March / April 2014 by Austin MD Magazine

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HIV/AIDS TIMELINE OF THE LAST 30 YEARS BY AIDS SERVICES OF AUSTIN PG.16

Our focus on proactive wellness helps you manage your own healthcare.

AN EATING DISORDERS TREATMENT CENTER

At WellMed, our clinics have established a reputation of being an innovative leader in senior healthcare services that stretches over a span of more than 20 years.

Specializing in the care of anorexia, bulimia and binge eating disorder

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Adult partial hospital and intensive outpatient programs

Adolescent partial hospital and intensive outpatient programs

Outpatient psychotherapy and nutrition counseling services

Comprehensive treatment for females and males

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Kim McCallum, MD, FAPA â&#x20AC;˘ Executive Medical Director, CEO Brad Kennington, LMFT, LPC â&#x20AC;˘ Executive Director, COO Bridget McCauley, LPC â&#x20AC;˘ Clinical Director

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4613 Bee Caves Road, Suite 104 â&#x20AC;˘ Austin, Texas 78746 Toll Free 877.755.2244 Telephone 512.732.2400

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cedarspringsaustin.com PRT-PRA-TJ080613

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TABLE OF CONTENTS MARCH/APRIL 2014

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!!!"#$%&'()*+,-,.'(/"01+ Interested in Advertising? Contact Rachel Escobar at 512-963-5544 or Rachel@austinmdmagazine.com For story ideas! Send ideas and a short writing sample to Kat@austinmdmagazine.com

Dallas Buyers Club & Matthew McConaughey

Three Decades of HIV/ AIDS

Matthew McConaughey explores the real life struggle Ron Woodroof

AIDS services of Austin timeline of HIV in America

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Improving Your Hospital Experience

What is your Biological Age?

WellMed’s tips for avoiding hospital readmissions

Can bioidentical hormones help you feel younger?

How the sport can help you stay fit this spring

Eating Right to Decrease Pain

Could avoiding gluten help minimize your pain?

Single Sided Deafness: Innovative Device allows Patients to Hear in Both Ears

Austin Chefs Continue to Push Culinary Boundaries

Tyson Cole and Eric Daniel explore the overall dinning experience

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B S / N O ' 12 3 B 7 B = O ' F > H K 3

CONFIDENCE IS BEAUTIFUL.

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Look your best. Feel your best. Live your best.

IN;EBLA>KL E>MM>K THE COSMETIC SURGERY CENTER OF SCOTT & WHITE IN ROUND ROCK Let us empower you.

512-509-3963 cosmetic-surgery.sw.org

Meet our board certified plastic surgeons: Susan M. Pike, MD (left) and Staci J. Hix-Hernandez, MD

s we move further into 2014, Austin gets closer to springtime and warm weather. It’s almost that time again to get outdoors and enjoy the many activities Austin has to offer.

SXSW is bringing the newest in science and medical innovations in March. With the festival right around the corner, we are preparing to cover exciting new technologies during the interactive portion. Heading into our second year of publications, we are proud to announce our partnership with Arise Healthcare. The physician-owned healthcare group just opened a hospital in the west Austin area. This is yet another sign of their rapid growth since their inception in 2009. Last, but not least, Austin MD’s Health & Wellness Fair 2014 is coming up on Saturday, April 26, where we [MPP FVMRK E [MHI ZEVMIX] SJ LIEPXL [IPPRIWW ERH ½XRIWW TVSJIWWMSREPW 8LI JIWXMZEP [MPP FI LIPH EX XLI 0SRK 'IRXIV on a busy Saturday when there will be many events going on in the central Austin area. This free event will be open to the public, a perfect trip for you and the family: fun for the kids, and you may even learn something yourself! We look forward to seeing you there! Be sure to look for us online in addition to checking out our paper edition distributed for free by many big Austin businesses such as Whole Foods! Co-Owner(s): Angela Strickland & Aman Bandali

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ANGELA STRICKLAND CO-OWNER

AMAN BANDALI INVESTOR

JAIME NETZER ASSOCIATE EDITOR

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RACHEL ESCOBAR ACCOUNT EXECUTIVE

WINSTON T. LACKEY DIRECTOR OF PHOTOGRAPHY

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A U S T I N MD M A G A Z I N E . C O M

!"#$%&'()*+*,+--'("*.$*/0$."-.*123+(4*50$3*67!8 #$%&'(4)*489/,:%4!'&;4<,&'/4<=1%>?@A;*4<,(B'B,&/4,& ),?14<C'('04D=,B$,&/480;11C4>?4),=?4*/CD=,(B/

!"#$%&'()*'+,-$'-./'01"'21%&3'%&&14-$%4/50'$1' 6./-$/'-'7.1$/6$%4/'4-66%&/'-3-%&#$'89:;!9)<= Catie Crosby: “What I am developing is called a gene based vaccine. Compared to traditional vaccines , which deliver a ready-made protein antigen, instead we deliver the gene that encodes that protein. We then use virus vectors, like adenovirus, to deliver the gene to patient cells, where the protein can FI TVSHYGIH 8,I QENSV FIRI½X SJ XLMW MW XLEX MX eliminates the risk of the vaccine actually causing the disease you’re trying to protect against. In the context of HIV, I am using the gene for HIV’s envelope protein. This strategy drives both an antibody and T cell response against the HIV envelope, which hopefully will protect humans against HIV infection.” By using the vector system to go around the T cells, Catie is trying to create a vaccine that protects humans from HIV. She can modify it so that when the virus infects the cell, that cell will produce an HIV protein, and she does this by raising an immune response against that protein without actually giving the patient HIV. Rather, Catie does not actually study the HIV virus; she studies how she can raise an immune response so that it is capable of protecting a person.

the conversation on aids 17,*9:*;"+04*<+."0 Where We Are Now

&] YWMRK 7-: 7MQMER -QQYRSHI½GMIRG] :MVYW [LIVI HIV originated from, Catie uses genes to attempt to create a vaccine that will protect humans from HIV/AIDS. However, while SIV will infect, replicate and persist in monkeys, the virus does not cause AIDS-like symptoms or kill them like HIV does in humans. Rhesus Macaque monkeys are the model that everyone in HIV research aspires to use. “Everything you are doing has to be tested in monkeys before it can go into humans,” Catie says. 'EXMI WTIGM½GEPP] YWIW 6LIWYW 1EGEUYI QSROI]W JSV WIZIVEP VIEWSRW XLI ½VWX FIMRK XLEX XLI] EVI

considered the gold standard in the HIV/AIDS community, because they most closely emulate HIV infection and progession in humans. They also originate from the part of Africa where HIV was ½VWX XVERWJIVVIH MRXS LYQERW 'EXMI MW EFPI XS TYX the vaccine into the monkeys to see if she gets a VIWTSRWI JVSQ XLIMV MQQYRI W]WXIQW°WTIGM½GEPP] from their antibodies and T cells, and challenge with SIV to see if the vaccine protects them from infection. The monkeys have developed an immune response that allows them to control the replication of the virus, where humans have not. As part of her 4L( HMWWIVXEXMSR 'EXMI MW XV]MRK XS ½RH E [E] XS modify our immune response to ultimately protect us against HIV/AIDS. If our white blood cells cannot ½KLX SJJ XLI HMWIEWI EPSRI XLIR [LEX [I EVI PIJX with is a need to develop a vaccine that protects LYQERW JVSQ GSRXVEGXMRK XLMW ZMVYW MR XLI ½VWX TPEGI !"#$%&' ()*' 81>' ->-./' -./' 7/175/' 1?' 89:;!9)<= Catie Crosby: “Kids nowadays do not see HIV as a problem. If you talk to young kids who are having sex, what they are most concerned with is contracting other STD’s; it seems that no one is concerned about HIV anymore.They see it as, ‘Oh there is a treatment; you can live with it. It does not kill people anymore; it is not like this horrible thing it used to be when it ½VWX EVSWI MR XLI W ´ &YX [LEX QER] TISTPI HS RSX realize is that the therapy is insanely expensive. That to treat a person with HIV for their lifetime is, give or take, about a million dollars. And, there are terrible side effects from the drugs, which lessens ones quality SJ PMJI WMKRM½GERXP] -X MW FEH SR ]SYV LIEVX EQSRK many other organ systems, and reduces your lifespan. Awareness is actually going down for both the virus and the disease. Is it not somewhat frightening that kids are not concerning themselves with this anymore?”

COVER STORY

DALLAS BUYERS CLUB

The story, which has bounced around Hollywood lives of AIDS patients have for nearly 20 years, first showed up in the pages changed dramatically since Woodroof was alive. of The Village Voice. In 1992, some individuals “Today my office is totally different in every way,” diagnosed with AIDS believed the FDA was Dr. Pounders told The Telegraph. “Today, if they taking too long to sanction a lifesaving medicine. take their pills, people with HIV can live long and As a result, “buyer’s clubs” popped up around healthy lives. I’m just honored to have taken care of the country. The members’ monthly fees paid for people who have lived to witness this big change.” often-illegally imported prescription drugs. At the time Dallas Buyers Club takes place, AIDS was still Even though treatment has changed, the stories largely misunderstood, which McConaughey says of those first patients diagnosed with AIDS he personally remembers like Woodroof remain. (he was 18 in 1987): “Today, if they take their pills, And portrayals like “I remember going to MConaughey’s, which is doctors going, ‘Give me people with HIV can live long subtle even as it demands and healthy lives.” the straight dope. I am attention, bring those stories heterosexual; I am not to life. Dallas Buyers Club doing drugs; I am not having sex with women doing is emotive and charged with energy from several drugs, I am not having sex with prostitutes—give impressive performances (Jared Leto also won as me some numbers. Protected sex. Unprotected sex. supporting actor Golden Globe and an Oscar for his And there was real fear, as no one had the same role as a transsexual prostitute also living with AIDS answer,” McConaughey told New Zealand’s 3 News. who becomes Woodroof ’s business partner in the club). Instead of the 30 days the doctors originally “It wasn’t until 1995, we learn, that the way to treat gave Ron Woodroof, he lived on for seven years HIV was to take three drugs at a time,” Dr. Steven and unfortunately lost his life in 1992. And thanks Pounders, who was Woodroof ’s doctor from to the hard work of Matthew McConaughey’s and 1989 until he died in 1992, told The Telegraph. the rest of The Dallas Buyers Club production “Unfortunately, Ron [Woodroof] got the disease team, Ron’s story will live on for much longer still. before we knew how to effectively treat it.” The

!"##$%&'!()*+",-$%. Shining the spotlight on changing disease & one incredible real-life story by Jaime Netzer

scar winner Matthew McConaughey dropped close to 50 pounds, stayed out the sun and ate only fish and vegetables for four months to prepare for his role as Ron Woodroof, a real-life rodeo cowboy and electrician who after being diagnosed with AIDS in 1985 taught himself about drug treatments and eventually began smuggling in experimental drugs from outside the U.S. He sought these solutions elsewhere because his immune system responded negatively to the FDA pre-approved drug, Azidothymidine

(AZT), which was used to delay the onset of AIDS. If the transformation in McConaughey was dramatic, his success may have been even more dramatic— McConaughey nabbed a Golden Globe Award for best actor in the film and, basically from the moment it first screened, has been considered a front-runner for the best actor Oscar (he received his first Academy Award nomination for the role in January of this year).

A U S T I N MD M A G A Z I N E . C O M

MEDICAL

THREE DECADES

of HIV/AIDS

MEDICAL

A timeline of the menacing power caused by this virus ,-: ,YQER -QQYRSHIÂ˝GMIRG] :MVYW %-(7 %GUYMVIH -QQYRSHIÂ˝GMIRG] Syndrome

1,144,500 people in the US living with HIV 72,932 people in Texas living with HIV 6,000+ people in Austin living with HIV

The Power of HIV

The First Years

Dr. David Wright from Blackstock Family Health Center has been treating patients with HIV since the beginning. â&#x20AC;&#x153;Fear and desperationâ&#x20AC;&#x201D; thatâ&#x20AC;&#x2122;s what people lived in,â&#x20AC;? he remembers. AIDS Services of Austin provides services and programs for people affected by HIV and AIDS, paving the way to services, I\TERHMRK XIWXMRK ERH Â˝KLXMRK MRHMJJIVIRGI ERH WXMKQE :MWMX [[[ asaustin.org for more information on services and testing. As doctors and scientists studied how the disease spread, they realized MX SRP] TEWWIH XLVSYKL FSHMP] ÂžYMHW ERH XLEX GSQQSR GSRXEGX GSYPH RSX MRJIGX E TIVWSR ,S[IZIV TYFPMG EPEVQ HMH RSX HMQMRMWL -R E ]SYRK boy named Ryan White was banned from attending his middle school after parents and teachers learned he was HIV-positive. Other people faced a similar stigma and few were willing to publicly disclose their status.

A U S T I N MD M A G A Z I N E . C O M

1SVI XLER E HIGEHI EJXIV ,-: [EW Â˝VWX HMWGSZIVIH E RI[ FVIEOXLVSYKL Â˝REPP] QEHI XVIEXQIRX E WEJIV ERH QSVI WIGYVI STXMSR 8LMW HVYK GEPPIH a protease inhibitor, targeted HIVâ&#x20AC;&#x2122;s replication. Soon, treatment evolved into Highly Active Antiretroviral Therapy (HAART), which relied on a â&#x20AC;&#x153;cocktailâ&#x20AC;? of drugs to target different aspects of the virus.

â&#x20AC;&#x153;The new lower-dose combination medications allowed people to live healthier, more active lives.â&#x20AC;?

Over the past three decades, we have learned a tremendous amount about HIV. But after all these years, are we any closer to a cure? Have we been able to reduce the spread of HIV? And, have our old misconceptions and biases simply been replaced with new ones?

The term AIDS (Acquired Immunodeficiency Syndrome) was officially introduced in 1982, but it would be a few more years befire the virus was officially named: HIV (Human Immunodeficiency Virus).

The Game Changer

The new century brought us new technologies and drug formulations. Doctors could select drugs and combinations based on the strain of the virus, and the combinations reduced the burden on the patient. Unlike the high doses of AZT, the new lower-dose combination of medications allowed people to live healthier, more active lives.

Of all the viruses and diseases we have had to face over the centuries, perhaps none have baffled us, challenged us and strengthened us as much as HIV and AIDS. When AIDS first appeared as a mysterious illness in a handful of homosexual men in the early 80s, it was feared (people with HIV were shunned) and organizations that tried to help were picketed and harassed. Now, HIV has all but vanished from the public eye as new medications help people diagnosed with HIV live normal, healthy lives.

In 1981, a cluster of homosexual men came down with rare forms of pneumonia and skin cancer. It was soon discovered that these â&#x20AC;&#x153;opportunistic infectionsâ&#x20AC;?â&#x20AC;&#x201D;illnesses that take advantage of a weak immune systemâ&#x20AC;&#x201D;were part of a mysterious underlying disease that affected only certain populations.

Special Contribution to Austin MD by AIDS Services of Austin; Kanaka Sathasivan, MPH

As more people contracted HIV, communities took notice and came together. In cities across the nation, health providers, counselors and ZSPYRXIIVW VIEPM^IH XLEX Â˝KLXMRK ,-: ERH %-(7 VIUYMVIH E HIHMGEXIH effort. In Austin, Paul Clover founded the Austin AIDS Project, which soon became AIDS Services of Austin (ASA). In those early years, many organizations served mostly to provide comfort, strength and social WYTTSVX HYVMRK E TIVWSRÂ´W PEWX HE]W &YX MR E RI[ LSTI EVVMZIH

The Fighting Chance

As scientists searched for an HIV treatment, interest was renewed in an antiretroviral drug developed in the 1960s called Azidothymidine (AZT), also called zidovudine, which is a drug that is used to delay the development of AIDS in patients who are infected with HIV. After promising trials, the drug was approved for use in record time and the effects were clear: No longer were people dying from opportunistic infections. However, the cost and side effects of the drug were severe enough that it barely seemed better than the disease. â&#x20AC;&#x153;We saw anemia, neuropathy, wasting away,â&#x20AC;? Dr.Wright explains.â&#x20AC;&#x153;When other people started to see that, especially people who werenâ&#x20AC;&#x2122;t sick yet, they didnâ&#x20AC;&#x2122;t want to take the drug.â&#x20AC;? Over the next few years, the FDA approved a steady stream of other drugs designed to combat opportunistic infections.They also approved using AZT to prevent transmission from mother to child. But the treatments were limited. â&#x20AC;&#x153;We got pretty good at treating opportunistic infections, but we HMHRÂ´X HS E KSSH NSF EX MQTEGXMRK ,-: MXWIPJ %X Â˝VWX %>8 [SYPH [SVO FYX after several months, the virus would become resistant,â&#x20AC;? says Dr. Wright.

To many people who study HIV, it seems the epidemic was a perfect storm of different issues colliding. The virus itself has unique properties, making it hard to combat. It hides in our immune systems, lying dormant for years. HIV also replicates quickly and mutates easily, making effective treatments harder XS Â˝RH 8S XLMW HE] XLIWI TVSTIVXMIW EPWS QEOI HIZIPSTMRK E ZEGGMRI RIEVP] impossible. In addition, because HIV is spread primarily through sexual contact, it has been an uphill battle to educate people. In many cultures around the world, including the United States, talking about sex can be uncomfortable or taboo. Since HIV disproportionately affects homosexual men and other already stigmatized populationsâ&#x20AC;&#x201D;such as intravenous drug users or people in the prison systemâ&#x20AC;&#x201D;negative opinions about HIV-positive people continue to exist. While our current treatments offer hope to millions of people, they can be a double-edged sword. As the visibility of HIV decreases in the public eye, fewer peopleâ&#x20AC;&#x201D;especially in the younger generationsâ&#x20AC;&#x201D;remember the danger it still poses. Over the past few years, nearly 40 percent of new infections occurred in people under the age of 29. And an estimated 60 percent of people infected with HIV do not know their status.

The New Struggle

While older stigmas about how one can contract HIV may have been cleared up, doctors and HIV prevention specialists now face a new set of misconceptions, primarily that HIV can be cured with just a pill. â&#x20AC;&#x153;The biggest issue that we wrestle with now is that people have to be treated for a lifetime,â&#x20AC;? Dr. Wright explains. â&#x20AC;&#x153;Itâ&#x20AC;&#x2122;s understanding that you are going to be on medications for an MRHIÂ˝RMXI TIVMSH SJ XMQI ERH MJ ]SY WXST XLI QIHMGEXMSRW EX WSQI TSMRX XLI virus is going to come back.â&#x20AC;?

In addition to new drugs for treating HIV, government and RSR TVSÂ˝X EKIRGMIW WXEVXIH XS JSGYW SR TVIZIRXMSR ERH education strategies. In 2010, the Obama administration released the National HIV/AIDS Strategy, which proposed a new goal: to create an AIDS-free generation. HIV and AIDS organizations are now working on three fronts to Â˝KLX XLI ITMHIQMG 1) Get people tested to know their status and get into care 2) Keep people in care to reduce their viral load and reduce the chance of spreading it to others 3) Work with both HIV-positive and HIV-negative people to encourage safer behaviors

Now that people are living longer, there are other unanswered questions that current research hopes to address: Âˇ Does being positive reduce life expectancy, even if medications have lowered the viral load? Ă¸ -W XLIVI E [E] XS ÂžYWL EPP SJ XLI ZMVYW SYX ERH WXST medications? Âˇ How can we give people an infusion of medication that is long-acting rather than a daily pill? Âˇ How do we make care more accessible, more open and less threatening? Âˇ How do we now make medications more affordable? Just like in the 80s, it will require a concerted effort on the part of healthcare specialists, government agencies, drug manufacturers and community supporters. Dr.Wright is optimistic about the future. â&#x20AC;&#x153;We [MPP TVSFEFP] Â˝RH E [E] XS GYVI XLMW MPPRIWW Â˛

A U S T I N MD M A G A Z I N E . C O M

HEALTH

!"#$%&& "##$% !

REVOLUTION &%'()*+,#*-.+#(+'!/*.0*+,#*1'($222

oday, most exercises and sports, even those in the Olympic Games, are focused mainly on developing muscular strength and cardiovascular stamina. However, the human body is not only composed of the muscular and cardiovascular systems, but it also includes the immune, endocrine and lymphatic systems, among many others. However, these systems are not addressed by most approaches to exercise and fitness. As a result, the current fitness industry appears to fall short of serving the true health needs of people today.

