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DO YOU KNOW YOUR TSH? Since hormones rule your body, have your hormonal balance assessed by an endocrinologist to optimize your health. Dr. Simone Scumpia of Austin Thyroid & Endocrinology outlines everything you need to know about hormones and their effect on the body. HORMONES AND ENDOCRINOLOGY
Endocrinology is the science of hormones, which affect every cell and every function in your body. The glands secreting these hormones form your endocrine system, a tightly interconnected system with thousands of feedback loops. It is far more complex than any supercomputer today. Hormones control everything in your body from birth to death. Without hormones, your body cannot function. Examples of hormones: estrogen, testosterone, insulin and hormones like thyroid, cortisol, adrenal and pituitary.
WHAT ARE ENDOCRINE DISEASES?
They are diseases caused by a malfunction of one or more endocrine glands in your body. Examples: thyroid, osteoporosis, metabolic syndrome and obesity, hirsutism, menopause, low testosterone in males, andropause and impotence, polycystic ovaries, irregular or lack of menstrual periods, high and low calcium, and diabetes.
WHAT FACTORS AFFECT YOUR ENDOCRINE SYSTEM?
Aging, other diseases, stress, environmental and genetic factors do influence your endocrine system. Aging changes how hormones are produced and absorbed by your body. Genetic factors and other diseases can do the same. Stress triggers a cascade of hormones that affect your heart, kidneys and other organs. Recent research identified endocrine disrupting chemicals in our environment.
WHY SEE AN ENDOCRINOLOGIST?
Hormone treatments must be followed by a hormone specialist (endocrinologist) the same way heart disease is followed by a heart specialist (cardiologist). An endocrinologist has years of special training in diagnosing and treating your hormone imbalances. Endocrine diseases are often missed, since symptoms are often subtle and easy to brush aside. An endocrinologist starts out with a thorough physical evaluation looking for these telltale sings, then follows up with a battery of blood and other lab tests. Often, additional highly specialized tests are involved to identify the root cause of your hormonal imbalance.
WHAT IS THYROID DISEASE?
Thyroid disease affects 30 million Americans, yet half of them do not know they have it. It is called the “silent disease.” One in eight women will develop a thyroid disorder in their life; women are five to eight times more likely than men to develop hyperthyroidism or hypothyroidism. Thyroid ailments include Graves’ and Hashimoto
disease, goiter, thyroid nodules and thyroid cancer. Thyroid problems require lifelong attention. Each person has a different genetic set point for TSH, the thyroid stimulation hormone.
WHAT IS OSTEOPOROSIS?
Osteoporosis is a disease in which bones become fragile and more likely to break. Osteoporosis affects one in two women and one in four men over the age of 50 and is generally missed. Bone fracture is considered to be the heart attack of the bone and can have major consequences on your quality of life, from reduced mobility to potential loss of mobility altogether. A bone density test is the only way to test for osteoporosis. We perform such testing and provide consultation on bone metabolism and osteoporosis treatment.
HORMONE MYTHS DEBUNKED The facts about some hormone myths:
3 Bioidentical hormones are not human identical and may cause complications.
3 Fountain of youth hormones (otherwise known as human growth hormones) can cause serious side effects when used for anti-aging.
3 hCG diets (HCG) by themselves do not cause weight loss, but can cause irregular periods for women and breast enlargement for men. 3 Hormone treatment of fatigue, depression or anti-aging should be avoided due to many side effects it can cause. 3 Adrenal fatigue is not a real disease, but adrenal failure is a life threatening disease.
WHAT IS OPTIMAL HEALTH AND BIOLOGICAL AGE?
Medicine addresses disease treatment and prevention. Optimal health and biological age deal with your health before disease prevention or treatment. We focus on optimal health, the ideal yet achievable health of your body as you reach middle age and beyond. Our specialized equipment allows us to measure and evaluate your biological age, a measure of how well or poorly your body is functioning relative to your actual calendar age. Biological age is a composite of several “ages” such as brain age, bone age, heart age and vessel age. Optimal health focuses on your wellness before disease can be identified; it is a step before disease prevention and does improve the quality of your life.
AUSTIN THYROID & ENDOCRINOLOGY
2200 PARK BEND DRIVE, BUILDING 3 SUITE 300 AUSTIN, TX 78758 (behind North Austin Medical Center) MON-FRI, 7 AM TO 4 PM 512.467.2727 | austinthyroid.com
Co-Founder and Publisher  Melinda Maine Garvey vice president and Co-Publisher Christopher Garvey Associate Publisher Cynthia Guajardo Shafer Creative director Niki Jones editor Emily Laskowski Associate Editor April Cumming Copy Editor Chantal Rice art director Stef Atkinson Art Assistant Megan Bedford Account Executive Katie Paschall Director of marketing and engagement Lisa Muùoz Office Manager Victoria Castle Guide to Good Health is a free publication of AW Media Inc. and is available at more than 1,250 locations throughout Austin and in Lakeway, Cedar Park, Round Rock and Pflugerville. All rights reserved. No part of the magazine may be reprinted or duplicated without permission. For copies of articles, call 512.328.2421. Visit us online at atxdoctors.com Email us at info@awmediainc.com 512.328.2421 3921 Steck Ave., Ste. A111, Austin, TX 78759
CONTENTS
ASK AN EXPERT 6 What is Medical Aesthetics? Austin Area OB-GYN & Fertility, Dr. Christopher Seeker and Casey Friesenhahn, WHCNP
8 Breast Reconstruction After Breast Cancer Dr. Christine FisherD
10 CommUnityCare Serves Up Some Tasty Advice Kristin Brookshire, MPH, RD LD
12 Hormones and You Austin Thyroid & Endocrinology, Dr. Simone Scumpia
14 A New Smile for New Self-Confidence Austin Dental spa, Dr. Mark Sweeney
16 Women’s GI Health Austin Gastroenterology, Dr. Sheila Reddy
18 Dental Care During Your Pregnancy Rose Dental Group, Dr. Molly Burton
20 Minimally Invasive Gynecology Surgery Renaissance Women’s Group, Dr. devin garza
4 Guide to Good Health 2 0 1 7
22 Painful Periods dr. lisa m. jukes
24 Dental Health Guide The hills dental spa, Dr. Benjamin L. Nemec
28 G etting your mammogram with ARA Diagnostic Imaging Austin Radiological Association
30 Wearable Fitness Devices St. David’s Medical Center, Dr. Al Gros
32 Why Do We Tend To Minimize Skin Cancer? Tru-Skin Dermatology, Dr. Daniel J. Ladd Jr.
36 Specializing in Balloon Sinus Dilation Austin ENT Associates, Dr. John Austin
37 DOCTOR PROFILES 45 DIRECTORY LISTINGS
You asked us how to counteract the impacts of aging without surgical or other risky invasive methods.
We listened
.
Introducing SEEKER Professional Aesthetics (S.P.A.) from Austin Area OB-GYN & Fertility, Austin’s trusted and recognized medical services group treating and caring for women at all life stages since 1960. You have entrusted us with all of your precious life moments. We offer you the same level of patient advocacy and care for your medical + aesthetics needs as you have come to expect from Central Austin’s top rated obstetrics and gynecology practice. Call today for a free consultation 512.533.4137 or visit us online at seekerspa.com.
Christopher Seeker, M.D. + Casey Friesenhahn, WHCNP Women’s Center of Texas at St. David’s Medical Center 12200 Renfert Way, Suite 100
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What is Medical Aesthetics? A sk a n E x pe rt
“We don’t think that aging, as we have traditionally thought about it, has to be viewed as an inevitable decline. With proper well care and modern medical aesthetics available today, aging has never looked so good.”
Christopher Seeker, MD SEEKER Professional Aesthetics Austin Area OB-GYN & Fertility 512.533.4137 seekerspa.com/about/christopher-seeker-md
Dr. Seeker has been with Austin Area OB-GYN & Fertility since 1988. He obtained his doctor of medicine from the University of Texas Health & Science Center in San Antonio in 1984, where he was a member of Alpha Omega Alpha honorary medical society. He is board certified by the American Board of Obstetrics and Gynecology and is a member of the Texas Medical Association, Travis County Medical Association and American Society of Reproductive Medicine.
Casey Friesenhahn, WHCNP
SEEKER Professional Aesthetics Austin Area OB-GYN & Fertility 512.533.4137 seekerspa.com/about/casey-friesenhahn-whcnp
Casey Friesenhahn, WHCNP, has been an integral partner and key member of Dr. Seeker’s medical practice for almost 18 years. In addition to holding a degree as a Women’s Health Care Nurse Practitioner (WHCNP) from University of Texas Southwestern Medical School in Dallas and a bachelor of science in nursing from the University of Texas, Friesenhahn most recently became certified as a Botox and filler injector. She is also trained and certified to perform the MonaLisa® procedure, laser hair removal, scar and leg-vein reduction, photo facials and non-ablative laser therapy. What is SEEKER Professional Aesthetics? SEEKER Professional Aesthetics (S.P.A.) is a brand new state of the art medical and aesthetics service located within the Austin Area OB-GYN & Fertility main practice group located at Women’s Center of Texas at St. David’s Medical Center 12200 Renfert Way, Suite 100.
What is medical aesthetics? Our intention and commitment is to bring exciting novelty to the field of medicine and aesthetics through SEEKER Professional Aesthetics (S.P.A.). As a team, Dr. Seeker and Casey Friesenhahn oversee all aspects of S.P.A. services so that it adheres to the same rigorous standards that has made Austin Area OB-GYN & Fertility Austin’s most trusted and recognized medical services group treating and caring for women at all life stages since 1960.
Why not go to the dermatologist for these services? Medical aesthetics is more than skin-deep. We have taken care of women through some of the most intimate and important life milestones. We know our patients from a 360 perspective, as we have provided their well care, OB/GYN, fertility and pre- and post-menopausal care. Our patients trust us. Who better to integrate their medical care with their aesthetics goals in a comprehensive way?
What does Austin Area OB-GYN & Fertility have to do with S.P.A.? S.P.A. is a natural extension of our core practice group mission: patient advocacy and innovation. We've had many patients over the years asking for alternative treatments for optimal health and well-being and they look to us as their trusted overall health advocate. So it just made sense to us to enhance the services we offer and create S.P.A. as an extension of our core practice.
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Will S.P.A. offer services that you can’t find elsewhere? We didn't take on this effort lightly. We did a lot of research so we could provide our patients with the best that's out there. We invested in state-of-the-art technology and training to provide personalized care in the areas of laser treatments, photo facials, chemical peels, injectables, and laser hair removal. We also offer the MonaLisa® Touch laser therapy for vaginal health and Sculpsure®, a revolutionary non-invasive body contouring treatment. The best part is you are able to come see us and have personalized care from a trusted physician and nurse practitioner that have an approach of total well-being, care and compassion for all patients.
What is your definition of “aging gracefully?” We don’t think that aging, as we have typically thought about it, has to be this inevitable decline. With proper well care, hormone regulation for pre- and post-menopausal patients and modern medical aesthetics available to us, our patients can choose what aging gracefully looks and feels like for them. With S.P.A., we have the opportunity within our medical practice group to service our patients in a one-to-one customized environment to meet all of their aesthetic needs under the supervision of one of the top-rated physician teams in Central Texas.
How long has SEEKER Professional Aesthetics been in the works? After researching the latest technologies and treatments for our patients, Casey became certified to perform the MonaLisa® procedure, laser hair removal, scar and leg-vein reduction, photo facials and non-ablative laser therapy. As more patients turned to her for in-office treatments, we decided to expand the service offerings in a more comprehensive way by investing in the latest laser equipment and opening up a separate S.P.A. service maintained within the larger practice group of Austin Area OB-GYN & Fertility. The vision for S.P.A. is a premium, one-stop shop for women’s health, beauty and wellness.
Surgical | Medical | Cosmetic
YOUR PREMIER SKIN CANCER EXPERTS Tru-Skin Dermatology’s SRT-100 Vision utilizes revolutionary, FDA-approved technology to provide highly-effective and pain-free skin cancer treatment with excellent cosmetic results. BOARD CERTIFIED PHYSICIANS • MEDICARE/MAJOR INSURANCE ACCEPTED • 8 CONVENIENT LOCATIONS
Contact us today to learn more.
