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M AY / J U N E 2 0 1 5







20s, 30s, 40s, and 50s

the ULTIMATE GUIDE to women’s health







W ELLNESS LE CT URE S ERI ES Series of free BODY WORLDS lectures with paid museum admission, with topics presented by expert panelists Sponsored by

MIND, BODY & SOUL: A Trilogy of Wellness – Tuesday, June 23 6:30pm Lecture | 7:30pm to 9pm Exhibit Tour Kimberly Arlinghaus, MD, Diplomate American Board of Psychiatry & Neurology, Cedar Park Psychiatry Karen Greathouse, MSOM, L.Ac., Acupuncturist, Turtle Dragon Health Services Peggy Kelley, Founder of Austin Yoga Institute THE HEART OF THE MATTER: Healthy Living During Your Most Productive Years Tuesday, July 14 | 6:30pm Lecture | 7:30pm to 9pm Exhibit Tour Tannon D. Carroll, MD, Cardiology, Seton Heart Institute Lee Chilton, MD, Medical Director, Neighbors Emergency Clinic George P. Rodgers, MD, FACC, FACP – Cardiology, Seton Heart Institute Viktoriya Rybalko, Ph.D., The University of Texas at Austin Michael G. Watkins, MD, Cardiology, Seton Heart Institute SLEEP: THE POWER OF REVITALIZATION – Tuesday, August 18 6:30pm Lecture | 7:30pm to 9pm Exhibit Tour Reddiah Mummaneni, MD, Neurologist and Sleep Specialist, Cedar Park Regional Medical Center


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Katie Lesnick EDITOR

Nicole Carbon ART DIRECTOR

Elisa Giordano


Brandon Tipton


Steve Dement


Jake Harding Malena Manning Samantha Schak



Celebrity Dr. Jennifer Ashton from the TV show, The Doctors, shares what every woman needs to know about their health



Austin’s 5K fun run in its fifth year raises funds for the hearing impaired



More women are entering the field of urology taking care of the issues that effect both men and women

Steve Dement Aaron Warner


CBS TV Distribution/The Doctors

DEPARTMENTS 10 14 24 28 34 36 44 46 54 57 68



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Electra Avellan Rocio Avila Jon Black Nicole Carbon Caitlin Craighead Chris Dufresne Amanda J. Dupont, MD Dr. Sergio Escobar John Frasure Kyle Jerome Brad Kennington Dr. Shirat Ling Val Olivas Bob Pena Karen Ranus Dr. Rollin Sarradet Raynelle Shelley Charmie Stryker Stacy Sutton Paul Welch


For adver tising and/or editorial information, please call Angela Strickland at 512-506-1248 or email angela@AustinMDmagazine com.

Copyright © by Green Iceberg Publications LLC. All rights reserved. Reproduction without the expressed written permission of the publisher is prohibited.

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SUMMER IS OFFICIALLY UPON US AND WE, AT AUSTIN MD, HOPE YOU ENJOY THIS ISSUE WITH SOME TIPS TO STAY HEALTHY WHILE HAVING FUN THIS SEASON (DON’T FORGET YOUR SUNSCREEN)! We think wellness should be fun, so if it’s trying a new fitness routine or a new way of eating, like going vegan, we say now is the time to try it. With our recent health fair, Keep Austin Well, we worked hard to spread that idea and lots of people had fun dancing, meditating, and eating some great food while learning how to live more active and better lives. We also want to say a big thank you to all of our participants and everyone who came out for Keep Austin Well, thank you for making it a huge success! This issue is devoted to women’s health and we are proud to have Dr. Jennifer Ashton, from the show The Doctors to tell us what tests and checkups all women should have by our age. Austin MD knows in today’s fastpaced world, we as women are trying to juggle families, careers, and most of all our limited time so we wanted to bring you a sort of cheat-sheet of what tests to have when. Lastly, in this issue focused on women’s health and highlighting some great women in medicine, I would like to say a big thank you to my mentor, and the woman I admire most, my mother Maudie Strickland. Let’s remember ladies, while taking care of so many others, to keep staying well a number one priority.


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ON MAY 2, 2015 Austin MD with Central Health, Community Care, and Sendero Health Plans hosted Keep Austin Well, a community-wide health fair with fun for the whole family. There were free health testings and screenings; yoga, Zumba, and meditation classes; healthy cooking demonstrations and tastings; and lots of information on how to live your healthiest life.


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AUSTIN’S FITTEST KID CHALLENGE ONE OF THE ACTIVITIES at Keep Austin Well was our first annual Austin’s Fittest Kid Award, hosted by AISD and Irontribe Fitness, which was a fun and educational challenge designed to get kids motivated to make fitness a part of their everyday lives. Congratulations Kendall Leos for winning our challenge and winning the Fittest Kid Award! Irontribe's Eric Pittman with Fittest Kid winner Kendall Leos

ROSE DENTAL GRAND OPENING ON FEBRUARY 5TH, 2015 Rose Dental Group celebrated their newest office at 1450 W. Parmer Lane with a grand opening party. Guests enjoyed a ribbon cutting, food and drinks and got to meet Rose Dental’s team of dentist’s.

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Local Lifestyle

DYEZZ SURVEILLANCE AND SECURITY How cameras can protect your personal and business property



e see more and more newscasts that show someone breaking into a home or business, scouring around for just about anything to steal, even pets! Worse yet, sometimes it is to harm someone. We’re also seeing videos of workers and roommates taking someone else’s money, clothing, equipment, etc. However, because of the increasing use of video-camera surveillance systems, a greater percentage of these individuals are being identified, tracked, and apprehended. Surveillance videos have also shown workers destroying company equipment, stealing money, products, and more. That’s because they’re angry with another employee and want to retaliate. A video surveillance system can minimize and even prevent the potential for such activities. Customers, workers, and other individuals know that their actions are being monitored, watched, and recorded. Some people and companies may frown upon, or complain about, having a video surveillance system “watching” them, but they should be aware that the use of such a system deters, and often prevents, the loss of personal and company property. Dyezz Surveillance and Security, is homegrown and active in Austin and surrounding major cities including – San Antonio, Houston, Dallas. The company is well-established, as it’s been providing innovative home and business security alarm systems, access and fire controls, and video surveillance cameras and DVRs since 2001.



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sabel Avellan is a sustainable builder, photographer and documentarian, and now a local Austinite. She has a very busy schedule, but when it comes nutrition she takes her time to pick the best ingredients possible. Her key words for every meal are, “Organic, fare trade, sustainable, and grass-fed, raw dairy!" Raw cheese is so healthy and delicious. Dos Lunas is a local, Austin company making raw cheese. They are serious about the details of what makes raw dairy healthy – grass-fed, free-roaming, vegetarian rennet, etc. Raw cheese is an incredibly complex whole food, complete with digestive enzymes and its own antiviral, antibacterial, and antiparasitic mechanisms conveniently built into a delicious package. The taste of unpasteurized, grass-fed cheese is incredible and can be added to many, delicoius recipes like the one below for Isabel’s spring salad. For more information visit,


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Make this easy, springtime-on-a-plate recipe using Dos Lunas Cheese



Dos Lunas Cumin Raw Cheddar Arugula Baby Spinach Pearl Tomatoes Red Onion Ginger Valencia Almonds Mango Edible Flowers

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WOMEN’S HEALTH Who to visit: Neurologist

3x more likely than men

MIGRAINES most common for women ages 25-55

Respiratory Disease

Including asthma, emphysema, hay fever, chronic bronchitis, and sinusitis

71% of women won’t seek help for


Who to visit: Psychiatrist


of women

1 in 3 have

Who to visit: Pulmonologist



years old


Compared to men, women are more likely to have a positive attitude towards dentist visits

mean age of FIRST BIRTH

Who to visit: Dentist

Who to see: OB/Gyn

Cesarean rate was 32% in 2008

231,840 new cases of

[ INVASIVE BREAST CANCER ] will be detected in 2015

1 in 4 female deaths result from


Who to visit: Cardiologist


Who to visit: OB/Gyn

Each year, 10 MILLION women see a doctor for

42% wear uncomfortable shoes they like


73% admit to shoe related foot issues

1/3 of women

Wider hips and estrogen could be to blame Who to visit: Podiatrist

obese Who to visit: Nutritionist

Who to visit: Orthopedist

59% of women ages 65+ have arthritis Who to visit: Rheumatologist or Orthopedist

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“Find a healthcare provider who you don’t just like, but love.”


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DR. JENNIFER ASHTON: A REAL DOCTOR { She doesn’t just play one on TV } Tips and health advice from author and celebrity MD on the hit TV show, The Doctors BY NICOLE CARBON


ou may recognize those gleaming brown eyes and the brilliant blond hair from the hit TV show, The Doctors that airs daytime on ABC, or for sharing her expertise as the health correspondent for ABC’s Good Morning America. If you’re lucky, Dr. Jennifer Ashton may be your healthcare provider, as she has an active Ob-Gyn practice in New Jersey. She splits time between New Jersey, with her family and practice, and Los Angeles where The Doctors tapes. I had a chance to catch up with her in between tapings of the show and pick her brain, not just on women’s health, but her belief in food as medicine, combining Eastern and Western medicine practices, and on the mantra she wished she learned earlier in her meditation practice. Dr. Jennifer Ashton is in her final year of obtaining her Masters in Nutrition. She is one of very few MDs with a media platform and a degree in nutrition, adding to her already-established credibility. Food is paramount to Dr. Ashton, not only at home with her family, but also in her practice. It plays a vital part in overall health. She believes that food interacts with our biology and the future of medicine will rely heavily on nutritional science, yet it is something doctors learn little about in school. She says food as medicine is a “no brainer.” While she tries to eat mostly organic at home, she does say that while this way of eating may be healthier, “We still don’t understand why or if it is.” She tells me that she is interested in safe and nontoxic pesticides

but the studies are often flawed and can be a challenge to understand. She also admits to being a terrible cook and that her husband doesn’t trust her to do the grocery shopping. Don’t let this humble tidbit fool you; you’re in excellent hands when you are in Dr. Ashton’s care. As a leading figure in healthcare, Dr. Ashton stresses the importance of finding a healthcare provider – for a woman that could be a gynecologist – “who you don’t just like, but love.” This figure should be your partner in health for decades. She suggests finding someone by word of mouth. “Ask your friends and friends of friends,” says Ashton. She is still human and can say with complete honesty that she has not developed too many unhealthy habits except for splurging on fitness. That’s her vice, spending on fitness. She indulges in fitness attire, gyms, and classes. She admits to not drinking enough water. “It makes me pee a lot and I’m so busy, so it slows me down,” she says with a laugh. She also admits liking the way a “healthy” glow looks as the result of getting a suntan. She does use an SPF 50 everyday on her face and says she could do better with the sunscreen. She does have a few social drinks each week, too. I was curious whether she combines Eastern medicine practices into her Western practice and she does! When I brought up the subject of meditation, Dr. Ashton said she was intrigued and she often will write prescriptions for acupuncture and a few select supplements. She also believes in incorporating Ayurvedic medicine into her practice – a holistic healing system that originated in India that focuses on the belief that health and wellness

Meditation eliminates this term called, Monkey Mind, meaning restless, unsettled, indecisive – when your mind is all over the place – it tames this allowing you to go about your day with clear, concise thinking, one thought at a time.

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your mind is all over the place. Meditation tames this allowing you to go about your day with clear, concise thinking, one thought at a time. Other benefits of meditation, that Dr. Ashton can attest to, include lower blood pressure, less inflammation in the body, and a boosted immune system. In the TM practice of meditation you are “given” a mantra. There are many different classes of mantras – some have healing powers and all are meant to be transcending, creating a healing effect for the whole body, mind, and more. Mantras are given by trained Transcendental Meditation teachers and are not to be shared with anyone. I asked her Dr. Ashton about her mantra and all she would tell me is that, “I wish I had learned it a long time ago.” Moving forward in medicine, Dr. Ashton says there is a growing



Most important decade to establish healthy behaviors that will take you through the rest of life. At this point in your life you are an adult and you should establish the ideal trifecta of healthy patterns that include eating, sleeping, and moving. This is the time to set healthy eating habits, get enough rest, and make exercise an integral part of your daily routine. She stresses the importance of nailing those three things down in this stage of life.

