4Health Magazine #166 by MOO Publishing

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DIABETIC?

A GASTRIC BYPASS MAY MAKE LIFE BETTER

10 CAUSES

OF PAIN/TINGLING IN THE LEFT ARM

5 MYTHS

ABOUT BIRTH CONTROL PILLS SHOULD YOU GET A

BUTT LIFT? VKSKIN SPA By Victoria Khabinski 646.200.5937

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President, CEO Dmitriy Khabinski Vice President, CFO Igor Goldberg Editors Colleen M. Story Nataly Smolyanska

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5 REASONS TO AVOID SMOKING MARIJUANA

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5 WAYS YOUR FLIP-FLOPS ARE DAMAGING YOUR FEET

VKSKIN SPA By Victoria Khabinski 646.200.5937

Contributing Writers Colleen M. Story Lynn Merrell Gordon Barclay Morgan Rice

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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 September 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

Diabetic? A Gastric Bypass May Make Life Better

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

When Diet andd Exerrcisee Doon’t Work

11 14 10 Causes of Pain/Tingling in the Left Arm It May bee a Heart Attack Or Someth hin ng Ellse Enttirely

PREVENT COLD AND FLU SYMPTOMS THIS FALL Park Place Pharmacy Offers Easy Solutions for a Healthy Fall Season

WHY YOU NEED TO GET A WHOOPING COUGH BOOSTER Disease Coming Back in Some Areas

ARE YOU USING THE WRONG TOOTHBRUSH? Some Brushes May Cause Sensitivity and Bleeding

WHAT’S CAUSING YOUR BELLY FAT? By Dr. Prab R. Tumpati

MEDICAL MARIJUANA AS A POTENTIAL TREATMENT FOR GLAUCOMA What the Studies Tell Us So Far

5 Myths About Birth Control Pills

What You’vee Heeard d Pro obab blyy Isn’’t True

A NEIGHBORHOOD OPHTHALMOLOGIST OPENS A ONE-STOP PRACTICE When it Comes to Patients, Dr. Rona Appel Follows the Golden Rule

BANISH TURKEY NECKS & DOUBLE CHINS WITH NON-INVASIVE ULTHERAPY By Dr. Roman Rayham

22 Should You Get a Butt Lift? What’ss Invvolvved in Enhaanciingg Your Backside

Studies Question Whether Lasers Are Completely Effective

INFERTILITY IS NOT FOR SISSIES Studies Show Women Suffer Stress; at Risk for Depression

BOOST YOUR SELF-ESTEEM AND FEEL MORE CONFIDENT WITH HYPNOTHERAPY New York Hypnotherapy Gets to the Root of the Issue

USA VEIN CLINICS CHOSEN AS THE “BEST” FOR THE THIRD YEAR IN A ROW Take Your Leg Pain to the Experts

37 After a Stroke— Who Cares for the Spouse?

TOENAIL FUNGUS—SHOULD YOU TRY LASER TREATMENTS?

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

Study Finds Careggivverss at Riisk of Dep preessio on

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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..

4 EALTH 4H H

WHY YOU NEED TO GET A WHOOPING COUGH BOOSTER DISEA ASE COMING BACK IN SOME AREAS

y Merrell ■■■ Lynn

Whooping cough is a kids’ disease, right? It may seem so, especially if you’ve seen the advertisements warning parents to get vaccinations for their children. Whooping cough is particularly dangerous for infants, as it can cause death in small, fragile bodies. But anyone can get it, which means that adults are at risk, as well. If you haven’t had a whooping cough booster within the last ten years, here’s why you should talk to your doctor about it right away.

WHAT IS WHOOPING COUGH? Whooping cough is a respiratory infection caused by Bordetella pertussis bacteria. Also called “pertussis,” the infection is highly contagious, and can cause severe coughing fits that make it difficult to breathe. The bacteria actually produce toxins that paralyze respiratory cells, which causes the immune system to react and creates inflammation in the lungs. It starts out sort of like a cold or flu, with symptoms like sneezing, a runny nose, a mild cough, and a mild fever—all symptoms you’ve probably experienced before. But gradually, things get worse, until the cough becomes more severe, and you start to suffer “fits” where you cough and cough and can’t stop. In between, in an effort to breathe, you suck in air, creating a “whooping” sound that characterizes the infection. You can see how these symptoms would be very unpleasant even for adults. Children can

suffer even more, actually turning blue during a coughing fit because of an inability to get enough oxygen into the system. Other symptoms may include vomiting, exhaustion, and apnea (a pause in breathing). Some adults will get over it on their own, after about 7-10 days, but others, and some children, will suffer with it for weeks to months. In China, the disease is known as the “100-day cough.”

DISEASE SHOWING UP AGAIN Before the whooping cough vaccine, the pertussis bacteria caused a large number of deaths. After the vaccines came out in the 1940s, the disease was reduced more than 157-fold. Unfortunately, it’s not gone, and has been renewing its attack in recent years in certain parts of the country. In 2012, nearly 50,000 cases of whooping clothes were reported in the U.S.—the most since 1955. Twenty died because of the infection. Fifteen of those were infants who were too young to receive the vaccine. This is why doctors advise parents to be vaccinated, so they don’t pass the infection onto their vulnerable children. In June 2014, Mercury News reported, “California’s growing whooping cough epidemic has claimed the life of a third infant.” The baby was only a year old. The number of cases for the year numbered 4,558 at the time—almost double the number for the entire year of 2013. Once a person has contracted the infection, treatment is usually limited to support-

ive care. Antibiotics may be used to remove the bacteria from the respiratory tract, but it usually doesn’t shorten the duration of the disease. Infants are at risk for complications like pneumonia, seizures, ear infections, and dehydration. Adults may experience coughing fits so severe they fracture a rib.

RECOMMENDATIONS FOR VACCINATION Current recommendations for whooping cough vaccinations are: ■ Children should receive the diphtheria, tetanus, and pertussis (DTaP) vaccination at 2, 4, 6, and 15 through 18 months and 4 through 6 years. ■ Adolescents should receive the tetanusdiphtheria-pertussis (Tdap) between 11 and 18 years of age (preferably at age 11-12 years). ■ Children who weren’t fully immunized against pertussis should receive the Tdap vaccine between 7 and 10 years of age. ■ Adults 19 years and older who didn’t get the Tdap booster should get one right away. ■ Pregnant women should receive a Tdap booster during each pregnancy. ■ Adults 65 and older should receive the Boostrix (GSK) vaccine or the Tdap. If you haven’t received a whooping cough booster, or you’re not sure when you last received it, check with your doctor. A simple shot could save you from having to suffer the symptoms of infection, and could protect the children in your life as well. www.4health.net ww.4h w.

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ARE YOU USING THE WRONG TOOTHBRUSH? SOME BRUSHES MAY CAUSE SENSITIVITY AND BLEEDING ■■■ Gordon Barclayy Buying a toothbrush is no big deal, right? You go to the store and you pick one off the shelf. Done. Except if you do it that way, you could be causing yourself problems. The bristles could be too hard, creating sensitivity. If the head is too big for your mouth, you could be leaving food particles behind to cause plaque buildup and cavities. If you get one that you just don’t like, you may be less motivated to brush—increasing your risk of gum disease down the road. You don’t need a Ph.D. in toothbrush design to pick up the right brush for you, but you can give yourself a better, more efficient brushing experience if you know a few things.

