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SOU T H W EST FLO RID A'S www.swfhealthandwellness.com FREE Single Incision (Scarless) Gallbladder Surgery You Might Need A Vein Specialist IF. .. Dental Prophylaxis and the Periodontal Maintenance Visit Adult Stem Cell Therapy: Two Heartbeats of Success Think Foot ... Think Ankle Avoid Disaster Myles Samotin, MD Naples ONLY Orthopaedic Surgeon Fellowship Trained in Foot & Ankle Problems. fyou are looking for excellence in FOOT and ANKLE care; if you are looking for a doctor who practices state-of-the-art Medicine; if you are educated enough to understand that you may only want an ORTHOPAEDIC SURGEON to touch your feet, then you owe it to yourself to make an appointment. There are many people with very serious problems of the foot and ankle who go from doctor to doctor and remain undiagnosed or poorly treated. The typical patient coming to see Dr. Samotin has been evaluated by many other doctors. The patient usually finds that Dr. Samotin is the last doctor they have to see. Myles Rubin Samotin, MD Board Certified Orthopaedic Surgeon Fellowship Trained, Sub-specialist in Foot and Ankle Surgery Columbia University, Hospital for Joint Diseases, New York City 870 111th Avenue North, Naples, Florida 34108 Call for information on our next seminar. 239.514.4200 • • XAetna:*We are now BlueCross BlueShield and AETNA providers. - - - - - - - - - - - - - - - - - - contact us 239-389-9449 - - - - - - - - - - - - - - - - - - ists in Urology S. Bergman, M.D. M. D'Angelo, M.D. W. Figlesthaler, M.D. N. Franco, M .D. E. R. Grieco, M.D. E. Gurevitch, M.D. J. Jay, M .D. C.langford, D.O. S.luke, M.D. R. Rivera, M.D. Bonita Springs Naples Naples - East Naples - North Marco Island Diamond Ridge Center 28930 Trails Edge Blvd. Bonita Springs, FL34134 990 Tamiami Trail North Naples, FL 341 02 Physicians Regional 8300 Collier Blvd. Naples, FL34114 Physicians Regional 6101 Pine Ridge Road Naples, FL 34119 40 S. Heathwood Drive Marco Island, FL 34145 D. Wilkinson, M.D. 239-434-6300 www.specialistsinurology.com -------------------------------------------- contact us 239-389-9449 -------------------------------------------- Ith rst Surgery • Gynecology • Medi-Spa AND Northwestern University Graduate UFirst Surgery Center Comprehensive Dental Care in a Cozy Environment! State Certified Facility EXCEPTIONAL SMILE SERVICES ••••••••••••••••••••••••••••• • Most Insurances Accepted • All Inclusive Pricing for In Office Surgery Surgeon Fee - Facility Fee - Anesthesia Fee - For Uninsured Patients • • •• • Licensed Aesthetician In House • Multi-Specialty · One Philosophy Keeping the Patient First The Most Trustea Hearing Center in Southwest F10riaa Ii'lFREE! Electronic Hearing Test Ii'lFREE! Speech Understanding Test Ii'lFREE! Video otoscopy Ii'lFREE! Estimates on Repair of All Makes f:r Models Ii'lFREE! In House lifetime Service NUEAR If> ~~,~ ~ NATIONAL BOAR O FOR CE RTIFI CATIO N IN HEARI NG INSTRUM ENT SCIENCES Robert E. Tomas, D.O., FACOS Anne Lord-Tomas, D.O., FACOOG Board Certified General Surgery Board Certified Gynecologist • oticon PEOPLE FI .ST 1625 1 N. Cleveland Aven ue #8 (corner of Littleton Road) North Fort Myers, FL 33903 997-8288 THE PATIENT OR ANY OTHER PERSON RESPONSIBLE FOR PAYMENT HAS THE RIGHT TO REFUSE TO PAY CANCEL PAYMENT OR BE REIMBURSED FOR PAYMENT FOR ANY SERVICE, EXAM OR TREATMENT WHICH IS PERFORMED AS A RESULT OF, AND WITHIN 72 HOURS OF RESPONDING TO THIS AD FOR THE DISCOUNTED FEE SERVICE 12640 World Plaza Lane, Building 71 Ft Myers, FL 33907 www.ufirsthealth.com 239.243.8222 1'.800.2.UFIRST -------------------------------------- contact US 239·389·9449 -------------------------------------- Contents IJuly 20 I 0 8 Adult Stem Cell Therapy: Two Heartbeats of Success 9 TAKE (LONG-TERM) CARE Don't overlook this essential part of retirement planning. 20 Alive & Well - A Holistic Center 21 10 11 Single Incision (Scarless) Gallbladder Surgery Hernias:Who Has Them and HowTo Fix Them What is a Daily Money Manager? 22 Comprehensive Dental Care, Cozy Environment 24 Neurological and Vestibular Rehab Dizziness and Balance Center of Southwest Florida 26 Sonostream LIVE - Ultrasound experience shared with loved ones near and far 12 Colorectal Cancer 13 Bathroom Safety 27 Aging Gracefully 14 You Might Need A Vein 28 Can you repeat that please? Specialist IF ... 16 EYELID REJUVENATION 17 Dental Prophylaxis and the Periodontal Maintenance Visit 18 Late Bloomer or Delayed? 29 Doctors Talk About VAX-D 30 The Fracture That May Cause You Stress! 31 Spiritual Wellness: The Grand Buffet Belief System THE NATURAL WELLNESS EXPERIENCE Listen me eyery Saturday morning JO-JJam on WCCF I WewsRadio Southwest Florida 's Health&Wellness Magazine can be found in over 600 Southwest Florida medical facilities including, hospital's, doctor's, chiropractor's and dentist's offices. Find a copy of your FREE Southwest Florida's Health&Wellness Magazine in most grocery and convenience stores as well. To get your article published and for ad rates, call 239.389.9449 [email protected] G WHIZ Marketing, LLC 11520 Jamaica Court I Marco Island, Florida 34145 ©Copyright SOUTHWEST FLORIDA'S HEALTH&WELlNESS Magazine 2010 . All rights reserved. Any reproduction of the material in this magazine in whole or in part without w ritten prior consent is prohibited. Articles and other material in this Magazine are not necessarily the views of SOUTHWEST FLORIDA'S Health&Weliness Magazine. PRODUCED AND SPONSORED BY ~ Warm Mineral Springs Resort & Day Spa, North Port SOUTHWEST FLORIDA'S Health &Weliness Magazine reserves the right to publish and edit , or not publish any material thai is sent. SWFL Health & Well ness Magazine will not knowingly publish any advertisement which is illegal or misleading to its reade rs. The information in SOUTHW EST FLORIDA'S Health & Wellness Magazine ; I -------------------------------------------- contact us 239-389-9449 -------------------------------------------- - - - - - - - - - - - - - - - - - - www.swfHealthandWellness.com - - - - - - - - - - - - - - - - - - ..--. Regenocyte STEM CELL THERAPY Leading the World in Regenerative Cell Therapy SUCCESSFULLY TREATING: Congestive Heart Failure • Peripheral Artery Disease • • . .. .. . - •• ••• I Early Semle Dlmentla .. . Macular Degeneration Learn more. Visit www.regenocyte.com or call (866) 216·5710 ---------------------------------------- contact us 239-389-9449 ---------------------------------------- Health & Well ness July 2010- Lee Edition I By Erin R. Sprankle surgery, and previous patients were having wonderful success. Deciding to go the route of adult stem cell therapy, his eight ounces of blood was drawn and hand couriered to Israel to undergo cultivation while he prepared to travel to the Dominican Republic just 5 days later. Howard Lindeman In 2009, Regenocyte™ gave Mr. Howard Lindeman an alternative to open heart surgery. While being admitted to the hospital and informed of needing quadruple bi-pass surgery, Howard Lindeman was shown another option for treating his failing heart - adult stem cell therapy. Regardless of what the therapy entailed, it sounded vastly less nerve-wracking than the traumatic heart surgery. Reaching the hospital in the Dominican Republic, Mr. Lindeman was pleased to find what he rated as an outstanding hospital facility. The courteous staff and amenities relieved the stress of the unknown and the short procedure was underway quickly. Returning to the United States only a few days after his therapy, he resumed his working schedule, which just so happened to be engineering the sound for the Pope's papal visit to New York City. Careful to give his body time to adjust, he was slowly growing excited as his energy level was gradually increasing. Now a year later, Lindeman is racing through airports to reach his next working destination more than pleased with his decision to have adult stem cell therapy. The fascinating procedure of adult stem cell therapy is quite unique. Simply stated, adult stem cell therapy is a process in which ones own stem cells are extracted from the patient via a simple blood draw then isolated, therapeutically strengthened, and returned to the body where the cells begin to repair the damaged area. The blood is drawn from the Regenocyte™ offices in Bonita Springs, Florida. It is then hand couriered to a state of the art laboratory in Israel where the separation process of stem cells from the blood occurs. Once the stem cells are extracted and have heen strengthened, they are couriered to the hospital where the insertion process is