4Health Magazine #187 by MOO Publishing

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ZIKA IN THE U.S. DO MOMS NEED TO WORRY?

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COMMON SUMMER FOOT HAZARDS

VISUAL PROBLEMS CAN SHORTEN YOUR LIFE

SHOULD YOU WEIGH YOURSELF DAILY OR NOT?

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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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“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

Could It Be that Parkinson’s Disease Starts in the Stomach? New Research Reveals Exciting Findings

11 16 Should You Weigh Yourself Daily or Not?

Simple Weight-Loss Method Works for Both Men and Women

22 Zika in the U.S.—Do Moms Need to Worry?

SYRACUSE AND BUFFALO MAKE TOP 10 LIST FOR WORST ALLERGY CITIES

HOW TO KEEP HANDS LOOKING YOUNG

NEW STUDY CONFIRMS LINK BETWEEN GUM DISEASE AND HEART ATTACK

DENTAL PROBLEMS COULD BE CAUSING YOUR HEADACHES

IS IT JUST A LITTLE DIARRHEA, OR COULD YOU HAVE IBD?

15 21

Latest Info Suggests Parents Take Precautions

24 Visual Problems Can Shorten Your Life

Study Finds Vision Care is Critical for Seniors

26 Five Common Summer Foot Hazards

How to Avoid Being Sidelined by Blisters, Sunburn, and More

Climate Change and Availability of Doctors Affect Quality of Life

The New Trend in Anti-Aging is Youthful Hands

Good Oral Health Care Helps Reduce Risk of Disease

By Dr. Namik Yusufov, DDS, MDT

When Stomachaches Become Serious

STOMACHACHE? IT COULD BE COLITIS By Dr. Sam Weissman

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

TREATMENT FOR YOUR PAD MAY HELP PREVENT AMPUTATIONS

WEIGHT LOSS SURGERY SUCCESSFUL—WHAT ABOUT ALL THAT SKIN?

NON-SURGICAL LUNCHTIME FACE AND NECK LIFTING

THERAPY MAKES TOURETTE SYNDROME BRAINS MORE LIKE NORMAL BRAINS

7 GOOD THINGS ABOUT AGING

FEEL BETTER TODAY WITH NEW, NON-INVASIVE DEPRESSION TREATMENT

SIGNS YOU MAY HAVE BLADDER CANCER

USA Vascular Centers Offers Minimally Invasive Procedures

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By Dr. Roman Rayham MD

Studies Show Promising Results for Patients

Getting Older Can Actually Be Enjoyable

TMS Therapy Solution Requires No Drugs or Surgery

How to Discover It Early When It’s More Treatable

34 www.4health.net

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SYRACUSE AND BUFFALO MAKE TOP 10 LIST FOR WORST ALLERGY CITIES

CLIMATE CHANGE AND AVAILABILITY OF DOCTORS AFFECT QUALITY OF LIFE ■■■■Gordon Barclay Over 17 million adults and 7 million children in the United States are affected by allergies each year. Spring and summer allergies are potentially irritating, causing running noses, sneezing, watery and itchy eyes, rashes, headaches, and more. In some cities, it’s worse than others. According to the Asthma and Allergy

Foundation of America (AAFA) and their annual Spring Allergy Capitals report, 100 cities fare a bit worse than other locations around the country. Turns out that Syracuse, New York, is number three on the list.

SYRACUSE AND BUFFALO HIT TOP 10 For their report, the AAFA looked into data from independent research examining

environmental factors like pollen, allergy medication usage, and the availability of board-certified clinicians. By producing this report each year, the foundation hopes to help patients recognize, prevent, and treat allergy symptoms, and to raise awareness about how seasonal allergies impact various populations. For 2016, the report — called «The Most Challenging Places to Live with Spring Allergies»—listed the following top 10 cities: www.4health.net

1. Jackson, MS 2. Memphis, TN 3. Syracuse, NY 4. Louisville, KY 5. McAllen, TX 6. Wichita, KS 7. Oklahoma City, OK 8. Providence, RI 9. Knoxville, TN 10. Buffalo, NY This was a shocking change for Syracuse, which moved up from number 20 last year to number three this year. Buffalo, NY also moved up from number 36 last year to 10 this year. Some new media outlets theorized that the drop in the number of board-certified allergists in Buffalo may have affected the city’s rating. Spring pollen levels in both Syracuse and Buffalo were also higher this year than in previous years.

also highly allergenic, may also expand and produce more allergens in the air. Heavily populated areas, in contrast to more rural areas, pose a greater threat for asthmatics, in particular, because the urban heat effect exacerbates both pollen and the production of air pollution.

TIPS TO REDUCE SPRING ALLERGY SYMPTOMS As we face these changes in climate and an increase in allergy symptoms, what can we do? The AAFA recommends the following tips, and advises everyone to see a health care professional. Allergies aren’t just a nuisance — they can affect your ability to sleep and to be productive at work and school, so it’s important to find relief. ■■ See an allergy specialist to find out what particular allergens af-

fect you. ■■ Once you understand what’s affecting you, talk with your doctor

about ways to limit your exposure. ■■ Check daily pollen counts and try to plan your outdoor activities

DOES CLIMATE CHANGE AFFECT ALLERGY SEASON? Does climate change have something to do with what seems to be an increase in allergy problems? The AAFA believes so. In 2010, they released a report together with the National Wildlife Federation noting that climate change affects pollen, mold, and poison ivy, increasing all three and raising the risk for asthma and allergy attacks. Between 1995 and 2011, warmer temperatures in the U.S. have extended the pollen season from 11 to 27 days longer than it was before. This results in more pollen in the air for longer periods of time, creating more allergy symptoms. Warmer temperatures also allow ragweed — the primary trigger for hay fever — to grow faster and produce more pollen per plant. Trees like oaks and hickories, which are

when they are low. Realize that windy days are worse for allergy sufferers. In general, scheduling errands later in the day exposes you to fewer allergens. ■■ After spending time outdoors, be sure to wash clothing and hair to get rid of allergens. ■■ Vacuum and dust frequently, and regularly change bedding. ■■ Plant female trees and shrubs — most don’t produce pollen. ■■ If you take allergy medication, take it before you are exposed to allergens, not after. ■■ Leave your shoes at the door to avoid tracking allergens into the house. ■■ Consider purchasing an air purifier for your home that controls allergens.

4HEALTH

HOW TO KEEP HANDS LOOKING YOUNG THE NEW TREND IN ANTI-AGING IS YOUTHFUL HANDS

■■■ Lynn Merrell Women spend a lot of time and money to slow down the appearance of aging on their faces, but until recently, they often ignored their hands. Yet the hands are typically the first area of the body to betray your age. Fortunately, there are several ways we can protect them, with new treatments available to help camouflage damage done by years of harsh treatment and environmental exposure.

HOW HANDS AGE According to the American Academy of Dermatology, between ages 40 and 50, our hands start to show signs of aging, including discoloration, age spots, and reduced volume, which makes veins and tendons more noticeable. “As you get older,” Dr. John F. Farella, a plastic surgeon, told the New York Times, “your hands lose volume, fat and elasticity. The fatty layer of the hand disappears, so the skin is more translucent and shriveled, and you see underlying structures like bones, tendons, and veins.” Though many plastic surgeons like Dr. Farella now offer cosmetic procedures to help hands to appear more youthful, there are a lot of things you can do before getting to that point to protect and maintain the look of your hands.

HOW TO PREVENT PREMATURE AGING The first step in preventing premature aging is to protect your hands from: ■ UV Rays: By far enemy number one

when it comes to aging, exposure to the sun is as bad for your hands as it is for your face. Sun damage causes wrinkles,

dryness, age and liver spots, and damaged collagen. ■ Household Cleaners: If you think about it, every time you clean house or even wash a dish you’re exposing yourself to harsh chemicals that strip your skin of its natural moisturizing oils and damage the outer layer, leading to increased dryness and wrinkles. ■ Outdoor Chores: Not only do you risk cutting or scratching your hands while doing outdoor chores, you may also expose your skin to pesticides, insecticides, and other potentially dangerous chemicals. ■ Harsh Soaps and Chemical Moisturizers: Women are becoming more aware of the ingredients in their face care products, but may not be as careful with their hand-care products — particularly soaps and moisturizers. Regular soaps are drying and can contribute to premature aging, and moisturizers with chemicals can actually cause additional dryness over time.

