4Health Magazine #185 by MOO Publishing

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5 MYTHS & TRUTHS ABOUT FOOT CARE

STUDY FINDS MINDFULNESS

WORKS AS WELL AS ANTIDEPRESSANTS

HAVING MEMORY PROBLEMS? IT COULD SIGNAL A STROKE TO COME

I WAS JUST DIAGNOSED WITH PCOS -

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5 REASONS TO AVOID SMOKING MARIJUANA

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

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(ISSN 1942-6801) is published monthly by MOO Publishing Corp.Copyright © 2007-2016 by MOO Publishing Corp. All rights reserved. Printed in Canada. All requests for permissions and reprints must be made in writing. Reproduction in whole or in part without written permission is prohibited. Printed in April 2016.

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

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

4HEALTH

Shrink Your Belly AND Boost Your Booty?

It’s Possible with This LowRisk Procedure

11 8 I Was Just Diagnosed with PCOS—Now What?

Today’s Treatments Can Help Improve Odds of Pregnancy

INTRODUCING MESODERM THERAPY FROM VK SKIN SPA

DENTAL IMPLANTS IMPROVE QUALITY OF LIFE

WHY WOMEN SHOULD THINK TWICE ABOUT HYSTERECTOMY FOR FIBROIDS

TICK BITES MAY CAUSE MEAT ALLERGY

16 Study Finds Mindfulness Works as Well as Antidepressants

Improve How You Feel with This Soothing Therapy

18 5 Myths & Truths About Foot Care

Have You Been Duped

Minimally Invasive Treatment Offers Faster Recovery

How to Protect Your Family

STOMACHACHE? IT COULD BE COLITIS

WHAT’S CAUSING YOUR BELLY FAT?

Check with Your Doctor to Reduce Your Risk

DENTAL PROBLEMS COULD BE CAUSING YOUR HEADACHES By Dr. Namik Yusufov, DDS, MDT

Having Memory Problems? It Could Signal a Stroke to Come

New Report Also Finds They’re Cost-Effective Over the Long-Term

By Dr. Sam Weissman

By Dr. Prab R. Tumpati

WHICH WEIGHT-LOSS SURGERY IS BEST FOR YOU? Pros and Cons of Today’s Options

THOSE DROOPY EYES! IS EYELID SURGERY RIGHT FOR YOU? What to Consider Before Moving Forward

ARTHRITIS PAIN? INSOMNIA? MASSAGE MAY HELP!

NON-SURGICAL LUNCHTIME FACE AND NECK LIFTING

WHEN YOU NEED IT—7 BENEFITS OF FOOT SURGERY

COULD YOU HAVE SOCIAL PHOBIA?

GENETIC TESTING—SHOULD YOU TRY IT?

FEEL BETTER TODAY WITH NEW, NON-INVASIVE DEPRESSION TREATMENT

BACK PAIN? FIND HELP AT THE USA VASCULAR CENTERS!

HOW WELL DO YOUR DOCTORS WORK TOGETHER?

Studies Show the Benefits of Massage Are Real

By Dr. Roman Rayham MD

Some Foot Conditions Respond Best to an Operation

Fear In Social Situations Has Its Roots in the Brain

Pros and Cons of Knowing Your Own Genes

TMS Therapy Solution Requires No Drugs or Surgery

The Story of Nelly Salniker

Teamwork Critical to Care—4 Tips to Encourage Communication

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4HEALTH

SHRINK YOUR BELLY AND BOOST YOUR BOOTY? IT’S POSSIBLE WITH THIS LOW-RISK PROCEDURE

■■■

Morgan Rice

Kerry was tired of her muffin top. She’d tried exercise, diets, meditation, and even supplements, but she couldn’t get rid of it. She had just about given up on ever enjoying an attractive figure again when she wondered: could she take fat away from where she didn’t want it — her belly — and use it to enhance her booty? She had to chuckle. It seemed silly on one hand, but on the other… She looked in the mirror. With a little of that put there, wouldn’t she be happier with her appearance? Turns out Kerry may be on to something. A group of plastic surgeons from Brazil recently had success with a new technique that combines liposuction with gluteal enhancement. «This gluteoplasty technique is simple and inexpensive, with minimal morbidity and excellent results,» they wrote. In other words, Kerry may be able to make her wish come true.

STUDY SHOWS FAT TRANSFER HAD GOOD RESULTS For the study, researchers evaluated data from 106 patients between the ages of 18 and 62 who went through the combined procedure between July 2010 and July 2013. They checked results using photographs, and

also assessed patient and surgeon satisfaction on a scale of one (poor outcome) to 4 (excellent improvement). For the procedure, surgeons used liposuction to take fat from areas like the thighs or hips, and then reinjected it into the buttocks area to sculpt and enhance the appearance. On average, they transferred about one-half liter of fat. Results showed the following: ■ None of the women had any medical complications or infections. ■ After one year, the patients were highly satisfied with the results. All were happy with the appearance of their waist and 97 percent with the appearance of their buttocks. ■ Five patients had minor fluid collection in the area where the fat was obtained. This procedure, sometimes called the «Brazilian butt lift,» is one of many new options created by «fat grafting»—obtaining fat from one area of the body and transferring it to another. Researchers did note that best success comes with experienced surgeons who use careful surgical technique and aesthetic judgment. «A good result does not depend on a lot of fat infiltration,» the researchers wrote, «but in a harmonious way of combining the elimination of fat by liposuction and fat

grafting for buttocks sculpting, even with lasting results.»

ARE YOU A CANDIDATE FOR A FAT TRANSFER BUTT LIFT? Other plastic surgeons agree that fat transfer to enhance the booty creates better results than using buttock implants. Patients benefit by losing fat where they don’t want it, and surgeons like the fact that with real fat, they can create a better buttock shape with a lower risk of complications and a faster recovery. How do you know if you may be a candidate for this procedure? Ask yourself if you: ■ have flat, sagging buttocks and are unhappy with their appearance ■ have asymmetrical (different sized) buttocks ■ feel your booty is too small for the rest of your body ■ have lost a lot of weight, and it’s changed the shape of your buttocks ■ have excess fat in your hips, thighs, or belly that you’d like to get rid of, while enhancing your booty Check with your surgeon for questions. Those with the most experience known how to get the purest fat possible for reinjection in the buttocks, which helps ensure a longerlasting result. www.4health.net

4HEALTH

DENTAL IMPLANTS IMPROVE QUALITY OF LIFE NEW REPORT ALSO FINDS THEY’RE COST-EFFECTIVE OVER THE LONG-TERM ■■■

Lynn Merrell

The American Association of Oral and Maxillofacial Surgeons states that by the age of 74, over a quarter of adults have lost all their permanent teeth. It used to be that the only alternative was fixed bridges or removable dentures, but today, patients have another choice—dental implants. Also called “replacement tooth roots,” implants provide a strong foundation for fixed or removable replacement teeth. According to a recent study, they offer a cost-effective alternative to traditional treatments, and help improve quality of life.

HEALTH ADVANTAGES OF IMPLANTS According to the American Academy of Periodontology, a dental implant “is an artificial tooth root that is placed into your jaw to hold a replacement tooth or bridge.” Unlike dentures, which rest on the gum line, implants are long-term replacements composed of titanium metal that fuse with the jawbone over time. They never slip or make embarrassing noises, and never decay. Studies show that within five to seven years, most bridges contribute to the loss of adjacent teeth. Implants don’t cause this problem, as they don’t rely on neighboring teeth for stability.

Regular dentures can also lead to bone loss in the areas where the teeth are missing. Natural teeth help preserve the jawbone, and once they’re gone, the bone may gradually weaken over time. Implants, on the other hand, help provide stability to the jawbone, helping seniors to age with a more natural appearance.

HOW DO IMPLANTS WORK? Your particular needs will determine the type of implants you receive. If you’re missing only one tooth, for example, one implant with a crown can replace it, providing a natural look and stable solution. If you’re missing several, but not all, teeth, you can choose an implant-supported bridge, which will be connected to the implants in your bone so you don’t hurt your surviving teeth. What if you need to replace all your teeth? Your dentist will implant supportive implants that will support a full bridge or full denture. In general, implants have a 95 percent success rate, and can last a lifetime.

