4Health Magazine # 198 issue by MOO Publishing

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DO YOU REALLY NEED TO FLOSS?

WHAT IS ENEMY NUMBER-ONE FOR EYE HEALTH?

IS IT NOW OKAY TO BE OVERWEIGHT?

TIPS

TO PROTECT YOUR FAMILY

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Editorial Department: Editors Colleen M. Story Nataly Smolyanska Contributing Writers Colleen M. Story Lynn Merrell Gordon Barclay Morgan Rice

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5 REASONS TO AVOID SMOKING MARIJUANA

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(ISSN 1942-6801) is published monthly by MOO Publishing Corp.Copyright © 2007-2017 by MOO Publishing Corp. All rights reserved. Printed in Canada. All requests for permissions and reprints must be made in writing. Reproduction in whole or in part without written permission is prohibited. Printed in May 2017.

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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

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Could that Alcoholic Drink Trigger Your Asthma Symptoms?

Drinks Least Risky for Asthmatics

11 8 Do You Really Need to Floss?

Studies Show Oral Irrigation May be More Effective

COLD? FLU? ALLERGIES? TRY THIS SOLUTION!

5 REASONS WHY YOU NEED TO CONTROL YOUR BLOOD PRESSURE

Studies Suggest Highest Risks Exist at Extreme Weights

16 What is Enemy Number-One for Eye Health? ADA Provides Suggestions to Ensure Long-term Good Vision

28 More Children Falling Victim to AntibioticResistant Infections

Blood Pressure Affects All Areas of the Body

HOW TO EAT HEALTHY ON A BUDGET You Don’t Have to Spend Lots to Enjoy Nutritious Foods

WHY WOMEN SHOULD THINK TWICE ABOUT HYSTERECTOMY FOR FIBROIDS

DOES YOUR HEARTBURN DRUG INCREASE RISK OF KIDNEY DISEASE?

Is It Now Okay to Be Overweight?

Acupuncture Can Reduce Reliance on Medications

Minimally Invasive Treatment Offers Faster Recovery

Use Nexium, Prilosec, and Others with Caution

AFTER MENOPAUSE, IT’S NOT COMFORTABLE DOWN THERE! Treatments for Vaginal Dryness

MIGHT SUPPLEMENTS EASE SYMPTOMS OF DUCHENNE MUSCULAR DYSTROPHY?

TREATMENTS FOR DIABETES NERVE PAIN

DEPRESSION, ANXIETY MORE COMMON IN SENIORS THAN PREVIOUSLY BELIEVED

TIGHTEN SAGGY SKIN AND LOOK GREAT THIS SUMMER!

7 MYTHS AND TRUTHS ABOUT VARICOSE VEINS

IS YOUR DOCTOR AS GOOD AS SHE SHOULD BE?

HOW TO AVOID LYME DISEASE THIS SUMMER

Studies Show Promise for Vitamin B, Vitamin D, and CoQ10

Avoid Complications By Getting Help Now

Study Shows Prevalence of Mental Illness in the Elderly

Non-Invasive Treatment Creates a Lifted Look

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5 Ways to Tell If It’s Time to Look for a New Doctor

10 Tips to Keep You and Your Family Safe

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COULD THAT ALCOHOLIC DRINK TRIGGER YOUR ASTHMA SYMPTOMS? DRINKS LEAST RISKY FOR ASTHMATICS

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By Morgan Rice

I was out with my friend Lisa the other night. We were sharing a few drinks with some other friends when Lisa started wheezing. I remember looking at her, confused, because I wasn’t sure what was going on. I knew she had asthma, but usually her attacks came on when she got stressed, or when she was jogging or otherwise being active. But we were just sitting around the table trading stories and laughing when it happened. Lisa went to the restroom and used her inhaler, and she was okay, but she told me she’d have to leave the drinks alone the rest of the night. I was like, “What?” Apparently, when the conditions were right, alcohol could trigger her asthma symptoms. I was shocked. I’d never heard of alcohol having anything to do with asthma before, so I decided to some research on the subject.

WHAT IS ASTHMA? Asthma is a medical condition that causes the airways to narrow and become inflamed and tightened, which affects breathing. Patients suffer from wheezing, shortness of breath, coughing, and chest tightness. Usually it’s minor and will pass with time or with medications, but sometimes the symptoms can become serious so that the person has to go to the hospital. Doctors aren’t sure what causes asthma, but they do know that a number of things can trigger an “attack,” when the symptoms come on suddenly. These may include respiratory infections (like the common cold), allergens

in the air (like pollen, pet dander, or mold spores), and physical exercise. Some medications, stress, and some food preservatives are also known to be asthma triggers.

WHAT IS THE ALCOHOL-ASTHMA CONNECTION? Turns out that alcohol can trigger an asthma attack too, just like stress or exercise can. In a 2000 study, researchers questioned 366 adult patients with asthma about their triggers, and found that 33 percent indicated alcoholic drinks had been associated with triggering an asthma attack on at least two occasions. Wines were the most frequent triggers. Researchers also found a link between individuals who had suffered asthma symptoms because of wine, and those who had experienced symptoms related to sulfite-containing foods and to aspirin and other pain relievers, which are also known to be asthma triggers in some people. Researchers theorized that it was the sulfites in some wines that were probably the culprits. These are preservatives widely used in winemaking and in the food industry. They have been found to cause allergic-type reactions, most commonly asthma symptoms, though sometimes hay fever and hives. A later study also found evidence of an alcohol-asthma symptoms connection. Over 40 percent of participants reported alcohol triggering allergic symptoms, while 30–35 percent reported it worsening asthma. Asians, in particular, were found to be sensitive to the ethanol itself. Caucasians were more likely to respond negatively to other additives.

WHAT YOU CAN DO TO AVOID ALCOHOLRELATED ASTHMA SYMPTOMS In the study mentioned above, most participants felt the onset of their symptoms within about an hour of drinking the wine, so they showed up pretty quickly. Fortunately, they were usually of mild to moderate severity. The researchers also proposed that histamines in the wine could be responsible for symptoms. Histamines are formed in the body in response to an allergy trigger, but are also formed when alcohol is fermented, and is present in all alcohol types, including beer, liquor, and wine. Though it seems more common to be allergic to the sulfites, histamines are also a possibility. If you or a loved one has suffered asthmarelated symptoms after drinking alcohol, try the following steps to protect yourself: ■ Try organic wines — they are usually

lower in sulfites. ■ Avoid red wines — they are most com-

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monly linked with asthma trouble, with white wine coming in a close second. Be aware of volume — the more alcohol you drink, the more likely you may have symptoms. Choose spirits over beer, hard ciders, and wines. Be especially cautious if you are a woman, taking oral steroids, or if you were young when you had your first asthma attack — they are most at risk for alcohol-related attacks. Always have someone with you if you choose to drink alcohol. www.4health.net

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5 REASONS WHY YOU NEED TO CONTROL YOUR BLOOD PRESSURE BLOOD PRESSURE AFFECTS ALL AREAS OF THE BODY

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By Morgan Rice

We hear about blood pressure all the time. Keep your blood pressure under control, they say. But why is that so important? Here are five ways high blood pressure can reduce your quality of life.

1. HIGH BLOOD PRESSURE RAISES RISK OF HEART ATTACK AND STROKE. When you have high blood pressure, your heart has to work harder to pump blood through your body. High blood pressure also causes the blood vessels to become stiff, and can increase the odds that they will become clogged with plaque. That can make it more likely that the blood will clot inside those blood vessels, blocking the flow of blood to the heart or to the brain — which can cause a heart attack or stroke.

2. HIGH BLOOD PRESSURE RAISES RISK OF KIDNEY DISEASE. High blood pressure is actually the leading cause of kidney disease and kidney failure. Excess pressure damages the blood vessels in the kidneys the same way it does other blood vessels in the body. Over time, the blood vessels in the kidneys become stretched and weakened. Eventually, they may stop working correctly, which means that excess fluid can collect inside them, raising blood pressure even more. Symptoms may include difficulty urinating and fluid retention in the lower legs. Without treatment, the kidneys may eventually be unable to do their job at all.

even complete loss of vision. Damaged blood vessels may also lead to a fluid buildup under the retina, which causes distorted vision. If the blood flow becomes blocked, it can result in nerve damage that eventually leads to vision loss.

4. HIGH BLOOD PRESSURE RAISES RISK OF SEXUAL DYSFUNCTION. Blood vessels supply the blood needed for a healthy erection. If high blood pressure damages these blood vessels, it can result in a reduced amount of blood flow to the penis. In some men, this decreased blood flow can make it more difficult to maintain an erection. High blood pressure can similarly affect the blood flow to a woman’s vagina, leading to an increased risk of vaginal dryness, reduced sexual desire, and even difficulty achieving an orgasm.

5. HIGH BLOOD PRESSURE RAISES RISK OF DEMENTIA AND COGNITIVE IMPAIRMENT. High blood pressure can damage the blood vessels leading to the brain, to the point that a blood clot develops in those vessels. Such blood clots may cause small strokes, which are interruptions of blood flow to the brain. These may not require medical treatment, but can damage the brain and cause mild cognitive problems. Research has discovered that high blood pressure in midlife is particularly associated with an increased risk of developing dementia.

BOTTOM LINE 3. HIGH BLOOD PRESSURE RAISES RISK OF VISION LOSS. High blood pressure can cause swelling of the macula, that area near the center of the retina that provides focused vision. It can also damage the blood vessels that lead to the retina, causing retinopathy. This disease, in turn, can cause blurred vision, bleeding in the eye, and

To help prevent these and other types of health problems, be sure to see your regular doctor at least once a year for an annual checkup, and ask about your blood pressure. If yours gets too high, it can be managed with lifestyle changes or medications. There’s no reason to risk your health. Get your blood pressure under control today. www.4health.net

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TO SUNSCREEN OR NOT TO SUNSCREEN?

