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ISSUE #4 WINTER 2017 ADVANTAGE Healthy Living Over 50 Worried About Diabetes? The 4 Most Important Ways to Treat or Prevent Diabetes If you don’t have diabetes, you know someone who does. More than one in four people over age 65 have diagnosed diabetes, and one in three adults (over age 20) have pre-diabetes. Pre- diabetes is a condition in which people have high blood sugar but not high enough to meet the classification for diabetes. Diabetes causes high blood sugar that dam- ages your arteries. As a result, a number of serious problems can occur in your body. For example, eye problems and blindness, heart disease and stroke, kidney disease, lower limb amputations and increased risk of death – it’s 1.5 times higher than those without diabetes! What can you do to stop diabetes from harming your health? Doctors say four things are most important. Inside this issue 4 Can Integrative Medicine Help You Feel Better? 6 Women: Does Your Bladder Leak When You Laugh or Sneeze? Here’s New Help 7 Upcoming Classes and Events 14 Support Groups and Miracle of Living 15 Financial Health Check Up What’s Your Risk for Pre-Diabetes? Answer these seven questions. For each “Yes” answer, add the number of points listed. Are you a woman who has had a baby weighing more than 9 pounds at birth? (if yes add 1 point) Do you have a parent with diabetes? (if yes add 1 point) Do you have a brother or sister with diabetes? (if yes add 1 point) Are you younger than 65 years of age and get little or no physical activity in a typical day? (if yes add 5 points) Are you between 45 and 65 years of age? (if yes add 5 points) Are you 65 years of age or older? (if yes add 9 points) The American Diabetes Association (ADA) reports that diabetics have nearly TWICE the risk of death from any cause compared to people of the same age without diabetes. Continued on page 2 Continued on page 3

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Page 1: ADVANTAGE - Torrance Memorial Medical Center · 2016-12-28 · ages your arteries. As a result, a number of serious problems can occur in your body. For example, eye problems and

ISSUE #4 WINTER 2017

ADVANTAGEHealthy Living Over 50

Worried About Diabetes?The 4 Most Important Ways to Treat or Prevent Diabetes

If you don’t have diabetes, you know someone who does. More than one in four people over age 65 have diagnosed diabetes, and one in three

adults (over age 20) have pre-diabetes. Pre- diabetes is a condition in which people have high blood sugar but not high enough to meet the classification for diabetes.

Diabetes causes high blood sugar that dam-

ages your arteries. As a result, a number of serious problems can occur in your body. For example, eye problems and blindness, heart disease and stroke, kidney disease, lower limb amputations and increased risk of death – it’s 1.5 times higher than those without diabetes!

What can you do to stop diabetes from harming your health? Doctors say four things are most important.

Inside this issue4 Can Integrative Medicine Help You

Feel Better?

6 Women: Does Your Bladder Leak When You Laugh or Sneeze? Here’s New Help

7 Upcoming Classes and Events

14 Support Groups and Miracle of Living

15 Financial Health Check Up

What’s Your Risk for Pre-Diabetes?Answer these seven questions. For each “Yes” answer, add the number of points listed.

Are you a woman who has had a baby weighing more than 9 pounds at birth? (if yes add 1 point)

Do you have a parent with diabetes? (if yes add 1 point)

Do you have a brother or sister with diabetes? (if yes add 1 point)

Are you younger than 65 years of age and get little or no physical activity in a typical day? (if yes add 5 points)

Are you between 45 and 65 years of age? (if yes add 5 points)

Are you 65 years of age or older? (if yes add 9 points)

The American Diabetes Association (ADA) reports that diabetics have nearly TWICE the risk of death from any cause compared to people of the same age without diabetes.

Continued on page 2

Continued on page 3

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2 ADVANTAGE NEWSLETTER / Torrance Memorial Health System

#1. Get Your Blood Sugar Under Control. It’s Easier Today Than Ever Before“The great thing about treating diabetes now is there are so many newer medications

that address the diabetic process in ways we didn’t know existed 20 years ago,” explains David Stern, M.D., Torrance Memorial Physician Network. “It is important to start using these new classes of medication early in the process, when your numbers are only a little bit off so we can keep them as close to normal as possible.”

#2. Eat the Right Diet. (Hint: It’s A Colorful One!)Obesity is a leading risk factor for developing diabe-tes. Fortunately, one of the best ways to lose weight

is also a great way to balance blood sugar: eating a healthy diet.

Eduardo Añorga, M.D., a family practitioner at Madison Park Family Medical Group in Re-dondo Beach says, “Stay away from white foods. White rice, bread, pasta, potatoes, cereals, white flour and sugar are not your best friends. Consid-

er substitutes of whole grain bread and pasta and brown rice. Also, limit carbohydrate intake to one

serving per meal. Eat lots of colorful vegetables and small portions of fruit.”

#3. Commit to Regular Exercise. Here’s How Anyone Can Do It Regular physical activity is critical to treat or prevent diabetes. In fact, many experts

believe our more sedentary lifestyle is the biggest contributing factor to the rise in diabetes. For one thing, they cause weight gain and remember, obesity is a risk factor for diabetes.

“Exercise addresses more aspects of health than any-thing else. It addresses weight gain, blood pressure, cholesterol and heart health risks. It also improves mental and emotional well-being,” explains Dr. Stern. “If you’ve been sedentary for a long time, at first just walking can be uncomfortable. The idea is to exercise at a level just below what’s uncomfortable and sustain it for at least a half hour a day. Once your tolerance improves, you can increase your exercise activities. I recommend exercise you look forward to doing. This will make it easier to exercise on days when you might be feeling a little lazy.”

#4. Get Screened Regularly for Diabetes.Diabetes is primarily detected through blood work via a fasting blood glucose. A

result of below 126 mg/dL is desired. Normal range is 80 – 100 mg/dL. Routine diabetes screening begins at 45-or earlier if you’re diagnosed obese, have

a family history of diabetes or suffer high blood pressure, high cholesterol or heart disease.

David Stern, M.D., Family Practice, Torrance Memorial Physician Network can be reached at 310-257-7260. Eduardo J. Añorga, M.D., Family Practice can be reached at 310-944-9344.

REVOLUTIONARYHEART CARE

CLOSE TO HOMETORRANCE MEMORIAL LEADER

IN COMPLEX TAVR SURGERYThe experts at the Torrance Memorial HealthSystem have a new way into your heart.The TAVR procedure is a minimally invasiveaortic valve replacement for high risk orinoperable patients.

