Courtesy of: Your Rio Vista Chiropractor Dr. Joseph T. Megna

Health Alert: Bad Sleep in Teen Years May Raise MS Risk. Multiple sclerosis (MS) is a disease of the central nervous system in which the immune system attacks the brain and spinal cord resulting in symptoms such as numbness, tingling, mood changes, memory problems, pain, fatigue, blindness, and paralysis. A survey of 2,100 adult MS patients and 3,000 otherwise healthy adults revealed that sleeping less than seven hours a night during adolescence is associated with a 40% higher risk for developing MS in adulthood.
Journal of Neurology Neurosurgery & Psychiatry, January 2023

Diet: Vitamin A Deficiency May Affect Metabolic Health. In a recent animal study, researchers observed an
association between vitamin A deficiency and reduced expression of genes associated with metabolic function
(extraction of energy from fat, extraction of energy from glucose, and the production of the energy-carrying molecule adenosine triphosphate).
American Journal of Physiology-Heart and Circulatory Physiology, January 2023

Exercise: Staying Active Can Slow Mental Decline. Researchers analyzed long-term data from the Women’s
Health Initiative study and found that for about every half hour of moderate-to-vigorous activity a woman over age 65 averages per day, her risk for developing mild-cognitive impairment or dementia decreases by 21%.
Alzheimer’s & Dementia, January 2023

Chiropractic: Is Working Nights Linked to Back Pain? An analysis of data from 40 studies found that working nights is associated with an elevated risk for low back pain, especially among healthcare workers.
International Journal of Environmental Research and Public Health, January 2023

Mental Attitude: A Healthy Lifestyle May Reduce Depression Risk. Using data from the UK Biobank study,
researchers calculate that living a healthy lifestyle (not smoking, avoiding excessive alcohol consumption, eating a healthy diet, and exercising regularly) may decrease an individual’s risk for depression over the following fifteen years by more than 50%. Journal of Affective Disorders, February 2023

Wellness/Prevention: Drive Safely with Children. The Department of Health and Human Services offers the
following guidelines for driving safely with a child in the car: make sure the child is in an age-appropriate car seat or booster seat (and always wear a seatbelt yourself); never drive while impaired (alcohol, drugs, medication, or drowsy); don’t text and drive; keep your eyes on the road; don’t speed; drive according to road conditions; and maintain a three-second distance behind the car traveling in front of yours.
Health and Human Services, January 2023

Quote: “It is easier to build strong children than to repair broken men.” ~ Frederick Douglass

Your Rio Vista Chiropractor Dr. Joseph T. Megna

Courtesy of: Your Rio Vista Chiropractor Dr. Joseph T. Megna

Health Alert: Frequent Use Antibiotics Associated with Greater Risk for IBD. With the aid of information from the Danish national medical database, researchers observed an association between frequent antibiotic use and an elevated risk for inflammatory bowel disease (IBD). The finding underscores the importance of avoiding antibiotic overuse as several studies have found up to half of antibiotic prescriptions may be unnecessary.
Gut, January 2023

Diet: Nitrite Additives Linked to Type 2 Diabetes. Using data from the Nutri Net-Santé study, researchers report that a higher intake of nitrite food additives is associated with an increased risk for type 2 diabetes. The researchers add, “These results provide a new piece of evidence in the context of current discussions regarding the need for a reduction of nitrite additives’ use in processed meats by the food industry, and could support the need for better regulation of soil contamination by fertilizers. In the meantime, several public health authorities worldwide already recommend citizens to limit their consumption of foods containing controversial additives, including sodium nitrite.”                                          PLOS Medicine, January 2023

Exercise: Is Walking As Beneficial As Running? The American Heart Association reports that mile-for-mile
(or kilometer-for-kilometer), both brisk walking and running offer similar benefits in terms of lowering the risk for diabetes, high cholesterol, and hypertension.                                      American Heart Association, January 2023

Chiropractic: Neural Mobilization for Managing Low Back and Radicular Pain? For patients with low back and radicular pain, a systematic review that included eight studies found that neural mobilization—a form of treatment provided by doctors of chiropractic—may be an effective intervention for improving pain, function, and disability.                                  Journal of Manual & Manipulative Therapy, February 2023

