C OMPLIMEN TA RY C OPY - TA K E ON E Shaving, Waxing, or Laser Hair Removal… Which is Right for YOU?
'One-Stop' Radiation Treatment Might Offer Breast Cancer Care Alternative
Global Health
Cancer diversity has 'huge implications'
NOVEMBER ISSUE - 2013 n
P alm Beach G ar dens
Teen Saves Lives by Speaking to Elephants
Imported spices carry salmonella, insects, excrement and hair, FDA says
Can Dizziness Be a Sign of a Stroke?
n
Royal P alm Beach
n
Wellington
n
Belle G lade
n
w w w. g l o b a l h e a l t h t r i b u n e . c o m
Lake Wor th
n
Lantana
n
Boyn ton
n
Boca Raton
A team at the Institute of Cancer Research, London, have developed a new technique for measuring the diversity within a cancer.
HEALTHCARE NEWS
ONCOLOGY NEWS
Exercise May Help Breast Cancer Survivors Battle Bone Loss
What is Structural Chiropractic?
Is there an afterlife? Science can prove there is, quantum physicist claims John Hall, The Independent
LONDON: It's a question pondered by philosophers, scientists and the devout since the dawn of time: Is there an afterlife? While the religious would argue that life on earth is a mere warm up for an eternity
spent in heaven or hell, and many scientists would dismiss the concept for lack of proof — one expert claims he has definitive evidence to confirm once and for all that there is indeed life after death. The answer, Professor Robert Lanza says, lies in quantum
physics — specifically the theory of biocentrism. The scientist, from Wake Forest University School of Medicine in North Carolina, says the evidence lies in the idea that the concept of death is a mere figment of our consciousness.
continued on page 2
GLOBAL HEALTH TRIBUNE P.O. Box 213424 Royal Palm Beach, FL 33421
S er vin g: J upiter
TRIBUNE
WEST PALm BCH, FL PERmIT NO. 1340
PAId
PRSRT STd U S POSTAGE
Page 2
November 2013
www.GlobalHealthTribune.com
MEDICAL NEWS
Cancer diversity has 'huge implications'
A
By James Gallagher Health and science reporter, BBC News
therapies need to be developed which target the trunk of the tumour and that current targeted therapies being researched may not tackle advanced cancers.
team at the Institute of Cancer Research, London, have developed a new technique for measuring the diversity within a cancer. They showed "extraordinary" differences between cancerous cells and say new targeted drugs may fail as they may be unable to kill all the mutated tissue.
Experts said the findings would have "profound implications" for treatments.
A tumour starts as a single cell, which acquires mutations and eventually divides uncontrollably. But that is not the end of the process. Cancerous cells continue to mutate and become more aggressive, move round the body and resist drugs. This process is chaotic and results in a "diverse" tumour containing cancerous cells that have mutated in different ways. "This has huge implications for medicine," researcher Prof Mel Greaves told the BBC. His team at the Institute of Cancer Research investigated
C
Another idea he suggests is focusing on the cancer's surroundings as well.
cancer diversity in five children with leukaemia. They compared mutations in individual cancerous cells with a known database of mutations.
Their results, published in the journal Genome Research, showed patients had between two and 10 genetically distinct leukaemias.
Prof Greaves said: "Every patient has a completely new tree and doesn't have one cancer, they have multiple cancers.
"This is really a technical advance to get at this extraordinary complex diversity, it helps explain why we have such difficulty with advanced diseases."
Tree of cancer Scientists compare cancer diversity to a tree. The initial mutations - the trunk - will be
common to all cancer cells. But then the tumour branches out.
It means a treatment that targets one "branch" or sub-clone of the cancer might slow the disease, but they will never stop it.
Prof Charles Swanton, who researches diversity at the University College London Cancer Institute, told the BBC: "We call it pruning the branches not cutting down the tree, targeted therapies will remove some of the sub-clones, but chopping down the tree is hard to do."
The study investigated leukaemia as it is less diverse than other types of cancer. Other tumours such as melanoma could feasibly be made of hundreds of branches.
Prof Greaves says one implication of the research is that
"If it is diversifying like species in a habitat, why not target the habitat - the blood vessels supplying oxygen or inflammation. There's a lot of interest in that," he said.
The research also emphasises the importance of catching cancers early before they have become too diverse to treat. Prof Charles Swanton argues: "The bottom line is we need to understand cancer diversity to limit further adaptations, reduce the pace of evolution and prolong the activity of drugs."
Prof Chris Bunce, the research director at Leukaemia and Lymphoma Research, commented: "We are beginning to understand how unique and complex each patient's cancer is and the profound implications that this can have on the success of treatment. "This study significantly advances our understanding of how cancers start and evolve."
New CDC Vital Signs: Colorectal cancer testing needs to increase among adults
olorectal cancer is the second leading cancer killer among men and women in the United States, after lung cancer. About 1 in 3 adults is not getting screened for colorectal cancer as recommended by the U.S. Preventive services Task Force (USPSTF), according to a new Vital Signs report: Colorectal Cancer Screening Test Use 2012, released on november. Colorectal cancer screening saves lives, but only if people get tested. Adults aged 50 to 75 years should get tested with one or a combination of these screening tests: Fecal occult blood test (FOBT) or fecal immunochemical test (FIT) done at home every year, Flexible sigmoidoscopy, done every five years, with FOBT/FIT done every three years,
Colonoscopy done every 10 years. Colorectal cancer screening can increase if doctors, nurses, and health systems: Offer all recommended tests options with advice about each test. Match patients with the test they are most likely to complete. Work with public health officials to get more people tested using patient navigators to help people through procedures like colonoscopy. Make it easier for people to get FOBT/ FIT kits in places other than a doctor’s office, like giving them out at flu shot clinics or mailing them to their homes. They can speak with their health care provider about the testing options and get the test that they prefer. Through the Affordable
Care Act, more Americans will have access to health coverage and preventive services like colorectal cancer screening tests. The tests will be available at no cost. Visit Healthcare.gov or call 1-800-318-2596 (TTY/TDD 1855-889-4325) to learn more. Open enrollment in the Marketplace began October 1 and ends March 31, 2014. For those enrolled by December 15,
2013, coverage starts as early as January 1, 2014. CDC provides funding to 25 states and 4 tribes across the United States for five years to increase colorectal cancer screening rates among men and women aged 50 years and older through organized screening methods. Contact a local health department to find out about a colorectal cancer screening near you.
Is there an afterlife? continued from cover page
Professor Lanza says biocentrism explains that the universe only exists because of an individual's consciousness of it — essentially life and biology are central to reality, which in turn creates the universe; the universe itself does not create life. The same applies to the concepts of space and time, which Professor Lanza describes as "simply tools of the mind". In a message posted on the scientist's website, he explains that with this theory in mind, the concept of death as we know it is "cannot exist in any real sense" as there are no true boundaries by which to define it. Essentially, the idea of dying is something we have long been taught to accept, but in reality it just exists in our minds.
Professor Lanza says biocentrism is similar to the idea of parallel universes — a concept hypothesised by theoretical physicists. In much the same way as everything that could possibly happen is speculated to be occurring all at once across multiple universes, he says that once we begin to question our preconceived concepts of time and consciousness, the alternatives are huge and could alter the way we think about the world in a way not seen since the 15th century's "flat earth" debate. He goes on to use the so-called double-slit experiment as proof that the behaviour of a particle can be altered by a person's perception of it. In the experiment, when scientists watch a particle pass through a multi-holed barrier, the particle acts like a bullet travelling through a single slit. When the article is not watched, however, the particle moves through the holes like a wave.
