ACHING JOINTS: HOW TO BEAT ARTHRITISMEN’S HEALTH: WHAT YOU SHOULD KNOWHEALTH AND WELLNESS CLASSES: SIGN UP TODAY!

Picnic ParadiseTIPS ON GOOD EATS, FUN LOCATIONS NEAR YOU

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HealthLinkY O U R C O N N E C T I O N T O H E A LT H Y L I V I N G | S P R I N G 2 0 1 4

U.S. BREASTFEEDING RATES ARE ON THE RISEBreast milk is rich in nutrients and protective antibodies

Breastfeeding rates are on the upswing in this country and have been

over the past decade, according to a recent survey released by the

Centers for Disease Control and Prevention. CDC statistics show that

babies breastfeeding at 6 months increased from 35 percent in 2000

to 49 percent in 2010; in the same period, babies breastfeeding at 12

months rose from 16 percent to 27 percent.

“This is great news for the health of our nation because babies who

are breastfed have lower risks of ear and gastrointestinal infections,

diabetes, and obesity, and mothers who breastfeed have lower risks

of breast and ovarian cancers,” says CDC Director Tom Frieden, M.D.,

MPH. “Researchers have calculated that $2.2 billion in yearly medical

costs could be saved if breastfeeding recommendations were met.”

FYI: The American Academy of Pediatrics recommends exclusive

breastfeeding for about the first six months of a baby’s life, followed

by breastfeeding in combo with complementary foods until at least

12 months of age.

Considering breastfeeding? Check our listings on page 13 or visit

www.womenshealth.gov/breastfeeding/.

THE DIET SODA TRAP?

You might call it the if-I-drink-diet-soda-I-can-eat-a-cookie effect.

According to Johns Hopkins research published recently in the American

Journal of Public Health, overweight or obese Americans who drink diet sodas

consume about the same amount of calories each day as their counterparts

who drink regular sodas—but more of the dieters’ calories come from food.

The research explored the outcomes of nearly 24,000 U.S. adults. “Although

overweight and obese adults who drink diet soda eat a comparable amount of

total calories as heavier adults who drink sugary beverages, they consume signifi-

cantly more calories from solid food,” says lead author Sara Bleich, Ph.D. If you’re

a diet beverage devotee and looking to lose or maintain weight, says Bleich, you

may need to pay more attention to your solid-food intake, especially sweet snacks.

Weight watching? To learn more about the MD Weight Management Program,

visit www.cpmc.org/services/weight_mgmt.html.

About Brown & TolandWe’ve been providing personalized care to Bay

Area patients for more than 20 years. With a

wide network of acclaimed primary care physi-

cians and specialists practicing where you live

and work, we’re local care you can count on.

2 b r o w n a n d t o l a n d . c o m

LINKUPS

For pain relief, your doctor may prescribe medication, such as

nonsteroidal anti-inflammatory drugs, analgesics, injectibles or

topical medications (can be rubbed into the skin). And if a joint is

damaged—particularly a hip or knee—your doctor may recom-

mend surgery.

On the Horizon

Although half of people over 65 have osteoarthritis, not everyone

gets it. Happily, researchers have identified genes that appear to

put some people at greater risk, which may lead to more targeted

therapies.

Researchers are also looking for ways to keep an injured joint

from becoming arthritic. One intriguing example: prevent some

of the chemical changes that occur following an injury and cause

cartilage loss.

Sources: Arthritis Foundation, National Institute of Arthritis

and Musculoskeletal and Skin Diseases, Harvard Medical School

Family Health Guide

We tend to think of osteoarthritis—and the joint stiffness and pain it brings—as an inevitable part of aging. But you can reduce your risk

of developing it, and researchers are making discoveries that could lead to better therapies.

Arthritis Exercise ProgramGet details about the Arthritis Foundation’s

gentle workouts on page 12 or at

www.arthritis.org/northern-california.

Prevention Plan

While you can’t control some risk factors for arthritis, like aging

and injuries, others are in your control. Maintaining a healthy

weight is a good first step. Carrying extra pounds not only puts

more stress on your joints, but fat tissue actually releases several

chemicals that increase inflammation, affecting the joints.

Researchers found that one such substance, a hormone called

leptin, was associated with increased joint pain.

