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impulse spring 2009

Best Docs 174 PHYSICIANS Rated Tops by Their Peers

◄ Dr. Martin J. Walsh SSM St. Charles Medical Group


Dreamy Dresses Affordable Decor “Wedding-Moons”

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for love...Sandals voted World’s Best.




8 / ; / 7 1 / Â&#x2019; / < B 7 5 C / Â&#x2019; A B : C 1 7 / Â&#x2019; 0 / 6 / ; / A *Scuba diving included for certified divers. All amenities and activities vary by resort. Unique Vacations, Inc. is the worldwide representative for Sandals Resorts.

ON THE COVER: Dr. Martin J. Walsh Photo by Alex Brown

Natalie Brooks. Photo by Sarah Crowder.



Lindsey Jordan, Photo by Alex Brown



POTTERY PRIMER Troy Potter Joanne Throgmorton shares a history of the trade


SPRING IS IN THE H-AIR Summer and spring trends by salon owner Tina Parrish


BEST DOCS A list of the best doctors in their fields from St. Charles, MO, to Columbia, MO, choosen by a comprehensive peer review system brought to us by Best Doctors, Inc.


SPRING ALLERGIES & OUR EYES A helpful guide by Barbara Cashion


LOCAL HEALTH CARE A look at the new technologies used by Lincoln County Medical Center in Troy and the expansion of services of Patients First Family Medicine in Warrenton and Hermann


VEIN TREATMENTS WITH LESS PAIN Dr. Thomas Wright gains FDA approval for treatment to of vericose veins with less pain than traditional methods


REIKI MASSAGE Massage Therapist Denise Albritton explains the practice


DREAM DRESSES Local models show off Maggie Sottero, Jasmine, Sottero and Midgley, and Alfred Angelo designs from The Wedding Shoppe in Troy at Cedar Lake Farm in Warren County. Photos by Sarah Crowder.


AFFORDABLE WEDDINGS Florist Cathy Kohensky offers tips on wedding decor for the budget-conscious


COSMOPOLITAN COUNTRY Cedar Lake Farm is a charming locale for weddings and other fetes


ALL-INCLUSIVE ‘WEDDING-MOONS’ Insignt by travel agent Diane Picht


WHY DOES THAT GLASS OF WINE MAKE ME FEEL SOOO??? Judy Evans describes the problems tannins can cause people who are sensitive to them and the value of antioxidants in wine


SPRING PURSES WITH PUNCH Great bags add the right touch to any outfit. Carla Throroughman and a group of lovely ladies model great looks for the season.


KEEP YOUR PETS SAFE FOR THE SUMMER Tips by pet store owner Joe Caufield


MOURNING FAMILIES BEWARE Don’t be taken advantage of in your time of need. This column by licensed funeral director Kimberly Ingersoll’s advice will help you steer clear of possible problems when making arrangements for loved ones.


INDOOR AIR CAN BE HAZARDOUS Indoor pollution can often be worse than outdoor pollution.


INDOOR TANNING FOR VITAMIN D An opinion by tanning salon owner Charity Frederick


CHILD’S PLAY Kid’s fashion from The Gap Outlet, Warrenton, at Eagle’s Bluff Golf Course in Clarksville. Photos by Alex Brown.


FASHION ON THE GREEN Ladies’ fashion from Maurice’s in Troy at Eagle’s Bluff Golf Course in Clarksville. Photos by Alex Brown.


CLARKSVILLE’S GOLFING & DINING DESTINATION Eagle’s Bluff offers a serene setting, top- notch golf and casual, yet sophisticated dining.

Impulse Magazine, Vol. 2, Issue 1, is published quarterly by Focus News, LLC, P.O. Box 32066, St. Louis, MO 63132.

publisher’s note Something Old & Something New This issue, Impulse Magazine presents our first annual list of the best doctors from St. Charles to Columbia, MO. What makes these doctors the best? They were determined by a peer-to-peer review system by Best Doctor’s Inc. With 174 physicians listed by specialty, it should be easier to find quality healthcare professionals in the fields you need. This was also our bridal issue. Our bridal fashion photos (page 32) feature gowns from The Wedding Shoppe in Troy by Maggie Sottero, Jasmine, Alfred Angelo, and Sottero and Midgley. Sarah Crowder photographed the bridal models outside of Cedar Lake Farm outside of Wright City, MO, a scenic venue for many joyous celebrations, blessed unions, and fashionable fetes. I found that the farm’s owners had purchased my late grandparents, Mick and Vivian Layer’s fire truck. That fire truck has served as a base for many childhood memories, including countless blistering fourth of July parades through the town of Bellflower, MO. The farm is a perfect home for that piece of my family’s history, with its nostalgic air and function as an elegant place for family and friends to gather. We were fortunate to have another lovely location to shoot our fashion for kids and ladies, Eagle’s Bluff Golf Course. With its manicured course and restaurant, Eagle’s Bluff is a great destination for a spring drive. Kid’s clothing from The Gap Outlet in Warrenton and women’s clothes from Maurice’s in Troy will make you feel like shopping again. The season’s ensembles are not complete without the right accessories. Always in Style owner Karla Thoroughman shows that a punch of color or the right details on a handbag can make an outfit (page 46). Spring is the time for new beginnings and for the renewal in life. Enjoy the beauty that the season offers, and support your local businesses when you can in this tough economy.

Tamara L. See SPRING 2009



impulse MAGAZINE

Diane Picht

owns Four Season Travel and Cruises in Warrenton.

Kimberly Ingersoll

is a Missouri Licensed Funeral Director and Embalmer. She and her husband Rick own Ingersoll Chapel & Cremation Services in Troy.

judy evans and her husband Ron own Missouri Wine and Gift in Warrenton

CATHY KOHENSKY owns A Moment of Grace Florist in Warrenton.

Tina Parrish owns Luminesce Salon in Warrenton.

Publisher: Tamara See Editing: Julie Parcel Jeanne See Graphic Design: Tamara See Alex Brown Tony Mooney Design Assistants: Sandy Coffer Advertising Executives: Maqsud Mir, 314-713-2400 Rick Haynes, 636-295-0205 Maria Acton, 636-288-9251 Photographers: Sarah Crowder Alex Brown Tony Mooney

BARBARA CASHION owns Hereâ&#x20AC;&#x2122;s 2 Eyes in Troy.

JOANN THROGMORTON owns Car-Jo Ceramics in Troy


owns Waldorf-Petstoria in Montgomery County.


is a massage thereapist who operates Relax-U in Warrenton.


owns Sunseekers Tanning in Warrenton


wrote the article on Lincoln County Medical Center


is an owner of Schraer Heating and Air Conditioning in Warrenton

IMPULSE MAGAZINE Published by FOCUS NEWS, LLC P.O. BOX 32066 ST. LOUIS, MO 63132 (314) 713-2400

Sarah Crowder

Sarah Crowder grew up in a family that valued capturing moments on film. Her parents’ home in Michigan still holds volumes of photos and video tape of her family from 30 years ago to today. There is evident progression in style from standard poses to the trained eye and unique perspective that Sarah uses today. In college, she was quickly recognized as a skilled photographer and was hired on to photograph events for the Public Relations office at Concordia University Wisconsin. Staying home with her two young children has enabled her to build her business and further refine her style into what could be called “visual storytelling.” A photography session with Sarah goes far beyond a client’s time spent in front of the lens. Great effort is taken to get to know the client personally beforehand and have the photos reflect their lifestyle. Sarah then edits the photos to generate many options for the client to choose from. Her expertise encompasses weddings and senior portraits, as well as young children, sports teams, school photos and corporate events. Sarah’s work can easily be viewed online via and facebook.


Tony Mooney of Mooney Marketing is a nationally recognized and awardwinning full service graphic design and marketing firm. If you¹re looking to unveil a new business image or enhance an existing one, maximize your company¹s potential with Mooney Marketing. He has over 20 years of graphic design and marketing experience. He holds a BA in Fine Arts with an Emphasis in Commercial Art. He has both higher education and corporate work experience in graphic design and marketing. July of 2006, Tony opened Mooney Marketing and his office is located in the Berk Building, at 101 West College, Suite 7, Troy, MO. Equipped with state-of-the-art computers, the latest graphic design software, scanner, printer, and digital camera, Mooney Marketing specializes in developing marketing material that delivers your company¹s message. If your business is in need of a logo, corporate identity, branding, web sites, election material, ad campaigns, photography, or print material that ranges from business cards to brochures, Mooney can handle it all.


Meet Alex Brown, freelance photographer and graphic designer based in Troy, Missouri. Alex shoots on location portraits and reportage for editorial, advertising and corporate clients. His work is creative, commanding and constant.





POTTERY PRIMER By: Joanne Throgmorton Pottery has come a long way since primitive man first used clay in a sun-dried form of bricks and utensils. In ancient times, it is believed the earliest pottery was hand-built and fired in bonfires. Pottery craft developed as a necessity, which led to what is one of the most popular and rewarding hobbies today. In today’s pottery studio, many ideas develop in design and color. There is a huge variety of techniques to keep pottery interesting to hobbyists and professionals. Creativity can be unleashed in the hand-throwing or slip casting, in the type of firing or glazing. Additives can be worked into the clay before firing to give unique textures and patterns. The use of underglazes, lithography, and burnishing create more possibilities for unique work. With pottery, the fruits of one’s labor is usually as useful as it is beautiful. Classes are available to help create ideas on clay. Call or stop by to signup for pottery classes at Car-Jo Ceramics and Pottery, 180 E. Cherry St. in Troy. They can be reached at 636528-4463.

504 W. Booneslick Warrenton, MO 63383 636-456-3435 or 573-564-3978 or Fax 636-456-3426 A Scot Woolf Company www.schraerheating,com


(636) 462-4269 • (636) 462-6326 560 & 600 MAIN ST. • TROY, MO 63379 • 





SPRING IS IN THE H-AIR By Tina Parrish Spring is a time for the new--a time for the fresh! Here’s what is hot for 2009:


Salon owner shares hair, fashion and makeup trends for the season

lot, as long as they have a strap that goes around the leg at the ankle. The hobo bags are in, and you’ll need to pair them with some ridiculously huge shades (full-glam, round styles dominate).

We have seen a lot happening in hair for spring. The hot colors are soft champagnes to violet accents. As we look at the shapes of the haircuts, we are seeing either short, soft shapes with hints of color, or strong shapes with soft color accents to complement and balance the shape. Trends are changing in regard to the application of hair color. By using panels or sections versus partial foil or full foil, your stylist is now able to achieve the final result without risking the integrity of the hair. As far as styling, ponytails are still hot! Fringe or bangs are still going strong; however, their shapes are changing. You still have your classic swoop bang, but if you are going to be committing to wearing “the bang,” they should travel all the way across the forehead then angle slightly carrying through the temple so when they fall, they fall all the way to the hairline. When you sport a ponytail, your bang will carry from one side all the way to the other. The hair hump is still in; however, it is moving slightly to the bang area instead of in the crown. If you like braids, wear them! They are being seen in all the newest updos for spring, along with the soft curl and the “oh this, I just pinned my hair up.” The “undone” done look, if you know what I mean. Classic chignons are showing up with romantic soft shoulder dresses.


You’ll be pairing up a natural eye with a RED lip, or bold eyes with a nude but hydrated lip. Eyeliner is hot and bold; it makes a statement referring back to the 30’s.


Ruffle tops and dresses, soft and romantic, will be worn over skinny jeans or leggings. A lot of color is being shown this spring, such as neon and bright colors. Another trend we are seeing is bone-color neutrals, with some snakeskin - either in shoes or in a hand bagto accent the bone color ruffle top. As far as shoes -- wow, strappy sandals that travel up the ankles -- almost a boot cut if you see it from afar--will be in. Wedges will still be shown a

702 N. Hwy 47, Warrenton Mo 63383 www.


Purple is carrying over from the hair color to the shades. It’s all Hollywood Glam. Get ready, girls! Summer (and prom) is just around the corner!

LINCOLN COUNTY A Caring Hospital For All Your Pet’s Needs

Kenneth Moorman, DVM; Judi Perrin, DVM

2128 W. Hwy. 47, Troy, Mo •

(636) 528-5099


Best Doctors


Finding a physician is not always easy. A stamp of recommendation from a family member or friend about a health care provider is reassuring. A referral from a fellow doctor in some ways is even better. This first annual “Best Doctors” issue provides a list of some of the highest quality, most dependable local specialists and general practitioners from St. Charles to Washington to Columbia, MO. Best Doctors, Inc., is a company that provides unbiased peer-to-peer surveys of doctors to determine which of their peers they would most readily entrust themselves or a loved one with, has compiled the list for publication in this issue. Throughout this section, we have profiled several doctors who have made it to this prestigious list. From cardiologists to vascular surgeons, they represent the best of health care. The doctors on this list represent Best Doctors 2007-2008. Biennial research is currently in progress to determine selections for the 2009-2010 Best Doctors list. These lists are excerpted from The Best Doctors in America® 2007-2008 database, which includes over 40,000 doctors in more than 40 medical specialties. The Best Doctors in America® database is compiled and maintained by Best Doctors, Inc. For more information, visit www., or contact Best Doctors by telephone at 800-675-1199 or by e-mail at research@ Please note that lists of doctors are not available on the Best Doctors web site.