Scientists argue that the doubleslit experiment proves that particles can act as two separate entities at the same time, challenging long-established ideas of time and perception.
In terms of how this affects life after death, Professor Lanza explains that, when we die, our life becomes a "perennial flower that returns to bloom in the multiverse". He added: "Life is an adventure that transcends our ordinary linear way of thinking. When we die, we do so not in the random billiard-ball-matrix but in the inescapable-life-matrix."
on 441 near Wellington Green Mall PRIME MEDICAL Immediate rental SHARED OFFICE SPACE CALL (561) 537-4804 leave message AVAILABLE
CONTACT US P.O. Box 213424 Royal Palm Beach, FL 33421 info@globalhealthtribune.com
Deborah Lynn Jessica Gallon Associate Editor / Account Executive Staff Writer / Sales Executive (312) 351-2383 (561) 255-2249 Deborah@globalhealthtribune.com Jessica@globalhealthtribune.com
Questions? Comments?
GRAPHIC DESIGN / PHOTOGRAPHY Sergio Aguilar (561) 797-2325 ads@globalhealthtribune.com
Send us your letter to: info@globalhealthtribune.com
Global Health Tribune is a newspaper published every month in Palm Beach County. Copyright 2013, all rights reserved by SEA Publications, Inc. Contents may not be reproduced without the written consent of the publisher. The publisher reserves the right to refuse advertising. The publisher does not accept responsibility for advertisement errors beyond the cost of the advertisement itself. All submitted materials are subject to editing.
www.GlobalHealthTribune.com
November 2013
Page 3
THE FORGOTTEN FOOT
Twist and Shout… Is that your Ankle Talking?
W
Arthur Hansen DPM, M.S.
e have all done it. You know, twisted or turned an ankle. Some of us were stepping off of a curb, some being the ‘weekend warrior’ and others simply wearing those heels that were just a bit too high; but we’ve all done it. Your ankle got really swollen, red and bruised, and luckily for most of us, after a few weeks we were back to normal. However, sometimes a twisted ankle doesn’t go back to normal. That continual pain, clicking, and/or swelling that lasts several weeks after twisting your ankle can be an indication of a more serious injury.
Ankle sprains are very common afflicting approximately 25,000 people each day. The ankle is held in place largely by three ligaments. These ligaments are elastic in nature stretching with normal movements of the ankle and then returning to their normal size. When the ligaments are forced to stretch outside their normal range, for example with severe twisting, it is considered a sprain. This causes varying levels of swelling, redness, bruising and pain. The ligaments can be slightly sprained or completely torn.
When diagnosing an ankle sprain, your doctor will take a detailed history, palpate different areas of the ankle, determine any limitations of range of motion, and order an x-ray to rule out any fracture or bone chip.
Treatment for ankle sprains depends on the severity; however Rest, Ice, Compression, and Elevation comprise the backbone of medical recommendations. Non-steroidal anti-inflammatory medications are usually prescribed as well as varying
Conservative & Surgical Treatments Available Whirlpool with every visit!
surgery or repair of the torn ligaments to regain stability about the ankle joint.
Stretching and proper shoe gear are important preventive measures in keeping those ankle sprains at bay. As is being well aware of the terrain you are walking or running on.
levels of weight bearing. Physical therapy is also used to increase strength in the stretched ligaments, increase range of motion of the ankle and to decrease pain. This conservative treatment regimen is adequate to allow most sprains to heal.
However, if an ankle sprain continues to be painful and swell after the initial injury and treatment, a more serious injury may have occurred. Such
injuries could include instability of the ankle and fractures or bone chips that were not seen on the initial x-ray. Advanced diagnostic procedures such as MRI’s and CT scans are valuable tools utilized in diagnosing chronic pain and swelling following an ankle sprain.
Long-term complications from ankle sprains are usually preventable if the diagnosis is made early and the treatment plan is initiated as soon as possible right after the injury. If your pain and swelling continues after an ankle sprain, it is best to have it evaluated by a doctor. If you are experiencing any problems with your feet, call our office at 561-433-5577 to schedule an appointment today.
Sometimes these complications following an ankle sprain require surgical intervention, including but not limited to; arthroscopic
Get back on your Feet!
WEST OFFICE:
3347 SR 7, Suite 204 Wellington, FL 33449 EAST OFFICE:
2326 South Congress Ave. Suite 1-A West Palm Beach, FL 33406
Podiatric Physicians & Surgeons
Personal & Gentle Care For:
• Diabetic Foot Care • Hammer Toe • Fracture Care • Ingrown Nails, Bunions • Ankle/Heel/Foot Pain • Poor Circulation • Neuropathy • WOUND Care • Custom Molded Orthotics • Diabetic Shoes Medicare Medicaid HCD - PPO & Most Insurances Accepted
Dr. Juan Sardina
Dr. Lori Lane
Dr. Arthur Hansen
Dr. Shelley Plumb
Dr. Daniel Heck
(561) 433-5577 w w w. l a p o d i a t r y g r o u p . c o m
3347 State Rd 7 Suite 204 Wellington, FL 33449
2326 S. Congress Ave. Suite 1-A West Palm Beach, FL 33406
Page 4
November 2013
HEALTHCARE NEWS
www.GlobalHealthTribune.com
Teen Saves Lives by Speaking to Elephants
H
By Ellen's Good News
ere's a language you never got the option to learn in school! A 14year-old girl from India knows how to speak to elephants, a skill that comes in handy more often than you'd think. Last June, a herd of 11 elephants from nearby forests entered a residential area in the city of Rourkela. Before the wild animals could wreak havoc on the town and its residents, authorities got hold of teenage girl Nirmala Toppo, because unbelievably, she seems to have the ability to communicate with elephants. Nirmala rushed from her village on the Odisha-Jharkhand border to a football field in the city where the elephants were temporarily being held. "First I pray and then talk to the herd," the teen recently told BBC. "They understand what I say. I tell them this is not your home. You should return where you belong." The elephants started walking with her. In fact, they walked with her for miles, speaking to them the whole way as she guided them back to the forest. Elephants in the area's nearby forests
t 6DPH 'D\ $SSRLQWPHQWV t %RDUG &HUWLILHG 5DGLRORJLVWV t $&5 &HUWLILHG )DFLOLWLHV t (YHQLQJ DQG :HHNHQG +RXUV t &RPSOLPHQWDU\ WUDQVSRUWDWLRQ t $FFHSWV $OO ,QVXUDQFH
SKRQH ID[ ZZZ LQGHSHQGHQWLPDJLQJ FRP :HOOLQJWRQ t %HOOH *ODGH /DNH :RUWK t 3DOP %HDFK *DUGHQV
frequently invade villages and towns, destroying homes and trampling people. The more their habitat is encroached by humans for activities like mining and cutting down trees, the more likely they are to wander out of the forest. Nirmala, who is known as "Lady Tarzan," speaks to the pachyderms in her local tribal dialect of Mundaari. She explains that because tribal people and the elephants (among other wild animals) have cohabited in the same area for ages, the elephants understand their language. Not only does this story show a brave young girl using her skills to help both humans and animals, it proves that it's possible for two very different species to share a bond and communicate with each other.
