How to stay cool when going back to school- Guest Blog by Corinne Soares, LCSW

How to stay cool when going back to school

When my son was born almost 6 years ago the transition into motherhood was a big one, but I handled it well by having a great support group and asking plenty of other mom's for advice. Then last year I transitioned again - into motherhood of a school age child. I am happy to say I survived my son's kindergarten year (with a few tears from both him and I of course) and now we are gearing up for first grade.

The first day of school will quickly be upon us and it can create stressful feelings in both parents and kids. I always feel it is better to be proactive rather than reactive, so here on some ideas on easing the transition back into school:

1. Take the mystery out of the first day of school. If your child is attending a new school make sure they are familiar with the school. Take them on campus, show them their classroom, bathroom locations, administration offices and where drop off/pick up is. This can help ease any anxiety your child may have about how they will navigate their new surroundings. Many school's also have a 'meet and greet' with the teachers a week before school. I encourage you to attend these with your children so you can both meet their teacher and see their classroom.

2. Stock up on supplies! With all the budget cuts in the schools it has left classroom supplies very limited. Be sure your child is stocked up on supplies appropriate to their grade level. This can also build some excitement in your children as they prepare their backpacks with fresh paper, binders, crayons and pencils. Also be sure you have a meal plan prepared. If your child will eat a hot lunch be sure they have money on their school account or stock your fridge with some of their favorite lunch items for cold lunch. Disney Family Fun offers some fun and fresh ideas for your kid's lunches and snacks.

3. Start the school routine early. Summer vacation can throw kid's schedules off in a big way. As a parent I am often guilty of letting my kids stay up later during the summer time, causing my kids to go to bed later and have a hard time waking up in the mornings. One or two weeks before school starts begin to implement their school week schedule. Have your kids go to bed and wake up during their school hours so the first week of school isn't a shock to their system.

4. Keep the learning experience strong, year around. Summer learning loss occurs when kids do not engage in educational experiences throughout the summer. A recent segment on the Today show stated that kids can lose approximately 2.6 months of their grade level during the summer months. This can cause kids to feel very frustrated when school starts again and make homework a battle. With fun summer activities it can be hard to coax your kids into traditional learning activities, so make them fun! Many video games or phone's now have educational apps or programs kids can benefit from. You can also engage them in outdoor learning activities so kids don't have to choose between the outdoors or brushing up on their skills.

5. Keep an open dialogue going with your kids and the school. As the school year begins talk to your kids about what they like about school and what they dislike. It is normal that your child isn't going to love everything about school. Build on the good points to keep your child motivated. If there are ongoing concerns be sure to communicate with your child's teacher to see if education services such as tutoring or an IEP is needed. Parents and teachers both want their kids to succeed so work together, not against each other.

So take a deep breath and put on a smile. Transitions can be bumpy but with the proper tools and right attitude, you and your child can make the transition back into school as smooth as possible and set the stage for a great school year.

This special guest blog was written by Corinne Soares, LCSW.  You can read more of Corinne's informative blogs here: Notes from a Therapists Desk. Join Corinne and avecinia wellness center on August 16th at 6pm for a special, "Back to School" night at avecinia wellness center. Learn more tips and techniques to helping your family have a great school year, what Fresno Unified, Clovis Unified and the State of California are requiring for vaccinations and more! Call us at 559-450-7299 to learn more and RSVP!


For daily updates on news, information and more on health care and wellness, join avecinia wellness center's facebook page (facebook.com/avecinia) and follow avecinia on twitter (twitter.com/avecinia4health). avecinia wellness center is Fresno's premier integrative medicine and wellness center. We combine internal medicine and primary care with health management, weight management, acupuncture, aesthetics (Botox, Juvederm, Radiesse, Obagi and more) and massage therapy for a holistic approach to health. We use a robust electronic health record program and patient web portal to enhance our delivery of services and to help our patients reach their optimal well-being. To learn more, visit www.avecinia.com. If you are looking for a primary care doctor in Fresno or the Central Valley and would like to become a part of the avecinia family, visit our website and click on new patient registration. Let Dr. Unaiza Hayat and/or Ali Kunkel, MPA, PA-C, become your trusted guides. Our Aesthetic, Weight Management, Acupuncture, Health Management and Massage Therapy services do not require us to be your primary care physician. Learn more at www.avecinia.com We look forward to meeting you!