OTHER ADVANTAGES OF IMPLANTS Implants can result in long-term improvements over bridges and dentures. Because they become permanently infused to the bone, they provide a more natural look and feel—more like your own teeth. For this reason, they also feel more comfortable when

you’re eating, and since you don’t have to remove them, you can take care of them in the same way you would your own teeth. No embarrassing denture removals, no adhesives.

STUDY SAYS IMPLANTS IMPROVE QUALITY OF LIFE Patients shy away from implants because of the up-front costs. Some insurance companies won’t cover them, while they will cover dentures. Implants, however, were found to provide a cost-effective long-term option, according to recent research. Scientists reviewed all available studies published in English between 2000 and 2010, and found that implant-based solutions were generally cost-effective in comparison with traditional tooth-borne prostheses. Though for people with full dentures, implants were linked to higher costs initially, studies showed that over a long-term period, dental implants were cost-effective. In addition, patients said they were highly satisfied with the treatment, and reported an improved quality of life. If you’re considering implants, talk to your dentist. He or she can address your particular needs, and help you determine which may be the best option for you. If cost is a factor, many dentists now offer payment plants to help. www.4health.net

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4HEALTH

I WAS JUST DIAGNOSED WITH PCOS — NOW WHAT? TODAY’S TREATMENTS CAN HELP IMPROVE ODDS OF PREGNANCY

■■■ Lynn Merrell It affects about 10 percent of women, and scientists still haven’t figured it out completely. It’s called «polycystic ovary syndrome» or «PCOS,» and affects women of reproductive age. It often begins soon after menstruation starts, but it can occur later in life, as well. If you’ve been diagnosed with this condition, what does it mean for you and your plans to have or expand a family?

WHAT IS PCOS? PCOS is a condition in which the hormones get out of balance. As a result, they cause ovulation to be rare or irregular. During a normal menstrual cycle, a woman releases one or more eggs (ovulation), which then move into the uterus. If they aren’t fertilized, they are shed during a woman’s period. In a woman with PCOS, hormones don’t perform as they should, so the egg is never released into the uterus. Instead, it may enlarge and ripen, but remains in the follicle surrounded by fluid. As a result, a woman may experience irregular periods or no periods at all. The ovaries may also develop cysts (benign tumors), though some women with PCOS have no cysts. Doctors don’t know yet what causes PCOS. They do know that if someone in your immediate family has it, you are more likely to develop it.

They also know that excess insulin can affect the ovaries and may be a factor in the disease. Most women are diagnosed in their 20s or 30s, but many women experience symptoms shortly after they start menstruating. Some women may also develop the disease after a period of substantial weight gain.

WHAT ARE THE SYMPTOMS OF PCOS? Common signs of PCOS include irregular periods, as mentioned above, as well as excess hair growth, acne, weight gain, and dark or thick skin markings around the armpits, groin, neck, and breasts. Other symptoms may include enlarged ovaries, depression, and fertility problems. Over time, PCOS can also increase risk of other health conditions, including diabetes, high blood pressure, high cholesterol, weight gain, and obesity.

DIAGNOSIS AND TREATMENT If you notice symptoms of PCOS, check with your doctor. He or she will perform a few tests to determine if you may have the disease. You’ll want to make notes about your menstrual periods, as information about them will be helpful to the doctor. A blood test may show an imbalance of hormones, which would be consistent with PCOS. An ultrasound test can also show the ovaries and if they look healthy or not.

If you are diagnosed with the syndrome, then what? The most common treatment is the birth control pill, as it helps balance your hormones, stops ovulation, and prevents the trouble symptoms. It can also lower the level of testosterone — a hormone that is typically higher than normal in women with PCOS — which can improve acne and lessen excess hair growth. The pill will also reduce your risk of endometrial cancer and regulate menstrual periods. If you don’t want to go on the pill, there are some other options. Weight loss on its own can have good affects on your symptoms. Metformin is a diabetes medication that helps lower insulin, which may be high in women with PCOS. This can help reduce your risk of diabetes, and may also ease some of your symptoms. You will have to seek out other treatments for things like acne, hair growth, and weight gain, however. If you’re trying to get pregnant, obviously the birth control pill isn’t a good option for you. In that case, your doctor may give you a medication that helps you complete ovulation, so the egg makes it all the way to the uterus. There are several options, so if one doesn’t work, you may be able to try another. With treatment, women with PCOS are often able to get pregnant. There is an increased risk of high blood pressure, however, as well as miscarriage and gestational diabetes, so it will be important to work closely with your doctor through the pregnancy. www.4health.net

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WHY WOMEN SHOULD THINK TWICE ABOUT HYSTERECTOMY FOR FIBROIDS MINIMALLY INVASIVE TREATMENT OFFERS FASTER RECOVERY Michelle didn’t know what was wrong. She was bleeding between periods, and felt pain and pressure in her abdomen. She tried to ignore the symptoms, but after several weeks, they were still there. On top of that, she was feeling like she had to go to the bathroom all the time. Michelle finally went to her doctor and was diagnosed with uterine fibroids. Turns out that uterine fibroids are a fairly common affliction in women. According to the National Institutes of Health, one study indicated that by the age of 50, 70 percent of white women and 80 percent of African Americans had fibroids. What is the best treatment? It used to be that undergoing a hysterectomy was the only solution, but today, USA Vascular Centers offers minimally invasive, effective treatments that can help women get back to their lives much more quickly.

WHAT ARE UTERINE FIBROIDS? Uterine fibroids are growths that appear on the uterus. Most of the time, they are benign (non-cancerous), though in rare cases, they can include cancerous cells. They develop in the smooth muscle tissue of the uterus, and vary in size, from that of a seedling to a much larger mass. Sometimes, they may grow and then shrink again on their own. According to the Mayo Clinic, as many as three out of four women may develop uterine fibroids sometime in their lives, but most won’t even know it, because the fibroids won’t cause any symptoms. In those cases, even if the fibroids are found during an examination, they are usually left alone. Sometimes, however, fibroids can cause symptoms like: ■ Pelvic pressure and pain ■ Heavy menstrual bleeding ■ Long menstrual periods (7 days or longer) www.4health.net

Bladder pressure and frequent urination Constipation Backache and leg pains Pregnancy complications (miscarriage, infertility) ■ Pain during intercourse ■ Abdominal cramps ■ ■ ■ ■

TREATMENT FOR UTERINE FIBROIDS How can your doctor determine if you have uterine fibroids? The growths are often found during a pelvic exam, after which the doctor may order an ultrasound or blood test. In some cases, an MRI or other imaging test may be used to confirm the diagnosis. Medications can help control heavy bleeding and pain. If symptoms persist, however, doctors must take additional steps to help women find relief.

UTERINE FIBROID EMBOLIZATION AVAILABLE AT USA VASCULAR CENTERS It used to be that the only options for a woman with uterine fibroids were:

and inserts a thin tube into the femoral artery at the top of the leg. This tube is then threaded into the uterine artery, and is used to send small particles into the blood vessels that feed the fibroids. These particles cause the fibroids to shrink and die over time. The procedure requires only conscious sedation (the patient isn’t put out completely), and may involve an overnight hospital stay. Pain medications help to manage discomfort. UFE typically provides significant symptom relief, provides for a shorter recovery time, and is a very effective alternative to myomectomy or hysterectomy. A 2004 study, for instance, showed that the procedure offered a much quicker recovery and lower adverse event rate compared to myomectomy. A 2006 study showed similar results, with researchers reporting that surgical treatments like myomectomy and hysterectomy had higher rates of major complications, infection, and pulmonary embolism (blood clot in the lung) than UFE.

USA VASCULAR OFFERS UFE ■ Myomectomy: surgical removal of fibroids

leaving the uterus in place. ■ Hysterectomy: partial or complete removal of the uterus. These dramatic steps, however, are rarely necessary. According to a 2015 study, many women under the age of 40 go through needless hysterectomies when less invasive and less painful options would work just as well. Though these more serious surgeries remain an option for women with multiple or severe fibroids, most women can find relief with uterine fibroid embolization (UFE). This is a procedure that removes fibroids and eases symptoms without putting women through traditional surgery. Here’s how it works. An interventional radiologist makes a tiny incision in the groin,

USA Vascular Centers is a nationwide network of physicians, nurses and specialists focused on minimally invasive treatments like UFE to help patients improve their lifestyles. They have offices all over the nation, including several in the New York area. Call today at 718–504–6525 or go to www.USAVascularCenters.com to schedule a consultation.