We’ve all heard about the dangers of sun exposure. It encourages wrinkles, can cause redness and burning, and in the worst cases, may lead to skin cancer. Most of us have gotten into the habit of applying sunscreen when we go outside, and many moisturizers and makeup come complete with a little sun protection as well. Lately, however, there’s been a lot of buzz about the dangers of so-called “chemical” sunscreens. News that they might actually increase the risk of skin cancer has a lot of people worried. If it’s true, what do we do now?

■■■ Colleen M. Story TWO TYPES OF SUNSCREENS You might have thought sunscreen was sunscreen, but it’s actually a little more complicated than that. Remember the old days when friends at the beach looked like they’d dunked their noses in white frosting? That was zinc oxide, a “physical” type of sunblock, so called because it actually forms a barrier on top of the skin that reflects harmful rays. Chemical sunscreens, on the other hand, contain ingredients like avobenzone, benzophenone, and octyl methoxycinnamate that actually absorb rays, and then convert them to heat energy. These formulas are colorless and usually preferred for daily use.

THE BURN ON CHEMICAL SUNSCREENS Unfortunately, recent studies have shown that many of the chemicals used in chemical sunscreens are potentially dangerous. Their “converting” technique apparently releases free radicals, which damage the skin in many ways, even potentially creating reactions that could lead to cancer. The fact that the chemicals are absorbed into the blood stream is also of concern, particularly as these chemicals have shown DNA- and hormone-altering activity. Ironically, worldwide, the greatest rise in melanoma has been experienced in countries where sunscreens have been heavily promoted.

PHYSICAL SUNSCREENS SAFER? Though physical sunscreens like zinc oxide are typically considered safer than the chemical varieties, more recent formulas have reduced the size of the molecules, to better absorb into the skin and avoid that white, pasty look. However, these “nano-sized” particles may allow the active ingredient to sink into the bloodstream. So far, tests have not confirmed the safety of this technique.

WHAT TO DO? Many experts are now suggesting we let nature take its course. Depending on your tolerance for the sun—determined by your skin tone and allergy risk—gradually building your sun exposure may be the best bet. Particularly since the sun is a great source of vitamin D, blocking it out completely can rob you of the health benefits of this nutrient. Try spending a little bit of time outside at first, and gradually, as your tan deepens, you can stay out a bit longer. However, never overdo it, as UV rays can still cause harm to your skin. If you’re more sensitive to the sun, or if you’re likely to burn, the best sunscreen is clothing. Go for wide-brimmed hats and long-sleeved shirts. Wear light, cool materials that breathe, so you won’t feel too warm. If you know you’re going to be out for a long time, choose a physical sunscreen with an SPF of at least 15. Ideally, select products that say “physical,” “chemical-free,” or “mineral-based.” Another trick is to look for baby products, which are typically formulated with fewer chemicals.

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DO YOU REALLY NEED TO FLOSS? STUDIES SHOW ORAL IRRIGATION MAY BE MORE EFFECTIVE

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By Gordon Barclay

I have an easy way to make you feel guilty: Did you floss your teeth today? If you’re like me and a third of other American adults, you didn’t. According to a 2016 study, 32.4 percent of adults never floss, 37.3 percent don’t floss every day, and 30.3 percent floss maybe once a week. We all duck our heads and take our lectures when we go to the dentist, but according to a recent study, all that self-recrimination may not be necessary. In 2016, an investigation by the Associated Press found only minimal evidence that flossing helps prevent gingivitis or tooth decay. The latest dietary guidelines for Americans, which has recommended flossing for decades, recently dropped the recommendation because of a lack of strong evidence to support it. Does that mean we can stop worrying about flossing, or would we be risking our oral health by doing so?

STUDIES PROVIDE ONLY WEAK EVIDENCE OF FLOSSING’S BENEFITS The issue is that we don’t have strong scientific studies showing that flossing provides a significant benefit. That could be because a) it really doesn’t, b) the studies just haven’t shown it yet, or c) most participants in studies don’t floss correctly. All of these options are currently possible. It could be that flossing doesn’t really help much, but the American Dental Association (ADA) www.4health.net

still recommends it, stating that the Surgeon General, the Centers for Disease Control and Prevention (CDC), and the U. S. Department of Health and Human Services all affirm the importance of flossing as helping to prevent tooth decay and gum disease. “Cleaning between teeth removes plaque that can lead to cavities or gum disease from the areas where a toothbrush can’t reach,” the ADA stated. Yet the studies so far don’t seem to support the idea that flossing is necessary. In a 2011 review, researchers reviewed the scientific literature on flossing, and found only weak evidence of its effectiveness. “Overall there is weak, very unreliable evidence which suggests that flossing plus tooth-brushing may be associated with a small reduction in plaque at 1 or 3 months,” the researchers wrote. “No studies reported the effectiveness of flossing plus tooth-brushing for preventing dental caries.” The American Academy of Periodontology acknowledged these research results, and noted that most studies didn’t include enough participants or examine gum health for a long enough time period to be reliable.

FLOSSING MAY HELP PREVENT GINGIVITIS It’s also true that most people don’t floss the way that dentists recommend they floss. We’re busy people, and we tend to do a quick once-over. Dentists, on the other hand, recommend a more careful approach with the

floss “hugging” the tooth and set just below the gum line for optimal results. There’s no doubt that when you floss, you disturb the bacteria in between teeth while stimulating the gums at the same time. There is evidence that those who floss regularly reduce their risk of bloody, inflamed gums, which is probably reason enough to floss, as bleeding gums are a sign of gingivitis, which can lead to infections, abscesses, and bone loss.

BRUSHING ALONE ISN’T ENOUGH So we have dentists and other experts recommending flossing on one hand, but the studies so far have failed to produce significant evidence of its benefit. What does that mean for all of us struggling to remember to draw that piece of white thread through our teeth? You may agree with me that the answer is actually dental irrigation. I’m sold on my WaterPik. When I use it, I can see the results in my sink (all that gunk leftover after brushing), and it’s easier for me to use than dental floss. There are some studies confirming its effectiveness. In 2005, for example, researchers tested 105 subjects who either brushed and flossed or brushed and used a dental irrigator (like a WaterPik). Results showed that when combined with manual or sonic tooth brushing, oral irrigation was an effective alternative to flossing for reducing bleeding, gingival inflammation, and plaque removal. A later 2011 study found that an oral irrigator was “significantly more effective” than dental floss.

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HOW TO EAT

HEALTHY

ON A BUDGET

YOU DON’T HAVE TO SPEND LOTS TO ENJOY NUTRITIOUS FOODS

■■■ Lynn Merrell If you’re watching your pennies — and who isn’t, these days?— you may feel that you just can’t afford healthy foods. Fortunately, eating healthy doesn’t have to break your budget. Here’s how you can watch out for your family’s well being while still keeping your spending in check.

FOLLOW SOME GOOD RULES OF SHOPPING The shopping experience itself can drain your wallet if you’re not used to following a few basic rules. First, don’t shop on an empty stomach. Go after a satisfying meal to reduce impulse buying. Second, go around the perimeter of the store first, as that’s where the healthier choices usually are. Write a list and stick to it, and clip coupons from the paper or print them out online. Finally, look for sales as you’re walking around, particularly on produce. If you had strawberries on your list, but they’ve got bags of pears on sale instead, make the switch.

RECONSIDER DRINK & SNACK PURCHASES Things like sodas, sport drinks, juices, and beer can quickly suck up any extra money you may have been able to spend on healthier choices. Try sticking with water most of the time, and skip the bottled water. If you want to get some 100 percent juice, choose the large size for better savings.

As for snacks, we’ve recently seen an explosion in convenient single-serving packages of crackers, cookies, chips, popcorn, and more. They might be easy, but they’ll cost you. Instead, buy nuts, cookies, and crackers in larger containers and put up the snack-sized portions yourself. Finally, consider cutting back on snack purchases as a whole. Many of them are not only expensive, but unhealthy. Avoid pre-packaged fruits, vegetables and salads as well. You pay for the convenience. Buy a head of romaine or kale along with a few carrot sticks and chop them up yourself at home.

FROZEN IS FABULOUS Depending on the current prices of fresh produce, you may want to get your fruits and vegetables in frozen form. They typically contain just as many nutrients, and as long as you get the ones with few add-ons like sauces and creams, they’re just as healthy. Look for large bags minus the frills for the best economical value — a big bag of plain broccoli, for instance. You can add a little butter and salt yourself at home. You can also try a bag of frozen berries to add to yogurts, cereals, and ice cream. Another tip: Consider buying your meat in bulk and then freezing most of it. Often stores will sell large packages of chicken breasts, pork chops, and the like, so as long as you break them up and freeze part of them right away, you’ll be set for several weeks and spend less.

BUY STAPLES IN BULK Things like oats, potatoes, beans, rice, and pasta will all keep for a fairly long time, so you can buy these in bulk without worrying that they’ll spoil, and save yourself some cash in the process. Other things that are good to get in large packages include peanut butter, nuts, popcorn (that you make yourself), and discounted meats. Make sure you always check the unit price, however, as sometimes a bigger package will cost more than two smaller ones.

CHOOSE STORE BRANDS Many grocery store chains now have their own brands of cereals, soups, crackers, yogurts, and more, and these are usually cheaper than the well-known brands. Take advantage of these when you can.

