September is Blood Cancer Awareness Month

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If you see red ribbons popping up, it’s because September is Blood Cancer Awareness Month — and for good reason. Every 3 minutes, someone in the United States learns they have a blood cancer.

Blood cancers are a complex and varied group of diseases that affect millions of individuals worldwide. These cancers originate in the blood-forming tissues, such as the bone marrow, and can disrupt the normal functioning of the circulatory and immune systems. While advances in treatment have led to improved outcomes and longer lifespans for many patients, it is crucial to acknowledge that more than a third of individuals diagnosed with blood cancer still face a challenging prognosis, with fewer than five years to live.

Signs and Symptoms of Blood Cancer

Blood cancers can manifest with a wide range of symptoms, and these symptoms often depend on the type and stage of the cancer. Generally, blood cancers can be categorized into leukemia, lymphoma, and myeloma, each with its own unique set of signs and symptoms.

  1. Leukemia – is characterized by the uncontrolled growth of abnormal white blood cells in the bone marrow and blood. Common symptoms of leukemia may include:
    • Fever
    • Lethargy
    • Paleness and shortness of breath
    • Increased bruising and bleeding
  2. Lymphoma – Lymphomas originate in the lymphatic system, a crucial part of the immune systems. Symptoms of lymphoma may include:
    • Swollen lymph nodes
    • Fever and night sweats
    • Unexplained weight loss
    • Fatigue
  3. Myeloma – Myeloma primarily affects plasma cells, a type of white blood cell that produces antibodies. While some individuals may not show symptoms, others may experience symptoms such as:
    • Bone pain
    • Weakness, fatigue, and paleness
    • Frequent bacterial infections

Recommended Screenings and Prevention

Unlike some other types of cancer, there are no routine screening guidelines for blood cancers. However, regular wellness check-ups that include routine blood testing, such as a complete blood count (CBC), can help detect some blood cancers.

While there is no surefire way to completely prevent blood cancer, several lifestyle choices can reduce your risk:

  1. Avoid smoking
  2. Maintain a healthy diet
  3. Get regular exercise

It is also essential to discuss your risk factors with a healthcare provider if you have:

  • A personal or family history – If you or a family member have been diagnosed with blood cancer, your risk may be higher
  • Previous radiation or chemotherapy – Past cancer treatments may increase the risk of developing secondary blood cancers
  • High exposure to radiation – Occupational or environmental exposure to radiation may be a risk factor

Blood cancers are complex diseases that can present with a wide range of symptoms. Early detection and awareness of these symptoms are vital for improving treatment outcomes and increasing the chances of survival. While there are no established screening methods, regular check-ups and a healthy lifestyle can contribute to reducing the risk of blood cancer. If you experience any of the described symptoms or have risk factors, do not hesitate to reach out to your NOAH provider.

What You Need to Know About the Listeria Outbreak

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Recently, health officials have raised concerns about a large Listeria outbreak connected to deli meats, marking the most significant outbreak since 2011. The outbreak has been linked to products distributed from a plant with unsanitary conditions, and while it may not directly affect all Arizona residents, it’s important to know the risks, especially for certain vulnerable groups.

What is Listeria?

Listeria is a type of bacteria that can cause an illness called listeriosis. This infection is typically caused by eating contaminated foods like deli meats, cheeses, and other ready-to-eat items. Deli meats, in particular, are more prone to Listeria contamination because the bacteria can thrive in cold temperatures and spread easily. The environment in which deli meats are processed, often involving high moisture and slicing equipment, provides the perfect conditions for bacteria to grow.

In addition to deli meats, Listeria can also be found in raw fruits and vegetables, which can become contaminated through soil, water, or unsanitary handling.

While many healthy people might not experience symptoms or only have mild issues such as diarrhea or fever, others can become seriously ill.

Who Should Be Cautious?

Certain groups are more vulnerable to severe effects of listeriosis, including:

  • Pregnant women: Listeria can lead to miscarriage, stillbirth, or serious infections in newborns.
  • Older adults: People over 65 may experience more severe symptoms, including blood infections and meningitis.
  • People with weakened immune systems: Those undergoing treatments like chemotherapy or who have chronic conditions should be cautious, as listeriosis can be life-threatening for them.

What Are the Symptoms?

Symptoms of listeriosis typically appear 1-4 weeks after eating contaminated food but may start as early as the same day or as late as 70 days after. Common signs include:

  • Fever
  • Muscle aches
  • Nausea or diarrhea
  • In more severe cases, especially in high-risk groups, symptoms can worsen to include confusion, loss of balance, and even convulsions.