completed. As a sound engineer that travels around the world bringing the latest in sound technology to various productions, concerts, and public addresses, Mr. Lindeman was extremely busy and open heart surgery was going to be a major time complication. The idea of adult stem cell therapy had many positive sides to consider for the man where time is of an essence: the stem cells were his own, the procedure could be completed within one week, the recovery time was vastly shorter than open-heart heart dead, Neim Malo realized that his life expectancy was shortened and his quality of life diminished. Fortunately, he reached out and grabbed hold of the right solution - adult stem cell therapy. Armed with his risk-it-all personality, Malo traveled overseas to undergo his stem cell therapy. Malo's heart was going to be repaired by his own cells therefore eliminating any chance of the body rejecting the treatment. Before the adult stem cell therapy, Malo had an Ejection Fraction (EF) rate of 28% and it was dropping. Simply put, his heart was severely damaged and was operating at a dangerously low level. Living was limited to observing - slttmg and watching others do what he longed to do himself. Malo referred to his pre-therapy days as, "living as half a man." Having undergone the treatment four years ago, it is safe to say the therapy worked! With his Ejection Fraction rate dramatically climbing, he reached a much healthier 50% EF rate. Now, he dashes around the restaurant meeting and greeting diners with enhanced enthusiasm. Both men had heart conditions that needed to be treated directly, efficiently, and quickly if they were to continue their fast paced lives. Due to Dr. Grekos and the team at Regenocyte™ committed to the cause of adult stem cell research and the belief that the therapy can change many lives, two men have lives to live and stories to tell. Dr. Grekos, Director of Cardiac and Vascular Diseases at Regenocyte™ Therapeutic, spends his career intensely training in the field of stem cell therapy. Working in collaboration with major international treatment and research centers, Neim Malo Owner of the Watermark Grill in Naples, Florida, Neim Malo, known for his quick-step and eagerness to attend to diners at the restaurant, was severely restricted by his own heart condition. Enduring a heart attack at age 47, leaving half of his Dr. Zannos Grekos he has developed many of the protocols used for adult stem cell therapy throughout the world. He was recently appointed to the Science Advisory Board of the United States' Repair Stem Cell Institute and is a member of the International Society for Stem Cell Research (ISSCR). Regenocyte™ Therapeutic is leading the world in adult stem cell therapy by using adult stem cells to treat Congestive Heart Failure, Cardiomyopathy, Peripheral Artery Disease, Coronary Artery Disease, Ischemic Heart Disease, and Pulmonary Disease. Visit www.regenocyte.com for further information on Dr. Grekos and how his groundbreaking studies are affecting the world ofmedicine. Learn more, call 866-216-5710 - - - - - - - - - - - - - - - - - - - - - www.swfHealthandWellness.com - - - - - - - - - - - - - - - - - - - - - Lee Edition - July 2010 Health & Wellness 9 TAKE (LONG-TERM) CARE Don't overlook this essential part of retirement planning. By George T. Leamon, CLTC ost retirement planning is about means, not ends. It's about making sure you have as many options as possible, not telling you how to spend your money. This month, however, I want to suggest that you set aside a significant amount of your monthly budget for a purchase that is often considered somewhat controversial: longterm care insurance. Long-term care includes medical and nursing services beyond your typical visits to the doctor, treatment for illnesses and short hospital stays. It's the kind of ongoing help you need when you can't handle activities of daily living, such as bathing, eating, or dressing. It can take place in your home, assisted living facilities (residences with services that monitor your health and provide your meals), or nursing homes. The case for insuring yourself and your family against the costs oflong-term care is straightforward and essentially statistical. First, however healthy and hearty you may be today, you might need help tomorrow. Americans age 65 and over have a 40 percent chance of entering a nursing home at some point during their lives, according to the Department of Health and Human Services. Meanwhile, today 55 percent of Americans age 85 and over are impaired seriously enough to require long-term care, WILLIAM T. EDY There are four types of People in this world. Those who have been caregivers. Those who are caregivers. Those who will need a caregiver. Those who will be a caregiver. RIC - osyn arter I according to America's Health Insurance Plans, a trade group. Many of these seniors will get help at home, but a good portion of them will have to move into a facility. Second, this kind of care is extremely expensive and getting more so every year. The annual cost of private nursing-home rooms averages a whopping $75,190 in 2006, up 7.3 percent since 2004, according to the Met Life Mature Market Insurance. The average cost of 12 months in an assisted-living facility was $35,616 in 2006, up 17.6 percent since 2004-and that doesn't include extra charges that some impose for dementia care. Third, for most Americans, long-term care isn't covered by other types of insurance. Don't be confused by the fact that Medicare pays for "skilled nursing care." This refers to short-term help you may require to get over an injury or acute illness. If you break your leg, for instance, Medicare will cover the cost of "medically necessary" care, like pbysical therapy, for 20 days. (It will then cover part of your costs for another 80 days, after that you're on your own.) But, if you are cbronically sick or permanently incapacitated, Medicare will NOT help. Neither will Medigap or Medicare Advantage policies. HEIDI M. BROWN Attorney Certified Elder Law Attorney ' Certified Financial Planner™ The question people ask most often is "What is MY risk?" It's a valid question, but the fact is your real risk of needing long-term care at some point in your life is either going to be 0% or 100%. Either you will need long-term care or you won't. Averages merely show how many people out of every 100 have a need. Nice information to know, but no prediction of your individual real risk and need. Everyone is at risk. Once you understand that a risk exists, your two big decisions are: I) how do you handle the risk .. .. and 2) if long-term care insurance is an option, how much protection is appropriate. The more protection you want, the more coverage costs. IMPORTANT NOTE: An experienced long-term care insurance professional can help you take advantage of discounts and show you ways to maximize your coverage even when budgets are limited. Since no one can predict your true risk, the best we can do is provide information on what happens when someone with long-term care insurance has a claim. George T. Leamon, CLTC I 239.280.3246 810g: GeorgeTLeamon .com What would an annual expense of $74,825 do to your retirement assets? MEDICAID PLANNING + LONG-TERM CARE ADVISOR + ADVANCED ESTATE PLANNING TRUSTS AND WILLS + TRUST ADMINISTRATION + PROBATE The Law Office Of William T. Edy Offers ... Medicaid Planning and Elder Law 201 Nicholas Parkway West P.O. Box 150760 Cape Coral FL 33915 INITIAL CONSULTATION Let me show you how you can leverage an existing asset to meet your Long Term Care needs while protecting J00% ofyour retirement income. George T. Leamon, CLTC· 239.280.3246· www.Lutge rtlnsu ra nce.com 239.772.5800 or 888.772.5801 www.lawyers.com/edylaw -------------------------------------------- contact us 239-389-9449 -------------------------------------------- Health & Well ness July 2010- Lee Edition n estimated one million people are newly diagnosed with gallstones each year. Out of these patients diagnosed approximately 500,000 will undergo gallbladder removal surgeries (cholecystectomies). Gallbladder disease is caused by gallstones, or a poorly functioning gallbladder (biliary dyskinesia). If a person has gallstones, the stone can block the outflow of the gallbladder and cause it to become greatly inflamed and possibly rupture. In a poorly functioning gallbladder, it fails to contract well and many times a patient will have vague right upper quadrant pain and excessive belching especially after meals. Many times patients live with this condition for many years because