2012 Guide to Good Health

2012

Your Guide to Healthy Living in Austin

DIRECTORY OF LOCAL CLINICS, HOSPITALS + MORE

EXPERT ADVICE ON COMMON MEDICAL TOPICS

PROFILES OF AUSTIN’S BEST DOCTORS

It’s the little things in life that are worth TRYING for.

SERVICES PROVIDED INCLUDE: • In Vitro Fertilization (IVF) • Ovulation Induction • Intrauterine Insemination (IUI) • da Vinci robot-assisted Tubal Reversals & Myomectomies • Medical & Surgical Treatment of Infertility • Vasectomy Reversals • Male Infertility/Sperm Retrieval • Low Testosterone • Erectile Dysfunction • Peyronie’s Disease

Appointments available at two Austin locations: Westlake Location | 300 Beardsley Ln, Bldg B, Suite 200, Austin, TX 78746 South Location | 4303 James Casey, Suites A & B, Austin, TX 78745

www.austinfertility.com | 512.444.1414

CONTENTS

8 ASK AN EXPERT 8 Cosmetic Dentistry 16 Varicose Vein Treatment 20 Cellulaze 22 Central Health’s Services 26 Breast Health and Women’s Imaging 28 Snoring 30 daVinci® Surgery 32 Single-Site Gallbladder Removal

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34 Assisted Reproductive Technologies 36 Chiropractic 38 Holistic Dentistry 40 Bariatric Surgery 10 DOCTOR PROFILES 24 DIRECTORY LISTINGS

We keep Travis County healthy.

Central Health’s mission is to create access to primary and preventative care where we live, work, play and pray.

We Provide Care When You Need It Most.

We Fill Gaps In Care.

We Provide Care Where It Belongs.

We Match People With Care.

Central Health owns University Medical Center Brackenridge, home to the highest level of trauma care available in Central Texas.

Central Health funds essential behavioral health services needed by thousands of people in Travis County.

Central Health focuses on prevention, wellness and early treatment - reducing the need for expensive care in emergency rooms.

Central Health’s call center connects people to the care they need, making the entire Travis County healthcare system function more efficiently.

Learn more at CentralHealth.net

C h r i s t op h er W. B r en n i g , M . D .

CerTIfIeD: The American Board of General Surgery SuB-SPeCIAlTy CerTIfIeD: The American Board of Vascular Surgery

Va r i c o s e V e i n s Spider Veins

Austin Vein Institute state-of-the-art varicose vein treatment

L a se r t h e r a p y Sclerotherapy

512.346.2727

7000 N. Mopac Ste. 320 Austin, TX 78731

Dr. Brennig is Board Certified in Vascular Surgery and in General Surgery. He is recognized for his expertise in the minimally invasive treatment of varicose veins, spider veins, recurrent varicose veins, and complex venous disorders including DVT. Please call the Austin Vein Institute to schedule a comprehensive consultation.

6 Guide to Good Health FALL 2011

VeinAustin.com

2012

CO-FOUNDER AND PUBLISHER Melinda Maine Garvey VICE PRESIDENT AND CO-PUBLISHER Christopher Garvey EDITOR, GUIDE TO GOOD HEALTH Ashley Erikson ART DIRECTOR AND AD DESIGNER Jennifer Day AWMEDIA ART DIRECTOR Victoria Millner ART ASSISTANT Mandy Bernal MARKETING AND OPERATIONS DIRECTOR Dustin Woodhead MARKETING AND OPERATIONS ASSOCIATE Sadie Barton

Great Smiles Breed Success “Our mission is to provide you, our patients, with comprehensive, state-of-the-art dental care giving you confidence and something to smile about.”

LEAD ACCOUNT EXECUTIVE Katie Lesnick ACCOUNT EXECUTIVES Arielle Levy, Kimberly Sanderson, Charmie Stryker, 512.328.2421 FAVORITE SPOT OUT OF COPIES? 512.328.2421 • 1213 W. 49th St., Austin, TX 78756

- B.J. Myers D.D.S.

AWGUIDETOGOODHEALTH.COM Guide to Good Health is a free publication of AW Media Inc. and is available at more than 1,150 locations throughout Austin and in Lakeway, Cedar Park, Round Rock and Pflugerville. All rights reserved. For submission requirements, contact ideas@austinwomanmagazine.com. No part of the magazine may be reprinted or duplicated without permission. For copies of articles, call 512.328.2421.

Come in today for a complimentary smile enhancement consultation.

www.MyersDental.com 8430 Spicewood Springs Rd. Austin, TX 78759 512.506.9430

Did you know that 40 million men and 20 million women suffer from hair loss?

A full head of hair is one of a man or woman’s most important physical features. But what happens when we begin losing our hair through thinning or balding? Anyone who has had the misfortune of experiencing this will tell you about the consequences that they suffer in terms of self-esteem.

Austin Hair Graft by Hall Plastic Surgery is the first to bring revolutionary hair enhancement programs to the area.

We offer a no scalpel, no staple, no stitches, and no scars hair transplantation (this is not the old fashioned hair transplant), low level laser technology, and at-home care therapies to provide options for every patient with every type of hair loss! Our highly trained medical staff recognizes the psychological pain caused by hair loss and has turned their talents to helping men and women regain their selfesteem by utilizing our hair enhancement program.

Jeffery Hall, M.D., board certified plastic surgeon, and former chief of plastic surgery for Seton Medical Group says, “I am committed to helping restore the appearance of a fuller, thicker, healthier head of hair to patients. There is nothing more rewarding than to see a patient’s face at the end of their program. We see an entire transformation through the process of their hair restoration.”

For many men, hair loss is inevitable. It is a hereditary condition that increases with age. For women, hereditary factors can be involved, but hormonal changes, stress, illness, and poor nutrition can all play a role. Hair transplantation and low-level laser therapy can help reverse and prevent continued hair loss from these factors.

With the newest technology now available at Austin Hair Graft, hair transplantation and lowlevel lasers are discrete, completely natural, and permanent solutions.

Dr. Hall says, “The majority of hair loss is called androgenetic alopecia.

Testosterone is converted to dihydrotestosterone (DHT) which damages hair follicles. Those follicles will eventually lose their ability to grow.”

Hair roots receive nutrients from vessels containing blood cells and the hormone testosterone. (Both men and women have this hormone).

An enzyme present in the body called 5 alpha reductase can convert testosterone to another hormone called DHT. When DHT is present 6 Guide to Good Health 2 0 1 2

in the scalp tissue, men and women genetically predisposed to hair loss may experience reduced growth phase in their hair leading to extreme thinning and baldness.

Estimates show that about 40% of men between the ages of 25 and 35 will experience hair loss, and 40% of women will have noticeable hair loss by age 40.

At Austin Hair Graft our options are very simple. Our hair transplantation procedure using Follicular Unit Extraction (FUE) is the most effective transplantation technique with little to NO DOWNTIME, NO SCALPEL, NO STITCHES, NO STAPLES, AND NO SCARS or extensive surgery required.

For those seeking an alternative to transplantation, or for those who are not candidates for transplant, our low level laser therapy is an excellent choice. The complete program takes 12 months with 48 or more treatments throughout the year. For convenience, mobile devices are also available.

Austin Hair Graft also offers a line of home hair care products including shampoos, supplements, and prescription therapy.

“Our program is comprehensive and works for most people. We see women respond just as quickly as men.” says Dr. Hall.

Austin Hair Graft offers a complimentary scalp evaluation and consultation. During the consultation patients receive valuable information on their personal hair status and recommendations about what option(s) will be the most effective course of action.

“We believe in a customized approach to hair restoration. We will individualize your program to give you the best results possible.”

As seen on ABC, CBS, NBC, FOX, and Rachel Ray. Latest and most Advanced Technology that enhances the appearance of hair!

Call today (512) 327-5337 or visit our website www.austinhairgraft.com to set up your complimentary consultation. If you’re looking for hair loss solutions look no further. Austin Hair Graft has the answers!

(512) 327-5337 austinhairgraft.com

“

As a business owner, hair transplantation has given me the confidence to be competitive again.

–N.K., Austin TX

“

”

I love my new eyebrows! I will never have to wear brow make-up again! The staff and technicians at Austin Hair Graft did an amazing job. I look years younger.

–M.R., Austin TX

”

Acutal untouched before and after photos.

AWGUIDETOGOODHEALTH.COM 7

Ask an Expert

COSMETIC DENTISTRY

By Ashley Erikson

The staff at Austin Cosmetic Dentistry brings a total of over 40 years of combined experience in the industry and has worked on thousands of cosmetic cases.

If you have ever wondered if you are a candidate for cosmetic dentistry, Dr. John Schiro shares how the procedure works and what you can expect as a patient.

WHAT IS COSMETIC DENTISTRY? Primarily, it is the use of all-porcelain veneers and crowns to create a stunning, straight, white smile.

HOW DO I KNOW IF I AM A GOOD CANDIDATE? If your teeth are crooked, have gaps or spaces, or are chipped or stained, you can benefit from this approach. We can even help people who have missing teeth.

HOW DOES THE PROCEDURE WORK? We build a beautiful new smile, tooth by tooth, using all-porcelain veneers and usually involve all the teeth that show when you smile, or normally the front ten teeth on top and/or bottom. The veneers are as thin as a fingernail and look just like natural teeth.

When bonded to the supporting tooth they become super-strong. The veneers and crowns we make are almost indistinguishable from natural teeth, and there’s no need to wait for up to a year as with braces. Most cases are completed in just a few office visits.

WILL I EXPERIENCE DISCOMFORT OR PAIN DURING THE PROCEDURE? The vast majority of our patients are completely comfortable with only the use of Nitrous Oxide (laughing gas). For those guests who are extremely anxious about having dental work, we offer options such as oral sedation. With this option you are almost asleep during the procedure, and most patients don’t recall having their work done.

“Stacey was given treatment plans by two separate dentists that included jaw surgery and orthodontics and was going to take years to complete. We completed her case in under three weeks and only a couple of office visits!” - Dr. John Christian Schiro

ONCE COMPLETED, HOW LONG DO ALL-PORCELAIN VENEERS LAST? With proper care, there is no limit to how long your smile can last. Advantages to porcelain veneers are the protective layer they provide over the front of the natural tooth and the fact that they never stain.

WHAT IF MY NATURAL TEETH ARE IN TOO POOR OF SHAPE FOR THIS PROCEDURE? Actually, we see this in about twenty-five percent of our guests. For those who have been neglectful of their teeth and don’t brush or floss each day or maybe have not seen a dentist in their adult lives, we first have to

“With proper care, there is no limit to how long your new smile can last.”

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restore the teeth to health in order to have a strong foundation to build a new smile. In cases like these, it’s not unusual for us to perform a full-mouth restoration.

WHAT DOES A FULL-MOUTH RESTORATION INVOLVE? This is the term dentist’s use when they restore every single tooth in a patient’s mouth. Some very technical issues come into play in these cases that require getting the person’s bite to settle in just the right position. To achieve that we must have the dimensions of the back teeth precisely right.

