do you suffer with hormonal...
TRANSCRIPT
Do You Suffer with Hormonal Symptoms?
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We Have Bioidentical
& Outstanding Care Designed for tht Unique
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® W_~uv-GYNECOlOGY FOIl WOMEN 0<' ALl AGfS M ~ • • • ••• • •• M .. ...
•• '" American dies every hour from oral cancer! \- ' ,
As a thanks to our community ... Please call for a complimentary paintless oral
cancer scre'ening with VELscope. (D0431)
• 239.261. 7291 \
www.napiesdentalcenter.com 201 8th 5t South, Suite 106, Naples I Downtown at the: Baker Center
NAPLES DENTAL CENTER DEAN MOURSElAS. DDS
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Making •
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against. ..
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-" -_. Lee County I Tanger Outlets on October 22""
Col lier County I Venetian Village on October 29'h
~~EMIERE ONCOLOGY
~ 239-325-1440 I www.PremiereRadiationOncology.com
NAPLES BONITA SPRINGS FORT MYERS
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back into I'ifl'l
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-• • MILLENNIUM
PHYSICIAN GROUP
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Contents October 2011 6 Oral CanC9f: 20 European Face Uft
An Unspoken Killer
21 Post Surgery Recovef)'
7 Breast Cancer at Home
8 Removing Skin Cancer 22 What Ive The Causes of with MOHS Surgery Sacroiliac Joint Dysfunction?
9 The Three Senses of Life! 23 Colon Cancer IS Preventable
1 0 Alternatives to Eating lor 24 How to Choose Comfort in TImes of Stress Healthy Chocolate
11 Breast Cancer and Umb SweHiog
25 Laser VI~on Gold Surgeon
12 Atrial Fibrillation: 27 Rather Than Sitting on the
Fence ... Why Not Own It? What Makes Your Heart Beat Faster? 28 Who Needs To Detoxify?
14 The Latest in Laser Treatment Everyone!
or Varicose and Spider Veins 31 Spiritual Wellness
16 Breast Cancer Just Two Choices."
Awareness Month Find us on
17 go pink ... Millennium Facebook Physician Group Launches "Go Pink" Campaign
So"'h~.t Florid,', H .. /th&w.tlnH. M.~zl,.. C<ln be tound in (N8f 600 SO<JIt._1 Florida medic8l facilities inck.>di"O. ho$piI8l'., CIO<:IOr'., chiropfllClOr', .nd <:Ie<1tisl" oIIioe._ F .... . copy of your FREE Soolhw1l$t Florid,', He/lItMW.U....., Maoa;:ine in RIO$I grooery .1'1(1 COf\\I$'lieI\Qt ,_ '" wei
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E=eding yaur Expect11tians!
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6 Health &0 wetness October lOll - ColUer EdItion
Oral Cancer: An Unspoken Killer By Oean Moursetas. ODS
QtOrdin,1O the WD!Id Health OrpniQItion (WHO). oral caflCer kills one American. once Mf'I hoor at Mf'I day.
TIlls _ )NI' alone. ~ 37.000 ArIIerbns will be diagnosed ooiIh oral _ Ind ~ MIt of ~ d be.we in 5)91S. in ~ !he de<Ith late lor 0lIl cancer is ...,.". INn tto.t of cancers thai ... mort ooo.rIineIy ~. suc:to as C*"AeaIcancer. HocIgIr;in's lyP""Ol". ~ (1hroal) cancer. Ie$liQw _ . ~ canoeos. trOd ~ !I'I!IIanc:IrnI (sIIi'I eanc:erl. ~ IheSt numbers kif oral Clnce< 11M rIOt impnMd in decides.
Routln. Dental Exam: ee,t O.f.nse for Early Detec:tion of Oral Canc.r One 01 !he main ~i!ISOR5 these eIIO'ICeIS I\aIoOe suc:to I Ii#o death fila is not thal1hey _ di!IIaoIt to ftnd Ind ~.
but fIlM because 1hey .re not IISUIly ide"tiled unCiIlhe __ lin "'ot ed into • Iller... In ~ ~ timeI 0lIl_ is tltIIy ~ed ora _ lin S(lread 10
anolller Wtion in the body, Ind • is YIrY oommool to< oral caflCers 10 spread. There are ma,.,. $imple Ind painless ways to detect and preoent oral canears in Its"rty stages. .nd l)elie¥e M or not. JOUr JOUIlne denta l exam is \he best ..... dtfense to< early dmclion 01 oral caneer. I will discuss 1Mw methOds tate< in this al1ide.
SO. ,au ",., be _Ideo. ",.too is"!IsI!? lJn1or\unaleIy. Ihe _is_lOOdYwiUo. mouth. Ofmurse .• 1J!1lIiII'5 • ~ role in thai K is more commoro to be diaflOSed wiUo orIIl Clnce< after at! 40. ~. In _I )'Mrs, we Ire suutinll to see I paradigm shlflllCCOlding to the WHO towaro )'OIlnger age W(luP$. In the past. men were also 6 tim. more likely \0 be diagooseO with orIIl cancer. and now INt lias unfOItIInately ~ to 2 limes more likely. This means _ -.en Ire Pot: this form of tanee(.
Tobacco U .. 1m;:"' .... Ri.k for Oral C.ncet" .nd Other Dis .. ... SO. let 11$ Cd the most otMous caUN out of the Wil1. tobIeeO. Hi$lO!lcaIIy. 75'1 01 those diagno5ed willi oral cancer o-er the age 01 50 were tob-acco Ustr$ in some form. ~81ln. we are seein, this slaUsllc chlniineand ~ is becomin, more common in ngn'$Il10kefs as well, We all I!now thlt smokIni causes ClllCIr •• nd we usually 1!Iink 01 lune eanee< speeiIIcally. 1IcIwe¥e<. 0Iftt< smokeless forms 01 tcbIOOO. $<ICh IS c:hNWIi Of sPt IObI«o Ire just IS dancemus \0 use IS aprettes or c:iprs.
Theft was an unfortunate cam~liJI by the tobIcco industry \0 dalm smokele$$ tobacco as a -safe' tobacco. Frankly. there is roo sate form of tobacco. While smokeleU tobacco may redUCl! lIIJU' risk lor !.mg CI!'IOer when compared \0 smokin&. _ $(ill ~oa asM your risk to< oral eaneer. pa~a1ic ClIrICeI".
i oledlori. peoodouUol {f.ImJ disease. trOd hun disease. WIlen Ihe use oflObacco in I", form is oornilined willi IIe.ioy alcohol c:onsumplion, Ihe risk of orII_ iI l oa 1«<1 15 times. 1obICCO tnd aIcohoIadlilly -"- toeetheo" on !hi! oral Ii$$ues Inc:t9sinl \fIis risk.
HPV Vlru.ls. Risk Factor Anothet cause worth mentioninj is that 011 virus ealled human papilloma virus or tIPo/. This virus is the prWnary cause 01 $IOn war\$, and as III05l _ .... _ . iI !hi! _ common cause of ceMcaI c:arD( This iI. -..., transrnit1ecI disease ..., II. iNeI::ts qt/I40 miaIIn "'''''1$. G) ...... .,. 11M been "'" ef\edM! ill PloulOliil NIIY de\ed:iOII of ceMcII cancer,.;u,.,earty pap smear. Theft! n_l201om\$ oflllis -.INs (molil of 'IIIicto are \tIIlo.IiIlt to be hamiessJ. but tIPo/I6 .nd 18. 'IIIicto Ire Iiso assotiated ,.;u, ceMcaI cancer. ~~ '-1\nOWI11$ a ClusatiYe tactor lor oral cance< 85lW!II. ~ is likely dill diana-in !hi! sexual be/IaYIors 01 roun' adutts in tile past lew decides is Ihe reason we are saeIni the paradie'n shift from Ihe trIditIonII older $II'II'lIra!; 10 JIOUrIe!f ~ adI*$. in addition.1rike ceMcaI canc:er. this Wus is. risk Iadortor oral _ In botII 1M" and _ • .
Earty Detection is Key LiM lllorms of CI!'IOer, elIrty detection islley. RouIine dent&! examinations are probably the best. line defense lor this elIrty deteetlon. Your dentist should be examining not onl)' )'OIlr teeth. but also all the tisslJes in !hi! mouth (tongue. cheeks. gums. thoo.t, etc). ~ is \er'f common tor orIIl eaneer \0 present IIseII' o....strthe ttoneJe. ill !he .ntI!lor (1rotI:) of the mouth. the IfU '"'- your lips or d\eeII meet your lUfIl, or .n,wtoere srlOlli;eless IObKCO is plated.
" 'lesion or I-spot- is detected with this -Mull eumination. 1J!<It<'~ JOUr dentist wi~ ask JOU 10 come bad>. ill 2 weeks \0 see H lI1elesion is present H so. 1I1tf1 a I)ioj)$y wil be necessary. Unlonunately, oral cancers are not always visible willi the naked ejIe. In recent ~r$. we hIM! seen ma"l' prOducts be<:ome _liable \0 aid in this earty detection. Most 0I1hese .... In Iaet oIIshooIS tor meIhods used IO\Itlnetf by the medicIt ",ofll liO'lln Ihe deWdioII 01 OIlIer etnOeI'$, suc:to IS skin Of
carvlclllO I11/I'II a lew.
DentI8t Can Detect Oral c.ncer with YiziUte One example I lind ~ efIeaM is. pooduct eaIIed YIliUte. This pai'Iess procedure. 0IWnI1y d!\el cped to< U5e In cleteding ceMcaI caner. lias been pro-.en a \er'f eIIectiYe al'l(llo\e:lpen5M method in this de\eetIon. In fact. generaly speakin" oral cancer detection prOducts U5UIfIy toSt I
fIIaio-o 0I1he toSt of its aountI!pIrt lit !he fIT>ec (Ok 00<'
The W1IfVlzilAe -'<s is !hi! pIKient rIsm ~ with. scoec:W IIIOUIhwash. This 1nOlAAwISII .... bind 10 any IW<I of dySj)IasiI (precanc:erous spot) or _ ~ oornx Into 00I'ItICt witI\. The dentist then uses. specillliflI,..t'IidI will allow '''1' ~ 11M \0 P. w. suspkiou$ area is detected. the ne>:t step is somethIni called T·btue. ill wIlich a stain Is Ipplied \0 111<11 area. W K $liCkS. \he<ll biopsy and _I 01 the area beoomes ~ The major benefit IIert Is IhllIhese lesions can be deIeeted wilen they are smtII, " surt!f1 " biopsy can _ be Nied out with this proeedure if Ihe staininC doesn' sddt 10 the lesion.
Request an Oral Cancer Scntening at Your Next Dental Check Up RepfllleSS. this is a simple and painless poooedure IhBI we cannot alford \0 aooid. ~ is re<:ommended lI1at a~ tobIcco U5ers recefIoe lI1is procedure)'Nrty. HoweYer. reall)' arljQlle is " rI$k due \0 the statistics of this deadly cance<. M\One. ~1Iy _Ihe at! 0I35. 1houId recefIoe IIIis procedure ~ in fKl.S(Mloetioloes the surw.eI 01 this disease can be ..., ~ IS wei. I c:I'IIIIr9 ,au to look up • pictIft on !he tntemet oIlr,oroe 1IIha Ills bIl. jlrw,or_ a PIlI 0I1heir Ja-: due to this di$ease. Suroi\foIs 11M I \er'f POor QUaIi!y 0I1iIe alter SUfIIIrY trOd I1e8\Ine!Il This lias • drllrnalic: eIIec:t, not onty 00 appMranoe. but speech and elIti"i 1$ well. In a,.,. cay, 00 100rselil service and lSI< lor an oral Clnter screening II JOUr ne>:t dental dIedc up.
