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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