SPECIAL ISSUE: Focus on Osteoarthritis Mission Fulfilled: Research, Advocacy and Programs Get Moving for a Cure!

Los Angeles Dodgers legend, Ron Cey, fights for a cure.

The mission of the Arthritis Foundation is to improve lives through leadership in the prevention, control and cure of arthritis and related diseases. Call 1.800.954.CURE (2873) or visit arthritis.org.

SPRING/SUMMER 2014

SERVING ARIZONA, GREATER CALIFORNIA, HAWAII & NEVADA

LEADERSHIP PERSPECTIVES

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ARTHRITIS FOUNDATION PACIFIC REGION

Board of Directors

OFFICERS Peter Mainstain, CPA

Chair

John A. Heydt, MDChair-Elect

Stephen A. Schneider, Esq.Treasurer

Dennis M.P. Ehling, Esq.Secretary

Manuel LoyaChief Executive Officer

E. Robert Harris, MDPast Chair

BOARD MEMBERSSusan Beat

Diana BianchiniLeroy Bobbitt, Esq. Sanjay Chabra, DO

James Campbell Chow MD, ABOS

Art Gladstone, RN Daniel Hurley

Christopher Middleton Wesley Mizutani, MD, MBA

Larry Scherzer Susan Steen

Stefano Vranca

LIFE BOARD MEMBERST. Arthur Kvaas

Philip S. Magaram, Esq.Mark E. Meyerson, Esq.

Thomas R. MurphyStanford K. Rubin, Esq.

Leonard Unger, Esq.

ADVISORY BOARD CHAIRS Kaleo Ede, MD

Arizona

Amye Leong, MBACentral Coast

Dale SurowitzGreater Los Angeles

Robin K. Dore, MD Orange County

Eric BurgerGreater Sacramento Valley

Susan BeatSan Diego

Art Gladstone, RNHawaii

Timothy Jones, CSP, REHSNevada

MESSAGE FROM THE CHAIRYou probably know someone who has the most prevalent form of arthritisosteoarthritis (OA). More than 27 million Americans suffer from this painful and debilitating condition. Unfortunately, the number of adults with osteoarthritis is projected to increase as the population ages and obesity continues to be a national epidemic.

What is most surprising is that OA, typically viewed as a condition affecting only the elderly, touches younger people as well. Research studies currently funded by the Arthritis Foundation and others indicate that sports-related ligament tears and other traumatic injuries may develop into OA within 10-15 years. As Los Angeles Dodgers legend, Ron Cey, asserts, Arthritis targets everyone

including athletes. The need to find a cure for OA is greater than ever. Read on to learn more about osteoarthritisits causes, treatments, and ways to manage pain and increase mobility. Importantly, spread the word about the exciting resources offered by the Arthritis Foundationresources designed to create a better life NOW while funding groundbreaking research to stop OA pain in the future. Please help us put an end to the pain and disability of osteoarthritis. Reach out to the Arthritis Foundationa proud Charity Navigator 4-star charity*to make a difference today!

Peter Mainstain | Chair, Pacific Region | Board of Directors

MESSAGE FROM THE CEOThank you for continuing to support our mission. We are extremely grateful to you for helping us improve the lives of nearly 53 million adults and 300,000 children with arthritisone hero at a time.

This year, we are intensifying our efforts in research, juvenile arthritis and advocacy to improve the lives of ALL people with arthritis. We are leveraging digital communication channels to inform and build relationships with millions more people who look to the Foundation as the #1 resource for people with all forms of arthritis.

We will change more lives by engaging and empowering more volunteers. Like you, volunteers are giving their precious time, talent, creativity and resources to

advance our cause. With your generosity and the support of passionate volunteers, we can change the lives of so many more people with arthritis who urgently need our help. We invite you to contact your local Arthritis Foundation office to explore how you might deepen your relationship with the Foundation through volunteering. There are many opportunities to servefrom leadership roles on boards or committees to on-site support at local Walks to Cure Arthritis. However you choose to help, please know that we deeply appreciate your continued support as we TOGETHER make strides towards a cure.

