4Health Magazine #164 by MOO Publishing

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CAN YOU REALLY FREEZE THE FAT AWAY? RECENT REVIEW OF COOL SCULPTING

COULD YOU HAVE AN ULCER? WHEN SYMPTOMS MAY BE SERIOUS

IS WEIGHT-LOSS SURGERY FOR YOU? OPTIONS, SIDE EFFECTS, AND LONG-TERM OUTCOME

RESTLESS LEG SYNDROME HOW TO TELL IF YOU HAVE IT, AND HOW TO TREAT IT

VKSKIN SPA

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President, CEO Dmitriy Khabinski Vice President, CFO Igor Goldberg Editors Colleen M. Story Nataly Smolyanska Contributing Writers Colleen M. Story Lynn Merrell Gordon Barclay Morgan Rice Art Director Nadezhda Evgach Advertising Department 212.738.9230 ext. 701 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 July 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

Can You Really Freeze the Fat Away? Recen Rec nt Revvieew of Cool Scu ulp ptiing

11 10

ALLERGIES: WHY SUFFER? TREATMENTS CAN HELP YOU FEEL BETTER IMMEDIATELY By Dr. Lev Barsky MD

PROTECT YOUR SKIN AND BODY THIS SUMMER WITH NATURAL PRODUCTS Badger, Burt’s Bees, and Boiron Brands Worth a Try

Could You Have an Ulcer?

When Syympttoms May Be Seeriiou us

INTRODUCING MESODERM THERAPY from VK Skin Spa

WHO’S AFRAID OF THE DENTIST? WOMEN IN THEIR FORTIES How to Calm Your Fears and Take Good Care of Your Teeth

A TREATMENT TO IMPROVE DRIVING ABILITY IN PARKINSON’S PATIENTS Deep Brain Stimulation May Help Improve Symptoms

Is WeightLoss Surgery for You?

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

Options, Sidee Effeectts,, an nd Lo ongTerrm Outccom me Examining 3 Myyth thss off Bun nion Surgeeryy

MY CONTACT LENSES ITCH AND HURT Causes and Solutions for Contact Lens Discomfort

ALL ABOUT THE MAMMOGRAM New Digital Technology Makes Diagnosis More Accurate

HORRIFIED BY YOUR VIDEO CHAT PROFILE? CONSIDER A CHIN IMPLANT By Dr. Roman Rayham

Restless Leg Syndrome

How to o Telll iff You Have It, and How to o Treeatt It

34 Antidepressants During Pregnancy— Are They Safe?

COULD YOU HAVE POSTPARTUM DEPRESSION? Signs and Symptoms

WHAT DOES A PODIATRIST DO? How to Tell When You Should See a Foot Doctor

SORE LEGS AND FEET—A SIGN OF SERIOUS HEALTH PROBLEMS? USA Vein Clinics on a Non-Invasive Treatment

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

Studies Show w Risskss of Birrth h Defeects

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8 4HEALTH 4 E L H

| Allergy l g

ALLERGIES: WHY SUFFER?

TREATMENTS CAN HELP YOU FEEL BETTER IMMEDIATELY

NAME:

Lev BARSKY, MD SPECIALTY: Allergy & Immunology

CERTIFICATION: Diplomate of American Board of Allergy & Immunology

FELLOWSHIP: Fellow of American College of Asthma Asthma, Allergy and Immunology

It’s summertime, which for most of us, means fun outdoor activities in the sun. If you’re bothered by allergies, however, most likely your sunny days are marred by watery eyes, sinus congestion, runny nose, sneezing, coughing, headaches, sore throats, or itchy skin. Fortunately, you don’t have to continue to suffer from these irritating symptoms. A qualified allergy doctor can discover what you’re allergic to, and offer treatments that provide easy relief.

WHAT CAUSES ALLERGIES? Allergic ailments are caused by an «overreaction» of the immune system to various environmental substances. The immune system perceives some elements of the environment as a threat to the body and tries to «defend» against them. The major form of defense is an inflammatory response, which is why clinical symptoms of allergic ailments and infectious illnesses are very similar and tend to overlap.

TYPES OF ALLERGIC RESPONSES

CONTACT: 728 Ocean Ave Ave. Brooklyn, NY 11235

(718) 787-0700 INSURANCE: All major insurance plans and Medicare

Allergens can be divided into two large groups: 1) those that we encounter outside our homes, such as pollen from various plants, and 2) those that are present inside our homes, such as dust or mildew. Different plants produce pollens at particular times of the year. As a result, people sensitive to tree pollen will experience an “acute exacerbation,” or flare-up, of symptoms when trees blossom. In the New York area, this period stems from April until early June. Likewise, people with hypersensitivity to autumn grasses, such as wormwood or ragweed, will begin to feel allergic symptoms in the fall, between August and October. Very often, individuals are sensitive to several allergens, and thus the duration of their symptoms is considerably longer. This pertains particularly to people who are sensitive to allergens that are present inside houses and apartments, ranging from domestic dust and mold (fungi), to hair and saliva of various animals (so-called indoor allergens). Such people may show continuous allergic symptoms all year long. Symptoms may include headaches, sore and burning throat, itching and irritation of the eyes, and coughing. People who experience mild continuous symptoms due to household allergies

often fall victim to flare-ups in the spring and fall, as well. Allergic diseases are not limited to symptoms connected with upper airway passages, however. Other prevalent allergic ailments include bronchial asthma (with symptoms of wheezing, shortness of breath, chest tightness, and/or coughing), and asthmatic bronchitis. Of those who suffer from bronchial asthma, 50% of adults and 80% of children have allergies.

IDENTIFYING TRIGGERS WITH SKIN TESTS The most common method of identifying allergens to which an individual is sensitive through various types of skin tests. Conducted by doctors who are allergy specialists, these tests are safe and take a minimal amount of time. Results are usually available within fifteen minutes. Knowing the substances which a person may be sensitive to enables the allergist to use effective preventative measures and treat allergic diseases. Preventative measures and treatments, in general, are carried out using a combination of different medications selected by a doctor to meet the particular needs of each patient.

TREATMENTS CAN HELP YOU FEEL BETTER For those who suffer from allergy symptoms three months or more throughout the year, and want to be cured permanently, doctors might recommend injections of allergy provoking substances (such as tree pollen, animal hair, or mold), which are highly diluted in water. Patients following this therapy become “immunized,” or desensitized, to the allergens. This method is called immunotherapy, or «allergy shots.» Numerous studies have shown that the success of immunotherapy exceeds 80%. If you suspect you have allergies, you can make an appointment with a board-certified allergist, and, in many cases, walk out of the office with the mystery of your ailments instantly solved. There may be things you are exposed to that you can simply avoid. An allergist will often suggest how you can make changes in your home and work environment, so that symptoms are relieved. In addition, an allergist may prescribe a safe, non-habit forming medication that can offer fast relief from symptoms that may have been bothering you for years. www.4health.net ww.4h w..

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CAN YOU REALLY FREEZE THE FAT AWAY? REC CENT REVIEW OF COOL SCULPTING y Merrell ■■■ Lynn

In 2010, a new way of removing fat came to the market. Called “cryolipolysis,” or “cool sculpting,” it promised to “freeze the fat away” from troublesome areas like the belly and inner thighs. Since then, a number of patients have tried it, seeking to get rid of stubborn fat that wouldn’t move even after dietary changes and extra exercise. Does the procedure work as expected? A group of plastic surgeons from Southern California decided to find out by conducting a large review. Here’s what they found, and how you can tell if you may be a candidate.

