4Health Magazine #159 by MOO Publishing

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HEALTH AND PHYSICIAN DIRECTORY

FACE-LIFTS: 5 QUESTIONS & ANSWERS THOSE WITH SLEEP APNEA AT

RISK FOR GLAUCOMA CHRONIC STRESS MAY LEAD TO PANIC ATTACKS

PAIN IN MY SIDE— IS IT APPENDICITIS?

DIABETES RAISES RISK OF FOOT INFECTIONS

SCREENING FOR DVT SAVES LIVES

VKSKIN SPA

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By Victoria Khabinski

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President, CEO Dmitriy Khabinski Vice President, CFO Igor Goldberg Editors Colleen M. Story Nataly Smolyanska Contributing Writers Colleen M. Story Shay Morrigan Lynn Merrell Art Directors Natalya Nazarova Nadezhda Evgach Advertising Sales Nataly Smolyanska Mark Trubetskoy Boris Mallayev Advertising Department 212.738.9230 Address: MOO Publishing Corp. P.O. Box 230181 Brooklyn, NY 11223 E-mail: info@moopublishing.com 4Health Magazine (ISSN 1942-6801) is published monthly by MOO Publishing Corp.Copyright © 2007-2014 by MOO Publishing Corp. All rights reserved. Printed in Canada. All requests for permissions and reprints must be made in writing. Reproduction in whole or in part without written permission is prohibited. Printed in February 2014.

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“4Health” is an editorial-based medical magazine (the "Magazine") provided by Moo Publishing Corp. and by other sources. DISCLAIMER This Magazine is for consumer educational use only. Nothing contained in this Magazine is or should be considered, or used, as a substitute for medical advice, diagnosis or treatment. The opinions in this Magazine are here to educate consumers on health care and medical issues that may affect consummers’ daily lives. This Magazine does not constitute the practice of any medical, nursing or other professional health care advice, diagnosis or treatment. The Magazine advises readers to always seek the advice of a physician or other qualified health care provider with any questions regarding personal health or medical conditions. Never disregard, avoid or delay obtaining medical advice from your doctor or other qualified health care provider because of something you have read in this Magazine. If you have, or

suspect that you may have, a medical problem or condition, please contact a qualified health care professional immediately. If you are in the United States and are experiencing a medical emergency, please dial 911 or call for emergency medical help on the nearest telephone. WARRANTIES AND LIMITATION OF LIABILITY We do not make any expressed or implied warranties, representations or endorsements of any kind whatsoever with regard to the magazine, or with respect to any information, product, service, merchandise or other material provided in or through the magazine. We do not warrant or guarantee the accuracy, completeness, correctness, timeliness or usefulness of any information, products, services, merchandise or other material provided throughout the magazine. We are not liable to any reader or anyone else for any decision made or action taken based on their reliance upon the information contained in this magazine. www.4health.net ww.4h w.

4HEALTH | Table Of Content

Face-lifts: 5 Questions & Answers Should d You Go Und der the Kniife? Kn

PLACING OUR HEALTH IN NATURE’S CAPABLE HANDS Quality You Can Count On

11 10

SPRING — THE BEST TIME TO PEEL AWAY IMPERFECTIONS Fade Summer Dark Spots, Acne Scars and Fine Lines

Those with Sleep Apnea at Risk for Glaucoma

DIRTY MOUTH? YOU COULD BE AT RISK FOR CANCER AND ALZHEIMER’S Why You Need to See the Dentist Today!

OVER 65? OBESE? IT’S NEVER TOO LATE TO LOSE Study Shows Obese Older Women More at Risk for Death

Get You ur Eyyess Screeened Today!

CAN’T LOSE WEIGHT? YOU MAY NEED MORE SLEEP By Dr. Prab R. Tumpati MD

7 THINGS YOU DON’T WANT TO TELL YOUR OB-GYN—BUT SHOULD Why You Need to Leave Embarrassment at the Door

Chronic Stress May Lead to Panic Attacks

NEW CATARACT SURGERY OFFERS FASTER RECOVERY Dr. Leonard Bley Taking Patients Today!

One in Ten Will Feell th he Effeects

I’M EPILEPTIC—CAN I STILL HAVE A FAMILY? How to Increase Your Odds of Having a Healthy Baby

24 Pain in My Side—Is It Appendicitis? Signss You u May Neeed to See the Docttorr

By Dr. Roman Rayham MD

SCREENING FOR DVT SAVES LIVES Blood Clots Result in Hundreds of Thousands of Deaths Each Year

OLYMPIC CHAMPIONS CHOOSE USA VEIN CLINICS Renowned Figure Skater Finds Relief From Leg Pain

OLD AGE MAY NOT BE THE ONLY REASON Dr. Lev Khitin MD Answers Questions About Sore Legs and Feet

39 Diabetes Raises Risk of Foot Infections

NON-SURGICAL LUNCHTIME FACE AND NECK LIFTING

ANCIENT THERAPY GAINING NEW POPULARITY IN WESTERN MEDICINE Ada Kulagina L.Ac. Answers Your Questions About Acupuncture

Stepss to Help p Yo ou Avo oid d Compliccattio ons

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FACE-LIFTS: 5 QUESTIONS & ANSWERS

SHOULD YOU GO UNDER THE KNIFE? ■■■ Colleen M. Storyy The American Society of Plastic Surgeons states that in 2012, a total of 126,000 people got a facelift — up six percent from 2011. You may know someone who went through the procedure, and now have questions yourself. Are you a good candidate? Would you be happy with the results five years from now? How long would the recovery time be? We decided to do some research and find answers to these questions and more. Armed with the following information, you can talk to your plastic surgeon about your desires for your appearance, and be better equipped to make the right decision for you.

1. AM I A GOOD CANDIDATE? Most people are good candidates, but there are some exceptions. As with any surgery, it’s best if you are in good health, are a non-smoker, and don’t have any other health issues that may make plastic surgery risky (talk to your doctor). Being completely open about your medical history and any medications you may be taking is the best way to determine whether a facelift is right for you. It also helps if you have realistic expectations for the procedure, and are otherwise mentally and emotionally healthy. Realize that for some people, a facelift is not what they need to correct their

appearance. If you’re missing volume in your cheeks, for example, fat grafting may be a better answer for you. Your plastic surgeon can help you determine the best procedure for the changes you’d like to make.

half years after surgery. Again, it depends on the type of procedure and the doctor who performs it. Do your research to find the most qualified and experienced professional you can, as it will likely make a difference in your long-term results.

2. WHAT IS THE RECOVERY TIME? If you’re looking at going through surgery, obviously you have to determine how long it’s going to take you away from your normal, daily activities. You may need to take some time off of work, get some help with the kids, and make arrangements so you can rest and recover. Standard face-lifts normally take between three and four hours in the operating room, and then require about 10–14 days down time. Usually, you can go back to work or to your daily activities after about two weeks, but it depends on the extent of your procedure. Your doctor can fill you in on all the details.

4. WHAT SHOULD I LOOK FOR IN A SURGEON? Speaking of finding a good doctor, how can you tell which one is right for you? Talk to other patients. Ask to see before and after pictures. Check on the doctor’s accreditations and certifications. Make sure he or she is certified and accredited by the American Board of Plastic Surgery. Check out your doctor at online sites that allow patient feedback. Make an initial consulting appointment and make sure you feel comfortable before moving forward. Do your research — this step is extremely important!

5. HOW MUCH WILL IT HURT? 3. WILL I BE HAPPY FIVE YEARS FROM NOW? A facelift will generally help you look about five to fifteen years younger. After your surgery, you will continue to age — but the aging process will appear to be set back, since you appear younger than you are. A 2012 study found that a little over three-quarters of the women who had facelifts maintained an improvement in their looks at five-and-a-

Pain can scare a lot of people away from the procedure, yet for most people, the sensations are not severe. You may feel tightness in the skin, which comes from the initial swelling, but you will have pain medications to help control these feelings. Most patients feel mostly discomfort rather than pain, and the medications help keep this from getting too difficult. www.4health.net ww.4h w.

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SPRING—THE BEST TIME TO PEEL AWAY IMPERFECTIONS FADE DARK SPOTS, ACNE SCARS AND FINE LINES Do you suffer from acne scars, age spots, fine lines and wrinkles? What about sun-damaged skin, irregular pigmentation, or freckles? If so, you’re in luck, as the fall season is the best the time to consider a chemical peel, which can help fade away all these imperfections. Regenerated, revived skin looks less wrinkled and more toned than the old skin, helping you enjoy the winter holidays with a fresh, youthful glow.

WHAT IS A CHEMICAL PEEL? A chemical peel is a treatment that improves the texture of the skin using a chemical solution. It’s also one of the least invasive ways to improve the appearance of your skin. Chemical peels work on wrinkles by stripping away the outer layers of skin, which stimulates the growth of new skin underneath. This process can lead to improved skin tone and smoothing out of defects like acne scars and wrinkles. During the treatment, a skin-care professional applies a customized solution to the skin that causes it to “blister” and eventually peel off. The new, regenerated skin is smoother and less wrinkled than the old skin. Although most chemical peels are used on the face, they can also be used to improve the skin on the neck, hands, back and elbows.

VKSKIN SPA by Victoria Khabinski

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WHAT PROBLEMS CAN A CHEMICAL PEEL TREAT? A chemical peel is often used to treat fine lines under the eyes and around the mouth. Wrinkles caused by sun damage, aging and hereditary factors can often be reduced or even eliminated with this procedure, as can mild scarring and certain types of acne. In addition, pigmentation of the skin in the form of sun spots, age spots, liver spots, freckles, splotching due to taking birth control pills (also called “melasma”), as well as skin that is dull in texture and color may be improved with chemical peeling.

WHAT TO EXPECT AFTER TREATMENT? Chemical peels come in various strengths. The light peel removes only the top, uppermost layer of skin. You may experience a slight pinkness of the skin, but it should return to its natural color later in the same day or the following day. Medium peeling usually involves redness, followed by scaling that ends within three to seven days. The most intense treatment—a deep peel—removes more skin than a medium peel, and recovery takes a week or longer. Results will last longer, however, and the procedure will be more likely to reduce wrinkles.

