VOL 17/ Issue: #1 / Winter 2021 View as Webpage

Paradise Valley Medical Clinic
Douglas M. Lakin MD
9977 N 90th Street, Suite 180
Scottsdale, AZ 85258
480.614.5800 (Phone)
480.614.6322 (Fax)
Updates With Doctor Doug
Vaccine Register Here: https://podvaccine.AZDHS.gov
Dr. Osterholm is a world-renowned epidemiologist who was credited with first elucidating TOXIC SHOCK SYNDROME in the 1980’s, and he provides comprehensive and understandable/actionable ideas related to COVID.

Connect with all of
Dr. Osterholm Podcasts
Note From The
Office Manager

Here at PVMC, we are always strategizing to improve processes to ensure our patients receive the highest level of service. 
COVID-19 has brought some difficulties to the office setting, challenging us to adapt new protocols, which are definitely a work in progress type of situation. Since the well being and safety of our patients and staff members is a high priority, many of our employees have been working remotely from home. They have been equipped with the tools needed to provide exceptional care for our patients. This has been a very positive revamping of how we manage the day-to-day office functions. Staff members that are currently working in-office, take every precaution to ensure your safety. We have incorporated and maintained certain measures, to name a few, regular sanitation to screening everyone that enters our office to adhering to social distancing, to ensure safety for all.
We are proactively monitoring when and how we may increase the volume of people that may be seen in-office daily. We look forward to allowing more in-person interaction, but rest assured, we will stay committed to providing the utmost care to you whether in person or remotely.
All the best and stay safe!
Valentine’s Day Quotes
From Shakespeare to Aristotle to Dr. Seuss, see how writers through history have expressed the power of love.
Love is among the greatest muses, inspiring the world’s most famous romantics, from Shakespeare, who wrote 154 sonnets dealing with love, time, beauty and mortality, to Chilean poet and diplomat Pablo Neruda. The work of these authors, poets and playwrights speaks to the enduring power of love across the ages of human history.

Love is composed of a single soul inhabiting two bodies. –Aristotle

Being deeply loved by someone gives you strength, while loving someone deeply gives you courage. –Lao Tzu

My bounty is as boundless as the sea, My love as deep; the more I give to thee, The more I have, for both are infinite. —William Shakespeare

If I had a flower for every time I thought of you … I could walk through my garden forever. –Alfred Tennyson

How do I love thee? Let me count the ways. –Elizabeth Barrett Browning

Young love is a flame; very pretty, often very hot and fierce, but still only light and flickering. The love of the older and disciplined heart is as coals, deep-burning, unquenchable. –Henry Ward Beecher

Age does not protect you from love. But love, to some extent, protects you from age. —Anais Nin

Life has taught us that love does not consist in gazing at each other but in looking outward in the same direction. –Antoine de Saint-Exupery

Love has no desire but to fulfill itself. But if you love and must needs have desires, let these be your desires; To melt and be like a running brook that sings its melody to the night. To know the pain of too much tenderness. To be wounded by your own understanding of love; And to bleed willingly and joyfully. –Kahlil Gibran

The best and most beautiful things in the world cannot be seen or even touched. They must be felt with the heart. –Helen Keller

Love consists of this: two solitudes that meet, protect and greet each other. —Rainer Maria Rilke

Love does not dominate; it cultivates. –Johann Wolfgang von Goethe

Love makes your soul crawl out from its hiding place.– Zora Neale Hurston

Love is life. All, everything that I understand, I understand only because I love. Everything is, everything exists, only because I love.– Leo Tolstoy

Love is like quicksilver in the hand. Leave the fingers open and it stays. Clutch it, and it darts away. –Dorothy Parker

Love is the voice under all silences, the hope which has no opposite in fear; the strength so strong mere force is feebleness: the truth more first than sun, more last than star. —E.E. Cummings

I have learned not to worry about love; but to honor its coming with all my heart.– Alice Walker

