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Targeted Technology Aquablation Therapy Improves Quality of Life for Men with Enlarged Prostates, Urinary Symptoms
Urologist Dr. George Vassar views real-time ultrasound images on the screen of the Aquabeam Robotic System as he performs Aquablation Therapy to treat symptoms in men with enlarged prostates. By Amy Morgan
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any mid-life men know the symptoms of enlarged prostate — the urgent need to go to the bathroom frequently and difficulty urinating once they get there. In fact, by the age of 50, one of every two men already experiences Benign Prostate Hyperplasia (BPH), a non-cancerous condition that causes urinary problems. Because the gland continues to grow throughout a man’s life, 90% of men older than 80 will eventually be affected by BPH. If left untreated, BPH can cause significant health problems, including irreversible bladder or kidney damage, bladder stones, urinary tract infection (UTI) and incontinence. Traditionally, the condition has been treated with medication or surgery, the effectiveness of which can be limited by prostate size and can involve unpleasant side effects. A newer therapy, Aquablation, was perfected several years ago and offers greater flexibility and fewer undesirable risks to, among other things, sexual function. The Baptist Health System is delighted to announce the unveiling of their new AquaBeam Robotic System at North Central Baptist Hospital in Stone Oak, allowing trained urologists to begin performing Aquablation therapy on site this November.
Aquablation therapy is an innovative, minimally invasive treatment that combines real-time, multidimensional imaging, automated robotic technology and heat-free waterjet ablation for targeted, controlled and immediate removal of excess prostate tissue. Because heat isn’t involved with the treatment, Aquablation has less effect on the structures around the prostate, helping to preserve sexual function in most patients.
combine the standard camera, called a cystoscope, with ultrasound guidance imaging, giving the surgeon the ability to see the entire prostate in real time. Picture the neck of a balloon being squeezed from the outside to visualize how an enlarged prostate, normally the size of a walnut, strangles the small urethral tube.
“The availability of Aquablation allows for patients to have the full spectrum of options available to treat their BPH,” said George Vassar, M.D., who practices with Urology San Antonio. Dr. Vassar has performed surgery at North Central Baptist for more than 20 years. “I’m excited to be able to offer this state-ofthe-art treatment to my patients for their disease at my home facility.” Aquablation addresses urinary symptoms like urgency and week urinary stream in a novel new way, agreed Ahmad Azzawe, M.D., who practices with Alamo Urology. Other BPH surgical treatments often force men to compromise between symptom relief and side effects. Patients choosing a high degree of symptom relief face possible complications such as incontinence, erectile dysfunction or ejaculatory dysfunction. “Many of the tools have been around for years, but side effects are always a balance,” Dr. Azzawe said. “Transurethral Resection of the Prostate (TURP) surgery has been the gold standard, but sexual side effects can come into play. The things that preserve sexual function may not last as long. Aquablation provides the best of both worlds.” Urologic surgeons like Dr. Vassar and Dr. Azzawe perform the minimally invasive Aquablation therapy in the hospital using the AquaBeam Robotic System. While the patient is under general anesthetic and asleep, the treatment area is mapped via ultrasound to provide live-time images that pinpoint the tissue to be removed. Aquablation therapy is the first and only (as of October 2020) BPH procedure to simultaneously
Because every prostate is unique in size and shape, Aquablation therapy’s advanced technology allows the surgeon to respond to each patient’s specific anatomy. No incision is necessary. The surgeon guides a scope with the AquaBeam jet of water and camera through the inside of the urethra directly to the area where the prostate has constricted the urethra’s connection to the bladder. A robotic arm locks in the parameters to ensure only the offending tissue is removed. The excess tissue melts away under the pressure of the water, relieving the bottleneck that has been constraining the bladder and urethra and causing difficulties urinating. Aquablation typically takes around 1 to 1.5 hours and may involve an overnight stay depending on the size of the prostate. Image guidance also allows preservation of the area that controls ejaculatory function – previously at risk with other treatment.
“Aquablation outcomes are comparable to the gold standard TURP that’s been around for decades,” Dr. Vassar agreed. Another advantage, the robotic platform allows for the removal of larger amounts of tissue than traditional prostate surgery, meaning larger glands can be treated in a shorter amount of time, he added.