How to Stay Safe

Though Arizona has been linked to this outbreak, not all products are affected. However, it’s important to:

  • Avoid deli meats and cheeses unless they are thoroughly cooked.
  • Refrigerate perishable items within two hours.
  • Follow proper food safety guidelines, such as keeping your refrigerator clean and setting it to 40°F or below.

What to Do If You’re Concerned

If you or a loved one is at higher risk and starts experiencing symptoms after eating deli meats or processed foods, it’s important to seek medical care. Early treatment with antibiotics can help prevent more serious complications. For any concerns, don’t hesitate to contact your NOAH healthcare provider. Staying informed and following food safety practices can greatly reduce your risk of listeriosis.

Skin Care Tips for Teens

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“Adolescence can be a tough time – especially on your teen’s skin! Almost 8 out of 10 teenagers will have acne at some point,” says NOAH pediatrician Dr. Deborah Bauer. This is because the changing hormones cause an increase in oil production and can lead to clogged pores. This can happen all over your child’s body, not just their face. And while acne isn’t dangerous for their health, it can cause scars and decrease their self-esteem.

Here are a few pointers for home care of your teen’s skin:

  • Keep it clean: They should wash their face with warm water and a gentle cleanser twice per day. CeraVe, Cetaphil and Dove make reasonably-priced and effective cleansers.
  • Be gentle: Harsh scrubbing or rough washcloths are not recommended. Your teen should be using just their hands to gently rub in the cleanser and rinse off.  Very hot water or very cold water should not be used.
  • Stick to the routine: Oily skin and acne can last for months or years, so it’s important to have a good skin routine to minimize the effects. Remind your teen to always remove make-up before sleeping.  And change sheets and pillowcases frequently.
  • Don’t pop pimples: Although it’s tempting, squeezing pimples will only make things worse. Not only will they introduce more oil onto their skin from their hands, but this will probably push the oil deeper into the skin and cause inflammation and swelling.
  • Keep moisturizing: Drying out their face can actually lead to more acne because their body will try to produce even more oils to keep their face from being so dry. Make sure the moisturizer bottle says “oil free” or “noncomedogenic” on it so it doesn’t clog their pores more.
  • Use sun block: This is important for every child, but especially for those with acne. The sun’s rays can irritate skin and make acne and scars much, much worse. Make sure the sunscreen is at least SPF 15.

Some kids even need prescription medication to help manage acne, and our NOAH Pediatricians are here to help with that too!

For more information about taking care of your skin, visit the American Academy of Dermatology.

Should I see a DO, MD, PA, or NP?

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In healthcare, understanding the different types of providers and their qualifications can help you make more informed decisions about your care. While doctors, nurse practitioners, and physician assistants share some responsibilities, they also have distinct differences that may influence which is best for your family’s needs.

To help you compare, review the chart below for an overview on the requirements and credentials for each position.

Family Medicine, Internal Medicine, and Pediatrics

DO: Doctor of Osteopathic Medicine – DOs use the same medical techniques as MDs but place a stronger emphasis on holistic health and preventive care, considering the whole person—mind, body, and emotions—in their treatment approach. DOs have all of the same responsibilities and rights as an MD, with an additional 200 hours of training in osteopathic manipulative treatment. Some DOs may take a holistic approach to medicine, but not all of them will.

MD: Doctor of Medicine – MDs practice conventional or biomedicine forms of medicine and are licensed to treat symptoms and diseases, as well as perform specialty surgeries. MDs are trained experts for youth, adult, and geriatric care across the spectrum. 

NP: Nurse Practitioner – Nurse practitioners treat the whole person and guide each patient to make smart health and lifestyle choices. NPs have a nursing type training that is based on diagnosis and treatment of patients, as well as a focus on psychosocial support and counseling.

PA: Physician Associate – Physician associates (also called physician assistants) have extensive medical training to diagnose illness, develop and manage treatment plans, prescribe medications, and serve as a patient’s primary healthcare provider. They see patients on their own just like a doctor or nurse practitioner does but must be under the general supervision of a doctor.