USA VASCULAR CENTERS (718) 504-6525

4HEALTH

TICK BITES MAY CAUSE MEAT ALLERGY HOW TO PROTECT YOUR FAMILY

■■■ Colleen M. Story New Yorkers have enough reason to be concerned about ticks. According to the Department of Health, since tick-transmitted Lyme disease first became reportable in 1986, over 95,000 cases have been confirmed in the state. Other tick-borne diseases include babesiosis, ehrlichiosis, and Rocky Mountain fever. Now, according to a more recent study, it seems some tick bites may also cause humans to develop an allergy to red meat. Here’s the latest on what the researchers found, and how you can protect yourself and your family.

STUDY SHOWS TICK CAUSES RED MEAT ALLERGY New research published in the Journal of General Internal Medicine describes how one particular type of tick, called the “Lone Star tick,” can cause the victim to develop an allergy to red meat. Apparently the tick injects spit into the body when it bites, causing a natural immune response. In the case of this unique tick, the immune system develops antibodies to a carbohydrate in the tick’s spit known as “alpha-gal,” which just happens to be a carbohydrate in red meat as well. The antibody helps protect the victim from the tick bite, but then when that person goes to eat red meat at a later time, the body mistakenly responds to the same carbohydrate, causing an allergic reaction. Symptoms may include hives, rashes, itching, and even a full-blown anaphylactic shock.

The new study found that positive alpha-gal rates are 32 percent higher in states where the Lone Star tick lives, compared to other parts of the country. Still, higher than expected rates of alpha-gal positivity were seen even in states where the tick is not usually seen.

AT-RISK AREAS GROWING Though the Lone Star tick is more plentiful in the southern U.S., that doesn’t mean New Yorkers are safe. Scientists suggest that climate change may allow the Lone Star ticks to migrate to other regions. Currently, the risk seems to be highest for hikers, farmers, and others spending time outdoors in states like Virginia, Kentucky, and Tennessee, but risk is growing in other areas. “We saw a trend in positive results to the southeastern U.S. with the tick,” said Michelle Altrich, director of Viracor-IBT Laboratories, “but interestingly we also found positive rates varying from 4 percent to 23 percent outside of the tick area. We’ve actually had positives as far west as Hawaii.” In fact, the distribution, range, and abundance of Lone Star ticks has increased steadily in the past 20–30 years, according to the Centers for Disease Control and Prevention (CDC).

HOW TO PROTECT YOUR FAMILY How can you tell if your allergic reaction may be due to a red meat allergy? Symptoms seem to appear within 6 hours of consumption, and arrive only after you’ve been bitten by a tick. “Be a detective,” says Dr.

Stanley Fineman, president of the American College of Allergy, Asthma and Immunology (ACAAI). “If you get hives, figure out what you ate just before and if it was a meal with beef, lamb or pork, you should probably check with an allergist, especially if you like to go outside” in areas commonly inhabited by ticks. To reduce your risk of contracting a redmeat allergy, or any of the other tick-borne diseases, take these precautions: ■ Avoid wooded and busy areas with high

grass and leaf litter. ■ Walk in the center of trails. ■ Use insect repellants that contain 20% or

more DEET. wearing pre-treated clothing, particularly if you are frequently outdoors in tick areas. Wear long pants with sneakers or hiking boots. Tuck your pants into your socks and keep your shirt tucked into your waistband. Bathe or shower as soon as possible after coming indoors. Conduct a full-body tick check after coming inside, and always check children. Don’t forget hidden areas like behind the ears, inside the belly button, in the hair, and under the arms. Don’t forget your pets — ticks can hide on their hair and attach to a person later. Examine pets, coats, and daypacks when coming home from a camping or hiking trip. Tumble clothes in the dryer on high heat.

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Gastroenterology | 4HEALTH15

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

4HEALTH

HAVING MEMORY PROBLEMS? IT COULD SIGNAL A STROKE TO COME CHECK WITH YOUR DOCTOR TO REDUCE YOUR RISK ■■■ Colleen M. Story Forgetting where you put your keys, or what you went into the living room for, are common memory lapses that can affect us all. But if you’re experiencing more frequent memory lapses, you may want to check with your doctor. A recent study indicated that for highly educated people, especially, memory problems could be a risk factor for stroke. Fortunately, stroke can be prevented with early care, which is why it’s important to talk to your doctor if you are concerned about your memory.

STUDY SHOWS MEMORY PROBLEMS MAY BE A RISK FACTOR FOR STROKE For the study, researchers examined data from over 9,000 people who underwent a mini-mental state examination assessment. They then followed them, looking specifically at those who later suffered from a stroke. A stroke occurs when blood flow to the brain becomes blocked because of a blood clot (called «ischemic stroke») or because of a blood vessel bursting in the brain («hemorrhagic stroke»). The blood carries nutrients and oxygen, and without these key elements, the brain can www.4health.net

4HEALTH suffer damage. Some brain cells may even die, depending on how long blood is denied them. The Centers for Disease Control and Prevention (CDC) states that strokes cause nearly 130,000 deaths in America each year. Early treatment is key, which is why it’s important to identify any signs that may indicate a stroke is on its way. Researchers analyzed their data and discovered the following results:

years for up to 10 years, watching for signs of memory problems. They compared memory loss among those who remained stroke-free for the entire study, those who survived a stroke, and those who died from a stroke. Results showed the following: ■ Memory scores at the beginning of the study were highest (indicat-

ing good memory) among those who remained stroke-free.

■ A link between memory complaints and a higher risk of stroke. ■ People with memory complaints who had a higher level of educa-

■ Memory scores were next highest for those surviving a stroke, and

tion — defined as vocational education or university training — had a 39 percent higher risk of stroke than people with intermediate education (primary education with some additional or general secondary education), or low education (primary education only).

■ Those who died of a stroke had a faster decline in memory prior

Why would this be? Researchers believe that highly educated people are more likely to notice changes in their memory — that they are more sensitive to shifts in their mental capacity. Thus, they are probably more likely to be accurate if they report having memory problems.

OTHER STUDIES INDICATE MEMORY LOSS COULD SIGNAL AN UPCOMING STROKE A number of studies have indicated that people who suffer from a stroke have an increased risk of memory problems down the road. What wasn’t so clear was whether it might work the other way — that memory problems would indicate a possible stroke to come. This isn’t the first time research has found results like these. In 2012, for example, researchers reported that severe, rapid memory loss may predict a future fatal stroke. Researchers from Harvard University looked at data from over 11,00 people aged 50 years and older who were free of stroke to begin with. Then they followed their progress every two

lowest for those who eventually died of a stroke. to the stroke than those who survived a stroke or those who never experienced a stroke. ■ In those who survived a stroke, memory declined rapidly each year prior to stroke, declined suddenly near the onset of the stroke, and then declined at a slightly faster rate after the stroke. ■ In those who didn’t survive the stroke, memory declined even more rapidly than in survivors in the three-to-four years preceding the stroke. The investigators theorized that memory decline could be a marker for the development of stroke, but they noted that serious memory impairment could render people more likely to die from a stroke.

BOTTOM LINE These are interesting findings, because they challenge the idea that memory problems are caused only by dementia or Alzheimer’s disease. This makes it even more important for people to talk to their doctors about any memory problems they may be experiencing. Getting an early checkup could help prevent a future stroke, and could also help protect the memory you have from further degradation.

NEUROLOGICAL CLINIC

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

NEW OFFICE

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

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

888-747-8009

WITH THE AID OF THE MOST MODERN TECHNOLOGY WE PERFORM:

• Computer diagnostics of neuromuscular diseases • Ultrasound diagnostics of intracranial and extracranial vasculature • Electroencephalography

TRADITIONAL AND ALTERNATIVE METHODS OF TREATMENT INCLUDE: • Intravenous drips and nerve blocks • Homeopathic treatment • Rehabilitation, massage and traction • Electrotherapy, thermotherapy and ultrasound treatment

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

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STUDY FINDS MINDFULNESS WORKS AS WELL AS ANTIDEPRESSANTS IMPROVE HOW YOU FEEL WITH THIS SOOTHING THERAPY ■■■ Colleen M. Story Have you struggled with depression? Have you tried therapy and medications? Did they work for you, or leave you feeling like you were walking on a knife-edge, about to fall over into the depths of your illness at any moment? If you found these other treatments inadequate, there may be something else you can try: mindfulness. More than meditation, it’s a type of therapy shown in a recent study to be just as effective in patients with depression and anxiety as regular cognitive behavioral therapy (CBT).

