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Doctor's Corner
Two Thoughts for Your Consideration: First: The news of the past few weeks has been very stressful. What with the 24-hour news cycle, and constancy of "talking heads" on television, it has been difficult to pull one's self away from the TV news channels. Such constant attention to this news isn't good for us. Whether it's morbid curiosity or obsessive aspects of our personality, or nagging worry- keeping our constant attention focused on the minute-to-minute changes in the global/local economy creates tension, anxiety, and general sense of doom.
Life will 'go on', as we all are aware. Here in the office, we will "turn off the news", and I suggest you try this yourself. I think it can go a long way to relaxing us, just enough, to keep moods better and worries diminished (no, not an 'ostrich' reaction, but just some tempering of our natural tendency.) Second: With the concerns about money and the economy, we can begin to "take charge" of our own personal financial situation by controlling our costs, and one way we can help, is by reviewing your list of medications, to see if we can find a "less expensive" alternative regimen to save your money. If this is of interest, let us know and we will review your medications with that specific fact in mind. We won't sacrifice the most important issue, safety and good health, but we can perhaps find medications that are generic, less expensive, but basically similar in effect. Yours in good health, Dr. Lakin Back to Top |
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 Paradise Valley Medical Clinic, PC
Douglas M. Lakin MD
10250 N. 92nd Street #216
Medical Plaza I
Scottsdale, AZ 85258
480.614.5800
480.614.6322 fax
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| October Is National Breast Cancer Awareness Month....... |
October is National Breast Cancer Awareness Month, and a good time for women over the age of 40 to schedule their annual screening mammogram. Designed by women for comfort and privacy, the breast health center at Scottsdale Healthcare Shea is equipped with the latest technology for soft-touch digital mammography, breast ultrasound and computer-aided detection for all screening studies.
Female technicians perform all procedures. The center also offers two waiting areas, one for family and friends and another exclusively for gowned patients. For more information, call 480-323-3718.
We are looking for the cure and soon!
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Wine Protects the Liver......  |
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Surprising, a glass of wine a day may also cut your odds of non-alcoholic fatty liver disease in half, say researchers at the University of California, San Diego.
For unknown reasons, this disease is increasing and already affects more than 40 million American adults.
One theory is that dark red wines, such as merlot, cabernet sauvignon and shiraz, contain antioxidants, including reveratrol, shown in studies to help fight several diseases.
What good news! Cheers!
- USA Weekend
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A Guy's Love Life.... 
(Good news for the "mature adult")
One of the things that people feel is an important part of any "quality of life" formula is their love life. These days, you don't have to look far to find an advertisement for medications to help with erectile dysfunction, or ED, a common problem in aging males. Well, what if the old adage "use it or lose it" applies when it comes to a man's love life too?
A study published in the July 2008 issue of The American Journal of Medicine suggests that regular intercourse helps protect men from developing ED.
The study done by researchers in Finland, tracked nearly 1,000 men ages 55 to 75 over a five year period. Using a questionnaire to assess the frequency of sexual intercourse and ED symptoms, researchers discovered that the men who reported having sexual intercourse less than once per week at the beginning of the study were twice as likely to develop ED as those men who reported having sexual intercourse at least once per week.
The study supports the adage: A man's love life continues to be important to him as he ages, and those who maintain a routine fare better than those who don't.
The good news is that, as in other areas of health, we can help determine our love life's fate by paying attention along the way!
- USA Weekend, Tedd Mitchell, MD
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| At the Movies with Barb A. |
Forget it! +
Rent the video + +
Entertaining + + +
Great + + + +
A must see! + + + + +
BRIDESHEAD REVISITED + + +
I did enjoy this, but am not sure it would be for men. Kind of girlie. Also there was an abundance of religion - I don't need to go to church Sunday.
SISTERHOOD OF THE TRAVELING PANTS + +
I guess you might as well rent the video. The scenery is nice!
VICKI CHRISTINA BARCELONA + + + + +
There is no doubt in my mind that Woody Allen is a creep; however, he is a genius filmmaker. The music and scenery were spectacular. The story was entertaining and the acting superb. Penelope Cruz is great as a crazed x-wife. Reviews were bad, but I loved every minute of the acting, the Gaudi architecture, and the Avenue de Las Rambles. (sp?)