Standing next to the Aquablation Therapy system is Ahmad Azzawe, M.D., a board-certified urologist with the Baptist Medical Network. “For a lot of men preservation of sexual function is something personal,” Dr. Azzawe said. “The loss of any of those functions can be lifechanging. Most prefer not to have their sexual function impaired.”
“There’s high demand for technology like this. It is a great opportunity to have this tool to give more men in this city the benefit of full treatment,” Dr. Azzawe added. The Baptist Health System is proud to provide greater access to this technology to allow men in San Antonio further options to treat their urinary symptoms so they can get back to feeling like themselves again.
Healthcare Business Consulting Optimize Performance. Grow Volume. Waechter Consulting Group is committed to providing new and established medical practices with customized business development strategies, which optimize business performance and grow patient volume. We take care of our physicians so they can take care of their patients. Call to request an initial consultation Michal Waechter, MHA, FACHE Founder and CEO Michal@WaechterConsulting.com
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Community Calendar Presented by Frost Culinaria’s Women & Whiskey at La Cantera Resort & Spa – Thursday, Nov. 16, 6-9 p.m. Whistle Pig social hour with tastings, bites, vendors and live entertainment. 16641 La Cantera Parkway 78256; www.culinariasa.org. Lightscape at the Botanical Gardens – Friday, Nov. 17 - Monday, Jan. 1, 5:30-9 p.m. Entry times available every 15 minutes. Behold the Winter Cathedral's 100,000 lights, roast s'mores in the Fire Garden and delight in a shimmering field of Texas bluebonnets. San Antonio Botanical Garden, 555 Funston Place 78209; ticketing@sabot.org. Rotary Ice Rink at Travis Park – Friday, Nov. 17- Monday, Jan. 15. Monday -Thursday, 5- 10 p.m., Friday, 5 -11 p.m., Saturday, 11 a.m.- 11 p.m., Shooting leagues and classes – Days Single Professionals Networking Sunday, noon - 8 p.m. Fun and festive recreational and times vary. Introduction to firearms, Meeting – Friday, Nov. 3, 4-6 p.m. Join other activity for the family throughout the holiday CDL classes, date nights, kids’ classes, men’s 55+ widowed, divorced and single mature season. 301 E. Travis St. 78205; events and shooting sports leagues for all professionals for conversation, libations and www.rotaryicerink.com. skill levels on an indoor range. Buck & Doe’s food in a relaxed, social setting. StoneWerx in Mercantile, 24250 U.S. 281 78258; Lincoln Heights, 999 E. Basse Road 78209; Magik Theatre Presents The Velveteen 820-980-3637. www.spn-sa.org. Rabbit – Saturday, Nov. 18 - Sunday, Dec. 24. Times vary. Live theater production based on the Activities at the Walker Ranch Senior Live musical production of Annie – children’s classic story. The Magik Theatre, 420 S. Center — Monday - Friday, 7:00 a.m. - 4:00 Tuesday, Nov. 7- Sunday, Nov. 12. Times vary Alamo St. 78205; www.magiktheatre.org. p.m. Hot meals served daily from 11 a.m. by date. Little Orphan Annie has reminded - 12:30 p.m. for qualifying seniors and generations of theater goers that sunshine Foster Perry Travel presents Steve Oliver in their spouses. Exercise, field trips, bingo, is always right around the corner. Majestic its Jazz on the Water series – Friday, Nov. 18, loteria, movies, arts and crafts, free health Theatre, 224 E. Houston St. 78205; 7 and 9:30 p.m. By Land & Sea Concert features and wellness screenings vary daily. 835 W. www.majesticempire.com/events. nationally recognized Smooth Jazz artists. 