Bike (or Hike) to Feed the Hungry + Health & Safety Fair
June 16 (today) 8:30 a.m. to 12:30 p.m.: The fourth annual Bike (or Hike) to Feed the Hungry event will start and finish at University of the Pacific’s DeRosa University Center, 901 Presidents Drive, Stockton. This “adventure event” is designed to get Stocktonians up and moving – whether it is biking or walking/hiking. The event offers three bicycling courses; two of them along the Calaveras Bike Path; the bike trail “westerly route” is 9.3 miles out to Buckley Cove park on the Stockton Deep Water Channel, the other “easterly route” is 7.6 miles. The walking route offers walkers (and, bicyclists, too) a pleasant, shaded route south through Stockton’s midtown historical housing district to the Stockton Ports Baseball Park, a round trip of 4.3 miles. Bicyclists can link all three routes together for a round-trip bike route totaling 21.3 miles. Fun activities for kids of all ages and a kids’ Bike Rodeo for youngsters ages 1 to 9 will begin at 9 a.m. Tricycles, bikes with training wheels, and other novice riders are welcomed. The rodeo will offer an obstacle course, contests and safety lessons for new bikers. A “Get Fit, Stockton” Health and Fitness Fair will greet walkers and bikers when they return to the university campus. The event also features nutritious food, drink, fun for the family and displays from many agencies and businesses which help families get, and stay, fit and healthy. Entrance fee for the Bike (or Hike) to Feed the Hungry is $30 (or pledges of $40+), or $15 for the Kids Bike Rodeo (prices increase another $5 on day of the event); all participants receive a Hike and Bike T-shirt and a delicious barbecue lunch from 10:30 a.m. to 12:30 p.m. Participants are urged to raise additional pledges to help defeat hunger in our community. The Bike (or Hike) to Feed the Hungry event is presented by the Emergency Food Bank, which annually serves over 130,000 county residents – providing packaged food and nutrition education to families and seniors. Participants are also urged to bring canned goods or staples to the event. Information:www.stocktonhikeandbike.org. Questions: Babette Davis or Tim Viall, Emergency Food Bank, at (209) 464-7369 email@example.com.
Living Hope Health Fair Hosted By Bread of Life
June 16 (today) 8 a.m. to noon: Bread of Life is partnering with University of the Pacific’s Long School of Pharmacy and Health Sciences and the Rho Pi Phi professional pharmaceutical fraternity to bring free health screening services and health education to the Stockton community at LifeSong Church, 3034 Michigan Ave., Stockton. Health screenings will include blood pressure, diabetes, cholesterol, optometry, bone density, HIV testing, medical consultations, subsidized pharmaceutical assistance and more. Resource agencies will provide mental health services, veterans assistance, substance abuse information, dental referrals, pregnancy help services, children’s services and lead poisoning education. “It’s heartwarming to see that so many agencies would come together to serve the community,” Bread of Life founder and president Gina Valadez said. Bread of Life is a food pantry that provides generous amounts of groceries to families in need on the third Saturday of each month in Stockton and Lodi. It is operated 100 percent by volunteers giving freely of their time and services to bring hope to families in times of need, Valadez said. Information:www.breadoflifestockton.org or contact firstname.lastname@example.org orLivingHopeHealthFair@gmail.com.
CareVan Provides Daily Free Health Clinic
St. Joseph’s Medical Center CareVan presents a free, walk-in health clinic for low-income and no-insurance individuals or families, 16 years old and older. The hospital’s mobile health care services will be available to handle most minor urgent needs, such as minor burns, bumps, abrasions, sprains, sinus and urinary tract infections, cold and flu. No narcotics prescriptions will be offered. Diabetes screening and blood pressure screening are offered on special days as noted. If you have questions, contact (209) 461-3471. Clinic schedule is subject to change without notice.
- June 18 (Monday) 9 a.m. to 5 p.m.: Rite Aid, 1050 N. Wilson Way, Stockton. Diabetes and blood pressure screenings will be offered at this clinic. A representative will be available to screen patients for insurance eligibility.
- June 19 (Tuesday) 9 a.m. to 5 p.m.: St. George’s Church, 120 W. Fifth St., Stockton. A representative will be available to screen patients for insurance eligibility.
- June 20 (Wednesday) 9 a.m. to 4 p.m.: San Joaquin County Fairgrounds, 1658 S. Airport Way, Stockton.
- June 21 (Thursday) 9 a.m. to 4 p.m.: San Joaquin County Fairgrounds, 1658 S. Airport Way, Stockton.
- June 22 (Friday) 9 a.m. to 5 p.m.: Pittman School, 701 E. Park St., Stockton. This clinic is brought to you by St. Joseph’s Spirit Club members.
- June 25 (Monday) 9 a.m. to 5 p.m.: Food 4 Less Weston Ranch, 3434 Manthey Road, Stockton. Diabetes and blood pressure screenings will be offered at this clinic.
- June 26 (Tuesday) 9 a.m. to 5 p.m.: Rite Aid, 1050 N. Wilson Way, Stockton. A representative will be available to screen patients for insurance eligibility.
- June 27 (Wednesday) 9 a.m. to 4 p.m.: San Joaquin County Fairgrounds, 1658 S. Airport Way, Stockton. A representative will be available to screen patients for insurance eligibility. Diabetes and blood pressure screening will be offered.
- June 28 (Thursday) 9 a.m. to 4 p.m.: San Joaquin County Fairgrounds, 1658 S. Airport Way, Stockton.
Help Yolunda Breathe: Fundraiser for Double Lung Transplant Patient
June 19 (Tuesday) 5 p.m.: Doctors say Yolunda Barquet, 40, needs a double lung transplant to survive. She has been very ill since being diagnosed at age 3 with a rare pulmonary disease. The lung transplant costs $800,000, which is covered by insurance. However, after the surgery, she will need constant medical care and very costly anti-rejection medications. Please join her and her supportive family and/or make a donatioin to help with Yolunda’s expenses. Fundraising dinner ($12 per ticket) will be held at Hill Top Restaurant & Catering, 126 E. Market St., Stockton. Information: Selena Barquet at (916) 821-5564 or email@example.com. For donation information, visit www.transplants.org
Mothers Taking Action
June 20 (Wednesday) Click here for times and locations (or June 21): We are your neighbors, friends, sisters – and your partners in the fight for a healthy future for our children and our communities. We know moms can make a big difference … So, we need your help! San Joaquin County mothers are coming together now. Join one of our upcoming meetings to share your ideas. Free produce & cookbooks. Information: (209) 468-3868.
