Sonoma Magazine Experts Guide to your Health 2019 by SMIDigital Operations

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Plastic and ReconstRuctive suRgeon Barry Neil SilBerg, M.D., F.a.C.S. as a board certified Plastic and Reconstructive surgeon, dr. Barry n. silberg is a valued member of the santa Rosa Memorial trauma team where he repairs difficult and complex facial injuries and fractures. dr. silberg is a sought-after plastic & cosmetic surgeon known for his artistry and balanced, natural looking results.

Experts’ Guide to Health How does one decide between getting a facelift vs. non-surgical treatments? While we offer many excellent skin rejuvenation and tightening treatments, the improvements are less dramatic than with facelift surgery. Your goals will help us determine your best options. For instance, for skin laxity and sagging, facelift surgery may be your optimal choice. during your consultation, both surgical and nonsurgical options will be presented to help you decide on the best way to achieve the outcome you desire. Who are ideal candidates for a facelift? Men and women alike are good candidates for facelift surgery if they are troubled by: • Sagging in the middle or lower part of the face • Deep creases below the lower eyelids or along the nose extending to the corner of the mouth • Formation of jowls, loose skin and/or fat under the chin (double chin) • General loss of a youthful appearance due to stress or other factors as with any surgical procedure, it’s a big plus when candidates are non-smokers and maintain good habits for nutrition and fitness.

dr. silberg will reposition the deeper tissues (sMas fascia) with permanent sutures beneath the skin and the excess skin will be removed. the tightened skin will be re-draped over the supporting structures. the skin itself is not asked to do all the lifting. this procedure eliminates jowls and sagging skin under the chin, and restores naturally youthful contour to the face and neck. dr. silberg does this procedure in his fully credentialed surgical suite. Is general anesthesia necessary for a facelift? general anesthesia should be reserved for situations when it is absolutely necessary because of the potential health risks. dr. silberg has done thousands of procedures under conscious sedation with a board certified anesthesiologist without a single adverse event. What is the recovery like? after your procedure, you will be taken into recovery and carefully monitored. Before you are released to be taken home by a friend or family member, you will be given specific instructions for aftercare and follow-up. After you have gone home, Dr. Silberg is available 24/7 to respond to any concerns should they arise. You should plan for restricted activity for approximately three weeks. during this period of time, swelling will decrease and your face will appear refreshed, and restored.

What is the difference between a mini lift and a full facelift? Mini lift: Patients who exhibit a mild degree of loose jowls and sagging skin are often good candidates for a mini-facelift. this is a less invasive technique that allows a cosmetic surgeon to tighten the skin through shorter incisions, typically located along the hairline above each ear and/or in the natural creases surrounding the ear. these procedures can look really good at first but, because the skin is very elastic, they do not last very long. Facelift: a standard or “traditional” facelift will more fully address moderate to advanced aging around the mid-face and neck. While the surgery is more extensive than those for a mini-facelift, and thus more recovery time is required, the results are more dramatic and are far longer lasting.

Dr. Marcus anD rebecca Porrino Dr. Marcus and Rebecca Porrino are licensed Naturopathic Doctors practicing general family medicine at their clinic in Sonoma since 2008. They received their doctorates from the National University of Naturopathic Medicine (NUNM) in Portland, Oregon, the country’s top Naturopathic medical school.

What is a Naturopathic Doctor? in california, Naturopathic Doctors (NDs) are licensed as primary care providers, able to diagnose and treat illness; similar to an MD, who practices as a general practitioner or family practice doctor. NDs can order laboratory tests, imaging and utilize these tools, as well as an extensive history and physical exams, to diagnose and manage illness. NDs use a small formulary of medications when needed, but prefer less invasive methods first. Key Principles in the Naturopathic Approach: • Taking time with patients allows for better health care. • The body is capable of healing and self-regulating. Give it support to do so. • Doctor and patient are partners in the healing process. • All aspects of the patient’s life matter: diet, lifestyle, relationships, and spirit. • Natural medicine, from nature, is less invasive, therefore should be used first whenever possible. • Prevention is good medicine. What else do you do? • Well Baby and Child Care / Pediatric Care • School and Sports Physicals • Fertility and Hormone Support • Men’s Health (prostate and sexual health) • Women’s Health (annual exams, PAPs, gynecology, hPV alternatives, etc) • Adjunctive Cancer Treatment Support • Digestive Issues, Food Intolerance • And Much More! Will the doctors work with my primary care physician or refer to a specialist? Absolutely. We have good relationships with many of the physicians in Sonoma and Marin counties. We believe in a team approach. We will refer to a specialist when we feel it is necessary.