TO COMBAT THESE HARSH ELEMENTS, TRY THESE TIPS: ■ Always use sunscreen on your hands,

and remember to reapply throughout the day, particularly after you wash your hands. Keep a tube of sunscreen in your car and at the office, and consider wearing gloves more often. ■ Always wear gloves when doing household or outdoor chores, and consider wearing them when doing outdoor activities like playing golf, going horseback riding, or hiking.

■ Choose more natural and organic prod-

ucts to use on your hands, and always read the labels to be sure the ingredients are nourishing.

ONCE YOU SEE SIGNS OF AGING If you’re already seeing age spots, dryness, or lack of volume in your hands, it’s not too late to take action. Try these tips: ■ Exfoliate: The skin on our hands is basi-

cally the same as that on our faces — we need to slough off the old dead stuff to allow moisturizers to penetrate. Try scrubs and topical creams containing glycolic or malic acids to smooth the outer layer and stimulate new, younger cells to come to the surface. ■ Brighten: Just like we may use kojic acid and retinoids to fade age spots on our faces, we can do the same with age spots on the hands. You can even use the same product that you use on your face if you’ve found a favorite. ■ Pump up the volume: Plastic surgeons now offer fillers to restore volume in the hands. Ask your dermatologist about the options available. Most procedures take only 20–30 minutes in the office and require no anesthesia. ■ Ask about laser treatments: New laser treatments can treat uneven skin tone and texture and help fade age and liver spots. When you think about it, skin is skin, and preventing the appearance of aging on the hands is very similar to preventing it on the face. Talk to your dermatologist about your options, and consider broadening your skincare routine to include your hands as well. www.4health.net

4HEALTH

NEW STUDY CONFIRMS LINK BETWEEN GUM DISEASE AND HEART ATTACK GOOD ORAL HEALTH CARE HELPS REDUCE RISK OF DISEAS

■■■■Gordon Barclay Have you brushed and flossed your teeth today? If not, you could be increasing your risk of heart disease. It’s the number-one killer of all Americans today, claiming 787,000 lives in 2011, according to The Heart Foundation. In fact, in the U.S., someone has a heart attack every 34 seconds. There are a number of things that can mess up heart health, including obesity, a poor diet, sedentary lifestyle, and smoking. But research also shows that the bacteria in our mouths, if it’s not kept under control, can also lead to heart problems down the road. In a 2015 review, researchers looked into the latest clinical evidence concerning oral infections and heart disease. The results aren’t good — and remind us that when we brush, it’s not just our teeth that we’re taking care of, but our overall health and well being.

STUDY FINDS GUM DISEASE LINKED WITH HEART ATTACK AND STROKE Publishing their findings in the June 2015 issue of the scientific journal Cell, researchers explained that the latest clinical evidence supports a link between oral infections, which are caused by bacteria in the mouth, and heart disease. What they both have in common is inflammation — a condition that has been

linked with a number of health problems over the last few decades. The most common oral infections are cavities and periodontal disease (gingivitis and periodontitis), which are inflammatory diseases that slowly erode the supporting structures of teeth. Studies have consistently found a connection between periodontitis (gum disease), in particular, and stroke, especially among men and younger adults. Because of the inflammation connection, researchers are looking into possible treatments that may help address both diseases. They’ve found that the cholesterol-lowering medication atorvastatin, which helps the body tame inflammation, can help prevent both periodontal disease and cardiovascular inflammation, and can actually reverse these diseases in humans. We need more studies before we can be sure what treatments work best, however. Researchers would still like to know which comes first, as well — cardiovascular disease or gum disease? Meanwhile, our best bet is to take equal care of our teeth and our hearts, by living as healthy a lifestyle as we can, and staying on top of our oral care.

SYMPTOMS OF GUM DISEASE Thomas Van Dyke, lead author of the study, advises people to take better care of their teeth to lower their risk of cardiovascular dis-

ease and other health issues. «The majority of diseases and conditions of aging,» he said, «including obesity and type 2 diabetes, have a major inflammatory component that can be made worse by the presence of periodontitis. Periodontitis is not just a dental disease, and it should not be ignored, as it is a modifiable risk factor.» In other words, if you’re noticing any of the following symptoms, get to your dentist right away: ■■ Bad breath or bad taste in the mouth ■■ Bleeding or swollen gums, or gums that

feel tender to the touch ■■ Gums that pull away from the teeth (and

cause sensitivity) ■■ Loose teeth ■■ Painful chewing

Realize too, that some things can increase your risk of gum disease. These include smoking, age (65 and older), stress, some medications (oral contraceptives, antidepressants, some heart medications), smoking, obesity, poor nutrition, teeth grinding, and other diseases like diabetes and arthritis, and low levels of vitamin D. Don’t feel like you have to be perfect, though. As long as you do your best and see your dentist at least once a year, you’ll be able to stay on top of your oral care, and address any issues before they can progress far enough to affect your overall health. www.4health.net

4HEALTH

IS IT JUST A LITTLE DIARRHEA, OR COULD YOU HAVE IBD? WHEN STOMACHACHES BECOME SERIOUS

■■■■Colleen M. Story Symptoms like diarrhea, gas, and vomiting can happen to anyone at anytime. Maybe you ate something that didn’t agree with you. Maybe your food was contaminated. Maybe you had the stomach flu. In addition, sometimes as people age, the gastrointestinal tract can become a little more finicky, with increased sensitivities to different foods, spices, and preservatives. Stomachaches that last longer than a couple weeks or so, however, often signal something more serious. Just what may be the problem, however, often takes time to figure out.

A CASE OF IRRITABLE BOWEL SYNDROME Sarah went into the doctor’s office hopeful that he could help her. For the last few months she’d been experiencing abdominal pain, cramps, excess gas, and other stomach problems. She was worried it could be something serious, like stomach cancer. In a case like Sarah’s, her doctor would likely listen to her complaints, review her medical history, and perhaps perform a few diagnostic tests to narrow down the possibilities. Fortunately for Sarah, the diagnosis is irritable bowel syndrome (IBS), a common disorder that affects the large intestine (colon). It causes uncomfortable symptoms like cramping, pain, bloating, and constipation, but does not cause any permanent damage.

Treatment for IBS typically involves dietary changes, over-the-counter medications, and sometimes antibiotics, antidepressants, or one of two medications specifically approved for IBS.

WHEN SYMPTOMS SIGNAL SOMETHING MORE SERIOUS If Sarah had experienced more serious symptoms, such as bleeding from the rectum, bloody diarrhea, weight loss or pain on one side or another, along with her other symptoms of stomach discomfort, her doctor may have performed blood tests, taken a stool sample, performed X-rays, or possibly scheduled a colonoscopy to examine her colon for inflammatory bowel disease (IBD). Unlike IBS, which is a collection of uncomfortable symptoms, IBD is a group of diseases that cause the intestinal tract to become inflamed and swollen, and sometimes to develop ulcers. Ulcerative colitis and Crohn’s disease are two of the more common types of IBD, and may interfere with the digestion of food, leading to weight loss and malnutrition. Doctors aren’t sure what causes IBD, but researchers believe it may involve a malfunction of the immune system. Treatments for IBD include anti-inflammatory drugs, corticosteroids, immune system suppressors, antibiotics, and other medications like anti-diarrheals and laxatives. If the IBD is interfering with the absorption of

nutrients, vitamin and mineral supplements may also be used. As a last resort for severe IBD, doctors may perform surgery to remove the affected part of the colon and/or rectum.

TAKE CARE OF YOUR GUT How can you reduce your odds of experiencing either IBS or IBD? The best way is to take care of your stomach. Avoid foods that are difficult to digest and that encourage constipation or other digestive problems. These may include: ■■ Refined breads and cereals ■■ Chips and cookies ■■ Carbonated drinks ■■ Fried and fatty foods ■■ Artificial sweeteners and sugar substitutes In addition, you can add certain things to your diet that help encourage the health of the digestive tract. Those include the following. No matter what, if you experience difficult symptoms for more than a couple weeks, be sure to check with your doctor. Eat foods that are a good source of fiber, including whole wheat breads, oats, barley, brown rice, dried fruits, and fresh fruit. Eat smaller portions, with more meals per day. Drink six to eight glasses of water a day, at least an hour before meals. Exercise regularly. www.4health.net

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.