Do go see it!
ELEGY + + + +
OMG, what acting!!! A real destructive obsessive relationship and so sad. As usual, Penelope Cruz is fab, Dennis Hopper is a delight, and Ben Kingsley is outstanding. Take your crying towel!
THE WOMEN +
This was a super terrible movie. If you are old enough, they say the 1939 version was better.
And it's none of your business if I saw it in 1939!
NIGHTS IN RODANTHE + + +
OMG - How could anyone not like this! The Arizona Republic gave it only one star, saying doctors don't wear jeans. Well, Dr. Lakin does, and so did Dr. Boatwright, who I worked for before (plus Birkenstocks with stocks!)
The Arizona Republic also said Richard Gere's pants were tight. Believe me, his pants looked great!
WOO HOO!!!!!!
APPALOOSA + + + + +
Ed Harris and Viggo Mortensen were outstanding in a dramatic western comedy. Their relationship weaves them into a real drama. You must see Renee Z. She is the crafty woman interest in the flick. A real "shoot em up."
*** Until next time.... See you at the movies! Back to Top |
| 2008-9 Flu Vaccine Information.......

The flu season is just around the corner, and this year we are offering the influenza vaccinations through our Flu Clinic or at your next office visit with Dr. Lakin. October and November are the best times to get vaccinated, but getting vaccinated in December or even later can still be beneficial. Flu season can begin as early as October and end as late as May. Please call to schedule or stop by for your flu shot today!
What the Experts are saying.......
It is time to get a flu shot. It may seem early but experts say it's not. The season strikes us hard come the end of November through March. They recommend getting in early to protect yourself through the season.
Dr. Karen Lewis, Medical Director for the Immunization Program with the Arizona Department of Health Services, remind us that people every year die from the flu. In the United States influenza kills 36,000 people. Last year we had 73 pediatric deaths in our country, 2 of them here in Arizona.
People who are particularly susceptible are the very young, very old, pregnant women and folks with diabetes or other chronic medical conditions. Not many people are steered away from flu shots but those who are allergic to eggs are questionable and should consult their doctor.
Lewis also says it is a myth that if you get the flu shot you could get sick the next day. Also, getting a flu shot will not protect you from all viruses, all winter long. And she de-bunks the myth that flu mist is not as effective as a shot, in some cases it can be better. Those who are over 2-years-old and 49-years-old can get the flu mist if preferred.
Protection starts with washing hands often. The flu is passed through body fluids so make sure there's no kissing anyone who is sick and avoid those "spit balls" that are inadvertently passed from one person to another when talking. Finally, flu shot shortages are unexpected this year, Dr. Lewis (that was a problem in 2003,2004). There is enough supply for half of of the people in the country to get a shot.
-Nicole McGregor, 12 News Today
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| Office News You Can Use...... |
Tips to Help You Help Us Serve You Better!
The winter season is beginning, and we all know what that means,...... busy, busy busy!
Here are some helpful tips to help you help us serve your medical needs better:
If you have access to the Internet, visit our website at www.doctordoug.com. You will find a "Patient Resource" tab with many options to contact us: refill your prescriptions, schedule your next appointment, and download patient demographic forms. Simply type in your request with the required information, and hit the send button. It's that easy! No need to call, we will call you if we have any questions.
Our website also has a lot of information that may answer some of your questions about the office. We are in the process of updating the site again, so watch for new articles from Dr. Lakin.
Sign Up for our Newsletter
You can also sign up for our quarterly newsletter, "Updates With Doctor Doug" on our website. The newsletter is a combination of medical updates, humorous articles, and fun pictures of our office and staff.
Contacting Dr. Lakin
Dr. Lakin is always available to all his patients either through the office phone, or by email. We have 24/7 coverage, and response time is usually within minutes. Dr. Lakin's email is douglakin@aol.com. Please do not use douglakin@doctordoug.com, as this email address is used for the newsletter information only and not checked on a daily basis.
Check out our new office bulletin board for information on our support groups, clinics, and current events. We currently have an active Weight Support Group that meets every month, and a Protime, Diabetic, and Insurance Support Groups forming in
November.
