shallow<br />

breathing, lack of sweating, and hot,<br />

flushed dry skin. This may progress to<br />

mental impairment ranging from confusion<br />

and hysteria to coma. Treatment: Hospital<br />

emergency treatment, including removal of<br />

excess clothing and cooling the body with<br />

ice or fans. CPR, oxygen, and IV fluids<br />

may also be needed.<br />

How to stay cool in the heat<br />

Follow these tips to help you stay cool:<br />

When outside, wear a hat and stay<br />

in the shade as much as possible.<br />

Avoid asphalt and pavement, if possible.<br />

They're normally hotter than<br />

dirt or grass, and they radiate infrared<br />

heat.<br />

Drink plenty of water before any<br />

activity. For strenuous exercise,<br />

drink water or a salt replacement<br />

fluid about every 15 minutes. If you<br />

have pale, clear urine, you're drinking<br />

enough fluids.<br />

Schedule strenuous outdoor activity<br />

for the cooler parts of the day.<br />

Normally, this is before 10 a.m. and<br />

after 6 p.m.<br />

At the beginning of the warm<br />

weather season, spend several days<br />

acclimatizing yourself to the heat by<br />

gradually increasing your activities<br />

outside.<br />

If you're on any medications, consult<br />

with your doctor before undertaking<br />

any strenuous activity in the heat.<br />

Some drugs can cause dehydration.<br />

Wear light-colored, loose-fitting<br />

clothes. Natural fibers like cotton<br />

help the body release heat better.<br />

Eat light foods, as well as plenty of<br />

fruits and vegetables, because they<br />

contain water.<br />

Take cool or tepid baths and showers<br />

to cool down.<br />

Avoid alcohol and caffeine, which can<br />

interfere with sweating and fluid loss.<br />

Simplify meal preparation to cut<br />

down on cooking time. Use a microwave<br />

if possible.<br />

If your home doesn't have air conditioning,<br />

use fans to circulate the air.<br />

Spend as much time as possible in<br />

air conditioned buildings.<br />

5 <strong>Summit</strong> Active


Dear <strong>Summit</strong> Active members,<br />

(formerly <strong>Summit</strong> Senior Wellness members)<br />

We have changed the name of our <strong>Summit</strong> Senior Wellness<br />

program to <strong>Summit</strong> Active in order to more accurately reflect<br />

our <strong>active</strong> White Mountain 50 and above population. We hope you<br />

are pleased with the change! Benefits remain the same - you are<br />

entitled to 20% off the net balance (after insurance, deductibles<br />

and co-pays have been applied to your account) of any service<br />

provided by our hospital facility and our outpatient clinics<br />

(excluding physician offices).<br />

We also have several businesses in the community that have<br />

chosen to offer these benefits to <strong>Summit</strong> Active members as listed<br />