their abdominal ultrasound fails to show any gallstones. It is not till your doctor orders a study called a HIDA scan that your poorly functioning gallbladder can be diagnosed. Gallstones or a poorly functioning gallbladder can cause right upper quadrant pain, nausea and vomiting and fever. These symptoms usually begin right after meals and sometimes resolve several hours later. If you exhibit these symptoms you should see your doctor immediately so he can order the appropriate tests. The earlier you diagnose gallbladder disease the greater chance you have to get your gallbladder removed laparoscopically. Single incision (scarless) surgery is the latest technique in gallbladder removal. Single incision surgery is considered scarless because the incision is hidden in the navel and is rarely visible. The gallbladder dissection for removal is the same as the traditional way, but the ports are all placed through the navel. I have found that patients have the same pain as the traditional manner, but return to work the same time if not sooner. The best part is that friends or family members can rarely see the incision hidden in your navel. I performed the first single incision gallbladder removal surgery (cholecystectomy) at Gulf Coast Medical Center and Cape Coral Hospital in 2009 and have performed hundreds since that time. The response has been incredible from patients and their family members because the incision is not visible and their pain was minimal. www.ufirsthealth.comI239.243.8222 bile acids in the digestive track. Your body usually adjusts to the bile salts, but if you continue to have diarrhea several weeks after surgery Welchol or Questran has been proven effective. Please speak to your doctor before taking these medications. One of the greatest misconceptions of gallbladder surgery is that a patients diet will be limited after the surgery. This is not the case. A patient can slowly resume their normal diet within one to two days after surgery. You will not be able to lift heavy weight (greater than 40 Ibs) till 3-4 weeks after surgery. If you have a desk job, many patients return in 7-10 days. A patient may have diarrhea after gallbladder surgery and this due to excessive Gallbladder surgery has evolved from a large foot long incision below your right rib cage to four small laparoscopic incisions to one incision hidden in your navel. It is incredible how quickly minimally invasive surgery has evolved. If you have gallbladder disease don't hesitate and please call today to schedule your appointment. Please see my webpage for photos of single incision laparoscopic (SILS) cholecystectomy (gallbladder removal). Robert Tomas, D.O., FACOS General Surgery U FIRST HEALTH 12640 World Plaza Lane, Building 71, Ft Myers, FL 33907 - - - - - - - - - - - - - - - - - - - - - www.swfHealthandWellness.com - - - - - - - - - - - - - - - - - - - - - Lee Edition - July 2010 Health & Wellness 11 Hernias: Who Has Them and How To Fix Them I By Robert Tomas, D.O., FACOS - Board Certified General Surgeon he repair of an inguinal hernia is the general surgeon's most common elective surgery. There are many different types of hernias and many people develop hernias simply from lifting heavy objects every day. I am going to talk to you about the two most common hernias I encounter in my office: inguinal and umbilical hernias. Inguinal hernias are defects in the in lining of the abdominal wall that do not close properly during development. The defect is at the entrance to the inguinal canal (groin) and causes problems to the patient later in life. The problem arises when someone tries to lift something heavy and the bowel or fat can protrude through the defect and enter into the inguinal canal. The patient develops a bulge in hislher groin that can resemble an egg. A patient who becomes obese can form an inguinal hernia by allowing the defect to stretch larger in the groin because of the amount of weight that the abdominal wall must support. This stretching allows the intestine or fat to escape into the inguinal canal and this causes a bulge in the groin. Umbilical hernias are defects in the lining of your abdominal wall in the region of the navel. This is the area where your umbilical cord was during development. These muscles fail to unite and a hernia develops. Umbilical hemias are more common in infants than adults. These hernias in infants usually close by the age of one. If an umbilical hernia does not close by the age of four or if it appears during adulthood it should be Total Senlor . P HY SIC IAN S repaired. In an umbilical hernia you will see a bulge or protrusion in the navel or bellybutton that gets larger with lifting, crying or even coughing. So what do you do if you find a bulge or mass in your groin or bellybutton? Well, first see your family doctor or local surgeon and ask him to examine you while standing up. It is very difficult to detect a hernia on examination if the patient is not standing. Why? Gravity always brings your abdominal contents down and if there is a defect in your groin or navel it should be detectable. Your doctor will stick his fmger in through your scrotum up to your groin if you are a male and place his finger on your groin if you are female. At that time he will ask you to cough to see if he feels the sac push against his finger in order to make the diagnosis. It is the same thing for an umbilical or bellybutton hernia. Standing always exhibits more pressure in the area of the navel and your doctor will ask you to cough in order to produce pressure in your abdominal cavity. This will then cause your umbilical hernia to protrude making a clear diagnosis. So once the diagnosis is made the repair is the interesting part. We used to approximate bad tissue to bad tissue in multiple layers with mesh until we found out that recurrences continued to rise. Now, the most effective treatment is a tension free repair. We have developed many great meshes that sit above and We Make House Calls! • Certified Geriatric Physicians • Medical services provided in patients' home • Medicare accepted • No membership fee "Helping Seniors stay in their home and have a quality of Life" below the defect and provide a double layer of support. By placing a mesh above and below the defect the body's muscle layers hold it Robert Tomas, D.O. , FACOS in place and this requires a minimum number of sutures. Less sutures means less pain and no one likes pain. I have been using this type of double layer mesh in the groin and the umbilicus for many years now and have seen incredible improvement in results. I trained with laparoscopic repair and have abandoned the laparoscopic technique because I can do this new type of hernia repair with intravenous sedation. That's right, general anesthesia is not required with this type of repair. Therefore, I have performed numerous hernia repairs in our U First Surgical Center with intravenous sedation alone. For more information about hernia repairs and to view pictures ofthe types ofhernias and the mesh I use, please visit my web page ufirsthealth.com or call 239-243-8222. Robert Tomas, D.O., FACOS General Surgery U FIRST HEALTH 12640 World Plaza Lane, Building 71, Ft Myers, FL 33907 www.ufirsthealth.comI239.243.8222 HealingArts Center ....~"~.... ~ John E. Patton, AP LMHC g71 Michigan Ave. Naples, FL 34103 ~ 239.262.6828 Vitamins ~~ Supplements ~£ Herbs ~ Oriental & Natural Medicine Acupuncture "'" Psychotherapy "'" Massage "" Nutritional Counseling .......