What are your patients saying about you? “I have been sick for 25 years, since the removal of my thyroid. After 6 months working with Dr. Rebecca, I have felt better than I had since I was a teenager. —TR, 60 years old, Sonoma i probably would never have gone to a naturopathic doctor if i hadn’t been referred by friends. I am so glad I took the leap. —HB, Petaluma I was taking 7 medications — including 2 infusions every month — for my rheumatoid arthritis and diabetes. i am down to one medication, i have lost 80 lbs, i no longer have “flares”, i eat better and feel better than i ever have before. —DT, Suisun City I am off my Lipitor. I never liked that stuff. Thank you Dr. Marcus for creating a program for me that keeps my cholesterol in check. —JB, Napa After years of prescriptions, over-the-counter sprays and pills, i finally have the tools I need to manage my allergies without them. Thank you, Dr. Marcus. —TS, Sonoma “I feel as though I am well taken care of here. I don’t feel rushed.” EQ, Sonoma “i really feel at ease in your hands.” —DM, Sonoma “Thank you, Dr M., for all your wonderful help and thoughts for when I was going through my cancer surgery and treatment.” —AH, Petaluma “You are the first doctor that has touched me in many years. Thank you for taking the time.” —DO, Rohnert Park “Wow. That was the most satisfying medical experience i have ever had. Thank you.” —LO, Sonoma “Thank you. I feel a sense of direction. I am so glad I decided to come in.” —LM, Calistoga “I feel as though I am well taken care of here. I don’t feel rushed.” EQ, Sonoma “My digestion has been awful since my gall bladder surgery. No one had any solutions for me until i came here. Now i can manage it myself.” DA, Sonoma “For years, I have been looking for someone to look after me and my family with a philosophy of health and prevention. Someone who knows about nutrition and natural medicine, isn’t quick to grab the prescription pad…Glad we found you.” —OW, Napa”

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Barry neil silberg, M.d., F.a.c.s. | 1111 sonoma avenue, ste 210, santa Rosa, ca 95404 | 707.528.0911 | www.silberg.com

Sonoma Naturopathic Medicine | 710 W Napa Street #1 | 707-996-9355 | www.sonomanatmed.com

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Obstetrics and GynecOlOGy Shazah Khawaja - MD, FACOG Shazah Khawaja, MD, FaCOG, is an obstetrician & gynecologist with ncMa Women’s Ob/Gyn center in santa rosa, california. dr. Khawaja is board certified and specializes in obstetrics, gynecology, minimally invasive laparoscopic surgery and uro-gynecological procedures. she is also certified in non-surgical, elective gynecological procedures, including Monalisa touch and Votiva.

I am pregnant. Is it okay that I have some cramping or bleeding? it is okay to have some cramping or stretching of the ligaments around the uterus. this stretching can cause cramping that in some patients can be more severe than others. it is always best to see your provider to make sure no other problems are occurring. However, if you are dealing with ligament pain, tylenol is often sufficient to relieve that discomfort.

Do midwives only treat pregnant women? no, actually. in our practice in santa rosa, each of our midwives holds master’s degrees in nursing. they are highly skilled at providing a range of thorough, individualized care to women and their families throughout their pregnancy, birth and post-partum periods.

bleeding, on the other hand, can be normal but an assessment by your obstetrician is important. sometimes bleeding can be due to placement of the placenta. at other times it can be completely normal after doing something strenuous or intercourse.

not all of our midwifery patients are pregnant or post-partum. in fact, approximately only 60 percent of our patients are pregnant. the other 40 percent of a typical midwife’s patients receive care for a variety of needs, including: annual exams, contraceptive consults, gynecological concerns, breast exams, cancer screening and menopause management.

What can I do to prevent leakage? Urinary incontinence is often categorized into two types: stress incontinence and urge incontinence. remedies for stress incontinence can include pelvic floor therapy (Kegel exercises), vaginal pessaries, Votiva radiofrequency treatment, and some minimally invasive surgeries.