COOK FOR MORE THAN ONE NIGHT The time you lose by avoiding convenience foods you can make up for by cooking for more than one night. If you make a large pot of stew, for example, on Monday, you may have enough to last for several more meals through the week. When you plan to make a casserole, make enough for two dishes. You can also cook extra chicken or turkey and use the meat later for veggie-rich wraps, sandwiches, or salads. You save by using all your leftovers, purchasing sale items in bulk, and avoiding high-cost and unhealthy processed foods. www.4health.net

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IS IT NOW OKAY TO BE OVERWEIGHT? STUDIES SUGGEST HIGHEST RISKS EXIST AT EXTREME WEIGHTS ■■■ By Colleen M. Story Most of us have heard that the best way to calculate healthy body weight is to use the body mass index (BMI), which is a measure of body fat based on weight in relation to height. Currently, 18.5 to 25 is considered normal or healthy, while a BMI of 25 to 30 is overweight, and anything over 30 is obese.

Some recent studies have called these numbers into question, though. A recent Danish study involving over 100,000 individuals, for example, found that the “ideal” weight as far as long life is concerned seems to have changed over the decades. In the 1970s, it was a BMI of about 24. Today, it is a 27, according to this study. Those who were obese (BMI over 30) were still at the highest risk of mortality. www.4health.net

4HEALTH If these results prove to be true in other studies, it would suggest that what is considered overweight may actually be healthier than what is currently considered a healthy weight. Other studies have shown mixed results, which can be confusing. What is the ideal weight for a healthy, long life?

WHAT WE KNOW FOR SURE ABOUT WEIGHT One thing we know for sure: extreme weights are unhealthy. People who are very thin (BMI 20 or less) or who are obese (BMI of 30 or higher) are still at the highest risk of premature death. Individuals who land on either extreme of the BMI scale should talk to their doctors immediately about ways to correct their weight, as these are dangerous places to be. Here’s another thing we’re clear on: excess weight around the abdomen is unhealthy. So if you’re overweight and you carry that weight in your middle, it’s not good for your long-term health and longevity. “Apple-shaped” people have higher levels of dangerous fat surrounding their internal organs, which can increase risk of disease and mortality. So no matter what your BMI is, if you’ve got extra weight around your belly, it’s worth it to try to trim down. Other than that, the research is still unclear. You may have thought you should be working toward the lowest BMI you could get to, but new research suggests that may not be necessary.

IDEAL WEIGHT DEPENDS ON THE INDIVIDUAL Researchers think that improved medical care and treatment for cardiovascular disease may be why people who are overweight are living longer. There are likely other factors involved too, though. People who were 65 years and older, for example, were found to receive the biggest benefit for carrying a few extra pounds. It’s possible that being a little heavier when we get older may actually help us in some ways. Doctors say that until we have more studies and can more clearly understand what affect weight does or doesn’t have on life expectancy, it’s important to consider other things as well, such as how active you

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will be in your older years, and how comfortable you will be. Excess weight increases risk of joint pain, diabetes, heart disease, and other issues. Though they may be medically treated, they can still be uncomfortable and reduce your quality of life. What we’re likely to discover in the end is that ideal weight is a very individual thing. Whereas one person may feel their best at a BMI of 22, another may be active and healthy at 27. It depends on a number of factors, such as overall fitness level, where the extra fat lands (in the abdomen or around the hips and thighs), and family history.

WHAT IS YOUR IDEAL WEIGHT? Researchers caution that these studies do not suggest that we should just eat as much as we want and not worry about it. What we can take away from the results is that a little bit of extra weight may not be as dangerous as we thought, as long as we stay healthy overall and make sure to treat things like high blood pressure and high cholesterol. If you’re not sure if you’re at the right weight, ask yourself the following questions: ■ Where do you carry your extra weight? If it’s in the abdomen, it’s

best to try to lose a few pounds. ■ Do you eat a healthy diet most of the time? ■ Do you get in at least 30 minutes of exercise daily? ■ Do you maintain your muscle strength with weight-bearing ex-

ercises? ■ Do you participate in a regular stress-relieving activity like yoga,

tai chi, pet therapy, deep breathing, meditation, or daily walks? When thinking about what your ideal weight may be, talk to your doctor, and consider everything you’re doing in our life to stay healthy. In the end, longevity depends on a number of factors, and weight is only one of them.

4HEALTH

WHY WOMEN SHOULD THINK TWICE ABOUT HYSTERECTOMY FOR FIBROIDS MINIMALLY INVASIVE TREATMENT OFFERS FASTER RECOVERY Michelle didn’t know what was wrong. She was bleeding between periods, and felt pain and pressure in her abdomen. She tried to ignore the symptoms, but after several weeks, they were still there. On top of that, she was feeling like she had to go to the bathroom all the time. Michelle finally went to her doctor and was diagnosed with uterine fibroids. Turns out that uterine fibroids are a fairly common affliction

in women. According to the National Institutes of Health, one study indicated that by the age of 50, 70 percent of white women and 80 percent of African Americans had fibroids. What is the best treatment? It used to be that undergoing a hysterectomy was the only solution, but today, USA Fibroid Centers offers minimally invasive, effective treatments that can help women get back to their lives much more quickly.

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

(718) 504-6525 www.USAFibroidCenters.com

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Pelvic pressure and pain Heavy menstrual bleeding Long menstrual periods (7 days or longer) Bladder pressure and frequent urination Constipation Backache and leg pains Pregnancy complications (miscarriage, infertility) www.4health.net

4HEALTH ■ Pain during intercourse ■ Abdominal cramps

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

UTERINE FIBROID EMBOLIZATION AVAILABLE AT USA FIBROID CENTERS It used to be that the only options for a woman with uterine fibroids were: ■ Myomectomy: surgical removal of fibroids leaving the uterus in

fibroid embolization (UFE). This is a procedure that removes fibroids and eases symptoms without putting women through traditional surgery. Here’s how it works. An interventional radiologist makes a tiny incision in the groin, and inserts a thin tube into the femoral artery at the top of the leg. This tube is then threaded into the uterine artery, and is used to send small particles into the blood vessels that feed the fibroids. These particles cause the fibroids to shrink and die over time. The procedure requires only conscious sedation (the patient isn’t put out completely), and may involve an overnight hospital stay. Pain medications help to manage discomfort. UFE typically provides significant symptom relief, provides for a shorter recovery time, and is a very effective alternative to myomectomy or hysterectomy. A 2004 study, for instance, showed that the procedure offered a much quicker recovery and lower adverse event rate compared to myomectomy. A 2006 study showed similar results, with researchers reporting that surgical treatments like myomectomy and hysterectomy had higher rates of major complications, infection, and pulmonary embolism (blood clot in the lung) than UFE.

place. ■ Hysterectomy: partial or complete removal of the uterus.

These dramatic steps, however, are rarely necessary. According to a 2015 study, many women under the age of 40 go through needless hysterectomies when less invasive and less painful options would work just as well. Though these more serious surgeries remain an option for women with multiple or severe fibroids, most women can find relief with uterine

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

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DOES YOUR HEARTBURN DRUG INCREASE RISK OF KIDNEY DISEASE? USE NEXIUM, PRILOSEC, AND OTHERS WITH CAUTION

■■■ By Colleen M. Story If you take common heartburn drugs like Nexium and Prilosec, you may want to talk to your doctor. According to recent studies, long-term use of these drugs have been linked to chronic kidney damage, a serious condition that can lead to kidney failure.

TWO DIFFERENT TYPES OF HEARTBURN DRUGS Today, there are essentially two different kinds of popular heartburn drugs: H2 blockers and proton pump inhibitors (PPIs). Both of the drugs reduce the amount of acid produced in the stomach, which is how they help relieve symptoms of heartburn and other related conditions like gastroesophageal reflux disease (GERD) and peptic ulcers. But they go about their jobs in different ways. Certain cells in the stomach make the acid that helps break down and digest food. These cells are stimulated in different ways to make them produce acid. One of the stimulants is histamine. H2 blockers block the histamine receptors on the stomach acid cells, so the histamine can’t encourage them to produce acid. Examples of H2 blockers include Zantac, Pepcid, Tagamet, and Axid. There are also proton pumps in these cells, and these cells pump the acid into the stomach. Proton pump inhibitors (PPIs) actually inhibit these pumps so they don’t work as well. The result is less acid. Examples of PPIs include Aciphex, Nexium, Prevacid, Prilosec, and Protonix.

ADVANTAGES AND DISADVANTAGES OF EACH There are advantages and disadvantages to each of these types of heartburn drugs. H2 blockers start to work more quickly than PPIs, but PPIs last longer. H2 blockers start working within an hour of taking them, but then they last for only about 12 hours. PPIs have a delayed onset of action, but then will last up to 24 hours. PPIs also provide a greater reduction of acid in the stomach than H2 blockers do. In general, PPIs are considered more effective for treating serious stomach-acid conditions, such as GERD, whereas H2 blockers are more often recommended for occasional heartburn. The side effects differ between the two, as well. Headache is more common with H2 blockers, while PPIs are usually associated with fewer side effects. Yet a recent study suggests that PPIs may not be as safe as believed.

STUDIES SHOW PPIS INCREASE RISK OF KIDNEY DISEASE For the study, researchers analyzed data from the Department of Veterans Affairs databases on over 125,000 individuals who had just started using a PPI heartburn drug, and about 18,500 individuals who were using an H2 heartburn medication. They found that over five years of follow up, those taking PPIs were more at risk for chronic kidney disease and acute kidney injury than those using H2 blockers. What was more concerning was that those who did develop kidney issues didn’t experience any kidney problems beforehand, so there was no warning. “Our results indicate kidney problems can develop silently and gradually over time,” said

Ziyad Al-Aly, M.D., the study’s senior author, “eroding kidney function and leading to longterm kidney damage or even renal failure. Patients should be cautioned to tell their doctors if they’re taking PPIs and only use the drugs when necessary.” Indeed, the FDA initially approved these drugs only for short-term use, but patients struggling with stomach-acid issues have often been used for months or even longer. This isn’t the first study to link these drugs with kidney problems. In January 2016, researchers reported that people who use PPIs have a 20 to 50 percent higher risk of chronic kidney disease compared to people who don’t use these drugs. Those taking the drugs twice a day had a much higher risk than those taking them only once a day.