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AWARDS AND PUBLICATIONS Roth Scholarship for Biomedical Research

CONTACT: 202 Foster Ave, Suite C, Brooklyn, NY 11230

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4HEALTH

COULD IT BE THAT PARKINSON’S DISEASE STARTS IN THE STOMACH? NEW RESEARCH REVEALS EXCITING FINDINGS

■■■■Colleen M. Story The Parkinson’s Disease Foundation (PDF) estimates that as many as one million Americans are living with Parkinson’s Disease (PD), and that about 60,000 are newly diagnosed each year. Men

are more than one-and-a-half times more likely to develop the disease than women. As we continue to search for more effective treatments and hopefully one day, a cure, a recent 2015 study came up with some interesting findings that may open up new avenues for prevention.

WHAT IS PARKINSON’S DISEASE? A chronic and progressive movement disorder, PD causes the malfunction and death of vital nerve cells in the brain, called «neurons.» Some of these neurons produce «dopamine,» a chemical that controls movement and coordination. As these neurons die, dopa-

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4HEALTH mine decreases, and the patient finds it harder and harder to control muscle movement. Symptoms of PD include tremors, usually in the hands, arms, legs, jaw, and face. Other symptoms include moving slowly, stiffness in the limbs and trunk, and impaired balance and coordination. Patients may also experience mood disorders, hallucinations, sleep disorders, dementia, constipation, fatigue, vision problems, pain, excessive sweating, and loss of sense of smell.

SCIENTISTS STUDY BRAIN-GUT CONNECTION IN PD Turns out that the digestive system — the intestines — also contain cells that produce dopamine and that degenerate in people with PD. Could the disease actually start there, instead of in the brain? A recent study suggests this may be possible. Researchers looked at over 10,000 patients who had gone through a procedure in which the «vagus nerve» was severed as a cure for stomach ulcers. The vagus nerve is the longest of the cranial nerves — nerves that arise directly from the brain, not the spinal cord. They relay information from the brain to parts of the body. The vagus is the longest of these nerves, and extends from the brain stem to the abdomen

by way of multiple organs, including the heart, esophagus, and lungs. It plays a part in so-called «unconscious» body functions, like keeping the heart beating and controlling digestion. A «vagotomy» is the surgical cutting of this nerve to reduce acid in the stomach — a former treatment for ulcers. It’s rarely done today, as we know that the bacteria H. Pylori usually cause ulcers, but vagotomy was a prominent treatment in the 1970s and 1980s. In this study, researchers followed patients who’d gone through this procedure. About half had the nerve severed completely, and the other half had it only partially severed. The scientists then looked at how many of these patients developed PD, and compared that number to a control group with the vagus nerve intact.

MIGHT THERE BE AN INDICATOR FOR PD IN THE STOMACH? The results of the study? Patients with a completely severed vagus nerve experienced 50 percent fewer occurrences of PD than the control group. The group with only partially severed vagus nerves developed the disease at the same rate as the control group. What did these results mean? The researchers theorized that PD may actually start in the stomach, and then travel up via the vagus nerve to the

brain. They still don’t know why PD develops in the first place, but if it truly does start in the stomach, it may help to develop new treatments. Could patients with a risk for the disease, for example, be prevented from developing it with a vagotomy? Scientists have also noticed that many patients who end up with PD suffered with constipation for years before the other symptoms appeared — like shaking and reduced mobility. Could this be an early detection symptom that could trigger new preventative treatments? So far we aren’t sure. Scientists caution that though the study is revealing, there are still many unknowns. Other things change in the body once the vagus nerve has been severed — could some of those other things reduce the risk of PD? Meanwhile, researchers plan to continue to dig deeper. The next step is to find something that indicates when changes begin to occur in the nerve cells of the stomach, which could help alert doctors to the possibility of PD. «But if you look at the overall research picture,» said Kristian Winge, clinical associate research professor in the Department of Clinical Medicine at the University of Copenhagen, Denmark, «there is a lot to indicate that the stomach and the vagus nerve constitute significant routes of infection.»

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BACK OR NECK PAIN? HEAD TRAUMA? SOPHISTICATED TREATMENT AVAILABLE NEAR YOU! AWARD-WINNING DOCTOR SUNDARESAN OFFERS EXPERIENCED NEUROLOGICAL CARE Did you know that if you’re suffering from back pain, neck pain, head trauma, spinal problems, or other disorders related to the central nervous system, you can find some of the top doctors in the field right in your home town? We had a chance to speak with Dr. Narayan Sundaresan — one of the top neurosurgeons at Memorial Sloan-Kettering Cancer Center for seven years — about his practice in the New York City area. Dr. Sundaresan has authored over 100 abstracts and peer-reviewed articles in the top oncology and spine journals, and currently works with a team of neurosurgical specialists of NY Neurosurgery, PC and Generations Neurosurgery, PC at the largest medical center.

WHAT DO NEUROSURGEONS TREAT? Neurosurgeons like Dr. Sundaresan specialize in disorders of the central and peripheral nervous system, including the following: ■■ traumatic injuries to the brain, skull, spi-

nal cord, or nerves ■■ tumors in the brain, spinal cord, nerves,

skull, or spine ■■ back pain caused by pinched nerves, in-

fections, fractures, and ruptured or bulging disks ■■ neurovascular disorders such as aneurysms, strokes, and brain hemorrhages ■■ brain disorders like epilepsy and Parkinson’s disease ■■ infections of the brain and/or spinal cord

DOCTOR SPECIALIZES IN TREATING BACK AND NECK PAIN Dr. Sundaresan has managed a level-one trauma center for 25 years, and says he still sees a substantial amount of neurosurgery done for head trauma and spinal trauma from motor vehicle accidents. He also treats a substantial number of gunshot wounds, but says that his actual specialty is in treating patients with degenerative conditions, like back and spine problems.

«I would venture to say that more than 25% of human beings have problems with this,» he says, «and that’s the group I’m focused on right now as they also require surgical treatment.» He notes that back problems often come from workrelated injuries, especially with patients who are in the construction business, or who have been in car accidents. «The majority of my patients come in because they have a herniated disc or ruptured disk in the neck or back and they’re in excruciating pain from pressure on the nerves. And it’s taking care of them that’s a big part of my practice.»

THE IMPORTANCE OF A GOOD DOCTORPATIENT RELATIONSHIP As one of the youngest neurosurgeons in the nation, Sundaresan was working in the field before technology became so critical in the care of the central nervous system. Prior to the heavy use of CAT scans and MRIs, for instance, it was important for a doctor to be able to make a diagnosis without a lot of special equipment. «In the early days there was a lot of good judgment involved,» he says. «Surgeons of my generation learned by talking to the patient, listening to their history, being personally involved. The clinical skills were very, very important. The way that we were taught was we had to assume personal responsibility not only in surgery, in their preoperative care, their postoperative care, and ongoing care, so there was a very complete relationship.» In the NY Neurosurgery PC, the doctors pride themselves on continuing the idea that complete care must involve a solid foundation of communication and trust between doctor and patient.

RUSSIAN-SPEAKING NEUROSURGEON JOINS NY NEUROSURGERY PC With years of experience treating people with all types of backgrounds, Dr. Sundaresan sees a large number of Russian-speaking patients,

particularly at his Coney Island location, where he works with Generations Neurosurgery, PC. «Coney Island Hospital is unique because it is the hospital for a very large group of Russians,» he says. Most of the physician’s assistants at Coney Island Hospital speak Russian, so patients are very comfortable there. «We have hired for our group a Russianspeaking neurosurgeon,» he says, «who wants to settle in this community and build a practice and serve the Russian community. It’s very difficult for us to find someone with that background. But we have now gotten an extremely well trained doctor who wants to join us.» In fact, the doctor’s practice is well suited to take care of all types of neurosurgical issues in the local community, and encourages patients in the Brooklyn area to visit Coney Island. «I think for the outsider who looks at Coney Island or looks at another hospital you’re not aware as to how sophisticated the services are,» he says. «But this hospital does have a lot of advanced tech in neurosurgery, and we have a very, very experienced neurosurgical team taking care of this. Patients don’t have to go to Manhattan — they have it right here.»

