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AN EATING DISORDERS TREATMENT CENTER Specializing in the care of anorexia, bulimia and binge eating disorder

Adult partial hospital and intensive outpatient programs

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Comprehensive treatment for females and males

Kim McCallum, MD, FAPA • Executive Medical Director, CEO Brad Kennington, LMFT, LPC • Executive Director, COO Bridget McCauley, LPC • Clinical Director

4613 Bee Caves Road, Suite 104 • Austin, Texas 78746 Toll Free 877.755.2244 Telephone 512.732.2400

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Our focus on proactive wellness helps you manage your own healthcare.

At WellMed, our clinics have established a reputation of being an innovative leader in senior healthcare services that stretches over a span of more than 20 years. Our emphasis on healthy lifestyle education allows you to become an active partner in managing your healthcare. Combined with our team of dedicated physicians, nurses and technicians, along with a schedule of annual exams and screenings, you will have the help you need to live your senior years to the fullest. In addition, we believe that you deserve a truly VIP-level of personal attention under our care, and everything we do in all our WellMed clinics is dedicated to fulfilling this goal. I want to be your partner, call to learn more about the advantages that WellMed clinics offer, or if you wish to become my patient, please give us a call at 855-795-1511.

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A NEW LEASE ON LIFE

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ANGELA STRICKLAND CO-OWNER

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We are looking forward to what our future holds as we close out our first year at Austin MD Magazine. The success and support we have received this early on has truly been overwhelming. As quickly as this year has passed,

it is hard to believe that we added almost 20 new advertising partners. We are beyond grateful to have major clients, such as the Institute of Reconstructive Plastic Surgery as well as Scott & White Healthcare, which have helped boost our revenues by over 40 percent. As a result, our latest events have been extremely enjoyable,

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has announced her run for governor, and our past issue on the local legend Willie Nelson, they are well worth your time. When our Wendy Davis cover went up, we had over 50 shares within the first hour. As for our upcoming stories in the next issue, get ready to enjoy a profile on Travis Stork from The Doctors! We owe everything to the many supporters of our blooming magazine. From our contributors to our readers, none of these achievements would be possible without all of you. Keep a lookout for what is coming, because 2014 is sure to be an exciting year! Co-Owner(s): Angela Strickland & Aman Bandali

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CONTENTS

TTKTKTK

A U S T I N MD M A G A Z I N E . C O M

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TKTKTKT

As his career has developed, Dr. Stork has become deeply committed to preventative medicine

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COVER STORY

A FAMOUS DOC, AN EASY SOLUTION TV star Dr. Travis Stork pens The Doctor’s Diet for restoring health & losing weight

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BY JAIME NETZER, PHOTOGRAPHY BY CBS TELEVISION DISTRIBUTION / STAGE 29 PRODUCTIONS, LARSEN & TALBERT MERRICK ALES, ERIK MOORE , DARCIE SIITERI

r. Travis Stork’s career path has been so unbelievable that even he is shocked by it. “If you would have told me at [undergraduate] graduation that I would be a doctor, let alone a doctor who also hosts a TV show, I would’ve called you crazy,” Dr. Stork says.

And just what is that message? As his career has developed, Dr. Stork has become deeply committed to preventative medicine. “What I’m passionate about now is prevention and teaching people the things they can do to prevent their doctor’s visit in the first place,” he says.

Now a board-certified emergency medicine physician and the Emmy®-nominated co-host of the Emmy® award-winning syndicated daytime talk show “The Doctors,” Dr. Stork was once a college grad who had majored in math, and who spent his free time volunteering at a free clinic in Washington, D.C., where he saw constant interaction between doctors and patients. “I just had such admiration for the doctors who were working there,” he says. “I absolutely love the integrity of the one-on-one relationship like that of a patient with a physician, and I started to brainstorm the idea of going back to medical school and becoming a doctor. It’s one of the best decisions I’ve ever made.”

“It’s just ironic the way my career has evolved,” Dr. Stork adds. “I went from learning how to take care of people after they got sick to now really starting to focus on helping people to never get sick.”

“I was able to apply my math and science background to medicine, which as much as any other field has a human component. It was a win for me,” Dr. Stork says. His medicine career eventually led him to a TV career, but the two share more similarities than differences, he says. “When people ask me about what it’s like to host a TV show, I always have the same response, which is that it’s not that different than just being a normal doctor,” Dr. Stork says. “You’re just reaching more people, but your intentions are the same, which are to help people live healthier lives.”

First came “The Doctors,” and next up is his new book, The Doctor’s Diet: Restore Health & Lose Weight, now available nationwide. While Dr. Stork, of course, acknowledges that the occasional bug will land you in the doctor’s office, he has authored The Doctor’s Diet in part to encourage the kind of diet and lifestyle that will keep you out of the doctor’s office for illnesses related to unhealthy eating. In The Doctor’s Diet, Dr. Stork makes balanced nutrition simple with his 10 Food Prescriptions (for example, Break Up with Sugar and Go Nuts over Nuts). Each prescription identifies problems and teaches ways of using food to heal and restore the body instead of contributing to, or exacerbating, health problems. The book boasts a heavy emphasis on great-tasting meals, easy-to-follow recipes and enough flexibility that anyone can follow it, including vegetarians, gluten-free individuals, meat-lovers and everyone in between.

IT’S NOT ALWAYS A

PILL THAT’S GOING

One thing that is different: he can deliver a slightly more unconventional message. “One of the reasons why I love hosting the show is also one of the reasons why I feel blessed to be able to write a book: it allows me to talk about things that as a doctor, say in the ER, I might not be able to.”

TO GIVE YOU BACK YOUR HEALTH. IN FACT, IT’S USUALLY

NOT GOING TO BE A PILL.

“Hippocrates, who is the father of modern medicine, said ‘Let food be thy medicine,’” Dr. Stork says. “Part of this book is teaching people who are battling with their weight or health how they can use food to lose weight. It’s not always a pill that’s going to give you back your health. In fact, it’s usually not going to be a pill. Pills are necessary in many situations, but what’s amazing is that if we use food appropriately, we could probably cut back our prescription drug use by a huge percentage.”

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COVER STORY

Dr. Stork’s own father was put on diabetes medication years ago, and Dr. Stork later discovered that his father’s doctor had not suggested walks after dinner, or to cut back on the dinner rolls, for example. “It’s not too uncommon of a story,” Dr. Stork says. “But luckily now it’s happening less and less. More doctor’s offices have nutritionists on staff, and there’s a definite movement towards accepting what a big role nutrition plays.” In his role on TV and with his new book, Dr. Stork has felt privileged to gain more of an audience with his virtual ‘patients.’ “I’ve been very pleased with my role hosting “The Doctors” day in and day out to reinforce those healthy behaviors,” Dr. Stork says. “Where with a patient, you might only see them once every six months, on the show we have an hour every day. And with the book, I can put my thoughts on paper and if someone’s trying to learn about how to eat healthier, they’ll have access to it.” Dr. Stork says another trend he has been thrilled to watch develop is how educated patients have become and how hungry they are for information. “It’s really remarkable, and it crosses borders,” he says. “People have so many questions, and that’s never going to end.” He also adds that an educated patient is often a doctor’s favorite patient. “When a patient has been educated by “The Doctors,” or any other reliable source of healthy living education, they take that knowledge to their doctor and have a better understanding of everything that’s happening, and doctors appreciate that as much as anyone. Doctors love when their patients are engaged with their own health.”

To engage more with your own health, visit www.thedoctorstv.com or www.birdstreetbooks.com to purchase Dr. Stork’s book, The Doctor’s Diet. Follow Dr. Stork on Twitter: @TravisStorkMD.

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NUTRITION

Debunking Diet Myths A healthy lifestyle or just another diet fad? By Kathleen Delgrande

PALEOLITHIC ‘DIET’ The word diet, in its most simplistic form, is defined as giving your body the nutrition it needs. The Paleo diet consists of eating like our cavemen predecessors, which consists of a high-protein, high-fat and low-carbohydrate diet. This diet claims that by giving our bodies nutrients from living things, including plants, nuts and seeds from the ground, we will function at our highest capacity (mentally, physically and emotionally), lose weight and prevent diseases. This diet does not include processed or refined carbohydrates (vegetables and fruits are carbohydrates, but not those processed in a factory), dairy and legumes. The protein consumption comes from animals, fish and nuts. Fat comes from animals as well, but also nut and plant oils, such as olive oil and some nut oils. The body needs fat to function, plain and simple. Fat coming from red meat provides us with cholesterol, which protects and supports the brain and stomach, among many other organs. Without that protection, both the brain and body operate at suboptimal levels. This diet (nutrition lifestyle choice) emphasizes mindfulness, while si-

multaneously listening our bodies’ needs and giving them the appropriate nutrition to function at its highest capacity throughout the day.

Pros: Cuts out excess sugar & sodium Includes more fruit & vegetable Regulates blood pressure Contributes to weight loss Helps prevent type 2 diabetes Increases energy, brain function and protection of the blood-brain barrier and gut barrier Daily detox for organs within the body system Cons: Excludes whole grains, legumes and dairy Exceeds dietary guidelines for daily fat and protein intake Reduction in carbohydrate intake By eliminating whole grains and dairy, you inadvertently decrease your fiber intake and increase the likelihood of developing colon cancer (Americans need more fiber!) Begs the question of portion control more so than focusing on nutrientrich foods

Expert Opinion With the Paleo diet, I know it is really popular within the crossfit population right now, and I think this is definitely more so than with other populations. I really think the basis of this diet, if we still lived in those times of our cavemen predecessors, would make sense. But it is really high-fat, high-density foods, which could be beneficial and, this is why I think that it is so popular within the crossfit communities with such intense workouts. But, it goes back to evolution. I have read a lot of research on archeologists who have studied all of these diets throughout time. I think one of the ideas of going on a Paleo diet would be like saying, ‘Oh, that is what our ancestors did, and that was the way that they survived, so why are we eating all of these processed foods now?’ However, our bodies have evolved to be able to digest and consume the foods that are out there now. We also do not even know how long these people in archaic times were living. So, it is really just hard to say, ‘The Paleo diet is the way to go.’ And, because it is a higher fat or could be a higher fat diet, that can have its own health concerns in and of itself, if you are not eating a balanced diet.


JUICING ‘DIET’ This trendy, but debatable “lose weight quick” diet is one in which the dieter detoxes the digestive system by drinking only juice throughout the day, for every meal. The dieter does so by: a.) Purchasing an expensive juicing machine b.) Buying raw fruits and vegetables in copious amounts c.) Cleaning, peeling and cutting fruits and vegetables d.) Combining all of the above ingredients into a juicer to maximize the enzymes from the fruits and/ or vegetables

Expert Opinion I am not very happy with the juicing diet that is going on right now. I think it is a little ridiculous. One being that I am an eating disorder dietician, and I kind of think everything about this leads to a lot of disordered thoughts. It could be a really dangerous thing to do that could lead to disordered eating or eating disorders. The function of just chewing sends signals to your brain to tell you, ‘OK, I am eating and swallowing, and I am getting this nourishment.’ Then, this sends signals to your brain telling you, ‘OK, I am ready to stop eating.’ It is that biological function that you are essentially skipping, because you are just drinking something. And then, a lot of times with juicing, you are missing the fiber of eating the whole food and just drinking juice. And sure, you may be getting a lot of vitamins, minerals and nutrients, which is great. But then, if that is your whole diet, where is the protein? The sugar levels are so high that I cannot even imagine feeling satisfied just from juice. It is low satiety, which leads to craving protein, carbohydrates and all other macronutrients that your body needs to function efficiently.

While this may seem ideal, drinking ones’ calories all day, everyday has significant drawbacks. For one, the mouth contains muscles, which, if not used, begin to deteriorate. Contrary to popular belief, another common problem is the loss of fiber, rather than the increase of it. Skin on apples, for example, must be removed to properly obtain the juice and not clog the blender. The same is true for cucumbers. The main hindrance is the loss of fiber, followed by incessant hunger pangs, due to hormones not being released from salivary glands because of the lack of chewing solid foods. Not unlike the Atkin’s diet, water weight is the first to go, tricking the dieter into thinking that the juice cleanse is working. Since the body is made up of over 70 percent water, what you are really seeing and experiencing is your once-plump tissues deflating, causing the illusion of weight loss. However, once the cleanse is over, the body swells. This is due to the tissues that are reabsorbing the lost nutrients. For this reason alone, juice diets, and diets of all kinds, should be avoided. Pros: Cleanse the body of harmful toxins caused by processed foods, chemicals in the air, etc. Immediate boost of enzymes (protein) to the bloodstream, giving you a burst of energy Unlike caffeine, the boost does not spike then crash. The boost is more consistent, and your body and blood notice this difference Effective for a post-workout snack when the body’s energy needs to replenish itself of nutrients, such as vitamins and minerals that are depleted Great to have first thing in the morning! Cons: Diabetes (both types) may be affected by surges of fructose (fruit sugars) and cellulose (plant sugars) Citrus acids, specifically grapefruit and grapefruit juice, may negatively “interact” with medications for cholesterol The only types of food ingested are fruits, vegetables, some seeds and nuts Irritable and angry mood swings/outbursts; lethargic for a minimum of 72 hours, due to water loss


NUTRITION

Expert Opinion I know that within the whole vegan and vegetarian community this lifestyle is more popular. There is always that risk of foodborne illnesses from under cooking, especially with meat and dairy products, if it is unpasteurized. To that extreme of eating raw meat, it is pretty intense. I would not recommend it. The concept of not cooking food beyond 118 degrees is one in which you do not necessarily overcook foods, rather after a certain point, you lose a lot of the nutrients, because the heat breaks them down. The proteins denature and renders them useless. Just like the other diets, I do not prefer that word at all, I think compared to paleo and juicing, the raw food diet could work. I have a dietician friend of mine who can do it really well. She is obviously a dietician, does not have any disordered eating and she gets a good balance, which I think is why it is workable for her. But, do I necessarily think it will outweigh more benefits than just a regular balanced diet that is not necessarily 100 percent raw? No, probably not.

Expert Opinion: Christina Moreno, RD, LD Program Dietitian at Cedar Springs Austin Christina Moreno received her Bachelor of Science degree in Nutrition from The University of Texas at Austin and completed her Dietetic Internship through The University of Texas Coordinated Program in Dietetics. Christina's internship experience included clinical nutrition at Brackenridge Hospital and specialty rotations with Dell Children's Hospital, Texas NeuroRahab Center, Whole Foods and Cedar Springs Austin. As a dancer of 20+ years, Christina understands the importance of mind0body awareness and how a balanced diet plays a role in optimal daily performance. Christina is currently a member of the Academy of Nutrition and Dietetics, the Austin Academy of Nutrition and Dietetics and the Behavioral Health Nutrition dietetic practice group.

RAW ‘DIET’ Consists of raw, typically uncooked foods, and if they are cooked they should not be above 118 degrees Fahrenheit. May include raw fruits, vegetables, nuts, seeds, eggs, fish, meat and unpasteurized dairy products (i.e. raw milk). May include Kefir and Sauerkraut Raw veganism ◆ Unprocessed, raw plant foods not heated above 118 degrees Fahrenheit ◆ Raw vegans believe that if food is cooked above this temperature, enzymes (essential proteins and nutrients) within the food denature (break apart), rendering the nutritious value of the food useless, and it may in fact do more harm than good by leaving toxins behind Raw vegetarianism ◆ Excludes meat, fish and poultry ◆ Allows dairy and eggs (optional, at individual’s discretion) ◆ Foodstuffs included in this diet: fruit, vegetables, sprouts, nuts, seeds, grains, legumes, dairy, eggs and honey Raw animal food ◆ Any food eaten raw, uncooked, unprocessed raw muscle-meats/organ meats/eggs, raw dairy, aged eggs, fermented meat, shellfish and kefir ◆ NO RAW GRAINS, beans and soy ◆ Believe in grass-fed meats and wild game versus grain-fed meats Pros: ◆ Listening to ones’ body ◆ Only eating raw foods is a natural cleanse to both the GI tract and digestive system ◆ Promotes good health, especially with increased uptake of protein ◆ Healthy hair, skin, nails and teeth and oral health ◆ Clears up acne (no added chemicals) ◆ Encourages creativity in the kitchen Cons: ◆ Probability of consuming raw, uncooked meat, potentially making one ill (i.e. salmonella poisoning) ◆ Foodborne illnesses, such as: E. coli (found in undercooked beef, raw milk (think unpasteurized), juice and contaminated water), Campylobacter jejuni (found in raw chicken breasts), Listeria, Vibrio, Toxoplasma and Norovirus


VEGAN/VEGETARIAN ‘DIETS’

Q: If you had to choose between vegan and vegetarian, which one do you think is the better choice?