Manuel Loya | CEO, Pacific RegionON THE COVER

Many thanks to Los Angeles Dodgers legend, Ron Cey (Penguin), for his years of volunteer service to the Arthritis Foundation. Ron served on the Board of the Southern California Chapter and has raised awareness and funds for Arthritis Foundation events, including walks and galas. As one of 27 million adults with osteoarthritis, he appeared in the Faces of Arthritis national awareness campaign. Ron states, Having had a joint replacement myself, I see the incredible advancements that have been made possible through Arthritis Foundation research. Please join me in supporting research to find a cure for osteoarthritis.

*Charity Navigator, Americas premier charity evaluator, awarded the Arthritis Foundation, Pacific Region a 4-star ratingthe highest rating a nonprofit organization can receive for its sound fiscal management and commitment to accountability and transparency. As a coveted 4-star organization, the Arthritis Foundation, Pacific Region belongs to the top quarter of all charities in America. Its rating indicates that it is a well-governed, fiscally responsible organization worthy of the publics trust.

YOUR RESEARCH DOLLARS AT WORK

RESEARCH PROFILE: DR. RU LIU BRYAN Dr. Ru Liu Bryan was awarded a two-year, $100,000 Research Innovation Grant

from the Arthritis Foundation in March of 2013. Her goal was to explore the hypothesis that therapeutic or preventative induction of AMPK might inhibit cartilage injury and suppress development of osteoarthritis. Dr. Bryan is Associate Professor in the Department of Medicine, UCSD and also a principal investigator at Veterans Medical Research Foundation in San Diego.

In a recent interview with HEADLINES, Dr. Bryan provided some background regarding her research. As your readers are aware, OA is the most common form of arthritis and a leading cause of disability. Unfortunately, no effective medical therapies are available yet to prevent or slow the OA disease process. Finding effective disease modifying therapies that target OA pathogenesis and

suppress disease development and progression is an urgent and unmet medical need.

Dr. Bryan further explained, Our recent studies indicate that sustained activity of adenosine monophos-phate-activated protein kinase (AMPK) in cells that reside in the cartilage, could be critical for maintaining cartilage tissue integrity. We have obtained evidence that mice that received treatment of the pharmacologi-cal agent that activates AMPK exhibit significant inhibition of cartilage damage, compared with mice that did not receive the treatment in a model of post-traumatic OA. We are currently verifying whether AMPK could be a potential therapeutic target by testing the effect of deficiency in AMPK activity on OA development. The big challenge is whether our laboratory preclinical studies can be translated into clinical applications.

HEADLINES asked Dr. Bryan where future research might lead in the battle to alleviate the suffering caused by OA and to potentially develop a cure. We still have a long way to have new and effective interventions to modulate OA symptoms and disease progression. Currently, diagnosis of human OA is made with appear-ance of the clinical signs of pain and X-ray evidence of bone spurs and joint space narrowing. However, X-ray has a poor sensitivity that does not allow an early detection of OA. Biomarkers have the capacity to identify early changes in joint tissues and diagnose OA during the pre-radiographic and radiographic stages of the disease, as well as aid in drug discovery and clinical trials.

At present, no gold standard for imaging biomarkers exists for studying OA in both humans and animals. We will see more research on advancing imaging techniques such as using MRI to monitor early changes in OA (including cartilage thickness and structural changes in the bone and soft tissues of the joint), and on developing, validating and refining molecular biomarkers that characterize OA progression. Biomarkers from animal models will be compared to human profiles and symptoms to evaluate how well the preclinical evidence correspond to the human condition, which is valuable for translational success.

Lastly, obesity, genetics, joint trauma and aging are major risk factors for OA development. We will also see research on exploring and understanding the interplay between the various factors contributing to OA development, which will ultimately help to develop better treatment options.