Stork Tours for Parents-To-Be
June 20 (Wednesday) 6 to 7:30 p.m. (or July 25): Parents-to-be are invited to attend a free stork tour at Lodi Memorial Hospital, 975 S. Fairmont Ave., Lodi. Prospective parents may view the labor, delivery, recovery and nursery areas of the hospital and ask questions of the nursing staff. Call (209) 339-7520 to register. For more information on other classes available at Lodi Memorial, visit its website at www.lodihealth.org.
Your Diabetes Success Plan: 8-Part Class Series (Wednesdays)
June 20 through Oct. 17 (Wednesdays) 10:30 a.m. to 12:30 p.m.: Learn basics to a health life over eight sessions, including: diabetes overview and blood sugar monitoring; diabetes nutrient and exercise; heart health; diabetes medications; know your blood sugar numbers; basic carbohydrate counting; your diabetes success care plan; and putting the pieces together, “Life’s Sweet Journey.” All sessions are free and brought to you by the St. Joseph’s CareVan Program. After attending six sessions, class participants diagnosed with diabetes will receive a free glucometer. Information: (209) 461-3251 or www.stjosephscares.org. All sessions at Park Village, 3830 N. Alvarado, Suite C, Stockton.
Growing GREENS/Eating LEAN
June 21 (Thursday) 11 a.m. to noon: This free program at the Nutrition Education Center at Emergency Food Bank, 7 W. Scotts Ave., Stockton, is a combination of vegetable/fruit gardening workshops and nutrition/cooking demonstrations incorporating fruits and vegetables. Information: (209) 464-7369 or www.stocktonfoodbank.org.
Latino Coalition for a Healthy California Event
Your Diabetes Success Plan: 8-Part Class Series (Fridays)
June 22 through Sept. 7 (Fridays) 10 to 11:30 a.m..: Learn basics to a health life over eight sessions, including: diabetes overview and blood sugar monitoring; diabetes nutrient and exercise; heart health; diabetes medications; know your blood sugar numbers; basic carbohydrate counting; your diabetes success care plan; and putting the pieces together, “Life’s Sweet Journey.” All sessions are free and brought to you by the St. Joseph’s CareVan Program. After attending six sessions, class participants diagnosed with diabetes will receive a free glucometer. Information: (209) 461-3251 or www.stjosephscares.org. All sessions at Gospel Rescue Mission, 445 S. San Joaquin St., Stockton.
Palliative Care as Seen From the World’s Religions
June 27 (Wednesday) 6:30 p.m.: Learn more about palliative care from the medical director of Lodi Memorial Hospital’s palliative care program, Dr. Kuljeet Multani, in the hospital’s Healing Garden, 975 S. Fairmont Ave., Lodi. Leaders of the faith community from Lodi’s Christian churches, Sikh temple, Islamic mosque and Buddhist church will address palliative care from the perspective of their religions. Often misunderstood and confused with hospice care, palliative care relieves and prevents the suffering of patients. Unlike hospice care, palliative medicine is appropriate for patients in all disease stages, including those undergoing treatment for curable illnesses and those living with chronic diseases, as well as patients who are nearing the end of life. Palliative medicine utilizes a multidisciplinary approach, relying on input from physicians, pharmacists, nurses, chaplains, social workers, psychologists, other health professionals and, of course, the patient and family members in formulating patient care plans. Palliative care’s multidisciplinary approach allows the care team to address physical, emotional, spiritual and social concerns that arise with advanced illnesses. All are welcomed to attend this free forum.
Total-Joint Replacement Class
June 28 (Thursday) 1 p.m. knee class; 2 p.m. hip class (or June 28): Lodi Memorial Hospital’s Outpatient-Rehabilitation Services offers a free, educational class for those planning to have total joint-replacement surgery of the hip or knee at Lodi Memorial Hospital West, 800 S. Lower Sacramento Road, Lodi. Learn about preparations and exercises to do before surgery; the day of surgery and what to expect during the hospital stay; rehabilitation following surgery; techniques to decrease pain and swelling; and ways to promote maximum healing and return to normal function. Call (209) 333-3136 for more information or to sign up for the class. Family and friends are welcome and encouraged to attend. For information on other classes available at Lodi Memorial, visit www.lodihealth.org.
Yard Sale Fundraiser for Spinal Muscular Atrophy: Items Needed
June 30 (Saturday) 7 a.m. to 3 p.m.: A Stockton family that lost two daughters, Jessica Lovely Angel Gutierrez-Gayle in 2001 and Jaylin Chante Gayle in 2002, to SMA, or spinal muscular atrophy, is holding its annual yard sale fundraiser at6414 N. El Dorado St., Stockton. All proceeds from the fundraiser will go to the Northern California Families of Spinal Muscular Atrophy charity. If you would like to donate items, contact Gloria Lopez at (209) 468-3618.
Photography Contest: The Joys of Breastfeeding
Deadline June 30 (Saturday) 5 p.m.: The Breastfeeding Coalition of San Joaquin County is sponsoring the 2012 Photography Contest, “The Joys of Breastfeeding: Celebrating the Bond Between Mother and Child.” Prizes will be awarded to the winning mother in two categories: personal/amateur; and professional. A new category this year will be the People’s Choice Award voted on by attendees of the 2012 Birth, Baby and Bonding Fair Aug. 5 (1 to 5 p.m.) at the University Plaza Waterfront Hotel. Click here for information and entry form for the photo contest. Questions: please email us at firstname.lastname@example.org
Breastfeeding: Getting Off to a Great Start
July 5 (Thursday) 6:30 to 8:30 p.m.: Lodi Memorial Hospital, 975 S. Fairmont Ave., Lodi, offers “Breastfeeding: Getting off to a Great Start,” a one-session class covering the advantages of breastfeeding, basic anatomy, the breastfeeding process, common problems and solutions. An additional breastfeeding class for working moms is held July 17 (Tuesday), 6:30 to 8 p.m., and is available only to participants who have already attended “Breastfeeding: Getting off to a Great Start.” Call (209) 339-7520 to register. For information on other classes available at Lodi Memorial, visit its website at www.lodihealth.org.