The key to living a healthy vegan or vegetarian lifestyle is to keep an open mind within the limitations of your diet. A vegan and vegetarian diet consists of consuming plants, fruits, whole grains, beans, peas, lentils, soy, nuts, seeds, herbs, spices and plant oils, which includes eggs and dairy as options, according to the vegan/vegetarian diet pyramid. According to Mayo Clinic, when people think of a vegetarian diet, they typically think it is one that does not include meat, poultry or fish. But, vegan and vegetarian diets vary in the array of foods that are included and excluded: ◆ Lacto-vegetarian diets exclude meat, fish, poultry and eggs, as well as foods that may contain them (soups or processed/prepackaged foods). Dairy products, such as milk, cheese, yogurt and butter are included. ◆ Lacto-ovo vegetarian diets exclude meat, fish and poultry but allow for dairy products and eggs. ◆ Ovo-vegetarian diets exclude meat, poultry, seafood and dairy products, but allow eggs. ◆ Vegan diets exclude meat, poultry, fish, eggs and dairy products — and foods that contain these products. Pros: Listening to one’s body Lower disease rates, such as: cancer, high blood pressure and heart disease, and it also lowers BMI and the risk of hypothyroid disease Assorted, moderate, balanced and varied food products (following USDA guidelines for any healthful and nutrient-rich diet) Increased intake of wholesome foods * Note: ADA approves vegetarian diets, even during pregnancy. It may be nutritionally adequate. Evidence proves that an increase in infant health is a direct result of the mother following a vegetarian-conscious lifestyle Cons: Limited food sources of protein from meat—tofu contains protein Depending on the specific diet followed, necessary nutrients need supplements in pill form (ingestion of chemicals not naturally occurring in the body) Lack of calcium (Calcium supports bone health and prevents early onset of osteoporosis) Iron stores deplete (Women need two times as much iron with this diet, due to the loss of blood each month from their menstrual cycle. This also poses a problem throughout pregnancy, as the fetus is absorbing all of the provided iron, so it needs to be replenished) Iodine, necessary for thyroid function (1/4 tbsp. iodized salt ought to reverse the imbalance) Lack of vitamins B12, D and zinc (supplements can be taken to boost these vitamin and macronutrient levels)

A: Easily vegetarian, just because vegan is so much more strict. Not that it is impossible, either. But, especially since I work with an eating disorder population, I feel like you go through all of these phases saying, ‘Oh, I am going to go Paleo and now juicing.’ You keep eliminating food groups until you are barely able to eat anything. And I think in the greater scheme of things, being vegan, unless the whole diet is done appropriately with supervision of a dietician, which I would recommend, it is hard to meet all of your bodies’ needs. Consuming iron is really difficult when you are not having animal products, which contains all of the other nutrients that are necessary for overall health and wellness. So, living a vegetarian lifestyle gives you a little more wiggle room— obviously there are all of the different classifications, but you can eat eggs, milk, yogurt and fish—all of those things that would be eliminated on a strictly vegan diet. So, definitely vegetarian is a little more workable. I always question if it is not for a religious reason or something like that—why are you doing it?


NUTRITION

Expert Opinion Q: Is this similar to juicing, in the sense where you drop weight quickly, but the weight that is being dropped is water weight, which is being extracted from all of your cells and tissues? A: Definitely. If you are eating gluten-free products and other stuff like that, then you are probably still getting your carbohydrate needs met, but if you are saying, ‘I am going to go gluten-free, and you do not substitute those products, then you are probably just getting your carbs from fruits and veggies and foods like that.’ So, like you said, you have that weight loss, because you start losing your lean muscle mass. This makes it harder to be broken down and converted to make up for that loss in carbohydrates. And then you go into ketosis. It is a hot mess.

Gluten-free Diet Q: What is your opinion on the Glutenfree diet? First, with respect to celiac disease, but then non-celiac and also just the gluten-free fad that is going on right now. A: In respect to celiac disease, I mean gluten-free really has to be the way to go if you have been diagnosed by a physician. As for celiac disease, being gluten-free is really important. It can be to the extreme, with celiac, to where you cannot even use the same toaster as your parent or whomever you live with, because any cross-contamination of gluten really flares up the whole GI tract. It gets irritated and can be a really big deal. So, for people that are diagnosed with celiac definitely hands down, gluten-free is the way to go. Now, for people on this fad diet, to me it really just sounds kind of like an Atkin’s diet in a way, like “oh, I am going to go gluten-free.’ But, what you are cutting out with gluten is carbohydrates, essentially. Unless you are going to eat gluten-free foods. But, I do not really think that it is serving a purpose. This one is kind of tricky, because some people do report that they feel better and have more energy, so I kind of get mixed reviews for this one. However, I always go back to the evidence: if you are not diagnosed with celiac disease, then why? There has not been any legitimate studies done that show how anyone following a gluten-free diet will gain x, y and z benefits. Those who think they have a gluten allergy should consult their doctor before embarking on this diet, as it is not for everyone. To put it plainly, gluten-free is a diet eliminating foods with gluten. Gluten is a type of protein found in wheat, barley and rye, excluding rice and corn. A gluten-free diet is the only medically accepted treatment for celiac disease, an adverse autoimmune reaction to gluten within the small intestine. Typical

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symptoms include: ◆ Malabsorption (difficulty absorbing nutrients from food), which leads to malnutrition ◆ Gluten-sensitive enteropathy (celiac disease) ◆ Bloating ◆ Fatigue ◆ Constipation and diarrhea ◆ Attacks the stomach lining, which is supposed to protect your organs, and ends up destroying the body from the inside out Pros: Helps reduce symptoms of IBS, foggy brain, aches and pains Directly helps those suffering from celiac disease, treating symptoms by changing eating habits Increase in protein and beneficial, energy-dense fats, such as almond butter (polyunsaturated fat aiding with absorption of fat-soluble vitamins) Those with celiac disease cure the intestinal problems by following a gluten-free diet Cons: Significant reduction in fiber intake May be difficult to shop and plan for, which can be discouraging to most people when starting this process Labels on processed/boxed foods may be misleading (think cheerios, chips and anything saying “gluten-free”) everywhere and in almost everything, including frozen foods (pizza and vegetables), certain medications and flavoring agents Similar to eating kosher, people with celiac disease or gluten sensitivity must use different appliances altogether as the tiniest morsel can upset their small intestine lining (i.e. different toasters). Fiber and vitamin/mineral (micronutrient) intake is significantly reduced


A New Lease on Life

One man’s story of a life changing illness

cott Crossett, family man and business owner, discusses with {Austin MD} his experiences with a health crisis and gives insight into a cause some may not consider. Scott, owner of Apple Leasing, a local vehicle leasing company that has been in business for more than 25 years, lived with hepatitis C but unbeknownst to him was the damage it was doing to his liver. Scott explains that many the hepatitis C live their lives without complication, but when he suddenly came down with a terrible stomach bug in May 2007, the damage to the liver was beyond treatment and he was told he would have to have a liver transplant. This was the beginning to a long journey he and his family would face to get Scott’s health back.

bad, he was finally added to the transplant list. The donated organ must meet specifications to the patient, including blood type and size, to be used in a transplant procedure. Being on the list, however, does not guarantee that a transplant will be available in time. In fact, approximately 18 people die each day because of the drastic organ shortage.

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By Lauren Bolado PHOTOGRAPHY BY TODD WHITE

The situation changed frequently, with Scott’s health going from stable to life threatening frequently, worrying his family. They knew time was of the essence so they began calling Baylor Health Care System to get Scott admitted. It took time to get him admitted, but finally they were one step closer to getting Scott back to health when he was airlifted to Baylor in Dallas. It was a tough time for the family, but finally a miracle happened- there was a liver for Scott. After a long night of drawing blood and doing tests, on January 27 he received his transplant.

According to the Texas Organ Sharing Alliance, one person’s donation can save up to EIGHT LIVES

It took many months of visiting to doctors to get the full understanding of what would need to happen in order to get a transplant, meanwhile Scott’s health deteriorated slowly but surely. Scott endured many painful trips to the ER before his symptoms were so


There are always worries with transplants that the body will reject the new organ, but in Scott’s case the surgery went well and his body accepted the new liver. After his six month long recovery, Scott says life returned to normal. He has cut drinking alcohol out of his life, and now five years after his transplant Scott says his lifestyle is very active and healthy.

to educate Central Texans about organ donation. He says he’s not sure if the fundraisers provide any extra business for Apple Leasing but, “I don’t do it to help my business, I do it for Donate Life. It’s the cause of my choice, and I want to help.”

Scott says transplants are something he never put much thought into prior to his health scare. “I was indifferent because it didn’t affect me. But when I knew I would need a transplant, I started looking into the subject- how it saves people’s lives.” The transplant changed Scott’s life, giving him a chance to live his life and opening his eyes to a cause he had never considered. “[Organ donation] is the greatest gift you can give. It saves lives,” Scott says. According to the Texas Organ Sharing Alliance, one person’s donation can save up to eight lives. TOSA’s mission is to educate Central and South Texans about the importance of being a registered donor. All Texans are encouraged to register their decision to save lives at www.DonateLifeTexas.org. Scott now supports the cause of increasing awareness of the benefits of organ donation. Apple Leasing, Scott’s vehicle leasing and pre-owned car lot, does fundraisers to support the organ donation cause. Such fundraisers include donations for new likes on Apple Leasing’s facebook page (www.facebook.com/AppleLeasing) given to Donate Life Texas. Apple Leasing was also a sponsor of the 5th Annual Horn Celebrity Golf Classic, which benefitted Donate Life Texas. Apple Leasing has given $10,000 to Donate Life Texas this year alone. Scott says the donations to the non-profit are used

[For more information on TOSA:] Visit TOSA at www.txorgansharing.org. More information on Donate Life Texas can be found at www.donatelifetexas.org. Making the car buying and leasing experience as easy and stress free as possible is the main priority for the company. At Apple Leasing, you can find a lease with the best service and price, as well as offlease vehicles that can be purchased at a great price. Scott Crossett and the Apple Leasing staff can get you a lease for any make and model, and ultimately satisfy all of your vehicle leasing and purchasing needs. Apple Leasing has two locations in Austin, including a leasing center at 12205 Hunters Chase and a pre-owned lot at 12205 Hunters Chase. Visit Apple Leasing’s website, www.appleleasing.com, or call (512) 371-6070.


TKTKTKT NUTRITION

AN OUNCE OF PREVENTION... Chinese Medicine Comes Through

M

any of us take our health for granted until we develop a problem. If it is a serious problem, it usually means that there has been some significant damage to our health already. To address the problem, we turn to our doctors, expensive medications, surgery or even hospitalization. When we let the situation deteriorate to this degree, it is more challenging to bring the body back into a state of balance. However, if we pay even moderate attention to our health, by taking some advisory preventative steps, we can avoid many serious problems altogether. This is the approach of Traditional Chinese Medicine (TCM). TCM is a natural healing system that has been used in China for thousands of years and is gaining more acceptance in the Western world. It includes various forms of herbal medicine, acupuncture, massage, exercise and dietary therapy. Although TCM can be effective when we already have a health problem or disease, it strongly encourages us to not wait until we have a health issue before taking action. The main emphasis and strengths of TCM are twofold: overall management of our health and prevention. If we do not take preventive steps, even the strongest of us can become ill.

Hypothyroidism — a spleen energy deficiency — is a condition where the thyroid gland does not produce enough thyroid in TCM. The spleen in TCM is related to the thyroid gland. Many more women than men tend to have this problem, which can eventually lead to hypothyroidism. For example, after a woman has a baby, she can easily develop a spleen energy deficiency, which often manifests as anemia, due to a lack of proper nutrition education for a full recovery. TCM physicians can usually predict many years in advance when someone will likely end up with hypothyroidism. There are a number of signs that point to this. Early warning signs of future hypothyroidism: • Slow and deep pulse, weak pulse, or a slow and weak pulse • Sleeping eight hours or more at night but still feeling tired in the morning • Very low body temperature • Low blood pressure when young • Slow bowel movement, loose bowels or constipation • Blood sugar tends to easily drop too low • Usually either overweight or skinny • Slow digestion

What is prevention? Prevention means not only taking steps to manage our health but also to bring small imbalances back into balance before they manifest as health problems. It means averting the danger before it arises. In those situations where we need to undergo surgery or other medical treatments, TCM can help to prevent health problems from arising again so we do not have to continue returning to the hospital. It can show us how to stay healthy for as long as possible. Let us take an example of a common health condition and how we can take steps to try and prevent it - hypothyroidism.

I

• White spots on the skin of the forearm or lower leg

N THOSE SITUATIONS WHERE WE NEED TO UNDERGO SURGERY OR OTHER MEDICAL TREATMENTS, TCM CAN HELP PRECENT HEALTH PROBLEMS FROM ARISING AGAIN SO WE DO NOT HAVE TO CONTINUE RETURNING TO THE HOSPITAL.


In Western medicine, these early warning signs indicate a “slow metabolism.” TCM is adept at detecting the underlying condition well in advance of acute symptoms. Once we see the predisposing signs, we can prescribe acupuncture, although only a few sessions are needed. We then recommend herbs that the patient can take as needed when the spleen meridian energy drops too low. The thyroid hormone is regulated as needed by taking the herbs. The herbs are designed to tonify (bring energy to) the thyroid and to prevent the thyroid hormone from dropping too low. Since the patient takes the herbs only when they need them, and not on the days they have little stress or no noticeable symptoms, no further imbalance is created.

The more often these symptoms occur, the more additional symptoms may appear — such as acid reflux, constipation or loose bowels — and the closer the person will become to getting hypothyroidism. However, the herbs are designed to fix this problem within one or two weeks. If these symptoms are ignored, and the spleen energy becomes even more deficient within a year, the patient may become allergic to certain foods. If they continue to do nothing, they are likely to develop more food allergies. Af-

How can the patient tell when their spleen meridian energy drops too low?

ter about three years, they can become allergic to as many as ten foods.

• They feel frustrated or angry

In TCM, the spleen is related to digestion. If the diges-

• They have low energy

tion is weak and foods are not being digested well, then

• They keep bumping into things (since energy is low they cannot accurately gage the distance)

the patient can develop these allergies. One of my patients

• They feel sensitivity or pain on the sides and top of the head when combing their hair

became allergic to everything but cucumber and lettuce.

• Their memory gets worse - e.g. they do not remember where they put their phone or keys

Now, with Chinese Medicine and herbs, she can eat most

(this can happen even when they are young)

foods again.

• Their vision gets blurry • Food sits in their stomach for too long • They crave sugar

Another problem arises if the imbalances remain long term. After about ten years, a person can develop a blood sugar imbalance. When the blood glucose level is imbalanced, the person can feel hungry, frustrated, low in energy and may crave sugar. They can also experience sweat-

How to manage a spleen deficiency through exercise:

ing and blurred vision and have a tendency to be irritable.

How to manage a spleen energy deficiency

If you have a spleen energy deficiency, not all forms of exercise are good for you. For example, walking is not that helpful. Why? According to TCM, a spleen energy deficiency is caused by stress and a busy mind. When the mind is too busy, it can “hurt” the spleen and stomach — like overworking an engine. People who do a lot of mental work, or who have a “busy mind,” often find they cannot turn their brain off, even at night. When they walk for exercise, they still tend to think about their job and their worries. As a result, TCM recommends other types of exercise for these people, such as tennis, swimming, racquetball, football, soccer, yoga, tai chi and Fit-150® (an exercise program specifically designed to help with metabolic issues). These exercises have people focus on movement or the game, rather than mulling over their worries or work. People have a greater chance of turning off their minds and correcting the habit of a chronically “busy mind” by doing this. According to TCM, other excessive emotions can hurt other organs. For instance, too much anger can hurt the liver and gallbladder. Excessive fear can hurt the kidneys and bladder. Too much sadness or grief can negatively affect the lungs and colon and too much excitement can damage the heart. The general theory and philosophy of Traditional Chinese Medicine emphasizes prevention and overall management of hwealth. Again, by paying even moderate attention to proper diet and exercise, we can help prevent conditions such as a spleen energy deficiency from becoming hypothyroidism. Do not wait until you get a lab report telling you that your thyroid is too low and then have to take medication for the rest of your life. It is much easier on your body to follow the guidelines here for proper diet and exercise to avoid these problems. An ounce of prevention is truly worth a pound of cure!

through diet: • Reduce raw foods • Reduce cold foods including ice cream and iced drinks • Eat more cooked foods • Eat foods that tonify the spleen qi (i.e., bring energy to). These foods include brown rice rather than white rice, yellow vegetables, ginger, cinnamon, mustard, pepper, jalapeno (not too much), cilantro, arugula, garlic or spicy and pungent foods. If you have a spleen energy deficiency, these foods will help strengthen your spleen energy and support the thyroid gland.

To learn more or to schedule an appointment, visit www. austinnaturalhealingcenter.com, call (512) 306-0535 or stop by the Natural Healing Center at 3701 Bee Caves Rd., Suite 102.


BOOKS TKTKTKT

THE WRIGHT CHOICE Doctor’s new book serves up prescriptions for healthy eating, modern fitness and saving money

BY JAIME NETZER

Dr. Wright brings in expert chefs to help him with the recipes

I

t takes a brave author to advise his readers to actually put down the book they are reading, but in The Wright Choice, Dr. Randall Wright does just that. In addition to countless other bits of wisdom, the book is peppered with Exercise Break! sections, which are simply friendly reminders to get up and get moving. The American Heart Association recommends a minimum of 30 minutes of exercise daily, and so too does Dr. Wright.

because not only is it stuffed with expert advice on eating well, getting the exercise you need and saving money, but it is also written in a friendly, lighthearted tone so that even the toughest advice—you mean the average deli-cut turkey is way too high in sodium to be eating?—is delivered in such a way that you cannot help but smile. Dr. Wright talks about the deli sandwich conundrum: “Solution: low-sodium, low-fat packages of meat. As Rafiki says in The Lion King, ‘Look haaaarder.’ You can find healthy alternatives.”

However, you might have trouble putting down the book,

THE BOOK IS DIVIDED INTO THREE MAIN SECTIONS, ALL OF WHICH ARE WRITTEN IN THIS ACCESSIBLE, OFTEN LAUGHOUT-LOUD MANNER:

1.

Creating a Vision for Good Health

2.

Understanding What Makes You Healthy

3.

Dr. Wright’s Prescription for Busy Families on the Go


BOOKS

DR. WRIGHT BRINGS IN EXPERT CHEFS TO HELP HIM WITH THE RECIPES

O

ne of Austin MD’s favorite sections in the book is the inclusion of 50 Recipes to Feed Your Family. Think Cherry Oatmeal or Homemade Power Bars for breakfast, Tuna Wraps and Not Your Momma’s BLT for lunch (Beets, Leeks and Tofu!) and Almost Meatless Chili and Jasmine Jambalaya for dinner. Dr. Wright brings in expert chefs to help him with the recipes, but he comes to all of the health advice in the book quite naturally. Practicing medicine since 2003, Dr. Wright has devoted his life to bringing awareness to preventative medicine, and he recognizes that many of the diseases we suffer from, including heart disease, stroke, type 2 diabetes and obesity, result in part from poor lifestyle choices.

Dr. Wright has spent many years volunteering his time to help raise money to change the way communities eat. For example, in Houston he was instrumental in designing a plan for developing a community garden in an inner city school. Now, with this book, Dr. Wright has moved from simply helping to raise money and awareness of the conditions that affect our community, to actually invoking that change he wishes to see himself.

