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CAN COSMETIC SURGERY MAKE YOU MORE LIKEABLE?
WEIGHT-LOSS DRUGS: SHOULD YOU TRY THEM?
DO YOU REALLY NEED THAT HYSTERECTOMY?
DRY EYES? IT COULD BE ALLERGIES
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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
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Can Cosmetic Surgery Make You More Likeable? Small Study Shows Surprising Results
11 8 Weight-Loss Drugs: Should You Try Them?
Pros and Cons of Medications On the Market Today
12 Why Women with Bipolar Need to Get More Sleep
Study Shows Sleep, or Lack of It, Affects Mood Swings
14 Do You Really Need that Hysterectomy?
Why Women Should Ask About Alternative Treatments
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INTRODUCING MESODERM THERAPY FROM VK SKIN SPA
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DID YOU KNOW THAT OVER 90 PERCENT OF AMERICANS HAVE CAVITIES?
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DENTAL PROBLEMS COULD BE CAUSING YOUR HEADACHES
Startling Study Findings Highlight Need for Dental Care
By Dr. Namik Yusufov, DDS, MDT
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STOMACHACHE? IT COULD BE COLITIS
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BACK OR NECK PAIN? HEAD TRAUMA? SOPHISTICATED TREATMENT AVAILABLE NEAR YOU!
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WHAT’S CAUSING YOUR BELLY FAT?
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By Dr. Sam Weissman
Award-Winning Doctor Sundaresan Offers Experienced Neurological Care
By Dr. Prab R. Tumpati
DO YOUR HANDS MAKE YOU LOOK OLDER THAN YOU’D LIKE? Dr. Roman Rayham on a New Treatment that Takes Years Off the Appearance of Hands
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FEEL BETTER TODAY WITH NEW, NON-INVASIVE DEPRESSION TREATMENT
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HOSPITAL TRIP? DON’T FORGET THESE 7 IMPORTANT ITEMS
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TMS Therapy Solution Requires No Drugs or Surgery
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CAN COSMETIC SURGERY MAKE YOU MORE LIKEABLE? SMALL STUDY SHOWS SURPRISING RESULTS
■■■
Lynn Merrell
If you decided to get cosmetic surgery, most likely it would be because you wanted to change the way you look. According to a recent study, though, the results could cause other changes too — like how other people perceive you. We like to think that we’ve evolved to the point where we can see beyond what someone looks like to determine their real personality. But we haven’t come as far as we think. Researchers report that after facial rejuvenation surgery — such as a face-lift or brow-lift — people were not only seen as more attractive, but actually more «likeable» than they were prior to the surgery.
STUDY SHOWS COSMETIC PROCEDURES INCREASE LIKEABILITY For the study, researchers took photos of 30 white female patients both before and after their facial rejuvenation surgery. The pictures were taken between 2009 and 2013. The procedures the women went through included the following: ■ Face-lift ■ Eyelid surgery ■ Eyebrow lift ■ Neck lift ■ Chin implant
The researchers then mixed up the photos so that the same preoperative and postoperative pictures were not included in any single group. They then showed the pictures in groups of 5 to at least 24 other people who weren’t involved in the surgeries. They asked these people to rate the photographs for the following six personality traits: ■ Aggressiveness ■ Extroversion ■ Likeability ■ Trustworthiness ■ Risk seeking ■ Social skills They also asked the reviewers to rate the pictures for femininity and attractiveness. Results showed that of these eight traits, four were significantly improved after surgery. These included: ■ Likeability ■ Social skills ■ Attractiveness ■ Femininity In other words, the reviewers thought that the faces looked more likeable and attractive after cosmetic surgery. The researchers concluded that facial plastic surgery changes the way patients are viewed by those around them. «Traditionally,» the researchers wrote, «these interventions have focused on improvements in youthful appearance, but
this study illuminates the other dimensions of a patient’s facial profile that are influenced by facial rejuvenation surgery. The surgeries that had the greatest effects? The face-lifts and eyelid procedures.
ALWAYS DISCUSS THE OVERALL OUTCOME WITH YOUR SURGEON In today’s hyper-competitive job market, many people feel that cosmetic surgery can help them that extra edge they need in the job interview or when looking for promotion. This study suggests that may be true. Other studies have shown that humans make judgments about a person’s character based on how their face looks. A 2006 study, for instance, showed that after just 100 milliseconds, people made judgments about characteristics like trustworthiness, aggressiveness, and caring. What does this mean for people considering cosmetic surgery? It’s important to discuss the overall outcome with your surgeon. Though most people in the study above had positive results, some women’s personalities were rated more negatively post-surgery, most likely because their results looked less natural than the others. Realize that even a small procedure, such as an eyelid lift, can have an overall effect on how your face looks. Make sure you and your surgeon are on the same page before going forward with your procedure. www.4health.net
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4HEALTH
DID YOU KNOW THAT OVER 90 PERCENT OF AMERICANS HAVE CAVITIES? STARTLING STUDY FINDINGS HIGHLIGHT NEED FOR DENTAL CARE
■■■
Lynn Merrell
Cavities are kids stuff, right? Once you’ve turned 18, it’s rare to have to worry about them, particularly as by then, you’ve adopted good dental hygiene habits. Well, maybe not, according to a new report from the National Center for Health Statistics (NCHS). Using data from the National Health and Nutrition Examination Survey (NHANES) 2011-2012, researchers found about 91 percent of adult Americans between the ages of 20 and 64 have cavities! (Also called dental caries.) How could this be? And could you be running around with cavities in your mouth and not even know it?
WHAT ARE DENTAL CARIES? Dental caries, or cavities, are areas of tooth decay. They are caused by bacteria, which produce an acid that gradually breaks down the tooth enamel and destroys part of the tooth. They like to form in areas that are difficult to reach with a regular toothbrush, including cracks or grooves in the back teeth, between teeth, around fillings or bridgework, and near the gum line. They start out eroding the surface of the enamel, and then eventually create pits that can become larger over time. These destructive bacteria in the mouth feed off sugar and carbohydrates that we eat every day. As they consume their food, they produce the acids that wear away the outer
surface of the tooth, and eventually, the inner pulp and sensitive nerve fibers. The problem with dental caries is that in their early stages, they may not create any symptoms. In other words, you may not be aware that you have this destructive business going on inside your mouth. Only when the decay eats through the enamel may the tooth become sensitive to certain things, like hot and cold food and drinks, or particularly sweet items.
REPORT SHOWS MANY NOT RECEIVING TREATMENT FOR CAVITIES Tooth decay and tooth loss has been at a decline over the last several decades, as we’ve all learned to brush and floss, and we also have improved tools to help us keep our mouths clean and bacteria levels low. According to this recent NCHS report, however, we still have a long way to go. Part of the problem is that many of us aren’t visiting our dentists often enough. Dentists can detect developing cavities before we can, and can offer treatment to stop their progress before they can cause too much damage. Data shows that while white American adults have more tooth decay than minorities, for instance, they’re more likely to get dental treatment for them. A high 94 percent of non-Hispanic white adults had decayed teeth, compared with 91 percent of black and 86 percent of Hispanic adults, but less than a quarter of the whites had untreated tooth decay. In contrast, 42 percent of black adults
and 36 percent of Hispanics had not treated their cavities. Another issue is that we have more trouble as we get older. Perhaps we don’t pay as much attention to our dental hygiene, or we end up with other health problems that make it more difficult to keep bacteria at bay. The data showed that tooth decay and tooth loss becomes more prevalent with age, with 96 percent of Americans over the age of 65 having tooth decay. Obviously, we need to become even more vigilant in our senior years.
