What You Need to Know about Cervical Cancer

By Dana Putman, FNP-C, DMG Anthem and Lake Pleasant Family Practice locations

group of women

Did you know January is Cervical Cancer Awareness Month? According to the American Cancer Society, cervical cancer is one of the most common causes of cancer death among women; however, cervical cancer is highly preventable and treatable.  With the increased use of Pap test screening, the death rate has dropped but has remained consistent for the past 10 years.

What is cervical cancer and how do you get it?

Cervical cancer occurs in the cells of the cervix, which is the lower part of the uterus that connects to the vagina.  Strains of the human papillomavirus (HPV), a sexually transmitted disease (STD), play a role in causing most cervical cancer. In a small percentage of women, HPV survives for years and contributes to the process that causes cervical cells to become cancerous.

What are the symptoms of cervical cancer?

In its early stages, cervical cancer often has no signs or symptoms.  In more advanced stages, cervical cancer symptoms may include:

  • Pain during intercourse or pelvic pain
  • Vaginal bleeding after intercourse, between periods or after menopause
  • Watery, bloody vaginal discharge that may be heavy and have a foul odor

Can I prevent cervical cancer?

As with many diseases, screening, and early detection and diagnosis are key to optimal health outcomes. You can reduce your risk of cervical cancer by:

  • Having screening tests, including a Pap test as part of your annual well-woman exam
  • Practicing safe sex by using condoms to decrease the risk of STDs
  • Receiving the HPV vaccine to protect yourself against HPV infection

Screening can prevent most cervical cancers by finding abnormal cervical cell changes (pre-cancers) so that they can be treated before they have a chance to turn into a cervical cancer.  Most cervical cancers are found in women who have never had a Pap test or who have not had one recently.

Who is most at risk for cervical cancer?

As with many diseases, risk factors for cervical cancer include things within your control as well as factors you cannot control.  To decrease your risk of cervical cancer, focus on making changes to those factors you can possibly change.

  • HPV infection: HPV is the most important risk factor for cervical cancer and is a group of more than 150 related viruses that are spread through skin-to-skin contact. Decrease your risk of certain types of HPV infection by getting the HPV vaccine. As well, understand the signs and symptoms of HPV infections and seek medical treatment immediately.
  • Sexual history and activity: HPV is a sexually-transmitted disease so those who begin having sex at a young age, have many sexual partners, and/or have a sexual partner who has HPV or who has many sexual partners increase their risk of getting HPV, the leading cause of cervical cancer.
  • Smoking: Women who smoke are about twice as likely to get cervical cancer.
  • Weakened immune system: The immune system is critical to killing cancer cells and/or slowing their growth. Women with HIV, autoimmune diseases, and/or who have had an organ transplant are at higher risk of cervical cancer.
  • Chlamydia infection: Chlamydia is a bacteria that is sexually transmitted and can infect the reproductive system. Some studies have shown a higher risk of cervical cancer in women with chlamydia as it may help HPV grow.
  • Long term use of birth control pills: Research suggests that birth control pills or oral contraceptives (OC) increase the risk of cervical cancer the longer the woman takes OCs; however, the risk decreases again after the OCs are stopped and returns to normal many years after stopping. IUDs may be a viable birth control option.
  • Multiple full-term pregnancies: Studies have suggested that women who have had three or more full-term pregnancies have an increased risk of developing cervical cancer due to hormonal changes during pregnancy possibly making these women more susceptible to HPV infection and/or cancer growth.
  • Young age at first full-term pregnancy: Women whose first full-term pregnancy was at age 20 or younger are more susceptible to cervical cancer than women age 25 older.
  • Diet low in fruits and vegetables
  • Diethylstilbestrol (DES): DES is a hormonal drug that was given to some women to avoid miscarriages; DES was used primarily from 1938 to 1971. A woman whose mother took DES is not at a higher risk of cervical cancer.
  • Family history of cervical cancer

We’re here to help you understand cervical cancer and control your risk factors. For more information about cervical cancer or the HPV vaccination or to schedule your annual well-woman exam and screening, please contact a DMG primary care practice.

COVID-19 and Kids’ Mental Health

By Melissa Meyer, DNP, PMHNP-BC, Child Psychiatry Specialist at DMG Desert Horizon Integrative Medicine

family in kitchen

2020 has been a year like no other, especially for children.  Kids have had to completely change their routines, including:

  • Attending school from home (“virtual learning”)
  • Limiting and/or eliminating in-person social activities
  • Limit extracurricular activities, such as team sports, clubs, etc.

All the above activities are critical to providing balance to a child’s life, and without these options, children, like many adults, may be feeling isolated.  And to top it off, we don’t know when things will change and return to “normal.”  As a result, children may feel increased stress, fear, anger, hopelessness, anxiety and may experience depression.

Depending on how old your child is, he or she may deal and/or reveal these emotions in different ways.  Adolescents and young adults may try to hide their struggles because of fear, shame, or a sense of responsibility to avoid burdening others. Younger children may not know how to talk about these feelings but may show changes in their behavior or development.

Here’s some tips for supporting your child through these uncertain times and helping them deal with these confusing emotions.

  1. Check in with your child often. Ask him or her how he or she is feeling and be (age appropriately) open in sharing how the changes brought on by the pandemic are impacting you.  The goal is for your child to know that his or her feelings are not “strange,” and people of all ages are having these emotions.  At the same time, you want to share empathy and confidence with your child.
  2. Watch and listen for signs that your child is struggling.
    1. Younger children: Bedwetting; fussiness, tantrums or hitting; difficulty sleeping; taking steps backward in development; stomach issues such as nausea or loose stool; and/or separation anxiety
    2. Adolescents: Challenges sleeping; changes in mood or increased moodiness; decreased appetite and/or weight loss; less interest in activities previously enjoyed, including texting and video chatting; issues remembering things; less interest and/or apathy for academics and schoolwork; use of alcohol or drugs or new risky behavior; talk or interest in suicide; and/or lack of personal hygiene
  3. Stay in touch with your child’s primary care provider (PCP) or pediatrician through telephone, patient portals, and/or in-person or telehealth visits. He/she can do basic depression evaluations and help you determine if additional support is needed, be it counseling/therapy, medication, or other tools or activities to help your child.

DMG Desert Horizon Integrative Services and DMG Children’s Rehabilitative Services also have behavioral health providers to support children of all ages.  As a parent, you re not alone; healthcare providers are here to support the health of you, your child and your entire family.

Healthy Weight, Diabetes and Your Child

By Troy Nelson, MD, Medical Director at DMG Children’s Rehabilitative Services

children outdoors

Did you know November was American Diabetes Month?  According to the American Diabetes Association, more than 34 million people in the United States have diabetes, and more than seven million of those people are undiagnosed. About 210,000 Americans under age 20 are estimated to have diagnosed diabetes.

Type 1 Diabetes: Diagnosed at Younger Ages

According to the Centers for Disease Control and Prevention (CDC), type 1 diabetes accounts for approximately 5-10% of diabetes cases in the United States.  Symptoms of type 1 diabetes often develop quickly. It’s usually diagnosed in children, teens, and young adults.

Type 2 Diabetes: Increasing Pediatric Cases

Type 2 diabetes is the most common type and is generally diagnosed in middle age or older.  However, the incidence is on the rise in children because more children are becoming obese.  Being overweight or obese increases the risk of developing type 2 diabetes, regardless of age.

