Jacqueline D. Griffiths, MD NewView Eye Center Claiborne M. Callahan, MD NewView Eye Center
David Alexander, AuD, CCC-A Audiologist
Sivakumar Sreenivasan, DMD Oral and Maxillofacial Surgeon
Brent C. White, Jr., DDS Dentures & Implants
Robin R. Robinson, AuD Audiologist
Mary B. Alexander, DDS, DMSC Periodontist
Jeffrey L. Brown, DDS TMJ & Sleep Apnea
Janice Trent, AuD Audiologist
Jonathan Johnson, MD, MBA, CWSP Aesthetics & Wound Care
Karl A. Smith, DDS, MS Periodontist
TLC FOR MOMS & BABIES
Welcoming a new family member into the world is one of life’s most exciting times. GW Hospital offers a warm environment and a range of care for expectant parents and their babies.
Our prenatal care includes ultrasound, midwifery, traumainformed care and more. We offer natural and Cesarean labor and delivery services, with hydrotherapy tubs and epidurals available for comfort.
At GW Hospital, we also have a maternal-fetal medicine team that specializes in high-risk pregnancies and a Level III B neonatal intensive care unit (NICU) for our tiniest patients. Let us be part of your miracle!
To find a doctor, call 888-4GW-DOCS (449-3627) or visit doctors.gwhospital.com
Cedar Hill Regional Medical Center GW Health is now open and offering maternal health services in Ward 8 at 1200 Pecan St. SE, on the St. Elizabeths East Campus.
Visit cedarhillregional.com
Lean more at gwhospital.com/maternity
To Keep Active
Submitted by New Day Vitality Hormone Center
What makes you feel old? Achy joints? Fatigue? Weak muscles? Most people over 50 recognize these symptoms creeping up on them and just accept them as part of getting older. But if these problems lead to slowing down and sitting more, they truly are the hallmarks of old age.
Study after study shows that a more sedentary lifestyle “puts adults at greater risk of . . . heart attacks and strokes, type 2 diabetes, dementia and cancers such as breast and colon,” according to the World Health Organization. So dealing with the symptoms that may lead to a more sedentary lifestyle—like achy joints, fatigue and weak muscles – has a huge impact on both quality and quantity of life. Interestingly, all of these problems are related, in part, to our declining sex hormones.
For example, estrogen helps
maintain joint tissues and protects cartilage. It supports collagen production, crucial to healthy connective tissues, such as tendons and ligaments. Estrogen also influences immune and inflammatory processes.
Regarding fatigue, estrogen plays a critical role in regulating metabolism. It enhances insulin sensitivity and regulates pancreatic cell function, ensuring adequate insulin production. Estrogen also promotes fat breakdown, contributing to energy expenditure. Finally, estrogen modulates thyroid hormone metabolism, influencing overall metabolic rate.
Testosterone is the musclemaking hormone. Since muscle burns more calories than fat tissue does, muscle mass is a key factor in metabolism. However, testosterone decreases as much as 50% in the
At the Minimally Invasive Vascular Center (also known as MIVC) we have long been committed to addressing the vascular devastation that is rampant in our community. Each year cardiovascular disease is the world’s largest killer; killing more Americans than cancer. If you have painful legs, wounds that won’t heal, varicose veins, leg swelling, history of smoking, or have a family history of vascular problems and/ or are over the age of 50, you may suffer from poor circulation. Poor circulation may be responsible for causing erectile dysfunction in as much as 50 to 70 percent of men who develop the condition. Now we are happy to add expanded services! Our goal is to extend the healthy lifespan of our patients by using a comprehensive, integrative approach to achieve the most effective results. We believe that Beauty Is a Reflection of Health and Wellness. We want you to be as beautiful on the outside as you are healthy on the inside.
The articles below are provided by local health professionals for the benefit of the public. Please contact them for advice and services.
4 | Consider HRT To Keep Active | Submitted by New Day Vitality Hormone Center 9 | Enlarged Prostate / BPH | By Troy Sukhu, MD 11 | Dental Care For Mature Citizens | By Karl A. Smith, DDS, MS
| Your One-Stop Solution For a Healthy Smile | Submitted By Total Dental Care
| Understanding Crohn’s Disease in Children | By Ahmet Aybar, MD
| Your Smile & TMD | By Jeffrey L. Brown, DDS
| All-On-Four Dental Implants | Submitted By Sivakumar Sreenivasan, DMD, MDS 18 | Aging and Your Dental Health | By Judy Yu, DMD, MBA 19 | The Rewards Of Optimal Hydration This Spring | By Alicia Kovach, DC
20 | What Is a Bunion? | By Howard Horowitz, DPM
20 | Restoring Health and Vitality As the Years Go By | By Alan Weiss, MD
21 | Staying On Your Feet: Foot and Ankle Health For Active Aging | By Gary Feldman, DPM, FACFAS
| Aging In Place: A Guide To Future Planning | By Right At Home 25 | Hiatal Hernia: A Common Cause For Heartburn | By Etwar McBean, MD, FACS
26 | Ensuring Healthy Smiles and Sound Sleep For Your Child | By Lynda Dean-Duru, DDS
29 | Cannabis For Retirees Continues To Rise | By Sharron Sample, CEO
30 | Being a Senior Does Not Mean You Have To Slow Down | By Dr. Tiffany Daniel
30 | Supporting Vitality in Active Aging and Senior Living | By Elambert Richardson 32-41 | Featured Active Aging +
Professionals
42 | The Hidden Dangers Of Untreated Hearing Loss In Aging Adults | By Sherrie Hunt, HIS
42 | Aging Gracefull & Making Wise Choices | By Linda Penkala, Author, LMT
44 | Sleep and Aging | By Annapolis Asthma, Pulmonary & Sleep Specialists
48 | Three Special Things About Hospice Nurses | By Dana Neel, RN, Clinical Manager
50 | Keeping Our Children Safe | By Janet V. Johnson, MD
52 | Schizophrenia: Serious, But Treatable | By Joyce Abramson, RNMS
52 | Revolutionizing Medical Billing: Automation and AI | Submitted By MedPro - Medical Billing
56 | Acupuncture For Rhinitis and Asthma | By Quansheng Lu, CMD, PhD, LAc
56 | Understanding Fibroids, Abnormal Bleeding, and Endometriosis | By Ashley Pimperl, MSN, CRNP
57 | Spring/Wood Element For Life Transformations | By Anne C. Crowley, Acupuncture Physician
57 | Prevent and Treat Osteoporosis | Submitted By Kensington Pharmacy
58 | Foot Wound Care With Vaporox VHT: A Breakthrough Solution | By Ademuyiwa Adetunji, DPM
58 | Histamine, MCAS, Allergies & Lipedema | By Kaitlin Barry MS, OTR/L, CLT
59 | Gum Disease and Soft Tissue Management | Submitted by E. Taylor Meiser, DDS
59 | Grateful For the Air We Breathe | By Yemi Adesanya-Famuyiwa, MD
Your Health Magazine is on a mission. There are far too many people, insured or not, who do not go to the doctor when they should, and in millions of cases, don’t know who they should go to, or why.
People are encouraged to buy a new house, car, cell phone or big screen TV, and those companies make themselves very visible and their products easily attainable.
Information about, and from, local healthcare providers is not easy to find, and many times those services are difficult to access.
Information and encouragement always lowers fear and trepidation about anything, and this is especially true in healthcare. While general information is available on web-sites, specific information from local providers is almost impossible for people to find. This is one of the key reasons chronic and episodic conditions are not cared for. It is our mission to:
Make A Difference By Empowering and Encouraging People To Live Healthier By Going To the Doctor When They Should.
There is a lot of evidence that the health professionals who participate in Your Health Magazine have helped many people over the years. We at Your Health Magazine salute you!
If you would like to find out how you can participate in one of our upcoming editions, please contact the office nearest you. SERVING MARYLAND & VIRGINIA Since 1990
G. Scott Hunter, Editor-in-Chief
MARYLAND & WASHINGTON, DC OFFICE One Town Center 4201 Northview Drive, Suite 102 Bowie, MD 20716 Office (301) 805-6805 • Fax (301) 805-6808 info@yourhealthmagazine.net
VIRGINIA OFFICE Office (301) 805-6805 info@yourhealthmagazine.net
The prostate, a male organ located below the bladder and wrapping 360 degrees around the urethra, can enlarge with age, restricting urinary flow. This condition, known as benign prostatic hyperplasia (BPH), often leads to symptoms such as frequent urination, weak urinary stream, and urinary tract infections. Treatment focuses on reducing prostate size and improving urinary flow.
Symptoms Of Enlarged Prostate
Symptoms range from mild to severe, often developing gradually over years but potentially worsening after surgery or other triggers. Common symptoms include:
Treatment is tailored to individual needs and symptoms, often progressing from lifestyle changes to medical or surgical interventions.
Behavioral Modifications
Simple changes, like reducing evening fluid intake and limiting caffeine or alcohol, can alleviate symptoms.
Enlarged Prostate / BPH
Medications
Alpha-blockers (e.g., Flomax, Rapaflo): Relax prostate muscles to improve urine flow but may cause side effects like sexual dysfunction or blood pressure changes.
5-alpha-reductase inhibitors (e.g., Proscar, Avodart): Shrink the prostate, potentially enhancing urinary flow, with side effects including erectile dysfunction and breast tenderness.
Office-Based Procedures
UroLift®: A minimally invasive procedure that lifts obstructing pros-
tate tissue out of the way. It is quick, safe, and preserves sexual function, offering long-lasting relief.
Surgical Procedures
Trans-Urethral Resection of the Prostate (TURP): Removes obstructing tissue using electric cautery through the urethra. Though highly effective, it requires significant recovery and may alter sexual function.
Greenlight Laser Prostatectomy: Similar to TURP but uses a laser to vaporize tissue, offering comparable benefits and side effects.
DaVinci Suprapubic Prostatectomy: For very large prostates, this laparoscopic surgery removes obstructing tissue. While highly effective, it involves a more invasive approach with longer recovery times.
BPH is a common condition with a wide range of treatment options. Early diagnosis and a tailored treatment plan can greatly improve quality of life while minimizing complications. Consult a urologist to explore the best option for your needs.
Innovative Treatments
Anatomy
Couples
Cupping Therapy
Couples
Fertility
• PMTI graduates have a 93% average pass rate on the National Massage & Bodywork Licensing Exam (MBLEx) (vs. US avg 72%, MD avg 64% – source: FSMTB 2022)
• Easy Metro access in Silver Spring, Maryland
Dental Care For Mature Citizens
By Karl A. Smith, DDS, MS
If you’re a baby boomer, born between 1946 and 1964, there are so many reasons to focus on and improve your oral health. Periodontal (gum) disease risks rise with age and can lead to a host of physical problems. There is no better day than today to get a checkup by a dentist specially trained in knowing the links between your mouth and body health.
Higher Risk Of Periodontal Disease
Boomers grew up in a time of prosperity, education, and opportunity. This generation has a greater need for oral treatment than any other. The Centers for Disease Control reports that 70% of Americans 65 and older have chronic gum disease. Surveys suggest that growing up in a time of plenty may have led to a taste for a diet rich in carbohydrates and sugar. This has caused enamel erosion and gingivitis.
Research also shows that boomers can do better to protect their oral health. One survey shows only 40% of older people use mouthwash, 34% brush their teeth only once a day, and 47% say they often skip flossing.
When age-related conditions like arthritis or joint pain make proper brushing and flossing more difficult, it exacerbates the problem further.
Periodontal Disease and Alzheimer’s
Another reason to take care of your mouth as you age is the growing connection between gum disease and Alzheimer’s disease. More than 6 million Americans over 65 have been diagnosed with this form of dementia, a number projected to more than double by 2050.
A 2019 National Institutes of Health study published in the Journal of Alzheimer’s Disease shows the bacteria that cause gingivitis, the earliest form of periodontal disease, are also connected to several forms of dementia. One species of bacteria is believed to migrate from gum infections through the bloodstream and into the brain. There, they release enzymes that can destroy nerve cells, leading to memory loss and Alzheimer’s.
The relationship between de-
mentia and gum disease goes the other way, too: People with memory loss may neglect their oral health and a mild problem may turn into something much more severe.
Protecting Oral Health as You Age
Research is underway to develop a drug that can block bad bacterial enzymes and slow the progression of dementia. Until then, it is imperative to take extra care of your teeth and gums as you age.
• Brush twice a day, floss once or twice a day, and visit your perio-
dontist for a checkup.
• Cut out sugary foods and beverages. Use the artificial sweetener xylitol, which is shown to starve harmful bacteria and reduce plaque buildup.
• Dry mouth lowers oral pH, increasing the risk of tooth decay and gum disease. Talk to us about special alcohol-free oral rinses, lozenges, and other preventive measures.
• Swish with water after eating and consuming sweet and acidic drinks.
• Resolve to adopt a healthier diet and lifestyle for overall good health. Studies show this alone may lower your risk for Alzheimer’s disease by up to 60%.
Aging does not mean gum disease and related health problems are inevitable. Baby boomers are known for being proactive about health care when they have the right information. Call us today for a no-charge phone consultation to answer any questions you may have. We are happy to do our part and help you improve your oral health in your golden years.
(and they love to refer to us as friends and family).
deeply committed to help you prevent and treat periodontal (gum) disease, and to enhance your smile to improve your overall health.
Your One-Stop Solution For a Healthy Smile
Submitted By Total Dental Care
Maintaining optimal dental health is crucial for overall well-being, and finding a dental office that offers comprehensive care under one roof is a game-changer. Total Dental Care is a well-established dental practice that takes pride in providing detailed and comprehensive services in various specialties, ensuring patients receive topnotch care for their unique dental needs.
General Dental Services: Total Dental Care excels in offering a wide array of general dental services, including routine check-ups, cleanings, and preventive care. Our experienced team focuses on early detection and intervention to prevent dental issues from escalating.
surgery, extractions, root canals and endodontic treatments, or restorative and cosmetic dentistry, Total Dental Care has you covered. Our specialists are experts in their respective fields, ensuring you receive tailored treatments for your specific dental concerns.
Cutting-Edge Technology: Total Dental Care stays at the forefront of dental technology, offering services such as digital intra-oral cameras, cone-beam CT scanners, and teethin-a-day. Our commitment to utilizing advanced techniques ensures effective and efficient treatments while minimizing complications.
Sedation Options: Understanding the anxiety some patients may feel, Total Dental Care offers laughing gas, oral sedation and IV general anesthesia options. Our goal is to create a comfortable and stress-free environment, catering to the individual
Please see “Healthy Smile,” page 63
Understanding Crohn’s Disease in Children: Diagnosis & Treatment
By Ahmet Aybar, MD
Annapolis Pediatric Gastroenterology and Nutrition
Crohn’s disease is a chronic inflammatory bowel disease (IBD) that affects the gastrointestinal (GI) tract. While often thought of as an adult condition, Crohn’s disease can begin in childhood, causing significant symptoms and challenges during critical stages of growth and development.
Most children present with symptoms in the early teen years, although there are many cases seen in early childhood as young as three years old. The disease can affect any part of the GI tract—from the mouth to the anus—but most commonly involves the end of the small intestine and the beginning of the colon.
Common Symptoms
Children with Crohn’s disease may experience:
• Persistent diarrhea
• Abdominal pain or cramping
• Fatigue and low energy
• Weight loss or failure to gain weight
• Delayed growth or puberty
• Blood in the stool
Because symptoms can be mild at first or confused with other common childhood illnesses, diagnosis is often delayed.