We're all a little weird, and life's a little weird. And when we find someone whose weirdness is compatible with ours, we join up with them and fall in mutual weirdness and call it love. —Dr. Seuss

There is no remedy for love but to love more. — Henry David Thoreau

I love you without knowing how, or when, or from where. I love you straightforwardly, without complexities or pride; so I love you because I know no other way than this: where I does not exist nor you, so close that your hand on my chest is my hand, so close that your eyes close as I fall asleep. –Pablo Neruda

8 Tips for a Healthy Winter
Winterize your exercise. When the weather permits, walking, jogging, and biking are great cardio activities year-round. But if you live in or travel to colder climes, cross-country skiing, ice skating, and snowshoeing are fun alternatives.
Stay warm out there. Before going out in the cold, bundle up in loose-fitting layers. Make the innermost layer a moisture-wicking fabric (not cotton). Add a water-resistant coat and shoes, plus a warm hat and scarf. And don’t forget your mittens, which are warmer than gloves.

Come in from the cold. Another option when it’s cold and icy outside is to bring your workout indoors. Go to the gym, walk at the mall, swim in an indoor pool, join a dance class, or exercise to a fitness video.

Beat the winter blues. For some people, the gray days of winter translate into a gloomy mood. To boost your spirits, stay socially engaged and physically active. Watch for signs of winter depression, such as a down or hopeless mood, low energy, overeating, oversleeping, and social withdrawal. If you think you might be depressed, talk with your doctor.

Put the D in diet. The body can make vitamin D when skin is exposed to sunlight, but production often drops in winter. To compensate, get plenty of the vitamin from foods.
Veg out the right way. Shop for colorful, healthful, in-season fruits and vegetables. Clementines are packed with vitamin C. Bananas are loaded with potassium.
And sweet potatoes and winter squash are rich in vitamin A.
Be kind to your skin. Cold air and low humidity can lead to dry, itchy skin. To protect your skin, limit showers or baths to no more than 10 minutes and use warm (not hot) water. Afterward, blot dry gently and slather on a moisturizing cream or ointment.

Get tough on germs. Reduce the spread of germs that cause colds and flu. Wash your hands often for about 20 seconds. Soap and water are best, but if they aren’t available, use an alcohol-based hand sanitizer.

  • Nuvance health
3 Breathing Techniques To Ease Your Anxiety
During Stressful Times
Slower breathing can reduce anxiety and fear, while increasing the ability to reason.
Prescriptions for anti-anxiety medications have soared during the coronavirus outbreak and many people are turning to alcohol and drugs to soothe their worry.
There has to be a better way.
Psychologists say feeling calmer is a matter of something you likely take for granted: your breath.
Change it and you can change your emotions by altering the signals that go to the brain, said Dr. Patricia Gerbarg, an assistant clinical professor of psychiatry at New York Medical College and coauthor of “The Healing Power of the Breath.”
“The brain listens to the lungs, so the way that we breathe has a tremendous effect on how the brain functions for many different mechanisms,” Gerbarg told TODAY.
“The messages from the respiratory system are very powerful and very rapid, and we think they have top priority.”
Need proof? If you’re hungry and happen to stub your toe and then choke on gum at the same time, which of those three signals is the brain going to pay attention to? Breathing, of course, because otherwise you’d be dead in a few minutes.
Breathing is also the only automatic body function for which we have voluntary control.
“We can't just change our heartbeat or our digestion, but we can change our breathing pattern by thinking about it,” Gerbarg said.
“If you use your body to communicate with your brain, the messages bypass all of the worrying and obsessing. They just go straight into the main regulatory centers of the brain.”
Brain scans show slower breathing reduces anxiety and fear, while increasing the ability to reason — so the thinking mind restrains the emotional part of the mind, helping a person evaluate the situation better, Gerbarg noted.
Deeper, slower breathing can also let your body know to come out of fight-or-flight mode, said Anne Bartolucci, a clinical psychologist, adjunct assistant professor at Emory University School of Medicine in Atlanta and author of "Better Sleep for the Overachiever."
“It’s a nice, quick way to calm down and it’s also a way to signal to yourself that you’re taking care of yourself,” Bartolucci said.