Furthermore, although regular exercise is thought to be highly effective for the prevention and treatment of many common chronic diseases and improves cardiovascular health, there is increasing evidence suggesting that excessive exercise can have a negative impact on the body and longevity. Studies have shown that acute, high-intensity exercise causes short-term damage to cells’ mitochondria and short-term muscle damage in the body, according to the Clinical Journal of Sports Medicine. Additionally, according to a review of the literature published in the June 2012 issue of Mayo Clinic Proceedings, long-term excessive endurance exercise may induce pathologic structural remodeling of the heart and large arteries. Emerging data suggest that chronic training for and competing in extreme endurance events, such as marathons, ultra marathons, ironman distance triathlons and long distance bicycle races, may cause structural changes to the heart and large arteries, leading to myocardial injury.

There is increasing evidence suggesting that excessive exercise can have a negative impact on the body and on longevity Regular exercises in the gym do not seem to meet the challenges of the major health problems that people have today. The world is changing. Cancer, heart disease, strokes and respiratory problems are among the leading causes of death in both the U.S. and most of the industrialized world. Our health today has been greatly affected by the chemicals, hormones and pesticides in our food and environment, often resulting in high levels of toxicity within our bodies. These contaminants, paired with more people working behind a desk with more stress and less exercise, have resulted in an increased incidence in modern diseases. Where do we go from here? Fitness needs a revolution!

The Mind Is Key to the Fitness Revolution

The mind is a powerful tool for health. If we know how to use the mind properly, and combine it with effective exercises, I believe we can bring about significant, long-term changes in our health. We can understand more about harnessing the potential of the mind, and our potential to create the health we desire, through the theory of “Intended Evolution.” This is a new theory that I have been developing for some years now. According to this theory, the evolution of life is driven by two main factors: first, natural selection and outside pressures, and second, "Intention” and internal drive. For a very simple example, let us use two children who are brought to a swimming coach for lessons. The first child, John, loves to swim and wants to be a swimming champion later on in life. The second child, Ben, dislikes swimming and is only there because his parents brought him. Both John and Ben are exposed to the external influences that will make them good swimmers, but John is much more likely to succeed because of his internal drive. He really wants to become a swimming champion. Only when the external and internal factors are working together can true change happen.

A U S T I N MD M A G A Z I N E . C O M

HEALTH In a similar manner, the mind can play a key role in changing our health. Most of us know that the mind can affect our hormone levels, causing physical and biological changes in the body. For instance, negative thinking can increase stress, giving rise to the adage "don’t worry yourself sick,” while positive thinking can improve our functioning and strengthen the immune system. When we improve functioning, we increase our chances of survival and longevity. By using our minds in focused, positive ways, we are following the principle of natural selection, which is “the survival of organisms best adapted to their environment.”

If we know how to use the mind properly, and combine it with effective exercises, I believe we can bring about significant, long-term changes in our health

We can apply the theory of Intended Evolution to improve our health and fitness. For example, if every day we focus on the idea that the natural human lifespan is 120 years, or even 150 years, we can help ourselves immediately feel younger. When we create this feeling, I believe our hormones respond accordingly, allowing us to become happier and healthier. If we believe we can live only 80 years or so, then, when we are 50 or 60 years old, we begin to feel our life is close to its end. However, if we focus on the belief that the natural life span extends to 120 or even 150 years, then by the time we reach age 50, we will still think of ourselves as young. The more clear, focused and powerful our intentions are, the more our minds can help us balance our endocrine systems and metabolisms . . . they may even allow us to affect our DNA. This revolution in fitness can result in a long and vital life far beyond what we once thought possible!

Special Contribution to Austin MD by Dr. Dongxun Zhang D. AOM, L. Ac. Dr. Zhang D.AOM, L. Ac. is the former head of the Texas College of Traditional Chinese Medicine in Austin. He is the founder of XLI *MX ETTVSEGL XS ½XRIWW

To learn more, visit: [[[ ½X GSQ SV GEPP A U S T I N MD M A G A Z I N E . C O M

HEALTH

Immunotherapy

An allergy extract individually prepared for you Special Contribution to Austin MD by Dr. Amin Mery

Immunotherapy (IT) is a series of injections, or shots, in which you are given a small, concentrated dose of a protein mixture, containing extracts that you are allergic to. IT causes changes in the immune system, so that when your body is exposed to the allergen (what you are allergic to), you have few or no symptoms. Your extract is individually prescribed and contains protein from the positive allergens on your skin. Pollen and environmental extracts are diluted in saline. Venom extracts for stinging insects are mixed with small amounts of human albumin, a blood coagulating protein. When you first start IT, you should receive at least one shot a week. You begin at a very low concentration and gradually build up to the highest concentration, or your “maintenance” strength. When you receive the lower concentrations, you may receive an

YOUR ALLERGEN EXTRACT IS INDIVIDUALLY PREPARED FOR YOU IN OUR ANTIGEN PREPERATION LAB injection as often as three times a week, allowing 48 hours in between injections so your immune system can more quickly process these lower concentrations. Obviously, we will work with your schedule. Our nursing staff will provide you with the necessary information on how to spread out the time interval once you reach your maintenance dose. The length of time on IT varies from patient to patient. Typically, the minimum course is three to five years. Some patients will have to remain on IT longer if they wait too long in between sessions. If you miss your shot period of time (one to two weeks), you will

A U S T I N MD M A G A Z I N E . C O M

HEALTH Dr. Amin Mery, a Texas native,

is board certified by the American Board of Allergy and Immunology as well as the American Board of Internal Medicine. He is also a member of American Academy of Allergy, Asthma and Immunology and American College of Allergy,

be given the same dose you received at your previous visit; however, this may lengthen the necessary time to reach your maintenance dose. If you miss an extended amount of time, the dose may be reduced, resulting in additional charges. Improvements will vary from patient to patient. As a general rule, you will not begin to notice significant improvements until you have reached your maintenance strength for several months. Most patients will reach their maximum benefit after they have been “maintaining” for a year to a year and a half. You should continue the allergy medications your doctor has prescribed until advised to reduce or discontinue them. This combination of treatments will provide not only the best results, but also a decrease in your symptoms. The key difference between a person taking steroid shots versus allergy shots is in the allergen protein extracts. Your allergen extract is individually prepared for you in our antigen preparation lab. The steroid shot only temporarily improves allergy symptoms, while IT with allergen extract has long-term benefits.Your extract expires one year from the time it is prepared, so it is best to start your shots as soon as possible. We will contact you when your extract arrives in the office. Check with our office for specific injection hours.

For more information on Hill Country Allergy, visit www.hillcountryallergy.com You should not get an allergy shot if you are acutely ill, have a fever or increased asthma symptoms. You cannot start IT if you are pregnant. Please notify our office as soon as you know you are pregnant so that we can make necessary accommodations for your concentrated dose. The immediate side effects can range from local inflammation such as: swelling, redness and itching at the injection site, to the typical allergy symptoms of itchy, watery eyes and running nose. More severe reactions may include asthma (shortness of breath), difficulty swallowing or hives. If you are taking beta-blocker medications (usually for high blood pressure, heart conditions, glaucoma or migraine headaches) prescribed by another doctor, you should not receive an allergy shot. Rarely do patients have a severe reaction with reduced blood pressure. Studies have shown that patients who have the most severe reactions begin to experience symptoms within 20 to 30 minutes after receiving an injection.

This is why we require you wait 20 minutes after an injection. Some high-risk patients, including those on higher dosages, will be asked to wait 30 minutes. If you develop an adverse reaction at the injection site with only increased swelling or redness, you may apply ice and take an antihistamine if the reaction is bothersome. This should be reported to the nurses prior to your next injection, as your dose may need to be adjusted. These reactions can occur regardless of how long you have been on IT. If the reaction involves an increase in allergy symptoms, such as hives or shortness of breath, call the office immediately. If you are experiencing severe shortness of breath, immediately go to the nearest Emergency Department or call 911. If you are in severe distress, do not attempt to drive yourself to the Emergency Department, instead call 911.

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HEALTH

Wouldn’t it be better, though, to clear the main roads of obstacles and keep it clear?

Neural Freedom Think of Your Central Nervous System as a Super Highway Special Contribution to Austin MD by Dr. Phyllis Books

Principle 2: Low IQ is not what we need to look at in terms of efficiency. What we need to concern ourselves with is what I like to call low IfQ, or “interference quotient,” as that is what truly determines learning, behavior and health. Our IfQ can be blown out of proportion when our reptilian brain (our basic, survival brain) hijacks the higher logical centers of the brain and leaves us “out of control.” If you have minimal roadblocks, your IfQ will be low, which will allow your intelligence and performance to reveal your true potential. Principle 3: Inherited anatomical patterns, such as the shape and placement of the skull, eye sockets, jaw and eye fascia, as well as trauma to the whole body’s anatomy, can interrupt learning and performance channels. In my practice, these roadblocks are addressed with gentle, hands-on repeated stimulation, until a new neural signature takes hold and replaces the less efficient system.

Steve’s family was in a dilemma. One parent and one sibling wanted him committed to a mental facility because he seemed schizophrenic and potentially violent. The other parent was searching for other solutions. Steve was 27 at the time, but since the age of 16, his life had gone downhill. No one knew why. As it turns out, Steve played soccer for years, and by the age of 15 his father took him to the emergency ward at least five times. When I heard that piece of the puzzle, I agreed to work with Steve; not on the possible psychiatric issues, but simply on the head injuries. Research verifies that high levels of cortisol (a stress hormone) and lower levels of serotonin (often associated with depression) often follow concussions. If I could help release the trauma from those multiple injuries, it might be possible to normalize the cortisol and serotonin levels and help Steve regain his pre-injury way of being. That is exactly what happened. Within days of our sessions, Steve’s attitude changed. He began thinking more positively. Within two months, he had a new job and a new outlook on life. His father called me—three times at Thanksgiving and three times at Christmas—to thank me for giving him his son back and for turning his son’s life around. How did I do it? Over the past 30 years, I have learned a lot about the brain and the nervous system. More importantly, I have learned how to help people become free of the obstacles that result from a tangled up, incoherent nervous system. For many years, I focused on helping children and adults with dyslexia and ADHD, as all learning and behavioral issues have a neurological component. The same principles apply in all areas of life. Do you ever find yourself making silly mistakes? Or making poor choices? Or being nearly derailed from a chance for advancement in your workplace? Freeing the nervous system is one way of “getting your head on straight” and making choices from a cohesive and calm neurology; a nervous system that supports you and nourishes you, a nervous system that frees you to be healthy and make wise decisions. Neural Freedom is our birthright, yet many people are not living up to

A U S T I N MD M A G A Z I N E . C O M

their full potential. The way to achieve this “neural integration” is totally within your reach. And I am totally passionate about helping people achieve this newfound freedom. Our nervous system conducts the flow of information within our bodies, sending messages to the brain and then back out through the body. If we are in good “working order,” all of those messages get to the right place at the right time. If, for some reason, there is a traffic jam along the route, expect long jams and delays – and then lack of neural integration can lead to a breakdown in health and well-being. The nervous system has the equivalent of super highways, which send signals at lightning speed; it also has the equivalent of back roads, which become the only choice when there is interference preventing you from traveling in the fast lane. Neural Freedom has five principles; all rely heavily on Books Neural Therapy™, my innovative, yet back-to-basics approach: Principle 1: Until the basic communication highways are open and free, and neural efficiency is at its peak, no other significant progress can be made. Think of it this way: If we compare the central nervous system, with its various paths and channels to send and deliver information to an elaborate highway system, the neural efficiency is how quickly and easily signals travel along that highway. If that super highway is blocked—the boulders in the way of the whole body/brain communication can be anatomical, chemical and emotional—and the body needs to use “back roads” on the one hand it is wonderful that our brains are sophisticated enough to make the compensation, and on the other hand – and this is critical – when our central nervous system does not work smoothly, it becomes dysregulated and incoherent. Sometimes the signals get lost and never make it to their destination. Imagine yourself behind the wheel when you come upon a traffic jam that stretches for miles. You hear sirens in the distance. You could wait it out, or you could get off the highway; try to find an alternate route and pray you do not get lost. That is what neural inefficiency is like: back roads are used to send signals in the brain-body communication system.

Principle 4: Emotional stress as well as physical or emotional shock accumulates in children and adults, creating roadblocks in these neural highways. Neural Freedom utilizes Books Neural Therapy™ to address these deep layers of dysregulation and help redirect the traffic in the nervous system to build healthier pathways. One of the methods used to address these non-verbal layers is stimulation of 16 eye codes that access different brain wavelengths and brain areas.

Dr. Books also offers professional training courses, learn more about upcoming classes at www.drphyllisbooks.com/upcoming-classes

Principle 5: Chemical influences, like sugar and allergies, can inflame the brain and shut down the passage of information among various organs and the brain itself. Neural Freedom addresses nutritional and allergy components to internal “hazardous weather and travel conditions,” such as brain fog and headaches, by acupressure-like touch, to send redirecting signals until the “conditions are safe for travel” again. Two wildly different learning issues, dyslexia and ADHD, share commonalities, and they contain problems such as neurological dysregulation and incorrect timing and synchronization issues. Many chronic health conditions and peak job or athletic performance issues also stem from these incoherent signals. In other words, the neurology and the way signals are transported from place to place are compromised, and there are roadblocks causing delays and increased IfQs. By utilizing the innovations offered with Neural Freedom, you can increase your productivity and results, whether you are a student with learning and behavior challenges, a business person who needs to work more efficiently or someone who knows there has to be a better way to go through life. Neural Freedom and Books Neural Therapy™ lead you down the path to neural integration, allowing you to “soar with the eagles” instead of limping through life on the back roads. It worked for Steve and his family, and it has worked for the thousands of patients I feel so privileged to have helped.

Visit Dr. Phyllis Books Her Main Office (512) 331.0668 Mon/Fri South Lamar area: 2111 Dickson Drive #14, Austin, TX 78704

Her North Office (512) 219.8600 Tues/Thurs NorthWest area: Peoples Pharmacy Wellness Center Northwest 183/620.

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HEALTH

AN ALTERNATIVE WAY TO IMPROVE YOUR HEALTH

A Short Guide to a Long Life:

BOOKS

Doc prescribes cancer prevention, not cures

Special Contribution to Austin MD by Kyle Jerome, The Academy of Golf Dynamics Inc.

by Jaime Netzer

n this day and age when health consciousness is ever their overall health and physical fitness, but to also get two health aspects would seem to be ideal, "Old Man Time" limitations or age, going for a two-mile run or participating

present in our society, many people are looking for ways to not only improve outdoors and enjoy time with friends and family. While combining these limits some people to what they can do physically. Whether it is physical in a physical fitness class at the gym is not an option for many people.

However, there is an alternative way of improving your game of serving many health and wellness advantages over player to enjoy golf. Though some of the most competitive of all ages can play golf, but how can golf be beneficial to and mental health, but your overall well-being.

overall health that more people are turning to these days: golf, it is a great other sports. You do not have to jump like an NBA player or run like an NFL athletes in the world are golfers, it is a recreational sport by nature. People your health? Let us look at some ways it can help not only your physical

being outdoors

PHYSICAL ACTIVITY

hough golf may lack the physicality of football, for example, it is a physical game in another sense. Simply swinging a golf club requires the use of, and strengthens, many different muscles in your body. Many people prefer to walk when they play, which increases heart rate, strengthens leg muscles and is a great way to burn caloriesâ&#x20AC;&#x201D;all while having fun. Even if you prefer to ride in a golf cart, the physical activity of playing golf is a great way to improve your overall health simply because you are being active.

A round of golf can be very therapeutic and of the most important a great way to relieve One things anyone can do to improve their golf game stress is to increase flexibility as

much as humanely possible by being as flexible as possible. Flexibility plays a major role in improving your golf game.

eing outdoors is one of the most beneficial aspects of playing golf. Let me put it this way...Would you rather spend time in a gym on a treadmill or enjoy a beautiful day on a golf course? The answer to that is easy for most people, myself included. One of the biggest advantages of being outdoors in the sun is the benefits of Vitamin D. The best-known benefit of Vitamin D is its role in helping calcium build strong bones. It also helps regulate the immune system and the neuromuscular system. Vitamin D also plays major roles in the life cycle of human cells.

Not only does golf have physical benefits, but being outdoors has other advantages as well. Golf is a great way to spend time with family and friends. Whether you choose to spend a few hours with friends, your spouse, your kids or your family as a group, what better way to spend it than on the golf course? Many people prefer to play golf by themselves, alone with their thoughts. Either way, a round of golf can be very therapeutic and a great stress reliever. Remember, when you are talking about the health benefits of golf, you cannot ignore your mental health. Even if you prefer to just stay on the driving range and hit practice balls, you can walk away feeling better not only physically, but also mentally.

So, the next time you find yourself looking for a way to improve your physical and mental health, consider golf. And remember, it does not matter where you are in life in terms of age... golf does not discriminate. YV

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'EPP XLIMV SJÂ˝GI EX SV ZMWMX XLIQ SRPMRI EX www.golfdynamics.com

Perhaps one of the more surprising pieces of advice Dr. Agus offers is to ditch vitamins and supplements all together.

hat if, instead of devoting our attention to curing cancer, we instead tried to prevent it? Dr. David Agus has devoted his life and work to just that, with often surprising results. In his New York Times bestseller, The End of Illness, Dr. Agus shared what he had learned, as one of todayâ&#x20AC;&#x2122;s most prominent cancer doctors and research, about how to prolong the lives of his patientsâ&#x20AC;&#x201D;and also anyone hoping to live long and robustly. With his new book, A Short Guide to A Long Life, he takes this advice further and distills it into a practical, illustrated guide offering just 65 simple rules everyone should follow in order to live a vibrant, productive life. And just who is this expert? Dr. Agus is a professor of medicine and engineering at the University of Southern California and heads USCâ&#x20AC;&#x2122;s Westside Cancer Center and the Center for Applied Molecular Medicine. In his work, he specializes in treating patients fairly and with advanced cancer techniques. This includes developing clinical trials for new drugs and treatments for cancer. A graduate of the University of Pennsylvania School of Medicine, Dr. Agus completed his residency at Johns Hopkins Hospital, a research fellowship at the National Institutes of Health, and an oncology fellowship at the Memorial Sloan-Kettering Cancer Center. In other words: this doc is seriously experienced.

For more info visit www.DavidAgus.com or www.simonandschuster.com. Perhaps one of the more surprising pieces of advice Dr. Agus offers is to ditch vitamins and supplements all together. Among some other surprising things Dr. Agus says, things might harm your health include juicing, detoxing and even airport backscatter X-ray scanners. His beliefs might sound controversial, and he has been labeled that before, but Dr. Agus says he is the â&#x20AC;&#x153;absolute oppositeâ&#x20AC;? of controversial. â&#x20AC;&#x153;I wonâ&#x20AC;&#x2122;t endorse anything thatâ&#x20AC;&#x2122;s not backed by well-controlled clinical trialsâ&#x20AC;&#x201D;studies that live up to the rigors of the scientific method.â&#x20AC;? But, on the other hand, if his book provokes conversation, then he is satisfied too. â&#x20AC;&#x153;I actually donâ&#x20AC;&#x2122;t mind stirring up controversy and inspiring people to ask questions,â&#x20AC;? Agus says. â&#x20AC;&#x153;Part of my motivation in writing this book is to make youâ&#x20AC;&#x201D;the health care consumerâ&#x20AC;&#x201D;an agent of change, starting with yourself.â&#x20AC;? The book is divided into three sections: â&#x20AC;&#x153;What to Doâ&#x20AC;?, which is a set of action items to help you take charge of your personal health; â&#x20AC;&#x153;What to Avoidâ&#x20AC;?, which includes rules for what to stay away from that might harm your health; and â&#x20AC;&#x153;Doctorâ&#x20AC;&#x2122;s Ordersâ&#x20AC;?, a plan based on what decade you are in that provides a bulleted list of agenda items you should tend to at each age.

if his book provokes conversation, then he's satisfied. A U S T I N MD M A G A Z I N E . C O M

EVENTS

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EVENTS On Friday, February 7th, Citizen Generation hosted their 4th annual black tie Masquerade Ball at the Mansion. This year’s charity bash hosted Austin’s finest with local spirits, savory bites, sweet treats, entertainment and complimentary valet parking. Attendees danced the night away while raising money to support local philanthropy and to better our community through the work of Citizen Generation.

