Single Incision - Southwest Florida`s Health and Wellness Magazine

Transcription

SOU T H W EST
FLO RID A'S
www.swfhealthandwellness.com
FREE
Single
Incision
(Scarless)
Gallbladder Surgery
You Might Need
A Vein Specialist IF. ..
Dental
Prophylaxis
and the Periodontal
Maintenance Visit
Adult Stem
Cell Therapy:
Two Heartbeats of Success
Think Foot ... Think Ankle
Avoid Disaster
Myles Samotin, MD
Naples ONLY Orthopaedic Surgeon
Fellowship Trained in Foot & Ankle Problems.
fyou are looking for excellence in FOOT and ANKLE care; if you are
looking for a doctor who practices state-of-the-art Medicine; if
you are educated enough to understand that you may only want
an ORTHOPAEDIC SURGEON to touch your feet, then you owe it to
yourself to make an appointment.
There are many people with very serious problems of the foot and ankle
who go from doctor to doctor and remain undiagnosed or poorly treated.
The typical patient coming to see Dr. Samotin has been evaluated by many
other doctors. The patient usually finds that Dr. Samotin is the last doctor
they have to see.
Myles Rubin Samotin, MD
Board Certified Orthopaedic Surgeon
Fellowship Trained, Sub-specialist in Foot and Ankle Surgery
Columbia University, Hospital for Joint Diseases, New York City
870 111th Avenue North, Naples, Florida 34108
Call for information on our next seminar.
239.514.4200
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ists in Urology
S. Bergman, M.D.
M. D'Angelo, M.D. W. Figlesthaler, M.D.
N. Franco, M .D.
E. R. Grieco, M.D.
E. Gurevitch, M.D.
J. Jay, M .D.
C.langford, D.O.
S.luke, M.D.
R. Rivera, M.D.
Bonita Springs
Naples
Naples - East
Naples - North
Marco Island
Diamond Ridge Center
28930 Trails Edge Blvd.
Bonita Springs, FL34134
990 Tamiami Trail North
Naples, FL 341 02
Physicians Regional
8300 Collier Blvd.
Naples, FL34114
Physicians Regional
6101 Pine Ridge Road
Naples, FL 34119
40 S. Heathwood Drive
Marco Island, FL 34145
D. Wilkinson, M.D.
239-434-6300
www.specialistsinurology.com
-------------------------------------------- contact us 239-389-9449 --------------------------------------------
Ith
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NATIONAL BOAR O FOR
CE RTIFI CATIO N IN HEARI NG
INSTRUM ENT SCIENCES
Robert E. Tomas, D.O., FACOS
Anne Lord-Tomas, D.O., FACOOG
Board Certified General Surgery
Board Certified Gynecologist
•
oticon
PEOPLE FI .ST
1625 1 N. Cleveland Aven ue #8 (corner of Littleton Road)
North Fort Myers, FL 33903
997-8288
THE PATIENT OR ANY OTHER PERSON RESPONSIBLE FOR PAYMENT HAS THE RIGHT TO REFUSE TO PAY CANCEL
PAYMENT OR BE REIMBURSED FOR PAYMENT FOR ANY SERVICE, EXAM OR TREATMENT WHICH IS PERFORMED AS A
RESULT OF, AND WITHIN 72 HOURS OF RESPONDING TO THIS AD FOR THE DISCOUNTED FEE SERVICE
12640 World Plaza Lane, Building 71
Ft Myers, FL 33907
www.ufirsthealth.com
239.243.8222 1'.800.2.UFIRST
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Contents IJuly 20 I 0
8
Adult Stem Cell Therapy:
Two Heartbeats of Success
9
TAKE (LONG-TERM) CARE
Don't overlook this essential
part of retirement planning.
20 Alive & Well - A Holistic Center
21
10
11
Single Incision (Scarless)
Gallbladder Surgery
Hernias:Who Has Them
and HowTo Fix Them
What is a Daily Money Manager?
22 Comprehensive Dental Care,
Cozy Environment
24 Neurological and Vestibular Rehab
Dizziness and Balance Center
of Southwest Florida
26 Sonostream LIVE - Ultrasound
experience shared with loved
ones near and far
12 Colorectal Cancer
13 Bathroom Safety
27 Aging Gracefully
14 You Might Need A Vein
28 Can you repeat that please?
Specialist IF ...
16 EYELID REJUVENATION
17 Dental Prophylaxis and the
Periodontal Maintenance Visit
18 Late Bloomer or Delayed?
29
Doctors Talk About VAX-D
30 The Fracture That May Cause
You Stress!
31
Spiritual Wellness:
The Grand Buffet Belief System
THE
NATURAL
WELLNESS
EXPERIENCE
Listen me eyery Saturday
morning JO-JJam on WCCF
I WewsRadio
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..--. Regenocyte
STEM CELL THERAPY
Leading the World in Regenerative Cell Therapy
SUCCESSFULLY TREATING:
Congestive Heart Failure
•
Peripheral Artery Disease
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Early Semle Dlmentla
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Macular Degeneration
Learn more. Visit www.regenocyte.com or call (866) 216·5710
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Health & Well ness July 2010- Lee Edition
I
By Erin R. Sprankle
surgery, and previous patients were having wonderful success. Deciding to go the route of adult stem
cell therapy, his eight ounces of blood was drawn
and hand couriered to Israel to undergo cultivation
while he prepared to travel to the Dominican
Republic just 5 days later.
Howard Lindeman
In 2009, Regenocyte™ gave Mr. Howard Lindeman
an alternative to open heart surgery.
While being admitted to the hospital and informed
of needing quadruple bi-pass surgery, Howard
Lindeman was shown another option for treating his
failing heart - adult stem cell therapy. Regardless of
what the therapy entailed, it sounded vastly less
nerve-wracking than the traumatic heart surgery.
Reaching the hospital in the Dominican Republic,
Mr. Lindeman was pleased to find what he rated as
an outstanding hospital facility. The courteous staff
and amenities relieved the stress of the unknown
and the short procedure was underway quickly.
Returning to the United States only a few days after
his therapy, he resumed his working schedule,
which just so happened to be engineering the sound
for the Pope's papal visit to New York City. Careful
to give his body time to adjust, he was slowly
growing excited as his energy level was gradually
increasing. Now a year later, Lindeman is racing
through airports to reach his next working destination more than pleased with his decision to have
adult stem cell therapy.
The fascinating procedure of adult stem cell therapy
is quite unique. Simply stated, adult stem cell therapy
is a process in which ones own stem cells are
extracted from the patient via a simple blood draw
then isolated, therapeutically strengthened, and
returned to the body where the cells begin to repair
the damaged area. The blood is drawn from the
Regenocyte™ offices in Bonita Springs, Florida. It is
then hand couriered to a state of the art laboratory in
Israel where the separation process of stem cells from
the blood occurs. Once the stem cells are extracted
and have heen strengthened, they are couriered to the
hospital where the insertion process is completed.
As a sound engineer that travels around the world
bringing the latest in sound technology to various
productions, concerts, and public addresses, Mr.
Lindeman was extremely busy and open heart
surgery was going to be a major time complication.
The idea of adult stem cell therapy had many
positive sides to consider for the man where time is
of an essence: the stem cells were his own, the procedure could be completed within one week, the
recovery time was vastly shorter than open-heart
heart dead, Neim Malo realized that his life expectancy was shortened and his quality of life diminished. Fortunately, he reached out and grabbed hold
of the right solution - adult stem cell therapy.
Armed with his risk-it-all personality, Malo traveled
overseas to undergo his stem cell therapy. Malo's
heart was going to be repaired by his own cells
therefore eliminating any chance of the body
rejecting the treatment. Before the adult stem cell
therapy, Malo had an Ejection Fraction (EF) rate of
28% and it was dropping. Simply put, his heart was
severely damaged and was operating at a dangerously low level.
Living was limited to observing - slttmg and
watching others do what he longed to do himself.
Malo referred to his pre-therapy days as, "living as
half a man."
Having undergone the treatment four years ago, it is
safe to say the therapy worked! With his Ejection
Fraction rate dramatically climbing, he reached a
much healthier 50% EF rate. Now, he dashes
around the restaurant meeting and greeting diners
with enhanced enthusiasm.
Both men had heart conditions that needed to be
treated directly, efficiently, and quickly if they were
to continue their fast paced lives. Due to Dr. Grekos
and the team at Regenocyte™ committed to the
cause of adult stem cell research and the belief that
the therapy can change many lives, two men have
lives to live and stories to tell.
Dr. Grekos, Director of Cardiac
and Vascular Diseases at
Regenocyte™
Therapeutic,
spends his career intensely
training in the field of stem cell
therapy. Working in collaboration with major international
treatment and research centers,
Neim Malo
Owner of the Watermark Grill in Naples, Florida,
Neim Malo, known for his quick-step and eagerness to attend to diners at the restaurant, was
severely restricted by his own heart condition.
Enduring a heart attack at age 47, leaving half of his
Dr. Zannos Grekos
he has developed many of the
protocols used for adult stem cell therapy throughout the
world. He was recently appointed to the Science Advisory
Board of the United States' Repair Stem Cell Institute and
is a member of the International Society for Stem Cell
Research (ISSCR). Regenocyte™ Therapeutic is leading
the world in adult stem cell therapy by using adult stem
cells to treat Congestive Heart Failure, Cardiomyopathy,
Peripheral Artery Disease, Coronary Artery Disease,
Ischemic Heart Disease, and Pulmonary Disease. Visit
www.regenocyte.com for further information on Dr.
Grekos and how his groundbreaking studies are affecting
the world ofmedicine.
Learn more, call 866-216-5710
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Lee Edition - July 2010 Health & Wellness
9
TAKE (LONG-TERM) CARE
Don't overlook this essential part of retirement planning.
By George T. Leamon, CLTC
ost retirement planning is
about means, not ends. It's
about making sure you have as
many options as possible, not telling you how to
spend your money. This month, however, I want
to suggest that you set aside a significant amount
of your monthly budget for a purchase that is
often considered somewhat controversial: longterm care insurance.
Long-term care includes medical and nursing
services beyond your typical visits to the doctor,
treatment for illnesses and short hospital stays. It's
the kind of ongoing help you need when you can't
handle activities of daily living, such as bathing,
eating, or dressing. It can take place in your home,
assisted living facilities (residences with services
that monitor your health and provide your meals), or
nursing homes.
The case for insuring yourself and your family
against the costs oflong-term care is straightforward
and essentially statistical. First, however healthy and
hearty you may be today, you might need help
tomorrow. Americans age 65 and over have a 40
percent chance of entering a nursing home at some
point during their lives, according to the Department
of Health and Human Services. Meanwhile, today
55 percent of Americans age 85 and over are
impaired seriously enough to require long-term care,
WILLIAM
T.
EDY
There are four types of People in this world. Those who have been caregivers. Those who are caregivers. Those who will need a caregiver. Those who
will be a caregiver.
RIC
- osyn arter
I
according to America's Health Insurance Plans, a
trade group. Many of these seniors will get help at
home, but a good portion of them will have to move
into a facility.