� LEADER IN DELIVERING SUCCESSFUL� TAVR SURGICAL RESULTS

� USE MOST ADVANCED DEVICE� TECHNOLOGY AND PERFORMED IN� STATE-OF-THE-ART HYBRID SURGICAL SUITE

� EXPERTISE IN PERFORMING COMPLEX� STRUCTURAL HEART PROCEDURES

OUR EXPERT TEAM:

For more details visitTorranceMemorial.org/TAVR

(left to right) Salman Azam, MD, J. Chris Matchison, MD,Ankush Chhabra, MD, Jack Sun, MD, and John Stoneburner, MD

Congratulations TAVR Team for reaching thegroundbreaking milestone of 100 TAVR Cases -

highest volume program in the South Bay.

EXPERIENCE EQUALSCONFIDENCE.

Worried About Diabetes, Continued from page 1

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Issue #4 Winter 2017 3

Diabetes Prevention Program Enrolling Now!Generously supported by the Torrance Memorial Lundquist Cardiovascular Institute in partnership with Torrance-South Bay YMCA.

If you’re at risk for type-2 diabetes, the YMCA’s Diabetes Prevention Program provides a supportive environment in a small group setting to learn how to adopt healthy habits to reduce your risk.

The year-long program begins with 16 one-hour weekly classroom sessions, followed by 8 monthly sessions. A trained lifestyle coach helps participants learn strategies for healthy eating, phys-ical activity and other lifestyle changes.

The goal is for participants to lose 7 percent of their body weight and in-crease physical activity to 150 minutes per week.

Session topics include:

• Healthy Eating

• How You Can Manage Stress

• Tip the Calorie Balance

• Be a Fat Detective

The YMCA’s Diabetes Prevention Pro-gram is part of the Centers for Disease Control and Prevention-led National Diabetes Prevention Program and is nationally supported by the Diabetes Prevention and Control Alliance.

For more information call Jamisson Costa, Diabetes Prevention Program Regional Director at 310-602-4905 or email [email protected] or visit www.ymcala.org/DPPsignup

Source: Based on Herman WH, Smith PJ, Thomason TY, Englegau MM, Aubert RE. A new and simple questionnaire to identify people at risk for undiagnosed diabetes. Diabetes Care 1995 Mar; 18(3); 382-7.

{

What’s Your Risk for Pre-Diabetes, Continued from page 1

Find your height on the chart below. Do you weigh as much as or more than the weight listed for your height? (if yes add 5 points)

At-Risk Weight Chart (Weight in lbs.)

Assess Your Risk By Adding Up Your ScoreIf you scored a 9 or higher, you may be at risk for pre-diabetes or diabetes and may qualify for the program. This does NOT mean you have diabetes. You will need a blood test to confirm if you have diabetes.

Height Weight

(weig

ht mo

re than)

4’10” 129

133

138

143

147

152

157

162

167

172

177

182

188

193

199

204

210

216

221

4’11”

5’0”

5’1”

5’2”

5’3”

5’4”

5’5”

5’6”

5’7”

5’8”

5’9”

5’10”

5’11”

6’0”

6’1”

6’2”

6’3”

6’4”

Helping Patients Heal More Easily After Hospitalization

Going home from the hospital with a long list of discharge instructions is con-fusing for anyone. That’s why the Torrance Memorial Health System created the Care Coordination Center (CCC). The center provides patients with a 45 to 60 minute visit with a doctor or nurse practitioner to clarify discharge instructions. This may include going over the medication schedule, lab results, imaging studies, cultures and pathology reports; even help with coordinating follow up visits to specialists and physicians.

“The CCC opened in the fall of 2012 and initially functioned as a post-discharge comprehensive care center, where high-risk patients with complex medical issues are seen within a few days of their discharge home from the hospital,” says Tauseef Haider, MD, an internist and director of the Care Coordination Center. “This helps to reduce the chances of patients needing to visit the emergency room or be readmitted to the hospital,” says Dr. Haider.

Today the Care Coordination Center services have expanded to include long-term care of patients with complex medical problems as well as palliative care for patients with cancer and other advanced illnesses.

Visits to the center are by referral only. You can also call the Care Coordination Center with questions at 310-784-8713.

The Care Coordination Center is located at 3701 Skypark Drive, Suite 100, Torrance, CA 90505.

CARE COORDINATION CENTER

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4 ADVANTAGE NEWSLETTER / Torrance Memorial Health System

Can Integrative Medicine Help You Feel Better?How the mind-body connection influences health, wellness and healing from illness

One of the most exciting new fields of medicine is integrative medicine, the use of mainstream medicine along with complementary therapies to

speed the healing process and prevent disease. Complementary therapies include energy med-

icine such as acupuncture and Reiki, relaxation techniques such as breathing and meditation, certain exercise systems such as yoga, Tai Chi, or Qi Gong, plus bodywork like massage.

Many of these therapies have been an integral part of medical care around the world for thou-sands of years, but only recently have scientists in the United States performed research to see if they really work.

Scientists at the National Institutes of Health have studied these complementary therapies

listed above, among others. The results show they ARE effective at helping the body heal. That’s why Torrance Memorial Medical Center’s Health and Healing Center offers a variety of comple-mentary therapies for the community.

“We have services to help speed the healing process for those who are sick in the hospital,” says Vickie Hershberger, coordinator of Torrance Memorial’s Health and Healing Program. “We offer massage, acupressure and reflexology. For people who don’t want to be touched, we offer Reiki and Healing Touch, which despite its title is pure energy work. All of our practitioners are trained to deal with medical issues so you know you’re in safe hands.”

“We also have programs and classes to help keep people healthy so they don’t end up in the hospital,” explains Vickie. “For example, we know that most of our health issues have a com-ponent that comes from stress. Our programs and classes are designed to reduce stress and provide other specific benefits to keep the body healthy and strong.”

Through a generous grant from the Graziadio Wellness Center, Torrance Memorial also offers a free lecture series to the public featuring world renowned experts discussing integrative medicine.

“I’m a member of the committee that puts to-gether these lectures every year,” explains Robert Swift, M.D., primary care physician. “Recently we had Jon Fonseca talk about brain therapy. He’s a neurofeedback clinician with extensive experience helping those who suffer with depres-sion, anxiety, insomnia and ADHD. Among oth-er things, he recommended meditation, which is proven by MRI to be good for the brain.”

