Guide to Good Health 2018

ATX DOCTORS

GUIDE TO GOOD HEALTH

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Starting annual mammograms at age 40 saves lives.

One in eight women will be diagnosed with breast cancer and over 75% of them will have no family history. The fact is mammograms can find cancer before a lump can be felt and early detection saves lives.

Top medical centers in Central Texas rely on ARA Diagnostic Imaging for their expertise and knowledge.

You can rely on us too.

To schedule your mammogram visit ThanksMamm.com or call 512-453-6100.

A Leader in Breast Imaging

Compassionate Care. Natural-looking Results.

Breast reconstruction specialist Dr. Christine Fisher provides plastic surgery from a woman’s perspective. Her artistry, skill and experience includes the full spectrum of breast reconstruction options, including DIEP Flap (living tissue) reconstruction, implant-based reconstruction, and ‘hidden scar’ techniques resulting in no scars on the front of the breast. She also offers the correction of problems with breast implants.

Call today to speak with one of the breast cancer survivors on her patient care team who will help you navigate the restorative journey.

2905 San Gabriel Street, Suite 100, Austin TX 78705

christinefishermd.com

512.815.0123

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CONTENTS

ASK AN EXPERT 6 B REAST RECONSTRUCTION AFTER BREAST CANCER, DR. CHRISTINE FISHER

24 H EALTHY GUT, HEALTHY YOU,

8 MINIMALLY INVASIVE GYNECOLOGY SURGERY, DR. DEVIN GARZA

26 C BD OIL MYTHS DEBUNKED,

10 VULVODYNIA AND THE RISK FACTORS,

28 G ETTING YOUR MAMMOGRAM WITH ARA DIAGNOSTIC IMAGING,

DR. MARGARET WHITNEY

11 G ET HELP FOR YOUR PAINFUL JAW ISSUES, DR. KEVIN WINTERS 12 PAINFUL PERIODS, LISA M. JUKES, M.D. 14 WHY CHOOSE AN ORAL SURGEON, THOMAS S. WEIL, DDS, M.D.

16 W HY DO WE TEND TO MINIMIZE SKIN CANCER?, DR. DANIEL J. LADD JR. 18 UNCOVERING YOUR PERFECT SMILE, DR. MICHAEL MOOSSY

SHELLY SETHI, DO

SARAH SCOTT

DR. ARTHY SARAVANAN

29 R EVEALING FOUNTAIN OF YOUTH SECRETS, LAUREL CORRINNE 30 TUMMY TUCKS 101, DR. AISHA WHITE 32 P ERSONALIZED WELLNESS: AT-HOME TESTING AND CUSTOM VITAMIN PACKS, PAM MACHEMEHL HELMLY

34 A BETTER OPTION FOR HEALTH-CARE LAB TESTING, ANY LAB TEST NOW

20 CHRONIC PAIN, DR. GENARO GUTIERREZ

36 P ROFILES

22 D EBUNKING THE MYTHS ABOUT PSYCHOTHERAPY, DR. NAHAL DELPASSAND

46 D IRECTORY LISTINGS

ASK AN EXPERT

DR. CHRISTINE FISHER Board-certified Plastic Surgeon

Dr. Christine Fisher is a board-certified plastic surgeon passionate about taking care of breast-cancer patients and safely creating a long-lasting and natural-looking reconstructive result. She specializes in state-of-the-art breast-reconstruction techniques that optimize the aesthetic outcome. She and her team, which includes breast-cancer survivors, focus on providing compassionate, personalized care.

“Breast reconstruction can and should be beautiful. I have the artistic eye and refined skill to deliver an aesthetic result that patients can enjoy for a lifetime.”

Facing a breast-cancer diagnosis, many women feel overwhelmed as life becomes about battling the cancer. While there’s a lot you can’t control about the diagnosis, for women who desire breast reconstruction after a lumpectomy or mastectomy, there are many safe and natural-looking options. Austin breast-reconstruction specialist Fisher empowers women to make the choice that’s right for them.

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BREAST RECONSTRUCTION AFTER BREAST CANCER What are my options for breast reconstruction?

Today, there is a safe breast-reconstruction option for virtually every woman diagnosed with breast cancer. Breast implants are a traditional option that typically look best on women with moderate-sized breasts who are having both breasts removed and do not need radiation. Women desiring a more natural look and feel may choose a flap procedure, which uses living tissue from another part of the body to reconstruct the breasts, which never need to be replaced. The most common flap procedure is a deep inferior epigastric perforator, or DIEP, flap reconstruction, which uses abdominal tissue to reconstruct the breasts. Women who have extra tissue on the abdomen are ideal candidates for DIEP flap reconstruction, which gives the added benefit of a tummy-tuck effect. For women undergoing a lumpectomy rather than a mastectomy, I can perform an oncoplastic reconstruction in cases where the lumpectomy surgery removes at least 30 grams of tissue, with a 2- to 3-centimeter diameter of tissue removal or more. In many cases, a much larger portion of the breast is removed; this depends on the tumor size. Oncoplastic surgery then rearranges the remaining breast tissue to fill the empty space in the breast left behind by the lumpectomy. To address asymmetry between the two breasts, a breast reduction and/or breast lift can be performed on the opposite breast, a procedure that is covered by insurance.

What is the success rate of DIEP flap breast reconstruction?

In my hands, this surgery has a 99 percent success rate. It is important to choose a surgeon who performs this microsurgery frequently. I am a member of the American Society of Reconstructive Microsurgeons and have performed more than 500 flaps in the last five years.

Can I keep my nipples?

Women with a small tumor and no signs of cancer near the nipple may be candidates for nipple-sparing breast reconstruction. I perform a hidden-scar technique in which there are no scars on the front of the breast. The nipple and areola are left in place, while the breast tissue underneath is removed.

What are my reconstruction options if I’m not a candidate for nipple-sparing mastectomy?

If the nipples must be removed as part of the cancer surgery, women can elect to have nipple reconstruction. The new nipple can be surgically created as a protrusion at a natural location on the breast mound, or can be visually reconstructed via a three-dimensional tattoo. Three-dimensional areola tattooing adds color to the areola and the appearance of a nipple. Patients who have had surgical nipple reconstruction may also elect to undergo tattooing to add color to the areola and nipple. Tattooing can be done in my office about three months after the patient’s final surgery.

Q&w

I am going to need radiation therapy after my mastectomy. How will this affect my plan for breast reconstruction?

Patients planning radiation therapy after mastectomy present a more complicated reconstructive scenario. Implant reconstruction before radiation increases the risk of aggressive scarring, pain and deformity fivefold. There is also twice the risk of implant-based infection, which can lead to removal of the implant. For most women requiring radiation therapy after mastectomy, my general recommendation is to put in place a temporary implant at the time of mastectomy to “hold the space.” After radiation, we complete the reconstruction by placing a healthy, living tissue flap in the breast.

I am a very active person. Will I be able to resume all my normal activities after breast-reconstruction surgery?

The short answer is yes. Once you have finished the recovery period, there will be no limitations to your activities. The DIEP flap procedure does not remove muscle from the abdomen. Both DIEP flap and implant reconstruction have been performed on highlevel athletes, professional dancers and other active women, with complete recovery.

I have problems with my breast implants. What can I do?

For patients suffering the disappointment of breast-implant problems, reconstruction failures and radiation injury, I have the extensive experience, meticulous artistic technique and commitment to personalized care to address your concerns. I am known for consistently delivering safe and beautiful results in difficult cases.

For more information, visit christinefishermd.com.

...and never underestimate the power of a SMILE.

512.459.5437 | 4200 N LAMAR BLVD #145

DR. MICHAEL MOOSSY

ASK AN EXPERT

DR. DEVIN GARZA University of Texas Dell Medical School Department of Women’s Health

Dr. Devin Garza was one of the world’s first gynecologic surgeons to adopt robotic surgery. Having performed more than 1,600 robotic procedures and given the distinction of da Vinci mentor/epicenter surgeon by Intuitive Surgical Inc., he champions a minimally invasive approach to complex surgery by also training other surgeons. Since 2012, Garza, a board-certified OB-GYN, has often presented as faculty on the national and international stage at conventions such as the American Association of Laparoscopic Gynecologists and World Robotic Gynecology Congress, and in Australia and Asia. He was elected chair of the American Academy of Gynecologic Laparoscopists robotic special interest group for 2017 to 2018, and has personally trained more than 1,500 surgeons from throughout the world.

Garza is a referral specialist in the management of some of the most complex benign gynecology surgery, such as the management of fibroids with Acessa, myomectomy, complex hysterectomy, endometriosis and pelvic-floor prolapse. He is among the most experienced minimally invasive robotic surgeons in the U.S.

MINIMALLY INVASIVE GYNECOLOGY SURGERY Who is an ideal candidate for minimally invasive surgery?

Women of all ages and conditions benefit from minimally invasive surgery, and you should discuss all viable alternatives with your physician. Complex pathology can be managed safely and effectively with a highly experienced surgeon who is equipped with the most advanced surgical armamentarium, either traditional laparoscopy or the da Vinci robotic platform, which overcomes most of the limitations with traditional laparoscopy.

Are all surgeons trained in the minimally invasive approach?

Most are, but naturally, some surgeons are more experienced than others. Obviously, you get really good at what you do a lot.

It’s the same with surgeons. The type of hands-on training that I teach throughout the U.S. and other countries as an epicenter/mentor surgeon helps surgeons to perform more proficient robotic techniques. My hope is that a patient who was given no choice but an open surgery will have the opportunity to have a minimally invasive approach. I am convinced that as surgeons become more experienced and skilled in minimally invasive surgery, our patients truly benefit.

I am considering surgery. Are there questions I should ask my physician?

Importantly, you should have discussed all the options to surgery, as surgery should be the last option after failed medical management. But as it pertains to minimally invasive surgery, here are some key questions:

Q&w

1. Will this surgery be approached in a minimally invasive way?

Many surgeons are unaware of the potential for surgeries, such as very large uteri, removal of fibroids and transabdominal cerclage, which can be safely and routinely performed on the robotic platform by experienced surgeons.

2. I f your doctor is not comfortable offering a minimally invasive approach, ask if there is a surgeon he or she trusts in the local medical community that can perform this particular surgery in a minimally invasive approach. Collaboration among surgeons is key to more patients benefiting from a minimally invasive surgery approach.

3. I f you are not comfortable or have unanswered questions, always feel empowered to seek another opinion.

“Women of all ages and conditions benefit from minimally invasive surgery.”

For more information, visit devingarzamd.com.

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“Don’t you know yet?

It is your light that lights the worlds.”

—Rumi

NAHAL DELPASSAND, PSY.D. LICENSED PSYCHOLOGIST

1600 W. 38TH ST. SUITE 428, AUSTIN, TX 78731 | 512.454.3685 individual (adults and adolescents 13-17) | couples | family therapy

ASK AN EXPERT

DR. MARGARET WHITNEY UT Health Austin’s Women’s Health Institute

Dr. Margaret Whitney is a gynecologist at the UT Health Austin Women’s Health Institute. The institute focuses specifically on complex women’s pelvic conditions, such as urinary incontinence, pelvic-floor disorders and vulvar disorders.

“Many of our patients have been told there is nothing wrong or have been misdiagnosed. This seems to be a common hardship many have endured. They often feel they have been disregarded and not heard.”

VULVODYNIA AND THE RISK FACTORS What is vulvodynia and what are the risk factors?

Vulvodynia is a condition in which women experience pain on the vulva, which is the area outside the vagina between the mons pubis and the anus. It can include the labia, clitoris, vaginal opening and other areas. Some women have constant pain, while others may only have pain when provoked by certain activities, such as sex or wearing tight clothing. It is generally considered to be a chronic condition, but many women have resolution of their symptoms with appropriate therapy, and relapse varies from person to person. Known risk factors include young age, Hispanic ethnicity, being married and having coexisting conditions such as depression, post-traumatic stress disorder, sleep dysfunction and other pain syndromes like irritable bowel or bladder-pain syndromes and fibromyalgia. However, this is an area of medicine that is poorly understood and there are likely other risk factors and associated conditions that we have yet to identify.

How many women are affected by vulvodynia and at what age does it affect women?

Surveys suggest 3 to 16 percent of women report pain suggestive of vulvodynia. It is more common in younger women but can occur in women of all ages, such as during the time of menopause. Vulvodynia can occur early in life, such as with the first tampon use, and it can occur later in life after a pain-free period.

Why is it important to treat vulvodynia?

Many women with vulvodynia have seen multiple medical providers before they are given a diagnosis of vulvodynia, and even fewer can find effective treatment. The condition can have a significant impact on self-esteem, relationships, quality of life and ability to work. There is still much to be learned about this condition, and by treating more women, we can begin to learn more about the disease and hope to continue to offer better and more effective treatment options.

What aspect of vulvodynia do patients struggle with the most?

