Breast Cancer Screenings and What You Need to Know

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At NOAH, your health is our top priority, and navigating breast cancer screenings can feel overwhelming. If you’re uncertain about when to start, how often to screen, or the process of scheduling a mammogram, our team is here to help.

Who Should Get Screened?

Breast cancer screening is recommended for all women who do not have symptoms and have never had breast cancer. Screening is most beneficial for women at average risk of developing breast cancer.

What Does Breast Cancer Screening Look Like?

Breast cancer screening involves mammography, a low-dose X-ray that helps detect early signs of breast cancer, even before symptoms appear. During a mammogram, your breasts are compressed between two firm surfaces to spread out the breast tissue, allowing for a clearer image. The test is generally painless and only takes a few moments, with some mild discomfort from the pressure or squeezing sensation.

After images are made of both breasts, you may be asked to wait while your care team checks the quality of the images. The entire process usually takes less than 30 minutes.

Mammograms are one of the most effective tools for early detection. While a positive result doesn’t confirm cancer, further testing will help determine next steps.

Where Can You Get Screened?

Due to the specialized equipment required, mammograms are usually taken at a medical imaging facility and often require a referral from your primary care provider. At NOAH, our providers are dedicated to making sure you get the care you need stress-free:

  1. Schedule a well-woman exam with your NOAH health provider.
  2. During your visit, request an order or referral for a mammogram. Depending on your insurance, your provider will refer you to either Southwest Medical Imaging (SMIL) or SimonMed Imaging.
  3. Once you have the referral, schedule your mammogram appointment.
  4. If you are underinsured or uninsured and need to visit SMIL, you can inquire about financial assistance by calling 480-657-2500 (Option 5).
  5. Have questions about getting a mammogram or need help finding a location? Call NOAH’s Community Health Worker at 480-546-8115.

When Should You Get Screened?

NOAH recommends women at average risk for breast cancer get screened every other year starting at age 50. However, every situation is unique and recommendations may vary based on health history and risk. It’s not uncommon for women to get routine mammograms in their 40s or even 30s. Ultimately the decision on when and how often to screen should be a joint decision between you and your provider.

Why Is Screening Important?

Breast cancer is the second leading cause of cancer-related deaths among women in the U.S. Early detection through screening significantly increases the chances of effective treatment and survival. Simply put, early detection can save your life.

For any questions or concerns, reach out to schedule an appointment with one of our providers today.

Breast Cancer Awareness Month is More Than Pink

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Breast cancer awareness is often symbolized by the color pink throughout October, but at NOAH, we believe it’s important to go beyond the symbol. We want you and your loved ones to be fully informed about breast cancer—understanding the risks, recognizing the signs and symptoms, and knowing about diagnosis, treatment options, and more. NOAH is here to support you every step of the way.

Breast Cancer Awareness Fast Facts:

  • Breast cancer occurs almost entirely in women, but according to the American Cancer Society, men can get breast cancer too.
  • Breast cancer is often (though not always) detected by a lump in the breast. However, most lumps in the breast are benign (not cancerous), but ALL lumps should be checked by your provider.
  • There are different kinds of breast cancer that start in different areas of the breast.
  • Alcohol increases the risk of developing breast cancer. An average of 1 drink per day increases risk by 7-10% while 2 to 3 drinks per day increases risk by 20%!
  • Being physically active and maintaining a healthy weight are the best things to do to prevent breast cancer. This is especially true for women after menopause.
  • Mammograms and breast ultrasounds are the most commonly used, and the most effective screening tool available to detect breast cancer early.
  • There is little to no benefit of doing self-breast exams or clinical breast exams, but women should still be alert and see a provider if anything looks or feels different.

Treatments for breast cancer will vary depending on the type of breast cancer and when it is diagnosed. At NOAH, we want to work with you to keep a healthy lifestyle, focus on prevention, answer any questions you have, support you through a diagnosis, and help you during treatment.

To learn more about breast cancer risks, types, treatments, and more, check out the American Cancer Society’s Breast Cancer section. To talk with your NOAH provider about any questions you have, request an appointment today.