TALK TO YOUR DOCTOR ABOUT USING PPIS If you suffer from GERD or ulcers or other acidrelated conditions, talk to your doctor. See if you can manage your symptoms with an H2 blocker instead, or with other lifestyle modifications. Some tips for reducing stomach acid include: ■ Don’t eat too much at once — break your

meals up into smaller servings and snacks. ■ Avoid trigger foods like spicy foods, fried

foods, citrus fruits, garlic, onions, artificial sweeteners, alcohol, and coffee if you’re sensitive to it. ■ Try to relax when you eat. Stress increases stomach acid, so create a relaxing atmosphere and take your time. ■ Consider supplements like digestive enzymes and probiotics to help ease digestion. www.4health.net

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AFTER MENOPAUSE, IT’S NOT COMFORTABLE DOWN THERE! TREATMENTS FOR VAGINAL DRYNESS

■■■ By Lynn Merrell Melinda was embarrassed. Ever since she started to experience symptoms of menopause, including hot flashes and mood changes, she also started experiencing something else that she just didn’t want to talk about — vaginal dryness and discomfort. Still, it was starting to affect her intimate life with her husband, and she knew she couldn’t put it off any longer. Finally, she made an appointment with her gynecologist, but she wasn’t looking forward to it. What Melinda may not realize is that about half of all postmenopausal women go through similar symptoms. Unfortunately, because of embarrassment or other issues, many don’t seek treatment and simply continue to suffer. Quality of life goes down, and women may start to feel less attractive and confident. These types of changes don’t have to be part of getting older. Today, there are many treatment options available to help women feel more comfortable.

can significantly affect her emotional health and over time, robbing her of the social support that she needs. Less lubrication can cause other issues, too. If women try to have sex anyway, for example, they risk tearing the fragile vaginal tissues. In addition, as the vaginal environment becomes dryer, it’s less effective at fighting off infections, which may increase incidence of urinary tract infections or thrush.

WHEN TO TALK TO YOUR DOCTOR Like Melinda, you may feel embarrassed to talk to your doctor about this symptom, but it’s important that you address it as soon as you can. Remember that your gynecologist is extremely familiar with these types of symptoms and will be able to help you. As soon as this condition affects your quality of life, make an appointment. Common symptoms of vaginal dryness include itching, burning, and irritation, and soreness or pain during sexual intercourse.

AVAILABLE TREATMENTS FOR VAGINAL DRYNESS WHAT IS VAGINAL DRYNESS AND WHY DOES IT HAPPEN? When women go through menopause, they experience changes in hormone levels that can cause vaginal dryness and discomfort. Specifically, the body stops producing as much estrogen as it once did, which is also what causes other symptoms like hot flashes and mood swings. Estrogen helps maintain the fluid that keeps the lining of the vagina healthy and lubricated. As levels of estrogen drop, there is less moisture available. The vagina may also become thinner and less elastic, a condition called “vaginal atrophy.”

VAGINAL DRYNESS HAS A HUGE EFFECT ON QUALITY OF LIFE Compared to other symptoms, it may seem like vaginal dryness is not that big a deal, but it can have a huge impact on a woman’s sex life. It can make intercourse uncomfortable or even painful, and may leave women feeling unattractive, inadequate, or guilty. Without treatment, the issue can drive a wedge between a woman and her partner, which www.4health.net

Fortunately there are a number of potential treatments for vaginal dryness that can help you feel more comfortable right away. Most doctors will suggest non-hormonal therapy, first. That includes a moisturizer, which you can apply regularly just like you would apply moisturizer to your hands or face. This helps restore the health of the vaginal area. Then you can add in a lubricant during intercourse, to make it more comfortable. If these treatments don’t help enough, doctors may suggest vaginal estrogen. This provides additional estrogen to the vaginal area to help restore its normal health and increase moisture. The treatment may come in the form of a tablet, cream, or vaginal ring, and you can talk to your doctor about which would work best for you. If you’re concerned about hormonal therapy, realize that vaginal estrogen exposes you to much less estrogen overall than when you take hormone replacement pills. These products don’t carry the same risks of blood clots, and there is no increased risk for uterine cancer. If you have a high risk for breast cancer, talk to your doctor about your options.

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MIGHT SUPPLEMENTS EASE SYMPTOMS OF DUCHENNE MUSCULAR DYSTROPHY? STUDIES SHOW PROMISE FOR VITAMIN B, VITAMIN D, AND CoQ10 ■■■ By Gordon Barclay The nature of medical treatment is shifting. Whereas it used to be that alternative therapies were administered separately from traditional medicine in most cases, and shared by dieticians and other types of therapists as opposed to doctors, alternative medicine has started to seep into mainstream medicine. That’s good news, as it helps patients to better access both treatments. A recent study, for example, shed light on how a vitamin may help patients with Duchenne muscular dystrophy, a type of inherited muscular dystrophy that affects children. Scientists found that higher doses of one type of vitamin helped reduce muscle inflammation, which could help prolong a patient’s life while increasing comfort.

WHAT IS DUCHENNE MUSCULAR DYSTROPHY? Muscular dystrophy is a group of diseases that attack the muscles. Over time, they cause them to get weaker and to lose mass, so that patients can’t move as easily as they once did. Duchenne muscular dystrophy is one type of muscular dystrophy named for the doctor who first described it in the 1860s, neurologist Guillaume Benjamin Amand Duchenne. Researchers later discovered that this type was caused by one particular flawed gene on the X chromosome. This gene is called the “DMD” gene, and it can be inherited in families. The disease typically shows up in children under the age of six, occurs mostly in boys, and progresses rapidly. The flawed gene causes the patient to lack “dystrophin,” which is a type of protein that helps www.4health.net

4HEALTH keep muscle cells intact. Without this protein, the muscles weaken and become very fragile.

WHAT ARE THE SYMPTOMS OF DUCHENNE MUSCULAR DYSTROPHY? The symptoms of the disease usually appear early, sometimes as early as infancy, but traditionally sometime around the age of three. Children are unable to sit and stand by themselves, or may have a waddling gait. The lower half of the body is affected first, so the legs are the first to show problems. The calf muscles may become enlarged and eventually the muscles may become unusable. By age 10, braces may be required for walking. Eventually, as the disease progresses, it begins to affect other important muscles like the heart and lungs. Patients have trouble breathing and may experience heart failure.

A TYPE OF VITAMIN B MAY HOLD PROMISE FOR PATIENTS Though Duchenne muscular dystrophy is a rare disease, it’s devastating. Usually by the age of 12, children are confined to wheelchairs. To try to find a cure for the disease, researchers have focused trying to repair the defective gene. But in a new animal study, researchers from France tried a different approach. We know that the lack of dystrophin destroys muscle cells. What these researchers discovered was that in the process, the inflammation causes a lack of an essential component called “NAD+.” This vitaminlike component acts as a fuel for the powerhouse of cells, which are

critical in maintaining muscle tissue. Without that NAD+, muscles get weak. So researchers did the logical thing: they gave their animal subjects a vitamin that turns into NAD+ in the body. That vitamin was nicotinamide riboside, a form of vitamin B3. The effect was remarkable. Those subjects that received large doses of the vitamin had much lower levels of muscular inflammation. Researchers cautioned that this was just one small animal study, but they believe it holds promise for humans. The good news is that the vitamin is water soluble, and any excess amount is flushed out in the urine, so there is little danger of toxicity at high doses.

OTHER SUPPLEMENTS MAY PROVE HELPFUL Other vitamin and mineral supplements may also be helpful for patients living with Duchenne muscular dystrophy. In another recent study, scientists examined a number of alternative therapies, and found that in general, those supplements that help reduce inflammation and provide antioxidant protection could be helpful. They noted that CoQ10, for instance, could help preserve muscle strength and function in patients with side effects from corticosteroids. L-arginine may also help improve motor function, and vitamin D may help to maintain bone health and increase the odds of walking at 12 years. If you want to know more about how supplements may help treatment of Duchenne muscular dystrophy, talk to your doctor, neurologist, and dietician for help.

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TREATMENTS FOR DIABETES NERVE PAIN AVOID COMPLICATIONS BY GETTING HELP NOW

■■■ Colleen M. Story

WHAT ARE THE SYMPTOMS? ■ Symptoms of diabetes nerve pain in-

If you have diabetes, you may be experiencing pain or numbness in your hands and feet. In fact, according to the American Diabetes Association, about 60–70 percent of people with diabetes have mild to severe forms of neuropathy, or nerve damage. This can cause diabetic nerve pain, which is a common diabetes complication. Unfortunately, it can present some challenges in treatment, because nerve pain differs from muscle pain, and your standard over-the-counter pain relievers may not help much. What can you do to feel more comfortable, and to prevent additional nerve damage?