Many of our patients have been told there is nothing wrong or have been misdiagnosed. This seems to be a common hardship many have endured.

They often feel they have been disregarded and not heard.

Q&w

What treatment options are available?

Treatment can vary depending on the severity, duration and associated conditions. There can be an initial period of trial and error, and most women benefit from a multidisciplinary approach to care.

How does Women’s Health Institute use the team approach for patients with vulvodynia?

We approach vulvodynia using the biopsychosocial model of care. This means we treat the whole person and keep in mind the complex issues that can arise when a patient is living with a painful condition. Our team includes associate providers, such as physician assistants and nurse practitioners, pelvic-floor physical therapists, sex counselors, social workers and behavioral health specialists, nutritionists and physicians. All members of the team play a critical role in the treatment of our patients. We meet as a team in the morning to review patient treatment plans so we can receive input from all team members.

What is one thing you want women to know who are suffering from vulvodynia?

We can help you. We can help you live with your symptoms to help you manage them and hopefully improve them.

For more information, visit uthealthaustin.org.

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ASK AN EXPERT

DR. KEVIN WINTERS The Hills Dental Spa

Dr. Kevin Winters has spent his career striving to be at the top of his profession.

He is the longest-serving clinical instructor at the world-famous Las Vegas Institute for Advanced Dental Studies, where he has helped teach doctors from throughout the world. These are the same advanced techniques he offers in his practice every day.

Winters is also one of less than 1 percent of doctors to have received fellowship status from LVI and the International Association for Physiologic Aesthetics.

“Unless dentists have advanced training on the physiology of how to treat bite disease, traditional methods may, in fact, make things worse.”

GET HELP FOR YOUR PAINFUL JAW ISSUES What does my bite have to do with the way I feel?

There are two main nerves associated with the face and jaw. The information from these two nerves comprises more than 50 percent of the total impulses sent to your brain. The brain gives this area of your head and neck a lot of importance and is therefore very sensitive to any information it receives from this area. If something is even slightly off, your body knows and responds, many times in ways that create pain and discomfort.

What are some of the signs of temporomandibular joint dysfunction?

Signs and symptoms of temporomandibular joint, or TMJ, dysfunction can vary from person to person but may include clenching, grinding, popping or clicking in your jaw joint, headaches, ringing in your ears, ear congestion and dizziness, neck tension, stiffness and tightness, sleep issues like sleep apnea and many others.

I get a lot of headaches, even migraines. I’ve seen many different professionals about this but typically the answer is just another medication. Could my jaw be causing this?

Absolutely, your jaw could be the issue. Only a small segment of dentists have the knowledge and training to understand and treat the physiology of why this is happening. The answer is not another pill. By using advanced computer-based technology, Dr. Kevin Winters is able to get information about the muscles connected to your bite. This allows him to make treatment decisions that relax these muscles and help get rid of symptoms. It has changed the lives of many patients.

Q&w

My dentist gave me a night guard and it didn’t work. Why? Actually, that’s not uncommon. Unless dentists have advanced training on the physiology of how to treat bite disease, traditional methods may, in fact, make things worse. Winters has taught dentists how to do this for more than 21 years.

For more information, visit thehillsdentalspa.com.

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2018

GUIDE TO GOOD HEALTH

11

ASK AN EXPERT

LISA M. JUKES, M.D. Board-certified OB-GYN

Most women experience discomfort when Aunt Flo comes to visit. However, there are varying degrees of pain associated with menstruating, as it affects women differently depending on the symptoms and causes.

Heavy menstruation and severe cramps not alleviated by a healthy lifestyle and the use of over-the-counter pain relievers should be evaluated further by a specialist. When your body doesn’t respond to these tactics, it could potentially be more serious and even require surgery. Endometriosis, adenomyosis, uterine fibroid tumors, ovarian cysts and prolapse are some of the common diagnoses for women suffering from pelvic pain and/ or abnormal bleeding.

“Heavy menstruation and severe cramps...should be evaluated further by a specialist.”

PAINFUL PERIODS What are the signs of an abnormal period?

One sign is pain that doesn’t respond to Motrin, or the patient has to dose frequently and take several Motrin to be able to get relief and go about her normal activity. As far as unusually heavy bleeding (i.e., changing a Kotex every hour or two), that would be considered not normal. Staining bed clothes at night or having to get up a couple times in the night to change a Kotex would also be considered not normal. If your pain does not respond to various therapies (healthy diet, exercise, pain relievers, birth control), if you are bleeding between periods, experiencing a heavy flow or if your menstrual cycle is interfering with your quality of life, preventing you from going to work or leaving the house, then it is time to seek help from a women’s health professional.

Why do heavy menstruation cramps occur?

Painful menstrual cycles can occur as young as the early teenage years, but tend to peak in a woman’s 20s and 30s. The painful symptoms typically go away with pregnancy and then oftentimes return for women in their 40s. Pregnancy can provide relief of symptoms from endometriosis and pelvic pain for several years. Endometriosis is a condition in which endometrial-type cells have implanted outside the uterus, causing severe cramps, abnormal bleeding and other pain, including pain with intercourse. Endometriosis affects at least 25 percent of women. It can be genetic or even associated with congenital uterine anomalies. There’s a condition related to endometriosis called adenomyosis and that’s a common reason for severe menstrual cramps as well as heavy bleeding. It’s a condition in which the endometrial lining has implanted in the muscle wall of the uterus. Pain can also be caused by uterine fibroids that can cause bleeding problems if the fibroid is affecting the lining of the uterus.

Fibroids are benign, noncancerous, fibrous-like tumors in the myometrium (muscle layer of the uterus). Pelvic pain should be further investigated to assure that it is not related to a gastrointestinal, urologic or musculoskeletal disorder. Heavy bleeding can even start with a young woman’s first few menses. As many as 25 percent of these adolescents may have a hereditary bleeding disorder, which can be determined by simple blood work.

Later on, heavy bleeding, bleeding between cycles or with intercourse can be secondary to overgrowth of the endometrium, uterine polyps, fibroids or adenomyosis.

Q&w

What are the treatment options?

The first step would be to see how the body responds to pain relievers and possibly hormonal contraceptives. If the body is not responding, the next step is evaluation and possible ultrasound in order to determine the etiology. The treatment depends on what we find and whether that person wants to have children or has completed her family. If the findings are suggestive of endometriosis based on history and physical exam, then we typically proceed with a laparoscopy. In my experience, I prefer using da Vinci surgery. The da Vinci robotic system gives me 3-D visualization, better magnification and use of instruments that have more precise movements. Laparoscopy allows me to see into the abdomen through small incisions in order to diagnose what is causing the pain or bleeding.

I am now able to perform more complicated, minimally invasive surgeries rather than making large abdominal incisions, including single-site umbilical laparoscopic surgery. With da Vinci, patients experience less pain, less risk of infection and scarring, and shorter recovery time, among many other benefits.

For more information, visit lisamjukesmd.com.

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W

ELLNESS

WAITING ROOM

KEEP CLEAN AND CARRY ON

Kelly Nardo, the founder of fitness-and-nutrition blog eatthegains.com, highlights why being organized is good for your health.

BY KELLY NARDO We’re all trying to start off on the right foot, be that by cleaning up our diets, hitting the gym one more time a week or focusing on self-care. With all these new resolutions to prioritize, one thing that can get pushed to the back burner of our to-do lists is getting organized. We all know how wonderful it feels coming home to a sparkling kitchen, a clutter-free office and all the laundry put away, but do you ever think about the health benefits that come from channeling your inner neat freak? Let’s count the many ways in which prioritizing organization is good for our mental, emotional and physical sanity.

IT REDUCES STRESS.

Are you running about the house trying to find keys or searching through a 2-inch stack of papers on your desk for a certain contract? When everything has a home, be that a desk drawer, a shelf, a hook or a filing folder, and you know exactly where it is, you’ll no longer have to stress about trying to find something when you need it most, which will make you more relaxed.

IT ENCOURAGES HEALTHIER EATING HABITS.

Having clutter and disorder can lead to stress, which increases your cortisol levels. Excessive cortisol can encourage fat synthesis, increase your appetite and can affect your choice of food. Translation: Come snack time, your tendency is to lean toward something high in fat, sugar or both. When things are less cluttered, more clean and therefore inherently less stressful, you are more likely to choose an apple instead of a candy bar and keep that cheat day in check.

IT BOOSTS ENERGY.

Do you ever clean your house and feel like a million bucks afterward? Just 10 minutes spent cleaning—a quick sweep of the kitchen and getting a load of laundry started—can give you the energy boost and the mental break you need to continue on with your day.

IT ENABLES YOU TO FOCUS ON THE FUTURE.

Have you ever moved or redesigned a room and found a miscellany of items you didn’t even know you had? Make a point to get rid of the things that drag you down, especially those that do so emotionally, for instance, those old jeans from college that haven’t fit you for a few years. Eliminate items that are more likely to give you feelings of guilt than happiness, and keep the things that motivate and inspire you and make you feel like your best self.

IT MAKES YOU HAPPIER.

Lastly, it’s no shock being more organized can help increase happiness. Studies have shown clutter can increase levels of cortisol, the stress hormone, and that stress can make you feel overwhelmed, fatigued, depressed or, in layman’s terms, like you don’t have your life together. At the end of the day, there are few things more rewarding than coming home to a well-organized and clean home.

IT IMPROVES SLEEP.

A messy room can make you feel anxious, leading to lost hours of sleep. Keep your room clean and your bed made, and clear out things you don’t need to help reduce clutter and have a restful night.

Do you ever sit down at your desk and try to get something done only to realize your desk is a disaster zone? Some would say a scattered workspace means a scattered mind. Being clutter-free helps you focus on the task at hand without getting distracted. Light a candle and find a new place for the mess, whether it’s the trash can or a filing cabinet, and make your desk a clean slate. Although work processes differ from person to person, being able to concentrate on one task at a time can increase your productivity and get creative juices flowing for the next task at hand.

Kelly Nardo photo by Ashley Brinkman.

Kelly Nardo photo by Ashley Brinkman.

IT INCREASES CONCENTRATION AND CREATIVITY.

66 | AUSTIN WOMAN | JANUARY 2018 2018

GUIDE TO GOOD HEALTH

13

ASK AN EXPERT

THOMAS S. WEIL, DDS, M.D. Austin Oral Surgery

Dr. Thomas S. Weil is a diplomate of the American Board of Oral and Maxillofacial Surgery and a fellow in the American Association of Oral and Maxillofacial Surgeons. After receiving his Bachelor of Arts degree from Tulane University in New Orleans, Weil began his professional education at Baylor College of Dentistry, where he graduated at the top of his class.

He then attended the University of Texas Health Science Center at San Antonio, where he earned his medical degree, also graduating with honors. He remained in San Antonio to complete a general-surgery internship, his anesthesia training and the remainder of his specialty training in oral and maxillofacial surgery.

“With most surgeons’ offices staffed full time, there is always an expert available to provide that follow-up care and reassurance.”

WHY CHOOSE AN ORAL SURGEON What is the difference between an oral maxillofacial surgeon and my general dentist?

All dentists attend a four-year dental school prior to receiving their dental degree. Oral and maxillofacial surgeons then spend an additional four to six years intensively training in medicine, surgery, anesthesia and implant dentistry. Some receive medical degrees in the process but all get the same intensive core training in expert third-molar removal, compleximplant placement, jaw surgery, temporomandibular joint and trauma surgery. Following this training, most then submit for written and oral examinations to achieve board certification.

My dentist says she has a specialist that comes to her office monthly and can take out my son’s wisdom teeth under anesthesia. Is her office set up to provide this procedure safely?

Oral surgery offices are built from the ground up for outpatient surgery and anesthesia rather than general dental care. From anesthesia and safety equipment to patient flow and recovery, the facility is designed for outpatient surgery. All oral-surgery offices undergo onsite examination and certification to ensure office-based anesthesia standards are met. All general dental offices are different, but most necessitate that the traveling dentist bring anesthesia, surgery and safety equipment with each visit. Additionally, while complications are rare, often, patients want the reassurance of a quick unscheduled visit to check in or confirm healing is going well. With most surgeons’ offices staffed full time, there is always an expert available to provide that follow-up care and reassurance. Such accessibility is often not available with traveling providers.

I have a complicated medical history. Am I a candidate for anesthesia?

Almost all who can be seen in an office environment can have some form of anesthesia. The type of anesthesia and ideal treatment environment are best discussed with your surgeon at the time of a consultation visit, when your medical history can be discussed in detail.

Q&w

What sets Austin Oral Surgery apart?

Austin Oral and Maxillofacial Surgery has cared for Austinites for more than 45 years. We have 13 board-certified surgeons in 12 locations, so we can provide service in a safe, convenient, caring environment for most of Austin and the surrounding areas. Additionally, we always have someone available to see you, as there’s flexibility in scheduling with so many doctors and locations. The most important thing that sets us apart, however, is our people. Our surgeons, clinical assistants and frontoffice teams are all focused on caring for patients in a safe, pleasant and compassionate environment.