Notaries in Our Office
We have two active Arizona Notaries in our office for your convenience. Barb A, our medical records specialist, and Nan, our office manger, will be glad to notarize your signature on any medical forms for you.
This is a fee service for all our patients. We do ask that you present a pictured ID for documentation.
CD Physicals
We are now offering a CD of your last physical. If you would like one, please tell Cindy when you check out, and when all your lab work is back, we will burn a CD for your personal use.
Don't forget to pick up your CD at our front desk.
It will be ready and waiting for you!

Lab Orders from Other Doctors
If Dr. Lakin refers you to a specialist. and the doctor wants you to have lab work, as a patient of Dr. Lakin's, you are very welcome to come to our office for the blood draw.
Paul, our Sonora Quest tech, is now authorized to accept your lab order and draw your blood in our office. 
Your lab results will be sent directly to the ordering physician, and a copy will be sent to Dr. Lakin.
To make your visit as quick as possible, please be sure to get a Sonora Quest requisition from the specialist, not just a prescription slip with the tests listed. The Sonora Quest requisition has the doctor's client number, exact tests/codes he is requesting, and the diagnosis.
This will help Paul and save waiting time if Paul has a complete order.
Having Sonora Quest in our office, provides another convenient way to serve your health care needs.
Echocardiogram and Carotid Studies in our Office
Neil, our ultrasound tech from Ultrasound of America, offers echocardiogram and carotid studies in our office.
Not only will you be scheduled quickly, but your results are back in less then a week.
We started this service last year, and Dr. Lakin feels it has been a very useful tool for diagnosing and treating certain patients.
These are just some of what's happening in our office.
We hope our additional programs and services will enhance your healthcare needs.
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| Downsizing. A Big Change......... |
More than 75 million Baby Boomers are approaching retirement, and while most will likely decide to stay put, some will be leaving behind their longtime residences.
Downsizing is a process and needs to be started as early as soon, even years before the actual move takes place. Early planning makes dealing with a possible crisis situation, such as a health issue, a bit more manageable.
It's not an easy conversation to have, especially for seniors who have lived in the same place for years. Lines of communication must be kept open between adult children and senior parents to make the switch easier. Planting a "For Sale" sign on the lawn can be a sad moment for all involved.
Relocation can also be disorienting, confusing, and depressing. Seniors should not feel like a burden if they need to lean heavily on family for advice and guidance. They should also learn ahead of time about the services available in their new community, from hospitals and in-home nurses, to home maintenance and transportation.
There are many good resources to help. Certified Relocation and Transition Specialists, for example, are relocation experts that help seniors make the transition into their new living spaces.
Here are some good resources to check out if you are starting to plan for a move.
- Adrain Sainz, Associated Press
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| Eco-Driving Tips........ |
A group of Phoenix drivers gained an average of 24% in fuel mileage after being coached in efficient driving techniques in tests of a new nationwide fuel-saving initiative. Here are some of their suggestions that can save you money at the gas station.
Drive at posted speed limits.
The Environmental Protection Agency estimates a 10 to 15% improvement in fuel economy by driving 55 instead of 65 MPH. On the highway, use cruise control whenever possible.
Don't be an aggressive driver.
Time studies show that fast starts, weaving in and out of traffic, and accelerating to and from a stop sign or traffic light don't save much time, but do waste fuel and wear out car components such as brakes and tires.
Accelerate smoothly and brake gradually.
Jackrabbit starts waste fuel.
Check your tires.
Underinflated tires increase rolling resistance and reduce fuel economy. They also wear more rapidly. Check the vehicle door-post sticker for minimum cold-tire inflation pressure. Keeping tires properly inflated can reduce the average amount of fuel consumption by 3 to 4%.
Don't idle for more than 30 seconds.
Prolonged idling creates excess emissions and wastes fuel. Turn your engine off when waiting at the drive-through or any time you are not moving for 30 seconds or more.
Minimize the weight you carry.
Getting all the junk out of your truck improves efficiency both in acceleration and braking. Don't load up the roof rack, which increases wind resistance.
Don't drive at higher speeds with the windows open.
This can decrease your vehicles aerodynamics on the highway and lower fuel economy. Using the air-conditioner is more efficient at highway speeds.
Maintain your vehicle.
