A cataract is a clouding of the lens inside the eye, causing vision loss that cannot be corrected with glasses, contact lenses or corneal refractive surgery like LASIK.
In cataract surgery, the lens inside your eye that has become cloudy is removed and replaced with an artificial lens (called an intraocular lens, or IOL) to restore clear vision.
The procedure typically is performed on an outpatient basis and does not require an overnight stay in a hospital or other care facility. Most modern cataract procedures involve the use of a high-frequency ultrasound device that breaks up the cloudy lens into small pieces, which are then gently removed from the eye with suction.
What Is the Femtosecond Laser?
Recently, a number of femtosecond lasers – similar to the lasers used for LASIK – have been approved by the FDA for use in cataract surgery to do the following steps:
• Creating corneal incisions to allow the surgeon access to the lens
• Removing the anterior capsule of the lens
• Fragmenting the cataract (so less phaco energy is required to break it up and remove it)
• Creating peripheral corneal incisions to reduce astigmatism (when needed)
A femtosecond laser can also be used to perform some of the steps of surgery to remove a clear lens or refractive lens exchange (RLE), and to make arcuate incisions in the cornea (AK) to reduce astigmatism. There are benefits and risks associated with the use of the laser, and there may be additional costs.
Lasers vs. Traditional Surgery To Remove the Lens
What Are the Possible Benefits?
Traditionally, the eye surgeon uses blades to create the incisions in the cornea (the front window of the
eye), and other special instruments to create the capsulotomy (the circular incision in the outer layer of the cataract or clear lens). The surgeon also uses a phacoemulsification device that utilizes ultrasound power to break up the lens and remove it from the eye. The femtosecond laser can be used to perform some or all of these steps.
The possible benefits of the laser include the ability to make more precise and consistent incisions in the cornea, a more circular and centered capsulotomy, and to pre-soften the cataract so less ultrasound energy is necessary with the phacoemulsification device.
How Is the Laser Used To Treat Astigmatism?
Patients with astigmatism have several choices for the reduction of astigmatism. Nonsurgical options for astigmatism correction include glasses and contact lenses. Surgical correction of astigmatism can be achieved through a toric intraocular lens, a limbal relaxing incision (LRI) made manually with a blade, or an arcuate incision made with the femtosecond laser (AK). Refractive surgery such as LASIK or PRK can also treat astigmatism. The shape and size of incisions made with the laser may be more precise.
Jacqueline D. Griffiths M.D. earned her undergraduate degree at Yale and her medical degree from the University of Michigan. Her Ophthalmology residency was completed at Georgetown University Medical Center.
Dr. Griffiths has been in private practice since 1994. She started her own practice and laser center, NewView Laser EyeTM in 1999 where she serves as the Medical Director. NewView’s Mission is to provide Excellence in Ophthalmologic services by giving personalized attention to every patient.
Dr. Griffiths is Board Certified and began performing laser vision correction practically from its inception in this country. She has performed thousands of cases and participated with the CRS-USA LASIK trials to get the LASIK procedure approved by the FDA.
In addition to offering CustomVue LASIK and EpiLase, NewView offers CKSM, no-stitch cataract surgery, annual eye exams, contact lenses, glaucoma and diabetic screening exams, and cosmetic services including Botox, Restylane, Radiesse, Juvederm, and eyelid surgery. NewView Optical offers affordable high quality frames and lenses for the entire family (ages 5 and older).
Dr. Griffiths is the former 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.
In This Edition…
The articles below are provided by local health professionals for the benefit of the public. Please contact them for advice and services.
7 | Breathing and Dental Health | Submitted By Let’s Smile Dental
| Laser Genesis: A Popular Option For the Laser Curious | By Mark Domanski, MD
| A Gentle Touch: The Comfort and Health Of Dental Lasers | By Karl A. Smith, DDS, MS
| Radiant Health From the Inside Out: An Integrative Approach | By LaSondra Gray, CLA, LSO
| The Connection Between Sleep Apnea and TMJ Disorder | By Jeffrey L. Brown, DDS
| Flossing and Your Health | By April Toyer, DDS, FAAPD 18 | Managing Chronic Back and Neck Pain | By Erik A. Ward, DC, CSCS, CCSP 19 | Integrative Dentistry and Comprehensive Care | By Shari Salartash, DDS, MAGD
| Dental Implants FAQs | By Marvette Thomas, DDS 20 | How Hospice Social Workers Make Everyday Moments That Matter | By Chris Gooding, LCSW-C
21 | Mouth Breathing and Dentistry | By Michael Rogers, DDS
22 | Understanding Gender Differences: Heart Attacks In Women | By Alfred Chit Myaing, MD
23 | Who’s At Risk For Colon Cancer? | Submitted By Gastro Center of Maryland
24 | Hyperbaric Oxygen Therapy: A Natural Approach To Healing | By Elambert Richardson
25 | Mouth-Body Connection | By E. Richard Hughes, DDS
26 | Building Muscle With EMSculpt: What You Need To Know | Submitted By DMV CHILL Cryo Wellness Spa
27 | Gum Health is Important for Children | By Rishita Jaju, DMD
28-36 | Featured Complementary & Integrative Healthcare + Colon Cancer Awareness
38 | How Outsourcing Key Services Can Transform Your Medical Practice | Submitted By MedPro
38 | Hair Loss? Time To Grow New Hair | By Craig E. Vigliante, MD, DMD
41 | When Should My Child See an Orthodontist? | By Swathi Reddy, DMD
41 | Ensuring Healthy Smiles and Sound Sleep For Your Child | By Lynda Dean-Duru, DDS
43 | The Truth About Bunions: What You Didn’t Inherit From Grandma | By Dr. Lisa Allen, PT, DPT
45 | Grounding Mats and Sheets: Can They Support Your Well-Being? | Submitted by ScholarsHub.net
and information about health professionals is available at www.YourHealthMagazine.net 5 | “Laser” Cataract Surgery | By Jacqueline D. Griffiths, 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.
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Understanding Sleep Apnea, Adenoids, and Tonsils In Kids
Submitted By Let’s Smile Dental
Proper breathing is essential for overall health, especially in children. What many parents may not realize is that breathing issues can significantly impact a child’s dental and oral health. Conditions such as sleep apnea, enlarged adenoids, and swollen tonsils can disrupt both breathing and development, making early diagnosis and treatment crucial.
The Connection Between Breathing and Dental Health
When children experience difficulty breathing, especially while sleeping, it can affect the growth and development of their jaw and facial structure. Nasal breathing is ideal because it filters and humidifies the air. However, when children struggle to breathe through their noses—often due to enlarged adenoids or tonsils or nasal obstructive issues—they compensate by breathing through their mouths. Chronic mouth breathing can lead to issues such as dry mouth, an increased risk of cavities, and changes in jaw structure, which may cause crowded or misaligned teeth.
Sleep Apnea In Children
Sleep apnea is a condition where breathing repeatedly stops and starts during sleep. In children, this can be caused by enlarged adenoids and tonsils obstructing the airway. Symptoms of pediatric sleep apnea include snoring, restless sleep, excessive daytime fatigue, and difficulty concentrating in school. Left untreated, it can lead to behavioral issues, delayed growth, and dental complications.
Adenoids and Tonsils:
Key Players In Airway Health
The adenoids and tonsils are part of the immune system and help fight infections. However, chronic infections or inflammation can cause them to enlarge, leading to airway obstruction. Enlarged adenoids and tonsils are a common cause of mouth breathing and sleep apnea in children. If these tissues remain swollen for an extended period, they can impair facial development and lead to long-term
dental issues, such as a high-arched palate or a narrow jaw.
Early Diagnosis and Treatment
Parents should watch for warning signs of breathing problems, including noisy breathing, frequent sore throats, and restless sleep. Pediatric dentists and orthodontists are often among the first healthcare professionals to spot signs
of breathing-related issues during routine exams. Treatments may include nasal sprays, removing adenoids or tonsils, or early orthodontic intervention to improve airway function.
Promoting Healthy Development
Early intervention is key to preventing long-term complica -
tions. Encourage regular dental check-ups and consult your pediatrician if you notice any breathing or sleep-related issues. By addressing these problems early, you can support your child’s healthy development, both in dental health and overall well-being.
Healthy breathing is the foundation of a healthy smile!
SMILE
Discover a world of comprehensive dental care at Let’s Smile Dental, your trusted destination for superior oral health in Northern Virginia. With nine conveniently located offices, our skilled team of professionals is dedicated to providing a spectrum of specialized services, all under one roof.
At Let’s Smile Dental, our providers share a common mission: delivering the highest quality care to our valued patients. Through seamless collaboration and a patient-centric approach, our doctors ensure a positive experience and ultimate smile satisfaction. Choose Let’s Smile Dental – where your smile is our priority!
Orthodontists: Ali Ghatri, DDS – Manhal Eliliwi, DDS Owais Naeem, DDS – John Ji, DMD
Laser Genesis: A Popular Option For the Laser Curious
treats common concerns, is quick, has minimal to no downtime, and can treat the face, neck, decolletage and hands.
Laser Genesis is a non-surgical treatment for enlarged pores, dark spots, wrinkles and scars. Laser genesis works using a near-infrared (NIR) ND: YAG laser with a wavelength of 1064 nanometers.
Laser Genesis is a popular firsttime laser option for patients considering non-surgical skin rejuvenation. It
How Laser Genesis Works
Laser Genesis is thought to reduce
large pores (sebaceous gland openings) through several mechanisms. The 1064 nanometer laser wavelength heats blood vessels in the dermis – the deep layer of the skin. This is believed to result in dermal (skin) collagen deposition and remodeling in the perifollicular area (around the pore). The remodeling around the pore results in reduced sebum (oil) production and smaller pore size. Smaller sebaceous
gland means smaller pore size.
Treatment Details
Treatment with Laser Genesis takes 30 minutes or less. No numbing is required because of the gentle nature of the treatment. Laser safety shields are used, and the skin of concern is targeted. Because of Laser Genesis’s gentle nature, it can be used for all ages and skin tones. Some skin tones will benefit from more conservative settings to ensure safety and efficacy.
Post-Treatment Benefits
After treatment, patients notice several improvements. Due to increased collagen production, skin tone and texture is improved. Collagen provides structural support for the skin. More collagen means plumper skin. Elastin stimulation results in improved skin tightness and elasticity. Since the 1064 wavelength of the Laser Genesis targets blood vessels, the treatment can also help with rosacea, dark spots (hyperpigmentation), spider veins, and broken capillaries.
Recovery and Downtime
Patients experience minimal to no downtime. Some patients may note mild erythema (redness) and swelling on the treated skin, but this is generally mild and resolves within 12-48 hours after treatment. If redness and swelling occur, this is generally mild, and patients do not experience any limitations in their activities.
Popular locations for treatment include the face, neck, decolletage and hands. Multiple treatments are recommended for safety and efficacy.
Customizing Treatment
For Each Patient
As everybody’s skin is different, we “start slow and go for the goal.” A lower initial setting helps us understand how the patient’s skin reacts to the treatment in terms of effect and downtime. Subsequent treatments adjust the laser fluency (intensity), time (in milliseconds), and number of passes for the optimal rejuvenation effect. Furthermore, the skin on different parts of the body is different in thickness and dermis to epidermis ratio. Consequently, the same settings cannot be used on the face and a patient’s hands.
Because sunnier weather is around the corner, we recommend the laser curious to schedule their Laser Genesis treatment at this optimal time of year.
A Gentle Touch: The Comfort and Health Of Dental Lasers
By Karl A. Smith, DDS, MS
Lasers have long been the standard of care in medicine for many surgical and cosmetic procedures. Lasers are used for vision correction, wrinkle and hair removal, vein therapy, and anti-aging treatments.