WHAT IS COOL SCULPTING? The technology was developed by doctors at Harvard University and the Massachusetts General Hospital, who noticed that fat freezes a lot faster than other substances, like skin. They noticed that children who regularly sucked on popsicles growing up got dimples, because the cold fought off the fat cells in their cheeks. Delving into the science, they soon released studies showing that subcutaneous fat cells — those that are under the skin — are more susceptible to cold than other tissues. Further, they found that when these cells were exposed to cold temperatures for a certain period of time, they went through a gradual degradation process that led to cell death.

They then developed a machine that could provide this cooling effect, which was later approved by the FDA for use on the abdomen and the flanks. The technology works by cooling the fat cells under the skin, after which they gradually die and are eliminated from the body.

WHAT IS THE PROCEDURE LIKE? First, patient and doctor talk about where the patient would like to get rid of fat. They then select the areas to be treated, and map out a plan of attack. Getting rid of a muffin top, for instance, is likely to require more than one treatment. During the procedure, the patient lies down, and the doctor positions the device on the designated area. It then vacuums up the bulge between two cooling panels and begins cooling. The patient can read or listen to music while the cooling is taking place. When the allotted amount of time has passed, the doctor removes the device and allows the area to return to room temperature. Results aren’t instant, as the fat needs time to gradually die off and disappear. Visible effects usually occur after three weeks, and continue to improve for up to about 12 to 14 weeks.

DOES IT WORK? Researchers reviewed data from over 500 patients who went through cool sculpting between January 2010 and December 2012.

They found that it was highly effective at reducing subcutaneous fat volume, with few side effects. Only three cases of mild or moderate pain were noted, and these were rapidly resolved. The popularity of the procedure also increased over the two years, with a growing demand among men, though over threequarters of the patients were women. “Our review showed that cryolipolysis is not only safe and effective for nonsurgical localized fat removal, but also provides high patient satisfaction levels,” said lead author Grant Stevens, M.D. Treatment areas included primarily the abdomen, but also the left and right flanks, inner thighs, back, and outer thighs.

AM I A CANDIDATE? The best candidates for cool sculpting are those who are relatively fit, but have some unattractive fat bulges that they’d like to get rid of, and haven’t been able to reduce through regular diet and exercise methods. If you’re looking for “spot reduction,” for instance, this may be the procedure for you. It’s not intended for overall weight loss or obesity. Once the fat cells are gone, they’re gone for good, so as long as patients continue to follow good health practices, they should be able to maintain their results. For more information, talk to your plastic surgeon today. www.4health.net ww.4h w.

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WHO’S AFRAID OF THE DENTIST? WOMEN IN THEIR FORTIES HOW TO CALM YOUR FEARS AND TAKE GOOD CARE OF YOUR TEETH g Rice ■■■ Morgan

Over the last decade, a number of dental offices have gone through design changes that make them more appealing for children. Play areas, fun colors, animal figures, and more help make kids feel more at ease when visiting a dentist. According to a recent study, however, those offices may have fallen short of what they really needed to do to reduce fear in their customers.

A bit of dark chocolate, a nice smelling candle, comfortable chairs with pillows, and some fresh flowers may have been warranted, considering that researchers found women in their forties were the most likely to be afraid of going to the dentist.

40-YEAR-OLD WOMEN AFRAID OF THE DENTIST Researchers from the University of Sydney, Australia, found that women in their 40s were more likely to suffer from dental anxiety and www.4health.net ww.4h w.

4HEALTH phobia than any other age group. The fear is so bad that these women are incapable of having a filling, extraction, or even a routine checkup without using a general anesthetic or other form of sedation. Why would women be so afraid? Researchers noted they were more likely to have had a traumatic dental experience, oro-facial trauma, or even to have suffered from abuse or other difficult experiences in the past. Other traumatic experiences not related to the dentist” office could also cause fear that would be transferred to dental appointments. Lead researchers Dr. Avanti Karve noted that a recent survey found that people with severe dental anxiety will wait an average of 17 days — when they are in severe pain — before they will make a dental appointment. Other people wait an average of only three days. She also noted that dental fear is reported in up to 40 percent of the western population, and recommends that dentists take the issue seriously.

HOW WOMEN CAN COPE We all know that good oral care is critical not only to the health of teeth and gums, but to the health of the body, as well. According to Harvard Health Publications, for example, several species of bacteria that cause gum disease have been found in the narrowed arteries in the heart and elsewhere in the body. This plaque can increase risk of a heart attack. Inflammation in the mouth can also increase inflammation in the rest of the body, again, increasing the risk of heart attack and stroke. What can you do if you’re frightened of going to the dentist? Following are several things you can try. The important thing is to speak to your dentist about your fear. Don’t be embarrassed, as many other people feel the same way. If your dentist isn’t willing to help make you comfortable, you may want to try another dentist who will.

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Talk first. If you’re going to a new dentist office for the first time, or if you want to talk to your dentist about your fears, request a sit-down meeting. That way, you and your doctor can talk face-to-face before you have to be tipped back in the chair. You can get your questions answered, and see if your doctor can put you at ease with some helpful suggestions. Evaluate your dentist. Some dentists are plain intimidating. They may not realize it, but their demeanor may be enough to frighten you, especially when you’re pitched backwards and they’re looming over you. Find a dentist who has a more empathetic manner, or one that has a sense of humor that makes you feel more comfortable. Rock to the beat. The loud noises of the dental tools can freak out some people. Take your own headphones or ask for music, earplugs, or noise-canceling headphones to help diminish the ugly sounds. Listening to music or a funny podcast in the waiting room can also help tame anxiety. Ask about the dreaded chair. Is there anything that makes you feel more out of control than that upside-down chair? Ask your dentist if he can compromise with you and lay it back only halfway. Perhaps he has some pillows that can make it more comfortable. I can’t breathe! So-called “mouth breathers’ may find it difficult to breathe through their noses during treatment — especially if it’s allergy or cold season. Try taking a nasal strip with you or ask for nitrous oxide, which may help. Speak up. Anytime anything feels uncomfortable, don’t be afraid to speak up. A good dentist will want you to be relaxed while he’s working, so don’t hesitate to raise a finger if something feels wrong.

4HEALTH

lis BEE POLLEN Human n beings have long coveted the products of the honeybees. In pre-industrial times, they raided hives for honey and wax, and of course, we still continue to prize both. Bee pollen, however—the precious grains of flower pollen collected by honeybees from a diversity of plants—is a great source of a variety of antioxidants, vitamins, and minerals, and has been traditionally used as an antiaging and energy food. Known as “life giving dust,” it was used as far back as the time of the ancient Egyptians as a way to maintain health and vitality. Today, Americans have access to many imported bee pollen products, but most of these are highly processed to lengthen shelf life and eliminate costs for proper storage. BeeLis pollen, however, is naturally made with no harsh chemicals to harm the delicate nutritional qualities.

WHAT IS BEE POLLEN? Bee pollen, also called “bee bread” or “pollen ball” is a mass of pollen packed by worker honeybees into granules with added honey or nectar. As the bees go from flower to flower, they collect pollen from the flowers on their feet and bring it back to the hive, where they pass it on to another worker bee. The second bee will then pack the pollen into a “brood cell,” adding nectar, enzymes, and other organisms that transform the pollen into bee pollen. The resulting material contains nutrients, fatty acids, and protein.

WHAT ARE THE BENEFITS OF BEELIS BEE POLLEN? Bee pollen, like that found in BeeLis products, has been used for centuries to boost energy, strengthen immunity, tame allergies, speed wound healing, ease depression, alleviate headaches, improve fertility in males and females, calm menstrual cramps, and restore lost sexual desire.

