Updates With Doctor Doug
 
                                                                                                                                                                                                                                                                                                                              Paradise Valley Medical Clinic
                                                                                                           10250 N. 92nd Street #216
                                                                                                           Scottsdale, AZ 85258
                                                                                                           ph: 480.614.5800
    Winter e-Newsletter                                                          fax: 480.614.6322 
                                                                                                            www.doctordoug.com
 
In This Issue
Doctor's Corner
Win a Lunch with Dr. Doug!
Valley 101
Diabetes, What's in a Name?
2009...Means New Laws Begin
Healthy Recipes for Life
Romantic Love Lasts
Women's Hands
Glaucoma: Silently Stealing Vision
Your Healthiest Year Ever!
A Word From Our Phlebotomist, Paul
Message From Medicare
Barbara A.'s Movie Reviews
February; American Heart Month
Happy Valentine's Day!
Join Our List
and /or update your topic list here! 
 
Get Dr. Lakin's up-t0-date information on these topics:
 
Heart Disease
Diabetes
Breast Cancer
Colon Cancer
Prostate Cancer
Osteoporosis
 
Direct to your email!
 
 
Join Our Mailing List
Featured Article
Dr. Lakin
Doctor's Corner
 
As most of you know, I'm somewhat of a computer nerd.  Since the earliest days of the Internet, I have been intrigued by the vast information available via "The Web" and the ease of communication it offers.  Like Al Gore, I was practically the inventor of the Internet (I'm kidding),.  I certainly was among the first to start using e-mail for patient communications, and all my medical buddies want www.DoctorYourNameHere.com, like I have....but if you missed the boat, you can't get your name in 'Dot-Com' lights.
 
Now, computerized information is about to become ubiquitous in our medical practice, as e-prescribing, and PHR (Personal Health Records) become a standard of care.  No doubt, the government's "Stimulus Package" will encourage this transition, as it is thought that CMR (Computerized Medical Records) hold the potential to provide a 10% or greater cost saving in the delivery of health care.
 
The transition is just beginning.  I am certain it will be completed over the coming few years, but for now, only invest time in your PHR if you have an interest in being on the cutting edge of technology.  There are still a lot of kinks to work out of the system.  I have not reviewed all of the PHR's available, but I have looked through Google's offering.  It is very complete, but it is not just serving the patient, it is also serving the interest of Google Inc, as it not only involves software to maintain medical records, but also a vast array of services and information that relate to advertisers and supporters of Google Inc.
 
This is an exciting change, and I encourage you to take part in it if you wish.  Those who don't have a lot of extra time to devote to the PHR as a hobby, should wait until the system is better suited for practical use.
 
Yours in good health,
 
Dr. Lakin
 
 
Join our Raffle! 
 
"Lunch date with Dr. Doug"
holding hands
Join our patient raffle to win a lunch with Dr. Lakin.
 
Have an uninterrupted hour lunch with Dr. Lakin to talk  about anything you wish; medical questions, sports, share jokes, talk about the weather, or even watch youtube together! 
 
To enter, drop your name in our raffle bowl at the front desk at your next appointment.
 
We will draw the name of the lucky winner Wednesday, March 11, 2009
 
Don't miss this special opportunity to eat with the Doc!
 
Come in and join our raffle today!
 
AnchorParadise Valley Medical Clinic PC
Vol. 4 / issue 1
 
February / 2009 
Winter scene
 The winter season is here again, freezing temperatures, icy storms, and loads and loads of snow....... 
 -Aren't you glad you are here in Arizona!
 
Hope you enjoy our newsletter, 
Dr. Lakin & Staff 
Valley 101: Your thermometer may read 36, but don't let that fool you..........
thinker 
Question?
 
If water freezes at 32 degrees, how does frost form when the temperature is 36 degrees? 
 
Your thermometer is probably 4 or 5 feet above the ground and tells you what the temperature is at that height, for example 36.
 
But on cool, calm nights, cold air, being denser than warm air, settles on the ground or in low places or perhaps on your roof, where warmer air has been easily radiated overnight.  These are the places that the temperature is cold enough to allow frost to form, no matter what your thermometer tells you is going on just a few feet higher.
 
Very Interesting..........
 
Diabetes - What's in a name?
 
**Join Dr. Lakin's New Diabetic Support Group 
 
 
 
The American Diabetes Association estimates that more than 23 million Americans suffer from Diabetes, and 57 million more are at risk of developing the disease.
 