Here are three breathing techniques you can employ right now to de-stress and relax.
Also known as diaphragmatic breathing, this exercise can help you turn on the parasympathetic — or the calming “rest and digest” — part of the autonomic nervous system, Bartolucci said.
Babies are natural belly breathers, while adults usually become chest breathers — a less efficient way to take in oxygen. To return back to basics, Bartolucci instructs her patients to:
  • Find a comfortable position — lying down may be easier because you get a better range of motion.
  • Inhale slowly with the belly for four seconds. The abdomen should rise, while the chest moves minimally or not at all.
  • Exhale for four seconds or longer.
  • Do this practice every day, working up to five minutes of belly breathing. Also use it in the moment when you need to relax.

A typical adult takes about 15-20 breaths per minute, but the sweet spot of experiencing relaxation and optimal brain function is to slow that down to five breaths per minute, Gerbarg said. This pace lets the brain know everything is safe and fine.
She recommended these steps:
  • Download any breath pacing app that will give you cues about when to breathe in and out. Similar instructions can also be found online. The idea is to not think about counting or anything else, but just focus on breathing.
  • Follow the cues and breathe softly, preferably through the nose, with your eyes closed so you can focus inward and block out external distractions.
  • “Just move the air very slowly — it's not really a deep breath. It's a slow, gentle breath,” Gerbarg advised. Your belly will naturally expand.
  • Work up to doing about 20 minutes of this technique per day. You can also employ it whenever you’re feeling anxious and at night if you’re having trouble falling asleep.

This is one of the daily routines practiced and recommended by Mark Divine, a retired U.S. Navy SEAL commander who believes awareness and control of your breath “is the best tool to bring initial control over our mind.”
Here's how to do it:
  • Start in a seated position and exhale all of your air.
  • Inhale for a count of five.
  • Hold your breath for a count of five.
  • Exhale for a count of five.
  • Hold your breath for a count of five.
  • Keep the pattern going and repeat this cycle five times.

By A. Pawlowski, Today
Tom's Travels
"Morocco for the Mature seniors."
Five years ago after hearing how exotic Morocco was and how safe from terrorism it was as an Islamic nation, my wife and I decided to book a private tour of the highlights with an agency in Morocco. For seniors this is the way to go as you are in charge of daily itineraries. Three flights took us to Casablanca, the business center and largest city where after a day’s rest we toured the main objective, the seaside Hassan II Mosque, one of the few that allows non-Muslim tours. Magnificent detail plus interior space accommodating 25,000 worshipers assures its reputation.
A lunch stop at the capital Rabat introduced us to magnificent small salad plates so artfully flavored with spices that old standards like carrots became new favorites. A tea pouring ceremony from on high also was entertaining. On to the Roman ruins at Volubilis where a hilly walk took us to see some beautiful mosaics like we have seen in Pompeii. 
Fez is the second largest city in Morocco known for its weaving and leather production with huge curing and dying vats. We rarely buy souvenirs but Lynda ended up with a beautiful gray leather jacket and matching purse that are amazingly soft to the touch. Seeing rugs being woven we opted for one to go in the center of our living room, wrapped to carry and worth every struggle. We walked for miles from one end of the souk (living and shopping area enclosed by walls) to the other.
Merzouga is a city on the edge of the dunes and we chanced taking a guided camel ride of 90 minutes to a spartan camp where we were the only campers. Our camel driver fixed dinner and the experience of going to the toilet in the middle of the night with flashlight wearing rubber thongs while climbing a dune is one I will never forget, especially the crawling bugs going in every direction to avoid the light. 
Marrakech is the most touristed city and we did see Americans there for the first time. The huge square Djemma el-Fna comes alive at night with music, snake charmers and photo ops. The Majorelle Garden was a gift to the city by Yves Saint Laurent and is a treat for the eyes with tiles and flowers of every color.
Many stops to see attractions or stretch legs were provided by our guide Hassan who calls us Mom and Dad. He even carried us at times or was at our arm helping to steady us. We maintain close email contact with him to this day with photos and small gifts to his son. At a perfume factory he bought Lynda a heart shaped wreath of rose petals. Our last request of him was a visit to the replica of Rick’s Cafe Americana of Casablanca fame. We enjoyed our last lunch there and found it a fitting ending to our Moroccan odyssey. 