501 W. Rhapsody 78216; 210-207-5280. Cesar E. Chavez Blvd. 78207; Distinguished Garden Design www.buenavistalive.showare.com. Stone Oak Rotary Club – Tuesdays, Lecture Series – Thursday, Nov. 9, 6 p.m. noon -1 p.m. Guest speakers weekly. Dona Contemporary Residential Gardens of the NEISD Thanksgiving Break – November 21-24, Tota, 923 Loop 1604 W. #115 78232; Hamptons features designer Christopher 2023 www.stoneoaksarotary.org. LaGuardia. San Antonio Botanical Gardens, 555 Funston Place 78209; www.sabot.org. Third Annual Bulverde Turkey Trot – Thursday, Tejas Rodeo – Saturdays through Nov. 23. Kid’s race, 7:45 a.m.; 5K, 8 a.m. November, 5 p.m. - 1 a.m. Enjoy live rodeo Single Professionals Networking Thanksgiving-themed medals, pie slices, t-shirts, action: bronco riding, team roping, barrel Meeting – Friday, Nov. 10, 4-6 p.m. Join prizes and costume contest. Bulverde Community racing, mutton bustin’ and calf scramble. other 55+ widowed, divorced and single Park, 29815 Bulverde Lane 78163; Live music at 9 p.m. Tejas Rodeo Company, mature professionals for conversation, www.runbulverde.com. 401 Obst Road 78163; www.tejasrodeo.com. libations and food in a relaxed, social setting. Tlahco Mexican Kitchen, 1662 Encino Rio A Dickens Celebration in Boerne – Dickens 25th Anniversary Season of Ronald 78259; www.spn-sa.org. on Main, Friday, Nov. 24, Saturday, Nov. 25. A Reagan High School Theatre presents Hill Country Christmas event of epic proportions, Single Professionals Networking Big Love – Thursday-Saturday, Nov. 2-4, 7 Boerne’s Main Street transforms into a vintage p.m. Based on Aeschylus’ The Suppliants, 50 Meeting – Wednesday, Nov. 15, 4-6 p.m. Christmas experience complete with shopping, brides flee to avoid marrying their cousins. Join other 55+ widowed, divorced and visits with Santa, children’s craft activities, unique Gloria Robinson Auditorium, Ronald Reagan single mature professionals for conversation, vendors, food trucks, snow on Main Street, ice High School, 19000 Ronald Reagan 78258; libations and food in a relaxed, social setting. sculpting, music, theatrical performances and an 54th Street Grill at the Rim, 17122 W. IH 10 amazing 60-foot snow slide. Main Street, Boerne www.reaganstage.org. 78257; www.spn-sa.org. 78006; www.dickensonmain.com. Send your upcoming events to StoneOakInfo@gmail.com.
DENTAL DIGEST
Wise Whitening Brighten Your Smile Before Holiday Events
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By Amy Morgan
oliday events are on the calendar, and you want to look your best. You may have noticed your daily coffee or red wine habit has diminished the brightness of your smile. Age, too, can be a culprit. Don’t despair – there’s no reason to resign yourself to a less-than-sparkling smile! The dental professionals at 7to7 Dental & Orthodontics suggest several ways to whiten your teeth prior to that party. You can choose to whiten at home or in the office. Both offer good results, says Mandy Dennis, R.D.H., Director of Hygiene Operations at 7to7. Depending on the length of time before your big day, you can start with a whitening toothpaste like Colgate Optic White or Optic White Pro. At home kits also provide good results, she says.
peroxide solution directly to the teeth, then places a small instrument in the mouth. The device’s blue light activates the product. Three 10-minute sessions over a 60-minute appointment are all that’s needed to see great results. “Patients love it!” Jennifer says. Best of all, patients report no sensitivity with this in-office whitening system. The system must be administered by a trained dental professional, and 7to7 Dental is designated one of Colgate’s preferred providers.
Ouch! Teeth sensitive? Brush with Sensodyne, or Colgate Sensitive toothpaste prior to whitening. Listerine also makes a sensitivity-reducing mouthwash. An in-office fluoride treatment can help re-mineralize tooth enamel and reduce sensitivity, recommends Dental Hygienist Jennifer Reyna, R.D.H.
Whichever the selection, start with a thorough dental cleaning to remove plaque and begin whitening on a clean base. As an added incentive to remain current with cleanings, 7to7 Dental’s patients enjoy a free whitening for life program, which includes trays molded to fit their teeth and a complimentary tube of 3% peroxide whitening gel with every visit.