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| 888.451.0139
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Breast Reconstruction After Breast Cancer
"I have the extensive experience, meticulous artistic technique and commitment to personalized care to address your concerns."
Facing a breast-cancer diagnosis, many women feel overwhelmed as life becomes about battling the cancer. While there’s a lot you can’t control about the diagnosis, for women who desire breast reconstruction after a lumpectomy or mastectomy, there are many safe and natural-looking options. Austin breast reconstruction specialist Dr. Christine Fisher empowers women to make the choice that’s right for them. Below, she answers your questions.
Christine Fisher, MD 512.815.0123 | christinefishermd.com Dr. Christine Fisher is a board-certified surgeon specializing in breast reconstruction, providing plastic surgery from a woman’s perspective.
What are my options for breast reconstruction? Today, there is a safe breast-reconstruction option for virtually every woman diagnosed with breast cancer. Breast implants are a traditional option that typically look best on women with moderate-sized breasts who are having both breasts removed and do not need radiation. Women desiring a more natural look and feel may choose a flap procedure, which uses living tissue from another part of the body to reconstruct the breasts that will never need to be replaced. The most common flap procedure is a DIEP (deep inferior epigastric perforator) flap reconstruction which uses abdominal tissue to reconstruct the breasts. Women who have extra tissue on their abdomen are ideal candidates for DIEP flap reconstruction, which gives the added benefit of a “tummy tuck” effect.
What is the success rate of DIEP flap breast reconstruction? In my hands, this surgery has a 99 percent success rate. It is important to choose a surgeon who performs this microsurgery frequently. I have performed 500 flaps over the last five years.
Can I keep my nipples? Women with a small tumor and no signs of cancer near the nipple may be candidates for nipple-sparing breast reconstruction. I perform a hidden-scar technique in which there are no scars on the front of the breast. The nipple and areola are left in place while the breast tissue underneath is removed.
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I am going to need radiation therapy after my mastectomy. How will this affect my plan for breast reconstruction? Patients planning radiation therapy after mastectomy present a more complicated reconstructive scenario. Implant reconstruction before radiation leads to a higher rate of aggressive scarring, pain and deformity. There is also twice the risk of implant-based infection, which can lead to removal of the implant. For most women requiring radiation therapy after mastectomy, my general recommendation is to put in place a temporary implant at the time of mastectomy to “hold the space.” After radiation, we complete the reconstruction by placing a healthy, living-tissue flap in the breast.
I am a very active person. Will I be able to resume all my normal activities after breastreconstruction surgery? The short answer is yes! Once you have finished the recovery period, there will be no limitations to your activities. The DIEP flap procedure does not remove muscle from the abdomen. Both DIEP flap and implant reconstruction have been performed on high-level athletes, professional dancers and other active women with complete recovery.
I have problems with my breast implants. what can I do? For patients suffering the disappointment of breast-implant problems, reconstruction failures and radiation injury, I have the extensive experience, meticulous artistic technique and commitment to personalized care to address your concerns. I am known for consistently delivering safe and beautiful results in difficult cases.
A smile can change the day!
Come Experience VISIT ANY OF OUR FOUR CONVENIENT LOCATIONS: Northwest Austin 11615 Angus Rd., #110 Austin, TX 78759 512.795.9643
North Austin 1450 W. Parmer Ln. Austin, TX 78727 512.251.6125
Southwest Austin 6211 W. William Cannon Dr. Austin, TX 78749 512.288.4447
Round Rock 893 N. IH 35, #200 Round Rock, TX 78664 512.310.9374
◆ Evening and weekend hours available ◆ General and Cosmetic Dentistry, Orthodontics and Oral Surgery ◆
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CommUnityCare SERVES UP SOME TASTY ADVICE
"Our goal is to help patients see that the healthy choice can also be the inexpensive choice."
Nutrition is the cornerstone of good health, and for individuals looking to combat chronic disease like diabetes or HIV, a chat with a dietitian can make all the difference. The CommUnityCare Nutrition Services team is comprised of six registered dietitians and led by Kristin Brookshire, MPH, RD, who currently serves as clinical nutrition manager. Together, the team provides nutrition counseling to more than 5,000 patients a year at 10 clinic locations throughout Travis County.
Kristin Brookshire, MPH, RD LD CommUnityCare 512.978.9015 | communitycaretx.org A foodie at heart and an Austin native, Kristin has spent her professional career working to educate and empower Travis County’s most vulnerable residents to achieve health through improved diet and lifestyle. Her specialty and interests lie in program development and improved access to healthy food.
WHAT DOES IT TAKE TO BECOME A REGISTERED DIETITIAN AND HOW IS THAT DIFFERENT FROM A NUTRITIONIST? A lot of people are confused by the difference between a nutritionist and a dietitian. While both professions help individuals navigate our complex food environment, there are currently no requirements for someone to become or claim the title of “nutritionist.” In contrast, registered dietitian is a protected credential that requires a minimum of a bachelor’s degree in nutritional science (Soon a master’s level degree will be required.), as well as 1,200 hours of supervised practice in various professional settings. Once those requirements are complete, the candidate must pass a national credentialing exam and maintain that credential through continuing education.
WHAT TYPE OF NUTRITION EDUCATION DOES THE TEAM PROVIDE? When it comes to nutrient education, there’s really no one-sizefits-all approach. The dietitian team strives to provide a diverse menu of services in order to meet people where they are. Patients can choose to visit with us one on one, or join one of the many classes that we offer. This past year, we were very excited to be able to pilot our first-ever cooking class. The Healthy Chef series empowers participants by using hands-on learning to build the skills needed to cook their own healthy meals at home. The patients love it and have even been able to impact the health of their families by preparing healthy meals that actually taste good.
HOW DO YOU TEACH PATIENTS TO EAT HEALTHIER WITHOUT BREAKING THE BANK? Cost is a major concern for many of our patients, who are often forced to prioritize paying for rent versus paying for food. Unfortunately, this can lead to overdosing on fast food from the dollar menu and packaged foods from the grocery store that are high in empty calories. Empty calories are foods that are packed with calories but missing the vital nutrients that the body needs to maintain health. Our goal is to help patients see that the healthy choice can also be the inexpensive choice. A lot of times, 1 0 Guide to Good Health 2 0 1 7
that starts with busting food myths about what’s healthy and not healthy and then working with an individual’s cultural background and lifestyle to develop a plan that’s customized to them and still fits within their budget.
WHAT ADVICE WOULD YOU GIVE SOMEONE WHO IS TRYING TO TURN THEIR EATING HABITS AROUND? For lasting change, eat the elephant one bite at a time. In other words, set yourself up for success by breaking big changes down into smaller, manageable steps during a long period of time. Let’s take eating more vegetables as an example. If your big goal is to eat five servings of veggies a day but you’ve spent your entire adult life never touching a vegetable, I don’t expect you to start eating salads at every meal, or at least not for very long! Making small steps toward change might look like a commitment to add one vegetable serving to dinner three times a week. Once you’ve comfortably established the habit of three times a week, and you’ve discovered that roasted Brussels sprouts are actually amazing, then make it four days a week. Keep going, slow and steady until you reach your goal.
WHY IS IT SO HARD TO FIND RELIABLE NUTRITION INFORMATION. HOW CAN I KNOW IF SOMETHING IS LEGIT? The food-and-nutrition industry is a big money generator and companies will try to sell their product by making as many health claims as possible. Fortunately, there is some regulation by the FDA about the wording of health claims on packaged foods and supplements, but it’s definitely still confusing for the average consumer. The key to finding good information is to make sure that it has its roots in good science. We call this “evidence-based.” Health claims that are evidence-based will have the backing of several different studies over different periods of time, and with funding that has minimal conflicts of interest. For example, we don’t want a new magic weight-loss pill if it is only supported by one study that was funded by the company that manufactures that pill. It might sound crazy, but that scenario happens more often than not. Protect your health and your wallet by doing some homework upfront.
Regain your confidence, your femininity and the “MonaLisa Touch”– sexuality with the only FDA approved non-hormonal treatment of vaginal dryness/atrophy
At the Lisa M. Jukes MD Wellness Center
If you’re suffering from Vaginal Atrophy, you might experience some or all of these symptoms: • Itching • Burning feeling or irritation • Pain during intercourse • Poor vaginal lubrication • Loosening of the vagina • Incontinence and the need to urgently urinate Thanks to advancement in medical technology, the MonaLisa Touch was developed to address the many concerns relating to Vaginal Atrophy in a safe, natural and virtually pain free manner.
First center in Austin to offer MonaLisa Touch.
Make your appointment today with Dr. Lisa M. Jukes, M.D., Board Certified OB/GYN. Call her office at 512.301.6767 to schedule.
Lisa M. Jukes MD
Lisa M. Jukes MD Wellness Center • 5656 Bee Caves Road, Suite B101, Austin, TX 78746 • lisamjukesmd.com
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Hormones and you
“Seek your optimal health, your ideal yet achievable health, and increase the quality of your life.”
Since hormones rule your body, have your hormonal balance assessed by an endocrinologist to optimize your health. Dr. Simone Scumpia of Austin Thyroid & Endocrinology outlines everything you need to know about hormones and their effect on the body.
Simone Scumpia, MD FACE FRCP FNLA Austin Thyroid & Endocrinology 512.467.2727 | austinthyroid.com Dr. Simone Scumpia treats all thyroid and endocrine (hormonal) ailments, with emphasis on optimal health and biological age.
HORMONES AND ENDOCRINOLOGY Endocrinology is the science of hormones, which affect every cell and every function in your body. The glands secreting these hormones form your endocrine system, a tightly interconnected system with thousands of feedback loops. It is far more complex than any supercomputer today. Hormones control everything in your body from birth to death. Without hormones, your body cannot function. Examples of hormones include: estrogen, testosterone, insulin and hormones like thyroid, cortisol, adrenal and pituitary.
WHAT ARE ENDOCRINE DISEASES? They are diseases caused by a malfunction of one or more endocrine glands in your body. Examples: thyroid, osteoporosis, metabolic syndrome and obesity, hirsutism, menopause, low testosterone in males, andropause and impotence, polycystic ovaries, irregular or lack of menstrual periods, high and low calcium, and diabetes.
WHAT FACTORS AFFECT the ENDOCRINE SYSTEM? Aging, other diseases, stress, environmental and genetic factors do influence your endocrine system. Aging changes how hormones are produced and absorbed by your body. Genetic factors and other diseases can do the same. Stress triggers a cascade of hormones that affect your heart, kidneys and other organs. Recent research identified endocrine-disrupting chemicals in our environment.
WHY SEE AN ENDOCRINOLOGIST? Hormone treatments must be followed by a hormone specialist (endocrinologist) 1 2 Guide to Good Health 2 0 1 7
the same way heart disease is followed by a heart specialist (cardiologist). An endocrinologist has years of special training in diagnosing and treating your hormone imbalances. Endocrine diseases are often missed, since symptoms are often subtle and easy to brush aside. An endocrinologist starts out with a thorough physical evaluation, looking for these telltale sings, then follows up with a battery of blood and other lab tests. Often, additional highly specialized tests are involved to identify the root cause of your hormonal imbalance.
WHAT IS THYROID DISEASE? Thyroid disease affects 30 million Americans, yet half of them do not know they have it. It is called the “silent disease.” One in eight women will develop a thyroid disorder in their life; women are five to eight times more likely than men to develop hyperthyroidism or hypothyroidism. Thyroid ailments include Graves’ and Hashimoto disease, goiter, thyroid nodules and thyroid cancer. Thyroid problems require lifelong attention. Each person has a different genetic set point for TSH, the thyroidstimulation hormone.
WHAT IS OSTEOPOROSIS? Osteoporosis is a disease in which bones become fragile and more likely to break. Osteoporosis affects one in two women and one in four men over the age of 50 and is generally missed. Bone fracture is considered to be the heart attack of the bone and can have major consequences on your quality of life, from reduced mobility to potential loss of mobility altogether. A bone-density test is the only way to test for osteoporosis. We perform such testing and provide
consultation on bone metabolism and osteoporosis treatment.