In the world of dental care, advancements like laser dentistry and laser periodontal therapy are not just technological leaps; they are helping find new ways to improve overall body health and well-being including how mental thoughts affect oral conditions.
For many, a visit to the dentist can evoke feelings of anxiety and discomfort. However, the advent of laser-based treatments has begun to transform these perceptions, offering a gentler, more reassuring experience.
Laser dentistry, with its precision and minimally invasive approach, has become a beacon of comfort for patients. This modern technique, using focused light beams, allows dentists to perform various procedures with minimal impact on surrounding tissues.
For patients, this precision translates to less pain and quicker recovery. The emotional relief provided by laser dentistry is profound. Patients who once felt anxious at the mere thought of a dental drill now find solace in the quiet, gentle hum of the laser. The reduced need for anesthesia and the minimal bleeding during procedures further alleviate fears, creating a more relaxed and comfortable dental experience.
Treating gum disease, a common and often distressing condition, has become much less daunting. Patients undergoing laser periodontal therapy report not only
physical ease but also a sense of emotional relief. They feel reassured, knowing that the treatment is thorough yet conservative, targeting only the diseased areas while preserving healthy gum tissue.
This results in the best outcome for the patient because the teeth remain covered with pink, healthy gum tissue instead of being “long and ugly.” Patients can quickly recover with few or no sutures (stitch-
es) and very little discomfort. This is a dramatic improvement over older periodontal treatment techniques where a lot of good gum and bone was removed to “reduce pockets.”
The physical and emotional impact of these advanced treatments extends beyond the dental chair. Patients leave with a sense of empowerment, knowing they have taken a significant step towards bet-
ter oral health without enduring a traumatic experience.
This sense of accomplishment and the relief of having pain-free, efficient treatments can dramatically change one’s outlook on dental care. Laser dentistry and laser periodontal therapy are a gateway to a more positive comfortable dental experience. Come experience the gentle touch way today!
patients mean the world to us (and they love to refer to us as friends and family). My team works together to ensure your visit is enjoyable, and that your treatment is gentle and pain-free. We are deeply committed to help you prevent and treat periodontal (gum) disease, and to enhance your smile to improve your overall health.
Radiant Health From the Inside Out An Integrative Approach
By LaSondra Gray, CLA, LSO Reflections Image Center and Skin Care Institute
Achieving true health and confidence requires more than just focusing on one aspect of well-being. Beauty and wellness are interconnected—when you nurture both your internal health and external appearance, the results are more powerful and long-lasting.
Integrative wellness takes a whole-body approach, combining aesthetic treatments with nutrition, hydration, and lifestyle changes to enhance both physical vitality and self-confidence. It’s not just about looking good—it’s about feeling your best from the inside out.
One of the most effective ways to bridge the gap between beauty and wellness is through treatments that support both. For instance, IV infusions deliver essential vitamins, minerals, and antioxidants directly into the bloodstream, boosting hydration, energy, and immune function. This internal nourishment enhances the results of aesthetic treatments, such as facials or skin rejuvenation, by providing a strong foundation for healthy, glowing skin.
Another key aspect of integrative wellness is nutrition. The right supplements and a balanced diet can significantly impact the appearance of your skin, hair, and body. Omega-3 fatty acids support skin elasticity, collagen peptides promote firmness, and hydration plays a crucial role in maintaining a youthful glow. By addressing these internal factors, aesthetic treatments like laser skin rejuvenation, body contouring, and skin tightening become even more effective.
Combining internal health strategies with aesthetic treatments
allows for a more comprehensive transformation. For example, someone looking to improve skin tone and texture will see better, longer-lasting results when they also focus on hydration, stress management, and proper nutrition. Rather than treating symptoms alone, an integrative approach targets the root causes, leading to sustainable improvements
in both wellness and appearance.
If you’re looking for a way to feel more confident, energized, and radiant, consider adopting a synergistic approach to self-care. By nurturing your body inside and out, you’ll not only enhance your physical appearance but also experience greater overall well-being. Whether through IV therapy, customized nutrition plans,
Elevate Your Beauty & Wellness
• IV Infusions: Boost energy, enhance glow, and nourish your skin from the inside out.
or advanced skin treatments, taking a holistic approach ensures that your results are not just visible but lasting. Investing in yourself isn’t just about aesthetics—it’s about embracing a lifestyle that supports long-term health, confidence, and vitality. By aligning beauty and wellness, you can create a balanced, healthier you—inside and out.
• Advanced Skin Treatments: Rejuvenate with Laser Genesis, RF Microneedling, and more.
• The Potomac Lyft: Tighten and tone the face, neck, and body using CoolSculpting, Emsculpt, and 4D HiFu.
• Personalized Nutrition & Supplements: Create a custom wellness plan to support your aesthetic treatments.
• Body Contouring & Skin Tightening: Achieve your ideal body with CoolSculpting and Emsculpt.
combining IV Therapy and Skin Rejuvenation Limited-Time Promotional Pricing!
The Connection Between Sleep Apnea and TMJ Disorder
By Jeffrey L. Brown, DDS Sleep & TMJ Therapy
Obstructive Sleep Apnea (OSA), and Temporomandibular Disorder (TMD) are conditions that can severely disrupt daily life. OSA occurs when the airway is blocked during sleep, leading to pauses in breathing. This not only disrupts sleep but also poses significant health risks, such as cardiovascular issues, diabetes, and even cancer.
Temporomandibular Disorder –TMD – affects the jaw joint and the muscles controlling jaw movement. Symptoms often include jaw pain, difficulty chewing, and a clicking or locking of the jaw. These symptoms can vary in intensity and may sometimes lead to chronic discomfort.
Both Sleep Apnea and TMD are often overlooked or misdiagnosed, making awareness crucial for effective management. People experiencing symptoms of either condition should
We
seek medical evaluation to prevent long-term complications. Understanding the underlying mechanisms of these conditions can help in recognizing the need for timely and appropriate treatment.
Effective diagnosis usually involves a combination of medical history, physical examination, and advanced diagnostic tools. In the case of Sleep Apnea, sleep studies are commonly used to measure breathing patterns, while TMD diagnosis may involve imaging techniques like X-rays or MRIs to examine the jaw joint and surrounding tissues. Recognizing the signs and seeking professional help are key steps in managing these disorders. If you look for studies, there are clear links between OSA and TMD.
Typical Dental Office
Both Sleep Apnea and TMD share several risk factors that can exacerbate symptoms. If the discs in the jaw joints are displaced, this will greatly contribute to TMD as well as OSA. Oftentimes, genetics are involved – a family history of OSA and/or TMD is common.
Another important factor is age; the likelihood of developing Sleep Apnea and TMD increases as one gets older. Being overweight is another significant risk factor for Sleep Apnea, as excess fat can obstruct the airway. This excess weight can also put additional stress on the jaw muscles, contributing to TMD symptoms.
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
Technological advancements are making significant strides in the diagnosis and treatment of both OSA and TMD. For Obstructive Sleep Apnea, the use of devices like Continuous Positive Airway Pressure (CPAP) machines has been revolutionary. These machines ensure that airways remain open during sleep by providing a constant flow of air through a mask. A custom fitted dental appliance is made for those who cannot tolerate CPAP.
On the TMD front, laser therapy is being increasingly utilized to treat jaw pain and inflammation. Laser treatments can reduce pain and promote healing by stimulating blood flow and tissue repair. Additionally, advancements in imaging techniques, such as digital X-rays and MRIs, provide detailed views of the jaw joint and surrounding structures. This allows healthcare providers to make more accurate diagnoses and tailor treatments to individual needs. Appliance therapy like the Gelb orthotic and the amazing ALF have come to the forefront in TMD treatment, and coincidentally helps with OSA.
Be sure to talk to a well educated healthcare professional who understands your needs and can analyze the situation correctly.
Jeffrey L. Brown, DDS
Jeffrey L. Brown, DDS
By April Toyer, DDS, FAAPD Lifetime Dental Care
Like many dental patients, you probably brush your teeth every morning and night, but realize that your
Flossing and Your Health
floss hasn’t been used in weeks. There are significant benefits to flossing your teeth every day that you’re missing out on. After reading these four benefits to flossing, you may reconsider waiting “just another day” to floss.
Flossing Is An Effective Defense Against Gingivitis
Inflammation can occur in gum tissue that contains bacteria, plaque, and tartar build-up. Gums that are swollen and bleed when they’re brushed are a natural result of improper dental hygiene. Adding flossing
to your regimen ensures that the debris from between your teeth, as well as any hidden bacteria, plaque, or tartar, is cleared away. Having eliminated the bacteria, your teeth become protected from gingivitis.
Stop Halitosis
With Regular Flossing
Food particles hidden in between your teeth can allow bacteria to build up, adding to your bad breath. Tartar, in particular, contributes heavily to halitosis and often can be found hiding between your teeth. Brushing,
mouthwash, and flossing every day will go a long way towards protecting your teeth.
Flossing Helps Control Diabetes
This comes as a significant surprise to most dental patients. Research has shown that making brushing a regular part of your daily hygiene practices can actually have a huge positive impact on your battle with diabetes. Oral bacteria have been shown to elevate the level of glucose in your blood, making stabilization difficult. Flossing, brushing, and mouthwash combined eliminate bacteria and reduced their effect on your glucose levels.
Restrict Respiratory Disease With Flossing
Your mouth and oral tissues are a direct pathway to many of the organs in your body, including your lungs. This can cause a serious problem when oral bacteria transfer into your lungs. Once seated in your lungs, they can begin causing health concerns related to breathing as you develop respiratory disease.
By making brushing, flossing, and the use of mouthwash a regular part of your daily routine, you’re protecting yourself from a host of issues. If you want to learn more about how flossing can help you preserve your good health, contact your dental provider and get on the road to battling gingivitis, bad breath, and even heart disease.
April Toyer, DDS
Dr. Toyer grew up as an “Army brat,” but resided many years in Bowie, Maryland. She attended the University of Virginia and received a degree in Biology and Bioethics in 2003. Dr. Toyer attended dental school at the University of Maryland and took part in the Pediatric Dentistry Clerkship program.
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CareOne: Bringing Compassionate Care Home
At CareOne, we believe home is where healing happens best. As a family-owned organization, we are committed to helping people age in place with dignity and highquality care. Our home health nurses (RNs) provide compassionate, personalized care to patients in their own homes, assisting with recovery from illness or injury and managing conditions like Alzheimer’s and dementia.
CareOne’s home health nurses start each day with a mission—to provide exceptional care, one home at a time.
Anthem, BlueCross BlueShield, United Healthcare, Guardian, Principal Ameritas, DentaQuest, Dominion Dental, Connection Dental, Himan, Assurant/Dental Health Alliances, Smiles for Children. Dr. Afreen Sayeed Services provided include: Implants, Implant Crowns, Invisalign, CEREC, Crowns, Root Canals, Cosmetic Dentistry, iTero Digital Scanner, Tooth-Colored Fillings and Extractions. Schedule an appointment for you and your family today!
Managing Chronic Back and Neck Pain
By Erik A. Ward, DC, CSCS, CCSP NOVA Weight Loss Solutions
Regardless of which treatments you are undergoing, it can always be helpful to understand your health condition before you start a selfconditioning program. If you are currently under treatment, the following information can act as an adjunct, or as a primary means, to help manage your back or neck condition. People often report that such techniques are very helpful in reducing pain.
Of course, the first step in coping with back pain or neck pain is always to get a comprehensive evaluation for a diagnosis by your chiropractor or medical doctor, as pain is often
a warning signal that something is wrong and needs attention.