Is there anything I can do to minimize pain during sex? depending on the cause of your pain, there are a number of ways to treat this common condition among perimenopausal and menopausal women. simple remedies include trying sensual activities like massage. take pain-relieving steps before sex: empty your bladder, take a warm bath, or take an over-the-counter pain reliever.

Urge incontinence treatment can be improved with bladder retraining, dietary modifications, medications and percutaneous tibial nerve stimuation (Ptns), a low-risk, non-surgical treatment. Ptns works by indirectly providing electrical stimulation to the nerves responsible for bladder and pelvic floor function.

after consulting with your gynecologist, you may learn that the reason you experience pain during sex is due to vaginal dryness. For some women, estrogen creams can be beneficial. newer non-invasive, non-surgical technologies, like Monalisa touch and Votiva, help restore your body’s organic response to sexual stimulation so that you can self-lubricate during sexual activity. Monalisa touch uses laser energy to help restore vaginal elasticity and lubrication to improve vaginal health. Votiva is an advanced form of treatment that utilizes heat and rF technology to provide relief from painful sex, especially for women after having a recent vaginal delivery. We perform both procedures in-office and neither require anesthesia.

Podiatry Ashleigh e. Korves, DPM, FAsPs dr. ashleigh Korves is a podiatric foot and ankle surgeon with NCMa Foot and ankle Center in Santa rosa. She prevents, diagnoses, treats and rehabilitates medical and surgical conditions of the foot and ankle.

What conditions can podiatrists treat? Podiatrists treat a variety of conditions related to the foot and ankle. our practice specializes in: · achilles tendinitis & ruptures · ankle and foot sprains · arthritis of the foot & ankle · Bunion deformities · Custom orthotics · Flatfoot deformities · Fractures · Hammertoe deformities · ingrown toenails · Neuromas · Plantar fasciitis (heel pain) · Sports & dance injuries · Warts · Wound care & limb salvage

usually covered by health insurance plans. However, not all podiatrists accept all insurance plans so always check with your provider first before beginning your care. Can a podiatrist perform surgery? yes! Podiatrists are doctors who attend four years of podiatric medical school training followed by at least three years of residency training. they receive their doctor of Podiatric Medicine (dPM) and are certified by the american Board of Foot and ankle Surgery, in Foot Surgery, with the ability to also certify in reconstructive Foot and ankle Surgery. their training is very similar to medical doctors (Md or do). dPMs focus on the foot and ankle much earlier in their training. Podiatrists can do surgery, treat acute injuries and broken bones, prescribe medications, admit patients to the hospital and order lab or imaging tests.

Do I need a referral to see a podiatrist? Patients do not need a referral to see a podiatrist, unless your insurance requires referrals to see a specialist. you may make an appointment directly with NCMa Foot and ankle Center in Santa rosa at any time: 707-575-6033. to learn more about our services and practice philosophy, visit us at www.ncmahealth.com. Do podiatrists take insurance? as a Northern California Medical associates practice, NCMa Foot and ankle Center accepts most commercial health plans and Medicare. in general, foot and ankle services provided by podiatrists are

500 doyle Park drive, suite #103, santa rosa, california 95405 | 707-579-1102 | https://www.ncmahealth.com/doctors/shazah-khawaja-md-facog/ ashleigh e. Korves, dPM, FaSPS | 1701 Fourth Street, Suite 100, Santa rosa, California 95404 | 707-575-6033 | www.ncmahealth.com/doctors/ashleigh-e-korves-dpm-fasps

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REVERSE AGING & HEALTH RESTORATION Dr. Eliot A. CArtEr, DC, FiCPA BEth CArtEr, ChC, hhP CARTER WELLNESS CLINIC is passionate about the care they provide to the North Bay community in which they serve and live. From a holistic point of view, they see the patient as an individual not a list of symptoms and design regenerative heath programs for the individual to not only become symptom free but to be healthy. What is Reverse Aging? We see patients every day that have been told that the conditions they are experiencing are just part of normal aging. Whether degenerative joint disease, diabetes, heart disease, obesity, hormone dysfunction even wrinkled or crepey skin and more. For example, why is it that one knee needing replacement has “age appropriate” degeneration and the other is perfectly normal? Aren’t they the same age? At Carter Wellness Clinic we know that many degenerative conditions are reversable. We see the results of our work every day in the 1000s of patients we have treated. By removing the internal and/or external stressors on the body, we can restore the innate ability for the body to regenerate and heal itself. What is Health Restoration? Everything we do is health restoration. By determining the cause of one’s symptoms, we can address the dis-ease a patient is experiencing. We then can put together a treatment protocol using the most advanced techniques and cuttingedge technologies to remove that dis-ease and restore normal function. This technological advantage allows the team of Carter Wellness Clinic to unravel symptoms much like peeling away the layers of an onion to find root causes and subsequent relief. What Health Opportunities do you offer? Pain Cessation: Don’t just relieve pain. Stop it! Then, reverse the effects of degeneration. Weight Loss: We customize programs to meet the individual patient’s need for healthy fat loss.

