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SODA ERODES YOUR TEETH— AND THE DAMAGE IS PERMANENT
SUFFERING FROM PTSD? YOU MAY BE AT RISK FOR WEIGHT GAIN
MY DOC RECOMMENDED BUNION SURGERY— SHOULD I DO IT?
VARICOSE VEINS— JUST UNSIGHTLY, OR UNHEALTHY?
ROBOTIC SURGERY FOR HYSTERECTOMY? PROS AND CONS
By Victoria Khabinski
NEW PHONE ISSN 1942-6801
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“4Health” is an editorial-based medical magazine (the "Magazine") provided by Moo Publishing Corp. and by other sources. DISCLAIMER This Magazine is for consumer educational use only. Nothing contained in this Magazine is or should be considered, or used, as a substitute for medical advice, diagnosis or treatment. The opinions in this Magazine are here to educate consumers on health care and medical issues that may affect consummers’ daily lives. This Magazine does not constitute the practice of any medical, nursing or other professional health care advice, diagnosis or treatment. The Magazine advises readers to always seek the advice of a physician or other qualified health care provider with any questions regarding personal health or medical conditions. Never disregard, avoid or delay obtaining medical advice from your doctor or other qualified health care provider because of something you have read in this Magazine. If you have, or
suspect that you may have, a medical problem or condition, please contact a qualified health care professional immediately. If you are in the United States and are experiencing a medical emergency, please dial 911 or call for emergency medical help on the nearest telephone. WARRANTIES AND LIMITATION OF LIABILITY We do not make any expressed or implied warranties, representations or endorsements of any kind whatsoever with regard to the magazine, or with respect to any information, product, service, merchandise or other material provided in or through the magazine. We do not warrant or guarantee the accuracy, completeness, correctness, timeliness or usefulness of any information, products, services, merchandise or other material provided throughout the magazine. We are not liable to any reader or anyone else for any decision made or action taken based on their reliance upon the information contained in this magazine. www.4health.net ww.4h w.
4HEALTH | Table Of Content
Soda Erodes Your Teeth—and the Damage is Permanent Drinking a Lot of Acid dicc Colas Causes Dam magee Sim millarr to o Coccai
11 12 Suffering from PTSD? You May be at Risk for Weight Gain Study Lin nkss PTSD with Obesity
ALLERGIES: WHY SUFFER? TREATMENTS CAN HELP YOU FEEL BETTER IMMEDIATELY By Dr. Lev Barsky MD
PROTECT YOUR SKIN AND BODY THIS SUMMER WITH NATURAL PRODUCTS Badger, Burt’s Bees, and Boiron Brands Worth a Try
INTRODUCING MESODERM THERAPY from VK Skin Spa
NATIONAL MS SOCIETY REPORTS ADVANCEMENTS IN TREATING THE DISEASE Medications and Lifestyle Factors That May Help
DON’T IGNORE SYMPTOMS OF CATARACTS Study Reports that Fixing Cataracts May Lengthen Life
My Doc Recommended Bunion SurgeryShould I Do It?
BASAL CELL CARCINOMA, THE MOST COMMON CANCER How to Catch it Early and Typical Treatments
YOUNGER WOMEN WHO ARE INCONTINENT AT RISK FOR DEPRESSION How Your Doctor Can Help
Examining 3 Myyth thss off Bun nion Surgeeryy
Why It’s Never Too Late to Get Help
32 Varicose Veins—Just Unsightly, or Unhealthy? When You May Waant to Seek Treeattmen nt
OLDER VETERANS BENEFIT FROM COGNITIVE THERAPY FOR DEPRESSION
EARS LOOKING ABUSED? FIX THEM! By Dr. Roman Rayham
GET RID OF PAINFUL VARICOSE VEINS DURING YOUR LUNCH BREAK USA Vein Clinic Professionals Discuss Cutting-Edge Treatments
LEAVE YOUR DESCENDANTS AN INHERITANCE WITH A BLOODLINE TRUST Why A Trust is the Best Way to Protect Your Funds
34 Robotic Surgery for Hysterectomy? Pros and Cons
ANCIENT THERAPY GAINING NEW POPULARITY IN WESTERN MEDICINE Ada Kulagina L.Ac. Answers Your Questions About Acupuncture
Some Studiess Sho ow Conccerrn— Check with h You ur Doccto or Fiirst
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8 4HEALTH 4 E L H
| Allergy l g
ALLERGIES: WHY SUFFER?
TREATMENTS CAN HELP YOU FEEL BETTER IMMEDIATELY
Lev BARSKY, MD SPECIALTY: Allergy & Immunology
CERTIFICATION: Diplomate of American Board of Allergy & Immunology
FELLOWSHIP: Fellow of American College of Asthma Asthma, Allergy and Immunology
It’s summertime, which for most of us, means fun outdoor activities in the sun. If you’re bothered by allergies, however, most likely your sunny days are marred by watery eyes, sinus congestion, runny nose, sneezing, coughing, headaches, sore throats, or itchy skin. Fortunately, you don’t have to continue to suffer from these irritating symptoms. A qualified allergy doctor can discover what you’re allergic to, and offer treatments that provide easy relief.
WHAT CAUSES ALLERGIES? Allergic ailments are caused by an «overreaction» of the immune system to various environmental substances. The immune system perceives some elements of the environment as a threat to the body and tries to «defend» against them. The major form of defense is an inflammatory response, which is why clinical symptoms of allergic ailments and infectious illnesses are very similar and tend to overlap.
TYPES OF ALLERGIC RESPONSES
CONTACT: 728 Ocean Ave Ave. Brooklyn, NY 11235
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Allergens can be divided into two large groups: 1) those that we encounter outside our homes, such as pollen from various plants, and 2) those that are present inside our homes, such as dust or mildew. Different plants produce pollens at particular times of the year. As a result, people sensitive to tree pollen will experience an “acute exacerbation,” or flare-up, of symptoms when trees blossom. In the New York area, this period stems from April until early June. Likewise, people with hypersensitivity to autumn grasses, such as wormwood or ragweed, will begin to feel allergic symptoms in the fall, between August and October. Very often, individuals are sensitive to several allergens, and thus the duration of their symptoms is considerably longer. This pertains particularly to people who are sensitive to allergens that are present inside houses and apartments, ranging from domestic dust and mold (fungi), to hair and saliva of various animals (so-called indoor allergens). Such people may show continuous allergic symptoms all year long. Symptoms may include headaches, sore and burning throat, itching and irritation of the eyes, and coughing. People who experience mild continuous symptoms due to household allergies
often fall victim to flare-ups in the spring and fall, as well. Allergic diseases are not limited to symptoms connected with upper airway passages, however. Other prevalent allergic ailments include bronchial asthma (with symptoms of wheezing, shortness of breath, chest tightness, and/or coughing), and asthmatic bronchitis. Of those who suffer from bronchial asthma, 50% of adults and 80% of children have allergies.
IDENTIFYING TRIGGERS WITH SKIN TESTS The most common method of identifying allergens to which an individual is sensitive through various types of skin tests. Conducted by doctors who are allergy specialists, these tests are safe and take a minimal amount of time. Results are usually available within fifteen minutes. Knowing the substances which a person may be sensitive to enables the allergist to use effective preventative measures and treat allergic diseases. Preventative measures and treatments, in general, are carried out using a combination of different medications selected by a doctor to meet the particular needs of each patient.
TREATMENTS CAN HELP YOU FEEL BETTER For those who suffer from allergy symptoms three months or more throughout the year, and want to be cured permanently, doctors might recommend injections of allergy provoking substances (such as tree pollen, animal hair, or mold), which are highly diluted in water. Patients following this therapy become “immunized,” or desensitized, to the allergens. This method is called immunotherapy, or «allergy shots.» Numerous studies have shown that the success of immunotherapy exceeds 80%. If you suspect you have allergies, you can make an appointment with a board-certified allergist, and, in many cases, walk out of the office with the mystery of your ailments instantly solved. There may be things you are exposed to that you can simply avoid. An allergist will often suggest how you can make changes in your home and work environment, so that symptoms are relieved. In addition, an allergist may prescribe a safe, non-habit forming medication that can offer fast relief from symptoms that may have been bothering you for years. www.4health.net ww.4h w..
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BOTOX FOR CROW’S FEET TREATMENT APPROVED FOR NEW COSMETIC PROCEDURE
y Merrell ■■■ Lynn
Have you noticed those little wrinkles starting to appear at the corners of your eyes? According to a 2013 survey, a lot of people have. Current treatment options include resurfacing the top layer of skin, undergoing moderate to deep chemical peels, or going under the knife. In September 2013, however, the FDA approved what some doctors have been using already — Botox injections. Here’s more, and how to tell if you may be a candidate for this treatment.
WHAT ARE CROW’S FEET? Crow’s feet are the little wrinkles that start at the outer corner of the eye and radiate back toward the temple. They’re so-named because they resemble the look of a bird’s toes. Also called “laugh lines,” they tend to appear as we get older, though when they show up depends on a lot of things, including genetics, lifestyle, and sun exposure.
WHAT CAUSES CROW’S FEET? Those who spend a lot of time outside without protecting their skin are more likely to have crow’s feet at an earlier age, because the sun’s rays penetrate and damage the skin. Over time, it can disrupt the normal functioning of collagen and elastin — the two components of the skin that help retain its shape and firmness — allowing skin to loosen and sag, which creates wrinkles.
Though sun exposure is the main cause of crow’s feet, there are other things that can hasten their arrival and make them more noticeable. These include smoking, squinting, and regularly sleeping on one’s side. The skin around the eyes is very thin, which is another contributing factor, and the reason why these wrinkles may be visible before any others on the face.