WHAT IS MINDFULNESS-BASED COGNITIVE THERAPY? Also called MBCT, mindfulness-based cognitive therapy combines the basics of regular cognitive therapy, which focuses on changing our thoughts to change our behaviors, together with meditation and the practices of “mindfulness,” which focuses on simply observing one’s present situation without judgment. Patients may attend regular individual therapy sessions, for example, and also spend time engaged in meditation, yoga, breathing exercises, and group therapy. They learn how to monitor their thought patterns when they feel depressed, and how to avoid ruminating on negative thoughts.

STUDIES FIND MINDFULNESS WORKS A recent study by Swedish researchers found that MBCT was just as effective as regular cognitive therapy in helping patients to with depression and anxiety. A total of 215 individuals aged 20–64 years who had been diagnosed with depression or anxiety received either regular cognitive therapy or group mindfulness treatments for eight weeks. They answered questions about their symptoms both before and after the study period.

Results showed that both groups experienced decreased symptoms, leading researchers to conclude that both methods of treatment were equally effective. Said lead author Jan Sundquist: “The study’s results indicate that group mindfulness treatment, conducted by certified instructors in primary health care, is as effective a treatment method as individual CBT for treating depression and anxiety.”

MINDFULNESS AS EFFECTIVE AS ANTIDEPRESSANTS? Other studies have found that MBCT may work even better than antidepressants and other medications. In 2010, for example, researchers followed 160 patients aged 18 to 65. All were in remission from depression. One-third continued on their antidepressants, one-third received MBCT, and one-third received a placebo. Results showed that patients who were taking antidepressants or who were receiving MBCT were much less likely to relapse than those taking the placebo. In addition, the MBCT group had the lowest relapse rate of all three groups—38 percent, compared to 46 percent who were taking antidepressants (60 percent on placebo). In a more recent 2014 study, researchers found again that mindfulness programs worked just as well as medications. They performed a review of 47 studies with over 3,500 participants, and found that meditation seemed to provide just as much relief from anxiety and depression symptoms as antidepressants did.

GET STARTED TODAY If you think mindfulness may work for you, talk to your therapist about incorporating some of the practices into your treatment. You can also find information, videos, books, and DVDs online that can help you get started on your own. You may find that the practice gradually quiets your mind so you can better cope with the ups and downs of the condition, and it may also help improve how you feel even while taking medications. www.4health.net

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Obesity Medicine | 4HEALTH21

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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WHICH WEIGHT-LOSS SURGERY IS BEST FOR YOU? PROS AND CONS OF TODAY’S OPTIONS ■■■ Gordon Barclay The Centers for Disease Control and Prevention (CDC) states that almost one in three Americans are obese, and at risk for several related health problems, including cardiovascular disease and stroke. While many people can shed pounds through diet and exercise, some people have serious health

issues that demand faster, more significant weight loss to avoid serious complications. Weight-loss surgery has proven to be the answer for some individuals. According to the National Association for Weight-Loss Surgery (NAWS), the number of these operations performed each year has been gradually increasing, from 103,200 in 2003 to 171,000 in 2005. Whereas early test results couldn’t

show whether the long-term results of these surgeries was positive or not, more recent studies have shown positive results. Here’s more on the options available, and which one might be best for you.

TYPES OF WEIGHT-LOSS SURGERY When looking at weight-loss surgery, we can divide the procedures into two basic types: www.4health.net

4HEALTH ■ Restrictive: These shrink the size of the

stomach so you feel fuller sooner. They include adjustable gastric banding (or lap band surgery), gastric sleeve, and intragastric balloon procedures. ■ Combination: These procedures combine restrictive techniques with “malabsorptive” techniques, which rearrange or remove part of your digestive system to limit the amount of calories and nutrients your body can absorb. Gastric bypass and duodenal switch procedures fit into this category. The most common procedures are as follows:

and

established

■ Gastric bypass: The surgeon divides the

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stomach into two parts, seals off the upper section, then reconnects it to the lower section of the small intestine. Food bypasses the stomach and small intestine, which helps the body absorb fewer calories. Gastric banding: Using an inflatable band, the surgeon squeezes the stomach into a small upper pouch and a larger lower section. With the middle squeezed, food travels much more slowly from the upper pouch to the lower, helping you feel fuller sooner, and encouraging intake of only small amounts of food at a time. Gastric sleeve surgery (or sleeve gastrectomy): The surgeon removes about three-quarters of the stomach. Biliopancreatic diversion: This is similar to the gastric bypass, but the surgeon removes more of the stomach, up to 70 percent. The “biliopancreatic diversion with a duodenal switch” is similar, but removes less of the stomach and bypasses less of the small intestine. Gastric balloon: The surgeon places a deflated balloon into the stomach, then fills it with a saline solution. It helps you feel fuller after eating. This is a temporary procedure. The balloon is designed to be removed after six months or less.

WHICH PROCEDURE FOR YOU? When choosing a procedure, it’s important to ask yourself a few questions. ■ How much weight do you need to lose? ■ How willing and able are you to make

lifestyle changes to support your weight loss? ■ How fast or slow do you need to lose weight? ■ How do you feel about regular follow-up appointments with your doctor? www.4health.net

After you answer these questions, you can see how the procedures vary in what can be expected. ■ Gastric bypass: This procedure results in

dramatic weight loss, usually in a very short time. This can be very helpful for individuals facing obesity-related diseases and health problems. Long-term results are also good. It can affect nutrient absorption, though, which means you may need to take supplements. Some people also suffer side effects like diarrhea, vomiting, and bloating, though adjusting to a healthy diet usually helps. ■ Gastric banding: Safer than gastric bypass, with faster recovery, but may result in less dramatic weight loss. Risk of regaining weight in subsequent years is also a bit higher. ■ Gastric sleeve surgery: A low-risk surgery that is good for individuals who are al-

ready very obese or ill. The procedure is irreversible, however, and long-term benefits and risks are still mostly unknown. ■ Biliopancreatic diversion: Can result in even more, faster weight loss than the gastric bypass. It does present more risks of nutrient deficiencies, though, and is considered one of the riskiest of weightloss surgeries. ■ Gastric balloon: This is the most reversible weight-loss surgery, and is best option for patients that need just a little help. The weight loss is typically less dramatic than with the other surgeries, but the procedure is also less risky. Talk to your doctor about your options. No matter which procedure you choose, be sure your surgeon has a lot of experience, and that it best fits your weight-loss goals and current health condition.

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THOSE DROOPY EYES! IS EYELID SURGERY RIGHT FOR YOU? WHAT TO CONSIDER BEFORE MOVING FORWARD ■■■ Morgan Rice Betty could definitely tell the difference. In the years since she’d turned 40, it seemed her eyes had been steadily drooping. Eye shadow was more difficult to apply, and she had to pull the skin back to curl her eyelashes. In pictures she looked tired, even when she wasn’t, and no amount of concealer would help.

She had heard about eyelid surgery, but was a little hesitant. Was it safe? Would she be happy with the results? Was she a good candidate for it?

WHAT IS EYELID SURGERY? Also called “blepharoplasty” or “eyelid lift,” eyelid surgery is a procedure that’s performed on the upper or lower lids—or both—to www.4health.net

4HEALTH improve appearance and sometimes, to improve eyesight. The idea is to get rid of that extra, crepey skin that collects on the upper lids, and underneath the eyes. Fat may also be added or removed from the eye area during the procedure. Typically, for an upper eyelid surgery, the surgeon makes small incisions on the skin and removes excess skin and fat, and then stitches it back together using very fine stitching. The incisions are made along the natural lines and creases in the lids to hide scars as much as possible. Lower eyelid surgery often involves incisions right below the lash line, which allows access to fat with minimal scarring.