below.<br />

Sincerely,<br />

Kim Mayfield, Public Relations Manager<br />

Community Businesses Offering<br />

DISCOUNTS to SUMMIT ACTIVE Members<br />

Carol E Smith, CPA<br />

Free consultation and 25% off all<br />

services.<br />

37000 Highway 61, Concho Plaza<br />

Suite A<br />

Concho, AZ 85924<br />

928-337-3372<br />

carol@carolsmithcpa.com<br />

Bannon Springs Ranch Christian<br />

Assisted Living Center<br />

50% discount off one month’s rent for<br />

new private pay residents - contact<br />

Bannon Springs for details.<br />

PO Box 485<br />

Lot 20 County Road #3398<br />

Vernon, AZ 85940<br />

Contact Julia Foster at 928-532-0206<br />

Dr. Jared Hall, Podiatrist<br />

20% off cash pay clients<br />

White Mountain Foot & Ankle<br />

5448 S White Mountain Road, Suite 270<br />

Lakeside, AZ 85929<br />

928-532-1122<br />

Dr. Larson, Chiropractor<br />

20% off cash pay clients<br />

280 N. White Mountain Rd<br />

Show Low, AZ 85901<br />

928-532-0999<br />

Calm Center Acupuncture<br />

20% off services<br />

Jacqueline Harte L.Ac, PT<br />

1916 W Woodland Lake Road<br />

Lakeside, AZ 85929<br />

928-367-2551<br />

With your 20% discount, rates are as<br />

follows:<br />

Initial eval and treatment $72<br />

Follow up acupuncture $50.40<br />

Facial Rejuvenation treatment $86.40<br />

EB Pro detox footbaths $32<br />

Fantastic Sam’s<br />

4461 S. White Mountain Rd<br />

Show Low, AZ 85901<br />

10% off services<br />

SUMMIT ACTIVE<br />

HOSPITAL<br />

DISCOUNTS<br />

Serenity Spa<br />

at <strong>Summit</strong> <strong>Healthcare</strong><br />

$5 off massage services<br />

Lab work<br />

(done at the East Campus of <strong>Summit</strong><br />

<strong>Healthcare</strong>)<br />

Complete Metabolic panel, CBC,<br />

Lipid panel, A1c, TSH - $110.<br />

PSA screen - $30<br />

Free annual flu shots upon availability<br />

of national supplies (flu shot to be<br />

given in October or November)<br />

As an inpatient you will receive…<br />

A free newspaper<br />

One (1) meal voucher for one (1)<br />

family member per day while you’re<br />

an inpatient. (Value 8.00) Additional<br />

costs may apply if value is exceeded.<br />

*20% discount on services offered at <strong>Summit</strong><br />

<strong>Healthcare</strong> Regional Medical Center Hospital<br />

Facility and Outpatient Clinics (excluding<br />

Physician offices)*<br />

*Discount applied after insurance, deductibles<br />

and co-pays have been applied to your account.<br />

The 20% discount will not be applied for<br />

services billed by an outside billing agency<br />

(Physician services, Radiology Service,<br />

Anesthesiology, etc.) The discount will be<br />

applied to bills generated by <strong>Summit</strong> <strong>Healthcare</strong><br />