Include Specific Coping Techniques As Part Of Your Daily Routine
Whatever your condition, there are a number of methods to help cope with the pain. All of these techniques make use of four types of skills, including deep muscle relaxation, distracting your attention away from pain signals, thinking about images or sounds that feel pleasant to you, and attaining detachment and distance.
Stretch Your Muscles
Although no single stretch works for everyone, most people spend most of their days in the same positions doing the same or similar activities. Studies have shown that people who go through a proper stretching program just twice a week for eight weeks make significant gains in strength, flexibility, and endurance, which is an essential part of most back pain treatment programs.
Eat Right and Get Enough Sleep
Good nutrition can aid your healing process. Your diet should
include adequate protein as a source of the building blocks of soft tissue healing. Additionally, fresh fruit and vegetables supply the vitamins and trace elements necessary for effective healing. A vitamin supplement can also be very helpful.
Sleep is also important for the body to heal. One of the best ways to help you sleep soundly is to create physical weariness through active exercise.
Understand Your Condition To Be Pro-Active WithYour Health
For many unfortunate sufferers, low back and neck pain can be very debilitating. If left untreated, chronic back and neck conditions could result possibly making surgery the only treatment option. As with many physical conditions, the sooner the problem can be diagnosed and treated, the less time may be needed to treat and correct the problem. If you are having chronic back or neck problems, get yourself evaluated. Discuss the options for treatment with your chiropractor or medical doctor, and be pro-active with your health.
Integrative Dentistry and Comprehensive Care
By Shari Salartash, DDS, MAGD Dynamic Dental Wellness
In our rapidly evolving world, new insights into health and wellness continue to emerge, emphasizing the importance of holistic approaches to healthcare. One such field that has gained significant recognition is integrative dentistry—also known as holistic or functional dentistry—which focuses on the profound connection between oral health and overall well-being. Unlike conventional dentistry, which often addresses symptoms in isolation, integrative dentistry seeks to identify and treat the root causes of oral health issues, employing minimally invasive techniques and biocompatible materials to promote long-term wellness.
A Holistic Approach To Oral and Systemic Health
Integrative dentistry prioritizes the use of safe, non-toxic materials, such as BPA-free composites, mercury-free fillings, and low-dose radiation imaging, ensuring that dental treatments support rather than compromise overall health. Furthermore, integrative dentists collaborate with other healthcare professionals—such as nutritionists, sleep specialists, cardiologists, and functional medicine doctors—to develop comprehensive treatment plans that optimize both oral and systemic health.
Rather than viewing the mouth as an isolated system, integrative dentists recognize its profound influence on critical bodily functions, including digestion, cardiovascular health, immune function, and metabolic regulation. By addressing conditions such as sleep apnea, gut imbalances, autoimmune disorders, and chronic inflammation through a dentalhealth-centered approach, integrative dentistry fosters whole-body healing and disease prevention.
The Mouth: More Than Just a Gateway For Food and Drink
Oral health is frequently over-
looked as a key determinant of overall wellness. However, scientific research underscores the mouth’s direct connection to vital organs and systemic health. The oral microbiome—comprising beneficial and harmful bacteria—plays a crucial role in maintaining balance within the body. While pathogenic bacteria can contribute to disease, beneficial bacteria aid in digestion, immune regulation, and metabolic health. Integrative dentists emphasize the importance of preserving this delicate microbial balance through proper nutrition, lifestyle adjustments, and personalized dental care.
Oral Dysbiosis and Its Far-Reaching Consequences
When microbial imbalances occur in the oral cavity—known as oral dysbiosis—the resulting chronic inflammation can contribute to a variety of systemic diseases, including:
• Cardiovascular Disease: Certain high-risk oral bacteria have been linked to arterial inflammation, increasing the likelihood of plaque deposits, bad cholesterol, and cardiovascular conditions such as coronary artery disease and stroke.
• Diabetes and Insulin Resistance: Chronic inflammation caused by oral dysbiosis exacerbates insulin resistance, complicating the management of both type 1 and type 2 diabetes.
• Cognitive Decline (Alzheimer’s and Parkinson’s): Studies suggest that heightened oral inflammation contributes to dementia, with specific bacteria such as Streptococcus mutans associated with cerebral inflammation. Emerging research also points to oral pathogens playing a role in the early development of Parkinson’s disease.
• Immune Dysregulation: A balanced oral microbiome is essential for a properly functioning immune system. Dysbiosis has been linked to autoimmune disorders, as chronic inflammation weakens the body’s ability to fight infections and regulate immune responses.
• Cancer Risk: Research indicates that bacteria associated with periodontal disease have been identified in gastrointestinal and colon cancers. Chronic inflammation—a hallmark of dysbiosis—is a known risk factor for various forms of cancer, reinforcing the need for proactive oral health care.
Please see “Integrative,” page 46
Laser assisted treatments for bone regeneration and implant procedures.
Reducing chance of root canal by 90% and keeping the tooth nerve alive
Complete disinfection of surgical sites and clearing of jaw infections
Clearing the inflammation and infection of the gums
Obstructive sleep apnea treatment with NightLaser procedure reduces snoring and enhances upper airway soft tissue function.
TMJ joint and muscle inflammation reduction
No need for injections or numbing during the filling process.
Gum disease, Cold sore and ulcer elimination
Laser application reduces dentin sensitivity and disinfects tooth during tooth restoration.
Dental Implants FAQs
By Marvette Thomas, DDS The Dental Spa
You can’t grow new teeth, but dental implants offer the next best thing if you’ve lost a tooth. A dental implant looks like a tiny screw and replaces the roots of a tooth. During a minor surgical procedure, your dentist creates a small opening in your jawbone and places the implant inside. Over the course of several months, the implant fuses to the bone, providing a secure foundation for the crown that will be placed on top of it. In some cases, you may receive a temporary crown the same day you receive your implant.
Replace Multiple Teeth – When
you have more than one tooth missing, implants provide an ideal replacement mechanism. You don’t even need one implant for every missing tooth. Instead, implant teeth can act as supports for fixed bridgework. For example, if you are missing three teeth in a row, we can place two implants, one on either side of the gap, and a crown in between that has no implant underneath. That way, you won’t need to use any of your remaining natural teeth as bridge supports, which could weaken them and make them more susceptible to decay.
Replace All Teeth Permanently – Implants can support an entire arch of upper or lower replacement teeth that are fixed into the mouth and are never removed. Sometimes the new teeth can be supported by as few as four implants. It’s comparable to the structure of a table, which only needs four legs to hold it up. In cases where jawbone density and volume have deteriorated, five or six implants might be needed to support a row of 10-12 teeth. Dental implant replacement teeth protect your jawbone, won’t slip, and should last a lifetime.
Please see “Dental Implants,” page 46
How Hospice Social Workers Make Everyday Moments That Matter
By Chris Gooding LCSW-C, Social Worker Hospice of the Chesapeake
There are many moving stories about how a hospice social worker helped a patient get married or take that one last trip to the ocean. These are impactful, memory-making moments that go a long way to honor the patient’s final wishes while helping a
It the Shaklee Way!
family heal after their gone.
But I’m not going to share those kinds of moments.
I’m going to share moments like helping the patient make a phone call to an estranged family member -- or giving them permission to NOT make that phone call. Counseling a daughter whose mother no longer knows who she is due to dementia. These are moments that matter, everyday moments, that are nurtured by a hospice social worker.
Families can be messy. For many, making moments that matter means reconciling grudges or misunderstandings. A social worker might start some conversations with the patient to explore the history of the rift and what the difficulties are. Then, there can be a family meeting where the social worker is a third-party intermediary to guide a talk about giving or asking forgiveness.
The moment that matters here is to give all involved healing before the patient dies and they’ve lost the opportunity. For the patient, this unfinished business could cause extra stress at the end of their life, leaving behind unresolved issues.
Sometimes a patient is not able or willing to reconcile. Then social workers become a support for the family to help them find in some other way the peace they hoped would happen before their person died.
Memory making moments like going to an Orioles game or making a big birthday party happen can be a challenge for social workers that leads to an important moment for everyone. But I’m also helping to make moments that matter each time that I am with a patient who shares how great it is to watch Jeopardy with their family or asks to help them call a long lost relative to say, “I’m sorry.”
Some moments that matter are even simpler. A family asked that I visit their father every week, which I did for three months while he was in our care. On a few visits I had to complete about five minutes of paperwork. The rest of the time was just being there. To listen. To talk. Each week I knew I made a difference. Each week I knew I had made moments that mattered.
Mouth Breathing and Dentistry
By Michael Rogers, DDS Fairlington Dental
Entire books have been written about the negative effects mouth breathing has on our health. This article will help the reader understand just one of these negative effects: jaw growth and development.
When we breath through our mouth, whether because of nasal obstruction or out of habit, we are creating a situation which causes our upper jaw to become more narrow than normal. This is especially true if mouth breathing
occurs during growth and development. As we grow, the tongue is supposed to act as a natural palate expander, counteracting the equal and opposite forces of the lips and cheeks pressing down and in. If the tongue is forced down so we can get air, which is our most immediate need, then the roof of the mouth still grows but in a distorted shape. It becomes narrower than genetically programmed and the palate grows higher than normal. This eventually becomes a selfperpetuating problem because the roof of the mouth is also the floor of the nose. So a high, narrow palate leaves less room in the nose for air to pass and eventually mouth breathing becomes the only way to get air to our lungs.
High narrow palates result in less room for the teeth, creating crowding and misaligned teeth. A narrow palate usually results in an exaggerated overbite, because
the growth of the lower jaw is not as affected by tongue posture as the upper jaw. If the upper jaw isn’t somewhat larger than the lower jaw to allow the lower jaw to fit directly underneath it, then the lower jaw tends to be forced further back.
When the lower jaw sits further back, this can lead to jaw joint problems know as TMJD (temporo-mandibular joint dysfunction.) TMJD symptoms include clicking and popping of the jaws, headaches, neckaches, backaches, jaw pain, and forward head posture. Also, with the lower jaw further back, the tongue is forced into the throat making the airway smaller and often leading to sleep apnea later in life, an unhealthy condition where the patient stops breathing due to tongue obstruction during sleep.
Traditionally, dentists and orthodontists have just accepted the
size of the upper jaw as-is and dealt with the consequences by extracting teeth. Physicians have dealt with sleep apnea caused by small palates by using CPAP (continuous positive airway pressure) machines to keep people breathing.
Fortunately, small narrow palates can be prevented if treated during the growing years with retainer-like devices to counteract the lip and cheek pressure. Small narrow palates in adults can also be treated with oral devices like the DNA appliance, which can encourage jaw growth even in fully grown adults. I can personally relate to this topic because I grew up breathing through my mouth due to severe allergies as a child. This led to orthodontic problems treated by extracting teeth, TMJ problems later in life, and eventually sleep apnea, which I have now managed to eliminate using the DNA appliance.
At Fairlington Dental, we understand the connection between a healthy smile and a healthy body. As a result, we look at the whole person to discover the reasons a patient may have gum disease or a bad bite. A number of studies link heart disease and other serious conditions to the presence of periodontal (gum) disease. This research makes it vital that we take a Complete Health approach to your dental care. Dr. Rogers will listen to you, conduct a careful assessment, and carefully explain your proposed customized wellness plan. He will then take the time to answer all of your questions. You become a partner in your oral health goals!