Early scientific studies s that hint at the broad potential of this nutrient-rich substance: Allergies: A 2008 animal study found that daily supplementation with bee pollen provided an anti-allergic action. A second study found that “myricetin,” one of the flavonoids in bee pollen, was responsible for this antiallergic effect. Antioxidant: A 2009 study found that bee pollen offers powerful antioxidant benefits, which may have anti-aging benefits. Osteoporosis: Early animal studies suggest that bee pollen may hold promise in treating osteoporosis. Bee pollen boosted bone levels of calcium and phosphate, and protected against bone loss. Anti-inflammatory: In a 2010 study, bee pollen showed a potent anti-inflammatory effect, helping to reduce swelling and inflammation in animals with paw edema. This property may also contribute to bee pollen’s wound-healing and anti-aging benefits. Anti-microbial: Researchers in 2011 found that pollen is rich in flavonoids and phenolic acids that provided free-radical scavenging activity, along with a strong antimicrobial action. It was particularly beneficial against bacteria like staphylococcus and streptococcus. You Can Buy BEELIS Products at: TRAVYANAYA APTEKA 274 Brighton Beach Ave., Brooklyn, NY 11235 (718) 648-0002 Ocean Pharmacy 1929 Kings Hwy, Brooklyn, NY 11229 (718) 998-9595 My Choice Pharmacy 924 Kings Hwy, Brooklyn, NY 11223 (718) 375-7700 NetCost Market Stores

These properties can aid in wound healing, anti-aging, and immune-boosting benefits.

BEELIS POLLEN FROM AMISH FARMS The harsh manufacturing process applied to most bee pollen products risks destroying the fragile mix of beneficial nutrients. Heat and chemicals damage and even obliterate enzymes and flavonoids, creating a product that is much less effective than the original natural pollen. In fact, manufactured bee pollen loses 50 percent or more of its healthy properties. BeeLis bee pollen is from the most natural source—Amish bee pollen. This pure product contains no chemicals and is collected from bee apiaries from the most top-quality Amish farms, which have been recognized by several media channels. The difference is huge, and your body will be able to tell. BeeLis pollen preserves all the vitamins, minerals amino acids, and antioxidants that one needs to maintain a healthy lifestyle. Try supplementing once a day and see if you don’t feel a stronger, g more energetic g zest for life!

4HEALTH

COULD YOU HAVE AN ULCER? WHEN SYM MPTOMS MAY BE SERIOUS

g Rice ■■■ Morgan

Janet was concerned. Over the last several months, everything she ate seemed to upset her stomach. She was trying to choose healthier foods, but her stomach was still acting up, causing pain, heartburn, and indigestion. Her bowel movements were not the same, either, though she was embarrassed to tell her doctor. Sometimes, they looked unusually dark. Janet told her friend, Darla, about her symptoms. Darla recommended she see a gastroenterologist. “It could be an ulcer,” she said. If you’re having symptoms like Janet’s, you may wonder if you, too, could have an ulcer. Here’s how you can tell if you need to make an appointment with your doctor.

WHAT IS AN ULCER? An ulcer is literally a sore — an open, painful wound. Though it can occur in several places in the body, here we’re talking about “peptic ulcers,” which form in the lining of the stomach, small intestine, or esophagus. (These are also called “gastric ulcers.”) Like a mouth ulcer or canker sore, a peptic ulcer is often painful, particularly at night. It used to be that people thought spicy foods and stress caused ulcers, but today we know the more likely cause is a type of bacterium

called “Helicobacter pylori (H. pylori).” About two out of every three ulcers can be traced to an infection with this bacterium. The overuse of anti-inflammatory drugs like ibuprofen, aspirin, and naproxen is the other most likely cause, though viral infections, Crohn’s disease and stomach cancer may also be to blame in more rare cases.

HOW DOES AN ULCER FORM? The stomach is home to a good amount of digestive acids that help break down the foods you eat. The tissues in your digestive tract are usually protected from these acids by a healthy layer of mucus. If the tissues in the lining are damaged somehow, however — such as by bacteria or anti-inflammatory drugs — the area becomes vulnerable to stomach acids, and an ulcer can result.

WHAT ARE THE SYMPTOMS? How do you know if you may be suffering from an ulcer? It’s not always clear-cut, which is why you should ask your doctor if you’re wondering about it. Some typical symptoms include a burning or gnawing pain just below the ribcage (typically between meals and at night as the stomach empties), nausea, vomiting, weight loss, indigestion, blood in the stool, and light-headedness. The pain of an ulcer may last for a few minutes to a few hours, and can also come

and go over a long period. Antacids relieve it, as does eating acid-buffering foods. Sometimes, people have unusual symptoms, like an inability to drink a lot of liquids, or a mild nausea first thing in the morning. Some have no symptoms at all. Blood in the stool is the most serious of all symptoms, as it can cause weakness and anemia.

HOW DOES THE DOCTOR FIND OUT? Only a doctor can tell you for sure if you have an ulcer. There are a number of tests he or she can use to determine a diagnosis. These include blood, stool, and breath tests, which can detect the presence of H. pylori. The doctor may also choose to use an endoscopy, in which a tiny telescope is passed down the esophagus to allow a peek inside the stomach. Biopsies are also sometimes used as part of an ulcer diagnosis. During the endoscopy, the doctor takes a small sample of the tissue in and around the ulcer. These are then sent for testing to rule out any potential cancerous cells. If the diagnosis shows you have an H. pylori infection, the doctor will likely prescribe antibiotics to kill the bacteria and help the stomach tissue to heal. Meanwhile, you may want to take antacids to decrease stomach acid and ease pain, but it’s best not to take these long-term, as they can have serious side effects. www.4health.net ww.4h w.

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IS WEIGHTLOSS SURGERY FOR YOU? OPTIONS, SIDE EFFECTS, AND LONG-TER RM OUTC COME

■■■ Gordon Barclayy If you’ve struggled with your weight for a long time and you’re frustrated that none of the diet or exercise programs you’ve tried have worked, you may be thinking about weight-loss surgery. Though once considered a last resort for obese people with serious health risks, surgery is more mainstream today, with celebrities like Roseanne Barr, Sharon Osbourne, Al Roker, and Randy Jackson all going under the knife to shed some pounds.

WHAT IS WEIGHT-LOSS SURGERY? Medically termed “bariatric” surgery, weight-loss surgery helps patients with a body mass index (BMI) over 35 to lose weight, lowering the risk of health issues associated with obesity. There are two basic types of surgery: Restriction: This type of surgery restricts how much food you can eat by limiting how much food the stomach can hold. Some examples include gastric bypass and laparoscopic gastric banding. Malabsorption: This type of surgery shortens or bypasses part of the small intestine (rather than the stomach) reducing the amount of nutrients the body absorbs. These types of procedures are often combined with restrictive procedures to produce the end re-

sult. An example includes the “biliopancreatic diversion (BPD)” surgery.

DO THEY WORK? In general, people lose more weight with more invasive procedures like gastric bypass, as opposed to the less invasive gastric banding. The more invasive procedures come with more risks, however, such as nutritional deficiencies, and gastrointestinal symptoms like diarrhea and bloating. These procedures are also irreversible, whereas gastric banding, for example, can be undone. Whichever one you choose, odds are very high that you’ll lose weight. A 2013 study, for instance, found that severely obese patients who went through gastric bypass or laparoscopic adjustable gastric banding had experienced substantial weight loss three years after surgery.