‘Rethink Your Drink’ Train the Trainer Workshop
July 6 (Friday) 9 to 11 a.m. Register by June 29 (Friday): Our community is facing an unprecedented health crisis. Not only do extra calories from added sugar in sugary drinks contribute significantly to obesity, but they also contribute to the rise of related chronic diseases like type 2 diabetes and heart disease. The Rethink Your Drink campaign aims to address this crisis by educating families about the link between consumption of these sugary drinks and the health risks. At this training, participants will receive curriculum and resources to use in community outreach and education efforts. This is a free training at San Joaquin County Public Health Services Auditorium, 1601 E. Hazelton Ave., Stockton, sponsored by First 5 San Joaquin and Network for a Healthy California. Please register by June 29 bysubmitting the registration form to First 5 San Joaquin at email@example.com or fax to (209) 932-2675.
Welcome to Life Tour
July 9 (Monday) 7 to 9 p.m. (or Aug. 6, Sept. 17, Oct. 15, Nov. 5 or Dec. 10): This class gives you specific information about where to go and what to do when it comes time to have your baby, including pre-admission registration. Includes a tour of the maternity area and birthing options tailored to individual needs.St. Joseph’s Medical Center, Auditorium, 1800 N. California St., Stockton. Information: (209) 461-5213or www.StJosephsCares.org/Baby. Preregistration is not required for this free class.
Big Brother – Big Sister in Stockton
July 10 (Tuesday) 6 to 7 p.m. (or Sept. 18 or Nov. 13): This class helps siblings learn about new babies, how it will feel to be a big brother or sister, and see new babies and where they are born in our birthing area. Families are welcome. St. Joseph’s Medical Center, Pavilion Conference Room (1st floor), 1800 N. California St., Stockton. Information: (209) 461-5213 or www.StJosephsCares.org/Baby. Preregistration is not required for this free class.
Childbirth Preparation Series
July 11, 18, 25, 27 Aug. 1. (Wednesdays) 6:30 to 9:30 p.m. (also Series 5: Sept. 12, 19, 26, Oct. 3.): Class One: Understanding Pregnancy. Class Two: Understanding Labor and Birth. Class Three: Understanding Medical Procedures and Cesarean Birth. Class Four: Understanding Postpartum. Are you ready for labor and birth? This four-class series prepares mom and her coach for the emotional and physical changes of labor and birth. The series includes relaxation and breathing techniques to increase comfort during labor. Please bring three pillows, a blanket and/or exercise mat each night of class. You should attend this series during your third trimester. St. Joseph’s Medical Center, Classroom 1, 1800 N. California St., Stockton. Information: (209) 461-5213 or www.StJosephsCares.org/Baby. Preregistration is not required for this free class.
Big-Brother/Big-Sister Class for Kids 3-8
July 25 (Wednesday) 3 to 4:30 p.m.: Lodi Memorial Hospital, 975 S. Fairmont Ave., Lodi, offers a big-brother/big-sister preparation class. This class, for children ages 3 to 8, will help youngsters adjust to the arrival of the new baby. The cost is $10 for the first child and $3 for each additional child. Call (209) 339-7520 to register. For more information, visit the LMH website at www.lodihealth.org.
July 28 (Saturday) 9 a.m. to 4:30 p.m.: Lodi Memorial Hospital, 975 S. Fairmont Ave., Lodi, offers an all-day childbirth-preparation class. Cost is $45 per couple. For more information or to register, call (209) 339-7520. For information on other classes available at Lodi Memorial, visit its website at www.lodihealth.org.
Birth, Baby and Bonding Fair
Aug. 5 (Sunday) 1 to 5 p.m.: The Breastfeeding Coalition of San Joaquin County is hosting the third annual Birth, Baby and Bonding Fair at the University Plaza Waterfront Hotel, 110 W. Fremont St., Stockton. In celebration of World Breastfeeding Week, the Birth, Baby and Bonding Fair provides pregnant women, new moms and their families with a variety of opportunities to get information from health care providers, hospitals and community organizations and to purchase helpful and fun products from local businesses. This afternoon event is packed with interesting and unique activities. One of the highlights of the fair is a fashion show with maternity clothing, nursingwear and babywearing products modeled by local expectant and proud new mothers and fathers. Another unique part of the fair is the display of the top 10 entries in the Positive Images of Breastfeeding Photo Contest. Fair attendees will vote for their favorite photo, with the “2012 People’s Choice” winner being announced at the end of the fair. This year, short workshops in Spanish and English will be offered on “Getting Off to a Great Start Breastfeeding” and “Working and Breastfeeding.” There will also be special “For Dads Only” miniworkshops. Expectant and new mothers and fathers are invited to attend this free community event. The first 400 pregnant and new moms will receive special Goodie Bags. The Birth, Baby and Bonding Fair is proudly presented by the Breastfeeding Coalition of San Joaquin with the support of San Joaquin County hospitals, health care providers, community organizations and businesses. Click here for more information. The mission of the Breastfeeding Coalition of San Joaquin County is to create positive change in our community through breastfeeding education, advocacy and outreach. Members include representatives from local hospitals, WIC programs, community groups, nonprofit organizations, health insurance plans, San Joaquin County government agencies, and interested individuals from the community.
Celebrate and Promote Breastfeeding in Community
Aug. 7 (Tuesday) 10 a.m. to 3 p.m.: Delta Health Care is hosting our very own breastfeeding celebration fair for expecting and new parents, breastfeeding moms, WIC participants and the community at Delta Health Care, 4662 Precissi Lane, Suites 500 & 200, Stockton, in observance of the 20th annual celebration of World Breastfeeding Week. We want to inform the community of services we provide to support breastfeeding and reinforce the positive messages of World Breastfeeding Week and its 2012 theme, “The Road to Lifelong Health Begins with Breastfeeding.” (Theme from the International Board of Certified Lactation Consultants.) What we will be offering:
- A variety of information through several booths about nutrition and breastfeeding including: Prenatal/Postpartum Nutrition, Baby Behaviors, Infant Nutrition Beyond Breastfeeding, Working and Breastfeeding, Meet our Peer Counselors, and What is WIC?
- A variety of local vendors promoting information and materials for parents, infant, and children.
- Guest speaker: Slide show presentation by nationally-known professional cartoonist Keith Knight (“The Best Fed are Breastfed – Breastfeeding from a Husband’s Perspective”).
- Goodie bags – including an assortment of items and information for expecting and new parents.
- Raffle prizes.
- Photo booth.
- Mom-to-mom breastfeeding groups.