It can lead to relief from jaw pain, neck pain, and chronic headaches that were caused by their deteriorated dental condition.

John Christian Schiro, DDS, FAGD Austin Cosmetic Dentisty 512-382-5888 www.AustinCosmeticDentistry.com Dr. John C. Schiro has over 20 years experience and has completed thousands of cosmetic cases.

CelebRAtINg the bIRth of

yoUR NeW bAby. When a baby is born, we believe every blink, every wiggle, every grasp is something to celebrate. And when your little one is on the way, you can trust the dedicated specialists at Cedar Park Regional Medical Center. We’ve created a comfortable, soothing environment. We’ll be here for you with personal care and attention. And if your baby has special needs, our Neonatal ICU is always standing by. Visit CedarParkBaby.com to take a virtual tour or find a great OB/GYN.

AOMA Graduate School of Integrative Medicine AOMA Graduate School of Integrative Medicine 512-454-1188 www.aoma.edu Caring for patients with the highest quality acupuncture and Chinese medical health care is part of AOMA Graduate School of Integrative Medicine’s mission. AOMA conducts more than 20,000 patient visits annually, making it one of the largest providers of acupuncture and Chinese medicine in Austin.

AOMA clinical specialties include treatment of allergies, stress, depression, facial rejuvenation, pain management, headaches, insomnia, gastrointestinal disorders, women’s health, fertility and weight management.

AOMA accepts the Seton Health Plan, United

Health Care & Blue Cross Blue Shield.

AOMA currently offers a masters-level program and is one of the leading graduate schools of acupuncture and Chinese medicine in the nation.

Testimonial: “AOMA is a blessing to the Austin community.

I have been going to AOMA for almost eight years for a variety of medical issues. The first time I ever tried acupuncture was at AOMA for panic attacks. After only 3 treatments my heart palpitations went away and I have never had a problem since. The herbs prescribed have always helped and cost a fraction of a pharmaceutical drug.” -Shannon W.

Stephen R. Bunker, M.D. Austin Imaging & Vein Center 512-726-0599 www.imagingandveins.com Austin Imaging & Vein Center specializes in vein disease, offering full diagnostic work-ups under the medical direction of Stephen R. Bunker, M.D. Dr. Bunker is a Board Certified Radiologist and recipient of the 2011 Patient’s Choice Award. Utilizing the latest, state-of-the-art technologies, tailored treatment programs for venous insufficiency and varicose veins are designed for each patient and covered by most insurance plans. Also available is laser treatment for skin pigment irregularities, spider veins, acne, unwanted hair and age spots.

Austin Imaging & Vein Center is conveniently located in Rollingwood Plaza. Appointments are available Monday through Saturday.

Visit www.imagingandveins.com or call 512-726-0599 to schedule your free screening today.

Lauren Crawford, M.D. Austin Plastic Surgery Institute 512-732-3006 www.drlaurencrawford.com Dr. Lauren Crawford is a board certified plastic surgeon and a native-born Texan thrilled to be practicing in Austin, Texas.

She attended medical school at University of Texas San Antonio, finishing with honors as a member of the Alpha Omega Alpha Society. She was then accepted in to a competitive integrated plastic surgery residency at University of Missouri, where she had exceptional training in all aspects of reconstructive and cosmetic plastic surgery.

She is proud to have joined Austin Plastic Surgery Institute and offers a wide variety

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of plastic surgery procedures. Although she has adopted an emphasis on all breast surgery, including breast reconstruction, augmentations, lifts and reductions, she also has continuing interest in providing care in hand surgery, general reconstructive procedures and in all facets of cosmetic surgery.

Dr. Crawford and her staff are committed to taking the time to understand the individual needs of each patient. She encourages you to research your procedure and ask questions to make you as comfortable as possible through the process of getting ready for surgery.

She feels a close bond with her patients and never takes for granted the patient-doctor relationship of mutual respect.

Arturo Garcia, D.M.D. Austin Cosmetic Dentistry 512-382-5888 www.austincosmeticdentistry.com Dr. Garcia can truly say that dentistry is in his blood. Dr. Garcia’s mother practiced dentistry for 30 years! So, Dr. Garcia was immersed in the profession from a very early age. Upon entering the profession, he quickly realized that there was no greater reward than seeing the life-transformation that occurred for his cosmetic patients.

In order to offer his guests the very best results, Dr. Garcia studied extensively at the Las Vegas Institute For Advanced Dental Studies. He has completed thousands of smile-makeover cases as well as hundreds of

full-mouth reconstruction cases.

Dr. Garcia is the authority at Austin Cosmetic Dentistry on neuromuscular dentistry. This highly technical area involves the use of the Mytronics K-7 system to properly define optimal jaw alignment. With this data in hand, Dr. Garcia can restore the guest’s teeth to exactly the correct dimensions to assure a natural, relaxed and comfortable bite. The result is often relief from chronic headaches, jaw pain and neck pain. Of course, there is also a beautiful smile as well. Dr. Garcia offers an amazing Last Time You Pay security to his guests as well as a Complimentary Consultation.

Shahryar K. Kavoussi, M.D., M.P.H. Austin Fertility & Reproductive Medicine 512-444-1414 www.austinfertility.com Shahryar K. Kavoussi, M.D., M.P.H. Dr. Shahryar Kavoussi is a board-certified Reproductive Endocrinology/Fertility specialist who grew up in Austin and returned to practice here to provide care for couples who are seeking to build their families.

When a couple achieves a successful pregnancy, it represents the pinnacle of the care provided for the couple. In order to provide a full range of fertility services, Westlake IVF was opened, housing the only office-based IVF procedure rooms and IVF lab in Austin. It was specifically designed

for patient familiarity and comfort in mind.

Although medical practice is the central focus of Dr. Kavoussi’s career, he remains active in research activities and publishes articles in journals. He considers himself to be fortunate in that he is in a medical practice with his father and brother who are fertility specialists as well.

For more infomation, please visit www.austinfertility.com

Soo Y. Kim, M.D. Westlake Eye Specialists 512-472-4011 www.westlakeeyes.com Dr. Kim attended medical school at the University of Texas Southwestern Medical Center in Dallas, Texas. She was elected to Alpha Omega Alpha, the medical honor society.

After completion of a rigorous internship at Parkland Memorial Hospital, Dr. Kim continued her medical training at UT Southwestern.

UTSW was also the first residency in the nation to train its residents in the placement of premium intraocular lens implants during cataract surgery, including TORIC and ReSTOR lenses. Dr. Kim also completed her cornea fellowship in Dallas, allowing her to continue

to hone her surgical skills while focusing on cataract, cornea, and refractive surgeries.

During her years as a resident and fellow, she received numerous accolades, including national recognition from the American Society of Cataract and Refractive Surgery for Best Resident. Her research interests include cataracts and lamellar keratoplasty. She has presented her work at the American Academy of Ophthalmology, American Society of Cataract and Refractive Surgery, and Texas Ophthalmological Association’s annual meetings for the past several years. She is excited to be the newest member of the Westlake Eye team. Her philosophy is to provide you with personalized service and the most up-to-date treatment options.

AWGUIDETOGOODHEALTH.COM 11

Martin C. Molina, MD Texas Family Physicians 512-524-2336 www.texasfp.com Welcome to Texas Family Physicians @ River Place. Our own Dr. Martin Molina is a Family Physician that focuses on several assets of family medicine. As a family care service provider, he prides himself in knowing your complete medical history and can assist you in maintaining your highest level of personal health. Because of his background and interactions with the entire family, he is best qualified to serve as your advocate in all health-related matters, including the appropriate use of consultants, health services, and community resources.

Texas Family Physicians provide comprehensive family medical care for men, women and children of all ages. We specialize in Derma Genesis Microdermabrasion, Skin Rejuvenation, Hair Removal, In-house Echocardiograms and Vasectomies. Some of our other primary services include Adult & Pediatric Preventive Care, Hypertension, Diabetes, Sports Medicine, Seasonal Allergies, and In-Patient Hospital Care to name a few.

Bj Myers, DDS BJ Myers D.D.S. 512-506-9430 www.myersdental.com Born and raised in Austin, Dr. William “BJ” Myers has been in private practice performing cosmetic and family dentistry since 1997. He graduated Magna Cum Laude from UT Dental School San Antonio and continues to enhance his professional experience with annual continuing education specializing in modern, high tech dentistry.

His method of practice is to offer the latest advancements in dental care while maintaining a valuable long term relationship with each patient in order to

ensure a lifetime of optimal dental health.

Dr. Myers is a member of the national, state and local dental societies, as well as the Christian Medical and Dental Society.

He is married and has two children that keep him extraordinarily busy attending games, recitals, tournaments and practices.

His hobbies include tennis, traveling and running.

AnnMarie Olson, DDS, PA AnnMarie Olson, DDS, PA 512-345-9973 www.austincosmeticexcellence.com A visit to Dr. AnnMarie Olson’s office will reinforce what many throughout Austin already know: Dr. Olson is committed to bringing Austin “high touch” dental care in a “high-tech world.” She is one of Austin’s most talented cosmetic dentists, and is a leader in sedation dentistry.

Dr. Olson is a past president of the Capital Area Dental Society and was the first woman elected to this position since 1947. She served the Texas Dental Association as chair of the Council on Peer Review, and was recently inducted in to the International College of Dentistry.

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Dr. Olson enjoys her work with the Smiles for Success Foundation, assisting women in transition from welfare to work who cannot afford the cost of dental care. She and her team participate with the Capital Area Dental Society “Theo Project”, a mobile dental clinic that travels to area schools offering dental care to uninsured children. With sedation dentistry, Dr. Olson and her team care for patients who are phobic about dentistry or have had traumatic dental experiences as children.

Dr. Olson finds time to travel, garden, sing and cycle. She is a certified master gardener for Travis County.

It’s more than “the talk”— it’s a conversation.

WE ARE AUSTIN’S GREEN DENTAL PRACTICE. Eco-friendly Dentistry Mercury-free Dentistry Preventative Care Implant Dentistry Cosmetic Dentistry Invisalign

300 South Lamar, Suite N Austin, T78704 512-614-6800

Thomas C. Gent, DDS, FICOI

www.soladentalaustin.com

start talking. learn how.

Young people who talk with their parents are more likely to make healthier decisions and delay sexual activity.

Talk First workshops are a free community service provided at churchs, moms nights out, PTA meetings, synagogues, or anywhere that 8 or more parents are gathered.

Schedule a workshop: parents@ppaustin.org or 512.485.0130

www.ppaustin.org

AWGUIDETOGOODHEALTH.COM 13

Thomas N. Payne M.D., FACOG St. David’s Specialized Women’s Services 512-719-5224 www.stdavidssws.com Dr. Thomas N. Payne is a graduate of the University of Oklahoma College of Medicine and residency. Thereafter, he spent 15 successful years at Ochsner Clinic Foundation in Louisiana. Dr. Payne was recently recruited by the Texas Institute for Robotic Surgery to serve as Medical Director.