Second, this kind of care is extremely expensive and
getting more so every year. The annual cost of
private nursing-home rooms averages a whopping
$75,190 in 2006, up 7.3 percent since 2004, according to the Met Life Mature Market Insurance. The
average cost of 12 months in an assisted-living
facility was $35,616 in 2006, up 17.6 percent since
2004-and that doesn't include extra charges that
some impose for dementia care.
Third, for most Americans, long-term care isn't
covered by other types of insurance. Don't be
confused by the fact that Medicare pays for "skilled
nursing care." This refers to short-term help you may
require to get over an injury or acute illness. If you
break your leg, for instance, Medicare will cover the
cost of "medically necessary" care, like pbysical
therapy, for 20 days. (It will then cover part of your
costs for another 80 days, after that you're on your
own.) But, if you are cbronically sick or permanently
incapacitated, Medicare will NOT help. Neither will
Medigap or Medicare Advantage policies.
HEIDI M. BROWN
Attorney
Certified Elder Law Attorney ' Certified Financial Planner™
The question people ask most often is
"What is MY risk?"
It's a valid question, but the fact is your real risk of
needing long-term care at some point in your life is
either going to be 0% or 100%.
Either you will need long-term care or you won't.
Averages merely show how many people out of every
100 have a need. Nice information to know, but no
prediction of your individual real risk and need.
Everyone is at risk.
Once you understand that a risk exists, your two big
decisions are: I) how do you handle the risk .. .. and 2) if
long-term care insurance is an option, how much protection is appropriate. The more protection you want, the
more coverage costs. IMPORTANT NOTE: An experienced long-term care insurance professional can help
you take advantage of discounts and show you ways to
maximize your coverage even when budgets are limited.
Since no one can predict your true risk, the best we can
do is provide information on what happens when
someone with long-term care insurance has a claim.
George T. Leamon, CLTC I 239.280.3246
810g: GeorgeTLeamon .com
What would an annual expense of
$74,825 do to your retirement assets?
MEDICAID PLANNING + LONG-TERM CARE ADVISOR + ADVANCED ESTATE PLANNING
TRUSTS AND WILLS + TRUST ADMINISTRATION + PROBATE
The Law Office Of William T. Edy Offers ...
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P.O. Box 150760
Cape Coral FL 33915
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Let me show you how you can leverage an existing asset to meet
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George T. Leamon, CLTC· 239.280.3246· www.Lutge rtlnsu ra nce.com
239.772.5800 or 888.772.5801
www.lawyers.com/edylaw
-------------------------------------------- contact us 239-389-9449 --------------------------------------------
n estimated one million people are
newly diagnosed with gallstones
each year. Out of these patients
diagnosed approximately 500,000 will undergo
gallbladder removal surgeries (cholecystectomies).
Gallbladder disease is caused by gallstones, or a
poorly functioning gallbladder (biliary dyskinesia).
If a person has gallstones, the stone can block the
outflow of the gallbladder and cause it to become
greatly inflamed and possibly rupture. In a poorly
functioning gallbladder, it fails to contract well and
many times a patient will have vague right upper
quadrant pain and excessive belching especially
after meals. Many times patients live with this condition for many years because their abdominal ultrasound fails to show any gallstones. It is not till your
doctor orders a study called a HIDA scan that your
poorly functioning gallbladder can be diagnosed.
Gallstones or a poorly functioning gallbladder can
cause right upper quadrant pain, nausea and
vomiting and fever. These symptoms usually begin
right after meals and sometimes resolve several
hours later. If you exhibit these symptoms you
should see your doctor immediately so he can order
the appropriate tests. The earlier you diagnose gallbladder disease the greater chance you have to get
your gallbladder removed laparoscopically.
Single incision (scarless) surgery is the latest technique in gallbladder removal. Single incision
surgery is considered scarless because the incision is
hidden in the navel and is rarely visible. The gallbladder dissection for removal is the same as the traditional way, but the ports are all placed through the
navel. I have found that patients have the same pain
as the traditional manner, but return to work the
same time if not sooner. The best part is that friends
or family members can rarely see the incision
hidden in your navel. I performed the first single
incision
gallbladder
removal
surgery
(cholecystectomy) at Gulf Coast Medical Center
and Cape Coral Hospital in 2009 and have performed hundreds since that time. The response has
been incredible from patients and their family
members because the incision is not visible and their
pain was minimal.
www.ufirsthealth.comI239.243.8222
bile acids in the digestive track. Your body usually
adjusts to the bile salts, but if you continue to have
diarrhea several weeks after surgery Welchol or
Questran has been proven effective. Please speak to
your doctor before taking these medications.
One of the greatest misconceptions of gallbladder
surgery is that a patients diet will be limited after
the surgery. This is not the case. A patient can
slowly resume their normal diet within one to two
days after surgery. You will not be able to lift heavy
weight (greater than 40 Ibs) till 3-4 weeks after
surgery. If you have a desk job, many patients
return in 7-10 days. A patient may have diarrhea
after gallbladder surgery and this due to excessive
Gallbladder surgery has evolved from a large foot
long incision below your right rib cage to four
small laparoscopic incisions to one incision hidden
in your navel. It is incredible how quickly minimally invasive surgery has evolved. If you have
gallbladder disease don't hesitate and please call
today to schedule your appointment. Please see my
webpage for photos of single incision laparoscopic
(SILS) cholecystectomy (gallbladder removal).
Robert Tomas, D.O., FACOS
General Surgery
U FIRST HEALTH
12640 World Plaza Lane, Building 71, Ft Myers, FL 33907
Lee Edition - July 2010 Health & Wellness
11
Hernias: Who Has Them and How To Fix Them
I By Robert Tomas, D.O., FACOS - Board Certified General Surgeon
he repair of an inguinal hernia is the
general surgeon's most common
elective surgery. There are many different types of hernias and many people develop
hernias simply from lifting heavy objects every day.
I am going to talk to you about the two most
common hernias I encounter in my office: inguinal
and umbilical hernias. Inguinal hernias are defects in
the in lining of the abdominal wall that do not close
properly during development. The defect is at the
entrance to the inguinal canal (groin) and causes
problems to the patient later in life. The problem
arises when someone tries to lift something heavy
and the bowel or fat can protrude through the defect
and enter into the inguinal canal. The patient
develops a bulge in hislher groin that can resemble
an egg. A patient who becomes obese can form an
inguinal hernia by allowing the defect to stretch
larger in the groin because of the amount of weight
that the abdominal wall must support. This stretching
allows the intestine or fat to escape into the inguinal
canal and this causes a bulge in the groin. Umbilical
hernias are defects in the lining of your abdominal
wall in the region of the navel. This is the area where
your umbilical cord was during development. These
muscles fail to unite and a hernia develops. Umbilical hemias are more common in infants than adults.
These hernias in infants usually close by the age of
one. If an umbilical hernia does not close by the age
of four or if it appears during adulthood it should be
Total Senlor
.
P HY SIC IAN S
repaired. In an umbilical hernia you will see a bulge
or protrusion in the navel or bellybutton that gets
larger with lifting, crying or even coughing.
So what do you do if you find a bulge or mass in
your groin or bellybutton? Well, first see your
family doctor or local surgeon and ask him to
examine you while standing up. It is very difficult
to detect a hernia on examination if the patient is
not standing. Why? Gravity always brings your
abdominal contents down and if there is a defect in
your groin or navel it should be detectable. Your
doctor will stick his fmger in through your scrotum
up to your groin if you are a male and place his
finger on your groin if you are female. At that time
he will ask you to cough to see if he feels the sac
push against his finger in order to make the diagnosis. It is the same thing for an umbilical or bellybutton hernia. Standing always exhibits more pressure
in the area of the navel and your doctor will ask you
to cough in order to produce pressure in your
abdominal cavity. This will then cause your umbilical hernia to protrude making a clear diagnosis.
So once the diagnosis is made the repair is the interesting part. We used to approximate bad tissue to bad
tissue in multiple layers with mesh until we found out
that recurrences continued to rise. Now, the most
effective treatment is a tension free repair. We have
developed many great meshes that sit above and
We Make
House Calls!
• Certified Geriatric Physicians
• Medical services provided in
patients' home
• Medicare accepted
• No membership fee
"Helping Seniors stay in their home
and have a quality of Life"
below the defect
and
provide
a
double
layer of
support. By placing a
mesh above and below
the defect the body's
muscle layers hold it
Robert Tomas, D.O. , FACOS
in place and this requires a minimum number of
sutures. Less sutures means less pain and no one
likes pain. I have been using this type of double
layer mesh in the groin and the umbilicus for many
years now and have seen incredible improvement in
results. I trained with laparoscopic repair and have
abandoned the laparoscopic technique because I can
do this new type of hernia repair with intravenous
sedation. That's right, general anesthesia is not
required with this type of repair. Therefore, I have
performed numerous hernia repairs in our U First
Surgical Center with intravenous sedation alone.
For more information about hernia repairs and to view
pictures ofthe types ofhernias and the mesh I use, please
visit my web page ufirsthealth.com or call 239-243-8222.
Robert Tomas, D.O., FACOS
General Surgery
U FIRST HEALTH
12640 World Plaza Lane, Building 71, Ft Myers, FL 33907
www.ufirsthealth.comI239.243.8222
HealingArts Center
....~"~....
~
John E. Patton, AP LMHC
g71 Michigan Ave. Naples, FL 34103
~ 239.262.6828
Vitamins ~~ Supplements ~£ Herbs ~
Oriental & Natural Medicine
Acupuncture "'" Psychotherapy "'" Massage "" Nutritional Counseling
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866-772-6229 I 239-495-5315
www.totalseniorhealth . com
Servicing Collier, Lee, Charlotte and Sarasota
-------------------------------------------- contact us 239-389-9449 --------------------------------------------
12
Colorectal Cancer
I By Dr. Michael Smith
olorectal cancer is the fifth most
common cancer and third leading
cause of cancer related death in the
United States. Since I in 12 people will be diagnosed
with colorectal cancer it is likely that either you or one
of your friends or family members will be affected. For
that reason, it would be helpful for you to understand
some basics about the treatment options.
We believe the most common type of colorectal cancer
originates in polyps, especially adenomatous polyps,
which are mounded up growths of abnormal cells on
the lining of the bowel. Over time, some of these
polyps can degenerate into cancers which can invade
the bowel wall and spread via the blood and lymphatic
systems. By using routine screening colonoscopy to
fmd and snip out these polyps before they get a chance
to degenerate into cancer many lives are saved!
If a cancer is found at the time of colonoscopy,
surgery is performed to remove the tumor and assess
whether the tumor has spread into the lymph nodes.
Depending on the findings, chemotherapy either as
a pill or through the veins for up to one year is often
recommended.
A special situation arises when the cancer occurs in
the final part of the colon near the anus. This portion
of the colon is known as the rectum. Tumors in this
area are often treated with a combination of chemotherapy and radiation to shrink them before surgery.
