4Health Magazine #167

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10 WAYS

TO PROTECT YOUR EYESIGHT AS YOU AGE

WHEN TO SEE YOUR DOCTOR ABOUT YOUR MIGRAINES

WHAT DO YOUR CHOLESTEROL NUMBERS REALLY SAY?

CAN YOU BE OVERWEIGHT AND HEALTHY?

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“4Health” is an editorial-based medical magazine (the "Magazine") provided by Moo Publishing Corp. and by other sources.

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4HEALTH | Table Of Content

What Do Your Cholesterol Numbers Really Say? New Guideelines Takke Othherr Risk Factoors Intoo Acccouunt

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ALLERGIES: WHY SUFFER? TREATMENTS CAN HELP YOU FEEL BETTER IMMEDIATELY

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‘TIS THE SEASON—GIVE THE GIFT OF HEALTH AND HAPPINESS! Park Place Pharmacy Has Gifts for Everyone

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

Can You Be Overweight and Healthy?

Whatt thhe Most Recentt Studies Say

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BACTERIA THAT CAUSE GUM DISEASE WEAKEN THE IMMUNE SYSTEM Oral Health Affects Whole-Body Health

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MY DOCTOR SAYS I HAVE A TWISTED BOWEL Is Surgery Always Necessary?

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WHAT’S CAUSING YOUR BELLY FAT?

By Dr. Prab R. Tumpati

10 Ways to Protect Your Eyesight as You Age

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MENTAL HEALTH ISSUES SERIOUS IN THE ELDERLY How Loved Ones Can Detect Symptoms and Get Help

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

Millionns of Peopple Suuffeer Eye Problem ms Affteer thee Age off 40

22 When To See Your Doctor About Your Migraines Symptooms Mayy Indicaate Other Pro robbllem ms

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TIRED OF SEEING SPOTS? ERASE THEM! Dr. Roman Rayham on a New Treatment

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LASER THERAPY HELPS WOUNDED WARRIORS RECOVER FROM BAD SCARS Treatment Improves Appearance and Range of Motion

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AFTER 10 YEARS, DIABETICS AT HIGHER RISK FOR FOOT ULCERS How to Reduce Your Risk

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

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

How to Find Your Best Gynecologist

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BLOOD IN YOUR URINE—WHAT DOES IT MEAN? When You Need to See a Doctor

Is Your Currennt Docc a Goood Mattch?

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| 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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WHAT DO YOUR CHOLESTEROL NUMBERS REALLY SAY? NEW GUIDELINES TAKE OTHER RISK FACTORS INTO ACCOUNT

g Rice ■■■ Morgan

If you’re 40 or over, most likely you’ve had your cholesterol levels checked, probably more than once. You may know your most recent numbers. What you may not know is exactly what those numbers mean.

It used to be that a high cholesterol number signaled an automatic risk for cardiovascular disease, while a low number meant you didn’t have to worry about it. But recent scientific studies have shown us that it’s a little more complicated than that. Here’s what you need to know to make the right decision when it comes to treatment.

THE BASICS ON CHOLESTEROL NUMBERS Cholesterol has long been associated with heart disease because it can build up inside the walls of the arteries, causing “atherosclerosis,” or a narrowing and stiffening of the arteries.

Over time, this cholesterol buildup can lead to a heart attack or stroke.

Because cholesterol makes up a large part of the plaques that form in atherosclerosis, doctors and scientists believed that cutting back on the amount of cholesterol circulating in the blood helps to reduce the risk of heart disease. To that end, they aimed to help people attain the following numbers: ■ Total cholesterol: below 200 mg/dL ■ LDL “bad” cholesterol: below 100 mg/dL

■ HDL “good” cholesterol: at or above 50

FACTORS TO CONSIDER IN TREATMENT

mg/dL ■ Triglycerides: below 150 mg/dL Based on these guidelines, a person who tests high for LDL cholesterol may have been prescribed a cholesterol-lowering medication.

But new guidelines show that doctors need to take other factors into consideration.

Cholesterol is actually good for us. It helps make hormones and vitamin D, insulates nerve cells, and maintains cell walls and structures. Too much, however, can increase risk of heart attack, but it depends on the person.

Doctors recommend that everyone over the age of 20 get regular cholesterol screenings at least once every five years. If cholesterol levels are found to be high (as described below), drugs aren’t necessarily the answer.

Instead, doctors now take into account other risk factors like smoking, diet, exercise, diabetes, blood pressure levels, and weight in determining the best approach.

■ Total cholesterol: high if 240 mg/dL or above ■ LDL cholesterol: high if 160 mg/dL or above ■ HDL cholesterol: low (unhealthy) if less than 40 mg/dL If you have levels that are considered high, talk to your doctor. If you’d like to try getting your numbers down without drugs, try these lifestyle changes: ■ Stop smoking ■ Maintain a healthy weight ■ Exercise for 30 minutes at least five days a week ■ Eat less saturated fat and more fiber ■ Eat fewer refined sugars and refined grains (like white flour)

ONE CHOLESTEROL NUMBER ISN’T ENOUGH According to the American Heart Association (AHA), “your LDL number should no longer be the main factor in guiding treatment to prevent heart attack and stroke.” Scientists have found that relying on this number alone can leave many patients unprotected. A 2009 study found that almost half of patients admitted to the hospital for heart disease had LDL cholesterol numbers below 100—considered low risk.

The problem with relying on cholesterol numbers alone is that they tell you how much is circulating in your blood, but not how much is building up along the walls of your arteries. Things like genes, lifestyle, diet, and other factors can all affect the “stickiness’ of the cholesterol in your body.

Someone who smokes, for example, is more likely to buildup cholesterol plaques in the arteries than someone who doesn’t, even if both people have the same LDL cholesterol number.