Your active lifestyle—while it may benefit your overall health—

can set you up for arthritis down the road. Researchers have

found, for example, that 50 percent of people will develop osteo-

arthritis 10 to 20 years after a traumatic knee injury, like an ACL or

meniscus tear. So minimizing activities that put an excessive load

on your joints, like running, is ideal. And if you sit at a desk all day,

take breaks every half-hour or so, and walk around.

Getting Relief

If you are diagnosed with osteoarthritis, stretching activities like yoga

and tai chi can improve your flexibility and reduce stiffness. Gentle

exercise, like bicycling, walking, swimming or rowing, can also help.

S p r i n g 2 0 1 4 3

HOW TO

Soothe Your Aching JointsPrevention and treatment strategies for arthritis

4 b r o w n a n d t o l a n d . c o m

INSIDER’S GUIDE

Olive Oil 101When it comes to health benefits and flavor, all oils aren’t created equal. Ready for a taste test?Quality olive oil isn’t just delicious—it’s healthy too. To find out more about this flavorful oil, we talked to

San Franciscan Fran Gage—author of The New American Olive Oil, a member of the tasting panel for the

California Olive Oil Council and an olive oil competition judge.

Why is olive oil so healthy?

About 80 percent of olive oil is oleic acid,

a monounsaturated fat that is known to

decrease the amount of LDLs in the body—

the bad cholesterol—without decreasing the

good cholesterol. So it’s beneficial for people

who have atherosclerosis and other coronary

problems.

Extra-virgin olive oil also contains antioxi-

dants that help keep us healthy. Research

suggests that these antioxidants can help

guard against heart disease as well as colon,

breast and skin cancer.

What is the difference between a garden-

variety supermarket olive oil and quality

extra-virgin olive oil?

A lot of the oil on supermarket shelves has

defects like rancidity and fustiness [decay],

which happens when the olives ferment some-

how before they get pressed.

Extra-virgin olive oil is made only with

olives and no other oils. It’s produced with

little or no heat, and no solvents or chemicals

are used. It’s very fresh, very healthy, and

doesn’t have defects.

When we taste for the California Olive Oil

Council, we taste the oil blind. If an oil has no

defects and has certain characteristics—like

fruitiness, bitterness and pungency—then the

maker gets a seal for their bottles that says

it’s extra-virgin olive oil.

The labels on oils made outside of California

can be misleading. How can someone

distinguish a quality olive oil?

If a label says “Product of Italy,” it isn’t

necessarily made from olives that came from

Italy. On the back, it might say something like

“may have olives from other EU countries.”

That kind of oil generally has been mixed

together, mass produced and then bottled

in Italy. The regulations are very loose. This

is probably not extra-virgin olive oil, even

though the bottle may say that. If an olive oil

has won an award, that will be displayed on the

bottle. It means that a group of people tasted it

and found it distinctive. The award year should

match the year the oil was made.

Also, look for the harvest date, which should

be within the last year. Some makers put “use

by” dates on instead, and that should be no

more than two years out. Good olive oil should

be in dark glass or a box. This helps protect the

oil from oxidation. Heat and light are not good

for olive oil. They make it degrade.

S p r i n g 2 0 1 4 5

EXPLORING FOR OILVisit these local olive oil shops, recommended by the California Olive Oil Council, to

taste-test and get advice from well-versed staff.

Olive This Olive That

San Francisco, www.olivethisolivethat.com

This independent shop develops personal relationships with growers. Find extra-

virgin olive oils from California, the Mediterranean, and even Chile and Australia. On

the last Thursday of the month, drop in for its BYOB (Bring Your Own Bread) happy

hour.

The Pasta Shop

Berkeley and Oakland, www.rockridgemarkethall.com/pasta-shop

This shop—which is highly selective about which oils it carries and gets to know grow-

ers—offers quality extra-virgin oils from California, France, Greece, Italy and Spain.

The Olive Press

Sonoma, www.theolivepress.com

The first olive mill in Sonoma, The Olive Press produces many award-winning extra-

virgin olive oils. Visit its Old World-style tasting room, or schedule a tour to learn how

olive oil is made and bottled.

Most people use olive oil on a salad or

with bread. But you encourage people to

think more broadly. What are some of your

favorite uses?

I saute food in it, and I think it’s really fun to

bake with it instead of butter. I’ve made lots of

chocolate things with very robust olive oil. If

the chocolate is really good and has a strong

flavor, it can be interesting.