Exercise May Help Ease Depression in Teens: Study
T
eens can suffer from depression like everyone else, but a small new study hints that exercise might help ease the condition. The British study included three boys and 10 girls with depression who were enrolled in trainer-led workouts three times a week for 12 weeks. The teens were also encouraged to exercise 30 minutes a day on the other days. According to the researchers, the workouts were linked to significant boosts in mood, with depression severity cut by 63 percent. Eighty-three percent of the teens who completed the exercise program were no longer as depressed by the end of the study, which was slated for presentation at the Society for Neuroscience annual meeting in San Diego. "Exercise has so many advantages as a therapy: It is non-drug, has few side effects and has countless other health benefits. But it has never been tested in youth as treatment for depression," study author Robin Callister, of the University of Newcastle, said in a Society for Neuroscience news release. "Evidence that exercise can lift mood in young people is a huge step forward in treatment of this delicate population," she added. "We are now conducting a larger trial to further evaluate the effects of exercise in depression and are hopeful that it could be used as a treatment in addition
to other treatments for depression without potential problems." Two experts in the United States said the findings made sense. "It is no surprise that exercise reduces depression, regardless of age," said Mark Solms, co-chair of the Neuropsychoanalysis Association in New York City. "It is well established that vigorous and protracted exercise raises endorphin levels, and that endorphins [brain chemicals linked to lowered stress] reduce the mental pain of depression no less than they reduce physical pain." Victor Fornari is director of the division of child and adolescent psychiatry at North Shore-LIJ Health System in New Hyde Park, N.Y. He noted that depression is a "serious medical condition associated with suffering" and also a major contributor to suicides among young people. "Although the evidence suggests that the most effective treatment to date for adolescents with depression is a combination of cognitive behavioral therapy in conjunction with antidepressant medication, exercise may also be valuable in the recovery of depression," Fornari said. "In addition to being associated with a healthy lifestyle, regular exercise may have positive benefit in terms of psychological relief, as it does with some depressed adults." Still, the study is very small and experts noted that findings presented at medical meetings are typically considered preliminary until published in a peerreviewed journal. Fornari agreed that "further studies are needed in order to determine the role of exercise in the recovery from depression during adolescence." And Solms pointed out another potential hurdle when using exercise as treatment for depression: "The only problem is that it is very difficult to motivate depressed people to exercise," he said.
www.GlobalHealthTribune.com
November 2013
Page 5
HEALTHCARE NEWS
HAIR REMOVAL NEWS Shaving, Waxing, or Laser Hair Removal… Which is Right for YOU?
Totalbeauty.com recently did a survey on the three most often used hair removal processes; shaving, waxing and using laser hair removal treatments. They broke it down by the pain factor, as well as time and money spent from one year to twenty years.
M
By Dr. R. Sabates CLS, CME
any women stick to shaving because it’s the most familiar option. However, shaving often leads to razor burn (those often painful red bumps), cuts, or even ingrown hairs none of which are attractive. In breaking down the different methods, they used the time spent on a particular method, the pain factor using a scale between 1 and 10 (being the most painful), side effects, and overall cost. The following includes some of their data which includes the predetermined cost over twenty years.
Shaving The least painful as it scored a two. However, there were often painful side effects, such as razor burn, cuts, and ingrown hairs. Overall, this method was the least expensive at $3,456.00.
BEFORE
AFTER
Waxing Often painful and uncomfortable – this method was given an eight! Side effects include bruising, water blisters, redness for up to a week, and the occasional scarring. This was also the highest priced method at $15,600.00.
Laser This showed a medium discomfort level and was given a five. Side effects are minimum. It was slightly more expensive than buying your razors at the local store, at a cost of $5,405.00. That amount included four treatments using a medical laser, plus annual touch-ups, again over a twenty year span.
The bottom line is for the price and time spent, the clear winner is laser hair removal.
The next question… Which laser hair removal system is best for you?
There are home units sold on TV that claim permanent hair removal and medical lasers that can only be used by a doctor. The more commonly advertised home units are NO! NO! and TRIA Laser.
No! No! is not a laser, but instead a heated blade that singes the hair root and can give the same results as waxing.
TRIA is a low power diode laser. This home unit can be effective only in certain types of patients. It works best on dark coarse hair on light skinned patients, type 1-3, and is now approved for the face. The best studies reveal that it can permanently clear 30-40 % of hair in specially chosen patients.
Medical lasers are made by numerous manufacturers and basically use only three wavelengths, each with its own pros and cons. All are equally as effective in permanent hair reduction. Studies show up to 95% of treated hair does not return.
The 755nm Alex laser is best for skin types 1-3. However, it can occasionally cause hypopigmentation. The 810nm Diode has been approved for all skin types, but works best for skin types 1-4. Finally, the 1064nm YAG is best for skin types 4-6. The YAG can be more painful and does require an anesthetic. Something else that separates the lasers is speed of treatment. By far the fastest hair removal laser is the LightSheer DUET 810nm. It has a larger hand piece that also contains a vacuum system which reduces discomfort and there is no need for an anesthetic. The most amazing part is that treatments that once took two hours can now be done in only 45 minutes. This is so convenient for a patient and it also reduces the cost of the treatments.
For more information on laser hair removal or where to find the right laser for you, call 561-753- 3336 or visit www.tropicalaser.com.
CAVI-LIPO SPECIAL
of package of ten 40% OFF withregularpurchase price $250 per month
Expires 12/31/13
Page 6
November 2013
www.GlobalHealthTribune.com
PRACTICE TRENDS
What is Prediabetes? patients with impaired blood sugar levels that fall below the diabetes level and the worst part is that they have no idea they even have this condition. When I ask a patient that has prediabetes what symptoms they have, they always say the same thing – they don’t have any. So, how do you go about finding out if you have prediabetes?
P
There are a few different ways to determine if you have prediabetes; a Glycated Hemoglobin Test (A1C), Fasting Plasma Glucose (Fasting Blood Sugar Test), or an Oral Glucose Tolerance Test. My preference is the Fasting Blood Sugar Test. This test is usually performed in the morning and in order to take this test, you need to fast and therefore cannot eat or drink anything except for water after Midnight.
Shekhar V. Sharma, M.D. Board Certified in Internal Medicine
rediabetes is a prelude to type 2 diabetes mellitus. What that means is your blood glucose is higher than normal, but not at the 126mg level to be diagnosed as type 2 diabetes mellitus. Therefore, if your blood sugar level is from 100mg to 125mg, you are considered to have impaired blood sugar levels or prediabetes. This condition does put you at risk for developing type 2 diabetes.
I am writing this article to stress the importance of taking this test. Not only is this condition dangerous, but it can be just as dangerous as diabetes mellitus – both of which need to be treated.
How do you know if you have this dangerous condition?
What are the complications of this condition?
Unfortunately, there are usually no symptoms associated with this diagnosis. In my practice, I see a tremendous number of
Stroke, heart disease, frequent yeast infections, and generally
DIABETES ≥ 6.5%
< 6.5%
PREDIABETES
≥ 5.7%
DIABETES
DIABETES
≥ 126 mg/dl
≥ 200 mg/dl
< 126 mg/dl
< 200 mg/dl
PREDIABETES
PREDIABETES
≥ 100 mg/dl
< 5.7%
NORMAL
A1C
higher levels of cholesterol in the blood. Sadly, approximately 75,000,000 Americans with this condition go undiagnosed which puts them at a high risk for future complications. I insist that this condition be treated aggressively before it transforms itself into diabetes mellitus, which it usually does. I would recommend you also check your hemoglobin A1C levels. As you can see from the chart, a prediabetic hemoglobin range is between 5.7% and 6.5%. Full-blown diabetes mellitus is diagnosed with a level at or above 6.5%.