For more information on Torrance Memorial’s many programs and classes that improve the mind-body connection, see the Classes and Events section starting on page 7.

What is integrative medicine?

The National Institutes of Health defines integrative medicine as “combining mainstream medical therapies and complementary

alternative medicine (CAM) therapies for which there is some high-quality

scientific evidence of safety and effectiveness.”

What Is The Scientific Evidence For Integrative Medicine?

Chronic pain from arthritis, injuries or severe headaches? Scientific evidence from the National Institutes of Health shows that acupuncture, yoga, Tai Chi, massage and relaxation techniques can help you manage pain and improve range of motion.

Unsteady on your feet from age, Parkinson’s or other conditions? A clinical study reported in the New England Journal of Medicine found Tai Chi results in improvements in balance and stability.

Undergoing cancer treatment? Scientific evidence from the National Institutes of Health suggests that acupuncture and reflexology can help to manage side effects of chemotherapy and may reduce pain.

Dealing with anxiety, depression or insomnia? Scientific evidence from the National Institutes of Health suggests that relaxation techniques can reduce anxiety, depression and promote better, more restful sleep.

For more information on complementary therapies and research into their

efficacy go to The National Center for Complementary and Integrative Health website at www.nccih.nih.gov, click “Health Info” and then “Topics A-Z.”

HEALTH AND WELLNESS

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Issue #4 Winter 2017 5

Get Better Faster with Health and Healing Bodywork in Hospital

The bodywork program is a wellness service that enhances the healing process and encourages a healthier lifestyle. Individuals who participate in these services may enjoy such benefits as:

• Decreased pain• Increased relaxation• Stress relief and a more restful sleep

• Improved blood flow and circulation• Stimulation of the self-healing process

While individuals may experience these benefits and more fully connect with their own inner resources for healing, these services are complementary to your medical treatment.

BODYWORK SERVICES:

Massage: Therapeutic massage offers a range of benefits, including better blood flow to muscles, removal of toxins, increased immune function. Types offered: Swedish, deep tissue, lymphatic drainage, myofacial release, oncology and pregnancy.

Acupressure: The ancient healing art of acupressure is based on the principle that there are energy pathways feeding life into the body. Gentle stimulation promotes healing, a greater sense of harmony, health and well-being.

Reflexology: Gentle stimulation using thumb and finger techniques to activate nerve endings and reflex points in the hands, ears and feet. Deeply relaxing and promotes rejuvenation. Sessions are conducted with the client fully clothed.

Reiki: An ancient hands-on healing system, which balances the energy fields of the body and assists in the body’s natural healing process. Sessions are conducted with the client fully clothed in a comfortable, reclined position.

Healing Touch: Light touch is used to realign energy flow, reactivate mind/body/spirit connection to encourage healing. Treatment is usually given on a massage table or in a chair with the client fully clothed.

Cranial Sacral Therapy: A gentle modality that enhances the function of your central nervous system through work on the dual meninges and other connective tissue to promote healing.

RATES:

Fee must be paid at the time the appointment is scheduled.Special discount pricing is available to all ADVANTAGE Members, Torrance Memo-rial Medical Center Employees and Volunteers.

Call for more information or to make an appointment: 310-517-4711.

TORRANCE MEMORIAL HEALTH & HEALING CENTER

Health and Healing Lecture Series

Through a generous grant from the Graziadio Wellness Center, Torrance Memorial presents a free lecture series falling under the category of integrative medicine.

Some of the past lectures available for viewing online:

Power Foods For the Brain by Neal Barnard, M.D., President of the Physicians Committee for Responsible Medicine, pioneering researcher into dietary interventions for diabetes and author of 70 scientific publications and 17 books.

PlantPure Nation by Dr. T. Colin Camp-bell, trained at Cornell (M.S., Ph.D.) and MIT (Research Associate) in nutrition, biochem-istry and toxicology. He is the author of The China Study and Whole and was a major contributor to the film Forks Over Knives.

Life Is Your Best Medicine by Tieraona Low Dog M.D., former Director of the Fel-lowship at Andrew Weil’s Arizona Center for Integrative Medicine at the University of Arizona. She is an internationally known speaker on topics such as herbal medicine and dietary supplements to integrative approaches to women’s health.

Food is Medicine by Chef AJ, a culinary and nutrition expert and author of Unprocessed: How to Achieve Vibrant Health & Your Ideal Weight.

To view these lectures and many more visit torrancememorial.org. Click “classes,” then

“Graziadio Lectures,” select your lecture and click “Watch the Lecture Online.”

30 Minute Session $45.00

60 Minute Session $75.00

90 Minute Session $105.00

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6 ADVANTAGE NEWSLETTER / Torrance Memorial Health System

How Do You Kegel?Find your pelvic floor muscles by attempting to stop

flow of urine or the passing of gas.Once you’ve identified your pelvic floor muscles, lie on

your back and close your openings and lift them up and in toward your abdomen. Tighten your pelvic floor mus-cles, hold the contraction, and then relax.

Increase pelvic strength by trying to lift pelvic floor up into abdomen like an elevator rising.

Consistency is key. Perform 8 reps, 3 times a day work-ing up to a 10 second hold.

With consistent daily exercise, you should see results in 6-8 weeks if your primary problem is small leakages with exertion.

You may also be interested in the Inner Core Fitness class offered at Torrance Memorial’s Health Education Center. See page 12 for details.

Women: Does Your Bladder Leak When You Laugh or Sneeze?If you answered yes, here’s help…

“The most common type of urinary incontinence in women is stress incontinence,” explains Kari Ogata, a Physical Therapist with the Torrance Memorial Physician Network. “Stress incontinence is related to muscle weakness. You can experience an improvement in quality of life simply by doing Kegel exercises properly every single day to strengthen your pelvic floor.”

Strengthening the pelvic floor using Kegels has been shown to improve leakage in 75% of women, according to the International Urogynecological Association. A stronger pelvic floor can also reduce risk of prolapse which may decrease pelvic pain and improve comfort during sex.