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WHO IS A GOOD CANDIDATE FOR A CHEMICAL PEEL? Generally, fair-skinned and light-haired patients are ideal candidates for chemical peels. Darker skin types may also have good results, depending upon the type of problem being treated. It’s best to talk to a skin-care professional about the best options for you.

HOW TO COMPARE CHEMICAL PEELS TO MICRODERMABRASION? You may have heard about microdermabrasion, and wonder how it compares to chemical peels. Both are popular skin treatments that improve the appearance of the skin. Microdermabrasion, however, simply removes the dead skin cells and the top layer of the skin, while making it feel very smooth. The skin will appear rosier, lighter and brighter. Though this treatment can help your skin feel refreshed and new, it will not be as effective at removing wrinkles and age spots as a chemical peel will be. For more information about chemical peels, or if you’re interested in trying one for yourself, call Victoria Khabinski's office where you can find out what treatment is best for you to remove damaged outer layers, smooth the texture of your skin, and make your complexion look smoother and younger.

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DIRTY MOUTH? YOU COULD BE AT RISK FOR CANCER AND ALZHEIMER’S WHY YOU NEED TO SEE TH HE DENTIST TODAY!

■■■ Colleen M. Storyy You may have already heard that keeping your teeth clean and healthy can help you keep the rest of your body healthy too. We’re learning now that the connection is even more serious than we thought. A few recent studies have suggested that the type of bacteria found in the mouth may be linked with an increased risk of colon cancer, throat cancer, and Alzheimer’s disease. Here’s more and why you may want to make an appointment with your dentist today!

ORAL BACTERIA LINKED WITH ALZHEIMER’S DISEASE Researchers from the University of Central Lancashire in the U.K. looked at 10 brain samples from patients with dementia (like Alzheimer’s) along with 10 brain samples from people who had not had the disease. The study was published in July 2013 in the journal, “Journal of Alzheimer’s Disease.” The results showed the presence of Porphyromonoas gingivalis—one of the key bacterium that causes gingivitis (gum disease). It’s usually found in oral cavities, and once there, can enter the bloodstream when you eat, chew, brush your teeth, or go through dental treatments. The researchers noted that each time bacteria like this enter the blood stream and go to

the brain, they can trigger the immune system to release excess chemicals that actually kill neurons (messengers) in the brain. As these neurons die, they can lead to symptoms like confusion and deteriorating memory. Dr. Sim K. Singhrao, Senior Research Fellow at UCLan, stated, “We are working on the theory that when the brain is repeatedly exposed to bacteria and/or their debris from our gums, subsequent immune responses may lead to nerve cell death and possibly memory loss. Thus, continued visits to dental hygiene professionals throughout one’s life may be more important” than previously believed.

ORAL BACTERIA AND THROAT CANCER A second study published in August 2013 in the journal the “American Association for Cancer Research” looked at oral health and the oral human papillomavirus (HPV)—the virus that causes 40-80 percent of throat cancers. Study participants who reported poor oral health had a 56 percent higher prevalence of oral HPV infection than those who had better oral health. Those who had gum disease had a 51 percent higher prevalence of the virus, and those with dental problems had a 28 percent higher prevalence. “Although more research is needed to confirm the causal relationship between oral health and oral HPV infection, people may

want to maintain good oral health for a variety of health benefits,” said Thanh Cong Bui, lead author of the study.

ORAL BACTERIA AND COLON CANCER Two more studies published in August 2013 in the journal “Cell Host & Microbe” looked at oral bacteria and colon cancer. Both observed a type of bacterium called Fusobacteria that is also found in the mouth. In the first study, researchers found that these bacteria sped up tumor formation in the colon, triggering inflammation that could lead to colon cancer. In the second study, another team found that Fusobacteria spurred cancer growth, triggered inflammation in human cancer cells, and encouraged tumor formation. Tissue from healthy participants had much lower levels of these bacteria than tissue from patients with benign and cancerous colorectal tumors.

GOOD ORAL CARE IS KEY TO GOOD HEALTH Good oral care is important to healthy gums and teeth, but we’re learning more and more how important it is to our overall health, as well. If you want to reduce your risk of Alzheimer’s, throat cancer, and colon cancer, be sure to get regular dental checkups and brush and floss every day! www.4health.net ww.4h w.

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OVER 65? OBESE? IT’S NEVER TOO LATE TO LOSE STUDY SHOWS OBESE OLDER WOMEN MORE AT RISK FOR DEATH y Merrell ■■■ Lynn

Have you heard that it’s never too late to make changes in your life? That’s what scientists are saying to older, obese women. You may think when you get in your senior years it’s too late to lose weight, but doing so could help you live longer. Here’s more, and what steps you can take to start losing today!

HOW OBESITY IS RELATED TO MORTALITY Researchers from the Fred Hutchinson Cancer Research Center in Seattle recently looked at whether higher body mass index (BMI) and waist circumference (WC) in oldwww.4health.net w.4hea .4

er women decreased their chances of living to age 85 without major disease or disability. They found that it could. For the study, scientists looked at data for over 36,600 women who would have reached 85 years by September 2012. The women were recruited between 1993 and 1998, and at follow-up, the survivors were aged 66–81 years old, with a mean age of 72 years. During the study period, they looked at the following things: ■ BMI—healthy = 18.5–25, overweight 25-

29, and obese 30-40 or more. ■ Health history—they looked at whether

the women had heart disease, stroke,

cancer diabetes, hip fractures and other health issues. They then divided the women into the following groups: ■ Healthy (19 percent): survived with no

major chronic disease or mobility disability (had to use crutches, a walker, or wheelchair to get around) ■ Prevalent diseased (14.7 percent): survived with one or more major chronic diseases that they already had at the beginning of the study ■ Incident diseased (23.2 percent): survived and developed at least one chronic

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the study period ■ Disabled (18.3 percent): survived with or without disease but developed mobility disability during the study period ■ Dead (24.8 percent)

RESULTS OF THE STUDY The researchers described the results of the study as “shocking.”

“Having a healthy BMI or WC was associated with a higher likelihood of surviving to older ages without a major disease or mobility disability,” the authors wrote. Study co-author Eileen Rillamas-Sun added, “For dying and losing the ability to walk, the risks were alarmingly high— over threefold to upwards of over six fold. I believe that remaining mobile is very important to most older people, especially since it is useful for retaining one’s independence.”

■ Skip high calorie beverages like sodas,

■

■ Compared with women who maintained

a healthy weight during the study period, those who were underweight or obese were more likely to die by the age of 85 years. ■ Overweight and obese women also had higher risks of diseases like heart disease and of being disabled and having to use a walker or a wheelchair to get around. ■ Obese women were three to six times more likely to suffer a disability later in life. ■ A waist circumference greater than about 35 inches was also associated with a higher risk of early death, disease, and disability.

TIPS TO HELP YOU LOSE

■

If losing weight in your senior years seems too daunting a task, consider these tips, and find a way to get started today! ■ Check with your doctor first about

your weight loss goals so that you don’t do anything that could negatively affect your health. Your doctor can also help refer you to weight loss programs that can be extremely helpful. ■ Focus less on dieting and more on eating healthy and moving more throughout the day.

■

juices, smoothies, and blended coffee drinks. Choose tea, coffee, herbal teas, and water. Work some resistance training in your week—it’s important for retaining muscle mass. Sign up for a senior class at your local gym, or invest in some DVDs and resistance bands. Stretch with programs like yoga and tai chi, as these will help you maintain flexibility as you age, which is important to mobility and balance. Splash around in some water aerobics—this exercise is ideal for seniors, as it gets your heart beating but is gentle on your joints. Check your local gym for details as most now offer water aerobics classes. Drink more water—especially if you drink before a meal, it helps you to consume fewer calories. Walk more often. This simple step can help you lose weight. Find opportunities throughout your day to walk more. Commit to a new exercise schedule for at least 3-4 weeks until it becomes a habit in your life. You can do it!

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Obe esity y Medicine M d n | 4HEALTH HE L H19

CAN’T LOSE WEIGHT? YOU MAY NEED MORE SLEEP

During the past 20 years, there has been a dramatic increase in obesity in the United States. More than one-third of U.S. adults (35.7%) and approximately 17% (or 12.5 million) of children and adolescents aged 2–19 years are obese. Another 33% of all adults are in the overweight category. Though there are a lot of things that can cause weight gain, I find the following four factors often play a crucial role in expanding my patients’ waistlines.

THREE THINGS HAVE CHANGED ABOUT HOW WE EAT Hippocrates, father of medicine, is quoted as saying, “Let food be your medicine, medicine be your food.” Over the past several decades, however, we’ve moved away from this concept, and now see food merely as “calories in, calories out,” which has changed our relationship to what we eat. Three things happened to the modern diet that now contribute to the high levels of inflammation we currently see in the population at large, leading to increased health problems and disease. Understanding these three fundamental principles forms the foundation for a healthy and long life. Insulin resistance: Insulin resistance, or metabolic syndrome, affects one in three Americans and leads to excess belly fat. Unlike the subcutaneous fat that is protective, studies have shown that belly fat produces cytokines and other inflammation-causing chemicals that lead to the increased risk of cardiovascular disease, diabetes and other conditions. In fact, waist circumference of over 40 inches in men and 36 inches in women (lower in Asian Populations), is one of the five criteria for metabolic syndrome. Lack of antioxidants: Before the modern food processing era, our diet used to have more than 50 percent unprocessed and uncooked food items such as colored fruits, vegetables, and other natural ingredients that are high in antioxidants such as polyphenols. Studies have shown that lack of polyphenols leads to increased inflammation in the body. www.4health.net w.4hea .4

Ratio of fats: The ratio of omega-3 to omega-6 fatty acids used to be 1:1, but is now at 1:16, which also increases inflammation.