Regional Medical Center only. *<br />

Extras…<br />

Free health and wellness seminars<br />

Free quarterly newsletter<br />

<strong>Summit</strong> Active 6


Construction UPDATE<br />

In this article I want to update you on five construction projects<br />

that are in various phases of completion.<br />

Ron McArthur, CEO – <strong>Summit</strong> <strong>Healthcare</strong><br />

Gift Shop and Café Expansion Project<br />

- The Volunteer Gift Shop and Café<br />

were recently expanded. The Café was<br />

expanded to allow for the freezer and<br />

refrigerator to be accessible from the<br />

Café. A Sewing Room was added to the<br />

back of the Café along with a Storage<br />

Room. The Gift Shop was expanded to<br />

provide office space for the Director of<br />

Volunteers. This project also included<br />

new flooring, tables and chairs and has<br />

been completed.<br />

Surgical Services Waiting and<br />

Consultation Rooms – The Waiting<br />

Room across from the Registration<br />

Office is being enclosed to provide<br />

a dedicated Surgical Waiting Room<br />

for families along with two enclosed<br />

Consultation Rooms. This project will<br />

be completed by the end of July.<br />

Wound Care/Physical Therapy/Women’s<br />

Imaging Project – The space between<br />

the Atrium and the hallway outside<br />

the Cafeteria is being remodeled to<br />

provide a new Wound Care Center,<br />

a new Physical Therapy Department<br />

and a new Women’s Imaging Center.<br />

The Women’s Imaging Center will<br />

include mammography, ultrasound<br />

and bone densitometry. The Wound<br />

Care Center will house two hyperbaric<br />

oxygen chambers and will be the<br />

first of its kind in rural Arizona. This<br />

project is scheduled to be completed in<br />

November.<br />

Emergency Room Renovation/<br />

Expansion Project - The Emergency<br />

Room is being expanded from 10,000<br />

to 18,000 square feet. The number of<br />

treatment rooms is being increased from<br />

15 cubicles to 31 enclosed treatment<br />

rooms. The expansion also includes<br />

the addition of 5 fast track rooms and<br />

6 observation rooms. Phase I of the<br />

remodeling project has been completed.<br />

ER staff moved into the new space<br />

during the 2 nd week of June. Phase II,<br />

Photo of<br />

Construction<br />

at <strong>Summit</strong> <strong>Healthcare</strong>?<br />

which consists of remodeling the former<br />

ER space, is in process and is scheduled<br />

to be completed in December.<br />

Surgical Department Expansion Project<br />

– The Surgical Services department is<br />

being expanded to accommodate the<br />

addition of three Vascular/Cath Labs,<br />

new Central Sterile and remodeling<br />

of some existing space. The dirt<br />

work for this expansion project has<br />

been completed and footings are in<br />

the process of being poured. Phase I<br />

(new construction) is scheduled to be<br />

completed in April 2013. Phase II,<br />

which consists of remodeling some<br />

of the existing space, is scheduled for<br />

completion in August 2013.<br />

Photo of<br />

Construction<br />

at <strong>Summit</strong> <strong>Healthcare</strong>?<br />

These projects will complement the<br />

construction of the Patient Tower, which<br />

was completed in 2008, will provide for<br />

a number of new services and will update<br />

and modernize several departments. We<br />

continue to grow to meet the needs of the<br />

communities that we serve with our overall<br />

goal of keeping healthcare on the Mountain.<br />

Please thank our Governing Board<br />

members for their support in approving<br />

these construction projects.<br />

With warmest regards,<br />

Ron McArthur, CEO<br />

<strong>Summit</strong> <strong>Healthcare</strong><br />

7 <strong>Summit</strong> Active


continued from Inside Front Cover<br />

<strong>Summit</strong> <strong>Healthcare</strong> Regional Medical Center<br />