Diagnosis
A thorough evaluation is needed to confirm Crohn’s disease and rule out other conditions. Diagnosis may include:
• Blood tests to check for anemia, inflammation, or poor nutrition
• Stool tests to rule out infections
• Imaging studies like MRI or CT enterography to view inflammation
• Endoscopy and colonoscopy with biopsies to examine the GI tract and identify signs of chronic inflammation
Early diagnosis is important to avoid complications and support proper growth.
Treatment Options
There is no cure for Crohn’s disease, but it can be managed effec-
tively. Treatment focuses on reducing inflammation, relieving symptoms, and promoting healing and growth. Common treatments include:
• Nutritional therapy, especially in children, using special liquid diets (known as exclusive enteral nutrition)
• Anti-inflammatory medications, such as corticosteroids for flare-ups
• Immunomodulators or biologic therapies, such as infliximab or adalimumab, for moderate to severe cases
• Surgery, sometimes necessary to
remove damaged sections of the intestine, though typically reserved for specific complications
Ongoing Care
Children with Crohn’s disease benefit from care by a pediatric gastroenterologist, along with support from dietitians and other specialists. Regular monitoring helps adjust treatment, ensure proper growth, and support a good quality of life.
With the right care, children with Crohn’s disease can lead healthy, ac-
tive lives and manage their condition successfully over time.
Relief for Young Tummies, Peace for Parents – Expert Pediatric GI Care
At Annapolis Pediatric Gastroenterology and Nutrition, we specialize in diagnosing and treating digestive challenges in children from infancy to early adulthood. Our board-certified team, led by Dr. Ahmet Aybar, delivers compassionate care tailored to your child’s unique needs.
Why Choose Us?
Comprehensive Services: Treatment for conditions such as Crohn’s Disease, GERD, Ulcerative Colitis, Celiac Disease, and more.
Trusted Expertise: Procedures performed at Anne Arundel Medical Center by Dr. Aybar, a renowned pediatric gastroenterologist.
Family-Centered Care: We take the time to listen, explain, and provide guidance for every step of your journey.
or visit us at 130 Lubrano Drive, Suite #212, Annapolis, MD 21401 to schedule your appointment today.
Ahmet Aybar, MD
Your Smile & TMD
By Jeffrey L. Brown, DDS Sleep & TMJ Therapy
It is almost impossible to maintain a nice smile when you are hurting, and especially when that pain comes from TMD (Temporomandibular Disorder). When the discs in the jaw joints are out of place, they can and will pinch nerves and blood vessels in the jaw joints. This is a concept that few doctors understand as it was
never taught in school. Such training often requires extensive post-graduate education, and oftentimes that can be very hard to find!
As a patient, you should be aware that there are many ways to treat the TMJ disorder. To figure out which one(s) are right for you, the first step is diagnosing. A proper diagnosis is where it all starts and that means a very good MRI (soft tissue) and CBCT x-ray of the joints. From there, your
course of treatment might include orthotic (non-surgical dental oral appliance treatment), physical therapy, osteopathy, dry needling, acupuncture, massage, and even laser therapy.
At our office, we most frequently use appliance therapy to make space for the displaced discs to return into the socket. Along with your appliances, we oftentimes do massage or laser therapy. This is a specialty treatment. Our massage therapist incorporates the Fotona laser to achieve good energy deep into the tissues to maximize healing. It quite honestly feels “wonderful” according to our patients.
We Are NOT Your Typical Dental Office
Popping
Dr. Jeffrey Brown has limited his practice to focus only on TMJ Disorders, Craniofacial Pain Management and Sleep Apnea. By fixing slipped discs in the jaw joints, Dr. Brown can significantly reduce the pain patients experience in the head/neck region and other symptoms associated with jaw joint problems. Sleep & TMJ Therapy may be able to improve the quality of life for you or a loved one – we encourage you to contact us with any questions or concerns.
“Dr. Brown and his staff are absolutely wonderful. I was diagnosed with Dystonia. I could not turn my head and had a ton of pain. My doctors offered no help and no advice besides Meds and Botox. Since having the appliance I have NO pain and I can turn my head. I would highly recommend them to anyone. I feel Dr. Brown and his staff really care about their patients and helping them to get better. They do not just numb the symptoms but fix the problem. Thank you from the bottom of my heart. I feel like the old me again!”
- D. Thomas
“My daughter has been treated by Dr. Stack and Dr. Brown for the last 2 1/2 years, and we are very fortunate to have found them. Prior to that she was being treated by a neurologist at a Children’s hospital. She was on medications for tics and associated muscle pain, OCD/repetitive thoughts, sleeplessness and more (all possibly associated with Tourettes). Drs. Stack and Brown installed spacers to alleviate pressure on nerve bundles in the jaw, and subsequently braces to complete the process. Her symptoms have diminished significantly. She is off medication, her tics have all but disappeared, she can concentrate better in school, and she is once again cheerful and relaxed.”
- Susan
When a patient wears an orthotic appliance on their lower teeth, this allows the displaced discs the chance to get back into proper position within the socket. This takes time. Most cases the displacements occurred over the course of years and it often takes a year for those discs to go back into place, if they will at all. In the event that they do not go back where they belong, a minor surgery can be done to put them back into the joints. This is called plication.
The other appliance that is used is the ALF. This little wire has the ability to open up the palate which makes it easier to breathe. It can also lower a high palatal vault which allows better nasal breathing. When a person breathes through their nose more, this allows for better production of nitric oxide which helps the body to heal better. It also helps level the cranial bones to some extent and thus reduce asymmetry of the skull. This little device really is amazing. Admittedly, it takes years of training to get a handle on it, but it is well worth it.
Ultimately, when a TMD case has healed or improved enough to not need surgery, it is time to finish up so you do not need to wear appliances any longer. This can be accomplished either by orthodontics or prosthodontics. The purpose is to support your jaw joints and the discs in the correct anatomical position. It is important that you understand the mechanism of how this works so choose your provider carefully and do your research! Your smile is worth it.
Submitted By Sivakumar Sreenivasan, DMD, MDS Dental Implant Center of Rockville
Can just four implants replace all of the teeth on the top or the bottom of your mouth? Thanks to advances in dental implant technology, that answer is a resounding yes.
Tooth loss is extremely common among adults, especially as we age. Rather than living with the discomfort and hassles of dentures, many people are opting for what is called “all-onfour” dental implant restoration.
An implant is a small titanium
screw that fits inside your jawbone and replaces the root-part of a missing tooth. Minor surgery is required to insert the implants. Once the implant is in place, a crown is attached to give you a highly realistic-looking and functional prosthetic tooth.
You do not need a dental implant for each and every one of your missing teeth. All you need is four precisely placed implants on the top of your mouth, and four on the bottom, to restore your full smile. That’s the beauty of the all-on-four. And because the implant is made of titanium, it has the unique ability to fuse to living bone and function as part of it. So eventually, the dental implant becomes part of the jawbone and serves as a strong, longlasting foundation for your new teeth.
Besides ensuring that your implants are permanently fixed in place, this bone fusion has another important benefit: it prevents future bone loss in the jaw. This helps to maintain a more youthful facial structure – and better
Please see “All-On-Four,” page 62
• Natural, safe, laser light energy is pulsed and absorbed by the subcutaneous tissue.
• Supercharges the body’s metabolism through ATP synthesis to burn fat as energy.
• Waste products are expelled from the body via sweat, urine and respiratory exhaustion.
• The body continues to burn fat for up to 4 hours after treatment.
• Collagen and elastin production is increased within the skin layers to rejuvenate and repair skin cells addressing cellulite, skin laxity and stretch-marks.
Aging and Your Dental Health
communication can become intricate due to physical, sensory, and cognitive impairments often associated with aging. Dental issues that commonly affect seniors include dry mouth (known as xerostomia), root and coronal caries, and periodontitis.
Notably, a staggering 19% of seniors no longer have any natural teeth, and a Massachusetts survey has unveiled that 34% of seniors experience dental discomfort. Alarmingly, more than half (53%) of seniors grapple with moderate to severe periodontal disease.
Tooth Loss
The older adult demographic is on the rise, presenting unique challenges in healthcare. Managing the health of aging patients can be intricate due to concurrent medical conditions such as high blood pressure and diabetes. Moreover, the frequent use of prescription medications by older adults heightens their susceptibility to medication errors, drug interactions, and adverse reactions.
The process of delivering home oral healthcare and patient education/
Seniors who have lost most or all of their teeth often struggle to maintain a balanced diet, as they may avoid fresh fruits and vegetables. Reliance on soft foods can lead to nutritional deficiencies and a decline in overall health. Additionally, these individuals may experience pain, speech difficulties, and feelings of embarrassment and reduced self-esteem, ultimately contributing to social isolation and loneliness.
The Rewards Of Optimal Hydration This Spring
As the sun shines brighter and outdoor activities beckon, prioritizing your fluid intake becomes paramount. Adequate hydration can have a profound impact on your overall wellbeing, weight management, and even enhance your athletic performance.
But how much water is enough, you might wonder? While most individuals should aim to consume
a gallon of water daily, those residing in warmer climates or engaging in frequent physical activity should increase their intake. A great way to start is by substituting all other beverages with water. Additionally, keeping a bottle of water in your car and having one readily available at your desk can make achieving this goal effortlessly attainable.
Discover Some of the Many Benefits of Optimal Hydration:
1. Energize Your Metabolism: Proper hydration kick-starts your metabolism, ensuring efficient calorie burn and nutrient absorption, including vital vitamins such as B and C.
2. Enhance Digestion: Water acts as a solvent that aids in breaking down food, facilitating the digestion process. It assists in the conversion of complex nutrients like starches, triglycerides, and proteins
Please see “Hydration,” page 62
Alicia Kovach, DC Aric Adlam, DC
Kristina Anderson, DC
By Alicia Kovach, DC Kovach Chiropractic
Direct: (301) 365-6940
Fax: (301) 365-6941
Email: cfeitel@medicalanddentalspace.com
CHARLES L. FEITEL
What Is a Bunion?
By Howard Horowitz, DPM Bowie Foot & Ankle
A bunion is an enlargement of the joint at the base of the big toe the metatarsophalangeal (MTP) joint that forms when the bone or tissue at the big toe joint moves out of place. This forces the toe to bend toward the others, causing an often painful lump of bone on the foot.
Symptoms
• Development of a firm bump on the outside edge of the foot, at the base of the big toe.
• Redness, swelling or pain at or near the MTP joint.
• Corns or other irritations caused by the overlap of the first and second
toes.
• Restricted or painful motion of the big toe.
Podiatric medical attention should be sought at the first indication of pain or discomfort because, left untreated, bunions tend to get larger and more painful, making nonsurgical treatment less of an option.
The primary goal of most early treatment options is to relieve pressure on the bunion and halt the progression of the joint deformity. A podiatric physician may recommend these treatments
Padding & Taping
Padding the bunion minimizes pain and allows the patient to continue a normal, active life. Taping helps keep the foot in a normal position, thus reducing stress and pain.
Medication
Anti-inflammatory drugs and cortisone injections are often prescribed to ease the acute pain and inflammations caused by joint deformities.
Physical Therapy
Physical therapy is often used
Please see “Bunion,” page 62
Restoring Health and Vitality As the Years Go By
Over the past few years you may have gained unwanted pounds, stopped exercising, have had disrupted sleep, ate badly and drank more than you used to. There are a few basic steps that address the most common issues that get in the way of vitality and aliveness.
You might find your sleep is disrupted, and it is possible that weight
gain has brought about sleep apnea, which is a dangerous condition that causes fatigue, weight gain, and increases the risk of heart disease, stroke and hypertension. It is nearly impossible to feel well and to function optimally when sleep is disrupted. Addressing this with a physician can be extremely helpful.
Gastrointestinal problems are also common, including irregular bowel movements and bloating. Two common GI conditions are bacterial and yeast overgrowth, which when recognized can be easily treated. Dietary intolerances are also common and can be addressed with a physician who is able to address them.
Stress can exacerbate or accelerate hormonal deficiencies in men and women particularly when menopause or its male equivalent “andropause” is happening. Bio-identical hormone replacement is an approach where the
Please see “Restoring Health,” page 65
Staying On Your Feet Foot and Ankle Health For Active Aging
By Gary Feldman, DPM, FACFAS The Center For Advanced Orthopaedics
As we age, staying mobile becomes one of the most important factors in maintaining independence, mental sharpness, and overall wellbeing. Yet, the foundation of that mobility — our feet and ankles — often doesn’t get the attention it deserves. With age, the risk of foot and ankle problems increases, making awareness and preventative care essential.
One of the most common age-
related changes is the natural loss of fat padding on the soles of the feet. This can lead to increased pressure on bones and joints, contributing to pain during walking or standing. Additionally, tendons and ligaments lose elasticity, which can reduce balance and flexibility. Arthritis, particularly osteoarthritis, frequently affects the foot and ankle joints in older adults, causing stiffness, swelling, and discomfort that can discourage physical activity.
Another concern is reduced circulation, especially in individuals with diabetes or vascular conditions. Poor blood flow can delay healing and increase the risk of infections or ulcers. Even mild foot injuries in older adults should be monitored closely.
Falls are a leading cause of injury among seniors, and foot problems are often a hidden contributor. Pain, instability, or improperly fitting shoes can affect gait and balance, raising fall risk significantly. Regu-
Please see “Feet,” page 65
CHARLES C. REEL, MD, LLC
Medstar Georgetown University Trained Neurologist
Olivia Perrelli, NP-C
Adult and Adolescent Neurology
Comprehensive Neurological Evaluation and Treatment of:
• Dizziness/Vertigo/Disequilibrium
• Arm/Leg Weakness/Pain/Numbness
• Sleep Disorders
• Neck/Back Pain
• Walking Difficulty/Falls
• Muscle Spasms (Botox)
• Headaches/Migraine
• Memory Disorders
We Specialize in the Diagnosis and Care of:
• Peripheral Neuropathy/Muscle Disease
• Spinal Stenosis/Arthritis
• Parkinson’s Disease
• Autonomic Disorders/Fainting
• Dementia/Alzheimer’s
• Balance Disorders
• Stroke
• Multiple Sclerosis
• Epilepsy/Seizures
Offering state-of-the-art testing and treatment, including EMG/NCS, EP, EEG and Autonomic Studies 301-290-0395 Maryland Gait & Balance Disorder Center
We
Let’s start talking about living.®
Our Award-Winning Services
Companion Care: Everyone needs companionship. Whether it’s helping with chores, transportation, socialization or activities like puzzles, our caregivers keep your loved one engaged and active.
Personal Care: A daily routine can be one of the strongest reminders of what makes home feel like home. When those day-to-day tasks get harder, our caregivers help maintain the comfort and familiarity of home life.
Specialty Care: Even though every care situation is unique, Right at Home caregivers are not only experts in specialty care such as dementia and hospice care, but they’re trained to help you cope as well, so you can feel comfortable knowing your loved ones are in good hands.
Live-In Care: This service is when a trained caregiver lives with the client and provides care throughout the day, offering 24/7 support tailored to their needs. We provide long-term, and short-term live-in options ideal for those needing consistent, around-the-clock care or for family caregivers seeking a temporary break.
Home—there’s truly no place like it. It’s where your memories live, where you raised your family, and where friends gathered for life’s celebrations. It has been your sanctuary through the ups and downs of life, and it’s where you want to stay. At Right at Home, our mission is to help you remain where you feel most comfortable—because we exist to be your trusted guide in living well at home, wherever home may be.