Symptoms of Type 2 Diabetes in Children

Your child may develop type 2 diabetes so gradually that there are no noticeable symptoms. Sometimes, the disorder is diagnosed during a routine check-up, which is why regular well-child exams are important.

Symptoms of type 2 diabetes in your child may include:

• Blurry vision
• Darkened areas of skin, especially around the neck and armpits
• Fatigue
• Frequent urination
• Increased thirst

Type 2 Diabetes Risk Factors in Children

• Age and sex: Many children develop type 2 diabetes in their early teens. Adolescent girls are more likely to develop type 2 diabetes than are adolescent boys.
• Family history
• Inactivity
• Overweight, especially in the abdomen
• Pre-term birth (before 39-42 weeks)
• Race or ethnicity: Black, Hispanic, American Indian, and Asian American people are more likely to develop type 2 diabetes

Preventing and Managing Pediatric Type 2 Diabetes

You can help decrease the risk of your child getting type 2 diabetes as well as help manage it if your child has been diagnosed.

• Get an annual well-child exam with your child’s pediatrician or family medicine provider.
• Eat healthy foods as a family; encourage your child to participate in meal planning and preparation.
• Ensure your child gets plenty of physical activity; identify activities you can do as a family, like hiking or walking the dog.
• Help your child maintain a healthy weight.

DMG Children’s Rehabilitative Services includes pediatric and young adult providers,  endocrinologists and nutritionists to support your child and your family.  We are committed to educating you and your child and developing treatment plans to optimize your child’s health and long-term wellness.


Supporting Your Kids through Holiday Stress

By Melissa Meyer, DNP, PMHNP-BC, Child Psychiatry Specialist at DMG Desert Horizon Integrative Medicine

family at Christmas

The holidays are a time of peace, love, joy, and family, but it’s also a time where schedules are irregular, routines are disrupted, meals are heavier, and sugar abounds.  For children of all ages, these changes can be difficult; if the child has depression, anxiety, an eating disorder, attention deficit disorder (ADHD) or other emotional or behavioral health challenges, the holidays can compound the issue.

Did you know?

  • Depression and anxiety: According to a 2019 study published in the Journal of Pediatrics, about 1.9 million children ages 3 to 17 years have been diagnosed with depression, and 4.4 million have been diagnosed with an anxiety disorder.
  • ADHD: Nearly 6.1 million kids ages 2 to 17 have been diagnosed with ADHD, according to a 2018 study in the Journal of Clinical Child & Adolescent Psychology.

If your child suffers with emotional or mental health issues, here’s some tips to help you child and your family decrease the stress and impact of the holidays:

  • Communicate plans: With each activity or outing, let the child know what will be happening ahead of time- who will be there, how long you will be staying, what food to expect, etc.  Knowing what will be happening will help decrease anxiety.
  • Share feelings: If you are feeling stressed, tired, or anxious, share your feelings with the child.  He or she will take comfort in knowing that even adults get nervous and stressed during the holidays.
  • Maintain a sleep schedule: Everyone in the family will benefit from a good night’s rest, especially children. According to the American Academy of Sleep Medicine, kids with mental health issues need adequate sleep; for teens, 8 to 10 hours per night is recommended.
  • Manage screen and device time: When adults are busy, it’s easy for children of all ages to occupy themselves with television, video games, and social media. However, too much “technology time” has proven to negatively impact sleep as well as contribute to depression.
  • Keep medication schedules: If a child takes medication, ensure he or she continues to take it at the same time each day.
  • Watch sugar intake: Help keep the child’s diet balanced with regular nutritious meals and limit sweets and sugar-filled drinks, especially before bedtime.

Most importantly, be aware of the child’s mood and listen to him or her.  The child or teen make need some downtime in between the hustle and bustle of the holidays.  Allow time in the family’s schedule for everyone to decompress, so each member of your family can enjoy the spirit of the holidays.

What’s the Connection between Healthy Weight and Diabetes?

By Brett Willden, DO, DMG Family Practice- Anthem and Lake Pleasant locations

overweight family near the water

Did you know November is American Diabetes Month?  According to the American Diabetes Association, more than 34 million people in the United States have diabetes, and more than seven million of those people are undiagnosed.  

There are two types of diabetes, type 1 and type 2, and in both cases, healthy weight management is important.  However, why weight management is important is different.

Type 1 Diabetes 

According to the Centers for Disease Control and Prevention (CDC), type 1 diabetes accounts for approximately 5-10% of diabetes cases in the United States.  Symptoms of type 1 diabetes often develop quickly. It’s usually diagnosed in children, teens, and young adults.

Like type 2, increased thirst and urination are common symptoms of type 1 diabetes.  Undiagnosed or untreated, type 1 diabetes can cause weight loss.  

Unlike type 2, developing type 1 diabetes is not related to being overweight, but keeping a healthy weight is important. Too much fat tissue can make it hard for insulin to work properly, leading to both higher insulin needs and trouble controlling blood sugar.

Type 2 Diabetes 

Type 2 diabetes is the most common and is generally diagnosed middle age or older.  Being overweight or obese increases your risk for developing type 2 diabetes, regardless of age.  As well, if you have type 2 diabetes, weight gain complicates the condition as it makes blood sugar levels even harder to control.

Healthy Weight Management

At our practice, we treat patients with diabetes and other chronic conditions, as well as help patients understand how to live a healthy lifestyle to decrease their risks of diabetes and other diseases.  Our goal is to identify treatment plans that are achievable based on the patient’s lifestyle.

That’s why we created a customizable weight loss management program.  Weight management is a long-term lifestyle- not a short term fix.  Our objective is sustainable weight loss for patients of all ages. We have designed the program to help you get involved in your own health and take back control of your life by making gradual behavioral changes that will facilitate weight loss and long-term weight management. For more information, visit DMGAZ.org/Weight.  

Dental Health in Children: Get the Facts

By Lyn Hughes, Dental Hygienist at DMG Children’s Rehabilitative Services

parent and doctor showing young child how to brush teeth

October is Dental Hygiene Month, which is somewhat ironic as Halloween, the day of the year where children probably get more candy than ever, is also in October.  So, why not take this month to talk to your children about the importance of taking care of their teeth?

Getting your children into healthy dental habits now can save them time and pain and give them advantages throughout their lives.  According to the Centers for Disease and Control and Prevention (CDC), children who have poor oral health often miss more school and receive lower grades than children who don’t.

Did you know cavities are one of the most common childhood diseases in the United States?

When untreated, tooth decay can cause pain and infections which can lead to problems with eating, speaking, playing, and learning.

The CDC also shares these facts about cavities in children:

  • 20% of children ages 5-11 and 13% of adolescents have at least one untreated cavity.
  • Children ages 5-19 from low-income households are more than twice as likely to have untreated tooth decay.
  • About 1/3 of cavities in baby teeth can be prevented by a fluoride varnish.
  • Dental sealants applied to the surfaces of back teeth can prevent 80% of cavities.

Beginning dental care when your child is a baby is a great first step towards optimal dental health.  Schedule your child’s first pediatric dental care appointment at the age of one to spot signs of early problems.  We’ll help you identify good at-home dental habits to engage your child in taking care of his or her pearly whites for a lifetime.

What Is Pediatric Physical Therapy?

By Linda Thunn, PT, DPT, physical therapist at DMG Children’s Rehabilitative Services

young child receiving physical therapy

Did you know October is National Physical Therapy Month?  Each year during October, the physical therapy team at DMG Children’s Rehabilitative Services (DMG CRS) supports the Spina Bifida Association of Arizona through their annual Walk-N-Roll® fundraiser.  The team is passionate about serving patients I and outside of the clinic.