≥ 140 mg/dl
< 100 mg/dl
< 140 mg/dl
NORMAL
Fasting Blood Sugar
FPG
As I mentioned in a previous article, a waistline that exceeds 40” for a male and 35” for a female should be a matter of concern because that could lead to prediabetes.
Recent studies have shown that other conditions associated with prediabetes are hearing impairment, yellowing of the toenails, and erectile dysfunction. What can I do to prevent getting prediabetes?
Since the progression from
NORMAL
Oral Glucose Tolerance Test
OGTT
prediabetes to type 2 diabetes is not etched in stone, you can do some things that may help to prevent getting the disease. You can start by making some lifestyle changes, which include following a restrictive sugar-free and low carbohydrate diet. I highly recommend exercising at least 30 minutes a day which will help to burn the sugar and reduce its levels. I also suggest losing those extra pounds and maintaining a healthy weight. I am a firm believer in the phrase, “An ounce of prevention is worth a pound of cure.” No pun intended!
PALM BEACH PRIMARY CARE ASSOCIATES, INC. State of the Art Office Building with Imaging Center
Shekhar Sharma M.D. Ebonee Johnson A.R.N.P.
Southern Blvd.
MEDICARE, MEDICAID, BLUE CROSS BLUE SHIELD, UNITED HEALTH CARE, AETNA, CIGNA, CARE PLUS, HEALTH CARE DISTRICT AND MOST MAJOR INSURANCES ACCEPTED On staff at Palms West Hospital and Wellington Regional Medical Center
Palomino Park
N
PALM BEACH PRIMARY CARE ASSOCIATES
Lake Worth Rd.
Florida’s Turnpke
The Mall at Wellington Green
State Road 7 (441)
Forest Hill Blvd.
Monday - Friday from 9:00 am - 5:00 pm Same Day Appointments and 24-Hour Service Available
3347 State Road 7 Suite 200 Wellington, FL 33449
Tel: (561) 795-9087 • Fax: (561) 753-8730
ACCEPTING NEW PATIENTS • Diagnosis of Complex Illnesses • Cholesterol Management • Diabetes • Cardiac Care • EKG/24-Hour Heart Monitoring/Spirometry • Hypertension • Geriatric Concerns • Osteoporosis 1200 South Main Street Suite 101 Belle Glade FL 33430
Tel: (561) 996-7742 • Fax: (561) 753-8730
www.GlobalHealthTribune.com
T
November 2013
Page 7
HEALTHCARE NEWS
Imported spices carry salmonella, insects, excrement and hair, FDA says he U.S. Food and Drug Administration says that almost 7 percent of imported spices over a three-year period were contaminated with salmonella.
In a report released by the FDA says testing of imported spices between 2007 and 2010 showed that spices were twice as likely as other inspected foods to be contaminated with the pathogen. More than 80 different types of salmonella were detected. The study looked at spices imported from several countries, with many of the shipments coming from India, Mexico, Thailand and Vietnam.
The agency decided to study the issue as several spice-related outbreaks have caused illnesses around the globe. In 2009 and 2010, black pepper and red pepper from India, Vietnam and China used in salami caused hundreds of illnesses. The FDA says there have been 14 known outbreaks around the world since 1973, causing almost 2,000 illnesses, many of which were in children. The FDA, which monitors food and drug safety for American consumers, says that during the three-year period, 749 shipments of spice were refused entry into the United States because of
salmonella contamination, while 238 other shipments were denied because of the presence of what the FDA calls "filth" â&#x20AC;&#x201D; insects, excrement, hair or other materials.
The agency said some of the spices that were found contaminated at the border were later cooked or treated to eliminate possible pathogens, so much of the salmonella was likely gone by the time the spices were eaten. The agency also noted that the amount of spice generally eaten at a meal is small, meaning people have less of a chance of getting sick from a contaminated spice than a contaminated fruit or vegetable, for example.
Still, the agency has targeted spices because their route to a diner's plate is so circuitous and the potential for contamination comes at many different points. Most all of the spices eaten in the United States are imported, and
most come from small farms in a variety of countries that have different levels of food safety oversight.
The report says spices are produced by a wide variety of agricultural practices, including "on very small farms where farm animals are used to plow, crops are harvested by hand, and spices are dried in open air." All of these practices have potential for animal, bird or human contamination. Off the farm, spices from the small farms are often combined, sold to exchanges or packing companies, or stored for years, increasing the chances that they are temporarily in unclean circumstances.
Michael Taylor, FDA's deputy commissioner for foods, says the agency is "not recommending that consumers stay away from spices," though the chances of someone getting sick can be reduced by adding spices to food before it is cooked.
Taylor says that new food safety rules that aim to make imported and domestic food safer on farms and in processing facilities should help reduce spice contamination. Those rules include regulations that will require food importers to better understand where the food they bring into the country has been.
Doctors in China grow new face on girl's chest
BEIJING: A 17-year-old girl in China has received a pioneering face transplant after doctors grew tissue grafted from her leg on her chest. Xu Jianmei had the eight-hour surgery in the city of Fuzhou, in Fujian province, in the southeast of China, earlier on November.
The teenager was severely disfigured in a fire when she was just five years old. She lost her chin, eyelids and a large part of her right ear.
Xu's parents were unable to afford her plastic surgery, but last year, doctors proposed growing a new face on her chest using tissue grafted from her leg, staterun Xinhua news agency reported. "First, we took a piece of blood vessel fascia from her thigh and implanted it in her chest. Then we inserted a skin expander
beneath the part of skin where the blood vessel fascia was planted, so that the part could expand and produce enough skin for her new face," Jiang Chenghong, Xu's surgeon, said. After making sure that the tissue making up a new face can be kept alive, it can be transplanted to the patient's face. Doctors believe that the wounds left by the surgery would heal over the next several weeks.
"With her new face, she will be able to express herself in a more precise way. She will even be able to blush when her emotions change but it may take a long time," said Jiang.
A similar operation was conducted by Chinese doctors in late September, when a man in Fujian received a new nose that was grown on his forehead using tissue taken from his ribs.
Kirschbaum Law Office, LLC Wills, Trusts & Real Estate
Southern Blvd.
Warren Kirschbaum Managing Attorney Warren@TitleLawOffice.com Floridaâ&#x20AC;&#x2122;s Turnpke
State Road 7 (441)
Forest Hill Blvd.
N
Lake Worth Rd.
Kirschbaum Law Office, LLC
8461 Lake Worth Rd # 205 Wellington, FL 33467 (561) 340-1440 Office â&#x20AC;˘ 888-860-9267 Fax * Free Consultation
www.TitleLawOffice.com
The hiring of a lawyer is an important decision that should not be based solely upon advertisements. Before you decide, ask the lawyer to send you free written information about their qualifications and experience.
