Weight Loss , , f - Southwest Florida`s Health and Wellness Magazine
Transcription
Weight Loss , , f - Southwest Florida`s Health and Wellness Magazine
SOU T H W EST FLO RID A'S www.swfhealthandwellness.com FREE Parkinson's Awareness Join us and look into: liThe Other of Parkinso . . . l Disease I - - -- - Doctors to speak on common, • serious nR';.J condition ... EW EFFECTIVE Weight Loss , ,f S. Bergma n, M.D. E. Gurevitch, M. D. K. Besharat, M. D. D. Harris, M. D. M. D'Angelo, M. D. J. Jay, M. D. W. Figlesthaler, M.D. S. luke, M.D. C. Langford, 0 .0. E. R. Gr ieco, M.D. N. Franco, M.D. '" R. Rivera, M. D. .- D. Wilkinson, M. D. Bonita Springs Fort Myers Marco Island Naples Naples - North Naples - East 28930 Trails Edge Blvd. Bonita Springs, FL34134 4571 Colonial Blvd. Fort Myers, FL 33966 40 5. Heathwood Drive Marco Island, FL 34145 990 Tamiami Trail North Naples, FL341 02 6101 Pine Ridge Road Naples, FL34119 8340 Collier Blvd. Naples, FL34114 www.SpecialistslnUrology.com • 239-434-6300 - - - - - - - - - - - - - - - - - - - - - www.swfHealthandWellness.com - - - - - - - - - - - - - - - - - - - - - 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 Uni versity, Hospit al for Joint Dise ases, Ne w York City 713 E. Marion Ave, Suite 135 (3rd floor). Punta Gorda, FL 33950 Call for information on our next seminar. 941.661.6757 or 239.514.4200 • • XAetna:*We are now BlueCross BlueShield and AETNA providers. - - - - - - - - - - - - - - - - - www.swfHealthandWellness.com - - - - - - - - - - - - - - - - - I LOVE MY PIIen (Ampheta-HCL) PhenTabz RX is serious weight loss safe, significant weight loss with incredible ENERGYl - ...... Tabz R' 60T.~ " ~~ I FOR MEDICAL OFFICES ON LY: To carry PhenTabz for your pa tients call: 888.666. 1714 or for more information visit: Gentech-Pharmaceutical.com AVAILABLE AT CENTER OF THE MONTH: Medical Weight Loss Centers 8381 Riverwalk Park Blvd, Suite #20 1 Fort Myers, FL 339 19 239-292-3227 - - - - - - - - - - - - - - - www.swfHealthandWellness.com - - - - - - - - - - - - - - - Contents April2011 8 Natural Treatment for Prostate Enlargement 9 Opioids and Constipation 10 What do Varicose Veins, high blood pressure, high cholesterol and diabetes mellitus have in common? 12 Eye lifts offer more than cosmetic benefits 19 16 Parkinson's Awareness Join us and look into: "The Other Side of Parkinson's Disease" 18 Why Alcohol is Bad for your Heart Reduce Risk for Cancer, Stroke, Heart Attack, Alzheimer No More Hot Flashes or Night Sweats Lose Weight Reduce Fat Increase Muscle Increase Bone Density Sleep Better, More Energy .) Increase Memory Increase Sex Drive Treat Erectile Dysfunction 20 Reconstructive Abdominal Wall Surgery Now Available Locally ... No More Recurring Hernias 22 Back to basics: Handwashing is key to illness prevention 23 Doctors to speak on common, serious heart condition ... 13 Watching the Grass Grow 24 14 Those with Profound Hearing Loss Need Not "Settle" for Less in Life Dental Implants NEW SAFE & EFFECTIVE Weight Loss 26 Primary Insomnia 27 THE BIG STIFF (TOE) 30 Spiritual Wellness Are You Running From Your Pain? J Southwest Florida 's Health&Wellness Magazine can be found in over 600 Southwest Florida medical facilities including, hospital's, doctor's, chiropractor's and dentist's offices. Find a copy of your FREE Southwest Florida's Health&Wellness Magazine in most grocery and convenience stores as well. To get your article published and for ad rates, call 239.389.9449 [email protected] G WHIZ Marketing, LLC 11520 Jamaica Court I Marco Island, Florida 34145 Need to be seen for General Medical C:IIlril!!!"lI Dr Robert Watine is Board Certified in Intemal Medicine. If you are not feeling well or need a check up, Dr. Watine will see you the same day. You will always see the doctor. Never a nurse practitioner or a P.A. He is on staff at Charlotte Regional Medical Center, Peace River Regional Medical Center and Fawcett Memorial Hospital. Robert S. Watlne, MD DlpIo............ 1IcNud of I........ Medic.... 3310 T....I....I TnIIl, Su. . 102, Port ChIutotte, FL 33952 ©Copyright SOUTHWEST FLORIDA'S HEALTH&WElLNESS Magazine 2011. All rights reserved. Any reproduction of the material in this magazine in whole or in part without w ritten prior consent is prohibited. Articles and other material in this Magazine are not necessarily the views of SOUTHWEST FLORIDA'S Health&Weliness Magazine. SOUTHWEST FLORIDA'S Health&Weliness Magazine reserves the right to publish and edit , or not publish any material tha t is sent. SWFL Health & Well ness Magazine will not knowingly publish any advertisement which is illegal or misleading to its readers. The information in SOUTHW EST FLORIDA'S Health & Wellness Magazine ; I - - - - - - - - - - - - - - - - - - - - - w ww.swfHealthandWellness.com - - - - - - - - - - - - - - - - - - - - - ALVARO R. BADA M.D. Board Certified General Surgery Fellow American College of Surgeons Now Offiring No Incision Surgery for Heartburn! Murdock Executive Center 18308 Murdock Circle, # 10 1 www.badamd .com I New Patients I 941.255 .0069 Welcome I www.refluxbadamd.com Breast Surgery • No Incision Surgery • Single Incision Surgery Hemorrhoids {In Office Procedure} • Colonoscopy • Heartburn Treatment Laparoscopic Surgery • Hernia • Colon & Rectal Surgery Appendix • Gallbladder • Endoscopy 12200 San Servando Avenue, North Port, Florida 34287 (941) 426-1692 www.warmmineralsprings.com Open Daily 9-5. - - - - - - - - - - - - - - - - www.swfHealthandWellness.com - - - - - - - - - - - - - - - - Complete Eye Examinations Our Team of Trained Professionals Include: Full Optical & Contacts Registered Nurses licensed Practical Nurses Psychiatric Nurses Physical Therapists Occupational Therapists Speech-Language Pathologists Medical Social Workers Home Health Aides Custom Care Delivered With Dignity & Respect: Post Operative Care & Instructions Diagnosis & Disease Management Education Safety with Low Vision Fall Prevention Safety Pain Management Foot & Orthopedic Programs Wound Care & IV Therapy Injections & Instructions Diabetic Care & Instructions caUtoday\ 941-764-0035 Dr. David Klein M.D., EA.C.S. Medication Management Ophthalmology and Ophthalmic Surgery Camraer-Implant Surgery eVA Rehabilitation ADL Training & Much More .. Don't Forget Your Eyes! • Cataract Surgery . Glaucoma Treatment · Botox· and Resrylane· . Eyelid Surgery • Retinal Disorders · Neuro-ophthalmology • Pediatric Ophthalmology • Oculo-plastic Surgery- Including Blepharoplasry PORT CHARLOTTE CAPE CORAL P: 941 .629.1600 F: 941 .629.1606 P: 239 .242.054 1 F: 239.242.0581 HHA Lie. f: 299991998 HHA LiC. f: 299993039 visit infinityhc.com ©'iJ@XD] @Jj n~~nft&m ~~ Present this coupon to redeem the offer. Expires05/30/20ll . Not valid with other offen. For uninsured patients only. Sony, no Medicaid. (00220, IlOl40) Present this coupon to redeem the offer. Expires 05/30/2011. Not valid with other coupons and offers. This coupon must be presented. Expires 05/30/2011 . Not valid with other offers. PC-V-He.lthWeJlnee.12-2010 Port Charlotte phone: (941) 585 - 0955 Venice phone: (941) 484 - 8481 (8090) ODIII0,I)0031,IlOl50,I>0210) In absence of gum disease. Present this coupon to redeem the offer. Expires 05/30/2011 . Not valid with other offers. For uninsured patients only. Sony, no Medicaid. 463 US Highway 41 Bypass S Venice, FL 34285 Uninsured patients only. Sony, no Medicaid. PC-V-HedbWeJlnee.12-2010 1931 Tamiami Trail, Suite 6 Port Charlotte, FL 33948 PC \ 1I~.lth\\~II,,~S5 12 2010 - - - - - - - - - - - - - - - - - - - - - www.swfHealthandWellness.com - - - - - - - - - - - - - - - - - - - - - 8 Health & Well ness April 2011 - Charlotte/South Sarasota Edition Natural Treatment for Prostate Enlargement T he prostate is a male reproductive gland that produces the fluid that carries sperm during ejaculation. It surrounds the urethra, the tube through which urine passes out of the body. • A small amount of prostate enlargement is present in many men over age 40 and more than 90% of men over age 80. An enlarged prostate means the gland has grown bigger. Prostate enlargement happens to almost all men as they get older. As the gland grows, it can press on the urethra and cause urination and bladder problems. Less than half of all men with BPH have symptoms of the disease, which include: An enlarged prostate is often called benign prostatic hyperplasia (BPH) or benign prostatic hypertrophy. It is not cancer, and it does not raise your risk for prostate cancer. The actual cause of prostate enlargement is unknown. Factors linked to aging and the testicles themselves may playa role in the growth of the gland. Men who have had their testicles removed at a young age (for example, as a result of testicular cancer) do not develop BPH. Similarly, if the testicles are removed after a man develops BPH, the prostate begins to shrink in size. Some facts about prostate enlargement: • The likelihood of developing an enlarged prostate increases with age. • BPH is so common that it has been said all men will have an enlarged prostate if they live long enough. • No risk factors have been identified other than having normally functioning testicles. • Dribbling at the end of urinating • Inability to urinate (urinary retention) • Incomplete emptying of your bladder • Incontinence Needing to urinate two or more times per night • Pain with urination or bloody urine (these may indicate infection) • Slowed or delayed start of the urinary stream • Straining to urinate • Strong and sudden urge to urinate • Weak urine stream The choice of a treatment is based on the severity of your symptoms, the extent to which they affect your daily life, and the presence of any other medical conditions. Treatment options include "watchful waiting," lifestyle changes, medication, or surgery. Lucky for you or the men in your life Prostate RX®, which uses 100% locally grown pure saw palmetto liquid extract is available. Prostate RX®contains one of the purest forms of saw palmetto used in a prostate supplement. Prostate RX®naturally treats BPH, unlike other BPH medications Prostate RX®is all-natural and free of stimulant ingredients with virtually no side effects making it suitable for everyday use. As mentioned above, Prostate RX®is made from saw palmetto berries grown locally in Naples and is sold directly to consumers, making it the most natural and affordable option available to treat