Dr. Payne is a world renowned surgeon in the field of benign gynecologic robotic surgery (daVinci®). He has authored numerous book chapters and journal articles in the field of gynecologic surgery.

He lectures internationally at surgery

conferences and has the privilege of teaching hundreds of fellow surgeons in the U.S. and abroad.

Dr. Payne is an avid believer in communication and educating his patients.

All patients deserve not only to know, but understand their options regarding healthcare decisions. Consideration and respect for patients’ time is always a high priority. A friendly, compassionate office staff with respect for patient privacy is paramount.

A few of Dr. Payne’s awards include Physician Leader of the Year for Ochsner Health System, Patient Satisfaction Awards, Pioneer in Robotic Surgery Award and Best Doctors Recipient (2000-2012).

Elizabeth Rayne D.D.S. Elizabeth Rayne D.D.S. 512-443-5813 www.naturaltoothfairy.com Dr. Margaret Elizabeth Rayne has been practicing for over 20 years. She attended Texas A&M University and The University of Texas, San Antonio School of Health Science. In addition, she attends numerous continuing education courses each year allowing her to constantly expand her knowledge base and help her patients in new and exciting ways. She has been in her current location for 12 years.

The mouth can cause problems in other areas of the body and vice versa, for example, neck and shoulder pain or chronic headaches may be symptoms of clench-

ing and/or grinding of the teeth. Also, gum and bone disease has been linked to systemic bacterial infections that can affect the heart. In our office we do not view the mouth in isolation, but as part of a whole functioning being. For this reason we work closely with area practitioners, both holistic and traditional, to offer a range of services and treatment modalities tailored to the individual.

Deirdre Rhoad M.D. Rhoad to Beauty Plastic Surgery and Med Spa 512-476-9149 www.rhoadtobeauty.com Dr. Deirdre Rhoad is board certified by the American Board of Plastic Surgery.

After attending college at UT in Austin and medical school at UTMB in Galveston, she received her plastic surgery training in Manhattan and Detroit. She has practiced in Austin for 19 years.

Dr. Rhoad specializes in procedures of the face, breasts and body - including facelifts, eyelifts, ear pinning, necklifts, breast augmentation with implants and fat, breast lifts, breast reduction, gynecomastia surgery, liposuction, arm and thigh lifts, tummy tucks,

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moles, skin cancers and scars.

She and her medical aesthetician, Marie Strickland, provide non-invasive rejuvenating procedures - Botox, Dysport, Restylane, Perlane, Juvederm, and vein injections. Her aestheticians perform microdermabrasions, peels, facials, and eyelash extensions.

Beauty, symmetry and the desire to improve our physical appearance is important to many. As a woman plastic surgeon, Dr. Rhoad hopes she offers something different - a surgeon who listens, understands and cares about your concerns and results.

Our job is excellence in diagnostic imaging.

At Austin Radiological Association, every technologist and physician on our staff meets the highest standards in radiology thanks to our Quality Assurance programs. Our radiologists participate in a rigorous peer review program that reviews diagnoses for accuracy. And our experts review each technologist’s image quality monthly. To guarantee that ARA will be here when you need us, our physicians are available 24/7 to consult on cases. When you need radiological diagnostics like MRI, CT or breast imaging, you will find outstanding medical professionals you can trust right here at ARA.

Schedule now at ausrad.com or 512.453.6100

AUSTIN RADIOLOGICAL ASSOCIATION

Ask an Expert

Varicose Vein Treatment

By Ashley Erikson

Varicose veins are known for being a cosmetic nuisance. But what many people don’t know is that left untreated, they cause health problems. Dr. Chris Brennig, board certified vascular surgeon and founder of the Austin Vein Institute, shares what those risks are and how he treats varicose veins so that future health problems can be avoided while restoring the appearance of his patients’ legs.

WHEN SHOULD A PATIENT COME IN TO SEE YOU? I see and treat a variety of patients from those with spider veins that are cosmetically displeasing, to complicated varicose veins, and everything in between. If someone has a question about the way their legs look; if they notice spider veins or bulging veins that are associated with symptoms of discomfort or heaviness, it’s probably an indication that they should be evaluated. The earlier a vein problem is treated, the simpler the treatment. This is because complications from varicose veins worsen with time.

WHAT ARE SOME OF THE HEALTH RISKS OF UNTREATED VARICOSE VEINS? The damage worsens with time but changes are often slow to appear. Health risks include swelling, pain and skin changes in the lower legs, as well as permanent skin discoloration and sores - known as venous or stasis ulcers.

Serious problems are insidious and treatment before they develop is important for the long term health of ones legs.

WILL INSURANCE COVER SOME OR ALL OF A PATIENT’S TREATMENT? Treatments for clinically significant vein problems will often be covered by health insurance plans, so we always try to work with our patients and their insurance provider to obtain the appropriate treatment coverage.

WHAT CAN A PATIENT EXPECT WHEN GOING IN FOR AN EVALUATION AT THE AUSTIN VEIN INSTITUTE? All patients receive a comprehensive initial evaluation from me. As a board certified vascular surgeon with many years of experience successfully treating all types of vein problems, patients can be assured they are receiving an exceptionally high level of care.

During the initial evaluation I take a thorough health history, perform an examination of the affected veins, and then perform a thorough diagnostic venous ultrasound. The ultrasound allows me to see what is going on below the surface of the skin and determine how well each of the veins is functioning. The treatment plan is then developed and discussed in person with the patient.

CAN SOMEONE SEE YOU IF THEY HAVE HAD PRIOR VEIN TREATMENTS BUT ARE NOTICING A RECURRENCE? We have been very successful at the Austin Vein Institute in treating patients with recurrent varicose veins. For those who have developed recurrence, we perform what is known as ‘rescue therapy.’ We perform our

“The earlier a vein problem is treated, the simpler the treatment.”

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comprehensive evaluation to determine what factors are present that have caused the recurrence. Then we put together our treatment plan to correct the problem in order to obtain the most durable results.

WHAT CAN A PATIENT EXPECT FROM THE PROCEDURE? I perform all spider vein and varicose vein treatments myself. These include sclerotherapy, microphlebectomy and a procedure called endovenous laser therapy (EVLT).

EVLT lets me treat many failing veins in the quickest and most effective way possible.

EVLT uses laser light to essentially cause the faulty vein to close down and later dissolve as part of the body’s natural healing process.

We use one of the gentlest yet most effective lasers available. The procedure is done in our private and comfortable medical office and takes less than an hour. Patients can walk out after the procedure and resume most of their regular activities right away.

For patients with more advanced or complicated varicose veins, subsequent treatments may be necessary to complete the therapy and prevent recurrence.

Chris Brennig, MD Austin Vein Institute 512-346-2727 www.veinaustin.com Dr. Chris Brennig is the founder of The Austin Vascular Institute and its affiliate, The Austin Vein Institute.

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Ximena De Sabra, M.D. Westlake Eye Specialists 512-472-4011 www.westlakeeyes.com Dr. de Sabra was born in South America and moved to Florida with her family as a teenager. Her parents hold PhDs from Stanford University in California and her brother is an attorney with the Marine Corps.

Dr. de Sabra is fluent in English, Spanish and French. Dr. de Sabra received a bachelor of science degree from the University of California at Berkeley and then pursued further scientific studies at Ivy League institutions on the East Coast. She completed her postgraduate work in biology at Columbia University in New York City and received her

medical degree from Brown University in Providence, Rhode Island in 1995.

She married her med school sweetheart, Dr. John Sabra, in 1997. Dr. de Sabra interned at LSU Medical Center in New Orleans and completed her residency in ophthalmology at the University of Texas Southwestern Medical Center at Dallas. After finishing residency in 2000, she and her husband relocated to Virginia. There, she was an associate at Virginia Beach Eye Center, a well established and prestigious ophthalmic practice.

Dr. de Sabra excels in personalized care and is dedicated to upholding a friendly atmosphere in which time is taken to carefully explain exam findings and treatment goals to each patient.

John Christian Schiro, DDS, FAGD Austin Cosmetic Dentistry 512-382-5888 www.austincosmeticdentistry.com Dr. Schiro is the founder of Austin Cosmetic Dentistry, which has quickly earned a reputation as the Go-To practice for cosmetic and restorative dentistry in Texas.

Dr. Schiro has earned his Fellowship in the Academy of General Dentistry (less than 1% of dentists earn this Fellowship). He has studied extensively at the Las Vegas Institute For Advanced Dental Studies and has completed thousands of smilemakeover cases as well as hundreds of fullmouth reconstruction cases.

Dr. Schiro became interested in dentistry

at an early age due to his dissatisfaction with his own smile. He found that his own willingness to smile freely and selfconfidence were greatly enhanced after he had his own smile-makeover with all-porcelain veneers. Since that day, his greatest professional reward is in seeing his guests enjoy the same transformation.

Dr. Schiro offers an amazing Last Time You Pay security to his guests as well as a Complimentary Consultation.

Daniel Slaughter, MD Capital Otolaryngology 512-339-4040 www.capoto.com Daniel Slaughter, MD is a board certified Otolaryngologist (ear, nose, & throat doctor) with a subspecialty in Sleep Medicine. He went to medical school at Baylor College of Medicine and residency at University of Texas Medical Branch in Galveston, TX. Dr. Slaughter’s expertise is in nasal & sinus problems, snoring, sleep apnea, hearing loss, pediatric ENT care. He is also fluent in Spanish.

Dr. Slaughter co-founded Capital Otolaryngology in 1999 and has been serving central Texas since then. The office

1 8   Guide to Good Health 2 0 1 2

will be moving around the corner from our current location in October 2012 to provide for growth and convenience for our patients. The new address will be 12309 N Mopac Expressway, Ste 100.

Christopher Thompson, M.D. Capital Otolaryngology 512-339-4040 www.capoto.com Christopher Thompson, MD is a board certified Otolaryngologist (ear, nose, & throat doctor) with a subspecialty in Sleep Medicine. He went to medical school at University of Texas Medical Branch in Galveston, TX and residency at University of Texas Southwestern Medical Center, in Dallas, TX. His expertise is in nasal & sinus problems, snoring, sleep apnea, facial plastic surgery, and pediatric ENT care. Dr. Thompson co-founded Capital Otolaryngology in 1999 and has been serving central Texas for 15 years.

The office will be moving around the corner from our current location in October 2012 to provide for growth and convenience for our patients. The new address will be 12309 N Mopac Expressway, Ste 100.

Zarmeena Vendal, M.D. Westlake Eye Specialists 512-472-4011 www.westlakeeyes.com Dr. Zarmeena Vendal is a board certified eye surgeon and ophthalmologist at Westlake Eye Specialists. With extensive training in cataract surgery and glaucoma, she leads the way in stitchless premium lens surgery and non-invasive glaucoma surgery.