,7,6*C@! What began in a church basement 18 years ago now reigns as one of the single largest sources of income – and fun – for the Capital Area AIDS Legal Project, a program of AIDS Services of Austin. Enjoy a silent auction, faux gaming, live entertainment, culinary delights from Austin’s top restaurants, and specialty cocktails. And above all, don’t forget to dress to impress: rock the RED!

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EVENTS

6AAG6<*!@<<* ! =17<!C@A*8*B6<6 Annual Dell Childrenâ&#x20AC;&#x2122;s Gala benefiting Dell Childrenâ&#x20AC;&#x2122;s Medical Center of Central Texas raised over $1 million dollars this year. The botanical-themed evening was filled with dancing, gourmet food and gaming tables that entertained guests all night long. Photo Credits: Tony Spielberg & Roni Gendler

8E7<@*I@@J*K:LM We are towing the biggest smile in Texas around town and giving away 15,000 toothbrushes to celebrate the 15th anniversary of the St. David's Dental Program! St. David's Dental Program, the largest mobile charity dental program in the country, travels to high-need schools and clinics in Travis, Williamson and Hays counties. Photo credit: Smile Week Photos Stacey Harrell

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FITNESS

;DB6 * 5DC* @,@C;DA@ Guiding you towards a needed release by: Lauren Bolado

A GUIDE TO SPECIALTY YOGA CLASSES OFFERED AT

BLUE HONEY YOGA POWER VINYASA Power Vinyasa Flow is a powerful, energetic form of yoga involving the fluid movement from one pose to the next while simultaneously connecting the breath and movements. This form of yoga provides a vigorous and revitalizing form of physical fitness. Strength, flexibility, balance, cardio and physical and mental stamina are incorporated into one session. Baron Baptiste, the founder of this form of yoga, describes this practice as “the perfect blend of sweat and serenity.” Power Vinyasa Flow with Collette (offered at Blue Honey Yoga) is great for all levels due to its focus on breathing and flowing movement. You will be guided through poses, movements and breathing patterns, similar to sun salutations. Do not be fooled, however, as this yoga specialty can pose as a challenge even for seasoned yoga practitioners. In Collette’s class, you will experience a light-hearted, dynamic, mindful and fun flow-based practice. Bring your sense of adventure and a smile!

YIN BASED YOGA Yin yoga is a slow-paced style of yoga with postures held for comparatively long periods of time. Yin poses apply moderate stress to the connective tissues with the aim of increasing circulation in the joints, improving flexibility and increasing the flow of energy. Yin yoga will give your tired muscles and joints a much needed release, making this a great practice for athletes. Your body gets a lot of stress while training; let your yoga practice complement all of those hours of training.

ACROYOGA AcroYoga is a blending of four profound, enriching and fun traditions: Yoga, acrobatics, Thai massage and the creative process. It has become the addiction of almost everyone who tries it! AcroYoga is the happy union of yoga and acrobatics. The act of AcroYoga provides a release of the spine using gravity. This specialty form of yoga may seem impossible and only for those very advanced in gymnastics, acrobatics and yoga. However, it is truly a form of yoga that all can find enjoyable and fun. This partner-based specialty yoga, where one person is the base, usually lying flat on the floor, and the other is a flyer, the person being supported by the base. The focus is on togetherness as the way to fully experience our humanness. AcroYoga unfolds naturally

THAI MASSAGE Thai massage is done fully clothed, except for shoes and socks, and it is performed on a yoga mat, allowing for a more thorough massage, rather than a massage done on raised tables. Thai massage is very relaxing and can increase your flexibility and release tension in your muscles. Thai massage has a certain flow to it that is quite different from other forms of massage, but it has many benefits that include the reduction of constipation, IBS, headaches, sciatica, back and neck pain. The practitioner uses his thumbs, palms, forearms, feet, knees and even shins to press into the body, which allows for the flow of energies through the body’s tissues. When all the soft tissues have been thoroughly pressed, the practitioner will begin stretching the body. The process is very thorough in an attempt to break up blockages that cause pain.

ASHTANGA YOGA Ashtanga yoga stresses daily vinyasa flow practice. Ashtanga classes focus on the standing series, varying parts of the primary series and the finishing series. Special attention is paid to learning to use the bandhas, ujjayi breathing, safety and how to vary different asanas. There are six different ashtanga series, through which a student progresses at his or her own pace. Ashtanga yoga is extremely popular and inspires fierce loyalty in its students. Ashtanga class serves as a great introductory level class to this type of practice, as well to those who want to fine tune their practice by developing solid techniques.

YOUR BODY GETS A LOT OF STRESS WHILE TRAINING; LET YOUR YOGA PRACTICE COMPLEMENT ALL THOSE HOURS OF TRAINING

STRENGTH BUILDING HATHA YOGA Hatha yoga is commonly translated as the yoga that brings union of the sun (ha) and the moon (tha). This style of yoga includes specific structured poses that aid with the purification of the body and mind, through principles that include postures and energy control. This is a slow moving yoga focused on postures and breathing control. The hatha technique to yoga is great for beginners and offers many benefits include stress reduction, exercise and can even decrease cravings for unfavorable habits like smoking, drinking, over-sleeping and more.

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CREATING BE AU T I F U L

SMILES Rose Dental Group Welcomes

Dr. J. Adam Carter Round Rock Location

Dr. J. Adam Carter is a native Texan who received his Bachelor of Science from Texas A&M University in College Station and his Doctorate of Dental Surgery from the University of Texas School of Dentistry at Houston. This passionate dentist loves what he does and is continuously educating himself so he is able to provide his patients with the best care possible. Dr. Carter is interested in advanced dental materials, technology and XIGLRMUYIW FIGEYWI XLI] EPPS[ JSV LMKLIV IJ½GMIRG] ERH better treatments. As a result, his patients feel more

NORTHWEST 11615 Angus Rd., Ste 110 Austin, TX 78759 (512)795-9643

comfort during and after their appointments. Which is IWTIGMEPP] FIRI½GMEP XS GLMPHVIR ERH XLSWI [MXL LMKL ER\MIX] Along with great patient care, Dr. Carter also donated his time treating people and delivering medications on a mission trip in the Amazon a few years ago. In addition to giving back to the community, the greatest aspect of being a dentist is creating lifelong relationships with each patient that he gets the opportunity to meet. Dr. Carter and his team are dedicated to treat each patient like family so they are comfortable and feel thoroughly informed.

SOUTHWEST 6211 W. William Cannon Dr., Austin, TX 78749 (512)288-4447

ROUND ROCK 893 N. I- 35 Ste 200, Round Rock, TX 78664 (512)310-9374 A U S T I N MD M A G A Z I N E . C O M

EATING RIGHT TO DECREASE PAIN Can being gluten free help? by Avinash Ramchandani, MD Painless Nutrition, LLC Dr. Acanash Ramchandani is a Medical Director Pain Care Physician. He is Board Certified in Pain Medicine and Physical Medicine and Rehabilitation.

luten is a natural protein in several different grains, including wheat, barley, rye, triticale, spelt, kamut, farro and durum. Several foods do not inherently contain gluten, but are often contaminated by gluten during the growing process, including oats.

It is not the gluten that is terrible, rather it is the wheat The current type of wheat that we eat was hybridized into a non-hulled dwarf variety to make it easy to cultivate and grow. This caused the total amount of chromosomes to increase from 14 to 42. The chromosomes are actually genes. These genes (also known as the DNA of the organism), in turn, are translated into proteins, like gluten and wheat gliadin protein. Therefore, because of the increase in chromosomes, there are many types of gluten that are introduced into the body when we eat this "modernized" form of wheat. Although wheat is not genetically modified, this is a similar concept to genetically modified foods, in which unnatural protein is introduced into our bodies.

A recent book written by Dr. William Davis, called Wheat Belly, and Dr. David Perlmutter, called Grain Brain, have discussed the ill effects of grain, wheat and gluten protein on the brain and our overall health. Wheat These unnatural proteins are not recognized can have a profound effect on SOME THEORIES SUGGEST by our bodies and can create an immune the body, not only in increasing response in the gastrointestinal tract or within THAT THESE UNNATURAL our bodies. Some theories suggest that these glucose levels due to high PROTEINS CAN ACTUALLY unnatural proteins can actually cause an carbohydrate content, but also causing an immune reaction thatCAUSE AN IMMUNE RESPONSEimmune response that makes our bodies attack can cause inflammation and pain themselves like an auto-immune disease, such THAT MAKES OUR BODIES as celiac disease. Other theories suggest that in our bodies (known as celiac disease). Although celiac disease gluten breaks down into proteins that can cause ATTACK THEMSELVES is a condition that people have, psychiatric disease, including schizophrenia. and can be proven by lab testing, many people also have a type of gluten intolerance that cannot Studies have shown some improvement in pain with elimination be determined by lab testing. of dietary triggers (in some cases wheat) for conditions like rheumatoid arthritis and fibromyalgia. Although controls and Why is gluten so inherently terrible? Well, it is not the gluten that number of subjects limit the studies on this diet, they have been is terrible, rather it is the wheat. Wheat was, once upon a time, promising. One study on rheumatoid arthritis showed that 33 of very healthy prior to it being hybridized in the 1950s. Some of 44 patients felt better (some "better" and some "much better") the old wheat, in particular einkorn wheat, is "hulled" and took with elimination of an offending dietary trigger. some effort to grow and process. Einkorn wheat has increased protein content (although fewer types of gluten), vitamins In conclusion, although being completely gluten free may not (including vitamin A, alpha and beta carotenes) and lutein (a be for everybody, there seems to be a role for wheat in some natural carotenoid also contained in green leafy vegetables like inflammatory conditions, including rheumatoid arthritis. kale and spinach).

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Putting It All Together Local health and fitness company Body by FRAME has mastered the art of combining all of these aspects. They put together a FitFolio of their clients’ goals, metrics, health conditions, fitness levels, nutritional information and lifestyles. Then, each client is given a customized nutritional profile through the nutrition experts and in-house dietician. Functional strength training and cardio are combined and customized per client. To get the best results, they measure and track the progression of each individual aspect. Use of a heart-rate monitor is encouraged. It is vital to know the condition of your heart’s output and your body’s total caloric burn while exercising. Using a heart-rate monitor will make you aware of your average and maximum heart rate, along with total calories burned while exercising. Another great tool you can use is a food log to create awareness of nutritional choices, like MyFitnessPal. This complete approach to fitness will have you on your way to swimsuit season sooner than you thought. Need a kickstart workout to get your total body moving? Try the following:

Special Contribution to Austin MD by Body by FRAME by Stephanie Flores Fit: It is something we have all aspired to be. There are so many choices and methods out there that sometimes it is hard to know which one is right for you. The health and fitness industry is filled with the latest diet fads, supplements, videos, magazines, exercise trends and classes. Wouldn’t it be nice to find one that had your fitness level, health condition, knowledge and lifestyle in mind?

The body is made up of several different systems, including the muscular, respiratory, digestive, skeletal, autonomic and central nervous systems, to name a few. The idea is that you have to take a whole body approach to your goals by using all of the systems. To get the best results, it is necessary to have your goals, nutrition program, resistance and cardiovascular training aligned. You cannot expect to see adequate changes if you only participate in one aspect of health and fitness.

Goals The first step to being successful is choosing your goals and purpose. When deciding, you need to be sure that they are specific to you, measurable, attainable in a reasonable time frame, and promote progressive habits over your lifetime.

Strength Training Calling all cardio kings and queens! Resistance training is vital to bone density and muscular function. Strength training can help prevent injury and strengthen supporting muscles involved in running, swimming and cycling. Also, having lean muscle helps increase your metabolism and burns fat more efficiently to shape your physique.

Fuel Your Body Some might say, “Everything in moderation; I workout, so I can eat what I want.” This may sound good, but chances are it is not going to get you to your goals. Nutritionally, you need to fuel your body so that it can perform for you. You have to nourish your body with the right amount of macronutrients so that it functions and digests properly. While exercise is great for you, it is simply not enough. Each individual’s metabolism is different and requires different amounts and quality choices of food.

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Cardio Training While cardio may be a coveted activity to some, there are others that dread doing it. Either way, cardiovascular training has many benefits, such as increased endurance and efficiency to the heart and lungs during respiration and reduced risk of heart disease, diabetes and blood pressure. It is also known to aid in weight loss and increase metabolism.

FOR MORE INFO Body by FRAME works to improve all fitness.

Visit www.bodybyframe.com or call (512) 402.2554

Photography by Winston Lackey

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BEAUTY

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My patients ask about the latest and greatest innovations in beauty treatments. Similar to how the PEXIWX JEWLMSR QMKLX RSX ÂžEXXIV IZIV]SRIÂ´W FSH] WYGL MW XLI GEWI [MXL FIEYX] XIGLRSPSKMIW 8LI RI[IWX gadget does not necessarily mean it is the best. Choosing the appropriate treatment modality is the key to success in skin rejuvenation. Carefully IZEPYEXMRK ERH HIXIVQMRMRK SYV TEXMIRXWÂ´ RIIHW WOMR X]TIW ERH GYVVIRX GSRHMXMSRW EVI EPP GSRWMHIVEXMSRW in formulating a treatment plan. First, let us discuss the classic treatments and their advances.

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These purified proteins have been used safely for several decades for a variety of medical conditions, such as strokes, migraines and lazy eyes. These act by blocking the signal from the nerve to the muscle, telling it to contract. They are used to relax your facial expression muscles, thereby reducing the appearance of wrinkles. The product that has enjoyed a monopoly over this arena is Botox Cosmetic, made by Allergan. Then, a different form of Botox by the name of Dysport surfaced, which is made by Medicis Aesthetics. The ratio of Dysport to Botox Cosmetic is three to one, with some people having less than satisfactory results due to improper adjusted dosing. The most recent player is Xeomin, made by Merz Aesthetics, which boasts a lack of protein that coats the surrounding surface of the botox component. This makes this product more suitable for those who have built up a tolerance.

mean that the cells are less likely to be rejected by the immune system. Stem cells, directed to differentiate into specific cell types, offer up the possibility of a renewable source of replacement for cells and tissues to treat currently incurable diseases, including Alzheimer's, spinal cord injury, stroke, burns, heart disease, diabetes, osteoarthritis and rheumatoid arthritis. Injected cells may accomplish repair by secreting growth factors. This development is still in its infancy, so watch for further research into how these can be used for skin rejuvenation.

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A U S T I N MD M A G A Z I N E . C O M

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PRP is an autologous preparation of platelets in concentrated plasma. PRP is being widely applied in various medical fields, including dermatology, for its ability to stimulate wound healing. Further, it has been used clinically in mesotherapy for skin rejuvenation. Although PRP injection is considered one of the minimally invasive procedures, it usually causes skin bruises, which will result in longer downtime when compared with other minimally invasive modalities. As PRP secretes a variety of growth factors in order to regenerate the skin, it may be hypothesized that PRP promotes new collagen synthesis as well as other ECM (extracellular matrix) components through activation of fibroblasts. Up to this point, there is no evidently clear method for the clinical application of PRP. Different methods that are being tested include topical application or direct injection into the skin.

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Minimally invasive dermal fillers, used alone or in combination with botulinum toxins, have accounted for much of the surge in non-surgical facial rejuvenation procedures. Dermal fillers, incidentally, are my favorite procedures to perform because of their instant gratification. It is more about placement rather than volume, so beware of places that push large numbers of syringesâ&#x20AC;Śthey may be incentivizing their staff by how much they sell.

Special Contribution to Austin MD by Dr. Shirat Ling, D.O.

As for legal developments, the Texas Board of Medical Examiners changed a law regarding injectables (botulinum toxins, fillers, etc.) that requires all patients to be evaluated by a physician prior to receiving these treatments, and he or she must be seen regularly by the physician annually thereafter. There are also similar regulations for those receiving certain laser treatments. This was implemented to improve the safety profile and cut down on the number of unregulated nurses and other second-hand trained staff who were practicing outside the scope of their licensure. So, be sure to ask about credentials and years of training and experience, and never skimp when it comes to your face.

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Over the past few years, there have been tremendous advances in the use of dermal fillers. There have been enhanced results as well as longevity for treating folds, wrinkles, pitted scars and skin depressions of the face, bringing back its fullness. The most popular ones include Juvederm, Radiesse, Restylane, Perlane, Sculptra and Artefill. The latest filler to join the game is Juvederm Voluma, which boasts two years of duration, compared to most others at one year. This is a much thicker filler and is approved for reshaping the outer cheekbones, filling in gaunt or sunken cheeks.

Adult stem cells and tissues derived from them are currently believed less likely to initiate rejection after transplantation. This is because a patient's own cells could be expanded in culture, coaxed into assuming a specific cell type and then reintroduced into the patient. The use of adult stem cells, and tissues derived from the patient's own adult stem cells, would

Advances in =<6887= treatments

BEAUTY

You may schedule a consultation or procedure online at www.innatebeauty.com

Mesotherapy is a minimally invasive technique that consists of an intradermal injection of variable mixtures of natural plant extracts, homeopathic agents, pharmaceuticals, vitamins and other bioactive substances in microscopic quantities through multiple dermal punctures. It has been used to rejuvenate and eventually tone the injected areas of the face and other body areas, like the neck, low neckline (decolletage), dorsum (back of hands), belly and the inner surface of the arms and legs. The simplest and most common formulation of mesotherapy for facial skin rejuvenation involves the injection of a multivitamin solution into the dermis over the course of multiple sessions. The type of mesotherapy that I frequently perform consists of dissolving small pockets of fat, such as the jowls, double chin and bags under eyes.

SHIRAT LING,

D.O., with Innate Beauty, personally performs all medical cosmetic procedures MR LIV SJÂ˝GI SR South First St. and has performed more XLER EFPEXMZI laser treatments. She has been in medical TVEGXMGI JSV ]IEVW nine of which she has spent performing medical cosmetic procedures.

A U S T I N MD M A G A Z I N E . C O M

BEAUTY

4D body Scuplting Technology in Austin A New Device for Fat reduction and Skin Tightening by Lauren Bolado

ennifer L. Walden, MD, a board certified plastic surgeon, is the first and only physician in Austin to use the innovative Venus Legacy™ body sculpting tool featuring LiftFX™ and SculptFX™. The Venus Legacy™ is the latest FDAcleared technology for non-surgical fat reduction, cellulite reduction and skin tightening for the face, neck and body. The device’s one-of-a-kind 4D technology simultaneously combines the proven Multi-Polar Radio Frequency (RF) and Pulsed Magnetic Fields (PMF), which produces a dense and uniform heat matrix. This causes collagen synthesis and contraction, fibroblast proliferation, neovascularity and lipolysis. This system also includes the VariPulse™ and Real Time Thermal Feedback features.

This has resulted in better clinical outcomes for non-invasive fat reduction, skin tightening and cellulite and stretch mark reduction

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The Multi-Polar RF is used to focus heat towards various tissue depths, targeting and disabling fat cells, while simultaneously stimulating the growth of new collagen to help tighten the skin and reduce wrinkles. PMF is used to accelerate the healing and rejuvenation process by increasing blood flow and cellular nourishment, which helps slow the aging process. The new VariPulse™ is an adjustable pulsed suction feature designed to deliver the combined energies more uniformly, stimulate lymphatic drainage and enhance patient comfort throughout their treatment. Real Time Thermal Feedback allows for superior operator control throughout the painless treatment and it also contributes to the improvement of the patient’s results.

This innovative patented technology combines Multi-Polar RF, pulsed magnetic fields and adjustable pulsed suction, which improves energy delivery and patient comfort. This has resulted in better clinical outcomes for non-invasive fat reduction, skin tightening and cellulite and stretch mark reduction.

painlessly and with zero downtime using this technology,” Dr. Walden says. “I also recommend complementary treatments such as Botox®, Restylane® or other fillers, which can further enhance results for those seeking a more youthful appearance without surgery.”

“As a plastic surgeon with high standards for any medical device I place in my office,” says Dr. Walden, “I spent a lot of time researching and conducting in-office trials of the previous technology, Venus Freeze™, before deciding to add it to our practice.” She also states that, “The new Venus Legacy™ features LiftFX™ and SculptFX™, which is an advancement of that already proven technology.” Acting as either a complement to liposuction or as a standalone treatment for patients looking for alternatives to surgery, this is an ideal addition to any plastic surgery practice.”

Non-invasive radiofrequency (heating) and cryolipolysis (freezing) methods of fat reduction and skin tightening are ever-evolving improvements in the aesthetic industry. These treatments are great for specific circumstances but will not take the place of a well-performed cosmetic surgical procedure, like liposuction for the reduction of fat, or a neck lift for the tightening and lifting of the skin, as well as underlying tissues of the face.