In the four major types of Diabetes, the body either doesn't produce enough insulin or no longer uses it efficiently, and treatment of each type may vary: 
 
Type 1 Diabetes ( formerly juvenile-onset Diabetes)
The pancreas produces too little insulin to enable cells to absorb blood sugar: only 5% to 10% of diabetics fall into this category.
 
Type 2 diabetes (formerly adult-onset Diabetes)
In this most common form of the illness, the insulin "key" in cells quits working well, making absorption of sugar into the cells more difficult.
 
Gestational Diabetes:
About 4% of women develop elevated blood sugar during and just after pregnancy.  It may subside, but it leaves them at higher than average risk for developing Type 2 Diabetes.
 
Pre-Diabetes or impaired glucose tolerance:
Although not technically diabetes, abnormally high and rising blood sugar levels occur in as many as 57 million Americans.
 
Lifestyle changes are key for all Diabetics.  But for the last three groups, blood sugar levels can be stabilized by improving diet, adding exercise and achieving a healthy weight.
 Elena
 
 
Interested in more information?
 
Join our new Diabetic Support Group at our office, Thursday, March 5th, 1pm - 2pm. 
 
Sign up at our front desk or contact either Elena or Nan .  
 
  2009 MEANS NEW LAWS BEGIN:
 
License-plate frames that obscure the word "Arizona" are subject to $135 fine.......
frame legal  frame legal1
 "Not Legal"                                                              "Not Legal"
                               
 
The State Legislature approved a law in 2006 authorizing the sale of speciality license plates, such as those to support the Diamonbacks.  Tucked into the bill was a largely unnoticed provision requiring motorists to remove anything, especially license-plate frames, that might obscure the "Arizona" on the plate.
 
Of particular concern is the fine, $135 plus court fees, depending on the city where the violation is discovered, which is more than five times the penalty for refusing to wear a seat belt.
 
The law was put into place mainly to help law officers more readily identify a vehicle as in an Amber Alert or a dangerous person broadcast. 
 
As word of the new law spread, the DPS noted that some misinformation started to circulate among Arizona drivers. 
 
"Why can't they just change the plate to make Arizona more visible?"
 There are millions of cars on the road, and that would be the responsibility of the Motor Vehicle Division, not the DPS.
 
"If I get a photo-enforcement ticket, do they hit me for the plate frame as well?"
No, per the DPS.  They are not in that business.
 
"Is there any additional grace period?"
There is no mandatory grace period, that's why it was proposed back in 2006 to allow people to make those changes.
 
As a primary violation, the DPS can stop any motorists violating the new law.  Many auto dealers and manufacturers of the plate frames have made changes to their designs.
 
So, the bottom line is: let them see your "ARIZONA"!
 
frame legal2
 "Legal"
                                                        -JJ Hensley, The AZ Republic
 
Healthy Recipes for Life........
cookies 
If you're looking for a low-calorie, fat-free treat this Valentine's Day, then try these light meringue cookies.
 
For best results, separate the eggs while cold, make sure not a speck of yolk contaminates them, and leave the whites for 20 minutes or so before beating them. Make sure the whisks and bowl are entirely clean and free from grease before use.
Ingredients:
3 egg whites
1/4 tsp cream of tartar
3/4 cup superfine sugar
Red food coloring
Red sprinkles
 
Preparation:
Preheat oven to 225 degrees. Line a large rimmed baking tray with parchment paper.
Beat egg whites with an electric mixer on medium speed until foamy.
Add cream of tartar and continue beating egg whites until the soft peak stage.
Gradually add sugar, a tablespoon or two at a time, beating well after each addition.
Mix until all the sugar has been added and the egg whites are stiff and glossy.
Add a few drops of red food coloring and stir to make the egg whites pink.
Drop by the tablespoon onto the parchment-lined baking sheet, or, with the help of a small heart-shaped cookie cutter, make heart shape meringues -- spoon the meringue inside the cookie cutter, and push down with the spoon as you lift the cookie cutter, then repeat for each cookie.
 
Bake for 1 hour. Switch off oven, and leave in the oven for 2-3 hours
Makes about 24-30 cookies
 
Per cookie: Calories 26, Calories from Fat 0, Total Fat 0g, Cholesterol 0mg, Sodium 8mg, Carbohydrate 6.2g, Fiber 0g, Protein 0.4g

Join our Healthy Eating Support Group.
The next meeting will be Thursday, March 26th, 1pm - 2pm in our office lunch room.
 