- Breastfeeding Boutique (gently-used items for moms and babies).
Prenatal Nutrition and Exercise
Aug. 8 (Wednesday) 4:30 to 6:30 p.m. (or Oct. 10, Dec. 5): Nurturing your baby starts by taking good care of yourself during pregnancy. Come learn about healthy weight gain guidelines, good nutrition, how to manage common pregnancy discomforts, and more. This class will give you an introduction to exercise during pregnancy including body mechanics, posture and basic back care. Please wear comfortable clothing to allow for movement.Please bring three pillows, a blanket and/or exercise mat to class. St. Joseph’s Medical Center, Classroom 1, 1800 N. California St., Stockton. Information: (209) 461-5213 orwww.StJosephsCares.org/Baby. Preregistration is not required for this free class.
Aug. 8 (Wednesday) 7 to 9:30 p.m. (or Oct. 10, Dec. 5): This class offers mothers and their partners information on the benefits of breastfeeding, the importance of exclusive breastfeeding and the basics of breastfeeding management. Topics include latching, the effect of analgesia/anesthesia on infant behavior, and the rationales of care practices such as early skin-to-skin contact, rooming-in and feeding on cue. Expressing breast milk, and helpful hints for your family. St. Joseph’s Medical Center, Auditorium, 1800 N. California St., Stockton. Information: (209) 461-5213 or www.StJosephsCares.org/Baby. Preregistration is not required for this free class.
Having a Cesarean Birth
Aug. 22 (Wednesday) 5 to 6:30 p.m. (or Oct. 17 or Dec. 12): This class is designed to prepare a mother and her partner who are having a planned cesarean birth or may need a cesarean birth. Learn about the cesarean procedure including anesthesia options, what to expect, how to take care of yourself during recovery and also special techniques to ensure successful breastfeeding. St. Joseph’s Medical Center, Pavilion Conference Room (1st floor), 1800 N. California St., Stockton. Information: (209) 461-5213 orwww.StJosephsCares.org/Baby. Preregistration is not required for this free class.
Aug. 22 (Wednesday) 7 to 9:30 p.m. (or Oct. 17 or Dec. 12): Parents-to-be, come learn about life with a newborn, the baby’s needs and changing development. Discussion includes baby care basics such as feeding, diapering and bathing, as well as the physical appearances of newborns and practical tips for parents. St. Joseph’s Medical Center, Auditorium, 1800 N. California St., Stockton. Information: (209) 461-5213 orwww.StJosephsCares.org/Baby. Preregistration is not required for this free class.
Free Dental Clinic in Sacramento
Aug. 24 (Friday) and Aug. 25 (Saturday) 7 a.m. to 6 p.m.; clinic doors open at 5 a.m.: Cal Expo, 1600 Exposition Blvd., Sacramento. When the clinic has reached the number of patients it can serve Friday, the rest of the people in line will be asked to come on Saturday and will be provided with information on local dental clinics and/or dentists. Patients are seen on a first-come, first-served basis. We strongly encourage you to come early. The event is a collaborative effort between the California Dental Association, the CDA Foundation and the national charitable organization Missions of Mercy. Click here for more information.
All Day Childbirth Preparation Class
Aug. 25 (Saturday) 9 a.m. to 4:30 p.m. (or Nov. 17): This class covers all information listed in our evening series in a one-day condensed class. Please bring three pillows, a blanket and/or exercise mat each night of class. You should attend this class during your third trimester. St. Joseph’s Medical Center, Classroom 1, 1800 N. California St., Stockton. Information: (209) 461-5213 orwww.StJosephsCares.org/Baby. Preregistration is not required for this free class.
Hydrocephalus Awareness & Family Fun Day
Oct. 6 (Saturday) 10 a.m. to 4 p.m.: The third annual Northern California Hydrocephalus Awareness & Family Fun Day will be held in Mountain House, just north of Tracy. Last year’s Family Fun Day was a huge success as our families and community came together to share and join in an inspirational day that helped raise close to $16,000 for research. This year we expect more fun, food, music, great raffle prizes and inspiration as we continue to march on with the C.H.A.N.G.E. Hydrocephalus campaign that will:
- Increase support in local communities by holding monthly “meet-ups” designed to empower individuals and families in dealing with the condition known as hydrocephalus and some of its challenges.
- Increase education in local schools, hospitals and other facilities that are linked to the Hydrocephalus Community by providing informational talks and/or providing educational and supportive materials.
- Work closely with neurosurgeon Dr. Peter Sun, his staff and Children’s Hospital & Research Center Oakland, to ensure the most up-to-date information and treatment for hydrocephalus is distributed to the community, schools and medical facilities.
- Increase funding for local communities here in California and across the United States, eventually spreading the C.H.A.N.G.E. campaign globally.
- Hold annual Hydrocephalus Community Awareness Family Fun Days uniting community, families, friends and anyone who wishes to join in on the inspirational fun!
A Pocketful of Change and the C.H.A.N.G.E. Hydrocephalus campaign continues with the dream it has had since it was founded in August 2010 – continued support, awareness, education, funding and advancement toward the care and treatment of hydrocephalus and continuing to hold the Family Fun Day for the third year in a row. APC is dedicated to you, your children and our communities. Information or to volunteer: firstname.lastname@example.org.
Facts About Fruits and Vegetables
Click here for lots of great information about fruits and vegetables.
Men: Take Just One Step Toward Better Health
In the US, an estimated 13 million men age 20 or older – nearly 12 percent—have diabetes. Diabetes is a serious disease, particularly when it is left undiagnosed or untreated. It can lead to serious health problems such as heart disease, blindness, stroke, kidney disease, erectile dysfunction, amputation and even death. The good news is that there are small but important steps men can take to lower their risk for type 2 diabetes and prevent its complications. Losing a modest amount of weight (if you are overweight) by being more active and making healthy food choices can prevent or delay the onset of type 2 diabetes and help prevent complications for those living with the disease. For many, even if they know what to do to improve their health, figuring out how to do it and fitting it into a daily routine can be a challenge. The National Diabetes Education Program’s Just One Step tool available at YourDiabetesInfo.org/JustOneStep can help users take the first step toward better health by breaking down health goals into small, achievable, steps. To learn more about managing or preventing type 2 diabetes, including free resources, visit the National Diabetes Education Program website at YourDiabetesInfo.org.The U.S. Department of Health and Human Services’ National Diabetes Education Program is jointly sponsored by the National Institutes of Health (NIH) and the Centers for Disease Control and Prevention (CDC) with the support of more than 200 partner organizations.