HORMONE MYTHS DEBUNKED The facts about some hormone myths: • B ioidentical hormones are not human identical and may cause complications. • Fountain-of-youth hormones (otherwise known as human growth hormones) can cause serious side effects when used for anti-aging. • H CG diets by themselves do not cause weight loss, but can cause irregular periods for women and breast enlargement for men. • H ormone treatment of fatigue, depression or anti-aging should be avoided due to many side effects it can cause. • Adrenal fatigue is not a real disease, but adrenal failure is a life-threatening disease.
WHAT IS OPTIMAL HEALTH AND BIOLOGICAL AGE? Medicine addresses disease treatment and prevention. Optimal health and biological age deal with your health before disease prevention or treatment. We focus on optimal health, the ideal yet achievable health of your body as you reach middle age and beyond. Our specialized equipment allows us to measure and evaluate your biological age, a measure of how well or poorly your body is functioning relative to your actual calendar age. Biological age is a composite of several ages, such as brain age, bone age, heart age and vessel age. Optimal health focuses on your wellness before disease can be identified; it is a step before disease prevention and does improve the quality of your life.
AUSTIN GASTRO IS MAKING THE FIGHT
AGAINST COLON CANCER
EASIER We provide treatments focused on your health, comfort and convenience
HyGIeaCare® Same Day Prep™ A SIMPLER AND EASIER BOWEL PREP FOR COLONOSCOPY EXCLUSIVELY AVAILABLE AT AUSTIN GASTROENTEROLOGY AND ENDOSCOPY CENTERS
SAFE • EASY • CONVENIENT • HYGENIC Appointment Line: North Office (512) 244-2273
Central Office (512) 454-4588
South Office (512) 448-4588
austingastro.com • hygieacare.com
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A New Smile for New Self-Confidence
“The most common concern we deal with is that patients want to be sure they know what they are getting and what their smile will look like.”
According to the American Academy of Cosmetic Dentistry, 99.7 percent of all Americans believe a smile is an important social asset. People gravitate toward a beautiful smile because it radiates many positive qualities, including confidence, openness and warmth. More and more people each year undergo cosmetic-dentistry procedures to obtain the smile of their dreams. Before you decide to have a cosmetic dental procedure, it is important to know more information about specific treatments and how you can improve the chances of getting the results you are looking for. Dr. Mark Sweeney, a renowned cosmetic dentist and founder of Austin Dental Spa, explains what cosmetic dentistry is, how certain procedures can drastically improve your physical appearance and offers advice for those wanting a renewed, beautiful smile.
Mark Sweeney, DDS Austin Dental Spa 512.380.1300 | austindentalspa.com Dr. Mark Sweeney has practiced cosmetic dentistry for 35 years and is committed to continuing education and keeping abreast of the latest techniques in dental care, offering a range of cosmetic, general and restorative treatment options.
Who is an ideal candidate for cosmeticdentistry treatments? Anyone can explore the possibilities of cosmetic dentistry to enhance the natural beauty of his or her smile. Based on your needs, you can talk with a dentist about removing spaces, reshaping, whitening or straightening your teeth.
How can I make sure I’ll get results that look natural? It is important that patients choose a dentist with the proper experience and technical skill to maintain as much of the original tooth structure as possible. Nobody wants to have something done over again. Dr. Sweeney also advises to look for a cosmetic dentist that will try to improve the function of your bite and teeth, in addition to aesthetics. A talented dentist, Dr. Sweeney notes, will produce results that look and feel as natural as your original teeth.
Can I know what my smile will look like beforehand? The most common concern we deal with is that patients want to be sure they know what they are getting and what their smile will look like. We are able to get very close to exactly the look the patient is going for before we ever touch their teeth. Dr.Sweeney recommends looking for a dentist with advanced tools and technology that can provide a preview of your potential future smile with a prototype or image.
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What is cosmetic dentistry? Cosmetic dentistry includes a variety of procedures that can rejuvenate your teeth, gums and bite. At Austin Dental Spa, Dr. Sweeney's dental team uses advanced treatments such as teeth whitening, porcelain veneers and gum-lifting techniques to transform a patient's smile. Dr. Sweeney offers the in-office teeth-whitening methods of Zoom! Advanced Power, which can brighten teeth as much as eight to 12 shades, and the KöR Whitening Deep Bleaching System for deeply stained teeth. Porcelain veneers, Dr. Sweeney explains, have the ability to dramatically improve the aesthetics of your smile once the thin ceramic shells are bonded to the front of your teeth. Meanwhile, a gum lift procedure can remove excess gum tissue for patients who are experiencing a gummy smile. Cosmetic dentistry can also include restorative treatments such as dental implants for patients looking to replace missing teeth or address misalignment issues.
Surprising Health Stats The average age of a woman in the U.S. at the birth of her first child is 26.3 years old.
60%
cdc.gov
A female baby born in 2011 has a life expectancy of approximately 81.1 years. That’s 4.8 years longer than a male baby born in the same year. mchb.hrsa.gov
On average, 60 percent of women will get a urinary tract infection at least once in their lifetime. webmd.com
As many as 5.3 million women abuse alcohol. nichd.nih.gov
43%
43 percent of women have an ongoing medical condition that requires monitoring year-round. kff.org
Approximately 12 percent of women will develop breast cancer. That’s more than 1 out of every 10 women you know. nichd.nih.gov
Women account for 60 percent of strokes that happen annually. everydayhealth.com
Untreated STIs and STDs cause infertility in approximately 24,000 women each year. nichd.nih.gov In the United States, someone has a heart attack every 42 seconds. cdc.gov
Compared to men, women are
23 percent more likely to go see a doctor if they are feeling sick. kff.org
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Women’s GI Health Sheila Reddy, MD
"I strongly believe a well functioning GI tract is a vital part in a daily sense of well-being."
Are there differences between men and women regarding the GI tract? Women tend to have longer colons and a different pelvic anatomy than men, with more redundant colons lower in the pelvis that may contribute to trapping gas and stool and leading to ailments such as bloating and constipation. In addition, women also have different hormonal variations that can play a role in symptoms.
What are the causes of constipation and what are the treatments available? I see many women in my practice with constipation, many of whom have been suffering with lifelong constipation and assumed there was either no treatment or are experiencing daily bloating and abdominal discomfort because of it. There are a variety of causes for constipation, ranging from slow transit in the colon to structural changes in the rectum to pelvic-floor dysfunction. When I see a patient with constipation, we go through each possibility and discuss what intervention or test would best help us find the root cause and treat accordingly. This can range from over-thecounter medications, prescription medications, diet and even physical therapy.
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Austin Gastroenterology 512-448-4588 | austingastro.com Dr. Sheila Reddy is a board-certified gastroenterologist who sees a full spectrum of patients with gastrointestinal diseases while focusing on patients with functional bowel disorders and women’s GI health issues. More women suffer with irritable bowel syndrome compared to men and her goal is individualizing care using an integrative approach of medical therapy, diet and lifestyle. “Women have unique challenges when dealing with their GI health as they are going through a variety of changes throughout their life, including pregnancy and menopause, that can all affect the way their gut functions,” Dr. Reddy says. She sees patients and performs endoscopy at Austin Gastroenterology in South Austin and Lakeway.
What about bloating? how can I fix this? Every day, I see patients who are struggling with bloating and want to know how to fix it. The causes of bloating vary from common to rare illnesses and to some degree, the formation of gas is a natural byproduct of the digestive tract functioning as it should. However, some people are more sensitive to the gas they produce, such as those with irritable bowel syndrome, or are eating certain food groups that lead to more gas formation. There isn’t always a one-size-fits-all approach to bloating but dietary changes can be a good place to start. I want to provide a reasoned and systematic approach to changing the diet rather than your trying to change it alone and becoming frustrated when your symptoms aren’t improving.
When should I see a gastroenterologist for my symptoms and for colorectalcancer screening? Colorectal-cancer screening typically starts at the age of 50, unless you have a family history of colon cancer or certain types of polyps or are having “alarm” symptoms that may necessitate starting evaluation earlier, such as unintentional weight loss, blood in the stools, amongst others. However, I would recommend that anyone who is having digestive distress, whether it be bloating, discomfort, constipation, reflux or change in bowel habits consider seeing a gastroenterologist. With the help of your doctor, we can determine if there is a more serious underlying condition and then work to improve your symptoms. I strongly believe a well-functioning GI tract is a vital part in a daily sense of well-being.
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Dental Care During your Pregnancy
"Pregnancy gingivitis is a common condition that affects many expecting women."
Dr. Molly Burton Rose Dental Group 512.795.9643 | rosedental.net Dr. Molly Burton, DMD, comes to Austin from Louisville, Ky., where she completed her bachelor’s degree in biology at the University of Kentucky and received her doctor of dental medicine degree from the University of Louisville Dental School. Her goal with patients is to combine quality comprehensive dental care with a welcoming, knowledgeable and comfortable environment. She practices all aspects of dentistry at the William Cannon location and believes education and prevention are especially important in her daily practice. Outside of her passion for dentistry, she enjoys live music, playing sand volleyball, traveling, painting and playing piano.
Is dental care safe during pregnancy?
Can I whiten my teeth during pregnancy?
Routine dental care is not only safe but very important during pregnancy. Let your dentist know when you go that you are pregnant and also how far along you are in the pregnancy. It is best to have any necessary dental treatment completed during the second trimester. During the third trimester, it may be a little too uncomfortable to be in the dental chair on your back for an extended period of time. Any elective dental work that you want to have done, I would recommend you schedule for after delivery.
Teeth whitening is considered to be a cosmetic, elective procedure and therefore, I would not recommend it during pregnancy. There hasn't been enough data to show the effects of the whitening agents on the developing baby, so it's best to be safe and wait to whiten until after delivery.
How will pregnancy affect my mouth? Pregnancy gingivitis is a common condition that affects many expecting women. Due to all of the hormonal changes, there can be increased inflammation in the gum tissue. You may notice more bleeding when brushing and flossing. Gingivitis can precede more serious forms of periodontal disease, so it is very important to go to the dentist routinely to have your teeth cleaned. Morning sickness can create a higher risk of tooth decay. The extra acid in the mouth can cause deterioration of the hard outer enamel layer of the tooth. Rinsing your mouth with water immediately after being sick will help to decrease the amount of acid present.
Can I get dental X-rays during pregnancy? Radiographs of the teeth are very unlikely to pose a risk to a developing baby in the uterus. However, since there is such controversy surrounding dental X-rays and limiting exposure, I would only recommend a pregnant woman have X-rays taken when the benefits outweigh the risks. For example, if an expecting mother has a toothache or swollen jaw, it would be much less risky to have a single X-ray taken to help identify the problem than to let a potential dental infection continue to spread.
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What antibiotics are safe to take during pregnancy? Antibiotics may be prescribed for you for a dental infection. Amoxicillin and clindamycin are both commonly prescribed and are considered to be safe to take. Tetracyclines such as minocycline and doxycycline can cause discoloration of the baby's developing teeth and also damage to the pregnant woman's liver. These antibiotics should be avoided during pregnancy.
Are the local anesthetics used during treatment safe? Lidocaine is the most commonly used local anesthetic for dental treatment. It is a category B drug (does not cross the placenta) and therefore, it is considered to be safe to administer during pregnancy.
What pain medications can I take for a toothache or after dental work? Tylenol (acetaminophen) is a category B drug and is the drug of choice for pain relief in pregnant women at any time during the pregnancy. Advil (ibuprofen) is a category B drug and is safe to take in the first and second trimesters. However, it becomes a category D drug during the third trimester and should be avoided, as it can cause premature closure of one of the heart ducts.
Providing Healthcare for Travis County Residents for Over 30 years! With over 21 clinics around Travis County and growing, CommUnityCare is equipped to meet your healthcare needs. We offer a wide array of services including primary care, specialty care, dental services and behavioral care. To make an appointment, please call (512) 978-9015.
Delivering the right care, at the right time, at the right place.
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Minimally Invasive Gynecology Surgery
“What’s next in minimally invasive surgery? You have to see it to believe it. Soon, we will be able to safely accomplish even more through less.”
Dr. Devin Garza was one of the world’s first surgeons to use a single-site robotic approach for benign gynecology. Performing more than 1,200 robotic procedures and given the distinction of da Vinci mentor/epicenter surgeon by Intuitive Surgical Inc., he champions the use of minimally invasive surgery by training surgeons and lecturing nationally and internationally on robotic techniques. In 2016, Dr. Garza, a Board Certified OB/GYN, presented on the national stage as faculty at American Association of Laparoscopic Gynecologists and World Robotic Gynecology Congress. Dr. Garza is a referral specialist in the management of some of the most complex benign gynecology surgery, such as endometriosis resection, myomectomy and Acessa for fibroids, complex hysterectomy, pelvic-floor prolapse and abdominal cervical cerclage. He is among the most experienced minimally invasive robotic surgeons in the U.S.