The most commonly used type of radiation is high
energy x rays. These are the same type of x rays used
in chest x rays or CT scans, except they are high
energy to they penetrate in to kill cancer cells. Radiation therapy is given once a day, five days a week for
about 5 weeks. Today, the delivery of the radiation is
highly controlled so that it is focused in to the tumor
containing area along with the nearby lymph nodes
and hits a minimum of normal tissue. The most
accurate means of delivering radiation involves use of
image guided intensity modulated radiotherapy in
which a cone beam CT scan is performed each day to
provide the ultimate in accuracy. About 2/3 of the
radiation effect is due to the formation offree radicals
which then damage the DNA and other components of
the cells. The remaining effect is due to direct damage
to the DNA itself. Fortunately, normal cells are better
able to repair this damage than cancer cells are.
Side effects of the radiation are generally mild.
These include the possibility of skin reaction, such as
skin redness and itching much like a mild sunburn.
This is temporary and goes away after the treatments
are over. Some patients then have a subtle tanning
within the treated area, but this too goes away with
time. Fatigue is also common, but is temporary and
also goes away. These effect vary substantially from
patient to patient.
. __- 7' Spread to other organs
Michael D. Smith, M.D.
Board Certified in Radiation Oncology by the American
Board of Radiology.
Michael D. Smith, M.D. of Premiere Radiation
Oncology Associates. has over twenty years experience in thefield ofRadiation Oncology. He trained at
such distinctive institutions as Baylor College of
Medicine in Houston, Texas and Indiana University in
Indianapolis, Indiana. He held an academic position
as associate professor at Vanderbilt University in
Nashville, Tennessee before entering private practice.
Dr. Smith has extensive experience in treating
several types of cancer using a multidisciplinary
approach. His particular areas of expertise include
RapidArc Radiotherapy, Brachytherapy (HDR as
well as Iodine-125 Seeds) and CyberKnife. He is
Board Certified in Radiation Oncology by the
American Board ofRadiology.
Dr. Smith is committed to spending time with each
patient and reviewing their case in detail before recommending treatment options. Armed with -state of
the art technology and a multidisciplinary approach,
he is able to offer the highest cure rates with successful preservation of lifestyle and overall wellness.
-------------------------------------------- contact us 239-389-9449 --------------------------------------------
Lee Edition - July 2010 Health & Well ness
13
Bathroom ~Y~f~"ty
B
athing is a pleasure giving experience
that makes us feel clean, refreshed and
active. Many people love bathing. They
do it not just for personal hygiene but also for the sake
of fun and pleasure that it gives to them. But
weakness, old age and some disabilities can make this
pleasure giving experience miserable. What appears
refreshing to us seems like a nightmare to them.
No room poses a bigger threat to safety than the
bathroom. Slip and fall accidents when entering
and exiting the bathtub contributes to nearly 25% of
hospital admissions for people age 65 and older and
the most common result is a hip fracture.
It is important that we take steps to help to
prevent bathing disability before it occurs.
Walk in bathtubs (Safety Tubs) are specially made
with a non-slip floor. This helps in avoiding
common bathroom accidents due to slipping. Safety
Tubs are a great help to people suffering from
certain injuries, specific disabilities and difficulties
due to old age. These tubs are different from traditional tubs. To enter in these tubs, users don't have
to climb in. There is a special door for entering into
the tub. Elderly and disabled can't climb in easily.
Moreover, climbing can be accidental for them.
Thus entering in and walking out of the tub through
a door is more convenient.
People suffering from severe pains, back aches,
arthritis, rheumatism and various other pains are
also comforted by these bathtubs. This is possible
because of the bench like seat present in them. It is
easier to sit on the seat than lying on hard surface
of the conventional tubs. It is very painful to lie
down and get up for people suffering from pain.
Getting up requires a lot of pressure that increases
the pain.
Safety Tubs with a built in bath seat allows you to
enjoy bathing and feel safe getting in and out of
the tub. Bathing is the number one way for people
to maintain a clean, fresh feeling while helping to
lower blood pressure and reduce stress. Doctors
recommend bathing in warm water as a way of
improving arthritis and many other conditions.
If you (or a loved one) are facing a health or
mobility challenge, you want to live independently and manage your health and pain challenges... don't you? A Safety Tub will not only
help you to bathe safely, but can actually offer life
altering health benefits.
For your FREE consultation and demonstration,
call First Class Plumbing of Florida, Inc. your local
Safety Tub representative! (239) 597-9997 or visit
www.firstciassplumbinginc.com.
....,-0 Therapy
Approach to Effective Pain Treatment
• For Herniated & Degenerated
Discs without Surgery
• Auto Accidents
• Sports Injuries
J.H. Ke llenberger, Sr, RT, DC
Li nda D. Stevens, BA, DC
• Worker '5 Compensation
• Free Initial Consultation
Juan M. Teodoro, D.M.D
Non Surgical Spine & Disc Care Center, Inc.
• Diplomate American Board of Periodontology
Utilizi ng VAX-O treatment f or Spinal Disc problems .
• Diplomate & Fellow International Congress of Orallmplantologists L!~==~~:...""';~'!:!!!.I
• Clinical Assistant Professor University of Florida
• Conscious Intravenous Sedation Certified
• laser Assisted New Attachment Procedure Certified
9510 Bonita Beach Road, Suite 102
Bonita Springs, Florida 34135
14090 Metropolis Ave. , Suite 101 , Ft. Myers, FL. 33 9 12 1Tel : 239-728-DISC
phone: 239-489-4 100 1e-mail: [email protected] 1website: www.239backpain.com
Tel: 239.333.4343
No ~ chargeI. " is our poley ItlaIIhI patient 8f'Id any aher PInOO rasponstiIlor paymenI hili a riglt to ....... pay. cancel P8'fI!IIrt 01' be rWbI.ned lor paymenllor any aher HMce.
examlnalian, 01' treall'llll'lt ItlaIIi performed as I resUt CII and lOiItin 72 ~ CII respondiI'lg to IhIIdveItisement forlhll /rei, dsctIunt fee, 01' reduoId fee HMce, uami'Iation, OI'~
-------------------------------------------- contact us 239-389-9449 --------------------------------------------
14
Health & Well ness J u I Y 20 1 0 - Lee Ed i t ion
You Might
Need A
Vein Specialist IF...
By Joseph G. Magnant, MD
N
enous Insufficiency or leaky veins of the
legs is a poorly understooa entity oy many
physicians and patients alike. When we
think about leg vein problems most of us usually
only consider varicose or spider veins rather than
many of the other less obvious presenting symptoms.
" he purpose of this article is to share with the reader
the many different clinical presentations of venous
insufficiency by employing a famous southern
comedian's style of describing conditions which
might indicate a need for further consultation by a
vein specialist. So without any further adieu (or
delay) here we go ...
If your legs look like they have been taken over by spiders, then it might
be time to see Dr. Magnant and Vein Specialists at Royal Palm Square.
If your grandchild likes playing with your "leg boo boos", then it might
If your legs look like a page out of a Rand McNally road atlas, then it
might be time to see Dr. Magnant and Vein Specialists at Royal Palm
Square.
If you're tired of being told you have your Grandma's thick legs, then it
Square.
If you are designing a tattoo to hide your spider veins, then it might be
time to see Dr. Magnant and Vein Specialists at Royal Palm Square.
If you have to plan your vacations around your legs, then it might be time
to see Dr. Magnant and Vein Specialists at Royal Palm Square.
If you only have long pants in your closet, then it might be time to see Dr.
Magnant and Vein Specialists at Royal Palm Square.
If your legs look like they could support a Baby Grand Piano, then it
Square.
If your body and spirit say "GO" but your legs say "NO", then it might be
time to see Dr. Magnant and Vein Specialists at Royal Palm Square.
If your Restless Legs Syndrome is keeping you up at night, then it might
If you long to wear shorts again, then it might be time to see Dr. Magnant
and Vein Specialists at Royal Palm Square.
If you are considering naming your varicose vein, then it might be time to
see Dr. Magnant and Vein Specialists at Royal Palm Square.
If you are tired of your kids trying to "connect the dots" on your legs, then
it might be time to see Dr. Magnant and Vein Specialists at Royal Palm Square.
If you're thinking of selling your boat because of your varicose
veins, then it might be time to see Dr. Magnant and Vein Specialists at Royal
Palm Square.
15
If you are tired of putting up with shoulder shrugs when you ask your
Doctor about your swollen achy legs, then it might be time to see Dr.
If you are tired of friends or strangers asking you what's wrong with
your legs, then it might be time to see Dr. Magnant and Vein Specialists at
Royal Palm Square.
If you feel like a burden to your family because your leg pain and
swelling limits your ability to keep up, then it might be time to see Dr.
If your dermatologist has told you that you have an "iron stain" on your
leg, then it might be time to see Dr. Magnant and Vein Specialists at Royal
Palm Square.
If you have been told you need a vein stripping, then it might be time to
see Dr. Magnant and Vein Specialists at Royal Palm Square.
If your leg pain, fatigue and tightness worsens as the day progresses
and Improves with elevation and by the following morning, then it might
If you have had numerous unsuccessful leg vein injections without a
previous ultrasound evaluation, then it might be time to see Dr. Magnant
and Vein Specialists at Royal Palm Square.
If you have been told that there is no hope for your legs or veins, then it
might be time to see Dr. Magnant and Vein Specialists at Royal Palm Square.
If you have a non·healing ulcer (or sore) around the ankle or lower leg,
then it might be time to see Dr. Magnant and Vein Specialists at Royal Palm
Square.
If you enjoy patient centered care and professional, well mannered
office staff, then it might be time to see Dr. Magnant and Vein Specialists at
Royal Palm Square.
If you would like cutting edge outpatient vein treatments with a scientific approach, then it might be time to see Dr. Magnant and Vein Specialists
at Royal Palm Square.
If you are tired of strangers asking "How long have you been a sailor?"
because of the ropey veins on your leg, then it might be time to see Dr.
If you have stopped shaving your legs for fear of nicking a vein, then it
If you have been wearing prescription strength compression hose
without significant improvement of your leg vein symptoms, then it
If your idea of short shorts is a pair of Capris, then it might be time to see
Dr. Magnant and Vein Specialists at Royal Palm Square.
If you have ever been told you have "cankles" , then it might be time to see
Dr. Magnant and Vein Specialists at Royal Palm Square.
If you want to see a board certified vascular surgeon who Is singularly
dedicated to leg vein evaluation and modern, expert treatments, then it
If you would like to avoid the long term complications of venous insufficiency and have answered yes to any of the above statements, then it
. ................................................ .
The modern evaluation and treatment of venous insufficiency is the singular focus of Dr. Magnant and his professional and compassionate staff at Vein Specialists at
1510 Royal Palm Square in Fort Myers, FL. He can be
contacted either by calling 239-694-8346 or through his
website, weknowveins.com, where patients can submit
their request for an appointment. He encourages readers
to review his website, which is specifically written for
his patients, and take the time to view his photo gallery.
