LEARN TO LOVE YOUR HEART SEE PAGE 4 FOR DETAILS.

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1 LEARN TO LOVE YOUR HEART SEE PAGE 4 FOR DETAILS. JANUARY - MARCH 2017

General Health...1-2 Bone & Joint Health...3 Heart Health...4 Diabetes Health...5 Women's Health.

Poway, CA 92064 Ramona Public Library 1275 Main Street Ramona, CA 92065 The HealthSource 125 Vallecitos de Oro San

2 General Health Bone & Joint Health...3 Heart Health...4 Diabetes Health...5 Women's Health...5 Integrative Medicine...6 CPR...6 Weight Loss & Nutrition...7 BabySource OASIS for Ages Support Groups...12 CLASS LOCATIONS 2185 Citracado Parkway Escondido, CA Pomerado Outpatient Pavilion Pomerado Road Poway, CA Ramona Public Library 1275 Main Street Ramona, CA The HealthSource 125 Vallecitos de Oro San Marcos, CA Palomar Medical Center Poway Pomerado Road Poway, CA Palomar Health San Marcos 120 Craven Road San Marcos, CA HOW TO REGISTER To register for a class, visit PalomarHealth.org/Classes or call

3 GENERAL HEALTH FEE: Free Unless Noted Registration Required Become a Palomar Health Volunteer Wednesday, January a.m. Volunteering can have a positive impact on your life and the lives of those around you. If you are thinking about becoming a volunteer, come learn more about the variety of opportunities at Palomar Health! This informational session will help find the right opportunity for you. FEE: Free Registration Required Visit PalomarHealth.org/Classes or call Caring for Your Kidneys, 2nd Floor Resource Center Wednesday, January :30 a.m. Thursday, January :30 a.m. Monday, March :30 p.m. Join Janice Baker, RD, CDE, as she reviews the most current recommendations to help reduce the risk of kidney disease or slow its progression. Balance Basics Monday, February 6 1 2:30 p.m. Have you ever felt dizzy, lightheaded, or as if the room was spinning around you? Balance problems are among the most common reasons that older adults seek help from a doctor. Join Andrea McCuskey, PT, MS, OCS, as she discusses the balance system, common disorders and conditions that cause balance problems. Stroke Awareness Tuesday, February 7 6 7:30 p.m. Stroke is the leading cause of serious, long-term disability in the United States. Join Neurologist Remia Paduga, MD, as she discusses the latest advances in stroke treatments available at Palomar Medical Center Escondido as well as stroke risk factors, warning signs and preventative measures. Tired of Being Tired? Palomar Health San Marcos, 2nd Floor Classroom Thursday, March 2 1 2:30 p.m. Not getting enough sleep can significantly affect your health. From decreased performance to memory impairment, not getting enough ZZZ s affects your quality of life. Join Sleep Specialist Anoop Karippot, MD, as he discusses general sleep problems such as falling and staying asleep, over-the-counter and prescription remedies, herbal supplements, when to see a physician and more. Common Intestinal Problems and Use of Supplements for Gut Health Wednesday, March :30 p.m. Join Gastroenterologist Alan Larson, MD, for an informal question and answer session to discuss common intestinal problems and the use of supplements for gut health. Understanding Tinnitus Thursday, March 9 6 7:30 p.m. Tuesday, February 7 1 2:30 p.m. Tinnitus, a ringing or noise in the ears, is a common problem experienced by 1 in 5 people. Audiologist David Illich, AuD, will discuss symptoms, causes, risk factors, complications and treatment. 1

GENERAL HEALTH FEE: Free Unless Noted Registration Required Varicose Vein Treatment Palomar Health San Marcos, 2nd Floor Classroom Monday, February 27 Lecture: 1 1:30 p.m. Screening: 1:30 2:30 p.m. Monday, March 27 Lecture: 1 1:30 p.