Devin Garza, MD Renaissance Women's Group 512.425.3835 | devingarzamd.com Director of minimally invasive surgery at Renaissance Women’s Group and clinical faculty at The University of Texas Dell Medical School department of women’s health, as well as being on the steering committee for the Texas Institute for Robotic Surgery at North Austin Medical Center.
What is the Biggest challenge that minimally invasive gynecologic surgeons face today? A surgical technique called mechanical morcellation* has disappeared from the surgeon’s toolbox, and the conversation is now focused on alternatives. A morcellator would slice tissue into small pieces for removal through small incisions. Problems arose when the devise dispersed pre-existing unknown cancer cells in the specimen throughout the body. Many physicians have resorted to an open surgery with a large incision and the resulting prolonged recovery time and associated risks. Rather than resorting to open surgery, I teach surgeons how to safely remove tissue using a preferred minimally invasive approach, containing tissue within a pouch, and removing often very large specimens through a cosmetic 1-inch incision. This gives surgeons a tool with which to maintain MIS management of a large uterus for hysterectomy and myomectomy. * Renaissance Women’s Group does NOT use morcellators for gynecologic surgery.
Who is an ideal candidate for minimally invasive surgery? Women of all ages and conditions benefit from MIS, and you should discuss all viable alternatives with your physician. Complex pathology can be managed safely and effectively with a highly experienced surgeon who is equipped with the most advanced surgical armamentarium, either traditional laparoscopy or the da Vinci robotic platform.
Are all surgeons trained in the minimally invasive approach? Most are, but some surgeons are more experienced than others. Obviously, you get really good at what you do a lot. For example, you would expect that the pilot of your airplane has logged many hours in the air and in-flight simulation and will continue to sharpen his or her skills and the competency to manage potentially complex situations. It’s the same with surgeons. I continue to enjoy sharing strategies and techniques that have served my patients well over many years as a highvolume MIS surgeon. The type of hands-on training that I teach throughout the U.S. and other countries as an epicenter/mentor 2 0 Guide to Good Health 2 0 1 7
surgeon prepares less experienced surgeons to perform the latest robotic techniques and safe tissue removal. Often they can apply what they learned the very next day. My hope is that a patient who was given no choice but an open surgery will now have the opportunity to have small incisions and a greatly reduced recovery time. I am convinced that as we further the knowledge of MIS, our patients benefit.
I am considering surgery. Are there questions that I should ask my physician? You will, of course, have discussed all of the options to surgery, as surgery should be the last option after failed medical management. 1. "Will this be a minimally invasive surgery?" At Renaissance Women’s Group, our MIS rate approaches 99 percent. 2. If they are not comfortable offering an MIS approach, ask: "Is there a surgeon you trust in the local medical community that can perform this particular surgery using MIS either laparoscopic or robotic?" Collaboration among surgeons is key to maintaining a high MIS rate for our patients. 3. If you are not comfortable or have unanswered questions, always ask about obtaining a second opinion.
What’s on the horizon in MIS? There continues to be a buzz around the new da Vinci Xi robotic platform, and I was very fortunate to be among the first to use it, as well among the first to perform single-site robotic surgery on the Xi. The new platform will continue to improve surgical outcomes in gynecologic surgeries, as well as other specialties with its improved vision, increased range of motion and access to complex pathology. Also, a new treatment for fibroids called Acessa /RFA (Radio Frequency Ablation) is showing promise as an MIS approach with an even shorter recovery as an option to hysterectomy and to possibly help maintain fertility. I have enjoyed seeing how well my patients respond clinically after this treatment. I am certain this approach will help manage patients with fibroids as the technology continues to advance.
painful periods A sk a n E x pe rt “Heavy menstruation and severe cramps should be evaluated further by a specialist.”
Most women experience discomfort when Aunt Flo comes to visit. However, there are varying degrees of pain associated with menstruating, as it affects women differently depending on the symptoms and causes. Heavy menstruation and severe cramps not alleviated by a healthy lifestyle and the use of over-the-counter pain relievers should be evaluated further by a specialist. When your body doesn’t respond to these tactics, it could potentially be more serious and even require surgery. Endometriosis, adenomyosis, uterine fibroid tumors, ovarian cysts and prolapse are some of the common diagnoses for women suffering from pelvic pain and/or abnormal bleeding.
Lisa M. Jukes, MD 512.301.6767 | lisamjukesmd.com Dr. Lisa M. Jukes is a board-certified OB/GYN who specializes in gynecologic health and wellness and focuses on minimally invasive procedures.
WHAT ARE THE SIGNS OF AN ABNORMAL PERIOD? One sign is pain that doesn’t respond to Motrin, or [the patient] has to dose frequently and take several Motrin to be able to get relief and go about their normal activity. As far as unusually heavy bleeding (i.e., changing a Kotex every hour or two,) that would be considered not normal. Staining bed clothes at night or having to get up a couple times in the night to change a Kotex would also be considered not normal. If your pain does not respond to various therapies (healthy diet, exercise, pain relievers, birth control), if you are bleeding between periods, experiencing a heavy flow or if your menstrual cycle is interfering with your quality of life, preventing you from going to work or leaving the house, then it is time to seek help from a women’s health professional.
WHY DO HEAVY MENSTRUATION AND CRAMPS OCCUR? Painful menstrual cycles can occur as young as the early teenage years, but tend to peak in a woman’s 20s and 30s. The painful symptoms typically go away with pregnancy and then oftentimes return for women in their 40s. Pregnancy can provide relief of symptoms from endometriosis and pelvic pain for several years. Endometriosis is a condition in which endometrialtype cells have implanted outside the uterus, causing severe cramps, abnormal bleeding and other pain, including pain with intercourse. Endometriosis can affect at least 25 percent of women. It can be genetic or even associated with congenital uterine anomalies. There’s a condition related to endometriosis called adenomyosis and that’s a common reason for severe menstrual cramps as well as heavy bleeding. It’s a condition where the endometrial lining has implanted in the muscle wall of the uterus. Pain can also be caused by uterine fibroids and can
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cause bleeding problems if the fibroid is affecting the lining of the uterus. Fibroids are benign, non-cancerous, fibrous-like tumors in the myometrium (muscle layer of the uterus). Pelvic pain should be further investigated to assure that it is not related to a gastrointestinal, urologic or musculoskeletal disorder. Heavy bleeding can even start with a young woman’s first few menses. Up to 25 percent of these adolescents may have a hereditary bleeding disorder, which can be determined by simple blood work. Later on, heavy bleeding, bleeding between cycles or with intercourse can be secondary to overgrowth of the endometrium, uterine polyps, fibroids or adenomyosis.
WHAT ARE THE TREATMENT OPTIONS? The first step would be to see how the body responds to pain relievers and possibly hormonal contraceptives. If the body is not responding, the next step is evaluation and possible ultrasound in order to determine the etiology. The treatment depends on what we find and whether that person wants to have children or has completed their family. If the findings are suggestive of endometriosis based on history and physical exam, then we typically proceed with a laparoscopy. In my experience, I prefer using da Vinci surgery. The da Vinci robotic system gives me 3-D visualization, better magnification and use of instruments that have more precise movements. Laparoscopy allows me to see into the abdomen through small incisions in order to diagnose what is causing the pain or bleeding. I am now able to perform more complicated, minimally invasive surgeries rather than making large abdominal incisions, including single-site umbilical laparoscopic surgery. With da Vinci, patients experience less pain, less risk of infection and scarring, and shorter recovery time, among many other benefits.
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Dental Health Guide A sk a n E x pe rt “Being proactive instead of reactive makes treatment and its outcome more beneficial and longer lasting.”
When choosing a doctor, it’s smart to consider your personal goals for your health. This goes for searching for a dental health professional as well. The longevity of your teeth and the look of your smile are important to your overall well-being. Not all dental treatments are equal, and you want a dentist who has experience with the services and treatments you seek. Choose an office with a caring staff who takes the time to really listen to you. No two patients should be given the exact treatment. Your personal desires, budget and long-term goals should all play a part in the treatments you opt for. The Hills Dental Spa offers a luxurious spa-like environment for your total comfort, but even more importantly, the staff is trained to listen carefully to your needs and work for you to create a customized plan for your best health.
Benjamin L. Nemec, DDS The Hills Dental Spa 512.347.0044 | thehillsdentalspa.com Dr. Benjamin Nemec is a board-certified general dentist with advanced studies in cosmetic and implant dentistry, CAD/CAM 3-D dentistry and special training on TMJ and occlusion.
What is the latest on the health risk of old amalgam (mercury) fillings in my teeth and should I have them removed? These types of fillings have raised a lot of controversy in the last decade or more. Some people have claimed amalgam fillings could be linked to a multitude of neurological diseases, such as Alzheimer’s and multiple sclerosis. The ADA, the AMA and the FDA, along with numerous other accredited public-health organizations, have done thorough independent research within the last 10 to 15 years that have found zero connections or solid evidence to support such claims. There is not a higher incidence of people manifesting symptoms of these types of diseases when comparing patients with existing amalgam fillings, patients with amalgam fillings that have been removed and replaced with alternative restorative materials, and with patients that have never had an amalgam filling. That said, these types of fillings can be harmful for very different reasons. Unfortunately, metal fillings, especially when left in place for too long, can definitely cause fracturing of your teeth and put you at higher risk for emergencies, tooth pain, tooth failure and tooth loss. Most fillings are intended to last eight to 12 years in a tooth. The larger the filling, the shorter the life span. Metal, in a humid environment like the mouth, corrodes over time. This leads to gaps forming between the restoration and the remaining tooth structure. This gap formation will likely lead to new cavities forming under it, but worse yet, it causes a weakening that contributes to the surrounding enamel beginning to fracture. If left untreated, this crack line can lead to the nerve and cause severe pain or even spread to the root, which leaves the tooth untreatable. Therefore, the biggest danger to you when it comes to having old metal fillings still in your mouth is the much greater potential for more costly and inconvenient dental emergencies and procedures.
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How safe are dental x-rays? Advances in dentistry and dental technology have led to almost immeasurably low levels of radiation when you receive full mouth and checkup X-rays. In fact, modern dental X-rays taken regularly are virtually harmless, especially in comparison to sun exposure, minerals in our soil and appliances in our homes. Digital X-ray machines and high-speed film limit the radiation beam to the small area being X-rayed and requires very short exposure time (fractions of a second) to get the same results as older, traditional film. The use of lead-lines aprons protect the body from stray radiation, even though this problem is almost non-existent with modern techniques. And always remember, if dental X-rays truly increased your chances of cancer, then dentists and their staff would show a higher incidence than the general population. And, fortunately, that is not the case.
What will help me prevent dental pain and emergencies? Nobody wants to be in pain, and dental pain is described by some as being worse than child birth! The best way to prevent dental pain and emergency situations is to visit the dentist regularly. This is also the best way to save money on your dental care. When dental problems are caught early, before symptoms are present, then treatment is less likely to be uncomfortable and will cost far less. Many people who have lost their dental insurance may stop going to the dentist for preventive exams and cleanings. They are trying to save money since they no longer have insurance to help with the costs. However, it is less costly to pay out of pocket for a checkup and cleaning as a way to prevent the much more expensive problems that come with neglecting professional care. Routine cleanings by your hygienist remove the plaque and tartar that contribute to future dental problems such as infection and cavities. Being proactive versus reactive almost always helps you avoid pain and emergencies. Modern dentistry and techniques are rarely painful when we diagnose potential issues early and address oral health concerns before any symptoms occur. Once your tooth expresses pain, the chances of that tooth needing either a root canal or extraction is far, far greater. Consider preventive care for better long-term health for your smile and to ease the cost of future treatments.
The Add-One-Thing Challenge
By Lauryn Lax
Break up with dieting for good with this lasting approach. Choose From Our Top 20 Add-ons to Get Started:
1
Add half your bodyweight,
that is, in the ounces of water you drink each day.