TIPS TO AVOID GETTING MORE CAVITIES To be sure that dental caries aren’t sneaking up on you, make sure you’re doing the following: ■ ■ ■ ■ ■
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Seeing your dentist at least once a year Brushing twice daily Flossing at least once daily Cutting back on consumption of sugary foods Limit acidic drinks like soda pop and coffee; always rinse with water after consumption (avoid brushing for at least an hour to limit harm to enamel) Rinse twice daily with an antibacterial dental rinse If you’re not drinking fluoridated water (your consuming a lot of bottled water or your water source isn’t fluoridated), consider rinsing with a fluoride rinse Chew gum with xylitol, as it may help decrease bacterial growth www.4health.net
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WEIGHT-LOSS DRUGS: SHOULD YOU TRY THEM? PROS AND CONS OF MEDICATIONS ON THE MARKET TODAY ■■■
Colleen M. Story
Losing weight is hard. Anyone who’s tried it knows it. And even if you lose it, odds are you’ll gain it back. Is there an easier solution? Many people are unaware of that fact that there are weight-loss drugs out there. The question is, do they work? What about the side effects?
Koven, primary-care doctor at Massachusetts General Hospital in Boston, many doctors don’t feel comfortable with diet drugs, because they produce “only modest weight loss, in the range of about five to ten percent, and they do have side effects.” Still, even five to ten percent could help improve health parameters like blood pressure, blood sugar, and blood cholesterol.
HOW DO WEIGHT-LOSS DRUGS WORK? WHY DON’T DOCTORS PRESCRIBE DRUGS MORE OFTEN? Unfortunately, science hasn’t yet discovered a pill to help us easily shed the pounds. Researchers are still working on that one. We do have, however, a handful of drugs that the FDA has approved for the treatment of obesity, which is usually defined has having a body mass index (BMI) of 30 or more. Doctors can prescribe drugs for any condition they see fit, but they often hold off on weight-loss drugs until patients have tried other methods. It’s only after one has made significant efforts with diet and exercise that one becomes a candidate for drugs. Doctors also take into consideration how the excess weight is affecting their patients. Those who are experiencing significant health problems because of their weight are more likely to be prescribed drugs. Why the hold-up? Why won’t doctors turn to drugs sooner? According to Suzanne
In general, the new weight-loss drugs work by suppressing appetite, increasing metabolism, and via other methods. The important thing to know is that none of them will do the work for you. Patients taking the drugs must also commit to a healthy diet and a regular exercise routine, to help facilitate weight-loss results. A recent study examined the five main weight-loss drugs that are available on the market today. Results showed the following: 1. Orlistat: This is an over-the-counter medication that reduces the absorption of fats from food. Patients take it with each meal. Side effects can include gassiness, cramps, and oily stools. 2. Lorcaserin: This medication works on neurotransmitters in the brain to reduce appetite. Side effects may include headaches and upper respiratory infections. If you already take antidepressants or medications
for migraines, you should not take this medication. 3. Phentermine/topiramate: This drug is a combination of two. The first is a stimulant that decreases appetite, and the second decreases appetite and helps you feel full. Side effects may include anxiety, insomnia, and birth defects. Patients with uncontrolled high blood pressure or heart disease should not take it. 4. Bupropion/naltresone: Another combination medication, this one works to control hunger. It can increase risk of cardiovascular disease and suicidal thoughts. 5. Liraglutide: This is an injection that was originally approved to treat type 2 diabetes. It was later approved to help treat obesity, as well. It helps control blood sugar levels, which can also have weight-loss benefits. Side effects may include nausea and diarrhea. It may also increase risk of pancreatitis and thyroid tumors.
ARE WEIGHT-LOSS DRUGS FOR YOU? Clearly, there is a lot to think about before starting to take weight loss drugs. There are the potential side effects, and the relatively small pay-off. If they can help you reach your weight-loss goals, however, they may be worth a try. Talk to your doctor about your options, and remember that these drugs are best taken only short-term, so you’ll need a plan for how to maintain your weight once you stop taking the drugs. www.4health.net
Gastroenterology | 4HEALTH13
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STOMACHACHE? IT COULD BE COLITIS WHY YOU SHOULD SEE YOUR GASTROENTEROLOGIST TODAY Have you ever had a really bad stomachache, accompanied by diarrhea or other intestinal complaints? Most of us have at one time or another. Usually, it passes and we go on with our lives, but sometimes, it can signal something a little more serious. Colitis, which is the inflammation of the mucus membrane located in the large intestine, is one of the most common gastroenterological diseases. It may be only a temporary illness, related to an infection or medication, or it may be part of the spectrum of inflammatory bowel disease, which includes ulcerative colitis and Crohn’s disease. Today, we will discuss with gastrointestinal specialist, Dr. Sam Weissman, how colitis can be dangerous, and why we shouldn’t ignore it.
WHY DO MOST PEOPLE WHO EXPERIENCE THE SYMPTOMS OF COLITIS FAIL TO CALL THEIR DOCTORS? There are many reasons. First, the symptoms — which include flatulence, rumbling in the abdomen, bloating, spastic pain and diarrhea — generally feel quite normal and harmless. One may think that he or she ate something that wasn’t fresh and after several days, everything will go back to normal. Second, over-the-counter drugs, available to anyone in the pharmacy, quickly eliminate the symptoms of colitis, which can make us think that it’s gone away. Third, many patients, especially women, simply feel shy and nervous about contacting their doctors about such a delicate, personal problem. Fourth, people don’t know that neglecting colitis over the long term can actually lead to very serious consequences for health.
WHEN WE FAIL TO TREAT COLITIS, WHAT SORT OF COMPLICATIONS CAN DEVELOP? Many. In serious cases, the inflammation can disrupt the function of the small intestine and colon, creating multiple digestive disorders that impair overall quality of life. Over time, for example, certain types of colitis can develop into ulcerations, such as inflammatory bowel disease or ischemic colitis, which may require long-term treatment. In addition, there is always the danger that colitis symptoms may be a sign of something more serious. Intestinal inflammation may signal Crohn’s disease, for example — a serious, potentially life-threatening disorder — or other complications like large internal bleeding, peritonitis, ileus, internal and external fistulas, strictures of the colon, and intestinal cancer. www.4health.net
WHEN SHOULD SOMEONE SEE A GASTROENTEROLOGIST? Only extremely alarming signals should make an individual literally run to his or her physician. These include the presence of mucus and/or blood in the stool, defecation more than 10 times a day for 2–3 days, severe weight loss, severe weakness, and fatigue.
WHAT ARE THE POSSIBLE CAUSES OF THESE DANGEROUS SYMPTOMS? There are many causes. Only an experienced, qualified specialist can accurately determine them, and decide an optimal treatment that will quickly and effectively put the patient back on his or her feet. Colitis can be caused by various kinds of poisoning: food, radiation, toxic, and medication (most often a result of taking antibiotics and/or non-steroidal anti-inflammatory drugs like aspirin and ibuprofen). There are two other common causes — infectious (viruses, pathogenic bacteria, fungi) and parasitic (worms,amoeba dysentery,Trichomonas) infections of the intestine. Also, colitis may occur because of a food or drug allergy, a fiber deficit in the diet, lesions of intestinal blood vessels, and tuberculosis, as well as chronic diseases of the cardiovascular system, kidney, liver, pancreas, stomach and intestines.