“Our pelvic floor rehabilitation program provides a private environ-ment to educate women and give them the tools to reduce leakage,” says Kari. “We work with women suffering stress incontinence, urge incontinence or mixed, a little bit of both. In addition to working on the pelvic floor, some women benefit from avoiding acidic food and drink which irritates the bladder, as well as bladder retraining to reduce frequency.”

If you’re interested in Torrance Memorial Physician Network’s pelvic floor rehabilitation program, call 310-791-7980 for more information or to schedule a private assessment.

Urinary incontinence is uncomfortable and embarrassing, but you don’t have to live with it.

Q: Thyroid problems run in my family, what should I watch out for?

A: Problems with the thyroid gland can show up in a number of different ways. The thyroid’s job is to tell your organs what to do. When the thyroid doesn’t make enough thyroid hormone (hypothyroidism),

then your body slows down. You might notice constipation, weight gain, fatigue, feeling colder, as well as changes in your hair and skin. When the thyroid makes too much thyroid hormone (hyperthyroidism), then the body starts to do more than it should. You might experience heart palpitations, trem-ors, anxiety, sweating, heat intolerance, weight loss, insomnia and increased bowel movements. If you’re experiencing any of these symptoms, tell your doctor. He or she may want to run some lab tests to determine if you’re having thyroid problems. Besides making the right amount of thyroid hormone, there can also be a problem with the structure of the thyroid gland itself where it can grow bigger (goiter) or have lumpy nodules (thyroid nodules). Some people will notice a lump in their throat when they swallow or have difficulty breathing when lying down. An ultrasound can determine if there’s anything unusual with the thyroid’s structure.

Dr. Hung Nguyen is an endocrinologist with the Torrance Memorial Physician Network. He can be reached at 310-517-8952.

ASK THE DOCTOR

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Issue #4 Winter 2017 7

Health and Wellness ClassesRegistration required for all classes. Call 310-517-4666 or register online at torrancememorial.org/classes.

AARP Driver Safety ProgramJanuary 14, February 11, March 11Learn the latest driver skills and safety techniques in the nation’s first and largest course designed for drivers over 50. Upon completion you’ll receive a CA certificate that may qualify you for a discount on auto insurance. One 8-hr. class. Sat., 9 a.m. – 5 p.m. $15/AARP members; $20 non-members.

AARP Driver Safety Program(Refresher Course)January 21, February 18, March 18If you have taken the 8-hour class within the past 3 years and are looking to renew your driving certificate, this 4-hour refresher course is for you. Bring your current AARP driver certificate. Sat., 9 a.m. – 1:30 p.m. $15/AARP members; $20 non-members.

Advance Health Care DirectiveFebruary 8Free. Learn methods of communicating your healthcare wishes in writing to your family, friends and healthcare team. Topics include updates in law regarding Advance Directives. Wed. 6 – 7:30 p.m.

A Taste of Meditation February 22This class is a good first step on the path of mindfulness practice, a meditation that can reduce stress, ease some types of physical and emotional challenges and lead to a more compassionate outlook on life. Wed., 6 – 7:30 p.m. Cost: $15 reg., $12 ADVANTAGE members.

Balance ChecksFebruary 6Free. Do you have balance problems or are you concerned about falling? Come for a free balance assessment. Space is limited. Mon., 9 – 11:30 a.m. Call 310-517-4711 to register.

Caregiver Training: Part 1February 8 – March 15This series will help you identify stress related to caregiving, understand housing options, manage caregivers in the home, learn about community resources,

medication management and much more. Meets Wed. 6:15 – 8:45 p.m. Cost: $50. reg, $45 ADVANTAGE members.

Fall Prevention & Balance ImprovementFebruary 13 – March 20Taught by a physical and an occupational therapist, this 6-week series will introduce you to several different disciplines that can assist in long-term improvement of balance skills. Meets Mon., 1:30 – 3 p.m. Cost: $85 reg., $80 ADVANTAGE members.

HICAP Lectures:Long-Term Care: Who Pays For It? March 1A representative from the Center for Health Care Rights will discuss the kinds of long-term care covered by Medicare, how to qualify for Medi-Cal long-term care and understanding the costs and benefits of long-term care insurance. FREE. Meets Wed., 1- 2:30 p.m.

Upcoming Classes and Events

Don’t see what you’re looking for?Check www.torrancememorial.org/classes for more information or call 310-517-4666.

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8 ADVANTAGE NEWSLETTER / Torrance Memorial Health System

Questions for the Pharmacist February 2, March 2Do you have questions about your medications? Sit down with a Torrance Memorial pharmacist and get the answers you need. Please bring your “brown bag” of all medicines you’re currently taking. Thurs., noon - 1 p.m. Free.

Reiki ExchangeFebruary 2Learn this Japanese technique of “laying on hands” for stress reduction and relaxation that also promotes healing. Thurs., 6:30 – 8:00 p.m. Free.

Sounder SleepJanuary 6 – February 24March 10 – April 28Learn unique self-healing techniques based on the Sounder Sleep System and the teachings of Dr. Moshe Feldenkrais. Reduce stress tension and anxiety during the day and promote restful sleep and quick recovery from awakenings during the night. Meets Fri., 1:00 - 2:15 p.m. Cost: $85 reg., $70 ADVANTAGE members.

Exercise & MovementClassesClasses held at The Center For Healthy Living At Malaga Cove, 2550 Via Tejon, Palos Verdes Estates

Chair DancingJanuary 4 – February 22March 8 – April 26Location: Malaga Cove – This chair exercise class helps to combine your body, mind and spirit in gentle movements. This upbeat and fun class will focus on breathing, bending, stretching and using all of your nerves and muscles in physical activity while building new neural pathways. It will also help you relax so you can sleep better. Meets Wed., 1:30 – 2:30 p.m.  Cost and registration: See Pg 15.

Chair YogaJanuary 4 – February 22March 8 – April 26Location: Malaga Cove - Yoga adapted for a seated chair position. Learn breathing, stretching and relaxation techniques to improve strength and confidence. Meets Wed., 3 - 4 p.m. Cost and registration: See Pg 15.

Dancing to the Oldies But GoodiesJanuary 6 – February 24January 9 – February 27March 6 – April 24March 10- April 28Location: Malaga Cove - Get a good aerobic workout while dancing to rhythmic, nostalgic music. Have fun while you burn calories. Meets Fri., 10:45 – 11:45 a.m., Jan. 9 – Feb. 24 and March 10 – April 28; or Mon. 12:45 – 1:45 p.m., Jan. 9 – Feb. 27 and March 6 – April 24. Cost and registration: See Pg 15.