What procedures does an oral surgeon perform other than those on wisdom teeth?

While we are indeed the wisdom-tooth experts, there are many other areas in which oral surgeons have expertise. Sophisticated implant placement and the various hard- and soft-tissue grafting procedures that are done to optimize implant results are routine for us. Orthognathic or jaw surgery for developmental bite problems and the treatment of traumatic facial injuries are in our areas of expertise as well. The primary surgical procedure that cures sleep apnea is one of our specially developed procedures. Some of our surgeons treat temporomandibular joint disorders and we offer minimally invasive joint surgery for the most common temporomandibular joint issues when surgery is necessary.

For more information, visit austinoralsurgery.com.

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CARE TEAMS

THAT MAKE A

DIFFERENCE Pelvic Floor Physical

Changing the conversation It’s not just about kegels

erapy

Did you know that incorporating pelvic floor physical therapy into care can do wonders for pain and improving other conditions like urinary incontinence, endometriosis and vulvodynia? Our Women’s Health Institute uses a coordinated, whole-woman approach to care that includes physical therapists that work by focusing on your muscles, nerves and bones to help improve your overall pelvic nction.

To experience the diierence UT Health Austin can make in your life, please call 1-833-UT-CARES, or visit uthealthaustin.org

ASK AN EXPERT

WHY DO WE TEND TO MINIMIZE SKIN CANCER? How prevalent is skin cancer?

In 2016, 5.4 million cases of skin cancer were diagnosed in the U.S. That number far surpasses the number of breast, prostate, lung and colon cancers combined. It’s not even close. So, given these grave statistics, why aren’t more people rushing to their dermatologist to get a skin exam?

If skin cancer is so common, why do people downplay its significance?

One of the most straightforward reasons people tend to downplay the significance of skin cancer is that most cases of skin cancer are not deadly.

For example, of the 5.4 million cases of skin cancer in the U.S., more than 4 million of those are basal cell carcinoma. Less than 1 percent of these basal cell carcinomas metastasize, or spread to other parts of the body. For this reason, they are rarely lethal.

DR. DANIEL J. LADD JR. Tru-Skin Dermatology

Dr. Daniel J. Ladd Jr. is the medical director and founder of Tru-Skin Dermatology.

“Malignant melanoma accounts for less than 1 percent of skin-cancer cases but the vast majority of skin-cancer deaths.”

Why is it important to get my skin checked?

By the same token, only 5 percent of the squamous cell carcinoma skin cancers metastasize or spread to other parts of the body. So, that means 95 percent of the time, they are not lethal. However, if left untreated, basal cell carcinoma and squamous cell carcinoma can destroy large areas of skin, causing physical disfigurement that is permanent. So, when we consider there are 5.4 million skin cancers each year and 5 million of them are not very likely to spread or cause death, that’s pretty reassuring. So, what’s the big deal?

Malignant Melanoma Malignant melanoma accounts for less than 1 percent of skin-cancer cases but the vast majority of skin-cancer deaths. One person dies of melanoma every 52 minutes. Melanomas are sometimes challenging to diagnose. Of all the skin cancers, malignant melanoma is the sneakiest skin cancer for a number of reasons.

Melanoma is a master of disguise.

Melanomas love a good disguise. Maybe you are thinking you can use color as a dependable guide to nail down a diagnosis of melanoma. Think again! Melanomas can be black, brown, tan, white, pink or red. Maybe you think the shape of a melanoma can help you detect one early. Think again!

They can be round, oval, jagged or amorphous in shape. As far as elevation goes, melanomas can be flat, raised, shiny or rough. Given all these varied appearances, it makes sense to get a skin exam from a professional dermatology provider whose expertise can decide which lesions are suspicious enough to biopsy.

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Melanomas grow in the strangest places.

Basal cell carcinomas and squamous cell carcinomas tend to grow in sun-exposed areas like the head, neck, arms and hands. This makes sense.

Because all skin cancers are triggered by the sun, they should all grow in sun-exposed areas, right? Think again. The most common place for a man to grow a melanoma is the back. For a woman, the most common melanoma site is the legs. Skin cancers are quiet and don’t complain much.

Whether you are growing a basal cell, squamous cell or melanoma skin cancer, it is rare that you will feel anything associated with your skin cancer.

At the early stages, there is usually no itch, no stinging, no burning, no bleeding, no fatigue, no weight loss. In short, you won’t realize anything is wrong with you at all.

What’s the move?

Because skin cancers have a million disguises, grow quietly and painlessly, and frequently grow in places you would never suspect, the only dependable way to protect yourself in 2018 is to call and schedule a full-body skin exam at Tru-Skin Dermatology as soon as possible. Don’t wait until you see or feel something is amiss. By that time, it may be too late!

For more information, visit tru-skin.com.

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Feeling strong again is closer than you think.

At Pain Specialists of America you’ll find a team of pain management experts right where you need us, providing a host of interventional treatments to help you regain your vitality.

Lean on our considerable strengths to help rebuild your own.

Ask how our extended resources, therapies and advanced technologies can help accelerate your return to normal living.

Pain relief is closer than you think.

psadocs.com

Pain Specialists of Austin Locations: AUSTIN - BASTROP - CEDAR PARK - COPPERAS COVE - GATESVILLE - GEORGETOWN - KILLEEN - TEMPLE - WACO Central Texas Pain Center Locations: AUSTIN - FORT WORTH - KILLEEN - NEW BRAUNFELS - ROUND ROCK - SAN ANTONIO - SAN MARCOS - SEGUIN - WACO

© 2018 Pain Specialists of America

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DR. MICHAEL MOOSSY Moossy General & Cosmetic Dentistry

Dr. Michael Moossy is a native Texan with the type of Southern hospitality his patients have grown quite fond of throughout the years. He takes great pride in his private practice in Austin and has been practicing dentistry for 20 years. As his name has become well-known here in the Capital City, it is obvious that Moossy loves what he does, and his team and patients alike enjoy the entire dental experience with him.

“It is possible to obtain dramatic results with little investment.”

UNCOVERING YOUR PERFECT SMILE In the following article, Dr. Michael Moossy addresses frequently asked questions about achieving a desired smile. Moossy strives to balance his patients’ expectations with realistic outcomes.

Most importantly, Moossy emphasizes both aesthetics and functionality when discussing dental options that will be optimal in creating the desired smile.

Are porcelain veneers right for me?

A veneer is the ideal restoration to address issues that patients aren’t happy with, such as shape and color, alignment of the teeth, uniformity of the smile and spacing concerns.

However, it does have its limitations. Great care needs to be taken if the patient is a clencher or grinder, or has gum or bone disease. In addition, it tends to be a more expensive option but lasts longer. A more fiscally conscious approach might be simply whitening your teeth followed by contouring and bonding. It is possible to obtain dramatic results with little investment.

What is the black line at my gum line?

This is usually the result of a previous dental restoration.

Older crowns were made with a metal substructure, which is revealed when the gum recedes with age. So, newer restorations are more aesthetic in the sense that they are metal-free yet still have adequate strength. Crowns are great, just like veneers, in fixing similar issues, but are needed in certain circumstances. Crowns are ideal for the patient who has preexisting dental work or is known to be a clencher or grinder.

I want longer teeth. How do I achieve this?

One option would be adding length to the edge of the tooth using composite material, otherwise known as bonding.

Length may also be added with the use of veneers or crowns.

Sometimes patients have what is referred to as a “gummy” smile, which can easily be resolved with a gingivectomy or crown-lengthening procedure (removing gum tissue), which reveals more tooth structure, in turn, creating a longer tooth.

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For a complimentary cosmetic consultation, give us a call at 512.459.5437.

For more information, visit drmoossy.com.

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Regain your confidence, your femininity and the “MonaLisa Touch”– sexuality with the only FDA approved non-hormonal treatment of vaginal dryness/atrophy

At the Lisa M. Jukes MD Wellness Center

If you’re suffering from Vaginal Atrophy, you might experience some or all of these symptoms: • Itching • Burning feeling or irritation • Pain during intercourse • Poor vaginal lubrication • Loosening of the vagina • Incontinence and the need to urgently urinate Thanks to advancement in medical technology, the MonaLisa Touch was developed to address the many concerns relating to Vaginal Atrophy in a safe, natural and virtually pain free manner.

First center in Austin to offer MonaLisa Touch.

Make your appointment today with Dr. Lisa M. Jukes, M.D., Board Certified Ob/Gyn. Call her office at 512.301.6767 to schedule.

Lisa M. Jukes MD

Lisa M. Jukes MD Wellness Center • 5656 Bee Caves Road, Suite B101, Austin, TX 78746 • lisamjukesmd.com 2018

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CHRONIC PAIN Dr. Genaro Gutierrez, what pain syndromes do you typically treat in women?

Women are prone to developing chronic pain after surgery, trauma or just organically. I see women with chronic headaches, complex regional pain syndrome, pelvic pain from endometriosis and from physical activity. One exciting emerging therapy for sports injuries is regenerative medicine, enhancing the body’s own natural ability to heal itself.

Can you tell us what it means to have chronic pain?

Chronic pain is defined as pain that has been persistent for more than three months, or beyond the expected recovery or healing time for an injury. Unfortunately, sometimes chronic pain is permanent pain. My job is to introduce both classic and novel methods to reduce a person’s daily suffering and make their pain much more manageable on a daily basis.

DR. GENARO GUTIERREZ Pain Specialists of America

After earning his bachelor’s degree in biology from the University of Texas, Dr. Genaro Gutierrez completed medical school at the University of Texas Health Science Center in San Antonio. His work in anesthesiology at George Washington University Hospital in Washington, D.C., was recognized for excellence. He completed a fellowship at Harvard’s Beth Israel Deaconess Medical Center among leaders in interventional pain management.

He authors textbook chapters and is published in peer-reviewed journals. His medical interests include whiplash, complex regional pain syndrome and neuromodulation.

Gutierrez, a native Austinite, enjoys cycling and jogging, and makes a strong attempt to play golf. He’s fluent in Spanish.

“To see a patient that hasn’t walked in several months or a year and then having her back up and walking without any crutches,” he says, “is incredibly rewarding.”

“There is a lot we can do about these issues without resorting to oral medications to calm the pain.”

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What are some of the most common conditions you treat?

I see a large variety of chronic-pain syndromes, starting with the very basic degenerative-arthritis pain cases of the neck, low back, knees and hips. I also see a substantial amount of neuropathy in my practice that can stem from nerve damage from chronic diabetes, chemotherapy, surgeries or trauma. We also see a lot of chronic headaches in our practice. There is a lot we can do about these issues without resorting to oral medications to calm the pain.

Can you name some of these treatments?

For spine pain due to degenerative arthritis, there is a really neat treatment that targets the specific small nerves that communicate pain from the small joints of the spine (facet joints) with a specialized needle that creates discreet thermal lesions to these nerves and renders them unable to communicate pain. This typically lasts for 12 months at a time, but in some cases, it can last longer. This same concept and technology can also be applied to other joints in the body.

What if the patient is terrified of needles?

Not to worry. Our pain center can provide safe and effective IV sedation under the care of a licensed anesthesiology provider to make sure your procedure and experience are as smooth and painless as possible.

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What is spinal-cord stimulation?

Spinal-cord stimulation has been getting a lot of press these days, and rightfully so. This technology has actually been available for decades but in the last couple years, there have been tremendous advances in both convenience of the therapy and improved efficacy. Spinal-cord stimulation is a minimally invasive therapy targeting specific bundles of nerves within the spinal cord in order to calm pain in the spine, extremities and even pain in the chest and abdomen. It is most commonly used for the unlucky but rare situation in which a person has undergone spine surgery for degenerative or traumatic conditions, but for whom, unfortunately, the pain never went away. I also perform this on many people that are simply not candidates for spine surgery or for any additional spine surgery. I work very closely with many of the spine specialists in Austin and Round Rock, Texas, to identify patients that would benefit from this modality. This treatment also works very well for peripheral neuropathy and nerve-pain syndromes. It is also gaining a lot of traction in chronic pelvic-pain syndromes.

Is this done in a hospital?

We do all of our spinal-cord stimulation cases as outpatient surgery.

What are your favorite cases to treat?

My favorites also happen to be the most challenging. These include complex regional pain syndrome and cancer-pain syndromes. Both are very rewarding to treat but challenging because of recurrence. My goal is always to do my best to provide people with more good days than bad days as they cope with their condition.

For more information, visit psadocs.com.

Get Dell Children’s Care close to home Emergency care available at Dell Children’s, Seton Hays, Seton Northwest, Seton Southwest and Seton Williamson Online scheduling is now available for your child’s ER visit at all Dell Children’s Emergency Care locations. Remember, online ER scheduling is for mini-emergencies only. If your child is experiencing a major emergency, get to the ER ASAP or dial 9-1-1. Schedule now at GetDellChildrensCare.com.