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BACTERIA THAT CAUSE GUM DISEASE WEAKEN THE IMMUNE SYSTEM O ORAL HEALTH AFFECTS WHOLE-BODY HEALTH W

g Rice ■■■ Morgan

There are a lot of reasons to keep your teeth looking good these days. A 2013 study, for example, found that white teeth make you look five years younger, more employable, and more successful. A 2012 survey by Kelton Research also found that teeth are the first thing many people notice when they meet someone new.

Keeping teeth clean also helps reduce bacteria, however, which is important to overall health. A recent study, for example, found that gum disease harms the immune system, leaving people more vulnerable to dangerous infections.

WHAT CAUSES GUM DISEASE? We are in a daily fight against bacteria.

They always exist in the mouth, and like to feed on the food we eat and the beverages we drink. As long as we brush and floss regularly, we keep the bacteria in check. Without regular cleaning, however—or if other factors interfere, like illness and some medications— the bacteria can gain the upper hand, clinging together to form sticky plaque on the teeth.

If you go to your regular dentist appointments, your hygienist will remove this plaque, getting it off the teeth so it can’t cause problems.

If the plaque stays on the teeth, however, it will continue to grow and spread. This can cause inflammation in the gums, a condition called

“gingivitis.” You may notice bleeding when you brush. This indicates that the bacteria are winning, and it’s time to take serious action. Without it, the condition can progress to the more serious “periodontitis,” which causes pockets to form between the gum and teeth, leading to infections and potentially to tooth loss.

University of Florida found that the same bacteria that cause gum disease also promote heart disease. The National Health Service in the United Kingdom also notes that gum disease increase the risk of stroke and diabetes.

RISK FACTORS FOR GUM DISEASE GUM DISEASE BACTERIA HOBBLES THE IMMUNE SYSTEM While gum disease is dangerous to gums and teeth, it’s also dangerous for the rest of the body. In this recent study, researchers from the University of Pennsylvania identified P. gingivalis as a type of bacteria responsible for many cases of periodontitis. When they contaminated mice with the bacteria, they found that it interfered with the immune system, causing it to be much less efficient in knocking out infections. The bacteria also promoted inflammation. All in all, this one type of bacteria was responsible for “hobbling” the immune system so that it was less likely to do its job.

Usually, when we have an infection, the body’s immune system goes to work getting rid of it. Without a strong immune system, we are more vulnerable to a number of health problems, including heart disease, cancer, and cold and flu viruses. People with gum disease have compromised immune systems.

Other studies have found this to be true.

In 2014, for example, researchers from the

Regular brushing and flossing helps keep gum disease at bay, but sometimes it’s not enough. The following factors can increase your risk—check with your dentist for more information: ■ Age: Seniors often have weaker immune

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systems, and therefore may have a harder time fending off mouth bacteria.

Smoking: Tobacco use increases risk for gum disease.

Genetics: If you have gum disease in your family, you may be more at risk for it.

Stress: Stress weakens the immune system, which can make it tougher for your body to fight off the bacteria.

Medications: Many of today’s modern medications can interfere with your oral health. These include oral contraceptives, antidepressants, and some heart medications.

Health problems: If your body is fighting to heal from other health problems, resources are limited, which may increase risk of gum disease. www.4health.net ww.4h w.

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MY DOCTOR SAYS I HAVE A TWISTED BOWEL IS SURGERY ALWAYS NECESSARY?

■■■ Colleen M. Storyy Jane wondered what was wrong with her stomach. It seemed it was rarely happy anymore. She thought maybe she was suffering from colic, but the pain kept coming back. Sometimes it was really bad, causing cramping, gas, vomiting, and diarrhea. She finally went to the doctor. He told her she had a twisted bowel.

If you imagine twisting up a garden hose so the water doesn’t flow anymore, you have the general idea of what a twisted bowel is. For those unlucky enough to have this happen, is surgery the only answer?

■ You’re born with it: Some children are

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WHAT IS A TWISTED BOWEL? When someone has twisted bowel, it means that some part of the intestines has become twisted, resulting in an obstruction. Where the twist occurs is important: ■ Small intestine: This is the area of the

intestine that runs between the stomach and large intestine, or colon. A twist here is called “small bowel volvulus.”

■ Large intestine: This is the largest part of the digestive system, and runs from the end of the small intestine (starting at a pouch called the “cecum”) to the anus. A twist here is called “colonic volvulus.”

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born with intestinal malformations, including twisting. These infants are also more at risk of twisted bowel in adult life.

Your diet isn’t great: A poor diet can affect how the waste moves through the bowel, which may result in twisting in some people.

Overeating: Overwhelming the stomach with too much food can cause the intestines to sag or droop, which can increase risk of twisting.

Pregnancy: Expectant mothers are more at risk.

Other health conditions: Patients who have had intestinal surgery in the past may suffer from scar tissue that can pull and tighten intestinal tissue, increasing risk of twisting. Diverticulosis, some cancers, Crohn’s disease, severe constipation, gallstones, and post-surgical recovery may increase risk.

Endometriosis: Increases risk in women.

SYMPTOMS OF TWISTED BOWEL If you have a twisted bowel, that doesn’t mean you’ll necessarily experience severe pain right away. You may have a few cramps or feel a little stomach upset at first. But over time, the pain is likely to get worse.

WHAT CAUSES A TWISTED BOWEL? Why would part of the intestines become twisted? Doctors aren’t exactly sure why it happens, but there are several things that increase risk:

■ Nausea and vomiting ■ Swollen or distended stomach ■ Constipation and bloating ■ Difficulty making a bowel movement

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Blood in the stool Intense fatigue Back pain Bad breath and fever

IS SURGERY REQUIRED? In most cases of twisted bowel, surgery isn’t necessary. Doctors typically choose between the following options depending on your specific case: ■ Time: In some cases, patients can be

treated in the hospital in such a way that the intestine is given time to heal on its own. Patients refrain from eating for awhile and receive fluids through an IV to take the pressure off the intestine.

■ Enema: Sometimes this encourages the bowel to straighten on its own.

■ Lighted instruments: Doctors may be able to use a proctoscope or sigmoidoscope to straighten the twisted section of bowel, or may insert plastic stents to keep the intestine straight and open.