Mental Attitude: Child Maltreatment Linked to Multiple Mental Health Problems. An analysis of 34
studies found that maltreatment during childhood is associated with small increases in the risk for depression, anxiety, self-harm, suicide attempts, alcohol abuse, drug abuse, attention-deficit/hyperactivity disorder, and conduct problems.      American Journal of Psychiatry, January 2023

Wellness/Prevention: Tips for Safer Morning Blood Glucose Levels. To reduce the risk for a potentially dangerous rise in blood glucose levels in the morning, the American Diabetes Association recommends the following for diabetics: eat your dinner earlier in the evening; go for a walk or engage in another form of physical activity after dinner; and if your fasting blood glucose remains high after these steps, see your
healthcare provider.                                                                    American Diabetes Association, January 2023

Quote: “Difficulties are just things to overcome, after all.” ~ Ernest Shackleton

Your Rio Vista Chiropractor Dr. Joseph T. Megna

Courtesy of: Your Rio Vista Chiropractor Dr. Joseph T. Megna

Health Alert: Traffic Noise May Contribute to Tinnitus Risk. Following an analysis of data concerning 3.5 million Danish adults, researchers report that for every 10-decibel increase in noise in an individual’s home from nearby roadways, the risk for tinnitus increases by 6%. The research team speculates that traffic noise may indirectly affect tinnitus risk as living near a busy road may affect sleep quality, which has been linked to the condition.                                                      Environmental Health Perspectives, February 2023

Diet: Health Benefits of Eating Fish. Healthline reports that fish is high in important nutrients, and regularly eating fish may lower the risk of heart attack and stroke, aid fetal and infant development, boost brain health, improve vitamin D status and sleep quality, reduce the risk for autoimmune diseases and asthma, and protect vision in old age.                Healthline, January 2023

Exercise: Vitamin D Reduces Muscle Inflammation and Pain Post Exercise. A systematic review that included ten studies concluded that taking a minimum dose of 2,000 IU of vitamin D for longer than seven days can help reduce post-exercise muscle damage and inflammation.
Journal Of Human Nutrition and Dietetics, September 2022

Chiropractic: Back Pain Increases Frailty Risk in Older Women. Frailty is a condition characterized by weakness, slowness, physical inactivity, self-reported exhaustion, and unintentional weight loss that is associated with an increased risk for poor health outcomes. In a recent study, researchers observed that older women with low back pain were 2.83 times more likely to develop frailty over the following year, especially
those with greater pain intensity or disability.                        European Geriatric Medicine, February 2023

Mental Attitude: Cancer Increases Suicide Risk. Researchers report that the risk of suicide increases sevenfold in the six months following cancer diagnosis and remains 26% higher than the general population over time. Study author Dr. Xuesong Han adds, “Our findings highlight the importance of timely symptom management and targeted interventions or suicide prevention in individuals with cancer.”
JAMA Network Open, January 2023

Wellness/Prevention: Summer Footwear Can Cause Problems. As the warmer months approach, the American Podiatric Medical Association notes the risk of injury can increase with the following footwear choices: sprained or twisted ankles from wedges or espadrilles; bunions and hammertoes from peep toe sandals; poor support, heel pain, and arch pain from flats and slides; and calluses, poor support, and irritation between the toes from strappy or lace-up sandals.   American Podiatric Medical Association, January 2023

Quote: “Make a difference today for someone who’s fighting for their tomorrow.” ~ Jim Kelly

Your Rio Vista Chiropractor Dr. Joseph T. Megna

Courtesy of: Your Rio Vista Chiropractor Dr. Joseph T. Megna

Health Alert: Many People Are Not Prepared for Medical Emergencies. The American College of Emergency Physicians (ACEP) recently conducted a poll of 2,199 adults and found that only 55% could provide CPR, 47% knew how to apply a tourniquet to control severe bleeding, and 29% felt they could use an automated external defibrillator to address sudden cardiac arrest.
American College of Emergency Physicians, January 2023

Diet: Omega-3 Fatty Acids May Help Manage Chronic Low Back and TMJ Pain. According to a recent study, a higher ratio of omega-3 to omega-6 fatty acids in the blood is associated with less intense pain in patients with either chronic low back pain or chronic temporomandibular joint (TMJ) pain.
Journal of Pain, October 2022