This is the prime time for child bearing. Dr. Ashton advises to consider your health as though you were pregnant at all times. “Pregnancy, labor, and delivery should be treated like any other athletic event,” says Ashton. “You have to train for them, have optimal health before you get pregnant.”


depend on a balance of mind, body, and spirit. This past November, Ashton was inspired to delve a little deeper into meditation and attended a four-day course on Transcendental Meditation at the David Lynch Foundation. This style of meditation is a mantra-based meditation practice. The course included two hours of meditation each day. On most days when at home, Ashton tries to adhere to 20-minutes of meditation twice a day. She has noted massive benefits including improvement in how she thinks, feels, and decreased stress levels. I can personally attest to the powers of meditation, just five to seven minutes a day makes a huge improvement in the way you navigate through your day, or the way your mind works that day. It eliminates this term called, Monkey Mind, meaning restless, unsettled, indecisive, etc. It’s when


focus on cancer diagnosis and treatment, oral health, mental health, “normal,” talk to your doctor about even slightly subtle changes. and she would love to see advances in Ob-Gyn, a sector that has lagged What’s next for this dynamic mother, doctor, wife, author, and TV behind. What women can tune into now is their own menstrual cycle. celebrity? She has no plans to give up practicing medicine. She believes “A woman’s period should be considered a vital reflection on overall she was put on earth to take care of patients. She’d like to develop womhealth,” stresses Dr. Ashton. Women shouldn’t have to en’s health products that are innovative and pertain to a suffer through their periods and they should be evaluhealthy lifestyle. She is a frequent guest speaker and loves For more information visit, ated with the following details in mind: how many days meeting people in different parts of the country at these in between and how heavy the flow. These indicators are speaking events. As busy and in high demand as she is, the blueprint to gynecological health. One warning sign she is proud to say she does accept new patients and sees includes irregular periods; they should be between 24-28 days. Passing them 23 hours a week in her New Jersey office. Her patients visit her from blood clots can be an early warning sign of endometrial pre-cancer or all over the world. In between annual visits, she connects with her patients cancer, and of benign fibroid tumors.. Don’t assume your period is through text, Twitter, Instagram and Facebook. “I love my patients.”






We are living longer and this may be the half way mark in life for many. Start to pay close attention to preventive care. In this decade cancer risk starts to go up. This is the time to pay close attention to muscular and bone health, and flexibility is key in this period of life. Taking up a yoga practice during, or before, this decade could be highly beneficial for bone and muscle health, to increase flexibility, and to keep joints lubricated.

Dr. Ashton labels this the “selfish decade.” For most, you’ve finished having babies, you have established your career and your relationship. This is the time to refocus on you. Get your body ready for menopause by practicing the trifecta you mastered in your 20s, – eat well, sleep well, and move! In this decade subtle hormonal changes can occur.

If you are in this decade without having had children, you are naturally at slightly higher risk for uterine and ovarian cancers. Dr. Ashton suggests considering starting a low-dose birth control pill to lower the risk of getting these cancers.This is a vital time to maintain a healthy lifestyle.

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An ounce of prevention is worth

A POUND OF CURE Paying attention to key factors puts you at lower risk for disease BY DR. SHIRAT LING



Breast cancer is the most common cancer in women.It is second to lung cancer as the leading cause of death for women, so do your monthly self breast exams. No excuses, they are immediately accessible, and you have hands. Determine which lumps and bumps are normal to you, so when you have a visitor, you’ll know it. Lack of exercise, bad food, increased tobacco and alcohol consumption, and lifestyle changes like late marriage are the perfect


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recipe for breast cancer. Other risk factors include genetics (BRCA1 and BRCA2 genes), family history, race, abnormal breast biopsy, previous chest radiation, early onset of menstruation or late menopause, not having children, and certain medications. A lump or mass in the breast, discharge from or rash around the nipples, and skin dimpling on the breast are some of the signs. Your OB/Gyn will do breast exams annually when you go in for your Pap smear starting in your twenties, but you are more likely to find something when you check each month than when your doctor checks it once a year. Mammograms usually begin annually at age 40 (then every other year over 50). You need more frequent screenings if you have more risk factors. •••


With regular Pap smears, cervical cancer is easy to detect and eradicate at an early stage. Pap smears find abnormal cells on the cervix, which can be removed before they ever turn into cancer. The main cause of cervical cancer is the human papillomavirus (HPV), a type of Sexually Transmitted Disease. Get your Pap smears every other year beginning at 21 years of age. You may get co-testing with HPV over the age of 30. Wear condoms, birth control pills will not prevent the transmission of this virus, or any other STD. •••


There are several kinds of skin cancer, and early treatment can be effective for all of them. The most dangerous is melanoma, which affects the cells that produce a person’s skin pigment. Sometimes people have an inherited risk for this type of cancer, which may increase with overexposure to the sun. Basal cell and squamous cell are common non-melanoma skin cancers. Watch for any changes in your skin markings, including moles and freckles. Pay attention to changes in their shape (symmetry, borders), color, diameter (size), and elevation (ABCDE’s). You should also get your



f you were to travel back in time to give your younger self some life wisdom, what would it be? Wear sunblock, instead of laying out with baby oil and iodine. Get plenty of sleep. Eat three square meals a day. Drink in moderation. Exercise regularly. Brush and floss twice a day. Don’t over pluck your eyebrows. Don’t pick your face. Don’t sleep in makeup or contacts. Sleep on your back. Get your hair lasered before it turns gray. Use condoms. Don’t gain more than 30 pounds with pregnancy. Get your annual exams annually. Know your family medical history. Be in tune with your body. Partner with your physician to stay healthy. Don’t forget to take time for yourself. Don’t burn the candle at both ends. Be true to thine self. So, let’s begin with the “C” word. “Cancer” renders the patient immediately deaf to all words that follow. As fearful as patients are about cancer, most cancers have screening tools to catch them at early stages. Become acquainted with your body, so you recognize changes when they happen. Just as mothers know what’s wrong with their children, women should be just as in tune with their own bodies. Unfortunately, women get in the habit of taking care of others, and tend to not listen to their own signals. Don’t let that happen to you.

skin checked by a dermatologist or other healthcare professional during your regular physicals. Take some mole selfies photobombed by a ruler. •••


Colorectal cancer is the second most common cause of cancer death after lung cancer. The digital rectal exam checks for hidden blood in the stool; make note if you have changes in stool color (usually a dark, tarry color indicates bleeding further north) or consistency. Most colon cancers come from polyps (abnormal masses) that grow on the inner lining of the large intestine. A colonoscopy or flexible sigmoidoscopy are common screening tests for colorectal cancer. While you’re mildly sedated, a doctor inserts a small, flexible tube equipped with a camera into your colon. If a polyp is found, it can be removed at that time. If you’re at average risk, screening usually starts at age 50; if you have family history, it begins sooner. Other diseases that are more insidious are more often ignored, but can be more deadly than cancer.




More women die from heart disease than breast cancer or cervical cancer, and it is not just relegated to post-menopausal women anymore. In women, the condition is responsible for about 29% of deaths, reports the CDC. Hectic schedules and increased instances of smoking and drinking are to blame. Other risk factors include high cholesterol, hypertension (high blood pressure), physical inactivity, obesity, diabetes, use of oral contraceptives, irregular meal times, tendency to eat junk food, and lack of exercise. The morbidity is higher in women because the signs are different, and are often missed. Instead of the classic clutchingyour-chest-elephant-sitting-on-me feeling,

women get shortness of breath with or without chest discomfort; pain or discomfort in one or both arms, the back, neck, jaw, or stomach; breaking out in a cold sweat; nausea; or lightheadedness. If these occur, stop ignoring it, and get it checked out. •••


After menopause, women start to lose bone mass. You stop building bone at 30, so get started with as much weight-bearing exercise in your 20s. Osteoporosis is often asymptomatic until a bone fractures, then an X-ray and bone density measurement confirms the diagnosis. In Americans age 50 and over, the disease contributes to about half the breaks in women and 1 in 4 among men. Vitamin D deficiency caused by low exposure to sunlight and low dietary vitamin D are the main causes. Overexercising (e.g. marathon running), especially in young women, increases osteoporosis risk because of excessive weight loss and early


termination of menstruation. Fortunately, prevention is easy with lifestyle changes such as no smoking, minimizing alcohol intake, regular (weight-bearing) exercise, maintaining healthy weight, adhering to a low-salt and calcium plus vitamin D-rich diet. The bone density test (DEXA) can measure bone strength and find osteoporosis before breaks happen. It can also help predict the risk of future breaks. This screening is recommended for all women age 65 and over. If you have risk factors for osteoporosis (family history, female over 50, weight loss, ethnicity [Caucasian or Asian], low estrogen, anorexia, diet low in calcium and Vitamin D, sedentary lifestyle, excessive alcohol, some medications, history of fractures), you may need to start sooner. •••


As you get older, your risk of high blood pressure increases, especially if you are overweight, don’t exercise, and eat foods high in sodium. High blood pressure can cause life-threatening heart attacks or strokes without any warning. Blood pressure readings include two numbers. The first (systolic), is the pressure of your blood when your heart beats. The second,(diastolic) is the pressure between beats. Normal adult blood pressure is below 120/80. High blood pressure, also called hypertension, is 140/90 or

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above. In-between is prehypertension, a sort of early warning stage. Ask your doctor how often to have your blood pressure checked. •••


One third of Americans with diabetes don’t know they have it. Diabetes can cause heart or kidney disease, stroke, blindness from damage to the blood vessels of the retina, and other serious problems. You can control diabetes with diet, exercise, weight loss, and medication, especially when you find it early. Type 2 diabetes is the most common form of the disease. Type 1 diabetes is usually diagnosed in children and young adults. A blood sugar level of 100 or higher may mean diabetes. Other tests include the A1C test and the oral glucose tolerance test. If you’re healthy and have a normal diabetes risk, you should be screened every three years starting at age 45. Talk to your doctor about getting tested earlier if you have a higher risk, like a family history of diabetes. The cutoff for fasting blood sugar levels has decreased over the years, so if you haven’t had it checked lately, you should. You could have been a diabetic for a while, and just didn’t know it. •••


Depression affects more women than men. It is a physically debilitating and an emotionally painful condition. A depressed person finds it difficult to enjoy anything or even function normally.

Many factors lead to depression including trauma, grief, love and relationship troubles, genetic, alcohol consumption, and obesity. Women have an added risk factor – the hormones. Hormonal changes, particularly after pregnancy (postpartum) or around menopause, can trigger the condition. Eighty percent of all mothers experience postpartum depression in one form or another. Though most of them usually get over normal “baby blues” in a few days or at most a couple of weeks, some women take longer to recover and suffer more severe symptoms. They may exhibit suicidal tendencies, frequent bouts of crying, sleep disturbance, weight loss, a feeling of guilt, and a general lack of interest in their surroundings. Some women suffer from a serious condition called postpartum psychosis, which results in hallucination, delusion and obsessive thoughts particularly involving the baby. Other risk factors include history of heart problems, chronic illness, marital problems, substance abuse, certain medications, vitamin deficiency, thyroid disease, childhood history of physical or sexual abuse, anxiety, and an eating disorder. Recognizing depression and seeking help is the first and most critical step towards recovery. Stay in tune with your body. As women, you will often forget to grab the oxygen mask for yourself before you put one on others. You’re no good to anyone if you neglect yourself. Partner with your physician to keep yourself optimally healthy for years to come.

For more information visit,


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Health & Beauty

Plump, Pouty, and Perfect Learn the latest in lip fillers and which injector is right for you


 What is safe to be injected in lips?

Collagen is no longer being used. Because it is derived from cows, skin testing is necessary to rule out allergies. It lasts three months after the initial double-fill wears off, so hardly worth the pain and swelling. Don’t even consider silicone – it’s just bad news – the permanence of a blob in your mouth is simply not natural. Radiesse is calcium hydroxylapatite microspheres in a gel that stimulates collagen production that is not appropriate for the special lip

tissue and it’s solid white that shows through the lip mucosa – great for nasolabial folds and cheeks, but that’s another subject. The filler of choice now is hyaluronic acid, which is a sugar that naturally occurs in vertebrate animals, so no skin testing is necessary. It acts like a sponge to hold onto juiciness in the tissues. Restylane and Juvederm are the two most commonly used lip fillers. These can last 9-12 months, depending on the formulation (Juvederm comes in Ultra and Ultra Plus). I prefer Juvederm, as it is smoother and does not have the tendency to form granulomas that Restylane does. Belotero and Restylane Silk are thinner fillers that are great for superfine lines, as well as lips. These last around 4-6 months.