Dr. Vendal obtained her undergraduate and medical degree at University of Texas Austin and San Antonio. She then went on to train in ophthalmology and glaucoma at the Penn State University Medical Center, as well as Harvard Medical

School’s prestigious Massachusetts Eye and Ear Infirmiry. Her research work during this time was in glaucoma and macular degeneration. Currently, she is settled in Austin with her husband and three children. She enjoys traveling and the outdoors.

Whatever your eye-care needs, you can be assured that Dr. Vendal’s team at Westlake Eye Specialists is going to provide you with state-ofthe- art medical and surgical care.

Zachary Wassmuth, M.D. Capital Otolaryngology 512-339-4040 www.capoto.com

to provide for growth and convenience for our patients. The new address will be 12309 N Mopac Expressway, Ste 100.

Zachary Wassmuth, MD is a board certified Otolaryngologist (ear, nose, & throat doctor). He went to medical school at the University of Texas Medical Branch in Galveston, TX and residency at Walter Reed Army Medical Center in Washington DC. His expertise is in nasal & sinus problems, snoring, sleep apnea, hearing loss, and pediatric ENT care. Dr. Wassmuth joined Capital Otolaryngology in 2003 and has been serving central Texas since then.

The office will be moving around the corner from our current location in October 2012

AWGUIDETOGOODHEALTH.COM 19

Ask an Expert

CENTRAL HEALTH’S SERVICES

By Ashley Erikson

For those in Travis County who need health services and are uninsured or need somewhere to turn, Central Health offers resources to help you get access to the healthcare you need. Central Health’s Board of Managers Chairperson Rosie Mendoza gives insight on how Central Health accomplishes this and shares its efforts to expand service.

WHAT SERVICES DOES CENTRAL HEALTH PROVIDE? Central Health’s mission is to create access to healthcare for those who need it most, such as the uninsured or underserved. One of the things that make us unique among Texas hospital districts is that we contract with various healthcare providers rather than directly providing those services. This is done through many different avenues such as a call center, partnering with Seton Healthcare Family to operate Central Texas’ only Level 1 trauma center at University Medical Center Brackenridge, and by expanding infrastructure in the form of community clinics. Central Health also partners with CommUnityCare, a network of community-based health centers, and Sendero Health Plans, a community-based Health Maintenance Organization (HMO) that serves Medicaid and CHIP enrollees.

CAN YOU TELL ME MORE ABOUT THE CALL CENTER? HOW IS THAT OPERATED? The call center has been in operation since October 2009. We have a partnership with United Way for Greater Austin to provide the service, which includes screening for Medical Access Program, Medicaid and CHIP eligibility, scheduling of eligibility appointments, referrals to providers, and providing information to MAP enrollees regarding their benefits. It’s been a huge success, averaging about 91,000 calls each month. Through this partnership with United Way, a seamless system has been established to send or receive calls from the 211 system, which they also run for this region.

HOW DOES CENTRAL HEALTH IMPROVE THE QUALITY OF HEALTHCARE FOR THE COMMUNITY? We provide care when you need it most.

Central Health owns University Medical Center Brackenridge, home to the highest level of trauma care available in Central Texas. Together with our partners, the Seton Healthcare Family, we’re making sure that trauma care is here for everyone.

We match people with care.

Central Health’s call center connects people to the care they need. This one-stop-shop for service and information helps the entire Travis County healthcare system function more efficiently.

We fill gaps in care.

Central Health funds essential behavioral health and emergency psychiatric services needed by thousands in Travis County. When we saw a gap in services, we stepped up to make sure help is available to our community members during their most difficult times.

We provide care where it belongs.

Central Health has expanded primary care services for thousands of people in Travis County. We focus on prevention, wellness and early treatment — reducing the need for expensive care in emergency rooms.

“Central Health offers resources to help you get access to the healthcare you need.”

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We keep all of Travis County healthy.

Central Health’s mission is to create access to primary and preventive care. These services reduce the human and financial cost of chronic and contagious disease where we live, work, play, and pray.

WHAT IS MOST IMPORTANT FOR PEOPLE TO KNOW ABOUT CENTRAL HEALTH? With our progress in expanding access to health care for the uninsured, Central Health provides a vital public health service to our community. We believe that a healthy community is essential to the success of our schools, our workplace and all institutions that contribute to our economy and our quality of life. The work we do makes it possible for many more people in Travis County to participate and contribute to our community.

Rosie Mendoza Central Health 512-978-8000 www.centralhealth.net Mendoza is Board Chairperson of Central Health and Managing Shareholder of R. Mendoza & Company P.C., Certified Public Accountants.

Ask an Expert

Cellulaze

By Ashley Erikson

Women all over the country deal with cellulite, and until recently, haven’t had a way to seek treatment.

Dr. Jeffrey Hall is the first in Austin to perform a revolutionary treatment that rids women of cellulite, for good. He explains how we get cellulite and what patients can expect when undergoing the procedure to remove it.

THE ANATOMY OF CELLULITE Cellulite is not a volume or shape issue in the skin, but is one of texture, that usually involves the buttocks or thighs.

Over time, collagen in the skin worsens and causes the skin to sag, which magnifies cellulite. An anatomical issue, cellulite is made up of ‘bulges’ which are fat that herniates out, and ‘valleys’ caused by connections of vessels under the skin that are too tight. Since the anatomy of men and women differ, cellulite is typically only found in women.

TREATMENT OF CELLULITE With Cellulaze, doctors can finally offer a treatment for cellulite, which wasn’t a reality before. “In the past there were a lot of non-surgical treatments that would help cellulite, but once you stopped those methods it would come back,” shares Dr. Hall. “This is because it wasn’t addressing the underlying cause or anatomy of cellulite, but was simply covering it up.”

Now, a change in the anatomy can occur by using a laser underneath the skin to address two things. Its perfected wavelength is used to destroy tight spots, or ‘valleys’ in the skin, so that they relax.

Then, laser energy is used to make bulges smaller. The procedure can be performed in-office using an injectable numbing agent to the treated area and oral medication. There is very little downtime or

recovery with the procedure and patients can resume normal activities within a couple of days post-procedure.

WHAT TO EXPECT An initial evaluation helps Dr. Hall and his staff to determine who is a good candidate for Cellulaze. Those with simple rippling of the skin are the best candidates. There are instances when a patient also requires volume reduction and liposuction is performed first to solve contour or shape issues prior to proceeding with textural cellulite reduction. Once a patient undergoes the Cellulaze procedure, some discomfort can be expected. However,

“Cellulite is not a volume or shape issue in the skin, but is one of texture, that usually involves buttocks or thighs. ” 2 0 Guide to Good Health 2 0 1 2

patients with only a small area of cellulite treated can return to work in many cases by the next day. After the procedure, swelling and bruising for a couple of weeks is typical, but patients can expect to see improvement in appearance at one month, with full results achieved at three months.

“What is most exciting during the treatment process is that we can now offer someone a solution to a problem, which couldn’t be done before,” shares Dr. Hall.

“Now that we are able to treat cellulite at the anatomical level, we can offer a treatment that truly resolves its underlying causes.”

Jeffery Hall, M.D. Hall Plastic Surgery 512-302-5558 www.hallplasticsurgery.com Hall Plastic Surgery & Rejuvenation Center offers a total body, mind, well-being approach to plastic surgery.

Just in case you missed a day...

Call Us & Skip The Waiting Room!

Are your legs tired? Swollen? Do you have varicose veins or spider veins?

You may have Venous Reflux Disease! Millions unknowingly suffer from venous insufficiency when there is a simple, minimally invasive treatment that is covered by most insurance plans.

Stephen R. Bunker, MD is offering a free screening by appointment only.

Call (512) 726-0599 for your free appointment. Find out if you are at risk for venous insufficiency and start the process today for better feeling, healthy legs.

1-888-306-5316 nextcareaustin.com 6001 W. William Cannon Dr. Ste. 302, Austin, TX 78749 Mon-Fri: 8:00am - 8:00pm Sat-Sun: 8:00am - 4:00pm

(Visit website to see all locations & hours)

2712 Bee Caves Road Suite 122 Austin, Texas 78746

www.ImagingAndVeins.com

AWGUIDETOGOODHEALTH.COM 21

TEXAN’S GO-TO! For Cosmetic And Reconstructive Dentistry.

Actual patients of Dr. Schiro and Dr. Garcia

Smiles Like These In As Few As Two Visits, Without Braces!

Austin Cosmetic Dentistry is devoted to changing people’s smiles and lives primarily through the use of Cosmetic Dentistry and Full-Mouth Reconstruction. We accomplish these amazing transformations using allporcelain restorations that are virtually undetectable from natural teeth. The entire procedure is completed in as few as two visits (without braces!). Drs. Schiro and Garcia have completed thousands of Smile Makeovers and hundreds of Full-Mouth Reconstruction cases. That’s why people travel to see the dentist’s of Austin Cosmetic Dentistry from far and wide. Luckily for Austin residents, they are just a short drive away!

• Over 40 years combined experience.

• Thousands of Smile Makeovers (ten or more teeth) completed.

• No tooth preparation in many cases.

• Full-Mouth Reconstruction.

• Sedation dentistry.

• Last Time You Pay policy.

• Convenient financing.

• Saturday appointments.

To Schedule Your Complimentary Consultation: Dr. John Christian Schiro

Dr. Arturo R. Garcia

512.382.5888

AustinCosmeticDentistry.com Services provided by Texas licensed general dentists. Actual treatment results may vary.

AWGUIDETOGOODHEALTH.COM 23

ACUPUNCTURE

DENTISTRY

Actual cases by Dr. Schiro and Dr. Garcia

AOMA Graduate School of Integrative Medicine

TEXAN’S GO-TO!

512-454-1188 www.aoma.edu 4701 West Gate Blvd.

Austin, TX 78745

ANNMARIE OLSON

B.J. MYERS, DDS

512-345-9973 www.austincosmeticexcellence.com 11623 Angus Rd. #23 Austin, TX 78759

512-506-9430 www.myersdental.com 8430 Spicewood Springs Rd Austin, TX 78759

For Cosmetic And Reconstructive Dentistry.

Actual patients of Dr. Schiro and Dr. Garcia

Smiles Like These In As Few As Two Visits, Without Braces!

AOMA is one of the largest providers of acupuncture and Chinese medicine in Central Texas. AOMA clinical specialties include treatment of allergies, stress, depression, facial rejuvenation, pain management, headaches, insomnia, gastrointestinal disorders, women’s health, fertility and weight management.

CHIROPRACTIC WESTLAKE CHIROPRACTIC 512-306-1625 www.westlakechiropractic.com 300 Beardsley Lane BLDG C101 Austin, TX 78746

Hi-tech dentistry in a home-like setting.

We want you to feel as comfortable in our office as you do in your very own home!