the symptoms of an enlarged prostate. If you are over 60, you are more likely to have symptoms. But many men with an enlarged prostate have only minor symptoms. Self-care steps are often enough to make you feel better. For more information about Prostate Rx®, call: 1-888-772-2741 or to order on-line, please visit www.prostaterx.net today! Many herbs have been tried for treating an enlarged prostate. Saw palmetto is used by millions of men to ease BPH symptoms and is often recommended as an alternative to medication. Studies have shown that it helps alleviate symptoms. Complete 6 Month Supply Saw palmetto has been used in numerous clinical studies around the world and has been proven to be helpful it's to overall prostate health. There are other natural compounds that can be used for prostate health but saw palmetto is recorded to be the best. 180 - Liquid Filled SoftGels Buy today for $46.98 Breaks down to $7.83 per month Lifetime FREE Shipping Complete 12 Month Supply 365 - Liquid Filled SoftGels Buy today for $74.88 Breaks down to $6.24 per month - - - - - - - - - - - - - - - - - - - - - - www.swfHealthandWellness.com - - - - - - - - - - - - - - - - - - - - - - • FAMILY OWNED SINCE 1999 ,\1// ..... "" h .I'f£§J 100% Pure Saw Palmetto 1] ~ Fl3frda ~.. "WE ARE THE EXCLUSIVE FLORIDA GROWERS SELLING DIRECT TO YOU" Dietary Supplement ® • Max Strength • 320 mg. Softgels • 1·A Day Dosage Laboratory Tested Standardized Extract Results 93.2% Opioids and Consti P~!!9JJ • Do you suffer from Prostate Enlargement (or BPH)? • Stop getting up all night! . If You're Not Buying from Prostate Rx" ..........~~.~'~~ ~~~.~.~~~~~. ~i~~~~:-::-b. *Lifetime Free Shipping Toll Free Order Hotline 1-888-772-2741 24 Hours a Day . 7 Days a Week Online Ordering Send Personal Checks to: Prostate Rx" lnc. 1206 Kings Way, Naples, FL 34104 320 mg 180 sohgels Complete 6·Month Supply Prostate Rr 320 mg 365 soItgeIs Compl,t, 12·Month Supply Stool softeners such as colace work by reducing the surface tension and help create softened, more lubricated stools. While stool softeners are useful in combating constipation, they are often not sufficient and laxatives are usually combined with stool softeners to produce a greater effect. Commonly used laxatives include Milk of Magnesia (MOM), Miralax, Du1colax, and Senna. $783 per momrn... $46.98 $624 per month 2 year shelf life Patients with constipation refractory to oral agents may need an enema or a suppository. If you are suffering from opioid-induced constipation, it is important to discuss the appropriate treatment with your physician. Total Made In USA Patients can become tolerant to some side effects of narcotics; however, constipation can remain problematic in a patient engaged in chronic, or even shortterm, narcotic therapy. Narcotics exact their constipating effect by slowing normal gastrointestinal function. Opioid-induced constipation can be a significant problem resulting in a decreased quality of life and needs to be treated aggressively to prevent bowel obstruction. There are many ways to treat opioid-induced constipation. Initial treatments include increasing intake of dietary fiber. However, it is important to also increase intake of fluids . An increase in dietary fiber without an increase in fluids can perpetnate constipation. Other important treatments include stool softeners and laxatives. www.prostaterx.net Prostate RX" pioids, or narcotics, are commonly used medications and are a cornerstone treatment for acute, as well as, chronic pain. While there are benefits to using an opioid, such as vicodin, they are often responsible for many undesirable effects. One of the more common side effects of narcotic pain medications is constipation. ~ FLORIDA PAIN CENTERS - PAIN MANAGEMENT CONSULTANTS, PA 23 Barkley Circle· Fort Myers, FL 33907 • 239.333.1177 - - - - - - - - - - - - - - - - - - - - - www.swfHealthandWellness.com - - - - - - - - - - - - - - - - - - - - - 10 Health & Well ness April 2011 - Charlotte/South Sarasota Edition What do Varicose Veins, high blood pressure, high cholesterol and diabetes ll1ellitus have in cOll1ll1on? By Joseph Magnant, MD, FACS I f you have been told by your physician that your varicose veins are cosmetic or pose no immediate threat or that your swollen achy legs are just something you are going to have to live with, you might want to reconsider your options. A number of patients have presented in the past months with complications of their varicose veins including clotting off of the veins (thrombosis) with progression to DVT although none had what they would call "pain ". Most had physicians who knew about their vein problems and either had not made any specific recommendations or had suggested conservative therapy until real "pain" or other pressing complications (thrombosis, bleeding?) occurred. With the modern, minimally invasive technique of endovenous ablation available for the treatment of these patients' problems, I believe it is time to change the way we approach venous insufficiency. Many patients have traditionally been told by their primary care physicians that as long as their swollen, discolored legs don't hurt or their varicose veins are not painful, clotted or bleeding that they should leave them alone. So, is one to conclude that active treatments should be offered only for medical conditions which are painful or have progressed to the point of complications? Hypertension has earned the nick name of "the silent killer" due to the fact that many patients with high blood pressure are unaware of their condition until a screening blood pressure reveals a high reading. Untreated or undiagnosed high blood pressure leads to premature heart attack, kidney failure, stroke and death. Similarly, active treatment of high cholesterol through weight loss, dietary modification, exercise and medication when appropriate has been shown to reduce the risk of stroke, heart attack and deaths related to hardening of the arteries. Screening blood tests for high cholesterol are routinely performed a part of an annual medical evaluation after the age of 40. Physicians are not likely to advise their patients with high cholesterol that they should wait until their first heart attack or stroke before considering active therapy. The same can be said for the treatment of diabetes mellitus. Tighter blood sugar control with dietary modification, increased physical activity and medications when needed has been shown to slow the progression of a variety of complications of diabetes including retinopathy (eye problems), nephropathy (kidney failure) , neuropathy (numbness and tingling in the feet) as well as atherosclerosis (hardening of the arteries). Logic dictates a proactive approach to patients with diabetes to reduce the chances of these complications. and or with external bleeding from their varicose veins: one patient bled on the pool deck, another bled on the floor in Walmart, and a third bled in her bathtub (figure I). What all these patients and scores of other share in common is the fact that until the specific complication occurred, they had no severe pain or real disability from their varicose veins. Most did complain of achy or swollen legs, itching, heaviness, throbbing and heat over the veins, - - - - - - - - - - - - - - - - - - - - - www.swfHealthandWellness.com - - - - - - - - - - - - - - - - - - - - - Charlotte/South Sarasota Edition - April 2011 Health & Wellness Venous insufficiency is a medical problem, much like the abovementioned conditions and I believe it is time we start treating it as such rather than wishing it away with unfilled compression hose prescriptions or compression hose still in their boxes. Earlier diagnosis and intervention where appropriate will reduce the long term consequences and complications of venous insufficiency such as thrombosis, bleeding, skin changes and ulceration. The modem, minimally invasive technique of endovenous ablation has made this possible. Of the estimated 35-40 million adults in the U.S. who suf-fer from symptomatic superficial venous insufficiency, or venous reflux disease, the majority have symptoms and signs which cause significant discomfort. Until 2000, the only treatments available for patients with significant saphenous vein insufficiency were compression hose, high ligation and stripping. The latter two treatments were often considered too invasive for patients with symptoms other than bleeding veins or non-healing leg or ankle venous ulcers. Thus most patients with venous insufficiency were advised to wait until the end complications occurred before considering anything more than compression hose. The landscape of venous insufficiency treatment was transformed dramatically by LEFT LOWER Vein Specialists At Royal Palm Square 239.694.8346 I weknowveins.com EXTREMITY figure 2 MEDIAL ANTERIOR the introduction of endovenous ablation (sealing veins with heat rather than vein stripping) in 1999. The radiofrequency catheter system was the first system approved by the FDA in 1999 and the LASER system for endovenous ablation received FDA approval in 2001. Joseph Magnant, MD, FAGS 11 Over the past decade, our understanding of venous insufficiency has been greatly improved as endovenous ablation has been applied with excellent results to patients with some of the more advanced stages of venous insufficiency. Superficial veins other tban the great saphenous vein, such as the small saphenous vein, intersaphenous vein, anterior accessory saphenous vein and perforating veins are now treatable with endovenous ablation (figure 2). Modem ultrasound evaluation of the lower extremity venous system by experienced vascular technologists accurately identifies which veins are insufficient (leaking) and stratifies the severity of reflux. Ultrasound directed sealing of the abnormal veins under local anesthesia has yielded far superior results than vein ligation or stripping. The net result has been relief for millions LATERAL POSTERIOR of patients worldwide and for hundreds of thousands of patients in the USA. Ulcers are being healed in record time, stasis dermatitis changes are being reversed and leg swelling and pain is receding in thousands of patients once thought to be untreatable. So the question is when to consider getting your vein problems evaluated and whether it is wise to leave varicose veins alone until complications like superficial