Any other tips?

Olive oil does not age like wine. Sometimes

people buy a nice bottle of olive oil and they

save it for special occasions. But once it’s

exposed to oxygen, it starts to oxidize. So when

you open a bottle of oil, use it within six months.

And keep it in a closet or a cupboard, not on a

windowsill or by the stove, where it’s hot.

1. True or False: Most men fail to see their

physician annually for preventive checkups.

True. According to a survey by the American

Academy of Family Physicians, 55 percent of

men have not seen their physician in the past

year. And more than 1 in 4 men (29 percent)

said they wait “as long as possible” before

seeking help despite the fact that prompt,

pre-emptive care can be a major contributor

toward good health and long life.

To find a Brown & Toland physician, visit

brownandtoland.com or call Customer

Service at 800.225.5637.

2. True or False: The most common

cause of erectile dysfunction is a drop in

testosterone.

False. Although hormone changes can

interfere with erection, most cases of erectile

dysfunction result from damage to the nerves,

arteries, muscles and tissues of the penis

caused by diseases such as diabetes, high

blood pressure, atherosclerosis and heart

disease. If you’re experiencing ED, start with a

thorough medical examination by your doctor

to rule out any other health problems.

3. True or False: Men are less likely than

women to gain weight as they age.

False. Although women’s proportion of fat to

body weight may change more drastically, all

middle-aged people tend to accumulate extra

pounds in their midsection as they lose high-

calorie-burning muscle mass. A remedy that’s

not rocket science: smaller food portions and

regular exercise.

Are You Smart About Men’s Health?In honor of National Men’s Health Week, June 9–15, take this quiz—no matter your gender—to test your knowledge about common medical issues facing today’s men and health-promoting strategies

6 b r o w n a n d t o l a n d . c o m

4. True or False: The HPV vaccine is benefi-

cial for men and women.

True. The CDC now recommends that males

and females ages 11 to 26 receive the series

of HPV (human papillomavirus) vaccinations.

HPV can infect the genital areas of men and

women. Some types of the virus can cause

cervical cancer in women and other less com-

mon cancers—like cancers of the anus, penis,

vagina and vulva. Other types of HPV can

cause genital warts in men and women.

5. True or False: The chances of getting

prostate cancer increase rapidly with age.

True. The chance of getting prostate cancer

before age 40 is minimal, but it increases rap-

idly after age 50. Sixty percent of cases occur

after age 65. Prostate cancer also occurs

more often in African-American men than in

men of other races.

6. True or False: Common symptoms of high

blood pressure are nervousness, sweating

and headaches.

False. In the United States, 29.7 percent of

men 18 and over have high blood pressure,

but they may not know it. This condition rarely

shows up through external symptoms, and

it can cause serious health problems if left

undetected, including heart attack and stroke.

The best way to know for sure that your blood

pressure falls in a safe range is to have it mea-

sured regularly with a blood pressure cuff,

preferably by a medical professional.

7. True or False: Working in a sedentary job

may put my heart at risk.

True. The American Heart Association

recently released a study showing that men

who sit for long periods of the day (five hours

or more) have a higher risk of heart failure—

even if they exercise regularly. Make it a goal

to limit sitting time to two to three hours at a

time, separated by breaks of higher activity

like a brisk lunchtime walk.

8. True or False: If a couple faces infertil-

ity, the problem most likely lies with the

woman.

False. Both men and women can have health

problems that lead to infertility. In fact, infer-

tility cases are caused by the female partner

one-third of the time, the male partner

one-third of the time and unknown causes

approximately one-third of the time. In all

cases in which a couple cannot get pregnant

after a year of trying, both the man and

woman should have a physical examination to

rule out possible causes.

FIND OUT MORETo learn more, visit the Men’s Health information page at www.sutterhealth.org/health/healthinfo/index.cfm?A=R&ST=48.

S p r i n g 2 0 1 4 7

MEN’S HEALTH

8 b r o w n a n d t o l a n d . c o m

HEALTH AND WELLNESS

1 • Crissy FieldWhy? World-class views, great people-watching, proximity to shore-

line walks or bike rides, lawn, beach, picnic tables. Ideal location for

kite flying.