Doctor of Osteopathic Medicine (DO)Medical Doctor (MD)Nurse Practitioner (NP)Physician Associate (PA)
Education/DegreeBachelor’s Degree and Doctor of Osteopathy + 200 hours of training in osteopathic manipulative treatment (OMT)Bachelor’s Degree and Doctor of Medicine (MD) Bachelor’s and Master’s Degree in Nursing: Nurse Practitioner LicenseBachelor’s and Master’s Degree in Physician Associate; Physician Associate-Certified (PA-C)
Total Post High School Education8 years8 years6-8 years6-7 years
Residency3-9 years3-8 yearsNoneOptional 1-2 years
RecertificationAnnual board certification maintenance requiredAnnual board certification maintenance required1000 professional practice hours and 12 continued education credits annually OR exam every 5 years100 education hours every 2 years and exam every 10 years
SupervisionIndependentIndependentIndependentMust be supervised by an MD/DO
Prescribe MedicationsYesYesYesYes, when supervised and delegated by a physician
Perform Physical ExamsYesYesYesYes
Order and Interpret TestsYesYesYesYes
Perform SurgeriesYesYesAssistAssist
Deliver BabiesYesYesYesYes
Diagnose and Treat IllnessYesYesYesYes
Best for who?EveryoneEveryoneEveryoneEveryone
This chart is intended to provide an overview of typical education requirements and responsibilities for physicians practicing in the U.S. Individual qualifications and permissions may vary.

Understanding these differences can help you make an informed decision when selecting a healthcare provider. To learn more about our NOAH providers, visit our provider care team page and find the provider with the credentials that best meet your needs. If you’re still unsure about which type of provider is right for you, don’t worry—just request an appointment, and we’ll work together to ensure you connect with the provider who best meets your needs.

Heart-Healthy Foods for September

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As we transition into the crisp days of fall, it’s an excellent time to focus on heart health by incorporating nutritious, seasonal foods into our diets. September brings a bounty of fruits, vegetables, whole grains, and other heart-healthy options that can help support cardiovascular wellness. By making mindful choices, we can enjoy delicious meals while also taking proactive steps towards a healthier heart.

Incorporating the right foods into your diet can make a significant difference in your heart health. Here are some heart-healthy options to enjoy this September:

Fruits

  • Apples: High in fiber and antioxidants.
  • Pears: Rich in fiber, which can help lower cholesterol levels.
  • Grapes: Contain resveratrol, which can help reduce inflammation.
  • Plums: Good source of vitamins and antioxidants.

Vegetables

  • Kale: Packed with vitamins, minerals, and antioxidants.
  • Broccoli: High in fiber and vitamins C and K.
  • Brussels Sprouts: Contain fiber and antioxidants.
  • Carrots: Good source of beta-carotene and fiber.

Whole Grains

  • Oats: Can help lower cholesterol levels.
  • Quinoa: High in protein and fiber.
  • Barley: Helps reduce cholesterol and improve heart health.
  • Brown Rice: Rich in fiber and beneficial nutrients.

Nuts and Seeds

  • Walnuts: Good source of omega-3 fatty acids.
  • Almonds: Rich in healthy fats and fiber.
  • Flaxseeds: High in omega-3s and fiber.
  • Chia Seeds: Contain omega-3s, fiber, and protein.

Fish

  • Salmon: High in omega-3 fatty acids.
  • Mackerel: Another great source of omega-3s.
  • Sardines: Rich in heart-healthy fats.
  • Trout: Packed with omega-3 fatty acids.

Legumes

  • Lentils: High in fiber and protein.
  • Chickpeas: Great for heart health due to their fiber content.
  • Black Beans: Contain antioxidants and fiber.
  • Kidney Beans: Rich in nutrients that support heart health.

Healthy Fats

  • Olive Oil: Contains monounsaturated fats that are good for the heart.
  • Avocado: Packed with heart-healthy monounsaturated fats.
  • Canola Oil: Another good source of monounsaturated fats.

Herbs and Spices

  • Garlic: Can help lower blood pressure and cholesterol.
  • Turmeric: Contains anti-inflammatory properties.
  • Ginger: Helps reduce inflammation and improve blood circulation.

Next Steps

Taking care of your heart involves more than just a balanced diet; regular check-ups and personalized medical advice are also crucial. At NOAH, our healthcare providers are dedicated to helping you achieve optimal heart health. If you have any concerns or need guidance on maintaining a heart-healthy lifestyle, request an appointment with a NOAH provider today. Together, we can create a wellness plan tailored to your needs.

What Should I Expect When Getting Tested for HIV?

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Taking the test is taking care of you. Your HIV testing experience might be a little different depending on where you get tested. Regardless, the decision to prioritize your health through taking proactive steps is a significant milestone that should be acknowledged and celebrated.

Who Should Get Tested for HIV?

The CDC recommends that everyone between the ages of 13 and 64 should get tested for HIV at least once as part of routine health care. People should get tested more often when they have had more than one sex partner or are having sex with someone whose sexual history they don’t know.