venous thrombosis (clotting of the varicose veins) with possible progression to deep vein thrombosis(DVT), hemorrhage(bleeding) or ulceration occur. The next time someone tells you to wait for one of the above occur before to seeking evaluation or treatment of your venous problem, reflect back on the goals of treatment in patients with other medical diseases such as high blood pressure, high cholesterol and diabetes. The common goal is quite simply prevention of long term complications, not necessarily relief of "pain". It has been II years since the introduction of endovenous ablation as the preferred treatment of patients with symptomatic venous insufficiency and it is time to shed the light of this safe, effective and minimally invasive treatment on the mass of patients still suffering from venous insufficiency. - - - - - - - - - - - - - - - - - - - - - www.swfHealthandWellness.com - - - - - - - - - - - - - - - - - - - - - Health & Well ness April 2011 - Charlotte/South Sarasota Edition By Lisa Minic s we age it is very common for our eyelids to become droopy, which is called ptosis. The drooping upper eyelid may droop so low as to cover a major part of the eye eventually obstructing and reducing normal vision. Severe lid drooping requires people to tilt their heads back to see under the lid or raise their eyebrows to physically lift eyelids in order to see. If you find yourself doing this or are just noticing that your eyelids are drooping you should be aware that eyelid surgery or blepharoplasty is an available option to correct this problem and your appearance. Blepharoplasty, frequently called an "eye lift", is done for functional as well as cosmetic reasons. Ophthalmologists are trained to perform this procedure the same as plastic surgeons. Often, plastic surgeons defer to an ophthalmologist because they have a better understanding of the anatomy of the eye. The surgery involves removing fat usually along with excess skin and muscle from the upper and lower eyelids. Eyelid surgery can correct drooping upper lids and puffy bags below your eyes, features that may interfere with your vision and can make you look older and more tired than you feel. The procedure takes less than an hour and the recovery time is quick and painless. It does not interfere with your daily activities. Benefits of the upper lid ptosis when done for cosmetic purposes will give the patient a more youthful, rested appearance. The same benefit is accomplished when it is done for medical purposes and the patient's field of vision is increased due to the correction of the drooping eyelid. Lower lid ptosis is almost always considered cosmetic. Very often the patient will request the "bags" removed, which usually represents herniated fat under the skin. This will also give the patient a more youthful appearance. If you experience impaired vision caused by droopy eye lids, the eye care team at Dr. Klein's office can perform the testing to see if you qualify for the upper lid ptosis through health insurance. The testing consists of a visual field test and photos. Test results are sent to the insurance company for consideration of full coverage for the eye lift surgery. This procedure can be done in the office or in a surgical facility. When the drooping of the eyelids interferes with the patient's vision, it is considered a medical condition and may be covered by insurance. When an insurance company is paying for the surgery it is usually performed in a surgical facility. The surgery can be perfonned in Dr. Klein 's office when it is not medically necessary and not covered by insurance. Please call today to schedule an initial consultation with Dr. Klein and his experienced eye care team. Don't let a droopy eyelid impact your vision or appearance any longer! Dr. David Klein Dr. David Klein has been practicing for 32 years and his love for medicine is greater than ever! Whether in the office or volunteering, Dr. Klein is making Port Charlotte proud and helping everyone see the good all around us in Port Charlotte. 941-764-0035 1600 Tamiami Trail, Suite 101, Port Charlotte, FI 33948 (located in the 4 story-red brick building) Eye Care Team Member Spotlight Jill Zobel has been with Dr. Klein for a total of 17 years. Jill first began working with Dr. Klein just out of high school. Afier four years she moved to the east coast of Florida. When she decided to return to Port Charlotte, her first phone call was to Dr. Klein's office manager to see if there was a position open in his office. While on the east coast, Jill obtained her degree as a Certified Ophthalmic Assistant. Jill works with the patient's right beside Dr. Klein on a daily basis and also assists with office surgeries. Jill is the contact lens specialist for Dr. Klein's office and is very knowledgeable in the various types ofcontact lenses, as well as fitting patients with monovision lenses. - - - - - - - - - - - - - - - - - - - - - www.swfHealthandWellness.com - - - - - - - - - - - - - - - - - - - - - Charlotte/South Sarasota Edition - April 2011 Health & Well ness 13 atching the GrBy~~~Eg£Q~ Y u look at the overgrown grass and say to yourself, "I really need to cut the grass" but you don't because you just don 't "feel like doing it." Then you begin to say negative things to yourself, feeling guilty that you don't do something that you know needs to be done. When this is repeated over and over about various tasks, you begin to think that something is wrong, you're not acting like you used to when you just did these tasks. You find yourself having difficulty sleeping, you are worried. In addition you may find yourself not getting any pleasure out of activities that you used to enjoy, and your thinking is fuzzy and a little confused. You are irritated and find yourself isolating from people. Perhaps you feel anxious, and nervous about doing things that you never had problems with before; like going grocery shopping. If this describes how life is, you are experiencing symptoms of Major Depression. Psychology has come a long way in the last fifty years. For instance we have discovered that "depressed people have depressed thoughts." Seriously, this was a major breakthrough that led to present psychotherapy treatment programs for those with major depression. The idea is that people who are depressed have depressed thoughts that keep the depression in place. If people change the way that they think then they change the way they feel , which changes their behavior. Depressed thoughts usually consist of negative thoughts about yourself. Examples would be ''I'm worthless," ''I'm no good," or "I can't do anything right." These thoughts lead to feelings of hopelessness and helplessness and therefore more depression. Very often the thoughts that people are struggling with are not true and the task of psychotherapy is to help people change the way they think. Psychotherapists who utilize this Cognitive Behavioral approach to the treatment of Major Depression help people identify irrational thoughts and help them practice new rational thoughts that help lift their depression. For instance the example above "I can't do anything right" would be changed to reflect that the truth is, people make choices that are right and they also make choices that don't turn out right. The evidence suggests that you probably could not find someone who does everything wrong! This is an example of "Black or White thinking." There are ten common mental mistakes that people make that can be changed through the course of psychotherapy. To help identify these mistakes psychotherapists will ask you to keep a journal of your negative thinking. In addition the psychotherapist utilizing this approach will ask you to do "homework assignments" outside of therapy hour. Research about effective psychotherapy suggests that people who work at changing their behavior outside of the therapy sessions are more likely to have successful outcomes from psychotherapy. Another tool that helps people combat major depression is regular aerobic exercise which has been linked to alleviating symptoms of depression, anxiety, and addiction. Regular exercise like walking, running, biking, and swimming at least four times per week for over 30 minutes has the effect of increasing a person's self-confidence and in addition activates the body's "feel good" chemistry. You should check with your doctor before attempting aerobic activity. So you say "yea but I just don 't feel like doing anything," and the truth is that this is just a feeling. It is surprising how many people respond as though their feelings are the reality. If you do the things that you don't feel like doing, most of the time you feel better because you don 't have to go through feeling guilty and all the self-recriminations that follow. Cognitive Behavioral Psychotherapy is one of the advances made in the treatment of Major Depression however; the use of antidepressant medicine in conjunction with CBT psychotherapy is the most effective way of alleviating the symptoms. Together these treatment methods provide the tools that will help you combat further episodes of depression. So instead of watching the grass grow why don ' t you come in to see our staff at the Beacon Clinic so we can help you get back to the life that you want to live? Port Charlotte Office 3782 Tamiami Trail, Port Charlotte, FL Phone: 941-629-7855 in between Gatorz bar and grill and The Port Charlotte Post Office Englewood Office 356 Indiana Avenue, Englewood, FL Phone: 941-681-3400 Across from Stefano's Restaurant, near Dearborn st. - - - - - - - - - - - - - - - - - - - - - www.swfHealthandWellness.com - - - - - - - - - - - - - - - - - - - - - Health & Well ness April 2011 - Charlotte/South Sarasota Edition By Dr. Noel Crosby, Au.D. Advances in Super Power Hearing Aids Provide Amplification PLUS Wireless Communication Opportunities F LEVELS OF HEARING LOSS or millions with mild to moderate hearing loss, the choice to delay treatment through hearing aids is an option ... an ill-advised choice to be sure ... but an alternative just the same. However, for those with profound or severe hearing loss, super power hearing aids provide the necessary and vital link to the hearing world and choosing the correct hearing aid is essential for maximum benefit. (See chart for explanation of levels of hearing loss.) The primary goal for the user