About the Practitioners In practice since 1997, Dr. Carter strives for excellence in his field. By continuing to educate himself in the latest techniques and technologies he is able to help more patients in more ways than he thought possible 20 years ago. As a result, Dr. Carter has been honored multiple times by his community as best health practitioner in Sonoma as well as by Sonoma county doctors as one of the best in his field in Sonoma County. He currently serves as the Vice President of the California Chiropractic Assoc. North Bay district and is a member of countless other professional associations. Not long after being in practice, Dr. Carter became frustrated with the traditional medical model of only treating symptoms like getting a patient out of pain instead of treating the true cause of that pain and restoring normal function. Dr. Carter was led to much post-doctoral education and training and has become a specialist for some of the most advanced treatments for spinal and joint pain, weight loss and body sculpting. As a Certified Health Coach and Board-Certified Holistic Health Practitioner, Beth Carter has long sought after a natural response to health needs. Certification from the Institute of Integrative Nutrition and additional certification from the Zyto Corporation have allowed her to push beyond her knowledge of dietary theory into the development of a Lifestyle Modification Program which tailors protocols and results based on individual background and expectation. Along with scientifically proven methods, Beth is able to guide patients to one common goal – their best health yet. Joining Carter Wellness Clinic has offered her the opportunity to blend her passion for education and natural health and has since become the inspiration of many in leading them to take responsibility for their own actions regarding their health.

Body Sculpting: Utilizing several different technologies, we customize a protocol to get you to your ideal body with zero pain and zero down time. Lifestyle Modification: We help patients fit their lifestyle into their health goals and health goals into their lifestyle.

Carter Wellness Clinic | 181 Andrieux St. Suite 201, Sonoma | 707-939-1393 | www.carterwellnessclinic.com

ChIrOPraCTOr DR. KATHY O’CONNOR, DC Dr. Kathy O’Connor is a graduate of the Palmer College of Chiropractic in Davenport, Iowa and has been in practice for 24 years. Dr. O’Connor uses a combination of time tested techniques and cutting edge technology that focuses on structural correction of the spine. This results in longer lasting stabilization of the spine which contributes to overall healthier living.

What does a doctor of Chiropractic do? Chiropractic champions a natural method of healing advocating a non-surgical, noninvasive and drugless approach to the treatment of patients. Grounded in a view of the individual as an integrated being, the Doctor of Chiropractic focuses on spinal health and wellness as the keys to overall health and well-being. The human body is controlled by nerves. Everything (circulation, breathing, elimination, etc.) is under the direction of this unbelievably complicated system. If the impulses of this network are transmitted normally to and from the brain, the body will be healthy and able to ward off disease. Chiropractic adjustments relieve interference of these nerve impulses. How is Dr. Kathy O’Connor’s approach different to others in her profession? Dr. O’Connor utilizes a combination of hands on adjusting, as well as a computerized adjusting instrument that senses motion and the frequency (vibrations) of the vertebra. The instrument matches the frequency, essentially employing a biofeedback mechanism. This moves the vertebra much easier. The pressure can be adjusted to the patients tolerance. There is never any twisting of the spine. She also employs a Class IV K-Laser and Pulsed Electromagnetic Therapy when needed. The K-Laser is the latest and most effective modality for speeding healing of tissues biochemically. Pain and inflammation are quickly reduced. It was just FDa approved for Neuropathy resulting from Chemotherapy and Diabetes. It is 90% effective. The PEMF charges the cells, increasing oxygenation for optimum healing.