How? Get a cracked crab or some cooked bay shrimp from Fisherman’s

Wharf or the grocery store. Add a salad, some Levain bread—what a

picnic!

Details? 1199 E. Beach St., San Francisco, www.parksconservancy.org/

visit/park-sites/crissy-field.html

2 • Stern GroveWhy? The outdoor amphitheater kicks off its free concert season

June 22 with “The Big Picnic,” starring Smokey Robinson and Patti

Austin. That’s just one of 10 killer shows that will be held on Sundays

through August 24.

How? Pick your favorite concert in this year’s lineup. Then arrive early

to set up your picnic blanket; the place gets packed.

Details? 19th Avenue and Sloat Boulevard, San Francisco, www.stern

grove.org

3 • Tilden ParkWhy? This jewel of the East Bay Regional Park District has a picnic area

for everybody, whether you want a lake view, a spacious lawn to throw

the Frisbee or proximity to its classic carousel.

How? Go to https://apm.activecommunities.com/ebparks/Facility_

Search and search for Tilden Regional Park picnic areas, dialing in the

particular amenities you want. Reserve online to secure your spot. Or

look for one of the park’s many first-come, first-served picnic sites,

which are usually a table or two and a barbecue grill (without a formal

site name posted). Just throwing down a blanket for a picnic is also

enjoyable throughout the park, including on the beach at Lake Anza.

Details? Entrances to the park are off Wildcat Canyon Road and Grizzly

Peak Boulevard in Berkeley, www.ebparks.org/parks/tilden.

Picnic ParadiseThese five spots will

have you wanting to eat

all your meals outside

S p r i n g 2 0 1 4 9

4 • Bay Trail at Fort BakerWhy? Spot seals, sea lions and maybe even some harbor porpoises.

How? From the Bay Area Discovery Museum, follow the well-marked Bay

Trail to shoreline cliffs for up-close ocean views. The Bay Trail becomes a

dirt road, and then wooden stairs head up to paved East Road. At the top

of those stairs are picnic tables overlooking Angel Island and the bay.

Details? Northeast of the Golden Gate Bridge in Marin (take the

Alexander Avenue exit from Highway 101 north, or the Sausalito exit

from Highway 101 south, and turn right on Alexander Avenue), http://

www.nps.gov/goga/planyourvisit/upload/goga-folder-web2.pdf

5 • Skyline Ridge Open Space PreserveWhy? So close and yet so refreshingly far, this is some of the prettiest

terrain in the Bay Area, and yet it’s easy to get to from Palo Alto and

other cities and towns on the Peninsula.

How? Picnic tables overlook Horseshoe Lake, which offers an easy—and

somewhat shaded—1-mile hike that’s suitable for strollers and wheelchairs.

Details? Park entrance is located 1 mile south of the intersection of

Page Mill Road/Alpine Road and Skyline Boulevard in San Mateo County,

http://www.openspace.org/preserves/pr_skyline_ridge.asp.

Food Safety Tips• Keep cold food at 40 degrees or below. Store in waterproof con-

tainers that can be buried in the ice in your cooler. Put beverages

in one cooler and cold food in another; that way, perishable foods

won’t be exposed to warm air every time someone wants a drink.

• Warm food should be kept above 140 degrees. Wrap it well, and put

it in an insulated container. Or wrap in towels, then newspaper, and

place in a box or heavy paper bag.

• No food should sit out for more than two hours, or more than one

hour in temperatures above 90 degrees.

• Bring extra plates and utensils so you don’t serve cooked food with

the same plate and utensils as raw food.

Sources: www.foodsafety.gov, U.S. Food and Drug Administration,

North California State University Cooperative Extension

1 0 b r o w n a n d t o l a n d . c o m

HEALTH AND WELLNESS

Should You Take It Easy With That Grill?Did you know that exposing meat to high temperatures and smoke creates chemicals that are

thought to increase your cancer risk? Studies have shown that these chemicals cause many

types of cancer in rodents. In human beings, studies have found that people who eat lots of

charred foods are at higher risk for colorectal, pancreatic and prostate cancer.

When plant-based foods such as tofu and vegetables are grilled, little or none of the compounds

associated with increased cancer risk are produced. Consider tofu burgers, veggie skewers and por-

tabella mushrooms. If you do grill meat, experts recommend these ways to do it more healthfully:

• Choose leaner meat and trim visible fat to reduce flare-ups and smoke.