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DR. NAHAL DELPASSAND Licensed psychologist

Dr. Nahal Delpassand is a licensed psychologist who has been in private practice for two years and has worked in the field of counseling psychology for eight years. As a psychologist in private practice, Delpassand is often asked questions indicating that there appear to be misconceptions about what psychotherapy is and the process of psychotherapy itself. Here, she takes the time to discuss the most frequent misunderstandings about psychotherapy that she’s come acrosss. First and foremost, psychotherapy is a very nuanced process and dependent upon a number of factors.

However, the most important factor that predicts positive outcomes is the relationship between therapist and client.

“I believe the therapeutic relationship evolves to represent a microcosm of connections that are fostered outside the therapeutic space.”

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DEBUNKING THE MYTHS ABOUT PSYCHOTHERAPY What is psychotherapy?

While every clinician has his or her own definition, I believe psychotherapy is a process by which an honest and open relationship is created and nurtured. Many practitioners have modernized their participation and are active collaborators with their clients, moving from clinician to educator to life coach to ardent supporter. I often tell my clients that as with any relationship, there will be ups and downs. I believe the therapeutic relationship evolves to represent a microcosm of connections that are fostered outside the therapeutic space. This being said, patterns that occur in associations outside the therapeutic relationship often become present inside the therapeutic relationship. This is a positive occurrence, as it allows therapist and client to observe and work through these patterns in a safe, nonjudgmental environment. This type of relationship makes room for increased insight and awareness, which can ultimately lead to sustainable change in many realms of a client’s life.

When I start the psychotherapy process, does it mean I have to commit to coming in for years?

Traditional models of psychotherapy have emphasized a long-term approach to treatment. I’m sure the classic image that comes to mind as you’re reading this is the famous psychoanalyst Sigmund Freud talking to a client sprawled out on a long couch. The answer to this question is not at all. The length of therapy is often informed by the presenting concern, the therapist’s approach to treatment and most importantly, the ongoing collaborative conversation with each client about the objectives and goals he or she wants to accomplish. Ultimately, the time frame is driven by the client making progress toward accomplishing his or her goals.

Is psychotherapy only useful during times of crisis?

The answer to this question is no. We have made strides in destigmatizing psychotherapy, but the idea that there has to be something wrong appears to remain deeply embedded in the societal narrative, even today.

I believe it is critical to emphasize that going to a therapist can be useful, even when distress is not present. Developing self-awareness, strengthening emotional muscles, advancing communication skills and exploring values are the building blocks to navigating a crisis and maintaining change after the crisis is successfully managed. Often, the more meaningful therapeutic conversations are had when there is not a pressing crisis.

Thus, frequent exploration of the topics, as listed above, can be analogous to “sharpening the saw”: The sharper it is, the better equipped one will be in coping with a crisis.

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Will my therapist be angry if I express dissatisfaction about the treatment process?

Clients are often worried about disappointing his or her therapist, especially as it relates to their treatment. The answer to this question is absolutely not. In fact, therapists welcome this feedback from their clients and believe it is critical to foster honesty and transparency in the therapeutic relationship. Expressing authentic feelings is the hallmark of a strong therapeutic alliance. Thus, it is crucial to disclose when dissatisfied with the course of treatment so changes can be made or a referral to another provider can be arranged. The bottom line is the therapist is at the service of the client, not the other way around. In my experience, when clients have expressed dissatisfaction in any way, it has actually strengthened, not hindered, the relationship.

For more information, visit drnahaldelpassand.com.

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"Wellnicity's story began 12 years ago when I started neurotransmitter testing to help clients dealing with sleep disorders, anxiety, depression and focus. By measuring actual bio-markers, we could determine what was out of balance and create customized nutritional and dietary solutions to bring levels back into normal ranges. We believe wellness is not a 'one-size-fits-all' prescription, but a personal journey unique to each individual. We are excited to bring our science-backed process and premium, professional-grade supplements to you and your family." , Founder and Chief Science Officer Connect with a Wellnicity clinician for free guidance:Â care@wellnicity.com

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SHELLY SETHI, D.O. Board-certified integrative family physician

Dr. Shelly Sethi is a board-certified family physician who provides integrative and functional medicine to people who are looking for clarity and real solutions to their chronic health issues and to people who want to optimize their body and brain to live to their full potential.

“Taking five minutes to practice a mindful meditation, prayer or breathing practice, such as the '4-7-8 breath,' prior to eating will help the digestive juices flow and decrease inflammation.”

HEALTHY GUT, HEALTHY YOU Your gut plays a critical role in your overall health. Dr. Shelly Sethi sees many women struggling with decreased energy, autoimmune disorders, weight-loss issues, digestive issues and hormonal imbalances. Their relationships are suffering because of their medical concerns and they’re worried about the quality and longevity of their life and ability to enjoy family in the years to come. They don’t need a bandage solution; they need help finding the root cause of the symptoms and creating a long-term plan of action. Sethi explains some of the common concerns she regularly hears and explains how to strengthen your gut with integrative solutions.

How do you know if your gut is healthy? What are signs that you should see a doctor for digestion issues?

Digestive issues can present with many different symptoms. Some easily recognizable symptoms might be gas, bloating or acid reflux. Less recognizable symptoms as related to the gut might include acne, eczema, difficulty with focus, low energy and difficulty losing weight. Ultimately, you are only as healthy as your gut is. If your gut is not healthy, you can end up with nutritional deficiencies, which can lead to your body not having the building blocks it needs to make proteins that help you heal or hormones that drive your metabolism or the support you need for a healthy immune system and well-functioning brain. It’s essential that your gut microbiome is healthy, and testing can provide insight into why symptoms or digestive issues are occurring in the first place.

What are some helpful food guidelines and diet trends for rebalancing the gut? Which trends might actually be harmful?

The truth is that there are going to be different eating patterns that are right for different people. It’s really hard to say there’s one size that fits all. That being said, I typically recommend as a general rule of thumb that the anti-inflammatory diet is great for most people as a starting point. The anti-inflammatory diet or the Mediterranean diet have the most evidence for longevity and tend to be plant-focused or plant-forward diets. Women often ask about the ketogenic diet. This diet has been shown to improve some inflammatory gut problems and can help with rebalancing the microbiome. However, it may not be the right choice for everyone, as it can also affect hormonal balance.

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What are some preventative steps women can take to strengthen their guts?

Eat a large variety of vegetables and fruits to increase the diversity of your microbiome, which are the bacteria and other species that live in our guts to help us with day-to-day functions. Eat probiotic and prebiotic foods, which include fermented foods, yogurt, pickled vegetables and fiber. Decrease your stress, especially prior to eating. If you are stressed, your digestion is affected, and no matter how good your diet is, your absorption of all that healthy food will be affected. Taking five minutes to practice a mindful meditation, prayer or breathing practice, such as the “4-7-8 breath,” prior to eating will help the digestive juices flow and decrease inflammation. Follow time-restricted feeding, which means eating during a set number of hours during the day. Consider intermittent fasting. Don’t eat after the sun goes down or before the sun comes up. And, finally, get good sleep.

How do you advise your patients to apply integrative solutions at home to maintain gut health?

You can’t supplement your way out of a poor diet. Choosing healthy foods is foundational. There may be times, however, when food and nutrition are not enough. Lifestyle modifications are essential, as described in my book, Built to Thrive, including reducing toxins in your environment, increasing natural movement, optimizing sleep, strengthening relationships and transforming mindset about what is possible for well-being. When specific natural solutions are necessary, many ingredients can be found in the pantry and fridge and created quickly and simply. Remedies include sage cough syrup, bath salts with magnesium and essential oils for sleep, fennel-ginger tea for indigestion, and marshmallow tea and bone broth to soothe the gut.

We instruct women to use natural ingredients, which prevents microbiome disruption that many over-the-counter synthetic products can cause.

For more information, visit drshellysethi.com.

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ELLNESS

WAITING ROOM

PROTECT YOUR MEDICAL PRIVACY

Here’s all you need to know about keeping your personal health records safe.

BY JILL CASE

Austin’s Dr. Deborah Peel is the founder and president of the Patient Privacy Rights Foundation. In 2006, Peel also founded the Coalition for Patient Privacy. It goes without saying Peel is passionate about patients’ rights to medical privacy.

In 1977, when she began practicing psychiatry, she noticed how many of her patients were afraid they would face discrimination if information in their records about their psychiatric care weren’t kept private. This was the beginning of her interest in medicalprivacy issues.

Today, the issue is far more pressing because, as Peel says, “Instead of a system where most information would be locked up in cabinets, now we’re in a system where your records are in millions of databases [that are] unknown and inaccessible to you.”

You may believe your privacy is protected by the Health Insurance Portability and Accountability Act, or HIPAA, form you routinely sign in your doctor’s office, but this isn’t true. Your medical information is available to more people and companies than you may realize. Currently, your information can be accessed by your insurance company, employers, financial institutions, government entities such as Medicare and the U.S. Department of Labor’s Workers’ Compensation division, as well as bought and sold by data brokers.

Another issue that concerns Peel is the fact that patients withhold information from their doctors to protect their privacy and prevent job and insurance discrimination based on their diagnoses, not their health or abilities. According to a large patient survey conducted in 2016, 89 percent of patients admitted to withholding information from their doctors.

“It’s incredibly ironic that the technology systems that are supposed to help doctors treat patients actually are driving people to lie or withhold information from their doctors,” Peel says.

Through her organization and her coalition, Peel is fighting for our rights to control who can see and use our health data, even though it’s a difficult battle.

“It won’t be easy, but it has to happen because the right to privacy—to choose who can know sensitive information about you—is a fundamental human and civil right to autonomy and respect, the right to freedom. Trust in doctors requires technology systems that ensure that we can decide who else can see our health data,” Peel says.

To learn more about your medical privacy, visit patientprivacyrights.com.

DR. DEBORAH PEEL’S TIPS TO PROTECT YOUR MEDICAL PRIVACY 1. Ask doctors if the contract(s) they have with their electronic-health-records provider allows them to sell your data. To protect the data from being sold, the doctor or practice has to cross off the option in the contract, hidden in fine print, which allows the provider to sell or share your data.

2. Avoid free medical or health-care-related apps. “If it’s free, it means your data is being sold,” Peel says.

3. Be aware that just because a website or app says it “complies with HIPAA,” it doesn’t mean your information is being kept completely private.

4. Don’t post anything personal about your health on Facebook or Twitter.

5. Consider using a private search engine like duckduckgo.com instead of Google or Bing, especially when you’re searching about medical conditions.

6. Look into using a free privacy tracker such as Privacy Badger when you use your computer or device.

7. Avoid genetics testing such as 23andMe or labs, if possible. Almost all these companies sell your data. It may be “anonymous,” or “de-identified,” but it can still be identified as yours, eliminating your right to medical privacy.

WHO IS BUYING AND SELLING YOUR MEDICAL INFORMATION? Dr. Deborah Peel provided Austin Woman with some astounding information about data brokers, the companies that collect and sell medical information to other companies and organizations.

People may be shocked to learn how many of these firms exist.

• More than 100,000 health-care-related data brokers collect and sell your information.

• More than 800,000 daily live health-care data feeds view your information.

• More than 300,000 sources of unstructured data sources view and sell your data daily.

Data brokers state all the information they collect is anonymous, so it doesn’t harm the patient or infringe on their privacy rights. However, the Patient Privacy Rights Foundation website counters that, “Data may seem anonymous, but when coupled with other sets of data, the merged set can often reveal your identity.”

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CBD OIL MYTHS DEBUNKED Mistakenly associated with the high from the cannabis drug, CBD oil gets a bad rap. Yet the trending oil’s broad range of benefits, success stories and stamp of approval from the medical industry are turning its image around. Looking for a healthy alternative to traditional medicines for her clients and epileptic pup, Sarah Scott founded Austin-based Hemp Doctors USA, which sells Americangrown natural oils, tinctures and salves for people, dogs, cats and horses. Scott is also the owner and founder of Ironsmith–The Fitness Doctors, Austin’s first personal-training gyms, and has spent the past 29 years working in the strength, sports-conditioning, personal-training, disease-management, cancer-recovery, medical and post-surgical exercise industries. This experience greatly influenced the creation of Hemp Doctors USA. What is CBD oil?

It’s derived from the cannabis plant, but it doesn’t cause the euphoric high often associated with the plant. Hemp-derived CBD oil, which is legal in Texas, is extracted from the hemp plant and is akin to other legal, readily available hemp products, like hemp milk. Most notably, it is said to have anti-inflammatory, antianxiety and antiseizure properties, making it a viable product for many medical and wellness issues. Regarding dosage, start low and increase slowly until you identify the level that provides relief for you or your pet.