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Add one cup of (quality) coffee. Excess coffee, even decaf, spikes cortisol levels (the stress hormone), dehydrates you, depletes your energy and makes you crave sugar. Commit to just one cup of coffee per day, but make it a good one.
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Add fresh-squeezed lemon or one tablespoon of apple cider vinegar to your morning cup of water. It will help stimulate healthy digestion and energy for the day.
3
Add sauerkraut. Your gut is home to trillions of bacteria, both good and bad. Arm your gut with probiotics found in fermented foods like sauerkraut and kombucha.
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Add glass and steel. Replace your plastic food containers and water bottles with glass and stainless-steel varieties to avoid toxins.
Add a chef’s hat. Cook your food, or at least the majority of it. You’ll know what’s in it and avoid many of the hydrogenated oils used at most restaurants.
Add one ingredient. Keep groceries simple by shopping for whole foods that consist of just one ingredient, like fruits and vegetables or meat and potatoes.
6
Add one serving of leafy greens. Greens aid in digestive health, boost energy and prevent disease. Saute greens or add them to a smoothie.
7
Add organic. Buy the Dirty Dozen foods in organic varieties to avoid harsh chemicals. They include strawberries, apples, nectarines, peaches, celery, grapes, cherries, spinach, tomatoes, sweet bell peppers, cucumbers and hot peppers.
Add chocolate. Give yourself permission for little treats. You’ll feel less deprived by allowing yourself this tiny pleasure rather than restricting or shaming yourself.
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Add clear skin. Your skin, just like your body, eats. Replace one hygiene product with a natural version or create your own using a base of coconut oil or ghee.
Add five minutes. Carve out five minutes to meditate and just be. Pro tip: Try the app Headspace to learn more.
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Add butter. Eat a healthy fat with every meal. Healthy fat burns fat, improves digestion and mental clarity and gives you glowing skin. Some options include grass-fed butter, ghee, avocado and coconut oil.
15
Add Lady Bird Lake. Walking is the best exercise you can do anywhere. Whether you park the car farther away from the grocery-store entrance, stretch your legs at work or meet a friend for a walk on the trail, just walk more.
Add inspiration. Pursue self-development. Attend a conference or meetup, find a mentor or listen to inspiring books on Audible during your commute to work, which isn’t getting any shorter.
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Add beauty rest. Set yourself up for a successful night’s sleep. Put the cellphone away. Drink warm, herbal tea. Turn off all screens and devices. Read a good book. Utilize blackout curtains. Lower the temperature. Again, put the cellphone away.
Add sunrise. Invest in a sun alarm. It will tap into your body’s natural circadian rhythms and wake you up feeling fresh instead of fatigued.
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Add lean muscle. Lift weights three to four days per week to build lean, healthy muscle, boost your metabolism, prevent bone loss and to finally be able to put your own carry-on in the overhead bin, gosh darn it!
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Add a mantra. Come up with a positive mantra to tell yourself every morning when you wake up and look in the mirror.
Add the right light. The light of day and the light of night affect more than your mood. Emit the right amounts of blue light and welcome in orange light by downloading the nifty app f.lux. Watch and learn as your mind, body and spirit get in sync with your daily schedule, like clockwork.
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R E A L PAT I E N T S . R E A L S TO R I E S .
Worst kind of heart attack. Best place to treat it.
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Physically fit and 49, Jeff Fisher isn’t the typical heart attack victim. “I was out running like I’ve probably done a thousand times, being a retired Marine, and I started to feel pain in my left side.” When he arrived at the Baylor Scott & White Medical Center – Hillcrest emergency room, his heart stopped. Repeated resuscitation efforts brought him back, and an implanted stent reopened the fully blocked artery. “When I woke up, 36 hours later, the cardiologist was sitting by my bed.” The entire care team rallied around Jeff and his wife during his recovery. Today, he’s healthy again. “I don’t think I’d be here to tell the story if it weren’t for Baylor Scott & White.”
Watch his story at heart.sw.org. Physicians provide clinical services as members of the medical staff at one of Baylor Scott & White Health’s subsidiary, community or affiliated medical centers and do not provide clinical services as employees or agents of those medical centers, Baylor Health Care System, Scott & White Healthcare or Baylor Scott & White Health. ©2017 Baylor Scott & White. BSWHILLCRST_122_2016 CE 01.17
Start a healthy relationship.
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Introducing health care that puts you in control. Schedule appointments online, video visit with your doctor and enjoy the convenience of having specialists on-site. And get the primary care you want right where you are.
Changing Health Care. For Life.®
Learn more at ATX.BSWHealth.com. Services available at select locations.
Physicians are employees of Scott & White Clinics, an affiliate of Baylor Scott & White Health. ©2016 Baylor Scott & White Health. BSWCLINICS_125_2016 SM
Baylor Scott & White Clinic Austin Downtown
Baylor Scott & White Clinic Austin Circle C
Baylor Scott & White Clinic Austin North Burnet
200 E. Cesar Chavez St. Suite G-140 Austin, TX 78701
5000 W. Slaughter Ln. Bldg. 6, Suite 100 Austin, TX 78749
2608 Brockton Dr. Austin, TX 78758
Open Jan 30
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Open Jan 23
Getting your mammogram A sk a n E x pe rt
with ARA Diagnostic Imaging ARA Diagnostic Imaging is an Austin-grown, community-oriented imaging group that has been a leader in medical services in Central Texas since 1954. ARA knows that you want the top medical services for yourself and your family. That’s why we listen to our patients and bring you convenience, expertise and advanced technology. 3-D mammography, a new technology that offers a more detailed way to view the breast, is now available at 12 ARA locations, making this revolutionary exam available to all Central Texans.
Austin Radiological Association Austin Radiological Association 512.453.6100 | ausrad.com
When should women get their first mammogram?
Why should Women visit an ARA clinic for a mammogram?
ARA is committed to saving women’s lives, which is why we recommend that women have mammograms starting at 40 and yearly thereafter.
ARA is an Austin-based success story and we are committed to serving the health-care needs of our community. That’s why you will find us in your neighborhood. We have 17 locations throughout Central Texas and also offer extended hours for patient flexibility. Our radiologists are some of the most highly trained physicians in the nation and the patient care satisfaction rate in our clinics exceeds 94 percent.
The evidence is clear. This saves the most lives. Starting at age 40, not age 45, the incidence of breast cancer rises sharply, doubled when compared to women ages 35 to 39, and continues to increase with each decade. Large studies show that getting regular mammograms decreases breast-cancer deaths by about one-third. Additionally, more lives are saved in women who get a screening mammogram every year, as opposed to those who only get a mammogram every two years. Annual mammograms are critical in the early detection of breast cancer, when there is the best chance for cure.
Why should Women ask for a 3-D mammogram? 3-D mammography (breast tomosynthesis) is the latest technology in screening mammograms. 3-D mammography gives the radiologist the ability to see inside the breast layer by layer, viewing multiple images taken during the exam. In contrast, a conventional mammogram shows all of the breast in a single image. Studies have shown an up to 41 percent increase in the number of invasive breast cancers detected with 3-D technology. Because of the ability to view the breast in depth, radiologists are better able to discern between benign and cancerous abnormalities, resulting in the reduction of callbacks.
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Does insurance cover mammogram procedures? Most insurance companies cover screening mammograms for women 40 and older with no out-of-pocket costs. Many insurance companies, including Medicare and Medicaid, also cover the new 3-D mammogram. Don’t wait. Visit ausrad.com or call 512.453.6100 now to request a screening-mammogram appointment.
BREAST RECONSTRUCTION is a journey best navigated
TOGETHER
Compassionate Care. Natural-looking Results. Breast reconstruction specialist Dr. Christine Fisher provides plastic surgery from a woman’s perspective. Her artistry, skill and experience includes the full spectrum of breast reconstruction options, including DIEP Flap (living tissue) reconstruction, implant-based reconstruction, and ‘hidden scar’ techniques resulting in no scars on the front of the breast. She also offers the correction of problems with breast implants. Call today to speak with one of the breast cancer survivors on her patient care team who will help you navigate the restorative journey. 1015 E. 32nd St Ste 306 | Plaza St. David | Austin, TX 78705
christinefishermd.com
(512) 815-0123
Wearable Fitness Devices A sk a n E x pe rt “ The U.S. Centers for Disease Control and Prevention recommends that adults walk 10,000 steps per day...”
With more than 110 sites throughout Central Texas, St. David’s HealthCare includes eight of the area’s leading hospitals, making it one of the largest health systems in Texas. The health-care system has continually been ranked among the top in the nation for high-quality patient care and serves more patients than any other health system in Central Texas. St. David’s HealthCare is the third-largest private employer in the Austin area, with more than 8,700 dedicated employees. St. David’s HealthCare is committed to being the best for you, your family and your community. When it comes to health care, the best is here.
Al Gros, MD, Chief Medical Officer St. David’s South Austin Medical Center 512.447.2211 | stdavids.com 901 W. Ben White Blvd. Austin, TX 78704
Wearable Fitness Devices: Do They Work? Wearable fitness devices, such as the Fitbit, are popular because they help users track steps taken throughout the day in a fun and engaging way. Though fitness trackers can range in price from low- to high-end models, the social aspect of the device is what drives many users to invest in them. The U.S. Centers for Disease Control and Prevention recommends that adults walk 10,000 steps per day, as this number is estimated to burn about 20 percent of your daily caloric intake. People tend to be more active when they work out with others. Wearable devices can help drive frequency with the social nature they provide: if you have a friend wearing a fitness tracker with you, there is a sense of community and this support network motivates users. But does it work? Many of these devices track a variety of health metrics, such as steps, movement, heart rate and more. The purpose of these trackers is to monitor fitness, placing a sole focus on exercise, but when it comes to weight loss, diet is actually the most important aspect users should consider for personal success. Sustainable weight loss begins with a healthy diet. A healthy diet should consist of vegetables, fruit, whole grains, healthy fats and healthy proteins. In addition to a balanced diet, wearable devices may also benefit users because they develop a pattern of consistency. A fitness tracker requires commitment, much like exercise, something you should work into your daily routine. While counting steps isn’t a magic cure-all for good health, it’s a positive step toward personal well-being.
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FUN
Health Stats
Tuesday is the most popular day of the week to workout. classpass.com
Noon is the most popular workout time in Austin.
classpass.com
Strength Training is the most popular workout category in the U.S.
Only 26 percent of Austinites eat more than 2 fruits a day. americanfitnessindex.org
80.5%
The amount of Austinites who have exercised at least once in the last 30 days. americanfitnessindex.org
classpass.com
Swimming, Tennis and Aerobics are the three best sports disciplines to practice to help increase life expectancy. bjsm.bmj.com
10 Foods
with less than 40 Calories Per Serving
Brus s e l s A r ug ul a Spro u t s Pumpkin Coffe e
Gr apefr uit
Top Fittest Cities in America: 1 2 3 4 5
Washington, D.C. 6 Seattle Minneapolis 7 Boston Denver 8 Salt Lake City Portland, Ore. 9 Hartford, Conn San Francisco 10 San Diego americanfitnessindex.org
Mushrooms
Asparagus
C auli f lo we r T o m at o e s Zucchini health.com
A sk a n E x pe rt “Malignant melanoma accounts for less than 1 percent of skincancer cases but the vast majority of skincancer deaths.”
Why Do We Tend To Minimize Skin Cancer?
Dr. Daniel J. Ladd Jr. Tru-Skin Dermatology 512.451.0139 | tru-skin.com
Dr. Daniel J. Ladd Jr. is the Medical Director and Founder of Tru-Skin Dermatology.
There are 5.4 Million Skin-Cancer Cases Every Year. In 2016, 5.4 million cases of skin cancer were diagnosed in the U.S. That number far surpasses the number of breast, prostate, lung and colon cancers combined. It’s not even close. So given these grave statistics, why aren’t more people rushing to their dermatologist to get a skin exam?
There are 4 million Basal Cell Carcinoma Skin-Cancer Cases Every year. One of the most straightforward reasons people tend to downplay the significance of skin cancer is that most cases of skin cancer are not deadly. For example, of the 5.4 million cases of skin cancer in the U.S., more than 4 million of those are basal cell carcinoma. Less than 1 percent of these basal cell carcinomas metastasize or spread to other parts of the body. For this reason, they are rarely lethal.