Best Doctors, Inc., has used its best efforts in assembling material for this list, but does not warrant that the information contained herein is complete or accurate, and does not assume, and hereby disclaims, any liability to any person for any loss or damage caused by errors or omissions herein, whether such errors or omissions result from negligence, accident, or any other cause. Copyright 2008, Best Doctors, Inc. Used under license, all rights reserved. This list, or any parts thereof, must not be reproduced in any form.

Dr. William L. Holcomb, Jr.

SSM St. Joseph Health Center, Dept. of Obstetrics and Gynecology, St. Charles,


Brian D. Smith Pain Management Services 5401 Veterans Memorial Pkwy., St. Peters; 636-442-5070

Angela R. Stewart

University of Missouri Health Care, Dept. of Anesthesiology, One Hospital Drive, Columbia, 573-882-2568

Cardiovascular Disease

Kul B. Aggarwal

University of Missouri Health Care, Div. of Cardiology, One Hospital Drive, Columbia, 573-882-8788

Michael A. Beardslee Patients

First Health Care Dept. of Cardiology 901 Patients First Dr., Washington, 636239-2711

William P. Fay

University of Missouri Health Care Div. of Cardiology, One Hospital Dr., Columbia, 573-8828788

John M. Mohart

Patients First Health Care Dept. of Cardiology, 901 Patients First Dr. Washington, 636-239-2711

Martin W. Schwarze Barnes-

Jewish St. Peters Hospital, Cardiology Diagnostics, 10 Hospital Drive, Suite 100, St. Peters, 636-928-4556

Richard R. Webel University of Missouri Health Care Div. of Cardiology, One Hospital Dr., Columbia, 573-882-8788

Diana Westerfield

Barnes-Jewish St. Peters Hospital, Cardiology Diagnostics, Six Jungermann Circle, Suite 108, St. Peters, 636-928-4556

Ali Ziaee SSM St.

Charles Clinic Medical Group, Dept. of Cardiology, 1551 Wall Street, Suite 430, St. Charles, 636-669-2220

Colon and Rectal Surgery

Walter Russell Peters, Jr. Columbia

Gregory C. Flaker

Surgical Associates, 1605 East Broadway, Suite 110, Columbia, 573-443-8773

Jerry D. Kennett

Critical Care Medicine

University of Missouri Health Care Div. of Cardiology, One Hospital Drive, Columbia, 573-8828788 Missouri Heart Center, 1605 East Broadway, Suite 300, Columbia, 573-2567700

Souheil Khoukaz

SSM St. Charles Clinic Medical Group, Dept. of Cardiology, 1475 Kisker Road, Suite 200, St. Charles, 636-498-5890

Marc K. Lewen

Barnes-Jewish St. Peters Hospital, Cardiology Diagnostics, Six Jungermann Circle, Suite 108, St. Peters, 636-9284556

Joseph Vincent Attewell SSM St.

Joseph Health Center. Dept. of Critical Care, 300 First Capitol Dr. St. Charles, 636-947-5662

Pamela Peigh SSM

St. Joseph Health Center, Dept. of Critical Care, 300 First Capitol Dr. St. Charles, 636-947-5662

Thomas M. Siler

Midwest Chest Consultants, 330 First Capitol Drive, Suite 470, St. Charles, 636-946-1650


Susan K. Ailor

University of Missouri Health Care, Ellis Fischel Cancer Center, Dept. of Dermatology, 115 Business Loop 70 West, Columbia, 573-882-8445

Ronald G. Wheeland University of Missouri Health Care, Dept. of Dermatology, One Hospital Drive, Room MA111, Columbia, 573882-4800

James A. Roller

1601 East Broadway, Suite 245, Columbia, 573-8751527

John H. Uhlemann

Boonslick Medical Group, Dept. of Dermatology, 1301 Booneslick Road, Suite 100, St. Charles, 636-9168200

Emergency Medicine

Nestor M. Shust

Patients First Health Care Urgent Care Clinic, 901 Patients First Dr. Washington, 636-390-1777


Endocrinology and Metabolism

Stephen Brietzke University of Missouri Health Care, Cosmopolitan International Diabetes Center, One Hospital Dr., Columbia, 573-882-3818

Cardiology Souheil Khoukaz, MD, FACC

Souheil Khoukaz, MD, FACC, completed Aleppo University Medical School in Aleppo, Syria. He did an internship at Presbyterian St. Luke Hospital in Denver and completed his residency in internal medicine at Loyola University in Chicago. He received his education in cardiology and interventional cardiology at Saint Louis University. He is a member of the American Heart Association Council on Clinical Cardiology, the American College of Cardiology, and the Society for Cardiac Angiography & Interventions. A member of St. Louis Cardiology Consultants, Dr. Khoukaz practices with SSM St. Charles Clinic Medical Group and is affiliated with SSM St. Joseph Health Center. He was named among the 2007 Best Doctors in St. Louis. Dr. Khoukaz has special interests in complex coronary

interventions and catheter closures of congenital heart defects. His advice for preventive care is to exercise and eat right. Dr. Khoukaz practices at SSM St. Charles Clinic Medical Group with Elie Azrak, MD; Georges Chahoud, MD; Lalit Chouhan, MD; Gregory Gabliani, MD; Samer Thanavaro, MD; Edward Weiss, MD; and Ali Ziaee, MD. Dr. Khoukaz sees patients at 1551 Wall Street and 1475 Kisker Road, both in St. Charles, and can be reached at 636/498-5890.

Exercise and eat right.


Family Medicine Kelly Jane Bain

Patients First Health Care, Dept. of Family Medicine, 901 Patients First Dr. Washington, 636-239-4100

Jeffery L. Belden Green Meadows Family Medicine Clinic, 3217 South Providence Rd. Columbia, 573-884-9191

James Kinderknecht

Columbia Orthopaedic Group, One South Keene St. Columbia, 573-443-2402

Richelle Koopman

University Physicians, Smiley Lane Family Medicine Clinic, 2325 Smiley Lane, Columbia, 573-884-8980

Michael L. LeFevre Woodrail

Family Medicine, Building Two, Suite 140, 1000 West Nifong Blvd., Columbia, 573-882-7411

James Turner

Patients First Health Care Dept. of Family Medicine, 901 Patients First Dr. Washington, 636-239-4100

Daniel Vinson

Woodrail Family Medicine, Building Two, Suite 140, 1000 West Nifong Boulevard, Columbia, 573-882-7411

Kenneth G. Weston Columbia

Family Medical Group 2412 Forum Boulevard, Suite 201, Columbia, 573-445-2515

James F. Eckenrode

Geriatric Medicine David R. Mehr

Green Meadows Family Medicine Clinic, 3217 South Providence Rd., Columbia, 573-884-7733

Hand Surgery Matthew J. Concannon

3115 Falling Leaf Ct. Columbia, 573-449-5000

Columbia Orthopaedic Group, One South Keene St., Columbia, 573-4432402

Barry J. Gainor

University of Missouri Health Care, Dept. of Orthopaedic Surgery, One Hospital Drive, Columbia, 573-882-8142

C. Linwood Puckett

University of Missouri Health Care, Div. of Plastic Surgery, One Hospital Dr. Columbia, 573-882-2275

   

David Brunworth SLUCare, Saint Louis University Medical Group Washington Medical Group, 10 Franklin Ave. Washington, 636-239-2741

Kim David Colter

Patients First Health Care Dept. of Family Medicine, 901 Patients First Dr. Washington, 636-239-4100

David D. Cravens Green Meadows Family Medicine Clinic, 3217 South Providence Road Columbia, 573-884-7733

Anne B. Fitzsimmons

Green Meadows Family Medicine Clinic, 3217 South Providence Rd. Columbia, 573-884-7733

Elizabeth A. Garrett Green

Meadows Family Medicine Clinic, 3217 South Providence Road Columbia, 573-884-8700

Craig S. Holzem

Patients First Health Care Dept. of Family Medicine 901 Patients First Dr. Washington, 636-239-4100

Erik Lindbloom

Family Health Center, 1001 West Worley St. Columbia, 573-214-2314

Timothy P. Long

Patients First Health Care, Dept. of Family Medicine, 901 Patients First Dr. Washington, 636-239-4100

David R. Mehr

Green Meadows Family Medicine Clinic, 3217 South Providence Rd. Columbia, 573-884-7733

Steven M. Radel

St. Peters Family Medicine, 5770 Mexico Rd., Suite D, St. Peters, 636-926-0558

Keith M. Ratcliff

Patients First Health Care Dept. of Family Medicine, 901 Patients First Dr., Washington, 636-239-4100

Erika N. Ringdahl Green Meadows Family Medicine Clinic, 3217 South Providence Rd. Columbia, 573-884-9191

Jacqueline M. Ruplinger

Green Meadows Family Medicine Clinic, 3217 South Providence Rd. Columbia, 573-884-8700

14 impulse

Harold A. Williamson, Jr.

Green Meadows Family Medicine Clinic, 3217 South Providence Rd. Columbia, 573-884-9191

Steven C. Zweig

Woodrail Family Medicine, Bldg. Two, Suite 140, 1000 West Nifong Blvd., Columbia, 573-882-7411

Gastroenterology Michele A. DiazArias Gastrointestinal Associates, 210 Portland St., Suite 100, Columbia, 573-777-8818

Donald C. Gerhardt

Gastrointestinal Associates 210 Portland St., Suite 100 Columbia, 573-777-8818

Nicolas Llorens

Gastrointestinal Associates 210 Portland St., Suite 100 Columbia, 573-777-8818

John B. Marshall University of Missouri Health Care, Div. of Gastroenterology Clinical Support and Educational Building, Room 405, Five Hospital Dr., Columbia, 573-884-7600

How We Did It.... Best Doctors is committed to identifying the best in medical knowledge and making that knowledge available. They go to extraordinary lengths to ensure the credibility and comprehensiveness of our database of best doctors, to enhance the quality of the information we collect from our doctors, and to keep that information up to date for our customers and clients. In the United States, Best Doctors commissions an exhaustive, biennial peer review survey of the medical profession that contacts more than 40,000 doctors who were identified in previous surveys as the “best” in their specialties and asks them: “If you or a loved one needed a doctor in your specialty, to whom would you refer them?” A survey is only as good as its participants, and the unique strength of Best Doctors’ survey is that only the best participate. The Gold Standard of Doctor Quality Although facilitated by extensive proprietary polling and balloting software, and undertaken on an epic scale, Best Doctors’ surveys are designed to mimic the informal, peer-peer referral process that doctors themselves use to determine appropriate specialists for individual cases, a process that is internationally recognized and accepted as the gold standard for identifying top-quality doctors. The difference is that Best Doctors’ surveys bring together the insights and experience of tens of thousands of leading specialists and cover more than 400 subspecialties of medicine. Every Best Doctors survey provides as many as a million peer evaluations, with sometimes as many as 200 individual evaluations on a single

Anthony E. Sudekum Missouri

Hand Center, 830 Waterbury Falls Drive, Suite 201, O’Fallon, 636-300-5900


Paul D. King

Columbia Gastroenterology & Liver Associates, 1605 E. Broadway, Suite 250 Columbia, 573-449-8680

Infectious Disease Gordon D. Christensen


University of Missouri Health Care, Div. of Infectious Diseases, One Hospital Dr., Columbia, 573-882-8788

Caroline Kerber

Woodrail Internal Medicine, Bldg. Three, Suite 130, 1000 West Nifong Blvd., Columbia, 573-884-2356

William Salzer

University of Missouri Health Care, Div. of Infectious Diseases, One Hospital Dr., Columbia, 573-882-8788

Andrew C. Quint Family Health Center 1001 West Worley St. Columbia, 573-214-2314


R. Wade Schondelmeyer

individual is a

governor of his/her own health.

Medical professionals are to protect and correct health care decisions made by individuals.

-Dr. Igor Brondz-

doctor. Detailed profiles on the doctors in our database are created and maintained. Best Doctors® Database: An Unparalleled Resource •Best Doctors’ survey process corrects for methodological biases— for example, by identifying suspect voting patterns and weighing votes according to the voter’s own rating. •Best Doctors employs a combination of high-technology surveying methods and person-to-person telephone interviews to encourage more complete and candid responses. •The broadness and depth of the voting pool help eliminate the biases that mar smaller-scale surveys and the distortion that results from minimal and/or indiscriminate participation from the medical community. •Best Doctors never takes compensation of any kind from doctors or hospitals in return for listing doctors in its da-

tabase, nor does Best Doctors pay doctors to participate in its survey process. •In-depth surveying allows Best Doctors to develop detailed profiles of each of the doctors in its database (e.g. in-office language skills, special areas of research and/ or experience, number of procedures performed per year). •All doctors in the database are checked for licensing and certification requirements and for any disqualifying disciplinary actions. The result is a database of unmatched depth, quality, integrity, and reliability. Best Doctors®, Inc. of Boston, MA and Aiken, SC is the global leader in providing information about, and access to, the best medical care in the U.S. and around the world. For over a decade, the company has been conducting the largest independent surveys of the medical profession to identify the doctors that other doctors con-

Timothy P. Long

Patients First Health Care, Washington

sider to be the best in their specialties. The Best Doctors surveys also identify outstanding local primary care physicians. The Best Doctors polling methodology is designed to mimic the informal peer-peer referral process that doctors themselves use to identify appropriate specialists for their patients. The company has expanded beyond this local process to include regional and national groups of physicians. Using extensive proprietary polling and balloting software, the company’s peerreviewed surveys bring together the insights and experience of tens of thousands of leading specialists all over the country, eliminating the biases that can distort smaller-scale surveys.