CHANGES IN LIFESTYLE You go through surgery, and you lose weight. Does it stay off? A lot of it depends on you. After the procedure, patients need to make changes in their lifestyle to increase the odds of a healthy long-term outcome. Doctors recommend sticking to a healthy diet, getting regular exercise, and avoiding troublesome foods like high-fat and high-sugar items that are more likely to cause stomach upset.

So far, studies show that most patients do experience lasting weight loss and the health benefits that go with it. They’re likely to have fewer obesity-related illnesses like diabetes, heart disease, and sleep apnea. They are often more active than they were before the surgery, and may be able to get off some of the medications they were taking before the procedure. There may be some side effects, though, including gas and diarrhea, incontinence, gallstones, and ulcers, though these are often dependent on diet as well. A smaller percentage of patients may gain the weight back. This is likely because it can be difficult to stick with dietary and lifestyle changes that are necessary to maintain the new weight, particularly after a couple years have gone by. Old habits die hard, and patients may return to eating too much or failing to get enough regular exercise. A 2012 study looked at the pros and cons of weight loss surgery, and concluded that it remains the most effective treatment option for severe obesity — as long as “the individual is motivated to make the lifestyle changes required.” A 2013 study found that gastric banding resulted in long-term weight loss that was still present 15 years after the surgery. Your doctor can give you more information. Weight-loss surgery is a major decision, so take your time and carefully examine both the benefits and the risks. www.4health.net ww.4h w.

4HEALTH

A TREATMENT TO IMPROVE DRIVING ABILITY IN PARKINSON’S PATIENTS DEEP BRAIN STIMULATION MAY HELP IMPROVE SYMPTOMS

■■■ Colleen M. Storyy If you have Parkinson’s disease, driving may be difficult at times. As long as your symptoms are under control, you’re fine, but on days when you experience shaking or other involuntary movements, it can be more difficult and sometimes, downright dangerous. A recent study suggests that a treatment called “deep brain stimulation (DBS)” may help improve driving ability and safety in those with the disease. Here’s more, and why you may want to talk to your doctor about the treatment.

affected area of the brain. Then he actually uses a device called an “implantable pulse generator (IPG),” which is similar to a heart pacemaker, to deliver electrical impulses to the selected areas. During the procedure, the surgeon inserts a thin, insulated wire (the lead) through the skull and into the brain. This lead then connects to the IPG, which like a heart pacemaker, is implanted under the skin near the collarbone or lower in the chest. Once the procedure is complete, the IPG sends the electric impulses through the lead and into the brain. These impulses interrupt the normal brain signals and help to reduce the symptoms of Parkinson’s disease.

WHAT IS DEEP BRAIN STIMULATION? The National Institute of Neurological Disorders and Stroke (NINDS) states that DBS is a “surgical procedure used to treat several disabling neurological conditions — most commonly the debilitating motor symptoms of Parkinson’s disease (PD), such as tremor, rigidity, stiffness, slowed movement, and walking problems.” Currently, the treatment is used only in those patients who have symptoms that aren’t controlled with medications. The goal is to inactivate areas of the brain that are causing the symptoms through the use of an electric impulse. The neurosurgeon uses magnetic resonance imaging (MRI) to scan and identify the

HOW THE PROCEDURE CAN IMPROVE DRIVING In a recent study, researchers compared 23 people who had deep brain stimulators with 21 who had Parkinson’s disease, but did not have stimulators, and 21 people who did not have the disease. All had been driving at least once a week for more than 30 minutes within the previous three years. Each group then went through tests in a driving simulator. The first group (who had stimulators) was tested three times — once with the stimulator on, once with it off, and once with it off after they took the Parkinson’s medication levodopa.

Results showed the following: ■ People with Parkinson’s without stimula-

tors didn’t drive as well as those with them. ■ People with stimulators performed just

as well as those without the disease, and even performed better in one category. ■ Those with stimulators had an average of 3.8 slight driving errors, compared to 7.5 for those without the disease, and 11.4 for those with the disease but without stimulators. ■ Those with the stimulators on performed better than those who took levodopa but had the stimulator off. Researchers concluded that DBS might help improve motor problems, thereby enhancing driving skills.

MIGHT DBS HELP YOU OR A LOVED ONE? If you’re having trouble controlling your symptoms with medication alone, talk to your neurologist about DBS. Some patients have found they could actually cut back on drugs after being implanted with an IPG. Though the electrical stimulation does not slow the progression of the disease, it may help patients to function better for longer. It’s not for everyone, however, as in some cases, it may worsen cognitive symptoms, so always ask questions to determine what’s best for you. www.4health.net ww.4h w.

4HEALTH

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Diagnostic Testing: EMG NCS (electroNyograQhy aOd Oerve coOductioO study) SSEP BAER VNG TCD EEG (electroeOceQhalograQhy) etc. The Qatie Ots are cP NJOg to Dr. Cohe O Gor QrP QF S diagO osis BO d re tur O Gor treatN eOU BOE BEWise!

Dr. Cohen participates in COURT TRIALS as an expert witness, offering expertise on neurological injuries resulting from motor vehicle accidents, work-related incidences, and other traumas. MEDICARE MA+03 */4URANCES WORKER COMPENSA5*0/ "/% NO-FAUL5 */4UR"/$& ACCEPTED

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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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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MY CONTACT LENSES ITCH AND HURT CAUSES AND SOLUTIONS FOR CONTACT LENS DISCOMFORT ■■■ Colleen M. Storyy Contact lenses allow many people to see clearly without having to wear glasses, which is a wonderful thing. Wearing contact lenses, however, can be uncomfortable. There’s the dryness, itching, blinking, and blurriness, and sometimes, rewetting drops don’t help. Doctors estimate that up to half of all contact lens wearers experience contact lens discomfort (CLD). What causes it, and what can you do to make your contacts easier to wear?

WHAT CAUSES LENS DISCOMFORT? Contact lenses can be uncomfortable for a number of reasons. Here are a few of them: Allergies: Pollen, dust, dander, and other thing in the air can stick to the surface of the lenses, causing irritation, weeping, and redness. Poor fit: Everybody has a unique shape to their eyes, and the lenses need to be shaped to fit properly. If they’re not quite right, you may experience irritation and vision changes. Improper cleaning: If you’re not regularly cleaning your lenses, debris and germs can build up on the surface, irritating the eyes and potentially causing infections.

Cleaning solutions: Some brands of cleaning solutions work better than others for certain types of contact lenses. If you’re using one that’s failing to remove build-up, you may experience discomfort. Some people may be sensitive to some of the ingredients in the contact lens solution, as well — often to the preservatives. Age: As contacts age, they are more likely to have buildup on the surface. It’s important to always replace old contacts with new ones as the doctor suggests. Time of wear: If you wear your contacts for a long time without taking them out to clean them, they can create irritation, dryness, and itching. Always follow the manufacturer’s recommendations for weartime. Dry eyes: If you have dry eyes in general, contact lenses will be uncomfortable. Dry eyes may be caused by age, medications, hormonal changes, smoking, long hours in front of the computer, and more.

HOW TO MAKE CONTACT LENSES MORE COMFORTABLE If you love your contact lenses, but don’t love the irritation and redness, try the following tips to enjoy more comfortable wear. Check with your doctor: This is the only way you can determine if your contact lenses are fitting improperly. Tell your doctor about the www.4health.net ww.4h w.