Aging, disability, illness, or injury can make staying at home challenging. We believe no one should have to navigate the complex decisions and unexpected changes alone. As experts, we offer more than just care—we provide guidance and support through every step of the journey. Right at Home’s dedicated caregivers are passionate about making a difference in clients’ lives, knowing that with every person they help, they’re making the world a better place.
Aging In Place:
A Guide To Future Planning
Submitted By Right At Home
Are you considering aging in place—staying in your own home rather than moving to a senior residence? While this choice can be ideal, it requires thoughtful planning and a commitment to healthy living.
1. Home Adaptations For Safety
Begin by assessing what changes your home may need. Consider installing grab bars in the bathroom, improving lighting, and eliminating steps for safety. Technology like medical alert systems and smart home devices can enhance convenience.
Plan for the future: Invest in renovations that accommodate potential mobility issues, such as wider doorways and accessible showers. A professional assessment from a home safety specialist can help identify hazards.
2. Financial Planning
Financial readiness is essential for a smooth transition into retirement. Consult a financial advisor to review your savings and potential home expenses. Long-term care insurance can help cover home care costs if needed. Explore government programs: Medicare and Medicaid may assist with aging-related expenses, and veterans should check benefits from the
U.S. Department of Veterans Affairs.
3. Legal and Health Care Preparation
Ensure your legal documents are up to date, including your will and health care directives. Regular medical checkups can help manage chronic conditions, while vaccinations, like the flu shot, are important for overall health.
4. Building a Support Network
Community connections are invaluable for those aging in place. Maintain relationships with family and friends and consider services like meal delivery and transportation assistance. Research local resources: Community centers often offer social activities and support groups. Senior ride-sharing services or discounted transit options may also be available.
5. Preparing For the Unexpected
Despite the best plans, circumstances can change. Having a contingency plan is crucial. Research local home care agencies and rehabilitation centers in case you need temporary care after a hospital visit.
If aging in place becomes unfeasible, familiarize yourself with local assisted living options. Stay informed about real estate and care services in your area to avoid surprises.
ADVENTIST MEDICAL GROUP
PRIMARY CARE SERVICES FOR YOU
Choose Adventist Medical Group Primary Care in Fort Washington, Maryland, to provide a full range of primary care services for adults.
Learn to better manage your health and prevent illnesses with personalized care from our experienced, primary care providers. Our specialists in family medicine and internal medicine work as a team to deliver expert care when you need:
• Same-day Sick Visits
• Women’s and Men’s Health and Wellness Exams
• Health Physicals, Health Maintenance and Preventive Care
• Geriatric (Senior) Wellness Exams
• Vaccinations and Immunizations, including Flu Shots
• Health Management for:
• Asthma and Allergies
• High Blood Pressure
• High Cholesterol
• Diabetes
• Heart Disease
You also benefit from coordinated care that helps you effectively handle all aspects of your health—from preventive medicine and preoperative appointments to management of chronic health conditions.
To schedule an appointment, please call 240-724-6018
10709 Indian Head Highway, Suite D1 Fort Washington, Maryland 20744 AdventistMedicalGroup.org
At Outreach, we believe that mental health is just as important as physical health. Whether you’re struggling with anxiety, depression, or other emotional challenges, we offer a safe, compassionate space where you can begin your journey to healing.
We understand that life can feel overwhelming, but there is hope. Our team of caring professionals is here to support you every step of the way with personalized mental health counseling and medication management.
Our compassionate addiction services provide personalized care, tailored treatment, and a supportive community to help you or your family regain control of their lives. Whether you’re seeking outpatient counseling, detox support, or long-term recovery solutions, we’re here to walk this journey with you—because your health, happiness, and future matter.
Reach out today and take the first step toward lasting wellness. It’s time to prioritize your wellbeing.
Hernia
A Common Cause For Heartburn
the abdomen, eg., repeated straining, chronic coughing, obesity and pregnancy.
What Are the Symptom Of a Hiatal Hernia?
Magazine Design Shop, Heather L. Mahoney
By Etwar McBean, MD, FACS
The Bariatric & Hernia Institute, PC
What Is a Hiatal Hernia?
Many hiatal hernias have no symptoms. However, the most common symptom is heartburn. Other symptoms include acid taste in the mouth, regurgitation of food, choking sensation in the throat, coughing especially at night, or vague upper abdominal pain.
How Is a Hiatal Hernia Diagnosed?
Many hiatal hernias are found incidentally during investigation for another problem, eg., doing a CT scan for abdominal pain and finding a hiatal hernia. For the individual that has symptoms, a hiatal hernia may be diagnosed by an upper GI study or an endoscopy performed by a gastroenterologist.
advertisement must be noted and faxed to YourHEALTH at (301) 805-6808 on or before the due otherwise the ad will be printed as shown below.
REQUIRED. Please check the appropriate box, sign and fax back to YourHEALTH.
What Is the Treatment For a Hiatal Hernia?
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A hiatal hernia is a type of hernia that occurs when the stomach migrates from the abdominal cavity into the chest cavity through the diaphragm. Other organs may also migrate into the chest but most commonly it is the stomach that is involved. The stomach migrates through a natural opening in the diaphragm. The occurrence of a hiatal hernia may be precipitated by a weakness in the diaphragm and by factors that cause high pressure in
ThunderBird Dental Office affectionately known as the ThunderBird, has been providing dentures and denture repairs for over 40 years.
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Treatment for a hiatal hernia
Please see “Hiatal Hernia,” page 62
Our dental lab is on our premises which allows us to deliver same day repairs and relines. We also perform extractions for immediate dentures.
Our service is prompt and personalized and our price is right, so come on in!
By Lynda Dean-Duru, DDS Ashburn Children’s Dentistry
Proper breathing during sleep is crucial for the overall well-being of children, yet many parents may not be fully aware of potential issues related to Sleep-Related Breathing Disorders (SRBD), which includes pediatric obstructive sleep apnea (OSA).
Ensuring Healthy Smiles and Sound Sleep For Your Child
SRBD refer to disturbances in normal breathing patterns during sleep, ranging from common snoring to more severe pauses in breathing known as apnea events. These interruptions can lead to sleep deprivation and a variety of health complications. In the case of children, untreated SRDB can result in developmental, behavioral, and emotional challenges, potentially leading to conditions like allergies, ADD/ADHD, and depression.
Pediatric OSA, a condition where the airway is partially or completely
• Regular Dental Exams
• Professional Teeth Cleanings
• Dentistry for Children with Special Healthcare Needs
• Digital X-Rays
• CBCT (Cone Beam Computed Tomography)
• Icon® Cavity Prevention
• Myofunctional Orthodontics
• Infant & Child Frenectomy
• Bebe Munchee® Tool Child Growth & Development
• Tooth-Colored Fillings
• Dental Crowns
• Teeth Whitening Cosmetic & Restorative Care
blocked during sleep, is often caused by enlarged tonsils or adenoids and a lack of tongue space. It differs from adult OSA, as it may manifest alongside behavioral issues and daytime sleepiness in children.
The Importance Of Proper Sleep and Open Airways For Children
Pediatric Sleep-Related Breathing Disorders (SRBD) and OSA Symptoms
Children with SRDB may present a range of symptoms, including:
• Difficulty falling or staying asleep
• Sleepwalking, night terrors, and other parasomnias
During the first 18 months of a child’s life, crucial growth and developmental milestones occur, many of which are related to facial development. Ensuring proper breathing is essential for a child’s health and development, impacting facial features, jaw development, and overall growth. Mouth breathing can set off a chain reaction of issues, altering the growth of the lower and upper jaws, midface, and nasal bones, ultimately affecting the child’s facial balance.
• Excessive daytime sleepiness
• Mouth breathing, dry lips, bad breath
• Dark circles under the eyes
• Tonsil and adenoid problems
• Snoring
• Teeth grinding
• Bed-wetting
• Inner ear infections
• Limited tongue/lip mobility
• Hyperactivity
• Difficulty concentrating
• Selective eating habits
• Bedwetting
In the case of pediatric OSA, symptoms may involve snoring, breathing pauses, restlessness, and coughing or choking episodes during sleep.
Dentist’s Role
• Fluoride Treatment
• Sealants
• Pediatric Sedation Dentistry
• Laser Dentistry
• Baby Root Canal (Pulpotomy)
• StemSave™
• Mouthguards
• Tooth Extraction & Space Maintainers
• BabyLase™
• Sleep Apnea & Sleep Airway Treatments
• Lumineers
• Snap-On Smile®
Contrary to conventional belief, pediatric dentists with specialized training are well-equipped to address symptoms related to sleep and airway conditions. The airway, mode of breathing, and malocclusion are closely interconnected and should be addressed early and holistically by dentists. Advanced technology, such as cone beam 3D imaging, allows dentists to effectively diagnose airway issues and guide proper growth and development. Early intervention is essential in guiding proper growth and development.
Convenient at-home sleep study tests are now available to diagnose pediatric sleep apnea and breathing issues. These tests provide comprehensive, accurate data for proper diagnoses.
Treatment goals encompass the elimination of detrimental habits, guiding optimal cranial, jaw, and facial development, preventing dental misalignment, and enhancing airway health and oxygen sufficiency. Various therapies, including oral appliances, myofunctional therapy and positive airway pressure therapy, can effectively alleviate symptoms.
Dr. Lynda Dean-Duru
Dr. Krystle Dean-Duru
Cannabis For Retirees Continues To Rise
By Sharron Sample, CEO Dispensary Works
Retiree use of cannabis is still climbing, as they discover the many potential benefits of cannabis for medical conditions.
Many retirees, who are part of the baby boomer generation, grew up using cannabis for recreational purposes. With the legalization of medical cannabis in 33 states and DC, these men and women are now turning to canna-
bis as a natural alternative to opioids, sleep aids, and antidepressants.
Why are seniors among the fastest-growing group of cannabis users?
Cannabis as Medicine
Cannabis is derived from a pure, uncut cannabis plant and contains potent chemical compounds known as cannabinoids. Of these, tetrahydrocannabinol (THC) and cannabidiol (CBD) offer the greatest therapeutic benefits for a variety of medical conditions, including chronic pain, depression, anxiety, Alzheimer’s, and seizure disorders.
Benefits of Cannabis for Retirees
Receptors throughout our bodies take advantage of the THC and CBD components of cannabis, with seniors reporting many positive results from the effects in the brain and throughout the body.
Please see “Cannabis,” page 65
Bringing Earthful Meds to Maryland
Being a Senior Does Not Mean You Have To Slow Down
By Dr. Tiffany Daniel Live To Day Wellness
Health experts recommend that older adults incorporate strength training into their fitness routine. The addition of even a light set of weights can enhance bone density, decrease insulin resistance, affect metabolism and result in better sleep, according to the Ameri-
602-456-1180
www.ctldomgroup.com
can Council on Sports Medicine.
Regular exercise not only slows the loss of muscle mass and strengthens bones, but it could also help speed up recovery from surgery, according to the American Academy of Orthopedic Surgeons.
Even 30 minutes of moderate physical activity, such as a brisk walk, provides health benefits for
WELLNESS
Dr. Tiffany Daniel, EdD
Yoga 200Level and Zumba Instructor Training: Mindful Movement and Breathwork Areas of Interest: Healthy Eating and Regular Exercise Specialties: Nutrition, Meal Planning, Weight Loss, Rehabilitation and Maintenance, and Standards for Excellence Licensed Consultant Practice Philosophy: Your Health is Your Wealth
Hosts a monthly women veterans peer support group with Peer Outreach Solutions, Inc., (Posi) for Sista’s of the Posi. Give An Hour, Ambassador supporting veterans and their families.
Veteran Yoga Project, State Director for Yoga - MRT Breathe for Change, Yoga Instructor Yoga - SEL(F) Mental Health First Aid Certified Hobbies: Reading, Researching Preventive Measures for Autoimmune Diseases and other Health Conditions plus Advocate for Veterans and Mental Health Awarenes
older adults, according to the orthopedic association.
Fortunately for today’s “baby boomers and beyond,” there are programs available that can reduce fitness center costs to leave no room for excuses for being physically fit.
One such program is SilverSneakers Fitness through Healthways, which partners with several local health facilities. SilverSneakers is provided at no cost by more than 70 health plans nationwide. Through SilverSneakers members are able to find classes designed for all abilities.
Check the silversneakers.com website to find participating fitness facilities near you.
Fitness coaches are trained to assess your particular body to take into account that with age there may also be some diminished endurance, strength, flexibility and balance. During your first session you and your fitness coach should discuss any injuries, joint weakness and other limitations.
Body balance classes (which incorporate elements of flexibility, coor-
dination, balance and core engagement) and body basic classes (low-intensity agility drills) are recommended for all age groups. These programs offer many positives, such as feeling better, getting stronger, and losing weight, which are beneficial at any age.
Healthy Living
Too many of us are misinformed about the impact a lack of exercise or physical activity can have on our bodies. Lack of exercise, poor nutrition, frequent use of tobacco, and alcohol consumption are just some of the primary causes of “chronic disease.”
Look for a fitness facility that offers regular consultations with members to educate you with healthy living tips, such as ways to prepare meals that are simple and easy, and Dr. Tiffany Daniel
Please see “Slowing Down,” page 65
Hyperbaric Oxygen Therapy Supporting Vitality in Active Aging and Senior Living
By Elambert Richardson
Elon Roshell Day Spa & Health
As we age, maintaining energy, mobility, and mental sharpness becomes increasingly important. Hyperbaric Oxygen Therapy (HBOT) offers a natural, non-invasive way to support these goals, making it an ideal addition to active aging and senior wellness strategies. By delivering pure oxygen under increased atmospheric pressure,
HBOT enhances the body’s ability to repair itself, reduce inflammation, and improve overall function.
How HBOT Supports Aging Gracefully
During HBOT, individuals relax in a sealed chamber while breathing concentrated oxygen. The elevated pressure allows oxygen to dissolve more effectively into the bloodstream and reach areas that may have reduced circulation due to age-related changes. This enhanced oxygenation promotes healing, boosts energy, and supports cellular regeneration.
Key Benefits For Seniors
HBOT is increasingly being recognized for its role in promoting vitality, recovery, and cognitive function in older adults. Some of the most relevant benefits include:
Featured Health Professionals
Local Professionals Empowering and Encouraging People To Live Healthier
Jonathan Johnson, MD, MBA, CWSP
Excellence in Aesthetics & Wound Care
2112 F Street, NW Washington DC Capital Surgical Center Suite #802 Call: 202-861-2252 Comprehensive Wound Care Services Suite #804 Call: 202-861-2971
The Expertise of Dr. Jonathan Johnson
Dr. Jonathan Johnson, MD, MBA, CWSP, is a distinguished plastic surgeon and the owner of Capital Surgical Center and Comprehensive Wound Care Services in Washington, DC. With over 20 years of experience, Dr. Johnson specializes in both advanced wound care and aesthetic medicine, blending his surgical expertise with a commitment to patient-centered care. Board certified by both the American Board of Wound Management and the American Academy of Aesthetic Medicine, Dr. Johnson is highly regarded for his dual focus on wound healing and aesthetic procedures. As a Sylvester J. Carter Fellow in hand and plastic surgery, he trained at the prestigious Lincoln Medical and Mental Health Center, where he gained extensive experience in reconstructive wound care and aesthetic enhancements. His expertise has led him to speak at numerous national conferences, educating fellow physicians on the latest advancements in both specialties.