■ Surgery: If the intestine is completely blocked and causing severe symptoms, surgery is the best option. The doctor may perform various types to fix the problem, depending on where the twist is.

The important thing is to fix the problem.

If a twisted bowel is left untreated, it can cause part of the intestine to die, and may lead to life-threatening infections. Always check with your doctor!

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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

A THE AS T E ONLY O L INSURANCE S R N E PHYSICIAN PH YS C N WEIGHT WE H LOSS O S PROGRAM PR OGRAM IN THE H AREA, R A, THE TH E DEMAND E A D ISS HI HIGH H AND AND ACCEPTANCE AC CE T N E LIMITED L I E TO O 100 NEW EW PATIENTS AT E T PER E W WEEK. E K.

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CAN YOU BE OVERWEIGHT AND HEALTHY? WHAT THE MOST RECENT T STUDIES SAY ■■■ Colleen M. Storyy “I’m overweight,” Janelle told her friends, “but I’m healthy.”

There are a lot of people who would agree with Janelle. “I’m fat, but I’m fit,” they may say.

It’s not really surprising — a study published in 2005 reported that overweight people had a lower mortality risk than normal weight people, and that both overweight and obesity cause fewer deaths than was previously believed.

Turns out there were flaws in that study, though. The Harvard School of Public Health pointed out that the information gathered on underweight people failed to include diseases that caused weight loss, and smoking — both factors that increase mortality.

More recent studies have illustrated that not only is being overweight or obese bad for your health, it increases your risk of cancer and premature death.

WHERE THE CONFUSION STARTED The confusion started when researchers studied some overweight and obese people and found normal cholesterol and blood pressure levels. This seemed to indicate these people had no risks for heart disease or diabetes — the two most common consequences of weight gain.

Scientists called these people the “healthy obese” for awhile. The group seemed to

make up about a third of all obese adults, but they confused researchers, as they seemed to go against everything we know so far about weight and health. Whereas fat cells usually encourage inflammation and unhealthy metabolic changes, in about a third of the overweight, they seem to just sit under the skin without causing any issues.

According to a 2013 study in Diabetes Care, these healthy obesity types are more likely to be under the age of 40 and to carry their fat somewhere other than the belly — the hips and thighs, for example.

STUDY SHOWS EXCESS WEIGHT HASTENS DEATH AND DISEASE More recent research, however, has found that “healthy obesity” is a fantasy. Researchers from the University of Toronto reviewed the results of eight other studies looking at the differences between normal weight and overweight individuals. The studies included more than 61,000 people.

They looked at that “special” group of obese people who seemed to be metabolically healthy. What they found: Even without high blood pressure, diabetes, or other similar health issues, those people who were obese were found to have a 24 percent increased risk for heart attack, stroke, and death after 10

years, compared to those who maintained a normal weight.

“Sometimes the message changes when you look closer,” said Dr. Caroline Kramer, lead author of the study. “It’s not OK to be overweight. It’s not OK to be obese, even though you may not have metabolic abnormalities.”

TALK TO YOUR DOCTOR ABOUT WEIGHT LOSS Losing weight is not easy, as most anyone can attest to. Your doctor can help. With the right help and support, you’re more likely to meet your weight-loss goals. Try these tips: ■ Keep a food diary — it’s shown to be very

effective at helping you identify unhealthy eating habits.

■ Exercise — add this to your food diary so you can see how much you’re moving each day. Consider getting a pedometer to count daily steps.

■ Set goals — work with your doctor or with a weight loss program to set specific, small goals that you can reach. Examples include losing one pound per week, cutting back on one soda a day, or walking for 30 minutes at least three days a week.

■ Ask for a referral — your doctor may be aware of weight loss programs and groups that can help. www.4health.net ww.4h w.

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MENTAL HEALTH ISSUES SERIOUS IN THE ELDERLY HOW LOVED ONES CAN DETECT SYMPTOMS AND GET HELP ■■■ Colleen M. Storyy Seniors often face difficult health issues.

Their bodies may not work as well as they did when they were younger. Muscle strength wanes. Joints hurt. Physical activity can be exhausting. Digestion may be more difficult.

On top of that, seniors often feel lonely and isolated. They’ve likely seen many people they care about pass on. Family members may be scattered far and wide. They may find it more difficult to take part in the social activities they used to enjoy.

All this can take a toll not only on physical health, but on mental health, as well. A 2011 study reported that mental health issues in those 65 and older increased nearly 21 percent between 2007 and 2010. Meanwhile, psychiatrists specializing in geriatric issues are few and far between — about one for every 10,000 senior citizens.

Worse, the suicide rate for the elderly is high. In 2010, those 65 and older made up nearly 15 percent of suicides, while that for the population as a whole was 12.4 percent.

Fortunately, there are steps we can take to save our loved ones from this tragic fate.

WHAT MENTAL HEALTH ISSUES DO SENIORS FACE? As our parents or other relatives age, we may be on the lookout for symptoms of heart disease, cancer, and diabetes, but mental health issues can often go undetected.

Depression: Depression affects more than 6.5 million seniors, but is not a normal part of aging. Unfortunately, it often goes untreated, as the symptoms are confused with those caused by other illnesses, and with side effects of medications. Physical illness can increase the risk of depression, but that doesn’t mean it should be ignored. Depression can make an illness worse, raising the risk of death from disease and/or suicide.

Anxiety Disorders: Sometimes called the “silent geriatric giant,” anxiety disorders are more prevalent even than dementia or depression among seniors. Seniors may suffer from generalized anxiety disorder, or from specific phobias, obsessivecompulsive disorder, post-traumatic stress syndrome, social phobia, and panic disorders.

Dementia: This may be one of the mental illnesses we’re more likely to expect in the elderly, but what we don’t realize is that it can show up in a number of different forms. It can also be difficult to diagnose. Whereas some seniors may simply be forgetful, others may have difficulties communicating or even taking care of themselves. In fact, simply having memory problems isn’t enough to garner a dementia diagnosis. Real dementia involves symptoms that are severe enough to affect daily activities.