 Internal Medicine Toni Almond

Magnolia Critical Care and Internal Medicine, 1601 E. Broadway, Suite 240, Columbia, 573-874-3235

Richard Burns

Harry S. Truman Memorial Veteran’s Hospital, Dept. of Internal Medicine, 800 Hospital Dr. Columbia, 573-814-6000

Donald M. Delwood Boone

Clinic, 401 North Keene St., Columbia, 573-874-3300

Kristin HahnCover University of

Missouri Health Care, General Internal Medicine Clinic at Fairview, 101 South Fairview Road, Columbia, 573-882-4464

Leslie Walter Hall University of

Missouri Health Care Dept. of Internal Medicine, One Hospital Drive, Room MA202, Columbia, 573-884-2375

Boone Clinic, Dept. of Internal Medicine, 500 North Keene St., Suite 305 Columbia, 573-875-9930

Lyndell D. Scoles

Columbia Primary Care Associates, Broadway Medical Plaza II Bldg., Suite 280, 1605 East Broadway, Columbia, 573-815-8155

William C. Steinmann

University of Missouri Health Care, Dept. of Internal Medicine, One Hospital Dr., Columbia, 573-884-2375

R. Jan Swaney

University of Missouri Health Care, General Internal Medicine Clinic at Fairview, 101 South Fairview Rd., Columbia, 573-882-4464

Martin Walsh

SSM St. Charles Clinic Medical Group, Dept. of Internal Medicine, 1551 Wall St., Suite 400, St. Charles, 636-669-2350

“never ” It’s

too late to quit smoking.

-Dr. Todd J. Neuberger-


Dan W. Luedke

Missouri Cancer Care, SSM Medical Park Building, Suite 180, 1475 Kisker Rd., St. Charles, 636-327-0473

Medical Oncology and Hematology

Joseph J. Muscato

University of Missouri Health Care, Ellis Fischel Cancer Center, Dept. of Hematology and Medical Oncology, 115 Business Loop 70 West, Columbia, 573-882-8445

Michael C. Perry

Donald C. Doll

Carl Gustav Kardinal

University of Missouri Health Care, Ellis Fischel Cancer Center, 115 Business Loop 70 W Columbia, 573-882-4979

Missouri Cancer Associates, 1705 E. Broadway, Suite 100 Columbia, 573-874-7800

University of Missouri Health Care, Ellis Fischel Cancer Center, Dept. of Hematology and Medical Oncology, 115 Bus. Loop 70 W, Columbia, 573-882-8445

Timothy J. Pluard

Barnes-Jewish St. Peters Hospital, Alvin J. Siteman Cancer Center, 150 Entrance Way, St. Peters, 636-916-9920

David M. Schlossman

Chris John Martin Broadway

Michael C. Trendle

Gary G. Singer

Missouri Cancer Associates 1705 E. Broadway, Suite 100 Columbia, 573-874-7800

Missouri Cancer Associates, 1705 E. Broadway, Suite 100 Columbia, 573-874-7800

Midwest Nephrology Associates, 70 Jungermann Circle, Suite 405, St. Peters, 636-720-0310

John C. Van Stone Dialysis Clinic, 3300 Lemone Industrial Blvd. Columbia, 573-443-1531


Ramesh Khanna

University of Missouri Health Care, Div. of Nephrology, Five Hospital Drive, Room CE 419, Columbia, 573-882-8788

Vascular Surgery Todd J. Neuberger, MD

Dr. Neuberger completed medical school at University of Texas Southwestern. He completed his residency and fellowship at Saint Louis University Hospital. Dr. Neuberger specializes in endovascular procedures for the lower extremities. He uses a laser catheter for atherectomy of occluded arteries and carotid stenting. His preventive care advice is, “It’s never too late to stop smoking.” Dr. Neuberger volunteers in the community and is a Boy Scout leader. He and his partner, Dr. Thomas “TJ” Schneider, are in practice with SSM St. Charles Clinic Medical

Medical Plaza I, 1601 E. Broadway, Suite 200 Columbia, 573-441-2330

Neurological Surgery

N. Scott Litofsky

University of Missouri Health Care, Div. of Neurosurgery, One Hospital Drive, Room MC321, Columbia, 573-882-4909

SSM St. Charles Clinic Medical Group, Dept. of Obstetrics and Gynecology 400 First Capitol Dr., Suite 201, St. Charles, 636-669-2332

Robert J. Brown

SSM Health Care - St. Louis, SSM St. Joseph Medical Park, Dept. of Obstetrics and Gynecology 1475 Kisker Rd., Suite 200 St. Charles, 636-498-5870

John W. Cassels, Jr. Missouri Center for

Reproductive Medicine and Fertility, 500 Keene St., Suite 203, Columbia, 573-499-6071

Randall C. Floyd Missouri Maternal-Fetal Medical and Ultrasound Keene Medical Building, Suite 207, 500 Keene St. Columbia, 573-499-6041

John William Gay


David Q. Beversdorf

University of Missouri Health Care, Thompson Center for Autism and Neurodevelopmental Disorders, 300 Portland St., Suite 110, Columbia, 573-884-5352

David L. McLaren Neurology, 1705 E. Broadway, Suite 280 Columbia, 573-449-2141

Allyn L. Sher

Neurology, 1705 E. Broadway, Suite 280 Columbia, 573-449-2141

Obstetrics and Gynecology Group at 400 First Capitol Drive in St. Charles. His office can be reached at 636-669-2332. His website is

Igor Brondz

Brian Allen Andrews

300 Medical Plaza, Suite 221, Lake Saint Louis, 636-561-2229

16 impulse

Missouri ObGyn Associates, Health Pavilion, Third Floor, Suite 302, 402 North Keene St. Columbia, 573-499-6084

William Mark Grant Center for

Maternal Fetal Care Broadway Medical Plaza IV, Suite 300, 1705 E. Broadway, Columbia, 573-817-0810

William L. Holcomb, Jr.

SSM St. Joseph Health Center, Dept. of Obstetrics and Gynecology, 330 First Capitol Dr., Suite 210 St. Charles, 636-947-5615

Kimberly Martin

Center for Maternal Fetal Care, Broadway Medical Plaza IV, Suite 300, 1705 E. Broadway, Columbia, 573-817-0810

David Moreton

Women’s Health Associates, 1601 E. Broadway, Suite 350 Columbia, 573-443-8796


Evelyne Gabriele Schuetz

Boonslick Medical Group Dept. of Obstetrics and Gynecology, 1301 Boonslick Road, Suite 100, St. Charles, 636-946-3089

Internal Medicine


Levi Wilson Trammell

Medical Center in Guam.

Women’s Health Associates, 1601 E. Broadway, Suite 100 Columbia, 573-443-8796

As a member of SSM St. Charles Clinic Medical Group, Dr. Walsh is primarily affiliated with SSM St. Joseph Health Center in St. Charles, where he served as chief of medicine in 1979 and 1982, and was a member of the medical executive committee from 1979 to 1983.

William D. Trumbower

Women’s Health Associates, 1601 E. Broadway, Suite 350, Columbia, 573-443-8796

Susan E. Winkelmann

Dr. Walsh currently serves as medical director of SSM Home Care St. Charles County and is a member of the advisory board for SSM Home Care. He was named to the St. Louis Magazine Best Doctors in 2007, 2008 and 2009.

Missouri ObGyn Associates, Health Pavilion, Third Floor, Suite 302, 402 North Keene St. Columbia, 573-499-6084

Hung Winn

Missouri Maternal-Fetal Medical and Ultrasound Keene Medical Building, Suite 207, 500 Keene Street Columbia, 573-499-6041

Ophthalmology John W. Cowden

University of Missouri Health Care, Mason Eye Institute, One Hospital Dr., Columbia, 573-882-1506

Lenworth N. Johnson

University of Missouri Health Care, Mason Eye Institute, One Hospital Dr. Columbia, 573-884-6542

Donald S. Levy

330 First Capitol Drive, Suite 330, St. Charles, MO 636-947-3937

Don Liu

University of Missouri Health Care, Mason Eye Institute, One Hospital Dr., Columbia, 573-882-1506

Martin J. Walsh, MD

Dr. Martin Walsh completed medical school at Saint Louis University. He was a resident and intern at Saint Louis University Hospital and served in the U.S. Navy at Navy Regional

Dana Schoenleber

University of Missouri Health Care, Mason Eye Institute, One Hospital Dr., Room EC 137, Columbia, 573-882-1506

Orthopaedic Surgery

Mark A. Adams

Columbia Orthopaedic Group, One S. Keene St., Columbia, 573-443-2402

David E. Chalk

Patients First Health Care Dept. of Orthopaedics, 901 Patients First Dr., Washington, 636-239-9011

Robert W. Gaines, Jr. Columbia Orthopaedic Group, One S. Keene St., Columbia, 573-443-2402

Dr. Walsh welcomes new internal medicine patients. He practices at 1551 Wall Street, Suite 400, St. Charles and can be reached at 636669-2350.

Thomas D. Matthews

Patients First Health Care Dept. of Orthopaedics, 901 Patients First Dr. Washington, 636-239-9011

Patrick A. Smith

Columbia Orthopaedic Group, One S. Keene St. Columbia, 573-443-2402

Thomas R. Highland


Gregory J. Renner University of Missouri Health Care, Dept. of Otolaryngology, Head and Neck Surgery 1101 Hospital Dr. Columbia, 573-882-7903

Robert P. Zitsch III ENT and Allergy Center of Missouri, 812 N. Keene St., Columbia, 573-817-3000

Columbia Orthopaedic Group, One S. Keene St., Columbia, 573-443-2402


impulse 17


Pediatric Critical Care

Pediatric Ophthalmology

University of Missouri Health Care, Div. of Pediatric Anesthesiology & Critical Care, One Hospital Dr., Columbia, 573-882-2568

University of Missouri Health Care, Mason Eye Institute, One Hospital Dr. Columbia, 573-882-1028

Joseph Tobias

Pain Medicine

Robert W. Allen

Pain Management Services, 5401 Veterans Memorial Pkwy., St. Peters, 636-442-5070

D. Joseph Meyer

Columbia Pain Center 305 N. Keene St., Suite 105 Columbia, 573-442-2299

Joseph Tobias

University of Missouri Health Care, Div. of Pediatric Anesthesiology & Critical Care, One Hospital Dr., Columbia, 573-882-2568

Pediatric Endocrinology

Bert E. Bachrach University Hospital, Pediatric and Adolescent Clinic, University Physicians Medical Bldg., 1101 Hospital Dr., Columbia, 800-500-6979

Pediatric Infectious Disease

Michael S. Cooperstock


Edward H. Adelstein Harry

S Truman Memorial Veteran’s Hospital, Dept. of Pathology, 800 Hospital Dr., Columbia, 573-814-6000

University of Missouri Health Care, Dept. of Child Health, University Physicians Medical Bldg., One Hospital Dr., Columbia, 573-882-6161

Pediatric Medical Genetics

Timothy S. Loy

University of Missouri Thompson Center for Autism and Neurodevelopmental Disorders, 300 Portland St., Suite 110, Columbia, 573-882-6081

University of Missouri Health Care, Dept. of Pathology, Medical Science Building, Room M214B, One Hospital Dr. Columbia, 573-882-1223

Pediatric Pain Management Joseph Tobias

University of Missouri Health Care, Div. of Pediatric Anesthesiology and Critical Care, One Hospital Dr., Columbia, 573-882-2568

Pediatric Specialist/Child and Adolescent Psychiatry Syed Arshad Husain Pathways

Columbia Clinic, 106 Corporate Lake Dr. Columbia, 573-442-1690

Pediatric Specialist/ NeonatalPerinatal Medicine

Frank Clark III

Alberto A. DiazArias

University of Missouri Health Care, Dept. of Pathology, Medical Science Building, Room M263, One Hospital Dr., Columbia, 573-882-1226

Joseph Giangiacomo

Judith H. Miles

Pediatric Nephrology

Ted Groshong

University of Missouri Health Care, Div. of Pediatric Neurology, University Physicians Medical Bldg., One Hospital Dr., Columbia, 573-882-6921

Columbia Regional Hospital, Div. of Neonatology, 404 Keene St. Columbia, 573-882-2272

Elizabeth James

Columbia Regional Hospital, Div. of Neonatology, 404 Keene St., Columbia, 573-882-2272

Pediatric Specialist/ Neurology, General

Nitin C. Patel

University of Missouri Health Care, Div. of Pediatric Neurology, One Hospital Dr., Columbia, 573-882-6921

Cardiology Ali Ziaee, MD

Dr. Ali Ziaee earned both his BA and MD at Saint Louis University, where he also completed his residency and fellowship. He graduated magna cum laude. Dr. Ziaee is board certified in internal medicine, cardiology, and interventional cardiology. He specializes in physiologic assessment of coronary arteries, complex coronary interventions, and percutaneous closure of atrial septul defects. Dr. Ziaee is a member of St. Louis Cardiology Consultants, in practice with SSM St. Charles Clinic Medical Group. He is affiliated with SSM St. Joseph Health Center and SSM St. Joseph Hospital West in St. Charles County and several hospitals in St. Louis County, including SSM DePaul Health Center, Missouri Baptist Medical Center, and Saint Louis University Hospital. Dr. Ziaee was named to “Best Doctors” in 2007, 2008 and 2009. He volunteers in the care of patients without insurance. “God gives you one body,” Dr. Ziaee said. “Do everything possible to take care of it by adhering to an exercise program, eating a healthy diet, and maintaining a positive outlook on life. Seeing your physician on a regular basis can’t hurt.