Massage Therapy

Massage therapy has a long history in cultures around the world.  In fact, references to massage appear in writings from ancient China, Japan, India, Arabic nations, Egypt, Greece (Hippocrates defined medicine as “the art of rubbing”), and Rome.

Massage became widely used in Europe during the Renaissance.  In the 1850s, two American physicians who had studied in Sweden introduced massage therapy in the United States, where it became popular and was promoted for a variety of health purposes.

Today people use many different types of massage therapy for a variety of health-related purposes. In the United States, massage therapy is often considered part of Complementary and Alternative Medicine (CAM), although it does have some conventional uses.

The term “massage therapy” encompasses many different techniques.  In general, therapists press, rub, and otherwise manipulate the muscles and other soft tissues of the body.  They most often use their hands and fingers, but may use their forearms, elbows or feet.

The Benefits Of Massage  

People use massage for a variety of health-related purposes, including to relieve pain, rehabilitate sports injuries, reduce stress, increase relaxation, address anxiety and depression, and aid general wellness.  Massage is useful for all of the conditions listed below and more:

• Alleviate low-back pain and improve range of motion;
• Ease medication dependence;
•  Enhance immunity by stimulating lymph flow—the body’s natural defense system;
• Exercise and stretch weak, tight, or atrophied muscles;
• Help athletes of any level prepare for, and recover from, strenuous workouts;
• Increase joint flexibility;
• Lessen depression and anxiety;
• Promote tissue regeneration, reducing scar tissue and stretch marks; 
• Pump oxygen and nutrients into tissues and vital organs, improving circulation;
• Reduce post surgery adhesions and swelling;
• Reduce spasms and cramping;
• Relax and soften injured, tired, and overused muscles;
• Release endorphins—amino acids that work as the body’s natural painkiller; and
• Relieve migraine pain.

 A Powerful Ally

Regardless of the adjectives we assign to it (rejuvenating, therapeutic) or the reasons we seek it out (stress relief, pain management), massage therapy can be a powerful ally in your healthcare regimen. Experts estimate that upwards of ninety percent of disease is stress related. And perhaps nothing ages us faster, internally and externally, than high stress. While eliminating anxiety and pressure altogether in this fast-paced world may be idealistic, massage can help manage stress. This translates into:

• Decreased anxiety;
•  Enhanced sleep quality;
• Greater energy;
• Improved concentration;
• Increased circulation; and 
• Reduced fatigue.

Furthermore, the emotional balance bodywork provides can often be just as vital and valuable as the more tangible physical benefits.

Consequently, the medical community is actively embracing bodywork, and massage is becoming an integral part of hospice care and neonatal intensive care units.

At avecinia wellness center, our approach to incorporating massage therapy into your health care and wellness is unique in Fresno.  Our highly trained therapists, Bethany Clague and Michael Greene work with our providers, Dr. Unaiza Hayat and Ali Kunkel, MPA, PA-C to coordinate care in instances where massage therapy is deemed useful. By incorporating massage therapy and coordinating care, you can be assured that you receive the best, specific care to match your needs. Make your appointment today to see either Beth or Mike. In September, a basic, 25 minute massage is only $30 (save $10).  

(Written by Michael Greene)

Back To School

As summer is coming to an end, many parents may dread what’s coming next: Back to School! More than wondering what back to school sale to go to first, most parents are concerned how to prepare their child emotionally and mentally for school and how stay healthy during the school year. By following the tips below, we hope to make back to school a happier, healthier transition for both parent and child!
Tips:

• Establish sleep and nutrition routines before school starts! Avoid difficult mornings the first week of school by setting bed and wake-up times a few weeks before school starts and gradually adjusting them to be earlier as the first day approaches. And make sure they start every day with a healthy breakfast such as whole grain, low-sugar cereals!