Alzheimer’s: While dementia is a term associated with the symptoms of cognitive decline and aging, Alzheimer’s is a spe-

cific cause of dementia that involves the buildup of plaque in the brain. Dementia is not a disease, but more like a collection of symptoms, whereas Alzheimer’s is a disease that physically affects the brain. It typically shows up as confusion, impaired speech, difficulty thinking, and personality changes.

HOW CAN YOU TELL? Though loved ones may think they notice memory lapses in the elderly, there are other, more serious symptoms to watch out for: ■ Sadness or a “down” mood that lasts for

longer than two weeks ■ Unexplained fatigue or sleep changes ■ Changes in weight (up or down) or ap-

petite ■ Feelings of worthlessness or helplessness ■ Confusion and disorientation ■ Loss of interest in activities he or she

used to enjoy ■ Changes in appearance or dress ■ Problems maintaining the home or yard ■ Financial issues — problems working

with numbers If you notice these or other symptoms that seem to indicate a potential mental illness, talk to your family doctor first.

Then consider talking to a psychiatrist — if you can find one who specializes in mental health for the elderly, that would be best. www.4health.net ww.4h w.

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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

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4HEALTH

10 WAYS TO PROTECT YOUR EYESIGHT AS YOU AGE MILLIONS OF PEOPLE SUFFER EYE PROBLEMS AFTER THE AGE OF 440

■■■ Gordon Barclayy As we get older, we face a number of potential vision problems. The 2010 U.S. Ceensus reported that over four million of people over 40 have some sort of visual impairment, w with over one million suffering from blindness, o over 24 million suffering cataracts, over two milllion suffering from glaucoma, and over 7.5 milllion suffering from diabetic retinopathy. Meanw while, just over two million over the age of 50 suffeered from agerelated macular degeneration.

We tend to take our eyesight fo or granted, but this isn’t a good idea. Close your eyes for just a moment and you’ll realize what a p precious sense sight is.

Fortunately, there are things you can do to protect your eyes as you get older.

HOW TO PROTECT YOUR VISION The American Academyy of Ophthalmology (AAO) recently reported that since the year 2000, sight impairmen nts that involve disease, eye trauma, or degenerative conditions www.4h www.4health.net w.

have increased by 70 percent. Eye problems don’t just affect what you can see. In seniors, they can increase risk of falling, injuries, and depression. At their most severe, vision problems can rob older adults of their independence.

You may already be thinking about eating right, exercising regularly, and reducing the stress in your life. All of these things will help your eyesight as well, but there are some additional things you can do to increase your odds of enjoying your vision for many years to come.

1. Get regular eye exams: Many eye diseases develop without you noticing them. Your eye doctor can detect them early, which increases your odds of preserving your vision.

2. Eat more fruits and vegetables: They contain antioxidants important to eye health.

3. Wear sunglasses: UV radiation is just as damaging to your eyes as it is to your skin. Wearing sunglasses can help prevent cataracts and retinal damage. Just make sure they offer broad-spectrum UV protection.

4. Take a walk: In the AAO study above, researchers discovered that those who got regular physical activity were 56 percent less likely to have vision problems.

5. Consider supplements: Certain vitamins and minerals have been found to help prevent some eye diseases. Make sure you’re getting enough vitamin A and E, beta carotene, lutein, zinc and copper. The

National Eye Institute reported in 2001 that these nutrients can help reduce the risk of age-related macular degeneration.

6. Eat more fish and walnuts: Omega-3 fatty acids are crucial for eye health, and can help you combat dry eye syndrome as you age.

Add more fatty fish like salmon and anchovies to your diet, along with walnuts, flaxseed, and chia seeds.

7. Stop smoking: Smoking increases the risk of eye diseases, including cataracts, macular degeneration and optic nerve damage.

8. Give your eyes a break: We’re harder on our eyes these days than we used to be. Most of us stare at some kind of screen—computer, tablet, phone, television—for hours each day. Whenever we do this, we tend to blink less, leaving eyes dry and irritated. Get in the habit of looking up and out at least once every twenty minutes. Try looking out a window or across a room so you’re using your distance vision.

9. Check with your family: Most eye diseases have some sort of hereditary link. If one of your parents or grandparents had glaucoma, for example, your risk is automatically increased. This is important for you to know, so you can tell your eye doctor. Regular screening can help you stay o top of any disease developments.

10. Report on any changes in your vision: The earlier you detect vision problems, the better your prognosis will be. If you notice blurriness, hazy vision, halos around headlights, difficulty reading, floaters, eye pain or swelling, or other issues, don’t hesitate to talk to your doctor right away.

WHEN TO SEE YOUR DOCTOR ABOUT YOUR MIGRAINES SYMPTOMS MAY INDICATE OTHER PROBLEMS ■■■

Gordon Barclay y

The American Migraine Foundation states that 36 million Americans—about 12 percent of the population—suffers from migraine headaches. Nearly a third of women will experience them during their lifetimes.

With migraines being so common, it can be hard to tell when you should just take an aspirin, and when you should see your doctor about the condition. Unfortunately, for some people, migraines can indicate other health issues, including an increased risk for stroke.

WHAT IS A MIGRAINE?

■ They can be chronic: Migraines are likely to plague people for years.

MIGRAINES MAY INCREASE RISK OF STROKE In addition to being painful, migraines can also increase risk of certain types of stroke in some people. A recent 2014 study, for example, found that adults with migraines have a two-fold higher risk of stroke than those who don’t have migraines. An earlier study found similar results, with researchers concluding that migraines “may be a marker for patients at increased risk for ischemic stroke unrelated to a migraine attack.”

WHEN TO SEE YOUR DOCTOR

There are several types of headaches. How can you tell if yours are migraines? Here are the clues:

When are migraines serious enough to warrant a trip to the doctor?

Ask yourself the following questions:

■ They hurt: Migraines cause more pain than most other types of

■ Are the migraines interfering with your everyday life?