What to Know for Healthy Aging Month

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Our bodies change in many ways as we age. The more we know what to expect and how to manage any challenges, the better. NOAH offers comprehensive healthcare for patients of all ages, but since September is Healthy Aging Month, we are sharing useful tips and reminders for you and your loved ones.

Don’t Miss Annual Physicals

Annual physicals are an opportunity for you to discuss your health and wellness with your primary care provider. Medical providers will order age-appropriate tests and labs to get a full picture of your health. At NOAH we strongly encourage our Medicare patients to schedule their annual Medicare Wellness Visit to discuss health goals and recommendations.

Get Regular Check-Ups

If you aren’t feeling well, make an appointment to see your provider. Patients, especially aging patients, shouldn’t try to wait it out if there is something wrong. Having regular check-ups will keep you feeling well and catch any potentially serious conditions early.

Mental Health Matters

No matter your age, your mental health is important. In aging adults, depression can have a negative impact on health conditions like heart disease and stroke. Patient’s often underestimate depression and mental health concerns, but it is important to everyone’s overall health to make sure mental wellbeing is, managed appropriately.

Get Moving

More physical activity means a healthier you! Getting active can help delay, prevent, or manage many chronic diseases like diabetes and high cholesterol. Being more active can also help keep your bone density and strength. Any exercise is better than none, so just get moving!

Eat For Your Health

Being overweight or obese will seriously harm your overall health, particularly as you age. Eating a nutritious diet will help manage chronic conditions, keep you healthy, and even improve your mood. Consider adding more fresh fruits and vegetables to your meals, and always talk to your provider about any diet changes.

If you have trouble accessing or affording healthy, nutritious food, talk to NOAH. We can help!

Stay Social for Healthy Aging

A recent study found that older adults with more social activity had more positive moods, fewer negative feelings, and higher levels of physical activity. If you don’t have a social network, look for one through volunteer activities, at senior centers, at church, or other local community groups.

NOAH is here for you and your loved ones at any age. To learn more about healthy aging, comprehensive care, enrolling in Medicare or another insurance plan, access to healthy food and other resources, reach out to NOAH today at 480-882-4545 or make an appointment online.

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.

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.

Women’s Health Week – What You Need to Know About Cervical Cancer

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Women’s Health Week is May 12 – 18, making this a crucial time to talk about a major health issue affecting women globally: cervical cancer. Despite medical progress, this disease still affects women of all ages. That’s why awareness and prevention are so important. Understanding these aspects can give women control over their health, helping them make smart choices about screenings and vaccinations, and help to save lives.

What is Cervical Cancer and What Causes it?

Cervical cancer is a cancer that forms at the lower end of the uterus. Most cervical cancers are caused by Human Papilloma Virus (HPV), the most spread sexually transmitted infection (STI). HPV is so common that nearly all sexually active people get the virus at some point in their lives. Most people’s bodies will naturally fight off the virus, but for those who can’t fight it off, HPV can lead to health issues like cervical cancer later in life. The good news is, cervical cancer is preventable and treatable if caught early.

How Can I Lower My Risk of Cervical Cancer?

First, get regular Papanicolaou (Pap) screens/tests. According to the CDC, only 66% of women over the age of 18 have had a Pap test in the past three years. Pap tests are covered by private insurance and Medicaid/AHCCCS and are the best way to diagnose any problems.

Second, get the HPV vaccine if possible. It is safe and very effective at reducing the risk of getting HPV-caused cancers later in life. The CDC estimates that around 90% of cervical cancer cases could be prevented by the HPV vaccine.

How Often Do I Need a Pap Test?

It used to be that Pap tests were recommended every year. With what we know now about HPV and cervical cancer risk factors, that recommendation has changed. The new recommendation for people also being tested for HPV is every three years for people aged 21-29, and every five years for people 30-65.

Who Can Get HPV Vaccines?

Typically, the three-dose HPV vaccine is recommended for males and females around age 11 or 12. We wrote all about the HPV vaccine here!

Schedule an appointment today to discuss your cervical health and take proactive steps towards prevention.