Through Comprehensive Wound Care Services, Dr. Johnson provides compassionate and effective treatment to patients suffering from chronic, non-healing wounds, particularly in nursing homes across Washington, DC, Georgetown, and Foggy Bottom. His aesthetic practice at Capital Surgical Center offers innovative cosmetic procedures designed to enhance natural beauty and restore confidence.
In addition to his medical credentials, Dr. Johnson holds an MBA in healthcare finance from Johns Hopkins University’s Carey Business School. He is a member of the Maryland Society of Physician Entrepreneurs. Dedicated to community service, he serves on the board of directors for the Capital Youth Empowerment Program, a nonprofit supporting inner-city youth development.
Robin R. Robinson, AuD
479 Jumpers Hole Road Suite #203-A, Severna Park, MD
2654 Brandermill Boulevard Gambrills, MD
9 Lee Airpark Drive
Meet Robin R. Robinson
Dr. Robinson founded Hearing Solutions Audiology Center to provide the excellence that patients deserve when it comes to their hearing health. With emphasis on diagnostics and aural rehabilitation with advanced technology instruments, Dr. Robinson has been practicing for over 20 years and is board certified by the American Board of Audiology. She received her doctoral degree in Audiology from the Arizona School of Health Sciences and her Master’s and Bachelor’s of Science degrees from Radford University in Virginia, graduating with Magna Cum Laude honors. As an audiologist, Dr. Robinson has worked for large medical hospitals as well as ENT specialists, but she enjoys the personalization and patient care she is able to provide in a private practice like Hearing Solutions. As a native Virginian, Dr. Robinson still enjoys outdoor activities such as boating and kayaking on the weekends. When Dr. Robinson and her husband aren’t attending their children’s sporting events, they can usually be found enjoying the waterways of Maryland.
Featured Health Professionals
Local Professionals Empowering and Encouraging People To Live Healthier
Jeffrey L. Brown, DDS
TMJ & Sleep Apnea Treatment
Meet Jeffrey L. Brown
Dr. Brown’s practice focuses on TMJ, sleep apnea and orthodontics. This allows Dr. Brown and his team to provide individualized, focused care for patients dealing with these specific issues. Every day, his practice helps patients of all ages with facial development, sleep issues, chronic headaches, migraines, neck pain, movement disorders, and much more. His training also includes multiple disciplines involving the cranial bones in the skull, and the discs in the jaw joints. Through treatment, Dr. Brown is able to reduce these symptoms, align cranial bones, avoid extractions, and greatly reduce the need for traditional braces. His expertise allows him to identify issues early on which promotes proper facial development using dental appliances. If there is an internal imbalance, whether an adult or child, the body does not develop or function properly. When the cranial bones are lined up correctly, patients are able to function, sleep and generally live better.
With that in mind, the team at Sleep & TMJ Therapy takes a whole-body approach when treatment planning. They work hand in hand with physical therapists and osteopathic doctors for a better success rate. Dr. Brown is devoted to helping patients of all ages live a symptom free life.
Degrees & Certifications
Dr. Brown earned his degree from Georgetown Dental School and completed residencies with Emory University Hospital for Dental Sleep Medicine and the ALF Appliance Therapy Institute.
Outside the Office
When not seeing patients, Dr. Brown is a sought-after speaker. He has lectured all over the world, including D.C., Dubai, Seoul, London, Norway and Toronto. He has also been featured on Channel 9’s Good Morning Washington, several podcasts, and numerous magazines and journals.
Professional Affiliations
Dr. Brown is a diplomate of the American Academy of Craniofacial Pain, a member of the American Academy of Dental Sleep Medicine, American Academy of Gnathological Orthopedic, Academy of Integrative Pain Management American Dental Association, a Fellow of the American Academy of Craniofacial Pain, and Legacy Provider for the ALF Interface Academy.
Do you have TMD or Sleep Apnea?
TMD Symptoms: Noise in the jaw joints when opening and closing your mouth, difficulty chewing, limited opening, tender facial muscles, ear ringing, uncomfortable bite, jaw locking, headaches, migraines, dizziness, vision issues as well as pain in the jaw area which can radiate to the ears, head, neck, shoulders, and back.
Sleep Apnea Symptoms: Snoring, waking up gasping for air, feeling tired and irritable in the morning, difficulty controlling weight, concentration problems, morning headaches, episodes of not breathing, waking with a sore throat, forgetfulness and mood changes.
If you believe you may be suffering from TMD or Sleep Apnea, don't wait... Call today to schedule a consultation with Dr. Brown: 703-821-1103.
Dr. Smith is a dentist who also specializes in treatment of gum disease, cosmetic smile enhancement procedures, and dental implants to replace teeth that are missing. Although no one likes to go to the dentist, he strives to make your visits as comfortable and pleasant as possible. He strongly believes that value and comfort is an important part of quality dental care.
The right to choose a dentist and provider of care is an important freedom. Referrals from patients and friends of the practice are welcome. We also work closely on referral from your family dentist, but a referral is not required to visit our office. Everyone that is interested in keeping their teeth for a lifetime should see a periodontist for screening.
Dr. Smith’s colleagues describe him as a gentle, easy-going person that provides expert care to patients. People come from near and far to experience the comfort of his office and patient-oriented team. He has been consistently voted by his peers a Top Dentist in Washingtonian Magazine , and Northern Virginia Magazine
WHAT TO EXPECT ON A VISIT
WITH DR. SMITH:
Dr. Smith says that “From the first phone call you will be treated with care and concern for your unique dental condition. Every question you have ever had about your dental health will be covered as well as any financial considerations you may have. It is my goal to care for each and every person that comes through my doors and to exceed your expectations from a dental office. I promise to always give you honesty and accuracy when it comes to your treatment. I will never start treatment without your full knowledge, understanding, and acceptance of your condition.”
“Please call my office to ask about our
Degrees, Training and Certificates:
Doctor of Dental Surgery Degree from the University of California, Los Angeles 1981. General Practice in the U.S. Air Force Dental Corps.. Successfully completed three additional years of advanced training in the specialty of Periodontics, Dental Anesthesia and Implants in 1992 at the University of Texas Health Science Center, San Antonio and Wilford Hall USAF Medical Center. Retired from the U.S. Air Force as a Lieutenant Colonel in 1996. Fellowship in the Academy of General Dentistry and in DOCS, a sedation organization for dentists.
Featured Health Professionals
Mary B. Alexander, DDS, DMSC
Under One Roof
20680 Seneca Meadows Parkway, Suite #218
Meet Mary B. Alexander
Dr. Mary Alexander, periodontist, obtained a Bachelor of Science degree in Biology from the University of South Carolina and continued her education in dentistry at the University of Maryland School of Dental Surgery where she received her DDS degree. Prior to and during her dental studies, Dr. Alexander received funding and support from the National Institutes of Dental Research for her involvement in the periodontal research. After obtaining her DDS degree Dr. Alexander spent one year at the Veteran’s Administration Hospital, in general practice residency focusing her training in the area of anxiety patient management. She then attended Harvard University and earned her clinical specialty in periodontics and a doctorate in medical science. Her doctoral research was focused in the study of bone function and metabolic disease of the bone.
Dr. Alexander received extensive training in dental implantology, periodontal plastic surgery, bone regenerative procedures and sedation dentistry. All aspects of Dr. Alexander’s training are incorporated in her periodontal practice assuring patient’s thorough and comprehensive periodontal treatment.
Sivakumar Sreenivasan, DMD DENTAL IMPLANT CENTER OF ROCKVILLE
Oral and Maxillofacial Surgeon
Diplomate, American Board of Oral & Maxillofacial Surgery
DMD, MDS • OMFS, MD, PA
77 South Washington Street Suite #205, Rockville, MD
301-294-8700
www.OMFSMD.com
Meet Dr. Sreenivasan:
Dr. Sreeni came to the United States as an Oral and Maxillofacial Surgeon in the year 1990 and put himself through dental school again at Boston University and Oral and Maxillofacial Surgery residency at University of Medicine and Dentistry of New Jersey.
As an Oral and Maxillofacial Surgeon, Dr. Sreeni manages a wide variety of problems relating to the Mouth, Teeth and Facial Regions. He practices a full scope of Oral and Maxillofacial Surgery with expertise ranging from Corrective Jaw Surgery to Wisdom Teeth Removal. His passion is in implant surgery and he is well known for same day placement of implants following teeth removal be it for single teeth or a complete “makeover” (Smile in a day). He can also diagnose and treat Facial Pain, Facial Injuries and TMJ disorders and perform Bone Grafting and Sinus lift procedures.
Dr. Sreeni completed a residency in Anesthesiology at Mount Sinai Hospital, New York in 1994 and has worked as an Attending providing anesthesia services for children and adults in the ambulatory out-patient center of the hospital.
Dr. Sreeni is an Advanced Cardiac Life Support instructor with the Adventist group. He is also certified in Pediatric advanced life support and is very capable of handling emergencies that could possibly arise in the office. Dr. Sreeni’s staff are trained in assisting with IV Sedation/General Anesthesia within our state of the art office setting. Patients are continuously monitored during and after surgery. The goal of our office is to provide professional service with compassion and an understanding of the patients’ perspective.
Featured Health Professionals
ThunderBird Dental Office
ThunderBird Dental Office, affectionately known as the ThunderBird, has been providing dentures and denture repairs for over 40 years. Our dental lab is on our premises which allows us to deliver same day repairs and relines. We also perform extractions for immediate dentures. Our service is prompt and personalized and our price is right, so come on in!
Meet Dr. Brent C. White, Jr.
Graduate of Howard University College of Dentistry in Washington, D.C.
Completed General Practice Residency At Saint Elizabeths Hospital in Washington, D.C.
Served as a Civilian Dentist at Ft. Meade Army Base, Ft. Meade, Maryland
Served as Clinical Director at Oak Hill Juvenile Detention Center, Laurel, Maryland
Member Of: ADA
Janice Trent, AuD
10111 Martin Luther King Jr. Highway, Suite #102 Bowie, MD
6196 Oxon Hill Road Suite #240, Oxon Hill, MD
Meet Janice Trent
Dr. Trent has a passion for helping people. She has practiced Audiology since 1984, in a number of clinical settings. Her diverse career has included 16 years of teaching and clinical supervision at Howard University, Washington, DC and Temple University, Philadelphia, PA. Dr. Trent has also worked as a clinical audiologist in hospital settings and private ENT practices.
Education:
Clinical Doctoral Degree – Audiology-University of Florida, Gainesville, FL
Master of Education – Audiology- Northeastern University, Boston, MA
Bachelor of Science – Communication Sciences and Disorders – Hampton University, Hampton, VA
Dr. Trent holds her Maryland State Licensure in Audiology. She is a Certified Clinical Audiologist (CCC-A) through the American Speech-Language-Hearing Association (ASHA). Presently, she serves on the Board of Directors for ASHA as Vice President for Audiology Practice.
Featured Health Professionals
Local Professionals Empowering and Encouraging People To Live Healthier
Alexander, AuD, CCC-A
Your World Of Sound Awaits
JOIN US IN WELCOMING DR. DAVID ALEXANDER
Dr. Alexander brings a unique blend of military precision, academic excellence, and compassionate care to his practice. His mission is to help patients regain their hearing, confidence, and independence—so they can fully engage with the world around them. Dr. Alexander’s life and career have been defined by a passion for service—whether serving the country, the community, or his patients.
Upon graduation from Loyola University Maryland in 2002, Dr. Alexander served in the US Army for 9 years on Active Duty as a Blackhawk helicopter pilot. Driven to continue serving others, Dr. Alexander transitioned to the Army Reserves to pursue his calling as an audiologist. He earned his Doctorate in Audiology from The University of South Dakota in 2015 and has since become a licensed audiologist with extensive experience treating patients of all ages.
12200 Annapolis Road Suite #116 Glenn Dale, MD 20769
Degrees, Training and Certificates: UCLA Medical School; Yale University Hospital for Residency; Louisiana State University for Cornea and Refractive Fellowship
Professional Memberships/Associations: American Academy of Ophthalmology; American Society of Cataract and Refractive Surgery; International Society of Refractive Surgery
Areas of Interest: All laser custom LASIK; Cataract Surgery; Botox; Dermal Fillers; Cornea Comprehensive Ophthalmology
Practice Philosophy: Envision Eye and Laser is committed to delivering superior ophthalmic care with state-of-the-art technology and patient education in a caring, compassionate environment. We cater to a diverse population of adults and work with your primary care physician to improve the quality of your overall health and life. Your best vision is our focus.
Featured Health Professionals
Say Goodbye to Dry Eyes— for Good.
Meet Dr. Maner, O.D.
We’re thrilled to welcome Dr. Maner to our team! She brings experience in comprehensive medical eye care, contact lenses, and dry eye management. Her passion for patient-centered care and global clinical experience make her a wonderful addition our team.
Now IPL Therapy for Dry Eyes
Dry, irritated eyes? You’re not alone—and now, there’s a better way to treat the root cause. IPL therapy helps reduce inflammation, improve tear quality, and restore comfort.
Meet Jacqueline D. Griffiths
Dr. Griffiths is one of this area's most experienced surgeons and offers stateof-the-art Laser Vision Correction, Cataract Removal, Multifocal Lens Implants, and Comprehensive Ophthalmology. She has helped thousands of patients who struggle with their vision. Her knowledge, compassion, and attention to detail are the reasons she was voted by her peers to be one of this area’s most elite physicians.
Degrees, Training & Certifications
Dr. Griffiths is a Board Certified Ophthalmologist. She received her undergraduate degree from Yale and her medical degree from the University of Michigan. She then completed her Ophthalmology residency at Georgetown University Medical Center.
Professional Memberships & Affiliations
Dr. Griffiths is the immediate past Ophthalmology Section Chief of Reston Hospital Department of Surgery, the former Chief of Ophthalmology for the Reston Ambulatory Surgical Center in Reston, VA as well as Loudoun Hospital in Leesburg, VA, Diplomate of the American Board of Ophthalmology, a Fellow of the American Academy of Ophthalmology, a member of the American Society of Cataract and Refractive Surgery, the Washington National Eye Center and others.
Featured Health Professionals
Claiborne M. Callahan, MD
A native of Leesburg, VA, Claiborne M. Callahan, MD graduated with distinction from The University of Virginia in 1996. In 2000, she graduated from The University of Virginia School of Medicine. She completed her Ophthalmology Residency at Tulane University in 2004.
Prior to joining NewView Eye Center, Dr. Callahan was in private practice in Virginia, Florida, and Alabama. Her knowledge, experience and patientcentered focus allows her to spend quality time with each patient to diagnose, educate and treat them. She understands that patients have a choice with whom to entrust their eye care needs, and she prides herself on adhering to the highest ethical standards in the practice of medicine.
Dr. Callahan has performed thousands of cataract surgeries, as well as laser, glaucoma and eyelid plastic surgeries. She has treated a myriad of eye conditions throughout her career. She is committed to ongoing education and stays current with diagnoses and treatments. She attends several educational and training meetings yearly to remain in the forefront of ophthalmology advancements.
She is a Diplomate of the America Board of Ophthalmology, a Fellow of the American Academy of Ophthalmology, and others.
Degrees/Training: DDS, University of Maryland Dental School; General Practice Residency, San Diego Naval Hospital; Prosthodontics Residency, Naval Dental School, Bethesda; U.S. Navy Dental Corps Officer, Commander, USN, (retired).
Professional Memberships: American Dental Association, Maryland State Dental Association, Anne Arundel County Dental Society, Annapolis Dental Study Club, Chesapeake Implant Study Club, University of Maryland Alumni Association.