= -.." \ / 866-772-6229 I 239-495-5315 www.totalseniorhealth . com Servicing Collier, Lee, Charlotte and Sarasota -------------------------------------------- contact us 239-389-9449 -------------------------------------------- 12 Health & Well ness July 2010- Lee Edition Colorectal Cancer I By Dr. Michael Smith olorectal cancer is the fifth most common cancer and third leading cause of cancer related death in the United States. Since I in 12 people will be diagnosed with colorectal cancer it is likely that either you or one of your friends or family members will be affected. For that reason, it would be helpful for you to understand some basics about the treatment options. We believe the most common type of colorectal cancer originates in polyps, especially adenomatous polyps, which are mounded up growths of abnormal cells on the lining of the bowel. Over time, some of these polyps can degenerate into cancers which can invade the bowel wall and spread via the blood and lymphatic systems. By using routine screening colonoscopy to fmd and snip out these polyps before they get a chance to degenerate into cancer many lives are saved! If a cancer is found at the time of colonoscopy, surgery is performed to remove the tumor and assess whether the tumor has spread into the lymph nodes. Depending on the findings, chemotherapy either as a pill or through the veins for up to one year is often recommended. A special situation arises when the cancer occurs in the final part of the colon near the anus. This portion of the colon is known as the rectum. Tumors in this area are often treated with a combination of chemotherapy and radiation to shrink them before surgery. The most commonly used type of radiation is high energy x rays. These are the same type of x rays used in chest x rays or CT scans, except they are high energy to they penetrate in to kill cancer cells. Radiation therapy is given once a day, five days a week for about 5 weeks. Today, the delivery of the radiation is highly controlled so that it is focused in to the tumor containing area along with the nearby lymph nodes and hits a minimum of normal tissue. The most accurate means of delivering radiation involves use of image guided intensity modulated radiotherapy in which a cone beam CT scan is performed each day to provide the ultimate in accuracy. About 2/3 of the radiation effect is due to the formation offree radicals which then damage the DNA and other components of the cells. The remaining effect is due to direct damage to the DNA itself. Fortunately, normal cells are better able to repair this damage than cancer cells are. Side effects of the radiation are generally mild. These include the possibility of skin reaction, such as skin redness and itching much like a mild sunburn. This is temporary and goes away after the treatments are over. Some patients then have a subtle tanning within the treated area, but this too goes away with time. Fatigue is also common, but is temporary and also goes away. These effect vary substantially from patient to patient. . __- 7' Spread to other organs Michael D. Smith, M.D. Board Certified in Radiation Oncology by the American Board of Radiology. Michael D. Smith, M.D. of Premiere Radiation Oncology Associates. has over twenty years experience in thefield ofRadiation Oncology. He trained at such distinctive institutions as Baylor College of Medicine in Houston, Texas and Indiana University in Indianapolis, Indiana. He held an academic position as associate professor at Vanderbilt University in Nashville, Tennessee before entering private practice. Dr. Smith has extensive experience in treating several types of cancer using a multidisciplinary approach. His particular areas of expertise include RapidArc Radiotherapy, Brachytherapy (HDR as well as Iodine-125 Seeds) and CyberKnife. He is Board Certified in Radiation Oncology by the American Board ofRadiology. Dr. Smith is committed to spending time with each patient and reviewing their case in detail before recommending treatment options. Armed with -state of the art technology and a multidisciplinary approach, he is able to offer the highest cure rates with successful preservation of lifestyle and overall wellness. -------------------------------------------- contact us 239-389-9449 -------------------------------------------- Lee Edition - July 2010 Health & Well ness 13 Bathroom ~Y~f~"ty B athing is a pleasure giving experience that makes us feel clean, refreshed and active. Many people love bathing. They do it not just for personal hygiene but also for the sake of fun and pleasure that it gives to them. But weakness, old age and some disabilities can make this pleasure giving experience miserable. What appears refreshing to us seems like a nightmare to them. No room poses a bigger threat to safety than the bathroom. Slip and fall accidents when entering and exiting the bathtub contributes to nearly 25% of hospital admissions for people age 65 and older and the most common result is a hip fracture. It is important that we take steps to help to prevent bathing disability before it occurs. Walk in bathtubs (Safety Tubs) are specially made with a non-slip floor. This helps in avoiding common bathroom accidents due to slipping. Safety Tubs are a great help to people suffering from certain injuries, specific disabilities and difficulties due to old age. These tubs are different from traditional tubs. To enter in these tubs, users don't have to climb in. There is a special door for entering into the tub. Elderly and disabled can't climb in easily. Moreover, climbing can be accidental for them. Thus entering in and walking out of the tub through a door is more convenient. People suffering from severe pains, back aches, arthritis, rheumatism and various other pains are also comforted by these bathtubs. This is possible because of the bench like seat present in them. It is easier to sit on the seat than lying on hard surface of the conventional tubs. It is very painful to lie down and get up for people suffering from pain. Getting up requires a lot of pressure that increases the pain. Safety Tubs with a built in bath seat allows you to enjoy bathing and feel safe getting in and out of the tub. Bathing is the number one way for people to maintain a clean, fresh feeling while helping to lower blood pressure and reduce stress. Doctors recommend bathing in warm water as a way of improving arthritis and many other conditions. If you (or a loved one) are facing a health or mobility challenge, you want to live independently and manage your health and pain challenges... don't you? A Safety Tub will not only help you to bathe safely, but can actually offer life altering health benefits. For your FREE consultation and demonstration, call First Class Plumbing of Florida, Inc. your local Safety Tub representative! (239) 597-9997 or visit www.firstciassplumbinginc.com. ....,-0 Therapy Approach to Effective Pain Treatment • For Herniated & Degenerated Discs without Surgery • Auto Accidents • Sports Injuries J.H. Ke llenberger, Sr, RT, DC Li nda D. Stevens, BA, DC • Worker '5 Compensation • Free Initial Consultation Juan M. Teodoro, D.M.D Non Surgical Spine & Disc Care Center, Inc. • Diplomate American Board of Periodontology Utilizi ng VAX-O treatment f or Spinal Disc problems . • Diplomate & Fellow International Congress of Orallmplantologists L!~==~~:...""';~'!:!!!.I • Clinical Assistant Professor University of Florida • Conscious Intravenous Sedation Certified • laser Assisted New Attachment Procedure Certified 9510 Bonita Beach Road, Suite 102 Bonita Springs, Florida 34135 14090 Metropolis Ave. , Suite 101 , Ft. Myers, FL. 33 9 12 1Tel : 239-728-DISC phone: 239-489-4 100 1e-mail: [email protected] 1website: www.239backpain.com Tel: 239.333.4343 No ~ chargeI. " is our poley ItlaIIhI patient 8f'Id any aher PInOO rasponstiIlor paymenI hili a riglt to ....... pay. cancel P8'fI!IIrt 01' be rWbI.ned lor paymenllor any aher HMce. examlnalian, 01' treall'llll'lt ItlaIIi performed as I resUt CII and lOiItin 72 ~ CII respondiI'lg to IhIIdveItisement forlhll /rei, dsctIunt fee, 01' reduoId fee HMce, uami'Iation, OI'~ -------------------------------------------- contact us 239-389-9449 -------------------------------------------- 14 Health & Well ness J u I Y 20 1 0 - Lee Ed i t ion You Might Need A Vein Specialist IF... By Joseph G. Magnant, MD N enous Insufficiency or leaky veins of the legs is a poorly understooa entity oy many physicians and patients alike. When we think about leg vein problems most of us usually only consider varicose or spider veins rather than many of the other less obvious presenting symptoms. " he purpose of this article is to share with the reader the many different clinical presentations of venous insufficiency by employing a famous southern comedian's style of describing conditions which might indicate a need for further consultation by a vein specialist. So without any further adieu (or delay) here we go ... If your legs look like they have been taken over by spiders, then it might be time to see Dr. Magnant and Vein Specialists at Royal Palm Square. If your grandchild likes playing with your "leg boo boos", then it might be time to see Dr. Magnant and Vein Specialists at Royal Palm Square. If your legs look like a page out of a Rand McNally road atlas, then it might be time to see Dr. Magnant and Vein Specialists at Royal Palm Square. If you're tired of being told you have your Grandma's thick legs, then it might be time to see Dr. Magnant and Vein Specialists at Royal Palm Square. If you are designing a tattoo to hide your spider veins, then it might be time to see Dr. Magnant and Vein