4 GENERAL HEALTH FEE: Free Unless Noted Registration Required Varicose Vein Treatment Palomar Health San Marcos, 2nd Floor Classroom Monday, February 27 Lecture: 1 1:30 p.m. Screening: 1:30 2:30 p.m. Monday, March 27 Lecture: 1 1:30 p.m. Screening: 1:30 2:30 p.m. Varicose veins are swollen veins that may bulge near the surface of the skin. Surgeon Stefan Moldovan, MD, will discuss diagnosis and effective treatment options for this troublesome problem. Plus, registrants will receive a free ultrasound screening of veins below the knees. Healthy Lifestyle Support Ramona Public Library Thursdays, January 5, February 2 & March a.m. Get help making sense of diet and health recommendations! Join Janice Baker, RD, CDE, to discuss current nutrition updates and meal planning ideas as well as ways to help manage diabetes, high blood pressure and heart disease. Recent Innovations in Sinus and Allergy Therapy Wednesday, March :30 p.m. Just in time for Spring allergy season, Ear, Nose & Throat Specialist Saurabh Shah, MD, will discuss new non-invasive treatments in sinus and allergy therapy. 2

BONE & JOINT HEALTH FEE: Free Unless Noted Registration Required Beat Back Pain Monday, January 30 6 7:30 p.m. Battling back pain?

5 BONE & JOINT HEALTH FEE: Free Unless Noted Registration Required Beat Back Pain Monday, January :30 p.m. Battling back pain? Join Spine Surgeon Daniel Barba, MD, for a discussion on causes, diagnosis and advanced options for back and neck pain relief. Free Your Knees Monday, February :30 p.m. Do you suffer from knee pain that makes it difficult to perform simple activities? Join Orthopedic Surgeon Brad Cohen, MD, as he discusses the latest advances in treatment, including minimally invasive total knee and partial knee replacement. Save Your Shoulders Palomar Medical Center Poway, Conference Room C/D Monday, March :30 p.m. Advanced surgical techniques are relieving shoulder pain and restoring range of motion. Orthopedic Surgeon James Bried, MD, will discuss the latest treatment options. Heal Your Hips Palomar Medical Center Poway, Conference Room C/D Thursday, March :30 p.m. Minimally invasive hip replacement helps people resume activities with confidence. Orthopedic Surgeon Philip Balikian, MD, will discuss the causes of hip deterioration and advanced options for treatment. DON'T FORGET TO REGISTER PalomarHealth.org/Classes

6 HEART HEALTH FEE: Free Unless Noted Registration Required Do You Have Atrial Fibrillation? Thursday, February 9 6 7:30 p.m. Join Electrophysiologist Navinder Sawhney, MD, as he discusses the most common type of abnormal heart rhythm from signs and symptoms to diagnosis and treatment. Eating for a Healthy Heart Monday, February :30 p.m. Join Janice Baker, RD, CDE, as she discusses maintaining a healthy heart through cardiac-friendly nutrition. What is Coronary Artery Disease? Thursday, February :30 p.m. Coronary artery disease is the result of plaque buildup in the coronary arteries, leading to blockages that could cause a heart attack. Join Cardiologist Mikhail Malek, MD, for an informative class on the causes, prevention and treatment options. Heart Valve Disease February :30 p.m. Heart valve disease occurs when one or more valves is not opening and closing properly with each heartbeat. Cardiologist Hamed Bayat, MD, will discuss the diagnosis, symptoms, complications and Women and Heart Disease Thursday, March :30 p.m. Heart disease is the leading cause of death in the U.S., but affects men and women much differently. Cardiologist Robert Orr, MD, will discuss how heart disease affects women, including unique risk factors, symptoms and steps for prevention. What s New in Congestive Heart Failure Palomar Health San Marcos, 2nd Floor Classroom Thursday, March :30 p.m. Congestive heart failure is a serious long-term condition, but you can live a full and enjoyable life with the right treatment and lifestyle. Cardiologist Robert Stein, MD, will discuss the 2017 guideline-directed medications and therapies. Topics include newly approved medications, the importance of following your doctor s recommendations and making adjustments to your lifestyle to achieve your best life even with congestive heart failure. Palomar Health Loves YOUR Heart, Lobby Tuesday, February a.m. 1 p.m. There's no better time than Valentine's Day to give your heart where you can learn how to give your hardest working muscle the TLC it needs. From proper nutrition for your heart to cardiac rehabilitation and stroke prevention, we've got everything you need to know to help your heart beat a little stronger. 4