What do pediatric physical therapists do?

Pediatric physical therapists provide services for children with developmental disabilities from birth to 21 years-old; in addition, the team provides support and education to the patient’s family.  At DMG CRS, our goal is to develop, restore and/or improve mobility to enhance quality of life for the child and his/her family.

Pediatric physical therapy benefits children and their families and/or caregivers by promoting activity and participation in everyday routines, increasing functional independence, improving strength and endurance, facilitating motor development and mobility, and easing the challenges of daily caregiving.

The team has also begun serving adults with disabilities who may benefit from the services specifically available through DMG CRS.

DMG CRS physical therapists treat patients one-on-one in the physical therapy and rehabilitation clinic at DMG CRS as well as serve patients being treated at other DMG CRS clinics such as:

DMG CRS physical therapists also perform equipment evaluations, trialing each child in specialized equipment before ordering it to determine what works best. Types of equipment evaluations provided include:

  • Adaptive seating
  • Adaptive car seats
  • Forearm crutches
  • Gait trainers
  • Standers
  • Walkers
  • Wheelchairs

Additional Content

For more information on DMG CRS equipment evaluation services, watch this video.

For additional information on  the services offered by DMG CRS physical therapists, view this video.


Detecting Breast Cancer Early

By Faith Cutrona, FNP-C, primary care provider at DMG- Anthem and Lake Pleasant Family Practice locations

happy group of people in front of brick wall

October is Breast Cancer Awareness Month, and as a primary care provider and woman, sharing information to help women understand the importance of early detection is the most important care I provide.  The more each patient is educated, the greater the chance that she will get regular exams so breast cancer- or another disease- can be caught early.

Did You Know?

According to the American Cancer Society, breast cancer……

  • Is the second most common cancer in women in the United States. The first is skin cancer. The average risk of a woman developing breast cancer sometime in her life is about 13%.
  • Typically has no symptoms when the tumor is small and most easily treated.
  • Impacted approximately 268,000 women in 2019.
  • Risk increases with age.
  • Survival rate drops to less than 30% if the cancer has spread (aka “metastasizes”) outside of the breast to other organs in the body.

Early Detection: What You Need to Do

Remember, if detected early, the breast cancer survival rate greatly increases.  Women who get breast cancer screenings decrease their chance of dying from breast cancer by 30 percent.  Breast cancer screening saves lives, and getting an annual mammography is the single most important thing a woman can do to lessen her chances of dying from breast cancer. Mammography can detect cancer at early stages before a lump can be felt or symptoms are experienced.  

An annual mammography is recommended for women age 40 and older and may be recommended sooner if the patient has had cancer or if a history of cancer is in the family.  Understanding and sharing your complete family medical history with your primary care provider (PCP), therefore, is critical.  In addition to annual mammography, your PCP will also recommend you do self-exams of your breasts at-home and can help you understand how to do these exams.

Screening Mammography: What to Expect

A breast screening are also called  a “screening mammogram,” which is the type of mammogram ordered when the patient has no symptoms and/or signs of changes in breast tissue.  A mammography is a fast procedure (about 20 minutes), and discomfort is minimal for most women. During a mammography, a low-energy x-ray is used to examine the breast for early signs of breast cancer.  The small amount of radiation the patient is potentially exposed to is so small that the benefits outweigh the risk.

3D mammography is being used increasingly, especially for women with dense breast tissue. FDA-approved, 3D mammography takes pictures of thin “slices” of the breast from different angles, and computer software is used to reconstruct an image.  In contrast, a standard mammography takes a single image.

Changes in the Breast: What Next?

If changes in one or both breasts are detected, a diagnostic mammogram will be ordered.  Changes in breast include:

  • Changes in skin texture of the breast
  • Inversion in the nipple
  • Nipple discharge
  • Pain in the breast
  • Palpated lump

If breast cancer is detected early, a mastectomy or total breast removal can be avoided.  Localized cancers can be managed through other treatments, which may include a lumpectomy, radiation and/or chemotherapy.

The key is early detection.  Schedule your annual exam with your PCP today, and include breast screenings in your wellness plan. To find a DMG PCP near you, click here.

Healthy Aging: Tips for Your Health

By Lauren Lambert, FNP-C, primary care provider at DMG- East Mesa Internal Medicine

couple running the forest

First introduced when baby boomers began turning 50, September is Healthy Aging Month.  While September marks “back-to-school” for children, we adults can use this time to learn some new lessons to support our overall health and wellbeing.

As a primary care provider (PCP), I support the health and wellbeing of adult patients, and each patient is different.  However, one thing remains the same: our health is dependent on physical, emotional, and mental wellbeing.  Here’s some tips to support each of these areas for healthy aging.

Preventive medical exams

Stay on top of your annual wellness exams and screenings.  As we age, the types of screenings recommended change and include:

  • Diabetes testing: Begins at age 45 and should be completed every three years
  • Colon cancer screening: Should begin no later than age 50 and be done every five years
  • Osteoporosis screenings: Should start no later than age 65
  • Blood pressure readings: Should be taken annually, beginning at age 45
  • Vision and balance: To prevent falls resulting in hip fractures, traumatic brain injuries or even death, both your vision and balance should be checked at least annually.

For all the above, if you have a personal or family history, your physician may recommend tests or screenings begin earlier or be done more frequently.

Physical activity

Staying active is exercise for your body and brain and helps reduce stress.

  • Exercise: Exercise daily. Choose an activity you like so you look forward to doing it.
  • Balance: Identify an activity that helps you maintain balance and flexibility, like yoga, to decrease your risk of falls.  Your PCP can also provide exercises to improve your balance.


See old friends as well as make new ones; socializing is great for the brain and supports emotional wellbeing.  In addition, you may find others with whom to enjoy exercising and new activities.

  • Volunteer: Most of us have a ton of life experience, which can enrich the lives of others. Find a cause that speaks to you and volunteer your time and skills to help others.
  • Play cards or board games: Games keep our minds sharp and provide a great way to socialize and meet new people.


Getting the right amount of sleep is important throughout our lives.  As we get older, ensuring we get enough sleep- but not excessive- is important to refresh our bodies and minds.

Prostate Cancer Awareness

By Richard Fowler, MD​, Internal Medicine specialist

prostate cancer awareness

Each year, more than 160,000 men in the United States are diagnosed with prostate cancer, and approximately 19% die from it.  Prostate cancer is the second leading cancer-related cause of death among men.  To raise awareness and early detection, September is designated as Prostate Cancer Awareness Month.

Five facts about prostate cancer:

  1. Prostate cancer is typically slow-growing, making early detection more likely if the patient sees his physician for regular exams and screenings.
  2. Older men are more likely to get prostate cancer. About 60% of cases are in men age 65 and older.
  3. African-American men are more likely to develop prostate cancer than white or Hispanic men; Asian men have a lower risk.
  4. Major risk factors are genetics and family history. Studies examining the link between prostate cancer and a diet high in red meat, chemical exposures including smoking, sexually-transmitted infections and having had a vasectomy have produced conflicting results.


The American Cancer Society recommends that at age 50, men discuss the risks and benefits of screening with their physician.  African American men and those with a family history of prostate cancer should have this discussion at age 40-45.  Screening includes two tests one of which is a blood test and the other a digital rectal exam.