If you need immediate results, 7to7 offers in-office whitening with the Colgate Optic White system. In just one hour, you’ll leave with teeth an average of seven times whiter. A dental professional applies a 35%
Whether in-office or at-home, follow these tips, and you can be assured your teeth will be shiny and bright for your holiday pictures and posts.
210-495-2000 www.7to7Dental.com 7 to 7 Dental & Orthodontics @7to7Dental Call or book online with ease
STUDENT SPOTLIGHT
Sculpting Senior
Reagan Senior Awarded Perfect Exam Score for Hand Sculptures By Amy Morgan
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t’s an honor never before experienced by a Ronald Reagan High School student. One of its own, senior Ania Valdez, earned a rare perfect score on the 3-D Art and Design AP exam. Ania was one of just 52 in the entire world with that distinction in 2023. While many of NEISD’s best and brightest challenge themselves with AP classes, both for the college-level curriculum and the opportunity to bolster competitive GPAs and class ranks, few achieve a top ranking of 5, and fewer still earn a perfect score. The 3-D Art and Design Exam differs from most other AP exams in that it does not involve taking a test. Ania prepared a three-part portfolio that included photos of her artwork and a list of materials used and detailed physical dimensions; a written portion that described the meaning and motivation for the piece; as well as images of other selected works to provide additional support of talent. Each portion was graded and scored by a separate judge. Ania was shocked and delighted when the tally equaled not just a 5, but also a perfect score. "I still can't believe it, honestly," Ania told representatives from NEISD. "I thought they might have the wrong student! But I was really happy. It made my day and made everything worth it." Ania’s winning piece is a 3-D plaster sculpture of a hand balancing a feather on its finger titled “Craving.” She noted the hand reaches for balance, something she found difficult to achieve her sophomore year at Reagan. The torn area where the wrist attaches to the base represents growth from chaos. Ania became fascinated with the idea of sculpting hands because of “their versatility of expression and ability to tell a story.” It wasn’t until freshman year, when school went online due to the pandemic, that Ania devoted more time to developing her skill. Her mother is also an artist, and her father builds wooden birdhouses as a hobby, so working artistically in three dimensions was not a novel idea in the Valdez household. Ania created the first molds of her own hands with crafting materials available at home, realizing quickly that an alginate gel plaster allowed her more flexibility to manipulate the sculpture as it dried. She credits Reagan’s art teachers Ms. Fox and Ms. Bieniek for inspiring her and allowing her the freedom to express her creativity. “I’m so grateful Ms. B. let me work on my own time to fully finish out and execute my ideas,” Ania said. “She even gave me my own special place on a patio to mix my chemicals.”
Another of Ania’s portfolio pieces titled “Shame” includes seven hands in different positions arranged in space pointing down at an empty hoody spray-painted red, black, and grey. She said some of the hands connect to biblical references of sin and as a way to portray a sense of shame that would be commonly relatable. Another hand marked with blue veins streams down into a drain. Its title, “The Drip Finally Stops,” echoes a quote from one of her favorite shows, BoJack Horseman, that cautions against giving so much of oneself nothing remains. The thoughtful student enjoys philosophy and deep conversations. She’s hopeful she’ll find a multidisciplinary major and future career that allow her to combine her love of art and science. Right now, she’s excited about physics and is looking at Stony Brook University, intrigued by a class called the Quantum Moment. In addition to artistic and academic accomplishments, Ania also reached District competition in long and triple jump on Reagan’s varsity track team. She’s an officer in the Science Honor Society and part of the National Honor Society. The bilingual student moved with her family to Stone Oak from Monterrey, Mexico, just before kindergarten. She enjoys being able to converse with the many faculty members and classmates who speak Spanish at Reagan. A final sculpture depicts a hand emerging through a layer of brightly colored embroidery threads, symbolically pushing through boundaries to develop character — a skill Ania’s mastered.