• Keep them going throughout the day with the right foods! Pack their lunch with colorful mix of fruits and vegetables. Apples, baby carrots, berries, grapes, pears are easy to pack and easy to eat and provide essential nutrients to keep them energized and ready to learn. Avoid sodas and sports drinks! One can of soda per day can add 30 pounds in a year.

• Help your kids know their school like the back of their hand! Visit the school in advance so children know where their classroom is. Give them a chance to meet their teacher, the school nurse, and other staff, if possible.

• Encourage communication! Encourage your child to talk to you about how they feel about going back to school. Practice listening to them (hint, pay attention to them when they speak the same way you would want someone to pay attention to you). When kids feel they are being heard, they are less likely to hide something from you, such as whether they are being bullied at school.

• Dealing with Bullies! Going back to school is never easy and having a bully to deal with can make it ten times worse! But you can help your child stand up to bullying by instilling them with confidence, help them make friends, encouraging them to communicate if they are being bullied and working with their teachers and school administrators to make the school a bully safe environment.

• A stitch in time saves nine! If your child has a chronic health condition requiring medication, such as asthma, diabetes, a food allergy, or any type of health care concern requiring special attention, contact the school nurse early to put a plan in place well in advance of the first day of school.

• August is National Vaccination Month! Immunizations, which are a very necessary part of the back-to-school routine, can be a little scary for kids, but you don't need to drag them kicking and screaming to the doctor's office. Ease kids' worries by talking with them about the health benefits of vaccines so they understand why the shots are important and are less anxious about getting them.
Here is a summary of vaccinations recommended by the CDC for school aged children: (www.cdc.gov/vaccines/events/niam/default.htm)

Children 4-6  (Click on the bold items to learn more about them)

• DTap (Diptheria, Tetanus, Pertussis)
• PPSV (Pneumococcal) - for pneumonia
• IPV (Inactivated Poliovirus)
• Influenza - for the flu
• MMR (Measles, Mumps, Rubella)
• Varicella for chickenpox
• Hepatitis A
• MCV (Meningococcal)

Children 7-18

• TdAP (for children 11-18) - for whooping cough
• HPV (for children 9-18) - HPV vaccine is also known as Gardasil
• MCV (Meningococcal) - for meningitis
• PPSV (Pneumococcal) - for pneumonia
• IPV (Inactivated Poliovirus)
• Influenza - for the flu
• MMR (Measles, Mumps, Rubella)
• Varicella - for chickenpox
• Hepatitis A
• Hepatitis B

Many of the vaccines listed above are available at avecinia wellness center. Call us at 559-450-7299 and speak with Jennie if you have any questions about immunization and vaccinations or would like to make an appointment.  As Fresno's premier integrated medical practice, we aim to provide our patients with total wellness.  If you have questions about stress management or how to help your kids cope with starting school, we are proud to refer our patients to Corinne Soares, LCSW.  You can learn more about Corinne on her blog here: http://therapistsdesk.blogspot.com/

We hope you and your family have a wonderful August and an exciting beginning to the new school year!

Join us Facebook  and sign up for our newsletter for more helpful and timely health and wellness news and our latest specials at avecinia!

Skin Care

Skin Care
Your skin reflects your health. It is your body’s canvas and one of its most valuable assets. Good skin care and healthy lifestyle habits can help prevent many skin problems and delay the natural aging process. It’s the only skin you’ll ever get, so your daily habits mean everything. With proper skin care, your skin can stay fresh as you age. Follow the tips below and keep your skin healthy and glowing for the years to come.

Protect yourself from the sun
One of the most important ways to care for your skin is to protect it from the sun. Although sunlight helps your body make Vitamin D, which is important for good health, too much sunlight can be harmful. The sun emits ultraviolet (UV) radiation. Lifetime sun exposure can cause dry, rough skin, discoloration, age spots, freckles, wrinkles, moles and more serious problems, such as precursors to and/or skin cancer.

Understanding how the sun is damaging to the skin is important and worth knowing. There are main 2 types of UV radiation: UVB and UVA. Although both are contribute to the risk of developing skin cancer, UVB rays causes sunburns and UVA rays causes tanning and aging. Sun protection recommendations include:

•Avoid the sun between 10 AM and 4 PM. This is when the sun’s rays are the strongest.