Post-pregnancy loose skin and persistent abdominal fat in women are Patients require between six to eight treatments for the face and neck, and GSQQSR EJ¾MGXMSRW between eight to ten treatments for XLEX GER FI HMJ½GYPX the body. All treatments are spaced a week apart and can last anywhere to solve solely from 10 minutes for a neck lift to 40 through diet and minutes for the body. The cost for a treatment series ranges anywhere from exercise $1,500 to $2,500, which most patients find very reasonable considering their results without surgery.

The Venus Legacy™ is a wonderful solution for someone with mild to moderate isolated pockets of fat. Post-pregnancy loose skin and persistent abdominal fat in women are common afflictions that can be difficult to solve solely through diet and exercise. Venus Legacy™ treatments can solve pesky problems like the ones mentioned above, as well as problem areas including the upper arms, inner and outer thighs, love handles, bra roll, the neck and the lower face. Dr. Walden has also seen some improvements with this procedure regarding cellulite and stretch marks, which are notoriously difficult problems to treat. The Venus Legacy™ is a cost effective and safe option for skin tightening and fat reduction. Patients who maintain a healthy diet and regular exercise will see long-term results. Pertaining to skin tightening, the effects of time and aging will occur regardless; however, Venus Legacy™ reduces the effects caused by aging. Maintenance treatments may be done every year or so in order to maximize these results. “While the Venus Legacy™ is by no means a substitute for those needing surgery, patients can still achieve impressive results

For more information about the Venus Legacy™ featuring LiftFX™ & SculptFX™ treatments, please contact Jennifer L. Walden, MD, PLLC at her office in Austin, Texas by calling 512-328-4100 or visit www.drjenniferwalden.com. You may also like Dr. Walden on Facebook.

A U S T I N MD M A G A Z I N E . C O M

MEDICAL

IMPROVING YOUR HOSPITAL EXPERIENCE For Medicare patients, this means coordinating discharge care Special Contribution to Austin MD by Elizabeth Chmelik, M.D. and Jason Sutton, M.D. with WellMed Medical Group

s hospitalists at WellMed – physicians who focus on providing care for patients in the hospital – we are all too aware of the challenges facing the healthcare system in curbing readmission rates for patients, particularly Medicare patients. The federal government claims some $26 billion is spent on readmissions for Medicare patients, and more than $17 billion pays for return trips that could be avoided if patients are given the right care the first time around. The issue is critical for healthcare providers because the Centers for Medicare & Medicaid Services (CMS) is financially penalizing hospitals that fail to get a handle on high rates of hospital readmissions – typically defined as patients returning to the hospital within 30 days of being discharged. The issue is critical for Medicare patients because of the emotional, physical and financial toll that hospitalization often places on them and their families. In 2010, the 30-day hospital readmission rate for Medicare patients in Texas and Travis County hovered just above 15 percent, according to “The Revolving Door: A Report on U.S. Hospital Readmissions.” Translated, that means a little more than one in seven patients discharged from the hospital were back within 30 days. The report, released last year by The Robert Wood Johnson Foundation, provides a common-sense (and evidence-based) list of reasons for why this is happening: differences in patient health status; the quality of inpatient care, discharge planning and care coordination; the availability and effectiveness of local primary care; and the threshold for admission in the region. We are part of the Specialists for Health medical group, supporting patients in the WellMed Network. We have privileges at four hospitals and two nursing homes in Travis County. Like our counterparts at WellMed Medical Group, we specialize in senior healthcare. Our Austin team includes four hospitalists, with a fifth joining our team in April. Before the hospitalist program for WellMed patients was initiated in early 2012, the hospital re-admission rate was close to 20 percent for the year 2011. Since then, we have helped reduce that rate to 14 percent and have just initiated a new protocol that shows the promise to drastically reduce the rate further.

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First, here are a couple of things that we do that go beyond the protocol for hospital providers: 1. PCP visits within 72 hours – We coordinate with the primary care physician/clinic to arrange patients discharged from the hospital to be seen within three days. CMS standards advocate for patients to be seen within two weeks after discharge. By shortening the time before the transition visit, the patient’s medical home care team can immediately address any issues that have popped up postdischarge and ensure patients are following their postdischarge care plan. This is also accompanied by a nurse phone call to the patient within 24 hours of discharge. 2. Regular meeting with PCPs – we meet regularly (usually weekly) with WellMed primary care physicians to discuss discharged patients, their progress, their care plan and more. This interaction is sometimes done over the phone, but often we have face-to-face meetings at the clinic, giving us a level of familiarity with not only the PCP, but also the staff. This translates into more effective communication and coordination of care. These may sound like small steps, but they have a major impact on the way patients receive treatment after leaving the hospital.

Many of our Medicare patients are on fixed incomes and are rightly concerned about any additional medical costs

This year, we initiated a pilot program to help meet a need we recognized was contributing to hospital re-admissions – the failure of discharged patients to pick up or properly take medication prescribed for them at the hospital. When patients do not pick up prescriptions—or wait days to pick up a medication— that should be taken immediately, this can lead to acute problems and a potential visit to the emergency room. So we arranged to have medications prescribed for postdischarge use to be delivered to a patient’s hospital room. Again, this sounds like a small thing, but it took some work to achieve. First, we initially could not find a pharmacy willing to deliver to the hospital room without incurring additional delivery fees. Many of our Medicare patients are on fixed incomes and are rightly concerned about any additional medical costs. Ultimately, we partnered with the independent South Austin Pharmacy, who agreed to deliver medications to the hospital room at no additional cost. The delivery staff are not only bike messengers, but they are pharmacy technicians or the pharmacy owner himself. This is important because, upon delivery of the

(V .EWSR 7YXXSR &SEVH 'IVXM½IH MR -RXIVREP 1IHMGMRI earned his Medical Degree from the University of Texas Health Science Center at Houston, and he also received training there for a career as a hospitalist in the Categorical Internal Medicine Residency program, where he was Chief Medical Resident.

prescriptions, patients are counseled at their bedside about what the medication does, possible side effects, when to take it, what to take with it and, perhaps most importantly, what medicines to avoid taking with it. This reinforces the pharmacy education we also provide for patients before discharge, and the education patients receive at their PCP follow-up visit. Most importantly, it puts prescription medication that is necessary for proper rehabilitation and recovery into the hands of patients at a critical time that is most effective for them. Over a six-month period, only seven percent of the 53 patients who participated in the pilot prescription delivery program were re-admitted to the hospital within 30 days. We hope to see similar results as we have made this program the protocol for all patients we care for in the hospital in the Austin market. There is no single magic bullet for improving healthcare, but one thing we firmly believe is that coordination of care is essential for developing a better overall hospital experience, which should include the discharge process. Good communication, coordination and overcoming barriers to effective care are all part of transformational progress in the way healthcare is delivered.

(V )PM^EFIXL 'LQIPMO &SEVH 'IVXM½IH MR *EQMP] 1IHMGMRI leads the Specialists for Health hospitalist program in Austin. She earned her Medical Degree from the University of Florida College of Medicine and completed her residency and internship there at the Department of Community Health and Family Medicine. She is a Fellow in the American Academy of Family Physicians and the Society of Hospital Medicine.

Visit www.wellmedmedicalgroup.com or call (888) 781.WELL (9355) A U S T I N MD M A G A Z I N E . C O M

after even one visit.

Advanced Pain Care

Dr. Mark Malone by Jonathan Black

â&#x20AC;&#x153;Chronic pain is debilitating and takes over a patientâ&#x20AC;&#x2122;s life,â&#x20AC;? says Dr. Mark Malone, from Advanced Pain Care. â&#x20AC;&#x153;When a patient is in that kind of pain, he or she should not have to wait until next week or next month to receive treatment. That is why Advanced Pain strives to see our patients the same or next day.â&#x20AC;?

betic nerve pain, post surgical pain, spinal stenosis and others. Whether the treatment technique is prescription drug relief, targeted nerve injections or the use of a non-narcotic neurostimulator, an implantable device that overrides the signals of pain-generating nerves, APCâ&#x20AC;&#x2122;s focus is on innovation, accurate treatment and minimal recovery time.

care is that doctors should be in the examination room with patents or in the hallway with staff, in order to keep their fingers on the pulse of the office. Availability, both to the patients and the staff, is fundamental to his view of medicine. For that reason, Dr. Malone does not have a personal office in any of the APC locations.

APC recently implemented a â&#x20AC;&#x153;Functional Restorationâ&#x20AC;? program in which a physical therapist works with workers compensation patients. This intensive 20-day program utilizes a combination of physical therapy and psychology to help patients return to day-to-day APC treats all types of chronic pain, activities. including migraines, back pain, hip and knee pain, fibromyalgia, dia- Part of Dr. Maloneâ&#x20AC;&#x2122;s philosophy of

Also essential to his approach is conservative medical care. â&#x20AC;&#x153;First and foremost, we listen to our patients,â&#x20AC;? says Dr. Malone. â&#x20AC;&#x153;From there, we use the most advanced technology and medically proven techniques to provide the least invasive options to successfully treat the pain.â&#x20AC;? Because APC providers are specialists in pain management, countless patients have found relief

Dr. Malone is in a unique position to understand his patients in a way other doctors might not be able to, â&#x20AC;&#x153;I have experienced chronic pain from a back injury,â&#x20AC;? he explains. â&#x20AC;&#x153;I can relate first-hand to what my patients are going through physically, mentally and emotionally.â&#x20AC;?

located in Waco. In addition to Dr. Malone, the practiceâ&#x20AC;&#x2122;s physicians include Drs. Ryan Michaud, David Martincheck, Sri Mandyam and Allen Dennis. APC accepts most types of insurance, including workers compensation insurance, and provides many payments options, so that patients do not have to suffer for financial reasons.

The practice also pays attention to the psychological dimensions of chronic pain, for patients as well as their families. Chronic pain sufferers often do not sleep well, may not be able to work and may miss social engagements. Understanding that depression and chronic pain can go hand in hand, psychologists are available for APC patients as well. Dr. Malone is active with treating veterans as well as active duty Each APC employee, from tele- military personnel who experience phone operators scheduling ap- chronic pain. â&#x20AC;&#x153;I am humbled to be pointments to the operations co- able to serve those who put their ordinator ensuring patients have lives on the line, and on hold, to comfortable seating while they serve the United States of Ameriwait, is part of providing patients ca,â&#x20AC;? says Dr. Malone. Additionally, the most pleasurable experience he and his wife, Tracy, volunteer in possible. â&#x20AC;&#x153;By paying attention to projects for The Komen Foundathe details,â&#x20AC;? Dr. Malone explains, tion, American Cancer Society and â&#x20AC;&#x153;Advanced Pain Care hopes to go a St. Andrews School in Austin. long way in improving our patientsâ&#x20AC;&#x2122; experience in the doctorâ&#x20AC;&#x2122;s office and â&#x20AC;&#x153;We like to say that, â&#x20AC;&#x2DC;Pain is ineviultimately their quality of life.â&#x20AC;? table, but suffering is optional,â&#x20AC;&#x2122;â&#x20AC;? Dr. Malone explains. â&#x20AC;&#x153;Advanced Pain Dr. Malone is a board-certified Care is here to give patients the pain specialist and received his choice to not suffer and the choice M.D. from the University of Texas to reclaim their lives.â&#x20AC;? Southwestern Medical School. He attended Baylor College of Medicine for his residency as well as training in anesthesiology. He completed a pain management fellowship at Texas Orthopedic Hospital. A long time Longhorn, Dr. Malone received his undergraduate degree from the University of Texas at Austin. APC has five Austin area locations, including South Austin, Central Austin, Round Rock, Cedar Park and Georgetown. A sixth office is Photography by Winston Lackey

FOR MORE To learn more or to schedule an appointment, visit austinpaindoctor.com, GEPP SV ZMWMX ER] SRI SJ XLIMV WM\ SJÂ˝GIW

Care Physicians. The causes and symptoms of each patient’s pain are unique. One of the reasons Pain Care Physicians emphasizes the interdisciplinary approach to treatment is to better develop a pain relief plan that is customized to the needs of each patient.

Pain Care Physicians Dr. Avinash Ramchandani by Jonathan Black “My favorite part of being a physician is when I have improved someone’s quality of life by doing what I do,” says Avinash Ramchandani, MD of Pain Care Physicians.

is neurologic, muscular and skeletal in origin. They use evidence-based diagnostic and intervention techniques, when possible, to promote patients’ recovery from accidents and injuries as well as to improve A physical medicine and rehabili- chronic pain conditions. tation practice specializing in pain management, Pain Care Physicians Together with his associate, Dr. maintains a procedure suite at their Ramchandani offers Pain Care office on Ben White Boulevard. As Physicians patients chronic and a cornerstone of their commitment acute pain management, sports into patient quality of life and as an jury treatment, electromyography alternative to the hospital setting, (EMG), lumbar discography, proit offers services to patients with a lotherapy, trigger point injections, multitude of pain-related condi- epidural steroid injections, radioftions. requency ablations, sacroiliac joint injections and spinal cord stimulaPain Care Physicians utilizes di- tor trials. agnostic and therapeutic physical medicine and rehabilitation meth- Dr. Ramchandani has a special inods to investigate and treat pain that terest in non-surgical management

of pain. “Whether it’s musculoskeletal pain, spine pain or cancer pain, if a patient can manage his or her pain without surgery, then that is obviously preferable,” He explains. “I try to help patients avoid surgery by exploring every possible alternative treatment.” He also emphasizes an interdisciplinary approach to medicine, where patients are part of a treatment team dedicated to his or her wellness. Depending on a patient’s unique needs, this team may include a mix of rehabilitation professionals, physicians and surgeons and allied health professionals, many of which are in the local community. Dr. Ramchandani has built that interdisciplinary treatment model into daily practice at Pain Photography by Winston Lackey

Clinical and diagnostic services are only one part of Pain Care Physicians’ approach to the patient care experience. The practice selects its clinical and administrative employees from a variety of professional backgrounds, including medical assistants, emergency medical technicians, licensed vocational nurses and registered nurses. The practice also includes a physician assistant and clinical nurse specialist. The practice has an administrative staff that are encouraged to facilitate a positive experience for every patient. This includes a dedicated scheduling department to handle procedures and new appointments. Pain Care Physicians also maintains a department devoted to personal injury cases.

he traveled to the Himalayas, volTo best serve the needs of pain pa- unteering his services with a medtients throughout central Texas, ical camp there and working with a Pain Care Physicians maintains of- team to treat more than 1,600 pafices in Bastrop and San Marcos in tients over two weeks. addition to its Austin office. He continues to educate mediDr. Ramchandani is board-certi- cal students and other health care fied in Physical Medicine and Re- professionals on the treatment and habilitation and Pain Medicine. management of pain. As with his He received his M.D. from Rosa- practice, his teaching and mentorlind Franklin University in North ing work gives special attention to Chicago, Illinois and has an M.S. non-surgical treatment of pain. in Applied Physiology, also from Rosalind Franklin University. Dr. More recently, he has created “PainRamchandani received his under- less Nutrition,” a blog exploring the graduate degree in molecular and link between diet and a pain-free cell biology from the University of lifestyle. “Painless Nutrition” can be California Berkley. He did his res- followed at http://www.painlessnx. idency at Stanford University Hos- com and on Facebook (https://www. pital in Palo Alto, California and, facebook.com/painlessnx), Twitter afterwards, completed a fellowship (@PainlessNX) as well as LinkedIn in pain medicine at Oregon Health and Wordpress. and Sciences University in Portland. He also plans on starting an MBA at Cornell University in Ithaca, NY this fall while still working at Pain Care Physicians. Dr. Ramchandani takes his commitment to medicine beyond the office with a variety of outreach activities. During medical school,

FOR MORE To learn more or to schedule an appointment at Pain Care Physicians, visit http://www. paincarephysicians.com/, call

SV ZMWMX 4EMR 'EVI 4L]WMGMERW EX ; Ben White Blvd.

H E A LT H C A R E

Texas Physical Therapy Specialists

hether you are a physical therapy patient or a medical provider who prefers to visit a physical therapist, Dr. Mark Milligan, a physical therapist with Texas Physical Therapy Specialists, wants you to know about trigger-point dry needling. â&#x20AC;&#x153;This very effective technique for treating muscular pain uses a very fine needle inserted at points of pain or muscle trigger points.â&#x20AC;? It is just one of the services offered by Dr. Milligan and his associates at Texas Physical Therapy Specialists. â&#x20AC;&#x153;We provide hands-on physical therapy care based on the newest research for all musculoskeletal conditions,â&#x20AC;? he explains. They offer skilled manual therapies, such as joint mobilization and manipulation, soft tissue manipulation, trigger point dry needling, lymphatic massage as well as hand

Dr. Mark Milligan by Jonathan Black amazing customer service and care excellence.â&#x20AC;? Clinical excellence begins with ensuring each of the practiceâ&#x20AC;&#x2122;s providers is board certified, which places their providers in the top 5 percent of physical therapists in the country. Providers determine each individual patientâ&#x20AC;&#x2122;s plan of care by utilizing the latest research. Once care begins for a patient, Texas Physical Therapy Specialists meticulously track outcomes, helping to get the right care to the right patient at the right time, to reach the best result.

When asked what makes Texas Physical Therapy Specialists unique, Dr. Milligan cites three guiding objectives, â&#x20AC;&#x153;clinical excellence,

Dr. Milligan finds satisfaction in guiding patients through the healing process, â&#x20AC;&#x153;They need to know what that process looks like, feels like and how long it takes. Itâ&#x20AC;&#x2122;s my job to provide an appropriate plan of care and empower patients to recognize their role in maintaining health,â&#x20AC;? says Dr. Milligan.

â&#x20AC;&#x153;We care about our patients,â&#x20AC;? Dr. Milligan says. â&#x20AC;&#x153;Being compassionate and accommodating during times of pain helps patients feel better.â&#x20AC;? The practice strives to ensure every patient has the best possible experience. In fact, Texas Physical Therapy Specialistsâ&#x20AC;&#x2122; goals for their patients go beyond just the best possible experience. They want their patients to have fun during physical therapy. While this is about customer service, it is also excellent clinical care. Environment impacts patient healing. By encouraging patients to have fun, they also help to facilitate the healing and rehabilitation process.

therapy, functional rehabilitation and exercise prescription.

orthopedic manual physical therapy fellowship, along with Evidence in Motion.

Dr. Milligan graduated from the University of Colorado School of Medicine with a Doctorate of Physical Therapy. He completed a one-year orthopedic residency with Evidence in Motion, a knowledge exchange studio providing cutting-edge programs, research, resources and training to the physical therapy community. Dr. Milligan is in the second year of an

FOR MORE INFO To learn more or to schedule an ETTSMRXQIRX GEPP visit www.austinpaindoctor.com or ZMWMX ER] SRI SJ XLIMV WM\ SJÂ˝GIW

Dr. BRANNON FRANK

Austin Pain Associates

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Dr. Brannon Frank, Dr. Alan Silberberg and Dr. Robert Wills

ustin Pain Associates is a local practice completely dedicated to the treatment of chronic pain. At APA, they understand the deep impact chronic pain conditions can have on their patientsâ&#x20AC;&#x2122; lives, and so they are earnestly committed to each of their patients â&#x20AC;&#x201C; as well as the surrounding medical community â&#x20AC;&#x201C; to be the best pain management organization in Central Texas. APA physicians strive to combine their passion for medicine with great compassion for their patients. Their collaborative, multidisciplinary approach reduces pain and restores patientsâ&#x20AC;&#x2122; function. They create individualized treatment plans that encompass all aspects of chronic pain. Put simply, they keep the focus of their care and expertise where it belongs: on the patient.

Treatments

their pain. APA physicians will work with each APA physicians use the most cutting-edge and patient to select the right medications and finecomprehensive techniques, so patients will tune dosage and combinations to achieve the best outcomes possible. receive the most complete care possible.

Alternative Therapies

APA encourages patients to take a holistic approach to pain management. Alone or in conjunction with medical treatments, alternative therapies such as yoga, massage therapy, acupuncture, chiropractic care and Quigong meditation can have a positive impact on a patientâ&#x20AC;&#x2122;s vitality, health and overall wellbeing while contributing to an effective longterm pain management plan.