CONTACT DR. SUNDARESAN TODAY In addition to treating back and neck pain along with other neurosurgical conditions, Dr. Sundaresan is often sought out by patients overseas because of his expertise in dealing with complex tumors. He and his team have offices and treat patients in Manhattan, the Bronx, and Brooklyn. For more information, contact the clinic at 212–846–7575, or visit their website at www.nyneurosurgerypc.com.

Generations Neurosurgery, PC

(212) 876-7575 (844)-95-SPINE (77463) www.4health.net

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GENERATIONS

5 East 84th St, New York, NY 10028

2601 Ocean Parkway, 7th Fl Brooklyn, NY 11235

Bronx-Lebanon Hospital Center 199 Mount Eden Pkwy, 6th Fl Bronx, NY 10457

TOLL FREE 1-844-95-SPINE (77463)

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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

4HEALTH

SHOULD YOU WEIGH YOURSELF DAILY OR NOT? SIMPLE WEIGHT-LOSS METHOD WORKS FOR BOTH MEN AND WOMEN

■■■■Morgan Rice More than a third of adults in the U. S. are obese. That’s 78.6 million people. Being obese increases a person’s risk of a number of dangerous diseases, including type 2 diabetes, heart disease, stroke, and even cancer. Obesity is defined as having a body mass index of over 30. Though a third of us are obese, even more are overweight, which is defined as having a BMI of 25 to 29.9. Both conditions raise our risk of health problems, and can affect our confidence and self-esteem.

America knows that it’s in a weight crisis, and most of us are trying to do better. We’re being more careful about what we eat and are trying to get in some exercise on most days. We’re a little confused about the scale, though. Is it best to weigh ourselves daily or should we do it less frequently?

ACCORDING TO A RECENT STUDY, DAILY WINS. HERE’S WHY. Study Shows Benefits from Stepping on the Scale Researchers from Cornell University tracked 162 overweight subjects. They divided them into two groups: the first served as the www.4health.net

4HEALTH control group and did nothing different for the first year. The second year, they started using the same treatment as was given to the second group. The second used a weight-loss intervention called «Caloric Titration Method (CTM),» which involves self-weighing and tracking the results on a chart. They were told to lose one percent of their weight every two weeks. They could go about the weight loss in any way that they wanted to. For example, they could stop snacking, skip a meal, cut back on calories, exercise more, whatever, for a period of two weeks. Once they maintained the weight loss for 10 days, they received a new target, to lose another one percent. The goal was to lose a total of 10 percent of their starting weight by the end of the two-year study. Once a participant lost 10 percent of his or her weight, she continued with the treatment to maintain that weight loss.

RESULTS SHOWED THE FOLLOWING: ■■ Frequent self-weighing and tracking results on a chart were effec-

tive weight-loss techniques for losing weight and keeping it off.

THE EASY METHOD THAT REALLY WORKS The exciting thing about this study is that the weight-loss method was so simple. All you need is a bathroom scale and a piece of graph paper. You take your weight, chart it on the paper, and you’re done. Over time, you can see how you’re progressing. This method also allows you flexibility. Instead of feeling like you have to stick to one particular diet, for example, or like you can never have your favorite dessert, it’s up to you to choose what you will do each day to meet your weight-loss goals. Maybe you indulge in that dessert today, but then eat a lighter dinner. Maybe you are going out with friends for dinner so you choose to have a light lunch. You can make adjustments depending on what works and what doesn’t in your life. Finally, this method helped people not only lose weight, but maintain that weight loss, which is huge. Other studies have shown repeatedly that maintaining weight loss is the hard part. Around 40 percent of what’s lost is regained within a year, and within five years, most people gain it all back.

■■ Subjects who lost the weight the first year of the program were

able to maintain that weight loss through the second year. ■■ Though both men and women lost weight, men lost more than

women on the program. Researchers noted that stepping on a scale and tracking one’s weight over time helps to reinforce behaviors that are working. In other words, if you try to lose weight by eliminating snacking, and you see that the method results in weight loss on your chart, you’re more likely to stick with it.

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IF YOU’D LIKE TO TRY IT, HERE ARE A FEW TIPS TO GET YOU STARTED: ■■ Get a piece of graph paper and tape it up in your bathroom near

your scale. Chart your results on it each day. ■■ Watch your results over time and adjust your efforts as needed. ■■ Some things to try: skip desert a few times a week, use a meal

replacement for lunch a few times a week, or avoid snacks between meals most of the time.

4HEALTH

ZIKA IN THE U.S. — DO MOMS NEED TO WORRY? LATEST INFO SUGGESTS PARENTS TAKE PRECAUTIONS

■■■■Colleen M. Story It’s official — the Centers for Disease Control and Prevention (CDC) have confirmed that the Zika virus infection is a cause of «microcephaly» in babies born to infected moms. Microcephaly is a birth defect in which the infant’s head is significantly smaller than it should be. This news has understandably alarmed many parents. Do they need to worry about mosquitoes this summer? If so, what precautions should they take?

ZIKA REMAINED QUIET FOR DECADES Most of us hadn’t heard about the Zika virus before this year. It has been around for decades, however, mostly in African areas where other

mosquito-born viruses are common, such as malaria and dengue. Yellow Fever Research Institute scientists actually discovered it in 1947, in the forest of Uganda. Researchers connected the virus with human disease in the 1960s, finding that it created a flu-like illness accompanied by a rash. It seemed milder than other similar diseases at the time, however, and didn’t cause much concern. Plus, there were not very many cases, and people suffered only mild symptoms. It wasn’t until 2007 that a larger outbreak made the news. The residents of the island of Yap (in the Caroline Islands) fell ill with it, with researchers believing it to be caused by infected air travelers. In 2013, the virus spread to other Pacific Islands, and it was then that we first began to find links between the virus and more serious health problems, like microcephaly. www.4health.net

4HEALTH ZIKA CONNECTED WITH MICROCEPHALY Most of us first heard about Zika when it caused a number of people to fall ill in Brazil in 2015. Between February and April 2015, nearly 7,000 cases were reported. As before, symptoms were mild, and most people recovered fine. Researchers had the same theory — that infected travelers may have brought it from the Pacific Islands to South America. It wasn’t until July of last year, however, that researchers began to believe more firmly that Zika was, indeed, a risk factor for microcephaly. This defect not only causes small head size, but can also lead to developmental delays, dwarfism, facial distortions, mental retardation, and seizures. Some children, however, will grow up with normal intelligence — they’ll just have smaller heads than others their age. In most cases, surgery is not recommended, and there is no real treatment to enlarge a child’s head. Instead, parents must turn to early intervention programs to help deal with any developmental problems.

ZIKA IN THE U.S. Do parents in the U.S. need to worry about this virus? According to the most recent reports, more than 50 countries and territories have reported local transmission of the Zika virus, and it’s expected to continue to expand across the Americas, except for in Canada and Chile, which don’t have the mosquitoes that carry the virus. News reports indicate that the Gulf Coast may be «ground zero» for potential virus transmission in the U. S. According to the USA Today, doctors have already diagnosed 472 cases in travelers who carried the

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virus here after visiting other affected areas. Twenty percent of those were in Florida. Other cities with large international airports may also see a rise in infections, including Miami, Houston, and New Orleans. Most of these areas are already working on mosquito control plans. The National Geographic, however, expects that Zika isn’t going to go away anytime soon, and that it will likely become a «low-level» threat that Americans will need to be vaccinated against — once there is a vaccine (we currently do not have one — researchers are working on it). They compare the risk to that of the West Nile virus, and think the two will be similar. How can parents prevent this virus from affecting their unborn children? Take the following steps to reduce risk of infection: ■■ Avoid countries where the Zika virus is circulating. ■■ Always check with your doctor before traveling internationally. ■■ Take steps to prevent mosquito bites — wear insect repellant and protective clothing. ■■ There is some evidence that Zika can be transmitted sexually — so use a condom for intercourse with men who have traveled to areas where the virus is circulating. Abstinence also works as the virus is believed to clear from the body within a week or so. ■■ There is also some speculation that Zika may be passed through saliva and urine samples — take precautions if you’re pregnant or trying to get pregnant. ■■ Keep your yard clean and get rid of debris or other items outside that can hold water, to cut down on mosquito populations. ■■ Make sure your window screens are in good shape to keep mosquitoes out of your house.