SARAH SCOTT Hemp Doctors USA

Looking for a healthy alternative to traditional medicines for her clients and epileptic pup, Sarah Scott founded Austin-based Hemp Doctors USA, which sells Americangrown natural oils, tinctures and salves for people, dogs, cats and horses.

“[CBD oil] is said to have antiinflammatory, antianxiety and antiseizure properties, making it a viable product for many medical and wellness issues.”

Does CBD get you high?

Hemp-derived CBD gets people and their pets healthy, not high. Hemp Doctors USA is passionate about offering a variety of healthy products for a wide spectrum of needs. CBD is one of more than 120 different cannabinoids found in the cannabis plant. CBD is found in hemp and marijuana. CBD from hemp is non-psychoactive. The component responsible for giving users a high is tetrahydrocannabinol, or THC, which is prevalent in marijuana, not hemp. Hemp-derived products containing less than .3 percent THC are legal in all 50 states. Hemp-derived products can be used as oral tinctures for fast absorption, in capsule form for easy dosage and topically.

Does the quality matter?

It is important to know your products were not grown in soils that have lead, arsenic, mercury and other environmental toxins. When evaluating a full-spectrum hemp-derived product, also make sure it is processed in an FDA-registered facility and utilizes third-party-verified good manufacturing practices. Look for American-grown, full-spectrum hemp-derived products that encompass the whole plant and are capable of providing the “entourage effect,” which denotes the synergy between cannabis compounds that magnifies the therapeutic benefits. These compounds work together to produce the very important entourage effect. CBD-labeled products are not always full spectrum and whole-plantbased. For example, CBD isolate products are not full spectrum and do not provide whole-plant medicine. Full-spectrum, entourage cannabis extracts are more effective for your wellness.

Q&w

What are the benefits?

CBD oil is beneficial for any number of ailments, including lessening everyday aches and pains, easing anxiety and depression, and reducing the severity of symptoms associated with osteopenia, osteoporosis, diabetes, epilepsy, insomnia, fibromyalgia, Parkinson’s disease and Alzheimer’s disease. From acting as an anticonvulsant and anti-inflammatory agent to easing neuropathic pain and aiding in reducing symptoms of Crohn’s disease, CBD oil offers benefits that spread far and wide. CBD is one of the most important healing substances in the hemp plant.

Does CBD oil really work for pets?

Yes, premium hemp extracts have been recognized for benefits on human and animal health for years. Our bodies, as well as our pets’ bodies’ endocannabinoid systems are made of cannabinoid receptors ready to receive naturally occurring cannabinoids to maintain a stable and balanced internal environment. The most compelling reason to start Hemp Doctors USA was for my clients and my dog, Billy. Billy was diagnosed with epilepsy as a puppy and I wanted to provide him a healthy alternative to traditional medicines. Bringing American-grown, naturally healthy CBD products to people and their pets has been a journey of the heart and soul for me. My daily mission is to create a healthier world for people, pets and the planet.

For more information, visit hempdoctorsusa.com.

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For more information, visit drnahaldelpassand.co

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DR. ARTHY SARAVANAN Breast Imager at ARA Diagnostic Imaging

Arthy Saravanan, M.D., is a breast-imaging specialist at ARA Diagnostic Imaging.

Having completed an advanced fellowship in breast imaging, she is an expert at diagnosing breast cancer through the use of mammography, MRI and ultrasound.

GETTING YOUR MAMMOGRAM WITH ARA DIAGNOSTIC IMAGING What’s important to know about mammograms?

I think the key message that we try to convey during Breast Cancer Awareness Month is that starting annual mammograms at age 40 saves lives. It is also vital to get yearly screening mammograms after that.

Many women are unaware that breast cancer is very common. In fact, one in eight women will develop breast cancer in their lifetime. About one woman will die every 13 minutes. What’s really startling is that many Austin women 40 and older have not started having their screening mammograms. The great news is that when detected early by a mammogram, 98 percent of women survive breast cancer. The emphasis is on early detection, which catches cancers when they are more treatable. It’s so important not to wait to have your mammogram.

While it’s always challenging to fit another activity into our busy lives, I think if women were more informed about breast-cancer screenings, they would certainly make scheduling a mammogram a priority. According the American College of Radiology, women should start getting mammograms at the age of 40 and get screened yearly thereafter.

If you have an increased risk or family history, your screenings might need to begin earlier.

What are some myths and facts about breast cancer?

I speak with a lot of patients who share their questions and doubts. There are a few common myths about breast cancer that I’d like to clear up.

Myth: Breast cancer doesn’t run in my family, so I don’t need to get mammograms.

Fact: S eventy-five percent of women diagnosed with breast cancer have no family history.

Myth: If you don’t feel a lump in your breast, you don’t need a mammogram.

Fact: Mammograms can detect cancer several years before a lump can be felt.

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Myth: I’ll never get breast cancer because my breasts are too small.

“The great news is that when detected early by a mammogram, 98 percent of women survive breast cancer.”

Fact: There is no evidence that breast size is linked to risk for breast cancer.

How many women who have a mammogram are diagnosed with breast cancer?

Women often wonder when they come for their mammograms what the chances are that cancer will be found. Here’s what data tells us: For every 1,000 women who have a screening mammogram, 100 are recalled for further screening, 20 are recommended for biopsy and 5 are diagnosed with breast cancer.

ARA has completely invested in 3-D mammography, an advanced technology that finds as much as 41 percent more cancer than traditional mammography. 3-D mammography is now the standard for excellence in mammography and it is available in 12 ARA locations. Everyone at ARA wants to make having a mammogram as easy as possible. We now offer online scheduling for mammograms and extended hours, so you can come after work.

Take care of your breast health. Schedule your mammogram online now: ausrad.com/scheduling or call 512.453.6100.

For more information, visit ausrad.com.

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LAUREL CORRINNE Laurel Corrinne Studio

The intimate lifestyle-aesthetics studio caters to a discriminating clientele who want to reveal and continue to enhance the beauty within through confidence-building body and skin care. Offering targeted treatments like CoolSculpting, the FDA-approved subzero freezing, safe and natural elimination of fat, to photo facials using the innovative BroadBand Laser, a treatment that greatly reduces the signs of aging, regenerates healthy skin and boosts collagen production, to her patent-pending Sunless Body Blend, which boasts an unparalleled luminous sunless glow, Laurel Corrinne is the Austin expert in lifestyle enhancement.

“The Fountain of Youth is closer than you think. With the right lifestyle aesthetics, you’ll be radiating natural beauty.”

REVEALING FOUNTAIN OF YOUTH SECRETS How can I get an amazing long-lasting and healthy tan?

With my Sunless Body Blend. After assessing the texture of your skin, I create and mix a custom solution that I paint (Yes, I use a roller.) onto the skin, which is a far healthier application versus environmentally damaging spray. The roller delivers the product onto the skin and then a blending sponge allows me to get an even, targeted application of the mixture onto the body. I take special care, handapplying and blending the face, hands and feet. I even add in some artistic contouring to further enhance the look. A Sunless Body Blend results in a far shorter developing time, a longer-lasting tan (about 10 to 12 days), with the most natural smooth fade over days. There is no splotchy, blotchy tan with my SBB, and it’s not available anywhere else in the world.

Why should I consider CoolSculpting versus liposuction?

CoolSculpting is a safe, FDA-approved, noninvasive fat-elimination procedure, whereas with liposuction, you’re anesthetized and risk more than just reduction of fat. CoolSculpting isolates fat cells in the desired area and an applicator delivers subzero temperatures to only those cells. The fat cells are killed off and the body naturally flushes them out during a few weeks to a couple months. It usually only takes a treatment or two to get results, and there’s no downtime for recovery, no scarring and no insecurities about going under the knife.

Full results from liposuction may not be noticeable for a few months to as long as a year. The treatments are done in the privacy of my CoolSculpting studio, complete with relaxing music and cozy blankets.

You’ll probably get a good nap!

What are the lasting effects of a BroadBand Laser facial versus traditional chemical peels?

The BBL delivers light energy to heat the upper layers of skin. The heat is absorbed into the areas being treated and stimulates skin cells to regenerate, producing more collagen, allowing your skin to restore to its natural beauty. I make five passes of the laser on your skin: Two are anti-aging, one is to treat rosacea and redness, one is to target broken capillaries and the last is to focus on sun damage and hyperpigmentation. I treat both the face and neck for continuity, and the laser can be used anywhere on the body, including hands, where we see a lot of early signs of aging. It takes about three treatments a year to maintain your results. A chemical peel treats the surface of the skin, smooths the texture and tones the skin. They both stimulate collagen production and enhance clarity, but BBL is the no-peel option with additional longer-lasting benefits.

Q&w

What are a few of your signature Fountain of Youth secrets that I can do right now to improve my skin?

Take a CoQ10 supplement, apply vitamin A (retinol) topically in the evening, start drinking heaps of water and, it is no myth, get your beauty sleep, at least seven hours a night. The Fountain of Youth is closer than you think. With the right lifestyle aesthetics, you’ll be radiating natural beauty. Come see me for more secrets to restore, preserve and enhance your skin.

For more information, visit laurelcorrinnestudio.com.

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ASK AN EXPERT

DR. AISHA WHITE Quintessence Plastic Surgery

Dr. Aisha White is a board-certified plastic surgeon specializing in breast surgery (including breast augmentation, breast lift and breast reduction) and cosmetic surgery of the face and body.

“...it’s the doctor’s responsibility to ask lots of questions about what the patient’s concerns are and what’s bothering her before just jumping into a procedure.”

TUMMY TUCKS 101 What’s the difference between a tummy tuck and liposuction?

People don’t always understand the difference. Liposuction is a fat-debulking procedure that decreases the amount of fat you have. If you’re young and have good-quality skin, when we remove the fat, the skin should spring back.

Skin has the amazing ability to adapt. Conversely, a tummy tuck is meant to address a loose-skin issue. It’s important to note that a tummy tuck is a body-contouring procedure, not a weight-loss procedure, which is a common misconception. We can combine a tummy tuck with a liposuction procedure to address the issue with fat and the issue with loose skin. For younger people, they can often just opt for liposuction without the tummy tuck.

Sometimes patients want what we call a mommy makeover, which includes a breast-rejuvenation procedure along with a tummy tuck. That’s a great combo procedure for moms who feel their breasts have become droopy after having kids and want a lift, or a lift and augmentation, and a tummy tuck. You can lose fat in two ways: with diet and exercise or, to a certain extent, with the knife. But there’s no way to exercise your way out of loose skin.

Are there any risks associated with a tummy-tuck procedure?

We always want people to be healthy prior to a procedure. But for the most part, it’s a safe procedure. If a patient has a medical condition, say diabetes, we want to make sure it’s well-controlled because she could be at a higher risk for infection. Otherwise, most people will have scars that heal well. For someone who’s prone to significant scarring, she may want to consider that before having a tummy tuck. There are also varying degrees of tummy tuck, and depending on the patient, she could end up with an extended C-section-type scar, but most of the time, a tummy-tuck patient will have a hip-to-hip scar that is hidden by underwear.

Is it OK to have a tummy tuck prior to getting pregnant?

A tummy tuck is not recommended for women prior to pregnancy. During a tummy-tuck procedure, we tighten the abdominal muscles. But those muscles get stretched apart in pregnancy and they don’t always come back together. Worst-case scenario, if you get pregnant after a tummy tuck, you could be at risk of having the muscles and skin stretch back out. In the end, that procedure could be a waste of money for the patient.

Q&w

What kind of down time can I expect after receiving a tummy tuck? Can I immediately go back to my active lifestyle?

For tummy-tuck procedures, you usually have a good four to six weeks of recovery. If you try to do strenuous activity, your sutures could rupture, so it’s important to heed your doctor’s advice and take it easy during this recovery period. In the first couple of weeks, patients can expect some pain, soreness and tightness. After the two-week mark, you’re close to feeling back to yourself, but in reality, you still have a month of recovery to go, and that means no core exercises and no running. People are often very happy with the results after surgery, but it can be stressful for some patients when they can’t be as active as normal right after surgery. People who already have good habits should easily be able to get back to their goal weight after recovery. I suggest patients simply be careful and aware of what they’re eating during that period.

How do I determine what procedure I need?

This comes back to the importance of good communication between the doctor and the patient. A patient may come in asking for a tummy tuck when what she really wants is a liposuction procedure. That’s why it’s the doctor’s responsibility to ask lots of questions about what the patient’s concerns are and what’s bothering her before just jumping into a procedure. I want you to tell me in your words what the problem is so I can know what procedure you really want and why. Maybe you come in saying you want a breast lift, but when we start talking about your concerns, the actual procedure and the potential for specific scars, you may realize you’d prefer an implant procedure instead. Those kinds of discussions are incredibly important for me to have with each individual patient. I owe patients the honest answer.

For more information, visit qpsatx.com.

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W

ELLNESS

WAITING ROOM

DOWN TO THE BONE

Here’s how to know whether you may get osteoporosis.