Healthy Back: The Feldenkrais Method for Strengthening Your BackJanuary 5 – February 23March 9 – April 27Location: Malaga Cove - This class teaches the Feldenkrais Method. Discover gentle floor exercises which tone muscles that support the spine, allowing greater freedom of movement and contributing to a more active lifestyle. Meets Thurs., 11:30

a.m. – 12:30 p.m. Cost and registration: See Pg 15.

Healthy Brain: The Feldenkrais Method for Boosting your BrainJanuary 4 – February 22March 8 – April 26Location: Malaga Cove - This class teaches the Feldenkrais Method for boosting your brain. Discover how to support memory and cognition as you age. Meets Wed., noon – 1 p.m. Cost and registration: See Pg 15.

Mat Pilates, IntermediateJanuary 4 – February 22March 8 – April 26Location: Malaga Cove -. Fast-paced and dynamic class that focuses on strengthening your core muscles to help improve your balance and provide support for your spine. Participants must have a moderate fitness and flexibility level. Recent Mat Pilates experience recommended. Meets Wed., 10:30 - 11:20 a.m. Cost and registration: See Pg 15.

Muscle Strengthening, BeginningJanuary 9 – February 27March 6 – April 24Location: Malaga Cove - Strengthen your upper and lower body safely using flexible exercise bands. Includes warm-up, cool down and stretching. Meets Mon., 11:30 a.m.-12:15 p.m. Cost and registration: See Pg 15.

Muscle Strengthening, AdvancedJanuary 6 – February 24 March 10 – April 28 Location: Malaga Cove – Strengthen your upper and lower body safely using flexible exercise bands. Class requires hand weights. Includes warm-up, cool-down and stretching. Meets Fri., 12:15 - 1 p.m. Cost and registration: See Pg 15.

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Issue #4 Winter 2017 9

Posture is Power (2x Weekly) January 3 – February 23March 7 – April 27Location: Malaga Cove – Plagued by back, neck, shoulder, knee, ankle and/or foot pain? Move away from postural limitations with simple assessments, self-massage, stretches and corrective exercises that restore vitality from head to toe.  Meets Tues. and Thurs., 8:30 – 9:30 a.m. Cost: $144 reg., $128 ADVANTAGE members. Registration required. Call 310-517-4666 or register online at torrancememorial.org/classes.

Restorative Yin YogaJanuary 6 – February 24March 10 – April 28Location: Malaga Cove – This restorative yoga class combines yin flow with a deep emphasis on restorative stretch and yogic breath to allow a gentle flow that will improve posture and balance, and increase strength. Meets Fri., 4:15 – 5:15 p.m. Cost and registration: See Pg 15.

Restorative Zen YogaMarch 7 – April 25Location: Malaga Cove – Quieting, supportive, deeply nourishing practice. It calms and restores the nervous system activating the relaxation response. We use props such as blankets and bolsters to support postures, surrender and release deeply held tension in the body and mind. Meets Tues., 7:30 – 8:30 p.m. Cost and registration: See Pg 15.

Somatic Yoga TherapyJanuary 3 – February 21 March 7 – April 25Location: Malaga Cove – Somatic yoga class is a blend of gentle yoga therapy and somatic movements that results in the unification of mind and body. It is designed to address chronic neck, shoulder, hip and low back pain, and to comfortably increase flexibility,

mobility, balance and strength. The class is appropriate for students looking to ease into yoga, older beginners, those recovering from an illness or injury, or those who simply prefer a slower-paced class. Meets Tues., 11:30 a.m. –12:30 p.m. Cost and registration: See Pg 15.

Strengthening with Hand WeightsJanuary 3 – February 21March 7 – April 25Location: Malaga Cove - An all-levels class that will help you tone muscles. Exercises performed standing or sitting in a chair. Meets Tues., 1:15 - 2 p.m. Cost and registration: See Pg 15.

Stretching for Better BalanceJanuary 5 – February 23March 9 – April 27 January 9 – February 27 March 6 – April 24Location: Malaga Cove - A fun, gentle workout designed to help increase flexibility and mobility to help prevent injuries. Meets Mon., 10:30 a.m. – 11:15 a.m., Jan. 9 – Feb. 27, March 6 – April 24; or Thurs., 1:15 p.m. – 2 p.m., Jan. 5 – Feb. 23 and March 9 – April 27. Cost and registration: See Pg 15.

Don’t see what you’re looking for?Check www.torrancememorial.org/classes for more information or call 310-517-4666.

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10 ADVANTAGE NEWSLETTER / Torrance Memorial Health System

Tai Chi, Beginning/IntermediateJanuary 9 – February 27March 6 – April 24Location: Malaga Cove - A sophisticated Chinese exercise that inspires physical and mental well-being. This class is an introduction to the form that consists of slow, graceful, circular movements which improve balance and coordination. Appropriate for all ages, strong and weak. Meets Mon., 3 – 4 p.m. Cost and registration: See Pg 15.

Tai Chi, AdvancedJanuary 9 – February 27March 6 – April 24Location: Malaga Cove - A sophisticated Chinese exercise that inspires physical and mental well-being. This class is an introduction to the form that consists of slow, graceful, circular movements which improve balance and coordination. Appropriate for all ages, strong and weak. Meets Mon., 2 – 3 p.m. Cost and registration: See Pg 15.

Unity Basics (2x weekly)January 3 – February 23March 7 – April 27Location: Malaga Cove - This class offers a unique, full-body circuit program with an emphasis on strength and stability. Individualized attention allows for emphasis on correct form and injury prevention ensuring optimal

results. All levels welcome. Taught by a certified Personal Trainer. Meets Tues. and Thurs., 6 - 7 p.m. Cost $144 for the series ($128 ADVANTAGE members.) Call 310-517-4666 or register online at torrancememorial.org/classes.

Unity Basics (3x weekly)January 4 – February 24March 6 – April 28Location: Malaga Cove - This class offers a unique, full-body circuit program with an emphasis on strength and stability. Individualized attention allows for emphasis on correct form and injury prevention ensuring optimal results. All levels welcome. Taught by a certified Personal Trainer. Meets Mon., Wed., and Fri., 9:15 – 10:15 a.m. Cost $168 for the series. Call 310-517-4666 or register online at torrancememorial.org/classes.