THE FOURTH FACTOR More recent research has revealed a fourth factor in this list—lack of quality sleep. According to the National Institutes of Health, 50 to 70 million Americans are affected by chronic sleep disorders and intermittent sleep problems. The Centers for Disease Control and Prevention (CDC) adds that sleep insufficiency is linked to motor vehicle crashes, industrial disasters, and occupational errors. Lack of proper duration and quality of sleep also contributes to insulin resistance, which in turn leads to weight gain. A 2012 study, for example, found that sleep deprivation impaired the ability of fat cells to respond to insulin, the hormone that regulates blood sugar. Unfortunately, this can set in a vicious cycle where sleep problems lead to weight gain and weight gain in turn—particularly if it leads to sleep apnea—can make sleep problems worse!

PHYSICIAN ASSISTED WEIGHT LOSS CAN HELP Reversing the many factors leading to weight gain such as insulin resistance, sleep apnea, lack of proper sleep, stress, nutritional deficiencies, food sensitivities, eating disorders, hormonal imbalances etc., can be very difficult to do on your own. Diet fatigue, discouragement, and the constant ups and downs can deter even the most disciplined person from his or her goals. A physician familiar with weight loss, sleep disorders and wellness can be the helping hand you need to get back on track with your weight and your health. Realizing the bidirectional relationship between sleep disorders and weight gain, we are able to address these very interrelated fields together so you can lose weight, sleep better, and enjoy a healthier and perhaps even longer life. If you’re not sure about cost, realize that your insurance might cover these services, thanks to the Affordable Care Act that mandates insurance coverage for obesity. Call Dr. Tumpati’s office at 1(800)W8MD-007 or visit us online at www.w8md.com.

NAME:

PRAB R. TUMPATI, MD CERTIFICATION: Board Certified in Internal Medicine & Sleep Medicine; Board Eligible in Obesity Medicine Fellow of the American Society of Bariatric Physicians

SPECIALTY: Internal Medicine Medicine, Sleep and Obesity Medicine

INSURANCE: Accept All Major Insurance Plans

CONTACT: 2003 Bath Avenue Brooklyn, NY 11214

(888) 283-0399 www.w8md.com

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7 THINGS YOU DON’T WANT TO TELL YOUR OB-GYN—BUT SHOULD WHY YOU NEED TO LEAVE EMBARRASSMENT AT THE DOOR y Merrell ■■■ Lynn

Women may be shy talking about certain things with their gynecologists, but professionals say that there’s no reason to worry. “As Ob-Gyns, we see and hear everything,” say Dr. Yvonne Bohn, Dr. Allison Hill, and Dr. Alane Park of The Mommy Docs. “There is nothing that you are going to reveal to us that will surprise or upset us.” Yet certain things can just be super uncomfortable to talk about. Because they relate to your health, however, it’s important that you do your best to get beyond any embarrassment you may feel. Keeping secrets can lead to health problems down the road. Below are some things that you may be too shy to bring up, or that you may not have thought to share, but that your doctor needs to know.

DON’T BE SHY—BRING IT UP Always remember to tell your doctor the basics—your sexual history, medical history, pregnancy plans, and any abnormal symptoms you may be experiencing (like vaginal itching, burning, or discharge, for example). Your doctor will not judge any of the infor-

mation—it’s all about forming the best medical picture for your health. Beyond that, there are other things you may not want to talk to your doctor about, but should anyway. These include the following: 1. I think my husband is cheating. If this is a concern of yours, there is a possibility that your husband could transmit a sexual disease to you. It may be embarrassing to bring it up, but getting tested could put your mind at ease. It could also save your life (if indeed you have developed a disease). Put your health first, and realize your doctor is there to help you. 2. I’m having an affair. What if you are the one stepping out? It may be even more difficult to bring up, but again, there’s your health and the health of your partner to consider. There are over 40 kinds of sexually transmitted infections (STIs), and some can be life threatening if not treated. It also doesn’t matter how old you are—no one is immune. 3. I’m having unprotected anal sex. Unprotected anal sex can put you at risk for STIs, especially if you’re not in a monogamous relationship. Letting your doctor know gives him or her the information needed to screen for any potential diseases.

4. I’m leaking. Urinary or fecal incontinence are common problems, and many times your doctor will have solutions that will help you feel better. There is no reason for your to continue to suffer just because you may be uncomfortable sharing the information. 5. Sex hurts. Changes as we age, operations, medications, stress, and more can all lead to painful intercourse. Fortunately, there are lubricants, medications, and therapies that can help—all of which your doctor knows. 6. He says I smell funny down there. Talk about uncomfortable, right? But feeling unattractive to your partner can put a big dampener on your sex life. Talk to your doctor. It may be that a change in your diet would fix the problem, but it could also be that you could have an infection or an issue caused by your birth control method. 7. I’m considering an abortion. This political subject can be extremely difficult to discuss, but you need someone to talk to, and your doctor is your best bet. He or she can answer any questions you may have, such as whether or not the procedure would affect fertility (not true, doctors say), how long you can wait, and what your other options are. www.4health.net ww.4h w.

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THOSE WITH SLEEP APNEA AT RISK FOR GLAUCOMA GET YOUR EYES SCREENED TODAY!

y Merrell ■■■ Lynn

Do you have sleep apnea? If so, you may want to get your eyes checked. According to a recent study, people who suffer from sleep apnea have an increased risk for glaucoma and should be screened immediately. Glaucoma is a disease that damages the optic nerve, and if left untreated, can cause irreversible vision loss. It’s the leading cause of blindness in the U.S., but if you catch it early, you can protect the vision you have left.

STUDY SHOWS INCREASED RISK OF GLAUCOMA For the study, researchers from Taiwan looked at data from National Health Insurance medical records. They included just over 1,000 participants aged 40 and older who were diagnosed with the most common form of sleep apnea between 2001 and 2004. They then compared these with just over 6,000 control patients who did not have sleep apnea. The results showed that the risk of developing glaucoma within five years of being diagnosed with sleep apnea was 1.67 times higher in those who had the sleep disorder than in those who didn’t. “We hope that this study encourages clinicians to alert obstructive sleep apnea patients of the associations between obstructive sleep apnea and open-angle glaucoma as a means of raising the issue and encouraging treat-

ment of those who need it,” the researchers wrote.

A number of treatments are available, which can help you reduce your risk of related problems, including glaucoma.

WHAT IS SLEEP APNEA? Sleep apnea is a common disorder that disrupts your sleep. During the night, you may have several pauses in your breathing or shallow breaths that cause the body to wake up just enough to get you breathing right again. The breathing pauses can last a few seconds to a few minutes, and may occur up to 30 times or more an hour. Typically, your breathing will start up again just fine, but the disruption means that you get very little (if any) deep sleep, and you wake up feeling groggy and tired, no matter how many hours you got. You may not remember the disruption, as the body wakes you up only just enough to start the breathing again, which means you remain in light sleep, but miss out on key restorative keep sleep. The disorder is dangerous as over time, the lack of deep sleep can take a toll on your health. Sleep apnea has been linked with an increased risk of heart disease, heart arrhythmia, stroke, diabetes, work-related or driving accidents, depression, and more. It can be difficult to diagnose, however, as many people may feel fatigued, but not necessary have sleep apnea. The only way to tell for sure is to talk to your doctor, then undergo a sleep test, which will determine whether you have the disorder.

WHAT IS GLAUCOMA? Scientists aren’t sure what causes glaucoma, but they do know that older adults are typically at a higher risk, as are those who have a family history of the disease, or who have suffered past injuries to the eyes. They now know that those with sleep apnea are also at risk. The problem is that in many people, glaucoma exists with no symptoms. That’s why it’s important to make regular appointments with your eye doctor. There may be some warning signs, however, which include recurrent pain around the eyes, swollen lids, change in color in the iris, double vision, a dark spot in the center of the viewing area, distorted or wavy lines, and seeing spots. If you notice any of these symptoms, check with your eye doctor right away. This isn’t the only study to link sleep apnea with glaucoma. The University School of Medicine in St. Louis reported that optic nerve disease (like glaucoma) can actually cause sleep disorders. Other research, as well, have found that patients with sleep apnea were more likely to be diagnosed with glaucoma than those without the sleep disorder. You can make a difference in your health now— get screened today! www.4health.net ww.4h w.

Ophthalmology ht al o g | 4HEALTH HE L H23

NEW CATARACT SURGERY OFFERS FASTER RECOVERY DR. LEONARD BLEY TAKING PATIENTS TODAY! The American Academy of Ophthalmology states that nearly 22 million Americans 40 and older will be affected by cataracts. By age 80, more than half of all Americans have one. A cloudy area in the lens of the eye, a cataract causes blurry vision that without treatment, gets worse over time. Patients may find it more difficult to read, see facial expressions, and drive a car.

NAME:

Leonard BLEY, MD SPECIALTY: General Ophthalmology

Traditional cataract surgery requires a blade incision on the side of the cornea, after which the surgeon removes the cloudy lens and replaces it with a clear, artificial lens. Though this procedure has a high probability of success and a long safety record, there are some risks, such as infection, bleeding, and an increased chance of retinal detachment. Now, there is a new surgery option that offers more accurate results and a reduced risk of complications. Available at the Laser & Microsurgery Institute, it’s already causing a buzz among patients. We asked Dr. Leonard M. Bley, Surgical Director at the center, to tell us more.

WHAT IS THIS NEW OPTION IN CATARACT SURGERY? It’s called “Femto Laser Cataract Procedure,” or “Refractive Laser-Assisted Cataract Surgery (ReLACS).” We also called it “bladeless” cataract surgery, as we don’t use traditional blades. Everything is done by the laser.

HOW IS THIS NEW PROCEDURE DIFFERENT? In traditional cataract surgery, the doctor makes the incisions in the eye by hand with a blade. Even experienced surgeons with extremely steady hands are not going to be able to make perfect shapes with those incisions. Using a laser lets us be a thousand times more precise, and makes the procedure safer and more predictable. We’ve been using lasers for years in LASIK surgery, which reshapes the cornea to help patients enjoy sharper vision. We’ve seen how accurate lasers can be, so we’ve started takwww.4health.net w.4hea .4

ing that accuracy and applying it to cataract surgery.