Pediatric Specialist/ Pediatric Metabolic Diseases

Richard Ephraim Hillman University of

Missouri Health Care, Dept. of Child Health, One Hospital Dr., Room NW507 Columbia, 573-882-6991

Pediatrics/ General

Jerry H. Allen III

Washington Pediatric Associates, 851 E. Fifth St., Suite 300, Washington, 636-390-8555

Alla Dorfman

Adam C. Eaton

St. John’s Mercy Medical Group, St. Charles County Pediatrics, 2740 Hwy. 94 S., Suite A, St. Charles, 636-441-5437

Timothy Joseph Fete University of

Missouri Health Care, Dept. of Child Health, One Hospital Dr., Columbia, 573-882-6882

Robert J. Harris Boone Clinic Pediatrics 401 Keene St., Columbia, 573-876-1620

Angela M. Jones

St. John’s Mercy Medical Group, 4200 N. Cloverleaf Dr., Suite F, St. Peters, 636-939-3362

St. John’s Mercy Medical Group, 4200 N. Cloverleaf Dr., Suite F, St. Peters, 636-939-3362

18 impulse


Physical Medicine and Rehabilitation

Michael E. Acuff Howard A. Rusk Rehabilitation Center 315 Bus. Loop 70 W. Columbia, 573-884-0033

Joseph E. Burris Howard A. Rusk Rehabilitation Center 315 Bus. Loop 70 W. Columbia, 573-884-0033

Robert R. Conway Howard A. Rusk Rehabilitation Center 315 Bus. Loop 70 W. Columbia, 573-884-0033

Gregory M. Worsowicz

Howard A. Rusk Rehabilitation Center 315 Bus. Loop 70 W. Columbia, 573-884-0033

“It has always been an honor to take care of patients,” Dr. Ziaee continued. “Hopefully, I will be able to do it for many years.” Dr. Ziaee practices at St. Charles Clinic Medical Group with Drs. Elie Azrak, Georges Chahoud, Lalit Chouhan, Gregory Gabliani, Souheil Khoukaz, Samer Thanavaro and Edward Weiss. Dr. Ziaee sees patients at 1551 Wall Street in St. Charles and can be reached at 636/669-2220.

Pediatrics/ General

Catalina Maatje Kersten

University of Missouri Health Care, Dept. of Child Health, University Physicians Medical Bldg. One Hospital Drive Columbia, 573-882-6544

John C. Meyer

Boone Clinic Pediatrics 401 Keene St., Columbia, 573-876-1620

John B. Pecorak Boone Clinic Pediatrics 401 Keene St., Columbia, 573-876-1620

Andrew C. Quint Family Health Center 1001 W. Worley St., Columbia, 573-214-2314

Martin D. Rudloff

Washington Pediatric Associates, 851 E. Fifth St., Suite 300, Washington, 636-390-8555

Thomas J. Selva

University of Missouri Health Care, Dept. of Child Health, One Hospital Dr., Columbia, 573-882-4730

God gives you one body. Do everything you can to take care of it by adhering to an exercise program, eating a

healthy diet, and maintaining a positive

outlook on life. -Dr. Ali Ziaee-

Plastic Surgery C. Linwood Puckett

University of Missouri Health Care, Div. of Plastic Surgery, One Hospital Dr. Columbia, 573-882-2275

Anthony E. Sudekum

Missouri Hand Center, 830 Waterbury Falls Dr., Suite 201, O’Fallon, 636-300-5900



Luke W. Lucas

1506 E. Broadway, Suite 304, Columbia, 573-874-4177

James R. Slaughter

University Hospital, Neurology Clinic University Physicians Medical Bldg., Room 2228, 1101 Hospital Dr., Columbia, 573-882-1515

Bernard David Beitman University

Physicians, Green Meadows Adult Psychiatry Clinic, Bldg. E, 3301 S. Providence Rd. Columbia, 573-882-2511


Robert J. Brown, MD

Dr. Robert J. Brown is board certified in obstetrics/gynecology. He specializes in minimally invasive approaches to problems that include bleeding. Dr. Brown practices with Katherine Dewey, MD, and Anna Wolaniuk, MD, PhD. They are all members of SSM St. Charles Clinic Medical Group. Dr. Brown went to medical school at Washington University, where he also served his residency. He was an intern at St. John’s Mercy Medical Center. He is affiliated with SSM St. Joseph Health Center in St. Charles and SSM St. Mary’s Health Center in Clayton. Dr. Brown has received top marks in patient satisfaction. He is active with Volunteers in Medicine. “For our surgical patients, we use new technologies as they enter the market,” Dr. Brown said. “These result in better and better recovery rates with much less discomfort for patients. “We try to encourage an active self-directed preventive approach to our patients’ health care,” he said.

“We attempt to employ medical approaches to gynecological problems in an attempt to limit surgery. “I think we try to make a concerted effort to practice what we preach with a firm commitment to better diets, exercise, and use of prevention to improve our patients’ lives,” he concluded. Dr. Brown welcomes new patients. He practices at 1475 Kisker Road in St. Charles and can be reached at 636-4985870.


Pulmonary Medicine

John M. Onofrio

Harry S Truman Memorial Veteran’s Hospital, Specialty Care 800 Hospital Dr., Columbia, 573-814-6000

Thomas M. Siler Midwest Chest Consultants, 330 First Capitol Dr, Suite 470, St. Charles, 636-946-1650

Radiation Oncology

Lannis E. HallDaniels Barnes-Jewish St. Peters Hospital, Alvin J. Siteman Cancer Center, 150 Entrance Way, St. Peters, 636-916-9920

Steven J. Westgate University

of Missouri Health Care, Ellis Fischel Cancer Center, Dept. of Radiation Oncology, 115 Bus. Loop 70 W., Columbia, 573-882-8644

William Steve Eubanks, Jr.

University of Missouri Health Care, Surgery Specialty Clinic, One Hospital Dr., Columbia, 573-882-1647

Paul W. Humphrey Columbia Surgical Associates, 1605 E. Broadway, Suite 110 Columbia, 573-443-8773

Debra G. Koivunen

University of Missouri Health Care, Div. of General Surgery, One Hospital Dr., Columbia, 573-884-6098

Thomas M. Siler

Midwest Chest Consultants, 330 First Capitol Dr., Suite 470 St. Charles, 636-946-1650

Patients First Health Care Dept. of Surgery, 901 Patients First Dr., Third Floor, Washington, 636-239-7727

Columbia Surgical Associates, 1605 E. Broadway, Suite 110, Columbia, 573-443-8773

Paul W. Humphrey

Columbia Surgical Associates, 1605 E. Broadway, Suite 110, Columbia, 573-443-8773

with Barnes-Jewish Hospital in St. Louis. He was awarded Best Physicians in America by St. Louis Magazine in 2007 and 2008. Dr. Brondz advises patients to be active participants in their health care decisions. “The individual is a governor of her own health,” he said. “Medical professionals should advise and support health care decisions made by individuals.”

Bruce Ramshaw University of Missouri Health Care, Div. of General Surgery, One Hospital Dr. Columbia, 573-884-5670

Joe Starke

Columbia Surgical Associates, 1605 E. Broadway, Suite 110 Columbia, 573-443-8773


Stephen H. Weinstein University of Missouri Health Care Div. of Urology, One Hospital Dr., Columbia, 573-882-6500

University of Missouri Health Care, Div. of Vascular Surgery, One Hospital Dr., Columbia, 573-884-1975


Columbia Surgical Associates, 1605 E. Broadway, Suite 110, Columbia, 573-443-8773

University of Missouri Health Care, Ellis Fischel Cancer Center, Dept. of Surgical Oncology, 115 Bus. Loop 70 W., Columbia, 573-882-8454

W. Kirt Nichols

SSM St. Charles Clinic Medical Group, Specialty Suite Surgery Dept., 400 First Capitol Dr., Suite 201 St. Charles, 636-669-2332

Walter Russell Peters, Jr.

Surgical Oncology

Todd J. Neuberger

University of Missouri Health Care, Div. of General Surgery, One Hospital Dr., Columbia, 573-884-5669


James D. Cassat

John G. Adams, Jr.

Brent W. Miedema

Paul Dale

Sleep Medicine

Vascular Surgery

Igor Brondz, MD

Dr. Igor Brondz completed medical school at Vinnitsa Medical Institute in the Ukraine. He served an internship and residency at Barnes-Jewish Hospital. He is a fellow in the American College of Obstetrics & Gynecology (FACOG). Dr. Brondz’ practice includes general and high risk obstetrics and gynecology, including obstetric and gynecologic surgery, as well as infertility, menopausal care, and pelvic surgery. He specializes in using minimally invasive surgery. Dr. Brondz utilizes an evidence-only based approach to new technologies when looking for alternatives that may benefit his patients. Dr. Brondz is a member of SSM St. Charles Clinic Medical Group and is affiliated with SSM St. Joseph Health Center and SSM St. Joseph Hospital West in St. Charles County, as well as

Dr. Brondz speaks Russian, Ukrainian and Yiddish, in addition to English. He is a member of the St. Louis Metropolitan Medical Society, the American Association of Gynecologic Laparoscopists, and the St. Charles/ Lincoln County Medical Society. Dr. Brondz welcomes new patients. He practices at 400 First Capitol Drive and 3785 New Town Boulevard, both in St. Charles. He can be reached at 636669-2332.



SPRING ALLERGIES & OUR EYES By: Barbara Cashion As we all become excited over the warmer temperatures and the blooms popping out all over, some of us will also notice the extra tears extruding from our eyes and the red color added to our nose. The dust, pollen, pet dander, etc., is harmless to a lot of people but for some of us this can cause excessive tearing and mucus in the eyes. Eye allergies can be heredity. Symptoms usually appear before the age of 30. Negative reactions to some cosmetics or drugs, like antibiotic eye drops, can also cause allergies. Eye allergies can also result in other conditions such as pink eye (conjunctivitis). There are more than 22 million Americans who have allergies and also have eye allergies, according to the American Academy of Ophthalmology. Symptoms & Signs ▪Redness ▪swelling around the eyes ▪tearing or itchy eyes ▪runny nose ▪sneezing ▪coughing ▪difficulty breathing ▪itchy nose, mouth or throat, ▪headache from sinus congestion ▪the covering of the eye swells with fluid and protrudes from the surface of the eye resembling a “hive” ▪light sensitivity Rubbing your eyes is a

natural reaction; however, it usually makes things worse by causing your body to increase its defensive reaction (more tears). Treatment The most obvious treatment is to avoid what’s causing the allergic reaction. This can be done by keeping your home free of pet dander and dust and by staying inside with the air conditioning on days when the pollen count is high. The filter in an air conditioner blocks the allergens that trigger your allergies. Medications There are a variety of medications available over the counter that are used to treat eye allergies. If you are not sure which one to choose or the drops you are currently using do not seem to be effective, consult your eye doctor for recommendations. Keep in mind persistence of any of these symptoms can also be more than just allergies. Contact your eye doctor.

Consult your eye doctor about eye drops that can help with your symptoms and keep your contacts clean. There is a risk of discoloration or damage, so check before changing or using a new brand. Another option is to switch to daily wear disposable contacts (contacts worn for one day only). Because of the frequent replacement, the chance for irritants to build up is less likely.

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Remember, there are several reasons why you could be experiencing itchy, watery eyes so the best plan is to contact your eye doctor. It is also recommended that you have a complete eye exam done yearly for the early detection of other conditions or diseases that when identified early are treatable and can prevent blindness.