WHAT TO LOOK FOR IN YOUR NEW TOOTHBRUSH Believe if or not, you could be using the wrong toothbrush. Ask yourself—do your teeth feel clean? Do you like to brush? Are you having good checkups with the dentist? Do you enjoy comfortable, strong gums with no sensitivity? If you answered “no” to any of these questions, you may have the wrong toothbrush for your mouth. It’s time to go shopping. Before

you part with your hard-earned cash for a brand new brush, consider the following: Bristles: Most brushes offer soft, medium, and hard bristles. If you have sensitive teeth or gums—cold drinks and sugary items hurt— choose the softest bristles you can find. A lot of dentists advise soft bristles no matter who you are, because they reduce risk of sensitivity. They also bend easier, so are more likely to get in between teeth for more thorough cleaning. A 2011 study published in the Journal of the International Academy of Periodontology found that those who brushed with stiffer bristles had an 11 percent increase in gum bleeding after eight weeks. Size: How big is your mouth? You may not have thought about it before, but it’s important. If your brush is too big, it’s going to miss those tight spots between teeth and in the back. Imaging the space between your cheek and your back teeth. Will the brush fit easily there? Use that as a gauge when choosing the size of the head. Manual or power: Used to be a brush was a brush, but not anymore. Now you have a choice between a manual or powered brush, and if you choose a powered brush, you have even more choices. Does it matter? There have been many studies on the subject, and so far,

the consensus seems to be that both are good for cleaning, but that rotating/oscillating electric toothbrushes may be better at getting to those hard-to-reach spots. The difference is small, however, so the important thing is to get what you’re most likely to enjoy using. Manual brushes are less expensive, easier to travel with, more flexible in the hand, and potentially better for those with sensitivity (since you can apply less pressure). Electric toothbrushes may do better at cleaning some areas of the mouth, can be fun to use, and may also be ideal for those with arthritis or other conditions that make brushing difficult. Handle: This is all about personal preference—do you like a more padded handle, or just a standard, smooth one? This may seem a small thing to think about, but again, it’s about making the brushing experience pleasant so that you’ll do it more often. Choose a handle that feels good in your hand and that you can easily move around. Should you go shopping for a new toothbrush? If yours is older than four months, the answer is yes. If you’re experiencing sensitivity, bleeding, or other dental problems, you probably also need to find a new model. Who knows—get a brush you really like and you may find yourself singing in the shower and at the sink. www.4health.net ww.4h w.

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DIABETIC? A GASTRIC BYPASS MAY MAKE LIFE BETTER WHEN DIET T AND EXERCISE DON’T WORK g Rice ■■■ Morgan

If you have diabetes, you probably already know that losing weight can help. Shedding a few pounds can help lower your blood sugar, improve your heart health, and reduce your risk of other complications like kidney disease, depression, and eye problems. It’s not so easy, however, to succeed at weight loss, particularly when you have type 2 diabetes. Studies have shown that even when patients are put into diet and exercise programs, their weight loss is modest. Blood sugar variations, sleep problems, medications, thyroid problems, and more can all make weight loss difficult. A recent study suggests another alternative—gastric bypass surgery. Those with type 2 diabetes who underwent the surgery reported a higher quality of life afterwards. Might this be a healthy option for you?

WHAT IS GASTRIC BYPASS SURGERY? During gastric bypass surgery, doctors reduce the size of the stomach so that patients can’t eat as much as they usually do. They do this by stapling off a large part of the stomach so that it is no longer available to store and digest food. What is left is a small pouch that can handle only a few ounces at a time. That pouch is then connected to the small intestine. When the surgery is com-

pleted, the stomach is reduced by as much as 90 percent. Patients who undergo gastric bypass usually experience dramatic weight loss. Does it last? A 2013 study looked at a similar, but different surgery—gastric banding (where a band clamps off part of the stomach). Researchers found that all patients experienced a mean of 47 percent excessive weight loss after 15 years. Another 2013 study found that bariatric surgery led to greater weight loss and better blood sugar control than nonsurgical treatment among diabetes patients who were mildly obese, though evidence for lasting weight loss was limited. Now, a new 2014 study indicates that gastric bypass may not only produce weight loss for diabetics, but may improve quality of life as well.

STUDY FINDS GASTRIC BYPASS IMPROVES QUALITY OF LIFE For the study, researchers looked at the effects of weight loss on 38 patients with type 2 diabetes. A total of 19 of them went through gastric bypass surgery, and the other 19 went through a medical diabetes and weight management program that involved exercise, diet, and meal replacements. Researchers followed up with all the patients at 18 and 24 months. Results showed the following:

■ Two years after treatment, those who

went through surgery had lost an average of 64.4 pounds. Those who had gone through the weight management program lost only 11 pounds. ■ At 18 and 24 months after treatment, those who had gone through surgery reported a 60 percent greater reduction in problems managing their diabetes. These problems included emotional distress, eating behaviors, and trouble with selfmanagement. ■ Up to two years after treatment, those who went through surgery had nearly twice the improvement in the adverse effects of weight on their quality of life.

IS GASTRIC BYPASS FOR YOU? You may be a candidate for gastric bypass if you: ■ Have a body mass index (BMI) of 40 or more. ■ You have a BMI of 35 to 39.9 and you have type 2 diabetes. Though there are clear benefits to gastric bypass for type 2 diabetes patients, there are risks as well. Talk to your doctor about your options. If you’ve struggled with obesity and diabetes for awhile now, and lifestyle modifications haven’t helped, this surgery may be the treatment you’re looking for.

Obe esity y Medicine M d n | 4HEALTH HE L H17

WHAT’S CAUSING YOUR BELLY FAT? YOU MAY HAVE INSULIN RESISTANCE! 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. Belly fat and 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. This leads to belly fat which increases the risk of diabetes, heart disease and even cancer risk! 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 www.4health.net w..4 w.4hea .4hea 44hea 4h a

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(888) 283-0399 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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10 CAUSES OF PAIN/TINGLING IN THE LEFT ARM IT MAY BE A H HEART ATTACK OR SOMETHING E ELSE ENTIRELY

g Rice ■■■ Morgan

Jackie was 69 years old, and she was worried. For the last few weeks, she’d been experiencing pins and needles in her left shoulder and arm. It would come on all of a sudden, last for a few minutes, and then go away. She was trying not to be paranoid, but couldn’t help but be concerned. Could it be an early sign of a heart attack, or a symptom of multiple sclerosis? Symptoms in the left arm are always a little scary, because they can signal an impending heart problem. There are a number of other potential causes, however, so it’s important to record your symptoms, stay calm, and talk to your doctor as soon as possible.

WHAT CAN CAUSE SYMPTOMS IN THE LEFT ARM? Most people are aware that pain/tingling in the left arm can signal a heart attack, but it can also be a symptom of other conditions. Here are ten of them. 1. Heart attack: This is the one you know. You experience pain or tingling in the left arm, and you may also have pain in the chest or left jaw. 2. Stroke: This is the other most serious possible cause of symptoms in the left arm. If you feel a tingling in the arm, it could signal impaired brain activity, or impaired blood flow to that part of the body.

3. Circulation problems: A tingling sensation accompanied by cold and clammy hands may indicate that you have blood circulation problems, but not necessarily a stroke. Your blood vessels may be narrowed because of atherosclerosis, or you may just be wearing clothes that are too tight. 4. Parasthesia: This is the medical name for that feeling of tingling, pricking, or burning. It may happen and then go away forever, or it may become chronic, returning again and again. Chronic parasthesia may be a symptom of a neurological disease or traumatic nerve damage. 5. Carpal tunnel syndrome: You may think of this condition as occurring in the hand and wrist, but it can affect the blood flow for the entire arm. If you feel a tingling or numbness in the wrist and arm, this may be the cause. 6. Pinched nerve: This is one of the most common causes of that tingling feeling. If you have a pinched nerve somewhere in the arm, shoulder, or neck, it could cause tingling and numbness in your arm. 7. Spinal problems: If you have a herniated disc or other problems in the spine, it can affect your arm. 8. Other diseases: Diabetes, alcoholism, multiple sclerosis, metal poisoning, and other disorders can cause nerve problems in the arms. 9. Thoracic outlet syndrome: This occurs when nerves or blood vessels that go from

your neck to your arm are compressed because of trauma, overuse injuries, obesity, pregnancy, and more. A common symptom is left arm tingling and/or numbness. 10.Vitamin B12 deficiency: Especially in seniors, a vitamin B12 deficiency may affect the nerves to the point that they tingle or become numb. Seniors have a more difficult time absorbing vitamin B, and often need supplements.