4HEALTH discomfort, and ask him or her to check the fit. If the fit is good, ask for other recommendations to make them more comfortable. Make sure your hands are clean: If your contacts burn when you put them on, it may be because they are picking up traces of soap, lotion, or other substances on your hands. After you wash your hands, make sure you rinse them really well before handling your contacts. You may also want to try fragrance-free soaps. Try a preservative-free option: If you still notice burning when you first put your contacts on, you may be sensitive to the solution. Try one of the preservative-free options on the market. You may also want to ask your doctor about daily disposable contact lenses that you can throw away at the end of each day. Check your medications: Some medications, like antihistamines and blood pressure medications, can dry out your eyes, making contacts uncomfortable. You can check with your regular doctor about alternatives, or take eye drops with you. You may also ask your eye doctor about prescription eye drops and contacts that are made specifically for dry eyes. Ask about silicone hydrogel lenses: If you regularly wear your contacts all day long and find youâ&#x20AC;&#x2122;re experiencing discomfort at the end of the day, as your doctor about these. They allow more oxygen into the eye, limiting dryness and irritation. There are also some contact lenses that have been specially developed to help relieve dryness, like CooperVisionâ&#x20AC;&#x2122;s Proclear. Consider supplements: Research has shown that omega-3 fatty acids (in salmon and other fatty fish and flaxseed oil) can help improve tear quality, which may reduce the symptoms of dry eyes. Try a fish oil supplement or add more fish, flaxseed, and walnuts into your daily diet.

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ALL ABOUT THE MAMMOGRAM

NEW DIGITAL TECHNOLOGY MAKES DIAGNOSIS MORE ACCURATE ■■■

Farzam Kashanian, MD

WHAT IS A MAMMOGRAM? A mammogram is a low dose breast X-ray that can detect small cancers that palpation (a physical examination) alone cannot detect. It is a screening test that can help to effectively protect you against breast cancer.

WHY IS MAMMOGRAPHY IMPORTANT? Annual mammograms can detect early cancer, when it is most treatable. A mammogram can show a cancer well before a patient or physician can feel it. The American College Of Radiology, the American Cancer Society, and The Society Of Breast Imaging recommend that women receive annual mammograms starting at age 40.

WHAT IS A DIGITAL MAMMOGRAM? Digital mammography is another method of acquiring an x-ray and works much like creating a digital photograph. Digital mammography allows radiologists to adjust and manipulate x-ray images more effectively in order to obtain a better view and to make

an accurate diagnosis. Digital mammography is especially beneficial to women with dense breasts (high in glandular and connective tissue).

HOW IS A MAMMOGRAM PERFORMED? A specially qualified radiology technologist will perform the exam and a radiologist will then examine the images and interpret them. In order to obtain the mammogram, a technologist will compress the breast using a compression paddle, designed for this type of exam. The compression may be uncomfortable for a few seconds, but should not be a painful procedure. Two images of each breast are generally obtained.

WHAT HAPPENS AFTER THE MAMMOGRAM? Once the digital mammogram has been performed, the computer-generated images are transferred into a computer-aided detection (CAD) system for analysis. The CAD system highlights potential areas of concern. The computer provides a valuable second read that increases the chances of detecting breast cancer in its earliest stages.

HOW TO PREPARE PRIOR TO THE EXAM. Do not wear deodorant, talcum powder or lotion under your arms on your breasts on the day of the exam. These can appear on the mammogram as calcium spots. Do not schedule your mammogram for the week before your period if yours breasts are usually tender during this time. The best time for a mammogram is one week following your period. Always inform your doctor or x-ray technologist if there is any possibility that you are pregnant. Mammography has helped reduce breast cancer mortality in the U.S. by nearly onethird since 1990. Three-quarters of women diagnosed with breast cancer have no family history of the disease and are not considered high risk. One in six breast cancers occur in women aged 40–49. If breast cancer is detected early enough, 97% of women will be alive five years later. If detection is late, recovery and survival percentages fall considerably. SELECT DIAGNOSTIC IMAGING 2350 Ocean Ave, Ste 4 Brooklyn, NY 11229 877-285-8423 www.4health.net ww.4h w.

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| Plastic la i Surgery S g y

HORRIFIED BY YOUR VIDEO CHAT PROFILE? CONSIDER A CHIN IMPLANT PROCEDURE GAINS POPULARITY AS FACE-TO-FACE VIDEO CHAT EXPANDS NAME:

Roman RAYHAM, MD SPECIALTY: Plastic and Reconstructive 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

What’s the fastest growing plastic surgery procedure? You may guess “breast implants’ or “butt lifts.” These surgeries are popular, but neither is the correct answer. Recent statistics from the American Society of Plastic Surgeons (ASPS) show chin augmentation, or the “chinplant,” is the fastest growing plastic surgery trend among both men and women. Between 2010 and 2011, there was a whopping 71 percent increase in the number of procedures performed in the U. S. In fact, in 2011, chin augmentation grew more than breast augmentation, Botox, and liposuction combined. Why reshape the chin? The ASPS states that as the baby boomers remain in the workplace, they want to continue to look young and energetic, and chin augmentation is a good way to sculpt not only the chin, but the jaw line, restoring a more youthful look. The increased use of video chat technology also seems to be playing a part, as people are more likely to notice a double chin or sagging jaw line on the screen. Plastic surgeon Dr. Rayham of the RR Plastix/ New York Plastic Surgery Center performs these procedures often, and states that he can do them in his office under local anesthesia in most cases. “Facial fullness, definition, and profile are usually significantly improved with placement of a chin implant,” he says. Want to improve your appearance for work, video chats, or just for your own confidence? Read on to find out if you may be a candidate.

WHAT IS A CHIN IMPLANT? Medically termed “mentoplasty,” a chin implant helps redefine and balance the face. We may not often think about the chin, but like the eyebrows, it helps finish and frame our look. Who ever thought having a “weak” chin was an attractive thing? In fact, plastic surgeons will often recommend a chin implant along with cheek or nose surgery, as they know that only when

the chin is in balance with the rest of the face will the person truly look younger. During the actual procedure, the surgeon makes a small incision within the mouth or under the chin, and then inserts a custom-fitted implant in front of the chin bone and under the muscles, securing it with sutures or screws. The implant may be made of real bone or out of synthetic materials like silicone, Teflon, or Dacron. Depending on the case, he may also need to sculpt the existing bone or fat deposits to create the desired results.

HOW LONG DOES IT TAKE TO RECOVER? Recovery typically takes about a week — that’s when you can go back to your normal activities. After about three to six weeks, most of the swelling is gone and you’ll be able to see the beginning results of the surgery. You may still feel some numbness or stretching in the chin for up to three months.

AM I A CANDIDATE? You may be a good candidate for a chin implant if: ■ You are in good health and have no major medical conditions. (If you are working with some medical restrictions, talk to the doctor about the possibilities.) ■ You want to improve your profile by enlarging and extending your chin. ■ You want to add definition to your chin. ■ You want to improve proportion in our face. ■ You want to accent the upper cheeks and create a more youthful appearance.

FOR MORE INFORMATION Dr. Rayham has offices in Manhattan, New York City, Brooklyn, and Staten Island. For more information on a chin implant or for an initial consultation, call the RR Plastix/New York Plastic Surgery Center, 1–877–582–0400, or visit our website at www.rrplastix.com. www.4health.net ww.4h w.

NY PLASTIC SURGERY CENTER

AESTHETIC PLASTIC & RECONSTRUCTIVE SURGERY www.NYPlasticSurgeryCenter.com

Advanced clinical and surgical expertise, artistic vision, and exceptional patient care are all at the heart of our practice.