BY LAURYN LAX Osteoporosis is not just an “old-lady disease.”

While osteoporosis is a disease most often associated with women older than age 50 due to the decline in estrogen, the bone-building hormone, younger women are not immune to the disease, particularly thinner females.

Our bones are in a constant state of renewal. New bone is made and old bone is broken down. When we’re kids and teens, our bodies make new bone faster than they break down old bone, and our bone mass increases a la the beauty that is growing pains.

Most people reach their peak bone mass by their early 20s and, as people age, bone mass is lost faster than it’s created.

In regard to osteoporosis, this presentation is exaggerated as bone mass breaks down and density decreases. Osteoporosis is a condition that affects approximately one in two women. Moreover, 50 percent of these women will suffer from an osteoporosisrelated fracture at some point in their lifetime, and another one in two women will experience decreased bone mass, known as osteopenia, before reaching osteoporosis.

As osteoporosis affects 80 percent more women than men, here’s how to know whether you’re being affected.

COMMON SYMPTOMS

Unlike a runny nose during a cold or experiencing joint pain with arthritis, osteoporosis symptoms are silent and often fly under the radar until a more serious injury, like a fracture or stress fracture, occurs.

Common symptoms to look out for that may suggest your likelihood of having the disease include: r easily getting stress fractures, especially in the feet or hips r shin splints r back pain caused by an undiagnosed collapsed vertebra or fracture r loss of height r a stooped posture r digestive distress (chronic bloating, constipation, IBS or GERD)

DIAGNOSIS

Osteopenia is a precursor to osteoporosis, and both are diagnosed using bone-mineral-density scanning using a dual-energy X-ray absorptiometry, or DEXA, machine.

RISK FACTORS

Women are at an increased risk for osteoporosis related to estrogen levels if they: r have had their ovaries removed r are going through menopause r are of Caucasian ethnicity r had their first period at a later age during puberty r experience irregular periods or amenorrhea (an abnormal absence of menstruation) r have a lower body weight r keep a highly active lifestyle or exercise excessively r have a history of disordered eating r have an overactive thyroid, known as hyperthyroidism r have a health diagnosis of arthritis, carpal tunnel syndrome, low vitamin D status, autoimmune condition, gastroesophageal reflux disease or irritable bowel syndrome r keep a vegetarian or vegan diet r have low fat intake, particularly low intake of saturated fats and fat-soluble vitamins such as vitamins A, D, E and K

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PERSONALIZED WELLNESS: AT-HOME TESTING AND CUSTOM VITAMIN PACKS What should you know before taking vitamins?

Quality matters, so be diligent reading your labels. Many gummy multivitamins contain more sugars or cornstarch than active ingredients. Also, appropriate dosage is key. For example, not rotating probiotics can throw good bacteria in the GI tract out of balance, decreasing your ability to break down foods and fight off illnesses.

PAM MACHEMEHL HELMLY Wellnicity

Wellnicity was founded in Austin by Pam Machemehl Helmly with the hope of making personalized wellness simple, convenient and accessible to everyone.

Wellnicity provides free access to clinicians, at-home health tests backed by science and customized, professional-grade vitamin regimens in daily packs delivered right to your doorstep, making it easy to get the best solutions for your unique body. That means no more one-size-fits-all promises and no more guesswork about what supplements and dosages work for you. It’s a simple, proven and personalized approach to help people live and feel their best. Visit wellnicity.com to learn more.

“Targeted dosing combined with lifestyle recommendations and

Why should you personalize your vitamin routine?

I’ve always believed in numbers because they don’t lie. We start with testing to determine specific imbalances. Targeted dosing combined with lifestyle recommendations and clinical consultations ensure you aren’t just taking vitamins, but taking the right ones at the right dose.

How is Wellnicity changing the way we take vitamins?

First, we offer professional-grade vitamins that meet or exceed strict current good manufacturing processes and National Science Foundation quality standards manufactured in Food and Drug Administration-registered facilities. Second, we test each batch of vitamins to ensure they meet label claims. Third, they are customized for you in a once-monthly delivery that continues to be adjusted with your improved health.

How does Wellnicity’s process work?

Start with our health quiz to select which test kit will help you address your unique health goals or concerns. Perform the at-home test and use the prepaid shipping box to send your sample to an independent lab. When your results are ready, you’ll receive your personalized wellness report and vitamin regimen available for order. After three months, we recommend you retest so we can update your protocols as needed.

Q&w

What kinds of at-home health tests do you offer?

The most influential is our Brain Balance test. This urine test helps us to determine brain-chemistry imbalances associated with issues like weight management, mood, sleep disturbances, focus and anxiety. We also have tests geared toward gut and digestion, food sensitivity, testosterone, metabolism, sleep and mood, stress, focus, thyroid and more.

clinical consultations ensure you aren’t just taking vitamins, but taking the right ones at the right dose.”

For more information, visit wellnicity.com.

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BUILD MUSCLE & BURN FAT NO SURGERY – NO DOWNTIME

EMSCULPT is the only procedure to help both women and men burn fat, while toning the underlying muscle.

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Results and patient experience may vary. Patients shown in the B&A pictures are within +/- 5 lbs of their original weight unless specified. As with any medical procedure, ask your doctor if the Emsculpt procedure is right for you. The Emsculpt procedure is U.S. FDA cleared for improvement of abdominal tone, strengthening of the abdominal muscles, development of firmer abdomen, strengthening, toning and firming of buttocks. ©2018 BTL Group of Companies. All rights reserved. BTL® and EMSCULPT® are registered trademarks in the United States of America, the European Union and/or other countries. The products, the methods of manufacture or the use may be subject to one or more U.S. or foreign patents or pending applications.

ASK AN EXPERT

A BETTER OPTION FOR HEALTH-CARE LAB TESTING Revolutionizing health care since 2008, Any Lab Test Now makes the health-care industry more accessible for you. It’s hassle-free health care at your fingertips.

What is Any Lab Test Now? We make lab testing easy, accessible and affordable to anyone who wants to be proactive and take control of his or her health.

Best of all, you know the prices upfront; there are no surprise bills or hidden fees. We provide the physician’s order or accept your doctor’s order. Our mission is to provide personalized health care through direct-access lab testing.

ANY LAB TEST NOW Any Lab Test Now is transforming traditional health-care testing by providing consumers with affordable and convenient access to thousands of lab tests. We make lab testing easy, affordable and accessible, which empowers people to take control of their health. Any Lab Test Now will help guide you along your wellness journey by offering upfront, transparent prices that will fit into your health-care budget. No doctor referral is necessary and no insurance is required. ​

“Any Lab Test Now offers easyto-read, clinically

What tests do you offer?

Any Lab Test Now partners with accredited, high-quality laboratories to provide physician-approved, affordable and comprehensive lab-testing services directly to you. We offer thousands of health-care-related testing options, just like your doctor orders. Choose a test: clinical blood testing, women’s health, men’s health, hormones, heart health, vitamins and nutrition, general wellness, sexual health, allergy/food sensitivity, metabolism, genetic, paternity/DNA and drug testing.

Why should I use Any Lab Test Now? Skip the hassle. With our increasingly busy lives, skip the lines, outrageous health-care bills and hidden fees. Enjoy convenient testing, reasonable prices and easy access. Best of all, you won’t get tangled up in bureaucracy. Get the answers you need.

Any Lab Test Now offers easy-to-read, clinically relevant results delivered to you on our secure web portal within 24 to 48 hours. You can now make informed decisions about your health.

Q&w

How can I order a test?

It’s easy. You can access and order your testing directly via our website or walk into our testing facilities with no appointment necessary. If you have a doctor’s order, we accept that too, and we can send the results directly to your doctor.

Give us a call and we’ll be happy to find the test you’re looking for at an affordable price.

relevant results delivered to you on our secure web portal within 24 to 48 hours.”

For more information, visit go.anylabtestnow.com/austin.

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PROFILES DERMATOLOGY

ROOPAL BHATT, M.D., FAAD U.S. Dermatology Partners

Dr. Roopal Bhatt is a boardcertified dermatologist, diplomate of the American Board of Dermatology and fellow of the American Academy of Dermatology. She graduated with honors in biology from Harvard University, received her medical degree from SUNY Downstate Medical Center and earned her Master of Business Administration from the University of Texas McCombs School of Business.

Aside from her two Austin offices, Bhatt works at the Austin Vet Center, where she cares for veterans and trains dermatology residents.

She also works at a rural health-care clinic in Rockdale, Texas. She was named Texas Rising Star/Super Doctor from 2013 to 2018, and an Austin Monthly Top Dermatologist 2018.

Bhatt’s experience from her years of academia and private practice enables her to meet the medical, surgical, pediatric and cosmetic dermatologic needs of patients of all ages and ethnicities.

PSYCHOLOGY

NAHAL DELPASSAND, PSYD Nahal Delpassand, PsyD, PLLC

Dr. Nahal Delpassand is a licensed psychologist who has been in private practice for two years and has worked in the field of counseling psychology for eight years. A solution-focused, futureoriented psychologist, Delpassand believes in the benefits of brief therapy and empowering clients to cultivate a life that is in alignment with what they value. She believes all her clients possess inherent strengths to address the problems of living but recognizes that in times of distress, these strengths can be dormant.

She values helping clients realign with the power of their intrinsic potential. Delpassand emphasizes cultivating a safe, trusting environment that allows for collaboration, empathy and awareness so progress will ensue.

She respects the stories and experiences her clients share. Her work is collaborative, 3 6   GUIDE TO GOOD HEALTH 2 0 1 8

thoughtful and intentional. Respecting diverse experiences allows her to build strong therapeutic relationships that allow for the building of solutions tailored toward sustained growth and healing.

A Persian-American woman, Delpassand knows her cultural background and experience with chronic illness inform her respect for the strength of diversity and the grit that is acquired from facing adversity. Advocacy and serving her community have always been important principles to her, and she decided after graduating college that counseling psychology would align with her passion for empowering and supporting clients from all different walks of life. She believes it is an enduring privilege to bear witness to the incredible, personal narratives her clients share.

Through her work, she is filled with meaning, purpose and inspiration.

PROFILES PAIN MANAGEMENT

ANJULI DESAI, M.D. Capitol Pain Institute

Dr. Anjuli Desai is boardcertified in physical medicine and rehabilitation, and completed her fellowship training in interventional pain medicine. Prior to joining Capitol Pain Institute, she served as chief resident, as well as a clinical instructor, at Temple University Hospital from 2011 to

2012. She was then awarded a competitive fellowship at Temple University Hospital’s Accreditation Council for Graduate Medical Education-accredited training program in the subspecialty of interventional pain management. She uses a very comprehensive and caring approach to her patients, which is primarily based on safe, interventional painmanagement techniques for the diagnosis and treatment of pain disorders.

PAIN MANAGEMENT

RENEE DOLL, M.D. Capitol Pain Institute

Dr. Renee Doll joined Capitol Pain Institute in 2018 after previously practicing for seven years, most recently in San Antonio. She is double board-certified in pain management and anesthesiology. She completed her residency training in anesthesiology at Albany Medical Center and her painmanagement fellowship at Penn State Hershey Medical Center. Doll applied her

training in anesthesiology, including extensive training in epidural placement and anesthesia nerve blocks, to her pain-management practice.

Her areas of expertise include treatment of back and neck pain, as well as musculoskeletal and joint pain. Doll practices a multimodal approach to pain management that is tailored to the individual. This includes ultrasound and fluoroscopic-guided nerve blocks, spine injections and spinal-cord stimulation.

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PROFILES PLASTIC SURGERY

CHRISTINE FISHER, M.D. Christine Fisher, M.D.

Dr. Christine Fisher is a boardcertified plastic surgeon passionate about taking care of breast-cancer patients and safely creating a long-lasting and natural-looking result. She specializes in state-of-the-art breast-reconstruction techniques that optimize the aesthetic outcome.

Fisher established her practice after graduating medical school with honors from the University of Texas Medical Branch at Galveston and completing her residency in plastic and reconstructive surgery in Pittsburgh. She also trained in microsurgical perforator flap, such as the DIEP flap breast reconstruction, at Magee Women’s Hospital and studied microsurgery and vascularized lymph-node transfer to treat upper-extremity

lymphedema in Paris. She is a Texas Super Doctor and part of the medical-school faculty at the University of Texas, having performed more than 500 DIEP flaps and more than 1,000 breast-reconstruction procedures in Austin since 2013. Her team members include experienced physician assistants and breast-cancer survivors. The staff is qualified, knowledgeable and compassionate in the care of breast-cancer patients. The focus is on restoring femininity and wholeness, done with an emphasis on safety and natural breast aesthetics. Fisher’s day starts with spin class before she returns home to get her three young children ready for school. At the end of a long day, she enjoys cookie dough and cold beer. On weekends, she relaxes by enjoying outdoor activities such as horseback riding with her family.