7 DIABETES HEALTH FEE: Free Unless Noted Registration Required WOMEN'S HEALTH FEE: Free Unless Noted Registration Required HOW TO REGISTER To register for a class, visit PalomarHealth.org/Classes or call Diabetes and Nutrition Monday, January p.m. Monday, February a.m. Noon Tuesday, March a.m. Noon, 2nd Floor Resource Center Monday, March a.m. Noon Janice Baker, RD, CDE, will discuss the latest on managing diabetes, reducing risks of diabetes related complications and healthy food choices. Gestational Diabetes: Nutrition and Management Monday, January 9 or March a.m. Noon Monday, February :30 p.m. Learn more about nutrition guidelines, blood sugar monitoring and lifestyle recommendations for pregnant women diagnosed with gestational diabetes. Type 1 Diabetes Tuesday, March :30 p.m. Join Janice Baker, RD, CDE, for group discussion, education and tips for living well with Type 1 diabetes. BLOOD PRESSURE SCREENING Check your blood pressure regularly for free. No registration required. SoulCollage For Female Cancer Survivors Friday, January 20, February 17 or March a.m. Noon Surviving cancer may prompt many women to make changes in their lives. SoulCollage is an explorative process in which small collages are constructed by intuitively selecting and arranging images (mostly from magazines). You then learn to give voice to your creation and open a doorway to your inner wisdom! Facilitated by cancer survivor and local Art Instructor Jean Snow. FEE: $10 / per meeting (materials fee) Registration Required Look Good, Feel Better Mondays, January 23 or March p.m. This class is designed to help women cope with the appearance-related effects of cancer treatment at any stage. All cosmetics and skin-care products are complimentary. FEE: Free call to register. Women s Cancer Support Groups are offered See page 12 for details Love Your Legs Monday, February 6 Lecture: 6 6:30 p.m. Screening: 6:30 7:30 p.m. Do you hide your legs because of varicose veins that recently popped up? Get the legs you love back! Surgeon Alexander Change, MD, will discuss the treatments available to resolve varicose veins. Plus, registrants will receive a free ultrasound screening of veins below the knees. 5 Palomar Medical Center Poway Lobby 2 nd Tuesday of each month Noon 2 p.m. Lobby 4 th Tuesday of each month 10 a.m. 2 p.m. 5

INTEGRATIVE MEDICINE FEE: Free Unless Noted Registration Required Healthy Gut, Healthy Body, Healthy Mind Wednesday, March 29 6 7:30 p.m.

Join Dana Steindorf, LAc, MSTOM, as she discusses the importance of digestion and the health of the GI system in relationship to proper detoxification, immune health, hormone balance and mood

8 INTEGRATIVE MEDICINE FEE: Free Unless Noted Registration Required Healthy Gut, Healthy Body, Healthy Mind Wednesday, March :30 p.m. Learn how to heal the gut and achieve better health through diet and supplementation. Join Dana Steindorf, LAc, MSTOM, as she discusses the importance of digestion and the health of the GI system in relationship to proper detoxification, immune health, hormone balance and mood regulation. Acupuncture: How Does it Work? Tuesday, February :30 p.m. Join Matt Alavi, LAc, Dipl OM, as he explains the basics of acupuncture, why and how it works and the many health benefits. CPR FEE: $30 Registration Required CPR for Family & Friends (Non-Certified) February 25 9:30 a.m. 12:30 p.m. This course teaches basic life-saving techniques and is recommended for anyone who may need to help others in distress but does not need certification. Perfect for new parents, grandparents and babysitters. Visit PalomarHealth.org/Classes for a complete list of CPR class dates, times and locations. 6