A properly tuned-up engine will run more efficiently. Keep the wheels aligned. Replace air filters as needed. Consult the owner's guide for the recommended schedule.
Use good-quality oils.
Always use good quality oils with the viscosity grade recommended in the owner's guide. Ford recommends SAE 5W-20 oil for most cars and trucks to provide the best fuel economy.
-The Arizona Republic, Bob Golfen
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More Doctors Turning to Robots for Surgeries......
The most important tool a surgeon has is a pair of steady hands, and a growing number of Phoenix area surgeons now use their hands to grip a joystick-like device instead of a knife or a scalpel.
The device controls a robot called "da Vinci," which does most of the work on procedures such as hysterectomies or prostate removals.
About a dozen Phoenix-area hospitals now use these robots for common surgeries because they result in less pain, minimal scarring, and a quicker recovery for patients, surgeons say.
The da Vinci is now the most common method for removing prostates. The company expects the robot will be used for 75,000 prostatectomies worldwide this year, up from 32,000 such procedures in 2006. The second most common use is hysterectomy, and the device has been used for cardiac procedures too.
Scottsdale Healthcare was the first Arizona hospital system to purchase a da Vinci in 2001. Now, several hospital systems have versions of the robot, including Mayo Clinic, John C. Lincoln, St. Luke's, West Valley Hospital, and several Banner Hospitals.
During a procedure, the surgeon guides the tools from the console, watching images of the organs captured by a miniature video camera that can zoom in and out. The new technology gives the surgeon a better view of the organs and more precise maneuvering.
Benefits are: less time patients are on the operating table and less time they are in the hospital. A win, win situation for all!
-Ken Alltucker, Rebekah L. Sanders, AZ Republic
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| Everyday Pilates... |
You can get the benefits even through regular movements.
Apply the principles of Pilates to everyday activities to get some of the benefits outside of structured classes in Pilates. Brooke Siler, author of Your Ultimate Pilates Body Challenge, shares ways of adding Pilates to your daily movements.
Breathe
By expending and contracting your chest muscles like an accordion, and keeping your abdominal muscles tight instead of breathing deeply through your belly, you can expand your lung capacity and endurance.
Move
By initialing action from your core, contracting your abs first and then stretching your arms or legs away from your center, creates opposition which strengthens your muscles. Also when you work more muscles, you burn more calories.
Work out
Use an exercise band or belt around your waist and concentrate on cinching in your waist, as though you are wearing a corset. This will give you a longer waist, tighter abs, and better digestion and circulation.
Could Pilates be your way to better health?
-Jorge Cruise, FitSmart
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| Prunes May Build Stronger Bones..... |
If someone asked you what to eat for stronger bones, it's unlikely that prunes would top your list.
But antioxidants in prunes (dried plums) increase bone formation in animals, say new tests at the University of Oklahoma and Oklahoma State University. Researchers suggest that eating prunes could benefit people at risk of osteoporosis.
Previous research found that feeding prunes to animals could both prevent and reverse bone loss, and that post-menopausal women who ate 3.5 ounces a day (about 10 prunes) showed signs of improved bone mineral density.
More Prune Benefits:
Fight disease:
Prunes have more protective antioxidants than any other fruit (their dried form concentrates antioxidants). Antioxidants help combat virtually every chronic disease, including cancer, heart disease, diabetes, and dementia.
Prevent wrinkles:
In a large study, elderly people who ate the most prunes, apples, vegetables, olive oil, fish, and legumes had fewer wrinkles and less skin-damaged skin than those who ate lots of meat, butter, and milk products.
-USA Weekend
"Oh boy, what's next,.... a glass of castor oil with some brussel
spouts every morning for breakfast???"
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| Arizona Strip Holds Varied Beauty and Offerings...... |
The Arizona Strip, which lies north of the Colorado River and south of the Utah state line, contains or borders on an amazing number of wilderness and recreation areas. There are endless opportunities for hikers, campers, anglers, photographers, fourwheelers, and those seeking solitude and beauty.
Here are some of the parks and wildernesses to be discovered:
Grand Canyon National Park
The North Rim of the Grand Canyon is only a dozen miles as the condor flies from the South Rim, but it feels like another world.