• Cut meat into smaller pieces to lessen cooking time and lower heat intensity.

• Marinate meat in citrus and other fruit juices, vegetable oils, vinegar and seasonings, which

researchers say can decrease grilling’s harmful effects, but watch out for sauces containing

sugar, which tends to increase them.

• Flip frequently, cooking only until the meat is safe to eat.

Sources: UC Berkeley Wellness Letter, Harvard Health Letter, Physicians Committee for

Responsible Medicine

S p r i n g 2 0 1 4 1 1

CHECK IT OUT

Summer’s Sweet SpotAll kinds of good eating is in seasonLow in fat and sodium and high in fiber, healthy nutrients and antioxidants, fresh fruits and veggies help you maintain

a healthy weight and are among the most healthful foods you can eat. Of course, when it comes to maximizing the taste

of fruits and vegetables, the fresher the better. So to get that fresh-picked flavor and minimize the environmental effects

associated with trucking around produce, and even to save an occasional buck on plentiful, in-season varieties, eat

what’s in season locally. The color-coded chart below shows some of the very best flavors of our Bay Area summer.

● = IN SEASON IN THE BAY AREA = THE BEST OF SUMMER

MARCH APRIL MAY JUNE JULY AUG SEPT OCT NOV DEC

Apricots ● ● ●

Blackberries ● ● ● ● ● ●

Blueberries ● ● ● ●

Cherries ● ● ● ●

Figs ● ● ● ●

Grapes ● ● ● ● ●

Melons ● ● ● ● ●

Nectarines ● ● ● ● ● ●

Peaches ● ● ● ● ● ●

Plums ● ● ● ● ● ● ●

Raspberries ● ● ● ● ● ● ●

Strawberries ● ● ● ● ● ●

Corn ● ● ● ● ●

Eggplant ● ● ● ● ●

Fava beans ● ● ● ● ●

Green beans ● ● ● ●

Okra ● ● ● ● ● ●

Peas ● ● ● ● ● ● ● ●

Peppers (chile) ● ● ● ● ● ●

Peppers (sweet) ● ● ● ● ● ● ● ●

Potatoes ● ● ●

Shallots ● ● ●

Summer squash ● ● ● ● ●

Tomatoes ● ● ● ● ●

Source: Center for Urban Education about Sustainable Agriculture, www.cuesa.org

COMMUNITY HEALTH EVENTS

Shoulder and Backache PreventionLearn how to keep your spine healthy and pain-free. In addition to explaining how the back works, we’ll discuss body mechanics for safe bending, lifting and carrying as well as demonstrate exercises that can help prevent pain in the spine and extremities. Organized by the Community Health Resource Center.Event will be held in the fall. For more information, call 415.923.3155, email cpmcchrc@sutterhealth.org, or visit www.chrcsf.org.

Preventing Hand and Wrist Injuries Daily use of computers can cause work-related repetitive stress injuries. We will discuss methods for preventing these injuries, treatments for existing injuries and surgery options. Presented by the Community Health Resource Center.For more information, call 415.923.3155, email cpmcchrc@sutterhealth.org, or visit www.chrcsf.org.

Your Kidneys and YouIf you have high blood pres-sure or diabetes, or have a family member who does, then you are at risk for kidney disease. Attend this lecture to learn about your kidneys and how to protect them. Presented by the Community

Health Resource Center.For more information, call 415.923.3155, email cpmcchrc@sutterhealth.org, or visit www.chrcsf.org.

Managing High Blood PressureHigh blood pressure is often called a “silent disease.” Learn about the signs and symp-toms, causes and risk factors of hypertension. This class will also cover nutrition and life-style choices that can help you manage high blood pressure. Presented by the Community Health Resource Center. For more information, call 415.923.3155, email cpmcchrc@sutterhealth.org, or visit www.chrcsf.org.

AGING WELL

Managing Pain for SeniorsThis lecture will review types of pain and introduce pain man-agement recommendations, along with goal setting and resources. Organized by the Community Health Resource Center. For more information, call 415.923.3155, email cpmcchrc@sutterhealth.org, or visit www.chrcsf.org.