ABOUT DR. WRIGHT BY JAIME NETZER

DR. WRIGHT HAS DEVOTED HIS LIFE TO BRINGING AWARENESS TO PREVENTATIVE MEDICINE

Mischer Neurological Institute. Dr. Wright is also a passionate volunteer and community leader. He has been active in many regional and national roles with the American Heart Association, helping to raise more than $100,000 for research in cardiovascular disease and

Leadership and community service are the cornerstones of Dr. Wright’s

stroke with AHA’s Montgomery chapter. While Dr. Wright has worked tirelessly

personal and professional life. He currently works as a Neurologist at the Mischer

to raise the awareness of stroke in the community, he has also reached out to other

Neurological Institute in the Woodlands, Texas, and has served as both the Medical

causes, like the Class of Leadership Houston program, where he was instrumental

Director of the Neurovascular Institute at Conroe Regional Medical Center as well

in designing a plan for developing a community garden in an inner city school.

as the Medical director of the Health South Rehabilitation Hospital Stroke Unit,

All of the aforementioned activities were only the foreshadowing or perhaps

in the Woodlands. His journey to be a Neurologist started with a question: As a

the training ground for Dr. Wright’s current work. His book, The Wright Choice,

child, he wondered about the nature of man’s logic and source of human intellect.

is just the beginning—he has also developed a comprehensive lifestyle guidance

After earning a bachelor’s degree in physics at Xavier University in New

program that walks individuals toward long-term cardiovascular health, helping

Orleans, he studied medicine at Emory University School of Medicine, and completed his Neurology Residency at Baylor College of Medicine, where he served as Chief Resident his last year. Next came a two-year fellowship in Clinical Neurophysiology and Sleep Medicine. After completing his training, Dr. Wright joined the Sadler clinic in the Woodlands, TX. There he practiced general neurology with special interest in Epilepsy, Stroke, and Sleep Medicine for 7 years before being recruited to join the

them to live better and decrease their risk of heart disease and stroke.


EVENTS

CITIZEN GENERATION ANNUAL LIVE AUCTION PARTY On December 4th 2013, Citizen Generation gave away $50,000 to eight hardworking non-profits. All eight left with grants ranging from $3,000 to $12,500 which was determined prior to the event by online voting, funds for these grants were raised prior to the event at Citizen Generation's annual Live Auction.


A NIGHT OF GIVING DANGEROUSLY

Austin Children’s Shelter (ACS) brings

relief to families and victims of child abuse and neglect. A Night of Giving Dangerously was their fundraiser event last November which, between donations and auctions, raised over $1 million. A night with the Bondthemed charity casino and silhouetted dancers got many individuals in the spirit to make sizable contributions, up to $100,000 from one couple. One young woman who was helped by ACS as

a youth spoke about her abuse and struggles though childhood and how the foundation helped her to overcome those hardships. Overall, A Night of Giving Dangerously was an overwhelming success, far surpassing the fundraiser goal of $600,000. 65% of ACS’ annual budget comes from generous donations such as these. These funds will allow ACS continue to help kids who grew up with incredible hardships and who deserve assistance in reaching their full potential.


MY YACHT F1 CLUB

returned to

Ballet Austin for three nights of the Formula One weekend, Nov. 15 through 17. Teaming up

with

three-time

olympian

Nicholas

Frankl and his My Yacht Group the event featured sponsors included Patron Spirits,


VELVET CASINO AT THE BELMONT

For something a little different in year two of Austin's growing race history, fans and locals alike were taken back to the 50's at The Velvet Casino. Austin's newest event and media company, The Velvet Cartel, brought world famous DJ, A-Trak to The Belmont for a retro themed casino party. The night opened with a Frank Sinatra Tribute Band and featured hors d'oeuvres from Swift's Attic and charity casino gambling. Burlesque dancers performed throughout the night to round out this very unique and upscale event.

PHOTOGRAPHY BY ALISA LONGORIA FOR THE VELVET CARTEL


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FITNESS

FITTING FITNESS TO HIS AND HERS HOW GENDER CAN INFLUENCE YOUR FITNESS NEEDS SPECIAL CONTRIBUTION TO AUSTIN MD BY ADRIENNE GOODWIN, LMFT, LPC, CICPT, FITNESS PROGRAM COORDINATOR & STAFF

I

FLEXIBILITY

THERAPIST, CEDAR SPRINGS AUSTIN

t was not long ago that the world was left reeling as male ballplayers, actors and rockstars slowly crept out of the gyms and announced their appreciation for the more delicate varieties of fitness — yoga, Pilates and even ballet. From Michael Jordan to Mick Jagger, the big fish were in, and suddenly society began rejecting the notion that these were more feminine sports. It is important to consider the needs of our individual bodies when making decisions in regards to our exercise regimens. Ideal fitness plans need not only consider age, current body condition, injuries and individual goals, but also gender. Our gender plays an influential role in both fitness needs and health risks. Thus, from a preventative standpoint, it is ideal to construct a fitness plan that addresses these particular gender-correlated risks. This is not to suggest abandoning your favorite sport or family past time... or, heaven forbid, yogi discrimination. Instead, it is meant to offer a few ideas that can increase your body’s overall efficiency while preventing injury.

BONE HEALTH One important factor to keep in mind is bone health. Women’s bones are naturally at a higher risk for injury and degeneration than are men’s bones. Developing bone density while we are young, and protecting bones by building and maintaining muscle mass as we age needs to be a priority for womens’ fitness. Weight-bearing impact exercise is key to proper bone development and overall bone health. Examples of high-impact exercises include: dancing, jogging and tennis. Readers take heed: long-distance, highimpact exercise is more dangerous for women than men as wider hips increase the chance of injury. Low-impact exercises like walking, rebounding and elliptical training are also beneficial and become more appropriate than high-impact exercises as we age, especially for women. Maintaining a strength training routine as women age is a must and can be as simple as 15-30 minutes of light weights or resistance bands three times per week. If you prefer to do a little each day, for example, you can rotate muscle groups such as doing arms one day and legs the next.

As compared to women, men’s bones tend to retain strength even into old age; however, men’s flexibility fades as they lack the amount of estrogen that keeps women’s tendons more elastic. Yoga, Pilates or even a routine dynamic stretch session will retain mobility in men and reduce aches and pains as they age. It is precisely for this reason that men tend to require stretch-inducing exercises like yoga even though they can can initially be more challenging for them.

IT IS IDEAL TO CONSTRUCT A FITNESS PLAN THAT ADDRESSES THESE PARTICULAR GENDER CORRELATED RISKS


INJURY Statistically speaking, female athletes are at a higher risk for injury. This involves a number of biological components, a major one being the aforementioned fact that their bodies are more elastic and flexible than male’s bodies. While this is advantageous from a reproductive perspective, it also renders females more vulnerable as loose supporting tissue creates instability, leaving more room for injury. This is yet one more data point highlighting the importance of strength training for women.

HEART HEALTH While it is important for everyone to work on aerobic fitness, flexibility and strength, men, statistically speaking, are at a higher risk of heart disease earlier in life. Therefore, low-impact cardio exercises like biking or swimming can serve as an excellent preventative activity. This would also suggest, of course, that low-impact physical activity would benefit a woman with a genetic heritage including heart disease. This leads back to the point that gender is just one of the many factors to consider in finding your fitting fitness plan in addition to healthy food choices — all important aspects that must not be overlooked in managing your overall fitness and gender regimen.

FOR MORE INFO: If you would like more information about eating disorders, or to schedule an assessment at no cost, please visit www.cedarspringsaustin.com, call (512) 7322400 or (877) 755-2244 to speak with a member of the Cedar Springs Austin staff.


GET FIT IN 2014 SPECIAL CONTRIBUTION TO AUSTIN MD BY BODY BY FRAME FITNESS PHOTOGRAPHY BY WINSTON T. LACKEY

When it comes to fitness,

men and women often prefer different methods. The effects of exercise are mostly the same, however our goals are usually different for working out. The truth is that men and women can perform the same workout. In particular, strength training is a great way to get lean for both sexes. It is the way in which one goes about doing them that allows for each one to create routines specifically targeted to their needs. This can be done by varying resistance, intensity, compound movements and repetitions.

Women vs. Men workout variables: Strength training can be done without “bulking� by using a challenging weight, pairing particular exercises, adding in cardio movements and performing a range of repetitions. Changing some variables on stance, grip and engagement can also affect the sculpting by gender. In reality, the benefits of strength training are the same for women and men: they increase lean body mass, metabolism, bone density and decrease body fat. Overall, men and women can train similarly with some simple variations. Most of all, make the commitment to yourself, your goal and your plan to be a leaner and stronger woman or man!

Make the commitment to yourself, your goal and your plan to be a leaner and stronger woman or man

Key tips to getting lean and strong: Stick to perfecting the basic compound exercises and vary equipment Lift by challenging free weights, and try to lift heavier weights each week Make your cardio intervals fun and challenging Implement a healthy nutrition program to support your fitness goals


Total Body Conditioning

Women

Men

SQUAT TO OVERHEAD PRESS

(BB, db, KB) 4x10 reps/rest 30 sec

Front squat to overhead press(BB) 4x5 reps/rest 60 sec.

PUSH/PULL

Horizontal pull ups/push ups 4x10 reps/rest 30secs

Strict pull ups/decline push ups 4x10 reps rest 60sec

DB walking lunges/DB deadlifts 3x12 rest 30sec.

BB walking lunges/ BB deadlifts 3x10 sec

SIT-UPS

bodyweight sit ups 3x20

weighted sit ups 3x12-15

3-4 sets of 10-15

3-4 sets of 5-12 reps,

NOTES

reps, with a challenging

with challenging weight

weight per the reps

per the reps

LUNGES/ DEADLIFTS

FOR MORE INFO: Visit www.bodybyframe.com, call (512) 402-2554, or stop by 6709 Burnet Lane in Austin to learn how Frame can help you customize and achieve your fitness goals.


TKTKTKT BEAUTY

RESOLUTIONS FOR THE NEW YEAR GET GLOWING IN 2014 BY DR. SHIRAT LING

It is that time of year again‌time for (gasp!) New Year’s resolutions. But, before you go make some lofty goals that you might abandon in a month, give yourself the best chance of success.

Let us first review the characteristics of effective goals: Challenging. Your goals should be realistic and suited to your present capabilities.You are not going to be able to run a marathon in a month if you are currently a couch potato. However, goals should also push you to extend yourself beyond where you already are. Create small, progressive steps to achieve your ultimate, long-term goal.

Time-limited. Create deadlines, due dates and payoff schedules for mini-goals as well as the ultimate goal.

Attainable. Make sure you have the skills, tools and resources to achieve all of your goals, even the mini ones.

Positive. Frame it in positive terms, such as eating nutrient-rich foods instead of avoiding junk foods.

Flexible.

Have a back up

plan if you run into stumbling blocks, so you do not just completely abandon your goal.

Specific. Your ultimate goal must be specific, concrete and measurable in real-life terms. That means you should keep a diary, analyze your behavior and create some specific changes within your current behavior to reach it. Goals should contain the whats, wheres, whos and whys.


Now that we have covered goal-setting parameters… Here are some suggested health and beauty resolutions to get you looking (and feeling) your best.

Drink More Water What is the attainable and specific goal? The trendy answer is half your bodyweight, in ounces, per day. So, if you weigh 100 lbs, you should be drinking 50 ounces of water per day. If you exercise, you should aim for closer to your body weight. If you drink coffee or other caffeinated beverages, tack on two cups of water for every cup of caffeinated beverage. If you consume alcoholic beverages, add two cups of water for every cup of alcohol. It may seem like quite a lot, but humans are supposed to be ¾ water…not Coke, lattes or wine. Your cells function better when they are nice and plump and have room to

move around and get their business done. That includes brain cells. The next time you feel the urge to self-medicate to make up for sluggish raisin-cell productivity, drink a tall glass of water instead. If you feel hungry, you are more likely to be thirsty, as your body will often mistake hunger for thirst. So, drink up…even if you add one additional cup a day per week, your body will eventually get used to it, decide to actually absorb the water and you will not feel the urge to constantly empty your bladder. Plus, you will get the added benefit of bright eyes, glowing skin, plump lips and a slimmer body.

Get Proper Sleep You want to have good, quality sleep. So, aim to get to bed earlier in the evening and wake up early in the morning. Your circadian rhythms work best that way. This is bad news for shift workers who work the graveyard shift, but you can emulate night by creating a cavelike environment in your bedroom. As for sleep hygiene, get into the habit of turning off electronics by a certain hour, to let your brain start the hibernation mode. Get your personal nighttime routine done and retire to your bedroom, which, incidentally, should not contain a TV or computer… just a nice, welcoming bed. For the beautysleep aspect, select a satin or silk pillowcase, as it does not grip your hair or skin. Nor does it create those vertical lines from facefolding during sidesleeping. All that pressure on your face also wears down those beautiful fat pads that keep

you youthful. Try to sleep on your back…place a pillow under your knees if you have lower back pain. Use a relatively flat pillow when on your back — a pillow tall enough to support your head when you sleep on your side, so you do not strain your neck. Sleep disturbances, such as using the restroom, can be minimized by avoiding water intake an hour prior to bedtime. Men, if you have had sleep interruptions, you may have prostate enlargement. So get your annual checks, and communicate with your physician if you have any changes in wakings, diameter of your urinary stream, difficulty with lovemaking, etc. You can also supplement with zinc to help the prostate along. If you have restless or crampy legs, take a magnesium supplement for a muscle relaxant.

GET YOUR GLOW ON Your skin will reflect your inner health, so be sure to follow steps one through three above. As for other beauty secrets…use a face brush to wash your face with every night. You may spend $200 on a Clarisonic, but just about any softbristled brush will do, even a nonbattery powered portable one. The brush acts to eliminate oil, makeup and debris from your pores, so it gives them a chance to reduce in size and give you babybutt skin. The brush also helps to exfoliate, a process which occurs less with age, leading to dull and ashy skin. Use a gentle facial cleanser with the brush that is appropriate for your skin type. Many people with acne tend to overdry their skin and think it is caused by too much dirt. But the skin gets too dry, then creates more oil to compensate…then a vicious cycle begins!

This happens to men as well, since they tend to have oily skin, which keeps them younger looking. They will often not use moisturizers because they think their skin is plenty oily, but their skin does need hydration as well. Simply select oilfree moisturizers and sunblock. You may need to change your skin care regimen with the seasons. Switch to a creamy cleanser from mid fall until spring. As for serums, lotions and potions: a good vitamin C serum is great to apply to the skin, prior to sunblock, every morning to combat the damage caused by the sun, especially during the commuting hours. This is where your skin is haplessly (continued on next page)

IMAGE FROM SHUTTERSTOCK

A U S T I N MD M A G A Z I N E . C O M

37


TKTKTKT BEAUTY

(continued)

Optimize Your Body Composition Weight loss is a rather nebulous term…you

want

to

differentiate

between fat loss and muscle loss.

quit. Then, when you stay consistent

Minimize starchy vegetables, like

after a few weeks, the fat layer will

potatoes

whittle down, and what you have

couscous or quinoa for rice, as

and

Substitute

Yoyo and trenddieters tend to

left is a beautiful weep of muscle.

they have a much higher content of

lose muscle, which is bad. The more

So, exercise consistently. Start with

protein and fiber. Substitute black

muscle mass you have, the better

15 minutes a day, then 15 minutes a

beans for refried beans. Ask for meat

our body can defend against injury,

couple times a day, then 30 minutes

to be served on a salad instead of a

illness, cancer, etc. The activity also

a day, etc. Just get moving. Add some

bun. Ask for dressing on the side, and

promotes bone growth, helps prevent

lunges to the end of your walks or

dip your salad into it for flavor. Eat

or even reverse osteoporosis and

while you are watching TV. If you

fruits high in antioxidants to fight

speeds up your metabolism…even

had to choose, work the big muscles

free radicals that cause damage to

with just bodyweight exercises.

— the legs, as they will require more

your DNA. Keep track of meals and

Women tend to shy away from

calories to maintain themselves

exercise on an app like MyFitnessPal.

weight training, as they often believe

(read: burn more calories at rest).

And, do not forget taking a good

they will become huge. This happens

You do not have to spend hours a

multivitamin, such as fish oil and

only if you are taking large amounts

day at the gym. The effort, even in

calcium citrate for women (look

of testosterone and doing the wrong

increments, adds up. Then, feed your

for EPA 1,000 mg or more daily,

kind of training. Granted, even with

muscles properly. Eat lean protein

which

moderate training, you will increase

or drink a protein shake within 30

on a cellular level. Heart disease,

in size initially, as the hard-earned

minutes of exercise. On a daily basis,

Parkinson’s, Alzheimer’s and other

muscle pushes the fat up and out.

reduce your intake of white foods

chronic diseases have been linked to

That may look a little dimpled; do not

(rice, bread, pasta), and stick to lean

inflammation).

be discouraged, and definitely do not

meats, fish and leafy vegetables.

helps

FOR MORE INFO: Shirat Ling, D.O., with Innate Beauty, personally performs all medical cosmetic procedures in her office on South First St., and has performed more than 7,000 ablative laser treatments. She has been in medical practice for 13 years; 9 of which she has spent performing medical cosmetic procedures. You may schedule a consultation or procedures online anytime at www.innatebeauty.com.

38

corn.

A U S T I N MD M A G A Z I N E . C O M

with

inflammation

being attacked by the sun, which is passing through the useless tint on the car windows. Those few minutes every day accumulate to skin damage in the form of wrinkles, brown spots and sagging skin. Compare the right and left sides of your face. Sunblock should be worn every day. Since we are in Texas, and little water droplets called clouds do not block the sun’s UV rays, select a sunblock with SPF 30 or more. Many sunblocks have micronized zinc or titanium, so they are not as zombifying as they used to be. Make sure you apply an ample amount. All sunblocks, including the waterproof ones, are good for only 80 minutes. So, reapply every hour if you are outdoors, and if you are indoors all day, apply before you leave the house (preferably by 30 minutes, so it has time to bind to your skin) and 30 minutes before you leave the office. Well, hopefully these few resolutions will help get you started to a healthier, younger you. Make your goals, stick to them and feel free to reward yourself for your efforts. Good luck in the new year!