Interventional Procedures

APA offers a wide range of treatments to most effectively treat each patientâ&#x20AC;&#x2122;s pain. Their Founded in 2002 by Robert P. Wills, M.D., multidisciplinary approach means that they APA has grown to include 11 physicians across can treat most common conditions under one nine locations. These physicians together have roof. Interventional procedures include a wide experience treating all pains, including: range of therapeutic injections, nerve blocks and spinal cord stimulation. Âˇ Back pain Âˇ Neck pain Medication Management Âˇ Fibromyalgia Many chronic pain sufferers rely on Âˇ Headaches medications such as opioids, anti-depressants, Âˇ Pelvic pain anti-inflammatories and others to manage . Joint pains Photography by Winston Lackey

by Leslie Hancock

Physical Therapy & Rehabilitation:

The chief goals in a physical therapy program are to bring the patient pain relief, minimize impairment, keep a standard of mobility, improve physical function and, most importantly, teach the patient self-management of his or her condition.

Psychological Evaluation & Treatment

Unhealthy behaviors, from smoking and poor diet to a sedentary lifestyle and poor coping skills, are all major contributors to illness. The prolonged course of illness and disability from chronic diseases, such as diabetes and arthritis, result in extended pain and suffering and decreased quality of life for millions of Americans. Fortunately, we can learn techniques to control negative thoughts and change unhealthy behaviors. Health psychology uses psychological principles to promote healthier lifestyles and to treat and prevent illnesses.

APA’s Vision:

H E A LT H C A R E

Austin Pain Associates realizes the goal of treating patients with chronic pain is to both reduce pain levels and restore functionality. APA realizes that a multidisciplinary approach is the most effective way to achieve this goal, and creates an individualized pain management treatment plan for each patient that addresses the physical, functional, psychological and emotional aspects of chronic pain. · APA succeeds by always putting the needs of our patients above all else, and by empowering our staff to be problem solvers, guided by what is in the best interest of the patient, rather than solely by protocols. · APA staff and providers are driven by high standards of professionalism and expertise in their respective roles, and realize a collaborative approach with each other, and the patient, achieves the best medical outcomes for our patients. · APA staff and providers realize that our medical practice is one link in the continuum of care being provided to our patients by our local medical communities, the state of Texas, and the nation at large; and that we have a role in adhering to the basic scientific, ethical, financial and legal principles that reflect that responsibility. · APA believes in treating all patients who enter our practice with respect and grave concern, in addressing all patients regardless of their ability to pay or prior pain management treatment failures, and in expanding our range of services, our medical practice, and our sphere of influence throughout central Texas and beyond.

Dr. ALAN SILBERBERG Clinical Research Trials

APA conducts clinical research trials. Through clinical research, APA can help to develop better medications, devices and techniques for patients with chronic pain. Research programs also allow APA to remain on the cutting edge of pain management treatments and offer patients an opportunity to access innovative therapies that are otherwise unavailable to the general population.

making a difference for patients. “I love having direct access to all my patients through multiple locations and the fact that at APA we work and partner with a variety of other physicians to create the best possible treatment plan.”

An Integrated Team Practice

Dr. Robert Wills, founder of Austin Pain Associates, has two professional passions: anesthesiology and pain management. He enjoyed the excitement of anesthesiology but missed the ability to build true partnerships with his patients. “I love the long-term relationship with patients, which is why I switched from anesthesia to pain management.” More than that, it helped motivate him to start APA in 2002 as a means to further his desire to treat patients with chronic pain syndromes in a comprehensive, interdisciplinary clinic.

“OUR ENVIRONMENT IS RELAXED AND PATIENT-CENTERED, AND OUR GOAL IS TO GIVE THE BEST QUALITY OF CARE AVAILABLE.”

- Silberberg

Dr. Brannon Frank, Medical Director for Austin Pain Associates, says that APA began with a vision for giving patients a different kind of pain care experience. “We started with one location with only about 30 employees. Being a small business gave our practice an intimate ‘mom and pop’ feel.” Nine years later, they have expanded throughout the greater Austin area, but the practice has emphasized keeping the same small business feel as when it was only a single office. Dr. Alan Silberberg says that APA’s multiple locations and professional relationships with other practitioners are part of APA’s philosophy of Photography by Winston Lackey

FOR MORE All 11 APA physicians share Dr. Wills’, Dr. Frank’s and Dr. Silberberg’s passion for integrated, interdisciplinary care for both the body and mind to manage chronic pain. To achieve their goal, they work with 18 mid-level providers – such as Physicians’ Assistants (PA’s) and Family Nurse Practitioners (FNP’s) – and 10 behavioral health providers. To learn more or to schedule an appointment, go to www.austinpainmanagement.com, call (888) 658-8483 or visit any Austin Pain Associates location.

Dr. ROBERT WILLS H E A LT H C A R E

MEDICAL

Bioprinting: the newest stem cell innovation

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veryday in the U.S., roughly 100,000 individuals are waiting on some type of organ transplant list. According to The Hastings Center, a bioethics non-profit center in New York, about a dozen people die each day waiting for an organ that will never arrive. Fortunately, with the help of 3-D organ printing, researchers and developers in the biotechnology field are coming closer everyday to solving this problem. While the ultimate goal for usable biomaterials is one that can be taken off the shelves at any Home Depot, researchers have found that a patients’ own cells and tissues work best. Bioprinting works by taking cells from an individual’s organ and then transplanting those cells into an ink cartridge, layered as tissues and ultimately organs. The 3-D printer is able to print organs with the cells and tissues. The cells eject as a gel, and the organ maintains its shape in a glue-like fashion. 3-D organ printing, otherwise known as bioprinting, consists of printing human stem cells onto a 3-D printer to produce a human organ. This process includes taking human epithelial cells, which stay actively reproductive throughout most of a persons life, and then transferring them into a gel, where they are rigorously tested for their durability with micro-pump machines. Once these stem cells clear this check point, they are then placed into an ink cartridge in their gel format (think of the gel as being equivalent to ink in a printer cartridge) and printed as a hollow organ that maintains its shape in a glue-like fashion, based on the inputs from the computer. Think of this much in the same way as when we click a button to have our computers print papers of any kind. In 2011, Anthony Atala, director of the Wake

Forest Institute for Regenerative Medicine, gave a TED Talk on bioprinting. In his speech, he displayed a kidney that was printed earlier in the day for the audience to see. What might have been lost on the audience members was that this kidney was not a fully functional organ, rather a kidney model. This displays one major hurdle for researchers in this innovative field to overcome: how to print fully functional, complex organs that can be placed into human beings so they can function with them. This brings up yet another issue, which is: how do researchers accomplish this goal without the patient’s own cells rejecting the organ that is not their own?

valves throughout their lives without any issues.

The body is a highly complex and specific system, and if these cells and tissues do not match the almost exact dimensions to the nearest nanometer in the body, the likelihood of rejection and death, both on a cellular and overall system level, is relatively high.

In 2014, we may be the first generation to see a fully functional 3-D printed organ: the liver.

8LI ( TVMRXIV MW EFPI XS print organs with the cells and tissues The organs and tissues that have been successful are those that are not highly vascularized, or highly supplied with blood vessels, such as the ear and bladder. Vascularization presents the largest problem, but one that bioprinting has the largest capacity to solve. The entire body system is highly vascularized, and it is the white blood cells in our immune system that either accept or reject whatever we ingest. If our white blood cells—specifically cytotoxic T cells— reject foreign antigens, then the potential for cell apoptosis (cell death) is high. One solution to this problem is seen in infants, where artificial heart valves are surgically replaced. The capillaries then grow and mold over the

What happens when an adult needs a new kidney, lung or liver? Workable solutions have been in progress, such as taking individual muscle cells and working them in the lab, so that they can be engineered to make the necessary tissues that make up the complex organs of the heart, kidneys and liver. The problem is not the organs themselves, rather the highly complex system of blood vessels, capillaries and different tissue types surrounding the organs that poses the biggest problem. Regenerative medicine’s main goal is “to do no harm,” with the promise of “making our patients better.”

Researchers at the Gladstone Institutes and University of California, San Francisco, recently released an innovative type of cell programming that may make epithelium cells functional as liver cells. Sheng Ding, the senior investigator at Gladstone Institutes, says, “We thought that, rather than taking these skin cells all the way to a stem cell-like state, perhaps we could take them to an intermediate phase.” Rather than starting over, they were able to create endoderm (embryonic) cells. While growing these liver cells in the lab, they have made significant progress and seen great results. “The power of regenerative medicine already allows scientists to transform skin cells into cells that closely resemble heart cells, pancreas cells and even neurons,” concludes a study from Nature, a scholarly journal. Hopefully before the end of 2014, we as a population can see a 3-D human liver fully functional as a transplant, ultimately capable of saving hundreds of thousands of lives.

MEDICAL

PROFILES Acupressure and acupuncture offer different benefits and results. “Z-Acu-Therapy can be more effective than acupuncture in treating chronic pain, injuries, stress and insomnia,” Dr. Zhang explains. “Z-Acu-Therapy also works well with muscle and tendon injuries and chronic joint problems,” he adds.

Breakthrough Innovations in Natural Medicine 0SRK XIVQ WSPYXMSRW JSV LIEPXL ERH ½XRIWW By Lauren Bolado

Natural medicine is widely considered to be an alternative option for addressing illness or disease, but Austin Natural Healing Center provides safe treatment options for working with a large variety of ailments, including chronic health problems and preventative care. Western medicine is still necessary for major medical issues, like surgery, but as for many health problems, natural medicine, such as acupuncture, acupressure and herbal remedies, can provide affordable care without the side effects that can be an issue with conventional drugs. “Acupuncture is designed to help with a wide variety of diseases and problems, like pain management, headaches, insomnia, allergies, infertility and tinnitus,” Dr. Don Zhang of Austin Natural Healing Center explains.

In addition to his work with herbal formulas, Dr. Zhang has developed The Zhang Microsystems Acupuncture Method, for which he won the prestigious Huang Di Award at the sixth International Conference of Traditional Chinese Medicine in 1996. In order to understand Dr. Zhang’s method to microsystems, VZ

A U S T I N MD M A G A Z I N E . C O M

Austin Natural Healing Center offers a breakthrough fitness system for clients who are overweight or have diabetes, high blood sugar, high cholesterol, high blood pressure or cardiovascular problems. The problem with many weight loss programs is that they do not address the underlying metabolic issues. Fit -150® uses the mind to affect changes in your health. It teaches a mental “blueprint” for longevity and health, which are not found in any other programs. It uses the mind directly, along with physical techniques, designed to help you not only lose weight, but also bring balance to your metabolism.

only in the areas they want to lose it. Best of all, these exercises are designed to burn fat without burning muscle energy. This balances the appetite so that you do not struggle with hunger, only to then put the weight back on. This is a very unique part of the program and a unique way of burning fat to keep the weight off for good.

Fit -150® uses specific exercises for burning fat in targeted areas as well as overall body fat. This allows the client to lose weight

“We have found [that] people have reduced their insulin after only weeks on this program, and for some, even reversed their diabetes,” Dr. Zhang says.

For many, losing weight is needed to manage a disease, like diabetes or high blood sugar. The Fit -150® program has very specific exercises designed to burn blood sugar quickly and effectively, which is very important to those with these conditions.

Fit-150® is very easy to do, and it is a lot of fun! This program can be done by everyone because of its gentle exercises that are easy to do, even for people who are unable to keep up with other exercise routines. For people in fairly good health, the program can prevent any future problems, making it a long-term solution for people at every fitness level.

we must first define what acupuncture is. Acupuncture is divided into two main categories. The first category is traditional acupuncture. This acupuncture is based on the traditional 14 basic meridians (energy pathways) and the meridian points. The second category of acupuncture is based on the newly-discovered microsystems, which are very popular right now. Examples of some of the microsystems approaches are ear, scalp, wrist and ankle acupuncture. The Zhang Microsystems Acupuncture Method is composed of a series of the 10 or more microsystems. This method can be used for a variety of diseases and conditions, but Dr. Zhang has found it very effective for treating eye diseases, like macular degeneration, glaucoma and floaters, ear problems, allergies, asthma, addictions to nicotine, conditions resulting from a stroke and for cosmetic maintenance of the skin, including wrinkles and rashes. Dr. Zhang is also the creator of Z-Acu-Therapy, a painless acupressure method using his microsystems technique, which is great for pain management, chronic injury, stress, allergies and insomnia.

Acupressure and acupuncture offer HMJJIVIRX FIRI½XW ERH results

Dr. Zhang is an innovator of the natural medicine field, with his research and creation of herbal formulas designed to help illnesses and diseases that have no conventional method of treatment, such as cervical disease caused by the human papillomavirus (HPV), which can lead to cervical cancer.

The problem with many weight loss programs is that they do not address the underlying metabolic issues

Visit the Austin Natural Healing Center to learn more about the revolutionary microsystems method for acupuncture ERH EGYTVIWWYVI ERH [[[ ½X GSQ JSV XLI *MX technique to weight management, metabollism balance and wellness.

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The greatest innovation we will see in 2014 and beyond! Special Contribution to Austin MD by Austin Emergency Center

Visit the Austin Emergency Center online at www. austiner.com, or call/visit the location closest to you. Far West: 3563 Far West Blvd., Suite 110 Austin, TX 78731 (512) 481.2321 South Lamar: 4015 South Lamar Blvd. Austin, TX 78704 (512) 774.5780

I+(.*>$*H"*E$0"*/N'%+(.N0$&'-? There’s an app for that… Special Contribution to Austin MD by Melissa Matherne with Citizen Generation

Visit Citizen Generation online at www.citizengeneration.org ur calendars tend to fill up with—well—life, and after the week is said and done, taking care of our city and those in need can be the last thing on our minds, despite our best efforts. Technology advances have improved the way we learn, the way we heal and have even improved the way we give back.

As Austin's growth explodes, so do the needs of its community. Many nonprofits lack the resources needed to keep up with the growing demands and accomplishment of their work. These easy tools can put the power to help in your hands, making it effortless and convenient to give back both in your daily life and on the go. And, much like Citizen Generation’s motto, these apps combine philanthropy with your daily routine, so you can easily LIVE, PLAY, WORK and GIVE every day. Did you know 50 million Americans go to bed hungry every night? Now with the TangoTab app there is a way to help solve this problem just by dining out. If there is one thing Austinites do well, it is dining out. And with the food craze growing in Austin, this app is the perfect tool to stay cool and give back. TangoTab offers great discounts to local restaurants that you can use immediately. Every time you use a free TangoTab restaurant deal, they donate a meal to a person in need through a local charity. The math is simple according to TangoTab developers: with 50 million Americans going hungry every night, and more than a billion meals sold in restaurants each week, we can all contribute in the aid to end our country’s hunger epidemic.

that allows you to earn money and raise awareness for charities by walking, running or biking—all courtesy of their corporate partners. It is as simple as choosing a charity and then hitting the streets by hiking, biking and running. While you become active, the app will measure your distance, and you will earn money for your charity: 10¢ per mile for bikers, 25¢ per mile for walkers and runners, all up to their initial one million dollar corporate sponsorship pool. Now you really can go the distance for charity! Google has become a verb in the English vocabulary. How many times a day do you hear or say, “Just Google it?” Well, now you can search and give back all at once. While Goodsearch is not an app, it is one of the simplest ways you can give back just by continuing your daily routine. Goodsearch is powered by YAHOO!’s search parameters that allow internet users to pick a nonprofit organization of their choice and allocate the money raised from searching the web to that charity. It really is as easy as that! According to Goodsearch’s website, more than 15 million people used Goodsearch to browse the Internet, which in turn supported more than 100,000 nonprofit organizations and schools. Since 2006, more than ten million dollars has been raised through daily Internet searches!

The Instead app encourages small donations that make a big difference

Similar to Citizen Generation’s mission, the Instead app encourages small donations that make a big impact. Many people, especially young professionals, want to give back but may not have the means to make large donations. Instead works by suggesting donations in increments of $3 or $5. The app provides inspirational messages and reminds donors that opting to drink water will save enough money to provide somebody with clean water for one year. Every little bit counts, and when donations are totaled, you may be surprised by how much you really can give back. With Austin named one of the fittest cities in the nation, Charity Miles is a perfect app for socially conscious and active Austinites. The Charity Miles app is a free app

At Citizen Generation, we like to think philanthropy is a lifestyle rather than one transaction. Now, thanks to technology, it is easy to feed the hungry, raise money for charity and participate in random acts of kindness throughout your daily life. These apps are readily available on most smartphones and make giving back a swipe of your finger or a touch of a button. We hope you will join us in a lifestyle that includes philanthropy in everyday living.

As Austin’s growth explodes, so do the needs of its community

ccess to care. It is a buzz-phrase that has been tossed about for years, but certainly not more prominently so than throughout this past decade and, most notably, over the past six years. It is a phrase that often creates controversy and raises the question of both those on the left and the right, politically speaking, for various reasons. With the passing of The Affordable Care Act, whether or not you agree with the legitimacy of the affordable aspect of its title, a spotlight has once again been thrust upon the topic of access to care.

The average American’s access to medical care is growing across the board.

Whether or not you believe access to care to be a basic human right, versus a simple privilege extended as a gift of American citizenship, the average American’s access to medical care is growing across the board. I believe the expansion of that access represents the greatest medical innovation for the masses that we will see coming down the road for a long, long time. Today, as Americans, we have more options and choices than ever before when it comes to seeking medical care. Urgent Care centers exist in almost every city and town in America, while major retail outlets such as Target and Walmart offer an array of ‘clinical’ services in a menu-like format, to treat a variety of common, non-emergent ailments. Another major innovation where access to care is concerned comes in the form of the proliferation of stand-alone or freestanding emergency centers. An American Medical News article from April 29, 2013, states, “Centers are opened by hospitals and physicians, sometimes separately, sometimes in alliance,” and they also mention that “the centers’

numbers have doubled during the past decade, up to 284 in 45 states.” The number of centers has continued to increase since that article was first published. Freestanding emergency centers have the capacity to treat more severe medical conditions than retail clinics or urgent care facilities. They often maintain transfer agreements with larger local medical facilities in order to transfer patients requiring specialty medical or surgical care, or hospital admission. Although there is no substitute for an ongoing relationship with one’s pediatrician, specialist or primary care physician, there are times when, for whatever reason, you may not be able to make a timely appointment.

Regardless, at least at this juncture in time, I believe that as Americans, we are already reaping the benefits of expansion in our access to care… to an extent well beyond the scope of any other developed nation of the world. Our expanded access to care can be attributed not only to innovative existing hospital systems that have recognized, at times, the need to expand their services out into their communities, but also to innovative physicians and entrepreneurs willing to develop something ‘outside the box’ of the traditional hospital-based model, in an effort to make good quality and efficient medical care more accessible to us all… 24/7.

The alternative option that urgent care and freestanding emergency centers provide, as an access to minor and emergency care, simply did not exist for most people two decades ago. Not only have these options created an expansion of choices for all citizens who have the occasional need to seek medical attention outside of their primary providers, but most of these alternatives accommodate for a variety of payment options. For example, an uninsured individual with a tight work schedule who contracts the flu may be able to receive adequate treatment, paying outof-pocket at any number of the aforementioned centers, without breaking their bank. A variety of private insurance plans are generally recognized by these innovative alternative treatment centers and many accept Medicaid and Medicare as sources to pay for service. It remains to be seen just how affordable the business of medicine will become as we witness the full implementation of The Affordable Care Act over the years. Anyone can speculate as to whether the growing role of government in the delivery of healthcare is a positive or negative development, and many of us will shape our view through the lens of political affiliation.

Bio: Richard Kelley, M.D., is a graduate of the Robert Wood Johnson School of Medicine and Dentistry in New Jersey. He did his residency training at LSU Medical Center in Shreveport, Louisiana, and has spent the majority of the past twenty years in the practice of emergency medicine. For much of this past decade, Dr. Kelley has also practiced ‘fitnessbased weight management’ in Austin, Texas, and is certified by the American Board of Obesity Medicine. As a freelance writer, he has contributed his thoughts and articles about health and fitness to Redbook and Oxygen magazine, The American Medical News, LiveStrong.com, and multiple online health and fitness blogs. Dr. Kelley is the author of ‘The Fitness Response’ and ‘The Fitness Response Diet for Women,’ as well as several other Amazon e-book titles. Dr. Kelley currently works as an emergency physician with Austin Emergency Center.