LIVING WITH CANCER

Ovarian and Reproductive Cancer Recovery Program (FREE)The Ovarian and Reproductive Cancer Recovery Program offers compassionate care and physical, emotional and spiritual healing to women undergoing treatment for uter-ine, ovarian, cervical, vaginal, vulvar and peritoneal cancers. California Pacific Medical Center (CPMC), Women’s Health Resource Center, 3698 California St., Lobby LevelCall 415.600.0500 or visit www.cpmc.org/whrc. For an appointment with a nurse, call 415.600.0502.

Look Good … Feel Better (FREE)Join a group of women who are facing the challenges of a cancer diagnosis and receive free cosmetics and lessons on how to compensate for thinning eyelashes and/or eyebrows, a free wig and tips on hair styling, free scarves, and scarf/turban tips. Breast forms/bras are also available for the uninsured. Offered in collaboration with the Ameri-can Cancer Society. Please register two days prior. Free for women with cancer.Thursday, July 17 or Sept. 18, 1–4 p.m.

CPMC, Women’s Health Re-source Center, 3698 California St., Lobby LevelCall 415.600.0500 or visit www.cpmc.org/whrc.

FITNESS AND EXERCISE

Arthritis Exercise ProgramJoin the Arthritis Foundation’s low-impact physical activity program proven to reduce pain and stiffness. Classes may be undertaken while seated or standing; includes gentle ex-ercises that are suitable for all levels of fitness and mobility. Tuesday to Friday, 10–11 a.m., beginning May 27CPMC, Women’s Health Re-source Center, 3698 California St., Lobby LevelCall 415.600.0500 or visit www.cpmc.org/whrc.

Gentle Yoga for Seniors (FREE)This is the perfect class for seniors and those who are new to yoga. Thursdays, 1–2 p.m. St. Mary’s Medical Center Hall, 2255 Hayes St. Call 415.750.5800.

Your HealthA guide to health and wellness programs

As a Brown & Toland member, you have a doctor who listens to your needs, respects your choices and provides you with the highest-quality care you can find. You also have access to some of the finest community health resources. Some of these classes are free, and others require a nominal fee or donation. Call the listed telephone numbers for more information.

1 2 b r o w n a n d t o l a n d . c o m

CALENDAR - SPRING 2014

Gentle Yoga for Gynecological and Breast Cancer SurvivorsLearn a gentle yoga practice to support overall wellness and the healing process. Each sequence includes basic prin-ciples of movement, alignment and breathing awareness. Tuesday afternoons CPMC, Women’s Health Re-source Center, 3698 California St., Lobby LevelCost: $45 for a six-week ses-sion. Please register two days prior. For more information, call 415.923.3155, email cpmcchrc@sutterhealth.org, or visit www.chrcsf.org.

Healthy Heart Exercise Supervised program for people with high blood pressure, high cholesterol or diabetes, and those who are obese or sedentary. Mondays, Wednesdays and Fridays, 1–5 p.m.; Tuesdays and Thursdays, 7–11 a.m. Seton Medical Center, 1900 Sullivan Ave., Daly CityCost: $8 per session Call 650.991.6750.

Mall Walkers (FREE) Join the St. Mary’s Medical Center indoor mall-walker program at Stonestown Mall. Meets in center court, Thursdays, 9–10 a.m.Stonestown Mall, 3251 20th Ave.Call 415.564.8848 or 415.750.5800.

Move to Improve (FREE)People who have or are at risk for diabetes can attend this easy movement group class. Requires a prescription and release from your doctor. Thursdays, 11 a.m.–noonCall for location. For info and to obtain a physician release form, call the St. Luke’s Diabe-tes Center at 415.641.6826 or email hallene@sutterhealth.org.

WalkAbout/TalkAbout (FREE)WalkAbout is Seton Medical Center’s twice-weekly walk-ing and fitness program for seniors at the Serramonte Shopping Center. Wednesdays and Fridays, 8:15–9:30 a.m. TalkAbout is a monthly health education program. First Friday of the month, 9:30–10 a.m. Call 650.991.5984.

PREGNANCY AND PARENTING

CPMC Newborn ConnectionsA great resource for expectant parents: Whether you are contemplating having a baby or have recently given birth, Newborn Connections offers the support and education you need through pregnancy and early parenthood. Part of CPMC’s Women & Children’s Center, Newborn Connections provides ongoing prenatal classes, support groups, breastfeeding and baby sup-plies, and lactation services. CPMC Women’s Health Resource Center, 3698 California St. To register or for more information, visit www.cpmc.org/newbornconnections, call 415.600.2229, or email cpmcnewborn@ sutterhealth.org.