GYNECOLOGICAL SURGERY

DEVIN GARZA, M.D. Renaissance Women’s Group

Dr. Devin Garza, who has been in private practice in Austin for 25 years, has a special interest and extensive experience in advanced minimally invasive laparoscopy, with a special emphasis on da Vinci robotic surgery, having completed or instructed on more than 1,600 cases since 2006. He is privileged and honored to have the designation of da Vinci mentor/ epicenter surgeon from Intuitive Surgical Inc., and teaches robotic-surgery courses for surgeons at the advanced and masters level. Surgeons from throughout the U.S. and internationally visit and observe during cases while he performs surgery to learn the best practices of proficiency in surgical technique.

He serves as clinical faculty at the University

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of Texas Dell Medical School Department of Women’s Health. He was also elected as chair of the American Academy of Gynecologic Laparoscopists robotic special interest group for 2017 to 2018. Garza also speaks nationally and internationally on robotic-surgery best practices and proctors and instructs surgeons locally and nationally. Da Vinci robotic surgery has been a major breakthrough in the minimally invasive treatment of fibroids, pelvic prolapse, reversal of tubal sterilization, pelvic pain, infertility and endometriosis. The benefit to patients is a shorter recovery time, less pain and lower surgical and post-operative risks of complications. Garza was born in Corpus Christi, Texas. He and is wife, Catherine, married in 1988.

They have four children. They are partners at the Austin Stone Community Church.

PROFILES SUPPLEMENTS

PAM MACHEMEHL HELMLY, C.S.O. Wellnicity

a health-care administrator for Sanus Healthcare in Houston. Helmly is a graduate of Texas A&M University with a degree in scientific nutrition.

Wellnicity was founded by Helmly with the hope of making personalized wellness simple and accessible. At-home health testing paired with clinician consultations and customized vitamin regimens in convenient daily vitamin packs provide a full-circle journey to health.

That means no more one-size-fits-all promises and no more guesswork about what supplements and dosages work for you. It’s a simple, proven and personalized approach to help people live and feel their best.

Pam Machemehl Helmly is an industry-recognized leader in supporting neurotransmitter imbalances and believes wellness is not a one-size-fitsall prescription but a personal journey unique to each individual.

She brings a 35-year knowledge base of clinical nutrition with a focus on cellular nutrition, improved gut integrity and balanced brain chemistry to Wellnicity, the personalized wellness company she founded.

Previously, Helmly acted as the wellness director for Peoples Pharmacy in Austin, and as

OB-GYN

LISA M. JUKES, M.D. Lisa M. Jukes M.D., P.A. and Wellness Center

Dr. Lisa M. Jukes is a boardcertified OB-GYN whose primary practice location is in Westlake Hills, Texas. She also offers appointments at two satellite clinics, in Marble Falls, Texas, and in Lakeway, Texas. No longer delivering babies, Jukes focuses on all gynecological services with an emphasis on overall health and well-being. She specializes in menstrual problems, including heavy bleeding or frequent bleeding, irregular bleeding, severe cramps, endometriosis, ovarian cysts, uterine fibroids, urinary incontinence, pelvic organ prolapse, peri- and post-menopause issues, PCOS

diagnosis/treatment and diagnosis of infertility.

Jukes has established a wellness center that offers bio-identical hormone therapy and an FDA-approved, physician-supervised weight-loss program to both men and women. In addition, her practice was the first in Austin to offer the MonaLisa Touch laser, the FDA-approved non-hormonal treatment of vaginal dryness/ atrophy. She is a highly trained physician who listens well and offers competent, up-to-date and individualized treatment options for the health and wellness needs of her patients. Jukes was born in England and is the mother of two children. She is enthusiastic about the health and wellness of her patients and truly believes every patient matters.

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PROFILES DERMATOLOGY

DANIEL J. LADD, DO Tru-Skin Dermotology

Dr. Daniel J. Ladd Jr. is the medical director and founder of Tru-Skin Dermatology. He earned his Bachelor of Arts from the University of Texas and received his medical degree from Des Moines University in 1999.

He completed his dermatology residency at the Northeast Regional Medical Center in Kirksville, Mo. Ladd is also the new president of American College of Osteopathic Dermatology. When he is not working, you will find Ladd reading, playing guitar, boxing and enjoying puns or bad jokes. He and his wife, Lurleen, proudly

broadcast a radio program, The Dr. Dan Show, each Sunday morning at 11 a.m. on Austin’s KLBJ 590 AM and 99.7 FM. Tru-Skin Dermatology’s mission is to prevent, detect and treat skin cancer. To that end, Ladd and his team have provided hundreds of free cancer screenings, and pioneered no-cut skincancer treatment using the revolutionary SRT-100 Vision. Tru-Skin Dermatology specializes in the diagnosis and treatment of all types of skin diseases, and provides a full-service cosmetic practice specializing in anti-aging and skinrejuvenation procedures, injections and laser treatments. We have eight locations for your convenience. Visit tru-skin.com to learn more.

DENTISTRY

MICHAEL MOOSSY, DDS Moossy General & Cosmetic Dentistry

Dr. Michael Moossy is a native Texan with the type of Southern hospitality his patients have grown quite fond of. His practice is relationship-based. He believes good communication and honesty are essential when building rapport with patients. He does not operate off the time-is-money mentality. He values the time he spends learning about his patients and their unique experiences because this allows him to foster a relationship, which, in turn, builds trust when providing treatment.

In addition to practicing general dentistry, he’s taken a keen interest in practicing

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cosmetic dentistry. He finds fulfillment in giving people beautiful smiles and the result it has on their psychological well-being. That moment when a patient sits up and their new smile is revealed, often with tears in their eyes, is what feeds his soul.

He received his undergraduate degree in biology from St. Edward’s University, and he continued with his studies at the University of Texas School of Dentistry in Houston, receiving his DDS in 1998. He prides himself on exceeding the required continuing education for dentists each year and strives to keep himself and his practices up to date on the latest techniques and technology.

PROFILES PAIN MANAGEMENT

RAHUL SARNA, M.D. Pain Specialists of Austin

Dr. Rahul Sarna grew up in Plano, Texas. He earned his degree in electrical and biomedical engineering from the University of Texas. He was a technicalengineering consultant before becoming a physician.

He earned his medical degree from American University of the Caribbean in the Netherlands Antilles, and was a dean’s list scholar with Alpha Omega Phi honors. He was Intern of the Year in internal medicine at Griffin Hospital. He was Resident of the Year in anesthesiology at the University of Connecticut. He completed a fellowship in interventional pain management at SUNY Upstate Medical University in Syracuse,

N.Y., where he published chapters on neonatal/ infant pain and spoke about complex regional pain syndrome.

Sarna understands chronic pain impacts every patient differently. He focuses on getting them back to what they love to do. He specializes in cancer pain, back/neck pain, joint pain, complex regional pain syndrome, headaches, peripheral neuropathies, abdominal pain, pelvic pain and phantom pain. Sarna has a special interest in stem-cell therapies and neuromodulation.

Sarna enjoys travel, cooking with his wife and playing with his baby boy.

“Pain is very prevalent,” he says. “If you know someone who lives in chronic pain, you know how debilitating it can be, so we absolutely have to do what we can to treat it.”

MEDICAL AESTHETICS

SHELLY SETHI, DO Dr. Shelly Sethi Personalized Medicine

Dr. Shelly Sethi creates real solutions for her patients who want to improve their energy, lower their stress, perform at their best and optimize their life. A board-certified familymedicine physician, speaker, author and mentor, Sethi provides step-by-step clarity about what to do with your health, fitness, nutrition, sleep and stress management.

Sethi was inspired to create her innovative practice as a result of her father’s illness, during which she witnessed how conventional care failed to address nutrition and lifestyle treatments essential to his recovery and wellness. She recognized his illness could have been prevented with a holistic approach to address inflammation, stress, poor nutrition and underlying—and often overlooked—root causes.

In addition to Sethi’s training as an osteopathic doctor at Lake Erie College of Osteopathic Medicine, she trained with the world’s leading

experts in integrative and functional medicine, including Dr. Andrew Weil, Dr. Tieraona Low Dog and Dr. Jeffrey Bland, and earned her fellowship in integrative medicine at the University of Arizona, as well as a board certification of integrative medicine with the American Board of Physician Specialties. Sethi’s interest in lifestyle medicine also led her to additional training in botanical and culinary medicine at the Goldring Center for Culinary Medicine at Tulane University.

In Sethi’s book, Built to Thrive, she outlines her nine pillars of health that will help you support your body’s healing capacity naturally. You will reset your metabolism, hormones, mind and mood, and achieve long-lasting health and vitality.

As a speaker and author, she is passionate about offering tools to optimize wellness and longevity.

To read her book, visit her website and download a free copy or purchase a hard copy on Amazon.

Sethi enjoys practicing yoga and meditation, cooking and hiking with her husband and kids, and singing karaoke with friends. Follow Sethi on Facebook, Twitter and Instagram @drshellysethi.

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PROFILES HEALTH CARE

YETUNDE SOKUNBI, M.D. Austin Diagnostic Clinic Circle C

Board-certified family-practice physician Dr. Yetunde Sokunbi is a physician who views her work as a calling. As a senior in high school, she was accepted to the Rice/Baylor Medical Scholars Program. She received her Bachelor of Arts in psychology from Rice University in 2008, and her medical degree from Baylor College of Medicine in 2012. She completed her residency in family medicine at the Halifax Family Medicine Program in Daytona Beach, Fla. At completion of her residency training, she received Resident of the Year and Excellence in Pediatrics awards.

She currently works full time at Austin

Diagnostic Clinic’s Circle C location, where she sees patients of all ages. She provides chronic-pain care management, sick visits and preventative health examinations. Her special interests include behavioral health and women’s health. She also enjoys working with medical students as a clinical assistant professor for Dell Medical School at the University of Texas.

In addition to working full time, she is also a member of the following medical societies: Travis County Medical Society, Texas Academy of Family Practice, Texas Medical Association, American Academy of Family Practice, American Board of Family Medicine, American Medical Association and Association of Nigerian Physicians in the Americas.

DENTISTRY

DANIEL SZALAY, DDS Austin Oral and Maxillofacial Surgery

Dr. Daniel Szalay was born in Budapest, Hungary, and raised in Austin, where he earned his Bachelor of Science degree at the University of Texas. He received his doctor of dental surgery from the Baylor College of Dentistry and completed his oral-surgery residency at Oklahoma

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University Health Science Center.

Szalay and his wife are both UT alumni and are excited to return to Central Texas to raise their growing family. When he’s not practicing oral surgery, Szalay enjoys hiking with his family, playing golf and cheering on the Texas Longhorns.

Szalay practices at the South Austin location with Dr. Clay Fuselier.

PROFILES EYE CARE

ZARMEENA VENDAL, M.D. Westlake Eye Specialists

Dr. Zarmeena Vendal is a board-certified eye physician and surgeon and the owner of Westlake Eye Specialists since 2008. In Austin, she has been a leader in the field of laser-assisted cataract surgery, minimally invasive glaucoma surgery, and PRELEX refractive surgery. She excels in the use of specialty lenses such as Restor, Symfony and Toric lens implants. In 2017, Vendal was the first surgeon in the United States to implant the Restor Toric lens in a patient.

The commitment to providing cuttingedge technology for patients remains a mission at Westlake Eye Specialists. Vendal also attributes the practice’s success to the high level of personal care delivered by her team.

As a result, the practice has been recognized on numerous occasions in the Austin area. In 2013, Vendal was named a top doctor by Austin Monthly, and in 2017, she was a Woman to Watch in Austin Woman.

Under the guidance of Vendal, Westlake Eye Specialists continues to achieve the very best eye care has to offer.

PLASTIC SURGERY

AISHA WHITE, M.D. Quintessence Plastic Surgery

Dr. Aisha White is a boardcertified plastic surgeon specializing in breast surgery (including breast augmentation, breast lift and breast reduction) and cosmetic surgery of the face and body. She attended the Feinberg School of Medicine at Northwestern University and concurrently completed a Master of Business Administration program at the Wharton School of the University of Pennsylvania. She completed a generalsurgery residency at SUNY Health Science Center at Brooklyn in New York before going on to complete her plastic-surgery residency

at the University of Illinois at Chicago.

White was drawn to a career in plastic surgery because she saw how it could not only transform people’s bodies, but also their self-esteem.

She says, “For some, plastic surgery is about beauty. For me, it’s about strength.

When you’re comfortable in your skin, you’re empowered. My work is very personal.

The experience and surgery are tailored to each patient. Beauty shouldn’t fit a mold.”

White is also committed to giving back to the Austin community through her membership in the Junior League of Austin and board service with Leadership Austin and AIDS Services of Austin.