That is why our caring and dedicated staff go above and beyond to make your dental visit with us a surprisingly pleasant event.

Austin Cosmetic Dentistry is devoted to changing people’s smiles and lives primarily through the use of Cosmetic Dentistry and Full-Mouth Reconstruction. We accomplish these amazing transformations using allporcelain restorations that are virtually undetectable from EAR, natural teeth.

The procedure is completed in as NOSE &entire THROAT few as two visits (without braces!). Drs. Schiro and Garcia have completed thousands of Smile Makeovers and hundreds of Full-Mouth Reconstruction cases. That’s why people travel to see the dentist’s of Austin Cosmetic AUSTIN DENTISTRY &aSINUS CENTER Dentistry from COSMETIC far and wide. Luckily for Austin residents,NASAL they are just short drive away!

512-382-5888 OF AUSTIN www.austincosmeticdentistry.com 512-339-4040 2700 Barton Creek Blvd. Suite 130 • Over 40 years combined experience. www.nscaustin.com Austin, TX 78735 12201 Renfert Way. Ste 105 of Smile Makeovers • Thousands Austin, TX 78758(ten or more teeth) completed.

Restorative, cosmetic and sedation dentistry. Quality individualized care with an emphasis on you.

• • • • •

No tooth preparation in many cases.

Full-Mouth Reconstruction.

Sedation dentistry.

Last Time You Pay policy.

Convenient financing.

• Saturday appointments.

Dr. Schiro

Dr. Katerina Sheffield is a Board Certified Doctor of Chiropractic and a Registered Pharmacist specializing in advanced upper cervical specific chiropractic and gentle full spine adjusting. Your trusted source for the best in chiropractic care.

Dr. JohnCosmetic Christian Schiro Dr. Arturo Austin Dentistry is devoted to R. Garcia

To Schedule Your Complimentary Consultation:

512.382.5888

changing people’s smiles and lives primarily through the use of Cosmetic Dentistry and Full-Mouth Reconstruction. They accomplish Offering a variety of non-invasive and surgithese amazing transformations using allcal options to solve nasal & sinus problem, porcelain restorations in Services as few as two provided

by Texasvisits, licensed general dentists. Actual treatment results may vary. including the new in office balloon sinuwithout braces. plasty procedure.

AustinCosmeticDentistry.com

ACD Guide to Good Health 8-2012.indd 1

2 4 Guide to Good Health 2 0 1 2

Dr. Garcia

7/9/12 1:5

Are you tired of suffering from neck pain, back pain and headaches?

Westlake

CHIROPRACTIC

Your Trusted Source for the best in chiropractic care.

Call 512.306.1625 to schedule your free consultation!

Dr. Katerina Sheffield, owner of Westlake Chiropractic, is uniquely qualified to help you live pain free, and to regain and maintain optimum wellness and performance. As a doctor of chiropractic and a registered pharmacist she is an expert in both biomechanics and biochemistry. As a compassionate individual, she takes the time to listen to each and every patient. She practices a gentle, specific form of chiropractic that focuses on a ‘top down’ upper cervical approach, and she often sees dramatic results in her patients.

512.306.1625 www.westlakechiropractic.com 300 Beardsley Lane Building C101 Austin, TX 78746 Off of Bee Caves - 2 miles west of Loop 360

AWGUIDETOGOODHEALTH.COM 25

Ask an Expert

BREAST HEALTH & WOMEN’S IMAGING

By Ashley Erikson

When it comes to women’s health, awareness is an important piece of the puzzle as your body constantly changes.

Dr. Sarah Avery of Austin Radiological Association wants to make sure every woman not only understands the importance of women’s health and early detection, but also knows what type of imaging care is available at ARA. Below, she shares information on when you should consider imaging studies and what tests are available to you.

WHAT IS MOST IMPORTANT FOR A WOMAN TO KNOW ABOUT BREAST HEALTH AND WOMEN’S IMAGING? Women should know that there are several screening tests that can be done to help identify medical problems or cancer in the earliest stages when they are most treatable.

Most of these tests take only a short amount of time and are relatively easy and painless.

WHEN SHOULD A WOMAN COME IN FOR IMAGING STUDIES? There are several recognized organizations that have recommendations for when women should have screening tests. The American Cancer Society recommends women have an annual screening mammogram beginning at age 40. The American College of Gynecology recommends that women over 65 have a Bone Densitometry test every 2 years to check for osteoporosis, earlier if requested by your physician. Most screening tests do not require a referral form from your physician.

WHAT ARE THE MOST COMMON IMAGING STUDIES? Breast Imaging Services • Digital Mammography-Screening and Diagnostic • Breast MRI • MBI (Molecular Breast Imaging) • Breast Ultrasound • Breast Biopsy (stereotactic biopsy, ultrasound-guided breast biopsy or

aspiration, and MR-guided breast biopsy) • Ductogram/ Galactogram Other Services • Bone Densitometry • Ultrasound • General Radiolog-ARA offers additional radiology services, including general x-ray and CT, as well as nuclear radiology, interventional radiology, and neurointerventional surgery.

ARE THERE ANY NEW STUDIES THAT WOMEN SHOULD KNOW ABOUT? Molecular Breast Imaging (MBI) is a new technology that can detect breast cancers that may not be identified on other tests. In Central Texas, this new technology is only available at ARA. MBI uses an injection of a low dose radionuclide, similar to those used in other types of molecular imaging, and a specialized camera to create an image of the breast. The image identifies areas within the breast that have a higher metabolic rate, which is often associated with cancer. Women who are at higher risk of breast cancer can especially benefit from this new technology as a supplement to their annual mammogram.

CAN YOU TELL ME A BIT ABOUT YOUR IMAGING CENTERS? ARA gives women a complete health picture with an array of diagnostic exams and screening services. ARA has multiple locations and offers many options for scheduling an appointment at a location and time which

works with women’s busy schedules. Women may be in and out of our office in less than 30 minutes for some exams.

We use accredited technologists and radiologists who are board certified in radiology, including many with breast imaging fellowships. At our Women’s Imaging Centers, we strive to deliver a pleasant imaging experience with comfortable waiting rooms, private dressing rooms, easy appointment scheduling, and convenient parking. For your safety, ARA adheres to the latest national guidelines to limit radiation exposure, and we have medical assistance available onsite if needed.

ARA is accredited by the American College of Radiology (ACR) in all forms of advanced imaging. Our Women’s Imaging Center in Central Austin has been designated a Breast Imaging Center of Excellence by ACR.

Sarah Avery, MD

“Most of these tests take only a short amount of time and are relatively easy and painless.”

2 6 Guide to Good Health 2 0 1 2

Austin Radiological Association 512-453-6100 www.ausrad.com Austin Radiological Association is a specialty healthcare organization dedicated to providing quality imaging services in Central Texas.

ELDERY SERVICES

HEALTH CARE

AGE OF CENTRAL TEXAS— AUSTIN

THE AUSTIN DIAGNOSTIC CLINIC

THE AUSTIN DIAGNOSTIC CLINIC - INTERNAL MEDICINE

512-458-6305 www.AGEofCentralTX.org 3710 Cedar St. Austin, TX 78705

512-901-1111 www.ADClinic.com

512-901-4009 www.ADClinic.com 12221 MoPac Expressway N. 1250 S. Cap of TX Hwy 360 Austin and Westlake Board certified internal medicine doctors provide annual exams, preventive care and chronic care management for adults and seniors.

THE AUSTIN DIAGNOSTIC CLINIC - MENOPAUSE & OSTEOPOROSIS CENTER

Affordable, licensed, full-day program, managed by compassionate staff specializing in Alzheimer’s and memory loss care. Includes stimulating activities for older adults, encouraging interaction with their peers in a community-oriented environment.

Since 1952, the doctors at The Austin Diagnostic Clinic have cared for Central Texans. We continue our tradition of care for the next generation of Texans with 115 doctors practicing in 21 medical specialties at 7 locations throughout Central Texas. Most major insurances including Medicare accepted.

THE AUSTIN DIAGNOSTIC CLINIC - CARDIOLOGY AGE OF CENTRAL TEXAS— ROUND ROCK 512-255-4865 www.AGEofCentralTX.org 475 Round Rock West Dr. #120 Round Rock , TX 78681

512-901-4001 www.ADClinic.com 12221 MoPac Expressway N. 1250 S. Cap of TX Hwy 360 North Austin and Westlake Board certified cardiologists provide women and their families care and education to help diagnose, manage and treat cardiac disease.

THE AUSTIN DIAGNOSTIC CLINIC - PEDIATRICS 512-901-4016 (North) 512-460-3404 (Circle C) www.ADClinic.com 2400 Cedar Bend Dr, 5701 W. Slaughter Ln. North Austin and Circle C Affordable, licensed, full-day program, managed by compassionate staff specializing in Alzheimer’s and memory loss care. Includes stimulating activities for older adults, encouraging interaction with their peers in a community-oriented environment.

Board certified pediatricians provide annual exams, immunizations and preventive care for infants, children and teens. Same-day, after-hours and weekend care available through EasyCare Pediatrics. Newborn care classes available at ADC Circle C.

512-901-4022 www.ADClinic.com 12221 MoPac Expressway N., 1st Floor South Wing Austin, TX 78758 Board and clinically certified menopause and densitometry specialists provide women the expert care and support needed through the changes occurring during mid-life and beyond.

THE AUSTIN DIAGNOSTIC CLINIC - OB/GYN

512-901-4013 www.ADClinic.com 12221 MoPac Expressway N., East Entrance Austin, TX 78758 Providing medical and surgical care for women at all stages of their life from the board certified Obstetric/Gynecology specialists at ADC.

THE AUSTIN DIAGNOSTIC CLINIC - FAMILY PRACTICE 512-901-4026 www.ADClinic.com 1499B Old Settlers Blvd.

2400 Cedar Bend Dr. 5701 W. Slaughter Ln. North Austin, Round Rock and Circle C Board certified family practice doctors provide annual exams, preventive care and chronic care management for teens, adults and seniors.

AWGUIDETOGOODHEALTH.COM 27

Ask an Expert

Snoring

By Ashley Erikson

You may have spent a sleepless night – or many – tossing and turning because of your significant other’s little problem: snoring. You may even be the one causing the restless night. Either way, snoring is something that is completely controllable, and Dr. Zachary Wassmuth from Capital Otolaryngology has some advice for those who need relief, for themselves or a loved one, so sleepless nights can be a thing of the past.

THE CAUSES OF SNORING About forty-five percent of adults snore.

Snoring can be caused by a number of factors, and sometimes, multiple factors at once. Nasal obstruction caused by allergies, chronic sinus disease or nasal septal deviation can increase snoring. Enlarged tonsils, weight gain, sleep apnea and elongated soft palate or uvula can also be causes. “The most common cause for snoring is the soft palate,” states Dr. Wassmuth. “That is what vibrates in the back of the throat and results in the noise you hear.”