with profound hearing loss is the ability to understand speech. That's where a new product introduced by Oticon (and recommended by me) comes in. The Oticon Chili is designed to "help users distinguish various sounds while making sense of what they are hearing. The unique amplification technique helps to maximize audibility and speech recognition without the jumble and distortion power users can encounter with even the most advanced hearing aids available today." Additionally, the Oticon Cbili meets additional contemporary needs of the user ... the ability to enjoy advances in wireless communication. In a press release announcing Chili's launch, Oticon President Peer Lauritsen said, ""Our goal for Chili was an ambitious one - to empower people with moderately-severe to profound hearing loss to live active, vital lives. The results of a dedicated, in-depth study of super power users, their families and friends and Mild Hearing Loss Those with mild hearing loss have some difficulties understanding conversations, especially in noisy environments. The quietest sounds they are capable of hearing (with good ear) are generally between 20-40 decibels (dB); i.e. whisper (20 dB); refrigerator (40 dB) Moderate Hearing Loss The quietest sounds heard by people with this level of hearing loss are 41-70 dB. Without the use of a hearing aid, conversations can be difficult to understand ; i.e. normal conversation (60 dB) Severe Hearing Loss People who have severe hearing loss will benefit from powerful hearing aids even though they often lip-read in addition to using hearing aids. Some also use sign language. The quietest sounds heard by people with their better ear are between 70 and 95 dB; i.e. city traffic, vacuum cleaner (80dB); lawnmower (90 dB) Profound Hearing Loss People with profound hearing loss rely extensively on lip-reading and/or sign language. On average, the quietest sounds heard by those with this level of loss (with their better ear) are 95 dB or more; i.e. amplified music, chain saw (110 dB); snowmobile (120 dB); jet taking off (180 dB) 6'. i" .. I believe the Oticon Chili can exceed the expectations of those with profound hearing loss. It amplifies and aids in speecb understanding wbile offering new opportunities for wireless communication and entertainment. If you would like to learn more about tbe Cbili, please contact my office. The Cochlear Implant: When Hearing Aids Aren't the Solution A cochlear implant is a surgically implanted electronic device that provides a sense of sound to a person wbo is profoundly deaf or severely hard of hearing. Hearing through a cochlear implant is not like normal hearing and it takes time to learn how to bear witb tbe device after it is implanted. However, cochlear implants help many people hear and recognize warning signals, understand enviromnental sounds, enjoy conversations and talk over the phone. Generally speaking, cocblear implants are designed for those with severe to profound sensorineural hearing loss and they work quite differently from bearing aids. While bearing aids amplify sounds so that damaged parts of the ear can detect those sounds, cochlear implants bypass the damaged portions of the ear and directly stimulate tbe auditory nerve. After the implant is put into place, sound will be picked up by a microphone and sent through the device's speech processor to tbe implant's electrodes inside the cochlea. Dr. Noel Crosby, Au.D., owner and practicing audiologist at Advanced Hearing Solutions in Engle- To determine whether you are a candidate for cochlear implants, it is important to take the first step by having your hearing tested by your Audiologist. Criteria for potential cocblear implant candidates include: wood, FL is an experienced professional whose career has been devoted to helping people of all • baving severe to profound bearing loss in both ears PROFESSIONAL BIO ••' information from super power users who are routinely interviewed and tested by Otic on audiologists and researcbers enabled us to identify their most important needs and desires. We looked beyond the need for amplification to better understand the real life challenges and the impact of severe hearing loss on personal connections and social interactions." ages hear and understand more clearly. With over 23 years of experience, Dr. Crosby's career path is marked by the pursuit of advanced education. After completing her undergraduate requirements, she received her Bachelor and Master of Science degrees from Florida State University and her Doctorate in Audiology from the University of Florida. Her credibility as an authority grew during her tenure as the Director of Audiology at the Silverstein Institute in Sarasota, FL from 1991-1998. Today, in addition to managing a successful audiology practice, Dr. Crosby just completed her second term as president of The Florida Academy of Audiology. • having a functioning auditory nerve • baving lived at least a short amount of time without any hearing For more information, please contact me, Dr. Noel Crosby, at Advanced Hearing Solutions at 941-474-8393, or visit our website at: www.advancedhearingsolutions.net - - - - - - - - - - - - - - - - - - - - - www.swfHealthandWellness.com - - - - - - - - - - - - - - - - - - - - - There's hope for Psoriasis... Announcing the: CA~ISA PSORIASIS at Riverchase Dermatology CENTER He "Wrote the Book" on Psoriasis. Riverchase Dermatology is committed to being Southwest Florida's most comprehensive skin center, providing patients with the most advanced treatments available. Charles Camisa, MD, is Board Certified in Dermatology and Dermatologic Immunology. Dr. Camisa is a leading expert in psoriasis, eczema, bullous diseases, and many other complex skin conditions. He has authored three textbooks on psoriasis as well as many peer-reviewed articles. Patients throughout the country seek his experience. The Camisa Psoriasis Center offers the latest treatments using Ultraviolet Phototherapy, Xtrac Laser, and injectable biologics. Dr. Camisa is also available for General Dermatology appointments in both Naples and Fort Myers offices. Call today to schedule your appointment. RIVERCHASE DERMATOLOGY www.riverchasedermatology.com Fort Myers: 239-437 -8810 7331 Gladiolus Dr. Downtown Naples: 239-596-9075 261 9th St. South CASlLE CONNOLLY ~ AiD. ~~ TOP DOCTORS· - - - - - - - - - - - - - - - - www.swfHealth a ndWellness.com - - - - - - - - - - -- - - - 16 Health & Well ness April 2011 - Charlotte/South Sarasota Edition - - - - - - - - - - - - - - - - - - - - - www.swfHealthandWellness.com - - - - - - - - - - - - - - - - - - - - - Charlotte/South Sarasota Edition - April 2011 Health & Well ness 17 P arkinson.s disease (PD) is traditionally recognized by the motor signs that typically bring the patients to the physicians for medical evaluation: tremor, rigidity, slowness of movements and changes in their gait pattern, associated later on with balance problems. These problems are due to reduced levels of dopamine in the brain, caused by premature death of dopaminergic cells in one area of the upper brainstem called "Substantia Nigra". Because of this, and as a result of the emphasis given to dopaminergic therapy for more than 4 decades, we have ignored for a number of years other (non dopaminergic) aspects of the disease such as cognitive, mood and sleep disorders, as well as other common problems caused by autonomic dysfunction (these include: problems regulating blood pressure, sweating, saliva production, bladder control, erectile dysfunction, bowel and stomach problems, among others). The negative impact in the guality oflife (g.o.l.) of patients with PD created by behavioral problems, including drug induced psychosis has been increasingly recognized. More so since the incremental use of dopamine agonists (DA) over the past 15 years and the number of publications reporting the so called "impulse control disorders" and "sleep attacks", caused by dopaminergic tberapy, in particular DA. Q • Very seldom patients or carepartners openly bring to the discussion during a visit to their neurologist or Primary Care Physician (PCP) their concerns about hypersexuality, visual hallucinations, paranoid delusions, compulsive behavior, etc. There are many factors involved in this unfortunate reality, but clearly, lack of awareness and understanding creates a number of misconceptions in the mind of both, patient and caregiver, which prevent them from having access to adequate tberapy. This coming April 12th, the "Parkinson's Disease Treatment Center of SW Florida" will be holding a free educational program at the Charlotte Harbor Event and Conference Center, in Punta Gorda. The purpose of this presentation is to educate the audience in terms of the non motor complications of PD, making emphasis in the behavioral problems that often lead to hospitalizations and placement of loved ones in long term care facilities. Early recognition and adequate medical management could make a huge difference in the patients' outcome and in the q.o.1. of both, patients and caregivers. Some "non motor" problems to be reviewed include: • Memory loss, depression and dementia • Confusion, behavioral problems' (including hallucinations, delusions and compulsiveness), anxiety, apathy, mood changes • Low blood pressure upon standing • Sleep disturbances The audience will also bave tbe opportunity of learning from local professionals, very effective non pharmacologic interventions which along with optimal medical treatment should be able to furtber improve the functional status of patients, as well as their g.o.1. and that of their care partners. 