What are the benefits of on-going Chiropractic care? There are so many! When your spine is properly aligned, there will be less degeneration. Better sleep! We heal at night when we sleep and good sleep benefits all functions of the body. reduce Stress! When you don’t have pain in your body, your mood is better. Gain Confidence! The better your posture, the taller you stand and the more confidence you feel. Others will see you that way too! A few of the many customer testimonials: after being completely unable to walk due to pain and no better after a two day stay in the hospital, I went to Dr. Kathy O’Connor, on pain medication and a walker. She adjusted my back and my pain went from a 10+ to a 5. The following day I no longer needed my walker and a total of five days later I went back to work! hope is within Dr. Kathy O’Connor’s chiropractic office. her healing hands, heart and equipment really work. – Mark, Petaluma It was hard to believe that I could no longer walk. When two years earlier I had been exploring 10,000-foot high Sierra passes and pushing 20 miles down trail (with pack), I had become barely able to walk my dog two blocks at sea level. It was painful to stoop to garden. I hobbled up stairs. Simple exertions made me grunt like an old man. What was happening to me?!? The personable Dr. O’Connor (“Kathy”) got me up and - literally - running again. Fabulous. Even my untrained eye can see the changes on the radiographs. and the dog clearly thinks eight blocks is better than two. They say she’s the best in town; I agree. – Jeff, Petaluma My Whole life I have experience pain, sickness and even depression. Since my visits to Dr. O’Connor, I have never felt better. I didn’t know what it felt like to be pain free. Now I do. I wish I had done it years ago. It has been completely life changing and for the first time in my life I can honestly say I am happy. – Sierra, Petaluma

Dr. Kathy O’Connor | 5 Keller St Suit C, Petaluma, Ca 94952 | (707) 778-1145 | www.dockathy.com

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ORTHODONTICS ORTHODONTICS

Brian W. Payne, D.D.S. Brian W. Payne, D.D.S.

Dr. Brian Payne is board certified and has orthodontic offices in Santa RosaPayne and Windsor. additionand to his 30 years offices in Dr. Brian is boardIncertified hasover orthodontic private Dr.Windsor. Payne is In a leader in to hishis profession having in Santapractice, Rosa and addition over 30 years in taught clinical orthodontics School for having eight years private practice, Dr. Payne isataUCSF leaderDental in his profession and is currently on faculty inatthe department of orthodontics at taught clinical orthodontics UCSF Dental School for eight years the University Pacific/Dugoni of Dentistry. and is currentlyofon faculty in theSchool department of orthodontics at the University of Pacific/Dugoni School of Dentistry.

FAMILY AND COSMeTIC DeNTISTRY FAMILY AND COSMeTIC DeNTISTRY LeSLie Jue DDS, inc. LeSLie Jue DDS, inc. Dr. LesLie Jue is working together to make better smiles. She attended the of California at Davis withtoamake degree in Physiology. She has been Dr.University LesLie Jue is working together better smiles. She attended providing exceptional patient care to all ages for the past 30 years in her been state the University of California at Davis with a degree in Physiology. She has of the art boutique dental office. Smiles been given providing exceptional patient careJue to all ageshas for the past 30 accolades years in heronstate taking the pain out of dentistry by providing a compassionate atmosphere of the art boutique dental office. Jue Smiles has been given accolades on you could have all your family members trust in. Dr Jue provides superior taking the pain out of dentistry by providing a compassionate atmosphere to an extended family of patients also is techniques and all excellent caremembers you could have your family trust in. Dr Jue providesand superior an instructorand of clinical oralcare healthcare at her alma mater the Arthur Dugoni to an extended family of patients andA. also is techniques excellent School of Dentistry. Dr Jue is married to Dr. Brian Payne and they both look an instructor of clinical oral healthcare at her alma mater the Arthur A. Dugoni forwardof toDentistry. having their caretoofDr. your family. School Dr family Jue is take married Brian Payne and they both look forward to having their family take care of your family.