FDA SAYS BOTOX WILL PROVIDE PEOPLE WITH ANOTHER OPTION In approving Botox for crow’s feet in 2013, the FDA stated that the treatment would provide people seeking a smoother appearance with another option for “temporarily minimizing the appearance of crow’s feet at the sides of the eyes.” It was back in 2002 that the FDA approved Botox for the treatment of “frown lines”— those little wrinkles between the eyebrows, but though some doctors have used Botox for crow’s feet, it hasn’t been officially approved for that use until now.
WHAT IS BOTOX? An organism called Clostridium botulinum lives naturally in the soil, lakes, streams, and in the intestinal tracks of mammals and fish. Scientists found that a neurotoxin produced by this organism could help stop eyelid twitching, so they developed “Botox” for that purpose. While using it this way, they found that injections of the neurotoxin helped smooth the skin.
Scientists then studied the drug on participants who had frown lines, and found that those who received the Botox had a greater improvement in their appearance than those who didn’t. It was based on this study that the FDA approved the drug in 2002. A company called “Anterios’ then went on to study the use of Botox for crow’s feet. They gave about 400 people the treatment, and another 400 a placebo, and found that those who received Botox had less visible crow’s feet than those who didn’t.
AM I A CANDIDATE? As with any cosmetic treatment, there are some risks with Botox injections. The most common side effect is “eyelid edema,” in which the eyes become swollen, red, and irritated. The effect usually goes away after a few days. Botox also contains an FDA-mandated black-box warning, which states the effects of the toxin may spread to other areas of the body, causing symptoms of botulism. The FDA has noted, however, that there’s never been a confirmed serious case of this happening when Botox is used as directed. Women who are pregnant or lactating should not use Botox. People who may be allergic to it are also advised not to use it, but most anyone else who is in good health may be considered a good candidate. Check with your plastic surgeon for more details.
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SODA ERODES YOUR TEETH — AND THE DAMAGE IS PERMANENT DRINKING A LOT OF ACIDIC COLAS CAUSES DAMAGE SIMILAR TO COCAINE ■■■ Colleen M. Storyy You may have already cut back on your consumption of soda. We all know it’s full of sugar, which can quickly derail any healthy diet. But even if you’ve switched to diet brands, there’s another side effect of soda that can have a damaging and permanent affect on your health — acid erosion. Most sodas contain phosphoric acid. It’s corrosive to teeth, and over time, can wear away that protective enamel on the outside, causing an irreversible sensitivity. Here’s more, and how to protect your teeth without completely giving up your favorite beverage.
WHAT IS TOOTH EROSION? Enamel is a hard covering that protects all of your teeth from damage. You can think of it like the shell of an egg — the hard outer substance the shields your teeth from whatever you may put in your mouth. It insulates nerves in the teeth against cold and hot items, and decreases the risk of damage to the teeth when you chew and grind your food. Considered the hardest substance in the body, enamel is still vulnerable to some things — and acid is one of them. Phosphoric acid is a mineral acid that, in addition to giving soda a sharper flavor, slows the growth of molds and bacteria. Called a “chemical preservative” and “artificial flavoring,” it’s shown in studies to be very damaging to teeth. Many sodas also contain citric acid, www.4health.net ww.4h w.
which found in citrus fruits, and carbonic acid, which together with phosphoric acid, contribute to the wearing down of enamel.
STUDIES SHOW PHOSPHORIC ACID ERODES TEETH In 2007, a study published in General Dentistry showed that the erosive potential of colas was 10 times that of fruit juices during the first three minutes of drinking. For the study, researchers measured the acidity of 20 commercial soft drinks, including Pepsi, 7-Up, and Coke, and their respective diet versions. They then put slices of enamel from extracted teeth into the beverages for 48 hours. Results showed that teeth lost more than five percent of their weight from erosion, with RC Cola being the worst offender. Cherry Coke came in second, and Coke was the third most acidic. Root beer was the least acidic of all brands, likely because it usually doesn’t contain phosphoric or citric acid. An interesting fact — battery acid has a pH of 1.0. RC Cola had a pH of 2.387—not much better. (A pH of “7” is considered neutral, like water.) Erosion from Soda as Bad as that from Illegal Drugs Still, most of us don’t soak our teeth in soda for two days straight. Does this study actually apply to real life? A 2009 study suggests it may. Researchers looked at the prevalence of erosion in children, and found that nearly half of kids aged 13–19 had evidence of enamel erosion in at least one tooth. Then in 2013, scientists dropped a bombshell. For this study, researchers compared the damage in three individuals’ mouths: 1. A person who admitted to using the illegal drug, methamphetamine 2. A person who previously used cocaine over a long period of time
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3. A person who drank diet soda excessively All three participants took poor care of their teeth and gums. The shocking results, however, showed that all three suffered similar damage from tooth erosion. “Each person experienced severe tooth erosion caused by the high acid levels present in their “drug” of choice,” said lead author Mohamed A. Bassiouny, “—meth, crack, or soda.”
HOW TO PROTECT YOUR TEETH Granted — the individuals in the previous study didn’t take care of their teeth. Brushing, flossing, rinsing, and regular visits to the dentist all help to keep teeth strong. But the fact remains that soda is corrosive, and will affect your teeth over time. To protect your teeth, check with your dentist, and try the following tips: ■ If you drink a lot of soda, try to cut back — you should be drinking
more water than soft drinks. ■ Try to choose less acidic options, like root beer, when you can. ■ After drinking a soda, rinse your mouth with water right away, or
■ ■ ■ ■
chew sugar-free gum with xylitol, which stimulates the protective effects of saliva. Sip your soda through a straw rather than drinking it directly from the can, to reduce contact with teeth. Drink soda only with a meal, which helps keep it off of teeth. Wait at least an hour before brushing — acid weakens enamel, and if you brush right after, you can increase the damage. Rinse instead. Remember that once enamel is worn away, it’s gone. You can’t replace it.
lis BEE POLLEN Human n beings have long coveted the products of the honeybees. In pre-industrial times, they raided hives for honey and wax, and of course, we still continue to prize both. Bee pollen, however—the precious grains of flower pollen collected by honeybees from a diversity of plants—is a great source of a variety of antioxidants, vitamins, and minerals, and has been traditionally used as an antiaging and energy food. Known as “life giving dust,” it was used as far back as the time of the ancient Egyptians as a way to maintain health and vitality. Today, Americans have access to many imported bee pollen products, but most of these are highly processed to lengthen shelf life and eliminate costs for proper storage. BeeLis pollen, however, is naturally made with no harsh chemicals to harm the delicate nutritional qualities.
WHAT IS BEE POLLEN? Bee pollen, also called “bee bread” or “pollen ball” is a mass of pollen packed by worker honeybees into granules with added honey or nectar. As the bees go from flower to flower, they collect pollen from the flowers on their feet and bring it back to the hive, where they pass it on to another worker bee. The second bee will then pack the pollen into a “brood cell,” adding nectar, enzymes, and other organisms that transform the pollen into bee pollen. The resulting material contains nutrients, fatty acids, and protein.
WHAT ARE THE BENEFITS OF BEELIS BEE POLLEN? Bee pollen, like that found in BeeLis products, has been used for centuries to boost energy, strengthen immunity, tame allergies, speed wound healing, ease depression, alleviate headaches, improve fertility in males and females, calm menstrual cramps, and restore lost sexual desire.
Early scientific studies s that hint at the broad potential of this nutrient-rich substance: Allergies: A 2008 animal study found that daily supplementation with bee pollen provided an anti-allergic action. A second study found that “myricetin,” one of the flavonoids in bee pollen, was responsible for this antiallergic effect. Antioxidant: A 2009 study found that bee pollen offers powerful antioxidant benefits, which may have anti-aging benefits. Osteoporosis: Early animal studies suggest that bee pollen may hold promise in treating osteoporosis. Bee pollen boosted bone levels of calcium and phosphate, and protected against bone loss. Anti-inflammatory: In a 2010 study, bee pollen showed a potent anti-inflammatory effect, helping to reduce swelling and inflammation in animals with paw edema. This property may also contribute to bee pollen’s wound-healing and anti-aging benefits. Anti-microbial: Researchers in 2011 found that pollen is rich in flavonoids and phenolic acids that provided free-radical scavenging activity, along with a strong antimicrobial action. It was particularly beneficial against bacteria like staphylococcus and streptococcus. You Can Buy BEELIS Products at: TRAVYANAYA APTEKA 274 Brighton Beach Ave., Brooklyn, NY 11235 (718) 648-0002 Ocean Pharmacy 1929 Kings Hwy, Brooklyn, NY 11229 (718) 998-9595 My Choice Pharmacy 924 Kings Hwy, Brooklyn, NY 11223 (718) 375-7700 NetCost Market Stores
These properties can aid in wound healing, anti-aging, and immune-boosting benefits.
BEELIS POLLEN FROM AMISH FARMS The harsh manufacturing process applied to most bee pollen products risks destroying the fragile mix of beneficial nutrients. Heat and chemicals damage and even obliterate enzymes and flavonoids, creating a product that is much less effective than the original natural pollen. In fact, manufactured bee pollen loses 50 percent or more of its healthy properties. BeeLis bee pollen is from the most natural source—Amish bee pollen. This pure product contains no chemicals and is collected from bee apiaries from the most top-quality Amish farms, which have been recognized by several media channels. The difference is huge, and your body will be able to tell. BeeLis pollen preserves all the vitamins, minerals amino acids, and antioxidants that one needs to maintain a healthy lifestyle. Try supplementing once a day and see if you don’t feel a stronger, g more energetic g zest for life!