HOW IS YOUR OFFICE UNIQUE IN TREATING COLITIS? It depends on the type of colitis (infectious, ulcerative, parasitic, etc.), its severity, the phase of the disease, and the general state of the patient. In my office, treatment emphasizes a medical, holistic, and dietary approach. We recommend a bland diet consisting of smaller and more frequent steamed and blended foods (vegetables, meat, fish), as well as the exclusion of milk, beans, alcohol, spicy, smoked, and salted dishes. Depending on the type of colitis, treatment may include antiparasitic or antibacterial therapy. Additionally, as a rule, we may also prescribe vitamins, adsorption, enzyme preparations, noncarbonated mineral water, therapeutic enemas, and herbal teas and infusions of herbs (sage, blueberry, oak bark, etc.). In any case, it should be understood that only early diagnosis and comprehensive optimal therapy can help get rid of the unpleasant symptoms of colitis and reduce the risk of its recurrence, as well as serve as an effective prevention of more serious diseases of the digestive system. Thus one should not ignore colitis, but promptly refer to a gastroenterologist.
NAME:
SAM WEISSMAN, MD BOARD CERTIFICATIONS: American Board of Internal Medicine Gastroenterology (Internal Medicine)
SPECIALTY: gastroenterologist
HOSPITAL AFFILIATIONS: New York Methodist Hospital
PROFESSIONAL MEMBERSHIPS American College of Physicians American Gastroenterological Association
AWARDS AND PUBLICATIONS Roth Scholarship for Biomedical Research
CONTACT: 202 Foster Ave, Suite C, Brooklyn, NY 11230
(888) 610-3893
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4HEALTH
WHY WOMEN WITH BIPOLAR NEED TO GET MORE SLEEP STUDY SHOWS SLEEP, OR LACK OF IT, AFFECTS MOOD SWINGS
■■■ Colleen M. Story You’ve probably heard by now that a good night’s sleep is extremely important for your health. It’s so important, in fact, that it may add years to your life. A 2010 study review, for example, which included over 1.3 million people, found that those who didn’t get enough sleep had a greater risk of death than those who did. In a recent study, however, researchers found out something new: sleep may also affect your mood, particularly if you are a woman with bipolar disorder.
WHAT IS BIPOLAR DISORDER? Bipolar disorder is a mental illness that causes extreme mood swings. Patients may feel euphoric and full of energy one day, and extremely depressed and hopeless the next. Estimates are that the disorder affects about 5.5 million Americans age 18 and older. Both men and women can suffer from bipolar disorder, but studies have found that women are about three times as likely to experience rapid cycling between the two mood states. This can be dangerous, as according to the National Institutes of Health, as many as one in five patients with the disorder commits suicide. During a manic episode, patients may experience symptoms like inflated self-esteem, racing
thoughts, distractibility, agitation, impulsivity, and other feelings that disrupt their work, relationships, and social activities. During a depressive episode, they’re more likely to experience symptoms like sadness, emptiness, hopelessness, crying, weight changes, fatigue, worthlessness, and decreased ability to concentrate. At either end of the spectrum, patients may experience sleep problems.
STUDY SHOWS SLEEP QUALITY AFFECTS MOOD IN WOMEN WITH BIPOLAR DISORDER For the study, researchers analyzed data from over 200 participants in a two-year study on bipolar disorder. They looked at how sleep quality affected mood, and measured the frequency, severity, and variability of both the manic and depressive symptoms. Results showed the following: ■ In women, poor sleep predicted increased severity and frequency of depression and mania. ■ The same results were not found in men. As to why sleep would seem to affect women and men differently, researchers theorized that reproductive hormones in women could be affecting both sleep and mood, though they’re not sure exactly how. They also noted that women and men sleep differently, and that women have different risks for sleep disorders, especially during the reproductive years.
The main thing, they noted, was to realize that sleep quality is “an important factor that needs to be treated in patients with bipolar disorder, particularly in women.”
DO YOUR BEST TO GET A GOOD NIGHT’S SLEEP What can women take from this study? That sleep is important—very important. When you’re in a manic episode, however, you may believe you don’t need sleep, and when you’re in a depressive episode, you may not be able to sleep. Now that you’ve read about this study, though, you know that if you want to reduce your symptoms, it’s best to get a good night’s sleep most every night. Your best bet is to talk to your doctor. Likely you’re already taking medications to manage your condition, but that may not be enough. Try putting into place habits that will help you sleep regardless of how you feel, emotionally. Get all the technological gadgets out of your room, make sure it’s suitably dark for sleep (light disrupts sleep), and invest in comfortable bedding and perhaps a fan or soothing recording that will help you drift off. Sleeping pills aren’t recommended because of their negative effects, but your doctor may have other options. Natural remedies like melatonin, magnesium, calcium, aromatherapy, and herbs like valerian and chamomile can also help you improve your sleep. www.4health.net
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EXHAUSTED FROM SEASONAL ALLERGIES? ACUPUNCTURE TREATMENT WILL HELP YOU
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DOCTOR DMITRIY GRINSHPUN, MD Chief of Neurology, Director of Stroke Center and Professor WOODHULL MEDICAL CENTER / NEW YORK UNIVERSITY AFFILIATE
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ADVANCED CENTER FOR THE TREATMENT OF: • Headache and atypical facial pain • Neck and back pain • Impinged nerve and neuralgia • Muscle pain, weakness and sensory disturbance • Dizziness and noise in the head or ears • Fainting spells and epilepsy • Alzheimer’s disease and other causes of memory loss • Parkinson’s disease and other causes of tremor • Residual deficit of a stroke and it’s prevention • Depression and anxiety • The effects of work-related injuries and automobile accidents
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• Computer diagnostics of neuromuscular diseases • Ultrasound diagnostics of intracranial and extracranial vasculature • Electroencephalography
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BACK OR NECK PAIN? HEAD TRAUMA? SOPHISTICATED TREATMENT AVAILABLE NEAR YOU! AWARD-WINNING DOCTOR SUNDARESAN OFFERS EXPERIENCED NEUROLOGICAL CARE Did you know that if you’re suffering from back pain, neck pain, head trauma, spinal problems, or other disorders related to the central nervous system, you can find some of the top doctors in the field right in your home town? We had a chance to speak with Dr. Narayan Sundaresan — one of the top neurosurgeons at Memorial Sloan-Kettering Cancer Center for seven years — about his practice in the New York City area. Dr. Sundaresan has authored over 100 abstracts and peer-reviewed articles in the top oncology and spine journals, and currently works with a team of neurosurgical specialists at NY Neurosurgery PC and Generations Neurosurgery, PC.
WHAT DO NEUROSURGEONS TREAT? Neurosurgeons like Dr. Sundaresan specialize in disorders of the central and peripheral nervous system, including the following: ■ traumatic injuries to the brain, skull, spi-
nal cord, or nerves ■ tumors in the brain, spinal cord, nerves,
skull, or spine ■ back pain caused by pinched nerves, in-
fections, fractures, and ruptured or bulging disks ■ neurovascular disorders such as aneurysms, strokes, and brain hemorrhages ■ brain disorders like epilepsy and Parkinson’s disease ■ infections of the brain and/or spinal cord
DOCTOR SPECIALIZES IN TREATING BACK AND NECK PAIN Dr. Sundaresan has managed a level-one trauma center for 25 years, and says he still sees a substantial amount of neurosurgery done for head trauma and spinal trauma from motor vehicle accidents. He also treats a substantial number of gunshot wounds, but says that his actual specialty is in treating patients with degenerative conditions, like back and spine problems.
«I would venture to say that more than 25% of human beings have problems with this,» he says, «and that’s the group I’m focused on right now as they also require surgical treatment.» He notes that back problems often come from workrelated injuries, especially with patients who are in the construction business, or who have been in car accidents. «The majority of my patients come in because they have a herniated disc or ruptured disk in the neck or back and they’re in excruciating pain from pressure on the nerves. And it’s taking care of them that’s a big part of my practice.»