Specialists at Royal Palm Square. If you have to plan your vacations around your legs, then it might be time to see Dr. Magnant and Vein Specialists at Royal Palm Square. If you only have long pants in your closet, then it might be time to see Dr. Magnant and Vein Specialists at Royal Palm Square. If your legs look like they could support a Baby Grand Piano, then it might be time to see Dr. Magnant and Vein Specialists at Royal Palm Square. If your body and spirit say "GO" but your legs say "NO", then it might be time to see Dr. Magnant and Vein Specialists at Royal Palm Square. If your Restless Legs Syndrome is keeping you up at night, then it might be time to see Dr. Magnant and Vein Specialists at Royal Palm Square. If you long to wear shorts again, then it might be time to see Dr. Magnant and Vein Specialists at Royal Palm Square. If you are considering naming your varicose vein, then it might be time to see Dr. Magnant and Vein Specialists at Royal Palm Square. If you are tired of your kids trying to "connect the dots" on your legs, then it might be time to see Dr. Magnant and Vein Specialists at Royal Palm Square. If you're thinking of selling your boat because of your varicose veins, then it might be time to see Dr. Magnant and Vein Specialists at Royal Palm Square. - - - - - - - - - - - - - - - - - - - - - www.swfHealthandWellness.com - - - - - - - - - - - - - - - - - - - - - Lee Edition - July 2010 Health & Well ness 15 If you are tired of putting up with shoulder shrugs when you ask your Doctor about your swollen achy legs, then it might be time to see Dr. Magnant and Vein Specialists at Royal Palm Square. If you are tired of friends or strangers asking you what's wrong with your legs, then it might be time to see Dr. Magnant and Vein Specialists at Royal Palm Square. If you feel like a burden to your family because your leg pain and swelling limits your ability to keep up, then it might be time to see Dr. Magnant and Vein Specialists at Royal Palm Square. If your dermatologist has told you that you have an "iron stain" on your leg, then it might be time to see Dr. Magnant and Vein Specialists at Royal Palm Square. If you have been told you need a vein stripping, then it might be time to see Dr. Magnant and Vein Specialists at Royal Palm Square. If your leg pain, fatigue and tightness worsens as the day progresses and Improves with elevation and by the following morning, then it might be time to see Dr. Magnant and Vein Specialists at Royal Palm Square. If you have had numerous unsuccessful leg vein injections without a previous ultrasound evaluation, then it might be time to see Dr. Magnant and Vein Specialists at Royal Palm Square. If you have been told that there is no hope for your legs or veins, then it might be time to see Dr. Magnant and Vein Specialists at Royal Palm Square. If you have a non·healing ulcer (or sore) around the ankle or lower leg, then it might be time to see Dr. Magnant and Vein Specialists at Royal Palm Square. If you enjoy patient centered care and professional, well mannered office staff, then it might be time to see Dr. Magnant and Vein Specialists at Royal Palm Square. If you would like cutting edge outpatient vein treatments with a scientific approach, then it might be time to see Dr. Magnant and Vein Specialists at Royal Palm Square. If you are tired of strangers asking "How long have you been a sailor?" because of the ropey veins on your leg, then it might be time to see Dr. Magnant and Vein Specialists at Royal Palm Square. If you have stopped shaving your legs for fear of nicking a vein, then it might be time to see Dr. Magnant and Vein Specialists at Royal Palm Square. If you have been wearing prescription strength compression hose without significant improvement of your leg vein symptoms, then it might be time to see Dr. Magnant and Vein Specialists at Royal Palm Square. If your idea of short shorts is a pair of Capris, then it might be time to see Dr. Magnant and Vein Specialists at Royal Palm Square. If you have ever been told you have "cankles" , then it might be time to see Dr. Magnant and Vein Specialists at Royal Palm Square. If you want to see a board certified vascular surgeon who Is singularly dedicated to leg vein evaluation and modern, expert treatments, then it might be time to see Dr. Magnant and Vein Specialists at Royal Palm Square. If you would like to avoid the long term complications of venous insufficiency and have answered yes to any of the above statements, then it might be time to see Dr. Magnant and Vein Specialists at Royal Palm Square. . ................................................ . The modern evaluation and treatment of venous insufficiency is the singular focus of Dr. Magnant and his professional and compassionate staff at Vein Specialists at 1510 Royal Palm Square in Fort Myers, FL. He can be contacted either by calling 239-694-8346 or through his website, weknowveins.com, where patients can submit their request for an appointment. He encourages readers to review his website, which is specifically written for his patients, and take the time to view his photo gallery. Vein Specialists at Royal Palm Square ISIO Royal Palm Square Boulevard Fort Myers, Florida 33919 239.694.VEIN (8346) 239.696.6272 fax www.weknowveins.com If you have ever considered your leg vein problems a form of punishment or dues paid for having 5 (or any number of) children, then it might be time to see Dr. Magnant and Vein Specialists at Royal Palm Square. If your beach attire includes a pair of flesh toned compression hose, then it might be time to see Dr. Magnant and Vein Specialists at Royal Palm Square. If you have what looks like night crawlers under the skin on your legs, then it might be time to see Dr. Magnant and Vein Specialists at Royal Palm Square. If your leg swelling persists despite weight loss, fluids pills, salt restriction and a cardiologist's clearance, then it might be time to see Dr. Magnant and Vein Specialists at Royal Palm Square. -------------------------------------------- cont act us 239-389 - 9 4 49 -------------------------------------------- 16 Health & Well ness July 2010- Lee Edition EYELID RE UVENATION T I By Stephen J. Laquis MD, FAGS he most vital and valued function of the eyes is that they provide us with the gift of vision. Beyond that, they are an essential part of how we convey emotion and engage with others. Tbey are often the first thing noticed by others and contribute greatly to one's overall aestbetic appearance. Rejuvenation of the eyelids is the most commonly performed elective surgical procedure and serves not only to improve ones appearance, but also bas the essential benefit of . . .. Improvmg VISIOn. Upper and Lower Blepharoplasty - Before UPPER EYELID REJUVENATION While age is strongly correlated witb "heavy eyelids", genetics play a vital role in determining your predisposition for this condition. Furtbermore, the skin of tbe upper eyelid is the tbinnest skin in the body. It can easily stretch from the mere act of blinking or as a result of medical conditions that cause recurrent eyelid swelling such as allergies, heart failure, or sleep apnea. One or a combination of these factors will cause the skin to stretch to such a degree tbat it ultimately will start to cause symptoms. Most commonly the excess skin of the upper eyelids will affect peripheral vision by extending over the eyelasbes. Many times this goes unnoticed until it is very advanced as the process is gradual and most people develop adaptive mechanisms. Otber symptoms are also common such as tired or heavy feeling eyes or difficulty performing activities of daily living that require concentration such as driving, reading or computer work. Intervention therefore is many times medically beneficial. Upper Blepharoplasty - Before After The surgical procedure to correct this condition is called an Upper Eyelid Blepharoplasty, and is covered by most insurance policies, including Medicare. A simple photograph and visual test is required for approval and can be done right in our office. Once submitted to your insurance company, the procedure is often deemed medically necessary, and authorization is obtained. The procedure is performed in an outpatient setting with both a local anesthetic and "twilight" type intravenous sedation. The procedure is quick and virtually painless. Recovery time is minimal and usually limited to 1-2 weeks of swelling and limited bruising, which usually subsides quickly with a post-operative regimen that includes the application of cold compresses. It is generally recommended