 What to look for when selecting a lip artist



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As with a hairstylist with crazy hair, you should be wary of an injector that talks with an overinflated, red inner tube. Their features should be proportional, and the work on themselves and fellow staff should reflect their aesthetic, and not be particularly obvious. You want your friends to say you look so refreshed,



ave you taken the Kylie Jenner challenge? Please say no. There are better ways to get fuller lips than vacuuming them. In fact, there is a plethora of products that can be used in the lips that, when applied properly, won’t cause blood clots, bruising, and other irreparable damage. Gone are the days when lips have to be overfilled to achieve the desired results. Remember the First Wives Club? Yes, those were Goldie Hawn’s lips, and that is how they used to inject lips with collagen. Kind of scary.

but they can’t put their finger on why – not avert their eyes during conversation, or immediately say, “You got your lips done!” The reason you receive a cosmetic procedure is to NOT look like you’ve had a cosmetic procedure; it is to look like a younger, fresher, version of yourself. Find out how experienced they are, it is your body, after all. You should know the credentials of the one putting semipermanent product in your face. Never assume, especially if a Groupon is involved. Ask for before and after photos of their actual clients, not stock photos from the company. My practice is built by word-of-mouth, because potential clients have seen live examples of my work. Most injectors are compensated by commission; that is, by how much they put in your lips, not by how good your lips look afterwards – more is not better.  Not everyone has to look like a Stepford Wife. As for numbing, I numb with cream and injections. No matter how well you think you handle pain, numbing cream is not enough. You flinch, the needle and product move, and you have a blob that is hard to smooth out. The lips are the most sensitive part of the face, so taking a couple of minutes to properly numb you is not out of the question. The numbing ingredient in the filler does not actually numb you until it is in your face (i.e. after the injection). In Texas, you are required to be examined and cleared by a physician before any injectable medication, like Botox or filler.

 How to get the best results

Have realistic expectations. Bring in old photos of you with a relaxed, non-smiling mouth; it’s easier to see your baseline lip structure. Some mouths just don’t have the capacity to take a full syringe. Hydrate! Since these products absorb water from surrounding tissue, the more hydrated you are, the more the product blossoms to fill in the wrinkles. Drink water, not tea or coffee. Avoid alcohol, aspirin, Advil, and other blood-thinning agents for at least three days before the procedure. The filler is injected with a needle you will bleed, and maybe bruise, for an unknown time. I advise my clients also take arnica pills every few hours

hand made jewelry Dr. Shirat Ling personally performs all the medical cosmetic procedures at her South First Street office. She has performed more than 8,500 ablative laser procedures, and she has been in medical practice for 14 years, 10 of which she has spent performing medical cosmetic procedures.

starting two days before to mitigate any bleeding tendencies. If you are prone to cold sores, start taking Valtrex at least the day prior, as the injections can trigger them. Tell me if you have difficulty getting or staying numb, like when you go to the dentist. Exercise before, not after, receiving filler; the cooler you stay the first 24 hours, the better the product will settle in. Dermal filler is malleable for the next two weeks, so try not to sleep on your face, drink with straws, or apply a vacuum to your lips.

“Love of beauty is taste. The creation of beauty is art.” – Ralph Waldo Emerson

Come get sculpted by Physician Artist, Dr. Shirat Ling, at Innate Beauty Medical Spa. Your lips will be in good hands.

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Health & Beauty


APPROACH TO HEALTH Thinking differently is the way this cosmetic plastic surgeon spells success BY VAL OLIVAS

ENTREPRENEURIAL PHILOSOPHY Alina D. Sholar, MD arises each morning reciting an inspiring affirmation which she believes drives her success. A reconstructive and cosmetic plastic surgeon, and owner of Sage & Sweetgrass Wellness Spa in Steiner Ranch, Dr. Sholar takes a holistic approach to treating her patients by engaging the mind, body, and spirit to achieve wellness. Dr. Sholar and her staff, affectionately coined “The Good Vibe Tribe,” weave this spirituality into their client treatment plans – a tone Dr. Sholar feels works well with the creative and progressive Austin mindset. “I created Sage & Sweetgrass to be a transformative atmosphere. We guide clients to find their strengths and beauty on the inside then simply help them reflect it into their outward aesthetic appearance,” says Dr. Sholar. Nothing makes her happier than witnessing the joy and ensuing boost to their self esteem after having made aesthetic changes.

HOW AND WHERE IT ALL STARTED Dr. Sholar is a native Texan whose roots run deep. She is a member of the Daughters of the Republic of Texas. Her name is on the rolls of the William Carroll Crawford Chapter in East Texas; the same chapter of which her mother is a member. Dr. Sholar was raised in Orange, Texas, located in East Texas just inside the Louisiana border. While she moved out of state to fulfill her medical residencies and to pursue her first professional medical job, Dr. Sholar returned to Texas by way of Austin in July 2014 and opened her wellness spa one month later.


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HER PATH TO MEDICINE Dr. Sholar’s original professional interest lied in veterinary medicine. While fulfilling her declared major at Texas A&M University, she had a dream one night that she should pursue medical school instead. “I quickly realized I had different talents and thought plastic surgery was more the right fit for me. My dad was a science teacher and my mom was an art teacher, so this was a perfect blending of them,” says Dr. Sholar. In addition to her practice, she enjoys the arts and feeding her creative spirit by painting. Her wellness spa is adorned with much of her own artwork. She completed her undergraduate work at Texas A&M University then graduated medical school at the University of Texas Medical Branch at Galveston. Her general and plastic and reconstructive surgery residencies were completed at the University of Louisville and the University of Tennessee respectively.


A PHOENIX RISING Having been challenged with a devastating professional setback while practicing as a surgeon in Indiana, Dr. Sholar continued on her surgical path, building a successful solo practice. “I worked through a very difficult time and emerged even stronger for it,” she says. After pushing forward and rising above the conflict, Dr. Sholar knew it was time for her to return to Texas and inspire others to do the same. “One of the biggest missions of my company is to teach women to respect, appreciate, and recognize their own professional and personal accomplishments; to love themselves, and to use their critics’ jabs and their own failures as the foundation for success in the future. We are being given an opportunity to find strength within ourselves that we were unaware of beforehand.” Dr. Sholar believes creating a firm foundation with which to handle difficult times can keep you standing strong in work and family life if you create a sort of spiritual balance within yourself.

NO SUCH THING AS WORK-LIFE BALANCE “When you are passionate about your purpose, there is no such thing as creating a work-life balance.” Dr. Sholar believes it is “quite alright” when the balance doesn’t exist. “That’s like separating God and your business. You just can’t do it and be a success. Women should abandon any feelings of ‘mommy guilt’ and instead start feeling empowered both inside the home and at the office,” she states. She notes that life is all about backup plans and asking for help and support of other women. In fact, Dr. Sholar offers her wellness spa as a regular meeting place for the newly formed Mommapreneurs of Austin, a professional women’s networking group, of which she’s a member.

WOMEN IN MEDICINE Dr. Sholar observes that women in medicine, especially in a surgical specialty, have the same struggles of women in other male-dominated fields. “The difference is that we are in a unique position to change our surroundings. You don’t have to give in. Many women in medicine feel like in order to survive they should play the role of the stereotypical hardened, male-hating female or they simply give in and get out of that part of medicine. That’s not me. I just march to the beat of my own drum. Whether or not I ‘fit in’ really isn’t my concern. I just want to take great care of and truly connect with my patients. I create the environment I want to work in.”

WHAT THE FUTURE HOLDS As an avid animal lover, Dr. Sholar finds delight in rescuing Dachshunds needing great forever homes. “A dream of mine is to have a Dachshund rescue and rehabilitation ranch someday.” As for her practice, Dr. Sholar hopes to expand her services by offering a rural retreat for clients ideally including yoga, art camps, drum circles, and outdoor massages in a self-sustaining natural environment.

Alina D. Sholar, MD, is a board-certified plastic surgeon specializing in cosmetic and reconstructive surgery in Austin, Texas. She is a diplomate of the American Board of Plastic Surgery, and she is highly trained in all aspects of plastic cosmetic and reconstructive surgery, including breast surgery, burn surgery and facial cosmetic surgery, as well all other aspects of aesthetic cosmetic surgery. She received her B.S. in biomedical science with magna cum laude honors from Texas A&M University, and she went on to earn her MD from the University of Texas Medical Branch on a full-tuition merit scholarship. There, she was awarded the prestigious Janet M. Glasgow Memorial Award and Achievement Citation for Women in Medicine. Sholar then completed a full five-year residency in general surgery at the University of Louisville, where she was awarded the John W. Price Award for Excellence in Medical Student Instruction. She then continued her study of surgery by completing an additional residency in plastic and reconstructive surgery at the University of Tennessee.  Today, she is a member of the American Society of Plastic Surgeons and the American Society for Laser Medicine and Surgery, and she is a medical illustrator and an accomplished artist whose medical artwork has been published in prestigious medical journals and textbooks including the Annals of Plastic Surgery and the Plastic & Reconstructive Surgery Journal. A Texas native who is proud to be a member of the Daughters of the Republic of Texas, Sholar loves her rescued dachshunds, and she and her husband are passionate about supporting local animal rescue organizations.

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Health & Beauty


Tips on which sunscreens to use this season to save your skin BY CAITLIN CRAIGHEAD

o you love your sunscreen with all your heart? If not, you should! If you’re not sunscreen’s number one fan, I can definitely sympathize. Poor sunscreen gets such a bad rap, starting from when you were a kid and your mom is lathering you up with Coppertone while you’re struggling to break her iron grip so you can jump into the pool. While mom seemed pretty annoying back then, she was actually doing you a solid by making sure you were covered head to toe with protection from harmful UV rays. To fully appreciate mom’s efforts, we need to know a little more about what sunscreen does and how it protects you. Sunscreen is a defense against UV rays. UV (Ultraviolet) rays are beyond the visible spectrum of light, meaning they are invisible to the human eye. When UV rays hit your skin, cells called melanocytes produce melanin, the substance that gives the skin color, to cover and protect the cells in your body. When exposed to UV rays, cells can be damaged and destroyed. This can cause mutations that turn into cancer. So, while a golden tan may be considered attractive, it is actually a sign that your body is trying to defend itself from further damage to your cells’ DNA. Yikes! Sunscreen provides defense to your little cells in two ways, blocking UV rays and absorbing UV rays. Sunscreens that contain ingredients like zinc oxide, provide a physical block. This means that the UV rays are prevented from ever reaching the skin’s cells because there is a physical barrier created by the ingredients. Sunscreens that contain the ingredient octylcrylene work by providing a chemical block from UV rays. They absorb the sun’s rays, so no damage is done to your cells. Sunscreen is so cool! Your skin cells definitely have a poster of sunscreen on their bedroom walls and you should too. So, you might want to rethink your opinion of sunscreen. It’s not a hassle, it’s a hero! Before you call your mom and apologize for wiggling while she applied your UV protection years ago, check out these tips on how to select the best sunscreen for you:



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• Look for a sunscreen that provides both physical and chemical protection from UV rays. They will be labeled “broad spectrum.” • Try to find a sunscreen that contains Zinc Oxide and Titanium Dioxide • For acne prone skin, look for sun protection that is oil-free. • For dry skin, look for sun protection that contains hydrating ingredients like Hyaluronic Acid. • Reapply sunscreen every two hours. • No sunscreen is waterproof! Sunscreens are water-resistant for different amounts of time. Check the label of your sunscreen to find out how long it is water-resistant. • SPFs between 15 and 50 vary only very slightly in protection from UV rays.  • Elta MD has an awesome variety of sun protection products that are effective and affordable! Use these tips to snag a sunscreen that you’ll love! Your skin will thank you.




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DR. STACY SUTTON Women in Medicine

Treating women’s issues in every stage of life BY STACY SUTTON, PT, DPT, CLT


r. Stacy Sutton is a physical therapist at Texas Physical Therapy Specialist’s Central Park location, which offers a comprehensive Women’s Health Program. Women’s health physical therapy is a type of physical therapy with which not everyone is too familiar. It includes orthopedic physical therapy – a type of physical therapy with which most people are familiar. However, the focus is on women throughout the lifespan, including adolescent female athletes, women who are pregnant or postpartum, and women who have been diagnosed with osteoporosis or are experiencing other side effects of menopause. Women’s health physical therapy also includes pelvic floor physical therapy, which helps women (and men) who are dealing with a variety of issues including pain with urination or defecation related to bowel and bladder pathology, pain due to surgery or treatment for cancer, and pain with intercourse. Women can have pain with intercourse for a variety of reasons, including trauma during childbirth and decreased estrogen during menopause. A significant portion of the time, however, there is no specific medical reason. Some of the interventions used during physical therapy sessions include exercises and manual or hands on therapy to help

strengthen muscles that may be weak or release muscles that may be tight. Helping women to bring awareness to their bodies is important in the road to decreasing any type of pain. Other issues that are not necessary painful, but can have a huge impact on someone’s quality of life can be addressed with pelvic floor physical therapy. Some of these include urinary and fecal incontinence, urinary urgency, and frequency and constipation. Events that occur during a women’s life can result in drastic changes in the body including puberty, pregnancy, and menopause. One of Dr. Sutton’s favorite populations to work with includes women who have pain with intercourse following naturally occurring menopause or medically induced menopause secondary to breast cancer. I get a lot of people asking me how I ended up in this field. I have personally experienced many of the issues that I treat. Being able to help others who have experienced similar issues is extremely rewarding. I earned my bachelor’s degree in sociology from Trinity University in San Antonio and my Doctorate in Physical Therapy from Texas Woman’s University in Houston. I am a credentialed residency graduate of the nationally accredited Women’s Health Residency Program at Baylor Institute for Rehabilitation and Texas Woman’s University in Dallas.