YOUR SKIN WILL REFLECT YOUR INNER HEALTH


TTKTKTK HEALTH

Rose Bud ‘Potion’

Do your resolutions include a healthier and cleaner lifestyle? BY KATHLEENDELGRANDE

M

any herbal remedies can be extracted from a rose. It not only tastes and smells beautiful, but it also detoxifies your body. You can readily carry this ‘potion’ around with you in a mason jar during the day, serve it to your friends at a dinner party or keep it in your refrigerator when you need a refreshment. We found this recipe on the Healthful Pursuit website, where holistic nutritionists celebrate embracing our true selves and authentic living.

Detoxification is essential for your body so that it can flush out harmful toxins and chemicals. The reason our body benefits from detoxification, especially on a daily basis rather than a few times a year, is that it can aid in combating fatigue, digestive issues, anxiety and depression, muscle or joint pain, migraines and many other ailments we may have due to chemicals we ingest in our everyday life. This tea is vegan, gluten-free and dairy-free, and can be enjoyed hot, at room temperature or on ice.

INGREDIENTS 3 tbsp rose buds - make sure to use edible rose buds to avoid pesticides. You can find them at many health food or gourmet shops. 2 tbsp raw agave nectar or honey 2 tsp lemon juice 4 cups (1 liter) of hot water

HOW TO DO IT

Helpful tip: There are times when it is best

Place all of the ingredients in a glass bowl, 1 liter mason jar or a glass pitcher. Allow the mixture to steep for 10 minutes. Place a large bowl in the sink and strain the buds and lemon pieces out of the original bowl. Pour into glasses and serve.

not to boil water when making tea. When the water is too hot, it has a way of making almost any tea taste bitter. Bring the water to the point where air bubbles begin to rush to the top,

THIS RECIPE MAKES

4

CUPS.

seconds away from reaching its boiling point, then remove the water from the heat source.

http://www.healthfulpursuit.com/2011/02/rosy-love-potion/ A U S T I N MD M A G A Z I N E . C O M

39


TKTKTKT HEALTH

Stay Positive in 2014 It’s not what you can’t do in 2014, it’s what you can do! Special Contribution to Austin MD by Dr. Rogelio Trevino of WellMed Medical Group

T

he New Year is here, and for many people that

Think about it:

grass-fed beef comes

I am eager to get out with her and “work out,” even though

means making a promise to eat better, exercise

from cows on the range. Animals that are leaner

I consider it recreational exercise. So find something you

more and live healthier lifestyles.

and on the move are essentially healthier than those

enjoy, and make it an essential part of your fitness plan.

Those are plausible goals. And for some people, this will

be the year to finally shed some unwanted pounds or get into

animals that stand in a pen all day, ingested with cornmeal to fatten them up so they weigh more.

better shape.

Some of us need a little push to get going, but you do not necessarily need to hire a personal trainer. Go online and look

While you are exploring all the things you can

for a fitness app to download on your tablet or smartphone.

Many others will make an effort by joining a gym, buying

eat, I should caution you to keep in mind things you

Most of these apps tell us how many calories we are burning

home exercise equipment or going online to order the latest

should avoid. I talk a lot to my patients about staying

with certain exercises and everyday activities, such as raking

and greatest set of workout DVDs. But, if you visit the gym in

away from the three P’s:

the leaves, walking the dog, mowing the lawn or playing

January, you will see many faces have disappeared by the end

packaged, preserved and processed.

with our kids. They also help us see how many calories we

of February. At home, that exercise equipment sits quietly in a

are taking in with certain foods and drinks. Many of them

corner, barely used. Those workout DVDs . . . where did you put

Essentially, if it comes out of a box or is packaged

even list the caloric content found in our favorite restaurants

them exactly? They seem to have disappeared, along with the

(including, sadly, many of our favorite luncheon

or fast food meals. By logging your daily activities and

desire to do something about getting into shape.

meats) it is probably not something you should be

nutritional intake, you can better track your progress, maybe

eating regularly.

get yourself out of the February hump and committing to a

The problem is attitude – often we approach diet and fitness with the idea that we have to deny

year of becoming healthy. In my practice, I focus on the care of seniors ages

ourselves our favorite foods and do endless, grueling exercises.

65 and older, so there are a few special dietary tips

But that is the wrong attitude. Let us start with food.

for them to consider. The emphasis on fruits and vegetables are the same, but because we tend to lose

Do not focus on what you cannot eat, rather start exploring

muscle as we age, protein remains an essential part

what is available that you can eat. There is a lot of delicious,

of the diet. It is common to see seniors who wind up

nutritious food out there that we are simply not consuming.

in the hospital losing too much weight and becoming

There is not an unhealthy vegetable out there, so eat all you

unsteady when they return home, leading to the very

want! Vegetables should make up half of your plate during

real dangers of falling and possibly winding up back

meals.

in the hospital with a broken hip or fractured ribs.

Good luck, and Happy New Year! ABOUT Dr. Trevino

in fact, the vegetables and nutrient-rich side dishes should

The key to maintaining a good fitness regimen is finding some-

dominate. Do you get the recommended three to five servings

thing you enjoy doing and then following through

of vegetables a day, and one to three servings of fruit? If you

with it. I am an avid cyclist, and I love the sport in

Dr. Rogelio Trevino is lead physician at WellMed at Georgetown.

think about eating in these terms, you will not deny yourself

part because it affords me the opportunity to get out

He earned his Medical Degree from the University of Monterrey in

food. Rather, you will change what types of food you eat.

and explore the hill country. I have a daughter who is

Mexico and completed his residency with the UT Health Science

a toddler and she loves riding in the “trailer” I attach

Center Family Practice program in McAllen. He started practicing

If you are a red meat fan, consider looking for grass-fed,

to the back of the bike when she goes for rides with

medicine in Georgetown in 2009 after completing a prestigious

free-range beef, which is richer in heart-healthy omega-3

me. If it is a smooth trail she falls asleep, but when I

Geriatric Fellowship program at George Washington University.

fatty acids, versus corn-fed or hormone-supplemented beef.

go through the rough trail she is happy to be bumping

Too many of us think of meat as the star of the meal when,

along, laughing and screaming, “more, more!”

Do not focus on what you cannot eat and start

exploring what is available that you can eat 40

A U S T I N MD M A G A Z I N E . C O M

For more information Visit www.wellmedmedicalgroup.com or call (888) 781-WELL (9355)


TTKTKTK HEALTH

LET’S TALK ABOUT... Why getting intimate is good—and necessary—for your health BY JAIME NETZER

W

hen your parents talked to you

ability: the more variable your heart rate is, the

scriptions for more sex,” she says. “At least twice

about the birds and the bees,

healthier you are going to be,” Janosik says. And

per week.”

chances are they did not tell

what is more fun than to vary your heart rate with

you that having a healthy sex life could lower

a session between the sheets?

hours of shut-eye you so need, Swenson explains.

your blood pressure and lower your risk for heart attack, lessen pain, improve sleep or even possibly lower the likelihood of being diagnosed with prostate cancer. But turns out, getting busy regularly can do all of the above, and more. Austin MD spoke with area experts about the relationship between sex and your health, and we found

Regular sex can also help you get those eight

AND WHAT IS MORE FUN THAN TO VARY YOUR HEART RATE WITH A SESSION BETWEEN THE SHEETS?

“Regular sex is associated with better sleep,” she says. “It elevates prolactin [a hormone which helps produce breast milk and is usually at its highest levels during sleep], and by doing so helps with sleep.” It turns out, too, that another hormone is behind the biological reason why you feel closer and

that they are more intertwined than you might

more connected to your partner after intimate

suspect. Dr. Karen Swenson, an OB/GYN at Central

time together. “Oxytocin is released when one

Some of the benefits of sex are relatively ob-

Texas OB/GYN Associates, PLLC, echoes Janosik

has an orgasm, and this is the hormone of attach-

vious. Being intimate with a partner can soothe

on this point: “There is good data that supports

ment, which makes people feel closer,” Swenson

anxiety and stress, explains Sarah Janosik,

a lower heart attack rate in people who have sex

explains. You might have heard of oxytocin, she

founder and Clinical Director of the Relate Cen-

at least two times per week,” Swenson says. As

says, because women also release this hormone

ter in Austin and private practice counselor for

a doctor, Swenson says she often has conversa-

with breastfeeding, which provides the sense of

more than 20 years. Janosik, who specializes in

tions with her patients about sex. She considers

attachment between mother and child.

sex, intimacy and couples counseling, says that a

it a good form of exercise — “You expend around

healthy sex life is key to the longevity of a rela-

85 calories in 30 minutes” — and recommends

tionship. But, she also explains that sex has physi-

that her patients have between three and a half

cal benefits too. “If you look at the research on

to seven hours of exercise every week. Swenson is

who lives the longest and who has the healthiest

so confident in the benefits of sex that she treats

heart, they all have what’s called a heart-rate vari-

it like medicine: “I’ve been known to write pre-

THINK OF DESIRE AS ANOTHER MUSCLE.

A U S T I N MD M A G A Z I N E . C O M

41


HEALTH TKTKTKT

TAKE CHARGE OF

Let’s Talk About...(Continued)

E

ven if you are convinced about the health ben-

efits of sex, you might have other issues holding you back from the kind of sex life you want and deserve. Some of those pressures are societal and others come from within. Dr. Brad Kennington, Executive Director

in mast cell biology, a critical component of

Allergies, we have all been there.

allergic disease. Dr. Mery enjoys traveling, collecting artwork and spending time with his family during his spare time.

of Cedar Springs Austin, a day hospital specializing in

For those affected by allergies, winter

the care of anorexia, bulimia, binge eating and related

Coughing uncontrollably with a running

is a dreaded time of year. According

eating disorders, also has a private practice in North-

nose and itchy eyes. Over-the-counter

to Dr. Mery, each season comes with

west Austin. There, he provides relationship therapy to

medications can help, but they never

allergens, and those with allergy problems

individuals and couples. He explains that a healthy sex

seem to completely relieve the symptoms.

may be affected in different times of the

life must start with healthy body image: “It is important

A board certified allergist can help you

year due to their specific sensitivities. In

to be satisfied with your body before you can be satis-

determine

you

addition to allergens in the air, allergy

fied sexually,” Kennington says. “A healthy body image

and work with you to create a treatment

symptoms can also be caused by the food

is key. The goal is to be comfortable in your own skin

plan that will alleviate those pesky

you ingest or insects that may sting you.

when that’s all you’re in.”

symptoms and make you feel much better.

what

allergens

affect

Our expert, Dr. Amin Mery with Hill

Allergy

problems

can

be

quite

Other pressures can come from external sources, or

Country Allergy & Asthma, has provided

intrusive, as we all know. Allergy sufferers

concerns about what you might think everyone else is

{Austin MD} with information about

may experience, “nasal congestion, a

doing in bed. Janosik says that people often fall under

allergies and how to treat them. He received

cough, shortness of breath, itchy eyes,

the misconception that desire should come naturally

his bachelor’s degree from the University

runny nose, abdominal symptoms like

and be completely instinctive. Instead, she encourages

of Texas at Austin and completed his

bloating and diarrhea, itchy skin and

her clients to think of desire as yet another muscle. “De-

medical degree at the University of Texas

rashes,

sire is like anything else: you have to keep working at it,”

Health Science Center- San Antonio. After

system is involved,” Dr. Mery says.

Janosik says. “In the beginning, it’s natural and sponta-

completing a residency at Brackenridge

There are many factors that affect

neous, but after about three to five years that hormone

Hospital of Austin as part of the Austin

allergies: the weather, geographical location,

[called phenylethylamine, or PEA] wears off in women.”

Medical Education Program, Dr. Mery

specific susceptibilities, medications you are

completed his fellowship in adult and

taking, your immune system, hobbies and

Janosik says it is important not to get caught up in

pediatric allergy and immunology at the

lifestyle, to name a few. Some of these factors

what you think sex means. “You can be connected in

Brigham and Women’s Hospital, Harvard

are impossible to control like the weather;

a lot of different ways,” she says. “Maybe sex tonight is

Medical School, where he performed research

others, we can. Dr. Mery suggests avoiding

depending

on

which

organ

giving each other a massage or taking a bath together. If you have a sense of ‘we’re going to be connected in lots of different ways,’ that really helps you stay connected and keeps your sex life more interesting, too. It’s when we get caught in, ‘There’s a certain way to do sex, I have to have an orgasm, it has to be intercourse,’ that’s when we start getting limited.” All of our interviewed experts agreed: be open and honest with your partner, communicate your desires and lose the worry about what your sex life “should” look like. And then, get ready to reap the physical benefits and feel closer to your partner more so than ever before.

IMAGE FROM SHUTTERSTOCK


YOUR ALLERGIES IN 2014 TIPS FROM AN ALLERGY EXPERT

BY LAUREN BOLADO

to the allergens that affect you can be avoided or modified

asthma. It is best to prevent these infections, rather than

to reduce exposure. If avoiding triggers is an impractical

treat them. Nettie pots or other nasal rinses, Dr. Mery

approach to preventing allergy problems, medications

says, are a good way to clear out the sinuses at home to

and immunotherapy (better known as allergy shots or

prevent worsening infections. Also, this tactic works to

sublingual drops) can be a solution to allergy sufferers.

relieve some discomfort from nasal congestion. Over-

Immunotherapy is a more holistic long-term approach to

the-counter medications and nasal rinses are temporary

treating allergy related symptoms. With a great success

solutions, though. If allergy symptoms are ongoing and

rate, Dr. Mery explains this is many times the best option

disruptive, it is best to get a professional opinion to get

for those with an underlying illness that causes allergy

the relief you seek.

problems.

In a worst-case scenario, life threatening allergic

To help your body fight off allergens that invade your

reactions can occur such as anaphylaxis from insect

body, it is important to have a strong and healthy

stings or ingesting food one may be allergic to, such as

immune system. Measures should be taken to improve

peanuts, so it is important to monitor your allergies and

your overall health, in order to avoid severe allergy

be informed on risk factors.

problems. It is not recommended that you ignore your

“Many other types of healthcare providers attempt to

allergy symptoms, as these may get worse over time. In

treat allergies, such as chiropractors and other types

addition, what you are allergic to can always change.

of physicians, but do not treat it appropriately and/or

People with allergies may develop worse reactions over

comprehensively,” Dr. Mery says. “Proper identification

time, or become allergic to new things.

of triggers by a board certified allergist so they are

properly diagnosed and treated is very important.”

Allergic reactions can develop into serious

health problems like ear or sinus infections, even

[For More Info:] Dr. Amin Mery, a Texas native, is board certified by the American Board of Allergy and Immunology as well as the American Board of Internal Medicine, and he is a member of American Academy of Allergy, Asthma and Immunology, and the American College of Allergy, Asthma, and Immunology. For more information on Hill Country Allergy, visit www. hillcountryallergy.com.

“Proper identification of triggers by a board certified allergist so they are properly diagnosed and treated is very important.”


SPECIALISTS GUIDE

Austin MD Magazine's Specialists Guide to Health in the New Year!

THE INSTITUTE OF RECONSTRUCTIVE PLASTIC SURGERY OF CENTRAL TEXAS

W

Beyond Aesthetics & Into Complex Care BY JAIME NETZER, PHOTOGRAPHY BY WINSTON T. LACKEY The

Wound Care centers. No mathen you think of ter what you are being treated plastic surgery, for, rest assured that you are in what do you envision? A tummy skilled hands: the group’s 10 surtuck, or a nose reconstruction? geons are trained in multiple surWhat about advanced, highly disciplines, allowing them to technical wound care or breast Dr. Brent gical Engeland combine advanced techniques in cancer reconstruction? The truth both reconstructive and aesthetic is, plastic surgery encompasses surgery in order to treat all types a broader range of services than of diseases and injuries — both merely aesthetic or cosmetic prosimple and complex. cedures. And perhaps no place in Austin is a better example of Read on to learn more about this truth than the Institute of just a few examples of the InReconstructive Plastic Surgery of stitute’s extensive services. For Central Texas and its five highly more information or to schedspecialized plastic surgery cenule an appointment, visit: ters: the Hand, Breast, Advanced www.setonplasticsurgery.com. Facial Surgery, Plastic Surgery and

Breast Cancer Reconstruction

Center

oncologic care. Working

surgeons are skilled in

Breast

closely with the patient’s

microsurgical

breast

breast

reconstruction,

using

cancer

surgeon

a

before the lumpectomy,

woman’s own tissue to

Dr. Potter is able to plan

create whole and balanced

an

breasts. This tissue may

breast reconstruction and

come from several sites on

matching procedure for

a woman’s body, including

the unaffected breast. If

her abdomen (DIEP flap),

immediate reconstruction

buttocks

flap),

is not desired nor ideal,

thighs (TUG flap) and back

the Breast Center surgeons

(TDAP or latissimus flap).

have the advanced training

(SGAP

immediate

partial

to offer corrective surgery For women who choose partial

mastectomy,

after radiation as well.

or

lumpectomy, followed by

The

Institute

of

whole breast radiation, the

Reconstructive

group offers oncoplastic

Surgery team is committed

procedures at the time of

to

lumpectomy

greatly

to help find the best

patient’s

option for each woman

improve

the

to

working

together

The Institute of Reconstruc-

the patient’s individual needs.

overall cosmetic outcome,

diagnosed

tive Plastic Surgery of Central

Their foremost goal is treatment

without compromising her

cancer in the Austin area.

Texas uses a carefully individual-

of breast cancer, and the timing

ized approach to help achieve a

and type of reconstructive surgery

beautiful and balanced result for

recommended will depend upon

Dr. Patrick Kelley, Dr. Patrick Combs, Dr. Raymond

every woman. Whether there is a

each patient’s treatment plan. The

Harshbarger

full or partial reconstructive sur-

breast restoration plan may include

gery needed, the surgeons of the

using a patient’s own tissue, an

Breast Center are trained in the

implant or a combination of both.

least invasive, most advanced tech-

Dr. Potter, who completed her

niques and are committed to the

fellowship in Microsurgery and

safety and health of each patient.