Folic acid during early pregnancy may reduce risk of autism
A new study by researchers at the UC Davis MIND Institute suggests that women who consume the recommended daily dosage of folic acid, the synthetic form of folate or vitamin B-9, during the first month of pregnancy may have a reduced risk of having a child with autism. The study furthers the researchers’ earlier investigations, which found that women who take prenatal vitamins around the time of conception have a reduced risk of having a child with autism. The current study sought to determine whether the folic acid consumed in those supplements was the source of the protective effect. The finding suggests that, in addition to women who already have conceived, those who are attempting to become pregnant should consider consuming folic acid supplements, the authors said. The study found that women who each day consumed the recommended amount of folic acid (600 micrograms, or 0.6 milligrams) during the first month of pregnancy experienced a reduced risk of having a child with autism spectrum disorder, specifically when the mother and/or her child had a specific genetic variant (MTHFR 677 C>T) associated with less efficient folate metabolism. The study will be published in the July issue of the American Journal of Clinical Nutrition. “This research is congruent with the findings of earlier studies that suggest that improved neurodevelopmental outcomes are associated with folic acid intake in early pregnancy,” said lead study author Rebecca J. Schmidt, assistant professor of public health sciences in the UC Davis School of Medicine and a researcher with the UC Davis MIND Institute. “It further supports recommendations that women with any chance of becoming pregnant should consider consuming folic acid at levels of 600 micrograms or greater per day.”
Grupe Co. Establishes Scholarship at Health Career Academy
The Grupe Co. of Stockton has established the Carl Toliver Leadership Scholarship, an annual scholarship award of $1,000 for a deserving Health Career Academy High School student. Grupe Commercial Co. President Kevin Huber made the announcement by saying, “In appreciation for Carl Toliver’s leadership as superintendent of Stockton Unified School District and in particular in establishing the Health Career Academy at University Park, Grupe Commercial Company will be awarding an annual $1,000 scholarship to a graduating senior which shall be called the Carl Toliver Leadership Scholarship. Carl Toliver not only brought excellent leadership to Stockton Unified, he recognized that Stockton could be a leader in health care education by starting a health career academy. By teaming with other University Park educators like Kaiser and CSUS-Stockton, Stockton Unified has formed the foundation to meet the growing shortage of health care workers in our community. Grupe Commercial is pleased to recognize Carl Toliver with this scholarship, as it will provide the recipient with the opportunity to continue their education – something Carl Toliver values deeply. We are hopeful that others will see the return on investment that a scholarship to a Health Career Academy student gives the community, and that others will consider supporting these amazing students similarly.” The announcement will be made during the annual spring scholarship event in 2015, with the school’s first graduating class. The scholarship is to be awarded to a graduating senior who will continue to pursue an education in the health sciences programs at University Park either at the Kaiser School of Allied Health Sciences or the Stockton campus of California State University, Stanislaus. For additional information or questions, contact Health Career Academy Principal Traci Miller (209) 933-7360.
Here are the latest statistics on Stockton and surrounding cities on overweight and obesity.
In this tutorial, MaryBeth Musumeci, senior health policy analyst for the Kaiser Commission on Medicaid and the Uninsured, focuses on the 9 million low-income seniors and people with disabilities who receive coverage through both Medicare and Medicaid – a population with complex needs and very high health and long-term care expenses. This tutorial provides a closer look at the characteristics of dual eligibles, the types of services and coverage they receive from each program, and how program spending for this population is allocated. Lastly, Musumeci discusses challenges with coordinating care across the two very different programs and reviews the Affordable Care Act provisions that address these issues. The foundation provides additional resources that examine the dual eligible population, their health care needs and spending, and ongoing efforts to coordinate care across the two programs.
Institute of Medicine Aims to Accelerate Progress in Preventing Obesity
Report Recommends Strategies, Calls On All Sectors of Society to Take Action Now The Institute of Medicine (IOM) has released a report that outlines comprehensive strategies for addressing the nation’s obesity epidemic and calls on leaders in all sectors to accelerate action to advance those strategies. The release was a highlight of the second day of the 2012 Weight of the Nation conference, hosted by the Centers for Disease Control and Prevention.
- Make physical activity an integral and routine part of life.
- Create food and beverage environments that ensure healthy food and beverage options are the routine, easy choice.
- Transform messages about physical activity and nutrition.
- Expand the role of health care providers, insurers and employers in obesity prevention.
- Make schools a national focal point for obesity prevention.
The full report, a summary, practical guides for taking action and other materials are available for free on the IOM website.
- Get materials from the IOM website.
- Read a statement by James S. Marks, MD, MPH, senior vice president and director of RWJF’s Health Group.
- See a brief video of Marks sharing his thoughts about the report.
Spanish-Language Website for Pre-Existing Medical Conditions
California’s Managed Risk Medical Insurance Board launched a new Spanish-language website for the Pre-Existing Condition Insurance Plan (PCIP). The website provides Californians who need their health information in Spanish with the same information as the English-language website, to help improve the Latino population’s access to the federally funded program. The Spanish website is available at www.pcip.ca.gov/Home/?lang=es. Information about PCIP, including applications, can be found on the PCIP website www.pcip.ca.gov and through the PCIP toll-free line at (877) 428-5060.
Sugary drink consumption is a major contributor to the obesity epidemic. Serving healthy beverages is essential for a child’s nutritious die, and child care settings can play an important role in helping children develop healthy nutrition habits. Learn what you need to know about new state and federal standards for beverages served in child care settings. Healthy Beverages in Child Care is a project of California Food Policy Advocates (CFPA). CFPA, founded in 1992, is a statewide public policy and advocacy organization dedicated to improving the health and well being of low-income Californians by increasing their access to nutritious and affordable food.
