HealthWays
            
            
              
                3
              
            
            
              
                Marcy Feit
              
            
            
              President and
            
            
              Chief Executive Officer
            
            
              
                ValleyCare Health System–
              
            
            
              
                Pleasanton
              
            
            
              5555– 5575 and 5725
            
            
              W. Las Positas Blvd.
            
            
              Pleasanton, CA 94588
            
            
              
                ValleyCare Health System–
              
            
            
              
                Livermore
              
            
            
              1111–1133 E. Stanley Blvd.
            
            
              Livermore, CA 94550
            
            
              
                ValleyCare Health System–
              
            
            
              
                Dublin
              
            
            
              4000 Dublin Blvd., Suite 150
            
            
              Dublin, CA 94568
            
            
              The mission of ValleyCare Health System is to assume the leadership role for the
            
            
              health of the communities of the Tri-Valley.
            
            
              ValleyCare Health Information:
            
            
              
                800-719-9111
              
            
            
              ,
            
            
              
                www.valleycare.com
              
            
            
              
                HealthWays
              
            
            
              is published twice a year by the Marketing and Public Relations Department for friends
            
            
              of ValleyCare Health System. Information in
            
            
              
                HealthWays
              
            
            
              comes from a wide range of medical
            
            
              experts. If you have concerns or questions about specific content that may affect your health, please
            
            
              contact your health care provider. Models may be used in illustrations.
            
            
              Copyright © 2012  
            
            
              CUT28327
            
            
              
                925-847-3000
              
            
            
              By Niall Roche, MD
            
            
              M
            
            
              ost people are familiar with arthritis but are not
            
            
              exactly sure what it is or what it means for them.
            
            
              Unfortunately, if you live long enough, you will
            
            
              almost certainly get arthritis. However, the good news is
            
            
              that it varies significantly in severity, and there is a lot you
            
            
              can do to improve how it affects you.
            
            
              Arthritis is inflammation of one or more joints.
            
            
              Symptoms include joint pain and stiffness, which typically
            
            
              get worse as you age. There may also be swelling, redness,
            
            
              warmth and difficulty moving the joint.
            
            
              
                THE MOST COMMON ARTHRITIS
              
            
            
              The most common type is osteoarthritis, and the exact
            
            
              cause is not known. The simplest way to understand it is
            
            
              being caused by normal wear and tear. As we age, wear
            
            
              and tear of the cartilage lining the joints can lead to bone
            
            
              grinding on bone.
            
            
              Some people are more at risk of developing arthritis
            
            
              than others. If you are a woman, have a family member
            
            
              who has arthritis, have a previous joint injury or are
            
            
              overweight, you are more likely to develop arthritis.
            
            
              The diagnosis of osteoarthritis is made based on your
            
            
              history, physical examination, blood tests (mainly to rule
            
            
              out other kinds of arthritis), X-rays, CT or MRI scans,
            
            
              ultrasound, and occasionally by taking fluid from a
            
            
              swollen joint or by looking inside the joint.
            
            
              
                TREATMENT
              
            
            
              The main goal of arthritis treatment is to reduce symptoms
            
            
              and improve quality of life. Treatment consists of education;
            
            
              exercise, including physical therapy; weight loss if you are
            
            
              overweight; and assistive devices such as splints, canes
            
            
              or walkers. Medications include pain medicines, such
            
            
              as acetaminophen (Tylenol) and tramadol (Ultram);
            
            
              nonsteroidal anti-inflammatory drugs (NSAIDs), such as
            
            
              Motrin or Advil; and topical creams, such as Voltaren gel.
            
            
              Medications are best taken under medical supervision, as
            
            
              they can have serious side effects.
            
            
              Some treatments for arthritis—such as glucosamine and
            
            
              chondroitin sulfate—are popular but have not been proven
            
            
              to be effective. Sometimes artificial joint (synovial) fluid
            
            
              or corticosteroid can be injected directly into a joint such
            
            
              as the knee. If the arthritis is severe, it may be necessary to
            
            
              replace a joint—usually a hip or knee.
            
            
              It is important to remember that a lot can be done to help
            
            
              anyone who has joint problems, and it is best to get diagnosed
            
            
              and treated early. Please discuss any
            
            
              joint symptoms you have with your
            
            
              primary care doctor. He or she may refer
            
            
              you to a rheumatologist who specializes
            
            
              in joint problems for further evaluation.
            
            
              
                Niall Roche, MD, is a ValleyCare
              
            
            
              
                rheumatologist. To make an
              
            
            
              
                appointment, call
              
            
            
              
                925-924-9100
              
            
            
              
                .
              