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local healthcare


New Technologies Increase Safety, Speed of Diagnosis and Record Access

From left: Suzanne Schulte, MD (Pediatrics); John Foxen, MD (Family/Internal Medicine); Zahida Nasreen, MD (Family/Internal Medicine); Bradley Massey, DO (Family/Internal Medicine); David Easterday, DO (Family/Internal Medicine); Elizabeth Winters, APRN-FNP-C; and Doug Bouldin, APRN-FNP-C By: Nora Holloway Lincoln County Medical Center has continually strived to remain at the fore front of the latest technological advancements in the fields of medicine and provide their patients with the ultimate in healthcare in Lincoln County. Their latest investments in surgery, radiology and Electronic Medical Records (EMR) are already producing highly desirable results in making surgery safer, diagnosis faster and patient medical records available at a moments notice to the physicians. Lincoln County Medical Center has acquired two new Steris Amsco autoclaves, which are known for their reliability and durability. An autoclave uses steam to sterilize surgical tools by destroying bacteria, fungi, viruses and spores. “We work on keeping our infection rate down here and getting the new autoclaves and the state-of-the-art technology really helps keep that infection rate low,” said Stephanie Moore, surgical supervisor at LCMC. 24 impulse

Due to the delicacy of particular surgeries or medical procedures, each tray of instruments that are sterilized is put on specific cycles. For example, a tray of surgical tools that would be used in any procedures involving a person’s eyes would be put on a different cycle than instruments used for orthopedic care. In addition to the new autoclaves’ benefits of specificity and reliability, they are much easier for the staff to operate, which allows them to perform other necessary tasks while the instruments are in cycle. With the step of a pedal and a push of a button, key instruments in helping patients are sterilized. Another innovative technology that LCMC as acquired are High Definition fiber optic cameras that provide extremely high resolution images for the surgeons while they operate thus maximizing more accurate operation and minimizing risk for the patient. “I see better during the procedure, so I can do a better job,” stated Dr. Robert Orell, orthopedic surgery. He shared that his patients really enjoy seeing pictures from their procedures. “It’s impressive for people, when they can see inside their own knee, before and after,” said Dr. Orell. “They like to see what’s inside their knee. It’s a personal experience.”

Dr. Beth Rasmussen, gynecology, stated that equipment and technology used at Lincoln County Medical Center is the exact same as that found in larger hospitals. In addition, she stated that sometimes-smaller hospitals have advantages over larger hospitals. “Sometimes being small makes you more agile,” she said. “I use the camera equipment about once a week,” said Dr. Rasmussen. “It’s very precise and crisp in the way it shows on the monitor.” “The surgical equipment at LCMC is always updated and utilizes the most modern technology available,” said Dr. Stephanie Sandberg, surgery. “The Stryker laparoscopic equipment is one of the best systems in the area.” Dr. Richard Follwell, surgery, who works in eight hospitals stated, “I would say that our equipment is comparable to any other hospital’s equipment that I work with in St. Louis,” he said. Recently, Lincoln County Medical Center purchased a new CT scanner, GE BrightSpeed, for its Radiology Department. During the CT scan, many x-ray images are taken and reconstructed in multiple imaging planes. The x-ray source rotates around the patient during the procedure and is able to capture images from a variety of angles. CT scans can diagnose a number of condi-

tions, such as distinguishing whether a growth is solid or fluid-filled, cancerous or benign, and determining an organ’s size and shape. The GE BrightSpeed multi-slice scanner, a 16-slice scanner, provides better image quality and reduces procedure time. “The new CT scan allows us to do more examinations with better diagnostic capabilities than we have had in the past,” said Dr. Eugene Beal, Radiologist. “The scans are done in a much faster time which helps patients to better cooperate.” “Each scan, on average would take ten to fifteen seconds,” said Vicki Prather, radiology. “We usually scan them twice, sometimes three times. It’s extremely fast.” “Our resolution is much better,” said Dr. Beal. “We have a great capability now at diagnosing blood clots to the lungs, which is called pulmonary embolism and diagnosing small or early cancers.” “We can see bones, soft tissues– it’s just an all around outstanding tool for the doctors,” said Prather. “We look at everything. If someone comes in with intestinal pain, we don’t just look

at the intestines– we look at the gallbladder, we look at the kidneys– we look at everything.” In addition to the new CT scan, the hospital owns a 1.5 Tesla MRI machine, which can help diagnose soft tissue injuries that might not be apparent in regular radiographs or CTs. Basically, the MRI allows the Radiologist to be much more specific. “MRI allows us to do a variety of examinations,” said Dr. Beal. We can examine the brain and complete spine evaluations, including cervical, thoracic, and lumbar. The bones and joints are well evaluated with MRI. “We diagnose a lot of soft tissue injuries that aren’t apparent on regular radiographs or CTs. So in other words, like in the knee, we diagnose a lot of cartilage tears and ligament tears and the same goes for the shoulder.” Lincoln County Medical Center’s radiology department can also provide dexa scans which are the most commonly used test for measuring bone mineral density and is one of the most accurate ways to diagnose osteopenia or osteoporosis. It takes about 15 minutes and is a painless procedure. “More and more people are vitamin D deficient, so they’re more predisposed to osteoporosis,” said

Doug Bouldin, APRN, FNP-C 26 impulse

Dr. Beal. “It’s happening in earlier age groups than people previously suspected. Patients need to talk to their physicians.” Approximately 44 million Americans have osteoporosis or low bone mineral density (BMD). It is easy to diagnose and treatments are available that can reduce fracture risk by about 50 percent. In June 2008, Lincoln County Medical Center’s Rural Health Clinics switched from paper charts to electronic medical records (EMR). EMR refers to an individual patient’s medical record in digital format. “The unforeseen benefits to the patient are unbelievable,” said Dr. David Easterday, Family Practice. “You can’t electronically transmit handwritten records. You can’t pull data from a handwritten note.” If a medication

Marietta Graham, APRN, FNP, BC was recalled it is much quicker with the electronic records to identify the patients, contact them and get them off the medication. Many forms of patient data are available through electronic records including patient demographics, medical history, medicine and allergy lists and laboratory test results. In addition, if patients have emergencies in the middle of the night their doctors can access their records from their home. Doctors can pull up their patient records any time of the day, all over the country through the secure electronic medical records system. Dr. Easterday stressed that these changes were long overdue. “EMR systems are backed up every 30 seconds or every minute and there’s a hard back up every night from the server side,” said Dr. Massey. “In that respect patients’ information is actually protected more because, with paper charts, if the office catches on fire there’s no way to recover that information. Now we would still have the information for our patients.” While the clinics are still becoming accustomed to using the electronic records, it took a few months before everything was back to normal routine. According to Dr. Massey who has gone through the transition at two different offices, it takes anywhere from six to nine months before the office or hospital is running at the same level of efficiency. “It just takes time,” stated Dr. Massey. “It doesn’t matter who you are, whether you are a small community hospital or a big hospital, you are going to have a lot of issues in the beginning.” EMR’s numerous benefits far outweigh the short period of time it will take for them to familiarize themselves with the system. “It was an investment made for Lincoln County, more so than for any one person or for the benefit of the hospital,” said Dr. Easterday.

FALL/winter 2008


local healthcare

PATIENTS FIRST FAMILY MEDICINE Providing primary health care for all generations in expanding service areas is the reason that Patients First Health Care established their first office in Warrenton in the fall of 2006. Family Health Care, the family medicine division of Patients First, had served a growing population from central and southern Warren County over the years, so it made sense to bring medical services to current and future patients in the area. Within one year, the company relocated to a larger office in the center of town at 605 E. Booneslick Road, Suite B, where the practice is now located. Timothy Long, MD, a 27 year veteran of Patients First Family Medicine, and J.B. Grimes, MD, a family practitioner for three years with Patients First, are the board-certified physicians that staff the Warrenton Office. As primary care providers, the Family Medicine physicians provide care for the entire family, from well-child checkups to sore throats, broken bones to first stitches, newborns to young adults, parents to grandparents. Pediatric care, from birth through adolescence, is a hallmark of their practice. They also provide womenâ&#x20AC;&#x2122;s care including annual checkups and gynecologic services. Same day sick appointments are available and an after-hours physician call line for emergency

Warrenton and Hermann Offices See Growth

James R. Grimes, MD

Thomas Davis, MD

calls as needed. Patients First Family Medicine in Warrenton offers convenient office hours of 8:30 a.m. to 5 p.m., Monday through Friday. X-ray services are available. The physicians are accepting new patients by calling 636-456-6103.

Jason Reinberg, MD, a specialist in dermatology, will begin seeing patients at the Warrenton Office on Friday, April 10. He will schedule appointments on alternating Fridays. Patients wishing to

Continued on Page 42

Dr. Mary Berk-Mooney A great SMILE sends a great MESSAGE! (636) 528-8911 101 WEST COLLEGE ST. â&#x20AC;˘ TROY, MO



Vein specialist, Thomas Wright MD, FACP, RVT, Pioneers Tumescent-Free Laser Vein Treatment Since the FDA approval for laser ablation in 2002, endovenous laser treatment has become an increasingly performed procedure for treatment of superficial venous insufficiency and is now the most commonly used procedure for treating problematic veins. In the past people suffering from varicose veins and other common vein problems, had only one option for treatment: surgical stripping. The surgery, which is still performed today, involves surgical tying and stripping of the diseased veins. The recovery for this surgery is long, painful, and requires prescription painkillers. Surgical stripping also requires up to one week of bed rest and one week of restricted movement to heal. Endovenous Laser Ablation (EVLA) is able to treat vein disease much more successfully than surgical stripping (98% vs. 70% respectfully in five year data) and with little or no recovery time. Unlike surgical stripping, EVLA permanently closes off the vein without removing it. The procedure usually takes 45 minutes to an hour. EVLA has previously been preformed using a large volume

local anesthetic injected into the area surrounding the vein swelling the area around the segment to be treated. This anesthetic technique is called Tumescent Anesthesia and it was developed for liposuction in 1985. The tumescent anesthesia technique of the endovenous laser ablation is the most lengthy and cumbersome part of an otherwise well tolerated procedure. This month at the American Society for Laser Medicine and Surgery (ASLMS) in Washington D.C., Dr. Thomas Wright presented his research on a new nerve block technique that makes the administration of the anesthesia much simpler and more effective. It is estimated that over 75 million American suffer from venous insufficiency, varicose veins are the most common visible symptom of venous insufficiency. Venous insufficiency not only causes varicose veins, but it is also a common cause of swelling, restlessness, and aching in legs. Venous insufficiency, also known as vein disease, when left untreated can progress to cause leg ulcers. Vein disease is the most common cause

Dr. Thomas Wright, MD

of leg ulcers (a ten times more likely cause than that of arterial disease). Ten percent of patients with leg ulcers are disabled by them. Dr. Wright’s nerve block technique will help make the treatment of venous disease easier and better tolerated for the estimated 25% of the US population suffering from vein disease. Thomas Wright is among the first 248 surgeons in the nation to be board certified by a new medical specialty dedicated to treating vein disease comprehensively. Dr. Wright conducts research and practices in the suburbs of St. Louis, MO where he is the medical director of Laser Lipo and Vein Center. His nerve block technique not only improves the pain control on the EVLA but also cuts the procedure time in half. Early treatment of vein disease is crucial to preventing complications such as leg ulcers. Laser Lipo & Vein Center is located at 7030 Mexico Rd., Suite A, in St. Peters. For more information, call 636-397-4012 or visit their website at


FDA approval - Varicose vein doctor Treats spider veins with little or no pain. Medical: Plastic Surgery April 6, 2009 Varicose vein doctor Dr. Wright using an FDA approved treatment to give patients less pain. Scott Wiseman United States of America Visit publisher’s site

Providing Health Care for All Generations

Thomas Davis, MD

James R. Grimes, MD

Hermann and Warrenton



Hermann Office

Warrenton Office

2066 Village Lane Hermann, MO

(573) 468-5066

Timothy Long, MD

605 E. Booneslick, Ste. B Warrenton, MO Our Name • Our Commitment

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Local Massage Therapist Shares Japanese Technique for Stress Reduction and Relaxation Reiki is a Japanese technique for stress reduction and relaxation that also promotes healing. It is administered by “laying on of hands” and techniques such as this, which have been practiced for thousands of years. Reiki is a very simple, yet powerful tool used in the healing of our body’s energy system. Reiki can be defined as spiritually guided life energy. The practice of Reiki is not linked to any formed religion; it is simply the Universal Source and Higher Power guiding our energy to help our body heal itself, and the practitioner is simply the conduit for the energy flow. All healers use life energy or Ki, but not all use Reiki. One must be attuned to it by a Reiki Master for Reiki to be used effectively. There are three levels of attunements before the Master level is achieved. At Relax-U, Denise

is at her 3rd level of Reiki attunement and will receive her Master’s attunement in Sedona, Arizona this October. Reiki adds so much more of an experience to a massage session. The energy flowing from the hands of the practitioner can be felt immediately upon touch and throughout the entire session. Swedish massage for relaxation has a more powerful effect when performed by a practitioner attuned with Reiki. We also do Deep Tissue, Reflexology of the feet and hands, Myofascial Release (unwinding of the body), Cranial and Polarity (also forms of energy release work). We are happy to answer any questions you may have about our services and are available for appointments Monday-Saturday. Please call ahead for possible same day appointments at 636-359-0225 Out-call appointments are also available for individuals or groups. Visit us online at