Page 8
November 2013
S
AROUND TOWN
Halloween SoirĂŠe
ome of the top medical professionals in Palm Beach County were barely recognizable at the annual Halloween Soiree held at the home of Drs. Arthur and Lori Hansen. The event draws such a large crowd every year and the costumes were just incredible. Thanks to Dr. Arthur and Lori Hansen, Dr. Raj Bansal, Dr. Urmila Mistry, and Dr. and Mrs. Daniel Ghiragossian for hosting and putting together another enjoyable event.
www.GlobalHealthTribune.com
www.GlobalHealthTribune.com
November 2013
Page 9
AROUND TOWN
YOUR HOMETOWN COMPOUNDING PHARMACY FOR ALL OF YOUR TOPICAL PAIN AND HRT MEDICATIONS!
Caring for You and About You • Lower Prices Than Chains* • All Major Insurance & Medicare & Medicaid Accepted • Diabetic & Orthopedic Supplies • Pet Medications
JOHNNY mEIER
* some exclusions may apply HOWARd dIAmONd
Forest Hill Blvd.
ad
Wellington Mall
State Road 7 441
Ly on s
Florida’s Turnpike
Ro
Whole Foods Plaza
Stribling Way
N Lake Worth Road
5Credit
$
FOR NEW OR TRANSFERRED PRESCRIPTION
*Max of $25
One Per Patient Lifetime. New Patient Only.
*Coupon not valid on prescription co-pays. One coupon per customer. Coupon valid only at My Community Pharmacy. Not valid with any other offer. Expires 12-31-13. GLOBAL
FREE
Advil 24 ct. Tabs with any OTC purchase of $10 or more
Not to be combined with any other purchase. One per customer per visit. $10 purchase does not include prescriptions. GLOBAL
www.freedeliverypharmacy.com Delivery Available From Miami to Vero To Your Home or Office
FREE
As seen on
DRX9000™ The DRX9000™ for the treatment of back pain WITHOUT surgery! Non-Invasive • Non-Surgical • Back Pain Relief. Making Life Better, One Treatment at a Time
NOW OFFERING Monthly Massage Wellness Membership
59
$
for your first massage and
39
$
per massage within that same month.
Please call for details
THE WHOLE FOODS PLAZA
2615 State Road 7 • Wellington, FL 33414
(561) 753-6768
(order ahead - have it Delivered or stop in, Typical wait time 15 minutes)
Monday - Friday 9am - 7pm • Saturday 9am - 5pm • Sunday 10am - 4pm
Introducing the
Pro Adjuster Cutting Edge Technology Helps You With Your Pain Without the Twist and Pop!
Chiropractic Care Massage Physical Modalities Auto Accidents Sport Injuries Slip & Fall Horse Related Injuries Acupuncture Physical Theraphy MM#18592
9180 FOREST HILL BLVD. WELLINGTON, FL 33411 (KOBOSKO’S CROSSING)
The Patient or any person responsible for payment has a right to refuse to pay, cancel payment, or be reimbursed for payment for any other service, examination, or treatment which is performed as a result of and within 72 hours of responding to the advertisement for the free service, a discounted or reduced fee service, examination, or treatment. This does not pertain to Medicare/Medicaid or Federal Insurance.
Now Let the Experts in Breast Cancer Treatment Take Care of You. The American Cancer Institute predicts that, despite a healthy lifestyle, more than 200,000 women in the U.S. will contract breast cancer this year. That’s why at South Florida Radiation Oncology, our team of radiation oncologists renders the most technically advanced treatments in the field, including protocol based, IMRT, TrueBeam™ and partial breast irradiation. Our medical staff — together with you, your specialist and primary care physician — will collaborate and select the best treatment option for your particular diagnosis as well as your personal requirements. At South Florida Radiation Oncology, we recognize that every patient is an individual, with unique treatment needs and a distinctive lifestyle. Call South Florida Radiation Oncology and let us take gentle, compassionate and effective care of you today so you can get back to taking care of yourself tomorrow.
Get back to living your life.
877.930.SFRO ( 7376 ) www.sfrollc.com
TRUEBEAM ™
C YBERKNIFE ®
RAPIDARC ™
BRACHYTHERAPY
BELLE GLADE
|
BOCA RA AT TON
|
WEST BOCA
|
BO OY Y N T O N B E AC AC H
|
JUPITER
|
P PA A L M B E AC AC H G A R D E N S
|
P O RT RT S T T.. L U C I E
|
S T UA UA R RT T
|
WELLINGTON
www.GlobalHealthTribune.com
November 2013
Page 11
ONCOLOGY NEWS
S
'One-Stop' Radiation Treatment Might Offer Breast Cancer Care Alternative By Dennis Thompson HealthDay Reporter
ome women with early breast cancer might benefit from a "one-anddone" treatment, in which they receive a single dose of targeted radiation therapy during the surgery that removes their tumor. A pair of new studies found that this procedure works about as well as current protocols that require six weeks of daily radiation therapy following surgery. The new procedure uses miniature devices that deliver radiation directly to the site of the tumor, while the site remains exposed by surgery following lumpectomy. "It's right in front of the surgeon's and the radiation oncologist's eyes, so we can put the beam precisely where it is needed," said study co-author Dr. Michael Baum, emeritus professor of surgery and a principal research associate at the University College London Medical School. "We can form the cavity to the shape of the beam. It's elegant and dead simple." The procedure also appears safer, in terms of radiation exposure. Fewer women who received targeted therapy died during Baum's study, an occurrence they chalked up to the patients' more limited exposure to radiation. In Baum's trial, women received one dose of radiation therapy for 20 to 45 minutes following surgery. About 15 percent of the
Exercise May Help Breast Cancer Survivors Battle Bone Loss By HealthDay
patients had tumor complications that required them to return for the standard weeks of radiation therapy. However, radiation treatment was completed for the rest of the women, and with cancer recurrence rates comparable to standard treatment. "You can say 80 percent or more of these women will complete their therapy at the time of surgery," Baum said. This therapy could prove an advantage for women who live in remote areas without easy access to a radiation therapy center, Baum said. He said these women often have to undergo a full mastectomy even if they are eligible for breast-saving cancer surgery, simply because they can't make it to the follow-up radiation therapy sessions that will prevent their cancer from recurring. "I think this will be a boon for American women, even though you are a wealthy country,"
Baum said. "Even for the wealthiest country in the world, there are many women living in rural areas who don't have the option of traveling two or three hours a day back and forth to a radiotherapy center. This will cut down on the number of mastectomies." However, only certain women with early-stage breast cancer will be able to benefit, noted Dr. Stephanie Bernik, chief of surgical oncology at Lenox Hill Hospital, in New York City. Women best suited for the procedure are over age 45, will have small, single tumors, and the cancer will not have spread to their lymph nodes, she said. "In certain carefully selected women you can do this, but it does not apply to all women across the board," Bernik said. "We have to be careful not to apply this to every cancer patient who comes through the door." Baum's study was published online Nov. 11 in The Lancet.
