Ask the Expert: May 2021

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Expert A S K

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When considering any task, it’s important to do your homework. These professionals offer their expertise on an array of popular subjects in order to help you decide what’s right for you.

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Ask the Expert

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Tim Herre, DDS ABOUT

and stressed, wreaking havoc on our personal and professional lives. The good news is we have the ability to permanently change the size and volume of ones airway for 24/7 improved breathing with the use of a biological dental appliance. No more managing with just a nighttime appliance or CPAP. My goal is to help you BREATHE,

Dr. Tim Herre is a graduate of Saint Thomas Aquinas and UMKC dental school. He is a third generation dentist in Johnson County and is passionate about Kansas City. He practices holistic and biological dentistry with an emphasis on treating TMJ disorders, childhood growth and development and airway/ sleep concerns for all ages. His wellness philosophy aims at treating the root cause of disease, which enables you be the best version of yourself.

SLEEP, THRIVE!

Q: Should I be concerned if my child snores, mouth breathes, grinds their teeth, has ADHD or wets the bed?

Holistic Dentistry Q: Is there a solution to my chronic TMJ pain? I can’t deal with this! A: Jaw pain, worn teeth, receding gums, headaches, earaches and clenching or grinding your teeth are all common TMJ symptoms. These are all signs that the chewing system is breaking down and not functioning properly. By focusing on the root cause of the symptoms, the chewing system is able to be conservatively rejuvenated back to a state of optimal health and well-being. This type of dentistry isn’t focused on managing the disease with

a typical night guard but asking why and what is causing the breakdown and providing a permanent fix. The good news is there is hope for those suffering from long-term chronic pain. Q: I don’t sleep well: I snore, I never feel rested when I wake up, and I’m tired of wearing a CPAP. What is going on? A: Up to seventy million Americans are affected by chronic sleep disorders. It’s well known that sleep apnea can cause systemic disease such as high blood pressure, fatigue, weight gain and diabetes. Now we know that grinding one’s teeth and snoring can be directly linked to the size of one’s face, jaw and airway. When our jaws don’t grow properly, our airway from inside the nose to behind the tongue become a choke point to our breathing. As a result, we aren’t able to breathe properly, we get inadequate restorative sleep, and our health suffers. This can make us more irritable, anxious

A: YES! The above symptoms, plus crowded teeth, enlarged tonsils, tongue tie and inability to nurse, are all signs there is a problem. In our modern society, there is an epidemic among children due to poor growth and development of their jaws and face. If not addressed early in life, the airway becomes constricted and may predispose your child to needing teeth removed for orthodontic purposes, sleep apnea, TMJ and other health issues. We screen and evaluate all childrens’ growth, airway and tonsils with a 3D scan of their jaws. The ideal age for this is three to six years old to harness the child’s true growth potential. My goal is to catch any potential airway issue at an early stage so your child can grow and develop to their full potential.

Breathe to Thrive Center | Herre Holistic Dental KC 11201 Nall Ave., Suite 120, Leawood, KS | 913.491.4466 | breathethrive.com | holisticdentalkc.com

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Maniza Ehtesham, MD, FACP gain, trouble with sleep onset or maintaining sleep, frequent awakenings, frequent urination at night, headaches, decreased productivity at work, nightmares, acting out dreams, restless legs etc.

ABOUT Dr. Maniza Ehtesham is a board-certified sleep physician and the medical director at Excellhealth Sleep Center. She is an associate professor at the University of Missouri-Kansas City and enjoys teaching medical students and residents. She has also served as an associate residency program director at UMKC. She is currently a staff physician at Advent Health Shawnee Mission and Excellhealth Sleep Center.

Q: What are the risks of leaving a sleep disorder untreated?

Sleep Disorders Q: How many hours should an average adult sleep? A: Preferably seven to eight hours but a minimum of six hours. Q: How important is sleep amid coronavirus pandemic? A: Sleep improves your immunity. In addition to eating immune boosting foods and adding exercise daily –getting your 7-8 hours of sleep is very important for your immune system to function optimally. Q: I am anxious amidst this COVID 19 pandemic and cant sleep. What should I do? A: Try to set a sleep and wake up routine even though you may be working from home or doing school online. Try to do a

few relaxing activities close to bedtime like stretching, listening to soft music, massaging your hands and feet with a lavender based cream or lotion and not watching TV or reading on your phone at bedtime. If sleep hygiene tips don’t help, try melatonin and contact your doctor for further advice. Q: Amidst the coronavirus I have more time on hand and I can nap. Is this ok? A: Yes, that is okay, but try to keep naps limited to 20-30 min. Long naps can disrupt your night time sleep and are best avoided. Q: I think I have a sleep disorder. Can I still do a sleep appointment or sleep testing during the pandemic? A: Yes, video telehealth visits are available and some in person visits are available as well. Home sleep testing is also available, so yes, you can do the test safely in your own home. For severe disease patients we are arranging for in lab tests also. Q: How do I know I may have a sleep disorder? A: Common symptoms include snoring, gasping/choking in sleep, excessive sleepiness or naps in day, attention/ concentration/focus/memory problems during daytime, weight