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PROFILES IN MEDICINE Dr. Mary Berk-Mooney of Troy Dental Care Dr. Mary Berk-Mooney, Troy Dental Care, has been providing family dentistry for over 17 years. Located in The Berk Building, 101 West College St., Suite 3, Troy, MO; Dr. Berk-Mooney provides family, cosmetic, and preventative dentistry that can brighten your smile. Dr. Berk-Mooney attended the University of Missouri - Kansas City School of Dentistry to receive her Doctorate in Dental Surgery (D.D.S.) in 1991. She moved to Troy in 1992 and has been committed to offering her patients excellent care. Dr. Berk-Mooney was recognized in 1998 with the Fellowship in the Academy of General Dentistry after completing extensive continuing education and a written examination. Dr. Berk-Mooney is also a member of the American Academy of Cosmetic Dentistry, the Dental Organization for Conscious Sedation, Troy Area Chamber of Commerce, and the Crown Council. In 2008, Dr. Berk-Mooney was recognized for the dedication to her patients and community with the 2008 Troy Area Chamber Woman of the Year. At Troy Dental Care, we offer the finest, safest and most comfortable care. •Your comfort is our first concern • Friendly, caring staff •Cosmetic dentistry for beautiful smiles •Bleaching for whiter natural looking teeth •IMPLANTS - the alternative to dentures •General dentistry for all ages Need a dentist for your children and infant? Choosing the right dentist is an important decision. We¹re ready to give you and your family the quality dental care you deserve. Dr. Berk-Mooney is especially proud of her office¹s participation in the Smiles For Life campaign. Between March 1 and June 30, all proceeds for teeth whitening are donated to Smiles for Life / St. Louis Children¹s Hospital. To date, Dr. BerkMooney¹s team has donated over $60,000. For more information or to schedule an appointment, call (636) 528-8911 or visit them on the web at:

Dr. James P. Brent of Centers for Dental Medicine Dr. James Brent graduated from UMKC School of Dentistry in 1975. He served four years in the United States Army Dental Corp, and then moved to Warrenton, Missouri where he has been practicing General Dentistry for the entire family since 1981. As a member of the Academy of General Dentistry, Dr. Brent has a life-long dedication to continuing his education in the field of Dentistry and provides most types of dental treatment. He and his staff are dedicated to helping patients improve not only their dental health, but also their general health since each greatly affects the other. Our staff of dental assistants (Theresa Jones, Robin Miller and Denise Albritton) is Expanded Functions Certified and our Office Coordinator (Joyce Walczak) is a well-trained and highly experienced professional. Together they provide the finest individual care, and are committed to giving you the highest quality of service. Our office has two Registered Dental Hygienists to ensure your continual care. Mary Jacob, RDH, is a graduate of Forrest Park Community College and has 32 years of experience in the field of Dental Hygiene. She has been in practice with Dr. Brent for the past 18 years and has built a close and lasting relationship with her patients. Mary remains educated on the latest technology and information available in her field, and then passes that education on to our patients. Nancy Koelling, RDH, also a graduate of Forrest Park, where she received her Missouri State Licensure and Degree in Dental Hygiene. Nancy is licensed in Infiltration Anesthesia, and holds an Associate of Applied Science Degree in Dental Assisting with National Board Certification from East Central College in Union. She has worked with Dr. Brent for the past six years. Nancy’s commitment to improve the oral health of all the patients that she serves, and to provide to each of them the highest quality of dental care. As a Center for Dental Medicine, we believe health is a dynamic balance of all our systems: digestive, respiratory, circulatory, nervous, immune, etc. Maintaining that balance in a constantly changing environment is demanding, and our ability to heal disease and injury requires adequate attention to all these systems. Abnormal symptoms, such as pain, are our body’s signs to us that something must change and the blockages to healing must be removed. If we listen to our body, assume responsibility for its care, and make the necessary changes in diet, lifestyle, through and feelings then wellness will replace illness. Our goal is to help you have and maintain a healthy smile by not only treating the affects of disease but by also seeking to help eliminate the cause of the disease. Some of the ways we can help include: •Examining the teeth and gums for signs of breakdown •Repairing the damage that has occurred •Laser assisted gum treatment to remove blockages to healing •Preventive recommendations for self help •Cosmetic changes to help you look as good as you feel The dental practice is located at 28487 State Hwy. W in Warrenton. They can be reached at (636) 456-4746.

Dr. Jerry Paz

Dr. Jerry Paz 636-456-2454

A Quality Dentist Thats Anything But Average: Warrenton, Missouri

With over 100 hours of customer service training in the last 12 months under his belt, Dr. Paz is a true believer in giving the customers what they want. As the owner of Laser Comfort Dentistry, he spends 4 days a week taking care of his clients teeth, but he never stops thinking of new ways to make them smile. If you have ever driven through Warrenton, Missouri chances are you have driven past his restored 1930s Victorian ofďŹ ce property right on hwy 47, But what you may not realize is the commitment that Dr. Paz has to anyone who is walks through those doors. Beyond his advanced training in customer service, Dr. Paz is always improving his equipment and technique to provide his clients with the most up to date dental experience they can receive. "It's no secret to dentists what frightens people: the drill, a shot, some are even turned off by the smell. The good news is there are options out there that relieve those fears, and I love being the dentist that provides them with that experience" states Dr. Paz. What's typical at Laser Comfort Dentistry is anything but your average dental appointment. The last time you had a cavity ďŹ lled you probably had to have a shot to numb your tooth, and then the dentist used a drill to remove the decay, That is unless you are a patient of Dr. Paz or another one of the only 5% of dentist in the nation using the Waterlase Laser to numb and remove decay. In fact Dr. Paz does Over 84% of his procedures without the use of needles! There are many more reasons that Dr. Paz is an excellent choice when looking for someone to take care of your smile: -With the Cerec he can do crowns in one visit as opposed to the 2-3 visits it may take otherwise. -With Visalight he uses led technology to do the oral cancer exams which is much more reliable than just the visual check for lesions. -With Lumineers he can give you permanent whitening & instant orthodontics in as little as 2 visits. -With the use of Invisalign clear orthodontics you can now get straight teeth without the need for unsightly metal braces. One thing is for sure: Dr. Paz is ahead of the curve in his commitment to his clients and the importance of improving the dental experience for his patients. To ďŹ nd out more about Dr. Paz or read testimonials of this new dental experience visit


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Dream Dresses Photos by Sarah Crowder at the picturesque Cedar Lake Farm near Wright City, MO. Gowns provided by The Wedding Shoppe in Troy, MO. Bouquets by A Moment of Grace Florist in Warrenton, MO.

Jessica Kneemiller is wearing a slim a-line Maggie Sottero â&#x20AC;&#x153;Harlowâ&#x20AC;? gown. This gorgeous chantilly lace gown is highlighted with beaded embellishments and inspires true romance. A satin band and handmade flower create a lovely empire accent.

Natalie Brooks is wearing a full a-line Maggie Sottero â&#x20AC;&#x153;Cosetteâ&#x20AC;? gown with lace-up closure and gently pleated neckline. The double box pleated skirt is a vision of elegance.

Maria Acton is wearing a Sottero and Midgley (style ASM3239) aline gown with asymmetrical pleated bodice accented with striking beaded embellishments and a chardon metallic taffeta balloon hem skirt.

Jessica in Maggie Sottero â&#x20AC;&#x153;Harlowâ&#x20AC;? gown.

Natalie is wearing a Jasmine gown (style F204), a romantic dress of Italian satin overlaid with organza lace and a sweat heart neckline.

Right: Jessica is wearing a one-piece Maggie Sottero gown called â&#x20AC;&#x153;Caleighaâ&#x20AC;? with a halter neckline and corset closure. This style features an irresistible silhouette with a sparkling beaded halter strap continuing under the bust and dazzling the ruched Bordeaux taffeta bodice. The back of the gown has a n asymmetrical gathered train finished with a bubble hem.

Natalie is wearing a satin Alfred Angelo (style 2014) gown with crystal beading. The satin bands can be one of 55 colors.

Maria in a Sottero and Midgley (style ASM3239) gown.

Natalie in a Maggie Sottero â&#x20AC;&#x153;Cosetteâ&#x20AC;? gown.

Maria is wearing a Sottero and Midgley (style ASM1103) gown featuring a slim a-line silhouette with corset closure. The sophisticated lace overlay features an asymmetrical gathered dream satin panel wrapping across the waistline to create a figure-flattering effect. The waist is accented with a satin bow gently placed at the side of the hip.

Left: Maria is wearing an Alfred Angelo (Style 2025) fitted tafetta gown with crystal beading, sequins, pearls and metallic embroidery.

37 SPRING 2009

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AFFORDABLE WEDDINGS By: Cathy Kohensky “I’m on a limited budget” is one of the most common things I hear. I live in the real world; I have expenses and a life, too, so I do understand their plight. I think that the best way I can be of service to a couple is to really listen to what they want and then turn that into what they really need to have the wedding of their dreams and still maintain a budget. It can be difficult for the couple to set up a realistic budget, having never experienced a wedding day before. It’s best to be honest with yourselves about what you can really afford to spend. I remind couples that they will have a life after their special day. There is no reason to over-burden yourself with the wedding and suffer financially (sometimes for years) after the ceremony. The best advice I have is to be realistic about their day, set their schedules, make their choices and stick to it, and accept that everything may not be “perfect” but really, what does that even mean. Lastly, remember to ENJOY the preparations leading up to their special day. If they don’t enjoy the process of getting to the end, it’s doubtful that they’ll enjoy the finale very much and oh, what a waste. You’ll be missing out on so much. The fun and fellowship that goes along with planning such a special event should not go by the wayside.

Award-winning florist Cathy Kohensky offers tips on fabulous florals for the budget-conscious. reception site, plants are an affordable option. Florists rent plants for ceremonies and lots of rental suppliers rent silk plants. Exploring your rental options versus buying a lot of plants you probably won’t use again can save a lot of money. Using rental glassware at your reception versus buying glassware can also be a savings. Florists or rental suppliers can not only provide the glassware at a reduced cost, they can also be very helpful with ideas for

you. I suggest that you have some pictures of table setups that you like. Most pictures are very elaborate in their set ups; really look at the pictures, break them down to the ideas that you love, those that you like and those that you don’t like. A professional will help you plan the wedding ceremony and reception that suits you and your budget. Just remember to ENJOY this process leading up to your exciting new life.

A few suggestions for the budget conscience: Look at in-season flowers for your wedding day. A good florist can make suggestions regarding design and substitutions if you’ve chosen an out-of-season or expensive flower. Create a general style and color theme for your ceremony flowers. If there are any flowers that you don’t want used in this scheme, mention it. Be honest with your florist; don’t settle for a design you’re not happy with. If you’re not happy in the planning stages, you certainly won’t be happy in the end. The ceremony is not the time to decide to say “I really don’t like this…..” The final say on the design is yours, it’s your say what goes into the design. Planning your ceremony around a holiday that will have the church already decorated for the season, such as Christmas or Easter, can save you tons of money. You not only get the church decked out in all of its finest, it doesn’t cost you anything. You may add a few touches specific to your ceremony, but the savings will be huge. Color and Size. When decorating the church, think color versus flower choice. Think large scale flowers for the altar décor. You generally need to fill a pretty decent size space and the use of larger flowers will show the best from the pews and in the pictures. The fact is, when you use larger flowers, you don’t need to use as many. This can be an area where you can save. To use different flowers in these vases in order to get your color throughout the church in the most affordable way is perfectly acceptable. The same idea applies to the pew décor. Plants. If you have a large space to fill, whether at the church or the 38 impulse

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COSMOPOLITAN COUNTRY Whether you are planning your next corporate outing or company picnic, a speaker series, maybe a special birthday party or even your wedding, you need a top class venue to host the event. A venue that will provide a wonderfully picturesque environment loaded with “cosmopolitan country” charm and natural tranquility with all the necessary amenities and more is a hidden gem known as Cedar Lake Farm. Cedar Lake Farm is a private event venue that is located on 95 acres of serene fields bordered with majestic cedar trees and jeweled by a beautiful lake and pond, just a thirty minutes drive west of the Chesterfield Commons. With seven buildings of different sizes and shapes dotting the landscape, all completely restored to their original beauty, this venue provides a rustic backdrop with its warm ambience and spectacular views that is sure to make your next event a memorable one. The crown jewel of Cedar Lake Farm is the meticulously renovated tri-level big red barn that houses a long dining room with hand built tables, chairs, cabinets and a stone hearth that is reminiscent of the 1900’s. With a full kitchen, a conference space and a snug room decorated with plush leather chairs, a big plasma screen tv and fireplace (and that’s only on the lower level), this barn is unlike any you have seen or experienced. Even the rest room faucets are in the shape of pre-20th century hand water pump.