Reconstructive

Plastic

Surgery

with MD Anderson Cancer CenThe surgeons of the Breast

ter in Houston, says, “When I dis-

Center include: Dr. James Cul-

covered reconstructive surgery as

lington, Dr. Elisabeth Potter, Dr.

a medical student, I knew I had

Adam Weinfeld and Dr. Aisha

found my life’s work. There is noth-

White. The team strives to work

ing as rewarding as helping some-

closely with each patient and her

one feel whole again. Our patients

treatment team to help determine

deserve to have all the best options

the best reconstructive plan for

available right here in Austin.”

with

Plastic

breast


SPECIALISTS GUIDE

Treatment for Hand & Wrist Pain

Head & Neck Reconstruction

Dr. Brent Egeland, Dr. Steven

tients experiencing chronic hand

Dr. Patrick Combs, Dr. Ray-

go out of Austin for head and neck

Henry and Dr. Sanjay Sharma

and wrist pain or loss of function

mond Harshbarger, Dr. Patrick

cancer treatment. We have a high-

make up the surgical team of

due to common conditions such as

Kelley and Dr. Adam Weinfeld

ly specialized team and can pro-

the Hand Center at the Insti-

arthritis, carpal and cubital tun-

are members of the Advanced

vide coordinated care right here at

tute of Reconstructive Plastic

nel syndrome, trigger finger, Du-

Facial Surgery team. This group

home.” With the right treatment,

Surgery. As with the group’s

puytren’s disease, De Quervain’s

specializes in treating condi-

facial

other specialty centers, condi-

tenosynovitis and ganglion cysts.

tions of the skull, face and jaw,

can restore normal function and

tions and injuries treated by the

Many diagnostic tests can be con-

whether they are congenital or

appearance for many patients.

Hand Center span the full spec-

ducted onsite in the clinic, where

the result of injury or disease. In

trum from common conditions

the team also provides splint fab-

addition to complex care, such

Dr. Weinfeld is one of the few

like

syndrome

rication and develops custom or-

as facial or nerve reconstruction

surgeons in Central Texas with

to highly complex procedures,

thotics to support surgical care.

following traumatic injury, the

additional fellowship training in

such as toe-to-finger transfers

Dr. Sharma also notes, “We are

Center treats common condi-

rhinoplasty. He says, “I have a real

for those with amputated fingers.

one of the few offices in Central

tions such as sleep apnea, snoring

willingness to take on complex

Texas to offer non-invasive treat-

and other breathing difficulties

and challenging rhinoplasty, be

special-

ments in the office setting for con-

as well as surgical and nonsurgi-

it a first-time procedure, a revi-

izes in hand and wrist surgery,

ditions like Dupuytren’s disease.”

cal management of migraines.

sion rhinoplasty or rhinoplasty

and complexity of hand surgery,

After an accident, injury, dis-

Another area of focus is the re-

difficulties and needed aesthetic

from carpal tunnel syndrome

ease or surgical procedure, pa-

moval of facial tumors. Dr. Wein-

changes.” The team also provides

and hand fractures to complex

tients may benefit from specialized

feld says, “Many patients don’t

nasal

microvascular and reconstruc-

hand therapy. The group’s team

realize that it’s not necessary to

ing the removal of skin cancer.

tive surgery. A lot of times,

of certified hand therapists has a

people don’t realize how much

comprehensive knowledge of the

their hands bothered them or

intricate anatomy, structure and

limited their function until we

function of the hand, elbow and

were able to solve the problem.”

wrist, and they work to help each

The team routinely cares for pa-

patient achieve optimal recovery.

carpal

Dr.

tunnel

Sharma,

who

says, “I really enjoy the breadth

reconstructive

surgery

following trauma with breathing

reconstruction

follow-

TO LEARN MORE Visit SetonPlasticSurgery.com or one of their three locations: Clinical Education Center at Brackenridge 1400 N. I-35, Suite 320, Austin 877.977.3866 Proctor Building - Building 9 3724 Executive Center Drive, Suite 115, Austin 512.324.2765 Seton Williamson Medical Plaza 1 301 Seton Parkway, Suite 402, Round Rock 877.977.3866

Dr. Brent Egeland


SPECIALIST’S TKTKTKT GUIDE

Cardiovascular Specialists of Texas Keeping your heart healthy and strong By Jaime Netzer

To learn more or to schedule an appointment, visit cstheart.com.

Cardiovascular Specialists of Texas (CST) is a leader

completed an internship and residency training in

medicine at Lahey Clinic and Tufts University in

in the delivery of personalized, comprehensive state-

Internal Medicine at the Baylor College of Medicine

Boston, MA before moving to Austin. Dr. Chauhan

of-the-art cardiovascular care in Texas, providing

in Houston, is trained in general cardiology, including

specializes in Interventional Cardiology, including

their patients access to the latest in technology,

cardiac catheterization, PTCA, coronary stenting,

cardiac catheterization, coronary and peripheral

therapies and techniques. At CST, each staff member

peripheral

stenting,

vascular procedures, venous thrombectomy, carotid

believes in the sacred relationship between physician

pacemaker implantation and CT angiography. Dr.

stenting and structural heart procedures such

and patient. To stay true to that goal, they keep

Robert J. Wozniak is an interventional cardiologist

as PFO/ASD closures. He also practices general

their focus on delivering the personalized patient

who focuses on the progressive treatment of the heart,

cardiovascular medicine, non-invasive and nuclear

care that truly makes their practice a center of

carotid and peripheral arterial disease. Dr. Wozniak

cardiology as well as CT Angiography. He directs

excellence. CST has an active clinical trials and

earned the American Heart Association Provider of

the research and clinical trials program at CST.

research program that provides patients with

the Year Award in 2005 and Distinguished Service

access to new and innovative devices, drugs and

Award in 2007. Dr. Wozniak earned his medical

technologies for treatment of cardiovascular diseases.

degree at Georgetown University and completed

five

We have a strong emphasis on prevention and early

training in Internal Medicine and Cardiology

Specialists

detection of heart and vascular disease using newer

fellowship training at the Brooke Army Medical

comprehensive practice for cardiovascular care.

diagnostic modalities. We also provide a unique

Center in Houston. Dr. Manish Chauhan completed

medically supervised weight loss and diet program

medical school and residency with honors from Seth

to help patients decrease their risk of cardiovascular

G. S. Medical College and King Edward Memorial

disease and potentially reduce need for medications.

Hospital at Bombay University, India. He completed

vascular

angioplasty

and

The combined talent and compassion of these partners of

serves Texas

to a

make truly

Cardiovascular unique

his Cardiovascular and Interventional Cardiology Great excellence comes from great talent, and CST

fellowship at Beth Israel Hospital, Harvard Medical

is home to five physicians whose expertise and level

School in Boston and was associate professor of

of care are unparalleled: Dr. Todd Gage, who earned his medical degree from the University of Texas Health Science Center at Houston Medical School and completed his residency in Internal Medicine at Baylor University Medical Center in Dallas, is trained in general cardiology, including cardiac catheterization, nuclear cardiology and CT angiography. He has a special interest

in

interventional

cardiology,

performing PTCA and coronary stenting. Dr. Michael S. Grad, who earned his medical degree at the University of Miami School of Medicine in Miami, Florida, where he also completed his residency training in Internal Medicine and earned Alpha Omega Alpha honors, is fully trained in general and interventional cardiology, including cardiac catheterization, CT angiography, nuclear cardiology and advanced training in peripheral artery interventions. Dr. Paolo V. Venegoni, who earned his medical degree from the University of Milan, in Italy and

46

A U S T I N MD M A G A Z I N E . C O M

C A R D I O VA S C U L A R S P E C I A L I S T S O F T E X A S

Â

and


SPECIALIST’S TTKTKTK GUIDE SPECIALISTS GUIDE

Advanced Therapies for Optimal Health BY JAIME NETZER

Hands On—Advanced Therapies for Optimal Health has been providing high-quality myofascial release based on physical, occupational and massage therapy to the Austin, Round Rock and surrounding communities for more than 19 years. All of their therapists have advanced training in men’s and women’s health issues, including pelvic floor issues like pelvic pain, urinary and fecal incontinence, sexual dysfunction, infertility and constipation. These conditions can be successfully treated with manual therapy, specifically myofascial release. After many years of service, the level of care and compassion has only grown at Hands On. “We are probably the only therapy facility in the Austin community with therapists who have the level of training that we do. There are very few skilled providers left who still take health insurance and provide a one-on-one service. We actually spend a minimum of 45 minutes to one hour with each client,” says Jody Hendryx, PT, LMT. This devotion often leads to faster results and always leads to happier patients.

“Hands On has stayed true to the practice that we started 19 years ago. Our therapists were attracted to a myofascial releasebased practice because of its amazing ability to get to the root of the problem rather than just treating symptoms. We treat the whole body, not a diagnosis. Myofascial release is a whole body technique. We were addressing women’s and men’s health issues before they even became prominent on the healthcare arena,” Hendryx, PT, LMT, says. It is important to note that Hands On’s scope of practice is whole body, including women’s and men’s health issues. The expert therapists at Hands On Physical Therapy include: Jody Hendryx – PT, LMT; Michael Rende – OTR; Katrina Barton – PT; Erin Arnold – MPT, LMT; Yvonne B. – PT, LMT; Lori Box – PT; Patricia Saathoff – LMT; Ashley Pettipiece – LMT. The friendly support staff at Hands On includes Tammy Giessregen, Office Administrator; Amanda Sanders; and Chloe Seelig.

To learn more or to schedule an appointment, visit www.handson-austin.com, call (512) 310-1928 or visit 301 Hesters Crossing Road, Suite #160, in Round Rock.

A U S T I N MD M A G A Z I N E . C O M

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SPECIALISTS GUIDE

SPECIALISTS GUIDE

Dr. Dongxun Zhang BY JAIME NETZER

A

ll doctors practice medicine, but

bolic disorders and weight loss.

not all doctors prioritize pre-

prevention, gynecological, anti-aging & weight loss, and herbal medicine for allergies, flus and

ventive medicine. Dr. Dongxun

Another groundbreaking program offered by

hormones among many other health issues. The

Zhang is Austin’s leading Chinese medical servic-

Dr. Zhang is his Intended Medicine Healing pro-

Austin Natural Healing Center has been serving

es provider, and he aims to prevent illness in his

gram, which currently focuses on cancer. Through

patients for almost 20 years. “We are highly expe-

patients just as much as he does in working with

this program, which is a completely new technique

rienced in working with chronic ailments, pain,

their illnesses with his capable, skilled hands.

based on modern science that is different from any

allergies and other conditions, which have not

other healing approach available today, Dr. Zhang

been successfully treated with other methods,”

Based on his own Theory of Intended Evolu-

brings out our body’s natural self-healing abilities.

Dr. Zhang explains.

tion, Dr. Zhang has developed new, groundbreak-

Our mechanism for self-healing can be rebuilt and

ing programs for health and healing, including

strengthened. The IMH technique is designed to

Dr. Zhang believes that a good doctor is a good

Fit 150: Intended Evolution Fitness ®, a unique,

awaken this dormant, or weakened, function and

educator, and he delights in educating his patients,

mind-body exercise program that addresses meta-

use it to help heal serious health conditions.

young and old alike. “In our practice we put a very

bolic imbalances, the link between metabolic dis-

strong emphasis on education. In Chinese Medi-

orders and weight loss, as well as serious medical

Dr. Zhang’s office, the Austin Natural Heal-

cine we emphasize prevention,” he explains. “Ev-

problems such as heart disease, stroke, high blood

ing Center, offers a wide array of safe, natural and

ery time I see a patient, I try to educate them on

pressure, cancer and diabetes. Fit-150® combines

effective health care alternatives, including acu-

how to stay healthy or, after they recover from ill-

knowledge of ancient Eastern wisdom with some

puncture, acupressure, Z-Acu-Therapy for pain

ness, how to maintain health as long as possible.”

of the latest Western medical research on meta-

management, cosmetic treatment, eye care and

To learn more or to schedule an appointment, visit www.austinnaturalhealingcenter.com, call (512) 306-0535 or stop by the Natural Healing Center at 3701 Bee Caves Rd., Suite 102.

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A U S T I N MD M A G A Z I N E . C O M


BRANDONTIPTON Graphic | Web Designer

512.653.4319

btip@brandontipton.com


SPECIAL CONTRIBUTION TO AUSTIN MD by CITIZEN GENERATION

LIVE, PLAY, WORK, GIVE! Inspiring change and a habit of giving in 2014 What an amazing year for the Austin community as it continues to be at the forefront of growth in jobs, technology, infrastructure and culture! As Austinites, we are pretty lucky to call this city home, but with that honor comes great responsibility. With your help, Citizen Generation has been working to educate and inspire by giving support to the Austin community since 2009. We have had an inspiring year at the Citizen Generation office, and we most certainly did not do it alone. Here are some of our end of the year highlights: On Nov. 7, 2013, our 5th Annual Charity Bash Live Auction reached new records as our community partners Build-a-Sign, CSID, Lexus of Austin, MFI Foundation, Spiceworks and our 20 young and seasoned philanthropists helped us raise $140,000 for charity. The evening featured an exciting live auction, complimentary Deep Eddy cocktails, sweet and savory bites and a fun and innovative way to give back to Austin. In keeping with our love of giving away money, on Dec. 4, 2013 at the LIVESTRONG

Foundation, Citizen Generation granted $50,000 to split amongst eight very worthy non-profits. The beneficiaries receiving this money included: · Austin Zoo & Animal Sanctuary: $12,500 · People Fund: $10,000 · The Settlement Home for Children: $7,500 · Alzheimer's Association Capital of Texas Chapter: $5,000 · Austin Clubhouse: $4,500 · Strong Start: $4,000 · Austin Affiliate of Susan G. Komen for the Cure®: $3,500 · American YouthWorks: $3,000 Each organization received a grant which was decided on by over 8,000 voters within the Austin community. We cannot forget and are grateful for the ultimate honor Citizen Generation received that night as Tuesday, Dec. 4, 2013 was named Citizen Generation day! Over the past five years Citizen Generation’s programs have raised nearly $1,000,000 through over 13,000 points of

engagement. We have also volunteered thousands of hours and donated hundreds of in-kind items. Simultaneously, we have collaborated with 64 other non-profit organizations, some more than once. Citizen Generation has embraced a new motto for 2014: LIVE, PLAY, WORK, GIVE! We believe these are all essentials that when perfectly balanced complement each other and make for a complete life. We invite you to join us in this transformation,

WE BELIEVE THESE ARE ALL ESSENTIALS THAT, WHEN PERFECTLY BALANCED, COMPLEMENT EACH OTHER AND MAKE FOR A COMPLETE LIFE

and create a meaningful and influential lifestyle that includes philanthropy in our everyday living. It is our hope that as this city’s population explodes and the needs of our community continue to grow, we will inspire change and create a habit of giving to support the Austin community for years to come. We are grateful for this journey and invite you to join us in giving your time, talent and treasure to Austin in 2014!

For more info: Visit Citizen Generation online at www.citizengeneration.org


TKTKTKT MEDICAL

New Year’s Resolutions and ER Visits SPECIAL CONTRIBUTION TO AUSTIN MD BY AUSTIN EMERGENCY CENTER

T

he beginning of a New Year is typi-

risk are the elderly, who will begin an exer-

an airplane for extended periods of time, the

cally accompanied with New Year’s

cise program without consulting their pri-

body can potentially develop blood clots in

Ted Glassman, M.D., is an emergency room

resolutions. After holiday indulgences, many

mary physician. They are more susceptible

the legs and feet, a condition called “pulmo-

physician. He is board-certified by

feel that it is a logical time to not only make

to high blood pressure, diabetes, obesity

nary embolism.” Since a long flight encour-

the American Board of Emergency

lifestyle changes that will improve their

and heart conditions. These individuals may

ages sleep, some will board the plane, take

Medicine. Dr. Glassman attended

physical health, but also their emotional and

visit an emergency center for chest pain,

a nap and wake up when the plane arrives

medical school at Tulane University

spiritual health.

shortness of breath or an orthopedic relat-

at their destination. This is a very danger-

School of Medicine. During that

It is estimated that 40 percent of people

ed injury, such as a pulled

ous way to travel. A per-

time, Dr. Glassman also earned a

make a resolution for the New Year. These

muscle or underlying stress

son should move around

Masters of Public Health degree in

ambitious people usually do not succeed.

fracture.

the plane several times to

Tropical Medicine. Dr. Glassman

circulate blood to the ex-

completed his residency in emer-

tremities.

gency medicine at Mount Sinai Hos-

A study published in 2007 followed 3,000 people and determined that 88 percent

Another

frequent

failed to follow through. The Journal of Clini-

resolution is to limit al-

cal Psychology published an article in 2012

cohol

that revealed similar poor results. After one

who frequently abuses alcohol may decide

otic locales carries the risk of odd and infec-

for over ten years. Dr. Glassman

week, 25 percent of people who had made

to decrease their alcohol intake or stop

tious diseases. People may contract illnesses

currently is an Emergency Physi-

resolutions ended their commitment. After

drinking alcohol altogether. This can be very

while overseas but not show symptoms until

cian at Austin Emergency Center.

six months, this same study concluded that

dangerous and life threatening. The sudden

they return home. The good news is that the

Visit the Austin Emergency Center

less than half of these people had continued

reduction of alcohol to the system can lead

Center for Disease Control and Prevention

online at www.austiner.com or call/

their virtuous course.

to abnormal heart rate, elevated respiratory

(CDC) provides guidance for your journey.

visit the location closest to you.

New Year’s resolutions may inadvertently

rate and may cause hallucinations in the de-

So if you are off to Kenya to experience the

send individuals to the emergency room. The

lirium of alcohol cessation. These individuals

Serengeti, make a stop at the CDC website

physical, your primary care physi-

most common resolution is to get in shape.

should come to the emergency center for

first, and check if you are up to date on shots!

cian may prescribe medication, give

The concept of exercise is virtually effective

treatment. Individuals who have an alcohol

in every case, except for an individual who

or drug addiction should seek treatment or

does not regularly exercise. Most people at

rehabilitation.

intake.