Early stage prostate cancer may cause few or no symptoms.  As this cancer progresses and tumors grow, symptoms may include:

  • Blood in the urine or semen
  • Difficulty getting an erection
  • Difficulty urinating
  • Pain in the lower back and hips

As the cancer spreads and/or metastasizes, other symptoms, like bone pain, may occur.  Treatment is dependent on the stage of the cancer and may include medications, surgery, radiation, chemotherapy, hormone therapy, and/or other options.

Talk with your primary care physician for more information on prostate cancer and your risks. To find a DMG primary care provider near you, click here.

Newborn Screenings: What You Need to Know

By Troy Nelson, MD – Medical Director, District Medical Group – Children’s Rehabilitative Services


Troy Nelson, MDDid you know September is Newborn Screening Awareness Month?  Newborn screening allows identification and treatment of a disease before symptoms even emerge.  A newborn may appear healthy, but still have a serious condition that cannot be seen.  If left untreated, these conditions can lead to slow growth, blindness and/or intellectual disability, and may be life threatening. Early detection and treatment can help prevent these serious problems, which is why newborn screening is critical.

Based on published research by Dr. Robert Guthrie in 1963, newborn screenings have evolved with newborns now being screened for more than 25 conditions within days of birth; screenings involve just a few drops of blood.  According to the National Institute of Health, newborn screening detects a treatable condition in about 1 in 300 babies born each year, a total of about 12,500 cases each year. In Arizona, approximately 100 babies annually are found to have a serious condition identified through newborn screening.

Providers in Arizona are required by law to order newborn screening tests for all newborns.  Arizona requires newborns to be screened twice to help ensure accuracy, as some conditions are easier to detect on a subsequent screen.  In addition, approximately 98% of all infants born in Arizona are screened for hearing loss prior to hospital discharge.  The first screening sample will be taken before the newborn leaves the hospital and the second will be taken between 5-10 days after birth, or at the first well-baby visit, whichever comes first. For those newborns born at home, the healthcare provider present at the birth will collect the first screen.

At DMG Children’s Rehabilitative Services (DMG CRS), we provide specialized treatment for newborns for which a condition was detected during screening.  Our goal is to provide most medical specialties and services in one location by physicians and staff that work exclusively with children.  With early detection, intervention, and treatment, we can partner with you and your family to enable your baby to thrive to the maximum of his or her abilities.

UV Safety for Motorcyclists

By Ivan M. Filner, DO at District Medical Group – Arrowhead – Family Practice

Dr. Fillner on a MotorcycleAnyone who has visited my practice knows that when I am not caring for patients, I can be found riding my Harley. In Arizona, we are fortunate to have many great months for long rides due to Arizona having more sunny days (85%-90% per year!) than almost all other states. In fact, we have more sunny days per year than California and Florida.

Have you ever heard the saying, “For every strength, there is a weakness?” This “law of opposites” applies to our good fortune in having so many sun-drenched days. The downside is more exposure to ultraviolet (UV) rays, which can result in premature aging of the skin and worse- skin cancer. Even on sunny days in winter, UV rays are just as harmful.

As a motorcycle rider, we wear protective gear from head-to-toe, so why would we need to worry about excessive UV ray exposure? Even with a full face helmet, parts of the face- primarily the nose, cheeks and lips- are exposed for longer than you think…long enough to put you at risk of a severe sunburn, which can lead to skin cancer, including melanoma.

Fortunately, protecting yourself from dangerous UV rays while riding is easy. Follow these tips year-round to ensure you’re riding for a long time to come.

1. Protect your face, neck, ears, and other exposed skin

Carry a small tube of sunscreen with an SPF of 30 or more in your jacket pocket, tank bag or panniers, and re-apply every two hours during your ride. If your sleeves do not quite meet your gloves, put sunscreen on your wrists.

2. Shield your lips

As your lips are also vulnerable to skin cancer, use a lip balm with an SPF of 30 (but no less than 15) and, like sunscreen, reapply throughout your ride.

3. Safeguard your eyes

Did you know melanoma can occur in your eyes? While they may be a bit more expensive, choose sunglasses that provide 100% UV protection, or UV 400 protection.

4. Protect the back of your neck

In addition to sunscreen, a light neck sock with an SPF rating is a good way to protect the back of your neck (and parts of your face), especially for sports bike riders who are bent over.

When many of us stop during our ride, we take off some gear, leaving more of our skin exposed to the sun. Be certain to apply sunscreen to those areas. A sunburn and/or the start of melanoma only take minutes, especially when in direct sun during our beautiful Arizona days.

DMG Children’s Rehabilitative Services Extends Hours to Saturdays

dmg crs hours of operation

We are excited to announce that in an effort to better serve our patients, DMG CRS is extending its hours of operation. Effective August 1, 2020, DMG CRS will be open Saturdays from 8:00am to 1:00pm.

The decision to extend clinic hours was an easy one to make. Weekend hours will ease the burden on working families by increasing patient access. Philip Goritsas, Director of Clinical Operations explained, “It will reduce the need to pull children out of school and for parents to take time off work during the week.” In August, the first clinics to open on Saturdays will be the therapy clinics:

Soon after, primary care and the comprehensive assessment clinic (CAC) will have Saturday hours as well. Additional clinics will open as demand grows.

New Hours of Operation:

Monday-Friday 8:00am-5:00pm
Saturday 8:00am-1:00pm
Sunday Closed

Call us for availability
(602) 914-1520

DMG Provider Spotlight – Michelle Martin, APRN, FNP-C

District Medical Group (DMG) is pleased to welcome Michelle Martin, FNP-C. Michelle has been in nursing for over six years.

We’re Here for You…Safely

May 21, 2020

doctor with gloves and face mask

Valued DMG Patient:

As part of the District Medical Group (DMG) family, we want to ensure you know we are here for you. Throughout the COVID-19 pandemic, DMG locations across the Valley have remained open to support the health of our patients.

We understand you may have concerns about leaving your home right now, especially if you or a family member is not feeling well and needs medical care. We are employing safety measures recommended by the Centers for Disease Control and Prevention (CDC) to protect you and your family as well as our staff, including:

  • Safe screening practices for all patients and families prior to an in-person office visit
  • Availability of telehealth appointments, as appropriate, so you can meet with your DMG provider safely and securely from home
  • Enhanced office cleaning and personal protection procedures, with hand sanitizer readily available in our locations
  • Social distancing measures at check-in, checkout and in our waiting rooms, including rapidly moving patients that are sick to a private room
  • Use of masks and face shields by all providers and staff while caring for our patients
  • Providing cloth facial coverings to patients and any required family member entering the clinics without a cloth masks

Whether you or a family member needs to visit a DMG primary care location for preventive care (i.e. annual exams, screenings or vaccines), treatment of seasonal allergies or illness, behavioral health support, or management of a chronic or complex condition, we are here for you, providing a safe, clean environment. Our DMG primary care and behavioral health locations are open and available for in-person and telehealth appointments.