WHEN TO SEE A DOCTOR “One of the biggest problems to bring patients into the clinic is when the significant other leaves the bedroom secondary to snoring,” states Dr. Wassmuth. There are things to try to help improve snoring at home, but when those methods fail, it is best to see a doctor. Snoring is exacerbated by weight gain, allergies, muscle relaxers, alcohol and sleeping on your back. “If you fix these issues, you will get improvement in snoring as a side effect,” shares Dr. Wassmuth.

Another time to go in to see a physician is if you think you may have sleep apnea. This sleep disorder causes irregular breathing during sleep and can also exacerbate snoring. If there are signs a patient is tired or having headaches – or if others have witnessed the patient holding their breath

during sleep – doctors will order a sleep study to determine the diagnosis. If snoring is a symptom of sleep apnea, once the apnea is treated, the snoring will go away. Because sleep apnea increases the risk for hypertension, heart disease, stroke, and depression, those who are at risk should consult a doctor.

HOW SNORING IS TREATED Once a patient has decided to seek medical treatment for their snoring and visit an office, they can rest assured that a snoring workup, though quick and simple, is also thorough.

“At Snoring Austin, we evaluate all potential areas that can contribute to snoring, instead of immediately zeroing in on the soft palate,” shares Dr. Wassmuth. “We want to make sure we know what all of the areas are doing so we can fix all contributing factors.” The workup includes checking for nasal obstructions, looking at the tonsils and evaluating the soft palate. If sleep apnea is suspected, a sleep study will be performed in the sleep lab located on-site. Treatment is then determined based on the problem, whether singular or multi-factorial.

“Sleep apnea increases the risk for hypertension, heart disease, stroke, and depression, those who are at risk should consult a doctor.”

2 8 Guide to Good Health 2 0 1 2

Typically, if sleep apnea is not involved, snoring treatments are performed in the clinic. If the soft palate is involved, patients can get palate implants to make it less ‘floppy’ or injections that produce scar tissue to tighten the region. These in-office treatments are eighty-to-ninety percent successful in resolving snoring. “It is important patients know there is always something that can be done,” shares Dr. Wassmuth. For more information or to schedule a consultation, visit www.capoto.com.

SNORING FACTS: Forty-five percent of adults snore occasionally, while twenty-five percent of adults snore nightly.

Over 12 million Americans have sleep apnea, which can be a factor in snoring.

Snoring is usually worse in males and those who are overweight, and if not treated, can worsen with age.

Zachary Wassmuth, M.D. Snoring Austin 512-339-4040 www.capoto.com The physicians of Snoring Austin can assess your condition to determine the cause and solution to improve your sleep.

HEALTH CARE CENTRAL HEALTH

NEXTCARE URGENT CARE

TEXAS FAMILY PHYSICIANS

512-978-8000 www.centralhealth.net 1111 East Cesar Chavez St. Austin, TX 78702

1-888-306-5316 www.nextcare.com/austin GEORGETOWN 900 N Austin Ave, Ste 105 WILLIAM CANNON 6001 W William Cannon, Ste 302 PECAN PARK 12701 FM 620 ROUND ROCK 1240 E Palm Valley Blvd

512-524-2336 www.texasfp.com 6618 Sitio Del Rio Blvd., Bldg B, Ste #101, Austin, Texas 78730

Central Health’s mission is to create access to primary and preventive care. These services reduce the human and financial cost of chronic and contagious disease where we live, work, play, and pray. We’ve created innovative solutions to help people in Travis County stay healthy.

Convenient, affordable medical care by friendly, qualified providers - walk in TODAY! Most insurances accepted.

Texas Family Physicians provide comprehensive family medical care for men, women and children of all ages. We specialize in Derma Genesis Microdermabrasion, Skin Rejuvenation, Hair Removal, In-house Echocardiograms and Vasectomies.

HEALTH CARE SPECIALISTS CEDAR PARK REGIONAL MEDICAL CENTER 512-528-7000 www.cedarparkregional.com 1401 Medical Parkway Cedar Park, TX 78613

Cedar Park Regional Medical Center has 77 private patient rooms, a full-service emergency department, acute care services, women’s services, cardiology, general surgery, orthopedics, diagnostic services, bariatric and daVinci robotic surgery programs, critical care, wound care, physical therapy, a sleep center, and a Level II NICU.

PLANNED PARENTHOOD 1-800-230-7526 www.ppaustin.org N. Austin: 9041 Research Blvd. #250 S. Austin: 201 E. Ben White Blvd.; Downtown: 1823 E. 7th St. Austin, TX

Providing essential health care - life-saving breast and cervical cancer screenings, testing/treatment for sexually transmitted diseases, HIV tests, and birth control for women, men, and teens.

AUSTIN RADIOLOGICAL ASSOCIATION 512-453-6100 www.ausrad.com 15 Locations in Central Texas

Austin Radiological Association (ARA) is a specialty healthcare organization dedicated to providing quality imaging services in Central Texas.

AWGUIDETOGOODHEALTH.COM 29

Ask an Expert

TEXAS INSTITUTE FOR ROBOTIC SURGERY WOMEN’S DAVINCI® SURGERY

By Ashley Erikson

WHAT IS DAVINCI® SURGERY (ROBOTIC ASSISTED SURGERY)?

Approximately 25 years ago surgeons began practicing minimally invasive surgery. During this era, tiny cameras in instruments called endoscopes or laparoscopes were inserted into the patient’s body through small ports. In 2005, a further evolutionary stage was achieved in gynecology with the application of robotic assistance in female surgery.

Through tiny one-to-two centimeter incisions, surgeons using the daVinci® system (robotic assistance) can operate with greater precision and control, minimizing the pain and risk associated with large incisions, while increasing the likelihood of a fast recovery and excellent clinical outcomes.

WHAT SYMPTOMS AND CONDITIONS ARE TREATED? Some of the most common gynecologic symptoms that women experience are pain, excessive or irregular bleeding and involuntary loss of urine. Pain can be described in many ways and pain such as pelvic discomfort, abdominal cramps, backache, painful urination/bowel movements and pain during intercourse may indicate a different gynecologic condition. As for bleeding, monthly menstrual bleeding is different for each woman, so it is important to describe what is normal for you. Loss of bladder control in women can affect up to 50% of the female population. In general,

incontinence is defined as stress, urge, or mixed. The origin can be localized to the nervous system, bladder musculature, or change in female anatomy (prolapse).

There are common types of gynecologic conditions that cause chronic pain, heavy bleeding and loss of bladder control. Endometriosis can cause pain and is present when tissue that is normally bled from inside of the uterus, instead bleeds on the outside of the uterus. Another condition, fibroids, can cause pain and heavy bleeding and are benign tumors that grow underneath the uterine lining, inside the uterine wall or outside of the uterus. Finally, pelvic prolapse is a condition that is defined as female anatomy slipping out of position.

Prolapse happens when the pelvic muscles and connective tissues weaken with time and child birth.

WHAT ARE THE TYPES OF DAVINCI® SURGERY FOR WOMEN? Types of da Vinci® surgery include: Endometriosis Resection - the precise excision and removal of endometriotic implants; Myomectomy - the removal of fibroids from the uterus while preserving the uterus; Hysterectomy - the removal of the uterus only, uterus plus cervix, or uterus plus cervix and ovaries; Prolapse surgery – the correction of uterine, vaginal, bladder or rectal prolapse.

WHAT ARE THE BENEFITS OF DAVINCI® SURGERY? In comparison to traditional open surgery, the potential benefits include: significantly less pain, less blood loss, fewer complications, less scarring, shorter hospital stay, faster return to normal daily activities and faster return to work.

“In comparison to traditional open surgery, the potential benefits include: significantly less pain, less blood loss, fewer complications, less scarring, shorter hospital stay, faster return to normal daily activities and faster return to work. “

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WHAT IS THE FUTURE OF DAVINCI® SURGERY? As high tech moves into the surgical sciences, the future is very promising.

Locally, through collaborative efforts, gynecologic surgeons at the Texas Institute for Robotic Surgery are having an international impact teaching colleagues, performing research and contributing to advancements in female surgery. In addition, the Institute will soon be pioneering a highly reproducible approach to robotic assisted hysterectomy requiring only one 2 cm incision located and hidden in the umbilicus.

At the Texas Institute for Robotic Surgery, the future is now and very promising indeed.

Thomas N. Payne, M.D., FACOG St. David’s Specialized Women’s Services 512-713-5224 www.stdavidssws.com Dr. Payne is an internationally recognized thought leader in benign GYN robotic surgery.

Photo ©2012 Intuitive Surgical, Inc.

There is an international change in gynecologic surgery that is benefiting surgeons, hospitals and most importantly – patients – being pioneered and advanced right here in Austin. Dr. Thomas Payne of the Texas Institute for Robotic Surgery explains what daVinci® surgery is and how it treats symptoms that you, as a woman, may be experiencing.

HEALTH CARE SPECIALISTS

OB/GYN

PLASTIC SURGERY

INTELLIGENT SLEEP

ST. DAVID’S SPECIALIZED WOMEN’S SERVICES

HALL PLASTIC SURGERY & REJUVENATION CENTER

512-713-5224 www.stdavidssws.com 12221 Renfert Way, Suite 220 Austin, TX 78758

512-327-5337 www.hallplasticsurgery.com 300 Beardsley Ln. Bldg. C101 Austin, TX 78746

Dr. Bruce Wayne Meleski created Intelligent Sleep to address the epidemic of sleep issues. Intelligent Sleep offers natural solutions using body/mind, energy, behavioral, and environment programs.

Based on science, IntelliBED mattresses, relaxation techniques and energy balance bring better sleep and more energy.

Located on the beautiful campus of St. David’s North Austin Medical Center, Dr. Payne specializes in gynecology, menopausal medicine and robotic assisted (daVinci®) surgery.

Under the direction of Dr. Jeffrey Hall, board certified plastic surgeon , Hall Plastic Surgery & Rejuvenation Center offers a total body, mind, well-being approach to plastic surgery, facial procedures, body rejuvenation, and anti-aging.

HOLISTIC DENTISTRY

OPHTHALMOLOGY

ELIZABETH RAYNE, D.D.S.

WESTLAKE EYE SPECIALISTS

LAUREN CRAWFORD, MD

512-443-5813 www.naturaltoothfairy.com 1221 Ben White Blvd. Ste 110A Austin, TX 78704

512-472-4011 www.westlakeeyes.com 5656 Bee Cave Rd Suite F200 Austin, TX 78746

512-732-3006 www.drlaurencrawford.com 3003 Bee Cave Road, Suite 203 Austin, TX 78746

512-306-1833 www.intelligentsleep.com 422 W Riverside Dr (Inside RunTex) Austin, TX 78704

WestlakeEyeSpecialists The Art of Eye Surgery

Dr. Rayne and her staff are committed to providing you with comprehensive dental care which incorporates awareness of the whole body, not just the mouth.

Please call for an appointment.