WHEN TO SEEK MEDICAL ATTENTION How do you know when the tingling you’re feeling is no big deal, or perhaps something serious that requires immediate attention? Ask yourself the following questions: ■ Do I have other symptoms too, like arm or

■ ■ ■ ■

hand weakness, slurred speech, confusion, or paralysis? Have I experienced this several times over the course of a number of weeks? Does the tingling or numbness last longer than five or ten minutes? Are my symptoms getting worse? Am I having difficulty breathing?

If you answered yes to any of these questions, see your doctor right away. Otherwise, keep track of your symptoms. If they last longer than a week or so and continue to get worse, make an appointment to have your arm checked. www.4health.net ww.4h w.

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MEDICAL MARIJUANA AS A POTENTIAL TREATMENT FOR GLAUCOMA WHAT THE STU UDIES TELL US SO FAR

■■■ Colleen M. Storyy You may already be aware that medical marijuana (cannabis) can help ease pain, soothe nausea and vomiting, and tame anxiety in some individuals. But can it help treat glaucoma? There was some evidence from the 1970s that it could, but the studies were limited. Here’s what today’s research has shown us so far.

WHAT IS GLAUCOMA? Glaucoma is a disease of the eye that causes damage to the optic nerve. This nerve is responsible for carrying images from the retina at the back of the eye to the brain. Over time, glaucoma increases pressure on the delicate nerve fibers of the optic nerve, causing blind spots. Over time, the disease can lead to progressive, irreversible vision loss. Glaucoma is the second leading cause of blindness.

CONFLICTING RESULTS FOR MEDICAL MARIJUANA Current treatments for glaucoma include medications (usually in the form of eye drops) that help reduce pressure on the nerve, laser surgery, and operative surgery. With proper attention, patients with glaucoma can usually slow down the progression of the disease and prevent further loss of eyesight. Some patients, however, have trouble with side effects or fail to respond to current treatments. Might medical marijuana provide patients with another alternative? According to the American Academy of Ophthalmology

(AAO), the idea came to light in the 1970s, when preliminary studies found that smoking marijuana, or administering it orally or intravenously, did lower intraocular pressure (IOP), which is the pressure that causes optic nerve damage in glaucoma patients. A later 1980 study also found that marijuana inhalation was accompanied by a decreased IOP, but also a general reduction in blood pressure. This is a concern because if the overall blood pressure goes too low, it can reduce blood flow to the optic nerve, leading to vision loss. A 1998 study reported that it is “undisputed that smoking marijuana plant material causes a fall in intraocular pressure (IOP) in 60% to 65% of users.” The concern, they went on to state, was that long-term smoking could cause other effects in the body that could potentially make the disease worse, or worsen the patient’s overall health.

DRAWBACKS OF MEDICAL MARIJUANA FOR GLAUCOMA Another concern is that though medical marijuana does lower IOP, it does so for only about three to four hours, meaning that patients would have to smoke it around the clock to maintain the effects— impractical for most. While under the influence of the drug, patients would also be advised not to drive or operate heavy machinery, which could interfere with their regular activities. Unlike some other uses for marijuana, such as to ease the pain of cancer treatments, glaucoma would require regular and consistent

use for the rest of the patient’s life, or until it stopped working. This sets up a number of additional problems, as long-term use of marijuana increases risk of several other health problems. These include lung damage, memory impairment, schizophrenia, panic attacks, heart disease, infertility, and a weakened immune system.

WHAT IF YOU DIDN’T HAVE TO SMOKE IT? What if patients didn’t smoke the marijuana—would that help? In a 2002 study, researchers had participants either smoke marijuana or take marijuana tablets for treatment of their glaucoma. All had an initial decrease in IOP, but these decreases were not sustained—pressure went up again after awhile, indicating the patients may have adapted to the drug. All patients elected to stop the treatment within one to nine months for various reasons, including a desire to avoid side effects. We don’t have any marijuana eye drops yet. Scientists have looked into it, but they still haven’t formulated a solution that can treat the eye with high enough concentrations to be effective. This is an area of ongoing research.

BOTTOM LINE Though marijuana can reduce IOP, at least in the short term, it remains a poor option for long-term treatment because of side effects and other potential health hazards. Patients are advised to stick with proven treatments unless new research provides a workable alternative. www.4health.net ww.4h w.

Ophthalmology ht al o g | 4HEALTH HE L H

A NEIGHBORHOOD OPHTHALMOLOGIST OPENS A ONE-STOP PRACTICE WHEN IT COMES TO PATIENTS, DR. RONA APPEL FOLLOWS THE GOLDEN RULE

With a total commitment toward eye care and over 20 years experience, ophthalmologist Rona Appel, M.D., recently opened a state-ofthe-art office on the ground floor at 2928 West 5th Street in the Trump Village area of Coney Island. Dr. Appel specializes in retinal disease, macular degeneration, diabetic retinopathy, general ophthalmology and cataract surgery for patients of all ages. The modernly furnished, newly renovated office has five examination and treatment rooms with the latest digital equipment to diagnose, treat, and prevent diseases, while helping to keep patients’ eyes healthy. “I needed this larger facility and made a considerable investment to get state-of-the-art equipment so I could provide comprehensive care to my patients,” said Dr. Appel. “My idea was to have an office where patients can receive an examination, testing and treatment in one stop.”

THE LATEST TECHNOLOGY IMPROVES DIAGNOSES Walking through the spacious office between patients, Dr. Appel’s love, passion and expertise is apparent as she shows off some of her latest equipment. “This is a Zeiss Series 800 ultrasound machine (OCT) and Fluorescein Angiography Camera that can study the eye from front to back,” she says. “It’s the latest highly sophisticated digital machine that allows for an instant diagnosis.” The machine detects conditions such as macular degeneration, for example, which usually affects older adults. Once diagnosed, it can be successfully treated with injections and/or laser treatments as indicated by the latest protocol. “There are some hidden diseases like glaucoma that a person may not be aware of, and yet it can threaten their vision. That’s why it’s really important to have regular eye exams for www.4health.net w.4hea .4

screening—at least once a year to determine if there is any pathology. Also, some people have a family history of glaucoma and retinal disease. Because these diseases are hereditary, it’s important these patients have regular eye exams.”

ADVICE FOR PROTECTING YOUR EYES When it comes to eye care, Dr. Appel says it’s very important to wear sunglasses. The ultraviolet light of the sun can accelerate cataracts and some retinal diseases. Additionally, a healthy lifestyle, including regular exercise and eating a nutritious diet, helps keep your eyes functioning optimally. When she was only a child, Dr. Appel immigrated with her parents to the United States from Kiev in the former Soviet Union. Today, she practices what she preaches. She is a regular road runner and has completed 15 marathons. She runs 5K races to raise money for the eye bank. She also strongly believes in giving back, and has traveled to St. Kitts and Grenada where she has performed laser eye surgery and treated diabetic eye disease. Her interest in ophthalmology began while she attended New York University School of Medicine. All students there must study the various medical specialties. “I fell in love with the instrumentation and loved the micro surgery involved in ophthalmology,” she said. Dr. Appel passes on this love through teaching. For 10 years, she acted as director of the Retina Clinic at Long Island College Hospital, teaching Downstate ophthalmology residents.

DR. APPEL’S PHILOSOPHY When it comes to her patients, Dr. Appel follows the golden rule: “I really believe in doing unto others as you would like them to do unto you, because we are all patients at some time or another. I work to provide the care that I would like to receive myself.”

NAME:

Rona Appel, MD SPECIALTY: ophthalmology

MEMBERSHIPS: American Board of Ophthalmology American Academy of Ophthalmology New York State Ophthalmological Society

INSURANCE: Accept All Major Insurance Plans

CONTACT: 2928 West 5th Street, Street Brooklyn, NY 11224

(888) 994 994-1474 1474 97 77 Queens Blvd 97-77 Blvd, Fl Fl. 11 11, Rego Park, NY 11374

(888) 317-5886

4HEA ALT LTH H

5 MYTHS ABOUT BIRTH CONTROL PILLS WHA AT YOU’VE HEARD PROB BABLY ISN’T TRUE

y Merrell ■■■ Lynn

If you’re taking birth control pills, you may be a little bit concerned. There are a lot of messages out there about them. Do they cause depression? Could they increase your risk of cancer? Are they affecting your weight?