Vein Specialists at Royal Palm Square
ISIO Royal Palm Square Boulevard
Fort Myers, Florida 33919
239.694.VEIN (8346)
239.696.6272 fax
www.weknowveins.com
If you have ever considered your leg vein problems a form of punishment or dues paid for having 5 (or any number of) children, then it might
If your beach attire includes a pair of flesh toned compression hose, then
it might be time to see Dr. Magnant and Vein Specialists at Royal Palm Square.
If you have what looks like night crawlers under the skin on your legs,
then it might be time to see Dr. Magnant and Vein Specialists at Royal Palm
Square.
If your leg swelling persists despite weight loss, fluids pills, salt restriction and a cardiologist's clearance, then it might be time to see Dr.
-------------------------------------------- cont act us 239-389 - 9 4 49 --------------------------------------------
16
EYELID RE UVENATION
T
I By
Stephen J. Laquis MD, FAGS
he most vital and valued function of
the eyes is that they provide us with
the gift of vision. Beyond that, they
are an essential part of how we convey emotion and
engage with others. Tbey are often the first thing
noticed by others and contribute greatly to one's
overall aestbetic appearance. Rejuvenation of the
eyelids is the most commonly performed elective
surgical procedure and serves not only to improve
ones appearance, but also bas the essential benefit of
.
.
..
Improvmg VISIOn.
Upper and Lower Blepharoplasty - Before
UPPER EYELID REJUVENATION
While age is strongly correlated witb "heavy
eyelids", genetics play a vital role in determining
your predisposition for this condition. Furtbermore,
the skin of tbe upper eyelid is the tbinnest skin in the
body. It can easily stretch from the mere act of
blinking or as a result of medical conditions that
cause recurrent eyelid swelling such as allergies,
heart failure, or sleep apnea. One or a combination
of these factors will cause the skin to stretch to such
a degree tbat it ultimately will start to cause
symptoms. Most commonly the excess skin of the
upper eyelids will affect peripheral vision by
extending over the eyelasbes. Many times this goes
unnoticed until it is very advanced as the process is
gradual and most people develop adaptive mechanisms. Otber symptoms are also common such as
tired or heavy feeling eyes or difficulty performing
activities of daily living that require concentration
such as driving, reading or computer work. Intervention therefore is many times medically beneficial.
Upper Blepharoplasty - Before
After
The surgical procedure to correct this condition is
called an Upper Eyelid Blepharoplasty, and is
covered by most insurance policies, including
Medicare. A simple photograph and visual test is
required for approval and can be done right in our
office. Once submitted to your insurance company,
the procedure is often deemed medically necessary, and authorization is obtained. The procedure
is performed in an outpatient setting with both a
local anesthetic and "twilight" type intravenous
sedation. The procedure is quick and virtually
painless. Recovery time is minimal and usually
limited to 1-2 weeks of swelling and limited
bruising, which usually subsides quickly with a
post-operative regimen that includes the application of cold compresses. It is generally recommended that strenuous activities be avoided for at
least ten days after surgery.
LOWER EYELID REJUVENATION
Similar to upper eyelids, age and genetics can cause
changes to the lower eyelids. While excess skin may
be an issue with the lower eyelids, often the problem
is primarily the result of fatty pockets protruding
forward. This is addressed with a procedure called a
Lower Eyelid Blepharoplasty, one which can
achieve dramatic results. Usually, this procedure
does not require an external incision, which means
no scar to worry about. It is accomplished through a
small incision on the inside lining of the eyelid, fatty
pockets are sculpted or removed. A chemical peel is
many times applied to the external lower eyelid skin
to tighten the skin and smooth out fine lines. Occasionally removal of lower eyelid skin is also necessary. Recovery time is 2-3 weeks, and requires cold
Upper and Lower Blepharoplasty - 1 Month After
compresses and good sun protection. The
result.. .smooth, natural appearing contours, and a
younger looking, refreshed YOU! While this is considered a cosmetic procedure, the overwhelming
response from our patients is that it was worth every
penny. Many times patients choose to combine procedures and have an Upper and Lower Blepharoplasty during the same surgical time ... the benefit of
course is tbat you then just bave one recovery period
and can save on surgical costs.
About Dr Laquis
Dr. Laquis earned his medical degree from New York
Medical College. He completed his internship in
Internal Medicine and his Ophthalmology residency
at Yale University. After his residency he completed
a two year fellowship at Vanderbilt University
through the prestigious American Society of Ophthalmic Plastic and Reconstructive Surgeons. In
addition to maintaining a successful private practice
with locations in Bonita Springs and Fort Myers, he
is the Chief of Ophthalmology for Lee Memorial
Health System and an Assistant Professor at the University of South Florida where he trains surgeons in
eyelid, facial cosmetic, and orbital surgery.
Our practice takes great pride in providing professional and clinically exceptional medical care to our
patients. If this article left you with further questions
or inspired you to explore some of the medical or
cosmetic procedures presented, we encourage you to
call us for a consultation.
For information call
239-947-4042 or www.laquis.net
Lee Edition - July 2010 Health
&
Well ness
17
Dental Prophylaxis and the Periodontal
Maintenance Visit
Dental Hygiene Month
D
I By Juan Teodoro, D.M.D.
first few visits to make sure the patient is periodontally stable. Once the patient has a good history of
stability, then the 3-month maintenance visits start
alternating with the general dentist. This allows the
periodontist and the general dentist to work as a
team in maintaining the patient's periodontal health.
entists refer to a dental cleaning
appointment as a "dental prophylaxis". The main purpose of this
visit is prevention of dental disease and patient education. This is likely the most important and
valuable dental visit a patient may ever make to the
dentist. A dental prophylaxis is done on patients
that display gum pockets of3mm or less, no significant gum inflammation and no
heavy
calculus/plaque under the gum line. A routine
dental cleaning typically includes: an oral hygiene
evaluation, home care instructions and a demonstration on proper hrushing & flossing. Removal of
plaque and tartar above the gum level is also done
along with a topical fluoride treatment after polishing the teeth. Many hygienists may also review
nutrition habits or smoking cessation if warranted.
Some patients require further gum care if they
display signs of periodontal disease. If so, the
dentist or hygienist would recommend a comprehensive periodontal evaluation and treatment by a
periodontist. A periodontist is a dentist who specializes in the prevention, diagnosis and treatment
of periodontal disease and in the placement of
dental implants. Periodontists are also dentistry's
experts in the treatment of oral inflanunation. They
receive extensive training in these areas, including
three additional years of education beyond dental
school. Periodontists are familiar with the latest
techniques for diagnosing and treating periodontal
disease. Depending on the patient's severity of
disease, a periodontist may recommend scaling and
root planing, gum surgery, regeneration or PerioLase laser therapy.
After a patient has been diagnosed and treated for
periodontal disease, a standard cleaning (dental prophylaxis) is no longer appropriate. While a standard
cleaning addresses scaling and polishing of the
teeth above the gum line, a person who has experienced periodontal disease requires meticulous care
below the gum line - a maintenance visit. A periodontal maintenance procedure is not the same
treatment as a regular cleaning even though a
hygienist may perform both services.
A periodontal maintenance procedure includes:
• An update of your medical and dental history
• X-ray (radiographic) review
• Intraoral and extraoral exam of the cheeks, lips,
gums and throat
• Periodontal Probing (around the tooth, gum and
bone) an examination done by the periodontist
• Review of home care with demonstration of
brushing & flossing
• Removal of Plaque & tartar above & BELOW the
gum level (Scaling & Root Planing)
• Polishing & removal of staining
• Gum and pocket irrigation with medicine, as needed
• Topical fluoride application
The typical maintenance interval, especially immediately after active periodontal treatment such as
scaling and root planing, surgery, regeneration or
PerioLase laser therapy is every three months. This
is usually done at the periodontist's office for the
The recall interval may be lengthened or shortened
over time depending on the patient's history of stability and their effectiveness of home care. The
important thing to remember is that once a patient
has been diagnosed and treated for periodontal
disease they become a periodontal patient for life.
Similar to diabetes, there is no cure for periodontal
disease. The goal is to prevent recurrence and
further progression of the disease, by adhering to a
regular maintenance schedule. It has been shown in
multiple scientific studies that those patients that
do not comply with maintenance visits experience
more periodontallbone degeneration, possible
tooth loss and ended up requiring more surgery.
Some people tend to have more buildup of calculus
than others and some may be more prone to periodontal inflammation or the development of tooth
decay. Patients with inadequate oral hygiene practices require more frequent cleanings.
Dr. Teodoro is a Board Certified
Periodontist. He holds both Diplomate status in the American
Academy of Periodontology and
the Intrenational Congress of Oral
Implantologists.
Dr. Teodoro
served as a Major in the u.s. Air
Force practicing periodontics.
Throughout his Air Force career he served as Chief of
Periodontics, Director of the Implant Board &
Clinical Instructor. He is currently a clinical assistant professor at the Naples dental residency program
for the University of Florida. Dr. Teodoro is still the
only periodontist in both Lee & Collier County
trained in Advanced Laser dentistry.
Advanced Periodontics & Implants
239·333-4343
www.bonitaimplants.com
-------------------------------------------- contact us 239-389-9449 --------------------------------------------
18
s parents, we know our children
best. We listen to them talk and we
also listen to their friends and siblings talk, but despite knowing better we often find
ourselves comparing our child's skills to that of their
friends and siblings; especially when it comes to
communicating. This often leaves us asking ... "Is
my child developing at the same pace?"
When we think our child's development may be
slower than their same aged peers, we might ask
others (teachers, friends, pediatricians) if they have
noticed these differences. A common response from
others might be, "My daughter didn't talk until she
was 3 and she's making up for it now" or "Give it
some time, he's still young."
Too often however, kids don't grow out of it. This
can sometimes lead the child to get caught up in a
vicious cycle of always trying to 'play catch-up ' .
These communication delays can impact other areas
such as social development as well as academics.
Communication milestones are reached at different
ages by different children because development is
influenced by many factors. Things like innate
ability to learn, amount of exposure to language and
manner in which people respond to the child's
attempts at communication all impact this development. It can often be very difficult to identify
whether a child is within a typical range of development or actually delayed. Parents need to know
what to do and when to do it.
Speech . . . . . . . . . . . .. .
By age 3 years, if your child cannot:
• be understood by family and/or caregivers.
• correctly produce vowels and such sounds as
p, b, m, w in words.
• repeat when not understood without
becoming frustrated.
By age 4 years cannot:
• be understood by individuals with whom
they do not associate regularly.
By 12 months does not:
• respond to music and/or singing.
• understand simple questions.
• look at familiar people when named.
• maintain eye contact and/or attention to
speaker.
By 2 years does not:
• identify basic body parts.
• understand simple commands like "give me"
without gestu res.
• demonstrate action words (i.e. eat).
• be understood by family and/or caregivers.
• correctly produce t, d, k, g, f.
• be asked to repeat without becoming sensitive.
• understands comparisons.
• make inferences.
What can we do
By age 5 years cannot:
as parents?
• be understood in all situations by most
listeners.