Practice Philosophy: To follow the “Golden Rule” in all aspects of professional dental care, providing outstanding quality dentistry in a caring, comfortable and comprehensive manner. Lighthouse Family Dentistry will “Light Up Your Smile.”
Meet Claiborne M. Callahan
Featured Health Professionals
Rikhil Patel, DPM, FACFAS
drpatel@peakepodiatry.com
Meet Rikhil Patel
Dr Patel is originally from South Jersey but now has established roots in Annapolis, MD!
He went to Rutgers University and earned a degree in Biomedical Engineering and then went on to Temple University for podiatric medical school. His 3-year surgical residency was at Phoenixville Hospital (now Tower Health) in the Main Line Area in PA and then completed a one-year Fellowship in Naples, FL in Reconstructive Foot and Ankle Surgery + Minimally Invasive Surgery.
He is board certified by the American College of Foot and Ankle Surgery.
After practicing in Naples, FL for 3 years, he moved back up to the northeast to be closer to family, but the added benefit is now he can paddleboard without alligators in the water!
Other interests include being co-owner of X-Golf Annapolis and being prominent in teaching students, residents, and fellows nationally and internationally.
We Bring Our Hearts To Your Place!
Founder and Director Of Chevy Chase Home Care
Degrees and Training: PhD in Demography/Gerontology, MS in Economics
Certificates From: Georgetown University, American University and New York University
Professional Memberships and Associations: IUSSP – International Union for the Scientific Study of Population, National Council on Aging (US).
Areas of Interest: Traveling, Fitness, Camping, Health Nutrition, Reading and Exploring the Internet.
Family: Son – Co-Owner
Services: Live in/out, short, long, nights, 24/7, Help at home, nursing home or hospital.
OUR MISSION
To help ELDERLY to remain at their homes and in the life’s mainstream of their choice as long and independently as possible. As well as deliver personal attention and assistance to the senior patients while at the hospitals, nursing and assisted living facilities.
To support a fast and successful recovery for PEOPLE OF ALL AGES (including youth and middle-aged patients) during and after their hospitalization, after surgery, at time of illness, infirmity, loneliness – at their homes or in medical facilities.
While providing care for our patients – we ARE GIVING PEACE OF MIND FOR THEIR FAMILIES.
Featured
Dr. Washington-Plaskett completed her medical school training at Meharry Medical College in Nashville, TN. She completed her Internal Medicine training at Morehouse School of Medicine in Atlanta, GA. She went on to pursue her Cardiology training at Boston Medical Center in Boston, MA where she also decided to stay and complete an additional year of training in Interventional Cardiology. She is a native of Fort Washington, MD and was eager to come back to familiar roots to start her career as a Cardiologist.
Dr. Washington’s interest in medicine started early as both her parents were in the medical field. Her inspiration is derived from the sacrifice of her parents as well as countless other health care workers that dedicate their careers in service to others.
Her specific interests in Cardiology include coronary artery disease and prevention, women’s cardiovascular health, and health disparities. Coronary heart disease or disease of the arteries that supply the heart is highly prevalent in the US with an estimated 20.5 million Americans with the diagnosis 2. Among women, it is often difficult to recognize the signs and symptoms of a heart attack and can often get overlooked1
Dr. Washington looks forward to working with and delivering care to the patients within the southern Maryland area. She truly believes knowledge is power and arming patients with the knowledge and tools necessary to guide them through their journey to better cardiovascular health.
Meet Howard Horowitz
Dr. Horowitz arrived in the Washington metro area in 1986 and established Bowie Foot and Ankle later that year. He quickly joined the staff at the newly opened Bowie Health Center Surgery Center. Dr. Horowitz enjoys the general nature of his practice and sees patients of all ages with a variety of foot problems. He especially enjoys dealing with the orthopedic nature of many podiatric problems, whether they be of recent onset or long standing. He has found that chronic problems affecting the ankle, knee, hip or back, can often be traced to recent symptoms within the foot, or vice versa.
Dr. Horowitz has been practicing in the Bowie area for over 25 years. He graduated from the Illinois College of Podiatric Medicine with a Doctorate of Podiatric Medicine and did his postgraduate training in podiatric medicine and surgery in association with the Podiatry Group of Greater New York and the New York College of Podiatric Medicine. Dr. Horowitz remained in New York for an additional two years to practice with several of his training program’s attending doctors in order to further hone his medical and surgical skills. Dr. Horowitz continues to expand his knowledge in podiatric medicine, in an effort to bring advances in treatment and technology to his patients.
Professional Affiliations: American Podiatric Medical Association, Maryland Podiatric Medical Association and American Academy of Podiatric Sports Medicine
Special Interests: Chronic foot and ankle musculoskeletal issues, Orthopedics, Surgery
Board Certifications: Podiatric Surgery - American Board of Medical Specialties in Podiatry; Podiatric Surgery, Podiatric Orthopedics - American Board of Podiatric Orthopedics and Medicine, Prosthetics, Custom Orthotic / Brace Fabrication and Shoe Modification
Family: Wife: Karin and Children: Aliza and Talia
The Hidden Dangers Of Untreated Hearing Loss In Aging Adults
By Sherrie Hunt, Hearing Instrument Specialist – The Hearing Aide
Hearing loss is often dismissed as a normal part of aging—an inconvenience rather than a health issue. However, leaving hearing loss untreated can have serious consequences for older adults, affecting not only
communication but also their mental, emotional, and physical well-being.
One of the most significant effects of untreated hearing loss is social isolation. Difficulty hearing conversations, especially in noisy environments, can cause frustration and embarrassment. Many seniors begin to withdraw from social settings,
Explore a New Hearing Care Experience!
Our goal is to continue earning your trust by providing
A variety of services are available at a fraction of the cost. Whether in-home, in-office, or via tele-audiology, we strive to take the stress out of the hearing aid consultation and selection process at a price you can afford.
Feel your best self within the safe space of relaxation, allowing stress to melt away! Breath in calming essential oils to reset and realign your body, mind, soul connection.
Linda Penkala, Author, LMT, Holistic Healthcare Presenter, and Wellness Catalyst shares her passion and heart for holistic lifestyle choices through:
• Presentations
• Massage Therapy
• Aromatherapy
• Wellness Articles
• Breathwork for Healing
• Her book, The Pause to Relax Ladies for Robust Heart Health
https://lifewave.com/lpenkala • Visit our new website! www.lindapenkala.com @pausetorelax The Pause to Relax
leading to loneliness and a decreased quality of life. Over time, this isolation can contribute to depression and anxiety, compounding the emotional toll of hearing impairment.
Cognitive decline is another major concern. Multiple studies have found a strong link between untreated hearing loss and increased risk of dementia. When the brain receives less auditory input, it must work harder to interpret sounds, diverting resources away from memory and thinking processes. Over time, this increased cognitive load can accelerate mental decline.
Balance and physical safety are also impacted. The inner ear plays a crucial role in maintaining balance, and hearing loss can make it harder to detect environmental cues, like approaching cars or warning signals. Older adults with untreated hearing loss are more likely to experience falls and other accidents, which can lead to hospitalization or long-term disability.
Additionally, untreated hearing loss often leads to communica-
tion breakdowns with loved ones and healthcare providers. Misunderstandings and frustration can strain relationships and create barriers to effective medical care. Seniors may mishear instructions or fail to report symptoms properly, leading to medication errors or delayed diagnoses.
The good news is that hearing loss is highly treatable. Hearing aids and assistive listening devices have advanced significantly, offering clear sound and
Please see “Hearing Loss,” page 65
Aging Gracefully & Making Wise Choices
There Are No Do-Overs!
By Linda Penkala, Author, LMT Speaker
As I round the earth for the 70th time this beautiful month of May, there have been many reflective moments in the past 6 months. As a wellness educator, I ask myself if there’s authenticity in my teaching and writing and if I “walk my talk.” Gratefully, the answer is yes, after years of lessons learned, trips to a hospital, and studying health and wellness research for my book, The Pause to Relax, about women’s heart health and stress. Both topics are worth paying attention to, for vibrant aging, as they help people choose lifestyle choices to lessen CVD risks and enhance one’s lifespan.
7 Pillars to Support Graceful Aging
nity: https://www.joinordiefilm.com/. Regular visits and time with family and friends or collectively volunteer together.
Play games with friends like bridge or any fun card or board games. Take up an art class or new hobby to engage with more people and make friends.
Optimum Health for Life Linda Penkala
1. Connect: Civic groups – Join or Die, the documentary by esteemed social scientist Robert Putnam, focuses on the value and benefits of building commu-
2. Allow Nature to Nurture: Wellbeing while in Nature has been well documented and may include a walk with others, a run or bike, Please see “No Do-Overs,” page 66
Sherrie Hunt
DReM’s Legacy
Holistic Wellness Center (located inside of Hol-Body Yoga Studio)
Family Wellness Services
• Natural and Herbal Remedy Consults
• Family Planning
• Childbirth Education
• Natural Healing Education
Women’s Health/Womb Wellness
• Birth/Postpartum Doula Services
• Fertility Support
• Womb Meditation
• Womb Massage
• Vaginal/Yoni Steams
Spiritual and Mental Wellness
• Etheric Touch Sessions
• Reiki Sessions
Coming Soon:
• House Blessings
• Divinations
• Doula Training begins January 2024 for In Person Classes
Shirleta Henson McKann 410-265-9393
319 Crain Highway, S. Glen Burnie, MD 21061
Walk-In Hours Every Tuesday 4pm-7pm
Facebook: DReM’s Legacy Holistic Wellness Center
Instagram: @drems.legacy.holistic.wellness
Sleep and Aging Why Restorative
Sleep Gets Harder — And More Important — As We Age
Submitted
By Annapolis Asthma, Pulmonary & Sleep Specialists
As we grow older, many aspects of our health evolve — and sleep is no exception. While people of all ages need quality rest, older adults often face unique challenges that make it harder to get the deep, restorative sleep essential for overall well-being.
It’s a common myth that older adults need less sleep. In reality, most seniors still require 7–8 hours per night. However, changes in the body’s internal clock (circadian rhythm), reduced melatonin production, and increased health issues can all interfere with sleep quality and consistency.
Age-related changes in sleep architecture often mean lighter, more fragmented sleep. Older adults may wake up more frequently throughout the night, have trouble falling back asleep, or experience earlier wake
times in the morning. These shifts can leave individuals feeling fatigued, unfocused, or irritable during the day.
Medical conditions common in older adults — such as arthritis, acid reflux, and heart or lung disease — can also disturb sleep. In particular, sleep apnea is significantly underdiagnosed in seniors. Loud snoring, pauses in breathing, or excessive daytime sleepiness should never be dismissed as simply “getting older.” Untreated sleep apnea can contribute to high blood pressure, heart disease, insulin resistance, and cognitive decline. Sleep problems in older adults are also closely linked to mental health. Chronic insomnia has been associated with depression and anxiety, and poor sleep may accelerate memory issues or dementia-related symptoms. Fortunately, there are steps that can help. Practicing good sleep hy-
Please see “Restorative Sleep,” page 65
Over 70 million Americans suffer from sleep disorders. Sleep problems affect both sexes, all races and all age groups.
Left untreated, sleep disorders can pose serious threats to your health. Heart attack, heart failure, irregular heartbeats, stroke, diabetes, hypertension, acid reflux, attention deficit disorder and depression are conditions associated with sleep problems. At Annapolis Asthma, Pulmonary & Sleep Specialists, we provide expert diagnosis and treatment to help you achieve restful, healthy sleep.
Studio 5 Hair Gallery Specializing in Restoring & Enhancing
Located in scenic Southern Maryland, Studio 5 Hair Gallery is well known in the medical community for customized solutions for hair loss. We provide the finest synthetic and human hair wigs, hair extensions, and top-of-the-head hairpieces. For over 12 years, Studio 5 Hair Gallery has served its clients with compassion and excellence. call 301.884.3553 for your appointment today! Please mention this Flier when setting up your appointment.
Men’s & Women’s Hair Systems • Extensions
Studio 5 Hair Gallery hair replacement specialists are empathetic to your needs at this difficult time and will do everything possible to make you feel comfortable.
GWEN BEVERLY Owner, Medical Hair Loss Specialist
Considering Eyelid Surgery?
If excessive upper eyelid skin interferes with your vision, eyelid lift procedures can also widen your visual field if it has partially blocked your sight. The blepharoplasty eyelid lift procedure is a very popular surgery that creates a more youthful and rested appearance in your eyes and overall facial appearance.
Natural-Looking Results With A Surgical Eyelid Lift
Many patients are looking for different options to help remove or decrease heavy, drooping eyelids. In most cases, eyelid lift procedures (also called blepharoplasty) can help remove the excessive, sagging upper or lower eyelid skin to look more refreshed, youthful and alert.
Three Special Things About Hospice Nurses
By Dana Neel, RN, Clinical Manager
of the Chesapeake
As with any medical profession, there are many different types of nurses – surgical, medical office, emergency department, pediatric– the list goes on and on. Saying that hospice nurses are different might sound cliché. But hospice nurses are different and provide a unique type of care. Here are three ways that set us apart from other nurses.
1) Hospice nurses honor the sanctity of end of life. This is the definition of a hospice nurse. People living with acute illness often come to the realization that trying to fix the unfixable may result in exhausting, painful attempts to recover. The patients and families we care for have made the decision to no longer seek curative treatment for their illness and that means a shift in the type of care they need. Hospice nurses help with that shift by focusing on comfort, peace and quality of life. We do that by listening to the patients’ wants and needs. We work directly with the patients to determine their goals of care and to help them share those goals with their loved ones and those providing their care.
2) Hospice nurses educate patients and families to support them as they make their goals of care clear. The knowledge and experience a person has about death comes from having someone in their life who has died. How can one make important decisions about their end of life without understanding what that looks like? Hospice nurses have joined hundreds of families on the journey and they use that experience to help patients and families consider what their end of life should look like. There’s still a lot of fear of hospice because there’s a misunderstanding of what we do. Hospice professionals have conversations about end-of-life care throughout the community. Advance directives are now more frequently part of a primary care physician’s discussion about goals and medical history.
3) Hospice nurses have the hospice heart. We are often asked if our job is sad. Most hospice nurses say that helping families connect to bring the best possible final days to someone they love is a very touching experience. When you have played a role in helping someone say a final goodbye in their own home surrounded by loved ones and as comfortable as possible, how can that be sad? That is what we call having the hospice heart.
Hospice
Doesn't Your Child Deserve the Best?
Iwas born and raised in Brooklyn, New masters at Long Island University in Brooklyn New York and completed my medical degree at State University of New York at Buffalo, School of Medicine in 1991.
My postdoctoral training was received at Howard University/District of Columbia Hospitals combined Residency Program, Department of Pediatrics in Washington, DC completed in June 1994. I served as Chief Resident for the Department of Pediatrics, January 1994. I obtained Continuity Clinic Awards from 1991 to 1993 based on partic ipation and involvement in community clinics during my residency training.
I am Licensed in Maryland, Board Certified in Pediatrics and Adolescent Medicine and a Fellow of the American Academy of Pediatrics.
Loving Care Pediatrics
Janet V. Johnson, MD
Board Certified in Pediatrics and Adolescent Medicine Fellow of the American Academy of Pediatrics 3311 Toledo Terrace Suite C-201, Hyattsville, Maryland 20782 Mon–Fri, 9:00 am–5:00 pm | Office: (301) 403-8808 or Alt: (301) 403-1341
Vision is
many others, please call the office at 301403-8808 to schedule a visit. We look forward to seeing you at Loving Care Pediatrics— Janet Johnson MD and Staff.