Come join us and learn the secrets of delicious eating,Marilyn the "healthy" way!  
 
For more information contact Marilyn or Nan.
 
Romantic Love Lasts in Some Long-Term Relationships!
computer love 
The honeymoon doesn't have to be over just because you have been together for years, new research suggests.
 
Popular wisdom would have it that romance fades over time.  But new brain scans of people who say they are still in love after decades of marriage are similar to scans of those who have just fallen in love, leading researchers to conclude that long-term relationships can be just as passionate and romantic as new love!
 
Scientists used functional MRI to scan the brains of 10 women and seven men who said they were still intensely in love after an average of 21 years of marriage.  When they viewed photos of their partners, their brain's reacted.
                                                   
                                                                          - USA Today
 
 
Women's Hands Carry More Varieties of Bacteria Than Men's.......
holding hands 
 
Wash your hands, folks, especially women!
 
A new study found that women have a greater variety of bacteria on their hands than men do.
Researchers aren't sure why women harbored more, but it may have to do with acidity of the skin.  Men have more acidic skin than women.
 
Other possibilities are differences in sweat and oil gland production between men and women, the frequency of moisturizer or cosmetic applications, skin thickness or hormone production.
Women also may have more bacteria living under the surface of the skin where they are not accessible to washing.
 
Asked if guys should worry about holding hands with girls, the University of Colorado biochemistry Assistant Professor Rob Knight said, "I guess it depends on the girl!"
 
                                          - Randolph E. Schmid, Associated Press 
 
Glaucoma: Silently Stealing Vision......
eye .
One of the most common  causes of blindness occurs when the pressure in the eye slowly rises, damaging one of its most sensitive structures, the optic nerve.  The disorders that cause this are grouped under the name glaucoma.
 
The eye produces fluid to keep the chamber pressurized.  In order to prevent the pressure from getting too high, the eye relies on "release valves" - one-way exits for excess fluid to escape to maintain a proper balance of pressure.  Glaucoma occurs when the pressure created by the fluid in the eye rises, exceeding the amount necessary for appropriate function.  Several different forms of glaucoma can cause this pressure imbalance to occur, but all create the same damage to the optic nerve if untreated.
 
Glaucoma generally doesn't cause symptoms until it's advanced.  By the time your vision starts to fail, extensive damage to the optic nerve has occurred.
 
Anyone can develop glaucoma, but some groups are at higher risk: African-Americans over 30, anyone over 60 and anyone with a family history of glaucoma.
 
Glaucoma is an illness that silently steals one's vision.  Don't take your eyes for granted.  Make plans to get an eye exam to keep them healthy!
 
                                                     -Tedd Mitchell, MD, USA Weekend
 
Your Healthiest Year Ever!
healthy heart .
 Early indicators are that this year will be one of the most challenging in a generation.  Even more troubling, many events seem beyond our influence.
 
When you feel control over your life slipping, that's the time to focus on things you can influence.  The place to start: ourselves, particularly our health.
 
These 12 new developments will keep you feeling fit!
1. Eat right, breathe easy
2. Boost your fitness with food
3. For energy, move it: exercise!
4. Sweat it out: intensity of exercise
5. Ditch depression with Vitamin D
6. Get Soles: invest on customized in-soles
7. Go from good to grape: Grape Juice
8. Go soft on Sleep: water beds or body-conforming mattresses
9. Make like a fish and swim!
10.Network your way to happiness: be social
11.Pop pine bark: the antioxidant benefits of Pyenogenol
12.Look for the Salt: stay under 2,300mg daily or one teaspoon
 
Good luck on a happy, healthy new year!
 
                                                     - Stephen R. Covey, USA Weekend
 
A word from our Phlebotomist, Paul.....
Paul
 
 
Meet Paul, our Sonora Quest phlebotomist in our office.  
 
Paul does an amazing job taking care of Dr. Lakin's labs.  Recently, for your convenience, we have opened the opportunity for you to come back to our office for lab work if your specialist requires additional lab work.
 
In order to make your wait as short as possible, Paul suggests you make sure these items are completed before hand:
 
Ask your specialist to write your labs on a Sonora Quest requisition, not a script. This way Paul will have all the necessary
information he needs to process the order.
 