1-877-582-0400 FACE Rhinoplasty Face Lift (Rhytidectomy) Brow Lift Eyelid Surgery (Blepharoplasty) Facial (Chin and Cheek) Implants Ear Surgery (Otoplasty) Torn Earlobes Repair Dermabrasion

MANHATTAN: 161 Madison Ave., Ste. 11W New York, NY 10016

BROOKLYN: 1616B Voorhies Ave., Ste. B Brooklyn, NY 11235

BODY Liposuction Tummy Tuck Belt Lipectomy Arm Lift Thigh Lift Labioplasty

ROMAN RAYHAM M.D. BREAST Breast Augmentation Mastopexy Breast Reduction Gynecomastia

NON-OPERATIVE Chemical Peel Obagi 'blue' Peel Laser Skin Resurfacing Injections

Diplomate of the American Board of Surgery Diplomate of the American Board of Plastic & Reconstructive Surgery. RR Plastix NY Plastic Surgery Center

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COULD YOU HAVE POSTPARTUM DEPRESSION? SIGNS AND SYMPTOMS y Merrell ■■■ Lynn

Katie wasn’t sure if she was just tired, or if something more serious was going on. Her newborn was four weeks old, and both of her other children were under the age of five. She was overwhelmed with everything she needed to do, and feeling strangely “detached” from her children. She had trouble getting up in the morning, and wanted more than anything to stay in bed. She wondered if she should talk to her doctor about it, but she was embarrassed. Besides, she thought, it could be just hormones or maybe she wasn’t eating right. She had always been a good mother. What was going on? Katie is not alone. According to the American Psychological Association (APA), postpartum depression (PPD) affects an estimated 9 to 16 percent of women. It affects not only your mood, but your physical and mental well being, and can cause behavioral and developmental problems in children, as well. Moms who notice the symptoms are absolutely justified in checking with their doctors as soon as possible. Here’s more, and how you can tell if you may be suffering from this common condition.

WHAT IS POSTPARTUM DEPRESSION? It’s not always easy to differentiate between normal feelings of fatigue following the birth

of a new baby — what is sometimes called “the baby blues”—and postpartum depression. Postpartum depression is a clinical illness that occurs in some women after they give birth. It may start within days after delivery, or begin a few months up to a year later. Doctors aren’t sure what causes it, but agree that it is a true condition — not just something in your head — requiring treatment to help moms and their babies recover. The baby blues, on the other hand, is a passing condition that may affect women in the first few weeks after delivery. Believed to be caused by the natural hormonal changes that occur after birth, it usually disappears as soon as the hormones level out. Whereas 75–80 percent of new moms may experience the baby blues, which involves passing symptoms of sadness, loss of appetite, mood swings, and numbness, only about 15 percent of women experience the more serious PPD.

SYMPTOMS OF PPD The symptoms of PPD are more serious than those from the baby blues, and tend to last much longer. They include: ■ Lack of interest, a feeling of detachment,

or even negative feelings about the baby ■ Anxiety over actually hurting the baby

Low energy and motivation Feelings of worthlessness and guilt Desire to sleep — increase in sleep time Mood swings, crying spells Trouble sleeping Loss of pleasure in the activities that used to be enjoyable ■ Thoughts of death or suicide ■ ■ ■ ■ ■ ■

The main differences between the baby blues and postpartum depression is 1) symptoms last longer in PPD, 2) symptoms are of a more severe nature in PPD, and involve worries about not being able to care for the child, 3) symptoms of PPD often get worse rather than getting better.

TREATMENT IS AVAILABLE Moms who fail to get treatment for PPD may end up harming themselves or their children. Babies with depressed mothers may experience other issues as they get older, including behavioral problems, delays in cognitive development, social problems, and emotional problems. Fortunately, PPD responds to professional treatment, so there’s no reason to continue feeling as you do. Hormone therapy, antidepressants, and counseling can all help you to recover from the illness and feel more like yourself again. www.4health.net ww.4h w.

718.646.0131

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WHAT DOES A PODIATRIST DO? HOW TO TELL WHEN YOU SHOULD SEE A FOOT DOCTOR

g Rice ■■■ Morgan

Shelly has foot pain, and it’s gotten bad enough that it’s starting to affect her ability to walk. One of Jerry’s toes has become red and inflamed, but he’s not sure what’s going on, and hopes it will just go away. Eric twisted his ankle while playing basketball. The pain was still there the next day and he wonders if he should go see his doctor. Each of these individuals should make an appointment with a podiatrist — a doctor of podiatric medicine (DPM). Here’s more on who this doctor is, and what he or she can do for you.

WHAT IS A PODIATRIST? Podiatry is a branch of medicine focused on the foot, ankle, and lower leg. A podiatrist is a medical doctor who diagnoses and treats any conditions affecting the feet and ankles, similar to the way a cardiologist diagnoses and treats conditions relating to the heart and cardiovascular system. Podiatrists receive training in physiology, surgery, and medicine, and may further specialize by focusing on sports medicine, internal medicine, surgery, biomechanics, orthopedics, or diabetic foot care. Podiatrists specializing in surgery may regularly treat muscle, ligament, joint, and bone problems, addressing trauma, injuries, and developmental issues to help repair and

restore proper movement for patients. Some may focus on minimally invasive procedures, while others work on full reconstructions to put severely injured feet back together. There are foot doctors who specialize in treating children, as well. Working in a field called “podopaediatrics,” they help young people with structural foot problems, infections, flat-footedness, ingrown nails, and more, helping to be sure they maintain a healthy gait and posture as they grow up.

WHAT CONDITIONS DOES A PODIATRIST TREAT? If you have any trouble with your toes, feet, or ankles, a podiatrist is the one to see. He or she covers the basics, such as how to care for your feet, in general, and what type of shoes are best for your foot type, but that’s just the beginning. Here are just some of the problems a podiatrist can help you with: Athlete’s foot Bunions, corns, and calluses Flat feet Arch pain or plantar fasciitis Flat feet and pronation issues Toenail problems (fungal infections, ingrown toenails, claw toes, hammer toes, etc.) ■ Dry and cracked heels ■ Heel pain ■ ■ ■ ■ ■ ■

Bone spurs or other bone problems Aching feet, ankles, or leg pain Numbness or tingling in the toes Sports injuries like sprains, strains, stress fractures, and more ■ Foot problems arising from medical conditions like diabetes, arthritis, AIDS, and cardiovascular diseases ■ Benign and cancerous tumors ■ Congenital foot deformities, or those that develop later ■ ■ ■ ■

WHAT ARE THE TYPICAL TREATMENTS? As with most fields of medicine, surgery is a last resort when it comes to treating foot problems. Podiatrists usually perform a thorough physical examination to determine the problem, and may order additional tests if needed, including X-rays, blood studies, or other scans. Treatment most often involves medications (taken orally or injected), exercise and stretch therapies, and orthotics and other devices that help create the proper alignment of the foot. For more severe injuries, casting, arthroscopy, and surgery may be recommended. Foot problems may seem to be minor irritations, but they can develop into major issues that affect your ability to walk, work, and go about your daily life. If you’re suffering from discomfort, pain, or just can’t seem to find shoes that fit, don’t hesitate — make an appointment with your podiatrist today. www.4health.net ww.4h w.