SUFFERING FROM PTSD? YOU MAY BE AT RISK FOR WEIGHT GAIN STU UDY LINKS PTSD WIT TH OBESITY Y
g Rice ■■■ Morgan
We used to believe obesity developed simply from eating too much while moving too little. Diet and exercise definitely have a large impact on weight gain, but new research has shown that it’s not always that simple. People may also gain weight because of genetics, bacteria in the gut, social ties, sleep habits, hormone imbalances, and more. Now, a new study has found another link that may surprise some people—obesity may be linked to post traumatic stress disorder (PTSD).
threatened or avoiding social interaction), they were qualified as having PTSD. Results showed the following: ■ Women who started the study at a normal weight, but then experienced PTSD, had a 36 percent increased risk of becoming overweight or obese by the end of the study period. ■ Those women who suffered from PTSD before the study began experienced an even faster rate of weight gain than women without PTSD. ■ Researchers noted that it was the symptoms of PTSD—more than the trauma itself— that seemed to spur the weight gain.
WHAT THE STUDY FOUND Researchers from the Harvard School of Public Health and the Columbia University’s Mailman School of Public Health analyzed data from over 50,000 women aged 22-44 years. These women had taken part in the Nurses’ Health Study II between 1989 and 2009. Participants answered questions about the stress in their lives, including whether they had experienced any significant traumas, and whether they had related symptoms. If they did have symptoms of serious stress for four months or longer (such as feeling they were
HOW WOULD PTSD LEAD TO WEIGHT GAIN? Scientists aren’t sure yet why PTSD would lead to weight gain, but they have some theories. First, they feel that the symptoms of the disorder could cause normal body functions to go off track, including metabolism and hormone production. Second, as patients try to cope with the symptoms, they may turn to unhealthy behavior patterns that involve eating more or eating sugary, fatty foods that are more likely to cause them to put on weight. They may be less likely to exercise,
suffer sleeping problems, and have cravings for fatty, processed foods—all factors that can lead to weight gain.
WHAT IS PTSD AND HOW DOES ONE COPE? According to the National Center for PTSD, the disorder typically occurs after a traumatic event, such as sexual or physical abuse or assault, combat exposure, serious accidents or illnesses, or natural disasters. Though most people have symptoms of PTSD immediately after these sorts of events, the majority will get over them—but some continue to suffer over time. Symptoms of PTSD include reliving the event over and over (in flashbacks or nightmares), feeling keyed up all the time, avoiding people or situations that create memories of the event, or other changes, such as losing interest in previously enjoyable activities. People can also feel depressed, hopeless, and anxious, and may turn to drugs or alcohol to numb these feelings. If you have gone through a traumatic event and you suspect you may have PTSD, see your doctor and your psychiatrist. Treatment can help you get better, and considering that PTSD may be connected to weight gain, it’s your physical as well as mental health that is at stake. www.4health.net ww.4h w.
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NATIONAL MS SOCIETY REPORTS ADVANCEMENTS IN TREATING THE DISEASE MEDICATIONSS AND LIFESTYLE FACTORS THAT MAY HELP
■■■ Colleen M. Storyy Currently, there is no cure for multiple sclerosis (MS). A disease that involves a malfunction of the immune system, MS gradually wears down the central nervous system, forming scar tissue around nerve fibers and resulting in a loss of muscle control, balance, and sensation. Patients can take medications to slow the progression of the disease and to help ease symptoms, but these drugs aren’t perfect and can cause serious side effects. In addition, they aren’t always completely effective, and the disease can continue to worsen over the years. Fortunately, there’s been significant progress in the research of new treatments over the last few years. Findings open up new possibilities for restoring lost function and even stopping MS completely.
WHAT CAUSES MS? Though doctors aren’t yet sure what triggers MS in the first place, they believe it may have something to do with exposure to environmental toxins, coupled with genetics and perhaps certain infections. Once the disease takes hold, it triggers the immune system to attack the body’s own tissues, destroying the coating that protects nerve fibers in the brain and spinal cord — called “myelin.” Over time, as myelin wears down, signals that usually travel through that nerve may be disrupted, slowed, or even blocked com-
pletely, which is what causes the difficulty in muscle movement. Other symptoms include weakness in the limbs, tingling or pain, tremors, slurred speech, dizziness, and blurred vision.
ADVANCEMENTS IN MS RESEARCH The National MS Society reported in December 2013 that they had made significant progress in research, finding “new leads that are driving efforts to stop MS in its tracks, restore function, and end MS forever… “ They summarized study results in the following three areas. 1. Stopping MS The FDA approved the new oral drug “Tecfidera” in 2013 for those with relapsing MS. Drug makers also applied for FDA approval on “peginterferon beta-1A” after it was found, as well, to help prevent relapses. There are other emerging therapies currently undergoing research, with results expected in the coming years. The National MS Society also joined with the National Institutes of Health (NIH) to launch a new trial of “ibudilast” as a potential therapy for progressive MS. Scientists continue to look into lifestyle factors, as well, when it comes to treating MS and easing symptoms. In 2013, a study suggested that patients who smoke are less likely to benefit from interferon, and that dietary salt may actually make symptoms worse. 2. Restoring What’s Been Lost This area of research focuses on helping patients to regain some of the physical and
mental functions they may have lost to MS. If doctors can actually repair the nervous system, they could help patients enjoy a better quality of life. Several studies are looking into this possibility, with a Phase-2 trial investigating a therapy that would help stimulate myelin repair. Some research has shown that stem cells, along with some drugs, may have potential to grow new myelin. Lifestyle changes may also help patients recover some lost function. Studies have suggested that aerobic exercise can help improve memory, while a specific type of memory training helped people to learn new things at a better rate. 3. Ending MS Forever A global consortium has identified 48 new MS risk genes, which may one day help to prevent the disease. Other research suggests that African-American women are more likely than previously thought to suffer MS, which may help pinpoint genetic differences that play a part in who develops the disease. Eating fatty fish was also found to potentially reduce the risk of MS developing in the first place. Smoking and obesity were found to increase risk.
LOOKING FORWARD Efforts continue this year, as the Society notes it has increased its annual investment to $50 million—“because understanding and ending MS can’t come fast enough.” www.4health.net ww.4h w.
NEUROLOGIST Igor E. Cohen, MD 25 YEARS OF EXPERIENCE IN THE FIELD OF CLINICAL NEUROLOGY, NEUROPHYSIOLOGY AND PAIN MANAGEMENT t)FBEBDIFTtFBDJBMQBJOT t%J[[JOFTTVertigo t/FDL CBDLBOETDJBUJDQBJOT tNeurPQathy t&QJMFQTZBOEPUIFSTFJ[VrF EJTPrders
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Dr. Cohen participates in COURT TRIALS as an expert witness, offering expertise on neurological injuries resulting from motor vehicle accidents, work-related incidences, and other traumas. MEDICARE MA+03*/4URANCES WORKERCOMPENSA5*0/ "/%NO-FAUL5*/4UR"/$& ACCEPTED
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DON’T IGNORE SYMPTOMS OF CATARACTS
STUDY REPORTS THAT FIXING CATARACTS MAY LENGTHEN LIFE ■■■ Colleen M. Storyy Cataracts are so common these days, and so easily treated, that a lot of us don’t think twice about them. Vision getting a little blurry? We’ll get to it when we can. Ignoring the symptoms, however, and delaying treatment, can result in serious complications, and may even lead to permanent blindness. Correcting the problem, however, could actually help you live longer.
Clumps of protein collect on the lens of the eye, gradually growing and spreading until they cover a significant part of the surface, creating the cloud. That cloud then scatters the light that enters your eye, causing blurry vision. According to the National Institutes of Health, by the age of 80, more than half of Americans will either have a cataract, or will have had surgery to correct one.
SYMPTOMS GRADUALLY GET WORSE WHAT ARE CATARACTS? A cataract is a milky clouding of the lens of the eye that may develop with age, or as a result of an injury to the eye’s tissues. You can think of it like a large stain on your window.
Symptoms of a cataract include gradual vision changes. You may notice that your vision is cloudy, even when you’re wearing corrective lenses like glasses or contacts. You may find yourself more sensitive to
things like light and glare, or you may have trouble driving at night, because you see “halos’ around headlights and other lights. Colors may look different to you, taking on a yellowish hue or fading in brilliance. Double vision is another possibility. These symptoms are likely to start out small, and slowly get worse. It’s important, however, to see your doctor right away the minute you begin to notice changes.
WHY EARLY TREATMENT IS CRITICAL In September 2013, Australian researchers made an important discovery — people who had their cataracts corrected through surgery were 40 percent less likely to die than those who didn’t. www.4health.net ww.4h w.
4HEALT TH For the study, scientists looked at just over 350 people aged 49 years and older who were diagnosed with cataracts between 1992 and 2007. Some went through surgery and some did not. They then adjusted for things like hypertension, diabetes, smoking heart disease, and body mass index, and still found that those who had cataract surgery to fix the problem had a lower risk of mortality. “Our finding complements the previously documented associations between visual impairment and increased mortality among older persons,” said Jie Jin Wang, one of the lead authors of the study.
WHY CLEARING UP VISION HELPS SO MUCH Why would it be so important to fix vision problems? Researchers aren’t entirely sure yet, but they think it has something to do with the fact that those who can see well are more likely to be physically active, have greater confidence, are able to live more independently, and are more emotionally healthy than those who can’t. They are also more likely to be able to manage their prescription medications and stay on schedule with taking them. Those who don’t have their vision corrected are more at risk for injuries, as they are more likely to run into things or to trip and fall. They may be less likely to take part in social activities, which can leave them feeling depressed and isolated — both of which can increase risk of other health problems. The longer one waits to get cataract surgery, the more damage is done to the eye, which can make it harder for the eye doctor to repair everything. Bottom line — early treatment is best, for your vision and your overall quality of life.
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BASAL CELL CARCINOMA, THE MOST COMMON CANCER HOW TO CATCH IT EARLY AND TYPICAL TREATMENTS ■■■ Eliot Y. Ghatan, M.D. FRCPC Each year, about 500,000 Americans are affected with basal cell carcinoma (BCC) — the most common type of skin cancer. Indeed, this is the most common cancer in America, and fortunately the most curable one, as well, since it very rarely spreads to the inside of the body. Basal cell cancer used to affect the older population, mainly, but over the past few decades, the average age of onset of this cancer has gone down, with middle-aged and even younger people in their twenties and thirties more likely to be affected. Why is this happening?