Contact the desired location to get the care you need when you need it:


Behavioral Health

DMG Desert Horizon Integrative Medicine
840 E. McKellips Rd., Ste. 110
Mesa, AZ 85203
(602) 470-5520


Internal Medicine

District Medical Group- East Mesa
(formerly Arizona Center for Internal Medicine)
6315 E. Main St., Ste. 4
Mesa, AZ 85205
(480) 830-4164


Family Practice

District Medical Group- Anthem*
(formerly Choice Medical Walk-in)
3624 W. Anthem Wy.
Anthem, AZ 85086
(623) 434-5748

District Medical Group- Lake Pleasant*
(formerly Choice Medical Walk-in)
10144 W. Lake Pleasant Pkwy., Ste. 1110
Peoria, AZ 85382
(623) 434-5748

*Walk-in care available at these locations

District Medical Group- Arrowhead
(formerly M&M Medical)
15182 N. 75th Ave.
Peoria AZ 85381
(623) 487-3334


For more information on each location’s hours of operations, services, and providers, visit DMGAZ.org. If you have any concerns, do not hesitate to call us. You are part of the DMG family, and we are here for you.

David Wisinger, MD
Chief Medical Officer
District Medical Group

Citywide Commercial Inks Major Medical Lease Renewal at Park Central

DMG Children’s Rehabilitative Services continues presence at growing medical hub


PHOENIX, April 20, 2020 – Boutique metro Phoenix brokerage firm Citywide Commercial has completed a 56,000-square-foot lease renewal that keeps District Medical Group’s (DMG) Children’s Rehabilitative Services at Park Central, a rapidly emerging hub for medical education and services in Phoenix’s midtown submarket.

The lease will extend DMG’s presence at Park Central for 10 years and continue its participation in the revitalization of Park Central – an effort directed by Plaza Companies and Holualoa Companies to transform the city’s first large-scale mall into an almost 500,000-square-foot mixed-use project.

Most recently, this transformation has included a strong medical focus with the groundbreaking of a new $100 million Creighton University health sciences campus, able to support nearly 900 students, and activity by the Creighton University Arizona Health Education Alliance. Supported by Creighton University, Dignity Health, Valleywise Health (formerly Maricopa Integrated Health System) and DMG, the Alliance is based out of Park Central and focuses on expanding physician education and training in the Valley.

“Park Central is quickly becoming a major new medical hub in Phoenix, both for education and for patient services,” said Citywide Commercial Senior Vice President Bo Sederstrom, who represented DMG in their lease negotiations. “This is great news for Phoenix, which consistently ranks as one of the fastest growing populations in the nation. Groups like DMG will help us to keep pace with that growth and the associated rise in demand for quality medical care.”

DMG Children’s Rehabilitative Services is the only multi-specialty interdisciplinary clinic in Maricopa County providing care to Arizona children with special needs. Located at 3141 N. 3rd Ave. in Phoenix, on the southwest corner of Central Avenue and Osborn Road, the office serves infants through age 21 with over 85 medical providers and more than 25 pediatric specialties. It also provides services ranging from labs and x-rays to education and support. DMG has been a tenant at Park Central since 2013.

About Citywide CRE

Citywide Commercial Real Estate is a boutique commercial real estate firm specializing in commercial real estate properties within the greater Phoenix market. Under the direction of industry veterans, Citywide provides expertise in all stages of commercial real estate investment including site selection, investment strategies, leasing and property marketing. On each front, the company lives out its mission to provide innovative, results-oriented, customer-first services that maximize the potential of every industrial asset in its care. To learn more visit www.citywidecre.com.



Stacey Hershauer

‘To make her better, I have to torture her’


Dr. Kevin Foster, head of the Arizona Burn Center in Phoenix, was working on St. Patrick’s Day when the call came in.

There had been a horrible accident. As a family in Phoenix was getting ready for a neighborhood party, the father built a fire in a fire pit in his driveway. He had used gasoline to ignite it and it exploded.

He was burned badly and his 8-year-old daughter was engulfed in flames.

In the moment Foster saw Isabella McCune for the first time, saw how badly she was hurt, he thought of his daughter, Katie, who is a few years older than Isabella and also has dark hair and eyes.

He pushed the thought away and focused on the patient.

Foster put Isabella in a drug-induced coma almost immediately. A tube down her throat helped her breathe.

Third-degree burns covered her hands and arms, one side of her torso, her buttocks and legs, front and back. Her face was mostly spared.

Over the next three days, Foster would take Isabella into the operating room several times, slicing open her limbs to relieve pressure from swelling, cutting away the destroyed skin.

It was only the beginning. It would take months to repair the damage. Isabella would hurt all of the time, even with pain medication.

She was burned over 65 percent of her body. She would need extensive skin grafts.

Foster would use the unburned skin on her back, and he’d take more each time her back healed. Using her own skin meant there was less chance of rejection.

It would be harrowing for Isabella. It would be hard on her family. It would haunt Foster.

He focused on what he knew could be. Twenty years ago, Isabella would not have survived this. But Foster and his staff could fix her.

The day would come when Isabella would leave the hospital. She’d go back to school and gymnastics.

Foster would keep that picture in his mind. He’d try to make Isabella see it, too.

Her resilience and strength

In the first six weeks, Isabella underwent 10 surgeries. Skin grafts covered her hands and arms and one leg. Her other leg and buttocks were still raw muscle protected by bandages.

But Isabella worked hard in physical therapy, walking on legs thick with bandages, even through tears. Dr. Foster told her that the more she moved, the better she would heal.

She believed him.

“Isabella is something of an old soul, I think,” Foster said. “She seems to understand the big picture. As horrible as her stay here has been, she is graceful and grateful.”

Foster was in charge of Isabella’s treatment. He knew it would be excruciating.

“To make her better, I have to torture her,” Foster said.

Yet Isabella lit up every time she saw the doctor, even when the news was bad. He didn’t always feel like he deserved her devotion.

Foster might have left her in that medically-induced coma for longer — it is the best way to deal with the horrendous pain of an injury like this — but in her waking moments, Isabella had pointed at the intubation tube in her mouth and hooked her thumb to tell him to take it out.

Afterward, when Foster put her under to clean her wounds and change her dressings, something that had to be done every other day, in the twilight of anesthesia, Isabella sang Taylor Swift songs.

“I don’t know where that kind of resilience comes from,” Foster said. “I wish we could bottle it.”

Dr. Kevin Foster formed a unique bond while operating on 9-year-old Isabella McCune, who was badly burned in a home accident.Michael Chow, Arizona Republic

A terrible thing, but a hopeful one

In the evening before a surgery, on May 23, Isabella was drowsy and pale, worn out from a dressing change that morning. She sat in a wheelchair, wrapped in a Super Girl blanket.

She roused herself, eyelids flickering and then opening, when she heard her name and smiled.

After the surgery, Foster told her she would be intubated, which she still hated, for five days, kept unconscious to stay still so she could heal.

Foster hoped this might be her last surgery if he could get enough skin from her back to cover all the areas still exposed: most of her thighs and her backside.

The other areas had healed nicely.

Possibly,” Isabella emphasized. She didn’t want to get her hopes up just in case. “Dr. Foster said it could possibly be my last surgery.”

She had done this a half dozen times already. It didn’t get any easier.

Her mother smoothed the hair near her face. “Are you hot?” Lilly asked.

Isabella shook her head, no. Her tears dropped onto the blanket.

She had been in the hospital for 68 days. She was sitting on raw muscle cushioned with padding and dressings. Her dad asked a nurse for more pain medication.

Isabella hardly ever complained. She was not worried about the surgery.

“Dr. Foster will be there,” she said.

Foster was there in blue scrubs, his face covered by a mask. The operating room was warm, almost 100 degrees so Isabella wouldn’t get chilled. Without skin, burn victims have trouble regulating their body temperature.

Isabella lay on the surgical table, covered in drapes, just her back and her bare feet showing. An anesthesiologist sat near her head. The team lined up on either side.