4HEALTH

VISUAL PROBLEMS CAN SHORTEN YOUR LIFE STUDY FINDS VISION CARE IS CRITICAL FOR SENIORS

■■■■Morgan Rice We all expect that we probably won’t see as well as we get older as we did in our 20s and 30s. But who would have suspected that vision problems could actually shorten our lifespan? Is it possible? That’s what scientists found in a recent study — that vision problems as we age could actually affect how long we live. The question then becomes, what can we do about it?

STUDY INDICATES VISION LOSS AFFECTS LIFESPAN For the study, researchers followed about 2,500 older adults (age 65 to 84) for several years, between September 1993 and July 2003. They assessed them with vision and other tests at 2, 6, and 8 years after the start of the study. Results showed that vision loss over time was associated with an increase in the person’s risk of death. Researchers believed this was because as the participants were able to see less clearly, they were also less likely to do things in their daily lives, like shopping, housework, and using the telephone. More specifically, the risk of death among people who had trouble doing regular daily tasks rose by 3 percent a year over the study period, so that it was 31 percent higher by the end of the 8 years. In fact, a decline of one letter size on an eye chart was linked with a 16 percent increase in death during the study period. «Our findings have multiple implications,» said the researchers. «First, these findings reinforce the need for the primary prevention of visual impairment. Moreover, the early detection of disabling eye diseases is suboptimal in the U.S. health care system, leading to otherwise preventable vision impairment.» The good news? According to the scientists, many visual impairments can be corrected through the proper fitting of glasses or contact lenses.

SIGNS AND SYMPTOMS OF VISUAL PROBLEMS The American Academy of Ophthalmology (AAO) understands how visual impairments can make life a lot harder for seniors. They note that blindness and other vision problems increase rapidly with age — particularly after age 65—and that it’s also associated with a «higher prevalence of chronic health conditions, falls, injuries, depression, and social isolation.» How do you know if you or a loved one may be experiencing some of these issues? The AAO advises that you watch out for these symptoms: ■■ Bumping into things ■■ Knocking things over ■■ Walking hesitantly, as if unsure of what’s ahead ■■ Squinting or tilting the head when trying to focus ■■ Unable to find items when reaching for them ■■ No longer reading or doing other visual activities formerly enjoy-

able If any of these symptoms sound familiar, the AAO recommends a visit with the eye doctor immediately. This seems obvious, but you may be surprised how many seniors actually don’t make it to the eye doctor very often. «A significant percentage of older adults in the United States do not seek regular eye care and often face difficulty assessing and paying for health care services,» the AAO states. EyeCare America (www.aao.org/eyecare-america) is a program that can help pair up patients with a nearby ophthalmologist, if they don’t have one of their own, or if they don’t have insurance to cover the costs. The earlier patients get help, the more likely they will be to correct any visual issues to help them not only see better, but live longer, happier lives. www.4health.net

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TREATMENT FOR YOUR PAD MAY HELP PREVENT AMPUTATIONS USA VASCULAR CENTERS OFFERS MINIMALLY INVASIVE PROCEDURES

Has your doctor diagnosed you with peripheral arterial disease (PAD)? Or have you noticed symptoms like fatigue and heaviness in your legs, cramping in the calf muscles, pain in your legs that disrupts your sleep, or sores or wounds on your legs and feet that don’t heal? If so, don’t wait to talk to your doctor about it. Left untreated, PAD can lead to amputations, heart attacks, and strokes. The good news is that newer, minimally invasive treatments can make a big difference, improving symptoms, saving limbs, and saving lives. USA Vascular Centers, which specializes in treatment for PAD, has offices in the New York area, as well as nationwide, and can help guide you to customized treatments that will keep you walking comfortably for years to come.

ADVANCED PAD LEADS TO AMPUTATION, WHICH HAS POOR OUTCOMES Statistics show that about 150,000 Americans have to go through leg or foot amputations every year, mostly because of PAD. Those who have the disease have too much plaque buildup in the blood vessels in the legs, which decreases blood flow. Other blood vessels that lead to the heart, head, and organs may also be affected. Without adequate blood supply, legs can get painful and numb. They can also have a more difficult time healing wounds and fighting off infections. If the blood flow becomes blocked, the tissues may die, which can lead to leg amputation. Unfortunately, though amputation saves the life of the person initially, amputations don’t have good outcomes overall. Over half of people end up dying within 18 months of the procedure. That’s why the doctors at USA Vascular Centers want to help people with PAD avoid amputation at all costs. New treatments are helping them do just that.

NEW TESTS AND TREATMENTS HELP PATIENTS AVOID AMPUTATIONS The overall goal of treatment is always to reduce uncomfortable symptoms; improve mobility; prevent complications like heart attack, stroke, and amputations; and improve overall quality of life. The doctors at USA Vascular Centers perform thorough medical examinations to make a diagnosis, and then look at all potential treatments to provide the best outcome possible. These may include lifestyle changes (like stopping smoking or lowering blood pressure), medications, and special surgical procedures.

Minimally invasive treatments like atherectomies (procedure in which plaque is removed from the artery by a roto-rooter type device), stents (to keep arteries open), and hyperbaric oxygen therapy all help to improve blood circulation and mobility, reduce pain, and heal sores. By creating a customized treatment plan in each case, USA Vascular Centers helps patients maintain the health in their legs, reducing the risk of amputations.

WHEN TO ASK FOR MORE TREATMENT How do you know if you need more treatment than you’re getting? After all, sometimes doctors are warned not to overtreat conditions like PAD. Consider other conditions you may have. Diabetes and kidney disease increase your risk of complications from PAD. Other clues include sores that don’t heal. These can lead to dangerous infections. If you’re experiencing pain and discomfort on a regular basis in your legs and feet, don’t be afraid to ask your doctor to test your blood flow. Finally, realize that there are a number of minimally invasive treatments to improve blood flow in the legs. Check with your local USA Vascular Centers, and find out which treatments may be best for you. Your future doesn’t have to be one of immobility. Many of today’s treatments can get you back and walking comfortably in less time than you imagine.

USA VASCULAR CENTERS OFFERS TREATMENT FOR PAD USA Vascular Centers, a nationwide network of physicians, nurses and specialists, offers PAD evaluation and individualized treatment. They have offices all over the nation, including Florida, California, and Illinois, several in the New York area. Call today at 855–328–5525 or go to www.USAVascularCenters.com to schedule a consultation.

USA VASCULAR CENTERS 2444 86th St, Ste A, Bensonhurst, NY 11214 260 W Sunrise Hwy, Ste 102, Valley Stream, NY 11581

(855) 328-5525 www.4health.net

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WEIGHT LOSS SURGERY SUCCESSFUL — WHAT ABOUT ALL THAT SKIN? FOUR PROCEDURES HELP REDUCE SAGGING AND CREATE A MORE TONED APPEARANCE ■■■■Morgan Rice Darryl had lost 110 pounds over the last two years. He was extremely proud of his accomplishment, and his friends and loved ones were amazed that he’d been able to do it. There was one remaining problem that Darryl hadn’t expected, though — all that excess skin. «I guess I didn’t expect it,» he said. «I was thinking of this new, toned body without the weight, but instead I’ve got all this extra, loose skin, so it looks like I didn’t lose as much as I did.» Excess skin isn’t just unsightly — it can also cause rashes, infections, and even muscle pain. Then there’s the resulting lack of confidence, even after all the work to lose weight, which can be discouraging

enough to cause someone to stop trying, after which they may regain the weight. Fortunately, there are a number of procedures that can help. According to the American Society of Plastic Surgeons (ASPS), an increase in the number of weight loss surgeries in the U.S. has led to a resulting increase in the number of procedures associated with weight loss, including the following.