Our team has mastered the techniques of gentle dentistry and is skilled at helping patients with any level of apprehension relax and grow comfortable with visiting the dentist. Anxiety and tension have a variety of sources, so it’s important for us to listen to your concerns as well as your goals and history. Then we address your anxieties and proceed with gentle treatment only when you’re ready. We deliver all of this in an office that is environmentally aware, while you enjoy a variety of spa-like amenities during your visit. One of our greatest joys is helping patients smile again, especially those who may not have seen a dentist in a while. You’ll be amazed at how the quality of life can change! We strive to create a partnership with you that starts the moment you walk through our door.
By Alfred Chit Myaing, MD
Heart attacks, medically known as myocardial infarctions, are often depicted as sudden, severe chest pain gripping a person’s left side. However, this classical portrayal predominantly reflects the male experience. Women, on the other hand, often exhibit symp-
Understanding Gender Differences Heart Attacks In Women
toms that can be subtler and easily overlooked, leading to delayed treatment and potentially fatal consequences.
It’s crucial to recognize that heart disease is the leading cause of death in women globally. Despite this, there persists a misconception that heart attacks primarily affect men. Women are just as susceptible, albeit with differences in how symptoms manifest. Understanding these distinctions is
paramount for timely intervention and improved outcomes.
One of the key differences lies in the variety and subtlety of symptoms experienced by women. While chest pain or discomfort can occur, it might not always be the predominant symptom. Women are more likely to present with atypical signs such as:
• Shortness of Breath: This could manifest as difficulty breathing,
Healing Hearts For Generations
even without exertion, or feeling winded during routine activities.
• Nausea or Vomiting: Women may experience gastrointestinal symptoms like nausea, vomiting, indigestion, or abdominal discomfort, often mistaken for food poisoning or gastrointestinal issues.
• Back or Jaw Pain: Unexplained pain in the back, jaw, or neck, which may feel like pressure rather than sharp pain, is common among women experiencing heart attacks.
• Fatigue: Overwhelming fatigue, especially if it’s sudden and unrelated to physical or emotional exertion, can be a warning sign.
• Dizziness or Lightheadedness: Feeling dizzy or lightheaded, sometimes accompanied by clammy skin, can indicate compromised blood flow to the heart.
• Unexplained Sweating: Profuse sweating, often described as cold sweats, can occur during a heart attack episode.
These symptoms might appear gradually over days or weeks, rather than abruptly, which makes it easier to dismiss them as temporary discomforts. Moreover, women tend to delay seeking medical help, either due to downplaying their symptoms or attributing them to other causes like stress or aging.
The reasons behind these genderspecific differences are multifaceted. Biological factors such as hormonal fluctuations, smaller coronary arteries, and plaque distribution play a role. Additionally, societal norms and healthcare biases contribute to the underestimation of heart disease risk in women.
Empowering women with knowledge about these unique symptoms is vital. Recognizing the signs of a heart attack and seeking prompt medical attention can significantly improve survival rates and reduce long-term complications.
Heart attacks in women often present differently from those in men. Familiarizing oneself with the varied symptoms beyond typical chest pain is crucial. By raising awareness and dispelling misconceptions, we can ensure that women receive timely and appropriate care, ultimately saving lives. Remember, when it comes to heart health, knowledge is indeed power.
Who’s At Risk For Colon Cancer?
Submitted By Gastro Center of Maryland
While risk factors such as genetics and lifestyle play a big part, cancer can still happen to anyone. Luckily, you can take steps to keep you and your family healthy if you become familiar with the most common risk factors.
That’s why our team of gastroenterology experts at Gastro Center of Maryland is here with a comprehensive list of colon cancer risk factors to help you know where you stand.
Who’s At Risk For Colon Cancer?
The most common risk factor for colon cancer is advanced age. In fact, your likelihood of developing any type of serious illness increases as you get older. Other contributing factors include having:
• Inflammatory bowel disease, such as Crohn’s disease or ulcerative colitis
• A personal or family history of colon cancer
• A genetic predisposition
• A history of polyps
Some lifestyle factors can even make you more likely to develop colon cancer. They include:
• Living a sedentary lifestyle
• Eating a diet low in fruits and vegetables
• Eating a low-fiber, high-fat diet
• Eating processed meats
• Being overweight or obese
• Excessive alcohol and/or tobacco use
If you have these risk factors, it’s important to contact an gastroenterologist expert to determine your next steps.
What Should I Do If I’m At Risk?
A gastroenterologists office should be your first call if you determine you’re at risk for colon cancer. They offer a wide range of diagnostic and screening tests to
monitor your colon health and detect the earliest signs of cancerous changes.
In line with the Centers for Disease Control and Prevention guidelines, it is recommended that everyone receives colon cancer screening from age 45-75, but regular screening is even more critical if you have known risk factors.
If your doctor knows you’re at risk for colon cancer, they may recommend you start screening earlier, continue screening past age 75, or have more frequent screens.
Your doctor can also walk you through some ways to mitigate your risk for colon cancer.
Can I Reduce My Risk?
Yes, you can reduce your risk for colon cancer, but there’s no way to guarantee you won’t ever get it. In addition to regular screenings, you should also make lifestyle changes to support your
colon health.
For starters, eat more whole foods, especially those rich in fiber, like vegetables, fruits, and whole grains. Your doctor may also recommend eliminating or reducing your consumption of processed meats, red meat, alcohol, and tobacco.
Regular exercise and maintaining a healthy weight are other ways to support both your colon and overall health.
Research shows a strong link between diet, weight, and exercise and colon cancer risk. Even the slightest changes can have a huge impact, so talk to us about what you can do to make healthy adjustments today.
If you have more questions about your risk for colon cancer, or if you’d like to schedule a screening, don’t wait to call your gastroenterologists office to schedule an appointment.
Expert Care, Compassionate Approach
Prioritize Your Health, Starting Today
Discover how the Gastro Center of Maryland can transform your well-being with our state-of-the-art treatments and personalized care.
WHY CHOOSE US?
Innovative Treatments: From advanced diagnostics like Bravo pH Testing and PillCam SB Capsule Endoscopy to breakthrough procedures such as the STRETTA anti-reflux treatment and ORBERA™ gastric balloon, we stay ahead in GI care.
Comprehensive Care: Expertise in managing a full spectrum of GI conditions including Acid Reflux/GERD, Crohn’s Disease, and Liver Disease. Our individualized treatment plans are designed to meet your specific needs.
Experienced Specialists: Our board-certified gastroenterologists are dedicated to providing the highest quality care with years of experience in treating complex gastrointestinal and liver disorders.
Our Services Include:
Advanced Diagnostics: Bravo pH Testing, PillCam Endoscopy, GI Genius
Request an appointment today and experience the difference personalized care can make. Call us at 410-290-6677 or visit www.GastroMaryland.com to schedule online. Don’t wait – Call Today For A Consultation Tomorrow!
By Elambert Richardson
Elon Roshell Day Spa & Health
Hyperbaric Oxygen Therapy
(HBOT) is gaining recognition in the world of integrative health as a pow-
Hyperbaric Oxygen Therapy A Natural Approach To Healing
erful tool for enhancing the body’s natural healing process. By delivering oxygen at higher-than-normal atmospheric pressure, HBOT increases the amount of oxygen dissolved in the blood, reaching tissues that may be deprived due to injury, illness, or inflammation. This non-invasive treatment has been used for decades in hospitals for wound care, but it is
now being widely adopted in wellness clinics and holistic health practices for its broad range of benefits.
How HBOT Works
During an HBOT session, individuals enter a sealed chamber where pure oxygen is delivered under increased atmospheric pressure. This process allows oxygen to penetrate deeper into body tissues, promoting cell regen-
Hyperbaric Chamber, Now Available!
eration, reducing inflammation, and stimulating the immune system. Unlike breathing oxygen at normal pressure levels, HBOT ensures that oxygen is carried efficiently even to areas with limited circulation, supporting recovery from various conditions.
Key Benefits Of HBOT Therapy HBOT is well-known for its ability to accelerate recovery from injuries, support neurological function, and enhance overall well-being. Some of its most significant benefits include:
Improved Circulation and Healing: HBOT enhances blood flow and oxygenation to tissues, making it particularly beneficial for individuals recovering from surgery, injuries, or chronic wounds.
Neurological Support: Emerging research suggests that HBOT may aid in cognitive function and neuroprotection. It is commonly explored for its role in managing symptoms of traumatic brain injury (TBI), stroke recovery, and neurodegenerative conditions.
Inflammation Reduction: Many chronic conditions are linked to systemic inflammation. HBOT helps reduce swelling and oxidative stress, making it a useful adjunct therapy for conditions such as arthritis, autoimmune diseases, and chronic pain.
Immune System Boost: By increasing oxygen availability, HBOT helps the body fight infections more effectively. This is particularly relevant for individuals with weakened immune systems or those recovering from bacterial infections.
Sports Recovery and AntiAging: HBOT has gained traction in the athletic community for its ability to speed up muscle repair, decrease fatigue, and enhance performance. Additionally, it is being used in longevity and anti-aging protocols due to its effects on cellular health.
An Accessible and Effective Therapy
HBOT is a safe and effective therapy that integrates well with other holistic health approaches. With advancements in chamber technology, individuals now have access to highquality options that provide enhanced comfort, precise pressure control, and optimized oxygen delivery. Whether used for recovery, wellness, or performance, HBOT continues to be a valuable tool in integrative medicine, supporting the body’s innate ability to heal.
Mouth-Body Connection
By E. Richard Hughes, DDS
The belief of the mouth-body connection (oral systemic connection) is not new. Benjamin Rush, MD and a signer of our Declaration of Independence, noticed that people’s health improved after the extraction of diseased teeth. Today we know that infected teeth and gums can severely effect people’s health in ways that were once unthinkable.
People with periodontitis (gum infection with bone loss) are one and a half to two times more at risk for fatal cardiovascular disease. The bacteria from gum infections can easily enter the bloodstream and ultimately wind up in the heart.
People with non-insulin dependent diabetes (diabetes type 2) are three times more prone to develop destructive periodontal disease.
There is a direct correlation with patients with periodontal disease and rheumatoid arthritis. Periodontal disease precedes rheumatoid arthritis.
There is a clear relationship between obesity (upper body obesity) and periodontitis. Recent studies show how people with normal weight that exercise have a lower incidence of periodontitis and better blood glucose control.
There is a correlation between advanced Alzheimer’s disease and poor oral health. Scientist at the School of Medicine and Dentistry, University of Central Lancashire in the UK, have discovered the presence of a substance (lipopolysaccharides) from the bacterium Porphyromonas gingivalis in the brains of those with Alzheimer’s disease. This bacteria is present in people that have gum or periodontal disease.
Periodontal disease, tooth decay, uncleaned dentures, orthodontic and TMJ appliances may promote respiratory ailments such as chronic obstructive pulmonary disease, the sixth leading cause of death in the United States. The microorganisms from gum and tooth infections can be aspirated into the lungs and cause pneumonia.
Pregnant women due to hormonal
changes are more prone to periodontal disease. Researchers at the University of Alabama School of Medicine, Birmingham Alabama revealed pregnant women with periodontal disease are six times more likely to have a premature delivery and a low birth weight baby.
Researchers at Case Western University have found a link between periodontal disease and Human Immunodeficiency Virus (HIV). This explains why people with HIV infections and periodontal disease have greater viral titters in the saliva than
HIV patients with healthy gums.
A recent major discovery has exposed insights into a group of microorganisms called “microbial dark matter.” Thus named because these microbes are or were uncultivable in the laboratory. This microorganism has a role in periodontal inflammation, gastrointestinal and vaginal inflammatory disease.