RISK FACTORS FOR COMMON SKIN CANCER BCC is a result of sun damage to the skin. The effects are permanent and build up slowly over time. Usually sun exposure and sunbathing produce gradual skin damage even if sunburn is avoided. It takes 10, 20, or more years from the time of sun exposure to the time when signs of sun damage become apparent. Hence, teenage sun worshippers often pay dearly for their fashionable tans when they reach their 40s or 50s. The damage done by the sun is not reversible. Recent research has revealed that college educated young people who go on intense weekend vacations in the Sun Belt are at the greatest risk of developing skin cancer later in life. As chronic overexposure to sun is the most common cause of BCC, one most commonly finds this tumor on the exposed body parts, i. e. the face, ears, neck, scalp, shoulders, and back. People with fair skin, light hair and
blue, green, or gray eyes are at the highest risk. Naturally, anybody who works outdoors or spends a great deal of leisure time outdoors is also at a higher risk.
SIGNS OF BCC You may be able to detect BCC early if you should notice any of the following five most characteristic and typical symptoms: 1. An open sore that bleeds, oozes or crusts, and does not heal after three or more weeks. 2. A reddish patch that sometimes crusts, or may itch or hurt, or may have no symptoms at all. Most frequently seen on the chest, shoulders, arms or legs. 3. A smooth growth with an indented center and a rolled, elevated border. With its slow growth, tiny blood vessels may develop on its surface. 4. A shiny bump, or nodule, which is often pink, red or white in color, and is pearly or translucent. At times it looks tan, black or brown and may be mistaken for a mole. 5. A scar-like area, with poorly defined borders and a white, yellow or waxy appearance.
STANDARD TREATMENT FOR BCC There are many effective ways of treating BCC. The treatment modality needs to be individualized and tailored to the specific situation of each patient, however. Excisional surgery is a common modality of treatment in which the entire tumor and an additional piece of skin (safety margin) is removed. The resulted wound is then stitched together. Microscopically controlled surgery (Moh’s surgery) is used for frequently recurring tumors, and for tumors in difficult locations, i. e. the nose, ears, and eyes. In this method,
thin layers of the tumor are removed and checked under microscope. This is repeated until tumor-free tissue is obtained. This method has the highest curable rate, and saves the greatest amount of healthy tissue. Naturally, it is more time consuming and requires specialized centers, so it’s more expensive. Other forms of treatment include: ■ scraping the tumor and burning a safety
margin around it with an electrical needle ■ cryosurgery (extreme cold therapy to destroy abnormal or diseased tissue), ■ X-ray therapy, ■ laser surgery, ■ topical medication (Aldara), ■ photodynamic therapy (use of special drugs and light therapy), ■ and injection of interferon. People who have BCC have a greater chance of getting a recurrence or developing a new tumor than those who have never had it. Thus it is very important to get check ups with your dermatologist. Finally, to minimize the risk of developing skin cancer, protect your skin from the sun’s harmful rays. Wear protective clothing and use sunscreens with a SPF (Sun Protective Factor) of 30 or above. SUN SAFETY TIPS: Avoid sun exposure between 10Am-4PM; wear sun protective clothing (wide brim hat, long sleeve shirts, sun protective swim wear [UPF 50], sunglasses) when outdoor; Sun screen 15 minutes before going outside, at least SPF30 (even on cloudy day), reapply every 2 hours after swimming or sweating, don’t forget scalp (if exposed), ears, neck, feet. www.4health.net ww.4h w.
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YOUNGER WOMEN WHO ARE INCONTINENT AT RISK FOR DEPRESSION HOW YOUR DOCTOR CAN HELP ■■■ Colleen M. Storyy According to the National Association for Continence (NAFC), urinary incontinence (UI) affects about 200 million people worldwide, including about 25 million adult Americans. An estimated 75–80 percent of these are women. When we think of urinary incontinence, we may think that it affects mainly the senior population, targeting individuals who are 60 years or older. Though it’s true that on the whole, older people are more likely to suffer UC than younger people, it can still affect both middle aged and younger women. When it does, it can cause even more serious complications, making it important for individuals of any age to ask their doctors for help.
WHAT IS URINARY INCONTINENCE? Urinary incontinence means a loss of bladder control. There are levels of severity, however. For some women, they “leak” only when they sneeze, cough or laugh — a type of UI called “stress urinary incontinence.” Others may lose complete control, to where they need to wear protective undergarments. Still others may experience constant, intense urges that send them rushing to the bathroom every five minutes. Other symptoms of UI include constant dribbling of urine, continuous leakage, a weak stream of urine, and a mixture of these and other symptoms.
WHEN UC ATTACKS YOUNGER WOMEN In June 2013, scientists published a study indicating that middle-aged women (43– 65) who suffer from UI are more likely to suffer from depression than older women. Researchers explained that younger women are not prepared for the symptoms, and tend to suffer a harder hit to their self-esteem. “The most common difficulties women express about their incontinence,” said researchers Jodie Avery, “are things like: “I can’t play netball,” “I can’t go to the gym,” “I can’t go for walks,” or “I can’t go dancing,” and these are real issues for women who are still in the prime of their lives.” Why would women of this age have difficulty with UI? Doctors note that the condition may develop because of a number of things, including pregnancy, childbirth, some medications, bladder irritation, urinary tract infections, hysterectomy, painful bladder syndrome, bladder stones or bladder cancer, neurological disorders (like multiple sclerosis or Parkinson’s), or an obstruction somewhere along the urinary tract.
WOMEN 16 TO 30 YEARS OLD AFFECTED, TOO It’s not just middle-aged women that may be affected by the psychological effects of UI. Women aged 16 to 30 may be, too. According to a 2012 Australian study, even young women who have never been pregnant can suffer from the condition — about one in eight reported they had experienced it.
At this young age, psychological well being was also affected. Researchers noted that younger women were subject to “greater distress and restriction in activities from UI than older women.”
HOW TO FEEL BETTER If you’re experiencing UI or feel an unusual urge to go to the bathroom on a frequent basis, check with your doctor. There are a number of potential reasons why you may be affected, and since some can be threatening to your overall health (such as bladder stones or urinary tract infections), it’s important to make sure you have control over the situation. What if you’re embarrassed to talk about the condition? The Urology Care Foundation has put out a great tool called “Talking to Your Doctor About SUI,” which will give you some tips on how to get the conversation started. (Simply Google the title and it will come up.) Tip: use easy words, like “I’m having bladder problems’ or “I go too much.” All you have to do is breach the subject, and your doctor will likely take it from there. Tell him or her your symptoms. In fact, if you can keep a diary for about a week before your appointment, that will be very helpful. There are a number of treatments available, including physical therapy, medications, medical devices, and more. You don’t have to suffer depression, stress, or a lower quality of life. Make your appointment today.
OLDER VETERANS BENEFIT FROM COGNITIVE THERAPY FOR DEPRESSION WHY IT’S NEVER TOO LATE TO GET HELP
■■■ Colleen M. Storyy The National Alliance on Mental Illness (NAMI) states that about 14 percent of our U.S. veterans struggle with depression, and that many of them are not diagnosed with the disorder, and thus end up suffering without treatment. This can be especially true of older veterans. They grew up in a time when it was considered taboo to seek therapy. Many felt they had no choice but to bottle up their feelings and suffer in silence, or worse, turn to drugs and alcohol to numb the pain. Now, the results of a new study show that older veterans — just as much as young ones — can benefit from cognitive therapy. Researchers are hoping this will encourage more people to get the help they need, so they can enjoy a higher quality of life.
STUDY FINDS THAT COGNITIVE THERAPY HELPS For the study, researchers analyzed over 800 veterans, about 100 of whom were 65 years of age or older. All were seeking treatment with the Veterans Health Administration. They then evaluated the effectiveness of a type of cognitive behavioral therapy created specifically for veterans struggling with depression. The program involved about 12 to 16 individual therapy sessions. Nearly 70 percent of the veterans completed the program, or finished early
because they were feeling better. Results showed that overall, patients both young and old experienced a 40 percent reduction in symptoms of depression. In the past, few older adults have used mental health services for conditions like depression, which can lead to complications like poor quality of life, increased mortality, and increased suicide rates. “Depression among veterans is, generally speaking, about the second most common mental health diagnosis among individuals who are seeking treatment within the VA health care system,” lead author Dr. Bradley Karlin told Fox News.
OLDER VETS LIKELY TO BE SUFFERING Depression and other forms of mental illness have become even more of a concern as the older adult population continues to grow. The NAMI states that older adults make up the fastest-growing segment of the total population. The percentage of older vets was about 38 percent of all vets in 1999, but its expected to continue climbing. Yet researchers state that older adults are substantially less likely to see help for mental illnesses, for many reasons. Besides the belief systems they grew up with, they may also be more likely to think their depression is just a side effect of aging, or to believe that therapy won’t help anyway. Doctors, as well, can fall into the habit of ignoring depression in older patients. Studies
have found they are less likely to refer them for therapy than they are younger adults. Meanwhile, studies over the past few decades have revealed specific medications and treatments that are particularly effective for seniors. Cognitive behavioral treatment (CBT), for example, is one option that has shown to really help patients improve their symptoms and their lives. Researchers point to the low drop-out rate — only about 20 percent in this study, which was similar among older and younger adults — noting that older veterans must have found the therapy useful if they stayed with it.