■ Are they causing you to take extra sick days from work?

■ Are they getting worse—more painful or more frequent than they

■ ■ ■

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headaches.

One-sided: Most migraines hurt on one side of the head or face, though they can spread to both sides in some cases.

Sensitivity: Patients who suffer from migraines usually experience sensitivity to light, smells, and noise, as well.

Other symptoms: Most migraines come with other symptoms like watery eyes, nasal congestion, facial pressure, nausea, and sometimes vomiting.

Aura: In about a quarter of the cases, patients will experience an “aura” with their migraine, which includes visual disturbances, confusion, dizziness, and possibly trouble speaking.

Triggers: People with migraines usually experience them in response to certain “triggers,” like weather changes, lack of sleep, hunger, menstrual periods, and alcohol.

They last: Migraines can last anywhere from a few hours to several days.

used to be?

■ Do you find that nothing—not pain pills, not ice, not rest—works

to relieve the pain?

■ Are you taking too many over-the-counter medications?

■ Are they occurring once a week or more?

■ Are they keeping you awake at night?

If you answered “yes” to one or more of these questions, it’s time to see your doctor about other potential solutions. Current treatments include medications, physical therapies, behavioral therapies, and alternative treatments like acupuncture and biofeedback.

If you suffer more severe symptoms like dizziness, confusion, numbness, shortness of breath, slurred speech, vision disturbances, digestive problems, or headaches that come on quickly and severely, get to your doctor or the emergency room right away.

PA I N M E D

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264HEALTH 4 E L H

| Plastic la i Surgery S g y

TIRED OF SEEING SPOTS? ERASE THEM! NEW TREATMENT FADES AGE SPOTS, MELASMA, & HYPERPIGMENTATION

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

The results of a 2014 survey by the American Society for Dermatologic Surgery showed that nearly half of the respondents—41 percent—wanted treatments that would help fade redness and scars and improve skin tone. An earlier 2013 survey found similar results, with 36 percent of women bothered just as much by age spots as they were by wrinkles.

“I have these dark spots on my face that came up with my last pregnancy,” writes one online community member. “It looks like dirty spots on my cheeks and upper lip. I have tried several products for age spots and other things but nothing seems to work.”

“My melasma covers my forehead, nose, and the area above my upper lip,” writes another, “and I just don’t know what to do about it.”

If you can relate to these women, Dr. Rayham of the RR Plastix/New York Plastic Surgery Center has good news for you. There’s a new way to fade dark spots, age spots, melasma, and hyperpigmentation—without going under the knife. Best of all? It takes only about 15-30 minutes in the office and requires no downtime.

Interested? Take note, because fall and winter are the best times to treat yourself to smoother, more even-toned skin!

NEW TREATMENT MADE FOR HYPERPIGMENTATION The treatment is called the “Dermaceutic Spot Peel.” Though new to the U.S., it’s been used in Europe for over 10 years. What makes it unique is you take the first treatment in the office, and then continue with products at home for about 30 days to maximize the results.

You’ve probably heard of chemical peels.

They are deep exfoliation treatments that remove the top layers of skin and allow a newer, younger layer to come forward. This new layer looks more smooth and fresh, with fewer wrinkles, fine lines, and hyperpigmentation.

Each peel is different, however, depending on what ingredients are used and in what combination. Some peels are specifically made to reduce pore size and treat acne-prone skin. Some improve dullness and brighten skin, and others smooth fine lines and wrinkles.

Dermaceutic was specifically designed to fade dark spots and hyperpigmentation. It combines ingredients like glycolic acid, mandelic acid, salicylic acid, and retinyl palmitate and can be used on all skin types.

HOW DOES IT WORK? Called a “medium-depth” peel, the Dermaceutic Spot Peel starts in the office. Your doctor cleanses the area to be treated, applies the peel solution, and then, in some cases, neutralization. It takes 15-30 minutes, is a painless procedure (creating only a tingling sensation), and requires no downtime. You can do it on your lunch hour! And because the ingredients are not too harsh for the skin, you won’t have to suffer from excessive healing time.

At home, your treatment regimen will include a cream you can apply as needed to accelerate the healing process, and a spot cream to further fade dark areas. During this time, you may experience a slight redness, like a sunburn.

About three to four days later, your skin will start to peel. This is a sign that the top layers are falling away. Use your recovery cream as needed.

You’ll also want to avoid any exposure to the sun or UV light to reduce risk of scarring. That’s why fall and winter are the best times to go for this treatment—the sun is less intense. Even on cloudy days, though, you’ll want to protect your skin from any sun exposure by staying indoors, applying sunscreen, and even wearing hats.

AM I A CANDIDATE? Could this treatment be for you? Ask yourself the following questions: ■ Do I have dark spots or age spots?

■ Do I have old acne spots?

■ Do I suffer from melasma after pregnancy or because of birth control pills?

■ Do I have leftover pigmentation from other skin conditions?

■ Is my skin tone uneven because of sun damage?

If you answered “yes” to any of these questions, you may be a candidate for a Dermaceutic Spot Peel. (Those who may not be candidates are those who are pregnant and/or breastfeeding, allergic to any of the ingredients, or undergoing hair removal or tanning treatments.)

WHAT ARE THE RESULTS? Though patient results vary, most experience a significant improvement in dark spots and skin discolorations. Skin also looks brightened and more even-toned, with diminished fine lines and wrinkles. When healing is complete, patients enjoy a more youthful, vibrant and radiant complexion. www.4health.net ww.4h w..

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4HEA 4H EA ALT LTH H

LASER THERAPY HELPS WOUNDED WARRIORS RECOVER FROM BAD SCARS TREATMENT IMPROVES APPEARANCE AND RANGE OF MOTION g Rice ■■■ Morgan

A February 2014 Congressional Research Service report for Congress stated that between 2001 and 2014, nearly 7,000 U.S. soldiers were killed, and nearly 52,000 injured.