MEDICAL

DOCTOR PHOTOS BY WINSTON T. LACKEY

MEDICAL Dr. Mueller went to school at the University of Texas Health Science

Dr. Adams attended the 8QLYHUVLW\ RI WKH 3DFLĂ&#x20AC;F $UWKXU A. Dugoni School of Dentistry, located in San Francisco, CA. 7KH 8QLYHUVLW\ RI WKH 3DFLĂ&#x20AC;F is the only school with a three year dental program in the country. Because Dr. Adams was treated with dignity, empathy and a degree of genuinity in his education, he tries to implement these same principles with his patients on a daily basis. Dr. Adams loves making an impact in peopleâ&#x20AC;&#x2122;s lives. He volunteers at Austin Animal Center and has traveled to Lima and Cuzco on a dental mission to provide free dental care to the people of Peru. 'U $GDPV Ă&#x20AC;QGV QRWKLQJ that brings him more joy than radically transforming a patientâ&#x20AC;&#x2122;s smile with a cosmetic makeover. +LV RIĂ&#x20AC;FH RIIHUV D ZLGH UDQJH RI services, including everything from cosmetic cases, to implants and dentures. He focuses on taking cosmetics into account with every procedure that he does. Dr. Adamsâ&#x20AC;&#x2122; incredible dental team includes two very skilled hygienists Karina Nord and Tatiana Loomis, his dental assistant Tina Price, his treatment coordinator Roxana Delgado and Cyrena Munoz who helps with WKH IURQW RIĂ&#x20AC;FH FRRUGLQDWRU

Center Houston-Dental Branch. Before he was accepted into Dental School, he attended San Jacinto Junior College. Dr. Mueller received the most remarkable training

A U S T I N MD M A G A Z I N E . C O M

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; UD\V FDQ VLJQLĂ&#x20AC;FDQWO\ UHGXFH WKH DPRXQW RI WLPH D patient is exposed to radiation. Another valuable development from digital technology is the intraoral camera. This toothbrush sized camera is DEOH WR WDNH KLJK TXDOLW\ GLJLWDO LPDJHV RI SDWLHQWVÂˇ WHHWK It is said that a picture is worth a thousand words. I can show a patient an enlarged picture of a decayed or broken down tooth on the computer screen in front of them. This allows the patient to have a clear understanding of their dental needs and facilitates a very healthy discussion of treatment options. I consider the use of the intraoral camera to be the most effective patient education tool available. Digital technology is also used to improve many dental treatment procedures. Computer aided design-computer aided manufacturing, or (CAD-CAM) technology, is EHLQJ XVHG PRUH IUHTXHQWO\ LQ GHQWDO RIĂ&#x20AC;FHV HYHU\ GD\ This technology involves digitally scanning a tooth needing a restoration, and then designing the restoration chairside. The restoration is then milled and delivered WKH VDPH GD\ 7KLV EHQHĂ&#x20AC;WV WKH SDWLHQW E\ DYRLGLQJ the messy â&#x20AC;&#x153;gooâ&#x20AC;? impressions as well as the take home temporaries. Many dental experts have stated that the future of dentistry lies in the use of CAD-CAM digital technology. With new innovations involving the use of digital technology emerging all of the time, it is an exciting time to be involved in dentistry.

Austin Table Tennis organization, a nonSURĂ&#x20AC;W RUJDQL]DWLRQ ZKHUH KH LV VHUYLQJ his second term as president. Dr. Mueller loves that he is able to provide effective results to his SDWLHQWV E\ JLYLQJ WKHP DQ HIĂ&#x20AC;FLHQW overall experience including handling

The Future of Dentistry by Dr. Christopher Adams

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One of the most exciting innovations to come along recently in dentistry is use of the material Zirconia to restore teeth. Zirconia-based ceramics are routinely used in structural applications in engineering, such as the manufacturing process of cutting tools, gas sensors, refracWRULHV DQG VWUXFWXUDO RSDFLĂ&#x20AC;HUV 7KH ELR FHUDPLFV WKDW are currently used in medical and dental care are derived from structural materials used in aerospace and military DUPRU ZKLFK ZHUH PRGLĂ&#x20AC;HG WR VXLW WKH DGGLWLRQDO UHTXLUHPHQWV RI ELRFRPSDWLELOLW\ 7KRPSVRQ HW DO 9DJNRSRXORX HW DO , KDYH DVNHG WKLV TXHVWLRQ WR SDWLHQWV FRXQWOHVV WLPHV WKURXJKRXW P\ FDUHHU LW JRHV something like this: â&#x20AC;&#x153;Would you like your restoration to be tooth colored or gold?â&#x20AC;? The patient will often then ask the advantages and disadvantages of each decision, and sometimes the patient may say something like: â&#x20AC;&#x153;I trust your judgmentâ&#x20AC;Śdo whatever you think is best.â&#x20AC;? The answer used to be that metal or gold was the ultimate in durabilityâ&#x20AC;Śbut obviously it will not be the same color as your natural teeth and porcelain restorations, which, while very beautiful, often fracture in your mouth while \RX DUH HDWLQJ UHTXLULQJ DQRWKHU GHQWDO SURFHGXUH Things are changing in Dentistry as they are in almost every other area in our lives, obviously due to the rapid proliferation of information and the speed at which technology allows us to communicate. It has been said â&#x20AC;&#x153;we are living in exponential times.â&#x20AC;? Now, I cannot really give the same old lecture to my patients any longer as Zirconia is

proving to be much more durable than porcelain, and it approaches even the durability of gold as a dental restoration...AND it is tooth colored! This is very exciting for dentistry, indeed.

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With the aim of replacing the infrastructure of metallic dental prostheses, Zirconia has emerged as a versatile and promising material because of its biological, mechanical and optical properties. These properties have accelerated its routine use in CAD-CAM technology for different types of prosthetic treatment. That is right, we are milling \RXU UHVWRUDWLRQV URXWLQHO\ QRZ DQG WKH HTXLSPHQW DQG WKH WHFKQRORJ\ ZRUN TXLWH ZHOO 7KH HQG UHVXOW LV EHDXWLIXO and strong. The labs are moving forward rapidly in develRSLQJ WHFKQLTXHV WR VWDLQ =LUFRQLD VR SDWLHQWV FDQ EHQHĂ&#x20AC;W from itâ&#x20AC;&#x2122;s remarkable strength even on anterior teeth. The trend being towards whiter teeth makes it easier to select =LUFRQLD IRU KLJK SURĂ&#x20AC;OH FRVPHWLF FDVHV ,I \RX ZRXOG like to know if Zirconia is right for you please call us and VFKHGXOH \RXU DSSRLQWPHQW WRGD\ DW

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FOR MORE INFO: To contact Dr. Mueller please call (512) 795-9643 at the Northwest location at 11615 Angus Rd. Suite #110 Austin, Texas 78759. To contact Dr. Adamâ&#x20AC;&#x2122;s please call (512) 2884447 at the Southwest location at 6211 W. William Cannon Dr. Austin, Texas 78749. For the Round Rock location at 893 N. I-35 Suite 200 Round Rock, Texas 78664 call (512) 310-9374.

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Tarrytown Pharmacy makes individualized care a priority

by Lauren Bolado

arrytown Pharmacy has been serving the Austin area for over 70 years. Over these years, innovations in the pharmaceutical industry and the prevalence of big name pharmacies have changed the industry, but Tarrytown Pharmacy has stayed true to its mission: dependability and quality service. Mark and Leslie Newberry are the third generation of Newberrys to own Tarrytown Pharmacy, starting with Mark’s grandfather, Jack Newberry. Mark’s father, Brian Newberry, purchased the store and continued the traditions of service, community and dependability until Mark decided that he, too, would purchase the store and carry on the family business. Mark explains that he was never asked to take on the family business.

One thing pharmacies do very well is treat people who are sick. An area we can improve is to help our patients lead healthier lifestyles to prevent them from getting ill in the first place. “My father told me, ‘Son, you need to find out what you love doing and what makes you happy. You are not going to be good at it if you don’t love doing it,’” Mark explains. Mark loves being a pharmacist and says that going into work at Tarrytown Pharmacy each day is like social hour because he knows all of his customers so well. His patients and customers are his friends, and he takes pride in helping those he cares about as well as offering a pharmacy with great service and convenience. Tarrytown Pharmacy offers conveniences that are uncommon to the times. Customers unable to come into the pharmacy to pick up their prescriptions or other necessities are able to have their orders delivered. For the mother with a sick child or a disabled senior citizen, for example, this service is helpful and appreciated. The most unique of the conveniences available at Tarrytown Pharmacy is their ability to produce compounded prescriptions. Ironically, pharmacies used to produce compounded prescriptions quite often because there were not any large pharmaceutical companies to massproduce the medications. As these companies started becoming more prevalent, compounding became less common, but its use is on the rise again. Compounding gives the pharmacist the capability of personalizing a prescription to fill the individual needs of each customer, including pets.

Due to the accessibility to the customer, his goal is to reach his customers on a more personal level to encourage healthy living WZ

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“Animals get sick too,” Mark says. “A lot of the drugs they need are similar to human medications, but the delivery methods and dosages may need

MEDICAL to be adjusted.” Because animals do not have nearly as many treatment options as humans do, this service can help pet owners get medications not typically available. In addition to receiving medications that are individually made with their pets’ needs in mind, flavorings, such as liver for dogs or fish for cats, can be added to make the medication enjoyable for the animal. The method of administering medication can also be altered, like the topical method, for specific conditions as opposed to an oral medication. Compounding has many benefits, including the ability to reproduce discontinued medications, change the delivery method to suit individual needs, adjust doses that are not mass produced by large pharmaceutical companies and make medications that are allergy friendly. Compounding is innovating the pharmaceutical industry, yet it is not widely available. There are only a few locations in Austin where this service is available, making Tarrytown Pharmacy a leader in customercentered service. “What sets us aside from chains is our service: We sell service,” Mark says. Their service is what keeps the pharmacy very busy each day. Physicians refer patients to Tarrytown Pharmacy for their unique compounding ability so that patients have their one-stop-shop for medicinal needs. Also available at Tarrytown Pharmacy is a cozy, comfortable boutique filled with high-end gifts that provides a warm and inviting atmosphere. Preventative consulting and care is the future for Tarrytown Pharmacy. “One thing pharmacies do very well is treat people who are sick. An area we can improve is to help our patients lead healthier lifestyles to prevent them from getting ill in the first place,” Mark explains. Tarrytown Pharmacy hopes to add preventative care and education to its model with supplements and disease management options. Mark explains that his customers may only see their physician once a year, whereas he may see them once a month. Due to the accessibility to the customer, his goal is to reach his customers on a more personal level to encourage healthy living. Tragedy struck the Newberry family when Mark lost his father to cancer, but through this tragedy, Mark found the inspiration to lead a healthier lifestyle. “Tragedy can strike at any time, and we can’t control a lot of it. I can control my own risk factors through lowering my cholesterol, controlling my blood sugar, eating healthy and exercising regularly,” Mark explains. The birth of his twin daughters gave him a new perspective on how, but more importantly why, to live a healthier lifestyle. Mark is participating in his first marathon in two weeks and will be competing in the Hawaii Half Iron Man. He is excited for these competitions, because they play into his competitive nature while keeping him in shape, and this provides a way to stay active with friends! “Healthy living is key,” Mark says. “In order to instruct my customers to live healthy, I have to walk the walk myself. That is why my wife and I have taken an active approach to refining our diet, exercising regularly and being healthy.”

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PROFILES

I$0Q'()*>$U+0P4*H".."0*=+0P'$*1"+%.N A"U*.0"+.3"(.*$&.'$(4*T"'()*"S&%$0"P*TO*+(*624.'(* -+0P'$%$)O*$VV'-" by Lauren Bolado

MEDICAL â&#x20AC;&#x153;When we see patients with major cardiovascular conditions, sometimes the thought of the issue is traumatic enough. We strive to provide treatments that are safe, cost effective and less invasive than surgery, and we think our patients appreciate our mission,â&#x20AC;? Dr. Paolo Venegoni says. The condition called an ASD (Atrial Septal Defect) and PFO (Patent Foramen Ovale), which result in a hole in the LIEVX ERH GER GEYWI WMKRMÂ˝GERX JEXMKYI WLSVXRIWW SJ FVIEXL stroke or heart rhythm disturbances in young and middleaged adults. Treatment for this condition involves lifelong medications or a procedure to â&#x20AC;&#x2DC;plugâ&#x20AC;&#x2122; the hole in the heart with a patch-like device. This unique treatment is only available in a few centers including CST. Dr. Chauhan, and Dr. Wozniak are experts in evaluating and treating these conditions with the closure procedure. This treatment has helped prevent strokes in numerous young patients and improved their quality of life. In many instances, these patients have noticed a dramatic improvement in their migraine headaches after undergoing this treatment. This result has sparked ongoing research into the correlation between this condition and migraine headaches.

the balloon in the angioplasty procedure to improve the effectiveness of the treatment, though new balloons are being tested to remove the need for metallic scaffolds or stents. A scaffold/stent is a tube-shaped device that is inserted into an artery or vein to help relieve obstruction or blockage. Scaffolds/stents are used to help the balloons do their job, but they can cause problems as well. Metallic stents prevent blood vessels from expanding or constricting like a normal An active clinical trial program is being performed at CST to blood vessel. Also, because the stent is made of metal, the XIWX QER] MRRSZEXMSRW MR XLI GEVHMSZEWGYPEV Â˝IPH 2I[ HIZMGIW body is unable to reabsorb the material. Depending on the and balloons used for treatment for severe blockages in leg and type of stent that is used, new tissue may grow over the stent neck (carotid) arteries are a major breakthrough for CST and but it will ensure that the artery does not narrow again. cardiovascular patients. Balloons are used to break up plaque in arteries that create blockages, narrowing the artery making CST has also introduced new novel blood thinners to the MX HMJÂ˝GYPX JSV FPSSH XS TEWW XLVSYKL 8LI FEPPSSR MW MRÂžEXIH MR process of angioplasty. Blood thinners are often prescribed to XLI FPSGOIH EVIE XLIR HIÂžEXIH ERH VIQSZIH MR E TVSGIHYVI people who are at high risk for blood clots and heart disease, called angioplasty. These procedures require expert training EW [IPP EW MJ XLI FPSSH ÂžS[ MW WS VIWXVMGXIH XLEX GIVXEMR SVKERW and a skilled team to achieve optimal results. Only select are not receiving enough blood. hospitals and doctors undergo rigorous training to perform this procedure. Manish Chauhan, MD., and Robert Wozniak, Providing patients with options that do not require surgery MD., with CST have been providing this treatment for several is a priority for CST. Minimally invasive methods for treating years and are part of several FDA-approved research studies patients with aortic aneurysms in the abdomen, which are to treat current patients. They also help develop future commonly treated with major vascular surgeries, are currently being performed at CST. Surgery is a major treatment option technologies for treatment of these conditions. [MXL VMWOW [LMGL GER JYVXLIV GSQTPMGEXI ER EPVIEH] HMJÂ˝GYPX Scaffolds and stents are often used in combination with situation. Cardiovascular Specialists of Texas works to combat a myriad of conditions including carotid artery disease, coronary artery disease, heart attack and heart failureâ&#x20AC;&#x201D;to name a few.Treating these conditions and others requires staying current with the latest technology, therapies and techniques. Many of the newer technologies at CST improve the traditional treatment method and can reduce healing time and discomfort.

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by the physicians to the dissemination of life saving information. CST provides patients with FDA approved HMIX TPERW XLEX QEMRXEMR LIEVX LIEPXL 8LI SJÂ˝GI EPWS provides multimedia tools, like pamphlets and a device similar to a laptop which has an inventory of medical MRJSVQEXMSR JSV MR SJÂ˝GI XSSPW ERH ZMHISW SR XLIMV [IFWMXI for at-home use, to educate patients on medical conditions, procedures and medications.

Many of the newer technologies at CST improve the traditional treatment method and can reduce healing time and discomfort

CST is in the planning stage for a congestive heart failure clinic that will only accept appointments for patients HMEKRSWIH [MXL XLMW WTIGMÂ˝G If you would like to condition. Congestive heart failure, a condition in which be seen by a physician the heartâ&#x20AC;&#x2122;s function as a pump with Cardiovascular is unable to deliver oxygen-rich Specialists of Texas, blood to the rest of the body, is among the top fatal conditions in there are two XLI REXMSR ERH VIUYMVIW WTIGMÂ˝G GSRZIRMIRX SJÂ˝GI treatment and lifestyle changes. locations. With a treatment plan and an excellent educational model, this clinic can save lives by narrowing itâ&#x20AC;&#x2122;s treatment model to this condition alone. 'EPP XS QEOI ER ETTSMRXQIRX JSV XLI 6SYRH 6SGO SJÂ˝GI

5$0*E$0"*7(V$*

â&#x20AC;&#x153;When you work with a group of individuals for nearly ten years, you understand what works and what doesnâ&#x20AC;&#x2122;t work,â&#x20AC;? Michael Grad, MD, says. â&#x20AC;&#x153;Our staff and our patients see the time and energy we put into our work every day.â&#x20AC;?

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To get more information on their innovative treatments for heart conditions, visit their website at www.cstheart.com.

Treatment at CST is all-inclusive from the procedures performed

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PROFILES

MEDICAL iver Place Imaging & Womenâ&#x20AC;&#x2122;s Center provides MRIs (Magnetic Resonance Imaging), CT scans (Computed Tomography), ultrasounds and mammograms. As a distinctive service, the center provides personalized breast screening mammography and ultrasounds featuring an immediate discussion with a radiologist about the results. It also offers low-dose CT scans, the FDA-approved SafeCT software, which enhances patient safety by reducing radiation exposure by up to 50 percent. Medical radiation, including from CT scans, is generally very safe with modern equipment and a well-trained staff. The rapid diagnosis CT provides can be life-saving, benefits patient safety and lowers total costs. However, CT scanning does account for a significant source of radiation to the population.

8LI VMWO FIRIÂ˝X XVEHISJJ XLIVIJSVI is even better when the already very small risks are decreased by using an even smaller dose of radiation.

8+V"0*=>*8-+(*D&.'$(* A"U*.$*624.'( Lower medical radiology exposure now available with innovative safe CT technology >?4E,$=/(4F1C/B1

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CT scans are used in a variety of situations, but they are most commonly used after head or other body trauma, or if a patient is experiencing acute abdominal pain, chest pain or shortness of breath. A CT scan uses an X-ray source just like a "plain" X-ray does. However, it uses a narrowly focused source and a rotating detector that can be thought of like the sensor in a digital camera. Using this focused source, images taken from many angles create a cross-sectional image of the bodyâ&#x20AC;&#x2122;s bones and soft tissues. This tool is very effective in diagnosing injuries, trauma and acute illness throughout the body including the head, chest, abdomen and pelvis. The process of getting a CT scan begins with visiting a physician to see if the scan is appropriate or not. If a physician believes the best way to diagnose any problems is a CT scan, the patient will be sent to a radiologist to have the scan done. Patients are sometimes given a contrast material, or dye, to see certain areas better. If a contrast material is needed, it may be administered orally with a drink, with an injection in the arm or in the rectum depending on what area of the body needs to be viewed. Next, the patient will lie on a table that is attached to the donut-shaped CT scanner. The table will move slowly into the â&#x20AC;&#x153;holeâ&#x20AC;?, or gantry, of the donut, and images will then be taken as the gantry rotates around you. The whole process takes only a few minutes. The technician will be close by in a separate room and can be spoken to through an intercom.

â&#x20AC;&#x153;The SafeCT module allows us to obtain an image on the same CT scanner, but now with lower dose settings. Innovative post-processing software then renders images that look to me just like the regular dose images,â&#x20AC;? Joshua Lucas, M.D., medical director of the River Place Imaging & Womenâ&#x20AC;&#x2122;s Center and lead radiologist, says. CT scans are safe, though abdominal scans on pregnant women are not normally done, with certain exceptions. Radiologists also take care to avoid medical radiation for the pediatric population, and lower dose whenever possible. Nevertheless, there are many cases when CT is necessary and should not be delayed in children, including trauma. When CT is needed for children, using the lowest possible dose is essential since children are more sensitive to radiation exposure, and have the longest lifetime ahead. The SafeCT scan is innovative to the radiology field. The new SafeCT technology provides a comparable image to traditional CT scans, while decreasing the risks of medical radiation exposure. As the only imaging center with this technology in the Austin area, River Place Imaging & Womenâ&#x20AC;&#x2122;s Center is working to provide a safe and effective option for its patients. "Everything about this center has been designed with patients' comfort, safety and general well-being in mind," Dr. Lucas says. River Place Imaging & Womenâ&#x20AC;&#x2122;s Center is part of the Arise Healthcare brand of companies. It is wholly owned and operated by Arise Austin Medical Center, Arise Healthcare's Austin hospital.