TUMMY TUCKS Medically termed «abdominoplasty,» a tummy tuck is a cosmetic procedure that removes excess fat and skin around the belly, and may also help restore weakened or separated muscles www.4health.net

4HEALTH in the abdomen, to help create a flatter and more well-toned appearance. Those who are in good health, at a stable weight, and are non-smokers do best with the surgery. Women who are still planning to have children would be best to wait until they have completed their families to go through the procedure. The surgery itself will likely take between one and five hours, and requires general anesthesia. There is usually some scarring. You can talk to your plastic surgeon about your options, and what to expect.

THIGH LIFT Medically termed «thighplasty,» a thigh lift helps to reduce excess skin and fat around the thigh area, reducing sagging, hanging skin and creating firmer, thinner thighs. The inner thigh lift and outer thigh lift are considered two different procedures. Often, the outer thigh lift is performed together with the tummy tuck. Patients who are in good overall health and have lost significant weight are ideal candidates for this procedure. The surgeon may elect to perform liposuction first to get rid of as much excess fat and tissue as possible. General anesthesia is usually used, and some visible scarring may remain, but they will improve with time and the beneficial results are typically long-lasting. Recovery takes a couple weeks, though it may be 4–6 months before you can return to all your normal activities.

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BREAST LIFT Medically termed «mastopexy,» a breast lift raises and firms sagging breasts by removing excess skin and tightening the surrounding tissue. After significant weight loss, breasts can appear drooped and lacking in volume. The surgeon works to reshape the breasts to look more firm and uplifted. The procedure can be combined with breast augmentation surgery or breast reduction surgery. The procedure is performed under general anesthesia and usually takes about 1.5–2 hours. Incisions will depend on the procedure you’ve chosen and your individual breast size and shape, as well as the degree of sagging. Breasts are often swollen and sore for about two weeks, after which the swelling will go down. Patients may wear a support bra for several weeks after surgery.

UPPER ARM LIFT Medically termed «brachioplasty,» an upper arm lift reduces that sagging, bagging skin under the arms and reshapes the under portion of the arm from the armpit to the elbow. The procedure helps reduce pockets of fat, and tightens and smoothes the supporting tissue to create a more youthful, toned look. Good candidates have excess skin in the upper arms as a result of significant weight loss, are in good overall health, and have reached a stable weight. The procedure usually takes 1–2 hours, and may also include liposuction to remove excess fat and tissue. Incisions may be visible on the inside or back of the arm. Results are typically long-lasting, and recovery usually takes a couple weeks.

324HEALTH

| 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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4HEALTH

FIVE COMMON SUMMER FOOT HAZARDS

HOW TO AVOID BEING SIDELINED BY BLISTERS, SUNBURN, AND MORE ■■■ Gordon Barclay Ahh, the warm weather is great, but oh. My feet hurt! We all love kicking off the shoes in the summer heat, and most of us get more active in the warmer weather, too. But did you know that summer comes with a number of potential foot hazards? If you’ve ever suffered from a blister, sunburn, or other issues, you know what I’m talking about. Here are five of the most common ways we can all suffer from foot pain in the warm summer months. No one wants to suffer that, so we’re including some precautions you can take to protect yourself. 1. General foot pain: If you’re experiencing general foot pain, it could be caused by going barefoot more often, or by wearing unsupportive shoes (like most flip-flops). Going without shoes and socks not only exposes your feet to unseen sharp objects, infectious materials like bacteria and fungi, and other items that can puncture the foot, but can also put stress on weak areas. If you have high arches, for instance, and your feet are used to the support of good shoes, going without or slipping on unsupportive sandals can cause arch pain, as well as pain in the knees and hips. If you tend to pronate or supinate, if you have flat arches, or other musculoskeletal problems, too much time barefoot could result in general aches and pains. Solution: Limit your barefoot time, and put shoes on the instant you start to feel uncomfortable. Choose sandals and other summer shoes that offer more support and protection for your feet. Make sure you go bare only in safe, clean areas. 2. Sweaty feet: Ugh. This is one of the worst effects of warm weather on the feet. Not only is it uncomfortable, it’s embarrassing. Hot, sweaty

feet can also increase risk of infections. Solution: Try antiperspirant sprays, wear shoes that «breathe,» and choose socks made of material that wick moisture away from the skin. Take extra socks with you to change when needed. 3. Swollen feet: If you come home at night and your feet are swollen, don’t be too surprised. The combination of warmer temperatures and increased activity can increase the risk of swollen feet and ankles. Solution: Make sure you’re exercising every day to increase blood flow, and reduce foods rich in sodium, which can encourage fluid retention. Drink plenty of water throughout the day, and perform regular stretches in the legs and feet, including ankle flexes and calf stretches. 4. Sunburn: We so often forget the tops of our feet when applying sunscreen, but this skin is fragile and easily burned. Ouch! Solution: Remember to apply broad-spectrum sunscreen (zinc oxide is best) all over the feet, including the tops and fronts of ankles. Reapply after being in the water or after feet sweat. 5. Blisters: Heat, sweating, and new shoes — they all add up to blisters, more often than not. Sandals can be the worst. Then once you have one, it can be difficult to get it to heal, especially if you want to keep wearing those sandals. Solution: Buy comfortable shoes. Don’t be misled thinking they will «break in.» Choose those that fit well when you first try them. Look for leather and other soft fabrics that are less likely to chafe. Once you have a blister, don’t puncture it if you can help it. Clean it gently, and cover it with some antibiotic ointment and a blister bandage. www.4health.net

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THERAPY MAKES TOURETTE SYNDROME BRAINS MORE LIKE NORMAL BRAINS STUDIES SHOW PROMISING RESULTS FOR PATIENTS

■■■■Lynn Merrell If you or a loved one has Tourette syndrome, you may already be visiting a psychiatrist for the condition. That’s good news, as a recent study found that cognitive behavioral therapy — which is the type of therapy typically used for Tourette patients — not only helps reduce symptoms, but can also actually alter the functioning of the brain in such a way that it acts similar to people without the syndrome. Here’s more on the study, and what you can do to gain even more control over your tics.

WHAT IS TOURETTE SYNDROME? Tourette syndrome (TS) is a neurological disorder that causes a patient to exhibit repetitive, involuntary movements and vocalizations called «tics.» Early symptoms usually occur in childhood, between the ages of 3 and 9, with boys about three to four times more likely to be diagnosed than girls. Estimates are that about 200,000 Americans suffer from the most severe form of the syndrome, while about one in 100 have the milder form. Symptoms are usually at their worst during the adolescent years, and then improve throughout late teens and into adulthood. Possible tics may include eye blinking, facial grimacing, shoulder shrugging, head jerking, and vocalizations like grunts, sniffs, and throat clearing. So-called «complex tics» may involve a combination of these

and other motions, such as facial grimacing and shoulder shrugging, or more complex vocalizations that include grunts or other sounds along with words and phrases. Patients may also suffer from other symptoms like ADHD, obsessive-compulsive symptoms, and problems with reading, writing, and math. Stress, excitement, and anxiety typically increase the occurrence of tics, whereas calm and focus helps reduce them. The cause of the syndrome is unknown, but seems to involve abnormalities in certain regions of the brain.

STUDY SHOWS THERAPY IMPROVES BRAIN FUNCTIONING IN PATIENTS WITH TS For the study, researchers had participants with TS complete a task designed to prompt activity in a certain region of the brain called the «supplementary motor region.» They wanted to target this region as tics are known to be related to impaired communication between this region and the deeper areas of the brain called the «basal ganglia.» After completing the task, the participants received cognitive behavioral therapy (CBT), and then repeated the task again. The researchers found that the CBT helped reduce tics, but the benefits went beyond that. Tests showed that it also improved brain functioning in the supplementary motor region, so that it was acting similarly to the way it would act in a person without TS. «As a result, they are able to perform as well as participants without [Tourette syndrome]

during tasks requiring cognitive control,» said study author Simon Morand-Beaulieu.