Pipe Spring National Monument
History, and prehistory, nearly oozes from the ground at Pipe Spring National Monument, off Arizona 389 about halfway between Fredonia and Colorado City. Native Americans lived in the area for centuries, hunting and raising crops.
Lee's Ferry and Lonely Dell Ranch
John D. Lee built his home in the early 1870's at one of the rare places where it's possible to easily cross the Colorado River. When Emma, one of Lee's wives, first saw the desolate area, she supposedly said, "Oh, what a lonely dell," and the name stuck. Today, a couple of short, self-guided hiking tours offer a look at the lonely outpost.
For more details call 928-608-6200
Wilderness Areas
Nine wilderness areas in the Arizona Strip provide a primitive experience.
Cottonwood Point Wilderness
Beaver Dam Mountain Wilderness
Grand Wash Cliffs Wilderness
Kanab Creek Wilderness
Mount Logan Wilderness
Mount Trumbull Wilderness
Paria Canyon/Vermilion Cliffs Wilderness
Saddle Mountain Wilderness
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| Phoenix Haters, Read My........! |
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Perhaps you have seen the bumper sticker that says, "Love Phoenix or Leave Phoenix." Georganne Bryant, owner of Phoenix clothing boutique Frances, created the head-turning slogan because she was tired of people complaining about living in Phoenix.
She figures you should stay and make it a place you love or, well, you get the point.
Though many residents enjoy the Valley in the winter months, Phoenix can be tough to love in the summer. Or when you are stuck in rush-hour traffic. Or when a dust storm hits just after you have cleaned your pool.
We wonder, though, does it have to be a love-hate relationship? Can you simply like Phoenix, or even be cool with Phoenix, and still feel welcome here?
Yes. Here are suggestions for future bumper stickers that don't demand an ultimatum, but rather convey a message of pride for a city you have probably loved then left, then loved again......
"Phoenix, if it's too hot, you're too new!"
"Phoenix is where Canadians are always in a GOOD MOOD!"
"No sleet, no snow, NO PROBLEM in Phoenix"
"We'd rather be sweating in Phoenix, than shoveling snow in MN"
"PHOENIX, God's tanning booth"
"PHOEINX, great place to live since the invention of AC"
Yeah, we know. It's complicated.
-Scott Graven, AZ Republic
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| Fall into Flavor...... |
That chill in the air means it's time for a different kind of fresh. Let onions, squash, grapes, pears, and apples take a seat at your dinner table.
SPICE-RUBBED CHICKEN
Prep: 20min. Roast: 2hr. Oven: 350F
4cups Thickly sliced or quartered red,
white, and/or yellow onions,
and/or boiling or ciopollin
onion, peeled 1 5-6lb. whole roasting chicken
1tsp sugar
1tsp garlic powder
1tsp ground cumin
1tsp paprika
1tsp ground coriander
1/2tsp salt
1/4tsp ground cinnamon
1/4tsp ground black pepper
1/8tsp ground nutmeg
2tbsp olive oil
Chard leaves (optional)
Preheat oven to 350F. In large shallow roasting pan place half the onions in an even layer. Sprinkle with 1/4tsp salt; set aside. Fold chicken neck skin onto chicken back, secure with small skewer; tie legs to tail with kitchen string. Tie wings close to body or twist wing tips up and tuck under back of the chicken.
In small bowl combine sugar and remaining seasonings. Brush chicken all over with oil. Sprinkle spice mixture and rub in with fingers. Place chicken, breast side up, on onions in pan. If desired, insert meat thermometer into center of inside thigh muscle. (Thermometer should not touch bone.) Loosely cover with foil.
Roast 1 hour. Remove foil. Add remaining onions to pan. Roast, uncovered, 30 minutes; cut strings on legs and wings. Roast 30 to 45 minutes more or until drumsticks move easily in thier sockets and chicken is no linger pink (180F in thigh). Cover with foil. Let stand.
Serves 6 to 8
-October 2008, Better Homes and Gardens
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| Your Moment of Zen....... |
. . . . . .Don't forget to vote on November 4th!
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University of the Pacific, Arthur A. Dugoni School of Dentistry,
Class of 2006
Happy Halloween! | |
Dr. Lakin & Staff Paradise Valley Medical Clinic
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