Someone

pital in New York City. He has been

Traveling to more ex-

an Emergency Attending Physician

advice for losing weight the healthy A New Year’s resolution everyone should

way through diet and exercise and be

make is an annual physical. This may include:

a resource for alcohol and drug ad-

complete blood work, EKG, skin cancer

diction. The New Year should be the

The beginning of a New Year may be ac-

screening, prostate specific antigen (PSA)

beginning of a “new you,” emotionally,

companied with travel plans. Some may even

test for males, mammogram test for females

physically and spiritually. Happy New

travel overseas. Though traveling to another

and diet counseling if needed. After an annual

Year to you all!

country can be therapeutic, this entails long hours in cramped spaces. While seated on

New Year’s resolutions may inadvertently send individuals to the emergency room Far West: 3563 Far West Blvd., Suite 110 Austin, TX 78731 (512) 481-2321

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A U S T I N MD M A G A Z I N E . C O M

South Lamar: 4015 South Lamar Blvd. Austin, TX 78704 (512) 774-5780


CREATING BE AU TIFU L

SMILES

Meet the team Dr. David Ayala and Dr. Douglas Hinh

Rose Dental Group

Now Offers Extended Hours on Evenings and Weekends!

At Rose Dental Group, emergencies are no problem. With

extended hours, including nights and weekends, you can visit Dr. Douglas Hinh and Dr. David Ayala for your urgent dental needs at your convenience. In addition to great hours, patients will receive

exceptional service at Rose Dental Group with their friendly and helpful staff. Among the other services offered, Dr. Hinh and Dr. Ayala are available to clients for sameday emergency treatments, consultations, esthetics, root canal treatment, extractions (including wisdom teeth), sedation dentistry, implant placements and restorations.


TKTKTKT MEDICAL Dr. Michaelanne Briggs Dr. Briggs is a native Texan, born in Austin. She received her Doctor of Dental Surgery Degree from the University of Texas-Houston Dental Branch in 1998, followed by her Doctor of Medicine from UT-Houston’s Medical School. Immediately after graduating from medical school, she completed a one-year General Surgery internship at UT-Houston Affiliated Hospitals. Dr. Briggs then completed a six-year residency program in Oral and Maxillofacial Surgery at the Texas Medical Center in Houston in conjunction with the University of Texas and Baylor College of Medicine in Houston, where she is a member of the Omicron Kappa Upsilon National Dental Honors Society. Dr. Briggs is also a diplomat on the American Board of Oral and Maxillofacial Surgery and a member of the American Association of Oral and Maxillofacial Surgeons.

DR. MICHAELANNE BRIGGS, DDS.

&

ROSE DENTAL’S THOUGHTS ON MEN Pregnancy is not a time to delay dental care.

certain circumstances.

Preventative, diagnostic and restorative dental treatment is safe throughout pregnancy. Health care professionals

During pregnancy, you are at a heightened risk for

are working together to screen and educate patients about

dental caries and tooth erosion. Erosion of tooth enamel

the importance of good oral care during pregnancy.

may be more common because of an increased exposure

However, an analysis found that 56 percent of pregnant

to gastric acid from vomiting, due to morning sickness.

women did not seek routine dental care. Even if a dental

Dental caries can be caused by an influx of acidity in the

problem occurred, less than half sought treatment.

mouth and high intake of sugary snacks and drinks, due to pregnancy cravings.

For Dr. Briggs or Dr. Shelton call: Angus Road Location 512-795-9643

The most common oral condition during pregnancy is

To maintain good oral health during pregnancy, you

gingivitis. Gingivitis is an inflammation of the superficial

should schedule a dental visit if you have not had one

gum tissue. During pregnancy, gingivitis is aggravated

within the last 6 months, or if you are having oral related

by fluctuations in estrogen and progesterone levels.

problems. Brush your teeth twice a day with fluoride

Untreated gingivitis can progress to periodontitis.

toothpaste and floss once a day. If you vomit, rinse your

This is an inflammatory response in which bacteria

mouth to decrease the acidity. Eat a healthful diet, and

releases toxins that create pockets of destructive

try to limit your sugar intake.

infection within the gums and bones. Several studies have shown an association between periodontal disease

Maintaining oral health is important to your overall

and poor pregnancy outcomes, including preterm birth

health during pregnancy. Dental treatment, including

and low birth weight.

X-rays, is safe throughout pregnancy but can prevent long-term health problems for both mother and child.

FOR MORE INFO: Rose Dental Group’s central location is at 11615 Angus Rd. Suite #210 Austin, Texas 78759. To make an appointment, call (512) 795-9643 or visit www.rosedental.net.

Approximately 5 percent of pregnant women develop

Elective dental treatment, however, should be deferred

a growth on the gums, usually around the front teeth,

until after delivery. The ideal time for dental treatment is

called a pyogenic granuloma. This will usually regress

the second trimester, but it should not be delayed at any

after pregnancy but may need to be removed under

time during pregnancy.

DOCTOR PHOTOS BY WINSTON T. LACKEY


&

DR. TRAVIS SHELTON, DDS.

AND WOMEN’S HEALTH ated with poor oral health. Recent studies suggest that The mention of mens’ health brings a lot of things

periodontal disease may be linked to Alzheimer’s. Poor

to mind, such as cholesterol, prostate cancer and heart

teeth and gums can cause infections. Also, bad looking

disease. Health of the oral cavity is usually the last thing

teeth can lower your self-esteem. As you age, if your teeth

people consider when thinking of how to keep a person

are in poor condition it becomes more difficult for you to

healthy. The truth is, a healthy and beautiful mouth can

eat. You may not be able to eat the foods you need or love.

be worth more than you think in keeping a man’s body

In turn, this can lead to a poor quality of life.

healthy. There are many things people can do to live longer and Men are more likely to develop periodontal disease

healthier lives. Believe it or not, regular dental visits and

in their lives beginning at age 30. My experience shows

good oral care is one of them. I urge all men to seek out

that men seem less likely to visit a dental office for com-

a dentist they can trust and develop a relationship with.

prehensive exams, cleanings and restorative treatment.

I think you will be amazed at the difference it can make

Brushing teeth at least twice a day is a habit that women

in your health.

have developed more so than men. There has been a positive link established that shows how a person with periodontal disease is more likely to develop heart disease compared to someone with healthy gums. This puts men at a particular risk since, on average, they do not take as adequate care of their gums as well as women do.

Dr. Shelton was born and raised in central Texas. He attended Angelo State University for three years, then entered dental school in 1992 at UT-San Antonio’s Health Science Center, where he graduated with a Doctor of Dental Surgery in 1996. At Rose Dental my team members are happy and love coming to work everyday. This rubs off on our patients, and we simultaneously get to know our patients on a more personal level. The flow of communication is ever-present as we all work towards the same philosophy and goals for our patients: provide them with the best CARE possible. “My dental philosophy is one of striving toward preventative and conservative care. I try to anticipate what my patients needs are and how to better customize their care based on those needs. We listen to our patients and strive to serve them at a top level. My team is quite in sync with each other on a day-to-day basis. For example, we have daily morning huddles that allow our day to run as smooth as possible. I embrace technology with the use of digital X-rays, CEREC, VELscope and look forward to future technological advancements, including developing new materials that allow for metal-free dentistry in all fields.

Husbands and dads always seem to put their care on hold, while wives and children seem to get what they need first. Some men are just not conscientious, or are uninformed, on how to care for their mouths. Regular dental visits can help with these problems. There are dental teams that are great at helping men learn what they need in order to maintain great oral health. Besides heart disease, there are other problems associ-

“I have volunteered for Dentists with a Heart, which Rose Dental Group has participated in to help others less fortunate with serious dental needs. I spend most of my free time with family: my wife and two daughters.” IMAGES FROM SHUTTERSTOCK


TKTKTKT MEDICAL

THE TRUTH ABOUT HORMONES Special Contribution to Austin MD by Natural Bio Health

Dr. Clark is the director of education & research for Natural Bio Health and the Lifetime Health Weight Loss & Hormone Centers. He has a Doctorate Degree in Natural Medicine, has been designated a Diplomate of Anti-Aging Medicine, and a Fellow and Advanced Fellow of Anti-Aging, Regeneration & Functional Medicine. Dr. Clark has been awarded a certificate in Brain Fitness from the Academy of Anti-Aging Medicine. Dr. Clark is the author of two weight loss books, The Secrets of the HCG Diet and The Source Diet. He co-authored, with Dr. Feste, the largest study on the HCG Diet (as published in the Bariatrician, the journal of the American society of bariatric physicians). The purpose of this article is to present some basic truths about hormones and explain why hormones are critical to our health. It is hoped that all readers will open their minds to the possibility that they might need hormones and to seek the truth (science) about hormones and the incredible benefits they can provide. -Michael Clark, MBA, PhD, FAARFM, ABAAHP

Why everyone should know about hormones: Are there any drugs that have been shown in hundreds of studies to help prevent heart disease, breast cancer, prostate cancer, osteoporosis, Alzheimer’s disease, hip fractures, uterine cancer, macular degeneration, diabetes, memory loss, depression, loss of muscle and many other human conditions? NO! Yet hormones have been shown to do all of the above and more. These hormones include estrogen, thyroid, progesterone, DHEA, testosterone, HGH and many others. There are thousands of scientific articles supporting the use of hormones to address and help prevent countless illnesses and conditions, from low sex drive in men and women, to excess body fat and low energy. Difficult periods for women, hot flashes, infertility, diabetes and poor sleep can all be related to hormonal deficiencies or imbalances.

may suffer from one or more of the following symptoms: Symptoms/conditions associated with hormonal imbalances or deficiencies: • Decreased energy • Abdominal fat • Poor sleep quality • Anxiety • Hypothyroidism • Decreased drive and ambition • Decreased mental sharpness •High cholesterol • Thinning hair • Depression • Decreased libido • Decreased strength bone loss Women only: • PMS • Hot flashes • Fibromyalgia • PCOS • Difficult periods • Fibrocystic breasts • Ovarian cysts • Breast cancer* • Hysterectomy *Men can get breast cancer as well as prostate cancer.

What are hormones? Hormones are chemical messengers in our body that govern every aspect of our lives and health. These messengers stay busy throughout our lives. If they are functioning properly, with no dropped signals or imbalances, our cells communicate with clear signals. If even one hormone is not signaling correctly, our body

Hormones are chemical messengers in our body that govern every aspect of our lives and health

SOME COMMON MYTHS & TRUTHS ABOUT HORMONES: Myth: Hormone therapy causes breast cancer.

Truth:

shown to cause breast cancer and may even reduce the risk of breast cancer. However, the synthetic combination drug Prempro, containing a synthetic estrogen (Premarin)

Testosterone is for men, not women.

Truth: Women also lose sex drive and more

Myth: Testosterone causes prostate cancer.

Truth: No study in the past 50 years has

and a synthetic progestin

lean muscle mass as they age. Testosterone

ever demonstrated that treating men

progesterone has been shown

(Provera), has been shown

helps with libido, mood stabilization, brain

with testosterone increases their risk for

to significantly reduce the risk

to increase both the risk of

function, bone density and fat loss. Birth

prostate cancer.

of breast cancer, and natural

breast cancer and stroke.

control pills can lower testosterone.

Micronized (bioidentical)

estradiol has not been

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Myth:

A U S T I N MD M A G A Z I N E . C O M


TTKTKTK MEDICAL

“We age because our hormones decline. Our hormones don’t decline because we age.” Hormones decline as we age, but they can be low or imbalanced at an early age. Some start their decline as early as ages 19 to 25 (HGH, DHEA). Some may not decline until menopause (estrogen). Most men over the age of 30 now have low or suboptimal levels of testosterone. Sadly, many girls start their periods with low levels of progesterone. Their periods are often marked by heavy bleeding, cramping, headaches and sometimes struggle with body fat. As we age, due in great part because of the decline of our hormones (signaling), we become more susceptible to what is called the “disease of aging.” These diseases include heart disease, cancer, osteoporosis, memory loss, Alzheimer's, diabetes and many others. Insufficiency of hormones has been discovered to be a major element in the aging process: Most men over the age of 30 are likely have low levels of free testosterone (low T). Why is this important? Testosterone is our primary male hormone, and it affects every aspect of our lives.

It has been scientifically shown to help prevent heart disease, prostate cancer, depression, diabetes, memory loss and Alzheimer’s. It can help lower blood pressure, reverse type 2 diabetes and lower cholesterol – all without the use of drugs. It gives you energy and motivation, and it is a natural antidepressant.

Scientific, published studies:

Testosterone is necessary to everyday life: Sex drive, muscle strength, energy, quality of sleep, belly size, mental quickness and clarity are all affected by your testosterone hormone. Testosterone administration lowers triglycerides, CRP and TNF-α. This is a great cardiovascular drug, yet not many cardiologists take advantage of this benefit.

estrogen replacement therapy is

There is an 83 percent decrease of the risk of having Alzheimer’s disease in estrogen users if it is started within a 10 year window of menopause. In women under 60, long term associated with a decreased risk of colon cancer, osteoporosis, fracture related deaths, Alzheimer’s, urogenital atrophy, age-related macular degeneration (AMD), loss of teeth, depression and a decrease in myocardial infarction (heart attack) and stroke, without an

Studies show that testosterone can help reduce the risk of breast cancer in women, particularly when coupled with estradiol. Women can live 30 to 40 years and more within menopause. Hormones were not as significant an issue in the early 1900s, because women and men did not live as long. However, even though our life expectation has increased, the number of elderly who are living with disabilities continues to increase.

increased risk of breast cancer. A recent study by Serrel estimated 50,000 women die from not having enough estrogen. Over 90 percent of women (9,000 out of 10,000) succumb to cardiovascular disease. The optimal time for a woman to take hormone therapy is within 10 years of menopause. However, it is never too late to enjoy some of the benefits of hormones. High levels of testosterone are associated with a reduced risk of aggressive prostate cancer. A significant reduction in the risk for Alzheimer's disease was associated with a higher FAI (more free testosterone). Both total and bioavailable testosterone are significantly lower in men with coronary artery disease (CAD) than in those without. [For More Info]: To get more information about hormones or to see Dr. Michael Clark with Natural Bio Health please call (512) 266-6713, visit www.naturalbiohealth.com, or visit the office at 211 Ranch Road 620 S #220, Austin, TX 78734.

IMAGE FROM SHUTTERSTOCK

A U S T I N MD M A G A Z I N E . C O M

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TKTKTKT MEDICAL Special Contribution to Austin MD by Scott & White Healthcare

Gender Differences in Heartburn, GERD and Esophageal Cancer When to Consult Your Doctor

R

ecognizing how the unique differences in the progression of a disease affects both men and women and, how

Simple lifestyle modifications to help

it is perceived, is an essential quality of being a good physician.

Avoid foods and other products that

Heartburn symptoms affect more women than men. When it comes to the most severe complications of heartburn

will actually cause you to reflux:

(esophageal cancer), there is substantial evidence favoring female genetics over male genetics.

reduce the frequency of heartburn

Heartburn has reached a level of epidemic proportions not only in the U.S. but also in other developed countries.

1. Tobacco 2. Alcohol 3. Chocolate 4. Caffeine 5. Peppermint

About 10 percent of the population either suffers from GERD (gastroesophageal reflux disease), has life-disrupting symptoms, or damage to their esophagus. Another 40 percent take weekly medications for their symptoms. For females, pregnancy is a common time to experience heartburn due to increased levels in the hormone progesterone, which slows stomach emptying. Additionally, the growing uterus pushes up on the stomach increasing intra-abdominal pressure. This type of heartburn is treated with antacids such as Tums, Rolaids or

Next, try these tips:

1. Use portion control 2. Eat your last meal early — at least 4 hours prior to lying down 3. Maintain a healthy weight. Carrying 5-10 extra pounds can put a significant pressure on your diaphragm

more powerful medications, such as Pepcid or Zantac. Fortunately, heartburn typically goes away after pregnancy. However, there is recent evidence supporting how women experience both heartburn and GERD differently than men do. In epidemiologic studies,

Heartburn is now of epidemic proportions in the U.S. and other

women tend to seek care for their symptoms more often and report

be a scary number. The bad news is that

a higher, or worse, impact on their

there is an eight-to-one predominance

If all else fails, talk with you doctor

quality of life. In a recent study of 2000

of

about medical treatments for GERD.

men and women who were undergoing

esophageal

However, be aware that medications

surgery for GERD, researchers found

women. Why the difference? No one

only treat the symptoms of GERD

that women are more likely to have

is quite sure at this point, but recently

but do not stop reflux, which can still

a hiatal hernia, where the stomach

there has been compelling research

cause damage to your esophagus. If

protrudes into the chest. This is

done on a protective mechanism based

you have been on medications for over

compared to men, who are more likely

on estrogen production and estrogen

five years or experience any of the

to have a weak valve between their

receptors.

ALARM symptoms below then you

esophagus and stomach. This study

should probably undergo an endos-

also found that men tend to delay their

The surgical treatment of GERD has

copy, where a camera is used to look

care, but when they did finally see a

evolved over the years. In every clinical

into your esophagus and stomach.

doctor their GERD was at a more severe

and pooled clinical trials, surgery has

stage. The problem with this is that it

been as effective as, or better than,

can possibly have deadly consequences.

medical therapy in controlling the

1. Difficulty swallowing (Dysphagia) 2. Painful swallowing (Odynophagia) 3. Gastrointestinal bleeding or chronic anemia 4. Unexplained weight loss 5. Chest pain that is not associated with the heart

men

undergoing cancer

surgery

for

compared

to

symptoms of GERD. These patients Esophageal cancer is the fastest

also tend to enjoy a better quality of

growing cancer in the Western world,

life. These results are most often found

and over 70 percent of newly diagnosed

at centers that perform greater than 35

cancers are reflux related. The overall

of these types of surgeries per year.

survival rate of those with esophageal

[For More Info:]

cancer is less than 20 percent, which can

Visit Scott & White Healthcare at www.sw.org or call (512) 509-0200

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A U S T I N MD M A G A Z I N E . C O M


TKTKTKT MEDICAL

Oral Health in the New Year Who is at risk, and why?