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revention is powerful and critical to good health. At your dentist’s office, you have a prevention specialist in your dental hygienist. While your dentist is an excellent problem solver, your hygienist strives to avert any issues first. Dental hygienists educate patients on how to prevent cavities, gum disease, and bad breath among other ailments. We seek to prevent cavities with brushing techniques and fluoride treatments for both kids and adults. We seek to prevent gum disease and bad breath with flossing techniques and tips; and it may just be the biggest weapon in our prevention arsenal. Yes, that little thread invented by a New Orleans dentist in the early 1800s. Yes, the same noun and verb more than half the population only think of twice a year. Let’s look at how flossing can be one of the most important things you do all day long. First, when you come to your dental hygiene visit to get your teeth cleaned, your gums should not bleed. Bleeding is a sign of infection. When your gums are at optimal health, they are strong and resilient – you have to exercise them to get them this way. Flossing exercises your gums. The mouth is full of countless bacteria, many of which are part of the natural flora and are beneficial to us. However, when left undisturbed and allowed to colonize anaerobic strands can form that are not only detrimental to our teeth and gums, but also our systemic health as well. In many cases, it is these strands that are responsible for the infections. Keeping these bacteria at bay is essential at maintaining optimal health for your gums. Healthy



Learn how the correct techniques will keep your mouth and overall health in tiptop shape BY PAUL WELCH, RDH, MS

gums help us to have healthy teeth. The crowns of the teeth, or the part we see when we look in the mirror, is only a fraction of the whole tooth. The majority of the tooth is buried in the gums and surrounding bone. This is where your teeth “live.” Therefore, it is critical to maintain healthy gums making way for healthy surrounding bone for the sake of your teeth. The effect of healthy gums is more than twofold and reaches beyond the mouth altogether. There is a good argument that healthy gums are a foundation for total body health. Gingivitis is the inflammation of the gums and the first stage of gum disease. When it is left untreated, the infection moves from the gums to the surrounding bone to develop periodontal disease. The word periodontal means “around

Word of Mouth


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the tooth” including the hard and soft tissues. These tissues become damaged and attachment loss to the tooth occurs. Periodontal disease is the number one cause of tooth loss in adults. Numerous research suggests periodontal disease is associated with other systemic concerns like diabetes, respiratory diseases, preterm and low birthweight babies, cardiovascular disease, and stroke. Gum disease triggers the inflammatory response, the process that can lead to plaque buildup in the arteries. Chronic inflammation alone is harmful to the body. Additionally, it is a component of many of the above mentioned ailments. The bacteria responsible for gum disease are the same found in the blood vessels that undergo atherosclerosis.    Currently, the Center for Disease Control findings indicate approximately half of the population has some form of periodontal disease. The numbers climb when looking at gingivitis as well. Considering all of this, taking 30 seconds to one minute to floss should be an activity that everyone adds to their daily regimen. Remember, your floss doesn’t have to be tied to your toothbrush. Ideally, you want to brush and floss one right after the other just before bed. To establish this healthy behavior, think inventively and floss in the shower, as soon as you wake, or right after lunch. Whatever method works best for you, flossing, at some point during the day or night, is one of the best things you can do for yourself.    




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How This Doctor Found Her Path to Medicine and a Better


Emergency medicine allows Dr. Dupont the freedom to be a mentor, a mother, and a medical professional BY AMANDA J. DUPONT, MD

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tied to a specific practice location, I have the freedom to work in a variety of clinical settings, anywhere in the country. My flexible schedule allows me the freedom to travel frequently, fulfilling my goal to raise my children as well-rounded citizens. Growing up, I had no mentor in the field of medicine. I am the first one in my family to go to medical school. I do not regret any of the career tangents I have pursued. I fully expect and hope I will have the opportunity to follow more! It gives me great pleasure to act as a mentor to students interested in a career in medicine. For the past three years, I have mentored students from Westlake High School in the Emergency Department at Westlake Hospital. I am energized by their enthusiasm for learning, and am eager to share my enthusiasm for the practice of emergency medicine.


I feel extremely fortunate to have found a career that challenges me intellectually, affords me the time to pursue interests outside of medicine, lends the schedule flexibility to spend time with my children, and provides the means to see and experience the many wonders around the globe. visit,



might not be the most typical woman in medicine today. I came to the practice of emergency medicine in a somewhat circuitous way. Back in 1987, as I was getting ready to head off to college, I started thinking about what I might like to do with my life. My first inclination was to major in English, with an eye on journalism as a career. After a few semesters in the liberal arts, my love of science started to feel neglected. So I decided to make a major leap and major in chemistry. After nearly completing my major in chemistry, I realized I was not really cut out to be a “lab rat,” a term we used to refer to scientists who primarily conducted research in the lab. Much to my parents frustration, I switched majors again, this time to psychology. I felt this field was going to be an agreeable intersection of the science and liberal arts fields, both of which appealed to me. After graduation, I worked as a hospital-based research assistant to a clinical psychologist. This was the turning point for me! While I loved working in the hospital, interviewing patients and collecting data on their treatments, I did not love working as a psychologist. I decided I wanted to be a doctor. After going back to complete undergraduate courses to fulfill my premed requirements, and taking the MCAT exam, I was accepted to Case Western Reserve University in Cleveland, Ohio. Fast forward 20 years, and here I am in Austin, Texas, practicing as an emergency medicine physician, acting as a medical director for the past 10 years, while simultaneously co-owning a medical, weight loss clinic. I am so thankful that my life has taken all the directional changes it has, and more specifically, that I chose to practice emergency medicine. The practice of emergency medicine entails treating patients of every age, with every medical condition and every form of trauma, albeit under sometimes extremely stressful conditions. The wide variety of conditions I treat keeps me intellectually engaged, and always learning. I also have a wide variety of interests outside of medicine. My first passion at this point in my life is my children. I have an 11 year-old son, and a 10 year-old daughter. I cherish the flexibility that emergency medicine gives me to take my kids to school most days, take them to after school activities, be involved as a school volunteer, and simply to play with them! Because I am not

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wenty years ago, in the spring of 1995, we, Dr. Sergio Escobar and Dr. Rollin Sarradet, along with our wives, Eva and Yvonne, were sitting around a kitchen table discussing the idea of forming a professional relationship. Our vision was to build an innovative dental practice. Together we came up with the name Rose Dental Group, and the early stages of our collective pursuit began to take shape. Soon after, we opened the doors of our first office, located in Northwest Austin on Angus Road. It was a pilot endeavor that took off from the start. In 1998, we opened our South Austin office on William Cannon Drive. We were excited to be serving two, opposite, geographic areas of expanding Austin. With the advent of the new millennium in 2000, we opened our Round Rock office on I-35 to better serve the bourgeoning area surrounding Austin. Most recently, in January 2015, we opened our fourth office on Parmer Lane. We had a jubilant celebration with the Austin Chamber of Commerce commemorating the opening of our newest office and our prevalent years of service. Rose Dental Group is a premier, innovative and state-of-the-art dental practice. We have over 100 staff members, including 14 general dentists and four oral surgeons, and we now offer orthodontics.

WE HAVE OVER 100 STAFF MEMBERS, INCLUDING 14 GENERAL DENTISTS, 4 ORAL SURGEONS, AND WE NOW OFFER ORTHODONTICS We’re grateful and humbled to be memorializing our 20th year of providing superior, quality dentistry. We’re the largest locally owned group dental practice in the Austin area. We enjoy giving back to the community in a myriad of ways, including donating funds, services, and products to local non-profits with whom many of our employees generously volunteer their time. We have immense pride and gratitude for our outstanding and dedicated staff. We’re beholden and greatly honored to provide dental care to our loyal and devoted patients. We cherish and celebrate our good fortune to be serving the community for 20 years and counting!

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IMPRESSIVE FEET RUN TO HEAR 5K raises money for hearing needs BY JON BLACK


f you need proof that age is no barrier to making a difference, look no farther than Run to Hear. Now, in its fifth year, Austin’s annual 5K fun run that raises funds for deaf and hard-of-hearing individuals is the brainchild of young people who were in high school at the time. “This has been a real growth opportunity for the kids,” says Suzanne Labry, mother of one of those young people as well as an active part of Run to Hear’s organization. “It’s been an eyeopener for them to see their positive impact.” These young people, all deaf, met in prekindergarten and remained close afterward, informally referring to themselves as “The Deaf Club.” By their high school years, several Deaf Club members became running enthusiasts and became active in the Cap10K and other local runs. One day after an event, they began kicking around the idea of starting their own 5K run to raise money. The other club members rallied around the idea.

“A 5K may sound small, but it proved to be a big project,” Labry says. While the teenagers took on as much of the organization as possible, Labry says the parents did pitch in and help out – it was a group effort. They also received invaluable assistance from RunTex, the local runner’s Mecca. In 2011, the results of the first Run to Hear

WE PARENTS WOULD HAVE BEEN PROUD IF IT HAD RAISED $50, JUST SEEING OUR KIDS DOING THIS. THE RACE RAISED $11,000! surpassed anyone’s expectations. “We parents would have been proud if it had raised $50, just seeing our kids doing this,” Labry says. The race raised $11,000! The recipient of these proceeds For more information please visit,


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was the Colorado Neurological Institute, which used the funds to help provide a cochlear implant to a 16 year-old Amish girl in Iowa. “The kids were excited the proceeds had benefitted another teenager and were really impressed that they had been able to accomplish all that,” describes Labry. “The parents thought this was going to be ‘one and done,’ but the kids had other ideas.” Run to Hear was on its way to becoming an annual event. The group incorporated as 501(c)(3) nonprofit organization. Building on the work of the inaugural event, the group decided that money raised would be used for cochlear implant assistance, hearing aids, and other services and equipment needed by deaf and hard-of-hearing individuals. Over the years, Run to Hear has also built an impressive roster of sponsors, including cochlear implant and hearing aid companies, audiologists, and ENTs – helping turn Run to Hear into an information clearinghouse and venue for outreach, rather than just a fundraising event.   The 2015 run will take place on May 23 at Lake Pflugerville Park. Participation has been growing every year. Proceeds from this year’s event will benefit the Children’s Hearing Aid Texas (CHAT) program of Any Baby Can, as well as the Dallas Hearing Foundation. Last year, there were almost 300 participants and organizers are expecting to break that mark this year. For those who aren’t feeling particularly athletic, there are multiple ways people can support the event and the organization, including donating and volunteering. Still, Labry encourages people to run. She explains that, while the event is timed, it is not highly com-

petitive and the emphasis is on fun. “You can run if you want, but you can walk, you can skip,” says Labry. “We’ve got people with strollers walking the course.”

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SKIN CANCER AWARENESS this summer Learn how to protect yourself and put yourself less at risk BY JOHN FRASURE, PHYSICIAN ASSISTANT

What Is Skin Cancer? There are three types of skin cancer: basal cell carcinoma; squamous cell carcinoma; and melanoma. Basal cell carcinoma (BCC) is the most common skin cancer. It is rarely fatal, but can be disfiguring if left untreated. BCC often looks like open sores, red patches, pink growths, shiny bumps, or scars. Squamous cell carcinoma is the second most common form of skin cancer. It is rarely fatal, but can also be disfiguring. SCCs often look like scaly red patches, open sores, elevated growths with a central depression, or warts. They may crust or bleed. Although only about 1-2% of basal and squamous cell carcinoma patients will have a fatal outcome, these cancers should not be taken lightly. About 90% of these cancers are due to excessive sun exposure – the face and hands are the most exposed to the sun. These cancers can be very disfiguring if left untreated. Both skin cancers commonly have a precancerous skin lesion called Actinic Keratoses. These areas usually present with scaly, crusty growths (lesions) caused by damage from the sun’s ultraviolet (UV) rays. Melanoma is the most deadly form of skin cancer. Melanoma is one of only three cancers with an increasing mortality rate for men, along with liver cancer and esophageal cancer. Melanoma is more deadly because of the risk for metastatic disease. Melanomas resemble moles. The majority of melanomas are black or brown, but they can also be skin-colored, pink, red, purple, blue or white. Sun exposure, especially sunburns, are the greatest risk factor in developing melanoma.