Specializing in cornea, Lasik, glaucoma treatment and surgery, cataract surgery with multifocal IOLs, routine exams.

Dr. Crawford, a board certified plastic surgeon, and her staff are committed to taking the time to understand the individual needs of each patient. She encourages you to research your procedure and ask questions to make you as comfortable as possible through the process of getting ready for surgery.

AWGUIDETOGOODHEALTH.COM 31

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SINGLE-SITE GALLBLADDER REMOVAL

By Ashley Erikson

Robotics surgery for gallbladder removal used to require three-to-four incisions, but with current advancements, now only requires a single incision. Dr. Buzad and his partner, Dr. Corne, the only two surgeons in Austin qualified to perform this procedure, use Single-Site™ da Vinci® surgical tools in these procedures. Dr. Buzad explains the benefits of single-site robotic assisted gallbladder removal and what you, as a patient, should know.

HOW COMMON IS GALLBLADDER REMOVAL? From the general surgery perspective, it is one of the most commonly performed operations and most general surgeons, on average, can perform the procedure an average of two times per week.

ARE THERE SPECIFIC SYMPTOMS PEOPLE SHOULD BE AWARE OF? Typical symptoms are usually in the form of upper abdominal pain in the right or mid-upper abdomen that will sometimes radiate toward the back. Also, nausea after eating is common – especially with a meal high in fat – as this can cause the gallbladder to contract, and when people have gallbladder disease, it intensifies their symptoms.

Seeing the primary care doctor or gastroenterologist is the first step, and after tests are run, if gallbladder disease is detected, they will be referred to a surgeon for removal if necessary.

WHAT IS MOST IMPORTANT THAT THEY KNOW ABOUT THE PROCEDURE? As I stated, gallbladder removal is one of the most common procedures that I perform. The risks of not proceeding with surgery if required are higher than the risks of the surgery itself.

With single-site robotic assisted gallbladder removal, I can now use a single incision along the belly button, which is not only cosmetically nicer than the old four-incision procedure, but also causes fewer problems for

“Due to the single incision instead of four incisions, there are fewer problems for the abdominal wall including reduced pain, reduced chance of wound infection and quicker recovery times.”

3 2 Guide to Good Health 2 0 1 2

the abdominal wall. This means quicker recovery times and less discomfort for the patient.

WHAT ARE THE RISKS THAT ARE ELIMINATED BY USING ROBOTICS IN THIS PROCEDURE? Due to the single incision instead of four incisions, there are fewer problems for the abdominal wall including reduced pain, reduced chance of wound infection and quicker recovery times.

The accuracy and visualization that the Single-Site™ da Vinci® surgical tools provide during this procedure give me the chance to now see 3D views of the gallbladder (and surrounding anatomy) during the procedure, versus the 2D view that surgeons have when performing laparoscopic gallbladder removal. This precision also benefits patients who may not have been candidates for manual laparoscopic surgery. Once I started using the robotic system, I have rarely gone back to standard laparoscopic cases because it is such an improvement on what it offers both doctors and patients.

FRANCIS BUZARD, M.D.

FACTS & FIGURES:

Approximately 500,000 gallbladder surgeries or cholecystectomies are performed each year in the US

Gallstones are twice as likely to occur in women. Overweight people, older adults, Native Americans and Mexican Americans are also at greater risk.

Once gallstone symptoms appear, they recur in the majority of patients.

Symptomatic patients are 25 percent more likely to develop complications within 10 to 20 years.

Upon initial release, Single-Site™ da Vinci® surgical tools were used by only 20 surgeons who were chosen around the country, including Dr. Buzad.

LOUIS CORNE, M.D.

Austin Diagnostic Clinic 512-901-1111 www.ADClinic.com Since 1952, the doctors at The Austin Diagnostic Clinic have cared for Central Texans.

PLASTIC SURGERY

SLEEP SPECIALISTS

RHOAD TO BEAUTY - PLASTIC SURGERY AND MED SPA

SNORING AUSTIN

AUSTIN VEIN INSTITUTE

512-339-4040 www.snoringaustin.com 12201 Renfert Way. Ste 105 Austin, TX 78758

Christopher W. Brennig M.D Board Certified Vascular Surgeon 512-346-2727 www.veinaustin.com 7000 N Mopac, Ste 320 Austin, TX 78731

512-476-9149 www.rhoadtobeauty.com 11671 Jollyville Road Ste 103 Austin, TX 78759

Austin Vein Institute State-of-the-art varicose vein treatment (512) 346-2727

Dr. Deirdre Rhoad is board certified by the American Board of Plastic Surgery. She has been in private practice in Austin for 19 years.

Her hope is that she offers something different - a surgeon who listens, understands, and cares about your concerns and results.

The board certified physicians of Snoring Austin can assess your condition to determine the cause and most effective solution to improve your sleep.

REPRODUCTIVE MEDICINE

VARICOSE VEINS

Austin Fertility & Reproductive Medicine

AUSTIN IMAGING & VEIN CENTER

512-444-1414 www.austinfertility.com 300 Beardsley LN., BLDG B, STE 200; 4303 James Casy St., Suites A & B Austin, TX

512-726-0599 www.imagingandveins.com 2712 Bee Caves Road, Suite #122 Austin, TX 78746

At Austin Fertility & Reproductive Medicine, we are proud to offer office-based In Vitro Fertilization services to patients at Westlake IVF. Our practice offers all fertility treatment options for couples.

Austin Imaging & Vein Center specializes in vein disease, offering full diagnostic work-ups under the medical direction of Stephen R. Bunker, M.D. Dr. Bunker is a Board Certified Radiologist and recipient of the 2011 Patient’s Choice Award.

V ein A ustin.com

The Austin Vein Institute provides an exceptionally high level of care, utilizing the latest technology to treat your varicose veins.

With proven, safe procedures, performed in the security of our comfortable office, we can quickly make your varicose and spider veins a thing of the past.

VEIN SOLUTIONS 512-452-vein (8346) 866-452-vein (8346) www.veinsolutionsaustin.com 1010 W. 40th ST. Austin, TX 78756

Vein Solutions Austin brings together a group of experienced and specialized board certified cardiothoracic and vascular surgeons dedicated to using the latest technologies in the diagnosis and treatment of varicose and spider veins.

AWGUIDETOGOODHEALTH.COM 33

Ask an Expert

Assisted Reproductive Technologies

By Ashley Erikson

Motherhood is an experience that no one has to miss out on, even if biological factors are interfering. At Austin Fertility & Reproductive Medicine, the physicians are able to offer services of a state-of-the-art in vitro fertilization (IVF) lab called “Westlake IVF”, used for assisted reproductive technologies (ART). Dr. Shahryar Kavoussi explains what those technologies are and what steps to take when considering treatment by a fertility specialist.

WHEN SHOULD A COUPLE CONSIDER SEEING A FERTILITY SPECIALIST? Women who are under the age of thirty five who have been trying to get pregnant for one year and are still having a regular cycle should consider coming in to see a fertility specialist.

For women who are over thirty five years of age, it is recommended that they come to see a fertility specialist if they have been trying to get pregnant for six months without success.

WHAT IS THE INITIAL EVALUATION THAT IS PERFORMED? A detailed medical and reproductive history is the first step. Next, we recommend a series of fertility tests. Blood tests and ultrasounds give information about a woman’s egg quality and number. A hysterosalpingogram, which is a dye test with x-ray, is performed to evaluate whether or not the fallopian tubes are open and if the uterus has a normal shape. A semen analysis for the husband/male partner is always recommended as well. These tests help us determine which method of treatment is best to proceed with in order to help the couple achieve a successful pregnancy.

WHAT ARE REASONS BEHIND NEEDING ASSISTED REPRODUCTIVE TECHNOLOGIES (ART)?

There are various reasons for which ART is recommended for a couple, including a woman having endometriosis or blocked fallopian tubes, the husband/male partner having low semen analysis parameters, and unexplained infertility.

WHAT TREATMENTS ARE DONE TO ASSIST WITH ACHIEVING PREGNANCY IF PATIENTS CHOOSE TO UNDERGO IVF? Medications are used to assist the woman in growing multiple eggs within a cycle, after which they are ‘harvested,’ or retrieved, by the doctor. The eggs are then placed with the husband/male partner’s sperm in our state-ofthe-art IVF lab, and we can see how many fertilize and turn into embryos that begin to grow. The embryos that grow well and have the best chance of resulting in a successful pregnancy are then placed back into the uterus (embryo transfer).

ARE THERE DIFFERENT TYPES OF ART PROCEDURES A WOMAN MAY HAVE? Yes, with conventional in vitro fertilization, the sperm and egg are placed next to one another in the lab and the sperm fertilizes the egg on its own. With intracytoplasmic sperm injection (ICSI), the sperm is actually placed into the egg by the embryologist. With either of these options, the embryo is then placed into the uterus and the woman takes estrogen and progesterone to help the embryo implant in the uterus and increase the chance of pregnancy. In some cases the embryologist will perform ‘assisted hatching’ prior to embryo transfer. This involves using a laser to open the covering of the embryo to increase the chance of a successful implantation leading to pregnancy.

“Motherhood is an experience no one has to miss out on, even if biological factors are interfering.”

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WHAT CAN I EXPECT TO FEEL DURING THE PROCEDURES? The egg retrieval procedure lasts roughly 15-20 minutes and is done in an office setting with IV conscious sedation. Patients will wake up with mild cramping. For embryo transfer, the patient is fully awake and can expect it to feel a lot like a pap smear exam, with some more mild cramping and some pressure during the process. Westlake IVF is unique since the IVF lab and procedure rooms are located within our office setting which was designed with patients’ comfort/familiar surroundings in mind.

We take care of patients on a one-on-one level and can answer any questions for someone who is interested in having assisted reproductive technologies. We encourage anyone who thinks they are interested in an evaluation and treatment to visit www. austinfertility.com and set up a consultation.

Sharhryar Kavoussi, M.D Austin Fertility & Reproductive Medicine 512-514-4444 www.austinfertility.com Dr. Sharhryar Kavoussi M.D, is board certified in Reproductive Endocrinology & Infertility.

TIRED OF YOUR GLASSES? Westlake Eye Specialists can help!

Soo Y. Kim, M.D.

LASIK Cornea

Dry Eyes Cataracts

Introducing the NEWEST member of our team Dr. Soo Kim WestlakeEyeSpecialists The Art of Eye Surgery

Zarmeena Vendal, M.D.

5656 Bee Cave Rd Suite F200 Austin, TX 78746 512.472.4011 www.WestlakeEyes.com

Ximena de Sabra, M.D. AWGUIDETOGOODHEALTH.COM 35

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CHIROPRACTIC

By Ashley Erikson

When people think of visiting a chiropractor they usually just associate it with back and neck pain, when in reality it can help patients with much more. Katerina Sheffield DC RPh of Westlake Chiropractic shares how chiropractic can be good for your whole body.