10 ... m mont, contKt Hap'" o.nbl Center II: 139·261·7291 or wbit lit IllllIne.1 .... rllpI .. d.m.IotnIM._ .
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in 8 women will be diagnosed wilh brcasl cancer it is likely that either you ~ one of your friends Or family members will be affec1ed. F~lhat reason. it would be helpful f~you 10 understand wme basies about the treatment options.
With the widespread use of screening mamm0-
grams. mosl breast cancer is diagnosed at an early stage. When the cancer is caught at an early stage. patients have their choice of either undergoing a mastectomy with Q<" without rccQnStruclion or a breast conservalion approacb. Breast conservalion is besl thought of as a ·"package deal"' involving removal of the tumor (Iurnpectomy). an assessment 10 determine whether the cancer has spread inlO the lymph nodes under the ann, and radiation 10 the breast. Fortunately, these opIions have equal chances of curing the cancer, but they are quite different.
The most commonly used type ofrndiation is high energy x rays. lbcse are the same lype of x rays used in chest x rays orCT scans, cxccplthey pcneIralC in 10 kill cancer cells. Today. the dehvery of the radiation is highly oon\rQllcd so that it is focused in 10 the tumor cootlining area and hits a minimum of oonnal tissue. About 2J3 of the radiation effect is due to the fonnation of free radicals which then damage the DNA and other components of the cells. The remaining effect is due 10 direct damage to the DNA itself. Fortunately, normal cells are better able to repair this damage than cancer cells are.
Following the lumpcctomy, most patients receive radiation 10 the entin:: breast. This is a.ccomplishcd by aiming the high energy x ray radiation beam in an angled fashion so as to treat the breast while skimming along the chest wall in order 10 miss the organs in the chcst as much as posSible. For patients with letl-sided cancers, a specialtechniquc of intensity modulated radiation therapy is commonly used 10 minimize the risk of any effects on the heart This thcrnpy is given once a day, five days a week for about S weeks. In mosl cases. the area near where the tumor was removed receives a "boost" of an additional Wttk or so. Most otlen the boose is given with more superficial radiation caned an electron beam.
Collier Edition· October 2011 Health & Wellness 7
Side effects of the radiation are generally mild. These include the posSibility of skin reaclion, such as skin redness and itching much li ke a mild sunbum. This is temporal)' and goes away af\er the treatments are over. Some patients then have a sublle tanning within the trca1ed area. but this 100 goes away with time. Fatigue is also common, but is temporary and also goes away. These effects vary substantially from patient to patient.
Depending On their age, tumor size and other factors some patients may be candidates for partial breast radiation treatments. This involves placing a balloon contlining a hollow catheler directly into the tumor cavity created at ~he time of lumpcctomy. A radioactive pellet on the end of a computer controlled wire is then run out into the balloon and delivers radiation directly to the tumor cavity. This type of radiation has a short range and thus has minimal effects on nannal tissucs. Since the amount ofn<mnaltissue trcated is minimal. so are the side effects, which generally include skin reaction if the lumor was located close to the skin and some scarring of the tumor cavity wall. The treatments are quick. m:juiring about IS minutes per scssion and are given twice a day. morning and evening for a total of 10 treatments.
By using a breast conservation approach, most women are able to keep their breast and have an excellent cosmetic n:sult.
Michael D. Smith, MD
Michael D. Smith, M.D.pns Premiere Oncology witI1 1m<" \'<Ienty )'ears expetience in the field 01 Radiation
0rlc0I0g)( He trained at ~'h di"",,", '""'''',.1 as B<I'jIor College of Medicioe in Houston, Texas and Indiana Uni'lersily in Indianapolis. Indiana. He held
an academic position as associate professor M;:; I deibi~ Uni'lersily in Nashvme. Tennessee b entering prioIate practice.
Dr. Smith has exte!lsive expetience in treating a ll types 01 cancef using a His partiwlar areas of l'l!j)ertise, irdtxle Radiolherapt, Calypso· GPS for the Brachytherapy (HDR as i and CyberKnife· . He is Board Certified in Radia·
tion Oncology by tile American Bllard of RM"" "·1 ogy. With the addition of Or. Smith. Specialists in Urology now offers the complete spectrum 01 treatments ava ilable for prostate cancer and has cured thousands 01 patients. Dr. Smith is comm~· ted to Spending time with each patient and reviewing his case in detalll:>efore recommending treatment options. Armed with state of the art technology and a muttidiscipl inary approach he is able to offe r the highest cure rates with successfu l preservation of lifestyle and OYerali wel lness.
239-325-1440 www.PremiereRadiationOncology.com
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8 Health & wetness Oc t ober ZO 11 - Collier Edition
lorida has the unenviable distinction ofbcing the skin Can«!" api(a] oflhc United Stales. While the Sunshine
State offen good weather and I oksintblc lifcsl~le, cxccssive sun exposure often leads 10 skin CanCer.
The good news is thai there are • variety of treatJrlC'nlS for skin cancer and ~ancerous lesions. Your healtlw.:Me provider ... ·ilI delmnine which IreaImc11I plan is bcsI for your eondilion.
Surgical ~val of the canceroll$ li$.Sue is often the best trcaunent Mohs Micropphk Surgery is • more sophisticated $urgie;11 technique wilh the highest C~ nile of all skin CanCer treatment ITI(:lhods, about 990" for the most common types of skin cancer. Mobs Mierognophie surgeons are DcrmalOlogisu who are sp«iaUy lnIineo;\ in the Ic:chniquo:, ..:ting as both surgeon and JNtbologist.
Molls (pronounced 1llOK, rhymes with nose) is named after Dr. Fn:daic Mobs, who pionccm:l the technique in the 1940s.
Why Mohs Surgery? Mobs MitTOgraphi<: Surgery offen the highest cure .. II: because the technique ~lImI that all of the ~ tissue is removed., whill' sparing as m"",h healthy skin as possible. Mohs surgery is. highly lpCCi.liud and pr«isc trcaUtlCllI for skin Can«T in which tIM: cane .... is removed in sta~ one tissuc layer at a Ii"",. Ii is.n outpatient proce. du~. perfonned under local anesthesia, and is dis· linguislled by a specific tochniquc of lissue e~aminal ion thai is unique to Mohs surgery.
Skin ~ can be deeepii~ty SlTUlIi on tIM: surfa.c:e of tIM: skin, much like an i«berg. To remove it completely requires mirnlsoopic examinalion at I cellular le,·et."J"he Mobs surgeon maps OUI the canurous arca, e~cises small po"ions of tissue and immediately eumines each one under a microscope. If cancer cells are secn, an additional tinue layer is ~moved only in areas whc~ the cane .... is slill ~nl. leaving normal skin intact. This prOee5s is repeated unlil no can· CCTOWi tissue is left. ~ I«hniquc U.VC$ as much normal. healthy skin 115 possibkl.
kin Cancer with MOHS SURGERY
Once Ihe cancer has been completcly removed, the surgeon will repair the wound by using a vwtety oftedmiqucs, including natural heal ing (granulation), slitching the wound togeth .... usin, side-to-side closure, or usin, a skin flap or graft. The benefits of Molls surgery are two-fold ; high cu~ rate and bener cosrrH,:lic mults for the palient.
Inauranee for Moha Surgery Medicare and most insurance companies cover thc cost ofMolu surgery and repai r. ifnecded, followin, ~moval ofthc c.ncer. Plca$Ccontact your insu.rance carrier for the most ClUTCIlt
covn-age information ~I.tcd 10 this treatment. If you contact our office billin, wc may be .ble 10 help you with your questions.
How Should I Find a Moha Surgeon? It's impor1l1nt to choose a fellowship trained Mohs surgeon who is a member of tIM: American College of Mobs Surgery. Mobs College surgeons
_ ...... _...... II ...........
2ft .... _ tOIS c.....,..... Dr. '!II H. eOIl'" IMI .• nOl _ IIJ'oto eo", c...t
1»1 __ 111. I02SI'\ototO.....,.., tI02
1·800·561·DERM www.Rifoen;:IIaseDeml.toIot!.CO/B
have undergone al least one year of fellowship training beyond dennatology midrncy. wbich allows for addilionol c~pericnec in all of these spcci.li«d pillOC:SSCS and tcchniques. During training. ACMS members mUSI ba~ participated in al lea$!
SOIl Mobs mierognophic sUfJCT)' cues under the supervision of an experienced. ACMS·approved Mohs surgeon. Wilh their additional fellowship training in Mobs micrographic surgery, ACMS surgeons havc learned 10 prccisdy identify the tumor, ~"e it with minim.lJ damage to the sur· roundin, healthy tissue, and rcconstruc:l the woond.
Mobs Surgery is conVCTIienlly performed under local I~lithesia in an offICe $elling. Dr. Daniel I WU$Crman is Board Certificd and Fellowship Trained by the American College of Mobs Surgeons. Dr. W1IS5CIlIIan pcrt"orms tIM: surgcry atlhe Riverchase Dcnnatolo,y Naples, Marco, C.pe Coral and per.
perl"onns Mobs Surgery in tIM: Fon Myersoffices.
Dr. DtI,dfll H ll1u~/'''''' is a fcllowship.t ... incd laser and skin CanCer surgeon. For more information on treatment options and other dcrmatolo,ic concerns call bis
office (I-800-S6I·DERM) I' Riverchase Derma· toIo&Y 1m(! Co5rnetie Swgay at the no.."TlIwon Naples, Marro Island, Cape Coral ~ Fot1 M~ locations.
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il don't feel how you wanttofeell • Do you feel
If you answer yes to any of the above, integrative health coaching may be just what you need. We wen with peop4e who want to fed better. The guidance aod support fA an ""perieno!d hea!th coadl can help you set goals and implement a plan for 5lJCCO!SS.
let us show you how int"'Jrative hea!th coadling can help you
239-580-7333 [email protected]:>m
~youtomake better. war-ter dJOices everyday
Collier Edition· October 2011 Health & Wellness 9
Dr. Rich Bimler. Bloomingdale. Illinois. lias served the Church in various positions throughout his 48 year ministry career. He repositioned in 2006 after serving for 15 years as President/CEO of Wheat Ridge Ministries. He continues to serve them pa,,time as Senior Staff Associate as well as serving as Ihe Ambassador of Health. Hope. and Aging! (AH·HA!) for Luibernn Life Communilies • Arlington Heights. Illinois. . He continues to write, speak, and COIl$UIt wiib OIher agencies and organizalions throughout tile world.
Dr. Rich Birnie,
The Arlington A Lutheral\ life Community
M ODEL AND INFORMATION CENTER 12276 TamiamiT",il ea. .. Suite SOl. Naples. Florida Hill
(2l9) 206·26-46 or (-",.free (866) 986-%90
www.ArlingtonNapIes.O<"g
Mindfulness-Based Stress Reduction (MBSR)'M
To rese e go to
www.lntegrativeMinclfulnest.netorcall (239) 390-1113 Spri""llS. FL 34135
wllhuS8.
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10 Health & Wellness October 2011 - Collier Edi t ion
Alternatives to Eating for Comfort in Times of Stress By Dr. Caroline Cederquist and AmeElena Foster
I )OIU (:OII$k\t< bow otten ..., .... II/IOfIIIticaII we rely on IoocIItIII'\ItIIfII ow ~ rnedlgte
OIl. '"lin" .1Id mln/PIII'hI our moocb Ihe Ink between stress lind food ;, undeI'IittIIt. LoI. lime oIll/eI, moll people en! more likely tI a..n ID. sr...:t \IIaI'I • \IIIL l\uI; food is 0\1' fuel, nco: our friend.