'The use of investigational drugs in the treatment of some of the non motor problems affecting PD patients, how to participate in phase III clinical trials currently being conducted as part of their FDA approval process and the off label use of Onabotulinum toxin type A (Botox) are some of the topics that will be discussed in this program. There is limited seating, early registration is strongly recommended. For more information and/or registration contact Ms. Janelle Kelly at 941-228-1936 or register on line at: [email protected] Key words: Parkinson's disease, non motor complications, psychosis, hallucinations, delusions, paranoid behavior, depression, anxiety, impulse control disorders, compulsive behavior, dopamine deregulation syndrome, dementia, Botox, unconventional therapies, Tai Chi, Yoga, nutrition and pbysical fitness. Venue: Charlotte Harbor Event and Conference Center, Punta Gorda, Florida Logistics by: "Solutions for Success" - - - - - - - - - - - - - - - - - - - - - - www.swfHealthandWellness.com - - - - - - - - - - - - - - - - - - - - - - 18 Health & Well ness April 2011 - Charlotte/South Sarasota Edition Why Alcohol is Bad for your Heart By Cesar Yepes, MD, Interventional Cardiologist Y our doctor has told you drinking too much alcohol is bad for your heart. Do you really know why? Excessive drinking can be detrimental to your heart. If you have more than one glass of alcohol per night, you could be hurting your heart. Excessive alcohol consumption over time can produce disturbances in a person's heart rhythm. But, limiting your consumption to say just one glass of red wine can be beneficial to prevent coronary artery disease in the long term. What can happen with excessive drinking: Issue ONE: It can degenerate the electrical conduction system of the heart (in other words, the cables in your heart don't work). Once this has happened, you can control this with medicine, but it is irreversible. Issue TWO: It can dilate the heart which is destroying the intrinsic muscles/architecture, fibers and connections between them and the way they are arranged. It also dilates the valves producing significant leaking. This is also treatable with medication, but is irreversible. Degenerate the electrical conduction system of the heart: I) Atrial Fibrilation- muscle of the upper part/upper 2 chambers just fibrilates 2) Atrial Flutter- is similar to Atrial Fibrilation, but more rhythmic and more isolated to one spot in the upper heart 3) Ventricular Techychardia-This arrhythmia is responsible for most of the sudden deaths in cardiology These issues can be addressed with a cardiologist and medication can be prescribed. In some cases it will require Ablation. Ablation is when the specialist destroys the extra "cables" or extra-pathways that are formed and abnormally conducts the electricity in the heart as a results of chronic alcohol intake. It can dilate the heart which is destroying the intrin- sic muscles/architecture, fibers and connections between them and the way they are arranged. This is the area that we can treat here in the office by diagnosing "big heart" using an ultrasound echo cardiogram where we are able to view all four chambers and how blood travels through all four cardiac valves. Once we see how weak the heart is we can medically treat it, sometimes surgery may be needed. Stroke: Also, arrhythmia can also produce clots inside the heart. Here are Charlotte Cardiovascular Institute, we treat patients and dramatically drop the formation of clots from 10% per year to 0.5% per year. Decreasing the formation of clots is important because a clot can travel from your heart to your brain and produce a stroke. Heart Attack: Why excessive drinking can lead to heart attacks. Every time you drink alcohol, you are drinking energy and your liver will transform your extra energy into high cholesterol (LDL)-known as the KILLER cholesterol. These two components will clog your arteries by producing plaque. Eventually, plaque can break off and form a clot that will completely close the flow into the heart. That is when a person has a heart attack. Before this happens, a stent can be surgically placed. With over II years of experience and more than 2,500 interventions performed, I have seen how stents have given my patients long healthy lives. Charlotte Cardiovascular Institute 4161 Tamiami Trail, Suite 701, Port Charlotte, FL 33952 941.629.5356 SW Florida welcomes Dr. Cesar Yepes, his wife and three children to Port Charlotte. They have been here for 9 months. Dr. Yepes studied at the Montreal Heart Institute and Harvard Medical School. Here are some other fun facts about the doctor, he speaks three languages English, Spanish and French and in his free time, he likes to bike, play piano and dance. Welcome Dr. Yepes. We are glad to have you part of our community. - - - - - - - - - - - - - - - - - - - - - www.swfHealthandWellness.com - - - - - - - - - - - - - - - - - - - - - Charlotte/South Sarasota Edition - April 2011 Health & Well ness 19 Dental Implants y father was a crew chief in the Army Air Corps in WW2. He was 18, and all the guys in his crew were less than 25 years old. I have a great picture of them in front of the Northrup P61 Black Widow they all loved. He told me lots of stories about the plane: how the huge radial Continental engines worked, the incredible amount of fuel it burned, how slow it could fly (when they wanted it to), and how it always leaked oil. But the thing that struck me when I looked at the picture (forgive me, I am a dentist), is that most of the guys had missing teeth. I asked my dad about that, and he told me that missing teeth was common among his peers. Most families had money problems and couldn 't afford dental care. And, in truth, dentistry was not much like the profession we all know today. and integrates with bone. That means it actually fuses to bone and isn 't just tolerated by the body. Dental implants are accepted by the body and can function as well as a natural tooth. That is unbelievable . Really, space- age stuff. However (isn't there always a however?), there are limitations. Implants don't always work. Sometimes there is not enough solid bone to support them. Sometimes people grind their teeth like a cow chewing its cud and over stress them. Sometimes the patient has underlying medical problems or is a heavy smoker or a diabetic. Sometimes the bone is soft and mushy. Life is like that. But mostly, they work. In fact, with proper diagnosis and treatment planning, well over 90% are successful. You just don't see many people running around with gaping holes in their mouths today. Fluoridation has worked, decay is less of a problem, periodontal disease can be treated, and missing teeth can be replaced. One of the incredible advances in dentistry is titanium implants. When I was in graduate school in the 1970s, implants were mostly a dream. Stainless steel, cultured sapphires, vitreous carbon, and many other materials were tested across the US. None of them worked. Titanium did. Today, medical grade titanium is used for hip and knee replacements, bone plates, and dental implants. And they really work! Titanium is non-toxic, bio-compatible, 1-888-536-2605 www.DentaIDestinationsDDS.com "The Other Side of Parkinson's Disease" April 12, 2011 @ 4:00pm-6:00pm Charlotte Harbor Event and Conference Center 75 Taylor St., Punta Gorda Presentation at no charge So, if you are a candidate for implants, do it, by all means. The secret to success takes place before the surgery. X-ray films, CT scans, and cone beam radiography may all be necessary to gather the information your doctor needs to properly treat you. The lack of information can result in implant failure or, even worse, a surgical disaster. So, be wary of a doctor that says "no problem, we can do it", and, conversely, don't think that the doctor that says he needs specialized imaging before proceeding is trying to rip you off. Your individual case may require special treatment and may not be run of the mill stuff. Sophisticated dentistry is expensive. But, there are ways to save money and still receive first class treatment. Just don't try to cut corners when you don't know what you are doing. We can help. foe !foa loohltg a dentist abroad? Ramon A. Gil, M.D., Medical Director and founder of Parkinson 's Disease Treatment Center of SW Florida. This presentation is a unique opportunity to learn many " non motor" aspects of Parkinson 's Disease that are often under recognized and untreated, leading to a significant worsening in quality of life of patients and caregivers, as well as preventable hospitalizations or unnecessary placement in long term care facilities. Patients and caregivers are invited to attend (941)228-1396 or email [email protected] - - - - - - - - - - - - - - - - - - - - - - www.swfHealthandWellness.com - - - - - - - - - - - - - - - - - - - - - - 20 Health & Well ness April 2011 - Charlotte/South Sarasota Edition Reconstructive Abdominal Wall Surgery Now Available Locally... No More Recurring • erOlaS A hernia may be likened to a failure in the sidewall of a tire. The tire's inner tube behaves like the organ and the side wall like the body cavity wall providing the restraint. A weakness in the sidewall allows a bulge to develop, which can become a split, allowing the inner tube to protrude, and leading to the eventual failure of the tire. Hernias may present either with pain at the site, a visible or palpable lump, or in some cases by more vague symptoms resulting from pressure on an organ which has become "stuck" in the hernia, sometimes leading to organ dysfunction. Fatty tissue usually enters a hernia first, but it may be followed by or accompanied by an organ. The most common types are inguinal (inner groin), incisional (resulting from an incision), femoral (outer groin), umbilical (belly button), and hiatal (upper stomach). In an inguinal hernia, the intestine or the bladder protrudes through the abdominal wall or into the inguinal canal in the groin. About 80% of all hernias are inguinal. • In an incisional hernia, the intestine pushes through the abdominal wall at the site of previous abdominal surgery. • A femoral hernia occurs when the intestine enters the canal carrying the femoral artery into the upper thigh. • In an umbilical hernia, part of the small intestine passes through the abdominal wall near the navel. • A hiatal hernia happens when the upper stomach squeezes through the hiatus, an opening in the diaphragm through which the esophagus passes. Dr. 8ada doesn't TREAT symptoms, he CURES them! CALL NOW! (941) 255-0069 www.badamd.com • www.refluxbadamd.com 18308 Murdock Cr #1 01, Port Charlotte . Satellite Offices in North Port and Punta Gorda - - - - - - - - - - - - - - - - - - - - - www.swfHealthandWellness.com - - - - - - - - - - - - - - - - - - - - - Charlotte/South Sarasota Edition - April 2011 Health & Well ness 21 Ultimately, all hernias are caused by a combination of pressure and an opening or weakness of muscle or fascia: The pressure pushes an organ or tissue through the opening or weak spot. Sometimes the muscle weakness is present at birth; more