HIV Testing at a NOAH Healthcare Facility

A medical provider visit is required to get your HIV test at a NOAH healthcare facility. Your test can be part of your routine labs, or a point of care rapid test done by a finger stick. Depending on the test you may be able to wait for results, but result times can vary.

Your health care provider or counselor may talk with you about your risk factors, answer any questions you might have, and discuss next steps with you.

Remember, there is no concept of a “wrong” outcome for an HIV test. Your value as an individual is not dependent on the result of the test.

How Much Will an HIV Test Cost?

As required by the Affordable Care Act, HIV screenings are covered by most health insurance and Medicaid programs.

Can an HIV Test Detect the Virus Immediately After Exposure?

No HIV test can detect HIV immediately after exposure. Discuss your risks with your healthcare provider and timing for getting your HIV test. Please note If you think you’ve been exposed to HIV in the last 72 hours, talk to your health care provider about post-exposure prophylaxis (PEP), right away.

Now more than ever, people living with HIV can lead long healthy lives with proper treatment. For more details on HIV treatment and prevention, call 480-882-4545 or request an appointment online at one of our NOAH Health Center locations.

Community Care Day Event

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We are thrilled to announce an upcoming event that goes beyond the usual back-to-school preparations, offering valuable resources for the entire family. NOAH will be hosting a Community Care Day on Saturday, July 27, at NOAH’s Cholla Health Center. This event is open to all patients and community members and offers free supplies and essential health information.

Event Details:

  • Date: Saturday, July 27
  • Time: 8:30 a.m. – 12:30 p.m.
  • Location: Cholla Health Center

Resources Offered:

  • Diapers and Wipes*
  • School Supplies*
  • Wellness Kits*
  • Food Boxes*
  • Haircuts
  • Shoes*
  • Health Resource Information
  • Application Assistance for SNAP, AHCCCS, Marketplace, and more

Mark your calendars and help us make this event a success by sharing this information with friends, family, and anyone who might benefit from these resources.

Special thanks to our presenting sponsor Molina Healthcare and to the team at Jaburg Wilk Law Firm for their contribution of diapers and school supplies. We can’t wait to see you!

*While supplies last.

Time to get Ready for School!

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The 2024-2025 school year is just around the corner and the back-to-school feeling is nice to have back. As kids everywhere begin to get ready for the year, here are ways to make sure the start of the school year is a healthy and safe one.

Well-child Appointments
Well-child checks or well-child visits are crucial for healthy development among children. Make sure your child has their well-child appointment before school starts!

Schedule a Sports Physical
If your child is playing any sport this fall or spring, it’s a good time to get them a physical before the season gets into full swing.

Make Sure Immunizations Are Up to Date
Schools require immunizations and they keep your child and their classmates protected from unnecessary, dangerous, and sometimes fatal diseases. Take a look at the CDC list of childhood vaccines.

Start a Good Sleep Routine
Kids need enough sleep to develop and do well in school and everything else. Most children need between 9-12 hours of sleep each night, so start a routine now and keep it up!

Be Physically Fit
Kids need at least one hour of exercise every day. Make sure they get enough activity whether it is walking, swimming, playing soccer or basketball, dancing, or something else.

Get School Supplies Ready
Start the school year with a sturdy backpack. Make sure your student has whatever supplies, like notebooks, folders, pens, and pencils, etc. to start the year successfully.

Talk About Bullying
Make sure your child knows about the seriousness of bullying. It can hurt people emotionally and mentally and can harm their learning. If your child is being bullied or sees another student bullied, make sure they know to tell a bully to “Stop!” and to talk to a trusted adult (teacher, counselor, nurse) at school.

Ready to start this school year and get your student in for their back-to-school medical appointments? NOAH pediatricians, counselors, nutritionists, and community resource specialists can help your student and family head into the year with everything you need for success. Make an appointment today!

5 Tips to Eat Healthy During Summer

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With summer in full swing and your kiddos out of school, you may notice that your family’s mealtime routine is a bit more relaxed. It’s easy to indulge in beverages and foods which increase your empty caloric intake which can put on extra weight. And as we age, those pounds are much harder to get rid of.

Make healthy eating year-round; exercise helps burn those extra calories, but what about the lack of vitamins and minerals you may be missing out on? The best way to maintain a healthy diet is to develop and keep a mealtime routine and offer a variety of nutritious foods for your family year-round.