~Joseph R. Scaccia

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CALENDAROF EVENTS

2014 APRIL

April 22-23California Advocacy Summit

Sacramento

April 26Central Coast Walk to Cure Arthritis

Santa Barbara ccarthritiswalk.org

MAYARTHRITIS

AWARENESS MONTH

May 3Arizona Walk to Cure Arthritis

Phoenix azarthritiswalk.org

May 18Central Coast Walk to

Cure Arthritis San Luis Obispo

sloarthritiswalk.org

May 31Greater Los Angeles Walk

to Cure Arthritis Los Angeles

laarthritiswalk.org

JUNE June 1

Hawaii Walk to Cure Arthritis Honolulu

hiarthritiswalk.org

Orange County/Inland Empire Walk to Cure Arthritis

Anaheimocarthritiswalk.org

Sacramento Walk to Cure Arthritis Sacramento

sacarthritiswalk.org

June 7San Diego Walk to Cure Arthritis

sdarthritiswalk.org

JUNE SEPTEMBER Summer Youth/

Teen Leadership Camps

AUGUSTADVOCACY MONTH

SEPTEMBERSeptember 5 and 7

Taste of the TownSanta Barbara

tasteofthetownsantabarbara.org

September 13-20California Coast Classic Bike Tour

CaliforniaCoastClassic.org

OSTEOARTHRITIS

Jailal Nicho AblackUniversity of California, San DiegoPostdoctoral Fellowship

Ru Bryan, PhDVeterans Medical Research FoundationInnovative Research Grant

Grayson DuRaine, PhDUniversity of California, DavisPostdoctoral Fellowship

Lick Pui Lai, PhDUniversity of Southern CaliforniaPostdoctoral Fellowship

RHEUMATOID ARTHRITIS

Gary S. Firestein, MD University of California, San Diego Innovative Research Grant

Michael E. Selsted, MD, PhDUniversity of Southern CaliforniaInnovative Research Grant OTHER FORMS OF ARTHRITIS

Suzanne Kafaja, MDUniversity of California, Los AngelesClinical to Research Transition AwardScleroderma

Jennifer King, MDUniversity of California, Los AngelesPostdoctoral FellowshipLupus

Sin-Ae Lee, PhDUniversity of California, San DiegoPostdoctoral FellowshipPsoriatic Arthritis

John C. Scatizzi, PhDScripps Research InstitutePostdoctoral FellowshipLupus

2014 ARTHRITIS FOUNDATION RESEARCH AWARD RECIPIENTSCongratulations to this years award recipients from the Pacific Region! Thank you for improving the quality of life for those with arthritis and for moving us ever closer to a cure.

MISSION DELIVERED

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ADVOCACY: LETS MAKE OUR VOICES HEARD! Thousands of advocates from the Pacific Region are making their voices heard on behalf of those with arthritis at national and state levels. Washington, D.C. National Advocacy Summit Thirty representatives of the Pacific Region met with legislators in Washington D.C. on March 25th and 26th and made the following three requests: 1) Make arthritis medications more affordable by passing the Patients Access to Treatments

Act (HR 460). This law puts an end to unfair cost-sharing practiced by many commercial insurers that keeps biologics financially out of reach.

2) Increase the number of pediatric rheumatologists by reauthorizing the Pediatric Subspe-cialty Loan Repayment Program (HR 1827). This program offers student loan forgiveness for new pediatric rheumatologists who will practice in underserved communities.

3) Support arthritis research by keeping arthritis research a priority at the Department of Defenses Congressionally Directed Medical Research Program. The request will provide funding for research on post-traumatic osteoarthritis caused by battlefield injuries.

You, too, can make your voice heard on behalf of those with arthritis. Join the e-advocacy network (arthritis.org/advocacy) to win the fight against arthritis!

Arizona Advocacy CouncilRepresentative Heather Carter (R-District 15), Chairperson of the House Health Committee, introduced the Arthritis Foundations Arizona Advocacy Council to fellow legislators in February at the State Capitol. The Advocacy Council aims to make arthritis a public health priority and advance statewide policies that positively impact the lives of 1.1 million adults and 6,000 children with arthritis.

California Advocacy Summit Forty advocates from across the state attended the California Advocacy Summit, held in Sacramento, CA on April 22 and 23. During the intense day-and-a-half session, advocates learned about California policies that affect the more than 5 million California adults and 38,000 children living with doctor-diagnosed arthritis and learned how to meet with legislators before spending the afternoon in the State Capitol. For more information, please contact Krystin Herr, Director of Advocacy, at kherr@arthritis.org.

CHANGE A LIFE: SEND A CHILD TO CAMP Every year, hundreds of children and teens with juvenile arthritis or related diseases eagerly wait for sum-mer to enjoy a life-changing experience at Arthritis Foundation-sponsored camps. Seventeen-year-old Kendra Laguilles is one of those campersa seven-year Camp Esperanza veteran. An accomplished musician, Kendra plays the piano, guitar and flute and sings in the high school choir. Music allows her to express herself and helped her get through the hardships of being a young person with an autoimmune disease. Camp made a huge difference in her life as well. Kendra clearly recalls her first experience at camp. It helped me realize that I was not alone. I met kids who knew exactly what I was going through. I never felt out of place or alone there. She returned to camp for six more summers.