Save Travels!

Why Picking Your Nose Isn't
Just Gross —
It's Dangerous In The Time of Coronavirus
By Starre Vartan, CNN
We teach kids not to do it. It's unsanitary. It's just plain gross to see.
Let's be real, though. Most of us pick our noses — some 91% according to the only (small and old) study that seems to have ever been done on the subject, perhaps revealing how little even scientists want to think about it. Looking around the world, however, it's not exactly uncommon to see someone with a finger up their nose, either discreetly or not so much, like Queen Elizabeth.
Not only are people spreading their own bacteria and viruses onto everything they touch after a bout of digging for gold — but you also "transfer germs from your fingertips into the nose, which is the exact opposite of what you want," said infectious disease specialist Dr. Paul Pottinger, a professor at the University of Washington School of Medicine in Seattle.
It can be diffcult to resist, but picking your nose is something that should be avoided for good nasal health.
That means that you can spread coronavirus to others from your nose-picking session, and you are also more likely to bring that virus, along with others like influenza or rhinovirus (the common cold), directly into your body.

How the coronavirus enters your body
The nose is one of three main ways that viruses can enter the body — the other two are the mouth and eyes. The nose has a number of defense systems to keep pathogens out, including hair at the front of the nostrils to block larger particles and the mucous membrane.

That moist lining of the nose "has microscopically small glands that can secrete mucus into the airway in response to foreign invaders. That includes big stuff like pollen and dirt and dust and also microscopic stuff, which would include bacteria and viruses," Pottinger said.
Some mucus is a good and healthy thing, keeping most invaders out. But when it dries up, along with whatever it has caught, it turns into what most of us call boogers (scientists call them crusts). When you feel one in your nose, it's easy to want to pick it out without thinking.
What many people don't realize is how delicate that skin inside the nose can be. Nose picking can create tiny cuts in the delicate epithelial linings in the nasal cavity, said molecular virologist Cedric Buckley, formerly an associate professor of biology at Jackson State University in Mississippi who now does STEM curriculum development.

"Once that barrier is breached, you're right into a capillary bed, which becomes the conduit for viral particle infection," explained Buckley, who also serves on the City of Jackson Covid-19 Task Force. This breach increases your chances of transmitting whatever germs are on your hands right into your bloodstream.

Breaking a habit
Nose picking is something that should — more than ever during a pandemic — be avoided. But habits can be hard to break, especially those that you do without thinking.
Picking the nose, like nail-biting, skin picking, lip chewing and hair pulling, is considered by mental health professionals to be a "body-focused repetitive behavior." Those are "actions that are directed at one's own body and that often focus on grooming or removing parts of the body," according to Dr. Elias Aboujaoude, clinical professor of psychiatry at Stanford University in California and director of the Obsessive-Compulsive Disorder Clinic there.
These behavioral habits can be a clinical disorder if they result in damage or significant impairment to someone's personal or professional life, Aboujaoude said via email. For many of us, though, they're just bad habits, not disorders.
Habit reversal therapy, a form of cognitive behavioral therapy, is a tool that psychiatrists use to help people with body-focused repetitive behaviors. This treatment "increases awareness of the behavior and its consequences, and trains the individual to replace nose picking with a 'competing response,'" Aboutjaoude said. That means doing something less damaging and more socially acceptable with one's hands, like making a fist and holding it, or squeezing a stress ball.