IS EYELID SURGERY FOR YOU? How do you know if eyelid surgery is a good option for you? First, ask yourself why you want the procedure. The following are good reasons: ■ Your lids are droopy or heavy, with excess skin ■ People often tell you that you look tired even when you don’t feel

tired ■ Your lids are so heavy they’re affecting your vision ■ You have excess skin and fat underneath the eyes ■ You have a lot of excess and fine “crepe paper type” wrinkles on

the upper and/or lower lids ■ You often have bags and folds in the lower eyelids If you have any of these problems, an eyelid surgery will probably make you much happier about your appearance. There are other things to consider, though.

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OTHER THINGS TO CONSIDER Some of the other things you want to check before agreeing to surgery are the following: Is an eyelid surgery alone going to be enough for you? Sometimes surgeons combine it with a forehead lift, especially if your eyebrows are sagging too. These are things you can discuss with your surgeon. Are you in good overall health? Cosmetic surgery is still surgery, and comes with some risks, so you want to be healthy going into it. Might a less invasive treatment help instead? Other options like Botox or laser resurfacing may correct your problem for now. Again, you can check with your surgeon. Can you afford it? If your sagging lids are creating a vision problem, you may be able to work with your surgeon and optometrist to get your insurance to cover the procedure. Otherwise, you may have to pay for it yourself. Be sure you are aware of all related costs, including the surgeon’s fee, hospital or surgical facility costs, anesthesia fee, prescription costs, and expenses for medical tests. Do you have an experienced surgeon working for you? Make sure he or she is a board-certified plastic surgeon for eyelid surgery, and ask to see before and after pictures of other patients treated.

BE SURE YOU’RE READY FOR RECOVERY One more thing to check on before you go for it—make sure you’re prepared for the recovery period. You will likely need a couple days to rest, apply compresses to your eyes, apply medications, and allow for healing. Check with your doctor to be sure you have all the details and can take the time you need to properly care for yourself.

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ARTHRITIS PAIN? INSOMNIA? MASSAGE MAY HELP! STUDIES SHOW THE BENEFITS OF MASSAGE ARE REAL

■■■

Colleen M. Story

It used to be that getting a massage was considered an indulgence, something only pampered people did to ease stress and enjoy a peaceful afternoon. Not anymore. Scientific studies have shown that massage has many health benefits, including reducing arthritis pain, soothing stress, improving depression, and even boosting immunity and managing blood pressure. Here are some of the ways you may benefit from massage, and some tips for choosing the type that’s likely to help you most.

HEALTH BENEFITS OF MASSAGE Massage is a general term for the practice of pressing, rubbing, and manipulating your skin, muscles, tendons, and ligaments. Massage therapists may use their hands and fingers, as well as their forearms, elbows, and even feet. The pressure can range from light to deep, with strokes varying from slow, long, and firm to faster, more vibrating and tapping movements. According to studies, here are some of the benefits of massage:

Promote exercise recovery: A study published in February 2012 found that massage reduced inflammation caused by muscle damage from exercise. Soothe arthritis: A study published in PLoS One found that an hour of Swedish massage once weekly reduced knee pain in people with osteoarthritis. Soothe back pain: This one seems obvious, but science has confirmed it—getting a weekly hour-long massage can provide pain relief and increase movement and function in those with back pain. Promote better sleep: Struggling with insomnia? Massage can help. A number of studies have found that it helps people to sleep better, perhaps by affecting the brain’s delta waves. Boost immunity: Want to avoid the flu this year? Consider a massage. In a 2010 study, researchers found that massage increased disease-fighting white blood cells. Increase alertness: Feeling a bit of brain fog? Massage was shown in a small Touch Research Institute study to help people feel more alert. Af-

ter a 15-minute chair massage, they completed a series of math questions faster and more accurately. Reduce headaches: A 2009 study found that a 30-minute massage decreased pain for people with tension headaches. Other studies have found massage helpful in reducing the frequency of migraines. Ease depression: Massage seems to increase the feel-good neurotransmitters in the brain, easing depression and helping people feel more relaxed and less anxious.

WHAT TYPE FOR ME? There are several different types of massage. To choose which one is right for you, talk to your massage therapist. It helps to know exactly what you’d like the massage to do—relieve the pain of an injury, or just ease your stress levels? In addition, it helps to know some of the basics. In general, there are four types: 1) Swedish massage is a gentle form that uses long, kneading strokes and deep circular movements; 2) deep-tissue massage uses slower, more forceful strokes that target deep layers of muscle, but may feel harsh to some people; 3) sports massage is similar to Swedish, but is targeted to help prevent or health injuries; 4) trigger point massage focuses on sensitive areas or tight muscles. There are other types as well, with some including aromatherapy, cosmetic procedures, or other alternative therapy techniques. Make sure you know exactly what you’re getting before you start.

TAKE PRECAUTIONS TO PROTECT YOUR HEALTH Whereas you had to go to a luxury spa or health club in the past to get a massage, these days, you can get one almost anywhere, including businesses, clinics, hospitals, and even airports and malls. It’s important, however, to make sure you protect your health. Talk to your doctor first to be sure you have no conditions that may make massage harmful, such as former lymph node surgery, or a cardiovascular condition that requires you to take blood-thinning medications. Ask whether the therapist is trained in the particular type of massage you’re getting, and ask to see credentials. Tell the therapist about any injuries you have, and never allow massage on an open or healing wound or fracture. Finally, trust your body. If something doesn’t feel right, speak up. www.4health.net

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| Plastic Surgery

NON-SURGICAL LUNCHTIME FACE AND NECK LIFTING 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

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

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

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

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

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

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5 MYTHS & TRUTHS ABOUT FOOT CARE HAVE YOU BEEN DUPED?

■■■

Gordon Barclay

George came home from work and collapsed on his easy chair. Catching the heel of one shoe with the toe of the other, he flicked them off. They fell to the floor and he closed his eyes. Finally, he could relax and hopefully within a few minutes, his aching feet would ease up. George’s wife thought he should see the doctor about his foot pain, but George ignored her. After all, he was getting a little older. Foot pain was part of the deal, right? Had George taken his wife’s advice, he might have seen that he was wrong. In fact, the idea that foot problems are a natural part of aging is one of the prevailing myths about feet and foot care. Here are more you may have heard, and how the truth may help you to live a more comfortable life into your senior years and beyond.

5 MYTHS ABOUT FOOT CARE 1. IT’S NATURAL TO HAVE FOOT PROBLEMS AS YOU AGE. Though your feet do go through a lot of wear and tear over the years, that doesn’t mean it’s natural to experience pain and other problems as you age. Feet, when they are treated right, can work perfectly well as you age. The problem is often that we wear the wrong footwear, or we pound our feet in exercises without giving

them the support they need to avoid injury. The key is to visit your podiatrist regularly to be sure you’re not developing problems that will lead to pain down the road. He or she can help guide you in the proper footwear, and may be able to fit you with orthotics that will better support your feet.

2. CUTTING A “V” INTO THE TOENAIL WILL RELIEVE INGROWN TOENAILS. Podiatrists say this myth is flat-out wrong. Ingrown toenails grow down into the skin, so a “V” shape doesn’t change that. Worse, cutting the V may create more problems, and can be painful in itself. For prevention, make sure your shoes are the right size for your feet, and cut straight across the toenails. Do not trim them too short.

3. IT’S GOOD FOR YOUR FEET TO WALK BAREFOOT OR IN FLIP-FLOPS. Though it may feel good to walk barefoot, you need to be careful, as in the wrong area, it can result in cuts, abrasions, bruises, and puncture wounds. Walking barefoot also requires strong muscles in the feet, and if you haven’t been doing it regularly, you could risk injury by suddenly removing your shoes. Your best bet is to enjoy barefoot walking around your home, but be careful in other locations to avoid injuries and infections. Flip-flops also expose your feet to bacteria, particularly if you wear them around public spaces, and podiatrists warn that they don’t

provide any arch support and can lead to twisted ankles, blisters, hammertoes, knee and hip pain, plantar fasciitis, and more. Enjoy them short-term if they’re comfortable for you, but it’s best not to wear them for long periods of time.

4. CORNS HAVE ROOTS THAT YOU HAVE TO DIG OUT. This is simply not true. A corn is a build-up of skin caused by friction between your foot and your shoe and/or sock. It’s like a big callus, except that it has a hard core. In addition, if you try to cut it or apply medicated pads, it can lead to more problems, like infections. Your best bet is to see your foot doctor for treatment.