HOW CBT THERAPY HELPS CBT is a common type of therapy that helps people to focus on their problems and how they might solve them. It involves finding specific behaviors that might help address issues and turn them around. For a TS patient, that might mean working on ways to tell when a tic is about to occur, and learning ways to disrupt it and decrease it from happening. Other studies have found that CBT can be very effective for TS patients. In 2012, for instance, researchers tested CBT in adults with Tourette syndrome of at least moderate severity. They then evaluated them three and six months later to see how they were doing. Results showed that therapy was associated with a significantly greater mean decrease in tics from when the study started to when the last evaluation was completed. An earlier 2010 study in children found similar positive results — more than 50 percent of participants experienced improvements after going through CBT, compared to 20 percent that received a control treatment. Though there are medications that can help reduce tics, many come with troublesome side effects. That’s why CBT remains a promising option for most patients, as a way to gain more control over tics and other symptoms. Patients are advised to seek out therapists with experience working with TS symptoms, and to check with the Tourette Syndrome Association for additional information. www.4health.net

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7 GOOD THINGS ABOUT AGING GETTING OLDER CAN ACTUALLY BE ENJOYABLE ■■■■Lynn Merrell Our culture seems to be against aging. Everywhere we look, we find solutions to help us look younger. Exercises, clothes, makeup, cosmetic surgery, and more are all available to help us at least imagine we’re turning back the clock. All this focus on being young, however, can blind us to the benefits of getting older. Believe it or not, there are a lot of them! Whereas older people may experience more aches and pains, endure the loss of old friends, and face the challenges of retirement, they are also more likely to enjoy satisfying relationships with their partners and are less prone to depression. Here are more benefits of aging—and why you should look forward to it!

1. OLDER PEOPLE ARE GENERALLY HAPPIER A study by researchers at Stanford University found that people who survived over a 13year period were more likely to have experience more positive than negative emotions. Laura Carstensen, a psychologist and director of the Stanford Center on Longevity, notes that when you’re older, most of the “whatifs” that were prevalent in your younger years have been resolved, so seniors are more likely to feel more relaxed and less stressed.

people ranked in the top 20 percent on wisdom performance, showing a higher ability to see multiple points of view, to predict the many ways a conflict might unfold, and to see more possibilities for conflict resolution. This is the reason why judges and presidents are typically middleaged or older—they have gained wisdom over the years that serves them well in decision-making.

3. MARRIAGES ARE MORE ENJOYABLE In a 2011 study, seniors reported greater satisfaction and more positive experiences with their mates than did younger married couples. Arguments between seniors were also less frequent and involved less anger. Older couples also show more affection and positive emotions toward their mates than younger couples.

Researchers from the University of Michigan found that significantly more older

6. IT’S EASY TO GIVE BACK Seniors have a lot of life experience, which makes them wonderful teachers, mentors, and volunteers. Helping others generates positive emotions, which enhances well being. Since seniors typically have more time on their hands, they can be more involved in community projects, in their grandchildren’s lives, and in other pursuits that may be important to them. These types of activities can bring a deeper meaning into one’s life, making each day more rewarding.

4. CLOTHES ARE MORE COMFORTABLE Seniors typically don’t have to worry about the latest fashion trends, and can feel free to wear orthopedic sandals and plain t-shirts. Particularly if they’re no longer going to the office everyday, they may be more comfortable choosing to forego the stiff, uncomfortable options and wear clothes that make them feel good, instead.

5. CONFIDENCE COMES MORE EASILY 2. DECISIONS ARE EASIER

Things that might have made them nervous or hesitant in the past no longer stop them. They’re likely to go after their dreams with new energy, as they know they have limited time left. Many seniors find they’re living out their life’s purpose more and more as they age.

Seniors tend to be more confident about who they are, and are able to speak up about things that are important to them.

7. THE LITTLE THINGS MEAN EVERYTHING Older people have learned what matters in life, and are more likely to feel grateful for even the little things like a handwritten card from a grandchild, a beautiful sunny day, or the perfect apple pie. They are able to glean more enjoyment from every moment as they have lived long enough to know that it’s all fleeting and will not last. Seniors find more pleasure in their homes, their belongings, and their past experiences, realizing where all the little treasures lie. www.4health.net

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FEEL BETTER TODAY WITH NEW, NON-INVASIVE DEPRESSION TREATMENT TMS THERAPY SOLUTION REQUIRES NO DRUGS OR SURGERY Tri-State TMS is an outpatient psychiatric service providing psychopharmacology and individual psychotherapy treatment. We launched this new clinical service—known as TMS—in Brooklyn for patients with severe, refractory Major Depression Disorder. The Transcranial Magnetic Stimulation (TMS) device was cleared by the FDA for treating adult patients with major depression who have failed to benefit from antidepressant medications.

WHAT IS TMS? TMS uses electromagnetic induction to induce weak electric currents using a rapidly changing magnetic field. It is treatment for patients who have not responded to conventional pharmacological and cognitive-behavior therapy: Depression, Anxiety, OCD, PTSD, etc. TMS—repetitive transcranial magnetic stimulation (rTMS)—has been tested as a treatment tool for various neurological and psychiatric disorders including migraine, stroke, Parkinson’s disease, dystonia, tinnitus, bulimia nervosa (BN), fibromyalgia, pain, and many other symptoms. A non-invasive procedure, TMS is a treatment for depression that uses magnetic fields to stimulate nerve cells in the brain. During the procedure, the patient reclines in a chair while the doctor places an electromagnetic coil around the scalp. Once it’s in place, the physician determines the settings that will create the best outcome for the patient. Then the magnet sends painless, low-dose pulses that activate areas of the brain that are typically less active in people with depression. Treatment usually lasts about 40 minutes, after which patients can go back to their normal www.4health.net

activities for the day. A series of treatments is recommended for optimal results, and usually consists of one treatment per day for five days a week over a period of about 4-6 weeks.

WHAT ARE THE ADVANTAGES OF TMS? There are advantages of TMS over other standard treatments for depression. The treatment is safe, requires no anesthesia or sedation, and creates none of the side effects typical to antidepressants. That means no sexual dysfunction, dry mouth, dizziness, insomnia, weight changes, or digestive problems. Generally, TMS appears to be free from harmful effects. Research using animals and human volunteers has shown none or little adverse effects on the body in general as a result of stimulation, and examination of brain tissue subjected to thousands of TMS pulses has shown no detectable structural changes.

These procedures have shown safety and efficiency in number of studies and are now typically covered by Medicare and some commercial insurance carriers. Tri-State TMS is excited to offer this drugfree outpatient procedure for the treatment of depression, and can help determine if this treatment may be a good option for you. Doctors Mark Gurtovy and Felix Dron both completed their training in Psychiatry at the Mount Sinai School of Medicine, and they have over 30 years of successful medical experience. Patients in New York, New Jersey, and Connecticut who have not had good luck with typical treatments for depression are urged to contact Tri-State TMS for more information. Call 718-232-1492, or see website at www.brooklyntms.com.

COULD TMS HELP YOU? How can you tell if you may be a candidate for TMS? Ask yourself these questions: ■■ Have you been diagnosed with major de-

pressive disorder? ■■ Have you had trouble finding relief with

antidepressant medications? ■■ Have you suffered from depression for a

Felix Dron, MD Mark Gurtovy, MD

while with no real relief? If you answered “yes” to one or more of these questions, you may be a candidate for TMS. Our office provides treatment with FDA-approved systems such as Neurostar TMS and Brainsway Deep TMS. Our clinic is the medical organization in New York, where you will find both of these unique systems available.

7620 Bay Parkway, Suite 1B, Brooklyn, NY, 11214

Tel: 718–232–1492 Fax: 718–232–4505 www.BrooklynTMS.com www.TristateTMS.com

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SIGNS YOU MAY HAVE BLADDER CANCER HOW TO DISCOVER IT EARLY WHEN IT’S MORE TREATABLE

■■■■By Lynn Merrell According to the American Cancer Society, the earlier bladder cancer is discovered, the more likely the patient is to survive. If caught at stage 1, for instance, the disease has an 88 percent 5-year survival rate. At the most advanced stage 4, however, the 5-year survival rate is only 15 percent. How can you catch bladder cancer in its early stages? Are there screening tests you can take, or symptoms you can watch out for?