THE IMPORTANCE OF A GOOD DOCTORPATIENT RELATIONSHIP As one of the youngest neurosurgeons in the nation, Sundaresan was working in the field before technology became so critical in the care of the central nervous system. Prior to the heavy use of CAT scans and MRIs, for instance, it was important for a doctor to be able to make a diagnosis without a lot of special equipment. «In the early days there was a lot of good judgment involved,» he says. «Surgeons of my generation learned by talking to the patient, listening to their history, being personally involved. The clinical skills were very, very important. The way that we were taught was we had to assume personal responsibility not only in surgery, in their preoperative care, their postoperative care, and ongoing care, so there was a very complete relationship.» In the NY Neurosurgery PC, the doctors pride themselves on continuing the idea that complete care must involve a solid foundation of communication and trust between doctor and patient.
RUSSIAN-SPEAKING NEUROSURGEON JOINS NY NEUROSURGERY PC With years of experience treating people with all types of backgrounds, Dr. Sundaresan sees a large number of Russian-speaking patients,
particularly at his Coney Island location, where he works with Generations Neurosurgery, PC. «Coney Island is unique because it is the hospital for a very large group of Russians,» he says. Most of the physician’s assistants at Coney Island speak Russian, so patients are very comfortable there. «We have just hired for our group a Russianspeaking neurosurgeon,» he says, «who wants to settle in this community and build a practice and serve the Russian community. It’s very difficult for us to find someone with that background. But we have now gotten an extremely well trained person who wants to join us.» In fact, the doctor’s practice is well suited to take care of all types of neurosurgical issues in the local community, and encourages patients in the Brooklyn area to visit Coney Island. «I think for the outsider who looks at Coney Island or looks at another hospital you’re not aware as to how sophisticated the services are,» he says. «But this hospital does have a lot of advanced tech in neurosurgery, and we have a very, very experienced neurosurgical team taking care of this. Patients don’t have to go to Manhattan — they have it right here.»
CONTACT DR. SUNDARESAN TODAY In addition to treating back and neck pain along with other neurosurgical conditions, Dr. Sundaresan is often sought out by patients overseas because of his expertise in dealing with complex tumors. He and his team have offices in Manhattan, the Bronx, and Brooklyn. For more information, contact the clinic at 212–876–7575, or visit their website at www.nyneurosurgerypc.com.
Generations Neurosurgery, PC
(212) 876-7575 (844)-95-SPINE (77463) www.4health.net
GENERATIONS
5 East 84th St, New York, NY 10028
2601 Ocean Parkway, 7th Fl Brooklyn, NY 11235
Bronx-Lebanon Hospital Center 199 Mount Eden Pkwy, 6th Fl Bronx, NY 10457
TOLL FREE 1-844-95-SPINE (77463)
Obesity Medicine | 4HEALTH19
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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.4health.net
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 inter-related fields together so you can lose weight, sleep better, and enjoy a healthier and perhaps even longer life. Our delicious and affordable W8MD weight loss meal replacement supplements start as low as $2.25 cents per meal replaced and can save up to 15% on grocery food cost. The biweekly program cost of $45.00 includes up to two appetite suppressant weight loss medications such as Phentermine, Topiramate etc. when appropriate.
NAME:
PRAB R. TUMPATI, MD CERTIFICATION: Board Certified in Internal Medicine & Sleep Medicine; Board Eligible in Obesity Medicine Member of the American Society of Bariatric Physicians
SPECIALTY: Internal Medicine, Sleep and Obesity Medicine
INSURANCE: Accept All Major Insurance Plans
CONTACT: 2003 Bath Avenue Brooklyn, NY 11214 1718, Welsh Rd, Philadelphia, PA, 19115 987 Old Eagle School Rd, Ste 712, Wayne, PA, 19087 543 45th St, Union City, NJ 07087
(888) 283-0399 www.w8md.com
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DO YOU REALLY NEED THAT HYSTERECTOMY?
WHY WOMEN SHOULD ASK ABOUT ALTERNATIVE TREATMENTS ■■■
Morgan Rice
Betty had been suffering from some abnormal bleeding, and went to see her doctor. He diagnosed her with uterine fibroids, a condition where tumor-like growths develop in the uterine lining. He suggested a hysterectomy as treatment, but Betty wasn’t sure. Was it really necessary to go through a complete hysterectomy to treat her condition? Betty was right to ask questions. According to a recent study, one in five women who went through a hysterectomy may not have needed it. A second opinion is always a good idea, as is examining other less invasive options.
STUDY SHOWS MANY WOMEN UNDERGOING HYSTERECTOMY THAT DON’T NEED IT For the study, researchers from the University of Michigan looked at data from nearly 3,400 women who went through a hysterectomy for benign (non-cancerous) conditions. They collected data for a 10-month period from 51 hospitals in Michigan. Women underwent the hysterectomies for conditions like uterine fibroids, abnormal uterine bleeding, endometriosis, and pelvic pain. Results showed the following: ■ About 40 percent of the women had no
documentation of alternative treatments before their hysterectomies. In other
words, they weren’t told about less invasive or dramatic options. ■ Less than a third received medical therapy. ■ About a quarter went through other minor surgical procedures before the hysterectomy. ■ About 68 percent of women under 40 received alternative treatments, but only 56 percent of those over the age of 50 did. ■ Nearly two in five women under the age of 40 had findings in their records that did not support undergoing a hysterectomy. ■ The cases most likely to undergo an unnecessary hysterectomy were those with endometriosis or pelvic pain. “This study,” said senior author Daniel M. Morgan, M.D., “provides evidence that alternatives to hysterectomy are underutilized in women undergoing hysterectomy for abnormal uterine bleeding, uterine fibroids, endometriosis, or pelvic pain.”
HYSTERECTOMIES CAN INCREASE RISK OF OTHER HEALTH PROBLEMS Currently, more than 400,000 hysterectomies are performed in the U.S. each year. One in three American women will have undergone the procedure by the time she turns 60. That is a decline from years past, but many experts believe that it is still more than are necessary. The National Women’s Health Network (NWHN) “believes that unnecessary
hysterectomies have put women at risk needlessly, and that health care providers should recognize the value of a woman’s reproductive organs beyond their reproductive capacity and search for hysterectomy alternatives before resorting to lifechanging operations.” In fact, there are many risks to women who remove the uterus and ovaries in their early forties and younger. It can increase risk of heart attack, stroke, and early menopause. Hysterectomies have also been linked with other health problems, like urinary issues, decreased sexual sensation and lack of lubrication, sexual function problems, depression and psychological stress, and hormone deficiencies. Hysterectomy is currently considered medically necessary only when a woman is suffering from invasive cancer of the uterus or other reproductive organs, or has unmanageable bleeding or infection, or serious complications during childbirth. Otherwise, there are alternatives, including watchful waiting, drug therapy, myomectomy (removal of the fibroids alone), uterine fibroid embolization, and more. If you, like Betty, are facing a potential hysterectomy, talk to your doctor about your alternatives, and consider getting a second opinion if you need one. There may be other treatments that would be less invasive and would cause fewer long-term side effects that could treat the issue just as well. www.4health.net
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DRY EYES? IT COULD BE ALLERGIES HOW YOUR OPHTHALMOLOGIST CAN HELP
■■■ Lynn Merrell Sarah couldn’t seem to keep herself supplied in eye drops. She was using them constantly, wetting her dry, itchy eyes. She couldn’t remember it being this bad in years past, and wondered if she was just getting older, or if maybe she was spending too much time working at the computer. Though it’s true that our reliance on screens these days can exacerbate dry eyes, a recent study has shown that there’s something else that could be making them worse, too: allergies. That’s good news for some people, as if your ophthalmologist knows that allergies are a factor, he can help you find better relief than you will find from eye drops alone.