that strenuous activities be avoided for at least ten days after surgery. LOWER EYELID REJUVENATION Similar to upper eyelids, age and genetics can cause changes to the lower eyelids. While excess skin may be an issue with the lower eyelids, often the problem is primarily the result of fatty pockets protruding forward. This is addressed with a procedure called a Lower Eyelid Blepharoplasty, one which can achieve dramatic results. Usually, this procedure does not require an external incision, which means no scar to worry about. It is accomplished through a small incision on the inside lining of the eyelid, fatty pockets are sculpted or removed. A chemical peel is many times applied to the external lower eyelid skin to tighten the skin and smooth out fine lines. Occasionally removal of lower eyelid skin is also necessary. Recovery time is 2-3 weeks, and requires cold Upper and Lower Blepharoplasty - 1 Month After compresses and good sun protection. The result.. .smooth, natural appearing contours, and a younger looking, refreshed YOU! While this is considered a cosmetic procedure, the overwhelming response from our patients is that it was worth every penny. Many times patients choose to combine procedures and have an Upper and Lower Blepharoplasty during the same surgical time ... the benefit of course is tbat you then just bave one recovery period and can save on surgical costs. About Dr Laquis Dr. Laquis earned his medical degree from New York Medical College. He completed his internship in Internal Medicine and his Ophthalmology residency at Yale University. After his residency he completed a two year fellowship at Vanderbilt University through the prestigious American Society of Ophthalmic Plastic and Reconstructive Surgeons. In addition to maintaining a successful private practice with locations in Bonita Springs and Fort Myers, he is the Chief of Ophthalmology for Lee Memorial Health System and an Assistant Professor at the University of South Florida where he trains surgeons in eyelid, facial cosmetic, and orbital surgery. Our practice takes great pride in providing professional and clinically exceptional medical care to our patients. If this article left you with further questions or inspired you to explore some of the medical or cosmetic procedures presented, we encourage you to call us for a consultation. For information call 239-947-4042 or www.laquis.net - - - - - - - - - - - - - - - - - - - - - www.swfHealthandWellness.com - - - - - - - - - - - - - - - - - - - - - Lee Edition - July 2010 Health & Well ness 17 Dental Prophylaxis and the Periodontal Maintenance Visit Dental Hygiene Month D I By Juan Teodoro, D.M.D. first few visits to make sure the patient is periodontally stable. Once the patient has a good history of stability, then the 3-month maintenance visits start alternating with the general dentist. This allows the periodontist and the general dentist to work as a team in maintaining the patient's periodontal health. entists refer to a dental cleaning appointment as a "dental prophylaxis". The main purpose of this visit is prevention of dental disease and patient education. This is likely the most important and valuable dental visit a patient may ever make to the dentist. A dental prophylaxis is done on patients that display gum pockets of3mm or less, no significant gum inflammation and no heavy calculus/plaque under the gum line. A routine dental cleaning typically includes: an oral hygiene evaluation, home care instructions and a demonstration on proper hrushing & flossing. Removal of plaque and tartar above the gum level is also done along with a topical fluoride treatment after polishing the teeth. Many hygienists may also review nutrition habits or smoking cessation if warranted. Some patients require further gum care if they display signs of periodontal disease. If so, the dentist or hygienist would recommend a comprehensive periodontal evaluation and treatment by a periodontist. A periodontist is a dentist who specializes in the prevention, diagnosis and treatment of periodontal disease and in the placement of dental implants. Periodontists are also dentistry's experts in the treatment of oral inflanunation. They receive extensive training in these areas, including three additional years of education beyond dental school. Periodontists are familiar with the latest techniques for diagnosing and treating periodontal disease. Depending on the patient's severity of disease, a periodontist may recommend scaling and root planing, gum surgery, regeneration or PerioLase laser therapy. After a patient has been diagnosed and treated for periodontal disease, a standard cleaning (dental prophylaxis) is no longer appropriate. While a standard cleaning addresses scaling and polishing of the teeth above the gum line, a person who has experienced periodontal disease requires meticulous care below the gum line - a maintenance visit. A periodontal maintenance procedure is not the same treatment as a regular cleaning even though a hygienist may perform both services. A periodontal maintenance procedure includes: • An update of your medical and dental history • X-ray (radiographic) review • Intraoral and extraoral exam of the cheeks, lips, gums and throat • Periodontal Probing (around the tooth, gum and bone) an examination done by the periodontist • Review of home care with demonstration of brushing & flossing • Removal of Plaque & tartar above & BELOW the gum level (Scaling & Root Planing) • Polishing & removal of staining • Gum and pocket irrigation with medicine, as needed • Topical fluoride application The typical maintenance interval, especially immediately after active periodontal treatment such as scaling and root planing, surgery, regeneration or PerioLase laser therapy is every three months. This is usually done at the periodontist's office for the The recall interval may be lengthened or shortened over time depending on the patient's history of stability and their effectiveness of home care. The important thing to remember is that once a patient has been diagnosed and treated for periodontal disease they become a periodontal patient for life. Similar to diabetes, there is no cure for periodontal disease. The goal is to prevent recurrence and further progression of the disease, by adhering to a regular maintenance schedule. It has been shown in multiple scientific studies that those patients that do not comply with maintenance visits experience more periodontallbone degeneration, possible tooth loss and ended up requiring more surgery. Some people tend to have more buildup of calculus than others and some may be more prone to periodontal inflammation or the development of tooth decay. Patients with inadequate oral hygiene practices require more frequent cleanings. Dr. Teodoro is a Board Certified Periodontist. He holds both Diplomate status in the American Academy of Periodontology and the Intrenational Congress of Oral Implantologists. Dr. Teodoro served as a Major in the u.s. Air Force practicing periodontics. Throughout his Air Force career he served as Chief of Periodontics, Director of the Implant Board & Clinical Instructor. He is currently a clinical assistant professor at the Naples dental residency program for the University of Florida. Dr. Teodoro is still the only periodontist in both Lee & Collier County trained in Advanced Laser dentistry. Advanced Periodontics & Implants 239·333-4343 www.bonitaimplants.com -------------------------------------------- contact us 239-389-9449 -------------------------------------------- 18 Health & Well ness July 2010- Lee Edition s parents, we know our children best. We listen to them talk and we also listen to their friends and siblings talk, but despite knowing better we often find ourselves comparing our child's skills to that of their friends and siblings; especially when it comes to communicating. This often leaves us asking ... "Is my child developing at the same pace?" When we think our child's development may be slower than their same aged peers, we might ask others (teachers, friends, pediatricians) if they have noticed these differences. A common response from others might be, "My daughter didn't talk until she was 3 and she's making up for it now" or "Give it some time, he's still young." Too often however, kids don't grow out of it. This can sometimes lead the child to get caught up in a vicious cycle of always trying to 'play catch-up ' . These communication delays can impact other areas such as social development as well as academics. Communication milestones are reached at different