Last year, Kendra participated in the Camp Esperanza Teen Leadership session. She and fellow teens discussed relationships, colleges and self-image. Kendra smiles, Teen Leadership camp helps us transition into adulthood without taking out ALL of the fun. This dedicated camper plans to become a camp counselor one day. Her goal? I want to give back to the camp and help other kids see the brighter side of life. Wont you help to change the life of a child with juvenile arthritis? Send a deserving child to camp today! Contact Allie Avishai (aavishai@arthritis.org) or Jennifer Ziegler (jziegler@arthritis.org) for more information.

Volunteers and staff meet Representative Heather Carter.

Advocates meet with Congresswoman Doris O. Matsui.

Kendra Laguilles

YOUTH AND TEEN SUMMER CAMPS

ARIZONA Camp CruzWilliamsJune 3-8

CALIFORNIA Camp Esperanza at the Painted Turtle Lake HughesJuly 9-14

Camp EsperanzaTeen Leadership Session San Bernardino Mtns.September 12-14

CALIFORNIAJoint Adventure CampJulian (N. San Diego)July 6-11

HAWAIICamp Mana olanaHonoluluAugust 29-31

NEVADA Camp SolLas VegasAugust 11-14

HELP US RAISE FUNDS FOR A CURE!

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GET IN GEAR FOR THE RIDE OF A LIFETIME ALONG THE CALIFORNIA COAST Join cyclists of all experience levels for a breathtaking 520-mile ride from San Fran-cisco to Los Angeles on the 14th annual California Coast Classic Bike Tour (CCC) presented by Amgen. The 8-day, fully-

supported tour will take place from September 13-20. Tim and Emily Vaughan and their Team BTK are riding once again this year. Tim, a 3-year veteran of the CCC, shared his thoughts. The scenery of the California coastline is unrealthere is nothing quite like seeing it from the seat of a bicycle. You hear the sounds of birds and the ocean crashing into the rocks. You smell different scents along the waysalt air, flowers and redwoods. And you feel the temperature changes as you ride through different areas. Its truly a chance to experience the coast in a new way.

Another highlight along the way is meeting children with juvenile arthritis. Tim explained, One of the reasons we are returning this year is to support the Arthritis Foundations fight for a cure for the 300,000 kids with arthritis. Emily and I both know that we are making a difference in the world and in the lives of those who are less fortunate. Emily and Tim invite you to join them on this years CCC. We have met some amazing people, shared wonderful moments together and look forward to doing it again. We hope we can ride some miles with you this year!

Visit CaliforniaCoastClassic.org or contact Amy Robertson (arobertson@arthritis.org) or Monica Caraballo (mcaraballo@arthritis.org) for more information on this ride of a lifetime!

April 26Central Coast Santa Barbaraccarthritiswalk.org

May 3Arizona Phoenix azarthritiswalk.org

May 18Central Coast San Luis Obispo sloarthritiswalk.org

May 31 Greater Los Angeles Los Angeleslaarthritiswalk.org

June 1Hawaii Honoluluhiarthritiswalk.org

June 1Orange County/ Inland Empire Anaheimocarthritiswalk.org

June 1Sacramento Sacramentosacarthritiswalk.org

June 7San DiegoSan Diegosdarthritiswalk.org

Tim and Emily in San Francisco on Day 1 of the ride.

WALK ON FOR A CURE AT THIS YEARS WALK TO CURE ARTHRITIS The Walk to Cure Arthritis, the Arthritis Foundations signature fundraising event, will take place in eight communities within the Pacific Region. Funds raised through Walk to Cure Arthritis support Arthritis Foundation programs, research and advocacy initiatives to help people today while finding a cure for tomorrow. Join thousands of supporters who will walk one to three miles in honor of a

family member, friend or the millions of children and adults living with arthritis. Then enjoy the festivities, including entertainment, tasty food, a Kids Zone and free health information. Form a team and register today!

Thousands walk for a cure at the Orange County Walk to Cure Arthritis.

RETIREES APPRECIATE CHARITABLE GIFT ANNUITIES Retired people, and those who plan to retire in the near future, are finding charitable gift annuities to be an ideal way to support the Arthritis Foundation while locking in stable annuity payments for the rest of their livesno matter how long they may live. Indeed, charitable gift annuities are truly called the income you cannot outlive. Why? Because they are backed by all the resources of the Arthritis Foundation.