STUDY SHOWS ALLERGIES AND DRY EYES MAY BE LINKED For the study, researchers from the University of Miami reviewed data from 3.4 million visits to Veterans Affairs eye clinics nationwide over a five-year period between 2006 and 2011. They had a total of about 607,000 records to analyze, all of them from patients who had dry eyes. They looked at the prevalence of dry eye symptoms and compared them to seasonal rises and falls in allergens. Results showed the following:
■ During the spring, researchers noted a
spike in patients diagnosed with dry eye. ■ There was a second spike in winter. ■ Prevalence of dry eye was lowest during the summer. ■ The month with the highest number of dry eye cases was April. This coincided with the yearly peak in allergens. After examining all the data, the researchers concluded that there was a connection between spring allergens to pollen and dry eye syndrome, and a link between winter cold, dry air and dry eye syndrome. This was an interesting finding, as in the past, allergy eyes and dry eyes have generally been seen as being two separate conditions. That they may be linked opens up new areas of treatment that may help patients find relief. Patients suffering from dry eyes usually have red, watery eyes that itch and feel gritty. “Finding this correlation between dry eye and different seasons,” said lead researcher Dr. Anat Galor, “is one step toward helping physicians and patients treat the symptoms of dry eye even more effectively based on the time of year.”
HOW KNOWING YOU HAVE ALLERGIES CAN HELP If you have allergies that may be exacerbating your dry eyes, what can you do?
Turns out there are several options. First, alert your ophthalmologist to the presence of your allergies. Describe your symptoms and when they usually occur. That, combined with an eye exam, can help your doctor determine if you have allergy-related dry eyes. There are other clues. If you have allergy eyes, for example, usually your main symptom is itching. If you also suffer from burning and a gritty sensation, however, along with the itching, you may have allergies and dry eye syndrome. Whereas those with dry eye syndrome alone usually use eye drops, artificial tears, and even prescription eye drops, the addition of an allergy diagnosis opens up other possibilities. These may include the following: ■ Anti-allergy eye drops ■ Prescription eye drops ■ Swapping oral antihistamines (as they can make dry eyes worse) with nasal sprays ■ Wearing goggles outside for yard work ■ Using indoor air filters to control allergens ■ Fish oil supplements, which contain omega-3 fatty acids that help reduce inflammation Ask your doctor for other possible solutions. Treating both your allergies and your dry eyes may be the key to seeing more comfortably. www.4health.net
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| Plastic Surgery
DO YOUR HANDS MAKE YOU LOOK OLDER THAN YOU’D LIKE? NEW TREATMENT TAKES YEARS OFF THE APPEARANCE OF HANDS
NAME:
Roman RAYHAM, MD SPECIALTY: Plastic and Reconstructive Surgeon
CERTIFICATION: Board-certified, American Board of Surgery and American Board of Plastic Surgery.
TRAINING & EDUCATION: SUNY Downstate College of Medicine, Staten Island University Hospital (Residency), Training at Mayo Clinic, Post-graduate fellowship at New York Eye and Ear Infirmary.
MEMBERSHIPS: American Medical Association, Medical Society of the State of NY, Medical Society of Kings County, Arnold Society, Priestley Society.
CONTACT: 1616B Voorhies Ave., Ste. B Brooklyn, NY 11235 161 Madison Ave. Ste. 11W New York, NY 10016
(877) 582-0400 www.NYPlasticSurgeryCenter.com
LANGUAGES: ENGLISH • RUSSIAN
It used to be that when we talked about antiaging, we focused mostly on the face. But all those years, we were missing a part of the body that according to studies, reveals our age faster and more accurately than anything else. Have you guessed? It’s all about the hands. According to a 2006 study, if you want to know a person’s real age, just look at their hands. In 2013, research revealed that women, in particular, worry about the state of their hands, afraid that they will betray their true age. Fortunately, Dr. Rayham of the RR Plastix/New York Plastic Surgery Center has a new solution. There’s a brand new way to improve skin texture and tone, boost volume, remove age spots, and reduce the signs of aging on the hands with minimal downtime. It’s a combination treatment that involves Radiesse, an FDA-approved dermal filler, and “Broadband Light (BBL)” photorejuvenation, and it offers new hope for aging hands. Forget the weeks of downtime. Now, you can come in Thursday, get your treatment, and go back to work the same day. What is Radiesse? Radiesse is a type of dermal filler and collagen stimulator that helps restore fullness to aging hands, creating a more youthful volume and smooth texture. Made up of calcium hydroxylapatite, which is a mineral-like compound found naturally in human bones, it not only helps enhance fullness, but stimulates production of new collagen, restoring skin elasticity and strength. Used as a facial filler for over a decade, it is the first and only FDA-approved product for treating volume loss in the hands. You know how aging hands can start to look bony and fragile? Your joints are more prominent, and your skin gets thin and crepey. Radiesse injections help re-plump and replenish, making joints and veins less visible. You’ll see instant results that will last one-to-two years. What is a Broadband Light Photorejuvenation? BBL is a laser-based cosmetic treatment that uses the heat and energy of light to target specific areas of the skin that need help. The specialized machine has unique filters that go after two main causes of aging in the hands: 1) sun damage, 2) loss of collagen and volume. BBL uses the power of pulsed light to target excess melanin on the hands, which is what is responsible for age spots and hyperpigmentation. The unwanted dark areas absorb the light energy, and over the
next few days, those pigmented areas will darken and fall away. The power of the BBL treatment stimulates collagen production at the same time, and while you’re recovering, the skin will regenerate itself at the deeper levels, producing firmer and younger-looking skin over a period of weeks. The increased collagen production will help smooth out hand wrinkles and soften texture. The photothermal energy can also help eliminate many of the fine vessels that can cause redness. Studies with BBL found that it not only created a more youthful appearance, it also helped rejuvenate skin at the molecular level, so that it behaved more like younger skin. What are the Results of Radiesse Combined with BBL? Radiesse creates instant volumizing effects. Within a few weeks, you’re also likely to notice the following results: ■ Reduced age spots and hyperpigmentation ■ More plump, younger-looking hands ■ Reduced redness ■ Tighter, firmer skin ■ A more even skin tone ■ Smoother skin ■ Healthier skin growth, for more younger-looking skin What Can I Expect from Treatment? This combined treatment is minimally invasive, gentle, and safe. Usually, topical anesthetic is not needed, but you can talk to your physician about sensitive areas. Treatments take only about a half hour, and require no downtime. Dr. Rayham says you can go back to your regular daily activities right away. For best results, patients may need more than one treatment. Appointments are customized to each person’s condition. You may experience some redness, bruising, or swelling afterwards, which usually resolves in a few hours. You may also notice some flaking a day or two later, as the skin sheds the older layers and produces new growth. It is important to avoid the sun as much as possible, and to protect your skin from any UV exposure until completely healed. Customized to You! Dr. Rayham invites readers to see what this new technology may be able to do for them. A personal consultation is the best way to see if Radiesse combined with BBL will work for you, and how many treatments you may need. www.4health.net
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FEEL BETTER TODAY WITH NEW, NON-INVASIVE DEPRESSION TREATMENT TMS THERAPY SOLUTION REQUIRES NO DRUGS OR SURGERY Tri-State TMS is an outpatient psychiatric service providing psychopharmacology and individual psychotherapy treatment. We launched this new clinical service—known as TMS—in Brooklyn for patients with severe, refractory Major Depression Disorder. The Transcranial Magnetic Stimulation (TMS) device was cleared by the FDA for treating adult patients with major depression who have failed to benefit from antidepressant medications.