YtI .. 'Ie po up In • eu~" .. In wtlidlloOd lin beeome m(IC/I more lIIan , sootCe of fuet ~ symbolizes I speclrum 01 human nee!lS .1Id w.nts,lndoxlln. comfOll. companionsh ip, rewlnl. punlsllmefJt. escape, control.nd POWe<.
As InflnlS, OUr tartUake" PIIPPfd • bOlIIt Into oor mouths to ~aIC loci qu~ ul. As kids. oooIdet,rI(I e/l1III)' beUme rewards tor pId be/lrAOI 01. line '8!IM card. You mar remember bellll bribed will'l1ood, li ... 11>1 fellow \oIIcI ~Us t/1at!Wk:e I yell, Ills pIIOfIlo< enckII1nt nb ~ dled<uPS withouI resisuonce "lIS -tJ ftCu-1\IIy1
food - end 1Ile ~Call-llllli:ql tIeetI used \tIClOIIIIOlI ~'s~ Remoonb .. 1hI'dvuIoIaia-: beq sett to bed wiII'I fllllUIII*"I MIl hI;Jw """ lines _ desiser\ !he It'Qfd foI NIirC II}CU dInne<. MtI M l_ O.,I"C dI:Mn """" food 1hIn}Oll __ ~for?
So it • .." ........ dial _ ancIloocI .. otcM "" ~ willi r.Iid<ey ..., Mlm" McMe ........ 1111 ~'s _ endurItiC ctIfIItIiNItlan$? Whet!)OIU lOOk 1\ bow _ QII\urw
Ms conditioned In 10 1IIink -... and use 1004, I{ $/IoukI
_ as no surprise \11M 10 """" 01 lIS "- fOOOII up ..,. on it '" ctIjII willi IN was ,lid ..-Ie!y 01 ow ..,.,., .... IIecIuse emoIionaI ealin, it IlUth • bit fKtor In IhI ~ opn'Ienl of obesity. In 11M! MKI couple ~JI'If\J, we're ..., to lake. dose< look 1\ stress. lcIe<oti~.1hIIOUJteS of It and managinc the eII«I$ of It
But jUSIItI IIiI the WOUnd IImnln&. lief" IhInkln, about the !hinp}OU do to mln,p)W1 streSS ""en you can1 haoe t/1at snack JOO',. proM 10 lib 10(. Some mlgnt tIOt be .~ bene' lor )'00 that ttl. snack "'Iction.
BUI there are much h9J1h1ff W8j$ ot I\IIndlin& momentary periods of ~ ... , w8j$ \l\1li can free US from ou, reliance on food II c:omlort, anr;IaetuIIly 00I'I\t In prett)' hlndy IfI'hen we~ stressed 0lIl and ~ .. just no! ~t 10 ~M • hoi -..-
TIr«r 1I\It we are bl& advocates of lit massage Ind fotrJHd retP.. Ilion. Now. K }OIl were In the middle 01 some wor\<·rela\ed pres5<rre r;:oot<er, }OII"d probably be Wnklnl. "WlIo"s J)I time lor I massage? G1ve me the com Chipsl' B<rt bOth theSe suess tools CII1 be Ililly quick mechanisms. We·re talkin('bout seK·mal$lge hef\!, ,n(! simple medimion \edVliques that 600' require ~ more thin I lew II"IirIuti!s.
Sticking your neck out \WIefI jVU'rr: sr;ressed aut. 'OtIere do JOU ~ II1II tile Inion trst? For most at I&, stillness and 1 ... 10;0' ..... .. tile nedr and II"oJders ere iri.i·f .. cb!s 10 SlJeSS. ItIItre< IIIIn mediCIIiII or ..... \he tension '" ~ poIatO ~ or rouOrIrC IifooonIeI, 11)" more Kti>e. fIInds.<rfIlppIOo1Cfl.
f"rnI, ~ liP willi both I\Ind5IO \he bI5e at fIOUI sIrul. willi one IIIncI ... ear:::tI ear. Feel the mu$do$ and tile bona Press biIy ~ tile bone IIiIIl some pres5<rre . • jIOU do IIIiI ~ "fir$! iI willed ~. lIierI _ fIOUIlrancIs bid< and
IorItI In strort.latetaI "'_irerb _\he rmsr;Ia of}Olif ned! so "'" you _the entire widIIl .nd Ier1Clh of the muscle . • ~ IeeIs ~, ""'*'" jOUrwtf 1l\1li tile rrieI wiI last ~ IIIIn o.-\WIefI }OIl fir$! begWr doinC it. make I po;nt 10 I!lIIII' II least one minute at unlnll!mrpi!d pressure It$ )'00 mlSSlrge JOU' nedr. ~ takes that Ionl 10 ~ reWl0il mU5de tenslon."fIf\id1 1s caused '" ,n excess 01 acids <>CClim~a1inIIlo the muscle. Rub from the base 01 fIOUI skuM uodff}Oll,ears. dOwn the $kIe$ 01)001 ned< ,nd 0lIl10 JOU' shoulde, blades.
H)'OO do this Mr"I day" lew tines a <lay. JOU can oIteo pre'o'eOIthe muscle ~ that leads 10 tension heldlChes. \brr may feel some tenderness on \he second dirt bul6oo' let ~ !leWjOU. E_ I lillie bruised fl'!elio( Is normal; ~'s I n.arurat rauIt 01 ~ -'<eel ac:iIIic rrusdes.
.)011 do this MI)' dI!\ w'dIIn bK 10 1Mrlda!S.)OII1 fIDIir::e • CIisGncI: tt I! ire 01 tile nedr aord shMiIr 1Iri:IiorI1haI }OIIJe ~ rrsecI 10 I!reirC- ~ JW$IIII • qr,iI;t; l1ret*"\iP • c:oupe .......... '" pressfrc ItmIr inti 'R! bid at )OlU" neo:::t iii; ... .,. 01 )OlU" lid. .... noc ~ tIIide(. }OIIJe ... tIIe Ir!nion elDon. 1)011 <li;lhI, .. p:Wrt 1haI1uIs ...-d __ or _}OllIe bound tI-'R!!I rrrassII! .....
Just Relax AbM tlleolde:sllcimlll ~ b IO!iMCSIreS!; is iI'Ii!o:IiIIt-110ft. AhIOSt II af tile -.oMs rIIIjor ....... 11M some pnd::e III ",er .. bit non " is mecIiuIion IriI5 ~ ""'*"" 1hIoufo.C tile wortI b heIId"r -.!DO.. \IIIesIem tciencrI ,. ~ IitrIt 10 ~ and kIIr8y tile trendci. tIIIIcts at mediMion. both prr,sic:II tnd merQI.
WhIt '*' ... ~ IICIWI!UeS at rndtation. usually Ioc:used an breId"IinII 0( • ~ mann, most kino::Is bePr -..ith I IIeIibeme Jell i'el aliui IOUtine !hat is rernarIIabIy
efIee\IIoI, Mn '"'*' _Isn' II;rIQrroed ",. 2{)..trnJte meOtation. Instead 01. r::IIcicaIaIe ti¥.1I)' this:
Fitl(l • oxomloMbil position. Just sit comfortably In • sttIlgtrt·backed ctlal,. 0( eYeti lie o:Ir.rwn on fIIlO' back with fIIlO' ~ltI(Is Pllm up.
ReIu )IOUI n"iU$CIe$ ~ stalling at tile toes and ~ I.iP tIwJIi tile boot( an~ cabes. knees. th~ peMt., .wooirer., c:hIrst, s/IoIAcjn, -. hands oeck. head.
Tl*rk ~ ... reIaroirC \he$e bi:rd)' I*\S, one at 8 thre. ScJne people hi • heIpIU 10 say in Iheir mind, 'Myttres, (or ttIWr. c:hIrst, et;.) Mi OJIi~ tnd utterly niIa:oIed.'
.... JOU .... IhInIoirC )IOUI WI!' up )IOUI relulng IxIdr. breath '*PII' ttrro:rvcII)OOI_ and uhI'- sIoroIy.loc:usiI"C on )IOUI
bocI\' n"iiMliii!iilS aord _tionIlS jVU troe.JIh" in. As lOll
trrmtr out. IiIenItJ /ePYI )IOUI SIaIement 01 reIIJ5rC )IOUI ... -w.. .... Ihe ~ or tile Ioc:used... f ~
ier'.irtrtr I\IiI )IOUI .. "'" 1he5e ter:miqles. aord hence. IIIIiI' eIedirreI_ ani! )IOUI CMlfIIII ...... wi ~ fie _ IhII JOU do ..
"rio'- • )011 '-' orotifC tor !he oonrIr;rn ~ 1haI ta'id\' bar or bit: 01 chipI, J'IIU·II probably fed aummy again 20 rninidc:t after the littlo pek·..........,.""" over !he: long lIN. tile erII'I i!mPI:r calories ClIO Q(iIJ' <IrlC JOU <Ii;Mn.
Through Thick & Thin Food should bIIlreMed 11$ ,fuel. noc 11$' friend, Mar¥ people
... _likely in • time at SIreS!; 10 tum 10' snack 10 aIkNIate IIIeir pres$U/t N" somIII*C Ihat could ~ help. TIIat kind of ealifll is 1liiie more N" 8 distrlltlion from wlratel'el"s min& II lIS. 'I'll. iitMe we\'! ~pied. we\'! no! resly
1I'j1 .... 8tten1ion 10 the tacllhat we\'! consuorVog extra calories. e/Ihet. II's best 10 toM 50me ~ tools for ~ stresIi "'thOUIthe resorting 10 01U1CI1ies.
Cedef"qullJt Medical Wel1ness Center
239.593.0663 _____________________ www.sw fHealthandwellness.com ____________________ _
The L.ymphatic System When !he lymphalic system in your boxly becomes compromised. it is unable to pump lymph fluid which contains lipids. proleins and wasle products. Whcn this happens, a person will experience swelling in one or more cx1remilies. which resul1s in the boxly's inability to pump and circulate fluid properly. Many timcs. this occurs when a patient has undergone surgical inlervenlion ortrauma 10 lhe areas of surgery. cancer, or lwnors. which often can resul1 in damage 10 the lymphatic syslem.
Lymph nodes are a common passageway for carcinogenic cells and often mUSl be removed in whole or in pan once cancer has begun 10 distribute iISClfthroughO\It the sys1Crn. f or example. a left breast mastectomy often n:sutts in swelling of the left ann. Any swelling in the limbs whatsoever is oflen indicalive of an overloaded Iymphalic syslem. The prohlem is !hal the lymph nodes serve several critical boxlily funcliollS. wi\hoot Which. life threatening sinl8tions can develop.
What is Lymphedema? The lymphatic syslem is often referred to as the garbage haulcr of the system and less nodes means less sewer drains which makes il easier for the syslem to back up. Worse yel, lhis condilion is often misdi· agnosed as water relenlion and the patient has been given diuretics (water pills) as a remedy. Can you imagine uying to fix a dogged sewer pipe by rcmovingjust lhe water? Guess what happens. concenlraled wasle builds up in the lissues. A possible end result is commonly referred 10 as lymphedema., Or in this case. the well rewgni:red "post mastOC1orny lymphedema.·· Needless to say. removing the wastcs' only means oflranspon is nol the likely answer.