In addition, I am dedicated to volunteering my time to community outreach projects, youth groups, health fairs, various church functions and committee boards as well as for those who are less fortunate. Donating of my talents, time and treasures and giving back and serving those who are in need. I am an active member in The Prince George’s Community Advisory Group and served as the Medical Director for the Mid-Maryland Mission of Mercy two day free Dental Clinic sponsored by Catholic Charities Archdiocese of Washington in August 2013.
to be recognized in the community it serves for compassionate patient service, and clinical excellence. To create a caring environment with a commitment to foster a work environment where individual diversity is valued and recognized, also where the satisfaction of all patients regardless of their background is the fundamental goal of our every action, with the practice of medicine being recognized and honored as a uniquely noble pursuit.
I have been in Private Practice for 22 years. I practice general pediatrics: examining, diagnosing and treating most of the diseases of children from birth to 21 years of age. With referral to specialists when the need arise. The practice is certified by the Prince George’s Health Department to administer Yellow Fever Vaccination. The practice pro vides vaccines for overseas travel to those individuals traveling out of the country and in need of an official certificate of vaccination (Yellow Book).
I make every attempt to ensure medical care to my patients is as convenient as possible. If your child becomes ill during the night you may contact the office via the answering ser vice and speak with me for an emergent next day appointment. We also have same day appointments. Most insurances are accepted including: Aetna, Care first Blue Cross, Blue Choice, Amerigroup, Americhoice United Health care, Teamsters, Tricare, most govern ment plans, Maryland Medicaid, self-pay, and
Practice Philosophy Janet Johnson MD and Travel Health Medicine is committed to servicing its patients, parents and community by providing excellent and compassionate health care service to a culturally diverse population that promotes the dignity and well-being of the people
Quality:
Keeping Our Children Safe
By Janet V. Johnson, MD Loving Care Pediatrics
Here are eight things you can do to protect your child from getting injuries:
• Supervise children at all times and intervene when there is inappropriate behavior such as pushing or shoving.
• Make sure playground equipment is age appropriate. Maximum fall height should be five feet for preschool-aged children and seven feet for school aged children.
• Swing seats should be made of plastic or rubber. Metal or wood should be avoided.
• Avoid any equipment that has openings that could entrap a child’s head.
• Make sure you can clearly see your children on the playground.
• Remove tripping hazards such as tree stumps, or rocks.
• Avoid playgrounds with asphalt, concrete, grass, and solid surfaces under the equipment. Look for surfaces of hardwood fiber, mulch chips, pea gravel, fine sand or rubber to a depth of at least nine inches.
• Wear appropriate protective gear during sports activities (for example, shin guards for soccer, a hard-shell helmet for baseball or football, body padding for ice hockey, and helmet when on a bike or skateboarding).
Overall, summertime play for children can be great fun. But it’s important to keep in mind prevention strategies and safety tips.
Pool Safety
Here are five tips for keeping your
Please see “Children Safe,” page 63
Back pain is the second most common reason people visit physicians in the US, with neck pain close behind. The spine and adjacent tissues are pivotal in nearly all major bodily movements.
Chiropractic services are used most often to treat neuromusculoskeletal complaints, including but no limited to back pain, neck pain, pain in the joints of the arms or legs, and headaches.
Drug and Alcohol Testing also Available.
Since opening in 2003, Winters Chiropractic & Physical Therapy has remained dedicated to providing expert chiropractic, physical therapy, and DOT/CDL services. Our doctors provide tailored treatments that ensure you make the most gains at a comfortable, steady pace. The ultimate goal of any chiropractic or physical therapy program is to restore your physical health to its previous form. With our small practice, we have the advantage of maintaining personal relationships without compromising our ability to provide advance care.
A psychiatric rehabilitation program offering a day component, residential, vocational and in-home support services. Let us show you how to move from the solitude of symptoms to the freedom of achievement.
• CHRONIC FATIGUE
• DEPRESSION • BACK PAIN • JOINT PAIN
Now acceptiNg aetNa, aNd Blue cross/care First. practiciNg iN MarylaNd siNce 2004. 703 GiddinGs Avenue suite u3, AnnApolis, Md 21401 treat health coNcerNs with acupuNture • ASTHMA • STRESS
Schizophrenia Serious, But Treatable
By Joyce Abramson, RNMS Charles County Freedom Landing
Schizophrenia is a serious, but treatable illness which affects the brain. One person in 100 has this illness. It is a disease that makes it difficult for an individual to tell the difference between real and unreal experiences, to think logically or to have a normal emotional response. Sleeping and remembering may be difficult.
Symptoms usually appear slowly over months, though they may occur suddenly. At times symptoms may be confused with those of other conditions. A person may feel tense, have
difficulty concentrating or sleeping. Often there is a tendency to withdraw from activity.
As the illness progresses, symptoms of psychosis appear. These can vary. A person may begin to act or speak strangely. Hallucinations may develop. A person sees, feels, smells, and hears things that are not really there. There may be physical symptoms, unusual movements or the person may sit or stand in strange positions. Some people become almost motionless, while others may move constantly. Without proper diagnosis and treatment, symptoms tend to come and go. Getting appropriate treatment can break this cycle. Proper treatment usually can control symptoms just as insulin controls diabetes. Most people can lead productive, satisfying lives. Like many illnesses, primary treatment is medication and learning to manage the illness. The major medications used are called neuropletic medicines. They work by changing the balance of the chemicals in the brain.
Please see “Schizophrenia,” page 63
Revolutionizing Medical Billing Automation and AI
Submitted By MedPro - Medical Billing and Practice Solutions
In today’s busy healthcare world, using technology isn’t just a choice— it’s a must. Automation and artificial intelligence (AI) are changing how medical billing works, making it easier to avoid mistakes, save money, and save time. These tools help healthcare providers follow rules and simplify billing tasks. This blog will show how AI billing systems make billing more accurate and efficient, helping both providers and patients. Learn how technology is shaping the future of medical billing and improving healthcare for everyone.
Automation and AI in
Medical Billing
Automation tools are transforming the billing process by reducing the need for manual input from administrative teams. With the integration of AI-driven solutions, these systems can
learn from historical data to refine and optimize billing workflows.
Key benefits include:
• Accurate claim assessments and categorization
• Early identification of potential issues to prevent errors
• Improved billing accuracy, resulting in fewer rejected claims
These advancements help ease the administrative burden on healthcare providers, allowing them to focus on delivering quality care. By streamlining complex processes, automation offers a reliable solution to one of healthcare’s most persistent challenges.
Benefits for Providers and Patients
Using advanced medical billing technology can help healthcare providers work more efficiently. These tools save time by automating billing tasks, reducing mistakes, and making
Guest professor, Henan University of Traditional Chinese Medicine (TCM)
Chief TCM Physician, WFCMS; M.S. in TCM, Beijing University of TCM PhD in integrated medicine, China Academy of Chinese Medical Sciences Fellowship, Georgetown University & Children’s National Medical Center 3 patents, 8 books of TCM, 30 papers, 30+ years of experience in TCM
Low back pain • eczema • arthritis • allergies • cough • insomnia • paralysis obesity • nephritis • hepatitis • infertility • PMS • side effects of cancer treatment
416 Hungerford Drive, #300 Rockville, MD 20850
5022 Dorsey Hall Drive, #101 Ellicott City, MD 21042
Anne C. Crowley
Acupuncture Physician
Learn the Magical Keys of Your Constitutional Type: Wood, Fire, Earth, Metal, Water to Make Major Transformations in All Areas of Your Life.
5 Element Constitutional Coaching Has Helped with: Anxiety and Stress Management • Weight Loss Relationships • Fertility • Anti-Aging • Pain Management
Acupuncture For Rhinitis and Asthma
By Quansheng Lu, CMD, PhD, LAc Wholelife Chinese Medicine & Acupuncture Center
tion, runny nose, sneezing, and itchiness. This ailment encompasses two primary forms: allergic and non-allergic. Allergic rhinitis stems from immune reactions to allergens such as pollen, dust, or animal dander, while non-allergic rhinitis can arise from irritants like smoke, pollution, or strong odors.
CONTACT ANNE FOR YOUR FIRST CONSULT ON YOUR 5 ELEMENT TYPE AND GET A PLAN TO WALK AWAY WITH AND START MOVING FORWARD!
Herbal Consults are also available! – anne@sarasotaacupuncture.com www.SarastoaAcupunctureCenter.com – 301-752-2398 (text or call)
Want to Lose Weight? Email Anne to learn about her exclusive Weight Loss video series!
Acupuncture, originating from ancient Chinese traditions, has garnered substantial attention in Western societies in recent decades. This practice entails delicately inserting fine needles into precise points on the body to stimulate healing responses and restore equilibrium. Over time, acupuncture has demonstrated effectiveness in addressing various ailments, notably rhinitis and asthma.
Rhinitis, a condition characterized by inflammation of nasal passages, manifests through symptoms like conges-
Asthma, a chronic respiratory disorder, involves inflammation and constriction of airways, leading to breathing difficulties. Its symptoms encompass coughing, wheezing, chest tightness, and breathlessness, triggered by various factors including allergies, physical activity, cold air, or stress.
Acupuncture’s efficacy in treating both rhinitis and asthma has been established through research. Traditional Chinese medicine attributes these conditions to imbalances in the body’s energy or “qi,” which acupuncture addresses by stimulating specific points to restore balance and facilitate healing.
Studies published in respected
Please see “Rhinitis,” page 62
Understanding Fibroids, Abnormal Bleeding, and Endometriosis
Key Issues In Women’s Health
By Ashley Pimperl MSN, CRNP, FNP-C
Women’s reproductive health is a complex field, with conditions like fibroids, abnormal bleeding, and endometriosis affecting many women globally. Understanding these conditions is crucial for early diagnosis, ef-
fective management, and maintaining overall well-being.
Fibroids
Fibroids, also known as uterine leiomyomas or myomas, are noncancerous growths that develop in or on the uterus. They vary in size and number, and while some women may be asymptomatic, others experience significant symptoms. Common symptoms include heavy menstrual bleeding, prolonged periods, pelvic pain, frequent urination, and complications during pregnancy. The exact cause of fibroids is unknown, but factors such as genetics, hormones (particularly estrogen and progesterone), and lifestyle can influence their development. Treatment
Spring/Wood Element For Life Transformations
By Anne C. Crowley, Acupuncture Physician, Health and Life Coach Sarasota Acupuncture Center
Understanding our Five Element Constitutional Type is a Magical Key into the window of healing both physically and mentally. Let’s explore the characteristics of the Wood/ Spring Element. See if you resonate with this. It may be your constitutional type!
Wood/Spring
With the bursting of Spring energy in nature, comes the bursting of Spring energy in us. Even before the bulbs pop out, there is this feeling of “on your mark, get set...” The trees are whispering this and our bodies are also feeling this.
Buds are popping! Pow! Not a slow motion, but a very sudden motion occurs. Humans are also moving, and moving quickly. While the season brings all of its beauty of green and rebirth, it also can bring this tension and at its peak, anger. Healthy wood energy is assertive and charges through to accomplish its goals. It is much like the blade of grass pushing against the concrete––push, push against unbeatable odds, and then finally finding a way around the obstacles.
Please see “Spring/Wood Element,” page 66
At Kensington Pharmacy, in addition to having your prescriptions filled with speed and accuracy, you will experience one of the best services and notice the difference.
With 14 employees, Kensington Pharmacy gives a special attention to each customer that they deserve. Stop by and experience the difference.
Prevent and Treat Osteoporosis
Submitted by Kensington Pharmacy
What Is Osteoporosis?
Bone loss is a natural part of aging in all people. But some people develop a disease called osteoporosis, and for them, bone loss is severe. Bones become fragile and break easily. Fractures can happen almost anywhere in the body, including the spine, hip, leg, pelvis, and wrist.
More women than men develop osteoporosis, but bone health should be a priority for both men and women.
At Risk For Osteoporosis?
• Are you Caucasian or Asian? These two ethnic groups are more likely to develop osteoporosis than are other ethnic groups.
• Are you thin and petite? Because small people, women in particular, have less bone mass to begin with, they are at greater risk for the disease.
• Do you have older relatives who have curvature of the spine (sometimes called “dowager’s hump”), loss of
height, fractures, or chronic back pain? If so, you may have inherited a tendency toward osteoporosis.
Examine your health history:
• Have you passed menopause? In women, estrogen aids in the production of bone mass. At menopause, the amount of estrogen their bodies produce declines sharply.
• Have your menstrual periods stopped? Women who have had a hysterectomy, women who are high-performance athletes, and women who diet excessively or who have an eating disorder may stop having periods. These women have had a hormonal change that can cause bone loss.
• Are you taking medicines that increase the risk of osteoporosis? The most common culprits are steroid medications and high doses of thyroid hormone. Long-term use of these medicines can cause bone loss.
Examine your lifestyle:
• Smoking is linked to bone loss. Please see “Osteoporosis,” page 63
• Prescription Refills via On-line or Phone 24 hours a day
• Flu Shots, Shingles and Pneumavac Vaccines
• Prescription Plans including Medicare Part-D and Part-B, CVS-Caremark
• Transfer Of Your Prescriptions
• Compounding Specialists
• Wide Vitamin Selection
• Blisterpacking For Assisted Living Facilities
• BOIRON Homeopathic Remedies
• Greeting Cards, Select Books and Gifts
• Wide Home Health Care Selection Wheelchairs, Canes, Walkers, Medical Legsupport, Arthritis and Sport Aids, Bath Aids
• Toys and Books for Children
• And More
Diabetic Foot Wound?
Let us help with VAPOROX
VAPOROX VHT is a low-frequency, non-contact, non-thermal ultrasound treatment, and it has arrived at Largo Foot & Ankle. If you have a lower extremity wound we can help!
This new treatment is FDA-cleared tech that has been clinically validated as a safe and effective adjunctive treatment for healing nine type of skin wounds.
Foot Wound Care With Vaporox VHT A Breakthrough Solution
By Ademuyiwa Adetunji, DPM Largo Foot & Ankle Health
Taking care of our feet is crucial, especially as we grow older. For seniors, foot wounds can be more than just a hassle; they can significantly affect mobility and overall well-being. But here’s the good news: there’s a revolutionary solution on the horizon that’s changing the way we heal those stubborn foot wounds. Enter Vaporox VHT - your new best friend in podiatric wound care.
A time to recognize the invaluable role occupational therapists (OTs) play in helping people of all ages live fuller, more independent lives. Occupational therapy is a holistic, clientcentered profession that focuses on enabling individuals to participate in meaningful daily activities—whether that means regaining mobility after an injury, managing a chronic condition, or adapting to life changes.
offer the following specialty OT services: Lymphedema • Lipedema • Oncology Rehab Neuro Therapy • Post-Surgical Edema • Wellness Massage
277 Peninsula Farm Road, Building 3, Suite “I”, Arnold, MD 21012
(Located within Inspire Wellness Center) www.MagothyTherapy.com • kbarry@magothytherapy.com 202-681-1779
Imagine a therapy that gently coaxes your wounds to heal faster and more effectively. That’s exactly what Vaporox VHT does. It’s like giving your feet a breath of fresh air, quite literally! This cutting-edge therapy delivers oxygen straight to the wound site, creating the perfect environment for healing to happen.
Now, you might be wondering, “What makes Vaporox VHT so special?” Well, let’s break it down. First off, it’s incredibly easy to use. There are no complicated procedures or painful treatments involved. Your podiatrist simply applies the Vaporox VHT device to the affected area, and that’s it! You can sit back, relax, and let the healing begin.