HOW DOES DIABETES DAMAGE NERVES? Researchers believe that long-term high blood sugar levels can cause nerve damage, possibly by affecting the blood vessels that carry oxygen the nerves. Damage to these blood vessels can slow down nerve signals to the muscles, as well as cause the nerves to send signals at the wrong time, which can result in pain. Sometimes the nerves stop communicating completely, which can lead to numbness in the feet and hands. High blood glucose levels can also damage the autonomic nervous system—the nerves that control involuntary functions like the heartbeat, sexual response, and the immune system. This can lead to heart problems, sexual dysfunction, and potential infections.

clude the following: ■ Painful tingling, burning, and numbness

in the hands, feet, arms, and legs ■ Sharp, stabbing or shooting pain in the

limbs ■ Extreme sensitivity to touch ■ Weakness in the legs and/or arms ■ Wasting of the muscles in the feet and ■ ■ ■ ■ ■ ■ ■

hands Loss of balance and coordination Trouble sleeping Diarrhea or constipation Indigestion, nausea, or vomiting Dizziness or faintness Problems with urination Erectile dysfunction in men, vaginal dryness in women

HOW DOES NERVE PAIN AFFECT PEOPLE WITH DIABETES? Nerve pain may start out as a mild irritant, but over time, it can cause significant problems. People may start to have difficulties walking, exercising, or working with their hands. Later, neuropathy can lead to slow wound healing, which can increase the risk of infections that won’t heal. And when diabetes starts affecting autonomic nerves, more serious complications like gastrointestinal problems and heart disease can result.

TREATMENTS ARE IMPORTANT To avoid complications and prevent further nerve damage, treating diabetic nerve pain is

extremely important. Unfortunately, according to an online survey, less than half of those suffering from this type of nerve pain were treating their pain. Attaining optimal blood sugar control is the first step. The more you and your doctor can keep your blood sugar levels within the desired range, the less chance you have for damaging your nerves, or for making previous damage any worse. Of particular interest may be controlling your post-meal blood sugars to 140 mg/dl or less. Once you have diabetes nerve damage, doctors usually treat the pain with oral medications. Antidepressants, anticonvulsants, and opioid-like drugs like oxycodone can all help relieve the painful symptoms. Topical creams, sprays, and patches are also available, and recent studies show that the seizure drug pregabalin is very effective. Some natural therapies, as well, have shown promise in treating diabetes-related nerve pain. Acupuncture, vitamin B supplements, transcutaneous electric nerve stimulation (TENS), magnetic shoe insoles, and Reiki therapy may all offer some relief. Finally, you can help ease the pain as well by avoiding smoking (which makes neuropathy worse), exercising as much as you can, and eating a healthy diet. SOURCE A

merican Academy of Neurology (2011, April 11). New guidelines on best treatments for diabetic nerve pain. ScienceDaily. Retrieved June 10, 2012, from http://www.sciencedaily.com /releases/2011/04/110411163758.htm

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DEPRESSION, ANXIETY MORE COMMON IN SENIORS THAN PREVIOUSLY BELIEVED

STUDY SHOWS PREVALENCE OF MENTAL ILLNESS IN THE ELDERLY ■■■ By Colleen M. Story Is an elderly person in your family depressed or anxious? You may not have thought about it before, but a recent study suggests we should be more careful when determining what may be causing certain behaviors in our older loved ones. Turns out that more seniors experience mental disorders like anxiety and depression than we may have realized. Part of the problem is that standardized diagnostic tests for these disorders don’t work as well in older people. When researchers used a simplified diagnostic tool instead, they were better able to determine when people needed help. Here’s more on the study, and what you can do to either help yourself, if you’re a senior struggling with depression and/or anxiety, or to help someone in your life that may be suffering a mental illness.

STUDY SUGGESTS MORE SENIORS AFFECTED BY MENTAL DISORDERS For the study, researchers used a new, simplified diagnostic tool to examine 3,100 elderly people aged 65 to 85 in Spain, Great Britain, Germany, Italy, Israel, and Switzerland. The results showed that more people were affected by mental disorders than was previously assumed. One third of the respondents had suffered a mental disorder within the previous year, www.4health.net

and one quarter of them were diagnosed with a current mental disorder. The most common disorders were anxiety and depression. The researchers noted that the results are cause for concern, since current health services for seniors are not very accurate when it comes to detecting these types of disorders, or very helpful in providing therapy for them.

WHAT’S THE DIFFERENCE BETWEEN MENTAL ILLNESS AND DEMENTIA? Though dementia does affect the mind, it’s usually not considered the same as a mental illness. Dementia is a disorder of the brain that causes memory loss, confusion, and difficulty communicating. It’s seen as more of a physical disease of the brain, whereas a mental illness is usually seen as a strictly mental condition and often requires different treatment from dementia. In addition to depression and anxiety, seniors may also show signs of other mental illnesses, like late onset bipolar or late onset schizophrenia. A correct diagnosis is important, as it can lead to more effective treatments.

WHAT ARE THE SYMPTOMS OF MENTAL ILLNESS IN SENIORS? Depression is the most common mental illness in people over the age of 65, and usually includes symptoms like social isolation, sadness, hopelessness, lack of motivation and energy, loss of self-worth, weight loss, unex-

plained aches and pains, sleep disturbances, and loss of interest in hobbies. Don’t assume these are simply a part of aging, as they’re not. They’re signs that something is not right, and a trip to the psychiatrist could help. Late-life anxiety is another common mental illness in seniors. In fact, in a 2008 study, researchers called it the “silent geriatric giant,” noting that it is twice as prevalent as dementia among older adults, and four to eight times more prevalent than depressive disorders. Symptoms usually include difficulty with concentration and attention, impaired sleep, agitation, headaches, and abdominal pain. Seniors may see themselves as vulnerable and unable to meet the demands of daily life, which can cause this type of anxiety. Symptoms of late onset bipolar are similar to those in younger people, and include agitation, manic behavior, and delusions, but since these can be confused with dementia symptoms, they are sometimes misleading. Symptoms of schizophrenia can be similarly confounding, and include hallucinations and paranoia.

TRUST WHAT YOU FEEL The important thing as a senior or a senior’s loved one is to be aware. If you notice changes in yourself or in your loved one that concern you, seek medical treatment. Letting it go usually only leads to worse outcomes, both in terms of mental and physical health.

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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, spinal cord, or nerves ■ tumors in the brain, spinal cord, nerves, skull, or spine ■ back pain caused by pinched nerves, infections, 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 work-related 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, par-

ticularly 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 212–876–7575, 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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5 East 84th St, New York, NY 10028

Erico CARDOSO, MD TOLL FREE

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WHAT IS ENEMY NUMBER-ONE FOR EYE HEALTH?

ADA PROVIDES SUGGESTIONS TO ENSURE LONG-TERM GOOD VISION ■■■

By Lynn Merrell

What is enemy number-one when it comes to your eye health? I asked my eye doctor once, and he told me: the sun. The American Academy of Ophthalmology agrees, stating that exposure to UV light increases risk of a number of eye diseases, including cataracts, growths on the eyes, and cancer. You already know that you need to protect your skin from the sun to help prevent skin cancer and premature aging. Your eyes are the same — they need protection from damaging UV rays to maintain optimal health and vision. How can you best take care of your eyes? The ADA suggests the following tips.

1. Invest in a quality pair of sunglasses. Shielding your eyes from the sun whenever you go outside is the best thing you can do to help prevent eye disease. Yet not all sunglasses are made equally. Many of those cheap ones you find in the drug store don’t have the proper UV protection on the lenses. What you need is a pair with a label that says “100% UV protection.” They don’t have to be expensive, just built with UV protection. It doesn’t matter how dark the lenses are, or what color they are. What matters is that the lens is built to reflect UV rays, and the only way to know that is

either to find the label, or ask your eye doctor if you are buying glasses in his or her office. 2. Wear your sunglasses every day. Too often we think that if it’s cloudy outside, we don’t need sunglasses, but that’s not true. UV radiation still comes through clouds, and can still damage your eyes on a dim day. If you need to get a pair of sunglasses with lighter lenses for these days, look for amber or orange-colored varieties, but don’t go without wearing them. 3. Up your eye protection on sunny days. When the sun is bright, it’s best to add clothing to your sun gear to help protect your eyes. Some UV radiation can slip in over and under your sunglasses, particularly when you’re outside for awhile, so add a hat with a broad rim to cut down on your exposure to harmful rays. 4. Wear your sunglasses when driving. Yes, your windshield may block some UV rays, but side windows aren’t nearly as protective. Studies have found that side windows block only 71 percent of UV rays (windshields block about 96 percent). So don’t think your windows are protecting you completely — wear your sunglasses when driving during the day. Again, if they are too dark, invest in a lighter pair. 5. Don’t stare at the sun. It’s hard to resist sometimes looking up and staring at the sun, especially after a long winter when we haven’t

seen it for awhile. Directly gazing at the sun can damage the retina, though — the area of the eye needed for central vision — so it’s best to avoid it. 6. Consider your medications. Some medications increase your sensitivity to the sun. They can actually make your eyes more vulnerable to UV radiation damage. If you’re taking some of these medications, you need to be doubly careful about your sun exposure. Make sure your sunglasses are large enough to offer a wide range of protection for your eyes. Medications that increase sun sensitivity include some antibiotics (ask your doctor or pharmacist), birth control and estrogen pills, psoriasis treatments, and others. Read the label to be sure. 7. Don’t be a hermit. Though it’s important to protect your eyes from UV exposure, you still need some natural light to help maintain normal sleep-wake cycles and avoid insomnia. Getting a good night’s sleep is important for overall health, so don’t be afraid to enjoy the daylight. Just take a few precautions to make sure your eyes stay healthy. Encourage your kids, too, to get outside — some studies show that children who spent more time outside reduced their risk of developing nearsightedness. Exercise is also great for eye health and overall health, so just help the kids find good sunglasses and get them outdoors. www.4health.net

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FOUR WAYS TO REDUCE BACK PAIN

■■■ James Buchanan The body is an amazing work of design and function. However, the one place all of us seem to experience a few problems is in the lower back. This is where we carry all the weight of our bodies, and like Atlas, a world of stress can be a contributing factor as well. There are some causes of back pain, such as a slipped disk, sciatica, certain types of cancer, and other issues that require serious treatment in order to restore health. According to the Mayo Clinic (MayoClinic. com), you should see a doctor when the pain will not go away on its own and is more intense at night or when you lie down; spreads down both legs, especially if it goes below the knee; causes weakness, numbness or tingling down both legs; causes bowel or bladder problems; is the result of a fall or blow to the back; comes with pain or pulsating in abdomen and/or fever; and comes with unexplained weight loss. For most people, however, back pain is the result of poor posture, strains caused by improper lifting or carrying of heavy loads, twisted and pulled muscles, and other injuries that many of us are familiar with. Because our backs are an area where big muscles and nerves are knitted together, any injury, no matter how slight, can cause intense pain. Here are a few ways to find relief.