SPECIAL CONTRIBUTION BY DR. MICHAEL MOOSSY

O

ral health in women can be impacted by hormonal changes, especially during pregnancy. The primary changes are due to an increase in estrogen and progesterone, which can cause your gum tissues to build up a normal reaction to plaque. If plaque is not removed daily, it can eventually harden into tartar and may increase your risk of gingivitis — a condition with symptoms of red, swollen and tender gums that are more likely to bleed. Socalled “pregnancy gingivitis” affects most pregnant women to some degree, and it generally begins to surface as early as the second month. If you already have gingivitis, the condition is likely to worsen during pregnancy. If untreated, gingivitis can lead to periodontitis — a more serious form of gum disease. Pregnant women are also at risk for developing pregnancy tumors and inflammatory, non-cancerous growths that develop when swollen gums become irritated. Normally, the tumors are left alone and will usually shrink on their own after the baby’s birth. However, if a tumor is uncomfortable and interferes with chewing, brushing or other oral hygiene procedures, the dentist may decide to remove it.

How can I prevent these problems? You can prevent gingivitis by keeping your teeth clean, especially near the gumline. You should brush with fluoride toothpaste at least twice a day and after each meal when possible. You should also floss thoroughly each day. If brushing exacerbates morning sickness, rinse your mouth with water, antiplaque or fluoride mouthwash. More frequent cleanings from the dentist will reduce gum irritation, help control plaque, prevent gingivitis and decrease the likelihood of pregnancy tumors.

If untreated, gingivitis can lead to periodontitis — a more serious form of gum disease 60

A U S T I N MD M A G A Z I N E . C O M


TTKTKTK MEDICAL According to surveys, studies from the Academy of General Dentistry and the American Dental Association, men are less likely than women to seek preventive dental care and often neglect their oral health for years. The average man is less likely to brush his teeth after every meal (20.5 percent compared to 28.7 percent of women) The average man is less likely to brush his teeth twice a day (49 percent compared to 56.8 percent of women) Men are more likely to develop periodontal (gum) disease than are women: 30-54 years of age: 34 percent of men compared to 23 percent of women 55-90 years of age: 56 percent of men compared to 44 percent of women

ASSESSING THE RISKS: Recent studies suggest that there may be a connection between gum disease and cardiovascular disease, which can place people at risk for heart attacks and strokes. Because of this, men should be especially vigilant for signs of periodontal (gum) disease, such as red, swollen, tender or bleeding gums, persistent bad breath or loose teeth. Although it is important for all men to be diligent when it comes to oral care, some men should take extra care to ensure that they are practicing good oral hygiene.

MEN WHO TAKE MEDICATIONS: Some medications, such as those for heart, blood pressure or antidepressants, can cause dry mouth. Men who take these medications can develop inhibited salivary flow, increasing their risk for cavities. Saliva helps reduce the cavity, causing bacteria found in the mouth to wash away food particles. Saliva also helps neutralize the tooth-attacking acids that are formed by plaque. Men who have dry mouth may need to increase their water intake to ease their symptoms.

spread and lead to chronic pain, loss of function, irreparable facial and oral disfigurement following surgery and even death. It is important for men who use tobacco to see a dentist frequently for cleanings and to ensure their mouths remain healthy. A general dentist can perform a thorough screening for oral cancer.

MEN WHO PLAY SPORTS: Men who participate in sports have a greater potential for trauma to their mouths and teeth. When playing contact sports, such as football, soccer, hockey, basketball or baseball, it is important to use a mouthguard, which is a flexible appliance made of plastic that protects teeth from trauma. Men who ride bicycles or motorcycles should also wear a helmet.

Taking care of your teeth: The following are some tips — whether you are a man or a woman — to improve your dental health: Brush your teeth with fluoride toothpaste for two to three minutes at least twice daily. Choosing a toothpaste with fluoride can reduce tooth decay by as much as 40 percent. Use a soft-bristled toothbrush, and use it properly by positioning the brush

Other ways to ease dry mouth include: Chewing sugarless gum Avoiding alcohol, caffeine and carbonated beverages Avoiding smoking Avoiding overly salty foods Using an alcohol-free mouth rinse

at a 45-degree angle where your gums and teeth meet. Replace your toothbrush every three months or after you have been sick. Floss daily. Use the proper technique and gently insert floss between the teeth, by using a back-and-forth motion. Curve the floss into a C-shape against one tooth and then the other. Visit the dentist at least once a year for cleanings and exams.

Men who have an inhibited saliva flow should also ask their dentist about saliva substitutes or other alternatives to promote saliva flow.

MEN WHO USE TOBACCO: Men who smoke or chew tobacco have a greater risk for gum disease and oral cancer. Even men who do not use tobacco are more likely than women to have gum disease or cancer, so using tobacco increases that risk. Age is also a factor: 95 percent of oral cancer occurs in those over 40 years of age. The most frequent oral cancer sites are the tongue, the floor of the mouth, soft palate tissues in back of the tongue, the lips and gums. If not diagnosed and treated in its early stages, oral cancer can

Dr. Michael Moossy DDS GENERAL & COSMETIC DENTISTRY

Dr. Moossy is a native Texan who received his undergraduate degree at St. Edwards University in Austin. He has since gone on to attain his DDS at University of Texas dental branch in Houston. Dr. Moossy currently maintains a private practice in Austin and has been in practice for 14 years. He is also a member of the ADA, AGD, TDA, and CADS.

FOR MORE INFO: Contact Dr. Michael Moossy, DDS at Moossy Dental, located at 4200 N Lamar Blvd. Ste 145. To make an appointment call 512.459.5437 or visit www. drmoossy.com.

A U S T I N MD M A G A Z I N E . C O M

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TKTKTKT

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A U S T I N MD M A G A Z I N E . C O M


TKTKTKT MEDICAL

LOU GEHRIG’S DISEASE Austinites Unite in the Fight Against ALS

BY BIANCA MORAGNE, PHOTOGRAPHY WINSTON T. LACKEY

I

t is a relentlessly progressive disease for which there is no known cure.

These unadorned words merely offer a glimpse into the devastating neuromuscular condition — amyotrophic lateral sclerosis — popularly known as Lou Gehrig’s disease after the late baseball player who succumbed to the disease at the ripe age of 37—that progressively robs its victims of muscle strength, affects the motor nerves, causes paralysis and inevitably death. On average, a patient diagnosed with ALS lives two to five years from the onset of symptoms. In their last few years of life many patients are left petrified, confused and lost. Despite these taxing odds, healthcare providers and advocates in Austin are working persistently to give loA U S T I N MD M A G A Z I N E . C O M

64 64 A U S T I N MD M A G A Z I N E . C O M

cal ALS patients and their families a higher quality of life. The ALS Association Texas chapter helps patients and families live with Lou Gehrig’s disease by providing durable medical equipment, patient and caregiver meetings, respite and transportation grants, nutritional counseling and resources, and many more vital services free of charge. “We have medical equipment such as potty chairs, manual wheelchairs and power wheelchairs that we loan out to our patients and families so that they’ll have the equipment before they might need it,” says Courtney Billingsley the special events and walk manager for ALSA Texas chapter. “ALS progresses at such a different time and rate depending on the patient that they may not realize they need a hospital bed or a wheelchair until somewhat of a moments notice.”


MEDICAL

Providing care for ALS patients is a 24/7 commitment and, “caregivers normally never get a break,” Billingsley says. Additionally, the grant provides the family with secured financial support, allowing the caregiver to take time off. It is not as easy as hopping into a car for patients to get to their clinic. With the transportation grant, patients can obtain assistance getting to and from an ALSA certified clinic.

registered dietitian, a respiratory therapist,

Susan, decided to open an ALS clinic in his

an assistive technology specialist, a member

honor with a $100,000 donation by the 12th

of the ALSA Texas chapter and Susan Bel-

Man Kickoff Team Foundation. Before the

lard, the widow of coach Emory Bellard, who

multidisciplinary clinic opened its doors in

shares personal experiences with attendees.

December 2010, patients received their care

At the meeting, the team discusses each pa-

in a fragmented manner. A patient would see

tient’s history and reviews his or her ALS

several healthcare providers individually, at

surveys. Patients and caregivers complete

different times and locations, each making

the two-part survey that enables the team

separate assessments. Patients who receive

to address their needs and discuss interval

their care in a multidisciplinary ALS clinic

changes since the patient’s last visit.

typically live six to eighteen months longer

The Emory Bellard Multidisciplinary ALS

Healthcare providers rotate in and out

and have a substantially higher quality of

Clinic at Scott & White Healthcare in Round

of the patient’s treatment room during

life, compared to patients who receive their

Rock hopes to become Central Texas’ first

their stay at the clinic. The team creates a

care in the traditional model. Dr. Tramonte

ALSA certified clinic. The multidisciplinary

discharge summary of both the patient’s

sees patients from all over the state who trek

clinic is one of a handful in Texas; a spe-

therapy and the doctor’s assessment and rec-

long, arduous hours to receive care at the

cialized team of healthcare providers, who

ommendations to be mailed to patients and

Emory Bellard clinic.

practice a variety of disciplines to serve all

caregivers the next day. “Our ALS clinic is

their patients, meet the fourth Thursday of

very transparent. We want to share all of the

“That’s a testament to the quality of care

every month from 1 to 5 p.m. The clinic be-

information we have with each other, our

that they receive here. Multidisciplinary

gins with a meeting of the multidisciplinary

patients and their caregivers, so that we can

care is an underserved need in the state,” Dr.

care team, which includes: Dr. Jeffrey Tra-

take better care of them,” says Dr. Tramonte.

Tramonte stresses. “That was the emphasis for starting our clinic. We felt patients de-

monte M.D., the neurologist on site, an ALS nurse practitioner and coordinator, a social

Three years ago Dr. Tramonte diagnosed

worker, a physical therapist, an occupational

coach Emory Bellard with ALS. Soon after,

therapist, a speech language pathologist, a

Dr. Tramonte, Emory Bellard and his wife,

served better.”

A U S T I N MD M A G A Z I N E . C O M

65


MEDICAL TKTKTKT We asked our expert Dr. Tramonte to break down ALS: Q: Who gets ALS?

This year, ALSA Texas Chapter is hosting two annual events for Austinites to raise funds for research. On April 19, Max’s Ride, a motorcycle ride that ends at Scholz Garten with a barbeque, silent auction and concert, will host its eighth event. Proceeds fund the chapter’s efforts to send advocates to Capitol Hill to discuss research with legislative representatives each May. In 2012, the national association had the government deem the disease as service-related. Now, researchers are looking into why veterans are 50 percent more likely to develop ALS. Austin Walk to Defeat ALS, a 5K walk at Muller Lake Park and festival for patients and families, takes place on Oct. 18. This walk is a day to celebrate the courage of patients and families, raise funds to continue serving the ALS Community in Texas and join together with music, food and fun. Nearly 90

cents of each dollar raised through the Walk to Defeat ALS goes directly to providing services to ALS patients in Texas. “ALS is a disease that a lot of people don’t realize is out there, but the odds are they will end up knowing somebody that’s affected by it,” Billingsley says. “The only way we can find a cure and serve our patients and families to end this disease is to start raising awareness. Please go to the website, find a walk near you, come out and join us and walk because you can. The most important thing you can do is show these patients and families that you are walking strong beside them and walk because you still can.”

A: The disease does not discriminate. It is more common as you age, typically in your 60s and 70s. The youngest patient we have had in our clinic is 41 and the oldest is 90. We do see a disproportionate amount of ALS in veterans as well as athletes. Q: Is there a cure? A: There is no cure for ALS disease, but there is treatment. When people hear that there is no cure, they think that there is no treatment, and those are two completely different things. Q: What treatment is available? A: Patients will progress. When the disease is first diagnosed you might have somebody who can walk independently, then they progress to using a cane, a walker, a brace, a wheelchair and then a motorized wheelchair. They might need equipment in their house to ensure safety; they might need lifting devices or transferring devices.

To find more information on how you can get involved visit: www.alsa-texas.org

Q: Why should patients attend a multidisciplinary ALS clinic like Emory Bellard? A: Receiving your care here with us ensures we are going to help you with every step along the way - meeting, addressing and anticipating all of your needs.

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A U S T I N MD M A G A Z I N E . C O M


MEDICAL

INTERNATIONAL CLASSIFICATION OF DISEASES UNDERSTANDING ICD-10

T

he original implementation date for the U.S. was October 2011, which was first delayed to October 2013 and then finally delayed to October 2014. The Department of Health of Human Services announced these delays due to implementation issues, which allowed physicians and other covered entities more time to prepare and fully test their systems,

ensuring a smooth transition within all industry segments. There are numerous changes regarding patient eligibility, authorizations, patient encounter, claim submissions, reimbursement, reporting quality measures, disease management, public health reporting, electronic systems, paperwork and other processes where the ICD- 9 is currently being used. The costs to update systems, train personnel and revise contracts have not been inexpensive for all those involved. A cost study on ICD-10 implementation was initiated by a broad group of provider organizations and conducted by Nachimson Advisors. They found for a small, three-physician practice that the total cost to implement ICD-10 was estimated at $83,290. For a large, 100-physician practice the estimated costs are upwards of $2.7 million.

ICD-10 will affect diagnosis and inpatient procedure

processed. Yet, it is always good practice to communicate

It seems as soon as the U.S. implements and works

codings for everyone covered by the Health Insurance

with your physician’s billing office if you have any issues

out all the bugs with ICD-10, it will be time to update yet

Portability Accountability Act (HIPAA). The change to

with your account. Compliance by October 2014 is

again. The outcome will be a classification that is based on

ICD-10 does not affect coding for outpatient procedures

critical in order to avoid unpaid claims.

ICD-9 coding

user input and needs. The ICD-11 revision is due in 2015,

(CPT).

had significant shortcomings, one being that it was over

but the World Health Assembly has discussed extending

ICD-10 codes appropriately reflect advances in medical

30 years old, which was when claims were processed

that deadline to 2016. The American Medical Association

knowledge and technology. These codes are used to

manually, handwritten or typed. Advances in medical

(AMA) has voiced that maybe the U.S. should leapfrog the

classify diseases and other health problems recorded on

applications, devices, medical knowledge and technology

ICD-10 and opt for the ICD-11.6. Others disagree, saying

many types of health and vital records, including death

has surpassed ICD-9 coding; it is well past its time to

jumping over ICD-10 and instead going to ICD-11 would

certificates and health records. In addition to enabling the

update reporting methods for patient records, diagnostics

be “like buying a bike without knowing how to ride one. If you do not have the fundamentals on how to do that,

storage and retrieval of diagnostic information for clinical, epidemiological and quality purposes, these records also

and procedures. By not providing enough detail to

I am not sure how you could implement ICD-11.” That is

provide the basis for the compilation of national mortality

describe a patient's diagnosis accurately, a diagnosis that

how Nicholas Holmes, M.D., chair of the department of

and morbidity statistics by the World Health Organization

will likely be shared with other physicians, is unacceptable

surgery at Rady Children’s Hospital in San Diego, views

(WHO) member states. It is used for reimbursement and

in today’s world. ICD-10 provides the needed updates to

the AMA’s July 19 announcement, where its delegates

resource allocation decision making by countries.

medical terminology and disease classification, as well as

had “adopted a policy to evaluate ICD-11 as a possible

The difference in diagnosis codes:

codes that will allow for the comparison of mortality and

alternative to replace ICD-9.” Dan Rode, Vice President of

ICD-9 has approximately 13,000 3-code sets

morbidity data.

Policy and Government Relations for the American Health

ICD-10 CM has approximately 68,000 3-code sets The difference in the procedure codes: ICD-9 has approximately 3,000 3-code sets ICD-10 PCS has approximately 87,000 3-code sets

More data and very specific code sets will allow medical professionals to better: ·

Information Management Association (AHIMA), agreed with Holmes, saying that moving to ICD-11 would be “a tremendous jump.”

Evaluate patient care

What does all this mean to you as a patient? It means

·

Support research initiatives

you may possibly see your claims denied for improper

·

Construct payment systems

coding. Centers for Medicare and Medicaid Services

·

Process claims

(CMS) has projected a large proportion of claims received

·

Make clinical decisions

Diseases (ICD) version 10 are the

in the 4th quarter of 2014 that will be denied for improper

·

Observe public health trends

diagnosis and procedure codes that

coding. There are several reasons this could happen, such

·

Uncover fraud

your physician uses for describing:

as improper training and ICD-10 implementations at

The impact of ICD-10 with coding specificity will

the physician and staff level, as well as billing software at

lead to a more accurate gathering of information, which

the physician level that is not compliant with the ICD-10

will help identify new diseases and detect problem areas

protocol.

across a global community. This will improve data on the

The clearinghouse has not yet completed or tested claim submissions using the ICD-10 methodology.

outcomes, efficacy and costs of new medical technology, and it will ensure fair reimbursement policies for the

The good news for you: the patient cannot be held liable

use of this technology. Greater detail will help payers

for a claim that is denied due to inadequate compliance.

and providers more easily identify patients in need of

It is your physician’s responsibility to ensure the coding

disease management and more effectively tailor disease

guidelines are followed and claims are correctly coded and

management programs.