CERTIFICATION: Board certified certified, American Board of Ophthalmology

HOW DOES IT WORK? With the laser approach, we can create a surgical plan with a sophisticated 3-D image, giving us more precise control of the location, depth, and length of the incision. This allows us to then perform that incision exactly, which is extremely difficult to do by hand. Everything is more precise, well centered, and much better shaped. We also use the laser to break up the cataract into many small pieces, which allows us to take it out much easier and faster.

WHAT ARE THE BENEFITS? Laser increases the accuracy of the surgery, so the patient experiences a number of benefits. The procedure itself is a lot faster, meaning you don’t have to lay there as long. It probably takes five minutes or less, on average—about a 50 percent reduction in intraoperative time, compared to traditional cataract surgery, which typically lasts about 20 minutes. In general, the shorter the operative time, the faster the recovery. You’re not causing as much inflammation or irritation in the eye, so there’s less healing that has to take place. Most people see very well the same or the next day. The increased accuracy also translates into better visual results. Because the precision is so much improved, the way the lens functions and the way it sits in the eye is also improved. We have a much higher percent of people seeing 20/20 with this procedure.

MEMBERSHIPS: American Academy of Ophthalmology New York State Ophthalmologic Society

CONTACT: Laser and Microsurgery Institute

160 East 56th street street, Ste 900 New York, NY 10022

(877) 414 414-3863 3863 587 Kings Hwy Hwy, Brooklyn, NY 11223

(877) 415 415-2276 2276 98 14 65th Avenue 98-14 Rego park, NY 11374

(877) 395 395-7283 7283 INSURANCE: Accept All Major Insurance Plans

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CHRONIC STRESS MAY LEAD TO PANIC ATTACKS ONE E IN TEN WILL FEEL THE EFFECTS ■■■ Colleen M. Storyy “My heart races, I feel dizzy, and I think I’m going to pass out, though I never do,” Annie said. “It seems like I have a panic attack every time I get in the car.” “On the outside I was a confident person,” Bill said. “But inside I was a nervous wreck, and I had this terrible feeling something terrible was about to happen.” Panic attacks come on suddenly, making it difficult to breathe and mimicking the symptoms of a heart attack. Many sufferers end up in the emergency room, only to be told nothing is wrong with them. Yet panic disorder is a real condition, affecting over two million Americans per year. The attacks can develop in response to a major life event, such as a loss of a job, death of a loved one, or new disability. Researchers have recently discovered, though, that chronic, daily stress can also build up until it explodes in panic attacks. Might you be at risk?

WHAT IS A PANIC ATTACK? A panic attack occurs when a person feels a rush of intense symptoms such as the following: Fast heart beat or heart palpitations Sweating and trembling Nausea Difficulty breathing; sense of chocking ■ Dizziness or feeling faint ■ ■ ■ ■

■ Chills or hot flashes ■ Overwhelming sense of fear and anxiety

Once a person has suffered a panic attack, the fear of suffering one again can increase the overall sense of stress and anxiety. That’s because panic attacks are very frightening and intense. Fortunately, they are not dangerous, and do not cause lasting damage or injury to the body or mind.

duced steadily increasing levels of panic for 12 weeks afterward. ■ Daily stressful life events tend to cause panic symptoms to gradually increase over the succeeding months, rather than spike immediately. ■ Panic symptoms did not seem to increase in advance of stressful life events, even if they were predictable, such as a divorce becoming final. Instead, they increased over the weeks and months afterward.

WHAT CAUSES A PANIC ATTACK? Scientists don’t yet know what exactly causes a panic attack, but they do know that some people are more at risk than others. Those with a family history of panic disorder, who abuse alcohol or drugs, or who suffer stressful life transitions may be more likely to experience attacks. Medical conditions like hypothyroidism, low blood sugar, and mitral valve prolapse can also cause panic attacks. Now a new study suggests that panic can also build gradually, from chronic stress. Researchers from Brown University looked at annual assessments from over 400 adults with panic disorder who were enrolled in the Harvard/Brown Anxiety Research Project between 1998 and 2004. Volunteers answered detailed questions about important events in their lives and their levels of anxiety. Results showed: ■ Stressful life events such as a demotion or

layoff at work or family argument pro-

Researchers concluded that panic attacks may not be a reaction to one, severe event, but rather, a result of gradual and steady accumulation of stress over a period of weeks, and advised patients to watch for these sorts of after effects of stressful occurrences in life.

HOW THERAPY CAN HELP If you’ve been under a lot of stress lately, or have experienced a panic attack, don’t worry—at least one in 10 people experiences occasional panic attacks. There are solutions, but it’s best if you get some support from your psychologist or psychiatrist. Treatments may include medications like antidepressants or anti-anxiety medications, cognitive behavioral therapy, and “exposure” therapy, which gradually increases confidence in formerly stressful situations. Professional therapy can help you regain control of your life and your body, so you can face any situation you need to with confidence. www.4health.net ww.4h w.

4HEALTH

NEUROLOGICAL CLINIC DOCTOR DMITRIY GRINSHPUN, MD Chief of Neurology, Director of Stroke Center and Professor WOODHULL MEDICAL CENTER / NEW YORK UNIVERSITY AFFILIATE NEW OFFICE

174 Brighton 11th St., 1st Fl. Brooklyn, NY 11235

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WE ACCEPT ALL MAJOR INSURANCE AND PROVIDE TRANSPORTATION www.4health.net w.4hea .4

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I’M EPILEPTICCAN I STILL HAVE A FAMILY? HOW TO INCREASE YOUR ODDS OF HAVING A HEALTHY BABY ■■■

Colleen M. Story y

Epilepsy affects about 2.3 million adults, with about 150,000 people newly diagnosed in the U.S. each year. Also called “seizure disorder,” the disease is thought to be caused by disruptions in the normal connections between nerve cells in the brain, creating recurrent seizures. Women with epilepsy can often keep their seizures under control with medications, but pregnancy creates some special considerations, because these medications may present risks to the unborn child. Having a seizure while pregnant may also be dangerous. Yet these risks can be minimized with the proper care. Here’s more

about how you can increase your odds of having a happy, healthy pregnancy.

TROUBLE CONCEIVING It used to be that women with epilepsy were discouraged from getting pregnant because of the risks, but that’s no longer the case. The Epilepsy Foundation states that with early and regular prenatal care, women with the disease can still deliver healthy babies. There are some special considerations. First of all, epilepsy can make it difficult to conceive. Women with epilepsy typically have more reproductive disorders than women without seizures, particularly if their seizures start in the temporal lobes of the brain, which are closely connected to reproductive hormones. Problems may include menstrual irregularities, polycystic ovarian syndrome, irregular or no ovulation, or even early menopause. www.4health.net ww.4h w.

4HEALTH Some seizure medications, as well, can interfere with hormones and make conception difficult. If you are planning a family, make an appointment with your doctor and neurologist to talk over the potential complications you may face. He or she may recommend another medication that will help normalize your hormonal activity. It may also help to keep a calendar of your menstrual cycles, any seizures you may experience, and factors such as your sleep patterns, stress, illnesses, and body temperature each morning to help your doctor and nurse better manage your efforts to become pregnant.

THE RISKS OF SOME MEDICATIONS Though most women who become pregnant while taking seizure medications deliver healthy babies, some studies have found that anticonvulsants may increase the risk of certain birth defects, such as heart and spinal cord defects, and cleft lip/cleft palate. Guidelines released by the American Academy of Neurology and the American Epilepsy Society recommend that women with epilepsy avoid taking valproate during pregnancy,

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and also avoid taking more than one drug at a time while pregnant, if possible. The Epilepsy Foundation has called for more research on the effects of other seizure medications on pregnancy. If you do have an absence seizure, simple partial seizure, or complex partial seizure during pregnancy, the NYU Langone Medical Center states that it’s unlikely to pose a danger to the fetus unless you injure yourself during the seizure (which is rare). Convulsive seizures, however, can be dangerous, and may increase the risk of injury to the baby. That’s why most women with these types of seizures may elect to continue taking medication while pregnant. Until we know more about the risks of each particular drug, talk to your doctor about your options. Some medications are believed to carry lower risks than others. You may also be able to reduce your dosage during the nine months you’re carrying a child. Don’t forget to take a folic acid supplement in the months when you’re trying to conceive and during your pregnancy, as it can help reduce the risk of spinal cord defects.

THE RISKS OF PREGNANCY ITSELF Women with epilepsy face a higher risk of complications, including vaginal bleeding and placental abruption (where the placenta separates from the uterus before it should). Pregnancy-related high blood pressure is also possible, as is severe morning sickness, anemia, premature birth, and a low birth weight baby. These are all just risks, however—you won’t necessarily experience these problems. It’s best to talk with your doctor about them, however, so you’re prepared if you do. Some lucky women actually have fewer seizures while they’re pregnant. Others, however, may have more, and some will have the same amount. The key is to make sure you attend regular prenatal visits, and talk to your doctor about all your concerns. If you’re taking seizure medications, you may be advised to take oral vitamin K supplements during the last month to help prevent bleeding problems after birth. Regular visits also give your doctor the chance to check your baby’s health throughout the pregnancy. Remember that most women with epilepsy deliver happy, healthy babies. With proper medical care, most likely you can, too!

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| Plastic la i Surgery S g y

NON-SURGICAL LUNCHTIME FACE AND NECK LIFTING

NAME:

Roman RAYHAM, MD SPECIALTY: Plastic and Reconstructive Surgeon Dr Rayham Recognized as a Dr.

TOP 10 NY Plastic Surgeon

CERTIFICATION: Board-certified, American Board Board-certified of Surgery and American Board of Plastic Surgery Surgery.

TRAINING & EDUCATION: SUNY Downstate College of Medicine Medicine, Staten Island University Hospital (Residency), (Residency) Training at Mayo Clinic, Clinic Post-graduate fellowship at New York Eye and Ear Infirmary Infirmary.