ages by different children because development is influenced by many factors. Things like innate ability to learn, amount of exposure to language and manner in which people respond to the child's attempts at communication all impact this development. It can often be very difficult to identify whether a child is within a typical range of development or actually delayed. Parents need to know what to do and when to do it. Speech . . . . . . . . . . . .. . By age 3 years, if your child cannot: • be understood by family and/or caregivers. • correctly produce vowels and such sounds as p, b, m, w in words. • repeat when not understood without becoming frustrated. By age 4 years cannot: • be understood by individuals with whom they do not associate regularly. By 12 months does not: • respond to music and/or singing. • understand simple questions. • look at familiar people when named. • maintain eye contact and/or attention to speaker. By 2 years does not: • identify basic body parts. • understand simple commands like "give me" without gestu res. • demonstrate action words (i.e. eat). • be understood by family and/or caregivers. • correctly produce t, d, k, g, f. • be asked to repeat without becoming sensitive. By 4 years does not: • understands comparisons. • make inferences. What can we do By age 5 years cannot: as parents? • be understood in all situations by most listeners. If you are concerned about the growth of your child's speech andlor language, you should consult with a Speech-Language Pathologist (SLP) for a professional evaluation. SLP's are specially trained individuals that assess communication development in various ways. An SLP can conduct evaluations in areas such as expressive/receptive and social language, articulation, fluency, andlor processing. The following are some helpful guidelines that should prompt a speech andlor language referral: By 5 years does not: • understand complex directions. • correctly produce most speech sounds. • understand concepts. • be asked to repeat without exhibiting frustration . School-Aged Receptive Language _ __ By 6 months does not: • exhibits difficulty understanding teacher's instructions; class discussion; following directions. • notice/startle to loud sounds. • exhibits difficulty in reading comprehension across subjects. • look at the person speaking to them. • exhibits difficulty in mathematical reasoning. - - - - - - - - - - - - - - - - - - - - - www.swfHealthandWellness.com - - - - - - - - - - - - - - - - - - - - - Lee Edition - July 2010 Health & Well ness 19 Expressive Language _ __ By 6 months does not: o laugh. o vocalize when talked to. o initiate vocalization when with others or alone. By 12 months does not: • say "mama" or "dada:' o o begin to imitate words. say 1-2 words independently. By 2 years does not: o refer to self by name. o speak using 1-2 words at a time (i.e. "Dan hat"). o Use new words frequently; use at least 50 words. By 2 _ years does not: o respond to hello and lor bye-bye consistently. o use short sentences (i.e. "Daddy go bye-bye"). o name one color. By 5 years does not: By 3 years does not: o count to three. o state own first and last names. o relate experience verbally. o o use complex sentences. o explain how to do something o respond to "why" questions with a reason . o o use short but grammatically correct sentences. speak abstractly. difficulty learning appropriate word production and usage, relationships of words, phrases, sentences to express needs/desires; may result in frustration or embarrassment. LifeBridge difficulty with expression affects interactions with peers. intent in communication often misunderstood. Ifyou have concerns ... don 't wait... contact a professional today. To find a nationally certified speech-language pathologist and to acquire additional information on this topic you may visit elitespeechtherapy.com or Call Kimberly Beaugez at 239.482.3154 Ext 102. School-Age By 4 years does not: o o SM SOL UTI 0 NS,LL( Helping You Navigate Life's Transitions: Services for Baby Boomers and their Aging Parents What We Do Treatment of Communication Disorders for Children & Adults Speech & Language Evaluation & Therapy••• o • Family transition coaching p ~,-J"..J~ITE o Articulation Language Disorders Stuttering Aphasia Voice Accent Reduction and more... 0 0 0 0 • Bill paying & personal records organization • Household transitions Iril:lge ij[E!I~' SO) SM ION S. lL( Helping yoy to navigafe life's transitions • Estate administration support. • Medical billing advocacy Occupational Evaluation & Therapy••• Sensory Dysfunction Fine Motor Difficulties o Visual-Perceptual Difficulties Handwriting o 0 0 www.llfebrldgesolutlons.com LifeBridge Solutions offers a compassionate and carefully planned approach to coping with life-changing and difficult events. (239) 482-3154 6150 Diamond Centre Court #200-3, Ft. Myers www.elitespeech.com -------------------------------------------- contact us 239-389-9449 -------------------------------------------- 20 Health & Well ness July 2010- Lee Edition + Ki s Yoga Alive & Well I By A Holistic Center • Builds confidence and self-esteem. Experts estimate that 80 to 90 percent of disease is stress-related. • Introduces cbildren to self-bealtb. Lisa Minie tress reduces our body's immune system, making us more susceptible to getting sick or developing a disease. With all the stress that we have in our daily lives it is important to rejuvenate the body, mind and spirit. Services at Alive & Well, a Holistic Center in Ft. Myers, help to restore the body while promoting peace and relaxation. They also offer growth classes that expand the mind and enrich the soul. And their retail section consists of natural health products, gifts, candles, books and music. + Services at Alive & Well • Massage Therapy Skin Care & Body Treatments Energy Work Hypnosis Acupuncture Intuitive Readings Medical Body Imaging using: Digital Imaging Thermal Imaging (DITI) • Health Consultations • • • • • • + Movement Classes Gentle Yoga • Hatha Yoga • Prenatal Yoga Kids Yoga Tiffany also teaches a fun , high-energy kid's yoga class at Alive & Well. Tbere are numerous benefits of kid's yoga. • Yoga for Flexibility • Qigong • Pilates The massage services that she offers are: Swedish Massage, Aromatherapy Massage, Integrative Massage, Hot Stone Massage, Prenatal Massage, Induction Massage and Labor Massage. But the most popular massage that Tiffany performs is what she calls The Full Circle. She developed this treatment while living in Sedona, Arizona. Tiffany Patterson is a Massage Therapist, Aesthetician, Energy Worker, and Yoga Instructor at Alive and Well. She has worked the last ten years in various spa settings including luxury resorts, salons, fitness centers and private communities. This experience bas allowed ber to develop unique services that pamper the body, mind and spirit. • Helps a cbild develop calmness within self. • Improves powers of concentration and focus. + The Full Circle This is a 90 minute treatment whicb combines Swedish and Hot Stone Massages, Aromatherapy, Energy Work, Sound Tberapy and Crystal bowls. It is called Full Circle because you will travel full circle within yourself during the session, integrating tbe Body, Mind, Heart and Spirit. + Hot Stone Rejuvenating Facial Tiffany's most popular facial is a 90 minute Hot Stone Anti-Aging Facial. This facial combines a rejuvenating Anti-Aging Facial with a Hot Stone Massage. Tbe beat from tbe rocks will penetrate deeply into your face- belping to infuse product while smoothing away fine lines. The relaxing bot stones will also be glided over your neck, sboulders, arms, bands and feet. And for the ultimate relaxation, add an extra 30 minutes of hot stones massage on your back to melt away any tension and soreness. • Promotes balance, flexibility, coordination and strengtb. • Helps a cbild cope with stress and difficult emotions in a positive manor. • Provides an opportunity for a child to develop a sense of: self-awareness, intellect, creativity and imagination. + Induction Massage Induction Massage is a safe alternative to talk to your doctor or midwife about. It is much safer for botb tbe motber and baby tban a medical induction. This massage can be given after 38 weeks- wben both the mother and baby are ready. There are a couple of spots whicb bave been sbown to be effective in inducing labor. Tiffany uses a combination of Massage, Aromatherapy and Acupressure to help stimulate tbe onset of labor. This massage bas been effective in beginning labor wben used in conjunction with other at-home