Seton Medical CenterSeton offers classes for expectant parents. The Childbirth Education Series is a comprehensive six-week series that covers vital topics such as preparation for labor and delivery, newborn care and breastfeeding techniques. The hospital also offers a four-week course on preparing for labor and delivery, a one-session class on baby care basics and a one-session class on breast-feeding. The Infant CPR and Child Safety class instructs parents and caregivers on how to perform lifesaving skills on their children.Seton Medical Center, 1900 Sullivan Ave., Daly CityFor cost, dates and times, call 650.991.6345.

St. Luke’s Women’s CenterSt. Luke’s offers resources and classes for expectant parents and new mothers. The Childbirth Preparation Class is a one-day Saturday course that covers physical changes during pregnancy and labor, relaxation techniques, breathing techniques based on the Lamaze method, cesarean birth and anesthesia during childbirth. The Women’s Center also offers free prenatal and postpartum yoga classes. CPMC, St. Luke’s Campus Women’s Center, 1580 Valen-cia St., 5th Floor, Suite 508For information on classes and hospital tours (in English and Spanish), call 415.641.6911.

DIABETES

CPMC Center for Diabetes Services (FREE for Brown & Toland members)CPMC’s Center for Diabetes Services offers a comprehen-sive diabetes management and education program for adults. Our nurse educators, clinical dietitians and clinical social worker are Certified Diabetes Educators. We offer individually tailored and group education sessions for type 1 and type 2 diabetes self-management, including blood sugar (glucose) monitoring, nutrition counseling and meal planning, medication manage-ment, insulin adjustment and

lifestyle change. Diabetes adult education programs include Diabetes BASICS (type 2), Intensive Management and Advanced Carbohydrate Counting (type 1), Continuous Glucose Monitoring, Adult Dia-betes Clinic (endocrinology) and a pre-diabetes course. 3801 Sacramento St., 7th Floor For dates and times, visit www.cpmc.org/services/ diabetes or call 415.600.0506. Physician referral required.

Seton Medical Center’s Living Healthy With DiabetesThese classes provide comprehensive diabetes self-management training.

Gentle Yoga for WomenThis series teaches a gentle yoga practice

to support overall wellness and healing.

The class is intended for beginners and

those with chronic health conditions,

such as cancer, diabetes and arthritis.

Each sequence includes basic principles

of movement, alignment and breathing

awareness.

Tuesday afternoons

CPMC, Women’s Health Resource Center,

3698 California St., Lobby Level

Cost: $60 per session

For times and additional information, call

415.600.0500 or visit www.cpmc.org/whrc.

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Evening and morning classes available.Call 650.991.6607.

St. Luke’s Diabetes CenterIf you have diabetes, St. Luke’s Diabetes Center works to-gether with you and your physi-cian to help keep your diabetes under control for a lifetime. We provide state-of-the-art training and care so you can maintain your best health and avoid complications. The center offers complete adult and child outpatient services, including screening, individual care instructions, diet and meal planning, and resources for supplies and services. CPMC, St. Luke’s Campus, 3555 Cesar Chavez St., Room 230Call 415.641.6826 or email recinos@sutterhealth.org.

St. Mary’s Diabetes Group Classes (FREE)This eight-week series covers all aspects of taking care of your diabetes, including how to measure blood sugar, what foods to eat, and how to maintain weight and healthy cholesterol levels. You don’t need to start with Week 1—you are welcome to start with any of the classes. Guests are welcome too. No registration is required.

Mondays, 4–5 p.m. (not of-fered during holidays) St. Mary’s Medical Center, 450 Stanyan St.Call 415.750.5513.