Why You Need a Skin Cancer Screening – Who’s at Risk? “Skin cancers can affect anyone,” says Fraser ad advises those with increased risk include:  Caucasians  Men over 50 years of age  Exposure to ultraviolet light, from the sun and indoor tanning devices  Fair skin types: Those with red or blonde hair and blue or green eyes  Greater than 50 moles  A blood relative who has had melanoma  A previous diagnosis of either melanoma or non-melanoma skin cancer  History of other previous cancers, such as breast or thyroid cancer Even if you do not have these risk factors of skin cancer, it is important to get a skin cancer screening. It will make you more aware of moles or spots to keep an eye.

What Can I Expect at a Skin Cancer Screening? A skin cancer screening is a full body examination with a dermatologist or other healthcare professional with expertise in dermatology. “Patients should come in prepared to discuss any concerning or changing lesions that they have noticed,” said Frasure. Because skin cancers can occur anywhere on the external parts of the body, your doctor will do a full exam within your comfort level. They will examine moles, freckles, or bumps. Depending on what they find, they may recommend removing lesions to avoid the risk of skin cancer developing.


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Avoiding Skin Cancer To help avoid the risk of skin cancer, the American Academy of Dermatology also recommends that everyone:  Seek shade when appropriate, remembering that the sun’s rays are strongest between 10 a.m. and 2 p.m.  Wear protective clothing, such as shirts, pants, hat and sunglasses  Generously apply a broad-spectrum, water-resistant SPF 30+ sunscreen at least every two hours during sun exposure  Use extra caution near water, snow and sand because they reflect the damaging rays of the sun-apply sun screen more frequently  Avoid tanning beds BILLYFOTO/BIGSTOCK.COM


id you know that simply living in Texas can put you at risk for skin cancer? With over 300 days of sunshine per year, it’s hard to avoid the sun, so it’s important to be aware of your skin and risks. Routinely inspecting your body, as well as regular skin cancer screenings, can save your life. “All of us are at risk for skin cancer,” says John Frasure, Physician Assistant at Baylor Scott & White Clinic, Johnson City. According to the Skin Cancer Foundation, “One in five Americans will develop some form of skin cancer during their lifetime.” More cases of skin cancer are diagnosed annually than the combined totals from breast, prostate, lung, and colon cancers.

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CROSSFIRE Infidelity’s not so invisible victims


ffairs devastate relationships. For the faithful partner or spouse, the pain caused by betrayal is excruciating. The one who leaves the committed relationship in search of seemingly, greener sexual or emotional pastures inflicts harm not only on his or her spouse, but also on their children. The entire family is betrayed. Trust is the basic building block, the very foundation of relationships. According to relationship experts, Drs. Terry Hargrave and


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Frank Pfitzer, trust is, “The primary relational resource from which we learn how to interact with others.” Cheating has a way of taking a sledge hammer to this foundation and busting it into a thousand painful pieces, leaving those in its destruction disoriented and lost. With the “primary relational resource” in possible ruins, relationships between the unfaithful spouse and his or her partner and children are left struggling to simply survive. Those engaging in affairs too often think that somehow the children are inoculated

from their adult deviances, not so. Although the kids may not know exactly what is causing the strife between mom and dad, they can certainly sense something is wrong. Children and adolescents are like emotional barometers; they can feel even a slight pressure change in the family’s emotional environment even before an affair is disclosed. For the betrayed spouse, coping with the tsunami of negative feelings can be overwhelming. Finding your bearings after your world has been shattered is an enormous task.



And as if that was not enough to struggle with, parents thrust into this position must grapple with what to tell, if anything, to the children. There are no simple answers to this dilemma. Some clinicians espouse saying nothing. Others believe that as long as the information is age-appropriate, then parents have a green light to share. According to Dr. Scott Haltzman, a psychiatrist and relationship therapist, “Telling the child may put an ugly name on why a parent has pulled away from the family, but it is, ultimately, naming a truth.” If parents decide to stay together and work on healing their marriage and the affair partner is no longer around, then it may serve no real purpose to tell the children. More harm than good could come out of it. So, in these situations, silence may be best. Unfortunately, too often the kids do find out. They overhear the content of their parents’ arguments. They notice mom or dad is spending more time with someone else while the other parent is away. They may hear from their friends, other family members, or the neighbors about mom’s or dad’s “special friend.” Older children and adolescents may discover incriminating evidence like an About the Author email or text message that blows Brad Kennington, LMFT, LPC, is their parent’s cover. Or worse — a therapist in private practice in West Austin. He provides therapy to a parent may ask their child to individuals, couples and families, and he hold the salacious secret and to specializes in the treatment of eating disorders, relationship issues, anxiety and keep quiet, which is emotionally sexual orientation issues. He is also an abusive. associate faculty and clinical supervisor Whether the children are unat the Austin Family Institute. Because of his work, Kennington has been quoted by aware and the parents elect to disReuters and the Wall Street Journal, and close the information for the first he has been interviewed on Huff Post Live and on satellite radio. time, or if the parents choose to confirm their child’s suspicions, it is best to tell them what they have to know not what they may want to know. Tell the truth, but not the whole truth. Keep it age-appropriate. Young children and adolescents process painful information in very different ways. The parent’s motivation is crucial. Is the motive to help the children make a little more sense of what is taking place, to help them cope with the chaos? Or is it to seek emotional support from the child or illicit an ally against the betraying spouse and punish him or her? Disclosing an affair to the children is like walking through a mine field. Put the child’s best interest first and step ever so slowly. Parents will not be able to completely shield their children from the pain and emotional turmoil resulting from the affair. Parents can, and must, let their children know that they are not to blame for anything going on between mom and dad, that they are loved and cherished, and will be provided for. Then they must be gently helped to reconnect the shattered pieces.


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One mother’s journey with mental illness BY KAREN RANUS



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I beat myself up after her diagnosis and hastily created another bubble of protection for my family, this one was borne of fear and guilt. I did what so many mothers do in similar situations, I simply retreated in shame. I’d fallen prey to the same misconception about mental illness that so many of us do — that somehow we are to blame when mental illness strikes because it is a flaw in character, or worse yet for me, a reflection of bad parenting and upbringing. Six months later, I discovered the National Alliance on Mental Illness (NAMI), a grassroots nonprofit that works to improve the lives of families and individuals affected by mental illness. The Austin affiliate offers a free

12-week class for family members who have a loved one with a mental illness. During those 12 weeks I learned about the full spectrum of mental illnesses, their signs and symptoms, and the various treatment options. The most important thing I learned is that no one is to blame. Mental illnesses touch the lives of approximately one in four people in the United States from a wide variety of



t took two rounds of therapy for the light to go on. The instability and extreme behavior never felt quite right, but it was the only “normal” I’d ever known. I didn’t realize I’d grown up in a household with undiagnosed (i.e. untreated) mental illness until I was an adult. In true first-born, overachiever style, I did all the “right” things once kids came along. I read every parenting book and never missed a well-child check up. Home-cooked family meals, eaten at the table (without the TV on) were a priority. I became a Girl Scout leader, Sunday School teacher, and PTA mom. I hosted thematic birthday parties, read to my daughters every night, organized family road trips, and filled the house with art supplies and dress up clothes to fuel their imagination. I thought I had created a wonderful “bubble” of protection over my family, sure to keep them safe from all harm. Or so I thought. You can only imagine my shock and sense of failure four years ago as I sat in a mental health hospital waiting for my precious daughter to be admitted. Just shy of 19, she was a 4.0 student on academic scholarship and had been accepted into an elite leadership program on campus. On the surface, she looked like she had it all together, but she had been struggling since she was in high school. We’d noticed the changes in her high school years and sought help for her. Therapy seemed to make a difference, and the summer before college, she seemed healthier and excited for the future. It was only a mask. She didn’t want anyone to see the depth of her depression nor the tight grip of the eating disorder. She was much too ashamed of the darkness that enveloped her and the fear of disappointing her family and friends was overwhelming. She pushed forward determined to stay busy and keep the depression at bay, but it only tightened its grip until she broke.

backgrounds, upbringing, and walks of life. Amazingly, mental health disorders affect about one in five children and youth, yet only 50% of youth are accessing the treatment they need to achieve recovery. Our children and youth aren’t accessing treatment because we haven’t embraced the truth. The truth is mental illnesses are like physical illnesses. Some people are more predisposed to them and life experiences can trigger their onset. Like physical illnesses, mental illnesses require ongoing treatment which may include medication and therapy, exercise, healthy eating, and a support system. Severe and persistent mental illnesses require the same level of attention and care as any serious physical illness, and like all illnesses, it can be exhausting for the families caring for them. The good news is treatment works and recovery is possible. As with all illnesses, early intervention with mental health disorders leads to far better outcomes, especially in the case of children and adolescents. The last four years have taught me to take good care of myself in the midst of taking care of my daughter who, after a two-year long battle, is now in remission from her major depression and eating dis-


Karen Ranus, Executive Director of the Austin Affiliate of NAMI, the National Association on Mental Illness, and daughter Sara.

order. We’ve both found our voice and give presentations together to middle and high school teens. We know storytelling is one of the most effective ways to end the stigma that keeps so many young people from getting the help they need. She encourages young people to reach out and get help, and her story is far more convincing than any facts or figures we provide. And, that “bubble” I created? While it may have not kept mental illness from creeping in, it definitely hastened my daughter’s healing. A house filled with love, fun, and adventure with a heaping dose of security and stability created an environment that transformed the initial chaos and shame into opportunities for our family to grow in its compassion, love, and understanding of each other and others. Today our family talks about mental health in the same way it talks about physical health and I can only hope the time will come when that will be true of all families. Karen Ranus is the Executive Director of the Austin chapter of NAMI, the National Alliance on Mental Illness which offers free classes and support groups for families and individuals affected by mental illness. For more information, please visit A U S T I N MD M A G A Z I N E . C O M




ental twice more likely to deLearning how to take care of yourself so you illness velop Generalized Anxcan take great care of loved ones affects at iety Disorder (GAD) and least one in Post Traumatic Stress DisorBY ROCIO AVILA, LMSW five adults in the United States toder (PTSD). Anxiety disorders day. Women and men are affected by can be characterized by overwhelmmental illness differently. Depression and ing periods of worry or tension, which anxiety are two of the most common disorders cause difficulties functioning. In more severe casthat affect women today. We are mothers, daughters, sisters, es, anxiety can lead to panic attacks and/or physical ailments. partners, leaders, helpers and caregivers; we wear many hats and Since women often carry the responsibility of being caregivers and it is no surprise that the pressure of it all can be overwhelming. In providers, this increases their probability of suffering from some many cases, we women will put our needs after those of our loved form of anxiety. In addition, women continue to have societal ones. We stress and worry about their needs because, at times, we pressures regarding physical appearance, such as the ongoing sexfeel it is our role to satisfy these for our loved ones be it our chilualization of women, and gender roles that lead to other mental dren, spouses, or parents. Women are twice more likely than men illnesses. PTSD is also more common among women as women are to suffer from depression. often the victims of physical or sexual violence. These traumatic Depression is a condition in which there is a persistent, deexperiences can cause chemical imbalances that add to the difficulpressed mood that makes it difficult to function and complete daily ty of regulating thoughts and emotions. This in turn can severely activities. Depressive symptoms can include changes in appetite, alter the way a woman sees herself and the world she lives in. sleep, energy, difficulty making decisions, feelings of hopelessness, Despite these challenges, when compared to men, women tend and thoughts of suicide. In addition, it is estimated that 10-15 to seek treatment for a mental illness more often than men. Wompercent of women experience postpartum depression after giving en also seek help from a mental health professional earlier than birth. Postpartum depression, also called “baby blues,� is caused men. Since women are more likely to obtain treatment, they are by hormonal changes that can cause mood swings, crying spells, able to obtain medication and/or learn coping skills needed to live and in some cases, psychosis. The birth of a child can bring great healthy lives and beautifully carry out the many roles they fulfill. It joy, but these hormonal changes, on top of adjusting to the role is important to remember that although a woman has the strength of being a mother, can be taxing and overwhelming for a woman. to give love and care to for others in spite of these challenges, they Anxiety disorders are also prevalent among women. Women are need support and sensitivity to continue to fuel them. For more information visit,