•Wear protective clothing. Cover your skin with tightly woven long-sleeved shirts and pants. Shade your face by wearing wide-brimmed hats and protect your eyes with sun glasses that are UV-blocking. Dark colored clothing generally provides more protection than light colors. There is even special sun-protective clothing specially designed to block UV rays while keeping you comfortable and cool. This clothing will have a label listing UV protection factor (UPF) value on a scale from 15-50+, indicating the level of protection the garment provides. The higher the UPF, the higher the protection.

•Use sunscreen. Apply generous amounts of “broad-spectrum” sunscreen 30 minutes prior going outdoors and reapply every 2 hours or after swimming or heavy sweating. Use sunscreen that have a sun protection factor (SPF) greater than 15 and that have both UVA and UVB protection. SPF indicates protection against UVB rays only. “Broad-spectrum” protects against both UVA and UVB radiation, but, unfortunately, there is no standard system for measuring protection from UVA at this time. Products that contain titanium dioxide, avobenzone (Parsol 1789), zinc oxide or ecamsule are likely to be effective against both UVA and UVB. Remember to always check the expiration date on the sunscreen container to be sure that it is still effective. Most products are no longer effective after 2 to 3 years. Also, “waterproof” and “water resistant” products do rub off on your towel when you dry yourself, so reapply. We carry Obagi SPF 35 and Vivite SPF 30 sunscreen. Both offer UVA and UVB protection and are highly recommended. For a limited time, both are only $30. Don’t forget lip balm that contains SPF to protect your lips and apply sunscreen to your ears!

•Avoid tanning beds. The give out both UVA and UVB rays.

Take note that UV rays reach the ground throughout the year, even on cloudy days. UV rays passes through water, so even if you feel cool in the pool, you aren’t safe. Sunlight also reflects off sand and snow and increases the amount of UV radiation you receive, so be careful at the beach and in the snow.


Avoid smoking
Smoking contributes to wrinkles and makes your skin look older. Smoking decreases blood flow to your skin by narrowing blood vessels, depletes the skin of oxygen and nutrients and damages elastin and collagen. When these fibers breakdown, the skin begins to sag, stretch and lose its ability to go back into place. Smoking may contribute to wrinkles by the repetitive facial expressions of squinting your eyes and pursing your lips. If you already have fine lines developing, Obagi’s NuDerm system may help you combat them. Fine lines around the lips can be reduced with Vivite’s defining lip plumper. If you would like to quit smoking or know someone who does, make an appointment with Avecinia Wellness Center for our Smoking Cessation program.

Treat your skin gently
Properly cleanse your skin. If you wear makeup, be sure to remove all traces of it at the end of the day. Integrate a proper skin care routine into your day early. While you can’t replace the skin you have, you can nourish and pamper it to protect it for the future. The Obagi C-Rx System and the Vivite Vibrant System are excellent facial regimens we offer at the office.

Limit bath time. Long baths/showers and hot water remove oils from your skin. Use luke warm water rather than hot water when you bathe.

Avoid strong soaps that strip oil from your skin. Instead, use mild cleansers.

Gently pat dry after bathing with a soft towel and apply moisturizer when your skin is slightly damp for better absorption.

Manage stress
Uncontrolled stress can make your skin more sensitive and prone to acne breakouts and other skin problems. A healthy state of mind will aid in healthier skin, so take steps to manage stress. Set reasonable goals and limits, prioritize and scale back your to-do list and make time for activities you enjoy. If you do have breakouts or acne problems, try Obagi CLENziderm system; it is currently 25% off the regular price.

Eat a healthy diet
A healthy diet will help you feel and look your best. Eat plenty of vegetables, fruits, lean proteins and whole grains. Although the association of diet and acne is unclear, research suggests a diet low in fats and carbohydrates and rich in Vitamin C promotes younger looking skin.

Stay hydrated
You should drink 8 to 10 glasses of water a day to stay hydrated and to provide your skin with vital moisture from the inside.