GET HELP NOW Depression is a serious illness that can really ruin your life. If you’re struggling with symptoms like sadness, emptiness, loss of interest in activities, sleep disturbances, anxiety, angry outbursts, or feelings of guilt, or if you’ve had thoughts of suicide, talk to your doctor. Ask for a recommendation of a therapist who is experienced in dealing with issues experienced specifically by veterans, and give therapy a try. A few sessions could make a big difference on your day-to-day experiences, and could also help you find a way to live with more peacefully with your military experience. If you have a loved one who is experiencing these symptoms, talk to your doctor about how you may be able to help. www.4health.net ww.4h w.
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| Plastic la i Surgery S g y
EARS LOOKING ABUSED? FIX THEM! EARLOBE REPAIR TAKES ONLY 30 MINUTES IN OUTPATIENT PROCEDURE
Roman RAYHAM, MD SPECIALTY: Plastic and Reconstructive Surgeon
CERTIFICATION: Board-certified, American Board Board-certified of Surgery and American Board of Plastic Surgery Surgery.
TRAINING & EDUCATION: SUNY Downstate College of Medicine Medicine, Staten Island University Hospital (Residency), (Residency) Training at Mayo Clinic, Clinic Post-graduate fellowship at New York Eye and Ear Infirmary Infirmary.
MEMBERSHIPS: American Medical Association Association, Medical Society of the State of NY, NY Medical Society of Kings County, County Arnold Society Society, Priestley Society Society.
CONTACT: 1616B Voorhies Ave., Ave Ste. Ste B Brooklyn NY 11235 Brooklyn, 161 Madison Ave Ave. Ste. Ste 11W New York, NY 10016
((877)) 582-0400 www.NYPlasticSurgeryCenter.com g
LANGUAGES: ENGLISH • RUSSIAN
Jenny had been what her mother called a “rebellious’ teenager. She loved to go out with friends and assert her independence. At one point, she decided to try earlobe stretching. It was fun at first. She gradually created larger and larger holes in her ears, which accommodated the types of jewelry that she thought fit her image. Unfortunately, when Jenny got older and entered the job market, she wasn’t so thrilled with her decision. She wanted to appear professional and ace her interviews, but she felt the holes in her ears were holding her back. She tried covering them with her hair, but inevitably her earlobe would show, and she’d feel embarrassed. Like Jenny, you may have abused your ears as a teen, or maybe you accidentally tore an earlobe. If you’re in your senior years, maybe you’re unhappy with how your earlobes have stretched out of shape. Now, you can regain your confidence with a simple procedure called “torn earlobe” or “split earlobe” repair. Plastic surgeon Dr. Rayham of the RR Plastix/ New York Plastic Surgery Center performs these procedures often, and states that he can do them in his office, with no need for sedation or general anesthesia. For this reason, most anyone with a torn or split earlobe is eligible for the procedure, so don’t wait — you can feel better about yourself in a matter of days! New Fads Creating More Deformed Earlobes Requests for earlobe repairs are increasing. In the past, it was mainly accidents and big earrings causing the problem, today, there is an increase in “ear stretching,” where creating a large hole in the earlobe has become more popular among young people. According to a BBC News report, as ear stretching becomes more mainstream, plastic surgeons are seeing more lobe damage. “They may think it’s cool when they’re teenagers,” Dr. Rayham says, “but then when they get older and they find themselves in the professional workplace, they often change their minds. At that point, they need someone to help them fix those large holes in their ears.”
Elderly women, as well, may notice that their earlobes have stretched and drooped over time, which can affect their self-confidence and make them feel older than they are. It may also make their earrings look less attractive than they used to. What are the Options? Also called a “lobe job,” earlobe repair relies on the surgeon’s skill to reposition and rebuild the delicate tissue so it looks more like it should. Depending on the deformity, the doctor may choose different ways to go about the repair. If your earlobe was torn, for instance, like Jenny’s, he may simply close it back and rearrange the tissues so that as the ear heals, it will eventually be able to support earrings again. If the ear is more seriously deformed or has a larger hole, the doctor may stitch it back together, and can inject a cosmetic filler to plump it up and firm it if necessary. You can even have the size of the earlobe reduced if you want to. Whatever your particular earlobe damage, you can talk to the doctor about your options. How Long Does It Take? The procedure usually takes about 15–30 minutes per lobe, depending on the extent of repair required. The doctor uses a local anesthetic, so you’re likely to feel no pain outside of the initial injection of the numbing solution. Healing usually takes about a week or so, though the earlobe will continue to get stronger after that. What if you still want to wear jewelry? Tell your doctor beforehand. He may be able to leave a hole for earrings during the procedure, but as it will be weak initially, Dr. Rayham recommends that you wait for about six weeks before trying small posts again. You can wear clip-ons during that time if you like. If it’s not possible to leave a hole in the lobe (because of repair requirements), you’ll need to wait at least six to nine months before repiercing to give the lobe adequate time to rebuild its strength and cohesiveness. www.4health.net ww.4h w..
NY PLASTIC SURGERY CENTER
AESTHETIC PLASTIC & RECONSTRUCTIVE SURGERY www.NYPlasticSurgeryCenter.com
Advanced clinical and surgical expertise, artistic vision, and exceptional patient care are all at the heart of our practice.
1-877-582-0400 FACE Rhinoplasty Face Lift (Rhytidectomy) Brow Lift Eyelid Surgery (Blepharoplasty) Facial (Chin and Cheek) Implants Ear Surgery (Otoplasty) Torn Earlobes Repair Dermabrasion
MANHATTAN: 161 Madison Ave., Ste. 11W New York, NY 10016
BROOKLYN: 1616B Voorhies Ave., Ste. B Brooklyn, NY 11235
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Diplomate of the American Board of Surgery Diplomate of the American Board of Plastic & Reconstructive Surgery. RR Plastix NY Plastic Surgery Center
ROBOTIC SURGERY FOR HYSTERECTOMY? PROS AND CONS SOME STUDIES SHOW CONCERN— CHECK WITH YOUR DOCTOR FIRST
■■■ Gordon Barclayy We love the idea of robots in America. They help us in manufacturing, space travel, defense, and yes—even healthcare. In 2000, the FDA approved the da Vinci Surgical System robot, and since then, it’s been used in more than 20,000 surgeries. According to Intuitive Surgical, the manufacturer, the robot—which is operated remotely by a surgeon—allows for smaller, cleaner incisions, more precise work, and faster recovery than traditional or laparoscopic surgery. Over the past few years, however, the surgical robot has been linked with serious injuries, raising concerns about its effectiveness for certain procedures. As recently as December 2013, it was reported that patients who went through hysterectomy experienced more pain after the operation if they went through robotic surgery than if they went through a laparoscopic procedure.
WHAT IS THE DA VINCI ROBOT? The da Vinci has four robotic arms, each with different operating tools that are used on the patient. The surgeon operates these arms from a separate console that contains a highdefinition viewing system. He watches the operation site with this system while making the appropriate incisions and performing the rest of the surgical procedure. Because the robot is capable of a large range of motion (greater than the human wrist, according to the manufacturer), and because it is machine operated, it can perform the sur-
gery through very small incisions, which are intended to result in less pain, blood loss, and scarring, as well as a reduced recovery time.
STUDY FINDS MORE PAIN ASSOCIATED WITH ROBOTIC HYSTERECTOMIES The da Vinci is regularly used in several routine operations, including hysterectomies, bladder surgery, gall bladder removals, gastric bypasses, and thyroid cancer operations. Some studies have suggested that the robotic option may not always be better than laparoscopic options, however. According to OBGYN News, a study review performed by Dr. Megan Wasson and colleagues examined 353 women who went through a minimally invasive hysterectomy between 2009 and 2012 at the Christiana Care Health System in Wilmington, Delaware. A total of 116 went through a laparoscopic procedure (in which the surgeon makes a small incision and uses a tiny camera to guide his movements), and 237 went through robotic hysterectomies. Results showed that women who had undergone robotic surgery took more pain medication after the surgery was over than those who had gone through laparoscopic surgery. In Other Studies Raise Questions There have been other studies, as well, that have illuminated some concerns with robotic hysterectomies. In May 2013, for example, researchers compared the time it took to actually do the operations—both robotic and laparoscopic—and found that while both seemed to be safe approaches, the robotic-assisted
hysterectomy required “a significantly longer operative time.” Another study published in 2013 compared the two operations, and concluded that both created about the same results, but that robotic-assisted hysterectomy was significantly more expensive. The lead researcher noted that unless other studies could come up with different results, “I cannot definitely state the superiority of robotic over conventional hysterectomy.” Prior to that study, the American Congress of Obstetricians and Gynecologists (ACOG) stated in March 2013, the American Congress of Obstetricians and Gynecologists (ACOG) issued a statement saying though there are some advantages in using robotic surgeries in complex procedures, “studies have shown that adding this expensive technology for routine surgical care does not improve patient outcomes. Consequently, there is no good data proving that robotic hysterectomy is even as good as—let alone better —than existing, and far less costly, minimally invasive alternatives.”
WHAT IF YOUR DOCTOR SUGGESTS ROBOTIC SURGERY? If you’re facing a hysterectomy and your doctor suggests a robotic surgery, ask him to help you evaluate the pros and cons. Though robots are likely to become even more effective in the future, they may or may not be the best option for you now. Remember that the ultimate decision is yours. www.4health.net ww.4h w.
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MY DOC RECOMMENDED BUNION SURGERY — SHOULD I DO IT? EXAMINING 3 MYTHS OF BUNION SURGERY
■■■ Colleen M. Storyy Your doctor has suggested surgery for your bunion, but you’ve heard the horror stories. It’s extremely painful. You’ll have to take a ton of time off work. You’ll have lasting scars, and after all that, the bunion will probably come back anyway. Should you believe the rumors, and continue to live in pain, or agree to the surgery?