Those that come home often bear serious scars that are so severe they are not only unattractive, but can restrict motion and flexibility, affecting a soldier’s ability to perform everyday activities.

In response to the need for a solution for all these thousands of soldiers bearing scars, dermatologists turned to laser surgery. What they found benefitted not only soldiers, but other victims of scars and wounds, such as those in car crashes, fires, and work and home accidents.

WHAT KIND OF LASER SURGERY? It’s called “ablative fractional resurfacing,” a procedure that up until recently, was used mainly to treat acne scars and sun-damaged skin. A dermatologic surgeon applies the laser technology to the skin. It removes the damaged, outer layers, while also stimulating the underlying skin. This promotes new collagen production as the skin heals. The result is skin that looks tighter, smoother, and younger.

Recent research, however, has found that this same procedure can be very helpful when it comes to improving the look and feel of scars. In 2012, researchers from the Dermatology Clinic at the Naval Medical Center San Diego reported that they had been using ablative fractional resurfacing since 2009 to treat scars and scar “contractures” (scars that pull skin tight and make it more difficult to move easily). They found that the process worked well with few side effects, helping to improve the look and feel of traumatic scars.

RECENT RESEARCH SHOWS LASER THERAPY WORKS Now, a more recent study shows even more promise for the procedure. Dermatologist Chad M. Hivnor, staff dermatologist for the San Antonio Military Health System, wanted to improve the look and feel of scars that were causing psychological stress for his patients.

He found that the laser therapy produced the following results: ■ Loosening of the skin around the scar. This helps improve mobility and flexibility. An example—patients with scars on their faces were able to open and close their mouths after the therapy.

■ Improved appearance. Treated scars had improved color and texture.

Dr. Hivnor noted that the same therapy could be used to improve any scar, new or old, caused by any trauma.

THERAPY HELPS RESTORE RANGE OF MOTION In July 2014, the Armed Forces Benefits Association reported on how ablative fractional resurfacing is helping our wounded warriors.

Marine Gunnery Sgt. Brian Meyer, for example, who lost most of his fingers and a leg to a roadside bomb, has experience substantial improvements in his range of motion after going through the treatments. “When the job requires me to hook something and grab it,” he said in an AP video, “now, I can do it. Before, I couldn’t.”

Dr. Hivnor received the Air Force Association’s Paul W. Myers Award for his work using lasers to improve skin texture and flexibility in wounded warriors, and is now studying these treatments in injured children, as well.

If you have significant scars caused by past traumas, you too may find that laser treatments may be helpful. Not only may they create an improved appearance, but they can also restore range of motion and help you recover your ability to do activities that your scars have made difficult. Talk to your dermatological surgeon today. www.4health.net ww.4h w.

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718.646.0131

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4HEA 4H EA ALT TH

AFTER 10 YEARS, DIABETICS AT HIGHER RISK FOR FOOT ULCERS HOW TO REDUCE YOUR RISK

y Merrell ■■■ Lynn

In 2003, the Centers for Disease Control and Prevention (CDC) reported that about 60 percent of all leg amputations occur among people with diabetes. Of these, about 85 percent were preceded by a foot ulcer.

The longer you have diabetes, the higher your risk of suffering from a foot ulcer. Diabetic patients need to take this very seriously, to avoid more serious complications down the line. Fortunately, proper care can help reduce your risk.

WHAT IS A FOOT ULCER? A foot ulcer is simply a wound or sore on the foot that resists healing.

It may take a long time to heal or keep coming back after it seems that

it was getting better. These types of ulcers are more common in people with diabetes because of two main factors: ■ Vascular disease: Many diabetic patients have vascular diseases

that can affect blood flow into the feet. This can affect healing time. Wounds that do not get enough blood tend to take longer to heal, and can actually get worse over time or become infected.

■ Nerve problems: Diabetics are also at risk for nerve damage. They may lose sensation in certain areas of the feet, reducing their ability to feel when something goes wrong. If they step on something while walking barefoot, for example, they may not notice it until the small wound develops into an ulcer. www.4health.net ww.4h w.

4HEALTH Smoking, not wearing shoes, wearing ill-fitting shoes, having diabetes for more than 10 years, neuropathy, poor circulation, and failing to control blood sugar levels can all increase your risk of suffering from foot ulcers.

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■ Antibiotics if the ulcer is infected ■ Skin grafts ■ Surgery as a last resort (debridement) —to clear out dead tissue

and allow for healing ■ Hyperbaric oxygen therapy — pure oxygen is pumped into a

HOW CAN I TELL IF I HAVE A FOOT ULCER?

chamber to improve the healing process

Even if you can’t feel the ulcer — and for many diabetics, they are completely painless — you can notice other signs and symptoms that signal you need to check with your doctor: ■ ■ ■ ■ ■ ■

Burning, tingling, or numbness in the feet Difficulty walking Discoloration — black, blue or redness in the feet Fever Blisters Swelling or other indications of an infection

Your best approach is to prevent an ulcer before it starts. Try these tips: ■ Always wear shoes that fit you well — talk to your doctor about

orthotics if you need to ■ Don’t go barefoot ■ Keep your feet clean and dry — wear moisture-wicking

socks ■ Apply a nourishing moisturizer to heels and the front of the foot

If you notice any of these symptoms, don’t wait — the sooner you start treating an ulcer, the more likely you will be to get over it.

TREATMENT FOR FOOT ULCERS Once your doctor makes a diagnosis, there are a number of treatment options he or she may try: ■ Clean and bandage the wound regularly to prevent infection ■ Special casts or boots ■ Additional insulin or other medications to bring blood sugar un-

der control

HOW YOU CAN PREVENT ULCERS

■ ■ ■ ■ ■ ■ ■

to avoid cracking, but make sure you get one that absorbs well so it doesn’t cause the skin to be too moist Avoid socks that are tight around the ankle — they can interfere with circulation Inspect your feet daily for any abnormalities Regularly trim your toenails — if you can’t do it yourself, go to a specialist Avoid smoking Get regular exercise to improve blood flow and blood sugar levels Go to annual exams with your podiatrist Go to a specialist to treat corns, calluses, and other foot problems — avoid using chemicals or plasters for removal

(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

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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

www.4health.net w.4 w.4hea .44hea

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4HEALTH

NEW

OFFICE 1975 Hylan Blvd, Staten Island, NY 10306

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

Vasscular l Surgery r r | 4HEALTH HE L H35

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

YOU’RE IN TRUSTED HANDS

TM

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

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4HEALTH

HOW TO FIND YOUR BEST GYNECOLOGIST IS YOUR CURRENT DO OC A GOOD MATCH?