Periodontal and tooth infections, and infections in general, can cause fatigue. I tell my patients that their overall energy level will improve after the treatment of periodontal disease and
the removal of tooth infections. All of them tell me they have improved health and increased energy levels after the treatment of such conditions. Many times dentists are the first health care provider that picks up on diabetes, leukemia, scurvy, measles, cancer and other diseases. General health and oral health share similar causal and behavior mechanisms. Maintaining a healthy mouth and regular dental examinations, dental cleanings and practicing daily oral hygiene is essential and goes hand in hand with overall health.
1. Have You Lost One or More of Your Teeth?
2. Are You Embarrassed by Your Smile or Missing Teeth?
3. Are You Tired of the Daily Hassles of Denture Wear? 4. Do You Have Bone Loss Where Teeth Were Pulled?
Building Muscle With EMSculpt What You Need
To Know
Submitted By DMV CHILL Cryo Wellness Spa
EMSculpt is a revolutionary, non-invasive procedure that has gained popularity for its ability to help build muscle and sculpt the body. This cutting-edge technology uses high-intensity focused electromagnetic (HIFEM) energy to stimulate muscle contractions, offering a unique approach to muscle build-
ing and fat reduction. How EMSculpt Works
EMSculpt works by delivering electromagnetic energy to targeted muscle groups, such as the abdomen, buttocks, thighs, or arms. During a session, the energy induces supramaximal muscle contractions, which are much more intense than those achieved through traditional exercise. These contractions
stimulate muscle fibers to grow and strengthen while also promoting fat metabolism in the treated area.
A single EMSculpt session can produce the equivalent of 20,000 crunches or squats, making it an effective option for people looking to enhance muscle tone and definition. The procedure is non-invasive, requires no downtime, and is completed in approximately 30 minutes per session.
Benefits Of EMSculpt For Muscle Building
• Increased Muscle Mass: EMSculpt has been shown to increase muscle mass by up to 16% after a full treatment cycle, typically consisting of four sessions spaced a few days apart.
• Fat Reduction: In addition to building muscle, EMSculpt can reduce fat in the treated area by up to 19%, providing a dual benefit of toning and slimming.
• Convenience: EMSculpt is a quick procedure that can be done during a lunch break, with no need for recovery time or special preparation.
• Versatility: The treatment is suitable for various body areas, allowing for targeted muscle building and contouring.
Who Can Benefit From EMSculpt?
We understand first-hand how important it is to relieve that pain in the most non-invasive way possible using Cryotherapy.
Our services combine cutting-edge Targeted Cryotherapy techniques, expert staff, and a holistic approach to wellness that focuses on reducing pain and inflammation, improving physical performance, and promoting overall well-being for athletes and those looking to elevate their physical vitality.
EMSculpt is ideal for individuals who are close to their ideal body weight but want to enhance muscle definition or address stubborn fat deposits. It’s particularly popular among people looking to improve their fitness results or those recovering from injuries that limit traditional exercise.
Considerations
While EMSculpt is highly effective, it is not a substitute for a healthy lifestyle. Combining treatments with regular exercise and a balanced diet will optimize and maintain results. Individuals with certain medical conditions, such as metal implants or pacemakers, may not be candidates for EMSculpt. EMSculpt offers a convenient and effective way to enhance muscle tone and boost confidence. If you’re looking for a modern solution to achieve your fitness goals, consult a certified provider to see if EMSculpt is right for you.
Featured Health
Rami Makhoul, MD
Meet Rami Makhoul
After completing his fellowship in Colon and Rectal Surgery at Robert Wood Johnson University Hospital-Rutgers University, Rami Makhoul, MD, joined Holy Cross Health Hospital in 2014 to serve patients of the DMV area.
Upon graduating from medical school, Dr. Makhoul first completed his internship in General Surgery at the University of Massachusetts Medical School. He, then, completed his residency training in General Surgery at the George Washington University Hospital in Washington, DC.
During his residency training at GW, he spent a year in clinical research where he published some of his work on colon and rectal cancer, and the use of Robotic Surgery in various abdominal procedures performed in the Colon and Rectal Surgery field. He continued with his passion for research and published peer-reviewed articles during his fellowship training. Several of his work, was presented at national conferences including the American Society of Colon and Rectal Surgery, and the Society of American and Gastrointestinal and Endoscopic Surgeons annual conferences.
Dr. Makhoul diagnoses and treats various diseases of the colon, rectum, anus, and other parts of the GI tract using national standards and guidelines. He has a special interest in treating colon and rectal cancer using advanced surgical minimally invasive techniques including robotic, laparoscopic, and transanal minimally invasive surgery. Dr. Makhoul is Board Certified in both General Surgery and Colon and Rectal Surgery and is an active member of the American Society of Colon and Rectal Surgeons education committee.
As part of his commitment to surgical training and education, Dr. Makhoul serves as a Clinical Instructor of Surgery at the George Washington University. Dr. Makhoul is currently the chairman of the Department of Surgery at Holy Cross Hospital in Silver Spring. He also holds the position of Cancer Liaison Physician for Holy Cross Health, where he manages and overlooks clinically related cancer activities in collaboration with the Commission on Cancer and American Cancer Society. When he is away from the office, Dr. Makhoul may be found spending time with his family. Dr. Makhoul enjoys skiing, cycling, scuba diving, tennis, and traveling.
Matthew Skancke, MD
Road Suite
Meet Matthew Skancke
Dr. Matthew Skancke is a colon and rectal surgeon serving Maryland, Virginia and Washington, DC. Dr. Skancke grew up in Great Falls, VA earning his undergraduate degree in electrical and biomedical engineering at the University of Virginia’s engineering school. After engineering school he spent three years working for a Swiss based GPS company U-blox America while going to night school to finish his premedical degree. He then attended medical school at the University of North Carolina at Chapel Hill where he did basic science research of mesenchymal stem cells to progress the field of regenerative medicine. Dr. Skancke continued his General Surgery training at the George Washington University Hospital and subsequently did his Colon and Rectal Surgery Fellowship at the Cleveland Clinic.
During his training, Dr. Skancke has published over 24 peer reviewed publications, authored three book chapters, and presented over 45 times at national conferences in medicine and surgery. He has participated in clinical trials of bench top and mechanical sciences and is a member of the American College of Surgeons and the American Society of Colon and Rectal Surgeons. Dr. Skancke is Coard Certified in General Surgery and Colon and Rectal Surgery and is an active member of the American Society of Colon and Rectal Surgeons Quality and Safety National committee.
Outside of work, Dr. Skancke has found a new love for French cooking and North Carolina barbeque. To offset these vices, Dr. Skancke also enjoys running and powerlifting in his free time.
Every patient and their parents are given the time they need during a consultation at Annapolis Pediatric Gastroenterology and Nutrition to fully understand what’s happening and ask any questions they may have. If your child needs to undergo any procedures, Dr. Aybar performs them at the Anne Arundel Medical Center in Annapolis, MD.
A board-certified pediatrician who specializes in pediatric gastroenterology after finishing his fellowship at University of Maryland. Dr. Aybar was born in Turkiye, and received his medical degree from the University of Istanbul. He completed an internship in pediatrics and adolescent medicine at the Cleveland Clinic Foundation Children’s Hospital and a Residency in pediatrics at Sinai Hospital in Baltimore, MD, where he served as chief resident. Dr. Aybar gained valuable experience working in several Baltimore Metropolitan Area hospitals as a pediatrician in the emergency department and as a pediatric hospitalist.
Featured Health Professionals
Local Professionals Empowering and Encouraging People To Live Healthier
Sylvie Lam, DDS, FAGD
Meet Sylvie Lam
Dr. Sylvie Lam is dedicated to delivering high-quality, personalized care, influenced by her military and civilian training, emphasizing excellence and integrity. With 13 years of experience in government and private practices, patients appreciate her genuine commitment, upbeat personality, and energy. She graduated from the University of Maryland School of Dental Surgery in 2008 and completed an Advanced Education General Dentistry (AEGD) Residency at Wright Patterson Air Force Base in 2009, followed by service as a dental officer at the Pentagon Tri-Care Clinic. Dr. Lam has spent the last ten years in private practice, focusing on cosmetic, restorative, and rehabilitation treatments.
Before becoming a dentist, she was a licensed CPA, working for national and regional accounting firms. Dr. Lam holds dual B.S. and B.A. degrees in Biology and Accounting from the University of Richmond. She also earned an MBA and a DDS from the University of Maryland College of Dental Surgery in 2008.
In 2019, Dr. Lam received the Fellow Distinction from the Academy of General Dentistry (FAGD), achieved by only 5% of dentists nationwide, signifying her commitment to lifelong learning. She is passionate about enhancing oral health and creating beautiful smiles as an art, as seen in her portfolio of cosmetic and restorative cases.
Dr. Lam is a member of the Academy of General Dentistry (AGD), American Dental Association (ADA), Academy of Cosmetic Dentistry (ACD), and Northern Virginia Dental Association (NVDA). She volunteers her time with dental missions and not-for-profit organizations, including Operation Smile, HOPE for Tomorrow, and the Northern Virginia Dental Clinic.
Sheri Salartash, DDS, MAGD, AIAOMT, FICOI, FAAIP
Dr. Sheri wants to make sure that the office and her team always deliver the best dental care to their patients as they can. Dr. Sheri Salartash is a whole health focused mouth doctor as she seeks to help patients with not just dentistry, but overall healthy body lifestyles. She focuses on the dental contributions to medical symptoms and natural wellness.
Dr. Sheri has years of experience in Advanced Lightwire Functionals (ALF), Orthodontics, Neuro-Muscular Orthodontics Appliance Therapy, Sleep Apnea treatments, Functional Cosmetics and Aesthetics, for all aged groups. She never stops enhancing her professional skills and thriving to pursue the highest knowledge about dental care for her patients.
Holistic Dental Practice in Northern Virginia Dynamic Dental Wellness (DDW) strongly believes in natural wellness, comprehensive, and contemporary focus in medical approaches. DDW not only provides General Dentistry, Orthodontics, Cosmetic, Biocompatible & Functional Dentistry but also Advanced Laser Dentistry. Several noticeable differences set DDW apart relating to their care about patient’s health. The office is totally mercury free and they strictly follow mercury safe removal certified-procedures. Dr. Sheri and her team utilized the most advanced and greenest technology available for diagnosis and treatments.
Apnea, Bone Regeneration, strengthening internal oral tissue to reduce snoring, and oral surgeries become much easier.
No Pain / Discomfort
No Infection / Needles
No Bleeding / Pain
(Compared to Traditional Dental Approaches)
Dr. Sheri is voted among her peers as a TOP DENTIST by the Washingtonian (2019)
Featured Health
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.
Michael Rogers, DDS
Meet Michael Rogers
Michael Rogers, DDS, is pleased to be able to offer beautiful smiles to his neighbors in Arlington and the surrounding communities. Dr. Rogers earned his dental degree from UCLA after graduating cum laude from Harvard University. Prior to entering private practice, he served a general practice residency at Sepulveda Veteran’s Hospital. Dr. Rogers has invested significant time into ongoing education, seeking to learn emerging dental technologies and techniques in the areas of cosmetic dentistry, implant dentistry, sleep apnea treatment, orthodontics, temporomandibular joint (TMJ) disorders, and safe amalgam replacement. His most recent training in airway management has allowed him to offer a cure for sleep apnea using an intraoral device known as the DNA appliance. He is a member of the International Academy of Oral Medicine and Toxicology, American Academy of Dental Sleep Medicine, American Academy of Craniofacial Pain, and also of Mercury-Free Dentists. He has served as a guest author for TMJ News & Views, and when that publication ceased, began his own quarterly newsletter. You may have seen one of his television interviews on “A New Me” or the local PBS station, or seen his articles and features in Ladies’ Home Journal, Arlington Magazine, and New Beauty
Dr. Rogers is an active participant in the community as a sponsor for Encore Theater, Little League of Alexandria, Abingdon Elementary, and the local Fairlington Farmer’s Market. He and his wife Terri enjoy spending time with their daughter Megan and her husband Corey traveling around the country and the Caribbean.