often, it occurs later in 4P life. Poor nutrition, smoking, and Alvaro R. Bada, M.D. overexertion all can weaken muscles and make hernias more likely. Anything that causes an increase in pressure in the abdomen can then cause a hernia, including obesity, lifting heavy objects, diarrhea or constipation, or persistent coughing or sneezing. Hernias are typically easy to resolve with a laparoscopic surgery procedure. Unfortunately there are some people who suffer with recurring hernias, even after multiple surgeries. These patients can quickly become frustrated and discouraged, seeking treatment from various doctors, only to have their hernia recur again and again. It may take just a few months or sometimes even years for the hernia to reappear, no matter the length of time between occurrences a hernia that keeps coming back can become trying and patients may lose confidence in doctors. Abdomen Defective inguinal canal _Abdominal wall Inguinal canal Hemlated/ loop of Intestine Spennatlc eo'" Scrotum Alas, there is good news for patients with recurring hernias. These patients can now elect to have the abdominal wall reconstructed; results from this surgery procedure are highly successful at preventing the hernia from recurring. The weak area of the abdominal wall is surgically closed and reconstructed during this type of procedure. There are few surgeons who accept the challenging recurring hernia cases and perform the reconstructive surgery. Until recently, people suffering from this condition had to he transferred out of the area for this life changing surgery. Fortunately Dr. Bada, who has completed and received certification from the Comprehensive Solutions in Complex Abdominal Wall Reconstruction Master class in Nevada, can perform this surgery locally. Patients no longer need to seek help from doctor after doctor nor do they need to travel out of the area for relief from recurring hernias. Dr. Bada has seen great success with the reconstructive procedure and his patients are now hernia free! If you suffer from recurring hernias and other doctors or surgeons have been unsuccessful at keeping them away, abdominal wall reconstruction may be the answer you have so desperately been seeking. All hope is not lost, for an evaluation to see if you would be a candidate for this procedure please call 941-255-0069. Charlotte Institute Cesar B. Yepes, M.D. 4161 Tamiami Trail, Suite 701 Port Charlotte, FL 33952 - - - - - - - - - - - - - - - - - - - - - - www.swfHealthandWellness.com - - - - - - - - - - - - - - - - - - - - - - 22 Health & Well ness April 2011 - Charlotte/South Sarasota Edition Encourage everyone in the family to wash their hands at these key times: • Before mealtimes • While cooking or preparing food After going to the bathroom or changing diapers When someone in the household is sick • When sick, so illness doesn't spread After touching pets -. The Clean Routine Hands don't get clean by simply splashing them under a little water, although most kids prefer that technique. The Centers for Disease Control and Prevention recommends the following steps: ! •, l f , • Wet your hands with clean running water (warm or cold) and apply soap. Rub your hands together to make a lather and scruh them well. Be sure to scrub the backs of your hands, between your fingers , and under your nails. Continue rubbing your hands for at least 20 seconds. Back to basics: • Rinse your hands well under running water. Handwashing is key to illness prevention Most families are frequently on the go. If a sink is not available, hand sanitizer is an acceptable alternative, although soap and water is always best. Antibacterial soap and sanitizers are not necessary. In fact, they don't kill viruses and may actually be harmful because their overuse may lead to antihiotic-resistant bacteria. By Wen Liou, MD., Helgemo & Liou Pediatrics Make it a habit The hest way to make handwashing a habit is to start when kids are young, but it's never too late to encourage this healthy habit. Start by stressing hygiene around mealtime and after going to the bathroom. Teach them the proper technique and check to make sure they 're using it. If you're consistent and setting a good example yourself, you'll soon find handwashing will become as routine to your kids as brushing their teeth. Water, soap and a sink. After years of medical advances, this simple, time-tested formula remains your family's best defense against a host of illnesses, including stomach viruses and the common cold - the two ailments that I treat most frequently in my office. Teaching your children the proper handwashing technique and training them to make it a habit early will equip them with an inexpensive, but priceless, tool to protect their health for years to come. When to wash From morning until bedtime, kids touch everything in their paths. They also frequently rub their eyes and nose and put their fingers in their mouths. • Dry your hands using a clean towel or air dry. Helgemo and Liou Pediatrics So teaching them to wash their hands at regular times throughout the day is vital. Handwashing is just as important for parents who can easily transfer germs to their children. 2040 CTamiami Trail, Port Charlotte, FI33948 15121 Tamiami Trail, Suite A North Port, FI 34287 941-629-6601 www.helgemopediatrics.com - - - - - - - - - - - - - - - - - - - - - www.swfHealthandWellness.com - - - - - - - - - - - - - - - - - - - - - Charlotte/South Sarasota Edition - April 2011 Health & Well ness 23 Doctors to speak on common, serious heart condition April 9 symposium will focus on risks of atrial fibrillation T here are three things cardiologist Dr. Sidney Peykar wants the public to understand about a condition known as atrial fibrillation. First, it's the most common form of arrhythmia (irregular heartbeat), affecting about 2.2 million Americans, and up to 5 percent of the population over 65. Second, it is a serious disorder, and can lead to stroke. Third, many patients in Charlotte County may not be receiving the optimum treatment for " A fib. " If that happens, and the clot leaves the heart, the patient becomes at risk for stroke. In fact, about 15 percent of strokes occur in patients with A fib . The condition may only occur occasionally, with the irregular beats lasting from a few minutes to a few bours before returning to normal. Or A fib can be chronic, where the heartbeat is constantly trapped in an irregular pattern. Symptoms can include chest pain, shortness of breath, decreased blood pressure, weakness, lightheadedness and confusion. That's why he and partner Dr. J.C. Estrada are hosting an April 9 symposium on the subject, sponsored by Charlotte Regional Medical Center. All about treatment The symposium will take a comprehensive look at A fib, covering causes, diagnosis and treatment especially nonsurgical options. One top cuttingedge procedure is called "ablation," and is only available in Charlotte County at Charlotte Regional Medical Center. "The older you get, the more likely you can develop this condition," Peykar said. "By age 80, about 10 percent of Americans suffer from A fib - a staggering statistic when you consider the makeup of our area's population." If you want to attend What: Symposium on Atrial Fibrillation Who: Given by cardiologists Drs. Sidney Peykar and J.e. Estrada, with a presentation from the patient's perspective by electrophysiology lab technician Gayle Lee, LPN. When: 9 a.m. to II a.m. April 9 Where: fourth floor conference room of Charlotte Regional Medical Center's medical office building, 713 E. Marion Ave., Punta Gorda. How much: The symposium is free; a compli- mentary continental breakfast is provided. However, seating is limited, so attendees must pre-register by calling (941) 637-2570. In addition to the physicians' presentations, Gayle Lee, LPN - an electrophysiology lab technician for more than 10 years - will walk tbe audience through a typical ablation procedure from beginning to end, as a patient would experience it. What are the risks? The heart is composed of four chambers that are designed to beat rhythmically, like a coordinated machine. When A fib occurs, the upper two chambers beat irregularly, out of sync with the rest of the heart. When the heart doesn 't beat effectively, some of the blood that should be pumped out into tbe rest of the body may pool and clot. "By the time we' re finished, attendees will have a good idea of how common - as well as how serious A fib is," Peykar said. "But they will also know how it can be treated, so we can put their fears to rest." f---BEACON CLINIC Children · Teens . Adults - - -- - - - - "Evening Hours Available" • Psychiatric Evaluations • • • • Newborns to Adolescents Well & Sick Waiting Area New Patients Welcome Most Insurances Accepted Helgemo and Liou Pediatrics Peddtlc. 'l/edth Care at ,is Best I 2040 Tamiami Trail Suite C, Port CharloUe, FL 33948 15121 Tamiami Trail Suite A, North Port, FI 941.629. . - - - - - Specialis/s: - - - - - , • Medication Management Thomas Willingham rrr, MD Kathleen A. Kaloski, MS , A.R.N.P, B.C • Individual & Group Counseling Charlene Rosenfield, MS., A.R.N.P, B.C • Marriage I Couples I Family Gerald N. Ross, Ed. D. , Psychologist • Sexual Issues Donna L. Chimato, MS., L.MH.C • Work Place Stress Counseling Chantelle Grant, MS, L.CS W. Christina Rooney, MA., L.MH.C 3782 Tamlaml Trl # A, 356 North Indiana Avenue Suzi Desio, MA., L.MH.C Port Charlotte, FL 33952 Englewood, FL 34223 • Psychotherapy , Dr. Wen Uou Pediatrician 941·629·4464 helgemopediatrics.com (941) 629-7855 (941) 681-3400 Medicare & Most Insurances Accepted - - - - - - - - - - - - - - - - - - - - - - www.swfHealthandWellness.com - - - - - - - - - - - - - - - - - - - - - - 24 Health & Well ness April 2011 - Charlotte/South Sarasota Edition NEW SAFE & EFFECTIVE By Marlena Cecil, PA-C (phenTabzRXTM) in the UK where it has received the greatest reviews from both the medical community and more importantly the patients. Gentech has finally released PhenTabzRXTM to the US and the results are the same - phenomenal. Now before we talk about PhenTabzRXTM it is absolutely imperative to remember that no matter how effective at appetite suppression or increasing energy levels something is - we still need to remember that long term success ultimately comes from altering some nutritional patterns and incorporating some level of activity to our