Unity Advanced (3x weekly)January 4 – February 24March 6 – April 28Location: Malaga Cove - This class is a fast-paced, full-body circuit program with an emphasis on strength, stability and core training. Please no beginners. This is an advanced class to Unity Basics 3-day. Taught by a certified Personal Trainer. Meets Mon., Wed., and Fri., 8:15 – 9:15 a.m. Cost $168 for the series. Call 310-517-4666 or register online at torrancememorial.org/classes.

Courses Offered in Collaboration with Torrance Adult School

Chair Yoga January 3 – March 21March 28 – June 15 (No class April 11 & 13)Get the benefits of yoga in a class designed just for you. Yoga fitness exercises will be adapted to a seated position in a chair. Breathing, stretching, and relaxation techniques will be included. Gain greater flexibility, strength, and confidence from this new approach to the ancient science of yoga. Primarily seated exercises. Standing exercises are optional. Meets Tues. and Thurs, 9 – 10:15 a.m. Cost: $55

Reservations required. To register go to www.tastusd.org or call 310-533-4689 for more information.

Courses Offered in Collaboration with Lomita Parks and Recreation

Muscle Strengthening: Advanced$16/8 week series plus equipment fee if needed. Call for dates. Tues., 9:45 to 10:25 a.m.

Muscle Strengthening: Beginning$16/8 week series plus equipment fee if needed. Call for dates. Thurs., 9:45 to 10:25 a.m.

Call Lomita Parks and Recreation Center at 310-326-0140 for more information or to register.

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Issue #4 Winter 2017 11

Yoga BasicsJanuary 4 – February 22January 5 – February 23January 7 – February 25January 9 – February 27March 6 – April 24March 8 – April 26March 9 – April 27March 11 – April 29Location: Malaga Cove - Harmonize body, mind and spirit through gentle stretching exercises, traditional yoga poses, breathing techniques and guided relaxation. Meets Mon., 4:15 – 5:15 p.m., Jan. 9 – Feb. 27 and March 6 – April 24. Meets Wed., 5:30 – 6:30 p.m., Jan. 4 – April 24 or March 8 – April 26. Meets Thurs., 4:15 – 5:15 p.m., Jan. 5 – Feb. 23 or March 9 – April 27. Meets Sat., 9 – 10 a.m., Jan. 7 – Feb. 25 or March 11 – April 29. Cost and registration: See Pg 15.

Yoga Basics/RestorativeJanuary 7 – February 25March 11 – April 29Location: Malaga Cove –This class is a combination of gentle yoga, body and postural awareness exercises plus restorative yoga poses, and breath work to help strengthen your body and mind as you age. Recommended for those experiencing stress, wanting to gently unwind, relax, and renew. Meets Sat., 10:30 – 11:45 a.m. Cost and registration: See Pg 15.

Exercise & MovementClasses

Classes held at The Health Education Center, 3105 Lomita Blvd., Torrance

Chair Yoga, Focusing on the Lymphatic SystemJanuary 3 – February 21March 7 – April 25A yoga class adapted to a seated chair position with the goal of gently stimulating lymphatic flow. This is especially helpful for those with compromised immune systems. It can reduce swelling and aid the body’s ability to ward off colds and flu. Meets Tues., 12:30 – 1:30 p.m. Cost and registration: See Pg 15.

Chair Yoga to Improve Balance & Strengthen BonesJanuary 5 – February 23March 9 – April 27A beginner, level 1 class using a chair in seated and standing poses. Perfect for those diagnosed with osteopenia or osteoporosis. Meets Thurs., 2 - 3:00 p.m. Cost and registration: See Pg 15.

Feldenkrais Chair LessonsJanuary 9 – February 27March 6 – April 24These chair lessons, designed specifically for sitting, provide the opportunity to learn while minimizing the likelihood of strains or injury. They teach you how to apply attention and awareness to improve physical function and promote greater freedom of movement. Meets Mon., 10:30 – 11:30 a.m. Cost and registration: See Pg 15

Don’t see what you’re looking for?Check www.torrancememorial.org/classes for more information or call 310-517-4666.

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12 ADVANTAGE NEWSLETTER / Torrance Memorial Health System

Healthy Bones: The Feldenkrais Method for Improving BonesJanuary 9 – February 27March 6 – April 24Concerned about losing bone density? Diagnosed with osteopenia or osteoporosis? This class will focus on the Feldenkrais exercises that help support bone health. Meets Mon., 9 -10 a.m. Cost and registration: See Pg 15.

Inner Core FitnessJanuary 4 – February 22January 9 – February 27March 6 – April 24March 8 – April 26Smaller waist, stronger bladder and less back pain after 50! A revolutionary program that uses neuromuscular retraining (imagery & visualization techniques) coupled with anatomy awareness that to will trigger this involuntary activation of your inner core set. Meets Mons., 5:15 - 6:05 pm, Weds., 11:00 – noon. Cost and registration: See Pg 15.

Mat Pilates, BeginningJanuary 4 – February 22March 8 – April 26A method of exercise with emphasis on dynamic physical movement through space with stretch, strength, and control, building flexibility and balance in a fast-paced workout. Meets Weds., 5:15 – 6:05 p.m. Cost and registration: See Pg 15.

Somatic Yoga TherapyJanuary 3 – February 21January 5 – February 23March 7 – April 25March 9 – April 27A blend of gentle yoga therapy and

somatic movements that results in the unification of mind and body. It is designed to address chronic neck, shoulder, hip and low back pain, and to comfortably increase flexibility, mobility, balance and strength. The class is appropriate for students looking to ease into yoga, older beginners, those recovering from an illness or injury, or those who simply prefer a slower-paced class. Meets Tues., 9:30 – 10:30 a.m., Jan. 3 – Feb. 21 and March 7 – April 25 or Thurs., 9:30 – 10:30 a.m., Jan. 5 – Feb. 22 and March 9 – April 27. Cost and registration: See Pg 15.

Tai Chi, BeginningJanuary 3 – February 21January 4 – February 22March 7 – April 25March 8 – April 26

A sophisticated Chinese exercise that inspires physical and mental well-being.  This class is an introduction to the form that consists of slow, graceful, circular movements that improve balance and coordination. Appropriate for all ages, strong and weak. Meets Tues., 3:30 – 4:30 p.m. Cost and registration: See Pg 15.