Featured Health
E. Richard Hughes, DDS
Meet Dr. E. Richard Hughes, a Renowned Implantologist Offering Life-Changing Dental Care
Dr. E. Richard Hughes received his Bachelor of Science in Microbiology from the University of Maryland in College Park, MD. He graduated from Meharry Medical College School of Dentistry in Nashville, TN with a degree as a Doctor of Dental Surgery. His Post Doctorate Certificate in Oral Implantology is from Howard University of Dentistry in Washington, DC.
Dr. Hughes has been in practice for over three decades. During that time, his extensive training and dedication to patient-centered care in Sterling, VA, and the surrounding communities has earned him recognition as a highly esteemed dentist.
Practice Philosophy
Dr. Hughes is committed to respectful, personalized care. Along with his entire staff, he provides treatment in a comfortable, welcoming environment. He is a great listener, and will take the time to get to know you and your needs. Because of his experience and gentle approach, most patients experience minimal discomfort during treatment. However, Dr. Hughes understands that dental anxiety is a very real obstacle for some patients. For this reason, he offers effective oral sedation and nitrous oxide to help patients achieve total comfort during treatment.
Areas Of Expertise
Restorative & Implant Dentistry (Dental Implants, Bridges & Crowns, Dentures, Full Mouth Reconstruction), General Dentistry (Preventive Care, Periodontal Care, Sleep Apnea, TMJ, Root Canal Therapy, Invisalign® Clear Aligners, Sedation Dentistry), and Cosmetic Dentistry (Teeth Whitening, Veneers, Smile Makeovers).
Credentials & Memberships
• Diplomate, American Board of Oral Implantology/Implant Dentistry (less than 500 worldwide with this designation)
• Honored Fellow & Fellow of the American Academy of Implant Dentistry
• Fellow of the American Academy of Prosthodontics
Flexible Financing Options!
To read more about dental implants, check out Dr. Hughes’ articles @ www. YourHealthMagazine.net/Richard-Hughes/
Meet LaSondra Gray
LaSondra Gray, CMLSO, CLA, PT-CCMA, MBA is Northern Virginia’s hidden gem and expert in laser technology — from head to toe. She understands and knows the value and benefit that advancements in laser technology have on resolving multiple issues including the elimination of pain. This knowledge has proven invaluable to her as she has traveled the world, training multiple disciplines in the safety and efficacy of laser technology.
Her passion began over 20 years ago when she began working with some of the world’s most renowned dermatologists, plastic surgeons and pain management professionals. Her travels throughout the US and internationally allowed her to study under the surgeons and skincare experts from some of the top institutions in the world.
LaSondra has trained and lectured on the safety and efficacy of laser and soft tissue interaction. As a result, LaSondra has received accolades for her efforts in opening and expanding laser centers throughout the world.
She has paired her studies along with her own personal philosophy to become renowned for achieving true, positive, visible results — garnering her some of the most elite clientele in the area. She caters to people who seek exceptional results and services that support a natural, healthy look and lifestyle — today and tomorrow.
The Fusion of Aesthetics and Wellness at Reflections
With Dr. Rahel Yirga joining our team, Reflections Image Center proudly brings together the worlds of aesthetics and wellness. Dr. Yirga, a boardcertified Internal Medicine physician, is passionate about holistic patient care and wellness. Her expertise, combined with LaSondra’s aesthetic artistry, creates a seamless blend of beauty and health, offering clients a comprehensive approach to looking and feeling their best. Together, they are redefining personalized care to help you achieve your ultimate wellness and beauty goals.
Meet Tesfaye Tetemke
Dr. Tesfaye Tetemke is Board Certified in Internal Medicine by the American Board of Internal Medicine. He has a successful and remarkable professional career with more than 24 years of experience providing medical care.
He is a Federal Aviation Administration designated Aviation Medical Examiner, a Department of Transportation (DOT) Certified Medical Examiner, highly experienced in inpatient care as a hospitalist, and a U.S. Citizenship and Immigration Services Designated Civil Surgeon.
Degrees, Training & Certifications: Dr. Tetemke received his Doctor of Medicine (MD) at Addis Ababa University in Ethiopia. He completed his Internal Medicine residency at Howard University Hospital in Washington, DC. He studied Aerospace Medicine at the GAF Institute of Aviation Medicine in Germany and completed his Physician Pilot Training at Ethiopian Air Force Flying School in Ethiopia.
He is a member of the American College of Physicians, Aerospace Medical Association, American Medical Association, and International Society of Travel Medicine.
Areas of Expertise: Primary Care & Internal Medicine (Preventive Care, Comprehensive Clinical Care), Aviation Medical Examinations & Flight Physicals, DOT Commercial Vehicle Driver Fitness for Duty Medical Exams, Immigration Medical Exams, Immunizations, Travel Health, Disability Medical Exams, School Health Physicals, Workers Compensation Exams, and More!
Practice Philosophy: “We are committed to providing our patients with the best healthcare possible, and assisting them in making informed health decisions. We believe that patients should be educated about the major health conditions and leading causes of death so that they can evaluate their risk, seek proper preventative care and get professional advice to help them make informed decisions about their health.”
• Travel Health Counseling
• Worker’s Compensation Exams
• Treatment and monitoring of Chronic Conditions such as: Hypertension, Diabetes Mellitus, High Cholesterol, Asthma, COPD, Gastrointestinal Disorders, etc.
• And Much More!
Featured Health Professionals
Teresa Boardwine, RH (AHG)
Washington, VA
Teresa@greencomfortherbschool.com
Teresa is a dynamic teacher on health and wellness. Her approach is professional, warm and down to earth. She has been teaching how to use plants as medicine for over 30 years and graduated hundreds of herbal students into the field of community herbalism.
Holding classes in the Green Comfort yurt, in Rappahannock County, Virginia, is her love and joy. A Blue Ridge native, she found home here, between towns of Sperryville and “little” Washington. Her teachings are based in Western Herbalism with years of Herbal Energetics, Ayurveda and Traditional Chinese Medicine (TCM) woven into her modality. It is in connecting people to plants where she sees the lightbulb go off. This is human’s first medicine and our bodies understand the phytochemicals and nutrients they provide to help establish health, support organ systems, increase resistance to stress and fortify the immune system. Plant medicine can balance, tone, nourish and support the whole person. Teresa integrates a wide variety of resources and research into her teaching and clinical appointments.
Green Comfort School of Herbal Medicine offers several programs:
• Herb Camp summer outdoor education for plant ID
• Foundations of Medicinal Herbalism for the aspiring herbalist and homesteader
• Herbal Apothecary classes to learn medicine making techniques
• Herb Clinic Practicum for advanced student clinical hours, protocol writing and “free clinic” appointments for the community. Our goal is to empower people to take care of themselves holistically utilizing food as medicine and herbal remedies to foster optimal health and wellbeing.
state-of-the-art facilities in
Featured Health Professionals
Marvette Thomas, DDS
Meet Marvette Thomas
Dr. Marv Thomas established the Dental Spa in 2002. She earned an undergraduate degree in Chemical Engineering and later worked as a Nuclear Systems Engineer for three years. Driven towards her passion, she graduated from Howard University College of Dentistry with honors and did an internship at Sloan Kettering Cancer Center in Manhattan, New York in Oral Cancer Reconstruction.
PROFESSIONAL MEMBERSHIPS
Fellowship in Sedation Dentistry, The American Dental Association, The Academy of General Dentistry, The Virginia Dental Association, The Northern Virginia Dental Society, The American Orthodontic Society, The Dental Organization of Conscious Sedation.
THE DENTAL SPA
The Dental Spa of Virginia has received several awards over the years and was one of the first Dental Spas worldwide and Dr. Thomas has helped other Dental Spas globally in becoming established. Dr. Thomas created this concept to take the fear out of dentistry and to transform the traditional ideas and perceptions of dentistry into a pleasant experience. The Dental Spa concept was written about on the front page of the Business section of the Washington Post in May 2007 for the unique services that it gives.
The Dental Spa is not only known for its tranquil environment and anti-anxiety atmosphere, but it is a state of the art modernized facility. It is where Feng Sui and technology comes together. When visiting our office, you will be greeted with sights, sounds, smells, taste and the feel of natural elements. But the operation of the facility does include many of the latest technology devices known in dentistry today to diagnose and treat our patients.
It's Never Too Late For a Straight Smile
When you hear the word “orthodontics,” what comes to mind? Probably a young teenager whose teeth are covered by a latticework of metal. There are indeed many orthodontic patients who fit that description. However, there now exists an increasingly popular alternative to traditional metal braces: Invisalign® clear aligners.
• Improved Oral Hygiene
• A Discreet Look
Scan this QR Code to instantly discover your new Invisalign smile!
For the month of March only, The Dental Spa is offering $800 OFF your Invisalign treatment. Call 703-580-8288 to learn more!
• More Dietary Choices Comfort SCAN
I graduated from Life Chiropractic College West in 2003. Other degrees: University of Maryland. Honors: LCCW Clinical Honors. I have been practicing for over 20 years in the Fairfax area. I have been blessed with three beautiful daughter’s and a beautiful wife Amy. My goal is to offer family oriented gentle, safe, natural, chiropractic care centered on the individual needs of each patient. We provide the best alternative healthcare to meet your needs.
Our main focus at the Chiropractic Care Center is to serve and educate families on chiropractic and physical therapy modalities. We are committed to providing optimal care to patients on an individual basis.
We specialize in auto accident injuries, if you have been in an accident call us first, ASAP, and we can take care of everything.
On premises we have chiropractic, massage therapy, orthotic scanner and physical therapy modalities. We also have professional relationships with all local hospitals, radiology centers, labs and many local physicians and specialists, if referrals are necessary.
We are participating providers with most insurance plans and will file your claims for you.
Featured Health Professionals
Deborah Cheryl Mallu, DVM, CVA, MAc
Germantown Square Shopping Center, Lower Level 12627 Wisteria Drive, Suites C & D
MD
Meet Dr. Deborah Cheryl Mallu
I knew I wanted to be a veterinarian at age five and started working in clinics at 14. I earned my DVM from The Ohio State University in 1977 and spent a decade in clinical practice before discovering holistic medicine. Seeking alternative ways to improve pet health, I became certified in veterinary acupuncture, natural health, and homeopathy, training with Dr. Richard Pitcairn.
In 1993, I sold my practice and moved to Sedona, AZ, embarking on a spiritual journey. I became a Tibetan Buddhist nun from 2002 to 2023, dedicating myself to relieving suffering. I also studied energy healing and volunteered in disaster relief efforts, including Katrina Relief and Tara’s Babies Animal Sanctuary.
Returning to Maryland in 2006, I worked at Veterinary Holistic Care before co-founding Holistic Veterinary Healing in 2013 with Dr. Kitty Raichura. I later pursued a Master’s in Human Acupuncture and practiced on both humans and animals until Dr. Raichura’s passing in 2016. Now, I focus solely on animal patients and am certified in Medical Ozone Therapy and Fear Free Practice. I live in Germantown with my dogs, Bodhi and Jack. In my free time, I enjoy meditation, movies, and watching my dogs play at a friend’s farm.
Ying Ngo, DVM, CVA
Growing up with a background in Traditional Chinese Medicine, I discovered my passion for integrative veterinary medicine early on. My father introduced me to Gua Sha and acupressure massage, sparking my fascination with healing modalities. Initially pursuing human medicine, I worked in acupuncture clinics, volunteered at Walter Reed, and conducted research at UMD and FDA.