Foster glanced at Isabella’s feet. The drapes help them focus on the task at hand.

“We concentrate on the area we are operating on, then it’s not Isabella,” Foster said. “It’s a back and that makes is easier.”

It was time to begin.

The team worked methodically, removing skin from Isabella’s back in strips, each a couple of inches wide and tissue-paper thin.

The skin grafts were handed down the table and draped over the edge of a bucket filled with saline solution to keep them moist.

Foster sat at a small metal table at the end and ran the strips through a small machine that looked like a pasta maker; it punched holes in the strips, creating a mesh like a fish-net stocking. The skin grafts stretch to cover more surface this way.

It might be enough.

Foster took a small piece of skin to a side table where he mixed it with enzymes that separate the skin cells into a spray solution. He was using an experimental skin spray called ReCell with special permission from the U.S. Food and Drug Administration.

Spraying it over the mesh grafts would help Isabella heal more quickly and with less scarring.

Foster and another surgeon traded off, smoothing the grafts over the exposed areas and securing them to the tissue beneath with a staple gun, the sound sharp in the quiet operating room.

“We are going to do her backside now,” Foster said. He carefully lifted first one leg and then the other. Staff murmured to one another as they worked.

“We have enough, guys,” Foster said.

All exposed areas were covered. Finally.

It was 11:35 a.m. The surgery took four hours.

Foster stood back, his arms crossed, watching as the grafts were covered with dressings and then bandages and splints.

“This is an incredibly horrible invasive thing to do to a human being,” he said. “I can’t imagine what this must feel like.”

This was a tough surgery to go through once. Isabella had done it six or seven times.

“A single skin graft is difficult, yet she has to do it over and over,” Foster said. “It’s just remarkable how she has dealt with all this pain.”

He followed Isabella back to her room. A nurse called her mother and handed Foster the phone.

“Everything went great,” Foster told Lilly.

RELATED: Taylor Swift visits badly burned girl in hospital, fulfilling a poignant wish

Maybe by the Fourth of July

Isabella had the giggles, though she wasn’t sure what was so funny.

“I’m just so happy,” she said.

It had been almost three weeks since her last surgery. Her back hurt still, from where skin was taken for grafts.

But if it heals enough by Monday, she could have another surgery to patch a few holes.

“I don’t think it will be ready,” Isabella said. It turned out that she was right. The surgery would be postponed.

Isabella was ready to go home. Foster had told her maybe by the Fourth of July.

Isabella crinkled her nose and rubbed around the feeding tube that runs down her nostril. She ate a meatball sandwich from Red Devil Italian Restaurant earlier, but she still got about 80 percent of her calories through that tube.

Isabella had told Foster earlier that day that she wants to be a burn nurse.

“I’ve been through a lot, and I’ve had a hard time, so I know what it’s like,” she said.

“I want to help people that have to go through what I’ve been through. I’ll be able to tell them not to be scared,” she said.

“I’ll be able to tell them, ‘You’re going to get better someday,’ because I’m better now.”

A few weeks later, an infection caused Isabella to lose the new grafts, a heartbreaking setback.

Foster moved Isabella into isolation on another floor. The infection resisted antibiotics. She was there through July, August and into September.

On Sept. 10, Foster was stoic as he told Isabella that he was going to put her into another medically-induced coma the next day, intubate her, and instead of cleaning her wounds and changing her dressings every other day, he would do it twice a day.

Foster wanted the infection gone. She would miss her ninth birthday four days later.

“It’s all right,” Isabella told him. She would do whatever he thought was best.

“I’m like a daughter to him, so he does for me what he would do for his daughter,” Isabella said.

Foster marveled that Isabella seemed to grasp what needed to be done. Adults often don’t take it as well.

Isabella was glad the doctor was honest with her. “I would rather know what was going to happen,” she said.

If Isabella didn’t understand something, she would ask for Foster. He’d come see her as soon as he finished rounds or got out of the operating room.

“I knew I could believe him,” she said.

Nurses promised to bring in cupcakes to celebrate Isabella’s birthday early.

For Foster, it was the lowest time in her treatment. “This wasn’t just one step back,” he said. “It was a huge running leap backward.” He took it as hard as her family did.

Isabella’s mother watched Foster as he left her room that day. Once he was out in the hallway, she saw his shoulders drop.

An award, but a bittersweet moment

In November, when Foster was called into the packed hospital auditorium and surprised with the 2018 MIHS Physician of the Year award, Isabella was there, sitting in a wheelchair, grinning at him.

She had come to cheer him on. It was the first time he had seen her in regular clothes — not a hospital gown — over her bandages. Her hands had healed enough to clap for him. Hard.

Foster felt like a hypocrite, accepting the award, because he hadn’t fixed her yet. The infection she had been fighting for months was gone. She was scheduled again for surgery to replace the grafts she lost.

Isabella has been his most challenging case.

Foster thought about her constantly, what he could do differently or better. When he took a vacation to Montana last summer, as his kids picked out souvenirs of the trip, Foster bought a stuffed fox for Isabella.

“As much as I love having her here and taking care of her, I do want her to get better and get out of here,” he said.

“It’s kind of been a constant reminder of failure.”

Isabella didn’t see it that way. She has adjusted to life in the hospital, getting stickers for doing well in physical therapy and surgery to earn prizes. A small speaker. An American Girl doll.

She could wheel herself to the cafeteria for pizza.

“Dr. Foster is helping me get better,” Isabella said. “I couldn’t do all of this without him.”

Isabella was back in surgery the Tuesday before Thanksgiving, but the skin grafts didn’t take.

The buttocks are one of the most difficult areas to graft because the blood supply is not good, the tissue underneath fatty and the skin typically thin. It is difficult to keep the graft immobilized long enough for the blood vessels to attach properly.

Three weeks later, Foster covered her rear end again and kept Isabella on her belly. This time, the grafts took.

Over the next few days, he removed her feeding tube and bladder catheter.

Her appetite was better. She was walking up and down the hallways with a walker and taking the stairs, one flight down and back up. Her pain was under control.

After more than 109 surgeries and procedures, if nothing else went wrong, Foster thought, she might be able to go home before Christmas.

RELATED: Better than Taylor Swift: A visit from Isabella is doctor’s greatest reward

A night out, in style

On a Saturday evening, Isabella was surrounded by medical personnel, not because anything was wrong but because she was going out.

“It’s not for too long but at least I’m getting out,” Isabella said. “This is going to be so awesome. I’m so excited.”

Her parents and brother were attending the Arizona Burn Foundation’s annual holiday gala, but they didn’t know Isabella was coming. Her dad had just called to say he wished she could go.

“My parents are going to freak out,” Isabella said happily.

Two days earlier, Foster had asked Isabella if she wanted to go to the gala.

She knew he wasn’t kidding. “Dr. Foster doesn’t kid,” Isabella said.

Transforming her for a night out turned out to be a community effort.

Crystalynn Ramos, who was a licensed cosmetologist before she became a nurse, dabbed concealer under Isabella’s eyes.

“Your cheeks are so rosy already,” Ramos said, “and look at these eyelashes.” They had been singed off when Isabella was burned, but they had grown back long and thick.

Ramos applied mascara and shimmery gold eyeliner, tipping her lashes with it.

“You are going to sparkle,” Ramos said.

Her dress, hanging on the cabinet door, sparkled, too, ivory with lace, flowers and a tulle skirt.