MEDICAL MINUTE
Training to Trot Tips to Stay Safe Exercising in the Dark
By Amy Morgan
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et your Thanksgiving off to a healthy start at Bulverde’s Third Annual Turkey Trot, conveniently located just up the road in Bulverde Community Park. The fun starts at 7:45 a.m. with a kids’ race around the perimeter. Adults run an out-and-back course beginning at 8 a.m. Participants will earn Thanksgivingthemed medals and t-shirts. You can find more details about prizes and the costume contest at Runbulverde. com. Besides helping you work up an appetite for your feast, the Bulverde Turkey Trot has raised more than $40,000 to support the Health, Innovation and Sciences (HIS) Centre, the non-profit arm of the Bulverde/Spring Branch Emergency Services Division. HIS Centre provides enhanced community health programs, Wellness on Wheels and training for first responders. Not only is Physicians Premier freestanding emergency room a repeat sponsor of the event, several staff members, including Regional Marketing Director Jennifer Meachum, look forward to walking the 5K route every year. As you train for the big race, you may notice you’re running out of daylight. Daylight saving time has ended, and days are getting shorter. When streets are dark, it’s important you stay visible to other pedestrians, cyclists, and drivers to remain out of harm’s way. Physicians Premier Medical Director Zack Baum, M.D., reminds you to keep alert and pay attention to your surroundings. Consider leaving your earbuds at home so you can listen for cars. Always walk or run against traffic so you can see what’s coming.
“Unfortunately, all too often, people are struck when walking or running,” Dr. Baum said. He’s seen everything from scratches and bruises to fatalities, and everything in between, during his 11 years as an emergency room doctor. Consider your route. Can you switch to a well-lighted park instead of the street? At the very least, select a well-lit area with sidewalks. Invest in some bright, reflective gear – a hat, socks, or a vest, so you’ll show up in the headlights of an oncoming car. Carry a flashlight or wear a headlamp. Others will be able to see you, and it will provide a light for your path. Headlamps are a good investment for runners, as most organized night runs require them. And since Far North San Antonio is full of wildlife, a light will help you look out for deer, foxes, racoons or the occasional coyote that might wander close. Dr. Baum, an avid runner himself, offers a few more training tips as you increase your mileage. “Stretching is key,” he said. “Make sure you warm up and cool down, and don’t try to do too much too fast.” If you do sustain an injury like shin splints or a stress fracture, he admonishes overeager athletes to take adequate time to rest and heal. And don’t forget about hydration. Even though the calendar has turned to fall, South Texas is still experiencing high temperatures and humidity, putting exercisers at risk for dehydration. Dr. Baum reported he treated more people for dehydration in October than throughout the entire summer —despite record heat! Take a few precautions as you train, and you’ll be ready Thanksgiving morning to trot off those calories in advance.
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HOLISTIC HEALTH
Healthy Holidays Good Habits Can Reduce Holiday Stress By Amy Morgan
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he holidays are just around the corner. Although we look forward to gathering with loved ones and events of the season, extra responsibilities can stretch schedules and wreak havoc with healthy lifestyle goals. Opportunities to overindulge in calorie-laden treats or alcohol can derail positive practices that keep your health on track. You don’t have to put your health on the back burner until the new year. Lifestyle and Family Medicine doctors and husband and wife team, Prisiliano Salas, M.D., and Monica Salas, M.D., suggest ways to help you enjoy the holidays in a vibrant, peaceful and relaxed way without losing sight of selfcare. “I advise people to be kind to themselves during this season and realize that even if they aren’t practicing their healthy habits as perfectly over the holidays like they normally would, it’s not a personal failing,” Dr. Monica said. “Part of the richness of life is to be able to enjoy and celebrate with loved ones.” Dr. Monica suggests that while it might be too ambitious to expect to follow your usual exercise routine, don’t give up on everything. “Get creative and think about where you can fit in physical activity like taking a walk at lunch or strolling through an outdoor market. It doesn’t have to be all or nothing.” Regular physical activity is one of the six pillars of Lifestyle Medicine, which also include healthy nutrition, restful and adequate sleep, stress reduction and management, an environment of positivity in healthy relationships, and avoidance of harmful substances. The holidays can be a stressful time, as families might have experienced major changes or the loss of a loved one. Dr. Monica advises people to take some time to focus on the simple things in the present rather than dwelling in the past or overly worrying about the future. The Salases’ practice, Salveo Direct Care, offers patients access to a tranquility suite complete
with anti-gravity massage chair, Alpha-stim electrotherapy and both an in-house mental health counselor and a personal trainer. Alpha-stim therapy activates the body’s parasympathetic nervous system to help people become more in tune with their body’s physical sensations and achieve a greater state of calm. “So much of person’s health starts with mindset,” Dr. Monica said. “If you are new to these ideas, mindfulness doesn’t have to be a big commitment. Just five minutes of guided meditation a day will provide a big payoff in stress relief. People often use it to wind down to help them get a good rest,” she said. In keeping with Lifestyle Medicine’s emphasis on restorative sleep, Dr. Monica advises to build in days for rest, especially if parties will keep you up later than usual. Often people are unaware how too much alcohol can impair their sleep. Dr. Monica suggests people cease alcohol at least two hours before bedtime. “Take things slowly and drink plenty of water,” she said. “Moderation is a good watchword.” Before the season gets into swing, set yourself up for success. “The less you have to worry about health concerns, the more you are going to enjoy life,” Dr. Salas said. “We want to help people increase their health span, not just their lifespan.”