WHAT IS TMS? TMS uses electromagnetic induction to induce weak electric currents using a rapidly changing magnetic field. It is treatment for patients who have not responded to conventional pharmacological and cognitive-behavior therapy: Depression, Anxiety, OCD, PTSD, etc. TMS—repetitive transcranial magnetic stimulation (rTMS)—has been tested as a treatment tool for various neurological and psychiatric disorders including migraine, stroke, Parkinson’s disease, dystonia, tinnitus, bulimia nervosa (BN), fibromyalgia, pain, and many other symptoms. A non-invasive procedure, TMS is a treatment for depression that uses magnetic fields to stimulate nerve cells in the brain. During the procedure, the patient reclines in a chair while the doctor places an electromagnetic coil around the scalp. Once it’s in place, the physician determines the settings that will create the best outcome for the patient. Then the magnet sends painless, low-dose pulses that activate areas of the brain that are typically less active in people with depression. Treatment usually lasts about 40 minutes, after which patients can go back to their normal www.4health.net
activities for the day. A series of treatments is recommended for optimal results, and usually consists of one treatment per day for five days a week over a period of about 4-6 weeks.
WHAT ARE THE ADVANTAGES OF TMS? There are advantages of TMS over other standard treatments for depression. The treatment is safe, requires no anesthesia or sedation, and creates none of the side effects typical to antidepressants. That means no sexual dysfunction, dry mouth, dizziness, insomnia, weight changes, or digestive problems. Generally, TMS appears to be free from harmful effects. Research using animals and human volunteers has shown none or little adverse effects on the body in general as a result of stimulation, and examination of brain tissue subjected to thousands of TMS pulses has shown no detectable structural changes.
These procedures have shown safety and efficiency in number of studies and are now typically covered by Medicare and some commercial insurance carriers. Tri-State TMS is excited to offer this drugfree outpatient procedure for the treatment of depression, and can help determine if this treatment may be a good option for you. Doctors Mark Gurtovy and Felix Dron both completed their training in Psychiatry at the Mount Sinai School of Medicine, and they have over 30 years of successful medical experience. Patients in New York, New Jersey, and Connecticut who have not had good luck with typical treatments for depression are urged to contact Tri-State TMS for more information. Call 718-232-1492, or see website at www.brooklyntms.com.
COULD TMS HELP YOU? How can you tell if you may be a candidate for TMS? Ask yourself these questions: ■ Have you been diagnosed with major de-
pressive disorder? ■ Have you had trouble finding relief with
antidepressant medications? ■ Have you suffered from depression for a
Felix Dron, MD Mark Gurtovy, MD
while with no real relief? If you answered “yes” to one or more of these questions, you may be a candidate for TMS. Our office provides treatment with FDA-approved systems such as Neurostar TMS and Brainsway Deep TMS. Our clinic is the medical organization in New York, where you will find both of these unique systems available.
7620 Bay Parkway, Suite 1B, Brooklyn, NY, 11214
Tel: 718–232–1492 Fax: 718–232–4505 www.BrooklynTMS.com www.TristateTMS.com
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HOSPITAL TRIP? DON’T FORGET THESE 7 IMPORTANT ITEMS WHAT TO TAKE WITH YOU FOR A POSITIVE HOSPITAL STAY
■■■ Gordon Barclay No one likes going to the hospital, but if you have to go, it helps to know what might increase your odds of experiencing a positive outcome. You want to get your procedure done, heal quickly, and get home as soon as you can, right? For your best results, be sure that when you get ready to go, you take these seven things with you. 1. Your best personal advocate. This could be a spouse, sibling, child, loved one, or friend. What you need is someone who understands your medical history, who isn’t afraid to speak up and question doctors and nurses, and who will watch out for your best interests. Mistakes can and do occur in hospitals. According to a 2013 study review, an estimated 400,000 premature deaths per year are associated with preventable harm to patients in hospitals. According to a 2014 survey by Consumer Reports, those people in the hospital who had a friend or family member with them were 15 percent more likely to say that staffers spoke to them in easy-to-understand language, and that they were treated respectfully by medical personnel. Your personal advocate can ask questions, double-check on medications, and make sure the staff keeps you comfortable.
2. Documents and paperwork. Make sure you have a list of current medications you’re taking, including any vitamins and herbs (likely you won’t take most in the days immediately before your procedure). Other important documents include your insurance cards and information, a list of telephone numbers for family and friends, and a written power of attorney or living will. Put them all in a folder, binder, or other container that will store them securely. 3. Extra clothes. You’ll have to wear a hospital gown for a time, but you want to have extras with you to help you be more comfortable. A robe, slippers, pajamas or sweats, socks, underwear, a button-up or zip-up sweater or hoodie, and other items can all feel really good while you’re in the hospital. Take an extra set of regular clothes, as well, for when you are discharged. 4. Toiletries. You may not think about it, but you’ll still want to brush your teeth, shave, soften your skin, and more during your hospital stay. If you bring your own materials, you won’t have to rely on staff to get them for you, and you’ll have the items you’re comfortable with. Lotion is especially important, as skin can get very dry in a hospital. Other important items include a hairbrush, lip balm, soap, a nail clipper and file, and deodorant.
5. Something to do. Whether you like to read, knit, color, draw, or listen to music, bring it with you. This will give you something to do to keep your mind occupied (besides just watch television). A sketchpad and pencils, music player, yarn and needle, a few magazines, a couple books, and other easy-to-tote items make perfect additions to your hospital suitcase. Check with the staff first before bringing electronics like tablets and cell phones, as there may be restrictions on these. 6. Pillow. If you’ve ever slept on a hospital pillow, you know that most aren’t all that comfortable. Taking your own pillow along with an eye mask may help you sleep better, which is important to your healing. Realize that when you go home, however, you’ll either have to throw your pillow away or have it professionally cleaned to be sure you don’t bring hospital germs into your house. 7. Other important items. Don’t forget things like your eyeglasses, dentures, hearing aids, a small amount of cash (handy for parking, snacks, etc.), ear plugs (if you’re sensitive to sound), healthy snacks (nuts, fresh or dried fruit), and other small items that you may need. If you forget something, ask your advocate to get it for you. He or she is the most important of all the items listed here! www.4health.net
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Ассоциация торакальной хирургии подержала рекомендации, в частности, следующие: ежегодное проведение скрининга, продолжения скрининга до возраста 80 лет, необходимость экспертизы в специализированных центрах при изменениях на КТ, совмещение скрининга с программами отказа от курения.
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Vascular Surgery | 4HEALTH33
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7 MYTHS AND TRUTHS
ABOUT VARICOSE VEINS Have you heard that if you cross your legs too much, you’ll get varicose veins? Or that the only solution is painful surgery that involves weeks of recovery? These myths can be pretty frightening. Turns out the truth is a lot less dramatic—and more comforting. You no longer need to suffer from heavy legs, ulcers, and unsightly bulges in your legs. Treatment is a lot more manageable than you may think, and is now available in an outpatient setting at USA Vein Clinics. They have 30+ offices all over the nation, from New York to California.
MYTH #1: CROSSING YOUR LEGS CAUSES VARICOSE VEINS. You may have heard this from your relatives, but there is no evidence that it’s true. Real risk factors include having a family history of varicose veins or chronic venous insufficiency (CVI), being overweight, or living a sedentary lifestyle.
MYTH #2: SPIDER VEINS AND VARICOSE VEINS ARE THE SAME THING. Not exactly. Both are caused by defective veins. Inside a healthy vein, a valve works as a “door” to help block blood flow from sinking back down into the legs. An unhealthy vein has a malfunctioning valve that allows blood to leak through and pool in the legs and feet. Spider veins are typically smaller, sometimes described as “wispy,” and appear just under the surface of skin as clusters or nests of blue and red blood vessels. They can sometimes look like a bruise. Varicose veins are larger, bulging, blue or purple, and raised.