MEMBERSHIPS: American Medical Association Association, Medical Society of the State of NY, NY Medical Society of Kings County, County Arnold Society Society, Priestley Society Society.

CONTACT: 1616B Voorhies Ave., Ave Ste. Ste B Brooklyn NY 11235 Brooklyn, 161 Madison Ave Ave. Ste. Ste 11W New York, NY 10016

((877)) 582-0400 www.NYPlasticSurgeryCenter.com g

LANGUAGES: ENGLISH • RUSSIAN

One of the most frustrating signs of skin aging is the telltale sagging that occurs around the cheeks, brows, and neck. Individuals in their 40s and 50s are most often frustrated by this type of sagging because it can be so difficult to counteract. Creams and topical treatments hardly make a difference, yet for many, going under the knife for an all-out surgical face lift seems too drastic a step. Fortunately, Dr. Rayham of the RR Plastix/ New York Plastic Surgery Center has a new solution that can make you look younger in a matter of weeks, but can be done in about an hour. «This is a non-invasive alternative to a traditional face lift,» he says. «It’s as close as you can get to surgical results without actually performing cuts or incisions on the face.» What is this new treatment? Called «ultherapy,» it uses the technology of ultrasound to reach the deepest layers of skin and encourage the skin to tighten itself.

WHAT HAPPENS TO SKIN’S NATURAL SUPPORT? Over time, natural aging, exposure to pollutants, sun damage, and more all contribute to the gradual breakdown of the skin’s internal structure. One of the main problems is that the production of collagen slows down. Collagen is a kind of protein that works with elastin to give skin its strength and firmness. As levels decrease, the skin starts to sag, wrinkle, and look older. According to Dr. Rayham, ultherapy helps stimulate the production of collagen, which then helps to firm up, tighten, and improve the appearance of skin.

HOW ULTHERAPY WORKS Just as an ultrasound allows a doctor to see through the belly to the fetus, ultherapy allows a plastic surgeon to see past the superficial layers of the skin to the deeper layers. This is where we find the musculature of the face—called the Superficial Muscular Aponeurotic System (SMAS). During surgery, doctors typically manipulated the SMAS to create a lasting lift. With ultherapy, however, the doctor can stimulate this deeper layer without having to make incisions. «When the ultrasound device hits the SMAS area,» Dr. Rayham says, «it burns small holes

through it without actually burning the skin. The outer layer of the skin remains unaffected. As a result, the SMAS area contracts and creates new collagen during the healing process to generate tightness. We can create all this in one pass.» The doctor goes on to explain that with a second pass of the ultrasound device over the face, the surgeon can adjust the system to affect the more superficial level of the skin, where most of the collagen already is, and again stimulate new collagen production. «The procedure can be done in our office, and takes about 40 minutes to an hour depending on how many zones need to be treated. A patient will see some immediate improvement, then after about three to four months, will see significant improvement.» The best part? There’s no downtime, no weeks of recovery, and no hiding your face from the world. «There may be the occasional bruise,» the doctor says, «but for the most part people come in, get it done, and get back to their lives.»

CHOOSING THE BEST TECHNOLOGY There are several products available that deliver ultherapy, but after over a year of research, Dr. Rayham decided to purchase the Ulthera system for his office. Combining ultrasound imaging with ultrasound therapy in a single «see and treat» device, Ulthera is considered not only effective, but extremely safe. «It’s been FDA approved for about a year now,» he said. «I followed it to make sure it actually delivered the results the company promised, and I have seen significant improvement. It can lift sagging skin on the brows, neck, and cheeks, and helps make wrinkles less noticeable.» He adds that complementing ultherapy with filler injections like Sculptra, Juvederm, and Radiesse—around the mouth, for instance—creates cumulative results and an overall «lift» appearance. If you’d like to look younger over lunch, call the RR Plastix/New York Plastic Surgery Center. Double Board Certified by the American Board of Plastic Surgery and the American Board of Surgery, Dr. Rayham can answer any questions you may have. Call 1-877-582-0400, or visit the website at www.rrplastix.com. www.4health.net ww.4h w.

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PAIN IN MY SIDEIS IT APPENDICITIS? SIGNS YOU MAY NE EED TO SEE THE DOCTOR ■■■ Colleen M. Storyy You don’t feel like eating. You have a slight fever. And most concerning of all—you’ve got a pain in your side. Could it be appendicitis? It’s possible, but these could also be symptoms of other health issues, including constipation, an ovarian cyst, a pulled or strained muscle, rib joint inflammation, gallstones, and more. Here’s how to determine whether or not your symptoms may point to appendicitis, and when you need to get to your doctor right away.

WHAT IS APPENDICITIS? Appendicitis is when the appendix becomes infected, inflamed, swollen, and filled with pus. It’s one of the most common reasons for emergency surgery, as without treatment, it can burst, dumping its contents into the abdominal cavity and potentially causing a serious infection in the abdomen. That’s why doctors encourage patients who suspect appendicitis to get treatment right away. The appendix itself is a small pouch or tube, sort of shaped like a finger, that comes off the first part of the large intestine (called the “caecum”), just before the colon. It sits in the lower right area of the abdomen, between the chest and hips, and is normally about 5 to 10 centimeters long. Scientists aren’t sure what the appendix is for, though some recent studies suggest it may be involved in supporting the friendly bacteria in our guts that help facilitate digestion and fight infections.

WHAT CAUSES APPENDICITIS? We’re still not sure what causes appendicitis, but so far we have a few theories: 1. Stomach infection: If an infection starts in the stomach, it can move to the appendix, where it would cause inflammation and swelling. 2. Obstruction: If a piece of hardened stool becomes trapped in the appendix (as it’s making it’s way into the colon), it can infect the appendix as it sits there, causing other materials to back up behind it. 3. Pollution: Toxins in the environment may also be to blame, as some studies have found a link between high pollution levels and a higher incidence of appendicitis, because of how these toxins can encourage inflammation in the body. 4. Inflammatory bowel disease: Diseases like Crohn’s disease, ulcerative colitis, and other intestinal disorders that irritate the gastrointestinal tract can lead to appendicitis. Though anyone at any age may suffer appendicitis, it’s more common in people 10-30 years old.

WHAT ARE THE SYMPTOMS? Abdominal pain is one of the most telltale symptoms of appendicitis. It’s not always present, however. About 50 percent of people who have appendicitis will experience this pain, but the other 50 percent may not. The type of pain linked with appendicitis usually begins near the belly button and

moves lower and to the right, is unlike any pain you’ve felt before, may occur suddenly (possibly waking you up at night), gets worse in a matter of hours, and feels worse when you press on it, move around, take deep breaths, cough, or sneeze. Other symptoms of appendicitis include: ■ Loss of appetite ■ Nausea, vomiting, constipation or diar■ ■ ■ ■

rhea Inability to pass gas Low grade fever Abdominal swelling The feeling that passing stool will make it feel better

Other, more rare symptoms include painful urination, and a dull or sharp pain in the upper or lower abdomen, back, or rectum.

WHEN TO SEE THE DOCTOR If you’re experiencing some of the symptoms listed below and your condition gets worse over a couple of hours, get to your primary physician right away. He or she will take your medical history, perform a physical exam, and conduct some tests (like blood tests and ultrasounds) to determine the cause of your symptoms. If it is appendicitis, the standard treatment is surgery to remove the appendix. Prompt surgery reduces the chances that the appendix will burst. Appendix surgery is very common, and most people recover quickly and don’t have to make any changes to their diet or lifestyle afterwards. www.4health.net ww.4h w.

718.646.0131

4HEALTH

DIABETES RAISES RISK OF FOOT INFECTIONS STEPS TO HELP YOU AVOID COMPLICATIONS y Merrell ■■■ Lynn

The American Diabetes Association estimates that one in five people with the disease seek hospital care because of foot problems. Is it possible to avoid these problems and the potential complications that come with them? According to health experts, yes, but you have to start early and get frequent checkups with your podiatrist.

HOW DIABETES AFFECTS THE FEET People with diabetes have high blood glucose levels. Medications and lifestyle changes can help keep these levels under control. Over time, however, the disease can cause two problems that harm the feet: 1. Nerve damage: The National Diabetes Information Clearinghouse states that 60 to 70 percent of patients with diabetes suffer some sort of nerve damage, or “neuropathy.”

Risks increase as patients age—those who have lived with diabetes for 25 years or more are at the highest risk. In addition, those who have trouble controlling their blood sugar levels, who have high blood pressure, or who are overweight, are also more at risk. Nerve damage can affect the legs, hands, arms, legs, toes, and feet. Symptoms may include numbness, tingling, pain, and difficulty walking. 2. Poor blood flow: Patients with diabetes can also experience poor blood flow, or www.4health.net ww.4h w.

4HEALTH what’s called “peripheral arterial disease” (PAD—decreased blood flow to the foot). Since the feet are far from the heart, they often suffer the most from poor circulation. They don’t get enough blood, which means that sores or infections on the feet will take longer to heal.

to heal the wound. Infection follows, and again, because of poor circulation, begins to get worse. Sometimes the infection never heals, and may eventually cause gangrene. The skin and tissue die, and a doctor may have to do surgery to keep the infection from spreading to the rest of the body. That can mean amputating a toe, foot, or even part of a leg.