If you are concerned about the growth of your
child's speech andlor language, you should consult
with a Speech-Language Pathologist (SLP) for a
professional evaluation. SLP's are specially trained
individuals that assess communication development
in various ways. An SLP can conduct evaluations in
areas such as expressive/receptive and social
language, articulation, fluency, andlor processing.
The following are some helpful guidelines that
should prompt a speech andlor language referral:
• understand complex directions.
• correctly produce most speech sounds.
• understand concepts.
• be asked to repeat without exhibiting
frustration .
School-Aged
Receptive Language _ __
• exhibits difficulty understanding teacher's
instructions; class discussion; following
directions.
• notice/startle to loud sounds.
• exhibits difficulty in reading comprehension
across subjects.
• look at the person speaking to them.
• exhibits difficulty in mathematical reasoning.
19
Expressive Language _ __
o laugh.
o vocalize when talked to.
o initiate vocalization when with others or
alone.
• say "mama" or "dada:'
o
o
begin to imitate words.
say 1-2 words independently.
o refer to self by name.
o speak using 1-2 words at a time
(i.e. "Dan hat").
o
Use new words frequently; use at least
50 words.
By 2 _ years does not:
o respond to hello and lor bye-bye
consistently.
o
use short sentences (i.e. "Daddy go bye-bye").
o
name one color.
o count to three.
o
state own first and last names.
o
relate experience verbally.
o
o
use complex sentences.
o
explain how to do something
o
respond to "why" questions with a reason .
o
o
use short but grammatically correct
sentences.
speak abstractly.
difficulty learning appropriate word production and usage, relationships of words,
phrases, sentences to express needs/desires;
may result in frustration or embarrassment.
LifeBridge
difficulty with expression affects interactions
with peers.
intent in communication often misunderstood.
Ifyou have concerns ... don 't wait...
contact a professional today.
To find a nationally certified speech-language
pathologist and to acquire additional information on
this topic you may visit elitespeechtherapy.com or
Call Kimberly Beaugez at 239.482.3154 Ext 102.
School-Age
o
o
SM
SOL UTI 0 NS,LL(
Helping You Navigate Life's Transitions:
Services for Baby Boomers and their Aging Parents
What We Do
Treatment of Communication Disorders for Children & Adults
Speech & Language Evaluation & Therapy•••
o
• Family transition coaching
p
~,-J"..J~ITE
o
Articulation Language Disorders Stuttering Aphasia
Voice Accent Reduction and more...
0
0
0
0
• Bill paying & personal records organization
• Household transitions
Iril:lge
ij[E!I~'
SO)
SM
ION S. lL(
Helping yoy to navigafe life's transitions
•
Estate administration support.
•
Medical billing advocacy
Occupational Evaluation & Therapy•••
Sensory Dysfunction Fine Motor Difficulties
o Visual-Perceptual Difficulties
Handwriting
o
0
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www.llfebrldgesolutlons.com
LifeBridge Solutions offers a compassionate and carefully planned
approach to coping with life-changing and difficult events.
(239) 482-3154
6150 Diamond Centre Court #200-3, Ft. Myers
www.elitespeech.com
-------------------------------------------- contact us 239-389-9449 --------------------------------------------
20
+ Ki s Yoga
Alive & Well
I By
A Holistic Center
• Builds confidence and self-esteem.
Experts estimate that 80 to 90 percent
of disease is stress-related.
• Introduces cbildren to self-bealtb.
Lisa Minie
tress reduces our body's immune
system, making us more susceptible to
getting sick or developing a disease.
With all the stress that we have in our daily lives it is
important to rejuvenate the body, mind and spirit.
Services at Alive & Well, a Holistic Center in Ft.
Myers, help to restore the body while promoting
peace and relaxation. They also offer growth classes
that expand the mind and enrich the soul. And their
retail section consists of natural health products, gifts,
candles, books and music.
+ Services at Alive & Well
• Massage Therapy
Skin Care & Body Treatments
Energy Work
Hypnosis
Acupuncture
Intuitive Readings
Medical Body Imaging using: Digital Imaging
Thermal Imaging (DITI)
• Health Consultations
•
•
•
•
•
•
+ Movement Classes
Gentle Yoga
• Hatha Yoga
• Prenatal Yoga
Kids Yoga
Tiffany also teaches a fun , high-energy kid's yoga
class at Alive & Well. Tbere are numerous benefits
of kid's yoga.
• Yoga for Flexibility
• Qigong
• Pilates
The massage services that she offers are: Swedish
Massage, Aromatherapy Massage, Integrative
Massage, Hot Stone Massage, Prenatal Massage,
Induction Massage and Labor Massage. But the
most popular massage that Tiffany performs is
what she calls The Full Circle. She developed this
treatment while living in Sedona, Arizona.
Tiffany Patterson is a Massage Therapist, Aesthetician, Energy Worker, and Yoga Instructor at Alive
and Well. She has worked the last ten years in
various spa settings including luxury resorts,
salons, fitness centers and private communities.
This experience bas allowed ber to develop unique
services that pamper the body, mind and spirit.
• Helps a cbild develop calmness within self.
• Improves powers of concentration and focus.
+ The Full Circle
This is a 90 minute treatment whicb combines
Swedish and Hot Stone Massages, Aromatherapy,
Energy Work, Sound Tberapy and Crystal bowls. It
is called Full Circle because you will travel full
circle within yourself during the session, integrating tbe Body, Mind, Heart and Spirit.
+ Hot Stone Rejuvenating
Facial
Tiffany's most popular
facial is a 90 minute
Hot Stone Anti-Aging
Facial. This facial
combines a rejuvenating Anti-Aging Facial
with a Hot Stone
Massage. Tbe beat
from tbe rocks will
penetrate deeply into
your face- belping to
infuse product while smoothing away fine lines.
The relaxing bot stones will also be glided over
your neck, sboulders, arms, bands and feet. And for
the ultimate relaxation, add an extra 30 minutes of
hot stones massage on your back to melt away any
tension and soreness.
• Promotes balance, flexibility, coordination
and strengtb.
• Helps a cbild cope with stress and difficult
emotions in a positive manor.
• Provides an opportunity for a child to
develop a sense of: self-awareness, intellect,
creativity and imagination.
+ Induction Massage
Induction Massage is a safe alternative to talk to
your doctor or midwife about. It is much safer for
botb tbe motber and baby tban a medical induction.
This massage can be given after 38 weeks- wben
both the mother and baby are ready. There are a
couple of spots whicb bave been sbown to be effective in inducing labor. Tiffany uses a combination
of Massage, Aromatherapy and Acupressure to
help stimulate tbe onset of labor. This massage bas
been effective in beginning labor wben used in
conjunction with other at-home techniques. But
labor can only begin if the body is ready for labor.
+ Oolphin Energy Session
While Tiffany lived in Sedona, Arizona sbe
attended a course to become a dolpbin energy
facilitator. It was among the beauty of the red rocks
tbat she learned bow to cbannel tbe energy of tbe
dolphins. Her energy healing sessions combine
dolphin energy, tuning forks, sound therapy,
crystals and various stones.
Mention this article and receive 15%
off your next service with Tiffany.
Alive & Well
9250 College Parkway Suite 3
Fort Myers, FL. 33919
239-226-9355
+ Labor Massage
Many more women are using massage during labor
to relieve tension and promote relaxation. If a
woman is relaxed during childbirth then she can
fight off tbe pain cycle, making it possible to bave a
minimal or pain-free birth experience. Also, the
more a woman is able to relax during her labor, the
quicker ber labor proceeds. Tbere is a direct connection between relaxing the skeletal muscles and
dilation of tbe cervix. Tiffany offers Labor Massage
at an bourly rate; sbe can stay for a minimum of two
hours or stay as long as you like. She also offers
Massage Doula support at a flat rate.
21
What is a Daily Money Manager?
I By Sheri Samotin - LifeBridge Solutions, LLC
From time to time in this space, Sheri will answer readers' questions.
lfyou have a question, please e-mail [email protected].
Dear Sheri:
My husband recently passed away and he
always handled our household bills and budget.
I don't even know where to begin to get everything in order. Is there someone who can help
me with this?
Intimidated Irene
Dear Irene:
First off, please accept my condolences to you on
your loss. It may help to know that your situation
is not at all unusual. Often, one spouse handles
the family finances. This works out well from the
standpoint of division of labor, but leaves the
other spouse at a real disadvantage when the situation changes, especially if it is a sudden and unexpected change. As a new widow, I'm sure you
have a lot on your mind, not to mention the piles
of paperwork you're probably handling to settle
your late husband 's estate.
F
ortunately, there are professionals
who specialize in helping people in
your situation. They are called Daily
Monday Managers, or DMMs .
DMMs offer a range of services, including
helping you to manage your mail and set up a system
for paying your bills, assisting with check writing and
maintaining bank accounts, helping you create a realistic budget and stick to it, and developing a tax planning
and organization system. In addition, many DMMs
have expertise in medical billing advocacy and can
make sure you are paying only those medical bills that
have been correctly billed and processed. A DMM can
also help you with the many tasks that are necessary to
settle an estate, including obtaining various records,
closing accounts, and gathering items needed by attorneys and accountants.
One of the most important services a daily money
manager offers is helping you consolidate all of your
important information so that if something happens to
you, the person you've entrusted to act on your behalf
will be able to take action. For example, if you pay your
bills on line, have you documented your login and
password information and does the person who holds
your Power of Attorney know where to find that information? Are all of your insurance policies stored in two
places, at least one of which is not in your residence?
Have you made a list of all of your accounts (bank, brokerage, retirement, credit cards, etc.) with contact information and have you given each institution written
permission to discuss that account with the person
you'd expect to handle these matters for you if you were
incapacitated? If not, a DMM can help you pull this an
together into one physical or electronic repository.
MASSAGE THERAPY
& Skin Care
Be sure to choose a daily money manager who is
bonded and insured. Also, be sure the person
you choose specializes in working with older
adults and their families and is not simply a
bookkeeper for businesses. Many DMMs are
members of a national organization called the
American Association of Daily Money
Managers. You can learn more about this profession, as well as search for a DMM to help you, by
visiting their website at www.aadmm.com.
Sheri Samotin, a Certified
Professional Coach
and
founder ofLifeBridge Solutions
and AttackMedicaIBills.com,
helps baby boomers and their
aging parents to navigate
life's transitions.
Services
include family transition
coaching, daily money management, medical
billing advocacy, household transitions, and estate
administration support. Sheri can be reached at
www.LifeBridgeSolutions.com and
www.AttackMedicaIBills.com.
Tiffany Patterson, CMDI LMT
# MA54883
Licenses Massage Therapist
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-------------------------------------------- contact us 239-389-9449 --------------------------------------------
E
veryone wants to look and feel their
best. Often standing in the way is
finding a dentist with whom one can
feel comfortable and who provides quality care and
attention. Dr. Alan N. Rembos IS one of those dentists.