Tai Chi, IntermediateJanuary 3 – February 21March 7 – April 25As students become more familiar with the techniques of balancing and relaxation, they will learn more of the movements to complete the tai chi form. Meets Tues., 2:30 - 3:30 p.m., Wed., 4 – 5 p.m. Cost and registration: See Pg 15.

Tai Chi, AdvancedJanuary 4 – February 22March 8 – April 26Once basic forms are learned, students will go deeper into the fine points, refining movements and their connections that lead to improved health and mental focus. Meets Wed., 3 – 4 p.m., Jan. 2 – Feb. 22 and March 8 – April 26 or Tues., 2:30 – 3:30 p.m., Jan. 3 – Feb. 21 and March 7 – April 25. Cost and registration: See Pg 15.

Yoga for BalanceJanuary 5 – February 23March 9 – April 27This class specifically focuses on poses that will reinforce body awareness, improve reflexes and strengthen the core and postural muscles that aid in the ability to prevent falls. Meets Thurs., 12:30 –1:45 p.m. Cost and registration: See Pg 15.

Yoga for FibromyalgiaJanuary 9 – February 27March 6 – April 24A very gentle restorative class with slow calming movements to help relax the body and mind. The emphasis will be on increasing your range of motion, slowly loosening cramped muscles and decreasing your pain. We will use simple movements, breathing techniques and guided visualization to release endorphins, which are the body’s natural painkillers. Please wear loose comfortable clothing and socks. All levels welcome. Meets Mon., 1:30 – 2:30 p.m. Cost and registration: See Pg 15.

Yoga for OsteoporosisJanuary 3 – February 21January 5 – February 23March 7 – April 25March 9 – April 27A yoga class for anyone who wants to maintain and build bone strength while increasing balance and flexibility. Those with osteoporosis welcome. If you are new to yoga, consult with your doctor about physical limitations. Meets Tues., 11:00 a.m. – 12:15 p.m., Jan. 3 – Feb. 21 and March 7 – April 25 or Thurs., 11 a.m. – 12:15 p.m., Jan. 5 – Feb. 22 and March 9 – April 27. Cost and registration: See Pg 15.

Yoga for WellnessJanuary 4 – February 22March 8 – April 26Yoga can increase your strength, flexibility, range of motion and lung capacity. This class focuses on correct postural alignment for maximum health benefits. Meets Wed., 9:30 -10:45 a.m. Cost and registration: See Pg 15.

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Issue #4 Winter 2017 13

Find a Medicare event near you at thipa.org/events.

To Learn more or for a No-Cost consultation with an insurance agent, call 310-257-7239.

Don’t see what you’re looking for?Check www.torrancememorial.org/classes for more information or call 310-517-4666.

Yoga, IntegratedJanuary 4 – February 22March 8 – April 26A yoga class integrating pranayama (breath work), asana (postures), and deeply relaxing meditation, such as Yoga Nidra, which is the equivalent of 4 hours of sleep. Meets Wed., 7:30 – 8:30 p.m. Cost and registration: See Pg 15.

Gardening ClassesClasses held outdoors at the Torrance Memorial Learning Garden, Columbia Park Community Garden Presentation Area, 4045 W 190th St., Torrance. $10 per class.  Registration required. Call 310-517-4666 or register online at www.torrancememorial.org/classes

Creating an Edible Garden: From Planning to PlantingJanuary 14 or January 23If you have a spot in your garden, balcony or deck that receives more than six hours of direct sunlight you can grow fresh vegetables. Class topics include site selection, plant selection, basic soil preparation, maintenance, gardening resources, events, and edibles to plant for spring.

Creating an Herb GardenFebruary 25 or February 27Learn how to grow herbs and create your own herb garden either directly in the ground or in containers. Topics include plant selection, plant location, care and maintenance. We will also cover harvesting, uses for herbs and an introduction to culinary herbs/cooking with herbs.

Water in the Edible GardenMarch 18 or March 20While rains in January and February usually contribute to rising reservoirs and mountain snowpack, California remains in a drought. We will cover tips for saving water in your vegetable garden.

THIPA Medicare 101:Do you have Medicare? Are you turning 65 or on a retiree plan?

Join us at our monthly Medicare 101 events to learn about Medicare and the different types of insurance plans available to you including:

Medicare Advantage, Prescription Drug & Medicare Supplement insurance plans. Moderated by Norman Panitch, MD.Chairman, THIPA Physician Council 1/25/17 6:30 pm - 8:00 pm2/22/17 6:30 pm - 8:00 pm3/22/17 6:30 pm - 8:00 pm *Doors open at 6:00 pm for registration.*Light refreshments will be served. Location: Torrance Memorial Medical Center Hoffman Health Conference Center 3315 Medical Center Dr., Torrance, CA 90505 

Seating is limited. To make a reservation: visit www.thipa.org/Medicare101 or call 310-257-7239.

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14 ADVANTAGE NEWSLETTER / Torrance Memorial Health System

Support Groups at TorranceMemorial Medical CenterBEREAVEMENT DROP-IN SUPPORT GROUPMeets Mon., 6 – 7:30 p.m., Tues., 6 – 7:30 p.m., and Thurs. 3 – 4:30 p.m. weekly. Free. Call 310-784-3751 for more information.

CAREGIVER SUPPORT GROUPMeets Tues., 6:30 – 8 p.m. weekly. First class is free, then $2 a person. West Tower Room H.

EAT CLEAN & GREEN: TORRANCE MEMORIAL’S PLANT-BASED LIVING GROUPTorrance Memorial’s Plant-based Living Group is a welcoming environment to share ideas, resources and strategies for moving towards a whole food, plant-based diet. Meets the second Monday of the month, 6:30 – 8 p.m., Free. West Tower, Auditorium.

WOMEN’S CANCER SUPPORT GROUPA gathering of women sharing stories, gathering strength and learning to adapt to life changes. Meets Tues., 10 – 11:30 a.m., weekly. Free. Health Conference Center 3.

CANCER SURVIVORS IN TRANSITIONLearning to discover a new sense of self after cancer treatment. Meets weekly on Mondays, 6-7:30 p.m. West Tower, Room C. Free.

FIBROMYALGIA SUPPORT GROUPSponsored by the Arthritis Foundation for people with fibromyalgia.Meets the second Saturday of the month, 1 – 3:00 pm. Cost: $2 donation if affordable. West Tower Room B. Call William Horn at 310-324-6810 for more information.