WHAT IS A BUNION? The American Podiatric Medical Association (APMA) states that a bunion is a bump on the joint at the base of the big toe. You can also think of it as a sort of malformation, where the bone or tissue at the joint actually moves out of place, bending the big toe inwards so the bone pokes out. Bunions develop over time, as the big toe joint is forced to consistently bear more weight than it’s designed to hold. The pressure wears the joint down, and eventually it becomes unstable, producing the hard knob that juts out. What causes this instability? It may develop for a number of reasons. Bunions run in families because of problems in the way the foot is formed. Foot injuries can cause problems in the joint that lead to instability and the formation of bunions. Other potential causes include low arches and flat feet, arthritis, and excess pressure on the feet, such as that which may occur in dancers and other athletes.
Whatever causes the problem, all sufferers agree they are painful. In addition to the unsightly bump, they can be red and swollen, and may cause difficulty walking.
WHEN SURGERY MAY BE NECESSARY Identifying bunions in their early stages can result in early treatment that relieves pressure on the joint and halts the formation of the bunion. Medication, physical therapy, and orthotics may all help at this stage. Once the bunion is fully formed and causing problems, however, the typical treatment is surgery. The goal is to relieve the pain and restore better function to the foot. Depending on the extent of the joint damage, surgeons may simply remove the swollen tissue around it, shave away part of the bone, realign the bone between the back part of the foot and the big toe, or fuse the bones of the affected joint together to provide more stability.
ISN’T IT REALLY PAINFUL? Though surgery is usually a last result, if your doctor recommends it, it’s likely to be the best option for you. “But isn’t it really painful?” you may ask. Yes, it’s likely to be uncomfortable, but not necessarily more so than other surgeries. The problem with foot surgery is that we need to use our feet. It’s very difficult to live our lives without being on our feet a lot! So the recovery can feel long and inconvenient. The foot is also below the heart, which means that gravity carries the blood down to it, potentially increasing the feeling of “throbbing.” Skin and tissue around the toe
joint and at the bottom of the foot is thin, so you may feel more discomfort there as the muscles and tissues work to heal. Talk to your doctor. Pain medications usually help a lot, as will time off your feet. Together, you can come up with a plan that should help with your recovery.
WILL I HAVE TO TAKE A LONG LEAVE OF ABSENCE? This depends on your job. If you have a sitdown position that doesn’t include driving, you can likely return within a couple weeks. If you have to be on your feet a lot, however, you may, indeed, need a medical leave of absence. Plan on a couple months. Again, check with your doctor and your employer. It may be possible to swap tasks with one of your coworkers while you’re recovering.
WILL THE BUNION RETURN? Some people have experienced recurrence, but you can take steps to reduce your risk. First, be sure to go to a doctor who has a lot of experience in bunions. He or she is likely to know which type of surgery will give you the best outcome. Second, find out what you can do after the surgery to reduce your risk of recurrence. Orthotics, for example, can help stabilize your foot so you’re not putting so much pressure on the joint. Surgery is always a big decision. If your bunion is causing you to drop out of activities you used to enjoy, however, or is otherwise interfering with your life, it may be the best decision. www.4health.net ww.4h w.
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VARICOSE VEINS — JUST UNSIGHTLY, OR UNHEALTHY? WHEN YOU MAY WANT TO SEEK TREATMENT y Merrell ■■■ Lynn
In the warm summer months, it feels so nice to throw on the shorts, skirts, and sandals. If you have varicose veins, however, you may feel embarrassed. They just aren’t attractive, you think. Someone close to you may suggest you get them fixed, but you’re not sure. Should you really go to all that trouble for just a cosmetic issue? Turns out that varicose veins are typically more serious than that. Here’s how to tell if treatment is something you need — for your health, rather than your appearance.
WHAT ARE VARICOSE VEINS? You probably already know what they look like. Those swollen, gnarled, twisting veins snaking their way down your legs are actually unhealthy blood vessels that are malfunctioning. Veins are like pipes in your body that carry blood from your tissues back to your heart, where it picks up oxygen and flows back out again through your arteries. All veins have little valves — like doorways — that open and shut to allow blood to pump back to the heart, but stop it from falling back down toward the ground because of the force of gravity. Varicose veins have damaged valves, and no longer work properly, allowing the blood to back up and pool where it doesn’t belong.
WHAT ARE THE SYMPTOMS? In addition to the unattractive appearance, varicose veins can cause other symptoms, including an achy or heavy feeling in the legs, itching, muscle cramping, pain after standing a long time, and sometimes, open sores on the legs or ankles that take a long time to heal. Though elevating your legs and wearing compression stockings can help you manage any symptoms, over time, varicose veins can cause unhealthy complications like bleeding, ulcers, pain, and swelling. The Cleveland Clinic notes that when the malfunctioning valves allow blood to stagnate, it can cause painful blood clots, and if you happen to have poor circulation, one of these clots could break off, travel to the lung and cause a potentially life-threatening condition known as a “pulmonary embolism.” If you suffer from swelling in your legs, you could also be at risk for fungal and bacterial infections in the tissues.
WHAT IF I WANT TO FIX THEM? You can talk to your doctor about your options. Sometimes compression stockings are all you need to feel better. There have been a number of improvements in treatment, however, which may encourage you to fix the veins, both for your health and your appearance.
The best approach is to seek the advice of a vascular surgeon. You may be a candidate for minimally invasive treatments that involve injecting a solution into the vein, after which it closes and gradually fades away. Such treatments usually last no more than 30 minutes, and provide for a fast recovery. You may need more than one depending on your specific condition, but you still may find the results help you to feel and look much better. Laser surgery is also available for smaller varicose veins, where a strong burst of light applied through a very small incision in the groin area helps close and fade the vein. More serious cases can be treated through a procedure called “endoscopic vein surgery,” in which the surgeon uses a small camera to see the vein, and then removes it through small incisions. This is also an outpatient procedure.
INSURANCE MAY COVER IT IF YOU HAVE SYMPTOMS You don’t have to live with varicose veins if you don’t want to. Seek out a qualified physician, and ask if you can get insurance coverage for the treatment. Though most insurance types won’t pay for cosmetic procedures, if you’re suffering from bleeding, ulcers, or other problems, you may not have to pay for treatment out of pocket.
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GET RID OF PAINFUL VARICOSE VEINS DURING YOUR LUNCH BREAK USA VEIN CLINIC PROFESSIONALS DISCUSS CUTTING-EDGE TREATMENTS A lot of us have heard about vein problems, but may be confused about what they are, how dangerous they can be, and when it’s best to seek treatment for them. To help clear up the confusion, we asked leading specialists at USA Vein Clinics to answer some of our questions. Q. What is venous insufficiency? Can it be dangerous? A. Venous insufficiency is when your leg veins cannot pump enough blood back to your heart. Veins in the lower parts of your legs are usually affected. Early detection is a challenge—quite often it takes years for this disease to show its ugly face, and by that time it could be very dangerous. Complications can include deep vein thrombosis, bleeding, and phlebitis, but some patients can also get ulcers, serious inflammations and even cancer. Q. We’ve heard vein stripping is a common treatment. Is that performed in your office? A. Stripping is commonly performed on superficial veins. The doctor makes a small incision in the groin area, and usually another one in the calf, then disconnects and ties off all veins associated with the saphenous vein—the main superficial vein in your leg. But since the newer laser intravenous treatment was introduced, stripping is no longer the best choice. Laser treatment is 100% effective and does not require surgery. Q. Spider veins are notorious for looking unattractive and stubbornly resisting treatment. What is your approach to spider veins?
A. Spider veins appear alongside with vein insufficiency, so they are, so to speak, “allies” of the veins affected by the disease. To get rid of them, doctors need to find and treat the main source of the problem—the malfunctioning vein. If it’s treated properly, spider veins disappear, never to come back. Q. Physical exercises—are they good or bad for your veins? A. Moderate physical activity is great for your veins! There are no specific types of exercises that target the venous system, but walking, cycling, jogging, swimming, and most any other aerobic activity is very beneficial. Those who have already been diagnosed with poor veins should avoid heavy lifting and strenuous exercise, but can still benefit from regular walking. Q. What about crossing your legs while sitting, bright sun exposure, or wearing high heels? Will any of these things cause vein disease? A. None of these factors contribute to vein insufficiency development. But when you already havee vein problems, it’s more challenging (and often painful) to wear high heels, and crossing your legs can become uncomfortable. As for sunlight, only after certain procedures like sclerotherapy do people need to avoid sun exposure to prevent possible skin pigmentation. Q. What is sclerotherapy? A. Sclerotherapy is an injection therapy that fixes small veins. The doctor introduces various liquids
into the vein to either fix or completely eliminate it. This procedure is helpful only when the main vein problem is treated. Improperly done, sclerotherapy could even lead to deep vein thrombosis (DVT), which is a very serious disease. Q. Tell us more about DVT. A. DVT can be very serious. Illness, injury, vessel damage, and inactivity can all slow blood circulation, causing blood to “pool.” This stagnating blood creates an ideal environment for a clot to form. Without proper and timely treatment, DVT can sometimes lead to life-threatening complications. Fortunately, with increased awareness of symptoms and patient risk factors, DVT can be diagnosed early and treated successfully. Q. For a patient with any of these vein issues, what is the best course of action? A. The best and shortest way to an effective treatment is to get an accurate and timely diagnosis. USA Vein Clinics is well known and highly recommended in New York, Chicago, Boston and now, in Los Angeles. We perform all the tests you need for correct diagnosis, and then we custom create your treatment to fit your needs. There’s no reason to put off consultation—if you’re having pain or discomfort in your legs, or know you have vein problems, put your faith into the hands of the professionals at USA Vein Clinics. Call 718-764-1687 or go to www.USAVeinClinics.com to schedule a consultation. www.4health.net ww.4h w..
Vasscular l Surgery r r | 4HEALTH HE L H37
YOU’RE IN TRUSTED HANDS
SPECIALTY: USA Vein Clinics has eight-of-the-art centers specializing in the treatment of venous disorders disorders. Their expert cardiovascular physicians have cured over 10 10,000 000 patients nationwide nationwide.