"We provide traditional care as well as functional
and cosmetic dentistry in the most relaxing environment we can," he explains. "Cosmetic dentistry consultations are referred to as smile design, or smile
improvement. We can change the color and shape of
the teeth while restoring sound functional and oral
health condition designed to last a lifetime."
"Some people don't like the color of their teeth, or
they come in with rotated, chipped, or worn teeth,
asking what can he done to improve their smile. Every
patient is provided a comprehensive examination and
a treatment plan best suited to their individual needs.
The follow-up consult then reviews treatment options,
timeframes, and costs of desired treatments."
Whatever the decisions made between Dr.
Rembos and his patients, comfort and quality
are always a priority.
Alan N. Rembos, DDS
Memberships
past and present
· DDS, Northwestern University Dental
School
· Mastership status in laser dentistry
Better Smiles
Advances in cosmetic dentistry have led to the
development of several techniques for brightening
smiles, and in-office whitening is one of the easiest,
notes Dr. Rembos.
· Bachelor of Science, University of Illinois
Champaign-Urbana
· Cofounder, Midwest Academy of Laser
Dentistry
• Implant Dentistry Fellowship, leOI
· American Dental Association' Florida Dental Association
"There's no way to predict who will respond most
favorably to whitening but we consider all options
to achieve the best results for each patients."
Dr. Rembos has found that the most popular inoffice system is the ADVANCED POWER ZOOM
2 treatment. "This Advanced Power Zoom system is
the latest version, with even more dramatic results
than the original Zoom systems," says Dr. Rembos.
"We are constantly upgrading to the very latest techniques available so our patients can always choose
from among the best options."
· American Academy of Cosmetic Dentistry· Academy of Laser Dentistry
· American Academy of Implant Dentistry . American Academy of
Oral & Maxillofacial Surgery . American Academy of Periodontal
Disease' International Congress of Orallmplantologists
239.274.9797
smilesbyrembos .com
12691 New Brittany Blvd.' Fort Myers, FL 33907
We have 3 locations to serve our patients better...
Naples, Sanibel and Ft. Myers!
"While the patient rests comfortably with headphones and a pillow headrest, the whitening gel is
applied, the light is activated, and the procedure
begins," he describes. The entire process lasts
about an hour from start to finish.
"The solution doesn't damage the tooth enamel ,"
assures Dr. Rembos, "but really gets into those tiny
spaces and cleans out the discolorations that have
accumulated over the years."
Dr. Rembos explains that although many patients
feel their results are dramatic, individual results
will vary, as programs are tailored for each
patient's individual needs. Some patients' teeth
darken with time from simple staining, whereas
others have additional discolorations as a result of
illness or the use of certain medications. Stains
respond more easily to whitening than do medically induced discolorations.
Northwestern University Graduate
Many patients are pleased to discover that they can
get their old silver fillings replaced with a newer
material made from either resin or porcelain composite, a significant improvement and often a
prelude to whitening treatment.
Veneers are a more advanced cosmetic option and
may be appropriate for a variety of dental conditions seen in front teeth, particularly gaps between
teeth, stained fillings, and pennanently discolored,
chipped, or crooked teeth.
Dr. Rembos points out that a patient does not have
to have every tooth treated with a veneer or crown
to achieve a good cosmetic result.
"For example, patients who want to brighten their
smiles may have several veneers placed on their
front teeth and then have the rest of their teeth
whitened to match the vibrancy of their new
veneers. When appropriate, laser technology is
often used to achieve the most appealing final
cosmetic result."
With more than twenty years of experience and a
Fellowship in Implant Dentistry, Dr. Rembos is
aware of every technique available to his patients.
One important development over the years has
been the widespread availability of dental implants
for patients with one or more missing teeth.
"After the procedure is complete, most patients
comment about how simple and comfortable the
entire process was," adds the doctor.
Convenience + comfort
Many dental practices are so overburdened that
when calling for an appointment, most new
patients or those with dental emergencies can't be
seen for several weeks. Dr. Rembos makes sure
that doesn 't happen in his practice.
"We pride ourselves on accommodating emergencies as well as our regular patients for quality
dental care," he emphasizes, "and new patients can
Rlan N. Rembos, D.D.S.
Dazzle them ... every time you smile!
Dr. Rembos welcomes calls regarding this article.
His practice offers three convenient locations:
"When natural teeth are not present," says Dr.
Rembos, "the jawbone fails to deliver necessary
nutrients to support bone and gum health."
Fort Myers
12691 New Brittany Blvd.
Patients are pleased to learn that Dr. Rembos both
places and restores implants at his office, so there is
no chance of miscommunication between dentist
and implantologist.
Sanibel
2323 Wooster Ln.
The entire process, from surgery to placing of the
crown, can be perfonned at the office over several
months ' time.
(239) 274-9797
(239) 472-4445
Naples
4001 Tamiami Trail N., Ste. 280
(239) 434-0400
They say alopecia isn't a disease.
Tell that to those
who suffer from it.
Alopecia isn't technically considered a disease because it's a cosmetic condition without medical rami"cations. !at's
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23
typically be seen within a day or two. Early treatment often prevents unnecessary pain and additional costs. "
In addition to a wide range of cosmetic, restorative,
and general dental services, Dr. Rembos offers
patients a state-of-the-art way to feel relaxed and
comfortable during their dental procedures.
" We exclusively use a computerized anesthetic
delivery system called the WAND," says Dr.
Rembos. "Our patients love it, and we offer it for
all our procedures at no additional cost to the
patient. The system senses the pressure in the
tissue to allow for more comfortable injections,
and provides comfort both during and after treatment. Consequently, patients don't experience the
tenderness and soreness associated with conventional methods." To ensure a relaxed environment,
additional comforts such as stereo headsets and
head pillows are made available to every patient.
"We always use an intraoral wireless camera to
show patients what's going on in their mouth on a
large screen. Our panoramic x-ray machines take a
picture of the entire mouth and jawbone in twelve
second without having to place multiple films in
the mouth. Our patients love these features and
conveniences. By having available such equipment, patients no longer have to fear gagging on
multiple films to obtain a full mouth view.
"Our patients often remark that dentistry has come
a long way - that it's not the way it used to be,"
reports Dr. Rembos. "That's when we know we 're
doing things right."
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24
Neurological and Vestibular Rehab
Dizziness and Balance Center of Southwest Florida
I By Sheila LoBianco, MSPT
Are You Headed For A Fall? Dizziness and balance problems can lead to falls, which are the
number one cause of death from injury among those 65 and older. Fortunately, there is help.
ccording
to
the American
of
Orthopedic
Academy
Surgeons, more than one-third of
the population over the age of sixty-five experience
falls each year, and many patients who suffer serious
fall-related injuries die within two to five years.
"Fifty percent of all falls are due to vestibular
involvement," observes Sheila LoBianco, MSPT,
Clinic Director of Dizziness and Balance Center of
Southwest Florida, "and eighty-five percent of all
dizziness problems are related to the vestibular
system. "
The vestibular system is the part of the inner ear
that helps control balance.
"Determining the type and degree of vestibular
dysfunction is critical in developing a treatment
program that will decrease a patient 's fall risk,"
points out Sheila, "yet recent statistics show that
patients with vestibular disorders will see an
average of six doctors before receiving a diagnosis.
"However, those averages can be overcome."
Jack Nuber says his balance had been deteriorating: "I tried to get help. I don't even remember how
many doctors I saw ... but no one could help me .
.. " Then Jack was treated at Dizziness and Balance
Center of Southwest Florida. He says, "I wish I'd
discovered this five years ago." He is now back on
the tennis court.
The number one indicator for fall risk is a previous
fall. Other indications include symptoms of dizziness, decreased activity level, taking one or more
medications, decreased sensation in the legs or
feet, and fear offalling. "Falls are typically not the
result of a single cause or risk factor," educates
Sheila. "More often than not, they are the consequence of a combination of factors. Many gait and
balance disorders are the result of neurological disorders such as stroke, ataxia, foot drop,
Parkinson's disease, Multiple Sclerosis, and
others."
Benign Paroxysmal Positional Vertigo (BPPV) is a
disorder that causes vertigo, dizziness, and other
symptoms precipitated by a change in head
position. Getting out of bed and rolling over in bed
are two common "problem" motions. About fifty
percent of dizziness in people over age sixty-five is
due to BPPV
Frances Houghton, who suffered with BPPV for
years until she consulted with Dizziness and
Balance Center, says, "In one treatment my vertigo
was gone. It's miraculous ... " Not all balance
problems can be solved in just one treatment,"
acknowledges Sheila. However Dizziness and
Balance Center of Southwest Florida specializes in
helping patients regain their balance and offers a
comprehensive evaluation, individualized treatment, and intensive patient and family education.
"That is what makes our program successful, while
Dizziness and Balance Center
Of Southwest Florida, P.A.
3820 Colonial Blvd., Suite 103
Fort Myers, FL. 33966
239-433-1777
others fail ," states Sheila. "We have the equipment, education and experience to put the pieces
of the puzzle together and use that information
to design a treatment plan that actually works!"
Sheila welcomes your inquiries regarding this
article. For further information or to schedule an
appointment, please call (239) 433-1777. Dizziness and Balance Center of Southwest Florida is
Patients, hoth local and from all over the United
States, seem to agree. Sheila says many of her
regular clients are from as far away as Port
Charlotte, Sarasota, Naples, even Central
Florida. "And I've had family members fly their
family down from New York and New Jersey
because of our specialization, because we have
training that no one else has."
"I'd go back in a heartheat," states Clare
Zukowski, a patient who was recently cured of
her vertigo. "If it comes back again, that's where
I'll go."
&
Well ness
25
How do I know if I have
a balance problem?
Check off the items that may apply to you.
located at 3820 Colonial Blvd., Suite 103, in Ft.
_ _ I have a tendency to touch walls and furniture
when I walk around my house.
Myers. Next to McGregor Baptist Church.
_ _ I avoid walking on uneven surfaces like
Sheila LoBianco, MSPT, received her MS in
Physical Therapy from
the
University of
Alabama at Birmingham. She holds a Certificate of Competency in Vestibular Rehabilitation
and
advanced
Function
Test
University's
certification
in
Vestibular
Interpretation from
Emory
Department of Rehabilitation.
grass, sand, or ramps.
_ _ I feel unsteady when I need to go to the
bathroom at night.
_ _ I feel imbalanced when I shower or wash my
hair, especially when I close my eyes.
_ _ I notice I keep my feet far apart when I am
standing or walking.
Sheila has .!fifteen years of experience as a
physical therapist treating patients with neuro-
_ _ I feel I need to look down all the time to keep
my balance.
logical impairments and multi-factorial gait
disturbance and is trained in Neuro-developmental Treatment (NDT). She has nine years'
experience in the evaluation and treatment of
balance and vestibular impairments. Sheila is a
member of the American Physical Therapy
Association
(A PTA)
Neurology
Chapter,
Florida Physical Therapy Association (FPTA),
_ _ I have a lot of trouble negotiating curb steps
or stairs.
If you have checked off two or more of these statements, you should discuss this with your health
care providers.