A gem of a venue for weddings, parties and more is offered in Warren County

The upper level offers a full service bar and game room with turn of the century décor, billiards tables and innovative seating with custom tables constructed out of oak barrels. The game room extends out to a fabulous 60 x 100 pavilion and deck that affords a fantastic view of the whole property. An incredibly inviting hayloft tops the second level with custom card tables and more seating. Though Cedar Lake Farm evokes the feel of the 1930s in its décor, it is a complete state of the art meeting facility with high-speed internet access, copier, printer fax and the latest in audio visual technology. The water features of Cedar Lake Farm not only visually complement this venue, but almost seem essential in their structure and placement. An expansive wooden bridge dissects the pond and leads you to a gorgeous water feature complete with a waterfall and a fire-pit—a picture-perfect backdrop for weddings or other memorable moments. Not to be outdone by the lake and the pond are the vine arbor, the hand pump well, the classic cars and even a historic fire truck that elevate the charm of this already spectacular facility. This venue is the brainchild of owner Carl Bolm, whose pragmatic vision has been brought to life in the no-expenses-spared construction of Cedar Lake Farm. Carl is also the owner of the highly popular Creve Coeur landmark Growlers Pub, an award winning bar with the “Best Selection of Beer” according to The Riverfront Times, a St. Louis-based eclectic weekly publication highlighting great sights and sounds throughout the city. Catering for events at Cedar Lake Farm is provided by the experienced staff of Growlers Pub. While offering such mouth watering delicacies as Smoked Beef Brisket, Stuffed Chicken Breast, Oven-Roasted Cornish Hens with Hurricane Glaze, Chicken Mudega, Cuban Banana-cured Pork Loin, Blackened Grouper with Artichokes, and Teriyaki Salmon over Wild Rice, menus can be customized to suit your specific needs—from a casual bar-be-que to a four-course meal. To make your event even more memorable, start your evening with a great assortment of appetizers, or end with one of their scrumptious assorted dessert trays. Permitted and licensed for 700 guests, Cedar Lake Farm is capable of handing everything from the most intimate wedding receptions, bridal luncheons and rehearsal dinners to large regional conferences and company retreats. Their impeccable service resonates their motto of “What you can dream, we can achieve.” For more information about booking your weddings, conferences or events of any size, contact event coordinator Michelle Tinker at 314-569-3005 ext 106 or email her at For more information or to see photo galleries of past events, visit them on the web at




ALL-INCLUSIVE “WEDDINGMOONS” By: Diane Picht The travel industry has always recognized Sandals as the Caribbean’s vacation innovators, because in their resorts, they have perfected the art of doing nothing. Guests at Sandals surrender to the power of love and to each other.

the corner of the world known for celebrating life, Sandals can make the dreams come true for every traveler. The genius behind Sandals resorts, making them some of the best in the world, is Butch Stewart. Sandals was based on the philosophy of giving guests immediate satisfaction, including beautiful rooms from standard to butler honeymoon suites, complete with a private plunge pool and private round trip airport/resort limo service, and every service in between.

With no clocks to obey, you can sway all day in their hammocks and let your cares drift away in the ocean breeze. Or you can have fun in every conceivable activity; whether it is a rejuvenating massage on the beach, relishing the gorgeous sun and sights on land, wreck diving to explore ancient ship wrecks and the coral canyons or throwing a evening party at

The first Sandals was built in “One Love” Jamaica and went through many changes before opening to guests. Travel agents are responsible for bringing guests, according to Mr. Stewart (who actually prefers Butch). Eventually, Butch built many other Sandals resorts, each with a distinct flavor and a variety of gourmet menus and ultra all-inclusive activities.



Luxury? . . . THINK


THERAPEUTIC MASSAGE OF TROY 241 Front Street 636-528-4507 or 636-295-6736

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To quote the Sandals philosophy, “Love is all you need.” There’s something magical about the Caribbean that inspires thoughts of romance. Easy going days, sultry nights, and a sense of tranquility that fills the heart, every Sandals resort offers something unique to its visitors. On four of the Caribbean’s most idyllic isles, you will find twelve magnificent Sandals resorts; all have been created for

schedule an appointment with Dr. Reinberg should call 636-390-1595. Primary Care Also Offered in Hermann Growing Medical Practice Since 2007 Patients First Health Care also offers a primary care medical facility in Hermann, located at 2066 Village Lane in the Village Lane Plaza on Hwy 100. Office hours are 8:30 am to 5:00 pm, Monday through Friday. Family Health Care, the family medicine division of Patients First, has served three counties for the past 27 years. As patient populations from other communities grew, it became practical to bring medical services to those growing communities. The Hermann medical office was opened in early 2007. Two primary care physicians, Thomas E. Davis, MD, FAAFP, and J.B. Grimes, MD, see patients on a rotating schedule. Dr. Davis has been with Patients First for 15 years and Dr. Grimes has been with the group for three years. Dr. Grimes is a graduate of Hermann High School, and he and his family have enjoyed being back in the area. Dr. Davis and Dr. Grimes, both board-certified physicians, offer primary health care for all generations, including pediatrics and women’s gynecologic services. Same day sick appointments are offered and aroundthe-clock emergency calls is available as needed. New and existing patients may call 573-468-5006 to schedule a visit. Patients First Health Care is a multi-specialty medical group featuring 62 physicians practicing in 14 specialties. Patients First currently offers 16 medical facilities in east central Missouri, with their central diagnostic medical campus headquartered in Washington, Missouri. For more information view the company’s website at www.


42 impulse

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Dr. Timothy Long 4/6/2009 5:11:00 PM

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moment the gown is tried on

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enjoying wine


Drinking wine offers the benefits of antioxidants. Those with sensitivity should beware of tannins.

By Judy Evans So what does happen when you drink that glass of wine? Fortunately for most of us it’s a pleasant tasting experience often shared in a social setting with food, family and friends. Wine, just like many other products we humans consume, come with the proverbial good news/bad news cliche. By the way, when we talk about adverse reactions we do not have the problems connected with overindulgence in mind. What do you want first, the good news or the bad news? Let’s get the bad news behind us. All wines are not created equal when it comes to adverse reactions. Red wine seems to be the most common offender. For years people blamed sulfites in wine for reactions such as headaches, feeling flush, rashes, lips and eyes swelling, ringing in the ears, and a host of other symptoms. Come to find out, it’s not the sulfite causing these symptoms, but the tannin in wine. A reaction to sulfite never includes a headache. Red wine is often fermented with the skins for color and tannin taste. Tannin is the bitter taste wine has and comes from the skins, seeds or vines. Aging wine in oak barrels also can contribute to additional tannin. When used properly, tannin gives wine a balanced taste and is a necessary part of wine making. To avoid high levels of tannin, you may consider white wines. While some levels of tannin are present, it’s considerably less. Still, if you insist on drinking red wine, American Pinot Noir, Beaujolais and Sangiovese are low in tannin. Merlot is medium to high. Carbernet, Red Zin, and Shiraz are high in tannin levels. While we just beat up red wine, it’s important to note if you have no problems with tannin, red wine is higher in antioxidants than white wine. Which leads us to the good news.

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Wine and beer making supplies Great ideas for Holiday gifts, many under $20 Wine and Grape home décor Wine accessories, wine racks, vintage signs A large selection of Missouri, domestic, and imported wine Check out our new and improved website

636-456-4572 • All wine, red or white, red being the best, has been documented that when consumed in moderation can be good for you. Wine has been credited with cancer fighting properties, coronary benefits, and improved cognitive function in the elderly to name a few. When it comes to the health benefits of wine, there is one grape that truly stands out, way out. The Muscadine Grape! Grown in the southeastern part of the United States, this grape actually grows wild in many areas. Muscadines come in three basic colors: bronze, black and red. Each of these different colored grapes offer a unique taste that can range from dry to desert wine sweet, and everything in between. What makes this little grape so good for us? Antioxidants. According to North Carolina State University, the Muscadine grape has 40 times more antioxidants than any other grape. Antioxidants are used by the body to neutralize free-radicals that attack cells in the body linked to heart disease, stroke, signs of aging, and certain types of cancers and macular degeneration of the eye. For more information on the above topics, or to sample Muscadine wine, drop by the Missouri Wine and Gift and we will be glad to help. 44 impulse


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Spring Purses With Punch These fabulous spring purses and accessories lend a punch of color to any wardrobe. They can be found locally at Always In Style Boutique in Troy, MO. Great finds without a long drive! Photos by Sarah Crowder and Tony Mooney at Garden Gate Party Rental & Supply in Troy.

Styling Studs The embellishments really make this bag--from the strap to the bottom!

Purple Passion An everyday bag with a great pattern and color.

From left: Lisa Peasel, Kristen Tucker, Karla Thoroughman, Lea Harris and Kim Dunard.

Elegant Affair Lovinâ&#x20AC;&#x2122; Lime

Animal Attraction

This lime green crocodile embossed satchel will brighten up any outfit.

Take a walk on the wild side with this white and pink beauty with black trim.

Concentric This oversized bag with modern circular patterns in all the right colors shouts spring and summer.

Seeing Stripes Karla Thoroughman models a fun fashion statement for when youâ&#x20AC;&#x2122;re feeling feisty!

Simply Marvelous A great clutch for attending prom or a wedding this spring and summer.

Oh So Cherry Kristen Tucker shows that a pop of red makes a bold statement that may become your favorite bag.

Orange Crush

Kim Dunard sports an oversized crocodile embossesd bag in that perfect shade of orange.

Pretty in Pink Lea Harris with a dainty pink satchel that would add bling to everyday or a more formal occasion.

Go Bananas Lisa Peasel shoulders a yellow bag with an embossed diagonal pattern that ads an air of sophistication with a fun pop of color.


A modern bag with a lovely ribbon detail.



MOURNING FAMILIES BEWARE By: Kimberly Ingersoll The stress of losing a loved one and general feelings of confusion and being overwhelmed are normal in the weeks and months following a death. Unfortunately, this is an window of opportunity for those unscrupulous individuals and businesses to take advantage of those who are grieving. One such example of a scam that spread through Ohio several years ago involves an impersonator calling a bereaved family in an attempt to get social security numbers and other confidential information. The caller claimed that there was a mistake on behalf of either the funeral home or the health department to get the information. Local funeral homes stress that it is imperative for families not give this information out over the phone. “Mrs. Smith, this is ABC Collection Company. Mr. Smith had a debt that is past due that we are trying to collect. You can take care of this matter today by …….” Unfortunately, these phone calls often take place. If you are the widow or widower who is grieving, you may not be able to recall instantly all of the payment obligations that you have. So, what are a few things you and your family can do to prevent or be prepared for this type of situation? First, ask questions-specific questions. When was the debt acquired, who specifically signed for the debt, and the what are the payment terms? More than likely, the person on the other end of the phone is going to get nervous because they no longer have the upper hand and may even hang up. You have the right to ask them to produce paperwork pertaining to the debt. Secondly, information about the busi-

ness will be listed with the Attorney General’s office in your state. Chris Koster is the Attorney General in Missouri, and the website is http://ago. Another excellent source of information on a business is the Better Business Bureau and their website is or www.stlouisbbb. org. One story of a business taking advantage of grieving families was a monument company accepting money for monuments and then never producing them. Many of the families had receipts for the payment of the headstones, but were, in one instance, unable to get their money back. Our website gives some tips to consumers to use when purchasing a monument: *get in writing when the monument is to be completed and set at the cemetery; make sure to get any oral promises in writing; shop around for the best price, quality, and service; pay for your purchase with a credit card, which can be protected under the FTC’s Fair Credit Billing Act; and determine the company’s cancellation and refund policies before making a purchase. Thirdly, if you feel the solicitor is trying to scam you, try and get a phone number or other information and report the incident to your local police. I hope this information will help you or someone you know if they ever are confronted by person or company trying to take advantage of them in their time of bereavement. *Some of the information from this article was obtained in the Better Business Bureau’s article 7899. If you have a question you would like me to address, please contact me at or 636-462-CARE. Kimberly Ingersoll, owner of Ingersoll Chapel for Funeral & Cremation Services in Troy, is a Missouri licensed Funeral Director and Embalmer.

“WEDDING-MOONS” CONTINUED two people in love and are devoted to making every moment perfect. So come to Sandals and bring your hopes and dreams, but leave every worry behind because this is a world made for love. If marriages are made in heaven, then a Sandals honeymoon is like heaven on earth. Check out Sandals’ amazing

free weddings or Weddingmoons, as they are known to happy couples enjoying them every day.* Let one of Four Season Travel and Cruises’ Certified Sandals Specialists help with your wonderful vacation or Weddingmoon by calling 636-456-8115 or 800-893-9980, or visit us in Warrenton at 614 North State, Highway 47.