In 2015, I encountered Traditional Chinese Veterinary Medicine (TCVM) through Dr. Allison Marshall, a veterinarian certified in acupuncture. Inspired, I pursued veterinary medicine, earning a Bachelor’s in Biomedical Engineering at VCU in 2017 and completing my DVM at Virginia-Maryland College of Veterinary Medicine in 2021. I specialize in integrative medicine, blending holistic and conventional approaches to provide optimal care. Certified in veterinary acupuncture (CVA) through Chi University, I also have experience in pathology, surgery, and exotics.
In my free time, I enjoy lion dancing, spending time with family, and exploring new foods.
Rex Hoang, DMD
Your Dental Care Needs
Meet Rex Hoang
Rex Hoang, DMD, PC, has been the president of his family-run business, DC Dental Spa, in Washington, DC for over 28 years, and gets great satisfaction from helping his patients achieve beautiful, healthy smiles. Dr. Rex has extensive training and experience in general dentistry, periodontology, endodontology, oral surgery, dental implants, sleep apnea and cosmetic dentistry.
Dr. Rex earned his title of Doctor of Medicine in Dentistry from The University of Pennsylvania School of Dental Medicine in 1990, and to stay up-to-date in the latest dental practices and technologies, Dr. Rex regularly attends continuing education courses. Recently, his continuing education took him to the Dominican Republic, where he provided dental implants to disadvantaged community members. He believes in delivering the very best care for his patients’ needs while being sensitive to their comfort levels and concerns, and a love for dentistry runs in the Hoang family. Of his five children, two have joined him in the field of dentistry. Dr. Rex’s son Dylan is currently pursuing dentistry in school, and Dr. Rex is looking forward to him joining the practice upon graduation.
Outside of dentistry, Dr. Rex has many interests and hobbies, including piano and guitar. He also stays active playing golf, tennis and practicing martial arts.
Dr. Hoang Leads Charitable Mission to Laos & Vietnam
Dr. Hoang, his wife and daughter traveled to Laos and Vietnam. On this trip prepared food and money was donated to those people of need. Dr Hoang’s family personally prepared the food, visited and spoke with the local communities and had a wonderful experience.
info@medpromedicalbilling.com
Serving Virginia, Maryland, Georgia and Illinois
OUR SERVICES:
MedPro stands at the forefront of medical billing and credentialing services, offering comprehensive solutions designed to optimize your revenue cycle. Our expert team ensures accuracy, efficiency, and compliance, allowing healthcare providers to focus on patient care while we handle the complexities of billing and credentialing. Partner with MedPro to streamline your operations and maximize your financial outcomes.
Unlocking Efficiency How Outsourcing Key Services Can Transform Your Medical Practice
Submitted By MedPro - Medical Billing and Practice Solutions are optimized.
Running a medical practice comes with numerous challenges. Healthcare professionals strive to deliver exceptional patient care while grappling with an ever-growing list of administrative tasks. Providers can spend up to 16 hours a week—or nearly half their working time—on non-clinical duties such as billing, insurance claims, credentialing, and regulatory compliance. This administrative overload not only strains staff but also diverts attention from patient care.
The escalating administrative burden has significant financial implications. Studies reveal that administrative costs account for about 25% of all healthcare spending. Inefficiencies like duplicative services, unnecessary treatments, and extensive paperwork contribute to high operational costs and costly errors. For instance, nearly 70% of denied insurance claims are preventable when billing and coding processes
Outsourcing offers a strategic solution to these challenges by shifting noncore functions to specialized third-party providers. This approach allows medical practices to streamline operations, reduce errors, and ultimately improve cash flow. By outsourcing revenue cycle management and payer negotiations, healthcare providers can reclaim valuable time and focus on what truly matters—caring for their patients.
Administrative tasks such as billing, coding, and claim management are prime candidates for outsourcing. Expert providers can handle these complex processes more efficiently, ensuring quicker processing times, improved accuracy, and adherence to regulatory requirements. This, in turn, frees up internal teams to concentrate on clinical duties.
Beyond billing, outsourcing can enhance other areas of practice management. For example, patient appointment
Please see “Efficiency,” page 46
Hair Loss?
Time To Grow New Hair
By Craig E. Vigliante, MD, DMD Virginia Hair Transplant, Lansdowne
Hair loss can be a very emotional part of the natural aging process, and seeking ways to curb this process is a challenge. There are many products on the market that claim to re-grow hair, but the results are mixed. Some work for some people, and for others, not so well.
Surgically transplanting hair has come a long way over the past decade - to the point where follicular unit grafting (FUG) is now more widely accepted. It’s not like the old-style plugs people used to get.
These grafts are indistinguishable
from your natural hair and are probably more durable than your natural hair in the long run.
While your natural hair still present on the top and front of your scalp may continue to thin or fall out, the grafted hairs from the sides and back of your head are more likely to be there permanently.
The latest procedure for hair transplantation is follicular unit extraction (FUE), where each hair is harvested and individually placed in a new location on your scalp. By doing this there are no scars to deal with, and the procedure is more tolerable and may even be safer. One of the first FUE devices to be cleared by the FDA for follicular unit harvesting and implantation is the NeoGraft® system, which delivers automation of the FUE technique, the most advanced technique in the hair transplant industry. This system uses pneumatic controls to precisely extract complete individual hair follicles, which can be immediately transplanted to the selected areas of the scalp. This auto-
Please see “Hair Loss?,” page 46
When Should My Child See an Orthodontist?
By Swathi Reddy, DMD
All Smiles Orthodontics
Many parents assume that they must wait until their child has all of his or her permanent teeth before they can see an orthodontist. The American Association of Orthodontics recommends that all children get a check-up with an orthodontist no later than seven years of age.
Early consultation allows the orthodontist to identify any subtle problems associated with jaw growth
and/or incoming permanent teeth.
As orthodontic treatment not only involves the teeth but also the surrounding boney structures, it is highly recommended to start treatment before the face and jaws have finished growing.
By age seven, the six-year molars (adult first molars) and incisors have usually erupted. After the first molars erupt the space available for the front teeth does not increase as a child grows. To the contrary, in most people after the permanent molars erupt, the space available for the front teeth decreases with age.
Early treatment can also regulate the width of the dental arches, gain space for permanent teeth, avoid the need for permanent tooth extractions, reduce the likelihood of impacted permanent teeth or the need for surgical procedures to realign the jaw.
A majority of children will not require orthodontic procedures until
Ensuring Healthy Smiles and Sound Sleep For Your Child
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). 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
their teenage years, however an early exam allows the orthodontist to monitor the child’s growth and development and if indicated begin treatment at the most appropriate time.
If your child is nearing his or her seventh birthday, schedule an orthodontic consultation appointment. You don’t need to have a referral to see an orthodontist.
Many pro-actively schedule a
consultation appointment either as a new patient or to seek a second opinion.
However, you should see your family dentist for professional cleanings and check-ups every six months, or more often if recommended.
Early treatment may prevent more serious problems from developing and may make treatment at a later age less complicated.
Great Smiles Start Here
Specializing in treatments for adults
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 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
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
Please see “Healthy Smiles,” page 46
Dr. Lynda Dean-Duru
Dr. Krystle Dean-Duru
Upper Arm Liposuction / Upper Arm Lift
Many patients who have been successful in their weight loss journey, once the weight is gone, are disappointed to find that their upper arms do not look the way they expected. Weight loss is a major contributing factor to sagging excess skin on your upper arm. When you gain weight, the skin stretches to accommodate more fat. Unfortunately, skin doesn’t contract as easily as it expands. Loose
skin and remaining pockets of fat on the upper arm are very common after weight loss.
An Arm lift or Upper Arm Liposuction are both surgical procedures that can improve the appearance of your upper arms; however, they have different focuses and approaches.
An arm lift, or brachioplasty, will tighten, lift, and smooth the skin and tis-
sues of your arm for a more sleek and sculpted shape. The focus is on removing the excess sagging skin and attached fat to improve both the upper arm size and contour. An arm lift has a longer incision extending from the underarm to the elbow.
Arm Liposuction is a minimally invasive procedure for removing pockets of fat from the upper arm. It requires few,
Considering Plastic Surgery?
smaller incisions and doesn’t tighten the skin.
In many cases, both procedures are performed together for the best results. An arm lift can be helpful for people who have lost a significant amount of weight and whose skin can’t contract over their smaller arms. Arm liposuction effectively removes fat deposits that don’t respond to diet and exercise.
The Truth About Bunions
By Dr. Lisa Allen, PT, DPT BioMechanic Physical Therapy
Do you think you inherited your bunion from your grandmother?
Or maybe you blame those tight, pointy shoes? It turns out, neither is quite true. While your grandmother’s bunion may seem like a genetic handme-down, what you actually inherited is her foot structure. That foot structure — if left unaddressed — leads to a bunion over time.
Here’s how it works: Different types of feet are prone to different problems. In the case of a bunion, the culprit is often a condition called forefoot varus. This means the front of the foot is angled in relation to the heel. People with forefoot varus often have flat arches as well. Over time, as the foot twists to compensate for this misalignment and make contact with the ground, angular forces push the big toe in the opposite direction, step after step. This repeated motion creates the classic bunion.
But here’s the good news: Bunions aren’t inevitable. By correcting your foot mechanics, you can prevent — or even partially reverse — a bunion. Correcting Foot Mechanics:
The Key To Bunion Prevention
The secret to healthy foot mechanics is simple: Bring the earth to your foot, not the other way around. Instead of forcing your foot to twist and adapt to uneven ground, you fill the gap between your foot and the ground. Custom orthotics or insoles are the most effective way to achieve this.
Precision matters, and the more accurate the orthotic, the better it performs. The process starts with an extensive biomechanical exam. We gather comprehensive data about your foot structure, how your foot connects to your leg, and the angles of your ankles and knees. We also consider the types of shoes you wear and how you use your feet daily — whether you’re walking, running or simply standing.
The Orthotic-Making Process: A Step-by-Step Guide
We evaluate your foot’s structure and function in both weight-bearing and non-weight-bearing positions.
2. Casting Your Feet: Using a special technique, we cast your feet in the optimal “sub-talar neutral” position, ensuring your orthotic starts with the perfect alignment.
3. Fabrication: The cast and our detailed instructions are sent to a lab, where your orthotic is custom fabricated using a model of your foot.
4. Fitting: Once the orthotic arrives (typically in about three weeks, though rush options are available), you bring in the shoes you plan to wear. We fit the orthotic to your footwear and ensure it’s comfortable and effective.
Orthotics are versatile and can be moved from shoe to shoe, so you don’t need multiple pairs for your favorite footwear.
Ready To Take the First Step?
If you’re wondering whether or-
thotics can help you, BioMechanic Physical Therapy offers resources to guide you. You can explore our YouTube channel for informative videos about orthotics, bunions and more. Don’t forget to subscribe to stay updated on our latest tips and insights. Whether you’re curious about foot health or looking for ways to improve your overall mobility, BioMechanic Physical Therapy has you covered. Start your journey to pain-free feet today.
Please see “Healthy Smiles,” page 46
Grounding Mats and Sheets: Can They Support Your Well-Being?
Submitted by ScholarsHub.net
In the search for natural ways to improve wellness, grounding— also called earthing—has gained attention. The concept is simple: by connecting your body to the Earth’s electrical charge, you may experience certain health benefits. While walking barefoot outdoors is the traditional method, grounding mats and sheets offer a way to bring this practice indoors.
What Is Grounding?