IT ALL STARTS WITH AN INJURY The biggest danger exists when the foot suffers an injury. A simple blister, scratch, or other wound can start a cascade of problems. Wounds in the feet are common in patients with nerve damage, as the nerves control the oil and moisture in the foot. When they’re not longer working as they should, the foot can become overly dry, and the skin may peel and crack, causing wounds. Calluses usually buildup faster in people with diabetes, as well. Without treatment, these can break down and turn into ulcers or open sores. Nerve damage can also change the shape of the feet and toes, making it more difficult to walk and increasing risk of injury. Once an injury occurs, the poor circulation problems make it difficult for the body

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HOW TO STOP THE DAMAGE According to the Centers for Disease Control and Prevention (CDC), in 2008 alone, more than 70,000 people with diabetes had a leg or foot amputated. People with diabetes were eight times as likely to lose a leg or foot to amputation as people without diabetes. The best way to avoid this traumatic outcome is to take good care of your feet. Watch out for these warning signs: ■ Pain, tingling, burning, or other uncom-

fortable sensations ■ Pain or cramping in the legs, feet, and buttocks ■ A loss of feeling or sensation in the feet

■ Dry or cracked skin ■ Discolored toenails ■ Blisters, sores, ulcers, corns, or ingrown

toenails Lifestyle habits can increase your odds of avoiding foot problems, and include: ■ Avoiding smoking ■ Maintaining a healthy weight ■ Controlling cholesterol and blood pres-

sure ■ Staying physically active ■ Taking medications as directed ■ Checking the feet for sores and injuries

every day ■ Regularly using lotion to keep foot skin

healthy ■ Wearing good fitting shoes ■ Protecting the feet at all times with socks

and shoes Most importantly, make regular appointments with your podiatrist to have complete foot exams. He or she can check the nerves, blood flow, and other factors to help you avoid problems in the future.

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SCREENING FOR DVT SAVES LIVES BLOOD CLOTS RESULT IN HUNDREDS OF THOUSANDS OF DEATHS EACH YEAR ■■■ Colleen M. Storyy In 2003, NBC News reporter David Bloom died at age 40 of a pulmonary embolism caused by a conditioned called “deep vein thrombosis (DVT.” In December 2011, rapper Heavy D died suddenly after arriving home from a shopping trip. He also suffered from DVT and a pulmonary embolism. That same year, tennis great Serena Williams also suffered a pulmonary embolism from DVT, but fortunately, survived to tell the tale. “Real Housewives of Atlanta” star NeNe Leakes recently appeared on the “Dr. Oz” show to talk about her pulmonary embolism scare, which sent her to the hospital late in 2013. She stated she was thankful to be alive, and that her doctor told her most people don’t recognize the symptoms of blood clots and fail to get help when they need it. Public health authorities estimate a total incidence of between 350,000 and 600,000 cases of DVT or pulmonary embolism annually. Now, a new study reports that screening for the disease may help save a lot of lives.

WHAT IS DVT? Deep vein thrombosis is the formation of a blood clot in a deep vein, usually in the leg. The clot may block blood flow, causing swelling and pain. It may also make it difficult to walk. What’s more concerning, however, is that the clot can break free and travel through the bloodstream

to the lungs, where it can cause a “pulmonary embolism”—a blood clot in the lung that can cause damage and even death within hours.

WHAT ARE THE SYMPTOMS OF DVT? This is what’s scary about this disorder. Half of the cases cause no symptoms until the blood clot ends up in the lungs. Symptoms may occur, however, and include the following: Pain or tenderness in one or both legs Warmth in the skin of the affected leg Red or discolored skin in the affected leg Swelling in one or both legs Leg fatigue Visible surface veins If you experience any of these symptoms, talk to your doctor right away. Getting early treatment for DVT can help you prevent a pulmonary embolism in the future. If a blood clot does get into your lungs, you may experience the following: ■ ■ ■ ■ ■ ■

Sudden coughing or coughing up blood Chest pain Rapid breathing or shortness of breath Severe lightheadedness If you have any of these symptoms, call 9-11 or get to the emergency room right away. ■ ■ ■ ■

SCREENING FOR DVT Researchers in the United Kingdom screened all patients admitted to NHS hospi-

tal trusts between July 2010 and March 2012 for DVT using a new venous thromboembolism (VTE) risk screening program. Results showed a significant reduction in deaths from blood clots. They concluded that if all trusts achieved the required quality standard, they could expect to avoid 280 deaths among patients admitted to the hospital for more than three days, and 150 deaths within 90 days of discharge. As our society becomes more sedentary, with long hours spent sitting at the computer, on an airplane, or in a car, more people may become at risk for blood clots in the legs. When the human body is inactive for some time, blood accumulates in the lower limbs, which can increase risk of blood clots. Surgery, cancer, heart disease, birth control pills, inflammatory bowel disease, obesity, smoking, and other factors can increase risk. Though a healthy diet, healthy weight, and regular exercise protects most people, but DVT can come upon anyone without warning, causing life-threatening effects. Doctors can easily test for DVT, using a physical exam, a blood test, ultrasound, and X-rays. Treatment usually includes blood thinning medications and compression stockings, as well as a recommendation to increase activity. If you have any concern whatsoever that you could be at risk, check with your doctor. It’s much better to be safe than sorry. www.4health.net ww.4h w.

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600,000 people a year die due to the complications of venous insufficiency

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Vasscular l Surgery r r | 4HEALTH HE L H

OLYMPIC CHAMPIONS CHOOSE USA VEIN CLINICS RENOWNED FIGURE SKATER FINDS RELIEF FROM LEG PAIN At USA Vein Clinics, our doctors have told many stories of patients who came in suffering from venous insufficiency and varicose veins, barely able to move their legs, and after a very short time, walked out looking completely different, with smiles on their faces and a spring in their steps. Olympic champion Oleg Vasiliev was one of those patients. Here’s his story of how he got rid of symptoms like leg pain, heaviness and burning thanks to the doctors at USA Vein Clinics.

A CHAMPION FIGURE SKATER The name “Oleg Vasiliev” says a lot to the fans of figure skating. Oleg is the 1984 Olympic games champion in pair skating; a 1988 Olympic games silver medalist; three-time world champion (1983, 1985, 1988); champion of Europe (1984-1986); and repeat champion of the USSR. Many will remember his beautiful pair skating with Elena Valova. They were the first pair to perform the parallel triple jump. Now, Oleg Vasiliev lives in Chicago, where he is a figure skating coach. He coaches both children and adults—everyone who loves the sport. Because he’s still on the ice every day, he can’t afford to have problems with his legs, but that’s exactly what started to happen.

SYMPTOMS GET WORSE Oleg began experiencing the early symptoms of varicose veins, including “heavy” legs and muscle cramping, a few years ago. He figured the discomfort was because of the nature of his work and the inevitable consequences of heavy exercise. Like the rest of us, he convinced himself that he was experiencing the normal signs of aging. Before long, however, the pain in his legs grew too difficult to ignore, and Oleg sought help. When he finally went to the USA Vein Clinics, he got only two treatments. Afterwards, he was amazed that his problem was completely gone: no heavy legs, no itching, and no other unpleasant sensations in his legs. Now, less than three weeks after the procedure, Oleg Vasiliev feels great, like he did 20 www.4health.net w.4hea .4

years ago. According to him, he is still on the move all day, but his legs do not bother him anymore.

SHORT RECOVERY PERIOD Oleg told us that the two procedures, which were performed under local anesthesia, didn’t cause him any discomfort, and that he enjoyed watching them on the computer screen. The first one lasted only about 20 minutes and according to him, watching it was like watching an interesting movie. The same week, a similar procedure was performed on his other leg, and Oleg went to work afterwards, as his doctors put no restrictions on his activities. Now, his legs problems are gone. Why did Oleg put off seeking treatment for so long? He told us he had witnessed the mother of one of his students go through a bad experience. This was back in St. Petersburg, and the woman suffered from varicose veins. The pain was excruciating, and she could barely move. When she finally decided to get medical help, she was prescribed a major surgery. Her recovery took several months, was very painful, and her legs had to be constantly bandaged. All together, the surgery and recovery took about six months. Oleg certainly didn’t want to spend six months recovering, so he figured he would go under the knife only when he couldn’t walk at all. Imagine his delight at discovering the alternative non-surgical varicose-vein treatments available at USA Vein Clinics that allow patients to go back to work the same day!

DO NOT POSTPONE THE TREATMENT We are very happy for Oleg Vasiliev, and we hope his experience will help others to realize that varicose veins can be cured without pain, severe consequences or long recovery periods. A large number of happy patients, including famous and ordinary people, trust the professionals at USA Vein Clinics. Visit our website at www.usaveinclinics.com for more information, or call us at 1-718-764-1687. We look forward to helping you live without pain!

YOU’RE IN TRUSTED HANDS

www.USAVeinClinics.com

SPECIALTY: USA Vein Clinics has eight-of-the-art centers specializing in the treatment of venous disorders disorders. Their expert cardiovascular physicians have cured over 10 10,000 000 patients nationwide nationwide.

INSURANCE: The EVLT treatment is covered by MEDICARE and most INSURANCE PLANS up to 100% 100%.

CONTACT:

(718) 764 764-1687 1687 New York 2511 Ocean Ave., Ave Ste. Ste 102 Brooklyn NY 11229 Brooklyn, 2444 86th Str., Str Ste. Ste A Bensonhurst, NY 11214 116-02 116 02 Queens Blvd Forest Hills, NY 11375 1153 First Avenue, Avenue Manhattan NY 10065 Manhattan, New Jersey 766 Shrewsbury Ave., Ste. 300 Tinton Falls, NJ 07724 Boston 1208 «B» VFW Pkwy., Pkwy Ste. Ste 300 West Roxbury, MA 02132 Chicago 3927 W Belmont Ave Ste 103 Chicago, IL 60618 800 Biesterfield Rd Ste 201 Elk Grove Village, IL 60007 4141 Dundee Road Northbrook, IL 60062

LANGUAGES: Armenian, Chinese Armenian Chinese, Farsi Farsi, Greek Greek, Hebrew Lithuanian Hebrew, Lithuanian, Korean Korean, Polish, Polish Russian, Spanish and Ukranian

384HEALTH 4 E L H

| Vascular a c a Surge u erry

OLD AGE MAY NOT BE THE ONLY REASON NEW YORK DOCTOR ANSWERS QUESTIONS ABOUT SORE LEGS AND FEET NAME:

Lev M. KHITIN, MD SPECIALTY: Cardiovascular & thoracic surgery

CERTIFICATION: Board certified in general, general cardiac and thoracic surgery Founder and president of the NY VEiN TREATMENT CENTER

FELLOWSHIP: Fellow of American College of Surgeons and American College of Phlebology

MEMBERSHIPS: Member of American Society of Thoracic Surgeons Surgeons, American College of Cardiology and American Medical Association as well as of many other Association, national and international societies societies, and is recognized world-wide for his achievements in the field of circulation circulation.