SUPPORT GROUPS

Colorectal Cancer Support Group June 11, July 9 and Aug. 13, 2–3:30 p.m. CPMC, Bryan Hemming Cancer Care Center (BHCCC), 2351 Clay St., 1st Floor

Melanoma Support GroupParticipants join together for discussion and to give and receive support from others sharing similar experiences. June 19, July 17 and Aug. 21, 2–3:30 p.m. CPMC, Bryan Hemming Cancer Care Center (BHCCC), 2351 Clay St., 1st Floor

St. Mary’s Breast Cancer Support Group (FREE) Give and get support from women who have had breast cancer in this facilitated sup-port group. Friends and family are welcome too. For newly diagnosed patients: Tuesdays, 5–7 p.m. For breast cancer survivors or women living with breast cancer: Wednesdays, 5–7 p.m.St. Mary’s Medical Center,

450 Stanyan St., 6th Floor, Room 630Call 415.750.5775.

CPMC Breast Cancer Support Group (FREE) A breast cancer support group facilitated by a nurse and a psychologist. Open to women who are newly diagnosed, undergoing treatment or post-treatment. Mondays and Wednesdays, 5:30–7 p.m. CPMC, Women’s Health Re-source Center, 3698 California St., Lobby LevelCall 415.600.2717 for more information.

Gynecological Cancer (FREE)Women with uterine, ovarian, cervical, vaginal, peritoneal and/or vulvar cancer have the opportunity to talk with and gain support from other women who share similar ex-periences. Facilitated by an advanced practice nurse. For dates, times and more in-formation, call 415.600.0500.

Stroke Survivors (FREE)This group is designed to aid the recovery of stroke survi-vors at any stage by providing a safe and supportive atmo-sphere in which individuals are able to share their experi-ences. Refreshments provided. Sponsor: Home Instead Senior Care San Francisco. First Thursdays, 1–2:30 p.m. CPMC, 2351 Clay St., Deikel Room 137Call the Community Health Resource Center at 415.923.3155.

HEALTH EDUCATION AND SCREENING

Blood Pressure Screening (FREE)St. Mary’s Medical Center offers free blood pressure screenings to all community members. Mondays, noon to 1 p.m. No appointment necessary. St. Mary’s Medical Center, 2235 Hayes St., 5th Floor, Room FCall 415.750.5959.

FOR A MORE COMPLETE LISTING OF HEALTH EDUCATION CLASSES AND EVENTS, VISIT THE FOLLOWING WEBSITES:

Alta Bates Summit Medical Centerwww.altabatessummit.org

California Pacific Medical Center and CPMC St. Luke’s Campuswww.cpmc.org

Chinese Community Health Resource Center www.cchrchealth.org

Saint Francis Memorial Hospital www.saintfrancismemorial.org

Seton Medical Center www.setonmedicalcenter.org

St. Mary’s Medical Center www.stmarysmedicalcenter.org

© 2014 by Brown & Toland Physicians

Richard AngeloniEditor P: 415.972.4307 F: 415.972.4179rangeloni@btmg.com

HealthLink is published by Brown & Toland Physicians as a community service and is not intended for the purpose of diagnosing or prescribing. Produced by DCP

HealthLink

1 4 b r o w n a n d t o l a n d . c o m

CALENDAR - SPRING 2014

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Source: California Strawberry Commission, healthyeating.org

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California Summer SaladFresh, flavorful, healthy— so prepare to dig in!This colorful salad combines fresh in-season apricots, strawber-

ries and cantaloupe, plus a sprinkling of pistachios, for a fresh and

different summer dish that’s very low in fat and sodium and high in

fiber, protein and calcium.

Ingredients

• 1 container (8 ounce) fat-free plain yogurt

• 2 tablespoons thawed orange juice concentrate

• 2 tablespoons chopped fresh basil or 2 teaspoons

dried basil leaves

• 1 tablespoon honey

• 1 small head iceberg lettuce cut into 8 wedges (or mixed greens)

• 8 fresh apricots, halved and pits removed

• 1 pint basket of fresh strawberries

• 1 cantaloupe, seeded, sliced and rind removed

• ¼ cup shelled and chopped natural pistachios

Preparation

To make dressing, in a bowl whisk yogurt, orange juice

concentrate, basil and honey. To assemble salad, on indi-

vidual serving plates (or on a platter) arrange remaining

ingredients, dividing equally. Serve dressing on the side.

Calories: 237

Total fat: 4 g

Saturated fat: < 1 g

Sodium: 110 mg

Carbohydrates: 34 g

Protein: 8 g

Fiber: 5.5 g

Vitamin A: 464 RE

Vitamin C: 97.5 mg

Calcium: 160 mg

Number of servings: 4EACH SERVING PROVIDES:

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