INSURANCE: The EVLT treatment is covered by MEDICARE and most INSURANCE PLANS up to 100% 100%.
(718) 764 764-1687 1687
Dr. Yan Katsnelson was named an American Heartsaver in 2002. He has numerous honors and awards both in his clinical and scientific work. Dr. Yan Katsnelson was the youngest person in Israel to perform heart surgeries – at 23 he was already performing complex open heart surgeries. Dr. Yan Katsnelson saved thousands of lives.
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New York 2511 Ocean Ave., Ave Ste. Ste 102 Brooklyn NY 11229 Brooklyn, 2444 86th Str., Str Ste. Ste A Bensonhurst, NY 11214 116-02 116 02 Queens Blvd Forest Hills, NY 11375 1153 First Avenue, Avenue Manhattan NY 10065 Manhattan, New Jersey 766 Shrewsbury Ave., Ste. 300 Tinton Falls, NJ 07724 Boston 1208 «B» VFW Pkwy., Pkwy Ste. Ste 300 West Roxbury, MA 02132 Chicago 3927 W Belmont Ave Ste 103 Chicago, IL 60618 800 Biesterfield Rd Ste 201 Elk Grove Village, IL 60007 4141 Dundee Road Northbrook, IL 60062
LANGUAGES: Armenian, Chinese Armenian Chinese, Farsi Farsi, Greek Greek, Hebrew Lithuanian Hebrew, Lithuanian, Korean Korean, Polish, Polish Russian, Spanish and Ukranian
LEAVE YOUR DESCENDANTS AN INHERITANCE WITH A BLOODLINE TRUST WHY A TRUST IS THE BEST WAY TO PROTECT YOUR FUNDS One of the most frequent topics in my estate planning seminars is a dynasty trust (also called a bloodline trust). A bloodline trust is a trust that lasts for few generations through which you can leave your descendants their inheritances. It has many benefits over a traditional estate plan.
■■■ Viktoria Beress, Esqq BENEFITS OF A TRUST The benefits of establishing a trust for your children’s inheritances are: Assets are protected from your children’s spouses. In a traditional estate plan, if you leave a child an inheritance and that child later gets a divorce, his or her ex-spouse will likely receive a portion of the inherited assets. This is because in real life, inheritances are almost always mixed with “marital assets,” which leaves them open to equitable distribution in a divorce. In addition, any income earned on the assets that your child does retain may end up being paid to the ex-spouse in the form of alimony or child support. Use of a bloodline trust can eliminate all of these negative consequences. Assets are protected from financial calamity. In a traditional estate plan, if you leave a child an inheritance outright and the child later gets into financial trouble, those assets may be seized by creditors. With a bloodline trust, however, those assets can be protected. Assets are protected from double (or triple) taxation. When you pass away, your assets are included in your “taxable estate,” and as such, are subject to New Jersey/New York
and federal estate taxes. The New Jersey estate tax applies if the total of all of your assets (including your home, life insurance, retirement accounts, and all other assets) exceeds $675,000. New York and Federal estate tax applies if the value exceeds $5.25M (adjusted each year for inflation). However, in New York, if your assets reach $5.25M, the tax will be imposed on the entire $5.25M. With a traditional estate plan, not only are those assets subject to estate tax at your death, but when your children die, any remaining assets will be subject to estate tax a second time when they pass the inheritance down to your grandchildren, and potentially a third time if any assets pass down to great-grandchildren. With a bloodline trust, this double or triple taxation can be eliminated completely.
HOW DO THESE TRUSTS WORK? Now that we went over the benefits, we can talk about how these trusts work. Upon your death (or the death of both you and your spouse, if married), your assets are split among your children in a manner that you decide in your Will. But instead of each child receiving his or her share outright, each child’s share is put into a separate trust for his or her benefit.
You can allow your child to be trustee of his or her own trust if you so desire, or you may choose a third party trustee like a bank or trust company. During your life, you can be a trustee of the trust, and your children can step in as successor trustees in the case of your incapacitation or death. Regardless of who is trustee, the trustee may invest trust assets. The trustee may also purchase assets in the name of the trust for use of your child. If your child is trustee, he or she may also withdraw assets from the trust for his or her “health, education, maintenance, and support.” If a divorce or other financial trouble is on the horizon, at that point your child resigns as trustee or appoints a co-Trustee to serve. That’s when the protection “kicks in.”
CONTACT US FOR MORE INFORMATION These trusts have become increasingly common as parents seek to protect their children from both divorce and double taxation. If you’re interested in setting up a trust, contact estate-planning attorney Viktoria Beress at Beress & Zalkind at (212) 390-0325 and ask about proper estate, tax and asset protection planning that will work for you. www.4health.net ww.4h w.
ANCIENT THERAPY GAINING NEW POPULARITY IN WESTERN MEDICINE ACUPUNCTURE – YOUR QUESTIONS ANSWERED. PART 2 g L.Ac ■■■ Ada Kulagina,
Are There Any Side Effects to Acupuncture? After an acupuncture treatment, you will be advised to rest and drink extra water. Most people feel very relaxed and energized afterwards. On occasion, you may experience a small bruise where a needle was inserted. What Can I Expect from An Acupuncture Treatment? You will meet with a professional practitioner for an in-depth conversation about your signs and symptoms and your comprehensive health history. You may be asked some questions about your diet, exercise, and lifestyle. The acupuncturist will then insert the needles and leave you to rest for 15 to 30 minutes. There may be an occasional adjustment of needles.
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In some cases, you may also receive electrical stimulation through the needles (see next question). You can choose other treatments as well, such as gua sha, Moxibustion (MOXA), or cupping, as these can be performed at the same time as acupuncture. Undressing is seldom necessary for acupuncture treatments, but you should wear loose, comfortable clothes. At the end of the treatment, your practitioner will discuss your treatment, provide nutritional advice, and go over the plan for your continuing acupuncture treatments. What is Electro-stimulation? Electro-stimulation uses small electrodes attached to acupuncture needles to send an electrical impulse into the muscle. It is most often used for musculoskeletal pain and paralysis. The acupuncturist will insert 2-6 nee-
dles in an area and attach electrodes. You will feel a mild pulsing in time with the electrical impulse. It is not painful or uncomfortable. If you experience pain or discomfort, advise your acupuncturist, who will adjust the strength of the impulse to a more comfortable setting. What is Gua Sha? Gua Sha is a treatment that is used primarily for early cold symptoms or tightness in large muscle groups. This technique involves using a dull-edged device to gently scrape the skin, usually the upper back and neck. It is not painful. There is no bleeding or scabbing. You may experience some slight bruising that will last 1 to 3 days. Following treatment, you will be advised to keep the area covered and avoid windy conditions for a day or two.
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Large beautiful space in the brand new dental office available for rent. Walk-in basement, nice and spacious, for medical practice or esthetician/beautician. Call (718) 376-1090 (917) 400-5300
Call us if you need Mobile Ultrasound Services: Echo, Vascular and General Ultrasound. (917) 750-2275
Ultrasound technologist with five years of experience available for part time. Telephone (917) 412-3797
DENTAL OFFICE for sale (in practice since 1996). Very good location. Call (718) 376-1090 (917) 400-5300
Medical office seeks a Russian-Speaking Registered Nurse Practitioner. Please submit your resume to email@example.com