“Isn’t it beautiful?” Isabella asked. She didn’t mind that it would show her scars. She was proud of them. They showed what she’d been through, how strong she was.

Nurse Brook Chavarria finished her shift and then came back in to do Isabella’s hair, bringing her dress and heels for the gala.

Isabella looked sideways at the flat iron Chavarria used to curl her hair. The heat coming off it made her nervous.

“I won’t burn you, I promise,” Chavarria said carefully releasing a ringlet. She had been on duty when Isabella first arrived in the emergency department.

Burn technician Erin O’Neill painted Isabella’s fingernails a shimmery rose gold.

Emily Helmick, a physician resident, had bought Isabella a pair of glittery purple flats and a matching purple clutch.

Isabella picked a lip color, Wet n Wild’s “Rose the Matter.”

Ramos clipped diamond clips into her hair like a crown.

Isabella carefully stood holding onto the back of her wheelchair while the bandage on her back was changed, the area still raw from where Foster had taken skin grafts for her last surgery.

Then, with O’Neill on one side and Helmick on the other, Isabella stepped into her dress.

O’Neill tied the bow on the back. Isabella turned from side to side, making the skirt swish, smiling.

“The shoes,” Isabella remembered. Helmick squatted down and gently guided her feet into the glittery flats.

They fit perfectly. Like Cinderella.

Nurse Dana Rogoveanu gave Isabella an oral dose of pain medication. It should last the evening.

Isabella eased herself back into her wheelchair and fluffed out her skirt.

Her escorts were three firefighters who have volunteered to take Isabella in an ambulance. The gurney was draped with silver tinsel.

“You look so beautiful, honey,” Rich Lara said. “The shoes are the best.”

“We don’t get to take a princess out very often,” Kevin Duzy said.

“We’ll have her home by midnight,” Lara promised.

It was the first time Isabella had left the hospital in 268 days.

‘You’re going to forget about me’

Four days later, Isabella was still wearing the glittery purple flats with her pajamas.

The gala was fun, she said. Her parents were surprised to see her there. “My dad lost it,” she said, grinning.

Someone at the gala donated $1,500 to pay for Isabella to go to burn camp next summer.

Mark Dewane, head of the board that over sees the burn center as part of the Maricopa Integrated Health System, told Isabella her nursing school tuition would be paid if that’s what she decides to do.

The next day, Isabella texted Foster: “Hi, Dr. Foster. It’s Isabella. I hope you’re having a great day.”

He texted back: “I hope you are getting some rest after your big night.”

She took a picture of herself making a funny face and sent it to him, captioning it, “I woke up like this.”

Foster texted back: “Go back to sleep.”

Later that day, the doctor came in to tell Isabella that she would go home on Monday, nine months to the day she was admitted. She knew he wasn’t kidding.

“Dr. Foster is kind of a serious guy because he has a serious job,” Isabella said.

Now the doctor leaned into Room 9 and noticed Isabella’s shoes.

“If I had a pair of shoes like that, I’d wear them every day, too,” Foster said.

She told him that she had done her dressing change that morning with no intravenous pain medication, just 5 milligrams of oxycodone.

Isabella asked if she’d have to be sedated to remove the PICC line from her arm. “How will you guys take it out?” she asked.

He’ll tug it out, Foster told her. Isabella raised her eyebrows. “You’ll look out the window, and it will be out,” he said. “It’s a piece of cake compared to what you’ve been through.”

Isabella has a list of people she is going to miss when she leaves. She told Foster she would miss him the most.

“You’re going to forget about me the minute you walk out of here — and that’s the way it should be,” the doctor told her.

“But I’m never going to forget you.”

Reach Bland at karina.bland@arizonarepublic.com or 602-444-8614. Read more at karinabland.azcentral.com.

Three Tips for Parents of Children with Differences

By Nicholas Tanner, PhD, Pediatric Psychologist at DMG CRS
PHOENIXNovember 30, 2018 /AZLatinos.com/

Dr. Nick Tanner

As a parent of a child with health, developmental and/or behavioral differences, you become more than a parent- you are an advocate, a champion and your child’s loudest voice. Here’s three tips to help you and your child’s health and quality of life. And, never forget that your child’s care team at DMG Children’s Rehabilitative Services is here to support you every step of the way.

(1)  Advocate relentlessly.  Sometimes, your life may feel a little like it is “us against the world.” When parents have a kid with extra needs or differences, contentious situations and relationships can arise between parents and your child’s school, healthcare providers, and/or government agencies; never stop advocating as you know your child best.

As a pediatric psychologist, part of my job is encouraging parents to engage with these complex systems of care, help them navigate the procedural challenges inherent in these systems, and facilitate collaboration to help patients and families thrive. Although it’s important to have realistic expectations, the old saying is true- “the squeaky wheel gets the grease.” Families and parents who are persistent tend to be more successful in getting enhanced individualized and intensive attention. Though conflict can be uncomfortable, it’s important to be your child’s biggest champion; advocate relentlessly.

(2)   Focus on the big picture. Parents can understandably get caught up in what their children’s
limitations are- right now-in the present. They may lose sight of the long-term goals and potential of their child- what’s really important. Part of my job at DMG CRS is helping parents and families identify and connect with their values. Most parents want their children to live vital and meaningful lives, and sometimes an extra need or illness can make it hard to see what’s important in the long run.

Identifying values is one way to help figure out the big picture. Values can act as a compass, providing direction and assisting parents to move from a place of “My child can’t do this,” “What if they fail?” or “My child will never….” to a more productive vision of possibilities. My goal is to help parents begin to ask, “What can my kid do now?” “What do I hope they’ll be able to do in the future?” and “How can we help them get there?” Think about the long-term vision for your child’s life and his/her possibilities; dare to dream and focus on what’s important.

(3)  Take care of yourself. For good reason, many parents do not consider themselves or their well=being a priority or critical to their child’s outcome. On top of the already hectic demands of parenting, families of children with extra needs have additional financial and time requirements and/or strains. Many families I work with manage busy schedules that include juggling therapy appointments, doctor visits, school, parenting other children, and work.

Remember, there’s a reason the flight attendant tells parents to “put on your air masks before putting on your child’s air mask in the event of an emergency;” it’s impossible to help other people if you do not take care of yourself. Research shows that socially-isolated parents struggle to build fulfilling relationships with their children and are more likely to develop mental illnesses, including depression. It’s not “selfish” to take care of yourself; it is essential and necessary.  So, go ahead and make that therapy appointment for yourself, get a pedicure, or meet up with some supportive friends. It might be one of the  best things you can do for yourself and  your child.

SOURCE AZLatinos.com


District Medical Group Children’s Rehabilitative Services Adds Providers to Serve More Children with Complex Medical Needs

PHOENIX (October 2, 2018) – District Medical Group Children’s Rehabilitative Services (DMG CRS) announced the addition of two pediatric specialty physicians serving patients at its multi-specialty interdisciplinary clinic (MSIC) located in Central Phoenix at 3141 N. 3rd Avenue in Park Central Mall. A first-of-its-kind MSIC in Maricopa County, DMG CRS has been the exclusive medical home for AHCCCS Complete Care patients since 2012.


Ashley Tian, MD


Kelvin S. Panesar, MD

The following pediatric specialists are serving patients at DMG CRS effective October 1, 2018, bringing the total number of pediatric medical providers at the Valley of the Sun’s only MSIC to 88 across more than 25 medical specialties.