WHEN SHOULD PEOPLE THINK ABOUT SEEKING OUT CHIROPRACTIC CARE? For people with neck pain, back pain, shooting pain, numbness and tinglingchiropractic is an excellent choice, especially for those wanting a drug-free option or who want to leave surgery as a last resort.

Structural imbalances can cause or contribute to other kinds of pain as well, including hip, knee, ankle and even jaw pain. Car wrecks, sport injuries, and even normal childhood trauma can cause damage and lead to spinal degeneration and osteoarthritis.

WHAT CAN PATIENTS EXPECT WHEN THEY VISIT YOUR OFFICE? I offer a no-charge initial consult to discover if a patient’s health concerns are a good fit with the care I provide. Next, a complete diagnostic work-up, including neurologic and orthopedic tests, as well as a postural assessment and possibly x-rays are completed. I utilize an upper-cervical specific approach to spinal care because it is one of the most effective and efficient forms of chiropractic care. Upper-cervical chiropractic prioritizes a gentle and extremely precise adjustment of the atlas vertebra, the top bone of the spine directly under your head. When this bone is misaligned, it can cause structural imbalances that affect your entire system, all the way down to your feet!

pharmacist trained in the Western medical mindset. Chronic pain lead me to chiropractic.

When I was five years old I was run over by a truck, and I’ve sustained two whiplash accidents as an adult. The results I obtained from upper-cervical chiropractic impacted my life so much that I changed professions. My technique is gentle, specific and perfect for anyone who has hesitations about seeing a chiropractor.

ARE YOU ANTI-DRUG? WHAT IF PATIENTS ARE SCARED OR SKEPTICAL ABOUT SEEING A CHIROPRACTOR? I completely understand the hesitation to try chiropractic because I was once a skeptic myself. Before I became a chiropractor I was a

As both a chiropractor and a pharmacist I am not anti-drug, nor am I anti-Western medicine; I am pro-chiropractic. I am for the best solution for the problem, and drugs aren’t always the best solution. I think this may be why so many MD’s feel comfortable referring

“Chiropractic is an excellent choice, especially for those wanting a drug-free option, or who want to leave surgery as a last resort.”

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to me. In fact, I have many patients who are MD’s.

HOW IS CHIROPRACTIC GOOD FOR YOUR WHOLE BODY? Chiropractic is not only about relieving back and neck pain. Virtually every nerve in your body runs through your spine, and chiropractic care relieves pressure on these nerves, allowing them to communicate freely. My patients often report relief from issues like asthma, constipation, acid-reflux and other complaints. One of the most significant studies on upper-cervical chiropractic found a decrease in blood pressure equal to double drug therapy. It’s no surprise that 90% of professional athletes use chiropractic!

Katerina Sheffield, DC RPh Westlake Chiropractic 512-306-1625 www.westlakechiropractic.com Dr. Sheffield respects the design, structure and function of the body, and the fact that it is designed to heal itself.

Why daVinci® Gynecology?

Leading-edge surgical technology

Through the use of the daVinci® Surgical System, Dr. Payne is able to offer a minimally invasive option for complex surgical procedures.

Benefits include significantly less pain, less blood loss, fewer complications, less scarring, shorter hospital stays and a faster return to normal daily activities.

Thomas N. Payne, MD, FACOG St. David’s Specialized Women’s Services PHYSICIAN: Over 20 years of experience in women’s health.

EDUCATOR: Worldwide teacher of fellow surgeons.

AUTHOR: Published book chapters and multiple papers in GYN surgery.

PIONEER: Internationally recognized thought leader in daVinci® surgery.

Primary Focus:

Awards/Honors:

Comprehensive general gynecology daVinci® (robotic assisted) gynecology Menopausal medicine Mammography Osteoporosis

Best Doctors Recipient (2000-2012) Physician Leader of the Year (2007) Patient Satisfaction Awards Pioneer in Robotic Surgery Award Society of Robotic Surgery: Charter Member

Private Practice and Medical Director for the Texas Institute for Robotic Surgery

Please call for your free information packet! www.stdavidssws.com

T 512.719.5224

F 512.719.4344

12221 Renfert Way, Suite 220

Austin, TX 78758

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HOLISTIC DENTISTRY

By Ashley Erikson

Usually when we think about dental care, we try to regularly brush and floss and then go to the dentist when scheduled.

What we may not think about is how the health of our body may be affected by that of our mouth. Dr. Elizabeth Rayne, who helps patients remove metals safely from their mouths to keep them healthy, explains why the oral cavity is so important to our overall health.

DEFINING HOLISTIC DENTISTRY With holistic dentistry, your dentist will focus on improving your whole body health through improving your dental health. The mouth is an important area as your teeth have nerve endings, also known as acupuncture meridians, which connect to other organs and tissue in your body. “Infections or diseases in the mouth can spread throughout the entire body,” shares Dr. Rayne. “As it spreads, this causes degenerations and other problems. This is why I focus with patients on keeping their mouths as healthy as possible, to help improve their overall health.”

The products placed in your mouth, such as fillings, are just as critical to your well being as your food and dental habits.

Different products in your teeth can possibly create reactions in your body. The focus should be using a product that doesn’t react with your body but will help keep it in a healthier state, which is what Dr. Rayne helps patients accomplish.

WHAT TO EXPECT When a patient first comes to see Dr. Rayne, a comprehensive examination is performed.

The full assessment of the patient’s health includes a visual, radiological, and periodontal evaluation. Patients are educated about diseases of the mouth, the biocompatibility of certain products as well as saliva tests.

These saliva tests look at genetics of periodontal disease, pathogens and viruses that are found in the mouth. These tests provide Dr. Rayne and the patient biological

information needed for treatment planning goals for the health of their teeth and mouth.

Dr. Rayne looks at the products patients have in their mouths – such as in or underneath crowns, inlays, onlays, bridges. She educates the patient how this is affecting their health as some of these have dental amalgam (mercury) in them. If either is the case in the patient, Dr. Rayne runs tests for choosing new products and works with other practitioners to guide the overall health of the patient. Patients see these practitioners, such as naturopaths, homeopaths, chiropractors and herbalists in conjunction to their visits with Dr. Rayne, so that other aspects of their health can be examined and improved at the same time as their dental health. “While I focus on removing metals in the mouth, the other practitioners help remove it throughout the rest of the body,” shares Dr. Rayne.

REMOVING METALS SAFELY Once the metals in the mouth have been identified and a new healthier product has been chosen, Dr. Rayne safely removes the metals from the patient’s mouth. This involves isolating the tooth with a dental dam and using a suction device to not only remove the

“With holistic dentistry, your dentist will focus on improving your whole body health through improving your dental health. “ 3 8 Guide to Good Health 2 0 1 2

metal but also the vapors that it releases. The patient is placed on oxygen, the doctors wear special filtration masks during this process, and the room is well ventilated to make sure that no one is exposed to the mercury or other harmful components of the metals as they are removed. Dr. Rayne will then give the patient the new product that has been chosen. “It is recommended that patients have fillings evaluated on an ongoing basis,” stresses Dr. Rayne. “This is to ensure the products within the mouth are in good condition and to be certain no other treatment is necessary to improve the patient’s oral care – and overall – health.”

Elizabeth Rayne, DDS Elizabeth Rayne, DDS 512-443-5813 www.naturaltoothfairy.com Dr. Rayne is committed to providing you with comprehensive dental care which incorporates awareness of the whole body.

AWGUIDETOGOODHEALTH.COM 39

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BARIATRIC SURGERY

By Ashley Erikson

Dr. Nicole Basa is a bariatric surgeon who performs sleeve gastrectomy and gastric bypass surgery. After training at the University of California, Los Angeles where she did a fellowship in bariatric and minimally invasive surgery, she moved to Austin five years ago and was the first doctor to perform a fully robotic gastric bypass in central Texas. Now, she shares what you should know if you are considering surgery for weight loss.

THE TYPES OF BARIATRIC SURGERY There are two main types of bariatric surgery, restrictive and malabsorptive.

Restrictive surgery comprises of physically making the stomach smaller, which is known as a gastrectomy. In malabsorptive surgeries, the intestine is bypassed so fewer nutrients are absorbed from foods. Both the sleeve gastrectomy and lap band surgery are restrictive procedures. In the sleeve, part of the stomach is removed whereas in lap band surgery, the top of the stomach is cinched by a band. Gastric bypass surgery is seen as both types as it involves bypassing a portion of the small intestine and making the stomach smaller.

WHAT TO KNOW BEFORE SURGERY Bariatric surgery is an elective surgery which can be life saving. However, it is important to have proper education about your options. Dr. Basa does free informational seminars, which explain the different types of bariatric surgeries and what to expect should you choose to move forward to have a consultation and see if you are a candidate for the procedure.

Dr. Basa recommends that before choosing a surgeon, you should make sure to have the procedure done locally as opposed to travelling out of town or out of state. “It is important to look at the program to make sure you get proper education and treatment,” she states. “A multi-disciplinary

program includes a bariatric nurse coordinator, dietitian, support group, psychologist and exercise guidance. All of these components are an important part of the procedure as well as having access to your surgeon which is why you need to have local access to this type of care.”

THE BENEFITS Surgery, especially one that is elective, can sometimes be a scary thing. The good news is, in laparoscopic gastric bypass surgery, the mortality rate is less than 0.25 percent, similar to that of a laparoscopic gallbladder removal. It is important to know that though there are risks involved in surgery, there are also be risks without it. “In my seminar, I often refer to the following study performed

by Christou,” continues Dr. Basa. “It shows if someone is morbidly obese and chooses not to have surgery, the risk of dying is nine times higher than those who have bariatric surgery.”

Gastric Bypass

Along with lowering complications from obesity, all of the bariatric procedures resolve diabetes. Dr. Basa shares, “With gastric bypass specifically, the benefits are its help to decrease blood sugars, which is why it lowers diabetes almost instantaneously – sometimes days after surgery.” Though all types of bariatric surgery help decrease diabetes through weight loss, gastric bypass rids the body of diabetes through an actual physiologic change. The resolution of diabetes is around eighty-five percent in patients, along with resolution of issues such as high blood pressure, sleep apnea, high cholesterol and joint problems.

If you are interested in learning more about bariatric surgery, you can visit www. cedarparkbariatrics.com to attend an information session and schedule a consultation with Dr. Basa.

“With gastric bypass specifically, the benefits are its help to decrease blood sugars, which is why it lowers diabetes almost instantaneously – sometimes days after surgery.”

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Vertical Sleeve Gastrectomy

NICOLE BASA, M.D. Cedar Park Regional Medical Center 512-260-3444 www.cedarparkbariatrics.com Dr. Nicole Basa is a bariatric surgeon who performs sleeve gastrectomy and gastric bypass surgery.

&Blvd., HOLISTIC 1221COSMETIC W. Ben White Ste 110A Austin, TX DENTISTRY 78704 Comprehensive care with a personal touch...

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