Try following these tips:

  1. Buy a variety of foods. When you go grocery shopping, start in the fruits and vegetables area. Then head over to the dairy and meats section. This allows you to focus on macronutrients that your body needs (carbohydrates, proteins, and fat). These nutrients give your body the energy it needs to maintain a balanced diet. By filling your cart with these foods first, you are less likely to have room for processed items that include high sugar, sodium, and carbs your body doesn’t need.
  2. Meal prep. It’s not just for the work week. Making good nutrition choices is easy if you prep right after you go grocery shopping. Designate a shelf or drawer in your refrigerator that includes cut-up fruits and vegetables, portioned out. In your pantry place the healthier items such as dry roasted edamame or chickpeas, low-sugar breakfast bars and nut/fruit trail mix, and popcorn in the front so these are the first items to grab. These snacks can be portioned out ahead of time making it much easier for your family to choose when they are hungry.
  3. Be mindful. Eating together whenever possible is a great way to catch up with your family and allows you to enjoy your food. Fill your plate with lean protein, vegetables, and grains. Fresh fruits make a great dessert option and help clean your palate. Most importantly, take the time to chew properly and taste the goodness.
  4. Smart drinks. This, especially during the summer months when it’s hot, can be tricky. Instead of grabbing a sugar-filled beverage, have ready-to-go containers filled in the fridge with water, low-fat or fat-free milk, or milk alternatives in the front that are easy to grab and go. This will help everyone avoid those empty calories.
  5. Get everyone involved. Going to the grocery store with your whole family can be an adventure that’s for sure, but it can also be an opportunity to educate your kiddos on what to buy and how to read labels. Teaching them the importance of a healthy diet at a young age will make them more likely to stick with it into their teens and beyond. It also allows them to learn how to make healthy food purchases.

But don’t stop here, meal prepping is way more fun as a family activity and it speeds up the process, making it feel less like a chore and more like a family bonding experience. Kids can peel fruits and vegetables, measure and scoop and assemble bags.

Eating healthily may reduce any sluggish feelings you may experience from processed carbs, high-saturated fats, and high-sugar drinks. According to the Centers for Disease Control and Prevention (CDC), the benefits of healthy eating may boost immunity, strengthen bones, and reduce your risk of developing chronic diseases. For more information on nutritional eating benefits, visit https://www.cdc.gov/nutrition/resources-publications/benefits-of-healthy-eating.html.

Tips to Manage Your Child’s Phone Time Over the Summer

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With summer in full swing, it’s important to balance allowing your child to enjoy their time off and ensuring they don’t spend too much time on their phone. Managing screen time can be challenging with the allure of social media, games, and endless online content. By setting clear boundaries, offering engaging alternatives, and promoting various activities, you can help your child make the most of their summer while developing healthy phone habits. Here are some practical tips to guide you in managing your child’s phone time effectively.

  • Set Clear Boundaries
    Establish specific times when phone use is allowed, such as after chores or outdoor playtime. Clear rules help set expectations and reduce conflicts.
  • Create a Schedule
    Develop a daily schedule that includes time for reading, outdoor activities, family time, and phone use. Balance is key to keeping your child engaged in various activities.
  • Encourage Outdoor Activities
    Promote outdoor play and sports. Organize family outings, nature walks, or visits to parks to keep them active and away from screens.
  • Use Parental Controls
    Utilize parental control apps to set limits on screen time, block inappropriate content, and monitor phone usage. This helps ensure your child’s online safety.
  • Offer Alternatives
    Provide a variety of non-screen activities such as board games, puzzles, arts and crafts, and books. Keeping them occupied with fun alternatives can reduce their reliance on phones.
  • Lead by Example
    Be a role model by limiting your own phone use. Show your child that engaging in offline activities can be enjoyable and rewarding.
  • Establish Tech-Free Zones
    Designate certain areas of the house, such as the dining room and bedrooms, as tech-free zones to encourage family interaction and better sleep hygiene.
  • Set Goals and Rewards
    Create a reward system for adhering to phone rules. For example, extra screen time can be earned through completing chores or participating in educational activities.
  • Communicate the Reasons
    Explain to your child why it’s important to limit phone use. Discuss the benefits of balancing screen time with other activities for their overall well-being.
  • Plan Tech-Free Activities
    Schedule regular family activities that do not involve screens, such as cooking together, playing sports, or having a movie night with no phones allowed.

By implementing these tips, you can help your child develop healthy phone habits and enjoy a well-rounded, active summer. For questions related to your child’s overall health, call 480-882-4545 and schedule an appointment with your child’s NOAH provider.