9 WEIGHT LOSS & NUTRITION FEE: Free Unless Noted Registration Required Bariatric Dietary Education Palomar Medical Center Poway, Conference Room C/D Wednesday, January 4 or 18, February 1 or 15, March 1 or p.m. Join Bariatric Dietitian Karen Merdinger, RD, for dietary education on preparing for weight-loss surgery and guidelines for a successful recovery. Take Shape for Life Weight Loss Program Medifast Pomerado Outpatient Pavilion 4th Floor Conference Room Tuesday, January 10 or March :30 p.m. Join Independent Health Coach Susan Meram, MD, as she provides a free introduction to the Take Shape for Life Weight Loss Program using Medifast products. Weight Management Support Groups are offered on the fourth Tuesday of each month. See page 12 for details. Advances in Weight Loss and Metabolic Surgery Palomar Medical Center Poway, Conference Room C/D Charles D. Callery, MD, FACS Tuesday, January 10, February 14 or March p.m. Thursday, January 26, February 23 or March p.m. Spanish: Thursday, January 19, February 16 or March p.m. Palomar Medical Center Downtown Escondido, Graybill Auditorium Ramin Sorkhi, MD Wednesday, February :30 p.m. Are you 85 pounds or more overweight or considering weight-loss surgery to treat an obesity associated condition, relieve medical problems or achieve lasting weight control? Join Bariatric Surgeons Charles D. Callery, MD, FACS and Ramin Sorkhi, MD, for an introductory seminar about gastric bypass, adjustable gastric band and sleeve gastrectomy. Weight-Loss Surgery Support Groups are offered. See page 12 for details. No Nonsense Nutrition for Health and Weight Management (2-Week Series), Tuesdays, January 24 & 31 or February 28 & March :30 a.m. Mondays, February 27 & March 6 6 7:30 p.m. It s not uncommon to see a few extra pounds on your scale over time. Join Janice Baker, RD, CDE, as she discusses the physiological changes that occur and strategies to boost metabolism and drop the pounds. Supportive Nutrition for Seniors, Thursday, March :30 a.m. Thursday, March :30 a.m. HOW TO REGISTER As we age, nutrition needs can change. Janice Baker, RD, CDE, will discuss senior nutrition concerns such as weight management, diets for medical needs and reducing risk of malnutrition. To register for a class, visit PalomarHealth.org/Classes 7 7 or call

BABYSOURCE FEE: Varies Registration Required Preparation for Childbirth (5-Week Series) Tuesdays, January 3 31 6:30 9 p.m.

10 BABYSOURCE FEE: Varies Registration Required Preparation for Childbirth (5-Week Series) Tuesdays, January :30 9 p.m. Wednesdays, February 22 March 22 6:30 9 p.m. Palomar Health San Marcos, 2nd Floor Classroom Wednesdays, January 11 February 8 6:30 9 p.m. Wednesdays, March :30 9 p.m. Prepare for a safe and satisfying birth experience with this intimate and informative childbirth preparation class. Early registration is recommended. Please note, a tour of the birth center is not included and must be registered for separately. FEE: $70 / mom or couple (includes childbirth manual) Baby Care Basics Thursday, January 12 6:30 9 p.m. Since babies don t come with instructions, this class will provide you with the guidance needed to experience a more confident beginning. Learn about newborn characteristics, emotional bonding and attachment, health and nutrition, sleep and awake patterns, common illnesses, swaddling, diapering, feeding and bathing your baby. FEE: $30 / mom or couple Childbirth Preparation in a Day Palomar Health San Marcos, 2nd Floor Classroom Saturday, January 14, February 4 or March 4 9 a.m. 4 p.m. This informative one-day class is fast-paced and designed for the busy couple. Lecture and video topics include signs and stages of labor, coping skills, hospital procedures, medication options, cesarean birth and postpartum. FEE: $55 / mom or couple (includes childbirth manual) Successful Breastfeeding Thursday, January 19 or March 23 6:30 9 p.m. Palomar Health San Marcos, 2nd Floor Classroom Wednesday, February 22 6:30 9 p.m. Breastfeeding is nature s way to feed a baby, but it doesn t always come naturally. Enhance your opportunity for a positive breastfeeding experience with this informative class led by a certified lactation consultant. FEE: $25 / mom or couple Breastfeeding Support Groups are offered. See page 12 for details. 8