It Might Be Time for Your Annual Medicare Wellness Visit

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Are you or a loved one on Medicare insurance? If so, wellness should be top-of-mind and the good news is, it’s covered starting with the Medicare Wellness Visit.

The wellness visit through Medicare isn’t the traditional head-to-toe physical that most people are familiar with. The Wellness Visit covered under Medicare is an annual visit to identify and reduce any health risks your healthcare provider might find.

Wellness Visits Matter

The Medicare Wellness Visit, while not a traditional physical, is a tool for your medical provider to find gaps in your healthcare. The questions asked during the visit are specific and help to narrow down concerns while allowing your healthcare team to provide better care.

What to Expect at Your Appointment

At the wellness visit, we take a complete health history using a questionnaire from Medicare to understand a patient’s needs. If this is the patient’s first Medicare Wellness Visit, we will start with an EKG. Then your provider will discuss findings from the questionnaire and address concerns about your health and wellness.

Providers will do a limited physical exam to check blood pressure, weight, vision, and other things depending on a patient’s age, gender, and health history.

During the visit your provider can make referrals to specialists, order labs, and discuss necessary imaging and diagnostic tests like mammograms or colorectal cancer screenings. We will also talk about the risks and signs of depression, trips and falls, and other health and wellness concerns.

Our goal is to create a personalized prevention plan together to help prevent disease and disability according to your health and risk factors.

What Not to Expect at Your Appointment

This isn’t a traditional physical. It may sound like it is, but there are distinct differences. The Medicare Wellness Visit allows healthcare providers to have a baseline for health and wellness that Medicare knows is important to this patient group.

Providers don’t generally address existing chronic health conditions or refill prescriptions at this appointment. The visit is specific to finding and addressing any new concerns and planning for the next year’s healthcare with the patient.

Scheduling a Medicare Wellness Visit every year is important and NOAH is here to help you stay on track.

If this is your first appointment at NOAH, we recommend you schedule a primary care appointment before your Medicare Wellness Visit. We want to get to know you, your health history, and discuss preexisting or chronic conditions ahead of time in order to create the best healthcare plan for the year ahead.

REQUEST AN APPOINTMENT

Thank You, Dr. Jackie Doris

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There are moments that require us to reflect, to celebrate, and to say farewell. This week, we honor the career of Dr. Jackie Doris, a cherished member of our NOAH family upon her May 1 retirement.

Dr. Doris’s journey into medicine was inspired by her experiences at a young age. Growing up as the daughter of immigrants, she learned the value of diligence and education early on. However, it was a pivotal moment—the hospitalization of her father following a heart attack—that left an impact on Dr. Doris. Witnessing the dedication and kindness of the medical staff during this challenging time steered Dr. Doris towards her calling in medicine.

Throughout her 30 year career, Dr. Doris has been committed to providing personalized and compassionate care to countless lives within our community. To her patients, she was not just a physician but a trusted partner in their health journey, guiding them with empathy and expertise.

Congratulations, Dr. Doris, on your retirement, and may this new journey be filled with happiness, cherished moments, and new adventures. We thank you for all that you’ve done for NOAH. 

If you’re under the care of Dr. Doris at NOAH’s Midtown location, rest assured that you’ll receive excellent care from the Midtown’s other highly skilled providers: Andres Hernandez MD, Hannah Gammage NP, Tahirah Abdul-Rahman DO, and Johnathan Navarro PA, who will continue the standard of treatment you’ve come to expect.

Asthma? Allergies? Or Both?

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Springtime in the Arizona desert can be surprisingly full of blooms and trees. While it is beautiful, it can also wreak havoc on patients who suffer from seasonal allergies. For those with asthma, it can be a double whammy with uncontrolled allergies triggering their breathing troubles. Nearly 70% of asthmatics report that allergens are a major cause of their asthma symptoms.  Arizona’s allergy season usually occurs in spring and fall, but can start as early as January and last until November. Allergies are a result of your body’s immune system reacting to a foreign substance like pollen, dust, or animal dander. Living in the desert with its lack of rain also keeps the irritants suspended in the air, causing more allergy symptoms.  It is important to identify your asthma triggers, including allergies, to minimize symptoms and keep your asthma under control.