5. SWEAT CAUSES SMELLY FEET. You may notice foot odor more when your feet sweat, but it’s not the sweat that’s causing it—it’s the bacteria on your feet. When the bacteria mix with the perspiration, it transfers the smell more efficiently. To cut down on foot odor, wash feet regularly, and use socks that allow your feet to “breathe,” or that wick away moisture naturally. If your feet tend to be particularly sweaty, try an antiperspirant spray on them. Also, be sure to change shoes so you never wear the same ones two days in a row, and look for footwear made of leather or canvas (avoid plastic-based materials). Call Weil Podiatry of New York at 718-5045877 for all your foot questions and to schedule your appointment. www.4health.net

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WHEN YOU NEED IT— 7 BENEFITS OF FOOT SURGERY SOME FOOT CONDITIONS RESPOND BEST TO AN OPERATION

■■■ Lynn Merrell

■ Diabetic wounds

If you have foot problems, usually surgery is the held off as a “last resort” treatment. Still, if you need it, surgery can provide a lot of benefits. Dr. Kordai DeCoteau, DPM, from Weil Podiatry of New York, understands that surgery can be scary sometimes, but that some patients feel a lot better afterwards, and are able to get back into their active lives with less pain. Here’s more about how surgery can benefit certain foot conditions, and when you may want to consider talking to your podiatrist about your options.

HOW DOCTORS AT WEIL PODIATRY DETERMINE SURGERY IS BEST

WHAT CONDITIONS ARE BEST TREATED WITH SURGERY? Certain types of foot conditions can be stubbornly resistant to other types of treatments like physical therapy, medication, rest, exercise, and casts. Despite you and your doctor’s best efforts, some conditions may continue to plague you with pain, difficulty walking, and worsening complications. These include: ■ Bunion ■ Hammer toe, claw toe, trigger toe, or ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■

mallet toe Heel spur or plantar fasciitis Neuroma pain Tarsal tunnel syndrome Metatarsalgia Digital fusion Intractable plantar keratosis Hagland’s deformity Ingrown nails Ganglions Ulcers Warts Dorsal-adduction deformity

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Doctor DeCoteau will typically tries other treatments first, to see if they may help ease your pain and correct the problem. If, after a significant amount of time, these treatments don’t work, she may suggest surgery. An operation can correct a birth defect or deformity, reconstruct parts of the foot after a trauma, and more importantly for you, help to ease pain and discomfort and get you back into your life. Before making the final decision for surgery, Dr. DeCoteau will likely perform a number of tests, including a physical examination, X-rays, and possibly an ultrasound or CT or MRI scan. All of these tests will provide the information she needs to determine the best course of action.

POTENTIAL BENEFITS OF FOOT SURGERY Foot surgery can provide you with a number of benefits. Talk to Dr. DeCoteau at 718-504-5877 or visit her at 4159 Broadway, Washington Heights, New York and 59-20 Myrtle Ave., Queens, New York 11385. Once you’ve discussed your condition and gotten all the information on your options, you can decide whether you may actually feel better after the procedure.

Reduced pain: The American Academy of Orthopedic Surgeons reports that 85-90 percent of bunion surgery patients were satisfied with the results. Experiencing less pain means you can get back into the activities you enjoyed before having to deal with your foot condition. Improved appearance: If your foot condition makes your foot or toes look different

than normal, surgery can improve that situation. After surgery, you may no longer feel self-conscious about wearing sandals or going barefoot. Ability to walk: Foot problems can greatly affect your ability to walk. After surgery and a prescribed recovery period, you are likely to be able to walk more comfortably, which can improve your quality of life. Easier shopping for shoes: You know that foot problems can make finding the right shoes a nightmare! Surgery can help repair malformations that make fitting shoes difficult, giving you a wider range of choices in footwear. Faster recovery (in some cases): Some conditions can take months to treat with other methods, when surgery may result in a faster recovery. Warts are an example of something that is more quickly taken care of with surgery. Complete cure: Surgery can put an end to your condition and to your stress about it. For an ingrown toenail, however, surgery can cure the condition so you don’t have to worry about it anymore. Infection control: If you have diabetes and you’re struggling with infection in your feet, surgery may be the only way to control it, thereby saving you from other potential complications down the road. There’s no reason for you to continue living in pain! Call Weil Podiatry of New York today at 718-504-5877 for an appointment.

Weil Podiatry of New York

(718) 504-5877

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COULD YOU HAVE SOCIAL PHOBIA? FEAR IN SOCIAL SITUATIONS HAS ITS ROOTS IN THE BRAIN

■■■ Colleen M. Story Amber had been invited to her friend’s engagement party, but she didn’t think she would go. She loved her friend, and wanted to celebrate her happiness with her, but a party? She had never felt comfortable going to them. All those people. She didn’t know how to act, and she always felt stupid. Usually, she ended up hanging out in the back corner sipping a drink, or escaping to the bathroom. If Amber had talked to a therapist about her condition, she may have learned that she has a common condition called “social phobia,” or “social anxiety.” Though not usually serious, it can stop people from doing things they might otherwise enjoy doing, and can interfere with

job performance and even hold people back from career advancement. Worst of all, it can affect relationships to the point that the person feels socially isolated. Fortunately, there is help. If you feel like Amber, imagine being able to go into a social function, like the engagement party, while feeling confident that you can deal with your fearful feelings. It’s possible, and usually attainable with just a little guided practice.

WHAT IS SOCIAL PHOBIA? According to the Social Anxiety Association, social anxiety disorder, or social phobia, is the third largest mental health care problem in the world today. It affects about 7 percent of the population, causing anxiety and fear in most all areas of a person’s life. The problem is that over a www.4health.net

4HEALTH third of people who suffer from social phobia wait for 10 years or more before seeking help. The main characteristic of the disorder is an extreme fear of being judged by others and found lacking. Other symptoms include the following: ■ Fear of being in any situation where you may be judged ■ Fear of doing common things in front of other people, like signing a

check in front of a cashier, or eating in front of other people ■ Feeling self-conscious or anxious when around other people ■ Feelings of inferiority or self-blame ■ Suffering from physical symptoms of fear, like blushing, sweating,

■ ■ ■ ■

and trembling, as well as digestive issues, like nausea, vomiting, or diarrhea Worry and anxiety for days before an event where other people will be present A tendency to avoid any situation that causes this type of fear Difficulty making and keeping friends A feeling of confidence when alone

The problem often starts in youth, typically showing up in the early teen years, though it can occur at any time. Someone who experiences these symptoms for six months or more is likely to suffer from social phobia.

WHAT CAUSES SOCIAL PHOBIA? Scientists aren’t sure yet what causes social phobia, but they have discovered that it seems to run in families, and also seems to occur

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when people lack social skills or tend to misread others’ behavior. A recent study also found that people with social phobia make too much serotonin, the “feel-good” neurotransmitter in the brain. They found that the more serotonin the participants produced, the more anxious they felt in social situations. Though earlier studies had indicated that people with the disorder produced too little serotonin (and thus doctors were treating with antidepressants), this newer study showed the opposite. Earlier research also showed that the nerve activity in the amygdala (area in the back of the brain) is higher in people with social phobia, indicating that the brain’s “fear center” is over-sensitive. What does this mean for treatment?

HOW IS SOCIAL PHOBIA TREATED? Since this study was just completed in 2015, it’s unclear yet what impact it may have on treatment. In the meantime, people who are suffering with this disorder have many options. Psychotherapy on its own can really help, as it shows you how to approach and react to situations that will help you feel less fearful. There are also many anti-anxiety and antidepressant medications that may help you feel more relaxed in social situations. They can have side effects, though, so it’s important to tell your doctor how you feel while taking them so you can find the best solution for you. The important thing is that people like Amber don’t have to continue suffering in silence. This is a common affliction and it can be treated. Start by talking to your doctor about your options, and don’t let social phobia keep you from living your life to the fullest.