Be sure to complete your portion: name, address, phone, etc., 
 
Bring your insurance card with you so Paul can make a copy
 
The best times to come in are: 7:30am - 11:30am & 1pm - 3pm, Tuesday - Thursday.
 
We hope this service is helpful for you.
If you have any questions or concerns, please contact Nan
 
Message from Medicare:  Personal health Records.......
Medicare banner
 
If you live in Arizona or Utah and have original Medicare, you can participate in a new program: Medicare PHR Choice.
 
In this program, you can sign up for a personal health record (PHR) and begin building a whole new way of managing your PHR automatically.  If you request it, Medicare can send up to two years of your past claims information directly to your PHR.  You can also add other health information yourself that you usually share with your doctors like allergies or family history.
 
The products offered by the companies participating in Medicare PHR Choice, let you access your health information anywhere and at anytime you have access to the Internet.  Each of these companies has privacy and security standards in place to help keep your information safe.  You can choose whether to share access to your PHR with your doctors, family, or other caregivers to help coordinate your health care.
 
Signing up is easy.  Just follow the steps below.
 
1. Visit www.medicare.gov/phr. Here you will find information and links to the companies offering PHRs in this program.
 
2. Use the links on the web site to learn more about each of the participating PHR companies.
 
3. Choose the PHR that fits your needs.  Each company may offer different features.
 
                - Dept. of Health & Human Services, Medicare & Medicaid Services 
 
Barbara A.'s Movie Reviews.....
 
                     
                                                              Barb A
       A MUST SEE          * * * * *
       GREAT                   * * * *
       ENTERTAINING       * * *
       RENT THE VIDEO    * *
       FORGET IT!             *     
 

 
 
GRAN TORINO
- * * *
Well, Clint did the best job I have seen him do in a while. When in high school, we all told him he would never make it. We were wrong. However his acting certainly improved over the years.
 
 
 
THE READER - * * * *
I really enjoyed this. Kate Winslet is outstanding, and you really believe them as people and not actors playing people. These are sad World War II happenings, but they did occur and should not be forgotten.
 
 
RESTORATION ROAD *
Don't even rent the DVD!  Who needs to watch these dysfunctional people for 2 hours? The only enjoyable actor in this one was the real estate agent's son who is on leave from the "funny farm"
 
 
SLUMDOG MILLIONAIRE - * * * * *
This is the best I have seen in years. The actors, all unknown to me, are magnificent, and I found this to be a delightful, fanciful tale of a poor boy in India. Do see this one - maybe twice!!!!!
 
 
MARLEY AND ME - * * *
I KNEW WHAT THIS WAS ABOUT AND I PROMISED MYSELF I WOULD NOT CRY - BUT I  DID.
Very enjoyable.
 
 
DOUBT -  * * * * *
Well gang, this is a tie with SLUMDOG MILLIONAIRE. Absolutely mesmerized me. I couldn't imagine how they would end it. The ending was great. Has to be a best actress for Meryl Streep.
 
                                                     See you at the movies!!!
                    
                                                                                - Barb A. 
 
.
 
February is American Heart Month.......
heart month 
 
February is American Heart Month.
 
Heart disease is the leading cause of death in the United States. Women account for 47.1% of deaths related to heart disease (1). In 2005, an estimated 16 million persons in the United States were living with coronary heart disease, and 8.1 million reported ever having had a myocardial infarction (i.e., heart attack).
 
Although the major heart attack signs and symptoms are similar for men and women, women are more likely to experience the less common symptoms and delay seeking emergency treatment. Receipt of prompt, appropriate treatment greatly increases the chance of surviving a heart attack.
 
CDC funds heart disease and stroke prevention programs in health departments in 33 states and the District of Columbia. A primary activity of these programs is conducting campaigns to increase public awareness of heart attack signs and symptoms and the importance of calling 9-1-1 when experiencing these symptoms.
 
Information regarding heart disease is available from the American Heart Association at www.americanheart.org and the National Heart, Lung, and Blood Institute at www.nhlbi.nih.gov/.
 
Information regarding CDC heart disease programs is available at www.cdc.gov/dhdsp.
 

 Your Moment of Zen.........
 
True silence
is the rest of
the mind and                       peaceful
is to the spirit
what sleep is
to the body,
nourishment
and refreshment.
 
                                                     
      - William Penn
 
Happy Valentine's Day!
 STAFF PICTURE 2008       VALENTINES