weekly regimen. What is PhenTabzRX™? PhenTabz RXTM is a true pharmacological diet pill like Phentermine, Xenical or Adipex. PhenTabzRX ™ is NOT an herbal supplement but rather a designer non-prescription pharmaceutical analog providing superior appetite suppression and weight loss without the side effects. One pill is taken in the morning before breakfast and another before lunch - that's it! ithout the right tools losing weight safely and keeping it off are nearly impossible. Fighting genetics, hunger, lack of energy and motivation is enougb to make the strongest willed person quit or not even bother attempting to lose weight! So, when it comes to the battle of the bulge, you have to put up a good figbt. But in our eat-and-run, oversized portion world, maintaining a healthy weight is bard enough, therefore weigbt loss can be a genuine struggle. First things first, we need to lose weight safely and consistently. Consistent weight loss is the key to keeping motivation levels high and staying focused on your goal. For the past several decades the medical community was able to greatly enhance consistent weight loss via the all-time top selling appetite suppressant/weight loss medication Phentermine (Adipex & lonamin). While these medications were very effective at decreasing appetite and increasing energy, they have a multitude of undesirable side effects and demonstrate a strong addictive nature. Adding to the difficulty is the abundance offad diets that tempt and confuse us and ultimately do not work. So where is the silver lining and what can we do to seriously increase our cbance of success after all we all know people who have actually reached their goal weight AND maintained it. Pharmacological improvements in the past few years are starting to provide us with greatly advanced medications with far fewer side effects and improved effectiveness. Yes - this is where we hear about the silver lining. Gentech Pharmaceutical released their replacement for Phentermine _.. --- -.:::::: / - - - - - - - - - - - - - - - - - - - - - - www.swfHealthandWellness.com - - - - - - - - - - - - - - - - - - - - - - Charlotte/South Sarasota Edition - April 2011 Health & Well ness How does PhenTabzRXTM work? The patented ingredients in PhenTabzRXTM perform two essential functions. It increases the body's mobility of fat (Sympathomimetic Amine) while increasing metabolic rate (increases cyclic AMP levels within the body). PhenTabzRXTM then greatly reduces appetite to ensure patients have control and motivation. The bottom line is that PhenTabzRXTM provides consistent significant weight loss and increased energy. plenty of energy for exercising. PhenTabzRXTM really shines at increasing your metabolism and fat burning which means your genetics will no longer hold you back! PhentabzRXTM means Fast, Safe and Consistent Weight Loss! PhenTabz RXTM was clinically designed as the replacement for Phentermine, Xenical, Alii, Adipex, and other weight loss pills whose side effects outweigh their benefits. Appetite Control & Increased Energy PhenTabzRXTM seriously reduces your hunger levels allowing you to make the right choices that you want to when it comes to food and portion size. PhenTabzRXTM provides you with the energy levels required to make it through your day including Comparison Categories 25 If you are serious about losing body fat (not just water weight) while achieving an incredible amount of energy needed to get through the day - then look no further than to the #1 selling PhenTabzRXTM. PhenTabzRXTM Phentermine Average Weight Loss 2-5Ibs/wk 2-3Ibs/wk Appetite Suppression Strong Strong Metabolism Boost Strong Strong Energy Boost Strong Medium Prescription Strength YES YES Safe Long-Term Use YES NO Fat Mobilization YES YES We have had many health care professionals upgrade their patients to PhenTabzRXTM Ask your doctor about PhenTabzRXTM today! Medical Weight Loss Centers 8381 Riverwalk Park Blvd, Suite #201 Fort Myers, FL 33919 239-292-3227 - - - - - - - - - - - - - - - - - - - - - www.swfHealthandWellness.com - - - - - - - - - - - - - - - - - - - - - Health & Well ness April 2011 - Charlotte/South Sarasota Edition The therapeutic goal of insomnia is to restore the natural sleep pattern. Sleep is an active process and is the net result of two cyclical processes. Process C is the circadian influence of the day/night cycle. The Circadian influence is most effective in inducing sleep in the evening time as our brain secretes a hormone called Melatonin and the level rises. Process S is the metabolic influence and is thought to be related to the accumulation of a product metabolized by the brain. The influences increase depending on the time a person awakens. In the evening, both process C and process S are working hand in hand to create sleep onset. When one is sleep deprived, Process S becomes stronger the next day to create a stronger propensity for sleep to occur. Hence, the body has a built-in mechanism to deal with sleep loss. By Michael H C Wei, MD, FACP, FRCPC, FCCP, FAASM I nsomma IS a very common problem. Almost everyone has encountered insomnia at one time or another. It becomes a medical problem when it is a consistent occurrence and interferes with daytime functions or personal affect. Similarly, the greater the disruption of daytime function or mood, the more severe the problem is. National Sleep Foundation surveys indicate thirty percent of adults have "transient" insomnia, which is defined as a sporadic problem lasting less than one month. Ten percent have "chronic" insomnia, defined as lasting greater than one month. Primary insomnia refers to insomnia resulting from causes other than drugs, medical illness and psychiatric illness. There are two types of insomnia. The one that effects the onset of sleep is called "sleep onset insomnia," whereas the type that causes awakening during the night with the inability to return to sleep is referred to as "sleep maintenance insomnia." Sleep onset insomnia tends to effect the population under age 50, whereas, sleep maintenance insomnia effects predominantly those who are over age 50. It should also be noted that childhood insomnia is a completely different type of problem. Sleep onset insomnia is from the inability to initiate sleep. Examples are psycho-physiological insomnia which is also called "conditioned insomnia," whereby sleep or bedtime is associated with heightened anxiety and/or arousal. Inadequate sleep hygiene refers to behavior that is not conducive to sleep and interferes with the logical relaxation process at bedtime. Examples of such activities are watching TV, working on the computer, ngorous exercise, or use of caffeine/nicotine. Sleep maintenance insomnia is from the inability to maintain sleep or to return to sleep after sleep interruption. Awakening at night is a very common phenomenon and most of us return to sleep within seconds and have no recall of such occurrence. When the awakening is associated with inability to return to sleep, this becomes a problem. Common causes are cigarettes and alcohol use, depression and stress, and restless leg syndrome. Often times medications, such as diuretics taken late in the day, can also cause sleep interruption. In summary, the causes of adult insomnia are many, and the problem is commonly long standing and complicated. Most patients request help after they have almost concluded a physician 's visit, but such brief attention does not do justice to such a common and sometimes complex problem. While sleep hypnotics can provide a "quick fix ," research has shown that in one year, the result of hypnotic therapy is worse than a non-medicated approach. The non-medicated approaches are Sleep Hygiene, and Behavior Therapy. The Sleep Hygiene approach is designed to restore the natural sleep process by fostering unwinding before bedtime. This may be accomplished by maintaining a regular sleep time and wake time, by avoiding rigorous exercise, bright light and to avoid stimulating activities before bedtime. Behavior therapy includes relaxation therapy, stimulus control therapy, sleep restriction therapy and Cognitive therapy. Behavioral therapy typically has a lag time, but has better long-term results. In summary, Sleep insomnia is a complex issue that requires a comprehensive review of many vital systems. While Sleep Centers are common and patients can get tested through the primary care physician, a Sleep Specialist is trained to ensure that the many facets of information gathered during a sleep study are bundled into a comprehensive care plan to optimize a reliable outcome and long-term positive results. Michael H C Wei, MD, FACP, FRCPC, FCCp, FAASM Dr. Wei is Board certified in Sleep Medicine and is a Fellow of the American Academy of Sleep Medicine. Dr. Wei interprets Sleep Study at Charlotte Regional Medical Center Sleep Disorder Center, Cornerstone Sleep Disorder Center and would be the Medical Director of the Dreamz Sleep Disorder Center in Northport that is due to open this summer. Call 941.347.4499 - - - - - - - - - - - - - - - - - - - - - - www.swfHealthandWellness.com - - - - - - - - - - - - - - - - - - - - - - Charlotte/South Sarasota Edition - April 2011 Health & Well ness 27 THE BIG STIFF (TOE) By Myles Rubin Samotln, MD - Board Certified Orthopaedic Surgeon, Fellowship Trained in Foot and Ankle s we know, arthritis can attack our joints, and we know many people who have had ')oint replacement" of their big joints, the hips, knees or shoulders. But what if you developed arthritis in a real small joint such as the joints in your thumb or big toe. You would probably try to work around it, using a different hand or grip to open that jar, or tum that screwdriver. But trying doing that with your big toe. You can't do that since the big toe has to bend with every step we take. So what can we do? In any joint in our body, we have cartilage which we call articular cartilage. For many different reasons, including the biomechanics or stmctural abnormalities of our feet and toes, we can develop arthritis into any joint with a resulting wear and tear of the articular cartilage. When this occurs, it allows our bones to rub against each other, creating an overgrowth of bone. It especially happens on the top of the bone of our big toe, where it bends. The overgrowth can prevent our toe from bending resulting in a stiff toe, which we in orthopedics