What is unique about Dr. Payne? Dr. Brian Payne about is a native of Santa Rosa and a What is unique Dr. Payne? Montgomery High School alum. He Rosa is continuing Dr. Brian Payne is a native of Santa and a in father’s footsteps, having taken over his Montgomery High School alum. He is continuing father’s orthodontic and is excited in father’s footsteps,practice, having taken over his to announce that the family legacy will continue father’s orthodontic practice, and is excited to with his daughter Jacqueline, who will be announce that theDr. family legacy will continue joining practiceDr.after obtainingwho her will Masters with histhe daughter Jacqueline, be in Orthodontics from University of Pacific. Three joining the practice after obtaining her Masters generations of hometown orthodontists, proudly in Orthodontics from University of Pacific. Three celebrating 60 years of providing orthodontic care generations of hometown orthodontists, proudly for the Sonoma County community! Let our family celebrating 60 years of providing orthodontic care carethe forSonoma your family. for County community! Let our family care for your family. What modern technology does your office provide? What modern technology does your office Payne Orthodontics provides care for all ages provide? and is in the forefrontprovides of orthodontics cutting Payne Orthodontics care for with all ages edge technology including in-office CBCT, 3D and is in the forefront of orthodontics with cutting printing, intraoral scanning and digital treatment edge technology including in-office CBCT, 3D planning.intraoral Dr Payne is one ofand thedigital first orthodontists printing, scanning treatment that incorporates digital scans of the orthodontists teeth planning. Dr Payne is one of the first superimposed over 3D radiographs the bone that incorporates digital scans of theofteeth and soft tissue over in order to perfect your bite.bone The superimposed 3D radiographs of the aligners are then fabricated using computer and soft tissue in order to perfect your bite. The generated in-office on a 3D printer. aligners aremodels then fabricated using computer Our office provides the mostoncurrent treatment generated models in-office a 3D printer. modalities including Damon braces, Invisalign, Our office provides the most current treatment InBrace (lingual braces) and braces, in-houseInvisalign, aligners. modalities including Damon Dr. Payne takes pride in customizing treatment InBrace (lingual braces) and in-house aligners. for to provide the best treatment Dr. every Paynepatient takes pride in customizing treatment outcome. for every patient to provide the best treatment

Why do some children need orthodontic treatment early? children need orthodontic Why do some In addition to straightening teeth, orthodontists treatment early? areaddition specially to correct bites that are In totrained straightening teeth, orthodontists “off.” Overbites, crossbites, andbites underbites are specially trained to correct that areare all serious conditions that are much easier “off.” Overbites, crossbites, and underbites to are correct while the jaw is stillare developing. Correcting all serious conditions that much easier to these bite problems 7-9 years ofCorrecting age also correct while the jawearly is stillatdeveloping. prevents them from getting worse and developing these bite problems early at 7-9 years of age also into morethem serious problems. prevents from getting worse and developing into more serious problems. I am over 60 years of age, is age a factor in getting orthodontic treatment? I am over 60 years of age, is age a factor in No, orthodontic treatment can be performed on getting orthodontic treatment? people in their 50’s, 60’s, 70’s even, 80’s on No, orthodontic treatment can and be performed and 90’s, as long as your periodontal health people in their 50’s, 60’s, 70’s and even, 80’sis good and as thelong bone around your teeth and 90’s, assupport your periodontal health is is adequate. We see many adult patients and good and the bone support around your teeth are happy to We work with youradult primary care and dentist is adequate. see many patients and dental specialists as necessary to help you are happy to work with your primary care dentist achieve optimal dentalas health. and dental specialists necessary to help you achieve optimal dental health.

outcome.

I have a bad taste in my mouth. How important a 6 month cleaning? Iishave a bad taste in my mouth. How important A dentist can determine is a 6 month cleaning? if you need special cleanings thatdetermine could remove deposits A dentist can if youcalcified need special above and below the gum line. It is important cleanings that could remove calcified deposits to visit and yourbelow dentistthe annually andItmany patients above gum line. is important have teeth cleanings in shorter intervals to to visit your dentist annually and many patients keep their dental gums and bone healthy. have teeth cleanings in shorter intervals to It is important you gums may not gumhealthy. pain and keep their as dental andfeel bone It is the diseaseascan thepain gums and important youdevelop may notaround feel gum and deteriorate the bone. the disease can develop around the gums and deteriorate the bone. How can I have a brighter whiter smile? Keeping high whiter in fruitssmile? and How canaI healthy have a diet brighter vegetables can keep a bright smile. Keeping a healthy diet high in fruits and Your smile iscan a window to yoursmile. inner self, vegetables keep a bright so exercising, keeping a balance mentally, Your smile is a window to your inner self, and eating from the fabulous five boosts your so exercising, keeping a balance mentally,nutrition and and keeps you smiling. A dentist can help you eating from the fabulous five boosts your nutrition remove stains the teeth, Zoomcan whiten the and keeps youon smiling. A dentist helpinyou office, or prescribe whitening products to be remove stains on the teeth, Zoom whiten in the used with at home trays. office, or prescribe whitening products to be