Exercise: Great Home Cardio Workouts. Current fitness guidelines recommend engaging in a minimum of 30 minutes of moderate-intensity physical activity a day. Some activities you can perform at home to meet these guidelines include jumping rope, climbing stairs, yoga, house/yard work, and gardening.
MedicineNet, January 2023

Chiropractic: The Sacroiliac Joints Are an Overlooked Pain Generator. In a recent literature review, researchers found disorders of the sacroiliac joints (which connect the sacrum and pelvis) may be a primary or contributing cause of 27% of back pain cases. Doctors of chiropractic are trained to assess the function of the sacroiliac joints when patients present with low back or pelvic pain and to apply manual therapies with the aim of reducing pain and improving function.
Journal of Orthopedics and Trauma Surgery (Germany), October 2022

Mental Attitude: Osteoporosis May Raise Cognitive Impairment Risk. Following a review of data from eight studies that included more than 130,000 participants, researchers report that individuals with osteoporosis may have a two-times increased risk for cognitive impairment.
Archives of Gerontology and Geriatrics, March 2023

Wellness/Prevention: Laser Treatment May Prevent Skin Cancer Recurrence. A review of records of patient with a history of basal or squamous cell cancer found that those treated with a laser were nearly 50% less likely to develop new skin cancers in the area, and for those who did experience recurrence, it took longer than in patients treated by other means.                                                                                Dermatologic Surgery, January 2023

Quote: “All truths are easy to understand once they are discovered; the point is to discover them.”
~ Galileo Galilei

Your Rio Vista Chiropractor Dr. Joseph T. Megna

Courtesy of: Your Rio Vista Chiropractor Dr. Joseph T. Megna

Health Alert: One-in-Four Young Adults Do Not Have a Close Relationship with Their Dad. Using data from two nationally representative surveys, researchers report that 26% of young adults are estranged from their fathers, while 6% are estranged from their mothers.                                                 Journal of Marriage and Family, December 2022

Diet: Walnuts Can Be a Good Snack for College Students. A recent study found that university students who
consumed a half cup of walnuts each day experienced improvements in their mental health, metabolic health,
and sleep quality.                                                                    Nutrients, November 2022

Exercise: Aerobic Exercise Benefits Perimenopausal Women. Among a group of 289 perimenopausal women, researchers observed that those who participated in an eight-week aerobic exercise intervention experienced improvements with respect to depression, anxiety, and sleep quality.
Frontiers in Psychiatry, November 2022

Chiropractic: Manual Therapy Helps Patients with Hip Osteoarthritis. A systematic review that included ten studies concluded that long-axis distraction, mobilization, and thrust manipulation—treatments provided by doctors of chiropractic—are effective interventions for reducing pain and range of hip motion in patients with osteoarthritis of the hip.                    Journal of Manual and Manipulative Therapy, December 2022

Mental Attitude: Adverse Childhood Experiences Can Have Lifelong Effect on Mental Health. Following a review of data from two longitudinal studies, researchers report that kids who experience four or more adverse childhood experiences (ACEs) are 2.65 times more likely to be diagnosed with depression in adulthood. Examples of ACEs include abuse (physical, sexual, emotional); neglect (physical, emotional); witnessing domestic violence, substance abuse, or mental illness in the household; and the loss of a parent (separation,
divorce, incarceration, death).                                                      Journal of Affective Disorders, February 2023

Wellness/Prevention: Be Cautious of Drug and Food Interactions. The American Academy of Family Physicians offers the following tips to avoid potentially harmful food and drug interactions: read medication labels before using and ask the pharmacist or your healthcare provider about anything you do not understand; read interaction precautions, instructions, and warnings on medication labels; unless instructed otherwise, drink a full glass of water when taking medication; unless your healthcare provider instructs you to do so, don’t split or break apart medication pills or capsules or mix medications with food or hot drinks; make sure your doctor and pharmacist are aware of all medications, vitamins, and supplements you are currently using; and don’t take medications with alcohol.                                American Academy of Family Physicians, January 2023

Quote: “You can’t help getting older, but you don’t have to get old.” ~ George Burns

 

Courtesy of: Your Rio Vista Chiropractor Dr. Joseph T. Megna

Health Alert: Sleep Apnea and Sudden Cardiac Arrest. With the aid of the Cardiac Arrest Pursuit Trial with Unique Registry and Epidemiologic Surveillance database, researchers calculate that obstructive sleep apnea increases the risk for sudden cardiac arrest in individuals without coronary artery disease by 62%.
Yonsei Medical Journal, January 2023