MYTHS & TRUTHS ABOUT BIRTH CONTROL PILLS Rumors may begin with a kernel of truth, but they often get blown out of proportion. Here are several rumors about birth control pills that aren’t entirely true. They cause depression. Studies have shown that some women have an increased risk of depression and/or mood swings when taking the pill, but the levels are low, meaning that most women don’t experience these mood problems. Those more likely to experience depression were often those who had a history of depression prior to using the pills. One recent study actually showed that women on birth control pills were less likely to be depressed than those using other forms of contraception. They cause cancer. In truth, birth control pills reduce the risk of many cancers, and

may increase risk of only two—breast cancer and cervical cancer. Even this isn’t certain, as studies have been mixed. Some have shown a slightly increased risk of breast cancer, while others have shown no increase at all. There is absolutely no evidence that the pill causes breast cancer, however. It may slightly increase risk of cervical cancer, but again, this may be because sexually active women have a higher risk of becoming infected with the HPV virus, which is what causes cervical cancer. At the same time, birth control pills reduce the risk of ovarian, uterine, and endometrial cancer, and may also protect against bowel cancer. They cause weight gain. Some women experience some water retention when taking the pill, which may make a pound or two difference in your weight. A review of 44 studies found no evidence that birth control pills result in weight gain for most women. Those that do gain a pound or two when starting birth control will typically lose it within a few months. They affect your future fertility. There are some rumors that taking the birth control for a few years or more could make it harder to get pregnant later. The truth is

that it may take a few months for your body to adjust after you go off the pill, to give your hormones a chance to stabilize again. In fact, most women tend to recover quickly, which is why it’s always recommended that you use another form of birth control after forgetting to take the pill as you have a chance of becoming pregnant. A large study of over 2,000 women who had taken the pill for about seven years and then went off it reported that over 20 percent were pregnant within a month, and nearly 80 percent were pregnant within a year. You need to take a break from them. Some women believe that they need to give their bodies a “break” from the pill every now and then. This can actually be a bad idea, as it may lead to an unwanted pregnancy. It can also put your body through unnecessary stress, as when you go off the pill, your body needs to start producing hormones again—in essence, it goes through a major shift. If you then go back on the pill, it has to adjust again. It’s actually easier on the body to remain on the pill to keep things consistent so your body doesn’t have to go through so much adjusting. Studies show no benefits of taking breaks from oral contraceptives. www.4health.net ww.4h w.

PA I N M E D

244HEALTH 4 E L H

| Plastic la i Surgery S g y

BANISH TURKEY NECKS & DOUBLE CHINS WITH NON-INVASIVE ULTHERAPY PROCEDURE NAMED “BEST IN-OFFICE TREATMENT”

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

LANGUAGES: ENGLISH • RUSSIAN

Struggling with sagging skin? Tired of your double chin, turkey neck, or heavy wrinkles above the brow? Looking to smooth lines and wrinkles on the decolletage? You may want to consider “Ultherapy.” Named the “Best In-Office Treatment” in NewBeauty’s 2013 Beauty Choice Awards, Ultherapy is a skinlifting procedure, FDA-cleared to lift skin above the brow, on the neck, under the chin, and on the decolletage area. Non-invasive, it requires no incisions and helps create a more youthful appearance. “Droopy, excess skin on the neck and above the brow contributes to the look of aging,” says plastic surgeon Dr. Rayham of the RR Plastix/New York Plastic Surgery Center, “and has been one of the major concerns of our patients for years. Ultherapy offers a non-surgical cosmetic alternative to facelifts, with visible results and no downtime.”

WHAT IS ULTHERAPY? The FDA approved the “Ulthera System,” a therapeutic ultrasound medical device, for use in brow-lifts in September 2009. The device uses a signature imaging technology that allows physicians to see beneath the surface of the skin, and to deliver focused ultrasound energy to deep layers, targeting key areas of tissue. The energy triggers the body’s natural healing response, which stimulates the production of collagen—the skin’s own firming component. Over time, the patient experiences a gradual tightening and lifting of the skin. In October 2010, the FDA approved Ultherapy for lifting skin on the neck and under the chin, and in July 2014, for improving lines and wrinkles on the decollete. Today, well over 250,000 patient procedures have been performed worldwide, helping patients to turn back the clock.

WHAT IS THE PROCEDURE LIKE? Ultherapy requires no anesthetic or sedation, but if patients are sensitive to the ultrasound energy, physicians can choose to use local anesthetic. There are no needles or lasers or incisions. Instead, the physician uses the device over the surface of the skin to deliver ultrasound energy to the deeper layers. Some patients describe this part as “uncomfortable,” where others will actually experience a painful sensation. It lasts only as long as the device

is applied. Many patients experience no discomfort in certain areas of the skin, and only some in others. Each procedure lasts only about 30-90 minutes, depending on how many areas of your face and chest you have treated. When you’re done, you may not notice any difference in your appearance, aside from a possible bit of flushing. All the work is done under the surface of the skin, so you can go back to your regular activities immediately. You don’t even have to perform any special treatment measures at home—once you’re done, you’re done! Some patients may experience some minor swelling or redness, but most notice little immediate change.

WHAT RESULTS CAN I EXPECT? It usually takes about two to three months to see the full effects of the treatment. Your body regenerates collagen in response to the procedure, which takes time. But after a couple weeks, you’re likely to notice the gradual firming and tightening, as your jaw line and cheeks take on a new definition, your double chin fades, and your eyes appear more open and refreshed. Most patients require only one treatment, but some may benefit from additional ones, depending on the results desired. Additional touchups in the future also help keep the skin looking young.

AM I A CANDIDATE? Ultherapy works best for candidates 40 to 65 years of age who want to experience a lifting effect. These patients have mild to moderate skin sagging, such as the following: ■ Loose skin on the neck, or turkey neck ■ Sagging under the chin—double chin ■ Lines and wrinkles on the chest and decollete ■ Lowered eyebrow line; sagging skin above the eyes More severe sagging skin that occurs after the age of 65 is usually best treated with a face-lift.

FOR MORE INFORMATION Dr. Rayham performs Ultherapy treatments often, and states that they help jump-start the patient’s own collagen-producing process. “Ultherapy isn’t a face-lift,” he says, “but it’s a clinically proven way to lift and firm the skin without going under the knife. Our patients have been very happy with the results.” 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

4HEALTH

SHOULD YOU GET A BUTT LIFT? WHAT’S INVOLVED IN ENHANCING YOUR BACKSIDE y Merrell ■■■ Lynn

When you think of plastic surgery, you may think of breast enhancement or facelifts. But according to a recent American Society of Plastic Surgeons report, it may be time to turn around and look at your backside. Last year, doctors performed over 10,000 butt lifts—more than in any previous year. Also called “buttock augmentation,” “butt implants,” or “gluteoplasty,” butt lifts are catching on, with 16 percent more people going for it in 2013 than in 2012. What’s the big deal, and could you be a candidate for backside enhancement?

WHAT IS A BUTT LIFT? The butt lift is a procedure intended to create youthful, perky buttocks that enhance the body profile. The basic surgery tightens the appearance, removing any excess skin and repositioning the surrounding tissue to create a smoother, more rounded look. If the patient wants a little more junk in the trunk, so to speak, doctors may also extract fat from other parts of the body through liposuction, purify it, and inject it back into the buttocks to create a fuller appearance. (The extra fat is typically taken from the stomach, thighs, and lower back.)