11 Preparation for Childbirth (Weekend Series) January 21 & 22, February 18 & 19, March 18 & 19 Saturday 9 a.m. 3:30 p.m. Sunday 10 a.m. 3:30 p.m. Our weekend class includes the same information covered in our five-week series, but takes only two days to complete. Early registration is recommended. Please note, a tour of the birth center is not included and must be registered for separately. FEE: $70 / mom or couple (includes childbirth manual) Birth Center Tour Call for dates, times and locations. Expectant parents who would like to see what their delivery experience will be like can tour the birth center at Palomar Medical Center Poway or. Tours are not part of the regular childbirth classes. FEE: FREE / mom or couple (no children please) Relaxation for Labor Monday, January 23 or March 13 6:30 8:30 p.m. Breathing and relaxation techniques help relax the body during contractions. This class builds upon the techniques introduced in the Childbirth Preparation series. FEE: $10 / mom or couple Cesarean Birth Lecture Call for dates, times and locations. Expectant parents who anticipate a Cesarean birth and choose not to enroll in a childbirth class may attend this one-hour lecture about Cesarean birth that is part of our regular childbirth series. FEE: $10 / mom or couple DON'T FORGET TO REGISTER PalomarHealth.org/Classes

OASIS: DISCOVER LIFE AFTER 50 FEE: $5 Registration Required To Register call 760.796.

12 OASIS: DISCOVER LIFE AFTER 50 FEE: $5 Registration Required To Register call In partnership with OASIS, a national education organization dedicated to enriching the lives of mature adults, Palomar Health offers a wide variety of health classes. OASIS Class Locations Escondido Senior Center 210 Park Avenue Escondido, CA Palomar Health San Marcos, 2nd Floor Classroom 120 Craven Road San Marcos, CA Pomerado Road Poway, CA What to Expect When a Parent Has Dementia Escondido Senior Center Wednesday, January :30 p.m. Having a clear understanding of dementia and the many stages of the disease will make a significant difference when dealing with a parent or other family member who exhibits symptoms of dementia. Join Luanne Arangio-Law, RN, MEd, as she presents the basic facts you should know. Diabetes and Cardiovascular Disease Wednesday, February :30 p.m. People with diabetes have a higher-than-average risk of having a heart attack or stroke. Join Janice Baker, RD, CDE, as she discusses taking care of your diabetes, the conditions that come with it and how you can help lower your chances of heart disease. 10

Heart Disease in Simple Terms Escondido Senior Center Wednesday, February 22 1 2:30 p.m. The complexity of the heart can make it difficult to understand what happens when it doesn t function properly.

13 Heart Disease in Simple Terms Escondido Senior Center Wednesday, February :30 p.m. The complexity of the heart can make it difficult to understand what happens when it doesn t function properly. Luanne Arangio-Law, RN, MEd, will discuss the anatomy and physiology of the heart in very basic terms along with risk factors, symptoms, diagnostics and treatment options for heart disease. Stroke Prevention Escondido Senior Center Wednesday, March :30 p.m. Community Health Nurse Luanne Arangio-Law, RN, MEd, will present information on stroke in basic terms everyone can understand. Topics include the anatomy of the brain, types of stroke, signs and symptoms, diagnostic tests, treatment options, lifestyle changes and what to do in an emergency. Sleep Health Palomar Health San Marcos, 2nd Floor Classroom Tuesday, March :30 p.m. Join Viviana Helmer, BS, RCP, as she discusses the importance of in-lab sleep studies and what aspects of your sleep affect your overall health and quality of life. FIGHT THE FLU It Starts with You Each year, the Centers for Disease Control (CDC) recommends a new flu vaccine to protect against the upcoming strains of influenza. Visit a Palomar Health Flu Shot Clinic and protect yourself with a FREE flu shot. Fee: FREE Walk-ins welcome, ages 9 and up. January 3 10 a.m. Noon Lobby 2185 Citracado Parkway Escondido, CA January p.m. Lobby 2185 Citracado Parkway Escondido, CA HOW TO REGISTER January p.m. Palomar Medical Center Poway Lobby Pomerado Road Poway, CA January a.m. Noon Palomar Medical Center Poway Lobby Pomerado Road Poway, CA January 5 10 a.m. Noon January p.m. To register for an OASIS class, Palomar Medical Center Palomar Medical Center Downtown Escondido, Lobby Downtown Escondido, Lobby 11 call E Valley Parkway 555 E Valley Parkway 11 Escondido, CA Escondido, CA 92029