There are 1 million Squamous Cell Carcinoma Skin-Cancer Cases every year. By the same token, only 5 percent of the squamous cell carcinoma skin cancers metastasize or spread to other parts of the body. So, that means 95 percent of the time, they are not lethal. However, if left untreated, basal cell carcinoma and squamous cell carcinoma can destroy large areas of skin, causing physical disfigurement that is permanent. So when we consider that there are 5.4 million skin cancers each year and 5 million of them are not very likely to spread or cause death, that’s pretty reassuring. So what’s the big deal?
Malignant Melanoma Malignant melanoma accounts for less than 1 percent of skincancer cases but the vast majority of skin-cancer deaths. One person dies of melanoma every 52 minutes. Melanomas are sometimes challenging to diagnose. Of all the skin cancers malignant melanoma is the sneakiest skin cancer for a number of reasons.
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Melanoma is a master of disguise. Melanomas love a good disguise. Maybe you are thinking you can use color as a dependable guide to nail down a diagnosis of melanoma. Think again! Melanomas can be black, brown, tan, white, pink or red. Maybe you think the shape of a melanoma can help you detect one early? Think again! They can be round, oval, jagged or amorphous in shape. As far as elevation goes, melanomas can be flat, raised, shiny or rough. Given all these varied appearances, it makes sense to get a skin exam from a professional dermatology provider whose expertise can decide which lesions are suspicious enough to biopsy.
Melanomas grow in the strangest places While basal cell carcinomas and squamous cell carcinomas tend to grow in sun-exposed areas like the head, neck, arms and hands. This makes sense! So because all skin cancers are triggered by the sun, they should all grow in sun-exposed areas, right? Think again. The most common place for a man to grow a melanoma is the back. For a woman the most common melanoma site is the legs. Skin cancers are quiet and don’t complain much. Whether you are growing a basal cell, squamous cell or melanoma skin cancer, it is rare that you will feel anything associated with your skin cancer. At the early stages, there is usually no itch, no stinging, no burning, no bleeding, no fatigue, no weight loss. In short, you won’t realize anything is wrong with you at all!
What’s the move? Because skin cancers have a million disguises, grow quietly and painlessly and frequently grow in places you would never suspect, the only dependable way to protect yourself in 2017 is to call and schedule a full-body skin exam at Tru-Skin Dermatology as soon as possible. Don’t wait until you see or feel something is amiss. By that time, it may be too late!
WHEN IT COMES TO SURGERY,
less is more
TODAY’S MINIMALLY INVASIVE OPTIONS OFFER WOMEN • LESS PAIN • LESS BLOOD LOSS • LESS COST • LESS TIME IN THE HOSPITAL • LESS RECOVERY TIME
Dr. Devin Garza is a gynecologic surgeon who performs advanced minimally invasive surgical (MIS) techniques to treat complex conditions including: hysterectomy, myomectomy, endometriosis, pelvic floor prolapse and other women’s health issues. His commitment to MIS leads him to train other surgeons nationally and internationally to improve their outcomes using the da Vinci® robotic platform, and he has completed over 1,000 robotic procedures, including single-site surgery.
DR. DEVIN GARZA Board Certified Ob/Gyn da Vinci® Epicenter Mentor Surgeon Texas Institute for Robotic Surgery St. David’s North Austin Medical Center
512.425.3835 DEVINGARZAMD.COM
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A sk a n E x pe rt
Specializing in Balloon Sinus Dilation
“It’s my greatest honor to contribute to the well-being of my patients by helping them find a solution to their ear, nose and throat symptoms.”
Dr. John Austin has been a practicing ear, nose and throat physician in Austin for more than 20 years. Along with board certification in otolaryngology, Dr. Austin was the first physician in Austin to be certified by the American Board of Facial Plastic & Reconstructive Surgery. Before moving to Austin, Dr. Austin was on faculty at the prestigious MD Anderson Cancer Center, serving as an assistant professor in the department of head and neck surgery. Dr. Austin specializes in life-changing, in-office procedures, treating conditions such as sleep apnea and chronic sinusitis.
John Austin, MD, FACS Austin ENT Associates 512.458.6391 | draustinent.com
Dr. John Austin has practiced as an ear, nose and throat physician in Austin since 1995. As an expert in ENT disorders, he provides treatment and relief for a wide variety of conditions.
What treatment is available for chronic sinus pain? It seems living in Austin, sinus issues are almost a rite of passage, but our goal is to help you get back to feeling like yourself. Initial treatment options may include medications to relieve the congestion, decrease mucus production, reduce reaction to allergens, reduce swelling or antibiotics to fight infection when present. When polyps are present, a surgical procedure may be recommended in order to treat and/or prevent future infections. If sinus pain is reccurring and medications are not relieving symptoms, you may be a candidate for balloon sinus dilation.
Recurrent Symptoms Balloon Sinus Dilation Can Treat: • • • • • • • •
Sinus infection Facial pain and pressure Sinus headache Excessive yellow/green mucus Pressure or pain when leaning forward Dental pain Sensitivity in the change of weather Facial pain/pressure when flying
What is Balloon Sinus Dilation? Balloon sinus dilation (or balloon sinuplasty) is an effective, in-office procedure that gently opens the nasal passages to improve sinus drainage for patients suffering from sinusitis.
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How does it work? Patients are given a small-dose sedative to take before the procedure and are driven home by a friend or family member. The procedure is fast and recovery time is minimal. Most patients return to regular activities the next day. Balloon sinus dilation is covered by many insurance plans and requires no cutting or removal of bone or tissue (unlike traditional sinus surgery) and is almost painless. • A balloon catheter is gently inserted into the sinus through the nose. • The balloon is inflated and gently widens the walls of the sinus passageway. • Saline is sprayed into the inflamed sinus to flush out the mucus. • The catheter/balloon is removed, leaving the sinuses open.
What if you are experiencing chronic sinus pain? You may be able to gain some temporary relief of your symptoms by using over-the-counter medications and nasal sprays. If, however, the symptoms continue to interfere with your daily life, contact Dr. John Austin for a consultation to discuss balloon sinus dilation or other treatment options.
Profiles Dentistry
Benjamin L. Nemec, DDS The Hills Dental Spa 512.347.0044 | thehillsdentalspa.com Dr. Benjamin L. Nemec is pleased to offer patients a level of five-star service and high-tech dental treatments that are unparalleled. After undergraduate studies at the University of Texas, and dental school at the University of Texas Health Science Center in San Antonio, Dr. Nemec rushed back to Austin to begin practicing in 1998. With nearly 20 years in practice, Dr. Nemec focuses on bettering the quality of life of his patients by improving their dental health and beautifying their smiles. He utilizes the latest dental techniques and technologies,
and is proud to spend much of his free time on lecturing and teaching other dentists to spread the use of modern dentistry. And the rest of his time is spent either on the golf course or with his wife and their two dogs. At The Hills Dental Spa, each patient is treated as an individual, so their treatments are customized to fit their personal goals. If you are seeking a dental professional with the utmost concern for quality care and the ability to think outside of the box to solve dental health issues from the minor to the most complex, Dr. Nemec could be an ideal fit, and is eager to set aside time to meet you.
Dr. Bethany Petersen, DDS Rose Dental Group 512.288.4774 | rosedental.net Dr. Bethany Petersen, DDS, is originally from Bozeman, Mont. She attended Montana State University in Bozeman, where she received her undergraduate degree in biomedical science. She then moved to Texas to complete her doctorate in dental surgery at the University of Texas Health Science in Houston. Dr. Petersen is currently an active member of the American Dental Association, Texas Dental Association and the Academy of General Dentistry. She volunteers her time as a board member for Capital Area Dental
Foundation Gala. Dr. Petersen offers her expertise for the benevolence and dental/ medical missions through various foundations in Austin and outside of the country. Dr. Petersen loves working closely with people and enjoys getting to know her patients while helping them achieve their perfect smile! She enjoys spending time with her husband, Dr. Carter, who works at Rose Dental Group's Round Rock location, and also enjoys exercising, spending time outdoors, cooking, camping and playing with her bulldog (Lilly) and lab (Maggie). Dr. Petersen practices at our Southwest Austin location on William Cannon Dr.
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Profiles Dermatology
Dr. Daniel J. Ladd Jr. Tru-Skin Dermatology 512.451.0139 | tru-skin.com Dr. Daniel J. Ladd Jr. is the medical director and founder of Tru-Skin Dermatology. He earned his BA from the University of Texas and received his medical degree from Des Moines University in 1999. He completed his dermatology residency at the Northeast Regional Medical Center in Kirksville, Mo. When he is not working, you will find Dr. Ladd reading, playing guitar, boxing and enjoying puns or bad jokes. Also, he and his wife Lurleen proudly broadcast a radio program, The Dr. Dan Show, each Sunday morning at 11 a.m. on Austin’s KLBJ 590 AM and 99.7 FM.
Ear, Nose, Throat
Tru-Skin Dermatology’s mission is to prevent, detect and treat skin cancer. To that end, Dr. Ladd and his team have provided hundreds of free cancer screenings, and pioneered no-cut skin-cancer treatment using the revolutionary SRT-100 Vision. Tru-Skin Dermatology specializes in the diagnosis and treatment of all types of skin diseases, and provides a full-service cosmetic practice, specializing in anti-aging and skinrejuvenation procedures, injections, laser treatments and hair restoration. We have eight locations for your convenience. Visit Tru-Skin.com to learn more.
John Austin, MD, FACS Austin ENT Associates 512.458.6391 | draustinent.com
Dr. Austin has been a practicing Ear, Nose and Throat physician in Austin for more than 20 years. Along with board certification in Otolaryngology, Dr. Austin was the first physician in Austin to be certified by the American Board of Facial Plastic & Reconstructive Surgery. Before moving to Austin, Dr. Austin was on faculty at the prestigious MD Anderson Cancer Center, serving as an assistant professor in the Department of Head and Neck Surgery. Dr. Austin specializes in life changing, in-office procedures, treating conditions such as sleep apnea and chronic sinusitis.
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At Austin ENT Associates, your comfort is our top priority. Dr. Austin and his staff know that you are busy and making time for your health is not always the easiest task. Dr. Austin makes your health a priority and meets your convenience needs by practicing in three office locations in the Austin area. With a location in Central Austin, Round Rock and Lakeway, care is always close by.
Profiles Gastroenterology
Benjamin D. Havemann, MD Austin Gastroenterology 512.279.2000 | austingastro.com
Dr. Benjamin D. Havemann is a board-certified gastroenterologist. He joined Austin Gastroenterology in 2012 to open the Lakeway office. He also sees patients in the South Austin and Dripping Springs satellite clinics. He enjoys offering gastroenterology consultation and endoscopic services to the West Austin area. His particular interests include colorectal-cancer screening and prevention, gastroesophageal reflux disease, inflammatory bowel diseases and functional gastrointestinal symptoms. Dr. Havemann graduated from the University of Texas Plan II Honors Program. He received his medical degree from Baylor College of Medicine in Houston. After internal medicine
residency training, he served as the chief medical resident at the Methodist Hospital and Ben Taub General Hospital in Houston. He stayed at Baylor for gastroenterology fellowship training before returning home to Central Texas. He spent six years as director of the division of gastroenterology and assistant professor of medicine at a multi-specialty group before moving into private practice. Dr. Havemann is published in recognized medical journals and has presented at multiple medical symposia. He has been selected as a Texas Super Doctor for three consecutive years. He enjoys spending free time with his wife, son and daughter.
Chad Long, MD Austin Gastroenterology 512.244.2273 | austingastro.com Dr. Chad Long has been a member of Austin Gastroenterology since 2007. Dr. Long is the current board president of Austin Gastroenterology. Dr. Long received his medical degree from the University of Chicago. He completed his gastroenterology fellowship at the University of California-San Francisco, where he underwent advanced training in therapeutic procedures. Dr. Long’s training has included research at Oxford University and results of his work have been presented at both national and international meetings. Dr. Long has published multiple articles in peer-reviewed journals and he has authored a chapter of a major gastroenterology textbook.