But the best part? Vaporox VHT gets results - and fast. Say goodbye to those long weeks of waiting for your wounds to heal. With Vaporox VHT on your side, you’ll notice improvements in no time. That means less time wor-
Please see “Vaporox VHT,” page 63
Histamine, MCAS, Allergies & Lipedema
Why Complete Decongestive Therapy Matters
By Kaitlin Barry MS, OTR/L, CLT Magothy Therapy & Wellness
Lipedema is a complex condition characterized by painful, fibrotic fat accumulation, often mistaken for obesity or lymphedema. Many individuals with Lipedema also experience heightened histamine sensitivity and Mast Cell Activation Syndrome (MCAS), which contribute to chronic inflammation, swelling, and discomfort. These immune system responses can worsen Lipedema symptoms,
leading to increased fluid retention, skin hypersensitivity, and difficulty tolerating compression therapy. Managing these overlapping conditions requires a holistic approach—this is where working with a Certified Lymphedema Therapist (CLT) who is often a Physical or Occupational Therapist becomes essential. Through Complete Decongestive Therapy (CDT), individuals with Lipedema can significantly reduce swelling, pain, and inflammation. CDT includes manual lymphatic drainage (MLD) to promote lymph flow and toxin removal, compression therapy for fluid regulation, skincare to prevent infections, and targeted exercise to enhance circulation. Additionally, CLTs can help individuals identify and manage histamine triggers, modify lifestyle factors, and incorporate supportive therapies like vibration plates and infrared light. Addressing the in-
Ade Adetunji, DPM
Gum Disease Treatment Options
Submitted by E. Taylor Meiser, DDS
Lighthouse Family Dentistry
Soft tissue management offers a non-surgical approach to effectively control periodontal disease. It is important to note that while there is no cure for periodontal disease, it can be effectively managed and controlled through appropriate measures.
So, what exactly is soft tissue management? It is a plan designed to eliminate infection in the gums and root surfaces. Your dentist, hygienist, and you will work together to determine the most suitable plan for your needs.
The hygienist will play a crucial role
in performing treatments aimed at eliminating infection, providing recommendations to enhance your daily oral hygiene practices, and guiding you towards achieving and maintaining oral health.
One significant aspect of soft tissue management is root planing, which involves treating the diseased root surfaces located below the gum line. Unlike a routine dental cleaning, which primarily focuses on cleaning teeth above the gum line, root planing specifically targets the removal of tartar and plaque below the gum line, detoxifying the root surfaces affected by the disease.
So, what are the goals your dentist aims to achieve through soft tissue management? They include having gums that are healthy and do not bleed, fresher breath and taste, gums that are not red, swollen, or tender, knowledge on how to maintain good oral hygiene effectively, reduced pocket depths, and control over the progression of periodontal disease.
To ensure the success of this treatment, your dentist relies on your coopera-
Please see “Gum Disease,” page 63
Grateful For the Air We Breathe
By Yemi Adesanya-Famuyiwa, MD Montgomery Fertility Center
As a fertility doctor, I am always looking for ways to help my patients optimize their chances of conception. While medical interventions can be effective in some cases, I always emphasize the importance of adopting a holistic approach that includes taking advantage of the benefits of nature.
Studies have shown that exposure to nature can have a salubrious effect on our overall well being, and this is especially true for those who are trying to conceive. Fresh air, sunlight, and natural environments can all play a vital role
in regulating hormonal imbalances, reducing stress levels, and improving the quality of sperm and eggs.
As a doctor, I am always grateful for the power of nature to heal and rejuvenate our bodies and minds. Whether it’s taking a walk in the park, going for a hike, or simply sitting outside and breathing in the fresh air, these small moments can have a significant impact on my patients’ fertility outcomes.
Therefore, I encourage my patients to appreciate the value of nature in their quest for parenthood. By embracing a healthy, holistic lifestyle and taking care of their bodies, minds, and the environment around them, they can optimize their chances of conception and enjoy the benefits that come with embracing nature.
While medical treatments and procedures are essential, taking advantage of the benefits of nature can significantly impact fertility outcomes.
As a doctor, I am always grateful for the power of nature to heal and rejuvenate, and I encourage my patients to embrace it on their journey towards parenthood.
Prevously publised on Medium.com
Where Science Meets Compassion
Our mission is to assist our patients in creating the families of their dreams, whether it be at the present or to maintain the possibility in the future.
Medical Director Dr. Famuyiwa, a double board certified fertility specialist and an advocate for personalized holistic fertility care, is at the forefront of providing state-of-the-art care based on emerging and advanced new technologies in the most compassionate of manners.
EQUITY FOR ALL
bunion
to provide relief of the inflammation and bunion pain. Ultrasound therapy is a popular technique for treating bunions and their associated soft tissue involvement.
Orthotics
Shoe inserts may be useful in controlling foot function and may reduce symptoms and prevent worsening of the deformity.
When early treatments fail or the bunion progresses past the threshold for such options, podiatric surgery may become necessary to relieve pressure and repair the toe joint.
From page 20
Surgical Options
Several surgical procedures are available. Surgery removes the bony enlargement, restores normal alignment of the joint, and relieves pain.
A simple bunionectomy, in which only the bony prominence is removed, may be used for the less severe deformity. Severe bunions may require a more involved procedure, which includes cutting the bone and realigning the joint.
Article provided by the American Podiatric Medical Association.
H iatal H ernia
is often focused on controlling the symptoms. Since the most common symptoms are related to acid reflux then treatment is often aimed at reducing episodes of acid reflux.
General measures involve eliminating any predisposing factors, avoiding spicy foods and other foods that contribute to acid reflux, avoiding alcohol and caffeine, avoiding large meals especially before going to bed, and sleeping with the head propped up on multiple pillows.
Medications used to control acid production in the stomach can manage the symptoms for many patients. Many of these medications are available over the counter while some re-
Hydration
into easily digestible molecules.
3. Boost Caloric Expenditure: Recent studies indicate that consuming 50 fluid ounces of cold water can potentially burn up to 50 extra calories per day, supporting your weight loss efforts.
4. Maintain Vitality: Insufficient fluid intake forces your body to extract moisture from tissues, leading to thickened blood and added strain on your heart. Staying hydrated helps sustain your energy levels, preventing weakness, grogginess, or lightheadedness.
5. Aid in Digestive Health: Water assists in the absorption of nutrients while facilitating the removal of waste products from the intestines. It neutralizes stomach acids, protecting the stomach lining and promoting optimal digestion.
6. Essential Component of the Body: Water comprises a significant proportion (70%) of our body weight, serving as a vital chemical building block.
quire prescription.
From page 25
Surgery is generally reserved for patients that have persistent symptoms unresponsive to general measures or medications. Surgery is aimed at taking the stomach out of the chest cavity and returning the stomach to its natural position in the abdominal cavity. The opening in the diaphragm that allowed the hernia to occur is closed to prevent the stomach from going back into the chest cavity. The stomach is frequently wrapped around the esophagus to help manage symptoms.
Discussing symptoms with your doctor is the first step to determine if a hiatal hernia may be present.
From page 19
7. Regulate Body Temperature: Hydration plays a crucial role in maintaining muscle and skin tone, while creating a moist environment for the tissues of the ear, nose, and throat. It cools the body and promotes overall comfort during warm weather.
8. Eliminate Toxins: Water effectively flushes out waste products by dissolving excess salt and urea in the kidneys, aiding their elimination through urine.
9. Activate Enzymes: Proper hydration activates essential body enzymes, ensuring optimal cellular function and overall physiological well-being.
Embrace the Rewards Of Hydration
Now that you’re aware of the myriad benefits of proper hydration, seize the opportunity to stay adequately hydrated as you embark on your summer adventures. Make the most of this season’s activities while enjoying the refreshing and revitalizing effects of optimal hydration. Cheers to a hydrated and invigorating summer!
a ll- on-Four
oral health. But perhaps the biggest surprise about the all-on-four is how quickly it can transform your life.
What’s The All-On-Four Dental Implant Procedure Like?
First, either local or general anesthesia will be administered.
Second, the dentist or surgeon will prepare your mouth for the implants, which involves removing your remaining teeth that are failing. They will then remove any diseased or infected tissue from your jaw and gums.
Next, they will insert the titanium screws into your jawbone. Most likely,
F ibroids
options range from watchful waiting for smaller, asymptomatic fibroids to medications that regulate hormones and reduce symptoms. In severe cases, surgical interventions like myomectomy or hysterectomy may be necessary.
Abnormal Bleeding
Abnormal uterine bleeding (AUB) refers to any deviation from normal menstrual patterns, including heavy menstrual bleeding (menorrhagia), bleeding between periods, or prolonged menstruation. AUB can be caused by various factors, including hormonal imbalances, fibroids, polyps, and underlying medical conditions like thyroid disorders or clotting issues.
Diagnosing AUB often involves a comprehensive evaluation, including medical history, physical examination, blood tests, and imaging studies like ultrasound. Treatment depends on the underlying cause and may include hormonal therapies, nonsteroidal anti-inflammatory drugs (NSAIDs), or surgical procedures such as dilation and curettage (D&C) or endometrial ablation.
r H initis
journals such as Allergy and the Journal of Alternative and Complementary Medicine have highlighted acupuncture’s effectiveness in alleviating symptoms of allergic and non-allergic rhinitis. Participants receiving acupuncture reported significant improvements in nasal congestion, runny nose, and itchiness compared to sham treatments.
Similarly, research published in the Journal of Allergy and Clinical Immunology underscores acupuncture’s positive impact on asthma management. Participants receiving acupuncture experienced notable reductions in symptoms like coughing, wheezing, and breathlessness, alongside improvements in lung function.
they will place two implants toward the front of your mouth and two towards the back of your mouth so the “anchors” can evenly bare the force of the denture.
After the implants have been placed, they will thoroughly clean the surgical sites and suturing all the incisions. Then you’ll be taken to a recovery room where you can relax and take time to wake up from the anesthesia.
Schedule a consultation with an All-On-Four provider. It’s the best way to find out how dental implants can change your life.
From page 56
Endometriosis
Endometriosis is a chronic condition where tissue similar to the lining inside the uterus (endometrium) grows outside the uterus, commonly on the ovaries, fallopian tubes, and pelvic lining. This misplaced tissue responds to menstrual cycle hormones, causing inflammation, pain, and the formation of scar tissue (adhesions).
Symptoms of endometriosis include severe menstrual cramps, chronic pelvic pain, pain during intercourse, and infertility. The exact cause of endometriosis is unclear, but factors like retrograde menstruation, genetics, and immune system issues are believed to contribute.
Diagnosis is often challenging and may require laparoscopy, a minimally invasive surgical procedure. Treatment options include pain management with NSAIDs, hormonal therapies to reduce or eliminate menstruation, and surgical removal of endometrial tissue. In severe cases, a hysterectomy may be considered.
From page 56
Beyond its therapeutic benefits, acupuncture offers a safe and non-invasive alternative for managing rhinitis and asthma. Unlike medications that may entail side effects or prove ineffective for some individuals, acupuncture boasts minimal adverse effects and can be tailored to each patient’s unique requirements.
Acupuncture emerges as a viable and secure treatment avenue for addressing rhinitis and asthma. If you’re grappling with these conditions and seek a natural, non-invasive solution, acupuncture presents a promising option. It’s advisable to consult with a licensed acupuncturist to explore whether acupuncture aligns with your needs and preferences.
CH ildren sa F e
child safe before heading to the pool this summer, as drowning is the leading cause of accidental death for children younger than five in the United States:
• Swim lessons. The American Academy of Pediatrics (AAP) supports swimming lessons for most children four years and older. The decision to enroll your child in swimming lessons should be based on the child’s developmental readiness.
• Never leave children alone in or near the pool or spa, even for a moment.
• Avoid inflatable swimming aids
oFrom page 50
such as “floaties.”
• Whenever infants or toddlers are in or around water, an adult (preferably one who knows how to swim and perform CPR) should be within arm’s length, providing “touch supervision.”
• Remove all toys from the pool after use so children aren’t tempted to reach for them.
Now is the time to plan for family summer activities, many of which may require an annual health visit prior to participation.
steoporosis
• Calcium helps build and maintain healthy bone mass, and your body needs vitamin D to be able to use the calcium in your diet.
• Alcohol intake can reduce the amounts of calcium and vitamin D in your body.
• People who are confined to bed or who must wear a cast for a long time lose bone mass from lack of use. The same is true for people who do not get enough exercise in their daily lives.
Osteoporosis Is Preventable
Whether your risk of osteoporosis is high or low, lifestyle changes to prevent the disease are good for everyone.
• Eat foods that are high in calcium. Milk and other dairy products, calcium-fortified fruit juice, dark green leafy vegetables, almonds, and salmon are all good sources of calcium.
• Eat foods that help your body absorb the calcium in your diet. Fortified milk and fatty fish are good sources of vitamin D, which your body needs to be able to absorb calcium.
From page 57
• Talk to your doctor or pharmacist about taking a calcium supplement. The NIH recommend these levels of calcium intake:
• 1,000 milligrams per day for 25-49-year-old premenopausal women and for 50-64-year-old postmenopausal women who take estrogen.
• 1,500 milligrams per day for 50-64 year-old postmenopausal women not taking estrogen and for all men and women over age 65.
• Make sure you get 30-60 minutes of weight-bearing exercise each week. Talk to your doctor before you begin any exercise program.
• Just 10-15 minutes of sunshine 2-3 times a week provides all the vitamin D needed.
Medications To Prevent and Treat Osteoporosis
Getting exercise and taking calcium and vitamin D are the first steps in osteoporosis prevention. For some people, a medication also may be necessary to help prevent fractures. Your doctor will prescribe the medication.
Vaporox VH t
rying about your feet and more time doing the things you love.
And here’s something else to smile about: Vaporox VHT is safe and gentle. You won’t have to worry about any harsh chemicals or unpleasant side effects. It’s all about giving your feet the TLC they deserve, without any added stress or discomfort.
But don’t just take our word for it. Countless seniors, just like you, have experienced the amazing benefits of Vaporox VHT firsthand. They’ve seen their wounds heal faster, felt the difference in their mobility, and regained a sense of independence they thought they’d lost.
So, if you’re tired of dealing
sCH izopH renia
Although these medicines may effectively control symptoms of the illness, they often may create side effects of their own; muscle spasms, restlessness, tremors, grimacing. There are new medications which promise to be more effective and create less side effects.
Structured support can be helpful in assisting the person to regain a stable environment. Psychiatric rehabilitation is one option which serves this function. Staff can facilitate activities in the
person’s home or in a program where group support is available.
Recognizing stressors and what symptoms may be an indicator of potential relapse help prevent recurring episodes of the illness. Reduction of stressors, medication adjustment, and added support are the treatments of choice. Often hospitalization can be avoided and the person can continue to participate in the daily activities of living.
Schizophrenia can be successfully managed once understood and treated.
dental H ealtH
Medical Considerations
A significant 39% of individuals aged 65 and older report using five or more prescription drugs, a situation that can become more complex when multiple healthcare providers and pharmacies are involved. It is crucial for dentists to regularly review the medical history and current medications of aging patients.
Xerostomia (Dry Mouth)
Dry mouth affects approximately 30% of patients over 65 years old, with this number increasing to 40% among those over 80 years old. This condition can be triggered by more than 400 commonly prescribed medications and can lead to mucositis, cavities, cracked lips, and a fissured tongue. To combat this, it is recommended to stay hydrated by drinking water throughout the day while limiting alcohol and sugary or caffeinated beverages such as sodas, and coffee.