■ Do you feel like your doctor is open to

■■■

Lynn y Merrell

A woman’s gynecologist plays an important part in her health. In addition to performing necessary cancer screenings and exams, he or she helps answer questions about birth control, hormonal changes, and sexual issues. For some women, gynecologists are the only doctors they see on a yearly basis.

All of this means that a woman needs to find the right doctor to fill this important role. If you’re already happy with your choice, consider yourself one of the lucky ones. If you’re not—or if you find yourself in a situation where you need to find a new one—the following tips may help.

QUESTIONS TO ASK YOURSELF For those who already have a gynecologist, the question is: Are you happy with him or her? Do you feel like you’re getting the care you need?

If you’re not sure if your doctor is doing a good job, ask yourself the following questions: ■ Do you feel like you can ask questions that make you uncomfortable?

■ Does your doctor take time to explain things to you?

■ Are you happy with the staff?

■ Does your doctor treat you with respect?

■ Do you still feel comfortable with your doctor?

■ Can you make appointments when you need to?

your concerns?

If you answered yes to most of these questions, then you’re probably happy with your doctor. If you answered no to one or more, though, it may be time to reconsider your choice.

TIPS TO HELP IN YOUR SEARCH If you’ve decided to breakup with your current gynecologist, or if you’re looking for a new one, try these tips to increase your odds of success: ■ What kind do you need? If you’re just looking for someone to do yearly wellness exams, you’ll probably do fine with a general gynecologist or even a women’s health specialist or nurse practitioner.

If you’re having children or want to get pregnant, however, look for an obstetrician-gynecologist (ob-gyn), who can both care for you during a pregnancy and perform wellness exams. (An ob-gyn specializes in medical and surgical care for expectant mothers.)

■ What health issues do you have? If you struggle with health issues like diabetes, high blood pressure, infertility, cancer, or other concerns, take these into consideration during your search. Find out if the doctor you’re looking at has experience with these conditions.

■ Who recommends this person? Friends and family members are good sources for

recommendations. You can also check online websites like Vitals (vitals.com) and Healthgrades (healthgrades.com) for additional information, including credentials, years in practice, specialties, and patient reviews. Another idea—call the hospital and ask the head nurse in the obstetrics department whom he or she would recommend.

■ What traits matter to you? During your search, look at things like education, experience, and expertise. These things matter, but so does gender, location, and insurance. As your making your list of possibilities, note these things about each one.

■ Does the doctor have beliefs that clash with yours? Find out if the doctor is going to be open to what you want.

Birth control, alternative therapies, screenings—remember that you are in charge of your own health and body, and you need a doctor willing to work with you.

■ What is the doctor like in person?

Once you have narrowed down your list, schedule appointments to interview your top two to three. Make notes after each appointment concerning how you felt about each individual. Finally, make your choice, but keep your eyes open. If things change in the future, it’s better to go through the process again than to remain in a situation that doesn’t feel right.

4HEALTH

37

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.

38 38

4H 4 HEALTH

BLOOD IN YOUR URINE— WHAT DOES IT MEAN? WHE EN YOU NEED TO SEE A DOCTOR ■■■ Colleen M. Storyy Seeing blood in your urine may be startling, but fortunately it’s not usually cause for major alarm. There are many reasons that the urine may be stained red, and most of them are not cancerous. Only a doctor can be sure, however, so it’s important to always get a checkup as soon as possible. If the problem is serious, early treatment can greatly increase the odds of success.

WHAT IS BLOOD IN THE URINE? Medically termed “hematuria,” blood in the urine is a sign that some blood cells have managed to leak into the urinary tract. Where this blood comes from, however, can vary widely. Sometimes, there may be blood in the urine that you can’t see. Called “microscopic hematuria,” it is detected only with urine tests or under a microscope. This type of trace amount of urine is actually considered normal, as an average person with a healthy urinary tract excretes about one million red blood cells via urine each day.

“Gross hematuria” describes a condition where the blood can be seen with the naked eye. Usually this type turns the toilet water pale pink, bright red, or smoky brown (like tea), or you may see spots of blood in the water after urinating.

WHAT CAUSES BLOOD IN THE URINE? There are many conditions that can cause blood to appear in the urine. The most com-

mon for those younger than 40 years of age are kidney stones or urinary tract infections.

According to the Mayo Clinic, other causes include: Urinary Tract Infections: These may occur as a result of bacteria that enter the body through the urethra and multiply in the bladder. In older adults, the only sign of the illness may be microscopic hematuria.

Kidney Infections: If bacteria gets into the kidneys from the bloodstream, or moves up from the ureters into the kidneys, the kidneys may become infected.

Bladder or Kidney Stones: The minerals in concentrated urine sometimes form crystals on the walls of the kidneys or bladder, creating small, hard stones. Only the large ones can actually cause blockage, resulting in extreme pain and sometimes blood in the urine.

Enlarged Prostate: If this gland, which surrounds the top part of the urethra in men, becomes enlarged, it can partially block urine flow, which can cause hematuria.

Kidney Disease: Inflammation in the kidneys can result in urinary bleeding.

Inherited Disorders: Sickle cell anemia, a hereditary defect of hemoglobin in red blood cells, as well as Alport syndrome, which affects the kidneys, can both create hematuria.

Medications: Some common drugs like aspirin, penicillin, blood thinners, and cancer drugs can also cause blood to appear in the urine.