CONTACT: 400 East 56th Street Street, Ste 1 New York, York NY 10022 8607 21st Avenue Avenue, Brooklyn, NY 11224

(888) 535-0808 www.ny4vein.com

INSURANCE: All major insurance plans and Medicare

President and leading specialist at the New York Vein Treatment Center Dr. Lev Khitin is board certified in general and cardiothoracic surgery, a Fellow of the American College of Surgeons, a member of the American College of Cardiovascular Surgery and a Fellow of the American College of Phlebology. Today, Dr. Khitin answers our readers’ questions. I have recently noticed that walking at a leisurely pace has become difficult for me. My legs and feet feel heavy, even numb, and I tire easily. I feel better after a brief rest, especially if I sit down, but as soon as I resume walking, the problem comes back. All of the specialists that I have consulted blamed my age as the reason. I think there may be another explanation. Could you advise? (Mark S., Brooklyn) ‘Difficulty walking’ is how most people describe an increase in limitation of their ability to move around. Despite the common belief, old age is never the cause of the problem. How old you are is not an explanation of your health problems. Decreased mobility is a result of abnormalities of blood circulation, such as the superficial venous insufficiency, a frequent cause of the problem you describe. Common complaints of superficial venous insufficiency include difficulty walking or standing for a long period of time as well as heaviness, weakness and tiredness of lower extremities. Cramping at night, swelling of the ankles, a tingling sensation (often referred to as «pins and needles»), burning, and numbness may also occur. As the condition progresses, patients see an increase in swelling, which causes periodic flare-ups of infection. Complications may include

thrombophlebitis, trophic ulcers and bleeding. Deposition of brown pigment is another sign of the condition. If you experience any of the symptoms above, please contact our clinic and we should be able to help. My ankles swell excessively throughout the day. Early in the morning they seem okay, but as the day progresses, they swell so much that I need to go up a shoe size by the evening. Diuretics used to help a few years ago, but are useless now, regardless of the dose. Please help if you can. (Mary K., Queens) Mary, you are absolutely right. Diuretics do not help, since the problem is not the excess of water in your body, but the abnormal distribution of that water between your legs and the rest of the body. Diuretics, unable to recognize the main cause of the problem, simply attempt to rid the body of that water entirely. Fortunately, your kidneys do recognize the problem and stop the diuretics from taking effect. Had the diuretics worked, swelling would have gone down, but you would have become dehydrated, jeopardizing your kidney function as well as that of your other organs. The cause of your symptoms is centered in a specific area of the body—your legs and feet—so the solution should focus on that area as well. Prior to recommending any treatment, as with any other health issues, I urge you to get an accurate diagnosis. Most likely, you do have circulatory problems in the lower extremities. Our clinic could identify the cause of the problem and help you to treat it. Our offices are located in Brooklyn and Manhattan. To schedule an appointment, please call (888) 535-0808. www.4health.net ww.4h w.

4HEALTH

ANCIENT THERAPY GAINING NEW POPULARITY IN WESTERN MEDICINE ACUPUNCTURE – YOUR QUESTIONS ANSWERED. PART 2 g L.Ac ■■■ Ada Kulagina,

If you’re curious about acupuncture and are thinking about trying it, you probably have some questions about what it is and how it works. We talked to Dr. Ada Kulagina, LAC, who specializes in acupuncture in Brooklyn, to get some answers. What is Qi? Qi is a Chinese term for vital energy or life force. In traditional Chinese medicine, qi is believed to regulate a person’s spiritual, emotional, mental, and physical balance, and to be influenced by the opposing forces of yin and yang. What are the principles of acupuncture or how does it work? It is believed that there is energetic substance (called Qi), which is inhaled through

www.4health.net w.4hea .4

the lungs at birth and then circulates through specific channels (called meridians). When Qi gets deficient, out of balance or stagnated, a person will feel unwell and will typically have signs and symptoms of illness or discomfort. Acupuncture helps restore the balance of Qi by cleaning blocked meridians, strengthening deficient organs and calming hyperactive organs. What are meridians? Meridian is a traditional Chinese medicine term for each of the 20 pathways throughout the body for the flow of qi, or vital energy, accessed through acupuncture points. These pathways are believed to affect certain organs or parts of the body. How should I feel during acupuncture? People experience acupuncture differently, but most feel no or minimal pain. Some people are energized by the treatment, while others

feel deep relaxation. If you experience that type of deep relaxation, numbness, or heaviness, it is known as “Deqi” (pronounced duh chee), and is a sign the treatment is working properly. Does acupuncture hurt? The acupuncture treatments themselves typically do not hurt, because acupuncture needles are extremely fine and flexible. Occasionally you will feel a pinching sensation as the needles are inserted. With the needles in place, you may feel pressure, tingling, or aching. This is the Qi in the body and is a desired response. It is not expected to be uncomfortable or painful. The most common experience during treatment is a deep sense of relaxation and well-being. If you do experience any pain or discomfort, advise your practitioner immediately, as your needles may need to be adjusted.

CLASSIFIEDS

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Large beautiful space in the brand new dental office available for rent. Walk-in basement, nice and spacious, for medical practice or esthetician/beautician. Call (718) 376-1090 (917) 400-5300

Call us if you need Mobile Ultrasound Services: Echo, Vascular and General Ultrasound. (917) 750-2275

Ultrasound technologist with five years of experience available for part time. Telephone (917) 412-3797

DENTAL OFFICE for sale (in practice since 1996). Very good location. Call (718) 376-1090 (917) 400-5300

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Internist in Brooklyn is seeking a physician (family practice / internal medicine) and physician assistant to join his busy practice (part time / full time). Please, e-mail resume to mbimpc@aol.com oR fax (718)743-0893

4HEALTH

www.4health.net w.4hea .4

4HEALTH

ALLERGY & IMMUNOLOGY

Lev BARSKY, MD

ENDOCRINOLOGY

Tracey JOSEPH, DDS 1655 Flatbush Ave, Ave Ste A104 Brooklyn, NY 11210

Raisa SHEKHTMEYSTER, DDS th

332 9 St Brooklyn NY 11215 Brooklyn,

(718) 832-1222

728 Oceanview Ave, Ave Ste 1 Brooklyn NY 11235 Brooklyn,

www.azdental.com

(718) 787-0700

Iraklii BUZIASHVILI, MD 2844 Ocean Pkwy Brooklyn NY 11235 Brooklyn,

NEUROLOGY

Tatyana GIRSHIN, MD 248 Ave P Brooklyn NY 11204 Brooklyn,

(718) 376-8300

(888) 224-2040

CARDIOLOGY

3037 Ave U Brooklyn NY 11229 Brooklyn,

(888) 607-9725

Don BANDARI, MD

321 Edison St Staten Island, Island NY 10306

1664 E 14 St, St Ste 101 Brooklyn NY 11229 Brooklyn,

(718) 787-0400

1749 E 16th St Brooklyn NY 11229 Brooklyn,

19 West 34th St, St Ste 1201 New York, York NY 10001

DENTISTRY ORTHODONTICS

DENTISTRY - GENERAL

(718) 980-2525

Lilia LEVITZ, MD

Stephanie YAMPOLSKY, DDS (877) 434-7889

1642 W 9th St Brooklyn, NY 11223 Brooklyn

(718) 375-4747

FAMILY PRACTICE

Vladimir LEMPERT, DMD

Ellen EDGAR, MD

(718) 375-4747

Lucia AVANY, MD

321 Edison St Staten Island, NY 10306

Dmitriy GRINSHPUN, MD 174 Brighton 11th St, St Fl 1 Brooklyn NY 11235 Brooklyn,

2350 Ocean Ave, Ave Ste 8 Brooklyn NY 11229 Brooklyn,

(888) 747-8009

(888) 358-4636 GASTROENTEROLOGY

Yekaterina LEVIN, DDS 7000 Bay Pkwy, Pkwy Ste C Brooklyn NY 11204 Brooklyn,

Eduard LEVY, MD

(888) 838-6212

63 118 Woodhaven Blvd 63-118 Rego Park, Park NY 11374

Adam PRISTERA, DDS

Brilliant SMILE 820 Flatbush Ave Brooklyn, NY 11226

(718) 416-0303

7708 4th Ave Brooklyn NY 11209 Brooklyn,

Irina BERLIN, MD

(888) 502-6245

40 West Brighton Ave, Ave Ste 104 Brooklyn NY 11224 Brooklyn,

DENTISTRY - PEDIATRIC

Sergey ZHIVOTENKO, MD 2797 Ocean Pkwy, Pkwy Fl 2 Brooklyn NY 11235 Brooklyn, 20-04 20 04 Seagirt Blvd Far Rockaway, Rockaway NY 11691

(888) 757-3877

(718) 627-8300 NEUROSURGERY

Yelena OSKOTSKAYA, DDS 7101 4th Ave Brooklyn NY 11209 Brooklyn,

Asya LEVY, MD

(718) 836-1200

63 118 Woodhaven Blvd 63-118 Rego Park, Park NY 11374

(718) 416-0303

Ivan CHAPLIK, DDS 105 Smith St Brooklyn NY 11201 Brooklyn,

Marina KREPKH, DDS

(877) 404-6605

7708 4th Ave Brooklyn NY 11209 Brooklyn,

Alexander BRODSKY, MD

NEPHROLOGY

Amit SCHWARTZ, MD

8622 Bay Pkwy, Pkwy Ste 1 Brooklyn NY 11214 Brooklyn,

948 48th St, St Fl 2 Brooklyn NY 11219 Brooklyn,

(718) 333-2121

(888) 502-6245

(718) 283-7219

INTERNAL MEDICINE

Nataliya SAFONOVA, DDS

DERMATOLOGY

OBESITY MEDICINE

2211 Ocean Ave Brooklyn NY 11229 Brooklyn,

(718) 376-1090 (800) 801-0603

Yana SHTERN, MD

Dmitry EPELBOYM, DDS

1642 W 9th St Brooklyn NY 11223 Brooklyn,

(718) 513-6060

7708 4th Ave Brooklyn NY 11209 Brooklyn,

(888) 502-6245

Leonard LEVITZ, MD 1749 E 16th St Brooklyn NY 11229 Brooklyn,

(718) 375-4747 321 Edison St Staten Island, NY 10306

Victoria ALEKSANDROVICH, MD 3080 W 1st St, St Ste 102 Brooklyn NY 11224 Brooklyn,

(718) 207-7071

321 Edison St Staten Island, Island NY 10306

(718) 980-2525

Prabhakara R. TUMPATI, MD 2003 Bath Ave Brooklyn NY 11214 Brooklyn,

(888) 283-0399

www.4health.net ww.4h w.