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GENETIC TESTING— SHOULD YOU TRY IT? PROS AND CONS OF KNOWING YOUR OWN GENES ■■■ Colleen M. Story Darla’s mother went through breast cancer twice, and though she survived, Darla was concerned that maybe she, too, was at risk. Then she heard about genetic testing, and wondered: Should she go through the test to see if her genes showed a risk for the disease? The science of genetics has advanced in leaps and bounds over the last couple decades. Still, we’re in the infancy of the research, and have much yet to discover. Despite our limitations, some genetic testing has become available that may be able to predict a person’s likelihood of developing certain types of diseases. Could these tests benefit you, or would they cause more harm than good?

WHAT IS GENETIC TESTING? Genetic testing is a procedure that looks at the genetic material in the body—including DNA, chromosomes, enzymes, and proteins—to gather information. Usually, the tests examine genes for mutations that would indicate risk for disease, like cancer, diabetes, and Alzheimer’s disease. Other genetic tests are performed during pregnancy to help determine the risks to the fetus, such as whether the baby has Down syndrome. Adults can also use genetic testing to determine if they are “carriers” for certain types of diseases that they themselves aren’t at risk for, but that they could pass onto their children.

Blood test: A standard blood test pulls a sample of blood from the vein in your arm. Heel stick: This blood test is usually done on babies, where the blood is drawn from the heel instead of the arm. Cell sample: Cells are collected from the unborn baby using amniocentesis. Buccal smear: A cotton swab or small brush is rubbed inside the surface of the cheek to gather cell samples. Hair sample: A sample of the hair can also provide the cells needed for genetic testing.

THE PROS OF GENETIC TESTING One of the greatest benefits of genetic testing today is that it can give you useful information about your risk for some diseases. If Darla’s mother, for instance, had the BRCA gene mutation, which increases risk of some types of breast cancer, and Darla went through testing, the results could be helpful in her health care. If the results showed she didn’t have the gene, she could relax a bit about her risk. If, on the other hand, it showed she did have the gene, she may elect to be more proactive in her daily choices to help reduce her risk of getting breast cancer. The same proactive approach could be used for other genetic tests predicting risk for diseases like Alzheimer’s and colon cancer. Being aware of the risk can also help individuals catch the disease in its early stages, should it develop, increasing the odds of survival.

HOW IS IT DONE? There are several ways to obtain genetic material from an individual that scientists then look at in the laboratory. These may include:

THE CONS OF GENETIC TESTING Whether the test will prove helpful or not greatly depends on the individual. Some are

glad to have the information and will take steps to make changes in their daily lives to promote health and longevity. Others, however, find the information a burden— particularly if they discover they are at risk for a devastating disease. Worrying about the risk can create more problems than it solves. Genetic testing can also be expensive, and may not be covered by health insurance. In addition, though a genetic test can give you probabilities, there are no certainties. Test results could show you have a risk for Alzheimer’s, but cannot tell you whether you will actually get the disease or not. Finally, there are still some ethical issues surrounding genetic testing, in that if your insurance agency or employer discovers the results, you could be subject to discrimination.

SHOULD YOU BE TESTED? Genetic testing may prove most useful for those who have first-degree relatives with some type of cancer, or who have close relatives with known gene mutations that increase risk of disease. They’re also regularly performed in pregnant mothers to determine the presence of any genetic diseases. Otherwise, genetic testing will give you information only about your risk for disease. Ask yourself if that information would prove helpful to you, or only cause additional stress. Then talk to your doctor about your options, and be sure that if you do decide to move forward with testing, that you go through a reputable medical center. www.4health.net

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Early detection with HeartScore could save your life.

What is heartscore cardiac calcium scoring?

When you think about heart attack, you probably assume if you have normal blood pressure and no problem with cholesterol youâ&#x20AC;&#x2122;re in the clear. Think again. In fact, experts say 80 percent of the people who suffer heart attacks have normal cholesterol. New research shows a quick preventive test, like a cardiac calcium scoring, may give patients the best information yet. HeartScore cardiac calcium scoring is a quick, painless, noninvasive procedure performed with a multislice computed tomography (CT) scanner. During a 30-second test, highly trained experts in Cardiac disease at Sinai diagnostics can accurately determine the degree and severity of hard plaque within the coronary arteries.

Mammogram for the Heart- Coronary Calcium Score Who should get a heartscore? HeartScore cardiac calcium scoring is recommended for anyone at risk of coronary artery disease, especially for healthy males over the age of 40 and females over the age of 45. If you have a family history of heart disease, you may want to be tested earlier. Other risk factors of heart disease include high blood pressure or cholesterol (even if managed by medication), smoking, obesity, and inactive or high-stress lifestyles. Why is cardiac calcium scoring important?

Heart disease is the leading cause of death for both men and women. Often people have no warning signs prior to a cardiac event. HeartScore detects this life-threatening build up and gives people the opportunity to change their lifestyles and obtain medication before extensive, irreversible damage occurs.

How can I get my cardiac calcium scoring?

Call 718-615-4100 to Schedule an Appointment at Sinai Diagnostics Cardiovascular Center for your HeartScore test.

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What does my heartscore mean? the lower your heartscore is the better. Scores Can range from zero to thousands. Any person with a score above zero should consider further medical advice for ways to prevent a heart attack through various preventative therapies like lifestyle changes and medications to stress testing.

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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

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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Vascular Surgery | 4HEALTH39

BACK PAIN?

FIND HELP AT THE USA VASCULAR CENTERS! YOU’RE IN TRUSTED HANDS

THE STORY OF SOPHIA VERNER According to the American Chiropractic Association, back pain is one of the most common reasons for missed work, and is the second most common reason for visits to the doctor (outnumbered only by upper-respiratory infections). There a number of causes, ranging from overloading of muscles to vertebral fractures and even cancer. In many cases, back pain can be relieved with physical therapy or other conservative methods. Other spine problems require surgery. If your pain is caused by a spinal fracture or osteoporosis that has caused the vertebrae to collapse, you know the agony of chronic pain. The USA Vascular Centers are acknowledged experts in the treatment of pain due to spinal fractures and spinal tumors with minimally invasive, nonsurgical procedures, such as kyphoplasty and radiofrequency ablation. Treatments are performed on an outpatient basis, using the most modern equipment, and are customized for each individual patient. One of the key advantages to going to The USA Vascular Centers, as opposed to the hospital, is a minimal recovery period. For the treatment of back pain caused by spinal fractures due to trauma or osteoporosis, the USA Vascular Centers perform a minimally invasive, highly effective procedure called kyphoplasty. For long-term elimination of severe pain caused by cancer metastases in the spine, they use one of the most modern and effective methods, called radiofrequency ablation. Today we talk with Sophia Verner, a patient of The USA Vascular Centers, who got rid of back pain with the help of kyphoplasty. Sophia, why did you go to The USA Vascular Centers? My back was aching very badly, especially when I stood or walked. The pain was nagging and strong, and I wanted to sit or lay down. Then I fell, and during a medical examination, my doctors discovered I had two fractures in my spine. How I got them, I didn’t know. I had already seen my primary physician, a neurologist, and a physiotherapist about www.4health.net

my back pain, but none had discovered these fractures. I was told to take painkillers and try physical therapy, but none of these methods helped. When the pain got really bad, I started to look for a way to cure it. I came across the magazine “Medical Office” and I found an article about Dr. Halpert, who was an expert in the kyphoplasty procedure for the treatment of compression fracture of the spine. After reading the article, I immediately made an appointment. During the visit, I liked the doctor right away—he was knowledgeable and very compassionate. He was also the first person who said, “I can help you.” And he has kept his promise. I feel much better. How was the treatment performed? I came to the doctor for a consultation, then again for a CT scan, and then went through the treatment, which consisted of only two procedures with an interval of three weeks. Each procedure was performed under general anesthesia and took about 20 minutes. After each session I was told to rest on my back for two hours, and then I was allowed to go home. How soon did you experience relief? I felt better after the first treatment. Now, one month after my treatment, I still experience some minor pain, but it can’t be compared to what I experienced before. To promote healing, I now go to physical therapy and get acupuncture treatments. What would tell our readers who are plagued by back problems? To anyone who suffers from the same pain after fractures as I did—don’t wait until the pain becomes intolerable, and don’t agree to go to the hospital for surgery. Instead, contact Dr. Halpert at the USA Vascular Centers, and I’m sure you won’t regret it! The treatment is very easy and the results can be felt instantly. The staff there is very responsive, nice, and compassionate. I am very grateful to all of them and especially to Dr. Halpert for caring, understanding, and—the main thing—for giving me a life without pain!

www.USAVeinClinics.com

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

INSURANCE: We accept Medicare and most insurance plans, like Health First, 1199, GHI, BCBS, United Healthcare, Aetna, and many others.