Health Benefit Exchange Capturing Voice of Uninsured Californians
The Center for Healthcare Decisions has been asked by the California Health Benefit Exchange to design and conduct deliberative group discussions with potential Exchange consumers on the topic of cost-sharing. Cost-sharing refers to the ways that health plan members pay some portion of the expense of the health care services they use. Deductibles and co-payments are the most common types of cost-sharing. The Center will elicit perspectives of uninsured Californians who will be likely enrollees in the health plans available through the Exchange in 2014. Ten discussion groups, including two in Spanish, are being held throughout the state. Each group of 12 local residents will consider the financial impact of different approaches to cost-sharing and their effect on patients with a variety of medical needs. Discussion participants will be asked to consider this topic as community members acting in the best interest of all health plan members, not only as themselves. These meetings will identify important principles for the Exchange to consider as it makes its decisions on how to implement cost-sharing in health benefit plans in the fairest way possible. “We are excited to have the Center for Healthcare Decisions help ensure that the Exchange is guided in our planning by the Californians we are here to serve,” Exchange Executive Director Peter V. Lee said. “The Center’s long history of engaging average citizens in difficult decisions about health care policy and practice will be important as we build a new marketplace that will make health insurance more affordable and easier to use for millions of Californians.” The Center’s executive director, Marge Ginsburg, said, “We are pleased with this opportunity to work with the Exchange in capturing the perspectives of those whose voices are especially vital: Californians who will be using the Exchange to access the health insurance they need.” The Center for Healthcare Decisions is a nonprofit, nonpartisan organization located in Rancho Cordova. Established 18 years ago, the Center has worked on local, state and national civic engagement projects that capture the public’s views and values on health care issues requiring trade-offs and priority-setting. In recent years, much of its work has focused on how the public prioritizes health care benefits when resources are limited. California was the first state to create a Health Benefit Exchange following the passage of federal health care reform. It is charged with creating a new insurance marketplace in which individuals and small businesses will be able to purchase competitively priced health plans using federal tax subsidies and credits beginning in 2014. The Exchange is overseen by a five-member board appointed by the governor and Legislature; the California Health and Human Services secretary serves as an ex officio voting member and is its current chair.
Incoming 7th Graders Need Whooping Cough Vaccine
A California law that took effect last summer requires all students entering seventh grade each year to provide proof of having immunization against pertussis, more commonly known as whooping cough, before starting school. The new rule follows the state’s worst outbreak of whooping cough in more than 50 years. “Immunity gained from childhood pertussis vaccine wanes over time, so a Tdap booster shot is needed,” San Joaquin County Health Officer Dr. Karen Furst said. The Tdap booster vaccine protects against three dangerous diseases: tetanus, diphtheria and pertussis. Pertussis is a highly contagious bacterial illness spread by coughs and sneezes. Furst recommended parents contact their child’s health care provider now to ensure their child is up to date on all immunization recommendations. Furst urged parents of current sixth-grade students to get their child’s Tdap vaccine before school ends this year and take a copy of the child’s shot record or other documentation to school as soon as possible. Because a large number of students need a Tdap shot between now and the start of the next school year, parents should make an appointment now with their child’s doctor or clinic to avoid the back-to-school rush. School health officials want all students to be protected against disease and able to attend school on the first day without any disruptions. To achieve this, parents should take note of several important factors regarding the state immunization law for school entry in the 2012-13 school year:
- Seventh-grade students without proof of a Tdap vaccination will not be allowed to register for classes or attend school.
- If a child has received one dose of Tdap vaccine on or after their 7th birthday, the requirement is met.
- It is not too early to get the Tdap booster.
- It is not too early to get the documentation in to the school.
- There will be no Tdap immunization clinics at the schools.
- There will be no extension or grace period.
For those who do not have a health care provider or health insurance, Tdap vaccinations are available at many pharmacies and clinics. Public Health Services Immunization Clinic schedules are available online or you may call(209) 468-3830. Personal stories about pertussis and other vaccine preventable diseases can be found on the Shot by Shot website. For more details about the new school vaccination requirement and general information on pertussis,click here. For information about specific school district health services, phone:
- Escalon Unified: (209) 838-3591 ext. 5.
- Jefferson: (209) 468-9296.
- Lincoln Unified: (209) 953-8712.
- Linden Unified: (209) 887-3608.
- Lodi Unified: (209) 331-7075.
- Manteca Unified: (209) 858-0782.
- New Hope: (209) 468-9296.
- New Jerusalem: (209) 468-9296.
- Ripon Unified: (209) 652-8058.
- Stockton Unified: (209) 933-7060 ext. 2390.
- Tracy Unified: (209) 830-3241 ext. 2.
Asthma and Smoking Cessation Resources
First 5 San Joaquin offers the latest resources for those suffering from asthma. Also, information on smoking cessation and secondhand smoke. Check out their quarterly health message for April through June.
Questions About Health Reform Law?
- How are small businesses affected by health reform?
- Will everyone have to buy health insurance?
- How will the new provision allowing young adults to remain on a parent’s insurance work?
The FAQs (Frequently Asked Questions) section of the Kaiser Family Foundation’s new Health Reform Source provides concise answers to common questions about the health reform law. You can search for your question or submit a new question if yours is not addressed. http://healthreform.kff.org/faq.aspx. Additional questions addressing the affordability of health insurance, how programs like Medicare and Medicaid (Medi-Cal in California) will be financed under health reform and others are addressed in a series of Video Explainer clips featuring foundation experts answering specific questions about the law on a variety of health policy topics.http://healthreform.kff.org/video-explainers.aspx. Kaiser’s Health Reform Source, http://healthreform.kff.org, an online gateway providing easy access to new and comprehensive resources on the health reform law, provides these and other new features and tools including an interactive timeline showing when health-reform provisions take effect, all the latest polling data, links to other information resources, and the latest health-reform headlines from Kaiser Health News.
Respiratory Support Group for Better Breathing
First Tuesday of month 10 to 11 a.m.: Lodi Memorial Hospital, 975 S. Fairmont Ave., Lodi, and the American Lung Association of California Valley Lode offer a free “Better Breathers’” respiratory-support group for people and their family members with breathing problems including asthma, bronchitis and emphysema. Participants will learn how to cope with chronic lung disease, understand lungs and how they work and use medications and oxygen properly. Pre-registration is recommended by calling (209) 339-7445. For information on other classes available at Lodi Memorial, visit its website at www.lodihealth.org.
Planned Childbirth Services
Tuesdays 6 to 8 p.m.: Dameron Hospital, 525 W. Acacia St., Stockton, hosts a four-class series which answers questions and prepares mom and her partner for labor and birth. Bring two pillows and a comfortable blanket or exercise mat to each class. These classes are requested during expecting mother’s third trimester. Information/registration: Carolyn Sanders, RN (209) 461-3136 or www.Dameronhospital.org.