office. going to the dentist for your regular check-up andtocleaning should be aregular part of your office. going the dentist for your exercise regime. check-upand andhealth cleaning should be a part of your exercise and health regime. How can I control my anxiety around going to the Howdentist? can I control my anxiety around going to Find a dentist who you know and trust. At Jue the dentist? Smiles Dentistry weyou have a family of patients Find a dentist who know and trust. At Jue who enjoy a personalized approach to their Smiles Dentistry we have a family of patients dental health and family. Quite often to a parent who enjoy a personalized approach their will bring in their child or mother first then dental health and family. Quite often aand parent once we gain their trust individual willthen come will bring in their child or that mother first and for an exam. I have been lucky to be a part of once we gain their trust that individual will come a family legacy of Sonoma county hometown for an exam. I have been lucky to be a part of dentists and hygienists. Wecounty treat each person a family legacy of Sonoma hometown with compassion and work their goals dentists and hygienists. We towards treat each person together to health. Anxiety is controlled in your with compassion and work towards their goals personal space by proper techniques to make together to health. Anxiety is controlled in your the dentalspace work by go proper faster while maintaining your personal techniques to make pain control and achieving a beautiful smile. the dental work go faster while maintaining your pain control and achieving a beautiful smile.

used with at home trays. What are the secrets to healthier gums? It usedare to be seniors would lose their teeth What thethat secrets to healthier gums? to gum disease and mobility. Today many adults, It used to be that seniors would lose their teeth teens, and children lead active lifestyles. to gum disease and mobility. Today many adults, A gum and examination and the proper radiographs teens, children lead active lifestyles. can give you a window into your dental health. A gum examination and the proper radiographs Preventative dental treatment for the gums and can give you a window into your dental health. teeth can save money and time at your dental Preventative dental treatment for the gums and teeth can save money and time at your dental

Payne Orthodontics | 1820 Sonoma Ave. Ste. 36, Santa Rosa | 9240 Old Redwood Hwy Ste. 106, Windsor | 707.546.5234 | paynesperfectsmileclub.com

Leslie Jue DDS, Inc. | 95 Montgomery Dr # 124, Santa Rosa | 707.546.1680 | juesmiles.com

Payne Orthodontics | 1820 Sonoma Ave. Ste. 36, Santa Rosa | 9240 Old Redwood Hwy Ste. 106, Windsor | 707.546.5234 | paynesperfectsmileclub.com

Leslie Jue DDS, Inc. | 95 Montgomery Dr # 124, Santa Rosa | 707.546.1680 | juesmiles.com