H E A LT H C A R E Joshua Lucas, M.D. is the lead radiologist of the River Place Imaging and Women's Center, which is a department of Arise Austin Medical Center. You can learn more online at: www.arisemedicalcenter.com. To make an appointment at River Place Imaging and Womenâ&#x20AC;&#x2122;s 'IRXIV GEPP 8LIMV SJÂ˝GI MW PSGEXIH EX 6MZIV 4PEGI &PZH %YWXMR 8I\EW

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What Is Your Biological Age?

MEDICAL

PROFILES

A second opinion for bioidentical hormone replacement therapies Special Contribution to Austin MD by Austin Thyroid & Endocrinology The institute has two missions: the first mission is to provide a second opinion for bioidentical hormone replacement therapies, and the second mission is to offer everybody a way to calculate your BIOLOGICAL AGE and integrate it with the chronological age and genetic potential for achieving optimal health.

First Mission : PROVIDING SECOND OPINION CONSULTATIONS FOR BIOIDENTICAL HORMONE REPLACEMENT THERAPIES

Austin Thyroid & Endocrinology is located at 2200 Park Bend Dr %YWXMR 8< For more information visit: www.austinthyroid.com SV GEPP JE\

1.In the last few years, clinics have popped up around the country providing the so-called â&#x20AC;&#x153;bioidenticalâ&#x20AC;? hormones for antiaging and to make you feel younger and better 2.Bioidentical is NOT human identical 3.Hormone replacement, in the absence of a true hormone deficiency, can be detrimental to oneâ&#x20AC;&#x2122;s health. For example, there is no adrenal fatigue. Either you do or you do not have adrenal failure, which can be a serious and potentially fatal disease 4.Another example is Wilson Temperature Syndrome, which advocates using a T3 thyroid hormone preparation just by measuring the temperature of the body, regardless of the thyroid hormone levels in your body; this is another myth and T3 preparations may seriously harm the body 5.Some other examples of myths are the HCG weight loss diet and the fountain of youth usage of hormones like growth hormone. Neither one of these has ANY scientific data to support their use and again may be harmful 6.Hormones cannot be and should not be used for anti-aging, treatment of fatigue, depression, increasing potency or muscle mass, etc. 7.First, do no harm 8.The Institute will offer to patients Dr. Scumpiaâ&#x20AC;&#x2122;sâ&#x20AC;&#x2122; 20+ year expertise in hormone science and will present the evidence based approach to hormone replacement therapies

&MSPSKMGEP EKI MW E RI[ GSRGITX [LMGL PSSOW at how young and functional your tissues and organs are Second mission : BIOLOGICAL AGE AND OPTIMAL HEALTH 1.An old saying; â&#x20AC;&#x153;you are as old as your arteriesâ&#x20AC;? 2.Biological age is a new concept, which looks at how young and functional your tissues and organs are. Some examples of biological age are: brain age, heart age, artery age, lung age, bone age, cellular age, hormonal age, etc. These different age ranges, which make up the overall biological age, can be measured with the latest technologies. 3.Conventional medicine treats diseased and broken tissues and organs 4.Preventative medicine tries to identify early disease 5.Optimal health identification and measurement is an approach BEFORE either prevention or treatment of conventional medicine by recognizing the precursors to disease, measuring the strengths or weaknesses of an individuals

body systems and then giving the person a customized health profile, which can be used for optimizing their health 6.We will measure what is measurable and make measurable that what is not 7.The biological age is combined with biomarkers and then selected depending on your age and state of health. It includes extensive laboratory analysis of various organs/genetic evaluation/advanced cholesterol testing 8.Once you have the scientific and objective data of the biological age then you can compare it with the personâ&#x20AC;&#x2122;s chronological age and try to integrate it with the genetic potential of the person in order to have a plan of action for his/her optimal age 9.This is not about treatment of a diseased organ or tissue; it is about measuring and then bringing your biological age as close to and lower than your chronological age 10.Dr Scumpia, an endocrinologist with 20+ years of experience in hormones, has followed this field for many years and will try to integrate the science of biological age with hormones and optimal health as a unique approach. This is a new and evolving field with only partial evidence-based science; therefore, again, the old Hippocrates dictum, â&#x20AC;&#x153;First do no harm,â&#x20AC;? approach should prevail under the guidance of an experienced endocrinologist

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Dr. Simone Scumpiaâ&#x20AC;&#x2122;s Institute for Hormones and Optimal Health will be headed by Dr. Simone Scumpia, MD, FACE, FRCP, FNLA, Associate Clinical Professor of Medicine, a board certified fellow of the American College of Endocrinology, as a new model for the measurement of your biological age, integrating it with your genetic potential and your environment for the identification of oneâ&#x20AC;&#x2122;s optimal health. It is the measurement of the state of your HEALTH before prevention and before disease.

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Detecting Heart Disease Early

MEDICAL

Don’t wait; be on the look out for warning signs now

Special Contribution to Austin MD by By Vijay G. Divakaran, M.D., M.P.H., Interventional Cardiologist Scott & White Hospital – Round Rock

eart disease causes one in three deaths every year. So when it comes to avoiding heart disease, early diagnosis is critical as it is the key to avoiding trouble before arteries become clogged or a heart attack strikes. However, it can FI HMJ½GYPX XS WTSX IEVP] LIEVX HMWIEWI MR TEXMIRXW [LS PSSO and feel perfectly healthy. New information is now allowing physicians to see more and more early warning signs. One piece of growing evidence for heart disease detection MW TEMRPIWW GLVSRMG MR¾EQQEXMSR SJ XLI EVXIVMIW [LMGL can weaken the arterial walls and cause fatty build-ups XS FYVWX -R¾EQQEXMSR MW GEYWIH F] E VERKI SJ JEGXSVW PMOI smoking, and possible lingering infections leading to gum HMWIEWI (SGXSVW GER QIEWYVI MR¾EQQEXMSR [MXL E WMQTPI blood test for a protein called CRP (C-Reactive Protein), which is produced by the body’s immune system when ½KLXMRK SJJ MRJIGXMSR +YMHIPMRIW JVSQ FSXL XLI %QIVMGER Heart Association and the CDC say that Americans who are at a 10- to 20-percent risk for heart disease over the next 10 years, based on It can be difficult such factors as age, high to spot early heart cholesterol and high disease in patients who blood pressure, may be candidates for this test.

look and feel healthy

High cholesterol remains one of the primary risk factors for heart disease. And, while the medical profession has come a long way in the battle against heart disease, even by getting patients to keep their cholesterol down by eating well, exercising and taking cholesterol-lowering statin drugs, a large number of heart attacks and strokes also occur in people with seemingly safe cholesterol levels. Although total cholesterol numbers may be deceivingly low, the composition of cholesterol may be such that it contains an unusually high amount of particles that promote blockage in the arteries of the heart. There are new tests that look into

'( )*+( &,&-( .*/012( #345( )678( &9711( :( -231*( ;( <7=>?( <79@(A*?3/16395(B*?39/0(C36*9176D(C6E(F6/?0*G(F*6HI( Do not go for an entire day with infants and/or toddlers, as this may be too long for them to last; choose two to three hours that you would like to attend. Make sure that children are attended to at all times. It is very easy for a mobile toddler to get lost in the sea of people. Make sure you have a plan if something happens (child falls and cuts himself or hurts his foot/leg); where is the car? Where is the closest urgent care/physician? Have plenty of water, snacks, etc. Make sure they are wearing sunblock and stick to shade as much as possible. Make sure that formula is stored in coolpack bags or a cooler so that it does not spoil in the heat; better yet, mix it up at the time of use. Never use formula that is more than four to six hours old, even if it is kept cool if not in a refrigerator.

the detailed composition of your cholesterol, which may help your doctor tailor your treatment to lower your risk. Another warning sign is the presence of calcium and plaques in coronary arteries.With an ultra-fast CT scan, radiologists and cardiologists can spot calcium and artery plaque by using electron beams. Doctors are taking advantage of cutting-edge imaging technology to get closer to the goal SJ E RSR MRZEWMZI [E] SJ ½RHMRK FYMPH YTW MR XLI EVXIVMIW An initial evaluation for heart disease is simple. It involves providing a medical history, giving a little blood ERH E UYMGO TL]WMGEP 8LEX MW FIGEYWI XLI QENSV ¾EKW EVI well known: high blood pressure; elevated levels of LDL (the bad cholesterol), smoking, diabetes, a family history of heart problems and simply being male. Based on this evaluation, your physician will be able to start you on a treatment plan to lower your risk of heart attack. Sometimes, a healthy dose of prevention may be all that you need – good diet, exercise and a healthy lifestyle go a long way in lowering the risk of heart disease.

For more information, please visit roundrock.sw.org or call (512) 509.0200 WR

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MEDICAL

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Innovations in dental materials - what you should know

BEAUTY

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A natural solution for skin, hair and household problems By Lauren Bolado

Special Contribution to Austin MD by Dr. Michael Moossy, DDS, General & Cosmetic Dentistry

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Dr. Moossy is a native Texan who received his undergraduate degree EX 7X )H[EVHÂ´W 9RMZIVsity in Austin. He has since gone on to attain his DDS at University of Texas dental branch in Houston. Dr. Moossy currently maintains a private practice in Austin and has been in TVEGXMGI JSV ]IEVW He is also a member of the ADA, AGD,TDA and CADS.

This handy kitchen staple can save time and money with its many uses.The all natural and organic solution is made by fermenting apple juice into hard apple cider; by repeating the same process it turns apple cider into vinegar. Austin MD has chosen our top 10 favorite uses from the Mind Body Green website.

10 1

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What innovations have occurred regarding dental materials?

How has the dental experience changed over the years?

Crowns or caps, as they are commonly referred to by patients, have consisted of several types of materials over the years. They began as cast metal in that they were made of gold originally. Then, the movement was made towards bilayered systemsâ&#x20AC;&#x201D;ceramic over a metal alloy substructure. With the advent of stronger porcelains, dentistry today can now be truly considered metal-free. We have two materials that cover all the bases: first, a monolithic porcelain called e.max, which has excellent aesthetics and is much stronger than porcelains of the past. This e.max porcelain in most cases can be used anywhere in the mouth. The second material is Zirconium, which is metal-free and extremely strongâ&#x20AC;&#x201D;so much that it can be hit with a sledgehammer and not break. Although stronger, this material is not quite as aesthetic as the e.max so we reserve this for restorations in the back of the mouth for utmost strength. Zirconium is ideal for people who tend to clench or grind their teeth. The latest innovation that dentistry has to offer for a missing tooth in the front of the mouth, where aesthetics is of the utmost importance, would be placing a Zirconium abutment over an implant and cementing an e.max all-porcelain crown over the abutment. Do not be afraid to have the discussion with your dentist about what materials are being used and why.

Oral health, as it relates to overall body health, is not necessarily a new concept, but it is slow to be adapted by all dentists. Typically, dentists in the past would just focus on teeth, but now our focus is on how your oral health affects your entire body. During our new patient experience, our office collects data by taking digital radiography (roughly 90 percent less radiation than non-digital) and intra-oral photos, so that we may show the patient exactly what we see. In addition, we measure pockets around each tooth, which is an indicator of the health of supporting structures of the tooth (gum & bone). We also carefully review our patientsâ&#x20AC;&#x2122; medical history and take into account all the factors that could possibly contribute to oneâ&#x20AC;&#x2122;s health, which may include genetic predispositions, medications and habits. Habits can be anything from clenching or grinding, to smoking or drinking soda all day, to name a few â&#x20AC;&#x201C; all of which can contribute to your oral health and therefore need to be taken into consideration. Once all of the data is collected, we discuss the options with the patient by presenting their images and letting them be a part of the treatment planning process. Everyone is unique, and we treat our patients as such. We pride ourselves on finding out what motivates our patients and helping them achieve optimal dental and overall health.

Shiny hair

Mix Â˝ tablespoon of apple cider vinegar and one cup of cold water: either place it into a container or a recycled shampoo bottle. Use the mixture after shampooing your hair a few times a week for a lustrous shine.

Sunburned skin

Soak in a warm bath with one cup of apple cider vinegar for 10 minutes to soothe your sunburned skin.

Reduce heartburn

Although it might seem like an oxymoron to treat stomach acid with an acid-containing vinegar, there is research suggesting that apple cider vinegar works by correcting your acidity levels, ultimately reducing heartburn. According to natural remedy experts, you should begin to feel relief shortly after taking a teaspoon of apple cider vinegar, followed by a glass of water. Note that apple cider vinegar will not give you relief if you have an ulcer.

Remove surface stains from teeth

Repel fleas from your furry friend

Room freshener

5 12

3 12

Gently rub apple cider vinegar on your teeth, and then rinse your mouth with water for a pearly white smile.

Combine one part apple cider vinegar with one part water and thoroughly spread this spray onto your petâ&#x20AC;&#x2122;s fur. Continue this process every day for about one week, and any fleas on your pet should be gone!

Mix Â˝ cup of apple cider vinegar with one cup of water and use this solution to clean microwaves, kitchen surfaces, windows, glasses and mirrors. Also, by using this product to clean your bathroom, kitchen or any other room, it will leave them smelling of apples!

For daily weight management

Mix two teaspoons of apple cider vinegar with 16 ounces of water. This combination can be sipped throughout the day. In a 2009 study published in Bioscience, Biotechnology, and Biochemistry, it was found that subjects who consumed acetic acid (the main ingredient in apple cider vinegar) for 12 weeks experienced significant decreases in body weight, abdominal fat, waist circumference and triglycerides.

Clear your lymphatic system

This miracle vinegar helps to break up mucus and cleanse your lymph nodes, reducing the effects of allergies. It can also help stave off sinus infections and their related symptoms, such as sore throats and headaches.

Safely clean your home

By using apple cider vinegar in lieu of chemical products, we instantly decrease the presence of harmful substances in the home. As an organic and natural home sanitizer, you can rest assured that your family is not being exposed to toxic fumes.

Detoxify your body 12

As part of balancing the body's pH, apple cider vinegar creates an overall detoxification of the body. Research shows that it can both help to stimulate the cardiovascular circulation and help detoxify the liver.

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A U S T I N MD M A G A Z I N E . C O M

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BEAUTY

Trigger Point Dry Needling Free yourself by decreasing your pvain

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Special Contribution to Austin MD by Texas Physical Therapy Are you experiencing local pain or widespread pain that interferes with day to day activities, hobbies or professions? If so, these symptoms can often be due to ‘trigger points’. Trigger points are hyperirritable, taut bands or knots in muscle tissue that can reproduce your pain or even refer pain to other areas of the body. Your physical therapist can identify these by using their hands to feel for the tight bands or knots in muscle tissue, which when compressed, cause symptoms. Finding trigger points is one thing; doing something about them is another. Trigger point dry needling (TDN) is a skilled, hands-on therapeutic procedure performed by trained providers including physical therapists who can decrease pain and increase your freedom and ability to exercise. Trigger point dry needling is rarely if ever used as a stand-alone treatment, but it is almost always combined with other physical therapy treatments, like specific therapeutic exercises, functional training and a variety of manual therapy interventions. Trigger point

dry needling should not be confused with acupuncture. While there are similarities, the

basis for Acupuncture is in traditional Chinese medicine while TDN takes a more Western, evidence-based and integrated approach. Even though we do not know the exact mechanism that makes TDN ‘work’, we do have research that demonstrates it is effective for relieving pain and improving function. To learn more or to schedule an appointment: visit www.texpts.com, call (888) 658-8483 or visit any of Texas Physical Therapy Specialists’ Austin locations.

Many conditions may respond to TDN treatment, including acute and chronic pain, and myofascial pain syndrome. It can be helpful when used as an aid during rehabilitation and for injury or surgery. Typically, patients see an immediate change in symptoms. Over the course of your care, TDN may be used one to three times as there is no predetermined number of treatments. Like any other medical procedure, side effects are always a concern. Trigger point dry needling has very low risk and the most common side effect is muscle soreness. Will it hurt? Because a very thin solid needle is used to penetrate the skin and stimulate the trigger points, you may feel a slight pinch or fleeting sharp prick. In addition, you may feel a muscle cramp or a muscle twitch often referred to as a “twitch response”. Most patients actually report feeling the muscle cramp and being bothered by it more than the sensation of the needle on the skin. In summary, TDN can be very effective when combined with other treatments. Our ultimate goal in physical therapy is to help you reach your fullest potential. We know you want to get back to the activities and lifestyle you love. Your physical therapist may include TDN as part of your overall treatment plan to help you do just that. Please let us know if you have any questions, we would be happy to try and answer them for you.

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Fractora treatment will improve your skin complexion and texture for a more radiant and youthful appearance.

For more info or to schedule a consultation visit: www.serenitycreek.com or call (512) 419.0303 R\

A U S T I N MD M A G A Z I N E . C O M

MEDICAL

BUSINESS PROFILES

securing a QUALITY OF LIFE FOR OURSELVES AND OUR AGING PARENTS

Special Contribution to Austin MD by Dyezz Surveillance and Security

Single-Sided Deafness

Innovative device allows patients to hear in both ears Special Contribution to Austin MD by KVUE

“For the first time in six years, I could hear every word.” Imagine going through life and only being able to hear out of one ear. This condition is known as single-sided deafness. In the past, doctors claimed that there was no option or treatment aside from performing major invasive surgery, which involved placing a titanium plate into the skull. Fortunately, there is now a non-invasive and innovative product that allows those with single-sided deafness to hear in both ears. As the parts manager for Town North Nissan, Keith LeBlanc was used to living in a loud work environment. However, this made life more challenging because he could only hear out of one ear. "Having someone sitting right on my left side—my good ear—and not even being able to hear them was a problem,” said Keith LeBlanc, a ]IEV SPH [MXL WMRKPI WMHIH HIEJRIWW

LeBlanc dealt with this condition for 31 years of his life. “All I hear in that aspect is a lot of noise,” he said. Single-sided deafness was equally challenging for musician Stuart Hampton. “If I was at a party and there was a band playing, I was useless,” said Hampton. “It would all come into one big funnel, and the brain had a hard time sorting out the separate sound streams.” Both men’s lives changed for the better a few months ago, when Dr. Russell Briggs of the ENT Center of Austin introduced them to the SoundBite Hearing system. It uses the natural principle of bone conduction, where sound vibrations are transmitted through your bones to your inner ears. Sound from your good ear is sent to a small, computerized device worn on your teeth and is then transmitted to a small hearing device behind your impaired ear. 8LI HIZMGI MW ½XXIH XS XLI XIIXL %YHMSPSKMWX ']RXLME /IRRIH] ½RI tunes the frequencies for each individual. “It’s a great concept, and it opens the doors up for a lot a people

A U S T I N MD M A G A Z I N E . C O M

[LS HSR´X [ERX XS LEZI XS KS HS[R XLI WYVKMGEP VSYXI XS ½\ XLIMV problem,” said Briggs. Both LeBlanc and Hampton are amazed at the technology. “He then went to my bad ear, and he whispered in that ear,” said ,EQTXSR ±*SV XLI ½VWX XMQI MR WM\ ]IEVW - GSYPH LIEV IZIV] [SVH ²

“To sit there and carry on a conversation with everyone around me, and to listen and hear them talk... I mean, it’s indescribable. It really is,” said LeBlanc. The total cost is about $6,000. Briggs says that most insurance companies pay about half of the cost. The SoundBite device does not restore hearing in your bad ear; however, it enables what you hear in your good ear to be heard in both ears.

Jim Bergamo

KVUE Anchor and Health Reporter Over the past 30 years, Jim Bergamo has split his journalistic career between news and sports. His first job was as a sports anchor and reporter, and he eventually landed gigs anchoring ESPN’s Sportscenter and working as a news reporter during major events, such as the Oklahoma City bombings and the 2000 Bush-Gore election. With KVUE since 2006, Bergamo co-hosts the station’s 5 pm broadcast, which is one of Austin’s top-rated 5 pm programs, according to the latest Nielson ratings. Catch Jim Bergamo on KVUE’s 5 pm broadcast and follow him on Twitter: @JimB_KVUE. Go to www.sonitismedical.com for more information on the company that makes the SoundBite Hearing System. Go to www.austinentmd.com for information on the ENT Center of Austin.