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PET TIP
your Pup to Smiling Seniors Taking Assisted Living
By Camp Bow Wow Staff
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yes light up. Smiles stretch from ear to ear. Common reactions to a doggy visitor at an assisted living facility or nursing home.
One Malte-poo, Charming, has been a popular visitor at Schowalter Villa in Hesston, Kansas, over the past year. His owner, Carol, frequently drives several hours to bring Charming to see her mother, Clara. “All she has to do to get smiles is walk through the hall with her cute little dog,” Clara said. “Charming is quite a hit with everyone he sees.” “It’s something unexpected and a real treat, especially for people who love animals,” agreed Dr. Arthur Dick, who was pleasantly surprised recently when Charming hopped in his lap to pose for a picture. Charming is registered as Carol’s comfort animal, which may have paved the way for his warm welcome into the facility, but most places don’t require pets to be specifically designated as a therapy dog to enter, and especially if you are taking a pup to see a relative. What is important is that your furry family member knows his manners, is completely potty trained and enjoys being around people. While at Schowalter, Charming doesn’t leave his owner’s side for an instant. He doesn’t bark, and although he responds warmly, he waits to approach until someone takes the initiative to pet him. Interested in sharing the joy of a canine cuddle with local seniors? Before popping by, check with the facility to see if there’s an approval process or specific requirements. At the very least, they can recommend times that are more conducive to a visit. They may ask you to prove your pup’s up to date on his vaccinations, has passed the American Kennel Club's Canine Good Citizen Test or even require you and Fido be covered by liability insurance in case of mishap. (You can look into coverage through The Delta Society or Therapy Dogs International.) Training your pup to become a therapy dog rather than a visitor is a fairly rigorous process. Begin by making sure he likes meeting new people and will enjoy the work. Any history of nipping or biting would
immediately disqualify Fido from service. Does he obey you and follow basic commands of sit, stay, come, down, and stay? Can your pup remain calm and follow commands even if there are distractions? If you decide the emotional rewards are worth the effort, grab some treats and start introducing your pup to crowds. You can take him to the park or a dogfriendly restaurant to acclimate him. Once he’s used to commotion, get him familiar with strangers petting him by encouraging people to offer him a treat. Make sure Fido sits to eat his treat and doesn’t jump up on people. Watch his demeanor. Is he enjoying the attention? Once you decide he’s people friendly enough to venture to a facility, make sure to factor in time for your furry family member to get used to the unfamiliar sights and smells. It might be best to visit just a few residents the first time rather than subjecting him to the throng in a common area. Therapy dog organizations can offer training strategies and certifications. The AKC will provide an AKC Therapy Dog™ title to those who have been certified/registered by an AKC recognized therapy dog organization and have completed the required number of community service hours. Find a list of organizations the AKC recommends at akc.org. You can also contact local PAWS for Service or Delta Pet Partners of San Antonio to assist as a volunteer and learn more.
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