Diet: Does Intermittent Fasting Have a Role in Type 2 Diabetes Treatment? In a recent experiment, 20 of 36
type 2 diabetics who engaged in three months of intermittent fasting—restricting eating to a limited window each day or not eating one or two days a week, for example—reported a complete remission of type 2 diabetes with many of the remaining patients able to reduce their medication use to manage their blood sugar levels. The findings suggest that intermittent fasting may have a role to play in type 2 diabetes management; however, patients should consult with their doctor before making a change to their diet.
Journal of Clinical Endocrinology & Metabolism, December 2022

Exercise: Any Level of Moderate-to-Vigorous Exercise Benefits Childhood Cancer Survivors. Individuals who
survive childhood cancer have an elevated risk for cardiovascular disease. However, a recent study that included data from the US National Health Interview Survey (2009-2018) found that engaging in any amount of regular moderateto-vigorous physical activity is associated with a lower cardiovascular disease risk. Unfortunately, a third of
childhood cancer survivors don’t engage in any moderate-to-vigorous physical activity.                                                              Cancer, February 2023

Chiropractic: Weak Core and Lumbar Lordosis Linked to Low Back Pain Risk. Among a group of 27 collegiate dancers, researchers found that those with greater spinal curvature in the lower back (lumbar lordosis) and lower core muscle endurance were more likely to develop low back pain during a four-month time frame. Doctors of chiropractic commonly address abnormal posture and core muscle weakness when managing patients with low back pain.                                  Journal of Dance Medicine & Science, September 2022

Mental Attitude: Volunteering May Help Combat Stress and Depression. During a six-year study, researchers observed that while higher levels of stress increase the risk an individual will develop depression that requires treatment, volunteer work appears to mitigate this risk.
International Journal of Clinical and Health Psychology, December 2022

Wellness/Prevention: Take Care of Your Skin. The American Academy of Dermatology offers the following tips
for healthy skin: apply sunscreen before heading outdoors; don’t smoke; find ways to manage stress; perform regular self-exams for cancer; wash your face when you wake, before you go to bed, and whenever you sweat; and avoid scrubbing your skin.               American Academy of Dermatology, January 2023

Quote: “Knowledge is power.” ~ Francis Bacon

Your Rio Vista Chiropractor Dr. Joseph T. Megna

Courtesy of: Your Rio Vista Chiropractor Dr. Joseph T. Megna

Health Alert: Sleep Apnea, Asthma, and CPAP. For individuals with both asthma and obstructive sleep apnea, a recent study found that treatment with a continuous positive airway pressure (CPAP) device led to patient-reported improvements in asthma symptoms in 51.5% of participants. Sleep Medicine, January 2023

Diet: Mediterranean Diet Tied to Lower Preeclampsia Risk. Preeclampsia is marked by a sudden increase in blood pressure, protein in the urine, or other problems during pregnancy, which can cause serious health problems for mothers and babies if left untreated. Researchers report that participants in the Nulliparous Pregnancy Outcomes Study who closely adhered to the Mediterranean diet—an eating pattern rich in fruits, vegetables, legumes, whole grains, fish, olive oil, and raw nuts—at the time of conception had a 28% lower risk
for preeclampsia.                                                                           JAMA Network Open, December 2022

Exercise: Building Bigger Biceps. The American Council on Exercise notes that concentration curls may be the best exercise for building the biceps as it isolates the bicep muscle more than other common exercises such as cable curls, barbell curls, chin-ups, EZ curls, incline curls, and preacher curls. To perform a concentration curl, sit with the upper arm pressed against the inside of the thigh, slowly raising and lowering the weight.
American Council on Exercise, January 2023

Chiropractic: Lumbar Spinal Stenosis Can Hinder Knee Osteoarthritis Treatment. In this study, researchers observed that patients under treatment for osteoarthritis of the knee with co-occurring lumbar spinal stenosis experienced slower improvement with respect to knee pain than participants without a lumbar spine condition. The findings highlight the importance of examining the whole patient to identify issues outside the area of chief complaint that may contribute to the patient’s condition, something doctors of chiropractic are
trained to do.                                                                          Osteoarthritis and Cartilage Open, November 2022