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PROFILES WOMEN'S HEALTH

MARGARET WHITNEY, M.D., NCMP UT Health Austin

Dr. Margaret Whitney is a gynecologist providing comprehensive health care to women of all ages at UT Health Austin’s Women’s Health Institute. Whitney completed her medical degree at the University of Texas Health Science Center in San Antonio, her residency in OBGYN at Virginia Tech Carilion School of Medicine and a fellowship in advanced pelvic surgery at Emory University School of Medicine. She values the role of education in the care of her patients. She has special expertise in the areas of vulvar disorders,

such as vulvodynia and vulvar dermatoses, menopause and gynecologic surgery.

At UT Health Austin, every member of the Women’s Health Institute is dedicated to providing specialized treatment and ongoing support all women need to live healthier lives. Our interdisciplinary care team offers a coordinated, whole-woman approach to your care, not just your condition. Women’s Health Institute focuses specifically on complex women’s pelvic conditions, such as urinary incontinence, pelvic-floor disorders, chronic pelvic pain and vulvar disorders. For more information, visit uthealthaustin.org or call 1.833.UT.CARES.

DENTISTRY

KEVIN WINTERS, DDS The Hills Dental Spa

Dr. Kevin Winters has spent his career striving to be at the top of his profession.

He is the longest-serving clinical instructor at the worldfamous Las Vegas Institute for Advanced Dental Studies, where he has helped teach doctors from throughout the world. These are the same advanced techniques he offers in his practice every day. Winters is also one of less than 1 percent of doctors to have received fellowship status from LVI and the International Association for Physiologic Aesthetics.

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Throughout his career, he has been looked upon as an expert in his field, regularly appearing on television, writing articles and lecturing to dental groups. In his spare time, Winters is active in physical fitness and actually served nine years as a full-time assistant football coach, winning a state championship his last year.

Come see him at The Hills Dental Spa, where each patient is treated as an individual. If you are seeking a dental professional with the utmost concern for quality care, Winters could be an ideal fit. We are eager to set aside time to meet you.

BEAUTY SHOULDN’T

FIT A MOLD

DR. AISHA WHITE BOARD CERTIFIED PLASTIC SURGEON

6611 River Place Blvd, Suite 103 Austin, TX 78730 512.777.2969 info@qpsatx.com www.qpsatx.com Instagram: qpsatx Twitter: @qpsatx

L I ST I N G S

DENTISTRY

DERMATOLOGY

Austin Oral Maxillofacial Surgery 512.591.9557 austinoralsurgery.com

U.S. Dermatology Partners

With Austin Oral Surgery’s more than 45-year history of providing superior, individualized care to Central Texans, you can be assured that you and your family will receive the finest care. To save our patients time and travel, we have 12 convenient locations throughout Central Texas. Our team of doctors is well-trained in the full scope of oral and maxillofacial surgery procedures.

Dr. Kevin Winters The Hills Dental Spa 512.347.0044 thehillsdentalspa.com Dr. Kevin Winters is a nationally recognized dentist who focuses his practice on comprehensive solutions for his patients. One area of his expertise involves advanced cosmetic-dentistry procedures to help with his patients’ feelings of self-confidence. Another concentrates on helping people who are experiencing a multitude of head and neck pain and dysfunction. These issues can include things like headaches, joint clicking and popping, facial pain, ear issues like dizziness or clogged and stuffy ears, neck issues and airway issues related to one of many sleep-breathing disorders. Winters’ office is conveniently located off Hwy. 360 and Bee Caves Road.

512.478.3376 usdermatologypartners.com U.S. Dermatology Partners Four Points 6618 Sitio Del Rio Blvd., Suite D101

U.S. Dermatology Partners Mueller 1801 E. 51st St., Building C, Suite 320

As premier dermatology experts, Tru-Skin specializes in the diagnosis and treatment of all skin diseases and is the first practice in Central Texas to treat patients with the revolutionary Sensus SRT-100 Vision. In addition, Dr. Daniel Ladd and his team offer cosmetic services, including skin-rejuvenation procedures, injections and laser treatments at their six Central Texas locations.

Austin 3500 Jefferson St., Suite 200 Austin

Bastrop Lakeside Professional Bldg.

3101 Hwy. 71 East, Suite 203 Bastrop, Texas

Bee Cave 11612 Bee Caves Road, Suite 175 Bee Cave, Texas

La Grange St. Mark’s Medical Center 2 St. Mark’s Place, Suite 140 La Grange, Texas

Cedar Park 701 E. Whitestone Blvd., Suite 150

Cedar Park, Texas

Bulverde/Spring Branch 160 Creekside Park, Suite 300 Spring Branch, Texas

EYE CARE

Westlake Eye Specialists 512.472.4011 westlakeeyes.com

4200 N. Lamar Blvd., Suite 145, Austin 512.459.5437 drmoossy.com Dr. Michael Moossy emphasizes individualized patient care as an integral component of his philosophy on dental care.

He takes great pride in his private practice in Austin and has been practicing for 20 years. With a patient-centered practice, our team is dedicated to giving patients a superior dental experience each and every time they visit.

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Westlake Eye Specialists combines state-of-the-art surgical technology with individualized patient care to provide award-winning eye care to Central Texas. Our focus includes general eye care, laser cataract and glaucoma surgery, oculoplastics, neuro-ophthalmology and LASIK refractive surgery. Our board-certified surgeons specialize in minimally invasive surgery with a personal touch.

Westlake 5656 Bee Caves Road, Suite F-200

Round Rock 501 E. Palm Valley Blvd., Round Rock, Texas

Kyle 20871 N. IH-35, Suite 100, Kyle, Texas

New Braunfels 218 E. Austin St., New Braunfels, Texas

L I ST I N G S

LAB

HEALTH CARE

4900 Mueller Blvd.

512.324.0000 getdellchildrenscare.com As the only comprehensive children’s hospital in Central Texas, Dell Children’s Medical Center of Central Texas has a dedicated multidisciplinary team of pediatric specialists and nurses who are committed to a single purpose: making your child feel like a kid again. From emergency to specialty care, find a location or doctor near you at getdellchildrenscare.com.

Dr. Yetunde Sokunbi 512.901.1111 | 512.334.2500 adclinic.com Dr. Yetunde Sokunbi, a boardcertified family-medicine physician, provides excellent comprehensive care to patients of all ages. She sees patients for preventive health examinations, sick visits and chronic-illness management. She works full time at Austin Diagnostic Clinic’s Circle C location Monday through Friday from 8 a.m. to 5 p.m.

Shelly Sethi, DO 4201 Marathon Blvd., Suite 203, Austin 512.215.9984 | drshellysethi.com Dr. Shelly Sethi is a board-certified family physician who provides integrative and functional medicine to people who are looking for clarity and root-cause resolution of their chronic health issues or to people who want to optimize their body and brain to live to their full potential. She provides a step-by-step system that is customized for your unique health condition. Her program reverse engineers your health goals by understanding your genetic potential and focuses on recovery from stress exposure. This results in more energy, a clear mind and an optimized body and spirit, which improves your relationships, impact and lifestyle.

Central Austin 5523 Balcones Drive, Suite 5523-B, Austin

Cedar Park 10900 Lakeline Blvd., Suite 550 Cedar Park, Texas

South Austin 9500 S. I-35, Suite L750, Austin

Round Rock 110 N. I-35, Suite 260, Round Rock, Texas

512.459.2200 labtestingaustin.com Any Lab Test Now is transforming traditional healthcare testing by providing consumers with affordable and convenient access to thousands of lab tests. We make lab testing easy, affordable and accessible, which empowers people to take control of their health. Any Lab Test Now will help guide you along your wellness journey by offering upfront, transparent prices that fit into your health-care budget. No doctor referral or insurance is required. We’ve served Austin for more than 10 years and are locally owned and operated.

PAIN MANAGEMENT

8015 Shoal Creek Blvd., Suite 100, Austin 512.467.7246 capitolpain.com Capitol Pain Institute is an innovative and state-of-theart pain-management clinic that provides a wide array of services ranging from conservative treatments to advanced interventional procedures. We have one goal in mind: get you back to the life you love. CPI provides a compassionate, customized, multidisciplinary treatment so you can focus on living a pain-free life. Our newly built facilities ensure your comfort and safety for everything from office visits to minor procedures and even same-day surgery.

IMAGING ARA DIAGNOSTIC IMAGING ARA Diagnostic Imaging 17 Locations throughout Central Texas 512.453.6100 ausrad.com Comprehensive and caring subspecialty imaging services for Central Texans. 3-D mammography available in 12 locations.

4100 Duval Road, Building 3, Suite 200, Austin 512.485.7200 | 855.876.7246 psadocs.com At a time when chronic pain is on the rise and medical technologies rapidly advance, there is an ever-growing need for deep and trusted expertise in comprehensive pain management. This is what we’re dedicated to at each of our 20 locations throughout Central Texas.

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L I ST I N G S

PLASTIC SURGERY + AESTHETICS

PSYCHOLOGY

Laurel Corrinne

Dr. Nahal Delpassand

Medical aesthetician

Licensed psychologist

1107 S. Eighth St. Austin 512.799.1729 laurelcorrinnestudio.com

512.454.3685 drnahaldelpassand.com

A classically trained medical aesthetician, Laurel Corrinne trained in Los Angeles, New York and with some of the best London- and Parisbased beauty gurus in order to incorporate European techniques. With more than a decade of experience working with a plastic surgeon, Corrinne brings an artistic combination of medical and lifestyle treatments to enhance her clients’ natural beauty.

Dr. Nahal Delpassand enjoys working with adolescents and adults. Some of her areas of interest include chronic illness, disability, depression, anxiety, disordered eating, body image, relationship issues, life transitions, advocacy and mentorship, and identity development. Delpassand completed her doctoral residency at Emory University in Atlanta and obtained her local training from St. Edward’s University Student Health & Counseling Center, Austin Child Guidance Center, McCallum Place Eating Disorder Treatment Center and Hospice Austin.

WELLNESS Hemp Doctors USA Sarah Scott

Christine Fisher, M.D. Board-certified plastic surgeon specializing in breast reconstruction 512.815.0123 christinefishermd.com Breast-reconstruction specialist Dr. Christine Fisher is inspired daily as she works with her patients on their journeys to recovery. With two grandmothers who survived breast cancer, Fisher strongly believes in the value of emotional and practical support when facing such a diagnosis, which is why her patient-care team includes breast-cancer survivors.

512.302.4348 hempdoctorsusa.com Looking for a healthy alternative to traditional medicines for her clients and epileptic pup, Sarah Scott founded Austin-based Hemp Doctors USA, which sells American-grown natural oils, tinctures and salves for people, dogs, cats and horses. Hemp Doctors USA’s hemp-derived products are all-natural, full-spectrum, GMO-free, gluten-free, vegan topical products and dietary supplements. All Hemp Doctors USA products are produced from mature stock and sterilized seed. Bringing American-grown, naturally healthy CBD products to people and their pets has been a journey of the heart and soul for Scott. Her daily mission is to create a healthier world for people, pets and the planet.

Dr. Aisha White Quintessence Plastic Surgery 6611 River Place Blvd., Suite 103 Austin 512.777.2969 qpsatx.com

Pam Machemehl Helmly

Founder and chief science officer 1.866.217.8809 wellnicity.com

Dr. Aisha White is a board-certified plastic surgeon specializing in cosmetic breast surgery and cosmetic surgery of the face and body. White was drawn to a career in plastic surgery because she saw how it could not only transform people’s bodies, but also their self-esteem. She says, “My work is very personal. The experience and surgery are tailored to each patient.

Beauty shouldn’t fit a mold.”

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Wellnicity has spent more than 12 years refining a system that simplifies the path to helping people live and feel their best. At-home health testing paired with clinician consultations and customized vitamin regimens in convenient daily vitamin packs provide a full-circle journey to health.

WOMEN'S HEALTH

Devin M. Garza, M.D. Medical Oaks Pavilion 12201 Renfert Way, Suite 215, Austin 512.425.3835 devingarzamd.com Dr. Devin M. Garza is recognized nationally and internationally as an expert in robotic minimally invasive surgery. He is a board-certified OB-GYN and currently serves as the director of minimally invasive surgery at Renaissance Women’s Group and is on faculty with UT Dell Medical School Department of Women’s Health.

Lisa Jukes, M.D. 5656 Bee Caves Road., Suite B101, Weslake Hills, Texas 512.301.6767 lisamjukesmd.com Dr. Lisa M. Jukes is a boardcertified OB-GYN who focuses on all gynecological services. She is a highly trained physician who listens well and offers competent, up-to-date treatment options for the health-and-wellness needs of her patients.

UT Health Austin Women’s Health Institute Dr. Margaret Whitney 1.833.UT.CARES uthealthaustin.org The UT Health Austin Women’s Health Institute is dedicated to providing specialized treatment and ongoing support all women need to live healthier lives.

Our care team offers an interdisciplinary, coordinated, whole-woman care approach with a specific focus on complex women’s pelvic conditions. For more information, visit uthealthaustin.org or call 1.833.UT.CARES.