Aerobics and strength-training exercises may help reduce bone loss and the risk of fractures in breast cancer survivors, a new study suggests. Bone loss is a serious problem for breast cancer survivors. Treatments such as aromatase inhibitors block the production of estrogen, a hormone that fuels the growth of many breast cancers. Estrogen, however, is needed for bone formation. The researchers also said chemotherapy can trigger early menopause, resulting in low estrogen levels and bone loss. This 12-month study included breast cancer survivors who had recently completed treatment. About half of them took part in an aerobic/resistance exercise program three times a week at a fitness center. The other women were assigned to a control group and given recommendations of 30 minutes of moderate-intensity exercise most days of the week. By the end of the study, the
NOVEMBER 2013 SUNDAY
3
MONDAY
4
TUESDAY
5
6
11am-1pm Juicing/Nutrition Talk 1-2pm, 2:30-3:30pm Tai Chi with Meditation
10
11
18 1-2pm, 2:303:30pm Tai Chi with Meditation
24
25 1-2pm, 2:303:30pm Tai Chi with Meditation
THURSDAY
7
3:30-4:30pm How to Cope with Loss
12
1-2pm, 2:303:30pm Tai Chi with Meditation
17
WEDNESDAY
13 2-3pm Yoga
19 5:30-7:30pm Cooking Demonstration
26
14
3:30-4:30pm How Do I Feel About Myself?
2
8
9
15
16
22 10-11am Yoga
28 3:30-4:30pm Let's Talk
1
11am-1pm Cooking Demonstration
21
27 2-3pm Yoga
SATURDAY
10-11am Yoga
3:30-4:30pm Let's Talk
20
FRIDAY
23
10-11am Healthy Brain Workshop
29 HOLIDAY
30 HOLIDAY
NOTES:
Massage by appointment Please contact Tara Pocius, LMT at 508-654-5556
ATTENDANCE BY REGISTRATION ONLY! EACH GROUP REGISTRATION WILL CLOSE ONE WEEK PRIOR TO DATE OF EVENT Wherekno now w led ge ends,lovebegins
women in the intervention group had more physical endurance, greater muscle mass and lower fat mass than those in the control group, according to the study, which was presented Thursday at the annual meeting of the American Institute for Cancer Research, in Bethesda, Md. Research presented at meetings should be viewed as preliminary until published in a peerreviewed medical journal. "Women who are completing cancer therapy should be getting a strong prescription for health promotion, which includes aerobic-resistance exercise," study author M. Tish Knobf, a professor at the Yale School of Medicine, said in an institute news release. "Routine exercise improves muscle strength, balance, quality of life, mood, functional ability and cardiovascular status, and may minimize the risk of bone loss." Another study presented at the same meeting found that many survivors of breast cancer and other cancers are at risk for low levels of vitamin D, and many will need to take vitamin D supplements. The vitamin helps promote bone health.
Page 12
November 2013
www.GlobalHealthTribune.com
AROUND TOWN
Grand Opening of Keystone Chiropractic
C
ongratulations to Dr. Jonathan Chung on the grand opening of his new state-of-the-art structural chiropractic center located at 420 South State Road 7, Suite, 170 in Royal Palm Beach.
DEAR DEBORAH: I just scheduled a date with a woman I met online and our first meeting just so happens to fall on her birthday. Since we’ve only spoken a handful of times, do I need to buy her a birthday gift? - Birthday Date
Dear Birthday Date: I do feel that you need to acknowledge her birthday and that can be done in the form of a birthday card and/or flowers. It’s a sweet gesture and one that she will truly appreciate.
Keystone Chiropractic focuses on correcting the structure of your spine and not just providing pain relief. Call 561-247-0044 for your free consultation today.
Dear Deborah
Your Keystone Chiropractic team - Dr. Jonathan Chung and Brittany Dobbs
DEAR DEBORAH: My sister is having her third child. She already has two children that are both in middle school. This child was an unexpected surprise and she had already given all of her baby stuff away. Would it be appropriate to have a baby shower and have her register again for all new items? - A Pleasant Surprise
Dear A Pleasant Surprise: Absolutely! There is nothing wrong with celebrating the upcoming birth of a second or third child by having a baby shower for necessities. In the past, people felt that you could
Adrienne Rieley, Dr. Shane Zack, and Dr. Jonathan Chung.
Venra Clinical Studies, LLC Also offering
IRRITABLE BOWEL SYNDROME?
We are conducting a clinical research study of an investigational medicine. If you meet the following criteria, you may be interested in participating in this clinical trial.
• Age 18 – 79 inclusive • At least 28 stools over a 7-day period • Moderate to severe Pain in your abdomen associated with: • relief by defecation, • change in frequency of bowel movements, or • change in appearance of stool.
Participants receive study related care, diagnostic tests, and study medication at no cost. Payment for time and travel to the study center may be provided For more information about the research study, please contact:
DEAR DEBORAH: My husband recently lost his job. Even though I work part-time, it has been a huge burden on our finances. He is too embarrassed to tell our family and friends because of his massive ego. Without his income, there is no way that I can afford to buy our families Christmas presents this year. The problem is that I gave him my word that I would not tell anyone. Since we always exchange gifts with our families, I am not sure how to handle this situation without going back on my word to my husband. - I Promised
Dear I Promised: First, I am very sorry to hear that your husband lost his job. A job loss can put a huge strain on a marriage and you do not want to add to that by going against his wishes. Since you cannot afford to purchase gifts than why not make them? You can either do this on your own or call your family members and suggest that you all create items with your own hands this year. Not only will these handmade gifts come from your heart, but each item will be one-ofa-kind and cherished for a lifetime.
Dear Deborah is a monthly advice column written by Deborah Lynn with a common sense approach to dating. If you have any questions or comments, please forward them to: questions@globalhealthtribune.com as we would love to help.
Palm Beach Gastroenterology Consultants, LLC
Dr. Chung reviews a structural chiropractic case study with Dr. Natalia Tsar
only have a baby shower for your first child. However, times have changed and certain things that were taboo in the past are now acceptable.
Krishna Tripuraneni M.D., M.B.A.
Call Us Today If You Suffer From Any Of The Following: Digestive Diseases Stats Dysphagia Gallstones Gastroesophageal Jaundice Lactose Intolerance Liver Disease Nervous Stomach
Abdominal Pain Bleeding Chest Pain Cirrhosis of the Liver Colitis Constipation Diarrhea
Pancreatis Stomach and Duodenal Ulcer Ulcerative Colitis Reflux Disease Hemochromatosis Hemorrhoids Hepatitis
Two Convenient Locations: Venra Clinical Studies, LLC 561-795-3330 ex. 249 info@venraclinicalstudies.com
WELLINGTON
BELLE GLADE
1157 South State Road 7 Wellington, Florida 33414
1200 South Main Street #102 Belle Glade, Florida 33430
561.795.3330
561.996.5600
www.wellingtongastroenterology.com
At Palm Beach Surgery Center we provide a safe and friendly environment, with a highly qualified and dedicated staff. A variety of procedures such as colonoscopy, endoscopy, gastroplications, ERCP, Liver Biopsy, 24 PH Monitoring/BRAVO can be done at our facility thus avoiding the need for hospitalization.
www.GlobalHealthTribune.com
November 2013
Page 13
HEALTHCARE NEWS
What is Structural Chiropractic? they think about what’s known as “Traditional Chiropractic”. Traditional chiropractors use manipulations with a goal of decreasing pain, reducing spasm, and increasing range of motion usually after an accident or a fall. Most of them are good at what they do in providing relief pain relief.
Dr. Jonathan Chung is a Doctor of Chiropractic who focuses on Structural Correction and is primarily concerned with Structural Shifts of the spine. He graduated from the University of Central Florida with a B.S. in Microbiology and Molecular Biology. Dr. Chung then went on and received his doctorate from Life University's College of Chiropractic. Dr. Chung is certified in pediatrics from the International Chiropractic Pediatric Association, and is a Structural Chiropractic Researcher who has been published in scientific peerreviewed journals.