Grounding is based on the idea that direct contact with the Earth can help regulate the body’s electrical balance. In everyday life, we are exposed to various electromagnetic fields (EMFs) from electronic devices, which some believe may disrupt natural body functions. Grounding mats and sheets are designed with conductive materials that connect to the Earth through a grounded outlet or a direct line outside.
Potential Benefits:
What We Know So Far
Some small studies suggest that grounding may help with:
Sleep quality – Preliminary research indicates that grounding could help regulate the body’s natural sleep-wake cycle.
Recovery and circulation – A few studies have found that grounding may support healthy blood flow, which can aid in post-exercise recovery.
Stress reduction – There is evidence that grounding might influence cortisol levels, potentially helping with stress management.
However, it’s important to note that while these findings are promising, they are not yet widely accepted in mainstream medicine. Larger, well-controlled studies are needed to confirm these effects.
So, Should You Try Grounding Mats?
Grounding products are easy
to use and generally considered safe. While there is no guarantee of significant health improvements, many people report feeling more relaxed or experiencing better sleep when using them. If you’re curious, trying a grounding mat may be worthwhile as part of a balanced wellness routine.
The Bottom Line
While the idea of grounding is intriguing, the scientific evidence remains limited. If you find that grounding mats and sheets make you feel better, they can be a simple addition to your routine. However, they should not be used as a substitute for proven medical treatments.
As research continues, grounding remains an interesting topic in the world of holistic wellness. Whether or not future studies confirm its benefits, staying connected to nature—whether through grounding, fresh air, or time outdoors—can always be a healthy choice.
Effici Ency
scheduling handled by dedicated call centers or online systems helps reduce missed appointments and improve patient satisfaction. Similarly, outsourcing human resources functions such as recruiting, payroll, and compliance can relieve practices of significant administrative burdens while attracting top talent.
Provider credentialing and enrollment also benefit from outsourcing. These processes, critical for maintaining compliance and securing timely reimbursements, can be time-consuming and error-prone when managed internally. External partners specializing in credentialing can accelerate these tasks, ensuring that practitioners remain
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compliant and revenue streams stay uninterrupted.
Real-world examples underscore the benefits of outsourcing. A small practice in Georgia, for instance, saw a 20% reduction in claim denials and a 30% faster payment cycle after outsourcing its billing functions. Such improvements highlight the potential of outsourcing to boost efficiency, enhance patient care, and ultimately support the long-term success of a medical practice.
In today’s competitive healthcare landscape, outsourcing is not just a cost-saving measure—it is a strategic move toward more efficient and patient-focused care.
EaltH y SmilES
the child’s facial balance.
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
• 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
Contrary to conventional belief,
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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.
DEntal i mplantS
Aren’t Implants Expensive? –
The initial costs of dental implants may seem high when compared to the cost of bridges and dentures, but it’s important to consider the lifetime costs of each tooth replacement option. With proper care, your implant will last your entire life, while bridges and dentures may need to be replaced several times. Dental implants offer several benefits that other replacement options don’t, including:
No Jawbone Loss – Your teeth roots constantly stimulate your jaw-
H air loSS?
mated hair transplantation system is the only complete harvesting system on the market and has the only “no touch” implantation technology.
It provides exact harvesting and placement, delivering natural looking results. This advanced technology offers a discrete solution to hair loss, allowing patients to achieve natural looking results with no linear scarring, minimal downtime, and a shorter recovery period. Hair restoration with NeoGraft is unnoticeable, making it your secret to tell.
How the Procedure Works:
Step One: Donor Hair Removal
The procedure begins with hair being removed from the donor area in the back of your head where your hair is genetically programmed to resist testosterone.
Step Two: Separation of the
E
Strategies For Maintaining a Healthy Oral Microbiome
Achieving optimal oral and health requires a multifaceted approach that prioritizes maintaining a balanced oral microbiome. Here are some key strategies:
• Adopt a Comprehensive Oral Hygiene Routine: Brushing at least twice daily with a nano-hydroxyapatite toothpaste helps strengthen enamel, reduce sensitivity, and create an environment unfavorable for harmful bacteria. Flossing or using a water flosser removes plaque and debris from areas a toothbrush cannot reach.
• Avoid Commercial Mouthwashes: Many conventional mouthwashes contain alcohol and harsh chemicals that disrupt the balance of the oral microbiome, eliminating both beneficial and harmful bacteria. Instead, opt for natural alternatives that support microbial health.
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bone and keep it strong. When you lose a tooth, the bone underneath begins to recede. Since dental implants take the place of your roots, you don’t have to worry about jawbone loss.
Better Chewing – If you choose dentures to replace lost teeth, you may not be able to eat certain hard foods. Eating isn’t a problem with dental implants.
Easy Care – You’ll care for your implants the same way you do your natural teeth. Infections are rare if you practice good oral hygiene.
• Prioritize Healthy Sleep: Poor sleep quality, particularly in individuals who breathe through their mouth or suffer from sleep apnea, contributes to gum disease and oral health deterioration. Addressing sleep issues with an integrative dentist can significantly improve oral and systemic health.
• Follow a Nutrient-Rich Diet: A diet rich in whole, unprocessed foods supports microbial diversity and reduces inflammation. Reducing refined sugar and processed carbohydrates while incorporating fermented foods and antioxidants helps sustain a healthy oral and gut microbiome.
Follicular Units
Each graft is extracted with the same consistency in diameter and length, resulting in a dramatically increased take rate.
Step Three: Creation of the Recipient Sites
The hair transplant surgeon creates recipient sites in the proper angle, direction and orientation according to the artistic hair transplant plan he or she has designed specifically for you.
Step Four: Placement of the Hair Graft
The follicular units are then carefully separated by size. Grafts are transplanted into the balding and thinning areas of your scalp. Each graft is meticulously harvested as it naturally occurs and implanted individually to ensure the best results.
• Stay Hydrated: Drinking ample water promotes saliva production, which is essential for neutralizing acids, remineralizing teeth, and maintaining bacterial balance in the mouth.
• Engage in Regular Movement and Exercise: Physical activity plays a crucial role in circulation and overall health, including oral well-being. Jaw and facial exercises, such as chewing firm foods, tongue exercises, and myofunctional therapy, can help strengthen the jaw muscles, improve alignment, and enhance breathing function. Proper movement and posture also support airway health, reducing issues such as sleep apnea and TMJ disorders.
• Seek Integrative Dental Care: Consulting with an integrative dentist allows for a personalized approach to oral health, addressing root causes rather than merely treating symptoms. A Path Toward Holistic Wellness
Integrative dentistry bridges the gap between oral health and wholebody wellness, emphasizing prevention, biocompatibility, and collaboration with other medical disciplines. By acknowledging the intricate relationship between the mouth and the rest of the body, patients can take proactive steps toward lasting health. Partnering with an integrative dentist is an investment in not only a healthier smile but also a stronger, more resilient body. Through comprehensive care and informed lifestyle choices, individuals can cultivate an optimal oral microbiome, reduce systemic inflammation, and enhance their overall quality of life.
HEALTH DIRECTORY
ACUPUNCTURE
Wholelife Chinese Medicine & Acupuncture, 301-526-9898, 416 Hungerford Dr., Rockville www.WholelifeHerb.com
BEAUTY & SKIN CARE
Healthydermis 571-502-0202 www.MyHealthydermis.com. Locations in Oakton and Gainesville, VA.
COSMETIC SURGERY
Bitar Cosmetic Surgery Institute. George John Bitar, MD, 703206-0506 (VA, DC, MD) COUNSELING
Richard Hughes, DDS, 703-4441152, 46440 Benedict Drive Suite 201 Sterling, VA. www.SterlingImplantDentist.com
Dental Dynamic Wellness, 703-775-0002, 20755 Williamsport Place, Suite #300, Ashburn, VA 20147. For more info please visit our website today at www.DynamicDentalWellness. com.
Karl A Smith, DDS, 2550 N. Van Dorn Street, Suite #128 Alexandria, VA. Call 703-894-4867. Visit www.DrKarlSmith.com
DENTAL CARE
Lifetime Dental Care, April Toyer, DDS, 14573 Potomac Mills Road, Woodbridge, VA 22192. 703-499-9779 www.LifetimeDentalCareVA. com
Let’s Smile Dental – Fairfax, VA
703-719-5828 – Fredericksburg, VA 540-785-4494 – Herndon, VA 703-719-5828 – Faifax Cosmetic Dentistry 703-9684300 – Alexandria, VA
703-658-3000 – Reston, VA
703-719-5828 – Centreville, VA 703-719-5828 – Purcellville, VA 540-338-9400 – Springfield, VA 703-719-5828 – LetsSmile.com
Samfar Dentistry – 11213 Lee Highway, Suite A, Fairfax, VA 22030 – 703-591-4111 – SamfarfamilyDentistry.com
Ike V. Lans, DDS – 44110
Ashburn Shopping Plaza, Suite #166, Ashburn, VA 20147 – 703729-1400 – LansFamilyDentistry.com
Smile Wonders – 11790 Sunrise Valley Drive, Suite #105, Reston, VA 20191 – 571-350-3663 – www.SmileWonders.com.
The Dental Spa – 12351 Dillingham Square Woodbridge, VA 22192 – 703580-8288 – www.TheDentalSpaOfVirginia.com
DERMATOLOGY
Hema Sundaram, MD. Dermatology, Cosmetic & Laser Surgery Fairfax. 703-641-9666 also in Bethesda/Rockville.
HAIR RESTORATION
Bravadas Wig & Hair Restoration – 10560 Main Street, Penthouse #12, Fairfax, VA 22030 – 703-352-4247 – www. bravadas.com
HYPERBARIC & WOUND CARE
Holistic Family Health - Thermal Imaging, Herndon, VA. 703-6356324 For More information visit www.fhtid.com
LAW OFFICE
Samakow Law – Paul Samakow – 833-MY-BURNS – www. nationalburnattorney.com
NEUROLOGY
Loudoun Neurology Associates, PC – 703-729-1900 – 19420 Golf Vista Plaza, Suite #340, Leesburg, VA 20176 – www. loudounneuro.com
OPEN MRI
Washington Open MRI, Inc. – 866-674-2727 – WashingtonOpenMRI.com – Rockville, Oxon Hills, Chevy Chase, and Owings Mills.
Order Information: 3 line listing $30.00 for 6 months, $5.00 for each additional line. 10 line listing for 6 months is $65.00. (Each line approximately 3-4 words)
To Order: Include you NAME, ADDRESS, PHONE, EMAIL AND WHAT HEADING YOU WISH TO BE LISTED UNDER, AND ANY SPECIAL OFFER OR TEXT TO INCLUDE. We will prepare a proof and email to you for approval.
Email your information to: info@yourhealthmagazine.net or Fax to: (301) 805-6808. Call (703) 288-6805 for assistance.
NewView Laser Eye Center, Jacqueline D. Griffiths, MD. Reston 703-834-9777 or 800-294-1001 For more information visit us at www.NewViewEye.com
ORTHODONTICS
All Smiles Orthodontics. 9010 Lorton Station Bouleard, Suite #260, Lorton, VA 22079. www.AllSmilesBraces.com. For nore information call us at 703-337-4414
PLASTIC SURGERY
Bluemont Plastic Surgery – 8316 Arlington Boulevard, Suite #630, Faifax, VA 22031 – 703-5961660 – www.bluemontmd.com.
PODIATRY
Arlington Podiatry Center, Edward S. Pozarny, DPM – 703820-1472 – Arlington, VA.
SENIORS
Chevy Chase Home Care. Help at time you need it most. Any Ages. Any situations. Any shifts. MD, DC, VA. 202-374-1240 www.CHCHHomecare.com
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