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RESTLESS LEG SYNDROME HOW TO TELL IF YOU HAVE IT, AND HOW TO TREAT IT

■■■ Gordon Barclayy Yvonne remembered her mom rubbing her legs at night even when she was a child. Later, she found it difficult to sit through long college classes, because her legs would get jumpy and almost painful. At night, she would wake himself up kicking, and could find no relief until she got up and walked around for awhile. The problem was starting to interfere with her life, as she just couldn’t get the sleep she needed. The National Institute of Neurological Disorders and Stroke (NINDS) states that as many as 10 percent of Americans have restless leg syndrome (RLS). For some people, it’s a minor irritant, for but others, it can be severe enough to disrupt sleep and other regular activities.

WHAT CAUSES RLS? Doctors don’t know yet exactly what causes RLS. It does seem to occur in families, so it may have a genetic component. It may also be related to another medical issue, like high blood pressure, heart disease, diabetes, low iron levels, varicose veins, or kidney disease. This is one reason why it’s important to check with your doctor if you have these symptoms, as you want to be sure they aren’t connected to another, more serious illness. Some medications can create RLS as a side effect, including antidepressants, anticonvulsants, antihistamines, anti-nausea medications, over-the-counter sleeping pills, and beta blockers. Almost half of pregnant women experience it during their pregnancy. Researchers have also discovered that RLS may be caused by an imbalance of dopamine, a neurotransmitter in the brain.

WHAT IS RESTLESS LEG SYNDROME? RLS is a neurological disorder that causes uncomfortable sensations in the legs, usually just when you’re trying to rest, sit still, or go to sleep. Symptoms may include the following feelings: ■ Throbbing ■ Pulling ■ Tingling ■ Itching ■ Twitching ■ Something crawling under the skin ■ A powerful urge to move the legs

HOW CAN I TELL IF I HAVE IT? Everyone feels restless now and then, and everyone has trouble sleeping sometimes. How can you tell if you’re just having a bad day, or if you really have RLS? First, you can check with your doctor. He or she can help zero in on your symptoms to determine what’s really causing the issue. Here are some other questions to ask yourself: ■ Do your legs feel more restless when you’re sitting or lying down?

■ Do you have restless legs often, like at

least a couple times a week? ■ Do the unpleasant sensations go away

■ ■ ■

■

when you get up and walk or otherwise move your legs? Do your symptoms get worse at night? Do you have a family member with the same symptoms? Do you keep your bed partner awake at night because you’re jerking or moving your legs? Are you having trouble sleeping because your restless legs keep waking you up?

If you answered “yes’ to two or more of these questions, you may have RLS.

STANDARD TREATMENTS Many people can find relief with simple lifestyle changes. Regular exercise can help, as can engaging in a gentle stretching program before bed. If your doctor finds that you are low in iron or other nutrients, adjusting your diet may help reduce symptoms. Relaxation techniques like yoga and meditation, particularly before bed, can help you to sleep better. Compression stockings worn overnight and hot and cold packs on the legs may also help. If lifestyle treatments don’t work, your doctor may prescribe medications approved for treating RLS. www.4health.net ww.4h w.

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Vasscular l Surgery r r | 4HEALTH HE L H37

SORE LEGS AND FEET— A SIGN OF SERIOUS HEALTH PROBLEMS? Most of us don’t think much about our legs and feet until they start hurting. When they do, we may try to live with the pain, instead of seeing a doctor about it. Putting off a checkup, however, can have serious health consequences, as sometimes foot and leg problems can hide deeper health issues. Doctor Yan Katsnelson — a Harvard-trained cardiovascular surgeon, expert in minimally invasive surgery, and founder of the USA Vein Clinics — tells us why it’s so important to see a doctor sooner rather than later when experiencing leg and foot pain. Research has shown that nearly 50% of the world’s population will eventually be plagued with vein disorders. The symptoms, however, are sometimes difficult to detect during the early stages. What should we watch for? If your feet feel tired and swollen at the end of the day, or if a tingling sensation bothers you and you see a blue, web-like pattern on your skin, it’s time to see a specialist, as these could be signs of a potential problem. If you wait, the symptoms may become worse, possibly leading to pain, ulcers, and even blood clots. There’s a tendency to ignore the warning symptoms of vein disease. Why is that dangerous? Veins are blood vessels that pump blood to the heart. They contain special valves that open to let blood flow in the right direction and close to prevent it from flowing in the wrong direction. If these valves start malfunctioning — the main symptom of varicose veins — serious complications may follow. In some cases, without treatment, they may lead to the loss of a leg.

What do you say to people who may be frightened of doctors, or the treatments they may recommend? I would say to the readers and all of our patients — don’t be scared! Due to a new revolutionary procedure implemented a few years ago— Endovenus Laser Treatment (EVLT) —it is practically painless, and the patient can quickly return to his/her regular activities. Treatment typically takes about half an hour if the veins at the beginning stages of the disease — more complicated cases may require several treatments. The day of the procedure, we recommend the patient walk short distances, and in two days, completely resume all physical activities. In three to four days, we check the vein status ultrasonically. Will medical insurance cover EVLT? Medicare and most medical insurance plans will cover the procedure it if it’s medically necessary. Why would someone suffering from varicose veins choose USA Vein Clinics? USA Vein Clinics have facilities in major cities like Boston, Chicago, Los Angeles, and New York. Experience, new techniques, and state-of-the-art equipment helps us provide necessary treatments to patients who’ve been suffering from poor vein circulation and varicose vein. Our highly professional, knowledgeable and experienced staff uses the latest techniques and the best equipment. Moreover, we know that the health of your legs and feet is critical to enjoying life in its fullest, and we love what we do. If you suspect you could be at risk, give us a call today!

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 Bensonhurst, 116 02 Queens Blvd 116-02 Forest Hills, Hills NY 11375 1153 First Avenue, Avenue Manhattan NY 10065 Manhattan, 1975 Hylan Blvd., Blvd Staten Island, Island NY 10306 New Jersey 766 Shrewsbury Ave., Ave Ste. Ste 300 Tinton Falls, Falls NJ 07724 Boston 1208 «B» VFW Pkwy., Pkwy Ste. Ste 300 West Roxbury, Roxbury MA 02132 Chicago 3927 W Belmont Ave Ste 103 Chicago IL 60618 Chicago, 800 Biesterfield Rd Ste 201 Elk Grove Village, 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 www w ww ww w w..4h .44h 4he eal ea alltth a th. h..n h net ne ett e

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ANTIDEPRESSANTS DURING PREGNANCY — ARE THEY SAFE? STUDIES SH HOW RIISKS OF BIR RTH DEFECTS

■■■ Colleen M. Storyy In 2009, researchers reported in the British Medical Journal that taking antidepressants during pregnancy may increase risk of congenital heart defects in the newborn. In 2012, another study published in the Archives of General Psychiatry reported that women who took antidepressants during pregnancy were more likely to have babies with reduced head size, and had twice the risk of preterm birth, compared with depressed women who didn’t take medication. These studies were in addition to earlier ones that linked antidepressant use to abdominal, cranial, and other defects. Meanwhile, the FDA warns that untreated depression during pregnancy can also lead to health issues in the baby, including low birth weight, preterm delivery, lower Apgar Scores, poor prenatal care, and an increased risk of care problems after the baby is born. Caught between a rock and a hard place, so to speak, how should pregnant mothers proceed?