Dr. Long is a special physician who blends professionalism with an extremely approachable disposition and a genuine compassion for his patients. Dr. Long has special interests in colon-cancer screening, inflammatory bowel disease, liver disease, pancreaticobiliary disease and functional bowel disease. Dr. Long thrives on professional and personal challenges. He is an accomplished marathon runner and a 2015 Golden Gloves Boxing Champion. Most of Dr. Long’s time outside of work is devoted to his five and eight-year-old daughters.
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Profiles
Binh V. Pham, MD Austin Gastroenterology 512.454.4588 | austingastro.com Dr. Binh V. Pham grew up in South Carolina and earned his medical degree from the Medical University of South Carolina in Charleston in 1999. He completed his internal-medicine residency and gastroenterology and hepatology fellowship at the University of Texas Medical Branch in Galveston in 2005. He then returned to Charleston and completed an advanced therapeutic endoscopy fellowship in 2006. For the next four and a half years, he was an assistant professor of medicine at Harbor-UCLA Medical Center in Torrance, Calif. While there, he was an active participant in clinical research, authored numerous manuscripts and abstracts, and was course director for interventional endoscopic symposiums on both regional and national levels.
Dr. Pham joined Austin Gastroenterology in January 2011. In addition to his interests in general gastroenterology and hepatology, he also specializes in advanced pancreaticobiliary and lumenal endoscopic procedures, including cholangioscopy, electrohydraulic lithotripsy, lumenal metal stenting and small-bowel endoscopy. He is currently medical advisor to Reshape Medical in San Clemente, Calif., where he assisted in the development of an endoscopic bariatric balloon device for weight loss.
Sheila Reddy, MD Austin Gastroenterology 512.448.4588 | austingastro.com Dr. Sheila Reddy received her bachelor's degree in Honors and medical degree from Texas Tech University before completing her internal-medicine residency at the University of Texas School of Medicine in Houston. She then completed her fellowship in gastroenterology at the University of Texas at Houston and MD Anderson Cancer Center. She is board certified in internal medicine and gastroenterology. Dr. Reddy treats the full spectrum of gastrointestinal illnesses. Her goal is to work with each patient and individualize their care
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using an integrative approach of medical treatment, diet and lifestyle changes. She has presented at multiple national conferences and co-authored publications in peerreviewed journals. She has also written for and contributed to several articles at ABC News. Dr. Reddy performs endoscopy at Austin Gastroenterology in South Austin and Lakeway for adult men and women. Additionally, she offers stool transplantation, capsule endoscopy and referrals for physical and biofeedback therapy. She will work with you to decide what the best therapeutic interventions and treatment plans are available to help you feel your best.
Profiles
Mona Lin Ridgeway, MD Austin Gastroenterology 512.454.4588 | austingastro.com Dr. Mona Lin Ridgeway attended Harvard University, where she published several journal articles on polymer science. During college, she worked as a counselor in a domesticviolence shelter. She graduated with honors with a BA degree in chemistry. She received her medical degree from Harvard Medical School and then moved to California, where she completed her internal-medicine internship/residency at Stanford University Hospital. She remained at Stanford to complete a fellowship in gastroenterology/hepatology. During her fellowship, she published several journal articles on gastroesophageal reflux disease.
Austin Gastroenterology in 2005. She is board certified in gastroenterology/ hepatology. She has an interest in general gastroenterology, IBD, and colon cancer screening. She has served as chief of gastroenterology for the Seton network of hospitals since 2010. In 2013, she was named by her peers as one of Austin's top doctors in Austin Monthly magazine. In her spare time, Dr. Ridgeway enjoys cooking, running and spending time with her husband and 8-year-old daughter.
Dr. Ridgeway worked as a gastroenterologist in Seattle for several years before joining
Gynecological Surgery
Devin Garza, MD Renaissance Women's Group 512.425.3835 | devingarzamd.com
Dr. Devin Garza has a special interest and extensive experience in advanced minimally invasive laparoscopy, with a special emphasis on da Vinci robotic surgery, having completed or instructed on more than 1,200 cases since 2006. He is privileged and honored to have the designation of da Vinci mentor/ epicenter surgeon by Intuitive Surgical Inc., and teaches robotic-surgery courses for surgeons at the advanced and masters level. Surgeons from throughout the U.S. and internationally visit and observe during cases while he performs surgery to learn the best practices of proficiency in surgical technique. He serves as clinical faculty at the University of Texas Dell Medical School department of women’s health.
Dr. Garza also speaks nationally and internationally on robotic-surgery best practices and proctors and instructs surgeons locally and nationally. Da Vinci robotic surgery has been a major breakthrough in the minimally invasive treatment of fibroids, pelvic prolapse, reversal of tubal sterilization, pelvic pain, infertility and endometriosis. The benefit to patients is a shorter recovery time, less pain and lower surgical and post-operative risks of complications. Dr. Garza was born in Corpus Christi, Texas. He and is wife, Catherine, married in 1988. They have four children: Devin, Logan, Meagan and Graceyn. They are partners at the Austin Stone Community Church. He is also a Christian recording artist and singer-songwriter.
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Profiles Health Care
Dr. Le’-Wai Thant, MD CommUnityCare Health Centers 512.978.9015 | communitycaretx.org Dr. Le’-Wai Thant earned her medical degree from the Institute of Medicine 1, Rangoon, Burma. She completed her pediatrics residency at Central Texas Medical Foundation, Children’s Hospital of Austin at Brackenridge. She is board certified by the American Board of Pediatrics in pediatric medicine. Dr. Thant is a fellow of the American Academy of Pediatrics and a member of the Texas Medical Association and Travis County Medical Society. Dr. Thant has been with CommUnityCare Health Centers for 20 years, where she has worked as a pediatrician in many of our health centers locations, including South Austin, and currently at the Southeast Health and Wellness Center. Dr. Thant’s
Medical Aesthetics
focus includes prevention and the detection and management of physical, behavior, developmental and social problems of infants, children and adolescents. Dr. Thant also serves as the pediatrics service line director, a position in which she leads the other CUC pediatricians through her exceptional work ethic, bedside manner and experience. Dr. Thant is currently a clinical assistant professor at the Dell Medical School at UT. Dr. Thant really enjoys working at CommUnityCare because it allows her the opportunity to provide quality health care to underserved populations. She’s also part of a workforce that is working to reduce health disparities among those experiencing barriers to health care, and lastly, she is able to work daily side by side with team members who believe in the CommUnityCare mission.
Christopher Seeker, MD Seeker Professional Aesthetics 512.533.4137 | seekerspa.com/about/christopher-seeker-md
Dr. Christopher Seeker is one of Central Texas’ most popular and recognized physicians. Beyond his loyal patient following, Dr. Seeker consistently ranks among top doctors in popular annual listings. Dr. Seeker provides obstetric, gynecologic and fertility care. Now, with the opening of Seeker Professional Aesthetics, Dr. Seeker and his team opened the first of its kind Medical Aesthetics service in Austin.
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Dr. Seeker has been with Austin Area Obstetrics, Gynecology and Fertility since 1988. He obtained his doctor of medicine from the University of Texas Health and Science Center in San Antonio in 1984, where he was a member of Alpha Omega Alpha honorary medical society. Dr. Seeker did his residency in obstetrics and gynecology at Baylor, where he was chief resident, and at Parkland Memorial Hospital. A native of Odessa, Texas, he earned a degree in chemistry from Texas Tech University in 1980. He is board certified by the American Board of Obstetrics and Gynecology and is a member of the Texas Medical Association, Travis County Medical Association and American Society of Reproductive Medicine.
Profiles OB/GYN
Lisa JukeS, MD Board-certified OB/GYN 512.301.6767 | lisamjukesmd.com Dr. Lisa M. Jukes is a Board Certified OB/GYN whose primary practice location is in Westlake Hills. She also offers appointments at two satellite clinics, in Marble Falls and in Lakeway. No longer delivering babies, Dr. Jukes focuses on all gynecological services with an emphasis on overall health and wellbeing. She specializes in menstrual problems, including too heavy bleeding or frequent bleeding, irregular bleeding, severe cramps, endometriosis, ovarian cysts, uterine fibroids, urinary incontinence, pelvic organ prolapse, peri- and post-menopause issues, PCOS diagnosis/treatment and diagnosis of infertility.
Plastic Surgery
Dr. Jukes has established a wellness center that offers bio-identical hormone therapy and an FDA-approved, physician-supervised weight-loss program to both men and women. In addition, her practice was the first in Austin to offer the MonaLisa Touch® laser, the FDA approved non-hormonal treatment of vaginal dryness/atrophy. She is a highly trained physician who listens well and offers competent, up-to-date and individualized treatment options for the health and wellness needs of her patients. Dr. Jukes was born in England and is the mother of two children. She is enthusiastic about the health and wellness of her patients and truly believes every patient matters.
Christine Fisher, MD Board-certified plastic surgeon specializing in breast reconstruction 512.815.0123 | christinefishermd.com Breast reconstruction specialist Dr. Christine Fisher is inspired daily as she works with her patients on their journey to recovery. With two grandmothers who survived breast cancer, Dr. Fisher strongly believes in the value of emotional and practical support when facing such a diagnosis, which is why her patient-care team includes breastcancer survivors. She established her practice after graduating medical school with honors from the University of Texas and completing her training in plastic and reconstructive surgery in Pittsburgh, Pennsylvania and Paris, France. Upon return home to Austin, Dr. Fisher joined the Medical Advisory Committee for the Breast Cancer Resource Center and has been
a bra designer with Kendra Scott for the organization’s signature fundraiser, Art Bra Austin. She was also appointed faculty at the new University of Texas Dell Medical School. Dr. Fisher's day starts with spin class before returning home to get her three young children ready for school. At the end of a long day, she enjoys cookie dough and cold beer. On weekends, she relaxes by enjoying live music and horseback riding with her family.
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Profiles
Elisabeth Potter, MD PLLC 512.867.6211 | drpotter.com
I’ve always said breast reconstruction and cosmetic surgery are intimately intertwined and that you don’t have to accept a different standard of beauty because you’ve previously had cancer. Those are my core beliefs, the very cornerstones of my philosophy regarding your reconstruction experience. As a female surgeon with fellowship training in microsurgery and reconstructive surgery, I blend both my expertise from MD Anderson and my cosmetic-surgery experience from the University of Texas Southwestern to offer every patient a balanced and beautiful cosmetic result.
When considering reconstruction, it’s important that we participate in an open dialogue. I’m actually learning about you during this process as much as I’m advising you because there are no cookie-cutter reconstructions. Every patient is unique, and your individuality affects your final outcome. Currently, I offer the full range of reconstructive options, including DIEP flaps, implant-based reconstructions, oncoplastic procedures, fat grafting and additional revisions and refinements. I also specialize in other cosmetic procedures, such as breast augmentation and reduction, body contouring, tummy tucks and mommy makeovers.
Deirdre Rhoad, MD Rhoad to Beauty Plastic Surgery and Med Spa 512.476.9149 | rhoadtobeauty.com Dr. Deirdre Rhoad received her bachelor's degree in microbiology from the University of Texas and her medical degree from the University of Texas Medical Branch in Galveston. She did residency training in general surgery at St. Vincent’s Hospital in New York City, burn surgery and plastic surgery training at Wayne State University in Detroit, and cosmetic plastic surgery training at the prestigious Manhattan Eye, Ear and Throat Hospital in New York City. She is board certified by the American Board of Plastic Surgery through the Board of Medical Specialties. Dr. Rhoad has more than 20 years’ of experience in Austin. She believes in listening to her patients’ concerns, educating them on available options, explaining things so
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that they understand and, most importantly, delivering exceptional treatment and follow-up. Dr. Rhoad performs all aspects of cosmetic plastic surgery of the face and body and many advanced methods to rejuvenate the face, such as fractional CO2 laser resurfacing. Dr. Rhoad also provides minimally invasive and non-invasive procedures. such as Botox, Dysport, Restylane, Sculptra and Juvederm. Her aesthetician, Molly, has more than 20 years of experience providing photofacials, microdermabrasions and chemical peels. Procedures are available for women and men in all stages and walks of life. Awards received: Patients’ Choice Award 2012, 2013, 2014, 2015 America’s Top Plastic Surgeons 2010 Award
Dentistry
listings
Dermatology
MARK SWEENEY, D.D.S. 3305 Northland Dr., #515 Austin, TX 78731 512.452.9296 austindentalspa.com Austin Dental Spa is like an upscale spa rather than a typical dental office. Dr. Mark Sweeney helps patients from Texas and throughout the globe achieve dazzling smiles while they enjoy five-star pampering from our team.