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Collier Edition· October 2011 Health & Wellness 11
L.ymphedema Often Accompanied by Hard to Heal Wounds With normal circulatory function, these waste products arc returned via lhc lymph nodes and urinaled out In a malfunclioning syslem. the waste. including iron in the blood. often begins 10 leach its way into the tissues. since it has nowhe.e 10 go, resulting in a brownish bruising ofthc skin in severe cases. This panicular condilion is called hemosiderin slaining or ' ·pon wine'· stains of the skin. Left untn;atcd. this Stagnanl. protein-rich nuid not only causes lissue channels 10 increase in size and number. but also .educes oxygen availability in thc lran~pon syslem. inlcrferes with wound healing. and provides a cul1ure medium for bacleria lhal can result in lymphangitis (infe<.:tion). This is why lymphedema is also oflen accompanied by hard to heal wounds. This condition may have
existed for years bUl a trigger. such as the tabin pressuriulion in a plane night or sunbum. can cause thc system 10 finally overload and the condition manifests itself.
What To Do If You Experience Swelling Any swelling {)1" slow wound healing silualions shou ld be seen by a specialized professional immedialeiy. Always resear<;h your doctor ,n advance and find one Ihal rtt
ognizes and underslands Ihe causalive faclors behind lymphedema and how 10 Ueat it
A common effcclive measure is lhe Lymphedema pump which massages the effccted limb starting with the digits (fingers for example) and squcnes ronsttulive chambers unlil!he sleeve is eomple1ely pressurized. Then the fluid is delivered back into the boxly for removal oonnally during urinalion after treatment An inilial I hour lrealmenl oflen resulls in an immediate 5-12'Y. reduclion in limb volume and potenlial regression oflhe condilion ifil has no1 progressed 100 far.
Acule Wound Care, LLC is a leading provider of wound healing modalilies in Bonila Springs. Florida and works wilh sele<.:t area physicians highly versed in lhis condilion . Fo. more Information , contact the experts at WWW.ACUTEWOU NDCARE.COM or call 239·949-4412.
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12 Health &. Wellr.ess October 2011 - Collier Edit ion
Atrial Fibrillation: What Makes Your Heart Beat Faster?
The Southwest Institute for Cardiovascular Fitness & Treatment
oes your heart ever feel like il skips a beat, or is beating $0 fast that you gel a sensation as
though it is "beating OUI of your chest?" Sometimes these feelings can ooxur because you are nervous, excited, or scared. Other limes, y(m may experience an abnormal heartbeat due to something called an arrhythmia. Arrhythmias arc disordcn. characterized by abnonnal beating of the hean. Arrhythmias can occur in a healthy heart and be of minimal com.equence. At the same lime they may C<H.'Xis\ with diseased hean and may be life-threatening or may cause, stroke, hean failure or sudden death.
The four chambers of the heart usually beat in a steady, rhythmic pattern, Atrial fibrillation (An, a type of arrhythmia, occurs when the atria (the upper chambers of the heart) are fibrillating, or "quivering," resulting in B rapid, irregular heart rhythm. A nonnal heart rate for an adult is between 60 and 100 bealS cvCl)' minute. When the heart is in AF, the atria often beat faster than 600 times a minute and the ventricles may be faster than 150 times per minute.
By Pelef R. Foster, MD, FACC
The electrical system of the heart is the power source that makes the heart beal. Electrical impulses travel along a pathway in the htan and make the atria and the ventricles work together to pump the blood. A nannal heartbeat begins as a
Peter Fos\ef, MD single electrical irnp.1Ise!bat cx:mes from a small bundle ohissue located high in the right atrium (sino-atria[ (SA) node.). This electrical impulse travels down through both atria and causes them to contract (tighten) and move blood into the lower ventricles. The electrical current then passes through a small bundle of tissue called the AV node. an electrical bridge betwecn the upper and lower chambers of the heart. causing the ventricles to squeeze and relax in a steady, rhythmic sequence. As the ventricles contract they push the blood OUi to the of the rest of the body, and then
AF occurs when the electrical impulse does not follow this order. Instead of one impulse moving through the heart, 300 to 600
impulses per minute arise in the atria and
"fight" to get through the AV node acting as a
"safety val ve". There are two main factors that
allow this abnormal electrical rhythm to OCeur
and continue. First, the structure of the hean
chambers and the electrical pathway through
the heart may become scarred Or distorted. This
happens moreofien as we get older. [n addition.
one or more "triggers" (irritable cell s in
essence ) may arise that send oul exira electrical
impulses at a very fast rate. These extra
impulses creale a "shon cireuil" in the atria
which begin to fibrillate, or twitch, in a fast and
disorganized way.
like a suction cup d raw blood bac k imo the hean . This is what causes the pulse we feel on our wrist or neck.
Risk Factors for Atrial Fibrillation
1 Atrial fibrillating impulses
2 Chaotic signals pass through AV node
Rapid venlricular impulses
People who arc living healthy hvcs and have no other medical problems may develop AF. In most cases. though. we do know
the cause. The most common causes and risk factors include:
• Older than 60 years of age
• Diabetes
• High blood pr""ure
• Coronary anery disease
• Prior hean attacks
• Congcstive hean failure
• Structural hean disea,e (valve problem, or congenital defects)
• Prior open hean ,urgery
• umreated atrial nultcr (amlther Iype of abnormal heart rhythm)
• Thyroid disease
• Chronic lung disease
• Sleep apnea
• Exce",,"e alcobol or stimulant user
• Serious illness or infection
_____________________ www.swfHeal thandWellness .com ____________________ _
Collier Edition - October 2011 Health 3< Wellness 13 Symptoms of Atrial Fibrillation The symploms of AF are differ<:nl for each person. Many people fed no symptoms at all. They do not know they have AF or Ihal there is a problem, while others can lell as soon as il happens. This is because the symptoms depend on age. the cause of the AF (hean problems, other diseases, etc.) and on how much AF affccts the pumping oflhe hean
IVlrile not nt'fybody norices an jru~ular Irean_ bcat. the .<i~n< and .<ymplOm.< of AF could be:
• Feeling excessively tired or noting a lack of energy (most common)
• Pulse Ihal;s f"ler Ihan nonnal. very irregular or changing bel\O.'ccn fast and slow
Shonncs> of breath
• Heart palpitat;ons (feeling like your hean is racing. pounding or flunering)
Trouble with cveryday exereiscs or activilies
Pain. pr<:,,;urc. tightness or discomfon in your chest
Dininess. lighlheadedness or fainting
• Iner<:ased urination
Complications from Atrial Fibrillation At one time. atrial fibrillation was considered hannlcss. Although it isn'l life threatening. il is a'Sociated with blood clots and a five·to-sevenfold increase in stroke. Because AF makes the atria contract, or tighten, much faster than nonnal and in a disorganil.:d way. it is harder for the atria to pump blood to the vcntricles. With the blood moving more slowly. it is mor<: likely 10 fonn clots. If Ihe clot is pumped out of Ihe hean, it could travel 10 the brain and result in a stroke. Actually, this" Ihe cauSe of aboul 15 out of eWl)" 100 slrokes.
Alternative Approach Clinic, PA
AF is also linked to chronic faligue and hean failure. a condilion in which the hean is unable to pump enough blood to Ihe other organs and excessive fluid accumulates in lhe body (often legs or lungs). AF may cause a fast hean rate for long periods of lime. When the venlricles bealtoo fasl for long periods of time, Ihe hean muscle can become weak and damaged. resulting in a condilion called cardiomyopathy. which can lead to hean failure and 10ng_Ienn disability.
The good news is Ihal these risks can be reduced drastically if properly monitored and treated. In cerrain instances Ihe doctor may USC medication or even a catheler procedure (ablation) in an allemptto keep the hean in a nonnal rhythm. In other situations after a person is;n Ihe atrial fibril_ lalion, Ihe doctor may usc specialized medica· lions or an electrical shock 10 Ihe hcart to "coovert" it back into a nannal (sinus) rhythm.
To help prevent complications. treatment for patients who stay in the alrial fibrillation pennanently usually includes one medication to reduce the chance of blood clots and stroke. and another to keep the pulse from going too fast. You only have one hean. please take care of il and pay allention to those skipped andlor rapid hean beats. If you experience any combination of the symptoms above don'l undereslimate what your body is Irying to tell you. The key is for patients and doctors 10 work closely together 10 detenn;ne and implement the best course of care in each palient's situalion.
SWICFT Cardiology
239,261.2000 www.swidt.org
Dr. Bonnie Heidel, MSOM, OMD, DipL L.Ac. Board Cert ifi ed Acupuncture & Herbal Medicine; Integrative and Primary Care Physician
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______________________ www.swfHealthandWeliness.com ____________________ _
14 Health & Wellr.ess October lOll Collier Edit ion
The Latest in Laser Treatment or Varicose and Spider Veins
By Dr. John P. Landi, MO, FAGS, APVI, APhS, 0ipI0maIe oITheAl.i8IK3,Board 01 Phlebology
he treatment of varicose veins and spider veins has undergone dramatic changes Over the lasllen years and especially OvCr the last three years. Up until around the year 2000. the only available
treatment for varicose veins was a surgical procedure called ligation and stripping, which involved removing veins by multiple incisions and using multiple stitches. This operation had alX>Ul a monlh of downtime and left patients wilh many unsightly scars. Spider veins Were treated only by saline injections which were painful and had many polential side e ffects such as burning, brownish diS<.:olorntion, ulcer fonnation and a high ",,",urrenee rate. Now. wilh Ihe advent oflascrs in vein treatment. all oflhis has changed.
How Do Lasers Treat Veins? Laser is an acr{)llym for light Activation by Stimulated Emission of Radia_ tion. Essentially, a beam of light is created by a laser machine at a specific wavelength. This beam is due to tiny photons that have been stimulated by the machine to produce infrarro light that can emit an intense amount of energy. In Ihe case of lasers for veins. Ihis energy can be used to heat and evaporate the varicose or spider veins.
Many types of lasers have been developed, but tbeones that are useful in vein treatments are usually in the wavelengths from SOO - ISOO microns. Microns are the depth from the skin at which the laser works. The higher the number, Ihe grealC1" the depth. Each laser is specific for a certain depth and treats slructu~ al that depth . Veins OC(:ur at depths of around 700 - 1200 microns and lhe spider veins at much mOre supcrficialleveis .
The Best Venous Laser for Varicose Veins The commonly used lasers to treat varicose veins arc 810. 940. 980.1052. 1320 and now 1470. For years. the lasers from 810 to 980 were considered the standard for venous treatment. They worked by heating the blood in the vein and vein wall to dissolve the vein. Although they worked very effi
ciently. the side effect of these wavelengths were bruising of the skin and some pain along the lascred vein. Aboutthrec years ago. the 1052 and 1320 wavelengths were developed. "These won-ed at a deeper level by targeling the water around the vein to heat the water 10 then heat and evaporale the vein. This resulted in decreased bruising and post operative diseomfort. Finally, the 1470 has been released. This works at even a deeper level to again heat the water around the vein to then dissolve the vein. This is now considered one of the besl venous lasers for varicose veins beeause Ihere is minimum post procedure discomfort and. therefon:. patients can return to full normal activity within twenty_four hours.
No Pain, Bruising or Downtime I have two 940 lasers. a VNUS Radio frcql>Cf>Cy cathcier, and now the 1470 laser. The 1470 has become my number one choice of
lasers because it gives excellent results with minimal post procedure pain, bruising or downtime. Patients can now be back tn all activities immediately after the procedure without the n«d for a two week =overy or the need to wear support hose for more than several days. l1Ic mosl common post procedure complaint was thigh discomfort and this has now been eliminated. l1Ic 1470 is now considerro the state of the art for venous laser therapy.