PREVENTION The best means to deal with pain is to prevent it. Learn proper lifting techniques (lift with your legs), and don’t overdo it when it comes to work and exercise in order to prevent strains. If you have consistent back issues, try chiropractic care, massage, or acupuncture. Make morning stretches part of your routine (there are many that are great for the lower back), and lose weight if you are overweight. Finally, exercise can be very helpful, particularly walking.

RIGHT AFTER AN INJURY If you hurt your back, rest it initially to help it heal. Apply ice through a warmed towel for about 15 minutes at a time to reduce swelling and inflammation. Continue for about 48 hours after the injury. Take an over-the-counter pain reliever such as aspirin or ibuprofen, but be careful not to take more than the label recommends. After 48 hours—if your injury is a muscle injury—heat should help loosen and relax the muscles and spasms that are causing the pain. Apply heat for about 20 to 30 minutes. Some experts recommend a combination of heat and cold on a rotating schedule. You should consult with your physician or chiropractor—usually you can talk with a nurse on the phone about recommendations without needing a visit—to help determine your best strategy.

CHRONIC PAIN For some people, an achy back is part of life. To help reduce chronic pain, get a medical evaluation so you understand the cause and can get professional recommendations. You may also try applying heat (warm shower, heating pad, etc.) and then following up with some very light stretching. Acupuncture, chiropractic care, and yoga can also be very helpful low-impact, long-term therapies to help manage chronic back issues. Consider also improving your diet, managing your weight, and getting appropriate exercise. Simply being more physically fit can reduce or even end chronic back pain.

GET COMFORTABLE When back pain is acute, finding a resting position that is comfortable can reduce pain and allow your back to heal. A common position involves lying on the floor with a few pillows under your knees or with your calves resting on pillow on a chair. However, do not lie down for extended periods of time. Your muscles may stiffen, making it more painful to move and harder for your back to heal. Do at least a bit of walking around to keep the muscles from constricting too much. Once you feel that the pain has subsided, try some light exercise to bring back muscle flexibility. Talk with a physical trainer or other clinician to find exercises that are safe and will work for you. www.4health.net

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GET READY FOR

SUMMER CAMP! Kids may complain about school, but give them a week or two without it and they’re bound to get restless. Walking the dog, playing in the park, and helping with chores around home will keep them busy only so long. Summer camp can be a wonderful diversion that not only keeps them occupied, but offers a valuable learning experience. Still, depending on your child’s age, you may be concerned about sending him/her off to camp. Will he get homesick? How will he manage with the other kids? How can you make sure she packs everything she needs? Here are some tips to help you both prepare.

■■■ Colleen M. Story DON’T FORGET You know that sour feeling you get in the pit of your stomach as your child gets on the bus? Did you remember everything? To help you both feel more confident, check for the following items. First, a “Skeeter Stick.” If you’re child’s going to be anywhere he might come in contact with mosquitoes, this is a “musthave.” It comes in a slim tube similar to lip balm and can be dabbed on a bite to provide instant relief. Next, pack some plastic bags. They’re great for a lot of things, but especially for holding dirty, wet clothes away from the clean, dry ones. Throw in some bottled water, a second pair of shoes, extra socks, a ball cap to protect their faces from the sun, allergy medicine (a must!), an over-the-counter pain reliever, a light jacket and some hidden cash. Finally, let them take something that reminds them of home, like a photo, an iPod, a stuffed animal, or even an old blanket.

HEAD OFF ANXIETY If your child is going to a summer camp for the first time—or even the second or third— he/she may be feeling a bit anxious about the experience. There are several things you can do to help his/her manage her fears.

First, get ready for camp together. Involve him/her in the decision as to which camp to attend, if possible. When it comes time to pack, let him/her do most of the work while you offer to help. Let him/her choose her clothes (with your assistance), and ask him/ her to pick a book to take along. If he/she starts to feel really concerned, consider taking him/her to the store to purchase one new item, like a stainless steel water bottle, a backpack, or some treats to share with the other kids. Next, watch your own attitude. If you’re having difficulty with the idea of your child being gone, try to keep it to yourself. Around your child, show your excitement about the opportunity and about the fun she’s going to have. Tell her you can’t wait to hear all about it when she comes home, and that you’re proud of how grown up she is.

Finally, prepare for homesickness. Most children will experience it at one time or another while they’re away. Talk about how you’ll write letters and cards to one another, and send a calendar along to help remind your child of her homecoming date. Don’t forget to prepare your own letters and cards to send. Avoid telling the child you will “pick her up” if things get bad. The idea could make her feel that she can’t make it on her own, and has to have you there to rescue her. Just remind her how much she’s going to enjoy camp, and that she will have other adults around to help.

KEEP REALISTIC EXPECTATIONS Camp should be fun, but probably will be a lot like life—filled with ups and downs. Don’t expect your child to spend the entire time in wondrous bliss. Talk to him before he leaves about the various experiences he may have, and remind him there is no pressure to succeed or fail. Camp is about discovery, adventure, and growth, so it’s best if he does his best to relax and be himself. Stay positive as you drop your child off, smile, and remember— you now have some time to enjoy a well-deserved respite from the demanding job of parenthood!

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MORE CHILDREN FALLING VICTIM TO ANTIBIOTICRESISTANT INFECTIONS TIPS TO PROTECT YOUR FAMILY

■■■

By Morgan Rice

The bacteria in our world are getting stronger. In 2013, the Centers for Disease Control and Prevention (CDC) reported that each year in the U.S., at least two million people become infected by antibiotic-resistant bacteria, and at least 23,000 die as a result. Now, a new study shows that antibiotic-resistant infections are increasing among American children, a well. Each year, more than 6,000 infections caused by the P. aeruginosa bacteria are resistant to antibiotics, and cause 400 deaths in children and adults. Here’s more and how you can protect your family from these dangerous infections.

WHAT ARE ANTIBIOTIC-RESISTANT INFECTIONS? Antibiotics are wonders of the medical world. Since the 1940s, we’ve relied on them to treat everything from localized infections to systemic infectious diseases, greatly reducing the rates of illness and death. Unfortunately, we’ve used them so widely and for so long that the organisms they’re designed to kill are starting to fight back. You know that when you’re vaccinated against a disease, your immune system is exposed to a small sample of it, so you can build up a defense against it. The vaccine helps your immune system become familiar with the bacteria or virus in it, so that it can protect you from it in the future. Bacteria can grow resistant to antibiotics in a similar manner. The more they come up against the medicine, the more familiar they become with it, and gradually they adapt so that they are no longer threatened by it. That means the antibiotic can no longer kill the bacteria, and they can grow and thrive and make an illness worse, leaving doctors with few options to stop them.

Antibiotic prescriptions for humans are another part of the problem. Doctors have grown used to prescribing antibiotics for all types of illnesses, including many colds and flus that may be caused by viruses, and thus can’t be cured with antibiotics anyway. The CDC states that up to 50 percent of the time, antibiotics are prescribed when they are unnecessary. Finally, as the bacteria become stronger, they can spread from person to person, until more people are falling ill with so-called “superbugs” that can’t be killed with our modern-day medications.

CHILDREN AFFECTED BY DRUG-RESISTANT INFECTIONS, TOO In the study mentioned above, researchers analyzed data from 48 children’s hospitals, looking at how many were diagnosed with infections caused by the Enterobacteriaceae bacteria between 2007 and 2015. They found that the proportion of these infections that were drug-resistant rose sharply during that period, from 0.2 percent to 1.5 percent, and that children who suffered with these infections had 20 percent longer hospital stays than those with more treatable infections. “Antibiotic resistance increasingly threatens our ability to treat our children’s infections,” said study author Dr. Sharon Meropol.

WHAT YOU CAN DO TO PROTECT YOUR FAMILY To protect your family from these dangerous infections, doctors recommend the following tips: ■ Teach your kids how to avoid germs by washing their hands,

■ ■

WHY HAVE THE BACTERIA BECOME RESISTANT? The CDC states that for some bacteria, it’s primarily the use of antibiotics in food animals that increases resistance. Farmers often give their animals antibiotics to ward off infections before they occur, or to help enhance growth, but this has allowed the bacteria to become too familiar with them, and to adapt defense mechanisms against them. www.4health.net

■ ■

avoiding sharing personal items, and keeping their hands away from their faces. Practice healthy habits as a family, and boost everyone’s immune systems with a healthy diet and regular exercise. Ask the doctor for antibiotics only when you really need them. For the common cold, flu, and sore throat (which are often caused by viruses), stay home, drink lots of fluids, get enough rest, and give your body time to heal on its own. Always watch for a fever — if it goes over 101, talk to your doctor. Keep everyone up-to-date with vaccines to help control infectious diseases like whooping cough, measles, mumps, and tetanus. If you are prescribed antibiotics, be sure to use them exactly as your doctor says, and finish the entire bottle.