4HEALTH OB/GYN - GENERAL

Jason HALPER, MD 5321 Flatlands Ave Brooklyn NY 11234 Brooklyn,

ORTHOPAEDIC SURGERY

David SCHWARTZ, MD 800 Poly Pl, Pl Ste 114A Brooklyn NY 11209 Brooklyn,

(718) 630-3605

OPHTHALMOLOGY

PLASTIC SURGERY

PSYCHOLOGY

Orry EREZ, MD

Zev GENSLER, MD

Roman RAYHAM, MD,

Leona SOKOLOVA,

www.orthobrooklyn.com

150 Sunrise Hwy, Hwy Ste 200 North Lindenhurst, Lindenhurst NY 11757

BOARD CERTIFIED IN PLASTIC SURGERY

LIFE COACH (347) 350-7269

1616B Voorhies Ave Brooklyn NY 11235 Brooklyn, 161 Madison Ave, Ave Ste 11W New York, York NY 10016

lnutritionnyc@yahoo.com

www.metropolitanradiation.com

(888) 400-8086

PEDIATRICS

PAIN MANAGEMENT

(631) 956-7337

OB/GYN - UROGYNECOLOGY

(877) 582-0400 www.nyplasticsurgerycenter.com

PODIATRY

Harout MARGOSSIAN , MD 7206 Narrows Ave Brooklyn NY 11209 Brooklyn,

(888) 404-5046 1529 Richmond Rd Staten Island, Island NY 10304

(888) 538-2717 ONCOLOGY

Leonard BLEY, MD 160 East 56th street, street Ste 900 New York, York NY 10022

David EDELSTEIN, MD (888) 829-5059 www.orthobrooklyn.com

Mikhail MIRER, MD

Leonid VOROBYEV

698 Manhattan Ave, Ave Fl 2 Brooklyn NY 11222 Brooklyn,

2327 83rd St, St # D Brooklyn NY 11214 Brooklyn,

(718) 389-7337

(888) 416-5055 3901 Rt. Rt 516, 516 #1C Old Bridge, NJ 08857

(877) 414-3863 587 Kings Hwy, Hwy Brooklyn NY 11223 Brooklyn,

Birch & BIRCH, DPM

(877) 415-2276 98 14 65th Avenue 98-14 Rego park, park NY 11374

6419 Bay Pkwy Brooklyn NY 11204 Brooklyn,

(877) 395-7283

PHYSIOTHERAPY/ REHABILITATION

(888) 645-1338 482 Manor RD Staten Island, NY 10314

OPTOMETRY

John MUNYAK, MD (888) 829-5059 www.orthobrooklyn.com y

Yelena SHEYDINA, MD 150 Sunrise Hwy, Hwy Ste 200 North Lindenhurst, Lindenhurst NY 11757

(631) 956-7337 PHYSICAL THERAPY

PAIN FREE NYC Anella BAYSHTOK, MD 2101 Ave X Brooklyn NY 11235 Brooklyn,

Margarita BAUMAN, OD

(718) 512-2160

1910 Ave U Brooklyn NY 11229 Brooklyn,

158 06 Northern Blvd 158-06 Flushing NY 11358 Flushing,

Svetlana LUVISH, DPM 520 Neptune Ave Brooklyn NY 11224 Brooklyn,

(718) 946-8586

(718) 759-6979

813 Quentin Rd., Rd Ste. Ste 200, 200 Brooklyn NY 11223 Brooklyn,

(718) 998-9890 www.PainFreeNYC.com

UROLOGY

(718) 445-3700 www.brooklynroc.com

PAIN FREE NYC 780 8th Ave., Ave Ste. Ste 201, 201 New York, York NY 10036

(212) 757-0222 813 Quentin Rd., Rd Ste. Ste 200, 200 Brooklyn NY 11223 Brooklyn,

(718) 998-9890 26 Court St., St Ste. Ste 309, 309 Brooklyn NY 11242 Brooklyn,

Ideal MEDICINE 2519 Ave U Brooklyn NY 11229 Brooklyn,

(888) 987-5751

(718) 488-0188

Paul GLIEDMAN, MD 2101 Ave X Brooklyn NY 11235 Brooklyn,

Ideal OPTICAL

Alina VASILYEVA, DPM

www.PainFreeNYC.com

2116 Ave P Brooklyn NY 11229 Brooklyn, 2646 E 14th St Brooklyn NY 11235 Brooklyn,

7602 5th Ave Brooklyn NY 11209 Brooklyn,

(718) 238-2020

(718) 646-0131

(718) 512-2160

2632 E 14th St Brooklyn NY 11235 Brooklyn, 107-15 107 15 Jamaica Ave Queens NY 11418 Queens,

(347) 508-3991 www.nyui.org

Vladislav RUDNER, PT Michael RISKEVICH, MD 2818 Ocean Ave, Ave Ste 1 Brooklyn NY 11235 Brooklyn,

Aleksandra ZLOTNIK, OD 1910 Ave U Brooklyn NY 11229 Brooklyn,

(718) 759-6979

www.4health.net w.4hea .4

Yuly CHALIK, MD

(888) 849-5101

1901 82nd St Brooklyn NY 11214 Brooklyn,

(718) 490-2416 www.magichandspt.com

4HEALTH

ALTERNATIVE MEDICINE - GENERAL

Vitaly RAYKHMAN, MD th

2632 E 14 St Brooklyn NY 11235 Brooklyn, 107-15 107 15 Jamaica Ave Queens NY 11418 Queens,

NURSING SERVICES/ HOME AIDE

Robert RHEE, MD

LAW

Park PLACE PHARMACY

903 49 St Brooklyn NY 11219 Brooklyn,

160 Park Pl Brooklyn NY 11217 Brooklyn,

(888) 812-8499

(718) 857-4000

Ada KULAGINA, LAC 8635 21st Ave Brooklyn NY 11214 Brooklyn,

(347) 508-3991 www.nyui.org

CenterLight (877) 226-8500

MEDICAL SUPPLY

(888) 410-3442

Ridwan SHABSIGH, MD

Haym SOLOMON NURSING HOME

903 49th St Brooklyn NY 11219 Brooklyn,

2340 Cropsey Ave Brooklyn NY 11214 Brooklyn,

(888) 812-8499

3121 Ocean Ave Brooklyn NY 11235 Brooklyn, 944 Park Ave New York, York NY 10028

Albert GROSS, CNS, NYS, CDN

(888) 983-4055

Globe SURGICAL SUPPLY

90 Broad St, St FL15 New York, York NY 10004

Leon KUCHEROVSKY, ESQ

(888) 418-0442

115 South Corona Ave Valley Stream, Stream NY 11580

(516) 881-7755 www.lkesq.com

(718) 376-8317 www.nylifex.com

(718) 833-8343

2029 Bath Ave Brooklyn NY 11214 Brooklyn,

1942 E 8th St Brooklyn NY 11223 Brooklyn,

(718) 283-7746

8212 3rd Ave Brooklyn, NY 11209 Brooklyn

(212) 668-8400

NUTRITION AND DIETETICS

Alexander SHIFERSON, MD

Gary E. HANNA, ESQ

PHARMACIES

AESTHETIC CENTERS

USA VEIN CLINICS David SHUSTERMAN, MD 201 E 65th St New York, York NY 10021

(212) 931-8533 69 15 Yellowstone Blvd 69-15 Forest Hills, Hills NY 11375

(718) 360-9550

2511 Ocean Ave, Ave Ste 102 Brooklyn NY 11229 Brooklyn, 116-02 116 02 Queens Blvd Forest Hills, Hills NY 11375 1153 First Ave New York, York NY 10065

USA VASCULAR CENTERS 2444 86th St, St Ste A Brooklyn NY 11214 Brooklyn,

(855) 328-5525

(718) 764-1687 www.usaveinclinics.com

MULTI SPECIALTY

Victoria KHABINSKI, VKSKIN SPA

www.drshusterman.com

Nostrand HOUSES PHARMACY 3031 Ave V Brooklyn NY 11229 Brooklyn,

(718) 332-0040

162 Brighton 11th St, St Fll 2 Brooklyn NY 11235 Brooklyn,

VASCULAR SURGERY

(646) 200-5937

READ

4HEALTH

Brooklyn FAMILY HEALTH CARE Lev KHITIN, MD

775 Flatbush Ave Brooklyn NY 11225 Brooklyn,

(718) 484-9101

USA HAIR CLINICS 1153 First Ave New York, York NY 10065 2511 Ocean Ave, Ave Ste 102 Brooklyn NY 11229 Brooklyn, 116-02 116 02 Queens Blvd Forest Hills, Hills NY 11375

8607 21th Ave Brooklyn NY 11214 Brooklyn, 400 E 56th St, St Ste 1 New York, York NY 10022

(888) 535-0808 www.ny4vein.com

(917) 793-5919 www.usahairclinics.com

Family HEALTH CENTER 5379 Kings Hwy Brooklyn NY 11203 Brooklyn,

(718) 480-5555

MAGAZINE ONLINE WWW.4HEALTH.NET 4HEALTH Magazineâ&#x201E;˘ gathers data from a variety of different sources, public and private. While we strive to provide the most accurate, up-to-date information possible, we can't guarantee that our listings are completely free of errors. If you feel some data is missing or inaccurate, please feel free to contact us at any time. Thank you for your support!

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