Mental Attitude: Diabetes and Dementia Risk. Using data from the UK Biobank study, researchers report that type 2 diabetes diagnosis before age 50 can double an individual’s risk for dementia. The research team notes that type 1 diabetics also have a similar increased risk for the degenerative neurological condition.
Diabetic Medicine, February 2023

Wellness/Prevention: Are You Dehydrated? As temperatures drop, the more obvious signs of dehydration
may be less apparent. The Baylor College of Medicine notes the following are signs of dehydration in cold weather: headache; cracked lips; dry skin and mouth; fatigue; dizziness and/or lightheadedness; difficulty concentrating; and less frequent urination and darker urine color.                                                           Baylor College of Medicine, December 2022

Quote: “There is no such thing in anyone’s life as an unimportant day.” ~ Alexander Woollcott

Your Rio Vista Chiropractor Dr. Joseph T. Megna

Courtesy of: Your Rio Vista Chiropractor Dr. Joseph T. Megna

Health Alert: More Kids Are Accidentally Ingesting Weed Edibles. Researchers report that poison control
centers received over 3,000 calls related to children under age six ingesting marijuana edibles in 2021, usually at home—a 14-fold increase compared to 2017.                                         Pediatrics, January 2023

Diet: Mediterranean Diet May Improve Fertility. The Mediterranean diet is an eating pattern focused on eating
fruits, vegetables, nuts, fish, olive oil, and whole grains while avoiding red and processed meats, dairy, saturated fats, and refined sugars. A recent literature review found that greater adherence to the Mediterranean diet is associated with improved menstrual cycle regularity, embryo quality, live birth rates, sperm quality, and endometriosis-related measures. Obstetrician/gynecologist Dr. Alex Robles writes, “I recommend that all patients trying to conceive consider incorporating some Mediterranean dietary elements into their lifestyle… There is no
significant downside risk to doing so, and the potential benefits could be substantial.”
Nutrients, December 2022

Exercise: Silly Walking May Help You Meet Physical Activity Targets. According to a recent experiment,
inefficient walking—such as the silly high-step walk of John Cleese featured in an episode of Monty Python’s Flying Circus—may burn calories 2.5 times faster than usual walking. Researchers calculate that vigorously inefficient walking for 11 minutes a day may be enough to meet weekly physical activity guidelines.
BMJ, December 2022

Chiropractic: Treatment for Myofascial Trigger Points. A myofascial trigger point is a hyperirritable spot found in skeletal muscle that is associated with chronic pain conditions. A systematic review that included 37 studies concluded that manual therapies—such as those provided by doctors of chiropractic—are an effective intervention for reducing pain and pain sensitivity in patients with myofascial trigger points.
Clinical Journal of Pain, December 2022

Mental Attitude: Ankylosing Spondylitis Patients at Risk for Depression. Ankylosing spondylitis is a chronic
inflammatory disease that can cause spinal vertebrae to fuse, making the spine less flexible. An analysis of data concerning 5,825 ankylosing spondylitis patients and 25,984 age-matched controls found the condition is associated with a 60% increased risk for major depression.                                                         Journal of Affective Disorders, February 2023

Wellness/Prevention: Greener Neighborhood, Better Sleep. Following an analysis of ten years of data concerning
3,925 adults, researchers report that living in neighborhoods with more vegetation and access to parks and natural
environments is associated with a reduced risk for obstructive sleep apnea.
Science of the Total Environment, December 2022

Quote: “A life is not important except in the impact it has on other lives.” ~ Jackie Robinson

Your Rio Vista Chiropractor Dr. Joseph T. Megna

Courtesy of: Your Rio Vista Chiropractor Dr. Joseph T. Megna

Health Alert: Fatty Liver Disease May Increase Risk for Heart Failure. Non-alcoholic fatty liver disease (NAFLD) is a condition that occurs when fat accumulates in the liver from causes other than excessive alcohol consumption, and it is associated with a number of poor health outcomes. Following an analysis of national health survey data from 2005-2018, researchers report that NAFLD patients are 3.5 times more likely to develop heart failure than individuals with healthy liver function.                                                                                        American Heart Association, November 2022

Diet: A Low-Carb Diet Might Raise Type 2 Diabetes Risk. Past research has shown that a low-carbohydrate diet can lower the risk for type 2 diabetes, but a recent study suggests this may not always be the case. Researchers analyzed data concerning over 200,000 adults and found that individuals on a low-carb diet featuring protein and fat that is primarily from animal-based sources had a 35% increased risk for type 2
diabetes.                                                                                          American Heart Association, November 2022