A: Sleep disorders have been linked to many chronic diseases. Persons with sleep apnea have been found to be at increased risk for cardiovascular diseases like hypertension, stroke, coronary heart disease, irregular heartbeat and strokes. Laboratory research and epidemiologic studies have found that short sleep duration results in metabolic changes that may be linked to obesity and diabetes. Studies have also indicated that depression may decrease once sleep disorders have been effectively treated and sufficient sleep cycles are restored. The interrelatedness of sleep and depression suggests that irregular sleep is a driver for this disease. Q: What are some other other common conditions associated with untreated sleep problems? A: Memory problems, dementia, acid reflux, chronic kidney disease, anxiety, depression, ADHD/ADD are some of the other problems associated with poor sleep. Sleep apnea/sleep disorders can contribute to seizures and migraine headaches as well.

Excellhealth Sleep Center 8901 W 74th St., Suite 350 Overland Park, KS | 913.203.4040 | excellhealthsleep.com

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J BLACK FINANCIAL GROUP Q: What are some other concerns I might have? A: In addition to emotional issues, there are many planning considerations: underestimating taxes (for example: a business sold for $10 million could net less than $6 million after taxes); underestimating how much capital is required to be financially independent (the 4% rule may not work for everyone in today’s environment); how to create a lifetime income strategy that meets your needs; and making sure that you work with a qualified advisor who acts in your best interest, to name a few. Q: What are my next steps if I have a liquidity event?

ABOUT US

Liquidity Event Planning

J BLACK FINANCIAL GROUP

What should I do if I experience a liquidity event?

is a boutique wealth management firm that specializes in liquidity event planning and comprehensive wealth management. We make a difference in thoughtful, caring, receptive people’s lives by helping them make sound financial decisions and preventing them from making poor ones.

Q: That’s not a term that I’m familiar with. What is a liquidity event? A: It’s when someone experiences a large influx of cash. This could be from selling a business or company stock, exercising stock options, receiving an inheritance, the death of a spouse, executive deferred compensation or phantom stock payments and even retirement. Q: What are some of the emotional issues I might face? A: There are a number of issues that one might face, such as the feelings of loss and betrayal and feeling overwhelmed. In the case of a business owner, they just lost their “baby” and the community they’ve created over the years. For a corporate executive, they might feel as though they’re betraying their employer when exercising stock options or selling company stock. In almost all situations, the burden of what to do with this influx of cash can be quite overwhelming.

A: Like I mentioned above, be sure to work with an advisor who puts your interest first and isn’t just trying to sell their product. I know it sounds rudimentary, but create a budget to understand how much you spend—you would be shocked how many financially-astute people have no idea how much they spend. Also, consult with a qualified tax professional and revisit your estate planning objectives and documents. *John A. Black uses J BLACK FINANCIAL GROUP as a marketing name for doing business as representatives of Northwestern Mutual. J BLACK FINANCIAL GROUP is not a registered investment adviser, broker-dealer, insurance agency or federal savings bank. Northwestern Mutual is the marketing name for The Northwestern Mutual Life Insurance Company, Milwaukee, WI (NM) (life and disability insurance, annuities, and life insurance with long-term care benefits) and its subsidiaries. Representative is an Insurance Agent of NM and a Registered Representative of Northwestern Mutual Investment Services, LLC (NMIS) (securities), a subsidiary of NM, broker-dealer, registered investment adviser and member FINRA and SIPC. This publication is not intended as legal or tax advice. Financial Representatives do not give legal or tax advice. Taxpayers should seek advice based on their particular circumstances from an independent tax advisor. CA License: #0C33835

J BLACK FINANCIAL GROUP 5251 W. 116th Pl Ste 300, Leawood, KS | 913.676.8037 | jblackfinancialgroup.com

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C. Lan Fotopoulos, MD ABOUT

Q: Who would benefit from the Intracept Procedure?

C. Lan Fotopoulos, M.D., is an interventional physiatrist specializing in minimally invasive and interventional procedures in the treatment of spinal disorders, including epidural injections, vertebroplasty, kyphoplasty, radiofrequency ablation, spinal cord stimulation and sacroplasty. From skillful diagnosis to advanced treatment options and attentive follow-up care, you’ll find a comprehensive range of orthopedic services at DicksonDiveley Orthopaedics.

Physiatry

A: Intracept is indicated for patients with chronic low back pain who don’t have a spinal instability or scoliosis, but they do have changes present on an MRI, called modic changes. These patients generally have experienced chronic low back pain for more than six months and have not responded to nonsurgical treatments. Intracept addresses modic changes that stem from degeneration rather than a tear or rupture. An MRI and physical examination will be performed to determine patients who qualify.