For More Info: Visit Solutions for Medical Billing, Inc., online at http://solutionsformedicalbilling.net/

What is ICD-10? International Classification of

DISEASES SIGNS AND SYMPTOMS ABNORMAL FINDINGS COMPLAINTS SOCIAL CIRCUMSTANCES EXTERNAL CAUSES OF INJURY OR DISEASES


Zoe’s Story

MEDICAL

The ankle becomes the knee joint in a bone cancer procedure Special Contribution to Austin MD by KVUE

Imagine a child suffering from bone cancer

became a knee joint. Dr. Williams, the only

in the leg. Now imagine doctors removing the

surgeon in Austin to perform the procedure, says

diseased portion and attaching the two healthy

rotationplasty was Zoe's best option.

sections, effectively turning the ankle into the knee. It is called rotationplasty, and one Austin teen is helping to put a face to the remarkable procedure.

glad I chose this." Zoe says she understands why she gets strange looks and stares. "I think that it's OK that they're

"As the doctor said, 'If you can get your wits

curious, because it's unusual," she says. "It's not

around it, it's a good option for her,'" says Stephanie

something you see every day. I like to think about

Croman, Zoe's mother. "I thought that was well

it as kind of inspiring."

put." Like a lot of 14-year-old girls, Zoe Croman likes horses.

Doctors say Zoe's strength and endurance will "It's kind of nerve wracking to say, 'Yes you can

improve dramatically once she completes her

take off my leg, turn it around backwards and stick

chemotherapy in January — just in time for Zoe's

"I love horseback riding," she says.

it back on,'" says Zoe.

birthday. She says completing her chemo will be the

Zoe's time in the saddle had to take a back seat

Zoe the dexterity she would not have gotten with

about a year ago, when she could not shake intense

an above the hip amputation, but it also limits the

pain in her right leg. Her doctor gave her the life-

amount of energy she needs to just get around.

Dr. Williams says the procedure not only affords

changing news.

best present she can receive. In addition to Dr. Williams and Texas Oncology, several other medical professionals play a role in performing the rotationplasty procedure in Central

"He said, 'I really hate to tell you this and I hate

"The amount of work it would take just to walk

my job, because I'm the one who has to tell you it is

across the room for an amputation at the hip joint

Dr. Robert Whitfield, of the Breast and Body

cancer,'" she says.

would be similar to someone running a sprint," says

Center of Austin, is the plastic surgeon who

Zoe has osteosarcoma, one of the most common bone cancers in children. "Hers was in the bottom half of the thigh above the knee," says Ron Williams, M.D., an orthopedic

Dr. Williams, the only surgeon in Austin to perform the procedure, says rotationplasty was Zoe's best option

Texas.

performed the vascular reconstruction. Dell Children's Medical Center created the infrastructure to allow this kind of complex problem to be handled within Austin. A big part of the cancer management is the pediatric oncologists at Dell, who provide the chemotherapy.

oncologist with Texas Oncology. Dr. Williams.

The Dell 4N Nursing Service consists of

Dr. Williams is Zoe's orthopedic oncologist.

specialists who work with Zoe during her

He told her family they had three options: a full

That is energy Zoe would prefer to spend at

chemotherapy. Then there are the pathologists,

amputation at the hip, a limb salvage amputation

SunCrest Farm, in Manor, riding her horses. Both

radiologists and prosthesis who work a behind-the-

just above the knee that may require numerous

she and her family say they have no regrets about

scenes, but play a major role as well.

surgeries for the rest of her life, or the oddest and

opting for rotationplasty.

least known procedure — rotationplasty. That is where the cancerous portion of the

"We have zero doubts it was

knee or thigh is removed, and the healthy lower

absolutely the right option for her,"

part of the leg is rotated and attached to the

says Stephanie.

remaining leg or thigh. What had been the ankle "Are you really going after an image of what you want your child to look like, or are you going

For More Info: Catch Jim Bergamo, KVUE Anchor and Health Reporter, on KVUE’s 5 pm broadcast, and follow him on Twitter: @JimB_KVUE

after what they'll be able to do and accomplish with their lives?" says Russell Croman, Zoe's father. "It's

so

phenomenal

and

wonderful," says Zoe. "I'm really


BUSINESS

A WHOLE NEW LOOK AT SECURITY KEEPING YOU SAFE IN THE NEW YEAR SPECIAL CONTRIBUTION TO AUSTIN MD BY DYEZZ SURVEILLANCE

N

ow that the holidays have come and gone, and life can slowly return to (somewhat) normal, you are prob-

One of our loyal customers had this to say about her alarm system on Yelp:

ably thinking about your resolutions

“At the end of May of 2011, my husband and I went to sleep at

and goals for 2014. One that can be often overlooked is

around midnight. He rolled his eyes as he usually did when I asked

the security of your home or business. So, as you begin to

him to turn the alarm on (he thought they were a "false sense of

look forward, here are some tips that can help keep you

security.") We were fast asleep when the alarm went off. I was

and your family safe in the coming year.

petrified that someone had broken into our home and wouldn't let my husband leave our bedroom to face this "intruder."

VIDEO SURVEILLANCE

After a couple of minutes, he cracks open our bedroom door

If you have not thought about this option before, now

and a massive burst of black smoky air came in - there wasn't a

is a great time to do so! Not only does it provide you the

burglar, it was a FIRE! We couldn't even see each other and we

convenience of being able to see your home or business

were standing right next to each other — there was thick, black

from anywhere in the world, but it is also one of the best

smoke everywhere.

deterrents when it comes to preventing burglaries, theft

We couldn't get out from the back door because that's the area

and vandalism. Statistics show that over 60 percent of

where the fire was, so we head towards the front door right as

potential targets are passed over merely because the po-

the fire department pulls up to our house. WE HADN'T CALLED

tential perpetrator looked for and found video security

THEM. DYEZZ HAD. I didn't even realize that they actually moni-

cameras. In most cases, they went to the next house in the

tored our smoke/fire along with the standard burglary type alarm.

same neighborhood (one without cameras) and targeted

We didn't have to do anything but safely get out of our house.

them instead.

FOR MORE INFO: Dyezz Surveillance and Security has been providing John Dyessthe is highest quality of the founder installations and of Dyezz service for video Surveillance surveillance systems, burglar and fire alarms, access control systems, covert surveillance, bug detection, intercom systems, and home automation since 2001. Visit dyezz. com or call (800) 370.2762.

Our alarm woke us up, contacted the fire department for us, dispatched them to our address and SAVED OUR LIVES.”

A recent customer asked us to install a state-of-the-art video surveillance system around his home after multi-

In this event, a little prevention went a long way to-

ple break-ins. Now, this was not in a ‘bad neighborhood.’

wards keeping this family safe and avoid tragedy, and a

On the contrary, this was a very nice cul-de-sac that con-

little prevention can keep your family safe too!

sisted of large two and three story homes with little traffic and excellent lighting. However, after every home in the

But, what if you already have an alarm system in your

neighborhood was burglarized on more than one occa-

home? Well, there are a few things you should be aware

sion, this customer decided it was time to take action.

of: first, not all alarm systems are created equal. The components in your home are only as good as the design of

Less than three weeks after we installed their new

the system as a whole. Design and security specialists at

video surveillance system, the thieves were back… only

Dyezz are trained to be experts in system design. And

this time, there was one house in the neighborhood that

even if you already have a system, we’re happy to provide

was not broken into! You guessed it: the one with video

a complimentary consultation to assess the state of your

surveillance was not a victim this time. The thieves were

system… free of charge!

actually caught on camera walking up the driveway, looking directly at the camera and then turning back!

Furthermore, many people don’t realize that their alarm system should be tested monthly.

BURGLAR OR INTRUSION ALARM

That way you know that everything is work-

If you do not have one in your home or office, this is

ing properly, and the system will respond ap-

the single best investment for security and peace of mind.

propriately in the unfortunate incident that it

Not only will it alert you and the police of an intruder, but

is needed. If you’re not sure how to do this, call

it can also integrate very important safety devices such as

our tech department and we’ll be happy to help!

smoke detectors.

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THE THIEVES WERE ACTUALLY CAUGHT ON CAMERA WALKING UP THE DRIVEWAY, LOOKING DIRECTLY AT THE CAMERA AND THEN TURNING BACK


BUSINESS TTKTKTK

KICK-START YOUR BUSINESS IN THE NEW YEAR

For More Info: Contact Austin’s Small Business Development Program at (512) 974-7800 or visit www.austinsmallbiz.org

W

POINTING YOU IN THE RIGHT DIRECTION Special Contribution to Austin MD by Austin’s Small Business Development Program

ith a new year comes new resolutions. As a small business owner, making healthy resolutions that apply to the day-to-day management and long-term direction of your business is essential. The start of a new year provides a great foundation to take a fresh look at your business marketing and operations. As a division of the City of Austin

Economic Development Department, the Small Business Development Program exists to serve the small business community by providing capacity building blocks, information and resources. To ring in 2014, we are offering five simple considerations to kick-start your business:

2.Network! Network! Network!

ing process meant to help you understand

ence of your business. Your website is the

your options for the future. Ensure that

most basic conduit for sharing information.

Join a business-related organization.

your plan stays up-to-date with your cur-

Does it accurately reflect the personality

Austin hosts a myriad of business organi-

rent goals given market realities and future

of your business? Does it contain the most

zations, which provide great networking

market possibilities.

current product offerings and related mate-

opportunities. Networking with other suc-

rials? Remember that in this way you serve

4. Earn your Business Success Skills Certificate

as the gatekeeper of your information to

confidence. These contacts can serve as a

Brush up on your business skills by at-

reach online. For example, list your busi-

sounding board for ideas as you develop or

tending low-cost business classes from the

ness for free on LocallyAustin.org, which

expand your business. Networking opens

Small Business Program. We offer monthly

maps local, small businesses throughout

embraces

the possibility of collaboration and part-

classes on a variety of topics, ranging from

Austin. Keeping your information up-to-

entrepreneurship and offers numerous

nerships. Do not be afraid to talk to people

marketing to accounting, and even basic

date makes it easier for customers to search

resources

business

within the same industry to gain insight,

business-plan writing sessions. Taught by

and find you.

owners. The Small Business Development

or people in a different industry for a fresh

experienced UT adjunct instructors, these

Program delivers a BizAid Business

perspective. Interacting with the business

classes will give you the opportunity to

Furthermore, the power of information

Orientation that introduces small business

world can strengthen your position in the

make new contacts in the small business

sharing via social media is not something

owners to helpful programs on starting or

community, while simultaneously increas-

world while simultaneously learning how

to be overlooked. It is a critical outlet used

expanding a business. Attending a BizAid

ing brand awareness

to make your busi-

to stay in direct communication with cus-

Business Orientation will empower you

of your small business

ness more profitable,

tomers, new or existing. Are you active on

with information about local resources that

offerings.

efficient and distin-

the sites most used by your target market?

guished. After com-

Social media is a powerful tool that can in-

pleting six of these

corporate your messages into the daily lives

courses, you will re-

of your customers. Evaluate your digital

cessful entrepreneurs and industry-specific leaders can boost your knowledge and

1. Learn about helpful resources Austin

is to

a

city

support

that small

are appropriate for your business needs. The expansion of the Small Business

3. Do your homework

When you find yourself in need of business assistance, let us point you in the right direction

the public. Look for ways to increase your

Program initiative has transitioned towards

Reevaluate your position in the mar-

ceive a Business Success Skills Certificate

marketing strategy to guarantee effective

online self-referral options. LocallyAustin.

ket. Research to see what competitors are

with recognition from Mayor Leffingwell

management of the power of the internet.

org began as an information portal to

doing – is your business performing at its

and a reception at City Hall. The City of

Here is a crucial opportunity for your com-

share locally-owned small businesses with

best to compete successfully? Have you

Austin wants to celebrate your investment

pany to highlight its best image.

residents and visitors. It has grown to

searched for new opportunities to exploit

toward better management of your small

As you develop new goals for 2014,

include a mobile app as well as a directory of

a competitive advantage? The Small Busi-

business in todays competitive environ-

be sure to keep these efforts dominant

organizations that offer assistance to small

ness Program encourages you to regard

ment.

throughout the year for your business as

business owners. When you find yourself

your business plan as a living document.

in need of business assistance, let us point

Once developed, a business plan should not

you in the right direction. We partner with

be tucked away in a filing cabinet. On the

helpful organizations throughout the year

contrary, it should serve as a constant road-

to ensure that small businesses flourish.

a whole. Writing an itemized list of firm

5. Improve your online presence

objectives is a tangible way to commit to business success. This commitment extends

evolved into a

to partners as well as employees. It is neces-

map that leads you toward achieving the

verb that is used in daily conversation, you

sary for your business and all of its counter-

business goals you have set. It is an evolv-

should constantly manage the online pres-

Because Google has

parts to be held accountable for new goals to truly fulfill your business purpose.

A U S T I N MD M A G A Z I N E . C O M

71


TKTKTKT DINING

Dine for your Waistline at County Line An Austin-area BBQ institution partners with St. David’s Hospital to serve food as nutritious as it is delicious BY JAIME NETZER

Finger-licking, meltin-your-mouth, tender barbecue:

W

hether brisket or baby back ribs, turkey or chopped beef, Austinites love the unofficial state food, no matter what it does to their waistlines. And County Line BBQ, an Austin institution since 1975, is famous for their flavorful spin on the perennial favorite food group of so many Texans. At County Line BBQ, they live by four major principles. One, offer the highest-quality smoked barbecue—ribs, brisket, sausage and chicken—with traditional sides of coleslaw, potato salad and beans. Two, provide these BBQ specialties in generous portions at reasonable prices. Third, offer friendly table service with linens and full bar service. And finally, feature authentic locations that celebrate the heritage of Texas. For the original location, they chose an old speakeasy perched atop a hill. Flash-forward 38 years and seven additional locations across four cities later, and it becomes clear that

72

A U S T I N MD M A G A Z I N E . C O M

County Line has done something definitively right in the depths of their pit smokers. Part of that continued success, explains County Line owner and president Don “Skeeter” Miller, is due to the company’s flexibility. “If we did things the way we did 38 years ago, we wouldn’t be in business,” Miller says. Instead, County Line has listened to its customers and its employees alike, in order to stay abreast of food and diet trends and to understand exactly what they were looking for in a plate of ‘cue. “We listen to our customers, and we listen to our staff,” Miller says. “Years ago, we started awarding money for $100 ideas. Any employee who came up with an idea the company decided to use would get $100.”

“ EVERYBODY LOOKS AT BARBEQUE AS UNHEALTHY. WE’RE TRYING TO DISPEL THAT MYTH.”


DINING TTKTKTK Some of those valuable ideas, over the years, have been based on diet trends among Austin eaters. In the early ‘90s, for instance, information came to light on how harmful monosodium glutamate (MSG) was. County Line responded in turn by eliminating the flavor enhancer from its food. Then, a few years back, the restaurant featured an Atkins platter. When fro-yo was all the rage, they shifted from ice cream to low-fat frozen yogurt and then back again. The newest diet trend that County Line has adapted to is the uptick of glutenfree eaters in the Austin area. Time after time, when addressing these changing trends, Miller and his associates have been delighted to find that that their product is actually incredibly flexible—and can be quite healthy. “Everybody looks at barbecue as unhealthy,” Miller says. “We’re trying to dispel that myth.” In order to do so, County Line has partnered with St. David’s Hospital as a part of St. David’s Healthy Dining Program, which was designed to create awareness among people in Austin and the surrounding areas about the importance of healthy eating. Many restaurants participating in the program feature healthy dining options on their menus, making it easier than ever for people to make sound choices even when dining out. Through the program, a registered dietician visits a restaurant for a sampling and Q&A session. If the dish passes muster, it earns an icon, “ST”, which means it has been designated as healthy by St. Davids. The County Line menu boasts several designated healthy dining options: Grilled Norwegian Salmon Platter served w/ a grilled veggie kabob, baked potato (includes a

County Line reps say taking part in the initiative is about serving healthy food, but it is also about keeping their customers happy. “We eat healthy ourselves,” explains Mark Reach, of County Line. “What’s most important to us is keeping our customers coming back.” “It’s all about customer loyalty,” Miller adds. “Our Austin customers are discerning eaters and they’re incredibly health-conscious, which we love. Doing this program is just good business sense. We want to offer healthy options for both our loyal and new customers.” And St. Davids isn’t the only place taking notice of County Line’s efforts: The Austin mayor’s office has expressed their support for the company’s healthy-eating menu. “We know that things are bigger in Texas, but that doesn’t mean our waistlines have to be as well,” says Austin Mayor Lee Leffingwell. “Local restaurants like our own County Line that feature healthy choices help us make smarter choices, while still letting us get the ‘Texas flavors’ we crave and love.” If the Yelp reviews and word-of-mouth votes of confidence are any indication, County Line has loyal customers by the droves—and will for years to come.

“IT’S ALL ABOUT CUSTOMER LOYALTY.”

JUST WHAT IS A HEALTHY DINING ITEM, ACCORDING TO ST. DAVIDS CRITERIA? · No “fake” foods (i.e. flavors, sweeteners, or preservatives) · Any grains used should be whole grain with a serving size of no more than one-half cup (cooked quantity should equal 3 to 4 ounces) · If the item is an entrée, at least half should be comprised of vegetables (corn and potatoes do not qualify as the vegetable half of the dish) · No trans-fat or hydrogenated oils or deep fried foods (nuts, seeds and avocado fats are recommended as a substitute) · Incorporate lean-, low- or reduced-fat protein sources, such as plant-based proteins, nuts, meat and dairy, with a serving size equaling the approximate size of a deck of cards · No refined sugar or sweeteners—non-concentrated juices are recommended as a substitute. Exceptions are made for one teaspoon of honey or molasses per serving.

teaspoon of Smart Balance Spread). *Optional addition: side salad w/ roasted pecan balsamic vinaigrette

· No more than 600 milligrams or a ¼ teaspoon of sodium in an entrée

Grilled Chicken Breast Platter served w/ a grilled veggie kabob, baked potato (includes a teaspoon of Smart Balance Spread). *Optional addition: side salad w/ roasted pecan balsamic

· The plate should be colorful, which is a achieved by a variety of fruits and vegetables

vinaigrette Grilled Veggie Kabob Platter served w/ a baked potato (includes a teaspoon of Smart Balance Spread). *Optional addition: side salad w/ roasted pecan balsamic vinaigrette

A U S T I N MD M A G A Z I N E . C O M

73


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Sean Condon

(512) 330-1031 Sean.P.Condon@WellsFargo.com

Eric Copper

(512) 330-1031 Eric@LivingInAustinTX.com


January / February 2014  
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