Allergy Symptoms  

Some symptoms of allergies can be confused with a common cold. If these symptoms last more than two weeks, consider seeing your doctor to be evaluated for allergies. Allergy symptoms may include:  

  • Runny nose or persistent nasal congestion  
  • Watery, itchy or red eyes   
  • Sneezing  
  • Scratchy throat  
  • Frequent sniffling  
  • Rash (hives) 

Asthma Symptoms and Triggers

Some patients may experience more of these symptoms during spring or fall if allergies are triggering their asthma. Asthma symptoms may include:

  • Shortness of breath  
  • Frequent coughing with exercise  
  • Chronic nighttime cough  
  • Wheezing  
  • Tightness in chest  

There can be many triggers for asthma around you. These can be seasonal or present all year round. Identifying and controlling these triggers is essential to bringing your asthma under control. Asthma Triggers may include:   

  • Seasonal allergies (pollen, dust mites, roaches, mold, trees, grasses, animals, dust, etc.)  
  • Tobacco smoke (pipe, cigarette, cigar, vape, etc.) 
  • Environmental pollution  
  • Exercise 
  • Seasonal changes  
  • Viral illness (common cold)  

It Runs in the Family

Allergies and asthma tend to run in families.  Children are more likely to be diagnosed with one or both conditions if their parents or siblings have been diagnosed with them in the past. Some children may even outgrow their allergies or asthma as they get older.  

Prevention  

Here are a few things you can do to help when allergies cause worsening of your asthma symptoms. 

  • Avoid outdoor activities when pollen counts are high or many flowers/trees are in bloom.   
  • If you can’t avoid outdoor activities, make sure to shower and change clothes immediately afterwards. Keep these dirty clothes outside of your bedroom.  
  • Keep windows and doors closed to prevent allergens from coming inside.   
  • Change air filters in the home regularly.   
  • If you can, remove carpets from the home or vacuum frequently.   
  • Clean frequently to keep bathrooms free of mold.   
  • Keep pets outside of the bedroom.   
  • Keep stuffed animals off the bed/sleeping surface.   
  • Start allergy medications.  

Treatment  

Make sure allergies are well controlled so they do not trigger your asthma. This may mean using a daily oral allergy medication or daily allergy nose spray.  Some of these medications are available over the counter, like cetirizine or loratadine.  Please avoid regularly using drugs containing diphenhydramine (such as Benadryl) for allergies without speaking with your doctor first. It is also important to avoid anything that can trigger your allergies, especially exposure to secondhand smoke. 

It is important to have your asthma well managed to reduce the frequency and severity of flares when you encounter a trigger. Your physician can help get your asthma under good control with the use of prescription inhalers. If you need the asthma quick-relief medication more than twice a week or two nights a month, then your asthma is NOT under good control.

Talk with your NOAH provider about additional treatment options to further control your allergies and asthma.  They may also recommend seeing an allergist or pulmonologist (lung specialist) for further care.  

Know the Facts about Children and Diabetes

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The Defeat Diabetes Foundation (DDF) has named April Defeat Diabetes Month. Defeat Diabetes Month is a time to raise awareness about diabetes prevention, management, and treatment throughout our communities. At NOAH, we are here to help you through all aspects of defeating diabetes, from awareness to treatment.

There are multiple forms of diabetes, but the two most common forms are called type 1 and type 2 diabetes mellitus. Both forms can occur at any age, but a child is typically more likely to be diagnosed with type 1 diabetes. However, with childhood obesity rates on the rise, the number of children diagnosed with type 2 diabetes or who are at risk of developing type 2 diabetes later in life is also increasing. According to the DDF, 1 in 3 US children is overweight or obese. 75% of these children will become overweight or obese adults, and 87.5% of adults diagnosed with type 2 diabetes in the US are overweight or obese.

The DDF has created three different steps to help win the fight to defeat diabetes. The three steps include awareness, action, and prevention.

  • Awareness – creating awareness of the risk factors, warning signs, and complications.