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| Plastic Surgery

TIGHTEN SAGGY SKIN AND LOOK GREAT THIS SUMMER! NON-INVASIVE TREATMENT CREATES A LIFTED LOOK

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

Summer weather is here, and you may be feeling the lively energy. Warmer temperatures, new flowers, and green grass inspire fewer layers of clothing and more fun, flirty fashions. When you look in the mirror, though, you may wish that your skin better matched your mood. Those long winter months can exacerbate fine lines and wrinkles, and it seems nothing can stop that inevitable sagging and bagging that occurs around the jowls, under the chin, under the eyes, and even on the upper arms. Dr. Rayham of the RR Plastix/New York Plastic Surgery Center has a non-surgical treatment system that helps you say goodbye to sagging skin. When lotions and creams and facial exercises aren’t enough, you don’t have to settle. Dr. Rayham has an affordable, effective way to tighten, lift, and tone your skin, so that you can really rock the summer season this year. SkinTyte Stimulates Collagen for Firmer, Tighter Skin “SkinTyte” is a laser treatment for patients who want to tone and tighten the appearance of their skin. Made by the laser company “Sciton,” SkinTyte uses advanced infrared light technology to heat the collagen deep in your skin. At the same time, it protects the surface of the skin with a sophisticated cooling element. SkinTyte is so minimally invasive that it doesn’t even require anesthetic. It delivers laser energy in gentle, rapid pulses that stimulate collagen. A cooling gel may be applied to skin, and patients experience no more than a slight warming sensation. Yet the results are impressive. According to a 2010 study, clinical results show real tissue tightening. How Does SkinTyte Work? Collagen is the main protein found in the skin and other connective tissues, and is used by the body to create the latticework that forms the foundation of the skin. Over time, however, that latticework can break down and loosen, due to exposure to UV rays, pollution, and other environmental assaults. Age, poor diet, and stress also damage and distort those tissues. The body produces less collagen as we age, so we have fewer resources for repair and restoration. This gradual collagen breakdown results in loosened, stretched, and saggy skin. It’s why you may be noticing more fine lines and wrinkles, as well as sagging under the eyes and around the jowls. SkinTyte stimulates the collagen in skin, and then the

body’s own natural healing processes help repair and tighten it again. The treatment takes only about 30 minutes, and there is no downtime — you can immediately return to your regular daily activities. Full results take up to four months, as the collagen is repaired, strengthened, and rebuilt. Gradually, you notice tighter skin, with reduced fine lines and wrinkles, increased definition of the jaw line, and softening of the lines around the mouth and eyes. What Types of Skin Problems Does SkinTyte Treat? SkinTyte is not only for the face. Because it stimulates collagen, and collagen exists in all skin, it can be used to improve a variety of skin issues. These include: ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■

Fine lines and wrinkles on the face Saggy under eye skin Eleven lines on the forehead Marionette lines around the mouth Saggy jowls or a fatty chin Saggy skin on the neck Stretch marks Cellulite Uneven skin tone and texture Saggy abdominal skin (such as after pregnancy) Saggy upper arms

Am I a Candidate for SkinTyte? This type of treatment is non-invasive, requires no incisions, and no anesthesia. The risks are much lower than for more invasive treatments. For most people— men and women—it is completely safe. If you wish to enjoy tighter, plumper, more youthful looking skin, talk to Dr. Rayham about what you’re looking for. Chances are you will be eligible for SkinTyte. The only precautions you must take after treatment are to carefully protect skin from the sun. It will damage the tender collagen after the procedure, so it’s critical to protect the skin for several weeks. Diligently use sunscreen and other sun-protecting items like hats and umbrellas. Look Your Best This Summer! If you’d like to spruce up your look this summer, talk to Dr. Rayham about SkinTyte. A personal consultation is the best way to see if this gentle treatment will work for you. For more information, stop by and see the doctor at his offices in Manhattan, New York City, Brooklyn, and Staten Island. You can also call the RR Plastix/New York Plastic Surgery Center, 1–877–582–0400, or visit his website at www.rrplastix.com. www.4health.net

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718-509-0906

7 MYTHS AND TRUTHS ABOUT VARICOSE VEINS

www.USAVeinClinics.com

Have you heard that if you cross your legs too much, you’ll get varicose veins? Or that the only solution is painful surgery that involves weeks of recovery? These myths can be pretty frightening. Turns out the truth is a lot less dramatic—and more comforting. You no longer need to suffer from heavy legs, ulcers, and unsightly bulges in your legs. Treatment is a lot more manageable than you may think, and is now available in an outpatient setting at USA Vein Clinics. They have 30+ offices all over the nation, from New York to California.

MYTH #1: CROSSING YOUR LEGS CAUSES VARICOSE VEINS. You may have heard this from your relatives, but there is no evidence that it’s true. Real risk factors include having a family history of varicose veins or chronic venous insufficiency (CVI), being overweight, or living a sedentary lifestyle.

MYTH #2: SPIDER VEINS AND VARICOSE VEINS ARE THE SAME THING. Not exactly. Both are caused by defective veins. Inside a healthy vein, a valve works as a “door” to help block blood flow from sinking back down into the legs. An unhealthy vein has a malfunctioning valve that allows blood to leak through and pool in the legs and feet. Spider veins are typically smaller, sometimes described as “wispy,” and appear just under the surface of skin as clusters or nests of blue and red blood vessels. They can sometimes look like a bruise. Varicose veins are larger, bulging, blue or purple, and raised.

MYTH #5: TREATMENT FOR VARICOSE VEINS IS PAINFUL AND REQUIRES WEEKS OF RECOVERY. This used to be true, as the only treatment available was one called “stripping,” which involved making one or more incisions along the leg and actually removing the defective vein from the leg. Today’s more advanced treatments require no stitches, no hospital stay, and no sedation, and downtime is minimal, with most people returning to regular activities same day or the next day.

MYTH #6: THERE’S NO SENSE IN TREATING VARICOSE VEINS, AS THEY WILL COME BACK. This used to be common with treatments like stripping, but is much less so with more advanced methods that use imaging tools like the ultrasound to correctly map out the location of all diseased veins. When the surgeon can see all the veins that need treatment, he is more likely to get them all, greatly reducing risk of recurrence.

MYTH #7: MY INSURANCE PLAN WON’T COVER TREATMENT FOR VARICOSE VEINS. This may be true with strictly cosmetic issues, but varicose veins are a medical problem, particularly if they are causing symptoms. Though all insurance plans vary, USA Veins can prove in most cases that the treatment is medically necessary, in which case insurance coverage usually applies.

USA VEINS EXPANDS ITS LOCATIONS MYTH #3: ONLY MIDDLE-AGED WOMEN GET VARICOSE VEINS. Anyone can get them, including men.

MYTH #4: VARICOSE VEINS ARE JUST A COSMETIC PROBLEM. This is one of the most dangerous myths out there, as varicose veins can lead to debilitating problems when left untreated. Complications can include ulcers that won’t heal, hardening of the lower leg and ankle, difficulty walking and doing daily activities, and even blood clots.

USA Vein Clinics (www.usaveinclinics.com) offers today’s advanced treatments for both spider veins and varicose veins, with doctors who specialize exclusively in circulatory problems. At the varicose veins New York treatment center, USA Vein Clinics doctors perform all the tests you need for correct diagnosis, and then create a treatment plan to fit your needs. They are also available at the Illinois locations. Call today at 718-509-0906 or go to www. USAVeinClinics.com to schedule a consultation.

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IS YOUR DOCTOR AS GOOD AS SHE SHOULD BE?

5 WAYS TO TELL IF IT’S TIME TO LOOK FOR A NEW DOCTOR ■■■

By Lynn Merrell

You’ve had the same doctor for a while now. You think everything is okay, basically. Maybe you’re not thrilled with the relationship, but you figure your doctor knows what she’s talking about, so you try not to worry about it too much. According to research, though, if you don’t have a really good relationship with your doctor, you could be shortchanging your own health future. In a recent study review of 13 clinical trials, researchers found that doctors with good people skills had patients who were better able to lose weight, lower their blood pressure, and manage their pain. “Patients need to understand that it’s okay to look for a doctor who meets your preferences and expectations,” Alan Christensen, a professor of psychology at the University of Iowa, told Healthday. But just how can you tell if your doctor is failing to meet your preferences or expectations — or if you’re just being picky? Here are a few tips.

1. You feel like she doesn’t have time for you. Doctors are rushed these days, there’s no doubt. But you need to feel like you can ask questions if you have them. Keep in mind that doctors have other patients they have to get

to, but realize, too, that you’re just as important as the rest. Tip: Bring a list of questions with you to the appointment so you won’t forget to ask. If your doctor is about to rush out, ask her to give you just a few more minutes. If you still feel hurried out of the office, you may need to find a new doctor. 2. He never listens to you. Again, this can be a byproduct of a doctor’s limited time, but if you’re continually getting the brush-off, or if your doctor can’t listen to two words without interrupting, he may be the wrong doctor for you. You need someone you can talk to — and someone who respects the fact that you know your body best. Tip: Note how you feel when you’re talking to your doctor. Are you relaxed? Do you feel like you’re being understood? Or do you feel like you can never get a word in edgewise, or that your concerns are never addressed? 3. She doesn’t explain things. Your doctor puts you through a number of tests — blood tests, scans, MRIs, EKGs — and doesn’t tell you why. When the results come in, she has little to say about them. When you ask, she speaks in medical jargon you can’t understand. When she suggests a procedure, she fails to tell you about the risks. When you ask, she brushes it off. Tip: Make it clear to your doctor that you want to know what she’s doing and why, every

step of the way. If she still ignores you, look for someone else. 4. You’re not sure you trust him. He seems to know what he’s talking about, but you’re uneasy about his recommendations. You ask questions, and he answers them, but you’re still unsure. He wants you to go in for a certain surgery, but it doesn’t feel right to you. Tip: Anytime you feel uneasy, stop and give yourself time before you make any decisions. Ask more questions, and if that doesn’t help, get a second opinion. These can often be eye opening, and may help you see why you felt uneasy in the first place. 5. The doctor is okay, but the office staff members are terrible. They forgot to mark down your appointment. They’re rude when you go into the office or when you ask questions. They’re unhelpful on the phone. They fail to pass on messages to or from the doctor. Tip: Tell your doctor about the difficult experiences you’re having, and see if she makes a change. If not, it may be time to change offices. Even if you like the doctor, the staff is your lifeline to her, and they need to be just as trustworthy and efficient. If you do end up needing to look for another doctor, check our directory at the back of this magazine, or look online at RateMDs.com or Vitals.com. www.4health.net