Say Yes to Breastfeeding
Tuesdays 6 to 8 p.m.: Dameron Hospital, 525 W. Acacia St., Stockton, offers a class that outlines the information and basic benefits and risk management of breastfeeding. Topics include latching, early skin-to-skin on cue, expressing milk and helpful hints on early infant feeding. In addition, the hospital offers a monthly Mommy and Me-Breastfeeding support group where mothers, babies and hospital clerical staff meet the second Monday of each month. Information/registration: Carolyn Sanders, RN (209) 461-3136 or www.Dameronhospital.org.
Food Addicts in Recovery Anonymous
Are you having trouble controlling the way you eat? Food Addicts in Recovery Anonymous (FA) is a free Twelve Step recovery program for anyone suffering from food obsession, overeating, undereating or bulimia. For more information or a list of additional meetings throughout the U.S. and the world, call (781) 932-6300 or visit www.foodaddicts.org.
- Tuesdays 7 p.m.: Modesto Unity Church, 2547 Veneman Ave., Modesto.
- Wednesdays 9 a.m.: The Episcopal Church of Saint Anne, 1020 W. Lincoln Road, Stockton.
- Saturdays 9 a.m.: Tracy Community Church, 1790 Sequoia Blvd. at Corral Hollow, Tracy.
Mother-Baby Breast Connection
Every Wednesday 1 to 3 p.m.: Join a lactation consultant for support and advice on the challenges of early breastfeeding. Come meet other families and attend as often as you like. A different topic of interest will be offered each week with time for breastfeeding assistance and questions. Pre-registration is required. Call (209) 467-6331. St. Joseph’s Medical Center, Pavilion Conference Room (1st floor), 1800 N. California St., Stockton.
Adult Children With Aging Relatives
Second Wednesday of month 4:30 p.m.: Lodi Memorial Hospital offers an Adult Children with Aging Relatives support group at the Hutchins Street Square Senior Center. For information, call (209) 369-4443 or (209) 369-6921.
Individual Stork Tours At Dameron
Wednesdays 5 to 7 p.m.: Dameron Hospital, 525 W. Acacia St., Stockton, offers 30 minute guided tours that provide expecting parents with a tour of Labor/Delivery, the Mother-Baby Unit and an overview of the Neonatal Intensive Care Unit. New mothers are provided information on delivery services, where to go and what to do once delivery has arrived, and each mother can create an individual birthing plan. Information/registration: Carolyn Sanders, RN (209) 461-3136 or www.Dameronhospital.org.
Brain Builders Weekly Program
Thursdays 9:30 a.m. to 12:30 p.m.: Lodi Memorial Hospital and the Hutchins Street Square Senior Center offer “Brain Builders,” a weekly program for people in the early stages of memory loss. There is a weekly fee of $25. Registration is required. Information or to register, call (209) 369-4443 or (209) 369-6921.
Infant CPR and Safety
Second Thursday of month 5 to 7 p.m.: Dameron Hospital, 525 W. Acacia St., Stockton, offers a class to family members to safely take care of their newborn. Family members are taught infant CPR and relief of choking, safe sleep and car seat safety. Regarding infant safety, the hospital offers on the fourth Thursday of each month from 5 to 7 p.m. a NICU/SCN family support group. This group is facilitated by a Master Prepared Clinical Social Worker and the Dameron NICU staff with visits from the hospital’s neonatologist. Information/registration: Carolyn Sanders, RN (209) 461-3136 or www.Dameronhospital.org.
Group Meetings for Alzheimer’s Patients, Caregivers
Thursdays 10 to 11:30 a.m.: The Alzheimer’s Aid Society of Northern California in conjunction with Villa Marche residential care facility conducts a simultaneous Caregiver’s Support Group and Patient’s Support Group at Villa Marche, 1119 Rosemarie Lane, Stockton. Caregivers, support people or family members of anyone with dementia are welcome to attend the caregiver’s group, led by Rita Vasquez. It’s a place to listen, learn and share. At the same time, Alzheimer’s and dementia patients can attend the patient’s group led by Sheryl Ashby. Participants will learn more about dementia and how to keep and enjoy the skills that each individual possesses. There will be brain exercises and reminiscence. The meeting is appropriate for anyone who enjoys socialization and is able to attend with moderate supervision. Information: (209) 477-4858.
Clase Gratuita de Diabetes en Español
Cada segundo Viernes del mes: Participantes aprenderán los fundamentos sobre la observación de azúcar de sangre, comida saludable, tamaños de porción y medicaciones. Un educador con certificado del control de diabetes dará instruccion sobre la autodirección durante de esta clase. Para mas información y registración: (209) 461-3251. Aprenda más de los programas de diabetes en el sitio electronico de St. Joseph’s:www.StJosephsCares.org/Diabetes
Nutrition on the Move Class
Fridays 11 a.m. to noon: Nutrition Education Center at Emergency Food Bank, 7 W. Scotts Ave., Stockton. Free classes are general nutrition classes where you’ll learn about the new My Plate standards, food label reading, nutrition and exercise, eating more fruits and vegetables, and other tips. Information: (209) 464-7369 or www.stocktonfoodbank.org.
Free Diabetes Class in Spanish
Second Friday of every month: Participants will learn the basics about blood sugar monitoring, healthy foods, portion sizes, medications and self-management skills from a certified diabetic educator during this free class. St. Joseph’s Medical Center, 1800 N. California St., Stockton. Information and registration: (209) 461-3251.Learn more on St. Joseph’s diabetes programs at www.StJosephsCares.org/Diabetes.
All Day Prepared Childbirth Class
Third Saturday of month 9 a.m. to 4 p.m.: Dameron Hospital, 525 W. Acacia St., Stockton, offers community service educational class of prebirth education and mentoring. Information/registration: Carolyn Sanders, RN (209) 461-3136 or www.Dameronhospital.org.
Big Brother/Big Sister
Second Sunday of month: Dameron Hospital, 525 W. Acacia St., Stockton, has a one-hour class meeting designed specifically for newborn’s siblings. Topics include family role, a labor/delivery tour and a video presentation which explains hand washing/germ control and other household hygiene activities. This community service class ends with a Certification of Completion certificate. Information/registration: Carolyn Sanders, RN(209) 461-3136 or www.Dameronhospital.org.