FOR MORE INFO:

Dyezz Surveillance and Security has been providing the highest quality of installations and service for video surveillance systems, burglar and fire alarms, access control systems, covert surveillance, bug detection, intercom systems, and home automation since 2001.

e all see it every day… the newest gadgets, the latest and greatest phones; the ‘must have’ tech accessories…

There is no doubt that we live in an age of constant technological evolution, and while there are plenty of ‘new’ and ‘cool’ products that are introduced every day, some of them seemingly unnecessary or a little ridiculous, there are those that can truly help to improve one’s quality of life’

"People are living longer, healthier and more active lives. Aging family members, as well as people with disabilities, are looking for secure ways to live independently at home," said Alison Slavin, Vice President of Product Management at Alarm.com. "Our Wellness solution extends our connected home technology platform to help people remain secure, healthy and independent for as long as possible."

uses most often, including the bathroom, bedroom and kitchen. The sensors will track certain kinds of movement, such as when a refrigerator, medicine cabinet or front door opens. Using real-time information from in-home sensors, the Wellness Solution notifies family members or designated caregivers of unexpected changes in routines that may indicate an emergency, and it provides you the ability to respond quickly and effectively. For instance, if there is an unusual amount of movement in the middle of the night, or if the medicine cabinet does not open at the regular time, Dyezz will send an automated message via phone, email or text message to the caregiver. Integrated with Dyezz Surveillance and Security’s Interactive Security service, Wellness Solution provides complete peace of mind through improved security and awareness. The new Wellness Solution is fully integrated with Dyezz Surveillance and Security’s home security system, energy management and home automation services, making it easy to control many aspects of the home from anywhere via a mobile app.

“Wellness Solutions help people remain independent for as long as possible.”

Dyezz Surveillance and Security can design and install a Wellness Solution that is customized specifically to the needs of you and your loved ones. For example, if Mom lives alone, you may want to know whether she is waking up and going to sleep on time, eating properly, showering and taking medicine. New systems allow adult children to monitor the everyday habits of their ailing parents—without sacrificing the independence that our aging parents deserve. Unlike traditional Personal Emergency Response Systems (PERS), Wellness Solutions automatically alerts caregivers and loved ones when unusual situations or emergencies are detected. Dyezz Customized Solutions utilizes wireless sensors in areas of the home that a senior

When you have an aging parent or loved one who continues to live alone, an ounce of prevention is worth a pound of cure… especially when it comes to peace of mind.

For more information, or a Complimentary in-home consultation, call one of our expert Design Specialists at 512-331-2788 or visit Dyezz.com

BUSINESS

PROFILES

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Keep your company in the foreground by maintaining a strong social media presence. At a tech-centric event like SXSW, this is particularly true, and it means more than having an updated web Do not just promote your products or services; highlight how site. It often takes weeks of preparation to support the surge in XLI] GER LIPT XLI XLSYWERHW SJ EXXIRHIIW ÂžSSHMRK XLI GMX] HYVMRK GYWXSQIVW ÂžS[MRK XLVSYKLSYX XLI %YWXMR EVIE 8LMW TVITEVEXMSR SXSW. Tap into the needs of the SXSW fan base. The two hectic extends to your online presence as well. In this highly-connected weeks that SXSW brings present the best opportunities to do community, online searches for products and services are the what you do best. Make sure you are prepared to showcase your norm. With years of successful online brand support experience efforts on the so-called â&#x20AC;&#x153;bread and butterâ&#x20AC;? of your business. to his credit, Andrew Glass, Regional Development Manager of Appealing to the needs of attendees can be the most convincing Main Street Hub, emphasizes the importance of effective social marketing campaign. If your company offers a product that can media interactions. Appealing to customers with a relevant and serve a niche need, tell the public about it! Fast Folks Cyclery engaging social media strategy can be exactly what you need is a full service bike shop located on E 6th street, right in the to increase your customer base. He recommends a proactive LIEVX SJ XLI 7<7; JIWXMZEP 7<7; FVMRKW MR XLIMV QSWX TVSÂ˝XEFPI approach, â&#x20AC;&#x153;When you're trying to expand your business two weeks out of the entire year, so they really thrive on the through social media during an event like SXSW, it's easy to get success and crowds that the festival brings. Natalie Goforth of overwhelmed by the enormity of the event. Don't! Focus on the Fast Folks Cyclery notes, â&#x20AC;&#x153;We hire a few more mechanics to individuals attending the conference and start a conversation. work and extend our hours to maximize the income.â&#x20AC;? After You'll be amazed at how a seemingly small conversation can turn years of festival experience, the company has also learned not into an enormous opportunity for your business." to stretch their resources too thin. Being a lifeline during a bad experience will create a repeat customer who will sell your With its central location and major industries, Austin brings business through word of mouth. Recognizing where to spend in a continuous stream of visitors to the area. So whether it your focus can maximize resources and provide guidance for MW JIWXMZEP XMQI SV RSX WXVEXIKMIW XS GYPXMZEXI XSYVMWX XVEJÂ˝G GER future years. serve as strong brand growth for your business. With increased visibility, word-of-mouth can quickly spread your message XS RI[ GYWXSQIVW 8LI FIRIÂ˝XW GER FI I\XIRHIH IZIV] ]IEV by converting festival goers into repeat customers. Keep the advice listed here at the top of your mind as you develop your SXSW game plan. Then, evaluate your successes and note which techniques work best for your business, keeping in mind to: Make it local. Make it unique. Make it relevant. Make it social!

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Special Contribution to Austin MD by City of Austin Small Business Development Program

ZIV] 1EVGL %YWXMR EXXVEGXW ZMWMXSVW JVSQ around the world. This time of year has become synonymous with the South by Southwest Interactive Film and Music Festival, affectionately ORS[R EW 7<7; 8LI GMX] MW ÂžSSHIH [MXL MRHYWXV] executives, performers and attendees congregating in and around the downtown Austin area. These global guests exponentially increase exposure to local businesses throughout the area. )ZIR [MXL XLI YRHMWTYXIH JSSX XVEJÂ˝G the economic impact of festivals for the greater Austin area is recognized as hugely positive. The economic impact of 7<7;Â´W SJÂ˝GMEP IZIRXW [EW IWXMQEXIH EX SZIV QMPPMSR MR

your visibility on promotional websites, such as the Cityâ&#x20AC;&#x2122;s free website and mobile app, LocallyAustin.org. Then, from a friendly welcome at the front door to the way you close the sale, make sure visitors leave with a positive impression of Austin and your business.

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So, how does the average Austin business owner capitalize on the SXSW madness? We asked Dr. Lucy Atkinson, Assistant Professor for the Department of Advertising and Public Relations in the Moody College of Communication at the University of Texas at Austin, who offered four tips for small businesses to attract the SXSW crowd: Make it local; make it unique; make it relevant; make it social.

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As a brand in its own right, Austin has enviable brand equity. Harness that value by emphasizing the local, Austin-esque quality of your company.Visitors want to experience the Austin they have heard of and read about. Offer them the Austin experience during their stay. As tourists search for local retail and restaurants, ensure that your business can be easily found by maximizing

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SXSW draws a discerning crowd. They will not settle for mass-produced, cookie-cutter products or services. And neither should you. Everyone loves a success story and Austin can serve up plenty. One such business with a special product is BeeSweetâ&#x201E;˘ Lemonade. *VIWL WUYII^IH [MXL 8I\EW [MPHÂžS[IV LSRI] ÂžE\WIIH ERH QMRX &II7[IIX 0IQSREHI sources local, organic ingredients whenever possible. Created by nine year old Mikaila Ulmer, BeeSweet is a feel good, taste good success with a creative, ecological focus. Festivals like SXSW give Mikaila and her family a platform to talk about her new passion, saving honeybees. These opportunities increase exposure to her product and to her mission. BeeSweetâ&#x20AC;&#x2122;s secret is tapping into community resources and staying very connected. One of the companyâ&#x20AC;&#x2122;s HMWXMRGXMSRW MW KMZMRK FEGO TIVGIRX SJ XLIMV TVSÂ˝XW are donated to local and even international organizations XLEX Â˝KLX XS WEZI FIIW *IWXMZEP KSIVW [MPP FI EXXVEGXIH to a product with a mission, so BeeSweet highlights this uniqueness to brand their lemonade as local and special, making their product stand out in a sea of choices. Like Mikaila, use SXSW as an occasion to emphasize the uniqueness of your brand.

Contact the Small Business Development 4VSKVEQ EX SV EX WFHT$ austintexas.gov. Other great resources for small businesses are: austinscore.org, peoplefund.org and bigaustin.org

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The influx of residents steadily continues to grow

Special Contribution to Austin MD from Omar Dyess of RE/MAX 1

F*Y9*6*Austin Real Estate with OMAR DYESS of RE/MAX 1 4. Alright, enough with the statistics. Let us talk about what people really want to hear. Where would you live if you were buying a home for investment or, for example, to raise your family? Austin’s real estate market is continuing to thrive, but the surrounding areas are also very charged due to affordability and demand in certain school districts. If you want investment concentrated on the areas where you see your larger commercial developments coming into play, look along the upcoming major roads or intersections.

Seton Brain & Spine Institute is the largest, most comprehensive neuroscience program in Central Texas. Our world-class team covers the entire spectrum of brain and spine care. Experts across all areas of care act as one team with one goal: to improve a patient’s condition and quality of life with the most advanced yet least invasive treatment available. With offices throughout Greater Austin, we provide treatment for the following: s

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1. How is the current real estate market here in Austin, TX? The market is on fire right now, with many more buyers than sellers in the marketplace. Austin area homes sales in December hit a new record high while inventory reaches hit an all time low. The statistics show 2013 ending with increased sales volume, home prices and demand. 2. What statistics can you share with local Austinites thinking of buying or selling in today’s market? We can only go off of prior sales facts, and while every neighborhood is different, this is why a comparable market analysis is crucial when thinking of selling or making an offer on your property. As a whole, in December 2013 Austin had sold 2,080 single family homes, up from 14 percent in December 2012. Relatively speaking, the Austin real estate market offered two months of inventory in December 2013, which was 21 days less than in December of 2012. This gave us a historical low for the Austin housing inventory according to the Austin Board of Realtors. 3. What is the median sale price of homes for someone looking to purchase in Austin? The median price is currently at $226,000, which is 8 percent more than this time last year, with homes spending an average of 52 days on the market, down from December 2012. Last year 27,298 A u s t i n area single family homes sold, which is up 19 percent from the previous year. We are definitely on the upswing, with folks spending lots of cash on the growing Austin market.

If you are starting a family and trying to choose a neighborhood, depending on price range, school district, amenities and the area of town you want to live in with, there are so many great areas to choose from, depending on your lifestyle. There are plenty of options to keep in mind, such as resale. The Austin area in general is a great city to live in. Almost anywhere is a great environment to raise a family in, buy your first home or even invest in a rental. 5. What would you say has the best chance of increasing in value? A) downtown condo, B) east Austin bungalow near the river or C) home on Lake Travis? Well, I would first have to roll with an East Austin Bungalow right now, and then a downtown Condo, only because of current affordability and the sheer amount of appreciation that is taking place in East Austin. I have heard of people who make large profit margins on tear-downs and new builds where the dirt is all the rage. A couple of years ago, downtown condos were starting to depreciate fast, and it seems that now they are selling very quickly with multiple offers along with the rest of the Austin area. People are becoming desperate for a place to live, and pretty soon you will have very little inventory to choose from, which will make sellers very happy when they make 5 to 10 percent more on average the next year.

Austin area home sales in December hit a new record while inventory reached an all time low

Visit www.DyessResidential.com. If you are looking to buy a home or investment property in the Austin area or need to sell your home contact real estate expert OMAR DYESS with one of Austin’s XST VIEP IWXEXI ½VQW MR 8I\EW EX 6) 1%<

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by Kat DelGrande

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Tyson Cole

s you step into Chef Tyson Cole’s house—his bungalow, rather—you embark on a journey through the many levels of sushi and Japanese cuisine. Constantly pushing the boundaries with both Uchi’s evolving culinary creations and talented staff, who—if you keep an open mind—will take you XLVSYKL ZEVMSYW XEWXIW ¾EZSVW ERH XI\XYVIW XS FVMRK you a playful take on the perfect bite, is at the forefront of what James Beard award-winning chef Tyson Cole strives to bring to his guests at Uchi every single day. Tyson Cole has such an enthusiasm for his craft, taking the aesthetic of Japanese cuisine and bringing it to the next level. Evolving a dish from one idea to something different is the whole concept behind innovative cuisine. Even with all of their amazing talent at Uchi, one of the biggest mistakes that many chefs make is failing to keep food simple by putting too much food on the plate rather than letting it speak for itself, Tyson says. “Sometimes our chefs come in and will start with 12 ingredients, and XLIR [I [MPP VYPI XLI HMWL HS[R XS EFSYX XLVII XS ½ZI SV sometimes completely change the concept. Other times a chef will make something once and it will be perfect.”

In a city where the most cutting edge, innovative culinary standards thrive, the Austin food scene has, no doubt, skyrocketed within the last decade. From pop-up restaurants to culinary DJ’s, Austin chefs continue to push the boundaries in culinary innovations. A U S T I N MD M A G A Z I N E . C O M

,MW WMQTPI ]IX HMWXMRGX ¾EZSVW EVI VI¾IGXIH MR E VIGIRX dish that is quite simply two ingredients: sea bass poached in peanut oil with hearts of palm. “It’s the epitome of the food we do. It’s very Japanese and textural, it’s delicious and it has a little acidity; I just love the simplicity of it.” Sushi is a delicacy that has been super-sized. It is supposed to be bite-sized, and it is supposed to be fresh. As Tyson states in his book, Uchi:The Cookbook, “Our whole ‘bigger is better’ mentality is ridiculous. We should not be looking for a value meal, in which $10 gets you a giant roll that you GERRSX IZIR ½X MR ]SYV QSYXL 2SX SRP] MW MX HMWKYWXMRK FYX ]SY EVI TVMQEVMP] TE]MRK JSV E PSX SJ VMGI ERH E PMXXPI FMX SJ ½WL that may not even be fresh.” Saving money to make money is RSX EP[E]W E KSSH XLMRK [LIR MX GSQIW XS LERHPMRK JVIWL ½WL Food is respected more in Japan. “When people eat, they ½RMWL IZIV] WMRKPI XLMRK SR XLIMV TPEXIW ² 8]WSR WE]W *SSH is very seasonal and plays a large part in people’s lives, but not to a point where it is exaggerated or over-consumed. Tyson says that the main difference between how Japanese and American cultures view food is that, “Americans can get food anywhere, anytime of the year. So it’s not that Americans don’t appreciate food; it’s just too easy here.”

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Parents tell us not to play with our food, but for personal chef Eric Daniel, there are no limits to what can be brought to the table. He has always stood by the statement: We got to where we are by playing with our food. 4J1$4:(1!4!;,&49/19C/4!,(&4&14C/,=(K4L1!4&149=19/=C?4B'0/4,(41('1("4H'=%&4=$C/M4!,%;4 ?1$=4;,(B%"

Much like our attention spans, people seem to be turning to small plates. “We live our lives on social media, our phones, the internet; we have so many options of everything everyday,” says Tyson. “This idea to make all plates sharable and to give people chopsticks and silly things they want to try is the baseline for our concept, which has just blossomed from there.” Uchi is all about being very accessible. Being comfortable, inviting and not pretentious—a place where people can go to try many different things. Rather than going out to eat a steak and a baked potato, people instead want to try many things and have many options. “Sushi, quite literally, means vinegar rice. It has nothing to do with raw fish; it is about combining rice with various ingredients, small plates and Japanese cuisine as a whole,” Tyson says. People tend to have such odd and different views of sushi. And as for those who are still skeptical, Tyson advises to simply come in and see what everything is about. He admits that the first time he tried sushi, he thought it was disgusting, “but 99 percent of the time, people really like it and get addicted, which I did.” Whether it be at Uchi, cooking different meals for his wife and three little girls—all of whom have different tastes—or thoughts and dreams about food, Tyson Cole’s entire life revolves around food. Food is a necessity in our lives and tends to have a way of bringing people together. His love for cooking and coming up with innovative ways of preparing all the components of the perfect bite, with a hint of unexpected creativity, “is almost too real to be a part of and is quite cool,” Tyson says. Finding a balance in his life through controlled chaos and continuing to give talented people opportunities to learn and grow through doing something they love is at the forefront of what Tyson Cole does. “We play with our food,” he says, because why settle for safe and ordinary? Uchi looks forward to opening their new location in Dallas at the end of the year.

The next time you are having an event catered, think of personal chefs, too. “We take the pretentiousness out of your upscale event,” says Eric—it is a whole new way of dining. We go to restaurants, because that is what we are told to do when we want to go out and eat. Nobody says, “Oh, you have options.” For the most part, our options are limited to either fast food or a restaurant. Well, why can’t it be in your own home, or a rented vacation home? There is no major market telling you that you have to go to a restaurant to enjoy your birthday. The thing is, personal chefs specialize in cooking for less. The beauty of it is that Eric does it all in your home, so the cost will be less. Now, you can put that extra money toward your honeymoon; what would you rather do? )VMG´W GSRGITX FILMRH 'YPMREV] 1MW½XW MW to create menus that are based around his clients. He has a diverse clientele, providing services such as private dinners, cocktail parties, rehearsal dinners, wedding receptions, wine tastings and wine-paired dinners with the most versatile cooking requests. “I have people asking me to do anything from sous vid style to traditional outdoor grilling. And then I have some people who just want me to come to their house to make fresh, amazing burgers for two. It’s all over the board,” says Eric. He gets the opportunity to bring people what restaurants cannot—recreating a story—through his customization and individualization.

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this great, radiant green.”

Eric believes that most people prefer foods that are approachable and have WXVEMKLXJSV[EVH ¾EZSVW ±4ISTPI XSHE] are so much more culinary savvy than they used to be, and I love that! It just means that I have to raise my skill and TVIWIRXEXMSR ² )VMG ½RHW XLEX [MXL WSQI chefs, he does not even want to eat their food—he just wants to take a picture of it. These chefs, Eric views as artists. They are where he gets his inspiration. He ½RHW QYGL SJ LMW MRWTMVEXMSR JVSQ SPH school chefs, like Julia Child. He gets a lot of his creative ideas about how to put foods together that you might not think would go together, like his crispy pig skin that he puts on top of his pork chops. “I don’t know why I ever did it; it’s just awesome, “ Eric says.

One of his favorite sunset-inspired dishes that he likes to make is his southwest-blackened scallops paired with a roasted honey tomato relish and green onion vinaigrette. He wanted to get this vibrant red/orange sunset-sky color that he saw when he was out in east Texas one June, when the grass was so green, and duly decided to incorporate the green onion vinaigrette. The scallops are placed in the center on a bed of micro greens, literally like a sunset. Eric says that it was the most beautiful thing he has done yet.

Whether Eric immerses himself in the country or gets ideas for new dishes JVSQ E WYRWIX LI ½RHW MRWTMVEXMSR EPP around him. Eric takes a very holistic approach to his dishes; he takes in all the environments around him. Like an artist, he explains, sometimes it just has to come to you. “There are times when I’m doing a dish and it literally just isn’t coming together. I’ll step back, stop what I’m doing, and approach it again in a few days.”

Eric believes that people on an everyday basis, in their homes, want food that they can approach. “The simpler and fresher the ingredients are, the less I have to get XIGLRMGEPP] GVE^] ² ,I ½RHW XLEX *MIWXE LEW 7TIRH ½ZI QMRYXIW XEPOMRK [MXL )VMG ERH some of the best produce in town. “Their you will hear how excited he gets about tomatoes are perfect. They aren’t green; being a personal chef. “Sometimes I can't they aren’t yellow. They are just this believe that I get paid to do this. It’s truly bright, vibrant red, and their avocados are

:MWMX [[[ GYPMREV]QMW½XW GSQ QIRYW JSV E PMWX SJ )VMG Daniel’s menus. :MWMX [[[ GYPMREV]QMW½XW GSQ WQH XS PIEVR EFSYX 7SGMEP Media Dinners: Monday through Thursdays; four course HMRRIV JSV TISTPI *SV IZIV] XL HMRRIV 'YPMREV] 1MW½XW HSREXIW SJ XLI XL HMRRIV W TVS½X XS %RKIP House, a community soup kitchen in downtown Austin. Close to his time of graduation at Le Cordon Bleu here in Austin, Eric began volunteering his time at Angel ,SYWI XLI] JIIH EFSYX TISTPI IEGL HE] :MWMX [[[ GYPMREV]QMW½XW GSQ FVMHIW JSV QSVI MRJSVQEtion on in-home weddings

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