Treatment of Small Spider Veins As far as lasers for spider veins. the thing to remember is thaI lasers on the skin (topical lasers) work only on the smallest o f spider veins. Large spider veins should be treated with sclerotherapy. If a spider vein is big enough to ~ a n«dle into it, then it should be injected. If the SpidC1" vein is too small for a n«dle, then a topical laser such as Vein Wave. Vein Gogh. Ellman or various othcrskin lasers can be tried. II should be noted thaI, in gencrol. spider vein laser treatment can be painful and usually requires multiple treatments. It should only be recommended if sclerolhernpy could not be done or was WlSUCCe$Sful.
The Only Vein Center in Coll ier County with this Advanced Laser Technology AI Vanish Vein and LaserCenIC1". I have performed over 12.000 laser ablation pr0-
cedures. Vanish Vein and Lascr Center is cum:ntly the only vein center in Collier Cowtty to have this laser wavelcngth. To learn more or to schedule an appoint· ment. please call 239-403-0800 OJ visit us online at ............ nilhein.rom.
Dr. loll,. P. lAndi allhe time of this ... "riling is one of less than I.fJOO pilysici<lns ,,-orlm-,ide /0 obiain tM designatiOtl of D;pIMlate of Ihe American Board of Phlebology. In addition 101his. he obtained his RPVI (R~islerFd Physici<ln Vascular Inrel'pl'f!lOticn) and M is also one of less t/ton 100 people both p/tysicwns and non pilysidons "I')r!th'de 10 obiain tM RPIlS (Registered Phlebology SOfIographer). fte has performed over 11.(}()() vein closure procedures in boll, lAMr CUJd VNUS Closure. He has also treated thousands of palknls for spider vein resolution. He is medical dilf'CUH" of Vanish Vein and Laser Center located in Naples .... hich has been a state of the art Vein Center designated to vein treatmenr for over 11 year.t. In addition /0 this M is medical diTf!Ctor of IABelia Mia Medical Spa .... Ioich is attached to The Vanish f.,in and Laser Center.
_____________________ www.swfHealthandWeliness.com ____________________ _
VARICOSE VEIN: P,r/Qrm,d "y Q VaJ(u/ar Surg.Qn "m/
Bo(,.d Curifi,d in Phl,holog].
Would"'! you ralherlrus( )'ou.vein care 10 a VascularSu'l;ffl" who ha, performed 0''''.
7,000 Laser Vein l'roccd"res:
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John P. Landi, M.D. II«onl c.rti6<d Su<g«>n
~~':/:":8:P~h"':ki.ofl$ Worldwide Certified by the
I Board of Phlebology
~ 1
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(239) 298-8126 www.vanishvein.com
See Spot. See Spot Change.
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Same week appointments available.
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_________________ www.swfHealthandweliness.com ________________ _
16 Health & Wellr.ess October 2011 - Collier Edit ion
Breast Awareness
ce ByTracye L. Zlobl, M.D.
ctOOer Is upon us again. ladlea, ~ means M'N Hnd multiple ,eli!oe,_ to breast cancer in !he media In the coming
_ •• c ; .. ~'" "I 0"'''' has been deemed Nal101IiI1 Breast Cancer Awareness Month. I'd like 10 remind all of you to "think pink" this month and do OUr part. to build awareness 01 this often fatal dls.eaH. PartlclpatJon can help deaease breast C/lncer deaths thllJ'Jgh Increased weenln, tllereby ptO¥ldin, hope for Mure genellItions. DoIn, your pan can mean scheduling your own annual dlnlcal breaSl/pelYlc exam and mammogram. proYldln, • gentle reminder to those we care about. participating In one of the many lundrllslng activltles that are scheduled this month, or just wearing that familtll' pink ribbon on ou' lapel to promote this Ii/es;!Ylng CIIuse.
The Statistics are Sobering Breast taAOef is the 2nd leading cause 01 cancer related deaths In ArneriCIIII women • lung cancer is !he first. In 2007, \!Ie most rete'" )'ear that "umbe".,. "",liable, the AmerIcan Cancer SocIety reports tI1at 202,964 women In the U.S. were diagnosed with bnlast cancer aoo 40.598 died of IIIl1r disease. Chances are}'OU know someone who bas been affected directly or Indirectly by breast carteei'. as morethan 2.3 million women IMng In the U.s. toda, t.aYe been treated for breast cancer. The<e are an estimated I million women who are oot aware they have the disease. (Source: Na~onal Brust cancef Coalition)
Who's at Risk? H"s ¥iUllylmportant that we all understand a fundamental tMh: all women are at lisle of breast cancer. In lIIe 19705. the ~sk was quoted as lin 10womefl who would be diagnosed wotll brea&! cancer (Source: National Cancer Institute). Toda,. tile ~sk Is I In 7· 8 women. Exj>erb debate whether the Increased ri$k is lIdu,lIy due to Improved _InS and dlagnostlc tools. Me<! are not spared, though cases of male b-rust cancer are much less common as the disease Is approllmatelyloo times mot'fI common In women. The American Cancer SocIety J)ledlcted that Ju&! ewer 2,000 men would be dlasnosed with i .... slve breast canoe< In 2007.
mati JS Key and Infor~
IS Power Awareness of the ~sk factors for breast carteei' and recognizing the signs and 5)'IIIItoms asso<:iated with bre.ast cance< are the most Important tools 111 OUr arsenal agalllSl this disease. Mooal physical exams that Include a dlnlcal breast/peMc exam alll rule one for our health rnainlenano;e. Monthly sell breast &lams are recommended for an ~. Women wtthout additional ~sk factors for breast cancer should begin ,nnual weening rnammogr&ms at the age of 40. for women with a family history of breast cancer, talk to YOU' doctoo" to assess your own ~sI\s and to consider gooetlc testing to screen for gene mutations that are 1ISSOdiI\ed with • significantly higher IncideflOl! of bot!I breast and lW8~n cancers. Contrary to popular belief, approximately 95% of women with
breast cance< do not have one of the gene mutations Q,I~ tested lor and 80% 01 bn!ast cancer patients do not t.aYe anyone In their Immediate family wtIh the disease (Source: National Breast Cance< Coalition). forwome<! willi perwnal or family hlstOl)" of braast cancer, an MRIIs also recommended for screening. Mammography remains the gold standard for breast cance< weening for most patients.
Early Detection Saves Lives One of the eariiest signs of braast cancer can be an abnormality picked up on mammography. even befora thn Is a detectable lump tell on a breast exam. The most common signs of a breast cance< Indude: a lump In the breast. ,n abnormal thlckefllng of the braast tissue or skin, a change In \!Ie shape or color of \!Ie braast. Additional signs that mil\' be
present indude: dimpling or pud<erlng of the skin; swelling. rec!ness, or warmth that Is persistent; pain In one area 01 the breast \!Iat does not vary wtIh your menstrual cycle; manges in the c:ontour of the nipple; , nipple discharge that begins suddenly and occurs only In one braast; an itchy, scaly and tender area on one nipple. Irs very Important to note that finding, lump or, dlange in }'OUr bre.ast does not n=sal"Ily mean you have braast cancerllt does mean !hat}'OU need to call your doctor to schedule an exam.
Annual Breast Cancer Screenings are Key We '"- What'l1OOll for \II, IG ""1"'''' we ,II I8tIInI Innual IHNat C811C11" _1niI? For some women \tie allSlll'el$ r;enter around lear. Fear of pain Il"Om the procedure; lear of a diagnosis of breast cancer: concerns regarding the costs aoo wIIetIIer or 001 ~ Is JXI'o'e<e(I under \tIeIr health plan, Medicare or Medlo:illd; and c:cncems regarding the level of radiation exposure durtng \tie procedure. For many women K"s simply due to a I;>dc of ro;rtIne health ca<e for a murtitude of reasons. ~,patients should kI10w that regutarscrtoening mammograms ate JXI'o'e<e(I by Medicare and Medicaid as well as many pdvate heiIIth Insul<lno;e plans. For women without health Insurance, tile Center.! for DIsease Control can prO'iIde low or no cost mammography screening In many areas of \tie oountry. You C<SII find Information on \tIeIr website (1rItj):/ /cdc.go.) or by calling (888) 842·6355 to apply for IIIIs IIednll\' funded assistance program. The concerns of r.odiat\on e>pOSUre with mammograms h8ve 1<ept some ~ Il"Om seeking the test even thoogh the level of radiation exposure Is ¥erY low and the beneftt far outweIgIIs the risk. In M-a)r of this )'e<Ir, \tie FDA approoed the Settra Microdose Mammograpby modality that reduces the radlatioo exposure In haH. This system lies been available In Europe lItId Japan for seven )'UIS and ... also rec:ent!)' approoed In canada and Russia.
Stop Breast Cancer for ife Octobe< Is a great time to become proa<:tIve In our health maintenance. We must assume the role of achocate for our own contiooed good health. lbe Imernet contains many re$OIIrt>e$ available to us to learn ""'"' about breast Clnce< and '"- we can play a part In Breast cancer Awareness Wtonth. The National Breast cance< F<:Iundatlon tells us \!Iat for every one million women screened, one thousand lives can be S8¥ed. Strsan G. Komen forthe Cure, a leader In the
breast cance< fnO'o'eII"oeIIt promotes their PassIonately PI'" for the Cure again thls)'e<lr wh8fe III net .. ~ go to Sllwort breast cancer research and community·based breast cancer education. A call to arms stated In the lIeadline banneron Ufetlmetv.oom Is pe<hap$ the most e1oquently and succinctly stated slogan 01 National Breast cance< Awareness ~; Stop 8reast Cancer for UIe. Get Informed. Spread the word. Make I difference. can't we all ftnd dme In 0lIl busy lives to provide for OUr own good health and that of so many others'I
@) W~b-f)4W~ GVNECOLOGY FOR WOMEN OF ALL AGES
201 Eighth St South, Suite 201, Naples 239.262.3100
www.wellnessioJWomenofnaples.com _____________________ www.swfHealthandWeliness.com ____________________ _
Collier Edition· October 2011 Health & Wellness 17
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0.. Myle'S Silmotin is a Columbia University Graduate and Fellowstlip Trained at the Hospital for Joint Diseases In New York City.
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Collier Edition - October 2011 Health'" Wellness 19
GOOD HEART HEALTH MAY START WITH GOOD FOOT HEALTH!!!
What usually cakISBS Achilles tendonitis and most O!her forms of tendonitis 1$ that the muscles associated with those tendons are not strong enou,," and therefore, the tendon tries to cia tile work. causing the tendon to become Inflamed. LogI. cally, wlIat)'CU should cia to CIIfB tt Is to gIYe II rest. use some Ice, use pain rellewer.l such as lbuprolens, and gIYe II some time to reCl.Iperate. Onoe again, 1 reoommend )'OU ~Ily should cia 1$ ftlSl see an orthopedic su!geOn who Is a foot and anlde specialist In Ofdef to get a correct diagnosis. He would examine )'OU and may obtain an MRI of YOUf Achilles tendon to ascettain the t(lndition of you< tendon, whether it 1$ Inflamed, partially ruptll!ed Of completely ruptured.
By Myles Rubin SamoIin, MD· Board Certifoed Orthopaedic Surgeon, Fellowship Trained in Fool andAnlde
The talk last month willi your doctoI stili resooflds in your ear. "It \JI'OUld ~Ily help )'011 1f)'Olllo$t several pounds. A good eJIeItise plOV<lm Is what you r-.eed and would probably WO!k well for )'011."