This is where mask wearing can be especially useful. In addition to masks' effectiveness in reducing transmission of airborne particles that can contain coronavirus, they can also help reduce nose picking by physically blocking the habitual or unconscious finger-to-nose action.
"If they're eager to stop nose-picking, boy, what a great opportunity to take advantage of this moment in human history where everybody's supposed to be covering their face," Pottinger said.

Nasal health best practices

If you find your nose picking isn't a habit so much as a reaction to a constantly uncomfortable or clogged nose, get checked out by your doctor or at a local clinic. Your issue could have less to do with those nose crusts and more to do with another issue that needs to be addressed:
"You could have a deviated septum, you could have nasal inflammation, you could be prone to seasonal or chronic allergies, where your nasal membranes are constantly swollen," Buckley said.
The best way to get rid of boogers is to blow your nose into a tissue and then wash your hands, instead of picking out the crusts.

Blowing your nose into a tissue and then washing your hands afterward is a hygienic way to get rid of crusts.
Neti pots or saline sprays are another option. "Remember, the booger is just a dried out piece of mucus. If you rehydrate the mucus, you should be able to blow it out or have it come out on its own," Pottinger said.

sing a well-maintained neti pot — no sharing — with sterilized water is another good option for safe removal of nose crusts.
However, he said that everyone should get their own bottle — no sharing, not even with intimate partners. It should be kept clean, and the tip wiped off on a regular basis so germs don't get transferred into the nose from use to use. And if you use a neti pot, Pottinger said, be sure to use sterilized water. Humidifiers to keep indoor air hydrated can also help reduce crust formation.

Prevent Covid — and loss of smell
Caring for your nasal health, which definitely includes not picking your nose, will reduce the risk of catching coronavirus — and passing it along.
In working with patients who have caught it, Pottinger said that a sometimes long-lasting side effect of the viral infection is anosmia, or losing the sense of smell, which impacts the ability to taste as well.

For patients who experience this condition, "they're very, very depressed, discouraged and disheartened that they can no longer taste their food. Now I'm hopeful that some of those people will get back their sense of smell, some do. For some, it is a long recovery," he said via email. "If you like to eat food, and you'd like to taste good things, then please make sure that you do prevent yourself from catching COVID-19."
Sanitize Your Smartphone
Physicians, other health care professionals, and office and practice staff rely on smartphones and mobile devices for an endless list of personal and professional activities but often pick up their potentially contaminated phone or device with their freshly washed hands.

According to University of Arizona microbiologist Charles Gerba, most cell phones harbor 10 times more bacteria than the average toilet seat.[1] They are rich in bacteria, fungi, and ribonucleic acid (RNA) viruses.[2] A recent study identified six types of bacteria on nurses’ and residents’ cell phones and more than one type was growing on 30% of the phones.[3] While most health care professionals likely recognize their devices foster bacteria, studies show they rarely clean them.[4] Start the new year with smartphones and electronic devices as part of hand hygiene or infection control and transmission policies.
Action Items for Hand Hygiene Policies
  • Turn off the device before cleaning.
  • Remove fingerprints and other signs of contamination using a dry microfiber cloth.[5]
  • Mist a microfiber cleaning cloth with an appropriate spray cleanser and wipe the device with the cloth. Do not spray cleaners or disinfectants directly on devices.
  • Follow manufacturers’ instructions for cleaning and disinfection products and procedures.[6]
  • If there is no manufacturer’s guidance, consider alcohol-based wipes or sprays containing at least 70% alcohol. Thoroughly dry surfaces so liquid does not pool.[7]
  • Do not spray liquid cleaners into charging ports.
  • Use wipeable screen protectors or covers for electronics.[8]
  • Let the phone or device air dry before putting it back in a case.
  • Clean protective cases, covers, and accessories, such as chargers or headphones.
  • Wash hands before and after the cleaning process.
  • Consider providing ultraviolet phone cleaners in the office or practice.[9] Most require just five minutes of ultraviolet exposure.
  • MICA, Risk Management Team  
How a Morning Walk Keeps One Couple Connected During
the Pandemic
Being stuck in a house together requires couples to be even more intentional about making meaningful connections.