Medical Staff Roster<br />

Mulder, Michelle, MD<br />

300 W. White Mountain Blvd, Ste D<br />

Lakeside, AZ 85929<br />

P: 928-367-1444 928-367-1446 Active<br />

ONCOLOGY<br />

Cambareri, Richard, MD<br />

SHRMC Radiation Oncology<br />

2500 E Hunt St., Suite I • Show Low, AZ 85901<br />

928-537-6937 928-532-8798 Active<br />

Thakkar, Snehal, MD<br />

SHRMC Radiation Oncology<br />

2500 E Hunt St., Suite I • Show Low, AZ 85901<br />

P: 928-537-6937 928-532-8798 Active<br />

OPHTHALMOLOGY<br />

Knippers, Johnny, MD<br />

Soutwestern Eye Center<br />

2650 E Show Low Lake Road, Ste 2<br />

Show Low, AZ 85901<br />

P: 928-537-4240 928-537-3892 Consulting<br />

Miles, William, MD<br />

Miles Eye Center<br />

1951 S White Mtn. Rd., Ste 1001<br />

Show Low, AZ 85901<br />

P: 928-537-2010 928-537-2023 Active<br />

ORTHOPEDIC SURGERY<br />

Brimhall, Ian, DO<br />

4830 Highway 260, Suite 103<br />

Lakeside, AZ 85929<br />

P: 928-537-8777 928-537-1914 Active<br />

Dowling, Veronica, MD<br />

White Mt. Surgical Specialists<br />

2650 E. Show Low Lake Rd, Suite 2<br />

Show Low, AZ 85901<br />

P: 928-537-4240 928-537-4541 Active<br />

Ferguson, Ronney, MD<br />

2051 E Evergreen Lane, Suite A<br />

Show Low, AZ 85901<br />

P: 928-537-7557 928-537-7594 Active<br />

King, John, MD<br />

5171 Cub Lake, Ste C330 • Show Low, AZ 85901<br />

P: 928-537-6755 Active<br />

Washburn, Steven, MD<br />

Arizona Mountain Orthopedics<br />

4830 Highway 260, Suite 103<br />

Lakeside, AZ 85929<br />

P: 928-537-8777 928-537-1914 Active<br />

Wylie, Robert, MD<br />

Whiteriver Service Unit, IHS, USPHS<br />

PO Box 860 • Whiteriver, AZ 85941<br />

P: 928-338-4911 928-338-1122 Consulting<br />

PAIN MANAGEMENT<br />

Major, Mitchell, MD<br />

2051 E Evergreen Ln, Suite B<br />

Show Low, AZ 85901<br />

P: 928-537-6977 928-537-9581 Active<br />

PEDIATRIC NURSE<br />

PRACTITIONER<br />

Armstrong, Rachel, PNP<br />

White Mountain Pediatrics<br />

43 W White Mountain Blvd Ste B<br />

Lakeside, AZ 85935<br />

P: 928-367-1300 928-367-1330<br />

Allied Health Professional<br />

PEDIATRICS<br />

Bennett, Vera, MD<br />

Pediatrics in the Pines<br />

3401 S. White Mountain Road, Ste 1<br />

Show Low, AZ 85901<br />

P: 928-537-5437 928-537-5857 Active<br />

Lawson, William, MD<br />

Taylor Medical<br />

P. O. Box 1099 • Taylor, AZ 85939<br />

P: 928-536-2263 928-536-2100 Active<br />

Puchowicz, Michael, MD<br />

4830 Hwy 260, Ste 102 • Lakeside, AZ 85929<br />

P: 928-537-1040 928-537-1042 Active<br />

PLASTIC SURGERY<br />

Olack, James, MD<br />

2450 E Show Low Lake Road, Suite 2A<br />

Show Low, AZ 85901<br />

P: 928-537-6767 928-537-0299 Active<br />

PODIATRY<br />

Hall, H. Ryan, DPM<br />

White Mountain Foot and Ankle<br />

5448 S White Mountain Road, Suite 270<br />

Lakeside, AZ 85929<br />

P: 928-532-1122 928-532-1124 Consulting<br />

Hall, Jared, DPM<br />

White Mountain Foot and Ankle<br />

5448 S White Mountain Road, Suite 270<br />

Lakeside, AZ 85929<br />

P: 928-532-1122 928-532-1124 Consulting<br />

Robinson, Richard, DPM<br />

Whiteriver Service Unit, IHS, USPHS<br />

PO Box 860 • Whiteriver, AZ 85941<br />

P: 928-338-4911 928-338-1122 Consulting<br />

Shumway, Don, DPM<br />

Snowflake Medical Center<br />

590 S. Main Street • Snowflake, AZ 85937<br />

P: 928-536-7519 928-536-7305 Consulting<br />

PULMONOLOGY<br />

Galhotra, Simranjit, MD<br />

Gila Lung, PC<br />

2051 E Evergreen Lane, #C • Show Low, AZ 85901<br />

P: 928-532-2200 928-532-2203 Active<br />

RADIATION ONCOLOGY<br />

Henderson, Victor, MD<br />

SHRMC Radiation Oncology<br />

2500 E Hunt St., Suite H • Show Low, AZ 85901<br />

P: 928-537-6937 928-532-8798 Active<br />

UROLOGY<br />

Niemczyk, Peter, MD<br />

Mountain Valley Urology<br />

5171 Cub Lake Road, Ste C-340<br />

Show Low, AZ 85901<br />

928-537-0111 623-582-9666 Active<br />

Waller, Jr, William, MD<br />

5171 Cub Lake Road, Ste 280B<br />

Show Low, AZ 85901<br />

P: 928-532-8663 928-532-8665 Active<br />

VASCULAR SURGERY<br />

Wehling, Edwin, DO<br />

Elk Ridge Surgical Specialist<br />

5448 S. White Mountain Blvd, Suite 210<br />

Lakeside, AZ 85929<br />

P: 928-537-8285 928-537-8291 Active<br />

<strong>Summit</strong> Active 8


Seminars<br />

August 21<br />

September 12<br />

October 16<br />

<strong>Summit</strong> Events<br />

August 4<br />

August 10<br />

August 25<br />

September 7<br />

September 22<br />

October 5<br />

ACTIVE<br />

WELLNESS PROGRAM<br />

Telemedicine<br />

Alzheimer’s<br />

Physical Therapy<br />

To register for any of the classes,<br />

please call 855-SMT-4YOU<br />

Heber-Overgaard<br />

Community Clinic<br />

Health Fair and Open House<br />

VIP Tour of <strong>Summit</strong><br />

Women’s Health Conference<br />

VIP Tour of <strong>Summit</strong><br />

Dark Skies and Black Ties Gala<br />

VIP Tour of <strong>Summit</strong><br />

Hospital Services<br />

Cardiac<br />

Cardiac Catheterization<br />

Pacer Clinic<br />

Cardiopulmonary<br />

Department<br />

Cardiac and Pulmonary<br />

Rehabilitation<br />

Diagnostic Imaging<br />

Mammography<br />

Nuclear Medicine<br />

Radiology<br />

Telemedicine/<br />

Telestroke with<br />

Mayo Clinic<br />

Emergency<br />

Department<br />

Home Health<br />

IV Therapy<br />

Laboratory<br />

Mobile Health<br />

Services Van<br />

Occupational<br />

Health<br />

Rehabilitation<br />

Services<br />

Physical Therapy<br />

Occupational Therapy<br />

Cancer Center<br />

Chemotherapy<br />

Medical Oncology<br />

Radiation Oncology<br />

Surgical Services<br />

General<br />

Ortho<br />

Plastics<br />

Gynecological<br />

Vascular<br />

Inpatient<br />

Obstetrics<br />

Level II Special Care<br />

Nursery<br />

Med Surg<br />

ICU<br />

Outpatient<br />

Sleep Lab<br />

Snowflake Outpatient<br />

Center<br />

Holbrook Specialty Center<br />

Heber-Overgaard<br />

Community Clinic<br />

Cub Lake Outpatient<br />

Center<br />

9 <strong>Summit</strong> Active

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