Exercise: When Is Exercise Too Intense for the Heart? When exercising, it’s important to elevate your heart rate enough to get a good workout, while not too high as to place unnecessary stress on the heart. The American College of Sports Medicine recommends keeping your heart rate below 85% of your maximum heart rate, which is calculated by subtracting your age from the number 220. For example, a 50-year-old man should keep their heart rate under 144.5 beats per minute. WebMD, November 2022

Chiropractic: Managing Non-Specific Chronic Neck Pain. A systematic review and meta-analysis of data from 119 studies concluded that a combination of active and/or passive non-pharmacological interventions— such as those provided by a doctor of chiropractic—is an effective approach for the management of non-specific chronic neck pain.                         Journal of Physical Therapy, October 2022

Mental Attitude: Why Children May Learn Quicker Than Grownups. Gamma-aminobutyric acid (GABA) is responsible for inhibiting the excitability of brain cells and balancing the neuronal activity required for healthy brain function. With the aid of state-of-the-art neuroimaging, researchers observed that GABA levels are lower in children, which may help to explain why kids can learn new concepts faster than adults.
Current Biology, November 2022

Wellness/Prevention: Six Dangerous Habits Young Drivers Should Avoid. To improve road safety, Safe Kids Worldwide recommends that teen drivers avoid the following dangerous driving habits: not wearing seat belts, texting while driving, riding with two or more teenage passengers, drinking and driving, driving at night, and speeding.                                        Safe Kids Worldwide, November 2022

Quote: “A decision made in anger is never sound.” ~ Ford Frick

Your Rio Vista Chiropractor Dr. Joseph T. Megna

Courtesy of: Your Rio Vista Chiropractor Dr. Joseph T. Megna

Health Alert: Depression Is a Risk Factor for Cardiometabolic Multimorbidity. Cardiometabolic
multimorbidity is characterized as having two of the following three conditions: hypertension, diabetes, and cardiovascular disease. Past research has shown that individuals who meet these criteria have a 12-15 reduced life expectancy. A recent study found that depression is associated with up to a 68% increased risk for developing cardiometabolic multimorbidity during a twelve-year timeframe.
Journal of Affective Disorders, December 2022

Diet: High Sugar Intake Associated with Premature Aging in Childhood Cancer Survivors. In a cohort study that monitored childhood cancer survivors throughout adulthood, researchers found that the risk for premature aging—the visible signs of aging appearing earlier in life—increased by as much as 30% for every 25 grams of sugar participants consumed per day, on average. Senior author Dr. Yikyung Park adds, “We need to find a way to help cancer survivors maintain healthier dietary habits to support their overall health.”
American Association for Cancer Research, November 2022

Exercise: Moms Don’t Get Enough Exercise. Among a group of 848 women, researchers found that less than 50% achieved at least 150 minutes of moderate-intensity physical activity a week, and the percentage was even lower in mothers with a young child or multiple children.                                      PLOS One, November 2022

Chiropractic: Neck Pain Common After Sports Collisions. A recent study found that a third of high school
athletes who experience a sport-related collision report acute neck pain, and these individuals tend to experience more concussion-related symptoms. The authors conclude that concussed athletes with neck pain should be screened for injury to the neck. Doctors of chiropractic are trained to assess patients with neck pain following whiplash-related trauma from sports collision, slip and falls, and motor vehicle collisions.
Clinical Journal of Sport Medicine, November 2022

Mental Attitude: Trouble Falling Asleep May Be Risk Factors for Mood Disorders. Questionnaires completed over the course of one year by 779 adults revealed that difficulty falling asleep is linked to an increased risk for both depression and anxiety over time.                                                                  Journal of Affective Disorders, February 2023

Wellness/Prevention: Standard Time Should Be Permanent. Due to the adverse effects on health—
especially those related to sleep disruption—caused by time changes, the American Medical Association
recommends eliminating daylight savings time and making standard time permanent in the United States.
American Medical Association, November 2022

Quote: “Healthy citizens are the greatest asset any country can have.” ~ Winston S. Churchill

Your Rio Vista Chiropractor Dr. Joseph T. Megna