Established Colon Hydrotherapy Business for SALE located in medical building complex in Bay Ridge. Includes 4 treatment rooms that are furnished and fully equipped, spacious client waiting area, reception office, two bathrooms and plenty of storage space. Business is fully operating and ready to be taken over. Seller has expanded the family and relocating to another State. Call (347) 439-6736 Credit Card Processing Services: Free terminal with setup NURIT 2085. Low Rates â€” 1.67%. Free setup. Free plug-in to your software (billing). Free evaluation of your current statement . Free customer support 24/7. FREE online access. Call now (866) 573-0604 ext 706
Internist in Brooklyn is seeking a physician (family practice / internal medicine) and physician assistant to join his busy practice (part time / full time). Please, e-mail resume to firstname.lastname@example.org oR fax (718)743-0893
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ALLERGY & IMMUNOLOGY
Lev BARSKY, MD 728 Oceanview Ave, Ave Ste 1 Brooklyn NY 11235 Brooklyn,
Dmitry EPELBOYM, DDS th
Nataliya SAFONOVA, DDS
7708 4 Ave Brooklyn NY 11209 Brooklyn,
2211 Ocean Ave Brooklyn NY 11229 Brooklyn,
(718) 376-1090 (800) 801-0603
Leonard LEVITZ, MD
Victoria ALEKSANDROVICH, MD
Yana SHTERN, MD
1749 E 16th St Brooklyn NY 11229 Brooklyn,
3080 W 1st St, St Ste 102 Brooklyn NY 11224 Brooklyn,
1642 W 9th St Brooklyn NY 11223 Brooklyn,
321 Edison St Staten Island, NY 10306
321 Edison St Staten Island, Island NY 10306
(718) 980-2525 ENDOCRINOLOGY NEUROLOGY
Abraham ESSES, DDS 2245 Ocean Ave Brooklyn NY 11229 Brooklyn,
Raisa SHEKHTMEYSTER, DDS
Tatyana GIRSHIN, MD
332 9th St Brooklyn NY 11215 Brooklyn,
248 Ave P Brooklyn NY 11204 Brooklyn,
(718) 832-1222 www.azdental.com
148 New Dorp Ln Staten Island, Island NY 10306
Iraklii BUZIASHVILI, MD
2844 Ocean Pkwy Brooklyn NY 11235 Brooklyn,
Igor COHEN, MD 80 15 Main St, 80-15 St Ste 1A Jamaica, NY 11435
Vladimir LEMPERT, DMD 3037 Ave U Brooklyn NY 11229 Brooklyn,
Don BANDARI, MD
Stephanie YAMPOLSKY, DDS
Lilia LEVITZ, MD
19 West 34th St, St Ste 1201 New York, York NY 10001
1749 E 16th St Brooklyn NY 11229 Brooklyn,
DENTISTRY - ORTHODONTICS
1664 E 14th St, St Ste 101 Brooklyn NY 11229 Brooklyn,
321 Edison St Staten Island, NY 10306
1642 W 9th St Brooklyn NY 11223 Brooklyn,
Lucia AVANY, MD
(718) 375-4747 321 Edison St Staten Island, Island NY 10306
2960 Ocean Ave, Ave Fl 3 Brooklyn NY 11235 Brooklyn,
DENTISTRY - GENERAL
Yekaterina LEVIN, DDS 7000 Bay Pkwy, Pkwy Ste C Brooklyn NY 11204 Brooklyn,
Eduard LEVY, MD
63 118 Woodhaven Blvd 63-118 Rego Park, Park NY 11374
Adam PRISTERA, DDS
7708 4th Ave Brooklyn NY 11209 Brooklyn,
Dmitriy GRINSHPUN, MD
820 Flatbush Ave Brooklyn, NY 11226
Ellen EDGAR, MD
DENTISTRY - PEDIATRIC
174 Brighton 11th St, St Fl 1 Brooklyn NY 11235 Brooklyn,
Irina BERLIN, MD
40 West Brighton Ave, Ave Ste 104 Brooklyn NY 11224 Brooklyn,
Yelena OSKOTSKAYA, DDS
7101 4 Ave Brooklyn NY 11209 Brooklyn,
Asya LEVY, MD
63 118 Woodhaven Blvd 63-118 Rego Park, Park NY 11374
Ivan CHAPLIK, DDS 105 Smith St Brooklyn NY 11201 Brooklyn,
Sergey ZHIVOTENKO, MD
Marina KREPKH, DDS 7708 4th Ave Brooklyn NY 11209 Brooklyn,
Alexander BRODSKY, MD 8622 Bay Pkwy, Pkwy Ste 1 Brooklyn NY 11214 Brooklyn,
2797 Ocean Pkwy, Pkwy Fl 2 Brooklyn NY 11235 Brooklyn, 20-04 20 04 Seagirt Blvd Far Rockaway, Rockaway NY 11691
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Amit SCHWARTZ, MD
Anella BAYSHTOK, MD
Margarita BAUMAN, OD
948 48th St, St Fl 2 Brooklyn NY 11219 Brooklyn,
2101 Ave X Brooklyn NY 11235 Brooklyn,
1910 Ave U Brooklyn NY 11229 Brooklyn,
Arkady LIPNITSKY 813 Quentin Rd, Rd Ste 200 Brooklyn NY 11223 Brooklyn,
Roman RAYHAM, MD, BOARD CERTIFIED IN PLASTIC SURGERY 1616B Voorhies Ave Brooklyn NY 11235 Brooklyn, 161 Madison Ave, Ave Ste 11W New York, York NY 10016
158 06 Northern Blvd 158-06 Flushing NY 11358 Flushing,
(718) 445-3700 www.brooklynroc.com
Alina VASILYEVA, DPM 2116 Ave P Brooklyn NY 11229 Brooklyn, 2646 E 14th St Brooklyn NY 11235 Brooklyn,
(718) 646-0131 PSYCHOLOGY
(877) 582-0400 www.nyplasticsurgerycenter.com
Ideal OPTICAL Prabhakara R. TUMPATI, MD 2003 Bath Ave Brooklyn NY 11214 Brooklyn,
Paul GLIEDMAN, MD
7602 5th Ave Brooklyn NY 11209 Brooklyn,
Mila MOGILEVSKY, DO 1599 E 15th St, St Fl 2 Brooklyn NY 11230 Brooklyn,
LIFE COACH (347) 350-7269
2101 Ave X Brooklyn NY 11235 Brooklyn,
Isak BADALOV, DPM
OB/GYN - GENERAL
67 09 75th St 67-09 Middle Village, Village NY 11379
Aleksandra ZLOTNIK, OD David SCHWARTZ, MD Hayama BRILL, MD
800 Poly Pl, Pl Ste 114A Brooklyn NY 11209 Brooklyn,
1725 E 12th St, St Ste 301 Brooklyn NY 11223 Brooklyn,
John MUNYAK, MD (888) 829-5059 www.orthobrooklyn.com
43 32 Kissena Blvd 43-32 Flushing NY 11355 Flushing,
(718) 939-0609 97 32 63Rd Rd 97-32 Rego Park, Park NY 11374
1910 Ave U Brooklyn NY 11229 Brooklyn,
2327 83rd St, St # D Brooklyn NY 11214 Brooklyn,
3901 Rt. Rt 516, 516 #1C Old Bridge, NJ 08857
(718) 336-1909 629 Park Ave New York, York NY 10065
Michael RISKEVICH, MD
OB/GYN - UROGYNECOLOGY
2818 Ocean Ave, Ave Ste 1 Brooklyn NY 11235 Brooklyn,
Natalya UROVISH, MD
Birch & BIRCH, DPM 6419 Bay Pkwy Brooklyn NY 11204 Brooklyn,
(888) 645-1338 482 Manor RD Staten Island, NY 10314
Leonard M. BLEY, MD Harout MARGOSSIAN , MD 7206 Narrows Ave Brooklyn NY 11209 Brooklyn,
2632 E 14th St Brooklyn NY 11235 Brooklyn, 107-15 107 15 Jamaica Ave Queens NY 11418 Queens,
1529 Richmond Rd Staten Island, Island NY 10304
Vladislav RUDNER, PT
1901 82nd St Brooklyn NY 11214 Brooklyn,
David EDELSTEIN, MD (888) 829-5059 www.orthobrooklyn.com
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Yuly CHALIK, MD
587 Kings Hwy Brooklyn NY 11223 Brooklyn, 160 E 56th St, St Ste 900 New York, York NY 10022 98-14 98 14 65Th Ave Rego Park, Park NY 11374
(718) 490-2416 www.magichandspt.com
Svetlana LUVISH, DPM 520 Neptune Ave Brooklyn NY 11224 Brooklyn,
ALTERNATIVE MEDICINE - GENERAL
Vitaly RAYKHMAN, MD th
2632 E 14 St Brooklyn NY 11235 Brooklyn, 107-15 107 15 Jamaica Ave Queens NY 11418 Queens,
Robert RHEE, MD
USA HAIR CLINICS
903 49 St Brooklyn NY 11219 Brooklyn,
Ada KULAGINA, LAC 8635 21st Ave Brooklyn NY 11214 Brooklyn,
1153 First Ave New York, York NY 10065 2511 Ocean Ave, Ave Ste 102 Brooklyn NY 11229 Brooklyn, 116-02 116 02 Queens Blvd Forest Hills, Hills NY 11375
Globe SURGICAL SUPPLY 2029 Bath Ave Brooklyn NY 11214 Brooklyn,
Khavinson & ASSOCIATES 1601 Gravesend Neck Rd Rd, Ste 903 Brooklyn NY 11229 Brooklyn, 29 W 17th St New York, York NY 10011 221 W Street Rd Trevose, PA 19053
(917) 793-5919 www.usahairclinics.com
Alexander SHIFERSON, MD Ridwan SHABSIGH, MD
USA VASCULAR CENTERS
903 49th St Brooklyn NY 11219 Brooklyn,
3121 Ocean Ave Brooklyn NY 11235 Brooklyn, 944 Park Ave New York, York NY 10028
1728 E 19th St Brooklyn NY 11229 Brooklyn,
2444 86th St, St Ste A Brooklyn NY 11214 Brooklyn,
Temple OF WELLNESS
Nostrand HOUSES PHARMACY
NUTRITION AND DIETETICS
3031 Ave V Brooklyn NY 11229 Brooklyn,
Leon KUCHEROVSKY, ESQ 115 South Corona Ave Valley Stream, Stream NY 11580
(516) 881-7755 www.lkesq.com
USA VEIN CLINICS David SHUSTERMAN, MD 201 E 65th St New York, York NY 10021
(212) 931-8533 69 15 Yellowstone Blvd 69-15 Forest Hills, Hills NY 11375
2511 Ocean Ave, Ave Ste 102 Brooklyn NY 11229 Brooklyn, 116-02 116 02 Queens Blvd Forest Hills, Hills NY 11375 1153 First Ave New York, York NY 10065
(718) 764-1687 www.usaveinclinics.com
Viktoria BERESS, ESQ Albert GROSS, CNS, NYS, CDN th
1942 E 8 St Brooklyn NY 11223 Brooklyn,
(718) 376-8317 www.nylifex.com
Park PLACE PHARMACY
2908 Emmons Ave., Ave Brooklyn NY 11235 Brooklyn,
160 Park Pl Brooklyn NY 11217 Brooklyn,
Gitelis LAW OFFICE
Lev KHITIN, MD 8607 21th Ave Brooklyn NY 11214 Brooklyn, 400 E 56th St, St Ste 1 New York, York NY 10022
2004 Coney Island Ave Brooklyn NY 11223 Brooklyn,
Family HEALTH CENTER
5379 Kings Hwy Brooklyn NY 11203 Brooklyn,
1211 Foster Ave Brooklyn NY 11230 Brooklyn,
VKSKIN SPA 162 Brighton 11th St, St Fll 2 Brooklyn NY 11235 Brooklyn,
(888) 535-0808 www.vashiveni.com
4HEALTH Magazineâ„˘ gathers data from a variety of different sources, public and private. While we strive to provide the most accurate, up-to-date information possible, we can't guarantee that our listings are completely free of errors. If you feel some data is missing or inaccurate, please feel free to contact us at any time. Thank you for your support!
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