Outpatient Program Aimed at Teens
Two programs: Adolescents face a number of challenging issues while trying to master their developmental milestones. Mental health issues (including depression), substance abuse and family issues can hinder them from mastering the developmental milestones that guide them into adulthood. The Adolescent Intensive Outpatient Program (IOP) offered by St. Joseph’s Behavioral Health Center, 2510 N. California St., Stockton, is designed for those individuals who need comprehensive treatment for their mental, emotional or chemical dependency problems. This program uses Dialectical Behavioral Therapy to present skills for effective living. Patients learn how to identify and change distorted thinking, communicate effectively in relationships and regain control of their lives. The therapists work collaboratively with parents, doctors and schools. They also put together a discharge plan so the patient continues to get the help they need to thrive into adulthood.
- Psychiatric Adolescent IOP meets Tuesdays, Thursdays and Fridays from 4 to 7:30 p.m.
- Chemical Recovery Adolescent IOP meets Mondays, Wednesdays and Thursdays from 4 to 7 p.m.
For more information about this and other groups, (209) 461-2000 and ask to speak with a behavioral evaluator or visit www.StJosephsCanHelp.org.
HOSPITALS and MEDICAL GROUPS
Click here for Community Medical Centers (Channel Medical Clinic, San Joaquin Valley Dental Group, etc.) website.
Dameron Hospital Events
Doctors Hospital of Manteca Events
Click here for Hill Physicians website.
Click here for Kaiser Central Valley News and Events
Lodi Memorial Hospital Educational Opportunities
Mark Twain St. Joseph’s Hospital Classes and Events
St. Joseph’s Medical Center Classes and Events
Sutter Tracy Community Hospital Education and Support
San Joaquin County Public Health Services General Information
Ongoing resources for vaccinations and clinic information are:
- Public Health Services Influenza website, www.sjcphs.org
- Recorded message line at (209) 469-8200, extension 2# for English and 3# for Spanish.
- For further information, individuals may call the following numbers at Public Health Services:
- For general vaccine and clinic questions, call (209) 468-3862;
- For medical questions, call (209) 468-3822.
Health officials continue to recommend these precautionary measures to help protect against acquiring influenza viruses:
- Wash your hands often with soap and water or use alcohol based sanitizers.
- Cover your nose and mouth with a tissue or your sleeve, when you cough or sneeze.
- Stay home if you are sick until you are free of a fever for 24 hours.
- Get vaccinated.
Public Health Services Clinic Schedules (Adults and Children)
Immunization clinic hours are subject to chance depending on volume of patients or staffing. Check the Public Health Services website for additional evening clinics or special clinics at www.sjcphs.org. Clinics with an asterisk (*) require patients to call for an appointment.
Stockton Health Center: 1601 E. Hazelton Ave.; (209) 468-3830.
- Immunizations: Monday 8 a.m.-4 p.m.; Tuesday 1-4 p.m.; Wednesday 10 a.m.-1 p.m.; Thursday 8-11 a.m. and 1-4 p.m.; Friday 8-11 a.m.
- Travel clinic*: Thursday 8-11 a.m. and 1 to 4 p.m.
- Health exams*: Tuesday 1-4 p.m.; Wednesday 10 a.m.-1 p.m.; Friday 8-11 a.m.
- Sexually transmitted disease clinic: Wednesday 3-6 p.m. and Friday 1-4 p.m., walk-in and by appointment.
- Tuberculosis clinic*: Tuesday; second and fourth Wednesday of the month.
- HIV testing: Tuesday 1-4 p.m.; Thursday 1-4 p.m.
Manteca Health Center: 124 Sycamore Ave.; (209) 823-7104 or (800) 839-4949.
- Immunizations: Monday 8-11 a.m. and 1-4 p.m.; Wednesday 10 a.m.-1 p.m. and 3-6 p.m.
- Tuberculosis clinic*: first and third Wednesday 3-6 p.m.
- HIV testing: first Wednesday 1:30-4 p.m.
Lodi Health Center: 300 W. Oak St.; (209) 331-7303 or (800) 839-4949.
- Immunizations: Monday 8-11 a.m. and 1-4 p.m.; Friday 8-11 a.m. and 1-4 p.m.
- Tuberculosis clinic*: Friday 8-11 a.m. and 1-4 p.m.
- HIV testing: second and fourth Friday 1:30-4 p.m.
Protect Your Preteen from Serious Diseases
The Calaveras County Public Health Department reminds families of preteens about recommended and required immunizations for 11-and 12-year olds. Dr. Dean Kelaita, county health officer, encouraged families of preteens to schedule a doctor visit and get vaccines they need to stay healthy and meet the Tdap school entry requirement for incoming seventh-graders. During 2010, California experienced a whooping cough (also known as pertussis) epidemic that resulted in 10 infant deaths. Incoming seventh-graders for the 2012-13 school year must provide proof of having immunization against whooping cough (Tdap) before starting school. Students who have not met the requirement will not be allowed to start school. Immunity from childhood vaccines wears off over time, exposing a child to serious diseases that can lead to missed weeks of school or serious illness. Besides the Tdap shot, there are other immunizations that are now recommended for this age group, including the meningococcal vaccine, a second chickenpox shot (if they never had chickenpox disease), and the human papillomavirus (HPV) vaccine series. Also, everyone older than 6 months is recommended to receive flu vaccine. The Calaveras County Public Health Department offers no- or low-cost vaccines to children without health insurance or whose insurance does not cover immunizations. No one is turned away for inability to pay. Information: (209) 754-6460 orwww.calaveraspublichealth.com.
Calaveras County Public Health Community Immunization Clinics
- San Andreas: weekly at Public Health Department, 700 Mountain Ranch Road, Suite C-2. Mondays 3 to 5 p.m. and Thursdays 8 a.m. to noon.
- Valley Springs: monthly at United Methodist Church, 135 Laurel St. Third Tuesday 3 to 5:30 p.m.
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What You Need to Know About Joe’s Health Calendar
Have a health-oriented event the public in San Joaquin County should know about? Let me know at email@example.com and I’ll get it into my Health Calendar. I’m not interested in promoting commercial enterprises here, but I am interested in helping out nonprofit and/or community groups, hospitals, clinics, physicians and other health-care providers. Look for five categories: Community Events, News, Ongoing, Hospitals & Medical Groups, and Public Health. TO THE PUBLIC: I won’t list an item here from a source that I don’t know or trust. So I believe you can count on what you read here. If there is a problem, please don’t hesitate to let me know at (209) 546-8278 firstname.lastname@example.org. Thanks, Joe