SUPPORT GROUPS Breastfeeding Support Thursdays 1 2:30 p.m. Pomerado Outpatient Pavilion Education Classroom Call 858.613.4053 for details. Mondays 2 4 p.m. 2nd Floor Resource Center Call 442.281.

14 SUPPORT GROUPS Breastfeeding Support Thursdays 1 2:30 p.m. Pomerado Outpatient Pavilion Education Classroom Call for details. Mondays 2 4 p.m. 2nd Floor Resource Center Call for details. Center for Compassionate Care: Bereavement Support Sponsored by The Elizabeth Hospice. Call for details. Head Injury, Trauma and Spinal Support System (HITSS) Saturdays 9 10:30 a.m. Call for details. Healthy Lifestyle Support 1st Thursday of each month a.m. Ramona Public Library 1275 Main Street, Ramona Call for details. Mended Hearts for Heart Disease Patients and Families Meets monthly Call for details. Mothers of Twins & Triplets Meets monthly Call for details. Speech Communication Support Wednesdays Noon 1 p.m. Palomar Health San Marcos 2nd Floor Classroom Call for details. Weight Loss Surgery Support Meets monthly Call for details. Weight Management Support 4th Tuesday of each month 6 7:30 p.m. Pomerado Outpatient Pavilion 4th Floor Conference Room Women s Cancer Support 1st and 3rd Wednesdays 10:30 a.m. 12:30 p.m. Pomerado Outpatient Pavilion Education Classroom 12

15 Quality, affordable and convenient care when you need it! Minor Injuries & Common Illnesses Skin Conditions Preventative Medicine Screenings Vaccinations Cosmetic Services Other Services OPEN 7 DAYS A WEEK ALBERTSONS/SAV-ON PHARMACY Escondido 1509 East Valley Parkway Escondido, CA San Elijo Hills 1571 San Elijo Road South San Marcos, CA Monday Friday 9 a.m. 8:30 p.m. Saturday 9 a.m. 4:30 p.m. Sunday 10 a.m. 5:30 p.m. To learn more, visit PalomarHealth.org/Expresscare No appointment necessary. No insurance required. The views and opinions expressed throughout this publication are provided for informational purposes only and do not necessarily reflect those of Palomar Health. Featured articles and classes are not intended to substitute for professional medical advice, diagnosis or treatment, nor are they intended to reflect all possible opinions on a subject. We recommend that all patients seek the advice of their physician or other qualified health provider with any questions they may have regarding treatment options or a medical condition. Palomar Health retains the right to cancel a community education class if minimum enrollment is not met. If you have a disability, please notify us 72 hours prior to the event so that we may provide reasonable accommodations. Off-site classes are also available for groups, businesses and other organizations that would like instruction on a particular health topic. Call for more information

MORE THAN 40 CONNECT WITH US 120 CRAVEN ROAD SAN MARCOS, CA 92078 PRSRT STD U.S. POSTAGE PAID SAN DIEGO, CA PERMIT NO.

16 MORE THAN 40 CONNECT WITH US 120 CRAVEN ROAD SAN MARCOS, CA PRSRT STD U.S. POSTAGE PAID SAN DIEGO, CA PERMIT NO FREE AND LOW-COST WELLNESS CLASSES JANUARY - MARCH 2017 PalomarHealth.org/Classes

FREE. Classes. Health & Wellness AND LOW-COST

FREE. Classes. Health & Wellness AND LOW-COST FREE AND LOW-COST Health & Wellness Classes OCTOBER DECEMBER 2017 General Health... 1-3 Heart Health... 4 Diabetes Health... 4 Bone & Joint Health... 5 Integrative Medicine... 5 Weight Loss & Nutrition...