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UROLOGY HEALTH FOR BOTH SEXES The urology team takes care of issues that effect men as well as women. BY CHRIS DUFRESNE / PHOTOGRAPHY BY STEVE DEMENT


hen a patient is initially referred to a Urologist, it’s not uncommon that their thoughts might drift to prostate cancer care or the “little blue pill.” Without a doubt, male reproductive and sexual health is a large part of urology, but they’re really only two components of a much more diverse specialty. The practice of urology focuses on both the male and female urinary tract system and encompasses a range of issues and diseases associated with the bladder, kidneys, ureters, urethra, sexual function, and the male reproductive organs. Frequently, many aspects of the field are misunderstood, including the type of doctors who practice this area of medicine. Throughout the long history of urological practice and procedures – dating back to ancient times – urology has traditionally been a man’s field. That is slowly changing. Since 1962, when Dr. Elisabeth Pickett became the first board-certified, female urologist, more and more women have been entering the profession. With both a sharp increase of women in medical school, along with higher numbers who are choosing urology residency programs upon graduation, projections suggest a steady increase in female providers. Still, numbers remain disproportionate. Of the 10,000+ Urologists now in the United States, less than 400 are females. Based on these figures, an assumption could be made that


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female urologists are few and far between. But, The Urology Team, with offices in Austin, Westlake, and Round Rock, is proving otherwise. This 60+ year-old practice currently has eight providers, three of which are female. Physicians Melody Denson and Miranda Hardee, along with Physician Assistant, Danielle Manes, are offering urological health care to women and men across Central Texas. Their number will continue to grow this summer when Dr. Elizabeth Mobley joins the practice. While seeing many male patients over the years, Dr. Melody Denson’s patient base is primarily female – a focus that she is passionate about and feels that she can relate to. “I have been pregnant, delivered a child, and have experienced urinary tract infections. I can relate to my female patients and their issues because I’ve been there myself.” As a result, her observations concur with what studies are indicating, that female patients often prefer to work with female providers. “Just as many women choose to see a female obstetrician or gynecologist, they also choose to see a female urologist because they’re dealing with potentially embarrassing conditions, or for privacy reasons.” Multiple studies have shown that female (and male) patients feel that female providers are more empathetic and spend more time with their patients. Dr. Miranda Hardee, who joined the practice in 2013, agrees that, “Most female patients find comfort and reassurance in discussing their problems with a woman who can relate to their symptoms, which allows them to more easily discuss personal conditions.” She also feels that, “This is especially important when

the issues discussed are quite intimate, such as those commonly addressed with sexual dysfunction and incontinence.” For both doctors, their female-patient base continues to grow, so working with a female physician assistant, as a care extender, is a natural choice. Danielle Manes, PA-C was also drawn to the field of urology based on her own urinary issues, as well as those of her family. “Helping to resolve urinary health issues of patients who are experiencing a decreased quality of life is what I love most about my work.” It’s also what fuels her enthusiasm to continually study the genitourinary system and to bring that knowledge to her practice. Being a woman doesn’t prevent these women from working with male patients. On the contrary, many male patients also deal with urinary incontinence, overactive bladder, pelvic pain, and urinary tract infections. Along with these issues, female Urologists

commonly treat male conditions of the prostate, erectile dysfunction, testicular cancer, and male infertility. They also regularly perform vasectomies, and in a hot environment like Texas, these doctors diagnose and treat numerous kidney stones – a condition typical for both sexes. Ultimately, helping patients manage or overcome urinary health problems is what motivates these providers. As Dr. Hardee observed, “I love when patients return for a followup visit and are excited because they are now exercising without urinary incontinence, traveling internationally without fear of needing a bathroom, or enjoying intercourse without pain. Their happiness is truly gratifying!” Dr. Denson agrees, “Modifying a urologic health issue can be life-changing and this is so rewarding. After all, something treatable like urinary leakage should never be the defining point of a person’s life.”


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Great to the


Tabletop Balance 1 & 2 Start with on your hands and knees with a neutral spine. As you extend your right leg out, find your balance and then extend your left arm forward. Stay in this balance for a full breath and as you exhale, activate your core, press away from the ground, and bring your knee to opposite elbow. Do at least four repetitions on this side and repeat on the other side.

Core workouts are a very essential part of my yoga classes for many reasons. Having a strong core gives our spine optimal support, which allows it to be strong and limber. Core exercises are not only great for back health, but also to help improve balance and posture. Last but not least, building and maintaining a strong core not only feels good, but looks good! So follow these core sequences for a healthy back and a summer ready body.

 

Boat 1 & 2

Start sitting with your knees hugged in close to your chest. You can keep your knees bent, as you start to extend your arms out to the side. You can choose to extend your legs into the air for more of a challenge. As you exhale, start to lower your body down to a hover, keeping your spine long. As you inhale, rise back up to find your core activated as it holds your body in the position and balances you on your tailbone.


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Starting in plank position, extend your right leg straight behind you. As you exhale, lean forward and bring your right knee to your right elbow and hold. Inhale extend your right leg back behind you and as you exhale, come forward and bring your right knee to the opposite elbow for a twist. Hold here and press away from your mat, keeping the spine long and core activated. Repeat for at least four repetitions and then do the other side.

  Plank 1 & 2

Start in a high plank, hands rooted into the ground shoulder-width apart. As you exhale keep your spine long and elbows close to the body. Start to lower into a low push up position, at the same time start to hover one leg off the ground. As you inhale, rise back up to high plank and repeat on the other side.

 

Fingertip Abs 1 & 2

Start lying flat on your back with both legs straight into the air. Lower your left leg down to a hover, as you exhale lift towards your right leg extending your arms forward to touch behind your hamstrings. Hold this position for a full breath, exhale as you lower and repeat on the other side. For more information visit,

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GOLF FOR WOMEN The benefits of the game improve your overall wellbeing. BY KYLE JEROME

as protecting against colds and fighting depression. Studies show that women are twice as likely to develop depression as men. So getting out in the sun (don’t forget your sunscreen) has added benefits and may even provide preventive care in terms of health. Also, weight control is an issue many people struggle to keep under control. Playing golf requires the use of many


different muscles keeping you physically active and boosting the metabolism. To take your game to the next level, or to gain distance on shots and see improvement in ball striking, incorporate a good workout routine that includes stretching. A workout doesn’t have to mean spending hours at the gym lifting weights. It can be 15 or 20 minutes in your living room with two light dumbbells. Include stretching For more information visit,


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into your workout, this is just as an important as the workout itself. Good flexibility is more important in golf than being strong. So striving for a few extra yards by working out and stretching can have big benefits in how you feel in your everyday activities. Lastly, who doesn’t like to spend time with friends? Time out on the golf course with a group of your girlfriends or family

can get you rebooted and recharge your internal battery to help you deal with some of the more challenging aspects of everyday life. An occasional “girl’s golfing weekend” is a good idea to connect with friends and enjoy time away. We all need it from time to time! So the next time you’re looking for something to get your physical and mental engine going, spend a little time at the golf course. The benefits are endless!



s we become more conscious of our health and overall well being, both physically and mentally, many of us constantly strive to find ways to turn everyday activities into health benefits – whether it’s riding your bike to the convenience store instead of driving your car, or walking a couple of extra laps around the mall while shopping. In today’s society, good health has become increasingly important. This applies to both men and women. Outdoor activities have always been important to improving our overall outlook on mental and physical health, and one of the best outdoor activities you could do for both is golf. Let’s look at some of the benefits of golf and how it can specifically help women. Being outdoors has always been one of the most beneficial aspects of playing golf. There’s no substitute for the benefits that fresh air and sunshine provide. Sunshine, specifically, provides Vitamin D which is essential for bone health. Research suggests it may have other benefits also, such


Austin MD Magazine’s 2015

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ommUnityCare began providing healthcare to residents of Travis County in 1970, when the Austin City Council partnered with the Travis County Commissioner's Court to develop a system of primary care, dental care, and family planning clinics. The goal of this effort was to serve residents of Travis County whose incomes, and lack of private health insurance, kept them from being able to access healthcare services in the community. For many years CommUnityCare was part of the City of Austin, and operated as a regular community health center. In 2001 we received a Section 330 federal grant from the Bureau of Primary Health Care/Health Resources and Service Administration. This grant designated CommUnityCare as a "Federally Qualified Health Center" system. Federally Qualified Health Centers (FQHCs) represent a vital safety net in the Nation's health delivery system and allowed us to greatly expand our offerings to the community. The scope of services offered


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by FQHCs must meet strict requirements. This includes providing accessible care to uninsured patients, and having a board that represents the community. Since then, CommUnityCare has evolved into one of the largest Federally Qualified Health Centers in the Country. In 2009, the Community Health Center system became a private, non-profit corporation named CommUnityCare. Today CommUnityCare operates with an annual budget of approximately $76 million and serves about 80,000 patients per year. The majority of funding comes from Central Health and the Federal Bureau of Primary Health Care. Public and private grants also support the work of CommUnityCare. Our services include: outpatient primary healthcare; dental care; limited specialty care; lab; radiology including mammography; a full service pharmacy; and behavioral health services. We also provide HIV/AIDS treatment at our David Powell location and care for the homeless with a location at the ARCH. Two of our locations, Hancock and the

Southeast Health and Wellness Center, were designed to expand access by providing walk-in services to patients in our system. These clinics offer extended hours and weekend care. Additionally, our Mobile Team Program provides primary healthcare in areas where there isn’t a health center nearby. We also offer our Street Medicine programs, which reaches out to the homeless population in camps, on the street, or anywhere they can be found. Many of our providers speak several languages and we also use a telephone, medical, translation service for less common foreign languages. That means we serve patients from all over the world, and as our mission states, “We will work with the community as peers with open eyes and a responsive attitude to provide the right care, at the right time, at the right place.” For more information visit,, email Monica Saavedra, Director of Marketing and Community Relations Monica., or to make an appointment call, 512-978-9015.



CENTRAL HEALTH WHO IS CENTRAL HEALTH? Central Health is the local, public entity that connects low income, Travis County residents to high-quality, cost-effective healthcare. Since our inception in 2004, we have helped to make our community stronger by investing in access to healthcare for our most vulnerable residents. Central Health works with a network of healthcare partners, including the Dell Medical School at The University of Texas at Austin, the Seton Healthcare Family, and our Community Care Collaborative, to eliminate health  disparities and improve safety net health care delivery. Through these partnerships, we are working to transform Travis County into a model healthy community.


HOW DOES CENTRAL HEALTH WORK TO “KEEP AUSTIN WELL”? Central Health, the Travis County Healthcare District, and our affiliated organizations, CommUnityCare and Sendero Health Plans, share a common vision and related missions to provide access to high quality, healthcare and coverage to improve the overall health of the community. We are the stewards of the public’s investment in access to care for Travis County residents who need it most. Working through our partnership with the Seton Healthcare Family – the Community Care Collaborative – we are working to build an integrated healthcare

delivery system that will provide more and better care to the people we serve. In the past several years, we have taken strides to expand access to care to address the demands of our rapidly growing community. We’ve opened new health centers that provide a “one stop shop” variety of services in one location – dental, primary care, behavioral health services, and more. With broad community involvement, Central Health recently opened the new Southeast Health and Wellness Center off of Montopolis Drive. This center offers a full spectrum of care for the Dove Springs, Del Valle, Montopolis, and surrounding communities. Central Health is also now working on health promotion and awareness about healthy behaviors, such as smoking cessation, leading an active lifestyle, nutrition, and much more, as a key component of our work. We will be launching a Health Equity Policy Council, which will bring together members of the community to

work on health policies that will help make the healthy choice the easy choice. We are collaborating with the City of Austin Health and Human Services, Travis County Health and Human Services, and a variety of other partners on a Health Indicators project. These partners will be releasing a website to serve as a centralized repository to connect residents to health resources. We encourage everyone to visit our newly launched website! There you can learn how to find health care coverage, how to make an appointment for health services, and learn more about health initiatives in Travis County. For more information visit,

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t Advanced Pain Care, patients work with doctors and nurses trained in the latest science-based treatment options. These include expert medication management and targeted injections to treat damaged nerves and joints. Dr. Mark T. Malone is the founder and Medical Director of Advanced Pain Care. A former instructor at Baylor College of Medicine, he is Board Certified in Anesthesiology and Pain Management. Dr. Malone leads a team of six doctors and twelve nurse practitioners and physicians assistants in seven locations around Central Texas.