So you went out and boufII an E!lIOeIIert pM of walking sneakers and 'KNt1l\at)'Oll 10111 start)'CUr new walking I!JI!I'dse ~ ri&t( 8I'Ier d. lller. Sureenout1l,)'CU Iaoe them on after )lOUr new health smart dinner lind rNI111)'CU go. fkrt not really. On !hi! IhIfd day of )'OIIr eetisI! plan )'011 start III notice an adIe in !hi! b.x:to; of)'CUr leg that gets -.ne lIS )'CU oontinue. E¥entua11y)'CU stop yourl!Jl!l'dse plan all tagethef due III tile pain in)'CUr Jeg. So muc:tI forjlOUl new rear'S resWtion.
Actuallywllat)'CU J\awI done 1s)'CU J\awI straIned)'CUr AchIlles teOOon and may IIa>o:! _ partially orcomplete/y ruptured It Wrth proper care and !hi! conec:t medical person OIIeIHng your rec:a.ery,)'OII just may be able III keep 1I\at resolution.
The Achilles tendon Is tile largest tendon m tile human body willllIIe r-.eed to sustain forces of 1M!!' 1,000 pounds. IrS also the most frequently ruptured teOOon and ~ny people, both athletes and non-atIlletes can suffef from Achilles tendonitis which 1$ a common IM!n/SI! injury and n!$OIlt$ In InIlammalion of the teOOon.
The Adlilles tendon 1$ a $IJOr1g ftbrous band that connects the pstrocnemius muscle (caW muscle) to the calcaneus booe (heel booe). The gastrocnemius muscle togeIIIef with the soIeIrs musde eontra<::t and allow us to Sprint. jump or climb and help us to rise up on our toes and will also help assisI us In normal ambulatlon. IIoweYer due to !hi! contracture of the mU5des and the n!$OIltin
20 Health & Wellr.ess October 2011 - Collier Edit ion
The Art of Facial Rejuvenation by Dr. Alina Stanciu
European Face Lift is a unique facial ~uvenalion treatment Ihal Dr. Stanciu developed as an al!emal;ve 10 surgery. Dr. Stanciu's tochnique of fluid face sculpting and Ufting rombillC$ dcnnal fill= with injcctablcs such as &lOxe Cosmetic in order 10 wrre<.:1 wrinkles in diff......,nt ways. lbese cosmetic fillers such as Restylane"', Perlan<:"', luvederm"' and Radiesse" replace lost volume and rcslon: youthful contours 101he skin. smooching away wrinkles. In conlrast BoIo~. Cosmetic rel3!Ccs the muscles Ihal cause frown lines between the eyebrows. Thecombination of these products in the hands of a skillful swgoon like Dr. Stanciu could give results equal to or bener titan an invasive face lill with minimal pain, no recovery time, instant results, and significant financial savings. Dr SIlln\;;U treats patients using these guidelines adding her experience and unique aesthetic sense 10 tailor each treatment 10 the individuals specific needs.
1 Combat Crows Feet and Tired Droopy Eyes
+ How Or. Stanciu treats Crows-Feet To reduce their appearance and pm'CI1t new ones from fonning, Dr. Stanciu injects the area wi!h Botox Cosmt1ic"'. [n your lOs and 30s, you should use Bo!ox as a way to prevent crow's-fe<:! and soften any lines. As you age Botox Cosmetic'" can be used to !reat these lines and make them less visible.
+ How Or, Stanciu treats tired droopy eye tlds The best mode of treatment for dark cirdes and bags under the eye is with hyaluronic acid fillers, such as Juvedcrm and Restylane which fill in hollows to givc thc illusion of fcwer bags. Now, there are 00 shadows and the dark pigmenullion is diminished. To correct sagging or drooping of the eyelids and removal of excess fat a Blepharoplasty or eye lid lift can be performed. This procedure can give a more youthful appearance to an otherwise older. more tired looking face. For some individuals it may remedy certain vision problems caused by drooping eye lids. [n !his case usually medical insurance will COvCr the operation.
2 Shope the Cheek,
Both hyaluronic injectables and collagen-stimulating fillers can reinstate definition to the cheeks, giving a more defined profile and a similar look to what's ochieved with fat without surgery or !he "forever" factor. Fillers are uscful in reestablishing the shape of !he cheek around the Ofbital rim, where the signs of aging often begin. To gct the most natural look that doesn't look "done" or "injected" filler should be placro in the front of the checks, as opposed to the outside of tile cheekbones, which causes the liller to push the eyes up.
Discover ,.,:lur founta in of ,.,:luttl by cal ling 239-949,2020 to schedule )'Our FREE Consultation, or VI ~t our website v.ww.stanClUeyecare.rom to see some of ttle amazing transformatIOns of some of our patJents
3 Smooth out LauSh Lines
+ How DI-". Stanciu InIats nasoIabia[ folds Known as nasolabial folds, these unpleasant hTlCS result when fat;s lost from the an:a around the mouth. With ag<: oome changes in facial fat. and this loss of volume results in nasolabiol fold<. The mot<: f.t thot's lost, the mort promi""nt they ore. Hyaluronic Kid fillers like Juvederm and Reslyla"" are best for filling these lines. For patientS that oomplain of somewhat dtcpcr folds. Dr. StanCiu may inject the oheeks with 0 bit nf fill .... too, 10 lift the fold.
4 Plump YouthfUl Ups
+ How Or. StanCiu augments Utin lips Hyaluronic acid·based fill ....... like Juvcdcnn .tId Restylane can be: injected inlO the lips 10 add volume si~ they aUrae! w.t .... to the ore. and swell the lips internally They worl: greal 10 deline the lips and lip Ii"" but sometimes they can loo~ overdone if too much filler i, used. Going 10 Dr. SlaTIC;U woo i, a facial ",juvcnation speciali't and inj«tablc trcotmtnt e~per1 is 0"" of the best ways 10 .void lips thatloo!< obviously injected. Ask about NEW Juvederm XC with lidocai"".
~.YCW~, SK.S?25. medical director of Advancod Eye Can: & Laser Center is a facial "'juvenalion specialist and injectable treatment expert who has been petfonning these proccdllJ"C$ for over 10 years with excellent results. She $pCCializes in aesthetic procedures such as the European Face Lift. Botox Cosmetic«!, and all fillers. lip augrnert\.iltion and Blepharoplasty or eye lid lifts cosmeIic and functional. Dr. Stanciu is a member of the American Academy of Co5mctic Surgery and frequently a!tends aesthetic mcc\ings nationally and internationally.
Feetaoo Droopy Eyes
Shape the Cheeks
laugh Unes
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Collier Edition - October 2011 Health &- Wel lness 21
Post Surgery Recovery at Home
T he recovery process following surgery will depend greatly on what type of surgery the patient has had. In the ma
jority of eases, the patient is able 10 relUm home after being discharged from the hospital. Anned with specific ~ instructions from the surgC()Tl or nurse. the patient is SC'Ilt home 10 recover, though their leve l of activity may be limited.
The level of activity pennittcd varies widdy depending on the type and severity of the patient"s surgery, n;wvery times and expectations will vary also. Some surgCTics will require therapy or rehabilitation, while SO~ patients will heal quickly without incident. Pain is a good indication of whether or not the patient is trying 10 do 100 much. If activity causes pain levels 10 intensify, the patient may be trying to accomplish too much 100 soon.
Some things to ellpeet while recovering from most surgeries are:
• Limited level of activity
• A certain amount of pain. manageable by medication
• Follow up appointments with the physician to assess the healing process
• Possible physical or occupational therapy
• Assistance with activitics with daily living
During surgery recovery. there Can he serious risks and complications. which is why it is extremely imponant for patients to be honest with the doctor about how they are feding and if they experience any symptoms of infection or other complications. Some other questions to discuss with the doctor are:
Will I need to undergo any kind of therapy?
What kind of therapy will I require?
Will you be in touch with my therapist?
How long will the healing process take?
When can I expect to return to work?
What kinds of activities can I do right away?
How soon can I get back to my nonnal exercise routine?
What lifestyle changes should I make to help me heal properly?
European Face Lif"t
Surgery Recovery at Home Recovering from surgery can be challenging, but having assistance around the home can help patients receive the rest and reassurance they need in order to heal. At JT Private Duty Home Care, we provide a wide variety o( in_home care servica 10
help patients maintain a high qualityof life in their home as they n;wver. Through our experience in caring (or patients who are recovering from surgery. we have found that the following scrvices an: ITIQI;t beneficial to the patients:
• Complcte nursing assessment and continued monitoring (or entire recovery
• Administer medications prescribed by physician
• Communicate with surgeon's office (or post· operative instructions
• Educate patient on specifi, post operative care
• Provide assistan,c with a<;tivities of daily living: bathing, dressing, grooming. preparing meals
• TTl'Inspon patient to and from surgical facility and to post operative appointments
• Offer respite care to relieve family caregivers
JT Private Duty Home Care tailors a specific plan of in·home care to mUi each patieni"s individual needs. Rest and recover in the privacy of your own horne with a Registered NuTSI' dedicated to provid_ ing you with quality, supponive assistance.
At JT Private Duty. customizing your care is Our speciality ___ _ becausc when it comes to your car<:, there are no shoncuts .
JT Private Duty Home Care
239.896.6582
Running a Practice Is Hard Work - Let Paychex Helpl -. ......... __ .. _ .... ~ .. ---.. ---... -....... r _ .... _"' ........ _ .. ---_ ... _ .r .... _ I ._Ow ..., ... _0... __ .... _ . ..,...._ ........... "'-._ .... _ .... -.- ...... -... ," ..... r_ , "' . __ ........ -0-..... _______ _
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Trudy Stemen 239-223-9256
PAYCHEX ~, 00 _
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22 Health & Wellr.ess October 2011 - Collier Edit ion
What Are The Causes of Sacroiliac Joint Dysfunction? By Pra\hima Mool1hy. M.D., Pain Management Center of Naples
T he1'care rnanydiffcrcnt terms forsacroiliac joint problems. including SI joint dysfunction. 51 joint syndrome.
S] joint Slrain. and SI joint inflammation. Each of t!lese terms rden; 10 a condition \hat causes pain in \he SI joints from a variety of causes.
As wilh most other joints in the body, tM SI joints have a cartilage layer covering the bone. The cartilage allows fQr SOIll\! movement and acts as a shock absorber between the bones. When this canilagc is damaged Or wOrn away, the bones begin to rub on each other, and degenerative arthritis (osteo
arthritis) occurs. This is the most common cause of SI jQinl dysfunction. Degenerative arthritis O<,:cun; commonly in the SI joints. just like other weight_ bearing joints of the body.
Another COmmOn cause of SI joint dysfunction is pregnancy. During pregnancy, honnones are rdeased in the woman's body that allows ligaments to relu. This prepares the body for childbinh. Rcluation of the ligaments holding the S[ joints together allows for increased motion in the joints and Can lead to increased Stresses and abnonnal wear. The additional weight and walking panem (altered gait) associated with pregnancy also places additional stress on the S[ joints.