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SEXUAL HEALTH SEXUAL HEALTH

Diane Gleim, mFT, CST Diane Gleim, mFT, CST

Diane Gleim, mFT, CST, is a Licensed Marriage and Family Therapist and Certified Sex Therapist located in Santa Rosa, Diane Gleim, mFT, CST, is a Licensed Marriage and Family California. and As the first Certified Sex Therapist County, Therapist Certified Sex Therapist locatedininSonoma Santa Rosa, she treats the many issues to sexual identity, California. As the firstdiverse Certified Sex related Therapist in Sonoma County, sexual expression, behavior, and sexual relationships she treats the manysexual diverse issues related to sexual identity, in her private practice.sexual behavior, and sexual relationships in sexual expression, her private practice. What is sex therapy? Sex therapy is psychotherapy where the main issue What is sex therapy? the client is looking for help with is sexual in nature. Sex therapy is psychotherapy where the main issue For example, this can be a sexual functioning issue the client is looking for help with is sexual in nature. like erectile dysfunction, rapid ejaculation, or delayed For example, this can be a sexual functioning issue ejaculation in men; sexual pain, inability to orgasm, like erectile dysfunction, rapid ejaculation, or delayed or sexual avoidance in women; problems with desire; ejaculation in men; sexual pain, inability to orgasm, sexual anxiety and performance issues; assisting or sexual avoidance in women; problems with desire; clients with their gender transition; pornography sexual anxiety and performance issues; assisting issues; kinks and fetishes; an inner conflict about clients with their gender transition; pornography some aspect of their sexuality; sexual behavior that issues; kinks and fetishes; an inner conflict about feels out of control; couples in low-sex or no-sex some aspect of their sexuality; sexual behavior that marriages; couples in conflict about sex or having feels out of control; couples in low-sex or no-sex problems communicating about sex; couples who marriages; couples in conflict about sex or having want to open their relationship; and couples who problems communicating about sex; couples who are grappling with an infidelity or betrayal. Generally want to open their relationship; and couples who speaking I help my clients better understand their are grappling with an infidelity or betrayal. Generally sexuality, themselves, and their partner (if they are speaking I help my clients better understand their in a relationship). Whereas general psychotherapy sexuality, themselves, and their partner (if they are may help someone with their depression, anxiety, or in a relationship). Whereas general psychotherapy trauma for example, sex therapy has a specific focus may help someone with their depression, anxiety, or on sex. We still discuss all the other aspects of a trauma for example, sex therapy has a specific focus client’s life because sexuality is not solely a biological on sex. We still discuss all the other aspects of a process and does not happen in a vacuum. Sex client’s life because sexuality is not solely a biological happens in the greater context of a person’s life and process and does not happen in a vacuum. Sex is subject to many influences and it is important we happens in the greater context of a person’s life and come to understand their role. is subject to many influences and it is important we come to understand their role. Who do you treat? I work with adult individuals and couples. My clients Who do you treat? are age 18-80 and beyond and range from sex I work with adult individuals and couples. My clients workers to CEOs and everyone in between with a are age 18-80 and beyond and range from sex sexual concern. I also work with sexual minorities workers to CEOs and everyone in between with a like the LGBTQQIA+, kinky, and polyamorous and sexual concern. I also work with sexual minorities ethical non-monogamy communities. My clients like the LGBTQQIA+, kinky, and polyamorous and ethical non-monogamy communities. My clients

come into my practice through various means: they may be referred to me by their physician, their come into my practice through various means: generalist therapist, their friends, or they find me they may be referred to me by their physician, their online. My clients are all different. As a result I find generalist therapist, their friends, or they find me my clients endlessly fascinating and I am never online. My clients are all different. As a result I find bored with my work! my clients endlessly fascinating and I am never bored with my work! What sex is “normal”? Aaah yes, the “normal” question! The questions What sex is “normal”? “What’s normal?” and “Am I normal?” seem to Aaah yes, the “normal” question! The questions get asked at least once a week in my office. That “What’s normal?” and “Am I normal?” seem to question reflects an insecurity and the insecurity a get asked at least once a week in my office. That person may feel about their sexual self is rooted in question reflects an insecurity and the insecurity a shame. There is so much sexual shame out there. person may feel about their sexual self is rooted in We are first taught it as children and continue to be shame. There is so much sexual shame out there. sexually shamed as adults all the time. We can have We are first taught it as children and continue to be sexual shame about our bodies and genitals, about sexually shamed as adults all the time. We can have sexual acts and positions, about pleasure, and sexual shame about our bodies and genitals, about about our fantasies and turn-ons. Add to that how sexual acts and positions, about pleasure, and our culture-at-large seems stuck in an adolescent about our fantasies and turn-ons. Add to that how stage of sexual development it’s no wonder that my our culture-at-large seems stuck in an adolescent clients ask these questions. stage of sexual development it’s no wonder that my clients ask these questions. What is one or two things anyone can do to improve their sex life? What is one or two things anyone can do to Slow down and touch more. I can’t tell you how improve their sex life? many of my clients describe their sex life as wham Slow down and touch more. I can’t tell you how bam thank you ma’am and doesn’t last longer than many of my clients describe their sex life as wham 20 minutes. Sure there’s a time and place for a bam thank you ma’am and doesn’t last longer than quickie but what they describe is not really a quickie 20 minutes. Sure there’s a time and place for a per se; it’s efficient sex. Talk about unsexy sex! quickie but what they describe is not really a quickie Take your time, veer off the usual script, touch your per se; it’s efficient sex. Talk about unsexy sex! partner in places you don’t usually touch (of course Take your time, veer off the usual script, touch your avoiding any area you know they have a hard limit partner in places you don’t usually touch (of course on) and breathe deeply. Remember, it’s the journey avoiding any area you know they have a hard limit not the destination that’s the reward. on) and breathe deeply. Remember, it’s the journey not the destination that’s the reward.