Dental Insurance Coverage
Surprisingly, half of seniors neglect
gum disease
From page 58
with stubborn foot wounds that just won’t seem to go away, it’s time to give Vaporox VHT a try. Talk to your podiatrist today and ask them about incorporating Vaporox VHT into your treatment plan. Trust us - your feet will thank you for it!
Vaporox VHT isn’t just another wound care solution; it’s a gamechanger for seniors looking to reclaim their foot health and get back to doing the things they love. With its easy-to-use design, fast-acting results, and gentle approach to healing, Vaporox VHT is the perfect partner for your podiatric journey. So why wait? Step into healing today with Vaporox VHT and take the first step towards happier, healthier feet!
From page 18
to visit a dentist, with cost being the primary deterrent. Shockingly, around 70% of seniors lack dental insurance. Traditional Medicare does not cover routine dental care, and even Medicare Part A offers limited coverage for “medically necessary” dental benefits. Medicare Advantage plans with dental coverage often provide minimal benefits.
Tips For Maintaining and Enhancing Oral Health
• Brush your teeth twice a day using a soft-bristle toothbrush. An electric toothbrush may be advantageous for those with limited mobility.
• Floss daily to clean between your teeth.
• If you wear dentures or partials, remember to clean them daily.
• Opt for tap water, which contains fluoride to help prevent tooth decay.
• Regularly visit a dentist for checkups and dental care.
tion as the patient. This involves completing the periodontal therapy as prescribed, thoroughly cleaning all tooth surfaces twice a day, and adhering to regular re-care visits. For patients with adult periodontitis, supportive three-month re-care visits are particularly essential for the successful outcome of the therapy. By participating in soft tissue management and following your dentist’s recommendations, you can effectively control periodontal disease, maintain your oral health, and enjoy the benefits of healthier gums and fresher breath.
HealtH y smile
needs of each patient. Whether you’re undergoing a complex procedure or a routine dental treatment, your peace of mind is our priority.
Patient-Centric Approach:
At Total Dental Care, we prioritize your comfort with a patient-focused approach, offering amenities such as heated chairs with massage features, ensuring a relaxed experience. Our team is dedicated to fostering a positive dental experience, emphasizing
From page 12
communication and education to empower patients in making informed decisions about their oral health.
Total Dental Care stands as a beacon of excellence in dental health, providing total solutions for patients seeking comprehensive, detail-oriented care. Experience the difference with our wide range of services and patient-focused approach, ensuring your journey to a healthy smile is seamless and satisfying.
HEALTH DIRECTORY
ACUPUNCTURE
Eastern Medical Holistic Healing Center – Angel Wood – 240-7555925 – www.Acupuncture4Wellness.Webs.com.
West Annapolis Acupuncture –Brittney de Vicq, LAc, MAc – 410375-9716 – BrittneyAcupuncture. com – Annapolis, MD.
AA Urology – IR Center , 600 Ridgely Avenue, Suite #120, Annapolis, MD 21401 – Annapolis , 600 Ridgely Avenue, Suites #222-223, Annapolis, MD 21401 – East Campus Surgery Center , 600 Ridgely Avenue, Suite #130, Annapolis, MD 21401
UROLOGY
AA Urology – Odenton, 1106 Annapolis Road, Suite #250, Odenton, MD 21113 – Glen Burnie, 305 Hospital Drive, Suite #303, Glen Burnie, MD 21061 – Bowie, 4201 Northview Drive, Suite #201, Bowie, MD 20716 – West Campus Surgery Center , 7855 Walker Drive, Suite #102, Greenbelt, MD 20770 – Greenbelt, 7855 Walker Drive, Suite #100, Greenbelt, MD 20770.
VETERANS
Charlotte Hall Veterans Home –301-884-8171 – Waldorf, MD.
WEIGHT LOSS
The Bariatric and Hernia Institute –Dr. Etwar McBean – 240-206-8506 – www.TBHInstitute.com.
YOGA
Toni’s Happy Hour Yoga and Holistic Wellness Center – Toni Greene, Owner – 301-449-8664.
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natural hormonal status and balance of a man or woman is optimized to allow for health and well being in the safest possible way using the lowest effective dose.
The majority of menopause symptoms are due to estrogen deficiency. Treating these symptoms with safe and effective doses of estrogen, progesterone, and in some cases testosterone, can make a big difference in how a woman navigates menopause. Positive results include improvement in sleep, decrease in hot flashes and night sweats, heightened libido and sexual pleasure, and a greater sense of well-being.
Low testosterone levels are fairly common as men enter into their 50s and beyond. This is not just about sexual performance. Men who have low testosterone levels are at a higher risk of dying from many causes than
are men with normal levels of testosterone. Symptoms and signs of low testosterone are fatigue, loss of muscle mass, low libido, elevated cholesterol. Low testosterone contributes to the development of diabetes and metabolic syndrome. By replacing testosterone to optimal levels a man can experience heightened vitality and well-being.
Another common hormonal issue is hypothyroidism, which is often underdiagnosed and can leave people feeling unwell and sluggish. Like the other issues discussed in this article, not addressing hypothyroidism can make other health issues persist, including sleep problems, fatigue, and ability to function well in life.
If any of the above resonates with you, engage with a physician knowledgeable in addressing these important issues of health.
H bot & aging
• Improved Cognitive Clarity: Oxygen is essential for brain health. HBOT may support memory, focus, and mental sharpness, making it an emerging tool for those experiencing age-related cognitive decline or recovering from stroke.
• Wound and Tissue Healing: Seniors often experience slower wound healing due to reduced circulation. HBOT accelerates tissue repair, making it valuable for managing chronic wounds, post-surgical recovery, and skin conditions.
• Arthritis and Joint Pain Relief: Chronic inflammation is common in aging joints. By reducing inflammation and promoting cellular repair, HBOT can ease pain and improve mobility.
• Enhanced Immune Function: Older adults may have weakened immune responses. HBOT helps bolster the body’s defenses by increasing oxygen supply to immune cells.
From page 30
• Energy and Stamina Boost: Fatigue is a frequent concern in older populations. HBOT supports mitochondrial function, which is crucial for sustaining energy and vitality.
• Support for Cardiovascular and Neurological Health: HBOT enhances circulation and may aid in recovery from cardiovascular events or neurological disorders by increasing oxygen availability to vital organs.
Embracing Wellness At Any Age Modern HBOT chambers are designed for comfort and accessibility, making them ideal for older adults. Whether part of a senior wellness program or an individual’s proactive health routine, HBOT provides a gentle yet powerful way to maintain independence, energy, and quality of life. As more seniors seek integrative approaches to aging well, HBOT is proving to be a valuable ally in living vibrantly at any age.
H earing loss
comfort. Hearing Instrument Specialists can also provide strategies for communication and ongoing support.
Early intervention makes a big difference. Addressing hearing loss promptly can improve cognitive function, mood, relationships, and overall health outcomes. If you or a loved one is experiencing signs of hearing difficulty—such as frequently asking
r estorati V e sleep
giene — such as maintaining a consistent bedtime, limiting screen time before bed, and avoiding caffeine late in the day — can support better sleep. It’s also important to speak with a healthcare provider about persistent issues. In some cases, a sleep study may be recommended to diagnose underlying sleep disorders and determine appropriate treatment.
Feet
lar foot assessments and appropriate footwear can help maintain both comfort and safety.
Exercise is one of the best ways to support foot and ankle health — but it must be done wisely. Lowimpact activities like walking, swimming, and resistance training help maintain strength, joint function, and circulation without putting excessive strain on the feet. Stretching exercises focused on the calves, Achilles tendon, and plantar fascia can also help improve mobility and prevent stiffness.
Cannabis
THC
THC is a cannabinoid that has psychoactive properties and can induce a high. However, that’s not the main reason that seniors are turning to products with THC. Rather, it’s because THC has been shown to be effective in the treatment of Alzheimer’s/dementia.
More specifically, studies show THC can:
• Aid in the removal of amyloid beta protein clumps in the brain
• Slow the formation and progression of plaque on the brain
• Prevent inflammatory response from nerve cells
Quality sleep is not a luxury — it’s a critical part of healthy aging. Prioritizing sleep can support cognitive function, mood, energy levels, and even the body’s ability to heal and fight off illness. As we age, getting the right rest becomes one of the most powerful things we can do to protect our health and independence.
From page 21
Routine foot care matters, too. Keeping toenails trimmed, moisturizing dry skin, and checking daily for cuts, blisters, or swelling can prevent minor issues from becoming serious problems. Any new or persistent foot pain should be evaluated, as early treatment is often simpler and more effective.
Healthy feet are essential for healthy aging. By understanding the changes that come with age and taking simple steps to care for your feet and ankles, you can stay active, mobile, and independent for years to come.
• Mitigate behavioral symptoms like agitation and aggression
CBD
Many retirees wish to avoid getting high and are hesitant to consume any cannabis containing THC. Fortunately, CBD doesn’t induce any feelings of euphoria and can be applied in the form of a lotion, salve, balm, or oil to reduce inflammation and pain, or taken orally.
CBD cannabis possesses strong anti-inflammatory properties while inducing a calming effect, which can be helpful in the treatment of anxiety and depression.
slowing down
not expensive. Learning how to make the right choices for a healthy mind can only lead to a healthy body.
From page 42
others to repeat themselves, turning up the TV volume, or struggling to follow conversations—it’s important to schedule a hearing evaluation.
Hearing well is essential for staying connected, safe, and engaged. Don’t let hearing loss quietly steal your independence and well-being. Take the first step toward better hearing—and a better life.
From page 30
Additionally, fitness facilities that routinely offer new classes on a regular basis will add a variety to your routine workout and help to eliminate reaching a plateau.
lipedema
terplay between MCAS, histamine intolerance, and Lipedema through CDT empowers individuals to reduce swelling, regain mobility, reduce discomfort, and improve their overall
If you are an older adult and not currently participating in a fitness program, don’t put it off any longer. Your health depends on it.
From page 58
quality of life.
Seeking specialized care can be the key to managing symptoms effectively and preventing disease progression.
No Do - overs
a kayak trip, or snow/water skiing. A journey to a beautiful mountain or serene sunset is healing, by offering an “awe” moment that helps lessens stress and anxiety. https://tinyurl. com/58tk3j75.
3. Laugh Often
Laughter is good medicine and nourishing for the soul, as it lowers cortisol, improves oxygen, helps mental clarity and makes one feel lighter and happier: http://bit.ly/41WDEpt
4. Pause to Relax
Stop to intentionally breathe throughout the day, using Box Breathing, or 3-5-8 to lessen stress and increase oxygen for better focus. Regular self-care to look forward to, like Yin Yoga, meditation or prayer, a relaxing massage, is nourishing. Get sound sleep via calming essential oils like cedarwood or lavender.
5. Movement for Medicine
Whether senior chair yoga, walking with friends, hiking, lifting weights, swimming, or biking, these activities increase circulation, help strengthen, and make you feel amazing!
6. Travel to See New Vistas
There is a strong connection between seniors’ mental health and tourism regarding their healthy aging: https://tinyurl.com/264zpfun.
7. Deepen Your Spirituality
Whether in a house of worship or on a mountaintop, the connection to God or your higher power is instrumental to health by believing in something larger than yourself. There exists a strong association between spirituality and longevity due to positive coping, social support, and stress reduction: https://tinyurl.com/swfrr587.
From page 4
years from our mid-20s to our mid40s (yes, it’s found in females). This decreasing testosterone diminishes muscle mass making it harder to maintain, let alone build, muscle as we age. And maintaining muscle is critical to strength, mobility and even balance.
Although HRT is currently on
FDA-approved for treating common menopause symptoms, like hot flashes and vaginal discomfort, it is hard to overlook the many body functions impacted by our sex hormones. It may be time to talk to a bioidentical hormone replacement therapist to help you keep living a healthy, active life.
In the next edition of Your Health Magazine...
PAIN Management & Rehabilitation
If You Are Suffering From Any Type Of Pain Be Sure To Check Out Next Month’s Special Pain & Rehab Issue. Your Health Magazine is here to Help People Find the Healthcare They Need! Information from local doctors lowers the barriers to getting better healthcare and living healthier. It Makes a Difference!
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Billi Ng
it easier to submit claims. With less time spent on paperwork, providers can focus on caring for patients. Fewer billing problems also mean staff can spend more time improving the patient experience. Accurate and fast billing ensures steady cash flow, which is important for keeping healthcare practices running smoothly. These tools make daily operations easier and help providers stay competitive in the changing healthcare world.
Technology is making medical billing better for patients. With fewer billing mistakes, patients deal with less surprise charges and confusion about healthcare costs. Clear and accurate billing also builds trust between patients and healthcare providers, helping people feel more confident in the system.
Navigating the Complexities of Medical Billing
The medical billing process is evolving, introducing changes that affect both healthcare providers and patients alike. A report by Grand View Research projects that the global medical billing outsourcing market will reach $30.2 billion by 2030, driven by the adoption of advanced technologies and regulatory updates. From new regulations like the No Surprises Act, which aims to protect patients from unexpected medical bills to automated billing systems that improve efficiency, these updates are transforming how medical billing is managed.
For providers, this means staying updated on new billing practices, insurance requirements, and compli-
ance standards to ensure accurate claims and timely reimbursements. For patients, understanding their own responsibilities, such as verifying coverage, reviewing bills, and communicating with their providers, can help prevent confusion and unexpected costs. Staying informed ensures smoother collaboration, improved transparency, and better outcomes for everyone involved in the healthcare journey.
Here are some tips:
Healthcare Providers: Invest in robust billing systems that incorporate automation and AI capabilities. Regular training for staff on these technologies will further enhance accuracy.
Patients: Always review your medical bills thoroughly. Familiarize yourself with your insurance policy to ensure that the charges you see align with your coverage.
Communication is Key: Keep an open line of communication with your healthcare provider regarding any billing concerns or discrepancies. Prompt discussions can prevent errors from becoming systemic issues. Automation and AI are transforming medical billing, creating significant benefits for both healthcare providers and patients. These innovations streamline billing processes, improving speed, accuracy, and efficiency while reducing stress for all involved. By adopting these technologies, healthcare professionals can navigate the complexities of the system with greater ease, allowing them to focus on delivering quality care.
spri Ng/WooD elemeNt
The liver meridian in the wood element is about planning and creating a vision for the future. “Great Esteem” is a point on the liver meridian that is about taking up one’s own space, standing on your own, and pulling back when needed. It’s about taking responsibility for ourselves and doing it with majesty and esteem like a huge tree in the forest.
The gallbladder meridian in wood is about carrying out the plans, making decisions and using determination to follow through and get the job done. Tom Hanks’ character in Saving Private Ryan represents this gallbladder energy. Decision after decision had to be made; there was no choice in the matter. “Foot Above Tears” is a point on the gallbladder meridian that helps clear the mind so that a good decision can be made. It
helps people to rise above the complaint, the tears of frustration when obstacles get in the way. It can help someone fighting back tears to express their anger.
Tips for Spring:
• Start a new project.
• Begin an exercise program.
• Notice frustration––can you navigate around the obstacles?
• Notice your ability to bend and be pliable, as well as to stand tall and firm.
• Explore your creativity––write a poem or short story, draw a picture, paint and decorate a room.
• Take Yoga class––keep muscles supple and flexible.
• Make a plan, set goals and time to accomplish them.