CONTACT:

(855) 328-5525 New York 2444 86th St, Ste A, Bensonhurst, NY 11214 260 W Sunrise Hwy, Suite 102, Valley Stream, NY 11581

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

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HOW WELL DO YOUR DOCTORS WORK TOGETHER? TEAMWORK CRITICAL TO CARE—4 TIPS TO ENCOURAGE COMMUNICATION ■■■ Colleen M. Story You may have noticed a slight shift in your healthcare over the last several years. You probably still have a primary care doctor, but you may also regularly see a physician’s assistant, talk with a charge nurse,

discuss medications with your pharmacist, coordinate care with a surgeon or oncologist, and work on your daily menus with your dietitian. According to a 2004 study, effective communication and teamwork are essential for the delivery of high quality, safe patient care. Unfortunately, communication failures can cause patient harm. To make sure

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4HEALTH you get the best care in today’s world, you want to be sure that your healthcare professionals make a good team. But how do you do that?

HOSPITALS WITH GOOD TEAMS SAVE MORE LIVES According to an article in the American Academy of Family Physicians magazine, “Family Practice Management,” teamwork will make or break a doctor’s practice. Dr. Bruce Bagley, author of the article, observes that many practices lack optimal team functioning. “Highfunctioning teams develop healthy habits of regular communication, agreement on an action plan and a collective approach to problem solving,” he writes. In fact, those healthcare settings that foster good teamwork actually have improved patient outcomes. A 2011 study reported that hospitals are actually more likely to save patients suffering from a heart attack when staff worked together well. Researchers found that those hospitals that were most successful at saving patients had good physician leaders, involved senior management, and a staff focused on a common vision and purpose. Those who were least successful at saving patient lives had sporadic involvement from senior management and poor physician involvement, and were less likely to treat nurses as valued members of the team.

4 TIPS FOR KEEPING YOUR TEAM WORKING WELL TOGETHER Knowing this, how can you be sure your medical team is working together well? Try these four tips: 1. Have someone in charge. Typically this would be your primary care doctor, but it could also be another doctor that you see more often. The important thing is to have someone coordinating your overall care who can help facilitate communication among the other healthcare professionals. If you don’t feel you have a doctor doing this, simply ask the one you see the most if he or she would be willing to take

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on the role. Then be sure that this person is kept in the loop about all your treatments and doctor visits. 2. Keep records. This is critical, especially if you have an ongoing condition or if you’re going for surgery. You need to create a folder (3-ring binders work well) that contains a list of your medications, your test results, the treatments you’re going through, who your various healthcare providers are and their contact information, etc. You also want to include a list of anything you’re allergic to, any major illnesses you have, and past hospitalizations and surgeries. If you’re missing something, simply ask the appropriate doctor to get you a copy. Then take this binder with you to every health care visit. 3. Follow-up. Doctors’ offices are supposed to share test results with patients, but the results sometimes fall through the cracks. This can cause additional health issues, particularly if it results in delayed treatment. If you don’t hear back within a reasonable time, follow up with a call. Ask for a copy of the test results. Make sure the results get to the right people in your healthcare team—ask the office to forward them, and then be sure the other doctors received them. 4. Have a personal advocate. There are times when, as a patient, you are most vulnerable to communication errors. When you’re discharged from a hospital is one, or when you’re going in for surgery. It’s at these times that it’s important to have a family member, loved one, or friend with you who can help make sure everything is going smoothly, who can communicate about your medical history, and who can detect when someone may not have the right information (nurse, physician’s assistant, etc.). It’s especially important that you and your advocate double-check the medications the healthcare team has scheduled for you before and after surgery, and to be sure you have clear instructions when you’re discharged. Your primary care doctor should also be informed of your discharge plan, so he or she can help follow up as needed.

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 â&#x20AC;&#x201D; 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

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

(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

(718) 283-7219

(718) 627-8300

PAIN MANAGEMENT

Amit SCHWARTZ, MD

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

(718) 512-2160

158-06 Northern Blvd Flushing, NY 11358

(212) 804-0500 (732) 728-7075

Anella BAYSHTOK, MD

2101 Ave X Brooklyn, NY 11235

305 W 28th St New York, NY 10001

170 Morris Ave, Ste A Long Branch, NJ 07740

(347) 252-6732

Prabhakara R. TUMPATI, MD

(718) 445-3700 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

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4HEALTH PHYSICAL THERAPY

Vladislav RUDNER, PT

1901 82nd St Brooklyn, NY 11214

(718) 490-2416

PSYCHOLOGY

Chloe CARMICHAEL

230 Park Ave, Fl 10 New York, NY 10196

(212) 729-3922

www.magichandspt.com

PLASTIC SURGERY

PSYCHIATRY

RADIOLOGY

Sinai DIAGNOSTICS

NUTRITION AND DIETETICS

David SHUSTERMAN, MD 800 2nd Ave, Fl 9 New York, NY 10017

2560 Ocean Ave Brooklyn, NY 11229

(212) 931-8533

2071 Clove Rd Staten Island, NY 10304

(718) 360-9550

(888) 496-2688 (888) 496-2688 UROLOGY

69-15 Yellowstone Blvd Forest Hills, NY 11375 nyurology.com

VASCULAR SURGERY

MEDICAL SUPPLY

Albert GROSS, CNS, NYS, CDN

Globe SURGICAL SUPPLY

(718) 376-8317

(888) 418-0442

1942 E 8th St Brooklyn, NY 11223

2029 Bath Ave Brooklyn, NY 11214

www.nylifex.com

MULTI SPECIALTY

USA VASCULAR CENTERS

Roman RAYHAM, MD, BOARD CERTIFIED IN PLASTIC SURGERY

Felix DRON, MD

7620 Bay Pkwy, Ste 1B Brooklyn, NY 11214

(718) 232-1492

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

Yuly CHALIK, MD

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

(347) 508-3991

(877) 582-0400

www.nyui.org

www.nyplasticsurgerycenter.com

USA VEIN CLINICS

1153 First Ave New York, NY 10065 2511 Ocean Ave, Ste 102 Brooklyn, NY 11229

Multi SPECIALTY CLINIC 3023-3027 Ave V Brooklyn, NY 11229

2444 86th St, Ste A Brooklyn, NY 11214 260 W Sunrise Hwy, Ste 102, Valley Stream, NY 11581

(855) 328-5525

(877) 807-0989 AESTHETIC CENTERS

2444 86 St, Ste A Brooklyn, NY 11214 Th

116-02 Queens Blvd Forest Hills, NY 11375

PODIATRY

1975 Hylan Blvd Staten Island, NY 10306

Mark GURTOVY, MD

260 W Sunrise Hwy, Ste 102 Valley Stream, NY 11581

7620 Bay Pkwy, Ste 1B Brooklyn, NY 11214

4159 Broadway Washington Heights, NY 10033

(718) 232-1492

Vitaly RAYKHMAN, MD

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

Svetlana LUVISH, DPM

(347) 508-3991

520 Neptune Ave Brooklyn, NY 11224

www.nyui.org

(718) 946-8586

Michael PATIN, MD

59-20 Myrtle Ave Queens, NY 11385

6417 Bay Pkwy Brooklyn, NY 11204

30-33 Steinway St Astoria, NY 11103

102-51 Queens Blvd Forest Hills, NY 11375

(718) 509-0906

(718) 234-6767 (718) 896-2333

www.usaveinclinics.com

ALTERNATIVE MEDICINE - GENERAL

Interborough DEVELOPMENTAL & CONSULTATION CENTER 1623 Kings Hwy, Fl 4 Brooklyn, NY 11229

(888) 987-5751

Alina VASILYEVA, DPM

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

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

(718) 283-7746

(718) 646-0131

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

(646) 200-5856

Ada KULAGINA, LAC

8635 21st Ave Brooklyn, NY 11214

LSA RECOVERY

1300 Ave P Brooklyn, NY 11229

(888) 983-4055

www.4health.net

VK SKIN SPA

Ridwan SHABSIGH, MD

(888) 410-3442

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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