During the COVID-19 pandemic, millions of couples have been cooped up at home together for months on end, many with young children. While it’s too soon to know, attorneys think the pandemic is likely fueling a rise in divorce rates. But some couples are finding proactive ways to stay sane and connected during lockdown.

Connecticut couple Niro and Ed Feliciano start their mornings with a brisk walk around their wooded neighborhood. It’s a great way for the mom and dad of four kids to get out and de-stress before the start of a hectic day, Niro Feliciano, a cognitive therapist and author of the podcast “Coping With The New Normal of COVID-19," told TODAY.
“It's a nice time of day because the sun is just rising as well, which is very beautiful,” Feliciano said. “But it's a very calming routine. It's a great way to begin the day. It's a way to clear your head but also connect with someone who you care about before you start to face all your daily responsibilities and stressors.”

In the digital age, many of us feel compelled to grab our phones first thing in the morning. And as the pandemic worsens among rising political and social chaos, there’s often a nagging impulse to keep abreast of the latest news and social media drama. But "doomscrolling" isn’t a good way to start your day, said the therapist.
“For one, just getting out in the morning, not spending your morning on the phone, gives you a different focus,” she said. “I think oftentimes, when people go to the phone first, their attention gets fractured, you know, you're kind of looking at things that you don't have time to attend to right in that moment. And then already, your focus is all over the place, and starting to feel some of the anxiety of the responsibilities you have for that day.”

Couples in long-term relationships who don’t regularly experience novelty together or take the time to learn new things about each other easily drift apart, but a morning walk routine is a perfect way to stay connected, according to Feliciano, who has been married to Ed, a surgeon, for almost 18 years.
“You're intentional about connecting,” she said.
Every morning, they pick a new route and head out for a 30- to 45-minute stroll around their suburb. She said their morning walk gives them alone time to talk and explore uncharted neighborhoods. They’ve discovered many new things together they’d typically miss in the car, she added, like old barns tucked behind farmland, historic homes and wildlife.

Morning walks give the couple an opportunity to talk about things they don’t normally have time to discuss, said Feliciano.“Given the pace of both of our busy schedules, just making the time, you find that the conversation becomes a little bit more organic than if you just schedule time or rush time during the day when you're doing other things, you know, the dizziness of life,” she said.
Morning strolls also make it easier to discuss the things in their relationship that are “a little bit harder to talk about,” Feliciano said, “because you're doing something else.”
“You're not just sitting there staring at each other,” she explained. “And it's uncomfortable, but you're doing something else, you're focused on something else, and you're not really looking at each other. Sometimes it's easier to talk about certain things while you're a little bit engaged in another activity, where you're not so focused on the other person.”

Morning walks aren’t only a great way for couples to connect and rekindle; they’re a chance to get a little exercise and de-stress before the start of a long and sedentary work day. Feliciano estimated their morning walks are between one to two miles long. For couples who are trying to lose weight or get healthier in the new year, walking is a great way to achieve that goal together, she said.
“This is a good way to connect emotionally, but also strengthen yourself physically as well,” she said.
Feliciano added that being out in the cold for short periods is also good for mental health.
“For those of us who live in cold states, the cold has a calming effect, believe it or not, on our autonomic nervous system,” she said.

Couples in long-term relationships often drift into separate habits, explained Feliciano. She said morning walks give her and Ed a shared goal and a sense of commonality.
“The fact that we found something that we both feel is worth getting up in the morning for, that alone has strengthened our relationship,” she said. “We're both committed to something together.”