The Brazilian butt lift, which you may have also heard about, is a particular type of butt lift that involves adding some padding. The surgeon will either add in extra fat, as noted above, or will use implants to create the more rounded, lifted look. Fat redistribution is often preferred for creating overall body sculpting, and surgeons like working with it because it is pliable and gives them more control over shaping.

WHO IS A CANDIDATE? You may be a candidate for a butt lift if: ■ You feel you have flat, unshapely but■ ■ ■ ■ ■

tocks You are tired of sagging buttocks You have lost a lot of weight and you want to reshape your backside You want to improve the appearance of cellulite You don’t smoke and you’re in good health You have a positive outlook and realistic expectations for the surgery

WHAT ARE THE RISKS? The risks of a butt lift are similar to the risks for any surgery, and include infection, an allergic reaction to the anesthesia, a blood clot, and excess bleeding. Potential complications include poor wound healing, asymmet-

ric of flattened buttocks, fat creating lumps in the backside, swelling and fluid accumulation, and bleeding under the skin. Most of these risks are rare, however, as long as patients go to an experienced, legitimate plastic surgeon. There have been some horror stories of women actually dying after going through a butt lift with the wrong doctor. In March 2014, for example, police charged Tamira Mobley of Wood-Ridge, New Jersey, with manslaughter and felony assault after she gave a young woman a botched butt lift that resulted in her death.

TO INCREASE YOUR ODDS OF A POSITIVE OUTCOME You can significantly reduce your risks by going to a reputable surgeon. Do your research. The American Society of Plastic Surgeons provides a website where you can put in your zip code and find a board-certified plastic surgeon at: http://www1.plasticsurgery. org/find_a_surgeon/. The surgery itself can take several hours, depending on the extent of fat repositioning needed. Your doctor will advice you not to sit for a week afterwards, though you’ll probably be able to return to work within two weeks. You’ll still need to take it easy as you heal. Swelling typically goes away after four to six weeks, though it may take months to see the final results. www.4health.net ww.4h w.

4HE 4H EALT LTH H

TOENAIL FUNGUS— SHOULD YOU TRY LASER TREATMENTS? STUDIES QUESTION WHETHER LASERS ARE COMPLETELY EFFECTIVE ■■■ Gordon Barclayy Jennifer had tried everything, but nothing was having any effect on her toenail fungus. Three of her toes had been infected for over a year. Her doctor had given her medications, but the side effects were too difficult for her to maintain treatment. Home remedies had been ineffective and she didn’t know where to turn. Don was in a similar situation. He had suffered from toenail fungus for most of his life, going on and off treatments and spending a fortune on medications and creams. Nothing would get rid of it for good

and he was worried it was something he would have to live with the rest of his life. Both Jennifer and Don heard about laser treatments, and wondered if they would do the trick. Could lasers finally destroy the fungal infections?

WHAT IS TOENAIL FUNGUS? Toenail fungus is caused by a fungal infection that goes deep into the nail bed. Also called “onychomycosis,” it affects between six and eight percent of the population. The infection occurs when a person comes into contact with the microscopic fungi—

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4HEALTH similar to the way someone may come down with the flu after being exposed to a virus or bacterium. The fungi that cause toenail infections live in warm, damp areas, like swimming pools, showers, and locker rooms. They can get into the skin through small cuts or through a small separation between the nail and the skin underneath.

WHO’S AT RISK? Some people are more at risk for a toenail fungal infection than others. Those who perspire a lot, for example, may have moist feet, which fungi prefer. Those who walk barefoot through public areas, have a skin condition like psoriasis, have a reduced blood flow to the feet, have diabetes or a weakened immune system, or who work in a humid or moist environment are also more at risk.

STANDARD TREATMENTS If you go to your podiatrist with a fungal infection, he’s likely to recommend medications as a first line of treatment. There are several options, including oral antifungal drugs, medicated nail polishes, and medicated nail creams. There have been substantial improvements made in these treatments over the years, but they may cause uncomfortable side effects in some people, and in others, may not be completely effective. If they don’t work, it’s time to move to other options. This is the point at which some patients may consider laser treatments.

DO LASER TREATMENTS WORK? During a laser treatment, the doctor applies the heat of a laser to the nail to destroy the harmful fungi while sparing healthy

tissue. The Food and Drug Administration (FDA) approved the treatment about four years ago, after some small studies showed promise that it could help cure toenail fungus. A recent study, however, cast doubt on the efficacy of this treatment. Researchers tested laser treatment on toenail fungus, applying it in five treatment sessions. Results showed no improvement in the severity of the fungal infection. Another 2013 report published in Dermatology Online Journal also looked at laser treatments for toenail fungus, and concluded that while some doctors have experienced success with the treatment, overall the evidence has not yet shown it to be effective for most people, and that more studies are needed. Dr. Bershow, co-author of the report, noted that there are drawbacks to laser treatments as well—namely, that they are expensive, that most insurance companies won’t cover them, and that after paying a lot of money, patients may still be saddled with an infection.

SHOULD YOU TRY LASER TREATMENT? If you have the money, you may elect to try lasers if you haven’t had luck with other treatments. Just be prepared as the infection may come back. Practicing careful hygiene, using anti-fungal spray, changing socks daily (or more often), and refraining from going barefoot may all increase your odds of success. If you’d rather not do laser, or if you find it ineffective, there is still another option—the complete removal of the nail, which is usually very effective.

(0(5*(1&< $332,170(17 $9$,/$%/( 6$0( '$<

567 9th Str., Brooklyn, NY 11215 ( P ar k Slo pe) www.4health.net w.4hea .4

4H HEA E L LT TH

INFERTILITY IS NOT FOR SISSIES STUDIES SHOW WOMEN SUFFER STRESS; AT RISK FOR DEPRESSION

■■■ Colleen M. Storyy Cathy and Jeff had been trying for years to get pregnant. They wanted desperately to have a family, but after giving it everything they had, nothing was working. They were out of money, and out of endurance. Jeff said there were other options. They could think about adopting. They could volunteer. They could find other ways to bring children into their lives. Cathy tried to be reasonable. He was right. It was time to move on. But she couldn’t do it. She and Jeff went through a very difficult year. At the end of it, Cathy tried to commit suicide. Fortunately, Jeff found her before it was too late. According to a recent study, Cathy’s behavior is not abnormal at all. Many women who suffer from infertility are at risk for serious psychiatric illness. The unfortunate thing is that they are often not aware of it.

INFERTILITY IS STRESSFUL In today’s world, even if a couple doesn’t have the ideal biological circumstances to produce a baby, they can undergo infertility treatments to hopefully help them start a family. These treatments aren’t easy, however, and can cause a lot of stress and strain. In 2012, researchers looked at 14 studies that included a total of over 3,500 women who were going through fertility treatments. They found that many women experienced significant emotional distress and anxiety,

though it didn’t seem to affect their ability to become pregnant. A later 2014 study found similar results in that infertility caused stress. This time, however, that stress did affect the women’s ability to conceive. Researchers at Ohio State University examined saliva samples from over 400 women who wanted to get pregnant, and found that those with higher levels of stress hormone in the samples were twice as likely to be diagnosed as infertile—unable to get pregnant after a year of trying.

WHAT HAPPENS WITH ALL THAT STRESS? All that stress has to go somewhere. If women eventually conceive, the energy can go into a positive place, but if they don’t, then what? Danish researchers analyzed data from over 98,000 women who had seen a doctor about infertility between 1973 and 2003. They then followed them for an average of about twelve-anda-half years, and found nearly 4,700 who were hospitalized with mental health problems. Just over 2,500 had not been able to conceive. Just over 2,100 had experience success with fertility treatments and had at least one child as a result. Results showed the following: ■ Women who remained childless had an

18 percent higher risk of being hospitalized for mental illness than those who had at least one child. ■ Potential mental illnesses included anxiety, obsessive-compulsive disorders,

schizophrenia, depression, and eating disorders. ■ Infertility was also linked to a significantly higher risk for alcohol/substance abuse. Researchers noted that the results were probably understated, as other women may have had similar mental health problems, but had not been hospitalized for them. An earlier study found similar results. Researchers studied data from over 50,000 women who had been referred to hospitals or private fertility clinics between 1973 and 1998. They found that women who did not have a child after an initial fertility evaluation had an over two-fold greater risk of suicide than women who had at least one child after a fertility evaluation.