ANTIDEPRESSANTS LINKED WITH BIRTH DEFECTS Estimates are that between 7 and 13 percent of women are treated for depression during their pregnancies. Yet the studies linking antidepressants during pregnancy to birth defects and other birth problems are numerous. In 2011, researchers reported that children whose mothers used the medications

while pregnant were more likely to develop autism than children whose mothers did not, and an earlier 2005 study found that women taking Paxil were more likely to give birth to babies with heart defects than women who did not. And there are many more reporting that antidepressant use during pregnancy can result in lead to gastrointestinal defects, problems with how the skull is formed, and preterm births. Over the past decade, as these studies were coming out, healthcare experts questioned the level of risk. Some women may have babies with birth defects, but does that mean all women should go off antidepressants when they become pregnant?

DEPRESSION LINKED TO PROBLEMS, TOO Healthcare experts agree that while women with mild depression may be just fine without medication, particularly if they continue to work with a therapist and minimize stress, those with severe depression can be at a high risk of other complications if that depression goes untreated. Moms who are depressed during pregnancy are less likely to take good care of themselves, which hurts them and their babies. They may not seek out optimal prenatal care, eat healthy foods, or engage in other healthy habits. They may even be more likely to turn to smoking, alcohol, and drugs to help manage their symptoms. These behaviors can all increase risk of preterm birth, low birth weight, and other

problems for the baby, and an increased risk of postpartum depression for moms. Babies born to moms who are struggling with postpartum are also more likely to fuss and cry more often, show signs of physiological stress, and to have emotional intellectual, and behavioral problems later in life.

WHAT’S A MOM TO DO? Considering the issues on both sides of the coin, it can be difficult for moms to know which way to go. The best thing is to talk it over with your doctor. Considering the risks of antidepressants, find out if there are alternative treatments that might work for you. Maybe there are some medications that carry a lower risk, or other forms of therapy that could help you manage your symptoms for nine months. Keep in mind that the risks are very real — Tufts University reports that study after study show “medicated moms have increased risk for a number of things: miscarriage, pregnancy-related high blood pressure, birth defects and premature delivery.” They add that non-pharmaceutical treatments, including cognitive behavioral therapy and/or exercise, work at least as well as drugs. What you don’t want to do is stop your medications cold turkey without talking to your doctor, as that can cause other health problems and complications. Find out everything you can about the risks, and then make the decision you feel is best for you and your baby. www.4health.net ww.4h w.

4HEALTH

ANCIENT THERAPY GAINING NEW POPULARITY IN WESTERN MEDICINE ACUPUNCTURE – YOUR QUESTIONS ANSWERED. PART 3

g L.Ac ■■■ Ada Kulagina,

What is 7-Star Needling? “7-Star,” or plum blossom needling, is a technique similar to gua sha that uses a specially designed needle with seven small tips. Like acupuncture needles, these are very fine, small needles. This technique is often used with early stage cold symptoms, trauma, and long term pain. The practitioner will use the 7-star needle to lightly tap on the affected area, rather than inserting a single needle into the area. There may be slight bleeding. Following treatment, you will be advised to keep the area covered and avoid windy conditions for a day or two. What is Moxibustion? (MOXA) Moxibustion is a heating method of treatment using the Chinese herb mugwort. Moxibustion is used for treating pain, trauma, and certain cold-related injuries or conditions.

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

The mugwort is compressed into a stick that is burned near the body or into small cones that are placed on the body with a protective barrier that prevents burning. Both these methods introduce heat into the affected area, providing pain relief. There is some limited smoke and odor when using moxibustion. Please advise your practitioner if you have asthma or other respiratory conditions, or if you are sensitive to odors. What is Cupping? Cupping is a technique that is most often used for musculoskeletal pain, such as back pain. In this technique, small glass or plastic cups will be placed on the affected area and suction will be created, drawing some of your tissue inside the cup. Your practitioner may apply a thin layer of oil to your skin and may move the cups around the affected area. There is no bleeding. You may feel a sensation similar to that of being massaged. You may

experience round bruises or bruising over the affected area that may last three to five days. Following treatment, you will be advised to keep the area covered and avoid windy conditions for a day or two. Are There Any Reasons Why I Should Not Be Treated with Acupuncture? While there are no contraindications to receiving acupuncture or other TCM treatment modalities, there may be certain conditions or circumstances that may prevent you from receiving a treatment on a particular day. Some conditions may mean that certain acupuncture points or treatments are cautioned or contraindicated, and your treatment plan will be adjusted accordingly. If you are pregnant or think you may be pregnant, please notify your acupuncturist immediately. Most acupuncture points are safe to use during pregnancy, but there are a few points that are avoided as a precaution.

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ALLERGY & IMMUNOLOGY

Lev BARSKY, MD 728 Oceanview Ave, Ave Ste 1 Brooklyn NY 11235 Brooklyn,

DERMATOLOGY

Dmitry EPELBOYM, DDS th

Nataliya SAFONOVA, DDS

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INTERNAL MEDICINE

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321 Edison St Staten Island, NY 10306

AUDIOLOGY

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Audiology ISLAND

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Tatyana GIRSHIN, MD

332 9th St Brooklyn NY 11215 Brooklyn,

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148 New Dorp Ln Staten Island, Island NY 10306

Iraklii BUZIASHVILI, MD

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2844 Ocean Pkwy Brooklyn NY 11235 Brooklyn,

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Lucia AVANY, MD

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ONCOLOGY

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

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UROLOGY

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David EDELSTEIN, MD

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

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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,

Robert RHEE, MD

USA HAIR CLINICS

903 49 St Brooklyn NY 11219 Brooklyn,

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

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MEDICAL SUPPLY

(888) 410-3442

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

Globe SURGICAL SUPPLY 2029 Bath Ave Brooklyn NY 11214 Brooklyn,

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Khavinson & ASSOCIATES 1601 Gravesend Neck Rd Rd, Ste 903 Brooklyn NY 11229 Brooklyn, 29 W 17th St New York, York NY 10011 221 W Street Rd Trevose, PA 19053

(917) 793-5919 www.usahairclinics.com

PHARMACIES

Alexander SHIFERSON, MD Ridwan SHABSIGH, MD

USA VASCULAR CENTERS

903 49th St Brooklyn NY 11219 Brooklyn,

(888) 812-8499

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

1728 E 19th St Brooklyn NY 11229 Brooklyn,

(718) 283-7746

2444 86th St, St Ste A Brooklyn NY 11214 Brooklyn,

Temple OF WELLNESS

(855) 328-5525

(347) 495-8480

Nostrand HOUSES PHARMACY

NUTRITION AND DIETETICS

3031 Ave V Brooklyn NY 11229 Brooklyn,

LAW

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(516) 881-7755 www.lkesq.com

(718) 332-0040

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

(718) 764-1687 www.usaveinclinics.com

MULTI SPECIALTY

Viktoria BERESS, ESQ Albert GROSS, CNS, NYS, CDN th

1942 E 8 St Brooklyn NY 11223 Brooklyn,

(718) 376-8317 www.nylifex.com

www.drshusterman.com

Park PLACE PHARMACY

2908 Emmons Ave., Ave Brooklyn NY 11235 Brooklyn,

(212) 390-0325

160 Park Pl Brooklyn NY 11217 Brooklyn,

(718) 857-4000

AESTHETIC CENTERS

VASCULAR SURGERY

Gitelis LAW OFFICE

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

2004 Coney Island Ave Brooklyn NY 11223 Brooklyn,

Family HEALTH CENTER

Yaffa PHARMACY

5379 Kings Hwy Brooklyn NY 11203 Brooklyn,

1211 Foster Ave Brooklyn NY 11230 Brooklyn,

(718) 480-5555

Victoria KHABINSKI,

(347) 462-1388

(877) 250-4619

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

(646) 200-5937

(888) 535-0808 www.vashiveni.com

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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