·Provided by Dizziness and Balance Center of Southwest Florida
For more information, please visit www.BalanceSWFL.com
and the Vestibular Disorders Association.
Patients don't have to live with dizziness and balance disorders.
Call Today!
239-481-5999
License #HHA29991364
,
We Are SeniorAdvocates
Your Partner in Home Health Care Solutions.
Neurological
And Vestibular
Rehab
Patients don't
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cllzziness and
balance disorders.
Specialty Programs
Senior Care Management· Home Orthopedics Rehabilitation
Optimum Balance · Urology· Transitional Care Program
Te1ehealth· Alzheimer's and Dementia Care Giver Training
Behavioral H ealth Program
3820 Colonial
103
Fort Myers, Florida 33966
-------------------------------------------- contact us 239-389-9449 --------------------------------------------
26
Sonostream LIVE
Ultrasound experience shared with loved ones near and far
I
I Sweet Baby 0' Mine
Streaming your 4D ultrasound does not affect tbe
quality in any way. It simply gives you a way to
share something so precious with those who can't
be next to you during this magical moment. It truly
is an amazing way for everyone in your family to
bond with your precious new addition ... no matter
wbere they are in the world!
it possible that someone in a different
state (or country for that matter) can participate in and experience the ultrasound in
real time? Yes, thanks to a new technology offered
at Sweet Baby O'Mine.
5
The exciting new Sonostream LIVE technology
will allow you to share your 3D/4D ultrasound
experience LIVE - in real time, privately across the
Internet with anyone in the world!
Delighted Mommy-To-Be writes:
I would like to express my gratitude for
Using a secure broadband Internet connection and a
password protected site, your friends and family
can now experience tbe sights and sounds of your
3D/4D ultrasound session with you, both live as
well as on demand!
the two 30/40 experiences I have had at
Sweet Baby 0' Mine. Your studio is
always very inviting, relaxing and com-
Across town, across the country, or across
the globe, we can make it happen!
Imagine the grandparents being able to sit at tbeir
computer and share your ultrasound experience with
you as if they were in the room too! Imagine your
husband wbo is deployed in Iraq being able to experience the ultrasound right there with you and to be
able to hear your voice as you both see the baby for
the first time ... TOGETHER!
How Does It Work?
Using a video capture device that's integrated with the
ultrasound machine, those you invite will see what
you see! From a wave to a stretch to a yawn, you'll all
be able to experience tbe 4D ultrasound together.
As your ultrasound is performed, the 4D ultrasound
images will be processed and streamed LIVE over
the Internet and into their computer via our dedicated
web server. The video stream is also recorded so that
it can be viewed on-demand in the future.
A microphone can be placed in the viewing room so
that everyone watching can hear you talk as the ultrasound takes place. All the ooo's and ahh's will only
add to the experience!
Sweet Baby
~ Mine -~,'
DISCOVER THE JOY
Call Toda~!
(239) 267 -BABY
2229
fortable. It is such an awesome and
memorable time in my life to share my
twins with family and friends. I love the
OVO that came in my package it is so
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with my loved ones. I also thought that
Sonostream LIVE was one amazing
service that Sweet Baby 0'
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provides to their clients. I am now able
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scan the twins so I can keep viewing the
development
and
growth
of
my
precious little miracles. - Jessica A.
Join Sweet Baby 0' Mine on Facebook to view
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saying about the exciting services offered, and
check out specials! Call and schedule your 3D/4D
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Aging B~!:~cefully
I
t usually starts in the mirror either some
morning or a time of day when we see ourselves in unflattering light. What happened
to our hair? My clothes don't fit. Why does my
skin look like crinkled aluminum foil? What
happened to the young body that looks like the
way I feel?
Read a few magazines or watch TV for a while and
it's apparent that we are a society that values youth
and also seeks happiness. Young is good, old is
bad. Being young and having things make us
happy, being old and having less makes us sad.
Part of the reason that midlife can be so difficult is
that it brings up our fears about aging. We fear that
life is almost over and we still have not yet
attained our long held goals. It would seem inevitable that as our muscles weaken, our hearing and
vision fade , and as our skin gets wrinkled things
would really get depressing. Bring on the antidepressants and the meds!
Yes, it does seem dark and dismal, but a recent
Gallup poll has found that by almost all measures
people get happier as they get older. How can this
be? And it doesn't always look so good for those
young folks. Another study found that enjoyment
and happiness decrease once we pass our "invincible years" gradually until we hit 50, rise steadily
for the next 25 years, and then decline very slightly
Loren said, "There is a fountain of youth: it is your
mind, your talents, the creativity you bring to your
life and the lives of people you love. When you
learn to tap this source, you will truly have
defeated age."
Often times our minds go where our bodies are
unable to follow. Physical conditioning and
strength is not about youth and beauty, it is about
having your body being the friend and vehicle it
was meant to be.
at the end. The decline can usually be associated
with health issues, death of loved ones, and the
typical problems of being a senior citizen.
A commitment to your body through exercise and
diet is as essential as financial planning. While good
fortune and genetics can playa big part in anyone 's
physical condition, more often our health is a result
of the hard work we commit to ourselves so that we
may be there with those we love and do the things
that we love. Eleanor Roosevelt said, "Beautiful
young people are accidents of nature, but beautiful
old people are works of art."
Researchers have also found that with age, many of
us learn to live more comfortably with ourselves,
and accept our human imperfections and frailties.
We stop comparing ourselves to others, and begin
to appreciate what we have.
So since we can't avoid aging except by dying and
since it appears that aging is not something to be
feared, shouldn't we be focusing on how to age
"gracefully"?
Get out and get moving!
What is aging gracefully? Is it being a silver
haired person, impeccably dressed, and driving
down the highway in their convertible? Wouldn 't
it be better to be someone who feels good in their
skin, is able to be active and do the activities they
love without pain, and can live thinking that their
body is not their enemy but rather a part of their
life that they listen to and understand? As we can
see from these recent studies,
LouAnn Good is the Owner of Fitness Together,
located in south Fort Myers, part of the world's
largest personal training organization. She has over
15 years ofpersonal training experience in the Lee
County area. All personal trainings at Fitness
Together are done one on one in a private training
studio where there are no interruptions; no waiting
for equipment, and all the attention is on you, the
client. "One Client - One Trainer- One Goal"
As personal trainers, we work with our clients to
guide them on a path to meet their goals. A client's
typical goal is to bring their physical health to a
condition where their body can function at a level
that can keep pace with their thinking. Sophia
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3D &4D LALtrasouVl
239-337-BODY
www.FTFortMyers.com
d
From a yawn to a stretch, or the beating of
your baby's heart, your 3D/4D ultrasound
session will give you a realistic first look at
your baby's movements in the womb.
Sweet Baby
O'Mine --
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2229
27
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~
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Are You Traveling
This Summer?
T
he days of stress free flying are a
thing of the past. After 9/11, it will
never be the same. Arriving at the
airport earlier is now a requirement, due to airport
security. Having your check-in luggage and other
carry-on items x-rayed and searched is now commonplace. Who would have thought that we would
even be required to take off our shoes prior to
boarding flights? No more taking water, perfume,
cologne, shampoo, conditioners, mouthwash, toothpaste, or any other objects that may be considered
dangerous; like tweezers, shaving razors, nail
clippers or anything else someone could possibly
use to hijack or bring down the aircraft.
Snacks and beverages used to be complimentary,
but now there are usually standard charges for any
food or drink. There is now a charge for using
headsets to watch & listen to in-flight movies or
entertainment. [fyou would like to use a pillow or
blanket during your flight; good luck, most airlines
have discontinued them altogether. Most airlines
also are charging for any extra baggage, especially
if the items exceed a certain weight limit.
Coping with all of these extraneous factors can be
very stressful, especially if travelers are dealing
with any other mental or physical handicaps. One
disability, hearing loss, can prove to be extremely
difficult and stressful when traveling, creating
anxiety while trying to listen to instructions, or
flight information while traveling. Arrival times,
flight numbers, concourse information, gate
numbers, aisle and seat numbers, and departing
times are crucial to successful and timely travel.
Hearing loss can make a person feel disoriented
and anxious in some situations, especially when
obtaining crucial information while traveling.
Misunderstanding of vital data may prove not only
to be very disheartening but costly as well, especially if an individual misses his or her flight.
Obtaining another flight to the originally planned
destination may not even exist.
Hearing instruments
can make all of the
difference In the
world.
Hearing
device wearers note
they feel more confident,
with
less
anxiety in most situations.
They feel
more
self-assured
than those individuals
28
that do not wear hearing devices. Other benefits
noted by hearing instrument wearers, is they are
more likely to participate in social activities,
concerts, theaters, and groups. Users also have
fewer feelings of isolation and depression, frequently associated with hearing impaired individuals. Also, most users note improved relations in
their marriage, with friends and relatives, their
mental health, sense of safety, relations at work,
sex life and life-overall , since communication is a
key factor.
The use of hearing devices has many benefits
tangible, and intangible. The newest digital technology has forever changed the way hearing
impaired individuals can not only hear, but understand speech now and into the future. Don't get
left behind!
LEONARDI HEARING CENTER, INC.
W.L. ' HUNTER' HUNTLEY. III. B( -HIS
w.L. "Hunter" Huntley, III, Be-HIS, went to Edinboro State (ol/ege, Edinboro,
PA, and finished his education at the University of Florida before entering
training with Beltone Electronics in Chicago, IL He was a Beltone hearing
instrument dispenser from 7986 to 1992. He has operated Leonardi
Hearing Centerllnc., since 1994.
16251 N. Cleveland Ave. #8 I (Corner of Littleton Road) I N. Fort Myers, FL 33903
239-997-8288
----------------------------------------------------------------- contact us 239-389-9449 ----------------------------------------------------------------
29
Doctors Talk About VAX-D
"I've never found anything to work
so well for back pain patients in my 39
years in medicine. VAX-D changes people 's lives
and frees them from the misery of chronic low back
conditions; it repairs damaged discs that cause
excruciating back pain and sciatica. We have been
able to fix the post-surgical train wrecks that no one
else could repair. VAX-D should be used before
surgery. VAX-D has lowered patients' needs for
pain medicines-and that is a good thing." E.
Michael Gutman, M.D. -Orlando, FL.
Physician, Pain Specialist, Forensic Neuropsychiatrist,
Back Pain Institute of Orlando
•
When I first saw the VAX-D system
a few years ago, I had to find out if it
worked because what the manufacturers were
claiming was revolutionary and exciting. If it were
true, r could help my patients without injections or
surgery. What a dream come true! r looked at the
medical studies performed on VAX-D, as well as
the patients. r spoke with physicians who used
VAX-D on their patients. I looked at the competition who claimed they were better than and
improved over VAX-D, which cannot be since
VAX-D is patented. The others may look very
impressive, even sci-fi! Unfortunately, they are
missing the patented science that is behind VAX-D.
r became excited about VAX-D as a result of my
in-depth study of the product. However, nothing
compared to discovering for myself through using
VAX-D in my own practice, that it works and can
be the miracle cure that people are looking for. " A.