Diabetes is a chronic disease that is characterized by high levels of glucose (sugar) in the blood. Insulin is needed to help lower the levels of sugar and maintain normal blood sugar levels. Diabetes occurs when insulin is not produced in sufficient amounts or the cells of the body are unable to use the insulin properly. Over time, high blood sugar levels may lead to serious complications such as diseases of the eyes (retinopathy), kidneys (nephropathy), nerves (diabetic neuropathy), and blood vessels (that can eventually lead to poor circulation in the extremities). Diet and lifestyle changes can help decrease the risk of these complications.

Type 1 diabetes is a chronic disease that is almost exclusively based on genetics, and it cannot be prevented. With type 1, the pancreas produces very little or no insulin, leading to high blood sugars. Symptoms include increased urination, excessive thirst, increased appetite, and weight loss.

Type 2 diabetes is highly preventable and can be characterized by insulin resistance, decreased insulin production, or a combination of both. Some of the modifiable risk factors for type 2 diabetes include diet, physical activity, and weight management.

  • Action – taking action and providing individuals with the information they need to make the right dietary, lifestyle, and treatment choices to ensure their optimal health.

It’s important to talk with your child’s doctor to find the best treatment plan. Your child’s doctor will talk you through the importance of lifestyle, diet, and medication in order to keep your child’s blood sugar under control. Eating healthy and maintaining an active lifestyle can help manage BOTH type 1 and type 2 diabetes. As mentioned, Type 2 diabetes is highly preventable, so it is even more important to start creating healthy nutrition and lifestyle habits at a young age.

Children who are at risk or are diagnosed with diabetes can live a happy, healthy life through self-management and with an integrative team approach with various medical professionals. An integrated approach with your child’s doctor, a registered dietitian, and a behavioral health specialist can help develop a nutrition, physical activity, and medication plan that can help.

Here are some healthy nutrition tips from The American Academy of Pediatrics:

  • Eat at least 5 servings of fruits and vegetables each day.
  • Stick with water, avoiding juices and other drinks high in sugars.
  • Include high-fiber, whole-grain foods such as brown rice, whole-grain pasta, corns, peas, and breads and cereals at meals. Sweet potatoes are also a good choice.
  • Choose lower-fat or fat-free toppings like grated low-fat Parmesan cheese, salsa, herbed cottage cheese, nonfat/low-fat gravy, low-fat sour cream, low-fat salad dressing, or yogurt.
  • Select lean meats such as skinless chicken and turkey, fish, lean beef cuts (round, sirloin, chuck, loin, lean ground beef—no more than 15% fat content), and lean pork cuts (tenderloin, chops, ham). Trim off all visible fat. Remove skin from cooked poultry before eating.
  • Include healthy oils such as canola or olive oil in your diet. Choose margarine and vegetable oils without trans fats made from canola, corn, sunflower, soybean, or olive oils.
  • Use nonstick vegetable sprays when cooking.
  • Use fat-free cooking methods such as baking, broiling, grilling, poaching, or steaming when cooking meat, poultry, or fish.
  • Serve vegetable and broth-based soups or soups that use nonfat (skim) or low-fat (1%) milk or evaporated skim milk when making cream soups.
  • Use the Nutrition Facts label on food packages to find foods with less saturated fat per serving. Pay attention to the serving size as you make choices. Remember that the percent daily values on food labels are based on portion sizes and calorie levels for adults.
  • Prevention – take a personal pledge to prevent diabetes in your family and your community.

Feel free to reach out to one of your NOAH Health Centers with any questions you may have. NOAH offers a full range of primary and preventable health services for all ages!

To learn more about the DDF and the prevention and management of diabetes, visit their website at https://defeatdiabetes.org/

To read more about Type 1 Diabetes in children visit https://www.healthychildren.org/English/health-issues/conditions/chronic/Pages/Diabetes.aspx

To learn more about type 2 diabetes and tips for healthy living check out https://www.healthychildren.org/English/health-issues/conditions/chronic/Pages/Type-2-Diabetes-A-Manageable-Epidemic.aspx