ASK FOR HELP These studies illuminate how much women who are diagnosed as infertile may suffer both while trying to get pregnant and after. If you or a loved one is going through fertility treatments or trying to recover from the realization that you may not be able to conceive, it’s important to be aware the dangers. Realize it’s not your fault, you’re not alone, and that help is available. Talk to your doctor about potential support groups, personal therapy, couples counseling, and stress relief. If you’re not ready to give up, ask about alternative treatments, but realize your health has to come first. www.4health.net ww.4h w.

718.646.0131

4HEALTH

BOOST YOUR SELF-ESTEEM AND FEEL MORE CONFIDENT WITH HYPNOTHERAPY NEW YORK HYPNOTHERAPY GETS TO THE ROOT OF THE ISSUE ■■■ Lin Shlonskyy Hypnosis is a safe, practical, effective and efficient method of suggestive therapy that can help you deal with many different issues. Hypnotherapy is much more than just hypnosis, however. While a hypnotist may only provide suggestions/commands in order to assist you when you want to change a certain behavior, get rid of a food craving, or overcome an addiction, a hypnotherapist will lead you into a deeper understanding of the problem itself—the actual source of the behaviors that are sabotaging your goals. Resolution becomes an almost immediate result.

HOW DOES HYPNOSIS WORK? We all walk in different hypnotic states all day long! We are constantly hypnotizing ourselves almost every moment of our lives. The self-talk you are having in your mind, for example, when you criticize yourself or compliment yourself for your achievements, is selfhypnosis. What the mind expects to happen is often materialized.

When you are watching a movie, for example, you become part of the experience in your mind. It’s as if you are part of the movie that you’re watching, even though you know it’s only actors and images on a screen. Your emotions are fully engaged. You laugh, cry and feel everything that you allow yourself to feel.

HOW DO WE WORK WITH HYPNOSIS? We all have behaviors, thoughts and visions of the world that are unique to us. Some of these have been programmed into us since childhood. Others have been programmed during the later years of our lives. To change any of these existing behaviors, patterns or thoughts, we first need to discover what they actually are and how we learned them. We can then “clean out” the unwanted behaviors and beliefs and replace them with more desirable ones that are far more beneficial to us. In our office, we use hypnotherapy to help with weight loss, smoking cessation, stress management, self-esteem issues, and to release traumatic experiences. We will help you

to get to the root of your problem, obtaining the resources you need in a completely safe and secure manner. Through each session, we support you in replacing your old, harmful patterns with beneficial ones that will lead to a new and better you.

START FEELING BETTER TODAY With Self-Esteem Hypnosis at New York Hypnotherapy, you can take charge of your thoughts and emotions and gain the motivation and confidence you deserve to live a happy, fulfilled life. While antidepressant and anxiety medications may treat symptoms, hypnotherapy works by getting to the root cause of the problem, leading to life-lasting solutions. Imagine living life devoid of anxiety, fears, or depression. You will face each day head-on with great natural motivation and passion. Your life will change for the better and you will be able to handle problems with poise and confidence. In fact, your life is changing every day anyway. Don’t delay taking control; it’s time to make a positive change for the better!

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NEW

OFFICE 1975 Hylan Blvd, Staten Island, NY 10306

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Vasscular l Surgery r r | 4HEALTH HE L H35

USA VEIN CLINICS CHOSEN AS THE “BEST” FOR THE THIRD YEAR IN A ROW TM

YOU’RE IN TRUSTED HANDS

www.USAVeinClinics.com Home Reporter has chosen USA Vein Clinics as the “Best Vein Clinic.” The award ceremony was held on August 12, 2014 in the clinic’s New York office. Having been awarded similar honors in the past by the readers of Newsweek, The Courier, Our Town, Daily News, and others, USA Vein Clinics is the nation’s only coast-to-coast network of centers dedicated to treating venous insufficiency in its many forms. With highly trained cardiovascular doctors and board-certified specialists, the clinics provide comprehensive evaluation and treatment of circulation disorders utilizing state-of-the-art laser equipment and an individualized approach to each patient. Do you suffer from pain in your legs? Is walking more difficult than it used to be? Rather than continue to suffer, you may want to consider what this award-winning clinic may be able to do for you.

FIND RELIEF FOR THESE PAINFUL CONDITIONS USA Vein Clinics can help treat the following conditions: Varicose veins: These are those enlarged, unattractive veins in the legs that prevent you from feeling confident in shorts and dresses. Without treatment, they are likely to continue to get worse. Spider veins: These are similar to varicose veins, but they’re smaller. They’re still visible under the skin, though, and may still make you feel self-conscious in your spring and summer wardrobe. They’re less likely to cause physical symptoms than varicose veins, but they may signal other problems in the deeper veins of the legs. Other symptoms: Vein disorders can cause swelling in the legs, pain, fatigue, cramps, achiness and ulcers. The problem is that the valves in the veins are malfunctioning, allowing the blood to collect and pool in the legs rather than returning to the heart like it’s supposed to. Without treatment, the symptoms are likely to continue to get worse. www.4health.net w.4hea .4

These conditions signal problems in the body’s blood flow. Without treatment, they may increase risk of blood clots, particularly if similar vein problems affect those veins deep within the leg muscles.

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.

ADVANCED TREATMENT OPTIONS USA Vein Clinics offers a broad range of treatment options they can tailor to your individual condition: EVLT: Endovenous Laser Therapy (EVLT) is a non-surgical treatment that helps heal various veins. Doctors insert a very thin laser fiber into the affected vein. They then apply the laser energy to the vein, which closes it. Over time, the body absorbs the deadened vein, and the other veins take over the blood flow. Problem solved! ClariVein: Even less invasive than EVLT, ClariVein uses a rotating catheter and a sclerosant drug solution to collapse and close the affected vein. The latest technology in vein treatment, this non-laser method doesn’t require anesthesia and provides for nearly immediate recovery. Slerotherapy: For this treatment, the doctor injects a sterile salt solution into the affected vein to irritate the lining, causing it to seal shut and disappear over time. No anesthesia is required and patients usually feel little to no discomfort. Can be used to treat both varicose and spider veins, depending on each patient condition.

FOR MORE INFORMATION USA Vein Clinics employs highly trained vascular and cardiovascular doctors that understand vein problems are not just about appearance—they absolutely affect your overall health. Evaluation and treatment are performed with one goal in mind—to help you feel better. Treatments take little time, offer speedy recovery, and are usually covered by Medicare and most insurance plants. To find out if USA Vein Clinic is for you, check out their website at usaveinclinics.com, or call them at 718-509-0906.

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

CONTACT:

(718) 509 509-0906 0906 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 Northbrook,

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

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 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, more energetic zest for life!

4HEALTH

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

Are There Any Side Effects to Acupuncture? After an acupuncture treatment, you will be advised to rest and drink extra water. Most people feel very relaxed and energized afterwards. On occasion, you may experience a small bruise where a needle was inserted. What Can I Expect from An Acupuncture Treatment? You will meet with a professional practitioner for an in-depth conversation about your signs and symptoms and your comprehensive health history. You may be asked some questions about your diet, exercise, and lifestyle. The acupuncturist will then insert the needles and leave you to rest for 15 to 30 minutes. There may be an occasional adjustment of needles.