6836 Bee Cave Road Building One, Suite 300 Austin, TX 78746 512.347.0044 | thehillsdentalspa.com The Hills Dental Spa is where the necessity meets luxury. You receive a commitment from our entire staff to ensure you are comfortable, and even pampered, at each visit. If you are looking for a new dentist, we promise to offer you the highest quality, most state-of-the-art dental care available, along with five-star customer service and personalized attention.
As premier dermatology experts, Tru-Skin specializes in the diagnosis and treatment of all skin diseases, and is the first practice in Central Texas approved to perform both superficial and electronic brachytherapy for non-melanoma skin cancer. In addition, Dr. Ladd and his team offer cosmetic services, including skinrejuvenation procedures, injections and laser treatments at their eight Central Texas locations. Austin 3500 Jefferson St. #200 Austin, TX 78731
Bastrop Lakeside Professional Bldg. 3101 Hwy. 71 West #203 Bastrop, TX 78602
Bee Cave 11612 Bee Cave Road #175 Bee Cave, TX 78738
La Grange St. Mark’s Med Center 2 St. Mark’s Place #140 La Grange, TX 78945
Cedar Park 701 E. Whitestone Blvd. #150 Cedar Park, TX 78613
Kerrville River Guide Village 1001 E. Water St., J-100 Kerrville, TX 78028
Lakeline 2500 S. Lakeline Blvd. #100 Cedar Park, TX 78613
Spring Branch 160 Creekside Park #300 Spring Branch, TX 78070
Ear, Nose, Throat John Austin, MD, FACS
Austin ENT Associates (512) 458-6391 | DrAustinENT.com Dr. John Austin has enjoyed treating Austin’s patients for ear, nose & throat conditions for more than 20 years. Along with board certification in Otolaryngology, Dr. Austin is certified by the American Board of Facial Plastic & Reconstructive Surgery. Dr. Austin specializes in life changing, in-office procedures, treating conditions such as sleep apnea and chronic sinusitis. Central Austin 3705 Medical Parkway, Ste. 310, Austin, TX 78705 Round Rock 7200 Wyoming Springs Drive, Ste. 1200, Round Rock, TX 78681 Lakeway 1010 Ranch Road 620 South, Suite 107, Lakeway, TX 78734
Northwest Austin 11615 Angus Rd., #110 Austin, TX 78759 512.795.9643
Southwest Austin 6211 W. William Cannon Dr. Austin, TX 78749 512.288.4447
North Austin 1450 W. Parmer Lane Austin, TX 78728 512.251.6125
Round Rock 893 N. IH 35, #200 Round Rock, TX 78664 512.310.9374
At Rose Dental Group, the oral health of your entire family is our top priority. Our friendly and caring staff is here to provide you and your family with excellent dentistry and top-notch customer service. With four convenient locations and, evening and weekend hours, we are a great fit for your busy family’s dental, oral surgery and orthodontic needs.
ENDOCRINOLOGY AUSTIN THYROID & ENDOCRINOLOGY Simone Scumpia, MD FACE FRCP FNLA 2200 Park Bend Dr., Bldg. 3, #300 Austin, TX 78758 512.467.2727 | austinthyroid.com Dr. Scumpia, a board-certified endocrinologist, specializes in hormone disorders, thyroid, osteoporosis, diabetes, cholesterol and bio-identical hormone replacement. She has been called a “modern medicine sleuth” for her passion to bring to light the root cause of a medical problem. Dr. Scumpia sees all new patients personally and accommodates new patients within three to five days.
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Gastroenterology
Austin Gastroenterology is the largest group of physicians specializing in the diagnosis, treatment and prevention of gastrointestinal diseases in Central Texas. There are more than 30 board-certified gastroenterologists caring for patients from Georgetown to Kyle and the outlying communities. Austin Gastroenterology invites you to visit our two licensed (Medicare and state) and AAAHC-accredited endoscopic ambulatory surgery centers. Visit our website for more information at austingastro.com.
Health Care
Austin/Round Rock Region 300 University Blvd. Round Rock, TX 78665 512.509.0100 baylorscottandwhite.com Baylor Scott & White is the largest not-for-profit health care system in Texas, with the vision and resources to provide patients continued quality care while creating a model system for a dramatically changing health-care environment.
1111 W. 34th St. Suite 200 Bailey Square (behind Seton Hospital) | 512.454.4588 4310 James Casey St., Bldg. 4A (2-story bldg behind South Austin Hospital) | 512.448.4588 8015 Shoal Creek Blvd., #118 Austin, TX | 512.244.2273 3101 Hwy. 71 East, Suite 201 Bastrop, TX | 512.448.4588 3201 S. Austin Ave., STE 350 Georgetown, TX | 512.930.5837 1015 E. 32nd St., #300 (Plaza St. David’s) | 512.469.9966
2115 Kramer Lane, #100 Austin, TX 78758 512.978.9015 CommUnityCaretx.org CommUnity Care is a group of nonprofit and federally qualified health centers that provide outpatient primary health care, dental care, specialty care and behavioral health services to residents of Travis County. We also provide HIV/AIDS treatment at our David Powell location, and care for the homeless at the ARCH and through the Street Medicine Program.
7200 Wyoming Springs Dr., #1300 (near Round Rock Hospital) | 512.244.2273 1180 Seton Parkway, Suite 260 Kyle, TX (near Seton Medical Center Hays) | 512.504.0057 1701 US Hwy. 281 North Marble Falls, TX | 512.448.4588 1401 Medical Pkwy, Bldg. B, Suite 211 Cedar Park, TX | 512.244.2273 4112 Links Lane, Suite 202 Round Rock, TX | 512.244.2273 5625 Elger Rd, STE 235 Austin, TX | 512.448.4588 10815 RR 2222, #205 512.279.2000 200 Medical Pkwy #210 (near Lakeway Regional Medical Center) | 512.279.2000 301 Seton Parkway, Suite 408 Round Rock, TX | 512.244.2273 13830 Sawyer Ranch Road Dripping Springs, TX | 512.279.2000 Austin Endoscopy Center I 8015 Shoal Creek Blvd., Suite 300 | 512.371.1519 Austin Endoscopy Center II 4310 James Casey St., Bldg. 4-B | 512.532.8000
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stdavids.com St. David’s Medical Center 919 E. 32nd St. Austin, TX 78705 512.544.7111 St. David’s South Austin Medical Center 901 W. Ben White Blvd. Austin, TX 78704 512.447.2211 St. David’s North Austin Medical Center (including St. David’s Women’s Center of Texas) 12221 N. Mopac Expy. Austin, TX 78758 512.901.1000 St. David’s Children’s Hospital 12221 N. Mopac Expy. Austin, TX 78758 512.901.KIDS St. David’s Round Rock Medical Center 2400 Round Rock Ave. Round Rock, TX 78681 512.341.1000
Heart Hospital of Austin at St. David’s Round Rock 2400 Round Rock Ave. Round Rock, TX 78681 512.341.0889 St. David’s Georgetown Hospital* 2000 Scenic Drive Georgetown, TX 78626 512.943.3000 Heart Hospital of Austin* 3801 N. Lamar Blvd. Austin, TX 78756 512.407.7000 St. David’s Rehabilitation Hospital 919 E. 32nd St. Austin, TX 78705 512.544.5100 *St. David’s Georgetown Hospital is a St. David’s Medical Center facility, and Heart Hospital of Austin is a campus of St. David’s Medical Center.
Imaging
Ob/Gyn ARA Diagnostic Imaging 17 locations in Central Texas 512.453.6100 ausrad.com
Austin Radiological Association is a specialty health care organization dedicated to providing quality imaging services in Central Texas.
Medical Aesthetics
listings Lisa jukes, MD 5656 Bee Caves Road., #B101 Weslake Hills, TX 78746 512.301.6767 lisamjukesmd.com
Dr. Lisa M. Jukes is a board-certified OB/GYN who focuses on all gynecological services. Dr. Jukes is a highly trained physician who listens well and offers competent, up-to-date treatment options for the health-and-wellness needs of her patients.
Casey Friesenhahn, WHCNP Seeker Professional Aesthetics Austin Area Obstetrics, Gynecology and Fertility 512.533.4137 seekerspa.com/about/casey-friesenhahn-whcnp Casey Friesenhahn, WHCNP, has been an integral partner and key member of Dr. Seeker’s medical practice for almost 18 years. In addition to her degree as a women’s health-care nurse practitioner from University of Texas Southwestern Medical School in Dallas and her bachelor of science in Nursing from the University of Texas, Casey most recently became certified as a Botox and filler injector. She is also trained and certified to perform the MonaLisa® procedure, laser hair removal, scar and leg vein reduction, photo facials and non-ablative laser therapy.
Christopher Seeker, MD
Seeker Professional Aesthetics Austin Area Obstetrics, Gynecology and Fertility 512.533.4137 seekerspa.com/about/christopher-seeker-md
Oncology
Austin Midtown 901 W. 38th St., #200 Austin, TX 78705 512.421.4100
Austin North 12221 Renfert Way, #300 Austin, TX 78758 512.873.8900
Austin Central 6204 Balcones Drive Austin, TX 78731 512.427.9400
South Austin 4101 James Casey St., #100 Austin, TX 78745 512.447.2202
Texas Oncology has 16 locations in Central Texas. To find the location nearest you, please visit www.TexasOncology.com. Texas Oncology delivers high-quality cancer care with leading-edge technology and advanced treatment and therapy options available to help patients achieve more breakthroughs, more victories. in their fights against cancer.
Dr. Seeker has been with Austin Area Obstetrics, Gynecology and Fertility since 1988. He obtained his doctor of medicine from the University of Texas Health & Science Center in San Antonio in 1984, where he was a member of Alpha Omega Alpha honorary medical society. He is board certified by the American Board of Obstetrics and Gynecology and is a member of the Texas Medical Association, Travis County Medical Association and American Society of Reproductive Medicine.
OB/GYN | Gynecological Surgery Devin M. Garza, MD Medical Oaks Pavilion 12201 Renfert Way, #215 Austin, TX 78758 512.425.3835 devingarzamd.com Dr. Devin M. Garza is recognized nationally and internationally as an expert in robotic minimally invasive surgery. He is a boardcertified OB/GYN and currently serves as the director of minimally invasive surgery at Renaissance Women’s Group.
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Plastic Surgery Amy S. Bekanich, MD Austin Plastic Surgery Boutique 3445 Executive Center Dr., Suite 213 Austin, TX 78731 512.334.9945 boutiqueplasticsurgery.com Amy S. Bekanich, MD, a board-certified plastic surgeon, specializes in cosmetic breast enhancement, liposuction, body contouring, buttock enhancement and facial rejuvenation. Founded in 2010, her boutique cosmeticsurgery practice is committed to personalized care, providing results that match every patient’s aesthetic goals, and enhancing self-confidence.
Christine Fisher, MD Board-certified plastic surgeon specializing in breast reconstruction 512.815.0123 christinefishermd.com Breast-reconstruction specialist Dr. Christine Fisher is inspired daily as she works with her patients on their journey to recovery. With two grandmothers who survived breast cancer, Dr. Fisher strongly believes in the value of emotional and practical support when facing such a diagnosis, which is why her patient-care team includes breast-cancer survivors.
Elisabeth Potter, MD PLLC
6818 Austin Center Blvd. Suite 204 Austin, TX 78731 512.867.6211
Dr. Elisabeth Potter, an MD Anderson fellowship-trained plastic surgeon specializing in breast reconstruction, combines her reconstructive and cosmetic-surgery experience to produce beautiful results. With a friendly staff and a custom treatment plan tailored especially for you, you don’t have to adjust your beauty standards simply because you’ve had cancer.
DEIRDRE RHOAD, MD RHOAD TO BEAUTY PLASTIC SURGERY AND MED SPA 11671 Jollyville Road, #103 Austin, TX 78759 512.476.9149 rhoadtobeauty.com
Dr. Deirdre Rhoad, a board-certified plastic surgeon, has more than 20 years’ experience in Austin. She performs facial and body plastic surgery and non-invasive cosmetic treatments. Rhoad to Beauty finds lasting solutions for you!
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