For more information, please contact Matthew Duggan, Director of Planned Giving for the Pacific Region. His toll-free number is 1.877.577.0087, and his email address is mduggan@arthritis.org.

Matthew will be pleased to answer questions relating to charitable gift annuities or other charita-ble estate planning matters such as wills, trusts, retirement plans, life insurance and other planning matters. There is no cost or obligation, and your inquiry will be treated in complete confidence. (Not available in all states).

JOIN YOUR LOCAL WALK TO CURE ARTHRITIS

WHAT YOU NEED TO KNOW ABOUT OSTEOARTHRITIS

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OSTEOARTHRITIS Osteoarthritis (OA), also called osteoarthroses or degenerative joint disease, is the most common form of arthritis. OA is a chronic condition characterized by the breakdown of a joints cartilage, causing bones to rub against each other. The result is stiffness, pain and loss of movement in the joint.

CAUSESAge. Incidences of osteoarthritis increase with age due to simple wear and tear on the joints. However, OA is not an inevitable part of aging.

Obesity. Increased body weight adds stress to lower body joints and is a well-established factor in the development of osteoarthritis. Your knees, which carry the brunt of your weight, are particularly at risk. For every pound you gain, you add 4 pounds of pressure on your knees and six times the pressure on your hips. Injury or Overuse. Athletes and people whose jobs require repetitive motion (landscaping, typing or operating machinery) have a higher risk of developing osteoarthritis due to injury and increased stress on certain joints. Soft tissue injuries, such as ACL (anterior cruciate ligament) tears, can also lead to OA. It can also appear in joints affected by previous bone fractures and surgeries.

Genetics or Heredity. Genetics play a role in the development and progression of osteoarthritis, particularly in the hands. Inherited bone abnormalities that affect joint shape or stability, or defects that cause cartilage to form abnormally, can also lead to OA.

Muscle Weakness. Studies show that weakness of the muscles surrounding the knee worsens the pain and stiffness of OA and is associated with its onset.

TIPS FOR TREATING OA Here are tips for successfully managing the pain, stiffness and swelling of OA: Improve joint mobility and flexibility. Slow, gentle stretching of joints may improve flexibility,

lessen stiffness and reduce pain. Stick with low-impact exercise with warm-ups. Avoid high- impact exercise that may cause damage to your knees.

Keep your weight in check. Excess weight adds additional stress to weight-bearing, OA-affected joints like the hips, knees, feet and back, and increases pain. Losing weight can help reduce pain and limit further joint damage. Speak to your doctor about a weight-management plan and healthy food choices.

Maintain fitness through physical activity. Physical activity is a proven way to manage OA symp-toms. Simple activities like walking around the neighborhood can reduce pain and extra weight.

Review lifestyle modifications. Painful, stiff joints may make everyday tasks difficult. Assistive devices can help you lead a more independent life. Items range from canes and shoe

orthotics to jar openers and car steering wheel grips. Adaptive living techniques can ease strain on your joints when performing daily tasks. Consult

with your physician or physical therapist for guidance.

Medications. Many prescription (doctor-prescribed) over-the-counter medicines treat OA symptoms. Common OA medications include NSAIDs (nonsteroidal anti-inflammatory drugs, which target inflammation), analgesics (which treat pain only), topical treatments (which are rubbed onto the skin to temporarily ease pain or swelling), and injectable treatments (like hyaluronic acid therapy).

Alternative Therapies. Many people with OA use natural or alternative therapies to address arthritis symptoms and improve their overall well-being. Nutritional supplements are available over the counter. Other alternative therapies include acupuncture, massage, hydrotherapy, and other techniques. Consult your doctor before purchasing or trying any treatment.

Surgery. Your doctor may also suggest surgery to repair or replace OA-damaged joints, especially hips or knees. If you are eligible for surgery, your doctor will refer you to an orthopaedic surgeon to perform the procedure. After surgery, you must commit to rehabilitating the joint, maintaining a healthy weight and continuing to engage in physical activity.