MYTH #5: TREATMENT FOR VARICOSE VEINS IS PAINFUL AND REQUIRES WEEKS OF RECOVERY. This used to be true, as the only treatment available was one called “stripping,” which involved making one or more incisions along the leg and actually removing the defective vein from the leg. Today’s more advanced treatments require no stitches, no hospital stay, and no sedation, and downtime is minimal, with most people returning to regular activities same day or the next day.
MYTH #6: THERE’S NO SENSE IN TREATING VARICOSE VEINS, AS THEY WILL COME BACK. This used to be common with treatments like stripping, but is much less so with more advanced methods that use imaging tools like the ultrasound to correctly map out the location of all diseased veins. When the surgeon can see all the veins that need treatment, he is more likely to get them all, greatly reducing risk of recurrence.
MYTH #7: MY INSURANCE PLAN WON’T COVER TREATMENT FOR VARICOSE VEINS. This may be true with strictly cosmetic issues, but varicose veins are a medical problem, particularly if they are causing symptoms. Though all insurance plans vary, USA Veins can prove in most cases that the treatment is medically necessary, in which case insurance coverage usually applies.
USA VEINS EXPANDS ITS LOCATIONS MYTH #3: ONLY MIDDLE-AGED WOMEN GET VARICOSE VEINS. Anyone can get them, including men.
MYTH #4: VARICOSE VEINS ARE JUST A COSMETIC PROBLEM. This is one of the most dangerous myths out there, as varicose veins can lead to debilitating problems when left untreated. Complications can include ulcers that won’t heal, hardening of the lower leg and ankle, difficulty walking and doing daily activities, and even blood clots.
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USA Vein Clinics (www.usaveinclinics. com) offers today’s advanced treatments for both spider veins and varicose veins, with doctors who specialize exclusively in circulatory problems. At the varicose veins New York treatment center, USA Vein Clinics doctors perform all the tests you need for correct diagnosis, and then create a treatment plan to fit your needs. They are also available at the Illinois locations. Call today at 718-509-0906 or go to www.USAVeinClinics.com to schedule a consultation.
TM
YOU’RE IN TRUSTED HANDS
TM
www.USAVeinClinics.com
SPECIALTY: USA Vein Clinics is a network of state-of-theart facilities dedicated to the treatment of venous insufficiency. In our clinics, cardiovascular doctors specializing exclusively in problems with circulation, provide comprehensive evaluation and treatment of venous disease and symptoms like varicose and spider veins, leg pain, cramps, burning, itching, heaviness, swelling, and even ulcers.
CONTACT:
(718) 509-0906 NEW YORK Manhattan, Brooklyn, Bensonhurst, Queens, Astoria, Valley Stream, Staten Island NEW JERSEY Red Bank BOSTON West Roxbury, Lynn CHICAGO Chicago, Elk Grove Village, Northbrook, Libertyville, Oak Park LOS ANGELES Glendale, Valley Village, West Hollywood, Huntington Park ARKANSAS Little Rock
PHILADELPHIA WASHINGTON, DC FLORIDA Hollywood SEATTLE Seattle, Bellevue, Kent ATLANTA Decatur, Marietta
LANGUAGES: Armenian, Chinese, Farsi, Greek, Hebrew, Lithuanian, Korean, Polish, Russian, Spanish and Ukranian
CLASSIFIEDS To Place an AD in the Classifieds Section, Please Call (212) 738-9230
Medical Office is looking for a FT Front Desk Receptionist and a FT Medical Assistant (experience is a MUST). 718-854-5100
Newly open Medical Office is seeking PT doctors: internal medicine, allergist, pain management, orthopedist. 718-975-3369
Call us if you need Mobile Ultrasound Services: Echo, Vascular and General Ultrasound. (917) 750-2275
Call Dr. Joseph Juliano 973-752-9559
Nurse Practitioner, Physician Assistant (FT or PT) needed for Medical Office.
Telephone (917) 412-3797
Good reimbursement. 718-954-2202
Medical Office is looking for PA or NP for Internal Medicine Doctor. (347) 587-3777
For additional information please call Joe 917-208-4291
New multispecialty clinic looking for any specialty doctors. 347-453-0523
available for PT. Own Malpractice Ins.
Ultrasound technologist with five years of experience available for part time.
Medical offices for rent: 1500 sq ft, 2327 83rd St., Brooklyn, NY 1500 sq ft, 7819 18th Ave, Brooklyn, NY
Per Diem Covering CHIROPRACTIC PHYSICIAN (NY/NJ Lic.)
Medical office seeks a Russian-Speaking Registered Nurse Practitioner. Please submit your resume to medicaloffice41@gmail.com
Credit Card Processing Services: Free terminal with setup NURIT 2085. Low Rates — 1.67%. Free setup. Free plug-in to your software (billing). Free evaluation of your current statement . Free customer support 24/7. FREE online access. Call now (866) 573-0604 ext 706
Medical space for subleasing at 500 Brightwatercourt in Brooklyn (b/n Brighton 4th street and Brighton 5th Street) for any medical specialist (not for internal medicine doctor and podiatrist). The office is located in the building for senior citizens. There is a big potential for new patients referrals. For details call (646)251-6646.
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.
MEDICAL OFFICE FOR RENT First Floor, 1,500 sq ft. located on New Dorp Ln, Staten Island NY 6 MONTHS FREE For additional information please call 212-945-8550
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MEDICAL OFFICE FOR RENT First Floor plus Legal Basement, total 3,000 sq ft., located on New Dorp Ln, Staten Island NY 6 MONTHS FREE For additional information please call 212-945-8550
MEDICAL OFFICE FOR RENT
First Floor, Second Floor plus Legal Basement, total 4,500 sq ft., located on New Dorp Ln, Staten Island NY 6 MONTHS FREE For additional information please call 212-945-8550 www.4health.net
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DENTISTRY - GENERAL
Vladimir LEMPERT, DMD