Any condition that alters the oormal walking panem places increased S!re$S on !be SI joints. This could include a leg length discrepancy (one leg longer than !be other). or pain in the hip. knee. ankle. or fOOl. Pmients with severe pain in the lower ~tremity often develop problems with either the lower back (lumbar spine) or Sl joints. In most cases if !be IUldcrlying problem is treated, !be associated lwnbar spine: or SI joint dysfunction will also improve_
here are many disorders that a!fOCl !he joints of the body that can also cause inflanunation in the S[ joints. These ine:lude gout, rhewnatoid arthritis, psoriasis, and ankylosing spondylitis. These arc all vario<J..l forms of arthritis that can affect all joints_ Ankylosing spondylitis is an inflammatory anhritis that always affects the Sl joints. It can lead to stiffness and severe
pain in the Sl joints. As the disease process COIltinues, the Sl jointS fuse together and ha,-e 00 funher motion. Once this OCCur$, there is 00 further pain associated with the SI joints_
What.., sac:roiliac: joint dy$func;tion symptoms? The most common symptom ofSJ joint dysfunction is pain. Patients often experience pain in the lower back or the back of the hips. Pain may also be present in !be groin and thighs. In many cases, it can be difficult \0
detcnnine the ~lICt source of the pain. Your physician can perform specific tests to help isolate the source of the pain. The pain is typically "'OfSC with standing and walking and improved when lying down. Inflammation and arthritis in the Sl joint can also cause stiffuess and a burning sensation in !be pelvis.
How Is sacroiliac joint dysfUnctIon diagnosed? The fUS! Step in diagnosis is typically a thorough history and physical examination by a physician. The physician will ask questions 10 detcnnine if there arc any underlying disorders Ihm could be causing the patien(s pain. This can also help differentiate pain coming from the SI joints, lumbar spine, or hips. There are various tests a physician can perfonn during the physical examination that can help isolated the SOUJ'Ce of the pain. By placing your hips and legs in ccttain positions and applying pressure, the Sl joints can be moved or compressed to identify !bern as a SOUJ'Ce of pain. Other ponions of the examination are to ""dude ccnain ~ibi1ities that could mimic sacroiliac disease_
The fIC.\It Step in diagnosis is often plain radiographs (X-rays). The patient may have X-rays ofthc pelvis, hips, or lumbar spine depending on what !be physician finds on the history and physical examination .. Both X_rays and MRJ studies can help identify sacroiliitis. This can appear as sclerosis in the joints. More severe wear in the joints can appear as erosion of the bone arowld the Sl joints. These testS can also look for fusion of the SI joints. A magnetic resonance imaging (MRT) scan can also be helpful This provides a better evaluation of the soft tissues. ineluding muscles and ligaments. It can also identify subtle fTltCtures that may not be seen on an X-ray. The MRJ can identify inflammation in the S[ joint by the presence of excessive fluid in the joint A bone scan can be obtained 10 help isolate the soun;e of your pain and can be used 10 identify bony abnormalities. The bone scan can
• •
identify areas of increased activity in tbe bone. This is a oonspecific test and can be positive in cases of anhritis, infOClion, fracture, or tumors of bone.
Often the most accWllte method of diagnosing and trcaIing Sl joint dysfWlClion is by perfonning an injection that can numb the irritated area, thereby identifying the pain source. An ancsthctic material (for example. lidocaine [Xylocainc]) can be injected along with a steroid (oonisonc) directly inlO !be S[ joint. This is usually performed with the aid of an X·ray machine to verify the injection is in the Sl joint. The anesthctic and steroid ean help relieve the pain from inflammation that is common with SI joint dysfunction.
What is the lTCatmcnt for sacroiliac joint dysfunction? As stated above, injections into the Sl joint can provide both diagnosis and treatment. The duration of pain relief from injection can last from one month to six months or a year. The injoxtions can be repeated each month for a total of three .. Oral anti_inflamma· tory medications (NSAIDs. ibuprofen [Momn1. naproxen (Naprosyn]) arc often effOClivc in pain relief as well These can be taken long term if the patient does oot have any other medical problems thaI prevent them from taking these medications_
Physical therapy can be '-ery helpfuL Pain in the S[ joint is often related 10 either 100 much motion or 001
enough motion in !be joint A physical therapist can teach various strelching or stabilizing ~=ises thaI can help reduce the pain. A sacroiliac belt is a device that wraps around the hips 10 help stabilize the S[ joints. which can also help the Sl joint pain. Other options to stabiliu the Sl joints include yoga, manual lhcrnpy, and Pilates.
Pain Management Center of Nap[es 3439 Pine Ridge Road Naples, FL Prathlma Moorthy, M.D.
239.593.9594 I agnpmdtpnall.com
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Collier Edition - October 2011 Health 3< Wellness 23
Colon Cancer IS Preventable By Shardul A. Nanavati. M.O .• Advanoad GastroonteroIog 01 Naples
T he first stC'p 10 preven'ing colon cancer is understanding what the risk factors are. Everyone is at risk and should take
Ihe necessary steps to prevenl it. If you are at high risk for colon cancer, there are steps that you can take to decrease your risk.
Most of the time, we give little thought to the idea thai we may be setting ourselves up for oolon cancer. We don't drink enough water, or cat the right foods. Smoking and obesity are independent risk faclors for colon cancer. In facl, most people don't think aboul colon cancer until they either have it oc someone !hey love has i\.
Age is one of the biggest factors associated with Colon cancer. While young people can also get colon cancer, people over fifty are al Ihe highest risk wilh the average age for colon cancer at 65-67 years old. Those who have a family history of
cancer, as well as women who have had breast cancer, uterine cancer, Or ovary cancer are at high risk and require earlier screenings. Your diet can put you at risk including high fat and calories, low in fiber diets.
Other risk factors include polyps on the wall of the colon or nx:tum and inflammatory bowel
disease. If you have had these conditions, you may develop colon cancer laler on. On average, a polyp Can progress to colon CanCer in 7-10 yrs. People who have IBO. or Inflammatory Bowel
Disease, or Crohn's Disease are at high risk, along with those people with multiple family members
with colon cancer. other gastroimestinal tumors,
breasl cancer and malignancies orlhe GYN lract.
As with any other illness or disease, il is ideal to prevent it instead of waiting to do anything until
you actually have i\. Prevention is easier than curing a problem. The first StC'p in prevention is 10
get regular colonoscopy as lhe standard mechanism
for optimal screening. In many cases, there arc no warning signs; finding and removing these polyps
early helps to prevenllale stages of colon cancer.
You may also make lifestyle changes to lower your
risk. Reduce your intake of fal and calories. as well as your intake of meats and alcohol. You sbould increase the amount of e~ereise you do as well.
Experts also recommend that you stop smoking,
and usc dietary supplements 10 ensure thai you are gelling enough minerals and nunients.
You should get five servings of fruits, vegetables. whole grains. calcium. and folic aeid each day. The use of haby aspirin each day is also recommended to reduce polyp fonnation_
Most importantly, you should also get regular screenings to make sure thaI no polyps have developed. When colon CancCT;S detC<:too early. it is the mOSt curahle fonn of cancer that there is.
Advanced Gastroenterology of Naples 3439 Pirie Ridge Road Naples, FL Shardul A. NanavatJ, MD
239.593.9599 I Ignpmdliml ll .com
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24 Health'" Wellness October 2011 • Collier Edition
•
How to Choose
Healthy Chocolate
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It's Delicious ... Not Bitter Anti-oxidant Super Food
Collier Edition· October 2011 Health & Wellness 25
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26 Health & Wellr.ess October 2011 - Collier Edit ion
iSlOricaJly, a signirlWd ~ion of Salvatori. Wood and Buckel's commercial financing group's
practice has omtailed repre$eI11ing banks and borroWC1'S in negocialing. documenting and closing COJTIJ1'IefCialloans. llial transactional component of our p=lice has ~ slow be<.:ause of cum:nt market conditions. Many of our clients an: looking for creali~c ways 10 remain competitive including p;utnering with g<Jvcmmenl ag<:ncies in assisting wilh financing of business ~tures.
A number of our bank clienll; indicated thaI Iho.:y were offering SBA loans 10 their por1folios, As a result. the firm ~!ly became a member of the National Association of Development CQrnp3-nies (NAOCO) which is a trade associacion for Cenified Development Companies (COCs), and John Hwnphn:ville compk:ted a 3 day seminar for Bnomeys hosted by NAOCO conceming closing Small Business Administration (SBA) Sl)41Qall$.
TI>c SBA 504 loan program was crealed for two reasons: First. 10 provide financing 10 small businesses Iha1 are ready 10 expand and ncc:d funds 10 purchase real estate or capital assets, and second, for Ihe purpose of stimulating e.:onomic development Ihrough job creation, business growth and increased ta~ revenues and, for whatever reason, havc had dif_ ficulty in obtaining conventional financing.
In today's tight banking regulatory environment and depressed commercial real estate market. there is a real advantage for both the third pany bank and borrower to consider SSA financing be.:ause the loan to value ratios art' easier to obtain than convemional commercial financing. A typical S04 financing stl"Ul:ture would require a minimum contribution from the borrower of 10"/0 (cash or equity in real estate); 40% financing from the CDClSBA; and 50% from a third pany bank
Another consideratIon is the competitive lenn and interest rates offered through SBA 504 financing. An SBA 504 loan is for a long term (either 10 or 20 yean) and the interest rate is fixed for the tenn of tile loan. Intcft'St rates art' competitive and usually lower than prime.
SBA 504 loans anow business owners 10 buy. build or renovate commen;ial real estate. Financing options include the pun:hasc and/or reoovalion of an existing building; the pun:hasc of land and conslJUf;tion of a new building, and also the pun:h.asc of expensive «!uipment or machinery IlIat requires Iong·term financing.
The finn is elicited about ~panding its financing and secw'N transactions practice 10 include familiarity with SBA ftnancing and invite you IOcoosuh one of the real es\8IC group's attorneys if )lOUT
business may henefitlium this type offinancing.
Thank you for reading this e~cerpt from SalvaIOri. Wood & BUCkel's Real Estate News. Plt:ase visit our website or can us for more information regarding this subje.:t or for answers 10 any other questions you may have.
Sincerely. John D. Humphreville
John D. Mumphll'dllfl- SlIvatGI1, WOOd '" Buckel fL34108
_____________________ www.swfHealthandWeliness.com ____________________ _
Collier Edition - October 2011 Health 3< Wellness 27
______________________ www.swfHealthandWeliness.com ____________________ _
28 Health & Wellr.ess October 2011 - Collier Edit ion
Who Needs To Detoxify?
By Kevin CaNTey
j
y
sk any integrative medical doctor or holistic health practitioner and they'll rcspood in kind, toxins that
impact our health and vitality and leave us prone 10 disease arc found literally everywhere. Plastic
waler bottles. chemicals in hair care and beauty products. prcscriplion medications, natural {)1"
ingested hormones. pesticides, Water contaminants, alcohol, tobacco, food preservatives, heavy metals. ele<:lromagnetic radiation and chemicals
in processed foods are some oflhe sources of the disruptive compounds and toxins pc<>plc arc exposed to every day. They can disrupt the normal activity of estrogen, androgens, thyroid and other hormones. Newborns come imo this world wilh some 280 chemicals in their system.
Imagine how toxins impact the health of people age 40, 50 or older.
Toxins are depOSited and stored in fatty tissues. O ur body wants 10 prevent releasing the IOxins into a system that's already (loaded with them. At
the same time, the body also prevents the release of stored fat that provides the fucl neeessary for
weight loss. Releasing the fat would also release the IOxins that are stored there. The resulting toxic build-up disrupts the body's uptake and utilization
of nutrients by blocking key metabolic pathways needed for both to occur. One reason for the dis
ruption is that toxins Create an acidic environment in which normal body processes do not work efficiently. That can result in low energy, slow
metabolism, poor sleep, "foggy brain,' migraines and other symptoms.