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In some cases, you may also receive electrical stimulation through the needles (see next question). You can choose other treatments as well, such as gua sha, Moxibustion (MOXA), or cupping, as these can be performed at the same time as acupuncture. Undressing is seldom necessary for acupuncture treatments, but you should wear loose, comfortable clothes. At the end of the treatment, your practitioner will discuss your treatment, provide nutritional advice, and go over the plan for your continuing acupuncture treatments. What is Electro-stimulation? Electro-stimulation uses small electrodes attached to acupuncture needles to send an electrical impulse into the muscle. It is most often used for musculoskeletal pain and paralysis. The acupuncturist will insert 2-6 nee-

dles in an area and attach electrodes. You will feel a mild pulsing in time with the electrical impulse. It is not painful or uncomfortable. If you experience pain or discomfort, advise your acupuncturist, who will adjust the strength of the impulse to a more comfortable setting. What is Gua Sha? Gua Sha is a treatment that is used primarily for early cold symptoms or tightness in large muscle groups. This technique involves using a dull-edged device to gently scrape the skin, usually the upper back and neck. It is not painful. There is no bleeding or scabbing. You may experience some slight bruising that will last 1 to 3 days. Following treatment, you will be advised to keep the area covered and avoid windy conditions for a day or two.

38 3 8

4H 4 HEA HE EAL LT TH

AFTER A STROKE WHO CARES FOR THE SPOUSE? STUDY FINDS CAREGIVERS AT RISK OF DEPRESSION

■■■

Colleen M. Story y

Surviving a stroke is a hard thing to do. Just ask anyone who’s done it. “Depression really hit me when I returned home after rehab,” Thomas, a stroke survivor, told the American Stroke Association. “I soon found I would have to depend on other people for things as simple as changing a light bulb.” The Centers for Disease Control and Prevention (CDC) states that stroke is the leading cause of death in the U.S., killing nearly 130,000 Americans each year. Yet more than 795,000 people suffer a stroke each year, leaving hundreds of thousands to cope with recovery when they get back home. But it’s not only the victims themselves who struggle— caregivers, too, can undergo a lot of stress while trying to help a loved one and adapt to their new situation. According to a recent study, if the patient and the caregiving spouse disagree on how the stroke victim is doing in his recovery, the caregiv-

ing spouse may be at significant risk for emotional stress and depression.

STUDY SHOWS RISK OF DEPRESSION IN STROKE SPOUSES For the study, researchers from the University of Cincinnati interviewed 35 couples in which one spouse had suffered a stroke within the past three years. They talked to each person individually, asking questions about the stroke survivor’s recovery, including how they were doing at everyday tasks, how their memory was performing, and how they were managing any problems they came up against. Results showed the following: ■ In general, the spouses felt like the stroke survivor’s recovery was

going much slower than the stroke survivor did. ■ The degree to which the spouses’ opinions differed correlated

with risk of depression. www.4health.net ww.4h w.

4HEALTH ■ In other words, the more the spouse’s opinion of recovery dif-

fered from the survivor’s opinion, the more likely the spouse was to experience depression. Researchers explained that if the wife was the one who had suffered a stroke, she may have said that she believed she could still drive, or that she was recovering enough to do more tasks around the house. If her husband disagreed, saying she couldn’t drive or he had noticed little difference in her abilities to do everyday tasks, he would be more at risk for depressive symptoms.

OTHER EVIDENCE ADVISES CAUTION FOR CAREGIVERS This isn’t the only study to find risks for stroke caregivers. Earlier research from 2001 found that spouses suffer psychological effects immediately after their mate suffers a stroke. “Our research indicates that it is very important for health professionals to pay attention to the spouses’ psychological health as well as the patients’,” said lead author Forsberg-Warleby. According to a 2013 report by the U.K. Stroke Association, twothirds of caregivers experienced difficulties in their relationships with a partner as a result of a stroke. One in ten actually broke up with their partners, or considered doing so. For many, the situation doesn’t get better—while nearly 50 percent said they were stressed by caring after three years, nearly 70 percent said they were after seven years.

TIPS FOR CAREGIVERS Unfortunately, caregivers rarely have anyone to care for them, so they have to watch out for their own well being. That may not always

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be easy—according to the report above, three-quarters of them put the needs of the stroke survivor over their own, which is typically a recipe for burn-out and health problems. If your spouse has suffered a stroke, here are some tips to take better care of yourself. Don’t forget—if you’re not feeling well, you’ll have a hard time caring for your spouse. Look for support. Ask your doctor about caregiver groups. No one knows what you’re going through unless they’ve gone through it themselves. Talking to others in the same boat can be extremely helpful. Educate yourself. Caregivers often lack the knowledge they need to adapt to their new life with their spouse or loved one. Keep a running list of questions to ask the doctor. Ask for materials that explain what has happened and what to expect. Check online resources. Get help. Don’t expect that you can handle all of your spouse’s needs by yourself. Look into at-home care for assistance, or look for other friends and family members that may be willing to step in to handle some tasks, like grocery shopping, lawn care, pet care, or travel to doctor’s appointments. Focus on your own health. You still need to eat a healthy diet, get daily exercise, and get regular rest, if you want to stay healthy. Maintaining these habits will also boost your emotional health. Don’t neglect your own life. Many caregivers stop doing the things they enjoy to take care of their spouse. This increases risk of depression and other health issues. Plan time away to meet up with friends and do things you enjoy so you can rest and recharge.

CLASSIFIEDS

To Place an AD in the Classifieds Section, Please Call (212) 738-9230

FOR SALE Primary Care Clinic in Corona, Queens and Urgent Care Clinic in Jackson Heights, Queens. The owner is retiring and looking to sell fairly quickly. Please feel free to visit our website: www. instamedcare.com or call Lenny Osipov (Manager) at (917)921-7205

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

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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

Medical office seeks a Russian-Speaking Registered Nurse Practitioner. Please submit your resume to medicaloffice41@gmail.com

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Licensed Ultrasound Technologist (RDMS) is looking for part time or full time position. Resume available upon request. Tel. 718-608-7402; Email at violasvu@gmail.com.