3037 Ave U Brooklyn, NY 11229
(888) 607-9725
DENTISTRY - PEDIATRIC
Marina KREPKH, DDS
7708 4th Ave Brooklyn, NY 11209
(888) 502-6245
INTERNAL MEDICINE
Victoria ALEKSANDROVICH, MD
3080 W 1st St, Ste 102 Brooklyn, NY 11224
(718) 207-7071
OB/GYN - GENERAL
Sergey ZHIVOTENKO, MD
2797 Ocean Pkwy, Fl 2 Brooklyn, NY 11235 20-04 Seagirt Blvd Far Rockaway, NY 11691
(888) 757-3877
NEUROSURGERY
DERMATOLOGY
Hayama BRILL, MD
1725 E 12th St, Ste 301 Brooklyn, NY 11223
(718) 336-1909 629 Park Ave New York, NY 10065
Paul GLIEDMAN, MD
2101 Ave X Brooklyn, NY 11235
(718) 512-2160 OPTOMETRY
(212) 744-0392 OB/GYN - FERTILITY SPECIALIST
Yekaterina LEVIN, DDS
7000 Bay Pkwy, Ste C Brooklyn, NY 11204
(888) 838-6212
Alexander BEYLINSON, DO Leonard LEVITZ, MD
4434 Amboy Rd Staten Island, NY 10312
(718) 984-9658
Margarita BAUMAN, OD
Narayan SANDARESAN, MD
1749 E 16 St Brooklyn, NY 11229
5 E 84 St New York, NY 10028
321 Edison St Staten Island, NY 10306
2601 Ocean Pkwy, FL 7 Brooklyn, NY 11235 199 Mount Eden Pkwy, Fl 6 Bronx, NY 10457
1910 Ave U Brooklyn, NY 11229
(718) 759-6979
th
th
(212) 876-7575
(718) 375-4747
GASTROENTEROLOGY
(844) 957-7463
Hanna JESIONOWSKA, MD
159 E 74th St, Ste C New York, NY 10021
OB/GYN - UROGYNECOLOGY
Nataliya SAFONOVA, DDS
Lilia LEVITZ, MD
2211 Ocean Ave Brooklyn, NY 11229
Aleksandra ZLOTNIK, OD
1749 E 16th St Brooklyn, NY 11229
(718) 376-1090 (800) 801-0603
1910 Ave U Brooklyn, NY 11229
(718) 375-4747
(718) 759-6979
321 Edison St Staten Island, NY 10306
Irina BERLIN, MD
NEPHROLOGY
948 48 St, Fl 2 Brooklyn, NY 11219 th
40 West Brighton Ave, Ste 104 Brooklyn, NY 11224
PAIN MANAGEMENT
Amit SCHWARTZ, MD
(718) 283-7219
(718) 627-8300
OBESITY MEDICINE
Harout MARGOSSIAN , MD 7206 Narrows Ave Brooklyn, NY 11209
(888) 404-5046
1529 Richmond Rd Staten Island, NY 10304
(888) 538-2717
Stephanie YAMPOLSKY, DDS
ONCOLOGY
19 West 34th St, Ste 1201 New York, NY 10001
Mila MOGILEVSKY, DO
Yana SHTERN, MD
(877) 434-7889
Alexander BRODSKY, MD
8622 Bay Pkwy, Ste 1 Brooklyn, NY 11214
(718) 333-2121
1599 E 15th St, Fl 2 Brooklyn, NY 11230 369 Lexington Ave, STE 800 New York, NY 10017
1642 W 9th St Brooklyn, NY 11223
(718) 513-6060
321 Edison St Staten Island, NY 10306
(718) 980-2525 NEUROLOGY
2003 Bath Ave Brooklyn, NY 11214 543 45th St Union City, NJ 07087
(888) 283-0399
Namik YUSUFOV, DDS, MDT
Anella BAYSHTOK, MD
2101 Ave X Brooklyn, NY 11235
(718) 512-2160
305 W 28th St New York, NY 10001
158-06 Northern Blvd Flushing, NY 11358
(212) 804-0500
(718) 445-3700
170 Morris Ave, Ste A Long Branch, NJ 07740
(732) 728-7075
(347) 252-6732
Prabhakara R. TUMPATI, MD
www.brooklynroc.com
Sam WEISSMAN, MD
202 Foster Ave Brooklyn, NY 11230
(718) 854-5100
Michael RISKEVICH, MD
2736 Ocean Ave, Ste 1A Brooklyn, NY 11229
Dmitriy GRINSHPUN, MD
(718) 934-8484
174 Brighton 11th St, Fl 1 Brooklyn, NY 11235
(888) 747-8009
www.4health.net
4HEALTH ALTERNATIVE MEDICINE - GENERAL
PHYSICAL THERAPY
Vladislav RUDNER, PT
1901 82nd St Brooklyn, NY 11214
(718) 490-2416
Alina VASILYEVA, DPM
2116 Ave P Brooklyn, NY 11229 2646 E 14th St Brooklyn, NY 11235
(718) 646-0131
www.magichandspt.com
PLASTIC SURGERY
37
LSA RECOVERY
1300 Ave P Brooklyn, NY 11229
(888) 983-4055 RADIOLOGY
Ridwan SHABSIGH, MD
3121 Ocean Ave Brooklyn, NY 11235 944 Park Ave New York, NY 10028
(718) 283-7746
VK SKIN SPA
162 Brighton 11th St, Fl 2 Brooklyn, NY 11235
Ada KULAGINA, LAC
8635 21st Ave Brooklyn, NY 11214
(646) 200-5856
MEDICAL SUPPLY
(646) 460-6141
PSYCHOLOGY
NUTRITION AND DIETETICS
Anup R. GHEEWALA, MD
2583 Ocean Ave, Ste 1R Brooklyn, NY 11229
Chloe CARMICHAEL
230 Park Ave, Fl 10 New York, NY 10196
(212) 729-3922
(718) 616-2330
PSYCHIATRY
Sinai DIAGNOSTICS
2560 Ocean Ave Brooklyn, NY 11229
(888) 496-2688
2071 Clove Rd Staten Island, NY 10304
(718) 720-4400
David SHUSTERMAN, MD
Globe SURGICAL SUPPLY
800 2nd Ave, Fl 9 New York, NY 10017
2029 Bath Ave Brooklyn, NY 11214
(212) 931-8533
69-15 Yellowstone Blvd Forest Hills, NY 11375
(718) 360-9550 nyurology.com
Albert GROSS, CNS, NYS, CDN
(888) 418-0442
1942 E 8 St Brooklyn, NY 11223 th
(718) 376-8317
UROLOGY
www.nylifex.com
MULTI SPECIALTY
USA VASCULAR CENTERS
Roman RAYHAM, MD, BOARD CERTIFIED IN PLASTIC SURGERY
1616B Voorhies Ave Brooklyn, NY 11235 161 Madison Ave, Ste 11W New York, NY 10016
Felix DRON, MD
7620 Bay Pkwy, Ste 1B Brooklyn, NY 11214
(718) 232-1492
(877) 582-0400
Yuly CHALIK, MD
2632 E 14th St Brooklyn, NY 11235 107-15 Jamaica Ave Queens, NY 11418
LAW
(718) 227-5505
VASCULAR SURGERY
Multi SPECIALTY CLINIC 3023-3027 Ave V Brooklyn, NY 11229
(347) 587-3777
www.nyui.org
PODIATRY
AESTHETIC CENTERS
Alexander KARASIK, ESQ
Mark GURTOVY, MD
7620 Bay Pkwy, Ste 1B Brooklyn, NY 11214
(718) 232-1492
520 Neptune Ave Brooklyn, NY 11224
Vitaly RAYKHMAN, MD
(347) 508-3991
(718) 946-8586
www.nyui.org
1153 First Ave New York, NY 10065
2511 Ocean Ave, Ste 102 Brooklyn, NY 11229 2444 86Th St, Ste A Brooklyn, NY 11214 116-02 Queens Blvd Forest Hills, NY 11375 1975 Hylan Blvd Staten Island, NY 10306
Interborough DEVELOPMENTAL & CONSULTATION CENTER 1623 Kings Hwy, Fl 4 Brooklyn, NY 11229
(888) 987-5751
1810 Voorhies Ave Brooklyn, NY 11235
USA VEIN CLINICS
2632 E 14th St Brooklyn, NY 11235 107-15 Jamaica Ave Queens, NY 11418
Svetlana LUVISH, DPM
260 W Sunrise Hwy, Ste 102 Valley Stream, NY 11581 4159 Broadway Washington Heights, NY 10033 59-20 Myrtle Ave, Queens, NY 11385 30-33 Steinway, Astoria, NY 11103
(718) 509-0906 www.usaveinclinics.com
www.4health.net
(855) 328-5525
2493 Richmond Rd, Ste 2 Staten Island, NY 10306
(347) 508-3991
www.nyplasticsurgerycenter.com
2444 86th St, Ste A Brooklyn, NY 11214
Alexander SOKOL, MD
(718) 502-9112
Michael PATIN, MD
6417 Bay Pkwy Brooklyn, NY 11204
(718) 234-6767
102-51 Queens Blvd Forest Hills, NY 11375
(718) 896-2333
4HEALTH Magazine™ 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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