Strenuous Exercise: Athletes who exercise intensely may sometimes experience hema-

turia, perhaps due to dehydration or trauma to the bladder. Marathon runners are particularly susceptible.

Cancer: Blood in the urine may be a sign of kidney, bladder, or prostate cancer.

DIAGNOSIS AND TREATMENT Sometimes you may experience hematuria with no other symptoms, but other times a burning sensation when urinating, fever, nausea or vomiting, weight loss, or pain in the side, back, belly, or groin may accompany the bleeding symptoms.

It’s important to note all your symptoms, as this will help your doctor diagnose your condition.

If you cannot get in to see your doctor right away and your symptoms are getting worse, go to a hospital emergency department. A combination of blood in the urine, fever, and side (flank) pain may indicate a kidney infection, and requires immediate care.

Your doctor will ask about your symptoms, your medical history, and your current medications, and then will ask for a urine sample for testing. A urinalysis can show signs that will help diagnose your condition, such as the presence of certain proteins, which may signal a kidney problem, or the presence of white blood cells, which may signify an infection. Treatment varies depending on your condition, but most often includes antibiotics, drinking liquids, other medications, and other noninvasive therapies. www.4health.net ww.4h w.

4HEALTH

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

39

40

CLASSIFIEDS

40

40

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.

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Established Colon Hydrotherapy Business for SALE located in medical building complex in Bay Ridge.

Includes 4 treatment rooms that are furnished and fully equipped, spacious client waiting area, reception office, two bathrooms and plenty of storage space. Business is fully operating and ready to be taken over. Seller has expanded the family and relocating to another State.

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877.251.4750

4HEALTH

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ALLERGY & IMMUNOLOGY

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

FAMILY PRACTICE

Dmitry EPELBOYM, DDS th

Nataliya SAFONOVA, DDS

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2211 Ocean Ave Brooklyn NY 11229 Brooklyn,

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(718) 787-0700

Lucia AVANY, MD 2960 Ocean Ave, Ave Fl 3 Brooklyn NY 11235 Brooklyn,

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

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CARDIOLOGY

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

(877) 251-4750

GASTROENTEROLOGY

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

(718) 376-5557

Don BANDARI, MD

DENTISTRY - ORTHODONTICS

(718) 787-0400

1749 E 16th St Brooklyn NY 11229 Brooklyn,

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

(877) 434-7889

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

Lilia LEVITZ, MD

Stephanie YAMPOLSKY, DDS

(718) 375-4747

Irina BERLIN, MD

321 Edison St Staten Island, NY 10306

Ellen EDGAR, MD 1642 W 9th St Brooklyn, NY 11223 Brooklyn

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

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

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Vladimir LEMPERT, DMD

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Brilliant SMILE

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Alexander BRODSKY, MD

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

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

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

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(888) 502-6245 DERMATOLOGY

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

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Amit SCHWARTZ, MD 948 48th St, St Fl 2 Brooklyn NY 11219 Brooklyn,

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

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4HEALTH OBESITY MEDICINE

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

ORTHOPAEDIC SURGERY

Paul GLIEDMAN, MD

Mark TANNENBAUM, MD th

2101 Ave X Brooklyn NY 11235 Brooklyn,

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Natalya UROVISH, MD www.orthobrooklyn.com

OTOLARYNGOLOGY

PLASTIC SURGERY

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

(888) 849-5101 PHYSICAL THERAPY

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OB/GYN - GENERAL

43

Roman RAYHAM, MD, BOARD CERTIFIED IN PLASTIC SURGERY 1616B Voorhies Ave Brooklyn NY 11235 Brooklyn, 161 Madison Ave, Ave Ste 11W New York, York NY 10016

(877) 582-0400

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

Igor BRANOVAN, MD

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Hayama BRILL, MD th

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

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Margarita BAUMAN, OD 1910 Ave U Brooklyn NY 11229 Brooklyn,

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1810 Voorhies Ave Brooklyn NY 11235 Brooklyn,

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

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Leonard M. BLEY, MD 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

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482 Manor RD Staten Island, NY 10314

(718) 946-8586

4HEALTH

44

VASCULAR SURGERY

Alina VASILYEVA, DPM

Vitaly RAYKHMAN, MD

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

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

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(347) 508-3991 www.nyui.org

PSYCHOLOGY

ALTERNATIVE MEDICINE - GENERAL

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

Ada KULAGINA, LAC

(888) 535-0808

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8635 21st Ave Brooklyn NY 11214 Brooklyn,

PHARMACIES

LAW

Nostrand HOUSES PHARMACY

Viktoria BERESS, ESQ

3031 Ave V Brooklyn NY 11229 Brooklyn,

2908 Emmons Ave Brooklyn NY 11235 Brooklyn,

(718) 332-0040

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Park PLACE PHARMACY

Gitelis LAW OFFICE

160 Park Pl Brooklyn NY 11217 Brooklyn,

2004 Coney Island Ave Brooklyn NY 11223 Brooklyn,

(718) 857-4000

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NUTRITION AND DIETETICS

Leonid VOROBYEV 7819 18th Ave, Ave Ste A Brooklyn NY 11214 Brooklyn,

(888) 416-5055 UROLOGY

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

Alexander SHIFERSON, MD 903 49th St Brooklyn NY 11219 Brooklyn,

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Albert GROSS, CNS, NYS, CDN

MEDICAL SUPPLY

1942 E 8th St Brooklyn NY 11223 Brooklyn,

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AESTHETIC CENTERS

Khavinson & ASSOCIATES

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

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

(347) 508-3991

(718) 360-9550

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www.drshusterman.com

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

USA VEIN CLINICS

(888) 418-0442

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

USA VASCULAR CENTERS

Leon KUCHEROVSKY, ESQ

Globe SURGICAL SUPPLY

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

VK Skin

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VKSKIN SPA

www.usaveinclinics.com

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

2029 Bath Ave Brooklyn NY 11214 Brooklyn,

(646) 200-5937

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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