            
            
              
                H
              
            
            
              
                a
              
            
            
              
                n
              
            
            
              
                d
              
            
            
              
                w
              
            
            
              
                a
              
            
            
              
                s
              
            
            
              
                h
              
            
            
              
                i
              
            
            
              
                n
              
            
            
              
                g
              
            
            
              
                :
              
            
            
              A Good Habit
            
            
              to Stay Healthy
            
            
              I
            
            
              f you don’t want to get sick, there’s a very easy
            
            
              and effective way to help you stay well: Wash your
            
            
              hands. Wash them well. And wash them often.
            
            
              Handwashing is one of the best ways to stop germs
            
            
              from spreading—both from you to others and from
            
            
              others to you. Wash your hands:
            
            
              
                BEFORE
              
            
            
              ◆
            
            
              ◆
            
            
              Preparing food
            
            
              ◆
            
            
              ◆
            
            
              Eating food
            
            
              ◆
            
            
              ◆
            
            
              Caring for someone who’s ill
            
            
              ◆
            
            
              ◆
            
            
              Touching a cut or wound
            
            
              
                AFTER
              
            
            
              ◆
            
            
              ◆
            
            
              Preparing food
            
            
              ◆
            
            
              ◆
            
            
              Using the bathroom
            
            
              ◆
            
            
              ◆
            
            
              Changing diapers
            
            
              ◆
            
            
              ◆
            
            
              Sneezing, coughing or blowing your nose
            
            
              ◆
            
            
              ◆
            
            
              Caring for someone who’s ill
            
            
              ◆
            
            
              ◆
            
            
              Touching an animal or its toys
            
            
              
                FIVE STEPS TO FOLLOW
              
            
            
              To make sure your hands are well-scrubbed:
            
            
              
                1.
              
            
            
              Wet your hands, preferably under running water.
            
            
              
                2.
              
            
            
              Apply soap, and work up a lather.
            
            
              
                3.
              
            
            
              Scrub well for at least 20 seconds. Don’t forget to get
            
            
              the back of your hands and under your nails.
            
            
              
                4.
              
            
            
              Rinse.
            
            
              
                5.
              
            
            
              Dry your hands with a clean towel or under an
            
            
              air dryer.
            
            
              Hand sanitizers are a good option if soap and water
            
            
              aren’t available and your hands aren’t visibly soiled,
            
            
              though they are not effective in all situations. Look for
            
            
              one that is at least 60 percent alcohol. Rub it all over
            
            
              your hands—just like you would with soap—until your
            
            
              hands are dry.
            
            
              Source: Centers for Disease Control and Prevention
            
            
              If you’re an elementary school teacher or have kids
            
            
              in school, ValleyCare Health Library offers a free
            
            
              Handwashing Education Program for use in local
            
            
              classrooms.
            
            
              
                Call ValleyCare Health Library to reserve:
              
            
            
              
                925-734-3315
              
            
            
              
                .
              
            
            
              I
            
            
              f you’re a man, prostate cancer is a topic you should know about. Why? Because it is the second most common type of
            
            
              cancer found in men, following skin cancer. It’s also the second leading cause of cancer death in men, after lung cancer,
            
            
              according to the American Cancer Society (ACS).
            
            
              
                THE BASICS
              
            
            
              The prostate is a part of the male reproductive system, located under the bladder and in front of the rectum. Its job is to make and
            
            
              store a component of semen. In most men, prostate cancer grows slowly. In fact, even without treatment, many men who have
            
            
              prostate cancer die of another cause unrelated to the disease, according to the National Cancer Institute. The
            
            
              greatest risk factor for prostate cancer is age. Most men diagnosed with the disease are older than 65.
            
            
              
                THREE MORE THINGS TO KNOW
              
            
            
              
                1.
              
            
            
              Taking testosterone supplements may increase your risk. Tests have shown that the supplements
            
            
              may stimulate the development of prostate cancer cells.
            
            
              
                2.
              
            
            
              Erectile dysfunction may be a symptom. If you have prostate cancer, you may have trouble
            
            
              getting an erection because the disease has invaded the nerves that control erections. However,
            
            
              erectile dysfunction can also be caused by other, noncancerous conditions.
            
            
              
                3.
              
            
            
              One of the genes that have been linked to breast cancer may also increase your risk for prostate cancer.
            
            
              According to the ACS, men who have a BRCA2 gene mutation are at greater risk for prostate
            
            
              cancer and may be more likely to develop it at a younger age than men without the gene.
            
            
              Talk to your doctor to find out more about your risk for prostate cancer and how
            
            
              often you should be screened for the disease.
            
            
              
                If you need a primary care physician or urologist, visit the ValleyCare Medical
              
            
            
              
                Foundation website, www.myvcmf.com.
              
            
            
              Prostate Cancer:
            
            
              
                The Basics + 3
              
            
            
              About
            
            
              
                Arthritis andYou