WHAT IS BLADDER CANCER? Bladder cancer is a type of cancer that forms in the tissues of the bladder, the organ that stores urine. It typically starts in the cells that line the inside of the organ, and is more likely to occur in older adults, though it can strike anyone of any age.

WHAT CAUSES BLADDER CANCER? Doctors aren’t always sure what causes any particular case of bladder cancer, but it has been linked to smoking, infections, and radiation and chemical exposure. Certain people are more at risk than others. Risk factors include: ■■ Smoking can cause harmful chemicals to accumulate in the urine, affecting the bladder ■■ Age, gender, and race — bladder cancer is more common in people over 40 years of age, in men, and in whites or Caucasians ■■ Former cancer treatments like chemotherapy or radiation in the pelvic area can increase risk

■■ Chronic bladder inflammation, such as

what may occur with the long-term use of a urinary catheter ■■ Exposure to chemicals like arsenic, and those used to manufacture dyes, rubber, leather, textiles, and paints ■ ■ Certain diabetes medications like Actos, Actoplus Met, and Duetact taken for more than a year can increase the risk

HOW YOU CAN CATCH IT EARLY Doctors will normally test for bladder cancer only if they suspect it may be present. They will then take a urine test, and may perform imaging studies (like a CT scan), and a cytoscopy (allows the doctor to look inside the urethra and bladder). Routine screening, however, is not recommended because so far, no screening test has proven to lower the risk of dying from the disease. If you’re at high risk, you may ask to go through a urinalysis, which can provide early clues as the presence of any disease. Fortunately, bladder cancer often shows early signs of its existence, so if you’re paying attention, you’re likely to notice it early enough to obtain successful treatment. Signs may include: ■■ Blood in the urine — this is the biggest and most important sign. Though blood in the urine may signal other problems like an infection or kidney stone, it is a serious symptom. Usually, the early stages of bladder cancer will result in bleeding, but very little if any pain. Always check with your doctor if your urine shows changes in color. That means not

only red urine, but urine that is a pale yellow-red, pink or darker red. ■■ Having to urinate more often than usual ■■ Pain or burning during urination ■■ Feeling as if you need to go immediately, even when you just did, or when your bladder is not full These symptoms can all indicate other problems, as well, so if you experience them, don’t panic. It’s best to see your doctor, however, to get to the root of the issue. “It’s very important for patients to pay attention to the symptoms that they may experience,” says Cheryl Lee, M.D., director of the Bladder Cancer Program at the University of Michigan Comprehensive Cancer Center. “For example, if someone has blood in the urine, they may have the tendency to dismiss that or ignore that. I cannot emphasize enough that it is very important for patients with that symptom to be evaluated by a physician.”

SYMPTOMS OF MORE ADVANCED BLADDER CANCER If you don’t catch early symptoms, be on the watch for the following, as they may indicate more advanced bladder cancer: ■■ Lower back pain ■■ Swelling in the lower legs ■■ Weight loss ■■ Anemia ■■ Bone pain or pain in the pelvic area Even with more advanced types of bladder cancer, treatment involving surgery, chemotherapy, and radiation can result in a 60–75 percent 5-year survival rate, so it’s always important to check with your doctor. 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

ORTHOPAEDIC SURGERY

Amit SCHWARTZ, MD

(718) 283-7219

(718) 627-8300

OBESITY MEDICINE

Harout MARGOSSIAN , MD 7206 Narrows Ave Brooklyn, NY 11209

(888) 404-5046

1529 Richmond Rd Staten Island, NY 10304

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Stephanie YAMPOLSKY, DDS

ONCOLOGY

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

Victor KATZ, MD

Yana SHTERN, MD

(877) 434-7889

Alexander BRODSKY, MD

8622 Bay Pkwy, Ste 1 Brooklyn, NY 11214

(718) 333-2121

2523 Kings Hwy, Ste 1D Brooklyn, NY 11229

1642 W 9th St Brooklyn, NY 11223

(718) 336-2258

(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

(516) 775-0272

PAIN MANAGEMENT

Anella BAYSHTOK, MD

2101 Ave X Brooklyn, NY 11235

(718) 512-2160

305 W 28th St New York, NY 10001

158-06 Northern Blvd Flushing, NY 11358

(212) 804-0500

(718) 445-3700

170 Morris Ave, Ste A Long Branch, NJ 07740

(732) 728-7075

133-55 Lefferts Blvd South Ozone Park, NY 11420

Prabhakara R. TUMPATI, MD

www.brooklynroc.com

Sam WEISSMAN, MD

202 Foster Ave Brooklyn, NY 11230

(718) 854-5100

Dmitriy GRINSHPUN, MD

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

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Mila MOGILEVSKY, DO

1599 E 15th St, Fl 2 Brooklyn, NY 11230 369 Lexington Ave, STE 800 New York, NY 10017

(347) 252-6732

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4HEALTH PSYCHOLOGY

Michael RISKEVICH, MD

2736 Ocean Ave, Ste 1A Brooklyn, NY 11229

(718) 934-8484

PHYSICAL THERAPY

RADIOLOGY

Chloe CARMICHAEL

Sinai DIAGNOSTICS

(212) 729-3922

(888) 496-2688

230 Park Ave, Fl 10 New York, NY 10196

PSYCHIATRY

2560 Ocean Ave Brooklyn, NY 11229

NUTRITION AND DIETETICS

Ridwan SHABSIGH, MD

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

(718) 283-7746

2071 Clove Rd Staten Island, NY 10304

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

(888) 496-2688

MULTI SPECIALTY

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Vladislav RUDNER, PT

1901 82nd St Brooklyn, NY 11214

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David SHUSTERMAN, MD Felix DRON, MD

7620 Bay Pkwy, Ste 1B Brooklyn, NY 11214

(718) 232-1492

PLASTIC SURGERY

Yelena SOKOLOVA, MD

4766-B Bedford Ave, Fl 2 Brooklyn, NY 11235

(718) 648-8877

800 2nd Ave, Fl 9 New York, NY 10017 69-15 Yellowstone Blvd Forest Hills, NY 11375 1013 Ave J Brooklyn, NY 11230

(718) 360-9550 nyurology.com

VASCULAR SURGERY

USA VASCULAR CENTERS

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

UROLOGY

Roman RAYHAM, MD, BOARD CERTIFIED IN PLASTIC SURGERY

Mark GURTOVY, MD

7620 Bay Pkwy, Ste 1B Brooklyn, NY 11214

(718) 232-1492

Yuly CHALIK, MD

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

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

(877) 582-0400

www.nyplasticsurgerycenter.com

(347) 508-3991 www.nyui.org

PODIATRY

USA VEIN CLINICS

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

Vitaly RAYKHMAN, MD

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

(347) 508-3991 www.nyui.org

1300 Ave P Brooklyn, NY 11229

(888) 983-4055

www.4health.net

(718) 896-2333

2444 86Th St, Ste A Brooklyn, NY 11214

4159 Broadway Washington Heights, NY 10033

LSA RECOVERY

102-51 Queens Blvd Forest Hills, NY 11375

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

(888) 987-5751

(718) 646-0131

(718) 234-6767

1975 Hylan Blvd Staten Island, NY 10306

1623 Kings Hwy, Fl 4 Brooklyn, NY 11229

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

6417 Bay Pkwy Brooklyn, NY 11204

116-02 Queens Blvd Forest Hills, NY 11375

Interborough DEVELOPMENTAL & CONSULTATION CENTER

Alina VASILYEVA, DPM

Michael PATIN, MD

59-20 Myrtle Ave Queens, NY 11385 30-33 Steinway St Astoria, NY 11103

VK SKIN SPA

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

(646) 200-5856

(718) 509-0906 www.usaveinclinics.com

4HEALTH Magazineâ&#x201E;¢ gathers data from a variety of different sources, public and private. While we strive to provide the most accurate, up-to-date information possible, we can't guarantee that our listings are completely free of errors. If you feel some data is missing or inaccurate, please feel free to contact us at any time. Thank you for your support!

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