call hallux rigidus. When arthritis forms in the hig toe (the hallux), like any other arthritic joint, the symptoms we usually develop can be several including pain, which occurs when you push off with the big toe when walking, swelling, a possible bump on the toe from the formation of osteophytes, and stiffuess in the toe, with the inability to bend it up or down. Unfortunately, when we walk we use other joints as well as our toes, such as ankles, knees and hips. These may become painful as well, since we will usually alter the way we walk to prevent aggravating the arthritic joint. How can you tell if you have this? If you are having some of these symptoms, you should see your medical doctor, especially a medical doctor who is an orthopedic foot and ankle specialist. This condition, hallux rigidus, can be easily treated if it is discovered and treated early. If you wait until the bony bump is formed on the top of your great toe, osteophytes (bone spurs) will already have formed and the hallux rigidus will be much harder to treat. need a pain reliever such as oral anti-inflammatory, and padding of the area around the joint and physical therapy. Especially for the great toe, special shoe modifications and possibly the usage of orthotics will be also be used. Injections of steroids may be attempted, but generally do not work very well at this point. There can be several primary reasons that a patient will choose to have surgery performed on a hallux rigidus. They may want to treat the problem, not accommodate it, progression of the problem to the point that there are other problems now occurring, or that non-surgical treatment failed. The patient may also decide for surgery to prevent further deterioration or deformity of the great toe. When you see your orthopedic foot and ankle specialist, he will probably order regular X-Rays of both your feet to determine what is normal and what, if anything, is abnormal. Also, he will perform a proper clinical exam to determine the severity and limitation of your hallux rigidus. From both your X-Rays and physical exam, as well as your history, will proper modality treatments be determined. Osteophytes There are several different types of surgery for this problem. Some involve replacements or tendon transfers or can involve a fusion . The most important thing I can say is that special care must be given to the type of surgery performed, since an improper surgery may not give the best results that could be obtained. Having the best orthopedic specialist making the proper choice for you will allow you the best outcome possible. Since we can't walk on our hands, pain in your feet needs to be properly and quickly evaluated. You need to be evaluated by a Board Certified Orthopaedic Surgeon M.D. with a Sub-specialty, Fellowship Trained in Foot & Ankle surgery. In fact I am the only surgeon with these qualifications in our area. I believe this makes me uniquely able to deal with these problems in a state-of-the-art atmosphere and method that will keep you in good hands and provide you with the most desired result. As like many other conditions, there are both nonsurgical and surgical treatroents. Non-surgical treatment of an arthritic joint, even the great toe, is generally the same as other joints, as the patient will - - - - - - - - - - - - - - - - - - - - - www.swfHealthandWellness.com - - - - - - - - - - - - - - - - - - - - - Don't Miss Out On The Wonderful Sounds Of Life... Providing Quality Hearing Healthcare for Over 20 Years! 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West Florida CHARLOTTE NEUROSURGERY Brain and Spine Su rgery 2525 Harbor Blvd . • Suite 208 • Port Charlotte, FL 33952 Phone: (941) 629-7920 • Fax: (941) 629-7926 www.charlotteneuro.com I am pleased to announce my return to the Port Charlotte community after being away for 5 years. I enjoyed my friends, colleagues and patients and once again I am able to work with the great staff of Fawcett Memorial. SUCCESSFULLY TREATING: .. ... Congestive Heart Failure . .. . - Peripheral Artery Disease Please don't hesitate to call me personally if I can be of any help to you. • • . I .. . - - - - - - - - - - - - - - - - - - - - www.swfHealthandWellness.com - - - - - - - - - - - - - - - - - - - - 30 ",,"h & w,"~" A"II 20 11 - . Ch" '"' <oj S "," s" "'"" di"" 0 E SplrItu~ess • Are You Running From Your Pain? by Ter ry Hoskin s, Director of OasIs ain and suffering finds us regardless of who we are and is indeed a central part of the human experience. As a baby, when you first leam to walk, you feel pain when you wobble back to the floor. As a toddler you feel upset when your Momma doesn' t let you have your way. As a child you feel pain when your dad ignores you. As a teenager you feel pain when others make fun of you at school. As an adult you feel pain when your spouse shows lack of interest, the bills pile up, pressures of work cave in, relationships get complicated, and your health eventually declines. Every pbase of life offers moments of joy and moments of suffering. What makes the difference in your heart and mind is how you handle the pain that comes your way. We can't bide from it, nor can we run from it because we live in a world that is filled with it. Our world is broken, the people we encounter are broken, and we ourselves are broken. It is only with the power of God in our lives that makes it possible for us to handle the pain in a beneficial way. The Runner's Response Running from your pain will never solve your problems, it will only snow ball and effect otber areas of your life. While running from your pain seems to protect oneself from the bad feelings, the feelings are still there because tbey baven't been faced head on. We internally begin to work harder to go in the wrong direction because the pressures of yesterday's problems compound with today's. A far too common example is when someone struggles with depression they begin to drink to cope with tbe pain. In reality tbey just complied another problem on top of their existing problem, which only makes the depression worse. You one • • • • • • • • • • might be a runner if you experience or more of the following: avoid conflict refuse to examine your motives hold people at arms length let resentment build up towards otbers isolate yourself have difficulty asking for help attack people with your words overly sensitive to constructive criticism think more highly of yourself than others build lies to protect your own interests God's Response To The Runner The trials of life that we face happen for a reason. God's Word says, "He (God) determined the times set for them and the exact places where they should live. God did this so that men would seek him and perhaps reach out for bim and find bim, tbough he is not far from each one of us." (Acts l7:26b-27, NIV) Why does God allow us to suffer? His Word tells us that we are given our specific set of circumstances so that we will look for for Him, and find Him. God will allow our world to crash in around us for our own good and to give us an opportunity to find him. We need His help! God's Word says, "Cast all your anxiety on him because he cares for you." (I Peter 5:7, NIV) God responds to the runner with love, longing for the runner to accept that He is trustworthy and loving. We can have the right attitude toward our troubles like the Apostle Paul who said, "For our present troubles are small and won't last very long. Yet they produce for us a glory that vastly outweighs them and will last forever!" (1 Corinthians 4:17, NLT) When we learn to apply bis Word to the difficult areas of our lives, we also find freedom. His Word teaches us how to face our pain, by trusting Him, He teacbes us how to speak tbe trutb in our most difficult relationships, He teaches us how to control our thinking about our pain, so that we can truly walk in tbe peace of God that He calls us too! So we must stop running from our pain and start running into the loving arms of God. If you are tired of running from the pain in your life and would like help, then please contact Oasis today. Our counselors will walk along side of you and help you begin the journey towards a new life with counsel based on God's Word. Oasi Counseling :'~~----I Refresh your life using God's Word. / Call Today! 239.389.2073 Oasis Counseling Center wants to refresh your hope, heart, and life with God's Word. We are located on Marco Island and our phone #389-2073. We are friends of HOPE Counseling Center located in Fort Myers, and their phone #481-0777. - - - - - - - - - - - - - - - - - - - - - www.swfHealthandWellness.com - - - - - - - - - - - - - - - - - - - - - This Spring say goodbye to your swollen, achy legs and spider and varicose veins so you can get back in your shorts. Dr. Magnant has your solution. He 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. RT.41 .. BLVD. &1-75 Schedule An Appointment Today! 239.694.8346 weknowveins.com Joseph Magnant, MD, FACS Vein Expert and Board Certified Vascular Surgeon • ~ :. SENIORextra ............................................................................................ at CHARLOTTE REGIONAL MEDICAL CENTER Wouldn't you know that Charlotte Regional Medical Center would think of a program this exciting, this event-packed, this benefit-filled. Senior Extra is designed to help you get the most out of your lifestyle through active, independent, and healthy living. Everything we do centers around your health and well ness - from education sessions to health screenings. Here are just some of the extras available to you when you join Senior Extra at Charlotte Regional: Attend Senior Extra programs & events Access Senior Extra online information • You're always on the guest list • • Bring a friend or spouse Visit www.5eniorExtra.com for current health information & events calendar Monitor your health with free screenings • News about medical breakthroughs and well ness trends • Check cholesterol, blood sugar, hearing, vision, bone density, & more Free Senior Extra e-newsletter • Sign up for this complimentary service Save yourself a doctor visit & co-pay • We'll deliver directly to your e-mail • Save with Senior Extra local discounts • Look for special offers from our merchant partners in town A service brought to you by: a For more information, call (941) 637-2570 or visit www.SeniorExtra.com. Charlotte Regional ~ Medical Center