Our bodies are designed to metabolize and eliminate IOxins. This process is called delOxification.
Since we arc bombarded with SO many chemicals every day. often without even knowing it, we can become overburdened with toxins. Once that
happens, we need 10 help Our bodies dcioxify.
, •
Restorative Healing From the Inside Out is com
mined 10 helping individuals restore and maintain
their optimal health. Its founders have a wealth of
restorative healing experience. Teresa A. Sievers.
MO is a physician who is Board Cenified in both
Imernal Medicine and Anti-Aging, Regenenl!ive
and Functional Medicine. Karen R. Callan is a Cer
tified Holistic Health Coach and a Member of the
American Academy of Drug less Practitioners.
Sievers and Callan have teamed to provide a signa
ture Vitality Now Tele_Seminar series that will
guide participants through various aspects of the restorative healing process. Tire first ins,allmenf in ,Ire Tefe-Semin .. r series is "v" .. Uty Now: Detox For" Bener lou," The six ~ek de,ox TefeSem;""r beg;"s Oc,ober 10.
"Detoxification helps the body function optimally
by stimulating its natural means of processing and
eliminating," said Callan. "11 revCJ$es the body's
acidic state and oxygenates the cells so they can function optimally. Detoxification rids the body of inflammation and promotes natural weight loss,
less pain. clear and bright skin, and improvemcnt of
most disease states."
"I'm often asked who should be detoxifying ." said
Sievers. "My answer is always the same: everyone! It's not a question of whether you have
been exposed 10 toxins but one of in what quantity
and how much impact are they having on your
health. Anyone who wants optimal health should detoxify at least 1-2 times per year. For optimal
health and COlTCClion or prevention of disease, one
should detoxify seasonally."
The Vitality Now: Dctox for a Beller You Tclc
Seminar includes a preparatOJ)' session followed by a four-step guided detox process and a what
to-do-next session. Dr. Sievers and Holistic
llealth Coach Callan's tcle-seminar platform will
provide people with answers they cannot get from
conventional doctors or traditional nutritionists. Funher, not everyone can afford one-on-one
coaching with a holistic health coach or to work with an integrative medical doctor One-On-<)ne.
"Detox For a Better You will empower people
who want to feel beller, lose weight, have more
energy and prevent degenerative diseases to takc control of their health," said Callan. "It offers
people tremendous benefits in the comfOM oftheir
home, office Or hotcl room at an affordable price. Pankipants will gain knowledge they cannot get
anywhere else by following a system designed by
an integrative medical doctor and a holistic health coach. For convenience, each Tele-Seminar
session will be recorded. Panidpants can access
the recordings at any time from any location.
Most importantly, they're getting the combined
bencfit of an integrative doctor and a holistic
health coach at a fraction of the cost."
'Eliminating and managing toxins in Our systems
depends on gastrointestinal health, diet and exereise, "said Sievers. "All three are integral to
the detoxification process and that's something most people don't realize. If you are exercising
but not eating properly or have poor digestive
health, you will reabsorb toxins and things will
only get worse. Detox For a Betler You will clear
up misconceptions and guide panicipants through a dctox process that works."
To learn mOre ahout Restorative Healing From the Inside Out or to register for the Vitality Now:
Detox For a Better You, visit www.rhllio.comor
call 239-4{)5-9 169.
_____________________ www.swfHealthandWellness.com ____________________ _
Collier Edition· October 2011 Health & Wellness 29
Creative Ways to Make Long-Tenn Care Protection More Affordable By Rosemarie Hurley. GSA- Long-Term care Insurance Specialist
n these economic "belt-tightening "days we live in. doing the right thing with fuTUre planning isn't always easy. But as we all
know. the ebbs and flows of the economy will eventually right themselves and we cannot afford to wait for that to happen. When pl'Qlox:ting)'QUl" assets against the expensive out-of·pocket costs of a Long·Term Care need. it is of utmost importance to take care of this to take advantage of)'QUl" youth and relatiY<! good health. Sometimes things like this canno( wail.
Here ant a few ideas I have come up with:
Check with an Association with which you or your employer may belong. There arc many association groups that offer discounts to not only the members. but also their employees and relatives. A few examples would be: the Florida Bar. The Florida Medical Ass<x:iation. the FICPA, the Florida Chiropractic Association. etc. to name only a few. I happen to be the Appointed Representatives for these groups, and thai will save you money as well.
Believe it or not. cven losing weight and improving your OVer.lJl health is no( only good for you personally as you well know. with this. a change in rate class can save you 15·20"~ in Long·Term Care premiums.
When purchasing a plan. think about self.insuring pan of the COSI. Clearly. having something in place rather than not a.cling will be better in the long run than nothing at aiL Instead of insuring the entire esti. mated cost - i.e . $200, per day .... Think outside the
box; reduce the daily benefit by SSO. per day and deciding to self insllll' the rest is still beller than no plan, Will save a good bit ofprcmium too.
Instca<l of purchasing 5% automatic compound infla· tion ridcf. considcf CPI or maybe a J% Compound inflation rider. Your benefit will still grow. but not as aggressively. bul there again ... better than trying to self.insure the whole e~pense,
If you are a single person. consider talking to a relative about purehasing LTC when you do. Some companies offer a "family" discount and thai will save you BOTH money. Depending on the company you can save 10· 15% each by doing thaI.
Therc are really too many ways to save to mention. The bottom line is. when you talk with someone who is a Specialist. and sells only Long·Term Care insurance plans .... you will alwa~ save. You'll save time. confusion, and premiums by being able to under· stand and compare. Be prepared. Plan ahead. Feel free to call me anytime with concerns or questions.
Rou mQrie lIur/,,·. O..-nerO/Sen;Of hrsurance Solut;ons, has worked i~ the senior healtheare markel/Or 1J years. She is a Certified Sen;or Advisora~d has been a Lo~g-Term Care Jnsuranee Specialist/orowr 18 yecm. She represe~1S OIlly Iheftnesl ins~ra~ce CQm/Wnies in Ihe ;nduslry. Can be reached al (2J9) 114-6678 in Estero, or IH,b sile:www.longlermcareinsurance--online.eom.
Restorative Health & Healing Center 10201 Arcos Avenue, Suite 201, Estero 33928
239.948.71:91
Teresa A. Sievers, MO Board Certified in Both Internal Medkine &.
Anti·Agi ng. Regenerative &. F"""tional Medicine
A Healtlly Body is a Baltweed Body! Restore Your Body's Optimal Biliallee!
Nutritional Testing &. CQun$eling • Body Balance Weight Loss Program' Natural DetoKification Programs' Heavy Metal
Testing and Chelation' Male &. Female Bioidentical HQrmone Therapy' High Grade Nutraceuticals
rranning fQ.r ,he I'''u ... io 10 impoct:an" S. p~. ~n :011 you can >bou, oomething ,Ita, can jo<>p><di,. ,he 6<UnCi>1 ru,u'~ of your .n" ... r:.mily. T:oIk ...;,h • brokor who "'P'~ son,,:oI1 ,he m. jo, ere """i .... . nJ h .. been . (,ong.T.,rn ea .. Sp«:i:oli" for ~ 17 reo",
Compare before you decide. IIDo=wW Hwky ~ . ~ T"", c-~ bmbrinc.nth """l' ""' ...... """ """1""''''- :;a."", w "'" pion dw...,;.,,.,... -.
Call SENIOR INSURANCESOLtTnONS For a FREE Information Packet at 239.274.6678 Vllit our Wtb $i'.11: """".looogt(I "IC2Iri~f1f.c:om ~ ---
----------------------www.swfHealthandWeliness.com-----_______________ _
30 Health & Wellr.ess October 2011 - Collier Edit ion
Just Two Choices ... by TJ Freemon fbslor 01 Oasis Counsel
Two Choices I can still picture the camp director standing on the stage. He had a thick, Southern drawl, and seemed larger than life as he opened his Bible and began to \each. I enjoyed listening to the man. but I never imagined that well Over a decade later, his words would still be SO fresh in my mind. ''There's just two choices on the shelf." he said. 'pleasing God, Or pleasing self. "
In all of my teenage wisdom, I rejecled whal the camp direclor had said. "Just Iwo choices," I thought. "that's ridiculous!" Sure, I agrccd Ihat God was not pleased when I sinned. But, how could it be possihle that every decision I made had such significant Spiritual ramifications? Did God really care about what I ale. whal kind of music I listened to, Or where I gOt my hair CUI? I was certain lie did not.
Two Voices The troth is, I was wrong. That camp director understood something thai 1 was missing in my theology. Although I would nOt have said it this way, I was operating under thai assumption that [ was a "prelly good guy." After all, I was nOI committing any of the major sins. I read my Bible. prayed. and tried to treal everyone wilh love and respttt. Sure, [ made mistakes, but nobody is perfect. I failed to realize the troe condition of my hean.
The Bible paints a grim description oflhe heart in Manhew 15:18-19. While addressing the Phari_ sees, Jesus takes a moment 10 explain that the reaSOn for sin has everything to do with the hean.
"But the things that come out of a person's mouth come from the hean. and these defile them. For out of the hean come evil thoughts- murder. adultery, se~ual immorality. theft, false testimony. slander."
By God's grace. those who put their faith in Christ have been saved from the penalty of sin. It is Ihe shed blood of Christ that covers our sin, and allows us to enter into an eternal relationship with God. However, the evil that exists within the hean docs not go away after Salvation. In James 4:1-3, we are told that there is a baule raging wilhin us. In other words. we have IWO voices calling us in opposite diroctions_ Our sin natuTC, which is only satisfied when we seek to please ourselves. and the Holy Spirit. who calls us to follow God.
Glory to God Wilh such a banlc raging inside of us. il is clear that even Our most routine decisions have significant Spiri
tual impact Paul understood this well as he explained, "Whether therefore you eal, or drink, or whalever you
do, 00 all to the glory of God," This verse, found in 1 Corinthians 10:31 , teaches thaI. in cvery1hing we do,
our primary gool is the glwy QfGod. When we begin 10 understand lhal we exist for Him, our lives begin \0
change, Suddenly, our behavior takes on a higher level of significance. The way we respond 10 Ihe employer who has treated us poorly is an opportunity 10 glorify God. The de<:ision 10 love a spouse who has gone cold is an opportunity 10 glorify God. Even tile decision 10 sit down at the family dinner table is an opponunity \0 bring glory 10 God.
Sponsored By
www.prs/sefm.com
Response Maybe, like me, you have underestimated the sig
nificance of your decisions. [t is easy to fall inlo
the routine of being a "pretty good person," but
according to God's Word, you will never be good
enough. Take some time today to evaluate your
hean. I suspttt that, if you're honest, your ultimate
focus has bun more on the glory of you than Ihe
glory of God. Thanks to His abundant grace, He will give you the strength and power to troly
follow Him _ for Ihe glory of God!
Oasis CounseWng Center want! to refresh j'OUI" hope, heart,
arid life with Gotfs Word. We are located on Marro Island and
O\Irphone#23!J.3M.207l_ We are friends 01 HOPE COoJ~itg
Center located in Fort MyeB, and their phone f239-.431-4Jm .
_____________________ www.5wfHealthandWeliness.com ____________________ _
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other <ommilr'r1en(:$, the time al'1"ive$ to reap the rewards of liv'ng well.
At The Arlington. the I1e\W'St retirement
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------------------- www. swfHealthandweliness.com-------------------
Bling Your Bra with Vein Specialists!
Friday, October 14th, 5:30 - 7:30 PM
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