Mohamed, M.D. -Houston, TX.
Physician, Inlervenrionai Pain Management, Anesthesi%gist,
Medical Spine Care Clinics
J
(
j
(
VAX-D adds a new dimension to my
practice by allowing me to noninvasively treat patient neck and back injuries that
otherwise might require surgery. It also addresses
the disc areas of neck and back pain that I cannot
reach with prolatherapy injections. Further, combining VAX-D with other therapies, creates a synergistic approach that increases our patients'
chances of complete recovery from pain and return
to function." Daniel Royal, D.O.-Henderson, NV
Physician, New Hope Medical Centers
Patients have traveled to our clinic
from allover the United States to be
treated with VAX-D. My partner and r had a very
successful multidisciplinary medical practice in
Arizona. In 1994, after reading about VAX-D in a
trade journal, we decided to travel to a clinic in California to see this "Medical Breakthrough" with our
own eyes. We sat in the reception area for an hour
and listened to the patients rave about the "magical"
table. After a brief visit with the doctor, we flew
home and bought the first VAX-D table in Arizona.
Almost immediately, we too started to see seemingly miraculous results on the majority of our
toughest cases. That was thirteen years ago, and I
amjust as excited about VAX-D now as r was then."
Thomas E. Blankenbaker, D.C. - Phoenix, A2
Chiropractic Physician, Spine & Disc Medical Center
"I have treated literally hundreds of
patients over the years from ages 17 to 84 with
this revolutionary, non-invasive, non-surgical and
non-drug treatment. The addition of a VAX-D clinic
to my practice in 1999 clinically has been a most
impressive and rewarding experience. I am thrilled
to offer a treatment that has led to a reduction in use
of many medications and an increase in quality of
life." Gerald B. Weiss, M.D.-Norwalk, CT
Physician, Board Certified in Neurology and Pain Medicine,
Back Pain Specialist
VAX-D:
Non Surgical Spine & Disc Care l. e nt e r.
Utilizing VAX-O treatment for Spinal Disc p(dl,'e"".
"VAX-D therapy should be the initial
Excruciating pain radiated down my
left leg to my toes. MRI scans showed
deterioration at the L4-LS and LS-S I areas. My
doctor recommended a IS-day VAX-D regimen. r
was doubtful about the sciatic pain in my leg, but I
continued on the treatment and after the ISth
session I only had a slight twinge occasionally.
Since that day on, I have been completely free of
the pain in my back and left leg. r jog the same as r
used to, I cut the lawn, I'm back without any pain
at all, and I've got to say that VAX-D was the thing
that did it for me." Robert Channey, M.D.
treatment for chronic back paIn
patients suffering from bulging, herniated,
degenerative discs, and facet syndrome. r view back
surgery as a last resort, and VAX-D gives my patients
a more conservative treatment option that can eliminate the need for surgery altogether. VAX-Dis also a
treatment option for those patients who have had
surgery and have a relapse or experience a return of
pain following surgery. With VAX-D, r have a key
non-surgical treatment for back pain." Vik Singh,
M.D., Q.M.E. -West Hills, CA
Physician, Former Assistant Surgeon General of the United States
and Pain Specialists
Physician, Medical Director, Corespine Program: California Back
Non Surgical Spine & Disc Care Center, Inc.
Utilizing VA X-D treatment for Spinal Disc problems.
14090 Metropo li s Ave., Suite 10 1, Ft. Myers, FL. 33 91 2
Tel: 239-728-DISC (3472) 1239-489-4100
e-mail: lowback2 @comcast.net
website: www.239backpain.com
-------------------------------------------- contact us 239-389-9449 --------------------------------------------
30
THAT MAY CAUSE YOU STRESS!
I
By Myles Rubin Samotin, MD - Board Certified Orthopaedic Surgeon, Fellowship Trained in Foot and Ankle
Y
may have heard the term stress
fracture, but just what is it and how
does one get it? A stress fracture is
exactly what it states it is, a fracture of the bone
caused by "stress" to the bone. It is a "microfracture" of the bone, similar to a crack in the concrete
of your driveway. It occurs due to several causes, but
most of the time due to the muscles that support the
body become overly fatigued and the stress transfers
to the bone, sometimes resulting in a fracture.
OU
The people who get this fracture are people who
either do repetitive exercises, (people who constantly are running, or doing consistent exercises
that overexert the muscles) or people who have
problems with bone quality or density, due to
medical problems, poor nutrition, or osteoporosis.
The muscles are not strong enough and the bone
fractures. As you can imagine, these stress fractures
rarely involve upper extremities, since we don't put
pressure on these bones on a consistent basis. These
fractures almost always involve the tibia (shinbone)
or one of the many bones of the foot, many times
involving a metatarsal bone.
Women are much more likely to suffer these, since
estrogen, which helps support bones, tends to
decrease as women age. Long distance runners, triathletes are very susceptible to these fractures, BUT,
many "snowbirds" will suffer from these when they
first come down to Florida, since they will start a
strong exercise program without properly building
up the supportive muscles.
The symptoms of stress fractures are relatively
simple: PAIN. This pain will increase as you
continue putting pressure and stress on the affected
bone, and will subside when the bone can rest.
The first thing in proper diagnosis is to a see the
proper specialist who can give a correct diagnosis.
Since the bones associated with stress fractures
involve mainly the foot and ankle, then a foot and
ankle specialist, with orthopedic experience is the
proper medical person to see. He will order the
proper tests, to diagnose the stress fracture. Most
normal X-Rays will NOT show any fracture, and a
person may be misdiagnosed because of this.
Special tests such as bone scans and MRI's can
make the proper diagnosis.
When you see your orthopedic foot and ankle specialist, he will order the proper tests and will make the
diagnosis of a stress fracture. He will rest your leg by
placing it into a walking boot to give it the chance to
heal. The most important thing to remember during
this time of rest is that you MUST give it enough time
for the fracture to heal. Several weeks of rest may be
necessary. If you start to use the bone too early, the
fracture may not have totally healed and another
stress fracture may result. Therefore, care must be
given to properly let the stress fracture mend. All
patients must remember that the BONE IS FRACTURED. Give it time to heal.
Anytime that a lower extremity has been consistently
painful over a period of time, the diagnosis of stress
fracture cannot be ruled out. You should seek your
orthopedic foot and ankle specialist. I am the only fellowship trained orthopaedic foot and ankle specialist,
with clinical experience of over 12 years in the
Naples area. I believe my combination of extensive
education and clinical experience along with willingness to use new techniques in a state-of-the-art office
allows me to give the best possible care to ALL your
foot and ankle needs. I know that I can give you the
orthopaedic foot and ankle distinction.
Spiritual
())fiilness _______
y
B,;.,
y "j;.;.,
e r.;.,r
. .;oH.;..sk~ins'.;..M.;..S
...;
M ;.;..
FT
The Grand Buffet Belief System
ur modem day culture has progressed into a society that no
longer adheres to absolute truth,
Whatever sounds good to me is true for me and
whatever sounds good to you is true for you, When
we go out to eat at a buffet, we like to get a little bit
of this and a little bit of that to make one huge plate
full of everything that looks good to eat With our
"have it my way" mentality, we often times form
our belief system in the same way we choose our
food, No longer is it good enough to believe God's
Word for what it says, instead, we believe bits and
pieces of God's Word and we like to mix a little bit
of psychology, a little bit of sociology, and throw in
some new age philosophies and then you get a
grand buffet helief system that is based on nothing
substantial. God's Word says, "See to it that no one
takes you captive through hollow and deceptive
philosophy, which depends on human tradition and
the basic principles of this world rather than on
Christ" (Colossians 2:8)
Our culture and modem philosophies of the day are
like smog, We really don 't recognize we are breathing it in until we step out of it and look back, Our
culture runs rampant with increasing influence
from new age philosophies, psychics, and all sorts
of religions, Something must change because we
are so open to everything that we don't stand for
anything! What do you base your beliefs on? How
do you know what is true? Is it more logical to base
your beliefs on man 's ideas and popular philosophies, or God's Word that has been tested and tried
over the centuries? How can we get to a place
where we make good decisions based on real truth?
We need to start with who and what we allow to
influence our thinking and behavior.
Who Are We Listening Too?
The lens that we see and live life through will determine the life you and I will live! Jesus tells us, "if
you hold to my teaching, you are really my disciples. Then you will know the truth, and the truth
will set you free, " (John 8:31-32) Those of us who
claim to believe in Christ, are we really following
&
Well ness
31
Can't We Mix Worldly Philosophies With God's Truths?
Why would we want to add anything to God's clear
truths found in the Bihle? That is like saying here
is a fresh, cold glass of water, let me add some
sewer sludge to it, and than it will be ready to
drink. That is absurd because we traded fresh water
for disease infested sewer waste, This leads to
physical sickness, as mixing worldly philosophies
to God's perfect word leads to spiritual confusion
and ultimately disease infested sin, That is why
God's word says, "the foolishness of God is wiser
than man 's wisdom, and the weakness of God is
stronger than man's strength," (I Corinthians 1:25)
We must recognize our knowledge is finite,
fallible, and weak while God's knowledge is perfectly accurate, powerful, and unchanging, God's
Word stands alone as the only source that changes
men's hearts, everything else merely cleans up the
surface, The philosophies of the day will come and
go, but God's Word and His truths will stand
forever because they are eternal. God's Word tells
us that, "all men are like grass, and all their glory is
like the flowers of the field; the grass withers and
the flowers fall , hut the Word of the Lord stands
forever," (I Peter 1:25)
For more information, please contact Oasis
Counseling Center at (239) 389-2073 or
email [email protected].
Oas·
Him? Christ tells us that we are set free when we
follow His teachings, not mentally just believe He
is the Son of God. If we say we follow Christ than
we must he guided hy God's Word. That means we
must study God's Word to know how God wants us
to live. We can 't say I am following Christ, and not
know what God 's Word says. The Bible tells us,
"we know that we have come to know Him (Jesus)
if we obey His commands. The man who says, I
know Him (Jesus), but does not do what He
commands is a liar, and the truth is not in him, But
if anyone obeys His Word, God's love is truly made
complete in him." (1 John 1:3-5) When God's Word
guides our life than we grow in discernment and
recognize the worldly teachings bombarding us.
Who are we listening too, God or someone else?
Are we getting our beliefs from God 's Word or
worldly philosophies like Oprah, Dr. Phil, and other
psychologies of our day?
Counseling 6~~------l
Call Today! 239.389.2073
------------------------------------------ contact us 239-389-9449 ------------------------------------------
Dr. Magnant offers state of the art vein
treatments in a spa-like setting. You'll
find comfort in knowing that he is
SWFL's premier Vein Expert and is a
Board Certified Vascular Surgeon.
Schedule An Appointment Today!
239.694.8346
weknowveins.com
Joseph Magnant, MD, fACS
Vein Expert and Board Certified
Vascular Surgeon

Single Incision - Southwest Florida`s Health and Wellness Magazine

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