W
By Jonathan Chung, DC
henever I introduce myself as a chiropractor that focuses on Structural Correction, most people are curious to learn that there are different kinds of chiropractic care. When most people think about chiropractic,
A chiropractor that focuses on Structural Correction looks at the body from an engineering perspective. The human spine is a fantastic work of engineering when all of the veretebrae are in their proper place. However, the life we live opens us up to accidents, falls, sports injuries, and chronic sitting that places tremendous stress on our structure. When this happens, a shift in the head and neck can occur and distort the body’s normal alignment.
Think of it like this: if your body was a house, your spine is your foundation. If your foundation was built unevenly, you would expect to see several problems start to happen in the house from broken dry wall, to loose floor boards. In that way, we see secondary conditions like headaches, back pain, disc degeneration, and paresthesia are a result of long term structural problems. In order to truly fix these problems, we can’t focus on the secondary problems, we have to go in and fix the foundation.
malfunctioning. Nothing else works right.
For many people, the foundation for their Structural problems actually starts in the head and neck. When the head and neck shift and lock out of place like found in Atlas Displacement Complex, then the shoulders and hips will actually shift out of place to compensate. Your whole body will go where your head and neck go.
The main reason we even pay attention to the mechanics of the spine is because it is intimately tied to the function of the central nervous system. When your spine shifts, it leads to signals being misfired into the brainstem. When the brainstem doesn’t work properly, it’s like the electrical system of your house
How do we fix a Structural Problem? First we have to identify the problem. A chiropractor that focuses on correction should have tools like a precision X-ray frame including head clamps to reduce motion and filters to reduce radiation. You’ll also see scanning devices that help measure the function of the central nervous system. And of course, we use NUCCA Tables that are designed to bring a correction to the spine rather than a manipulation to increase joint motion to decrease pain. While this type of chiropractic isn’t for everyone, it’s great for people who are looking to achieve lasting results instead of a temporary patch to pain.
KEYSTONE CHIROPRACTIC WHEN THE SPINE SHIFTS
• Arm Pain • Carpal Tunnel (Wrist) • Canal Stenosis • degenerated Joints • digestive disorders • disc Herniation • dizziness (Vertigo) • dowager’s Hump • Fatigue • Fibromyalgia • Headaches • Hearing Issues • Itchiness • Low Back Pain • mid Back Pain • migraine Headaches • muscle Spasm • muscle Tension • Neck Pain • Numbness/Tingling • Pinched Nerve • Poor Posture • Rotator Cuff • Shoulder Pain • Sinus Conditions • Spinal decay • Strength Issues • Thoracic Outlet Syndrome • TmJ Issues • Upper Back Pain
Royal Palm Beach office now open!
KEYSTONE CHIROPRACTIC 420 State Road 7 Suite #170 Royal Palm Beach, FL 33411
(561) 247-0044
Call Dr. Jonathan Chung at CALL FOR A COMPLIMENTARY CONSULTATION
Where a Consultation is a Conversation, not a Commitment mention this ad and receive a gift certificate applicable to your structural exam
Keystone Chiropractic is focused on structural correction of the spine. We use state of the art technology and techniques to restore full function of the spine and nervous system to allow the innate recuperative capacity of the body to work optimally.
Page 14
W
November 2013
HEALTHCARE NEWS
www.GlobalHealthTribune.com
What is Select Specialty Hospital? By Mike Corvaia
hen people ask me, what is Select Specialty Hospital, my response is always the same. Select Specialty Hospital is the most unique hospital in all of Palm Beach County. How so, you might ask?
First off, Select Specialty Hospital provides acute care like any other major hospital in the area, but the key difference is that Select Specialty does not have an emergency room. We often see patients who have been admitted though an ER and have been stabilized, yet who are not ready to be discharged from acute care. The vast majority of our patients are referred to us directly from the intensive care unit or ICU. Select Specialty Hospital is not a short term acute care hospital, or STACH, even though our licensure is the same. Instead, we are considered a long term acute care hospital or LTACH. In essence, we see the same patients that require acute care but we are designed to treat those medically complex patients for a few weeks rather than a few days.
So, you’re like a rehab hospital?
name just a few procedures, as well as an intensive care unit.
No, we are not a rehab hospital, but we do provide extensive rehab with a full staff of physical, occupational, and speech therapy specialists which are available to every patient. Well, then you’re like a skilled nursing facility, right?
We are actually much more than that. Physicians and case managers alike are continually impressed with the varying levels of acuity we handle here at our facilities. Select Specialty Hospital is an acute care hospital, and any patient requiring critical care nursing, intensive respiratory services, and rehabilitation therapy would benefit greatly from our hospital.
A typical patient at Select Specialty is one who requires acute medical care for their disease or illness, and who is not medically stable enough to allow transfer to a lower level of care, such as a skilled nursing facility, rehab hospital, nursing home, or in-home care. Make no mistake, our goal at
Select Specialty is to get you or your loved one to your desired destination: a stable, healthier level of care. We help to fulfill that goal in a clean, safe environment that is fully staffed with professional healthcare providers at every level. At Select Specialty, we only employ highly trained critical care Registered Nurses. Our nurse to patient ratio is better than what is offered at most hospitals and at every level of lower care such as a skilled nursing facility or rehab, where the ratio is 1:15 or more. Our ICU is staffed with a 2:1 ratio for the sickest patient(s) we admit to our hospital. We have physicians in our facility around the clock. Respiratory therapy is available 24 hours of
every day, and pharmacists are present seven days a week. Our staff features specialist physicians available for consult, whose areas of medicine include pulmonary, nephrology, cardiology and infectious disease, ear-nose and throat, neurology, internal medicine, and pain management. Our staff also includes general and trauma surgeons, as well as a designated wound care team. In addition to the more than 150 physicians on staff at Select Specialty, we also offer CT scan, a full rehab gym, an operating room for tracheostomy placement, percutaneous endoscopic gastrostomy or (PEG) placement, complex wound care debridement and skin grafts to
We encourage you to tour our facilities in person, so feel free to come by for a visit. We are centrally located in Lake Worth, just minutes from Palms West, St. Mary’s, Palm Beach Gardens, West Palm, and Delray, to name just a few hospitals within miles of us. Or, if you’d prefer to see us right now, log on to selectmedical.com, click the location icon and type in “Lake Worth, FL” to take a virtual tour of our hospital. We hope that you and your loved ones won’t require a stay within any hospital, but should you need specialized acute care, we at Select Specialty would like to reassure you that we are a hospital with a proven record of exceptional patient outcomes, with a family of physicians and healthcare professionals that genuinely care about your wellbeing. Select Specialty Hospital of Palm Beach 3060 Melaleuca Lane, Lake Worth, FL 561-357-7200 (Main line) www.selectmedical.com
www.GlobalHealthTribune.com
November 2013
AROUND TOWN
Can Dizziness Be a Sign of a Stroke?
D
izziness can be such a frustrating symptom for many patients and one of the most common reasons why elderly adults visit their physician. Dizziness is a widely used term which can describe everything from feeling a bit faint or lightheaded to feeling unsteady.
Dizziness is a term that is used to describe a feeling or sensation and is classified into four categories; vertigo, presyncope, disequilibrium, or lightheadedness.