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4HEALTH

ALLERGY & IMMUNOLOGY

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

DERMATOLOGY

Lloyd A. CYPRUS, DMD th

Yelena OSKOTSKAYA, DDS

3054 Brighton 7 St Brooklyn NY 11235 Brooklyn,

7101 4th Ave Brooklyn NY 11209 Brooklyn,

(718) 372-4077

(718) 836-1200

(718) 787-0700

INTERNAL MEDICINE

Leonard LEVITZ, MD

Victoria ALEKSANDROVICH, MD

Yana SHTERN, MD

1749 E 16th St Brooklyn NY 11229 Brooklyn,

3080 W 1st St, St Ste 102 Brooklyn NY 11224 Brooklyn,

1642 W 9th St Brooklyn NY 11223 Brooklyn,

(718) 375-4747

(718) 207-7071

(718) 513-6060

321 Edison St Staten Island, NY 10306

AUDIOLOGY

NEPHROLOGY

321 Edison St Staten Island, Island NY 10306

(718) 980-2525 FAMILY PRACTICE NEUROLOGY

Dmitry EPELBOYM, DDS th

Nataliya SAFONOVA, DDS

7708 4 Ave Brooklyn NY 11209 Brooklyn,

2211 Ocean Ave Brooklyn NY 11229 Brooklyn,

(888) 502-6245

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

Audiology ISLAND

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

148 New Dorp Ln Staten Island, Island NY 10306

Lucia AVANY, MD

(718) 980-0188

2960 Ocean Ave, Ave Fl 3 Brooklyn NY 11235 Brooklyn,

(718) 376-8300

Igor COHEN, MD 80 15 Main St, 80-15 St #1A Jamaica NY 11435 Jamaica,

(888) 358-4636

CARDIOLOGY

(877) 251-4750 GASTROENTEROLOGY

Abraham ESSES, DDS 2245 Ocean Ave Brooklyn NY 11229 Brooklyn,

(718) 376-5557

Stephanie YAMPOLSKY, DDS

Lilia LEVITZ, MD

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

1749 E 16th St Brooklyn NY 11229 Brooklyn,

(877) 434-7889

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

DENTISTRY - ORTHODONTICS

Don BANDARI, MD 1664 E 14th St, St Ste 101 Brooklyn NY 11229 Brooklyn,

Irina BERLIN, MD

(718) 787-0400

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

1642 W 9th St Brooklyn NY 11223 Brooklyn,

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

(718) 627-8300

DENTISTRY - GENERAL

Ellen EDGAR, MD

(718) 980-2525

Vladimir LEMPERT, DMD 3037 Ave U Brooklyn NY 11229 Brooklyn,

Eduard LEVY, MD

(888) 607-9725

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

Adam PRISTERA, DDS 7708 4th Ave Brooklyn NY 11209 Brooklyn,

(888) 502-6245

Brilliant SMILE

DENTISTRY - PEDIATRIC

820 Flatbush Ave Brooklyn, NY 11226

(718) 416-0303

Alexander BRODSKY, MD

Dmitriy GRINSHPUN, MD

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

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

(718) 333-2121

(888) 747-8009

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

Asya LEVY, MD

(888) 838-6212

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

(718) 416-0303

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

(877) 404-6605

Marina KREPKH, DDS 7708 4th Ave Brooklyn NY 11209 Brooklyn,

(888) 502-6245

Sam WEISSMAN, MD 202 Foster Ave Brooklyn NY 11230 Brooklyn,

(888) 610-3892

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

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4HEALTH NEUROSURGERY

ONCOLOGY

Amit SCHWARTZ, MD

Anella BAYSHTOK, MD

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

2101 Ave X Brooklyn NY 11235 Brooklyn,

(718) 283-7219

(718) 512-2160

OBESITY MEDICINE

PAIN MANAGEMENT

Rona APPEL 2928 West 5th Street Street, Brooklyn NY 11224 Brooklyn,

(888) 994-1474 97 77 Queens Blvd, 97-77 Blvd Fl. Fl 11, 11 Rego Park, Park NY 11374

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

(888) 317-5886

(718) 445-3700

OPTOMETRY

www.brooklynroc.com

Vladislav RUDNER, PT

(888) 829-5059

1901 82nd St Brooklyn NY 11214 Brooklyn,

2003 Bath Ave Brooklyn NY 11214 Brooklyn,

(888) 283-0399

Paul GLIEDMAN, MD

Margarita BAUMAN, OD

2101 Ave X Brooklyn NY 11235 Brooklyn,

1910 Ave U Brooklyn NY 11229 Brooklyn,

(718) 512-2160

(718) 759-6979

(718) 490-2416

813 Quentin Rd, Rd Ste 200 Brooklyn NY 11223 Brooklyn, 780 8th Ave, Ave Ste 201 New York, York NY 10036

(877) 423-7987

The HERITAGE REHABILITATION & HEALTH CARE CENTER 5606 15th Ave Brooklyn NY 11219 Brooklyn,

Ideal OPTICAL

Hayama BRILL, MD

7602 5th Ave Brooklyn NY 11209 Brooklyn,

1725 E 12th St, St Ste 301 Brooklyn NY 11223 Brooklyn,

(718) 630-3605

(718) 238-2020

www.metropolitanradiation.com

482 Manor RD Staten Island, NY 10314

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

(718) 946-8586

Alina VASILYEVA, DPM

1599 E 15th St, St Fl 2 Brooklyn NY 11230 Brooklyn,

(347) 252-6732

Roman RAYHAM, MD, BOARD CERTIFIED IN PLASTIC SURGERY

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

(718) 646-0131 PSYCHOLOGY

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

(718) 336-1909 629 Park Ave New York, York NY 10065

(888) 645-1338

PLASTIC SURGERY

Mila MOGILEVSKY, DO

800 Poly Pl, Pl Ste 114A Brooklyn NY 11209 Brooklyn,

6419 Bay Pkwy Brooklyn NY 11204 Brooklyn,

(888) 699-8952

OB/GYN - GENERAL

David SCHWARTZ, MD

Birch & BIRCH, DPM

www.magichandspt.com

Arkady LIPNITSKY, DC Prabhakara R. TUMPATI, MD

PHYSICAL THERAPY

David EDELSTEIN, MD www.orthobrooklyn.com

OPHTHALMOLOGY

(212) 744-0392

(877) 582-0400 www.nyplasticsurgerycenter.com

OB/GYN - UROGYNECOLOGY PODIATRY

John MUNYAK, MD Aleksandra ZLOTNIK, OD

(888) 829-5059 www.orthobrooklyn.com

Leonid VOROBYEV

1910 Ave U Brooklyn NY 11229 Brooklyn,

Leonard M. BLEY, MD Harout MARGOSSIAN , MD 7206 Narrows Ave Brooklyn NY 11209 Brooklyn,

(888) 404-5046

587 Kings Hwy Brooklyn NY 11223 Brooklyn, 160 E 56th St, St Ste 900 New York, York NY 10022 98-14 98 14 65Th Ave Rego Park, Park NY 11374

7819 18 Ave., Ave Ste. Ste A Brooklyn NY 11214 Brooklyn,

(718) 759-6979

(888) 416-5055

ORTHOPAEDIC SURGERY

UROLOGY

Isak BADALOV, DPM

(877) 415-2276

1529 Richmond Rd Staten Island, Island NY 10304

Michael RISKEVICH, MD

(888) 538-2717

2818 Ocean Ave, Ave Ste 1 Brooklyn NY 11235 Brooklyn,

(888) 849-5101

Natalya UROVISH, MD www.orthobrooklyn.com

67 09 75th St 67-09 Middle Village, Village NY 11379

(718) 894-9291 43 32 Kissena Blvd 43-32 Flushing NY 11355 Flushing,

(718) 939-0609 97 32 63Rd Rd 97-32 Rego Park, Park NY 11374

(718) 275-2224

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

(347) 508-3991 www.nyui.org

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4HEALTH

VASCULAR SURGERY

Vitaly RAYKHMAN, MD th

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

(347) 508-3991 www.nyui.org

Lev KHITIN, MD 406 15th St Brooklyn NY 11215 Brooklyn, 400 E 56th St, St Ste 1 New York, York NY 10022

AESTHETIC CENTERS

USA VEIN CLINICS 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

(888) 535-0808

(718) 509-0906

www.vashiveni.com

www.usaveinclinics.com

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

(646) 200-5937

Park PLACE PHARMACY

Gitelis LAW OFFICE

160 Park Pl Brooklyn NY 11217 Brooklyn,

2004 Coney Island Ave Brooklyn NY 11223 Brooklyn,

(718) 857-4000

(347) 462-1388

MEDICAL SUPPLY

ALTERNATIVE MEDICINE - GENERAL

Khavinson & ASSOCIATES Ridwan SHABSIGH, MD 3121 Ocean Ave Brooklyn NY 11235 Brooklyn, 944 Park Ave New York, York NY 10028

Robert RHEE, MD

(718) 283-7746

(888) 812-8499

USA HAIR CLINICS

903 49th St Brooklyn NY 11219 Brooklyn,

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

(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

(888) 418-0442

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

USA VASCULAR CENTERS

Leon KUCHEROVSKY, ESQ

Globe SURGICAL SUPPLY 2029 Bath Ave Brooklyn NY 11214 Brooklyn,

(917) 793-5919 www.usahairclinics.com

PHARMACIES

NUTRITION AND DIETETICS

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

Alexander SHIFERSON, MD

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

903 49th St Brooklyn NY 11219 Brooklyn,

(855) 328-5525

(888) 812-8499

(516) 881-7755 www.lkesq.com

LAW

(718) 360-9550 www.drshusterman.com

115 South Corona Ave Valley Stream, Stream NY 11580

Albert GROSS, CNS, NYS, CDN th

1942 E 8 St Brooklyn NY 11223 Brooklyn,

Nostrand HOUSES PHARMACY 3031 Ave V Brooklyn NY 11229 Brooklyn,

(718) 332-0040

(718) 376-8317 www.nylifex.com

Alexander SOKOL, MD 2493 Richmond Rd., Rd Ste 2, 2 Staten Island, NY 10306

(718) 227-5505

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!

Viktoria BERESS, ESQ 2908 Emmons Ave Brooklyn NY 11235 Brooklyn,

(212) 390-0325