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The good old summer time is upon us and that means it’s time for ticks and fleas to attack the pets we love. As the temperature rises so do the volume of those pesky insects that dig into the skin and sometimes cause serious health consequences for our pets, not to mention their faithful human servants, us. Everyday in our grooming operation at Waldorf~Petstoria, New Florence, Missouri, we find dogs and sometimes cats infested with fleas and ticks. Thankfully, our inside feline friends do not suffer as badly as our dogs. Most people have finally come to the realization that cats belong inside; at least, if we want to keep them for the long term. Cats do not do well in the hostile outside environment, at least the ones that have become domesticated. Growing up in a good old Irish Family Culture, I learned from my rough and tough Irish Dad to respect all creatures of the world. I must admit I did not become an avid cat lover until later in life. What a wonderful discovery it was for me to learn that each of these creatures has distinct personalities. It is a true joy to see their expressions of love, jealously, anger and the whole gamut of emotions that we like to reserve as “human emotions” exclusively for us. They often say you can’t teach cats to do tricks, well I can tell you first hand that I personally have a cat that opens the wrought iron gate between the upper and lower levels of my home, on the inside of course. In addition, one of my cats fetch and another stands with paws on the handlebar of the exercise bike for his “trick pony pet”, as well as lies down on command. All have loving, caring individual personalities and we don’t want to lose any of them. While a lot of grooming operations play for the “pocket books” of the owners with “curb appeal” frills and gimmicks to appeal to the owners, at Waldorf~Petstoria the pet’s comfort and health is always our foremost objectives. We frequently offer steep discounts on grooming for pet owners, who could not otherwise afford to purchase tick and flea control for their pets and other accessories for the comfort of their pets, in our well stocked store. We at Waldorf~Petstoria wish you and yours a fun and safe summer and remember, those pets we love are our children that never grow-up and leave home. If you love your pets as much as we do, keep them safe, well fed, watered, protected from insects and confined from the hostile environment of the wild!



INDOOR AIR CAN BE HAZARDOUS TO YOUR HEALTH Who would think indoor air can be hazardous to your health? Indoor air - a pollutant? Unfortunately, this is often the case, said Gary Scott, owner of Schraer Heating & Air Conditioning. Exposure to air pollutants can be up to 100 times higher indoors than outdoors. Fortunately, several steps can be taken to ensure that your indoor environment is the safest. The American Lung Association estimates that most people spend 90 percent of their time indoors, making indoor air quality (IAQ) extremely important. Many common household items contribute to poor indoor air quality. Compounds found in carpeting, furniture, upholstery, and drapery fabric constantly emit fumes. Other sources of pollutants can include cleaning agents, paints, and personal care products. The tight construction of today’s homes also contributes significantly to poor IAQ. Things like weather-stripping and storm doors are designed to save on energy costs; however, they also prevent proper ventilation by keeping indoor air in and outdoor air out. The result can be a build-up of con-

taminants within the home. Poor IAQ can be the cause of numerous health problems. Medical groups report that as many as half of all illnesses are caused or aggravated by indoor air pollution. Pollutants within the home can cause homeowners to suffer from flu-like symptoms, such as headaches, nausea, and respiratory irritation. Two health problems that can be helped by clean indoor air are allergies and asthma. Even people who have never suffered from allergies can benefit from improved IAQ. By removing airborne dust particles from the air, the amount of exposure they have on the respiratory system is greatly reduced. “Thankfully, there are things a homeowner can do to help alleviate potential IAQ concerns. The first step toward improving indoor air is to identify the sources of air pollutants,” said Scott. “Eliminating or reducing these sources are the most effective ways to clean the air. Although it is not possible to eliminate every contaminant source, reducing the sources and/or the amount of pollutants they emit will contribute to a healthier living environment.” Ventilation also plays an important role in improving indoor air quality. Proper ventilation can

Exposure to air pollutants can be up to 100 times higher indoors than outdoors.

reduce the concentration of pollutants inside the home. A third way to minimize the concentration of pollutants is by thoroughly cleaning the home. Frequent dusting and vacuuming can help to reduce the amount of dust particles in the air. Some of the most effective solutions for poor indoor air quality may involve heating and cooling systems. High-efficiency air filters, such as the MERV16 or the PureAir, can assist in absorbing particles that otherwise would escape due to their size. High-efficiency filters help clean the air and provide respiratory relief by removing pollutants including pollen, dust, dirt, and pet dander down to .3 microns. They are both ozone free. In addition, the PureAir removes pet odors, cooking smells, and the odors and chemicals associated with perfumes, cleaning supplies, paints, and solvents. Other products that are available to improve indoor air quality include humidifiers, carbon monoxide detectors, and heat recovery ventilators. To find out more about the most effective methods to improve indoor air quality, call Schraer Heating & Air Conditioning at 800-820-3008. Schraer Heating & Air Conditioning has been providing service in Warren, Montgomery, Lincoln, and St. Charles counties since 1946.

Come by Today and Browse While Our Staff Gives Your Pet a

Super pet Store

Designer Pet Clothing Pet Photography Boarding & Grooming Horse & Small Animal Feed


“Beauty Makeover” (573) 835-1900

199 N. Hwy. 19, New Florence, MO

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INDOOR TANNING FOR VITAMIN D By: Charity Frederick It would take one quart of fortified whole milk every day to get the daily recommended allowance of Vitamin D. In the coming years, many in the Vitamin D field see those recommendation allowances increasing by five to ten times, meaning you would need five to ten quarts (1 ¼ - 2 ½ gallons) of whole milk every day! With nearly 300 calories per quart, your doctors would likely steer you away from the extra 1,500 - 3,000 calories. 90% of the Vitamin D in humans is made by UV exposure. Moderate exposure to UV light is the body’s natural way of getting Vitamin D. Vitamin D is called the “Sunshine vitamin” for a reason. Tanning is your body’s natural protection against sunburn — it is what your body is designed to do. Dermatology industry representatives myopically have referred to this process as “damage” to your skin, but calling a tan “damage” is a dangerous oversimplification. Here is why: Calling a tan damage to your skin is like calling exercise damage to your muscle. Consider: when one exercises, they are actually tearing tiny muscle fibers in their body. On the surface, examined at the micro-level, that could be called “damage.” But that damage on the micro-level is your body’s natural way on the macro-level of building stronger muscle tissue. So to call

Viewpoint from a local tanning business owner

exercise “damaging” to muscles would be terribly deceiving. The same can be said of sun exposure: your body is designed to repair any damage to the skin caused by ultraviolet light exposure. Developing a tan is the body’s natural way to protect against the dangers of sunburn and further exposure. Saying that any ultraviolet light exposure causes skin damage and therefore should be avoided is misleading and inaccurate. It would be like saying that since water causes drowning, humans should avoid all water. Yes, water causes drowning, but our bodies also need water. Regular daily exposure to water is not dangerous – indeed, we would die without it. Similarly, we need sun exposure and would die without it. It is the professional indoor tanning industry’s position that sunburn prevention is a more effective message than total abstinence, which ultimately encourages abuse. It is a responsible, honest approach to the issue. The information stated here is taken from the International Smart Tan Network. More information can be found at or by visiting a Smart Tan certified salon, like SunSeekers Tanning Salon in Warrenton.


209 N. Sturgeon, Montgomery City (573) 564-6470 Fax (573) 564-6457 Hours: M-F

11am - 8pm ; Sat. 7am - 8pm; Sun.

11am - 3pm



211 Boone St. Troy, MO 63379 Rick & Kimberly Ingersoll


Eyeglasses, Contacts & Repairs

Buy-Sell-Trade Wide Selection of Guns and Military Items

Now at a New Location!

230 Magee St. Troy, MO 63379

Hours: Mon.-Sat. 9am-6pm OPEN LATE THURSDAY 115 East Main Street, Warrenton, MO 636-456-6118

(636) 528-4444

All Breed Grooming for Dogs and Cats

Pet GroominG

636-456-0982 705 East Veterans Memorial Pkwy., Warrenton

Every person has different tanning goals and skin type. We have the largest variety of tanning beds and lotions in the area. We can meet everyoneâ&#x20AC;&#x2122;s tanning needs. We have over 15 years of experience on staff. We are the most well trained and knowledgeable tanning salon around.

Facebook Fans! We celebrate Facebook Fans day on the first of every month by giving away a prize package to a Facebook Fan. Become a fan on Facebook by searching for SunSeekers Tanning.

Professional Pet Stylist

Ezra Schneider 812 East Hwy. M,

Truesdale, MO (636) 456-5930

Pets spread rumors about good groo mers!



Local young ladies model hip spring clothing and fun flip flops from The Gap Outlet store in Warrenton, MO. Photos by Alex Brown at Eagle’s Bluff Golf Course in Clarksville, MO.

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Photos at Eagle’s Bluff Golf Course in Clarksville, MO

Photos at Eagleâ&#x20AC;&#x2122;s Bluff Golf Course in Clarksville, MO


LADIES’ FASHION Casual chic clothes available at Maurice’s in Troy, MO. Photos by Alex Brown at Eagle’s Bluff Golf Course.

Natalie Brooks

Lindsey Jordan

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Photos at Eagle’s Bluff Golf Course in Clarksville, MO

Jessica Kneemiller

Above: Lindsey, Jessica, Ariauna Nilges, and Natalie. Below: Lindsey, Natalie and Jessica.

Photos at Eagleâ&#x20AC;&#x2122;s Bluff Golf Course in Clarksville, MO.




Eagle’s Bluff Offers a USGA rated golf course and casual dining in a fine atmosphere

(Photos by Alex Brown) If you love to play golf, then you know how great really well-designed golf courses can be. Playing on a USGA-rated golf course is very different than playing on a poorly designed one. Most true golfers search for the golf courses that will provide the most amazing game play of all. Eagle’s Bluff Golf Course, located two miles south of Clarksville on Hwy. 79 and just fifty miles northwest of St. Louis, is the only four-star rated USGA nine-hole course featuring Zoysia Fairways and Bent Grass tees,. The course provides even the seasoned pros a fantastic round of golf. Designed by John Boyd, Eagle’s Bluff is the realization of his dream of designing a classic golf resort that he envisioned since the 1970’s. John pays homage to the rolling prairies and towering oaks that characterize the landscape. Overlooking the mighty Mississippi , the exciting course with three serene lakes strategically placed throughout the course serve as a truly unique playing experience. Perfect golf courses are not only designed to provide the best golf game, but also to look gorgeous. Eagle’s Bluff delivers in both course play and its magnificent club house, pleasing the most discerning of golfers and diners alike. The centerpiece of the property is the Bluff Restaurant. With five seating arrangements, Bluff Restaurant comfortably seats 350 people with two lodge dining areas, an oak-wood terrace bar with big-screen sports televisions, a scenic all-season wrap-around terrace dining area, and a relaxing water-fountain outdoor patio seating area. The spectacular view abounds all around. After golf --or anytime you prefer--top Chef Farrell Ray puts formality aside for casual dining at The Bluff Restaurant. Lunch, dinner and late-night suppers are always on the menu. This renowned steak house offers hand-cuts of beef, tender seafood and seasoned prime-rib. The fare at the Bluff is nothing short of extraordinary. The incredible prime rib can only be described as one-of-a-kind. Eagle’s Bluff offers a sophisticated, elegant, contemporary fine dining experience for catered events. Their extensive beverage list features rare and

vintage wines, cognacs and ports from a traditional long bar. When you’re ready for cocktails and conversation, the rustic Eagle’s Terrace Bar overlooks the fourth green. Entertainment is offered on Saturday nights and on special occasions. A beautiful setting in nature, the lookout point or “Eagle’s View” is reserved for weddings. They still have several Saturdays still available for your wedding celebration. Eagle’s Bluff is a first-class restaurant with an expert staff to make your “special day” just that--special. Best of all, this country-club setting is always open the public and available at everyday, affordable prices. Eagle’s Bluff offers single annual memberships with amenities such as a the Gentleman’s Lounge and a locker room with showers that is coming this summer. Daily and monthly unlimited golf and driving range memberships are also available. Presently the nine-hole, USGA four-star rated course is a par 36 in spectacular condition. Bulldozers are working overtime to meet the spring 2010 opening of the back-nine, with more striking views of valleys and lakes to come. A resort-style hotel is already in the plans for summer 2011. Come play a round at the stunning Eagle’s Bluff Golf Course, where majestic beauty meets noble play, and experience a memorable dinner at the Bluff Restaurant.

Handbags, Gifts & Accessories

Always in Style Boutique

#30 Ellis Ave., Troy

636-528-3070 An award winning graphic design and marketing firm.


(636) 528-7473 • 101 WEST COLLEGE, SUITE 7 • TROY, MO


WHAT SHOULD I DO? PROVIDING THE ANSWERS THEY NEED. All too often, patients are unsure about their care and donâ&#x20AC;&#x2122;t have the tools or resources to find the answers they need. Best Doctors is offered by employers to help their employees with serious medical conditions be absolutely sure when making decisions about their care. Through Best Doctors, an employeeâ&#x20AC;&#x2122;s comprehensive medical history is reviewed by a world-renowned expert doctor to ensure the diagnosis and treatment plan are on target. Call Best Doctors today to ensure your employees receive the answers they deserve.


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Impulse Magazine - Spring 2009  

Impulse Magazine's Best Doctor's Issue: 174 Physicians Rated Tops by Their Peers; Bridal; Women's and Kid's Fashion; Local Healthcare