MEDITATION CIRCLESupport group of people coming together to meditate. Not a class, but a chance to prac-tice meditation. Meets Tues., 4:30 -5:30. Free. West Tower Room H.

NICOTINE ANONYMOUS DROP-IN SUPPORT GROUPSupport group for people quitting smoking. Open to people who have quit or are trying to quit. Meets Mon., 7 – 8:30 p.m. weekly. Free. McMillan Center, Ste. 300.

For a complete list of support groups, visit torrancememorial.org/supportgroups

Miracle Of LivingJoin us the 3rd Wednesday of

the month for Torrance Memorial Medical Center’s popular health lecture series. 7 p.m. Hoffman

Health Conference Center, Rooms 1 & 2. Free.

No reservations required.

January 18Can Prescription Meds Kill?

Presenters:Mike Small, Department of Justice

Adam Weitzman, MD, Pain Management

Felix Pham, Clinical PharmacistAaron Bright, Physical Therapy

February 15Rhythm disturbances of the heart:

What they are and new “Team” approach to their Cure.

Speakers:Jack Sun, M.D.

Salman Azam, M.D.

March 15Colon and Kidney Disease

MISSED MIRACLE OF LIVING?

View online at www.torrancememorial.org/mol

Or come to the video replay. 10 a.m. – noon the following Monday.

Reservations required. Call 310-517-4711.

January 23Opioids and Pain Management

Problems

February 20Heart Health

March 20Colon and Kidney Disease

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Issue #4 Winter 2017 15

Financial Health Check-UpJoin Torrance Memorial’s Professional Advisory Council for its series of free  interac-tive seminars on a variety of financial topics to help you take care of your financial health. Seminars are strictly educational.

January 14 / Individual Taxation: Wrapping Up 2016 & Planning for 2017Speakers:  Scott Donnelly, CPA; Alexis Jensen, CPAPrepare for tax time by learning about filing updates for 2016 tax returns. Plus, dis-cover changes to tax laws and regulations in 2017.

February 11 / How to Identify and Stop Elder Abuse Speakers:  Troy Martin, Attorney; Deborah Keesey, AttorneyLearn about elder abuse law and current efforts to protect our seniors. How to avoid costly court battles and trust litigation that tears families apart. Plus, discover how to use a conservatorship to protect someone who is incapacitated.

March 11 / Savvy Social Security PlanningSpeakers:  Cristin Rigg, Certified Financial Planner, CDFA; Gregory Schill, Certified Financial PlannerStrategies to maximize your Social Security benefits starting with the right time to apply. Get expert guidance for couples, individuals and surviving spouses who want to avoid costly mistakes.

All seminars are free and take place on Saturdays from 9–11 a.m. at the Hoffman Health Conference Center located at 3315 Medical Center Drive in Torrance. Continental breakfast is provided. Please RSVP to Danielle Boujikian at 310-517-4728 or [email protected]

Need toSee a DoctorToday?

Offices located in: Torrance, Carson,Redondo Beach, Manhattan Beach,

Hermosa Beach and San Pedro

Appointments scheduledM-F 8 a.m. – 5 p.m.

Dr. Roseann ChuPrimary Care

855 Manhattan Beach Blvd., #201Manhattan Beach

Dr. Nicole LeePrimary Care

705 Pier AvenueHermosa Beach

Dr. Kate NiehoffPrimary Care

3701 Skypark Drive, Suite 100Torrance

Dr. Keith ChumleyPrimary Care

3701 Skypark Drive, Suite 100Torrance

The Torrance Memorial PhysicianNetwork offers same day

appointments for patients needinga primary care physician.

Call now and schedulean appointment.

310-891-6717

TMPhysicianNetwork.org/sameday

Cost and Registration for Class Series (unless otherwise noted in listing)

Once Weekly Classes: Regular Rate: $72 for 8 weeks ($64 ADVANTAGE members), $36 for last 4 weeks ($32 ADVANTAGE members).

THIPA Members and Torrance Memorial Physician Network patients get 40% off regular rate: $43.20 for 8 weeks, $21.60 for last 4 weeks.

Twice Weekly Classes: Regular Rate: $144 for 8 weeks ($128 ADVANTAGE members), $72 for last 4 weeks ($64 ADVANTAGE members).

THIPA Members and Torrance Memorial Physician Network patients get 40% off regular rate: $86.40 for 8 weeks, $43.20 for the last 4 weeks.

Thrice Weekly Classes: Frequent Exerciser Rate: $168 for 8 weeks, $84 for last 4 weeks.

THIPA Members and Torrance Memorial Physician Network patients pay a reduced rate: $129.60 for 8 weeks, $64.80 for last 4 weeks.

Location: All classes without a location listed are held at the Health Education Center at 3105 Lomita Blvd, Torrance, CA, 90505.

Registration required. Call 310-517-4666 or register online at torrancememorial.org/classes.Not sure if your doctor is with the Torrance Memorial Physician Network? Visit TMPhysicianNetwork.org/Physicians and find out.

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16 ADVANTAGE NEWSLETTER / Torrance Memorial Health System

ADVANTAGEHealthy Living Over 50

ISSUE #4 WINTER 2017

3330 Lomita Boulevard, Torrance, CA 90505-5073

INSIDE THIS ISSUE:The 4 Most Important Ways to Treat or Prevent DiabetesPage 1

Quiz: What’s Your Risk for Pre-Diabetes?Page 1

Can Integrative Medicine Help You Feel Better?Page 4

Women: Does Your Bladder Leak When You Laugh or Sneeze? Here’s New HelpPage 6

Upcoming Classes and EventsPage 7

Torrance Memorial Medical Center310-325-9110 TorranceMemorial.org

ADVANTAGE Program Information310-517-4666Mon. - Fri. 9 a.m. – 4:15 p.m.

Torrance Health IPA (THIPA)Learn More: 310-257-7239 Thipa.orgTHIPA Members: 866-568-4472Mon. - Fri. 8:30 a.m. – 4:30 p.m.

Torrance Memorial Physician Network310-891-6717 TMPhysicianNetwork.orgMon. – Fri. 7:30 a.m. – 4 p.m. www.torrancememorial.org

Like ushttp://www.facebook.com/torrancememorial

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