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HOW TO AVOID LYME DISEASE THIS SUMMER 10 TIPS TO KEEP YOU AND YOUR FAMILY SAFE

■■■ Lynn Merrell As the weather warms up, the bugs come out, and ticks are no exception. Lurking in the woods, on lawns, and in the hair of household pets, these little eight-legged parasites are sometimes harmless, but other times infectious, carrying the Lyme disease bacteria known as «Borrelia burgdorferi.» Lyme disease results in a bulls-eye rash, fever, headache, and muscle or joint pain. If caught early and treated, it is almost always cured. Left untreated, however, it can create swelling and pain in major joints, as well as mental changes months after infection. Lyme disease is most prevalent along and inland from the upper east coast, in the upper Midwest, and in northern California and Oregon coastal areas. According to the Centers for Disease Control and Prevention, the number of cases of Lyme disease is on the rise, with most cases concentrated in the mid-Atlantic and northeast portions of the country, and the North Central states around the Great Lakes. To keep you and your family safe this spring and summer season, take the following precautions! Be cautious in the warm weather. The risk of Lyme disease is highest when the weather is warm and you’re likely to be outside in wooded areas, hiking, camping, gardening, or walking the dog. Know where to expect ticks. Most of them live in moist and humid environments, near

wooded or grassy areas. Walking through vegetation such as leaf litter or shrubs increases your risk of coming into contact with ticks. Wear light-colored clothing with long sleeves, long pants, sturdy shoes, and a hat or other head covering. Light colors allow you to better detect any ticks that get on you. Tuck your pants into your socks when walking in wooded areas. You may also tape the area where pants and socks meet. Use insect repellant. Those with at least 20 percent DEET are most effective against ticks. Avoid hands, eyes and mouth when applying, and use on exposed skin and on clothing. You can also treat your clothing and shoes with permethrin. Walk in the center of trails. Keeping away from vegetation helps keep ticks off you. Check for ticks when you return. Always check yourself and your family members— particularly young children—for ticks after you’ve spent time in the outdoors. Check all parts of the body, particularly under the arms, in and around the ears, inside the belly button, on the back of the knees, in and around all head and body hair, between the legs, and around the waist. Shower. After walking in wooded or country areas, and after checking yourself and loved ones for ticks, take a shower right away and throw your clothes in the washer.

Keep a well-groomed yard. Unkempt lawns make perfect homes for ticks. Remove leaf litter, brush, and weeds around the edges of the lawn. Restrict the use of groundcovers like pachysandra. Watch out for natural tick homes. Woodpiles and other sheltered areas, particularly those that attract mice, may attract more ticks closer to your home. Move woodpiles and bird feeders away from the house, and control mice populations. Trim branches and let the sun into your yard as much as possible, and remove brush and leaves around stonewalls. Finally, keep brush trimmed so it doesn’t touch you when you walk by. Protect your pets. If you have cats or dogs that venture out into the woods, check with your veterinarian concerning tick-repellants for them.

WHAT IF I GET A TICK BITE? If you do happen to find a tick, remove it right away. Use fine-tipped tweezers to grasp the tick as close to the skin’s surface as possible, and pull upward with steady, even pressure. (Don’t jerk or twist.) If part of the tick breaks off, remove the rest with tweezers, then thoroughly clean the area and your hands with rubbing alcohol, soap, and water. If you develop a rash or fever within a few weeks, see your doctor right away and tell him about the tick bite. www.4health.net

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

Medical Office is looking for a FT Front Desk Receptionist and a FT Medical Assistant (experience is a MUST). 718-854-5100

Newly open Medical Office is seeking PT doctors: internal medicine, allergist, pain management, orthopedist. 718-975-3369

Medical Office is looking for a Certified Medical Assistant, full/time, 3 year experience. Excellent phlebotomy, medical terminology, computer skills. Bilingual â&#x20AC;&#x201C; English, Russian.

Call us if you need Mobile Ultrasound Services: Echo, Vascular and General Ultrasound. (917) 750-2275

available for PT. Own Malpractice Ins. Call Dr. Joseph Juliano 973-752-9559

Ultrasound technologist with five years of experience available for part time.

Nurse Practitioner, Physician Assistant (FT or PT) needed for Medical Office.

Telephone (917) 412-3797

Good reimbursement. 718-954-2202

Medical Office is looking for PA or NP for Internal Medicine Doctor. (347) 587-3777

Call 347-713-6871

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Per Diem Covering CHIROPRACTIC PHYSICIAN (NY/NJ Lic.)

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

Medical practice is looking for a Board-Certified Nurse Practitioner (f/t). 1 year experience. Call 718-676-2565, ask Richard

Credit Card Processing Services: Free terminal with setup NURIT 2085. Low Rates â&#x20AC;&#x201D; 1.67%. Free setup. Free plug-in to your software (billing). Free evaluation of your current statement . Free customer support 24/7. FREE online access. Call now (866) 573-0604 ext 706

Medical space for subleasing at 500 Brightwatercourt in Brooklyn (b/n Brighton 4th street and Brighton 5th Street) for any medical specialist (not for internal medicine doctor and podiatrist). The office is located in the building for senior citizens. There is a big potential for new patients referrals. For details call (646)251-6646.

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

Medical practice is looking for a Board-Certified Plastic Surgeon. Call 718-676-2565, ask Richard

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DENTISTRY - GENERAL

Vladimir LEMPERT, DMD

3037 Ave U Brooklyn, NY 11229

(888) 607-9725

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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

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Sergey ZHIVOTENKO, MD

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

(718) 576-1212

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

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Yekaterina LEVIN, DDS

7000 Bay Pkwy, Ste C Brooklyn, NY 11204

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Faina SHNAYDMAN, MD Leonard LEVITZ, MD

1749 E 16 St Brooklyn, NY 11229 th

312 Neptune Ave, Ste 1, Brooklyn, NY 11235 169-95 137th Ave, Jamaica, NY 11434

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1910 Ave U Brooklyn, NY 11229

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PLASTIC SURGERY

David SHUSTERMAN, MD

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

Ada KULAGINA, LAC

8635 21st Ave Brooklyn, NY 11214

MEDICAL SUPPLY

Globe SURGICAL SUPPLY 2029 Bath Ave Brooklyn, NY 11214

(888) 418-0442

(888) 410-3442 NUTRITION AND DIETETICS

USA VASCULAR CENTERS

2444 86th St, Ste A Brooklyn, NY 11214

Chloe CARMICHAEL

230 Park Ave, Fl 10 New York, NY 10196

(212) 729-3922 PSYCHIATRY

Yuly CHALIK, MD

USA VEIN CLINICS

(347) 508-3991

2511 Ocean Ave, Ste 102 Brooklyn, NY 11229

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

1153 First Ave New York, NY 10065

2444 86Th St, Ste A Brooklyn, NY 11214

Albert GROSS, CNS, NYS, CDN

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

(718) 376-8317

MEDICAL TRANSPORTATION

1942 E 8th St Brooklyn, NY 11223

(718) 393-5331

www.nylifex.com

MULTI SPECIALTY

116-02 Queens Blvd Forest Hills, NY 11375 1975 Hylan Blvd Staten Island, NY 10306

Roman RAYHAM, MD, BOARD CERTIFIED IN PLASTIC SURGERY

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

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

Felix DRON, MD

7620 Bay Pkwy, Ste 1B Brooklyn, NY 11214

(718) 232-1492

(877) 582-0400

www.nyplasticsurgerycenter.com

Vitaly RAYKHMAN, MD

4159 Broadway Washington Heights, NY 10033

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

59-20 Myrtle Ave Queens, NY 11385

www.nyui.org

122 Fulton St, 5th Fl. New York, NY 10038

(347) 508-3991

PODIATRY

30-33 Steinway St Astoria, NY 11103

RANNETA TRANSPORTATION Multi SPECIALTY CLINIC

62-69 99th St., Ste 2B, Rego Park, NY 11374

(347) 848-0049

3023-3027 Ave V Brooklyn, NY 11229

(877) 807-0989 AESTHETIC CENTERS

5221 Broadway New York, NY 10463 2965 Ocean Pkwy, 3rd fl, Brooklyn, NY 11235

Interborough DEVELOPMENTAL & CONSULTATION CENTER

156 Route 59, Ste B1, Suffern, NY 10901

(718) 509-0906

1623 Kings Hwy, Fl 4 Brooklyn, NY 11229

www.usaveinclinics.com

(888) 987-5751

Michael PATIN, MD

Leon STEPENSKY, DPM

Ridwan SHABSIGH, MD

3111 Brighton 2nd St., Brooklyn, NY 11235 235 Wyckoff Ave, Brooklyn, NY 11206 99 Moore St., Brooklyn, NY 11206

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

(718) 234-6767

102-51 Queens Blvd Forest Hills, NY 11375

(718) 896-2333

(718) 283-7746

(718) 874-0224

LSA RECOVERY

1300 Ave P Brooklyn, NY 11229

(888) 983-4055

www.4health.net

6417 Bay Pkwy Brooklyn, NY 11204

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