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Advanced Pain Care offers accurate diagnosis and rapid treatment. We specialize in treating all types of chronic pain including back, neck, headache, post surgical pain, cancer pain, neuropathy, and fibromyalgia. One of the biggest problems in the world of pain today is Failed Back Surgery Syndrome. This means back surgery has been performed and the result is even more pain than before the surgery. Unfortunately, this is one of the most common results of back surgery, and one of the most common reasons patients come to our clinic. Recent medical advances allow us to place tiny electrodes along damaged nerves in the back, which block pain signals. The device used

to block pain signals, called a neurostimulator, or a “pacemaker for the spine,” is covered by Medicare and most insurance. The procedure is done in our outpatient center in about an hour. Advanced Pain Care’s goal is to rapidly achieve pain relief while avoiding surgery, sometimes that can be done in the very first office visit. Same or next day appointments are always available. In most cases, no referral is necessary and we accept most insurance plans. For more information visit, or call (512) 244-4APC (4272).



SENDERO HEALTH Central Texans and allow revenue to stay in Central Texas to further improve our local healthcare system. Sendero shares a common mission with Central Health to create access to health services for those in our community who need it most.



SENDERO HEALTH PLANS The Central Health Board of Managers created Sendero Health Plans, Inc. in 2011 to expand the available healthcare options for Central Texans. As the only non-profit, local, health management organization (HMO) in our eight county Travis Service Delivery Area (Burnet, Bastrop, Travis, Fayette, Hays, Williamson, Lee, and Caldwell) Sendero creates a new way to obtain health coverage under the publicly funded STAR and CHIP programs. Sendero is also a Qualified Health Plan for the Affordable Care Act and enrolls members in their IdealCare marketplace plan. Along with offering their own plans, Sendero serves as the administrator for approximately 22,000 Travis County enrollees in Central Health’s Medical Access Program (MAP). Sendero’s expertise in such program management helps streamline and bring efficiency to this essential community service. As a homegrown, community-based health plan, Sendero is positioned to evolve with the changing healthcare landscape to be the health plan provider of choice for a growing number of

Sendero Health Plans was established to provide direct benefit to residents of the community who are eligible for the health care services made available under publicly-funded coverage programs. Sendero is a benefit to all Travis County taxpayers by reducing the number of individuals without access to health care that turn to more expensive, less efficient, emergency room care for routine care; such costs are inevitably passed on to others through increased health insurance premiums. People who have insurance are more likely to seek care when needed and in more appropriate settings, such as primary care clinics, instead of seeking care in a high cost emergency department setting. Bringing more residents into insured status reduces the cost to taxpayers by decreasing the use of high cost emergency services, providing payment to physicians, hospitals and others for services rendered, and resulting in a healthier community. Assisting residents to enroll in a community-based insurance product means that those funds stay in our community.

INSURING THE WHOLE FAMILY Sendero serves residents that are currently enrolled in Medicaid and CHIP. Our participation in the first year of the federal insurance marketplace has also allowed Sendero to offer competitively priced insurance coverage to currently uninsured residents, many of whom are living between 100-250% of FPL. Sendero targets populations consistent with those Central Health serves to help bring the entire family under consistent coverage.

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r. Matthew Sharpe is one of the most experienced refractive surgeons in the country. He is a board-certified ophthalmic surgeon and has instructed countless surgeons, lectured at national conventions, published peer-reviewed papers, and been named among the top 5% of LASIK surgeons nationally. Dr. Sharpe obtained his undergraduate biology degree at Trinity University in San Antonio and returned to his hometown of Columbus, where he earned his MD from The Ohio State University College of Medicine. He then completed his internship, and three years of residency in ophthalmic surgery, in Pittsburgh. He is a fellow of The American Academy of Ophthalmology and has been certified by the American Board of Ophthalmology since 1997. Dr. Sharpe has performed laser vision


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correction on more than 60,000 eyes, and his patients have included professional athletes, hundreds of doctors and nurses, and countless military and law enforcement personnel. He has mastered every related technology and technique since LASIK was first approved by the FDA in 1995. SharpeVision is the culmination of Dr. Sharpe’s experience as a practicing eye surgeon since 1996.  He created the practice he has always felt was needed – a patient-centered and surgeon-directed practice offer all vision-correction options, not just LASIK. The doctor of optometry and staff of experienced ophthalmic technicians are a hand-selected team who train continuously.  The SharpeVision laser center was architecturally designed specifically for the unique needs of laser vision correction patients. The procedure room is humidity and temperature controlled and the state-of-the-art

diagnostic and examination equipment allow for precise procedures. The practice philosophy revolves around creating a life-changing experience, devoted to the patient. SharpeVision wants to educate the patient, ease them through the process, and support their decision for a life of great vision. Dr. Sharpe created SharpeVision to be world class – the best experience, best technology, and best team, so the dream of clear, uncorrected vision may become a reality. Find out if you’re a candidate for LASIK. SharpeVision offers a free LASIK consultation, complete eye exam, and the doctor will answer any questions you may have. For more information, call 512-596-2020, or stop by the center located at 11005 Burnet Road near The Domain.





he future of medical education, care, and research is taking shape at the Dell Medical School at The University of Texas at Austin. The Dell Medical School is the first medical school in decades to be built from the ground up at a Tier 1 research university. This gives the school a blank slate with which to design the best ways to train physician leaders and improve community health in the twenty-first century. It also connects the school with activities and resources across UT Austin that can inform those efforts and help them succeed. The school was created in unprecedented

with the public and a huge opportunity to engage Travis County residents in innovative efforts designed to make Austin a healthier place. “I’m not interested in just creating another medical school, but in creating a medical school that really represents what we want health – and health education – to be in the next century,” said Dr. Clay Johnston, the school’s inaugural Dean. The Dell Medical School is also focused on harnessing the power of innovation, technology, and partnerships to modernize academic medicine, create new clinical care delivery, models, and foster a thriving research environment. Its vision is to build a vital, inclusive health ecosystem. Its mission is to revolutionize the way people get and stay healthy by: • Educating leaders who transform health care; • Evolving new models of person centered, multidisciplinary care that reward value; • Advancing innovation in health from discovery to delivery; • Improving health outcomes in our community and becoming a model for the nation; • Redesigning the academic health environment to better serve society.


The Dell Medical School plans to welcome its first class of students in the summer of 2016. The medical school has already launched creative collaborations with a diverse group of partners, including:

partnership with local taxpayers. In 2012, Travis County voters elected to support the vision of making Austin and Travis County a model, healthy community by passing a proposition that increased property tax revenue to, among other things, support a new medical school at UT Austin. This provides a unique connection

• Central Health, Travis County’s public health care district. • The Seton Healthcare Family, which is building the new teaching hospital. • The LIVESTRONG Foundation, which is working with the medical school to create the LIVESTRONG Cancer Institutes to improve person centered cancer care. • Huston-Tillotson University, with which the medical school is creating a program focused on improving mental health care and access to services in East Austin and other historically underserved communities. • The UT Austin College of Fine Arts, with which the medical school has launched the Design Institute for Health, a first-of-its-kind collaboration to bring design thinking and creativity to long-standing health challenges. For more information visit,

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he Loewy Law Firm is one of the most successful personal injury law firms in Texas. Led by nationally recognized attorney Adam Loewy, their practice is dedicated to helping injured Texans get their lives back on track after a traumatic injury or death of a loved one. Adam Loewy has dedicated his career to helping people recover physically and emotionally from a serious injury, and then obtaining the most possible money for them. They have a large network of exceptional medical professionals, who treat their clients, perform surgeries, and provide emotional support. With competent medical care in place, their clients can focus on getting better physically and emotionally. Too many law firms work their attorneys and legal staff into the ground, refusing to recognize that exhaustion leads to apathy and carelessness. At the Loewy Law Firm, the team encourages each other to make healthy


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lifestyle choices both inside and outside the office. Their commitment to work-life balance creates a more positive and productive office environment, which translates to more focused and efficient work on behalf of their clients. One of the founding principles of the Loewy Law Firm is giving back. They strive to be a positive force in the Austin community. They proudly support the Capital Area Food Bank, the Jewish Federation, LiveStrong, Austin Pets Alive!, YMCA, and other important community organizations. The Loewy Law Firm is committed to leaving a legacy in the lives of their clients and the Austin community. They are proud to support Austin MD, and help Keep Austin Well! For more information visit,


For more information, visit or call 512-726-0599.



unker Vein & Imaging Center (BVIC) opened its doors in 2011 at 2712 Bee Caves Road, Suite 122 in Austin, Texas. Founded on a solid commitment to help people, and led by Medical Director, Stephen R. Bunker, the Center goes beyond providing optimal results with leading-edge treatments. He believes that excellence in vein care also means providing compassion, support, time, and personalized attention that is focused on your best interests. At Bunker Vein & Imaging Center, one-on-one consultations with Dr. Bunker are scheduled with each patient for this purpose. Dr. Bunker is currently using cutting-edge technology for the diagnosis and treatment of venous insufficiency and varicose veins. “If vein issues are treated sooner than later, there is a better chance of preventing serious health problems,” says Dr. Bunker. In January 2014, BVIC opened a second clinic in Round Rock, Texas. Patients will be able to visit both Centers for screening, ultrasounds, consults, and procedures. The newest clinic is located at Wyoming Springs Medical Center, 7200 Wyoming Springs, Suite 1550. “We are thrilled to expand our offerings for patients in Round Rock and surrounding cities,” says Bunker. “We have long been known as the ‘go-to clinic’ for a wide range of leg and vein issues.”

FRANKLIN HOPKINS Medical License Defense Attorney


hen thinking about how I keep Austin well, I realize I don’t. Austin keeps me well! With all the running trails, Lady Bird Lake for kayaking and paddle boarding, Zilker Park for playing sports, recreational sports leagues, and fabulous gyms, Austin truly keeps me well. The energy in this vibrant city motivates people to be active. When combining that activity with the low fat, vegetarian, vegan, and gluten free, food choices this city offers, it’s no surprise we are a fit city. By utilizing all the exercising options and healthy food, in a very small way, I keep Austin well. How I truly keep Austin well is by protecting its physicians’ licenses. Austin physicians are integral to keeping this city well. When an Austin area physician receives a complaint or letter from the Texas Medical Board, I am there to defend that physician’s livelihood. Physicians in Austin invest a lot of time, resources, and energy building their practice and developing a reputation as their community’s most trusted healthcare provider. When that practice and reputation is threatened, they deserve an attorney who knows the rules of the game and has the experience to fix their problem. When not representing Texas Physicians, I defend those who defend America. As a Major and Defense Attorney in the U.S. Army JAG Corps Reserves, I proudly represent Soldiers. For more information visit, or call 512-750-8020.



B For more information visit, or call 512-815-2559.

lakely Richardson, DO opened the doors of Westgate Skin & Cancer in August 2014. The growing practice employs four, and soon to be five, employees. Dr. Blakely’s family owned and operated practice provides general, medical, and cosmetic dermatology services. They offer same day and next day appointments. At Westgate Skin & Cancer they use the latest technologies by providing online appointment booking, online access to patient records and labs, a paperless check in process (they’re a paperless office), and they run on an iPad-based

Electronic Health Records (EHR) system designed exclusively for dermatologist. Most importantly, they strive to go above and beyond for their patients. They believe it’s the little things that matter, and they all really do add up. Dr. Blakely encourages patients to receive an annual check up with a skin check especially if they have used tanning beds and/or has had a family history of melanoma or skin cancers. Blakely always encourage the use of sunscreen and sun-protective clothing, even on cloudy days. Not only will this habit slow the visible signs of aging, it will help prevent skin cancers related to sun exposure. This is especially true for

children and minors. In the end, the best advice he offers is that an ounce of prevention is worth a pound of cure. It’s easy for Dr. Blakely to stay fit and healthy. When he is not in the office, he enjoys hiking, exploring Austin with his family, and taking advantage of all the music and culture the city has to offer. There’s never a dull moment here in Austin! A U S T I N MD M A G A Z I N E . C O M



all-in-one allergy consult and testing appointment, then again for a drop pickup. There’s need to return until the ninth month follow up! Just three drops a day, under the tongue, from the comfort of your own home. Begin treating the source of your seasonal allergies, not just the symptoms, with prescription Allergy Drops from Texan Allergy. For more information visit,



o you suffer from symptoms such as watery eyes, sneezing, itching, or runny nose? Texan Allergy offers the most patient-friendly allergy treatment options in Austin. At Texan Allergy our team of medical professionals provide patients of all ages with comprehensive allergy testing and customized treatment plans in a comfortable and accommodating setting. Texan Allergy offers both injection and sublingual immunotherapy options to meet patients’ specific needs and ensure that their treatment will be convenient, affordable, and safe. By slowly introducing allergens to the body, immunotherapy works to re-train the immune system to no longer react to the environmental allergens that cause those bothersome symptoms. Allergy Drops are a safe and permanent solution that has been extensively studied and proven to be effective in eliminating allergies. Texan Allergy is unique for its streamlined, in-house pharmacy that produces patients’ physician-prescribed Allergy Drops or injections, allowing us to offer the lowest price for sublingual drops in the entire Central Texas region! We know our patients have busy schedules, that’s why we mail our Allergy Drop refills directly to the patient’s home, free of charge. Say goodbye to those lengthy, reoccurring appointments to the allergist’s office, just come in for your


For more information visit,, call 512-920-6655, or visit them at 12319 North Mopac Expressway Building C Ste. 300 Austin,Texas 78758.