• Pediatric Neurosurgery: Ashley Tian, MD
• Pediatric Pulmonology: Kelvin S. Panesar, MD

Three to five more pediatric specialists are anticipated to be added by the end of 2018, and DMG CRS will continue to add specialists in 2019.

“Helping children with complex medical conditions have the highest possible quality of life is the reason I became a physician,“ said Ashley Tian, MD, a Banner Children’s pediatric neurosurgeon who treats patients at DMG CRS. “I chose to work at DMG CRS to be part of a team that coordinates care and supports, not just the patient, but the whole family, as part of the treatment plan.”

complete-careIn its commitment to providing coordinated care, DMG CRS also has primary care, dental, social workers, patient advocates, CRS enrollment specialists, child life and care coordinators and other services on-site to support patients and their families.

“Serving pediatric patients with complex medical conditions is what DMG CRS was specifically designed for; we are the only clinic in metropolitan Phoenix that provides coordinated care across medical specialties all in a one-story, easy-to-access clinic, “said Wendy Burkholder Chief Clinical Operating Officer for DMG. “Our patients rely on us to make care for complex conditions as easy and accessible as possible, and we are thrilled to have providers join our team that share our vision.”

Effective October 1, 2018, changes to AHCCCS Complete Care (ACC) expanded services, enabling families with CRS patients to bring other children in the family to DMG CRS. For more information on ACC changes, visit DMGCRS.org/ACC.

Pediatric providers interested in serving patients at DMG CRS can call the director of operations at (602) 914- 1522 or email CRSProvider@DMGAZ.org.

About District Medical Group and DMG Children’s Rehabilitative Services (DMG CRS)

District Medical Group (DMG) is a nonprofit entity consisting of more than 650 providers representing all major medical and surgical specialties and subspecialties. DMG providers serve acute care and psychiatric hospitals, diagnostic centers, family health centers, an internationally-recognized burn center, and numerous outreach programs. DMG Children’s Rehabilitative Services (DMG CRS) is a first-of-its-kind clinic in the Phoenix area, serving AHCCCS Complete Care (ACC) pediatric patients with complex conditions and other children within the family. For more information visit DMGAZ.org.

Media Contact
Toni J. Eberhardt
President, Prescriptive Communications
C: (602) 418-7767
Email Toni


Article as originally posted at https://www.dmgcrs.org/dmgcrs-providers-complex-needs/

Creighton University Building New Health Sciences Campus in Phoenix

PHOENIXSept. 18, 2018 /PRNewswire.com/ — Phoenix’s health care landscape is about to change dramatically — as is one of Phoenix’s most iconic properties.

Creighton University – a Jesuit, Catholic University located in Omaha, Nebraska – has reached an agreement on the construction of a new, nearly $100 million health sciences campus at Park Central in midtown Phoenix, a significant expansion of the University’s current presence in the state.

Phase one of the project includes a new building totaling 200,000 square feet and eventually will house nearly 800 Creighton health sciences students in Arizona. The expansion will include a four-year medical school, nursing school, occupational and physical therapy schools, pharmacy school, physician assistant school and emergency medical services program. A second building adjacent to the first may be added in the future.

The new building will be located along Central Avenue on the Park Central property, on land that is currently a parking lot. Construction on the new building will begin in spring 2019, the first on the Park Central site in decades, and is expected to be completed in spring 2021.

In the interim, Creighton University’s College of Nursing, which launched its first Phoenix-based Accelerated Bachelor of Science in Nursing program in January, will move into a temporary home at Park Central effective January 2019. The School of Medicine, which first came to Phoenix in 2009, will continue operating its third- and fourth-year programs out of space adjacent to Dignity Heath St. Joseph’s Hospital and Medical Center until construction is completed in Spring 2021.

The new Phoenix campus for Creighton will meet the University’s current needs while providing ample room for expansion in the future, and the central Phoenix location makes it convenient for students doing their residencies and other studies at nearby hospitals.

Creighton University is preparing for an exciting new era in Phoenix, one that combines our tradition for educational excellence in the health sciences with our distinctive Jesuit, Catholic mission,” said the Rev. Daniel S. Hendrickson, SJ, PhD, president of Creighton University. “Creighton University has strong connections to the Arizona medical community, and we look forward to expanding our impact by educating many more exceptionally qualified health care professionals to serve the community moving forward.”

Creighton University’s presence in Phoenix is expanding to help meet the growing demand for health care professionals in the coming years. In June 2018, the Creighton University School of Medicine assumed sponsorship of physician graduate medical education training programs at Dignity Health St. Joseph’s Hospital and Medical Center and Maricopa Integrated Health System (MIHS), in conjunction with District Medical Group (DMG), encompassing 11 programs with 325 residents and fellows.

Additionally, the four partners have formed the Creighton University-Arizona Health Education Alliance, which was officially launched on Sept. 1, 2017. It is designed to improve and expand current health education programs offered by each of the entities. The Alliance will also develop new academic and clinical education programs in medicine, nursing, pharmacy and allied health. The Alliance’s activities will also be based out of the new Park Central facility.

Governor Doug Ducey, who officially recognized Creighton University’s contributions to the State of Arizona with a proclamation, hailed the Creighton expansion as a significant addition to the state’s health care infrastructure.

“For more than a decade, Creighton University has been a key partner in helping Arizona train highly skilled health care professionals,” said Gov. Ducey.”Their significant new expansion and investment will help to meet our state’s growing need for health care professionals in the coming years, and it’s yet one more way that Arizona is solidifying its reputation as a premier destination for excellence in health care.”

The new Creighton University facility is also a significant boost for the revitalization of Park Central. Sharon Harper, president & CEO of Plaza Companies — which is redeveloping Park Central in partnership with Holualoa Companies — said Creighton is an ideal fit for the project.

“The new Park Central will have a focus not only on the creation of world-class office, retail and public spaces, but also on a commitment to health and innovation,” Harper said. “Creighton University’s commitment to innovating in health care education makes it a great partner, and we couldn’t be more pleased to have them join the Park Central family.”

Phoenix Mayor Thelda Williams welcomed Creighton’s expansion in Phoenix as a dramatic step to strengthen the region’s growing bioscience industry.

Creighton’s investment in our community will create new jobs and bring new life to a critical property in the heart of midtown Phoenix—but what’s more, it moves us closer to transforming our economy into one rooted in competitive, forward-thinking industries,” said Williams. “I want Phoenix to be a destination for world-class medical education, research, health care and solutions, and our growing partnership with Creighton University is going to help us get there.”

Creighton University has long had a presence in Greater Phoenix, but their decision to continue expanding here is an indication of the growth and demand we’re seeing in the industry regionally,” said Chris Camacho, president & CEO of Greater Phoenix Economic Council. “As one of the most innovative medical schools, graduates of their health sciences programs will continue to feed the rapidly growing health care sector.”

For more than a decade, Creighton University has been an academic mainstay in Phoenix, sending medical students to St. Joseph’s Hospital and Medical Center for rotations. That relationship expanded significantly in 2009 when the University and St. Joseph’s established a Creighton campus for third- and fourth-year medical students at the Phoenixhospital. The St. Joseph’s campus is home to approximately 100 Creighton medical students.

Creighton University, based in Omaha, Nebraska, is one of 28 Jesuit colleges and universities in the U.S. It enrolls 4,446 undergraduates and 4,464 graduate and professional students among nine schools and colleges. No other university its size offers students such a comprehensive academic environment with personal attention from faculty-mentors. Visit: www.creighton.edu

SOURCE Creighton University

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