By Julie Compton

Insights By Steve
For more interest articles, Insights By Steve, see our website Favorite Link page or  CLICK HERE FOR THE CURRENT NEWSLETTER!
**There is a new newsletter every month with more interesting and up to date health information! Check it out!
The Perfect Winter Recipe!
Heart-Shaped Lasagna Bundt
This heart-shaped lasagna is filled with red meat sauce that oozes out when you slice into it, making it the perfect Valentine's Day supper

Kosher salt and freshly ground black pepper
One 16-ounce box lasagna noodles
2 tablespoons olive oil
1 medium onion, chopped
3 cloves garlic, minced
1 1/2 teaspoons dried oregano
1 1/2 pounds ground beef
One 6-ounce can tomato paste
One 28-ounce can crushed tomatoes
2 teaspoons sugar
12 ounces ricotta 
8 ounces shredded mozzarella (2 cups)
2 large eggs
1/2 cup grated Parmesan
1/4 cup chopped fresh flat-leaf parsley 


Special equipment:
a 10-cup heart-shaped Bundt pan

  1. Preheat the oven to 375 degrees F.
  2. Bring a large pot of salted water to a boil and cook the lasagna noodles to al dente according to the package directions. Line a baking sheet with a clean kitchen towel or paper towels. Drain the noodles and spread them flat on the baking sheet to dry them completely (you may need to create 2 to 3 layers to fit all of the noodles; put paper towels between each layer). 
  3. Meanwhile, heat the oil in a large pot over medium-high heat. Add the onions and cook, stirring occasionally, until softened and just beginning to brown, 7 to 8 minutes. Stir in the garlic and oregano and cook until the garlic is fragrant, about 1 minute. Add the beef, 2 teaspoons salt and a generous amount of black pepper, and cook, breaking up the meat with a spoon and stirring occasionally, until the beef is just cooked through, 7 to 8 minutes. Stir in the tomato paste and cook until well incorporated and heated through, 1 to 2 minutes. Pour in the tomatoes, sugar, 1 cup water, 1 teaspoon salt and a generous amount of black pepper and bring to a boil. Reduce the heat to low and simmer until the sauce is slightly thickened, about 20 minutes. 
  4. Meanwhile, mix the ricotta, mozzarella, eggs, Parmesan, parsley, 1/2 teaspoon salt and a few grinds of black pepper in a medium bowl. 
  5. Cut six noodles in half crosswise. 
  6. Line the bottom of a 10-cup heart-shaped Bundt pan with 4 of the half noodles (2 along the straight lines of the heart and 2 along the arches). Lay 12 whole noodles in the bottom of the pan, slightly overlapping and directly on top of the half noodles, making sure that one side of each noodle hangs 2 to 3 inches over the edge of the pan and the other side of the noodle runs up the center of the pan.  
  7. Pour 1 cup meat sauce on top of the noodles, then spread 1 cup of the ricotta mixture over the sauce. Top with 4 noodle halves. Repeat the layering 1 more time. Pour 1 cup meat sauce and spread the remaining ricotta mixture over the top (the ricotta mixture will be less than the 1 cup used in previous layers). 
  8. Fold the edges of the overhanging lasagna noodles the lasagna towards the center, covering the filling and the hole in the center completely. Bake until the noodles on top are turning golden brown and are starting to crisp up, 45 to 50 minutes. Let sit for 10 minutes. Invert the pan onto a cutting board. Reheat the remaining sauce if necessary and pour into the center of the heart. Slice and serve immediately. 

By Food Network Kitchens

Did You Know Dr Lakin Has an Online Gift Shop?
Welcome to our online store!
Thanks to CafePress.com, we can sell a number of products with unique graphics on them. Feel free to browse our store and buy anything you like!

**Please note:
100% of all profits from the shop are donated to the Virginia G. Piper Cancer Center, for breast cancer research.
glittery heart
Stay Safe!
Paradise Valley Medical Clnic
Douglas M. Lakin , MD
9977 N 90th Street, Suite 180 Scottsdale, AZ 85258
480.614.5800 (Ph) 480.614.6322 (Fax)