Vertigo is often described as a false sensation of which you or your surroundings are spinning or moving. This exaggerated motion can last from a few seconds to much longer and can occur from a sudden change in your body position, such as quickly bending over (benign positional vertigo). Your inner ear which is part of the vestibular system detects the imbalance which is processed by the brainstem. There are two types of Vertigo:
Peripheral vertigo involves the part of your inner ear that controls balance. This type includes benign paroxysmal positional vertigo (BPPV), Cogan’s syndrome, Meniere disease, Ototoxicity, and vestibular neuritis.
Central vertigo is due to a problem within the brain and generally in the brainstem or the back part of the brain (cerebellum). Presyncope refers to a feeling of impending faint or loss of consciousness.
Disequilibrium refers to an imbalance and postural instability or unsteadiness.
W
Internal Medicine & Family Practice “If you ever need to be hospitalized, we will be with you from the office to the hospital and at your bedside”.
Heart / Chest Pain
Breathing Problems Pain Control Over Weight
Blood Drawing
EKG / Echo Blood Pressure Blood Sugar
Se Habla Español
Ishan Gunawardene, MD Diplomate of American Board of Internal Medicine Chief, Dept of Medicine Wellington Regional Medical Center
Lightheadedness is when you feel that you are about to faint or pass-out. If dizzy, this feeling often improves when you lie down.
There are so many things that can trigger that dizzy feeling and far too many to list here. However, they can be as simple as a sudden movement, alcohol consumption, low blood pressure, an inner ear infection, certain activities, medications, low blood sugar or iron, dehydration, to a number of diseases.
Ultimately, your physician will obtain a total medical history and perform a complete physical examination of which are both effective in arriving at the proper diagnosis. There are also other tools that can be utilized in order to help your physician determine the cause of your dizziness.
If however you start to experience any of the following; slurred speech, weakness on one side of your body, numbness, double vision, or a decreased sense of consciousness, seek medical attention immediately as most of these can be treated if given prompt attention.
Your brain is a very powerful organ and even though your brainstem is only a halfinch in diameter, it does control all the basic activities of your central nervous system. Those include your consciousness, blood pressure, breathing, and all of your motor control skills. When your brain begins to speak to you in the form of symptoms, you need to listen.
Diabetes Greatly Raises Younger Women's Heart Risk: Study
omen under 60 typically have lower heart risks than their male peers but diabetes can change all that, a new study finds. The research showed that women younger than 60 who had diabetes were up to four times more likely to develop coronary heart disease than those without diabetes, putting them at the same risk level as men. "We need to work harder to prevent heart disease in women under 60 who have diabetes," study author Dr. Rita Rastogi Kalyani, an endocrinologist at the Johns Hopkins University School of Medicine, said in a Hopkins news release. Another expert agreed. "Women less than 60 years old with diabetes need to be aggressively screened for heart disease, and prevention is crucial," said Dr. Suzanne Steinbaum, director of women
Advanced Medical, P.A.
Well Woman Check-ups
By Ishan Gunawardene, M.D.
Since it is more prevalent in the elderly, this sensation can lead to a greater risk of loss of balance, falling, back and hip fractures, as well as many other injuries. More than 30% of people over the age of 65 will experience that dizzy sensation, while people over 85 have an even higher rate at over 50%. Although generally caused by a benign inner or cardiovascular disorder, it may be associated with lifetime consequences, such as stroke and death.
Page 15
and heart disease at Lenox Hill Hospital in New York City. "In this group, perhaps the recommendations of diet and exercise and 'watch and wait' is not the best way to manage the patient," she said. Instead, doctors should make sure that "targets for cholesterol and blood pressure are met with medication [and] lifestyle intervention, as soon as the diagnosis is made," said Steinbaum. In the study, Kalyani's team analyzed data from more than 10,000 Americans who took part in three large studies. None of the participants had a history of heart disease when they enrolled in the studies. In contrast to the findings for women, diabetes had little or no effect on men's risk of heart disease, according to the study, which was published recently in the journal Diabetes Care.
Palomino Park III • 3347 State Road 7 Suite 206 • Wellington, FL 33449 Phone: 561.434.1935 • Fax: 561.434.3169
Upcoming Medical and Fundraising Events November 10 – December 10, 2013
November 15
Epilepsy Foundation of Florida. Palm Beach Zoo, West Palm Beach. The event beings at 6:30pm and cost $20.00 per adult and $10.00 per child. For additional information, contact 561-478-6515.
November 15 – 17
Chris Evert & Raymond James Pro Celebrity Tennis Classic. Delray Beach Stadium and Tennis Club, Delray Beach. Visit the website for a complete listing of events, www.chrisevert.org.
November 16
Leukemia & Lymphoma Society’s Light the Night Walk. Sunset Cove Amphitheater, Boca Raton. Visit www.lightthenight.org to find out how you can participate.
November 23
St. Jude Give thanks. Walk. John Prince Park, Lake Worth. Check-in begins at 8:00am and the walk at 9:00am. For additional information, call 305-265-1371 or visit http://fundraising.stjude.org/site/Page Server?pagename=walk_home
Jewels and Jeans 2013 Annual BBQ Dinner, Casino and Auction. Beach Club, Palm Beach. Event begins at 6:00pm and the cost is $175.00 a ticket. For additional information, contact 561-842-3213.
November 25
CROS Ministries. End Hunger in Palm Beach. Doing It Green (DIG), Delray Beach. The cost for the buffet is $35.00 and proceeds help to eradicate hunger in Palm Beach County. For additional information, contact 561-233-9009 or www.crosministries.org.
November 29
Paradise Fund: Sixth Annual Paradise Casino. Flagler Museum, Palm Beach. All ages welcome and proceeds benefit the Paradise Fund Children’s Relief Fund. For additional information, contact 561-801-0767 or visit www.paradisefund.com.
December 7
Neil S. Hirsch Family Boys & Girls Club f Wellington. 26TH Annual Wellington Dinner Dance. Wycliffe Golf & Country Club, Wellington. The cost is $225.00 per ticket. For additional information, contact Kevin Murray at 561-683-3287 or email at kmurray@bgcpbc.org. You can also visit their website at www.bgcpbc.org. Jewish Adoption and Foster Care Options (JAFCO). 15th Annual Heroes Gala. The Polo Club, Boca Raton. The cost is $300.00 per ticket and the funds raised will benefit abused, neglected and special needs children. For additional information, contact 561-372-0103.
PCPACO
ACCOUNTABLE CARE ORGANIZATION BY PRIMARY CARE PHYSICIANS FOR PRIMARY CARE PHYSICIANS
Coordinated Care Management
Care Management Cost
Quality Metrics
Monitor Patient Care Deficiencies
Information Streamlining
Reduce Hospital Readmissions
Alignment of Care
Improved Patient Outcomes
Medicare Evidence Based Guidelines
You Are Personally invited to Join a Primary Care Physician-owned and PCP driven ACO, where each member will be an equal owner. Join this fast growing ACO and take this unique opportunity to be an integral part of the future of healthcare. We are a 100% transparent and fully primary care physician-owned ACO
(561) 537-4804 PCP Accountable Care Organization An All Primary / Internal Medicine ACO
3347 State Road 7 Suite 206 Wellington, FL 33449
We can help you diagnose successful strategies to navigate your road to increased revenue.