2014 Arthritis Foundation. All rights reserved. For more information, visit arthritis.org.

When patients had joint surgery twenty-five years ago, they only hoped to replace the painful joint. Today, more Baby Boomers in the 45-to-64 age group are having knee and hip replacement surgeries due to arthritis, obesity, playing sports or engaging in other activities to prevent obesity. However, the majority of them go on to enjoy an active and

healthy lifestyle following joint surgery due to advances in technology and surgical techniques. ~ Kevin M. Ehrhart, MD

Board Certified Orthopaedic Surgeon

LIVING WELL WITH OSTEOARTHRITIS

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ARTHRITIS FOUNDATION RESOURCES HELP YOU MANAGE OATurn to the Arthritis Foundation as your #1 resource for living well with osteoarthritis.

Start here. Download the free Osteoarthritis brochure that is full of information on causes and treatments for OA. Visit arthritistoday.org and click on the Tools and Resources tab.

Stay active. Visit the What You Can Do section on arthritistoday.org for exercises to strengthen muscles and relieve pain.

DVDs. Order Arthritis Foundation yoga, tai chi and exercise DVDs that contain approved routines for people with OA. Speak with your doctor to gauge your level of fitness and any special consider-ations before engaging in exercise. Check out the Resources section of arthritis.org to order a DVD today!

Walk With Ease. No matter if you need relief from arthritis pain or just want to be active, the Arthritis Foundations six-week Walk With Ease program can teach you how to safely make physical activity part of your everyday life. Visit the Tools and Resources section of arthritistoday.org and start walking!

Watch your weight. Visit the What You Can Do section on arthritistoday.org to learn about losing weight and eating well.

See your doctor. Always consult your physician or other healthcare professional first if you experience any osteoarthritis symptoms or before you try new ways to manage your osteoarthritis.

Protect your joints. Feel better and manage your osteoarthritis by making modifications in your everyday activities. Click onto the What You Can Do tab on arthritistoday.org and visit the Protecting Joints and Everyday

Solutions pages for helpful information. Take a look at Ease of Use or a listing of other assistive devices in the Resources section/Ease of Use

products on arthritis.org.

Explore other treatments. Click on the Arthritis Treatment tab on arthritistoday.org for the latest information on natural and alternative treatments (including the Arthritis Today Supplement and Herb Guide), medications, surgery, and medical care. Visit the new Drug Guide + My MedTracker (arthritis.org/drugguide) to learn about arthritis medications while tracking your medications, side effects and more.

The number of Americans with osteoarthritis.

Annual cost of OA to the U.S. healthcare system.

Joint replacements caused by OA each year.

Number of deaths caused by OA each year.

The number of years until OA may develop after a sports-related injury.

The number of pounds of pressure reduced from each knee with every 1 lb. of weight loss.

Number of adults who will develop symptoms of knee OA during their lifetime.

27 million $22.6 billion

632,000500

10-154

1 in 2

OA BY THE NUMBERS

ARIZONA1221 E. Osborn Road, Suite 201Phoenix, AZ 85014602.212.9900

CALIFORNIAPACIFIC REGION/ GREATER LOS ANGELES800 West Sixth Street, Suite 1250Los Angeles, CA 90017323.954.5750800.954.CURE (2873)

CENTRAL COAST2261 Las Positas Road Santa Barbara, CA 93105805.563.4685

COACHELLA VALLEYP.O. Box 1395Rancho Mirage, CA 92270760.773.3076

ORANGE COUNTYP.O. Box 53490Irvine, CA 92619949.585.0201

GREATER SACRAMENTO VALLEY1851 Heritage Lane, #183Sacramento, CA 95815916.368.5599

HEADLINES is a publication of the Pacific Region of the Arthritis Foundation. 2014 All rights reserved.Editor: Teri S. Lim Contributors: Joseph R. Scaccia and Pacific Region staffHEADLINES Design: red rocket LA. Photos of Ron Cey by Chris Strother.

Community Connections

For more information, visit us online at arthritis.org! Like Us on Facebook by visiting facebook.com/arthritisfoundationpacificregion

Enjoy videos on YouTube at youtube.com/afpacificregionFollow us on Twitter at twitter.com/arthritispac

SAN DIEGO8555 Aero Drive, Suite 200San Diego, CA 92123858.492.1090

HAWAII760 Halekauwila Street, Suite 201Honolulu, HI 96813808.596.2900800.462.0743

NEVADAP.O. Box 778213Henderson, NV 89077702.367.1626

ARTHRITIS FOUNDATION, PACIFIC REGION800 WEST SIXTH ST., STE. 1250LOS ANGELES, CA 90017