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ustin Ear Clinic has been a premier provider of allergy, sinus, and hearing healthcare services for residents of Central Texas for over 40 years. Our expert staff offers comprehensive, quality care and both, medical and surgical, solutions for patients of all ages who suffer from allergies, sinus infections, and other ailments of the upper respiratory tract, as well as hearing loss, dizziness and balance disorders, and other hearing-related issues. Our services include medical therapy, balloon sinus dilation, endoscopic sinus surgery, allergy testing, immunotherapy (allergy shots), vestibular testing, diagnostic hearing evaluations, and hearing aids (fitting, dispensing and servicing). If you are suffering from sinus or allergy problems or experiencing hearing loss, call us today to learn how we can help!

FLORASTOR Probiotics for whole-body health



he human digestive system is home to over 1,000 different species of bacteria. Each of which acts as host to over 200 species in our own diverse collection of long-term resident microorganisms, called the gut microbiota. This biodiversity is due to a combination of nature and nurture. We host microorganisms ranging from good to bad, to downright ugly. These bacteria can assist in the absorption of nutrients from food, promote strong immune responses, and lead to intestinal health benefits, as long as they stay in a healthy balance. Seventy percent of the immune system is located within our digestive system. The typical American diet loaded with processed foods and sugar can result in a disruption of the

healthy balance if intestinal bacteria. This is where probiotics play an integral role. They are live microorganisms that benefit health by promoting the balance of natural intestinal flora. When the balance of friendly bacteria is upset, probiotics can help keep bad bacteria in check by stimulating increased production of healthy infection-fighting antibodies. All probiotics are not created equal. Florastar is a natural yeast probiotic supplement to optimize digestive and immune health. This probiotic is perfect for travel and active lifestyles. It comes to us from nature and is freeze-dried and packaged utilizing the highest quality standards. No refrigeration is required so you can take it with you wherever you go. Taking probiotics can deliver whole-body benefits.

For more information visit,

IRON TRIBE FITNESS Grand Opening June 6th


ron Tribe is meant for the busy person. Our members are everyday people who are looking for extraordinary results; people who know time is made for important things like family, career, and health. Our group workouts last 45 minutes and are based around weight training, cardiorespiratory exercise, and body weight movements. With certified and experienced coaches on the floor, our classes are always safe and consistent. Even more, we offer healthy, delicious meals that are perfect for on-the-go members. Our workouts, nutrition guidance, and supportive community offer maximum results all in one place. Most importantly is the culture of Iron Tribe Fitness. There is no judgement here, only progress. We push each other mentally and physically, while building a community, and having fun along the way. • Paleo gourmet meal service • Pick your meals up on the way out the door • Full showers and locker rooms on site • Mention this article and receive $100 off 101 class • Grand opening June 6th: Family Fun, Workouts, BBQ, $1050 Raffle

For more information visit, A U S T I N MD M A G A Z I N E . C O M




of Vegetarianism and Veganism


he growing number of vegan or vegetarian dining options in the Austin area continues to grow and the idea of food as a lifestyle decision is also growing. Those of us in Austin are fortunate because we happen to have some of the best vegan restaurants around. Some of my other favorite spots are in Dallas/Fort Worth and Monterey, CA. I spent last weekend trying all of the vegan options we have around the city and they were all fantastic! There was even a vegan/ vegetarian chef school. Years ago, the word “vegan” was unheard of. However, celebrity vegans such as Bill Clinton, Mike Tyson, Paul McCartney, Alicia Silverstone, Natalie Portman, and Ellen Degeneres have recently raised awareness and the profile of being vegan. Before that it was Leonardo da Vinci, Mohandas Gandhi, and Albert Einstein. You hear people say their diets fat-free, carbohydrate-free, dairyfree, and gluten-free; or they choose to eat organic. There are many reasons people choose a particular dietary lifestyle – to promote optimal health, to fend off bad health, to contribute to a healthier environment, for ethical or religious


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reasons, and even out of habit or family history. Vegetarianism and veganism have been around for hundreds of years, and the reasons for committing to these lifestyles are varied.  Of the 1 million Americans who are vegan, 79 percent are women, according to opRNtoBSN. For vegetarians, the gender divide is not as severe. It is more equally split, 59 percent women and 41 percent men. Vegetarians consume no animal flesh – red meat, poultry, and seafood are avoided, but they may consume other animal products, depending on personal preference. For example, lacto-ovo vegetarians consume both dairy products and eggs, ovo-vegetarians consume only eggs, and lacto-vegetarians eat only dairy products. By comparison, the vegan lifestyle is a bit more restrictive because it eliminates animal products of any kind. Vegans avoid meat, fish, dairy, eggs, and honey as well as other products that you might not think of, such as gelatin. Health is a major factor in the shift to a diet with few or no animal products. I became vegan in 2011 after repeated attempts to get my cholesterol down – and I am a dietitian who followed a low cholesterol diet without achieving lower

numbers. My lab results now are in target ranges across the board. Luckily, I also enjoy cooking so becoming vegan has been a fun adventure in exploring alternate ways to do my favorite recipes. People who worry about obesity and high cholesterol simply have to look at the role animal fats play in their diets. But ethical concerns about animal welfare, food safety and antibiotic resistance also make a vegetarian or vegan diet more attractive.  

The Benefits of the Veggie Life

As a dietitian and vegan, the demonstrated health benefits




The Cons: Nutrient Deficiencies and Poor Diet

of being vegetarian or vegan are plentiful. Most people are aware of the advantages of cutting down on red meat or perhaps reducing one’s whole milk intake. But is it really necessary to make a full-fledged lifestyle change? In the same vein, what are the drawbacks or risks associated with vegetarianism/veganism? Being vegetarian (or vegan) also does not mean you are automatically “healthier.” Leaving off the bacon does not make the meal healthy if you are still eating French fries or a baked potato loaded with butter, sour cream, and cheddar cheese.

While plant-based diets offer significant benefits to one’s health, the few risks they come with should be noted. The health benefits of vegetarian diets depend on how they are defined. Vegans must find an alternative source of vitamin B12. Vitamin B12 is found solely in animal products such as meat, fish, dairy, and eggs. Although it can also be found in some algae, there is debate as to whether this form of B12 is “bioavailable,” meaning that our bodies may not absorb it adequately. Another source of B12 that I use frequently in cooking is nutritional yeast – it gives food a buttery or cheesy flavor.  Even more, research has found that vegans may be deficient not only in vitamin B12 but also omega-3 fatty acids, both essential to the normal functioning of the body and brain.  Strict vegans are typically advised by their doctors to take supplements, but which supplements one needs will depend on one’s specific diet, the length of time one has been vegan, and the body’s specific nutritional needs.  Most capsule type supplements have a gelatin coating which makes it non-vegan. Walnuts and flax, which fits in both vegetarian and vegan diets, do provide a precursor to omega-3 production, but also has some issues with complete bioavailability.  It is also helpful to be aware of symptoms of B12 deficiency like dizziness, fatigue, shortness of breath, anemia, poor concentration, problems learning and remembering, and increased risk of cognitive decline as we age.

It is therefore important to talk to your doctor if you might be at risk. Vitamin D also may be a challenge, because vegans do not consume vitamin D-fortified dairy products. Studies have found that vegetarians lack the vitamin, which is crucial for bone health. Vitamin-D deficiency raises the risk of fractures and osteoporosis. While vitamin deficiencies of any kind may

IT IS IMPORTANT TO KEEP IN MIND THE SPECIFIC NEEDS OF YOUR BODY, INCLUDING THE NUMBER OF CALORIES, PROTEINS, AND CARBS IT REQUIRES AND YOUR OVERALL LIFESTYLE. take years to develop, they can be serious. However, a small amount of sun exposure can also produce a significant amount of vitamin D. Strict veganism also can lead to not getting enough complete protein. Also known as “high quality protein,” complete protein includes all 10 essential amino acids that the body cannot make on its own. Because there are limited sources of single, plant-based foods that provide all the essential amino acids (soy and quinoa are two), it is often necessary to pair foods together to get the complete range. This is why rice and beans, oatmeal and oranges, and other pairings such as peanut

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butter and rice cakes, are popular protein sources among vegans. Remember that finding a balance could be the ideal way to start. I never encourage patients to make a lifestyle change that they cannot stick to long term. For example, some healthy foods are omitted from veganism, such as fish. It may be that a diet that includes fish is better for health than one that excludes it. It is important to keep in mind the specific needs of your body, including the number of calories, proteins, and carbs it requires and your overall lifestyle; the amount of physical activity you engage in; your age, weight, and particular vitamin requirements. Always talk to your doctor before making major nutritional changes.

Whether Vegan or Vegetarian, here’s some local places to try: Casa de Luz – Casa de Luz serves 100% organic, vegan, vegetarian, alkalizing, nutrient-rich meals that will improve your health. The founding idea for Casa de Luz (which is much more than a place to eat) is to offer a sacred space for those that want to bring their disciplines to share with the community. Mother’s Café &Garden – Mother’s has been serving up vegetarian and vegan food since 1980. As one patron put it, the problem with Mother’s is that everything on the menu sounds soooo good. I wish I could eat every main dish in one sitting instead of ordering just one. Mr. Natural – Head chef Jesus Mendoza, Jr., specializes in special dietary baking such as gluten free, soy free, nut free, sugar free, dairy free, and more. Jesus, Jr. himself has adopted a vegan and gluten free diet lately and has since created many recipes and welcomes the opportunity to help others with their baked needs. 

At Pain Care Physicians, we understand that the causes and symptoms of pain are unique to each individual.

We offer treatment options for:

(512)326-5440 70

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G’raj Mahal – G’Raj Mahal Cafe & Lounge, which began as a food trailer, provides a combination of traditional and innovative Indian comfort food in a funky, beautiful space featuring: a large, gorgeous wooden deck in the back patio; a lovely stone front yard; comfortable indoor café seating; and a premium wine and beer bar. Bombay Express – Bombay Express provides a combination of North and South Indian food – all vegetarian – in an unassuming kitchen just off of Parmer Lane. One observer notes the place is run by a Gujarati girl and her mom. Kachoris are a must!      Bouldin Creek Café – Bouldin Creek Café provides fairly priced, wholesome vegetarian (with vegan options) food, and have shown vegetarians and non-vegetarians alike that veggie fare can be both flavorful and satisfying. For more information please visit, or call Raynelle Shelley, RD, at 512-509-0200.

The Female UroLogical Choice Many women prefer to see a female for their personal urological health conditions. We’re proud of our team of female providers!

Urinary Incontinence Overactive Bladder Pelvic Organ Prolapse Pelvic Pain Urinary Tract Infections General Urology

Melody Denson, MD Danielle Manes, PA-C Miranda Hardee, MD



Practice of Dr. Richard Chopp, Dr. Stephen Hardeman, Dr. Bryan Kansas, Dr. Melody Denson, Dr. Eric Giesler, Dr. Loren Jones, Dr. Miranda Hardee and Danielle Manes, PA-C

You’re a small business owner And your employees are like family ... Do they need help with healthcare costs?

That’s why we’re here. We’ll help them pay a third of their monthly premium – Up to $120 per month.


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to have beautiful and healthy legs.

Westlake: 2712 Bee Caves Rd, Suite 122 Round Rock: 7200 Wyoming Springs Drive, Suite 1550 74

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Austin MD May/June 2015  
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