Q: What is the Intracept Procedure?

Q: What are the key benefits of the Intracept Procedure?

A: When patients don’t respond well to nonsurgical treatment methods for lower back pain, they often think spinal fusion surgery is their only remaining option. But for some, there is another type of treatment that could relieve their back pain: the Intracept Procedure. It’s an outpatient, minimally invasive procedure that

targets the basivertebral nerve, which is located in the bones of the spine (vertebrae). Q: How does Intracept help relieve chronic low back pain? A: The pain-sensing basivertebral nerve is responsible for applying innervation to the bony end plates of the vertebral body. When the Intracept probe burns that nerve, it blocks the pain signals before they have a chance to branch to those end plates.

A: Intracept is a minimally invasive, outpatient procedure, so the recovery period is rapid—often not more than a couple of days. It is implant-free and preserves the structure of the spine. There are no restrictions placed on patients afterward, and in many instances the pain relief is almost immediate.

Dickson-Diveley Midwest Orthopaedic Clinics Kansas City Orthopaedic Institute: 3651 College Blvd., Leawood | 913.319.7678 ext.3109 | dd-clinic.com Saint Luke’s Hospital: Medical Plaza Building 1, 4320 Wornall Road, Suite 610, Kansas City, MO | 913.319.7678 ext.3109 | dd-clinic.com

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Senior Care Authority where we can help with situations such as skilled nursing placement, family mediation, community education, and a plethora of other topics that affect our region’s seniors. Q: What types of factors differentiate one senior community from another? A: We research each community in depth to understand the level of care they can provide for our clients. Every place is different, so before we set up any tours with our clients, we ensure that the community can fit the individual’s unique needs. We accompany them on the tours and help them weigh their options to make an informed decision. Once they move in, we follow up to make sure it’s a good fit. All of this is at no charge to the private-pay independent, assisted living and memory care clients. ABOUT US

We help guide seniors and their families to excellent outcomes. Don previously worked 10+ years as a food and beverage director in a senior community and developed a heart for working with this age group. His father suffered from Alzheimer’s, and Don had to juggle his father’s needs with his full time career, so he knows the struggle what families face. Elaine is a pharmacist and has a decade of experience in long term care.

Senior Care Q: Why did you choose Senior Care Authority as your next career path? A: The challenges Don faced with caring for a sick and aging parent made him wish for someone to help guide him through the complexities of the senior care world. Our goal is to know the systems inside and out, which can help families make informed decisions. Don is a Certified Senior Advisor and keeps current with continuing education to help people navigate the often confusing options out there.

Certified Senior Advisor (CSA)

Q: Explain your services? A: We meet the person wherever they are in their journey and help devise the best next steps. We offer placement assistance for independent living, assisted living, and memory care at no charge to our clients. We also specialize in elder care consulting

Senior Care Authority 22052 W 66th St., Suite 179, Shawnee, Kansas | 913.488.8609 | seniorcare-kansascity.com

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Jan Kelly

$9.95 FOR ONE YEAR A:

We treat a wide range of conditions, including from sports injuries, accident-related trauma, surgical rehabilitation, age-related degeneration, fibromyalgia, and chronic pain.

Q: How quickly will I get relief, and will it be lasting?

treatments options?

A:

MFR differs from physical therapy, massage therapy, chiropractic, etc. in several important ways. Our approach is holistic and concentrates on physical “release” of restrictions in the body’s fascial tissue, along with focused mental relaxation to address the overall trauma affecting clients.

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Q: How does MFR differ from other

B A C K T O B A C K W AT E R

Clients often experience some immediate relief. However, in many cases, it is a process, and several sessions are often required before clients achieve lasting relief. Many who come to us have been suffering with their conditions for extended periods—years in many cases—and have tried multiple treatment options.

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A:

MY MOTHER’S RICE

Q: What types of conditions do you treat?

HOW THE MAYOR DIFFUSED A STANDOFF WITH HOMELESS PROTESTORS AT CITY HALL

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Midwest Myofascial Release Center was founded over 15 years ago. Myofascial Release (MFR) therapy utilizes deep, sustained tissue manipulation to facilitate pain relief from fascial restrictions. Our team now includes a diverse group of individuals grounded in MFR massage therapy, but they also have varied backgrounds including physical therapy, occupational therapy, personal training and other healthcarerelated disciplines.

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HIDDEN OZARKS

Pain Relief 05.2021

ABOUT

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Midwest Myofascial Release Center Overland Park: 7270 W. 98th Terrace, Suite 220, Windmill Village Offices, Building 7, Overland Park Westwood / Plaza: 1421 W. 47th Street, Kansas City 913.343.9042 | midwestmyofascialrelease.com

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