techniques. But labor can only begin if the body is ready for labor. + Oolphin Energy Session While Tiffany lived in Sedona, Arizona sbe attended a course to become a dolpbin energy facilitator. It was among the beauty of the red rocks tbat she learned bow to cbannel tbe energy of tbe dolphins. Her energy healing sessions combine dolphin energy, tuning forks, sound therapy, crystals and various stones. Mention this article and receive 15% off your next service with Tiffany. Alive & Well 9250 College Parkway Suite 3 Fort Myers, FL. 33919 239-226-9355 + Labor Massage Many more women are using massage during labor to relieve tension and promote relaxation. If a woman is relaxed during childbirth then she can fight off tbe pain cycle, making it possible to bave a minimal or pain-free birth experience. Also, the more a woman is able to relax during her labor, the quicker ber labor proceeds. Tbere is a direct connection between relaxing the skeletal muscles and dilation of tbe cervix. Tiffany offers Labor Massage at an bourly rate; sbe can stay for a minimum of two hours or stay as long as you like. She also offers Massage Doula support at a flat rate. - - - - - - - - - - - - - - - - - - - - - www.swfHealthandWellness.com - - - - - - - - - - - - - - - - - - - - - Lee Edition - July 2010 Health & Well ness 21 What is a Daily Money Manager? I By Sheri Samotin - LifeBridge Solutions, LLC From time to time in this space, Sheri will answer readers' questions. lfyou have a question, please e-mail [email protected]. Dear Sheri: My husband recently passed away and he always handled our household bills and budget. I don't even know where to begin to get everything in order. Is there someone who can help me with this? Intimidated Irene Dear Irene: First off, please accept my condolences to you on your loss. It may help to know that your situation is not at all unusual. Often, one spouse handles the family finances. This works out well from the standpoint of division of labor, but leaves the other spouse at a real disadvantage when the situation changes, especially if it is a sudden and unexpected change. As a new widow, I'm sure you have a lot on your mind, not to mention the piles of paperwork you're probably handling to settle your late husband 's estate. F ortunately, there are professionals who specialize in helping people in your situation. They are called Daily Monday Managers, or DMMs . DMMs offer a range of services, including helping you to manage your mail and set up a system for paying your bills, assisting with check writing and maintaining bank accounts, helping you create a realistic budget and stick to it, and developing a tax planning and organization system. In addition, many DMMs have expertise in medical billing advocacy and can make sure you are paying only those medical bills that have been correctly billed and processed. A DMM can also help you with the many tasks that are necessary to settle an estate, including obtaining various records, closing accounts, and gathering items needed by attorneys and accountants. One of the most important services a daily money manager offers is helping you consolidate all of your important information so that if something happens to you, the person you've entrusted to act on your behalf will be able to take action. For example, if you pay your bills on line, have you documented your login and password information and does the person who holds your Power of Attorney know where to find that information? Are all of your insurance policies stored in two places, at least one of which is not in your residence? Have you made a list of all of your accounts (bank, brokerage, retirement, credit cards, etc.) with contact information and have you given each institution written permission to discuss that account with the person you'd expect to handle these matters for you if you were incapacitated? If not, a DMM can help you pull this an together into one physical or electronic repository. MASSAGE THERAPY & Skin Care Be sure to choose a daily money manager who is bonded and insured. Also, be sure the person you choose specializes in working with older adults and their families and is not simply a bookkeeper for businesses. Many DMMs are members of a national organization called the American Association of Daily Money Managers. You can learn more about this profession, as well as search for a DMM to help you, by visiting their website at www.aadmm.com. Sheri Samotin, a Certified Professional Coach and founder ofLifeBridge Solutions and AttackMedicaIBills.com, helps baby boomers and their aging parents to navigate life's transitions. Services include family transition coaching, daily money management, medical billing advocacy, household transitions, and estate administration support. Sheri can be reached at www.LifeBridgeSolutions.com and www.AttackMedicaIBills.com. Tiffany Patterson, CMDI LMT # MA54883 Licenses Massage Therapist Certified Massage Doula· Aesthetician Phone: 239.287.8931 Email: [email protected] Website: www.sweetpeainthepod.com 14271 Metropolis Ave, Suite B, Fort Myers, Florida for a one hour Swedish Massage Swedish, Deep Tissue, Integrative, Hot Stone, Aromatherapy, Prenatal, Labor and Postpartum Massages Aging, Custom, Teen, Ge nt lemen's, And 90 Minute Hot Stone Facials I 239.325.1880 Are You Ready to Start ATTACKING Your Medical Bills? Dealing with medical bills and insurance daims makes doing your taxes seem easy! July's SpeCial - $49 Sheri Samotin · Find and correct billing errors · Appeal insurance denials · Negotiate with providers · Help you select your plan 999 Vanderbilt Beach Road, Suite 200 Naples FL 34108 Anyone with significant medical bills will benefit from working with AttackMedicalBills.com , a division of LifeBridge Solutions. We offer you choices when you're ready to attack your medical bills. Our plans range from full-service to payas-you-go. You choose what works for your situation. Let us ATTACK your medical bills today! Schedule your NO-COST consultation today! 877.9ATTACK · 239.325.1880 -------------------------------------------- contact us 239-389-9449 -------------------------------------------- Health & Well ness July 2010- Lee Edition E veryone wants to look and feel their best. Often standing in the way is finding a dentist with whom one can feel comfortable and who provides quality care and attention. Dr. Alan N. Rembos IS one of those dentists. "We provide traditional care as well as functional and cosmetic dentistry in the most relaxing environment we can," he explains. "Cosmetic dentistry consultations are referred to as smile design, or smile improvement. We can change the color and shape of the teeth while restoring sound functional and oral health condition designed to last a lifetime." "Some people don't like the color of their teeth, or they come in with rotated, chipped, or worn teeth, asking what can he done to improve their smile. Every patient is provided a comprehensive examination and a treatment plan best suited to their individual needs. The follow-up consult then reviews treatment options, timeframes, and costs of desired treatments." Whatever the decisions made between Dr. Rembos and his patients, comfort and quality are always a priority. Alan N. Rembos, DDS Memberships past and present · DDS, Northwestern University Dental School · Mastership status in laser dentistry Better Smiles Advances in cosmetic dentistry have led to the development of several techniques for brightening smiles, and in-office whitening is one of the easiest, notes Dr. Rembos. · Bachelor of Science, University of Illinois Champaign-Urbana · Cofounder, Midwest Academy of Laser Dentistry • Implant Dentistry Fellowship, leOI · American Dental Association' Florida Dental Association "There's no way to predict who will respond most favorably to whitening but we consider all options to achieve the best results for each patients." Dr. Rembos has found that the most popular inoffice system is the ADVANCED POWER ZOOM 2 treatment. "This Advanced Power Zoom system is the latest version, with even more dramatic results than the original Zoom systems," says Dr. Rembos. "We are constantly upgrading to the very latest techniques available so our patients can always choose from among the best options." · American Academy of Cosmetic Dentistry· Academy of Laser Dentistry · American Academy of Implant Dentistry . American Academy of Oral & Maxillofacial Surgery . American Academy of Periodontal Disease' International Congress of Orallmplantologists 239.274.9797 smilesbyrembos .com 12691 New Brittany Blvd.' Fort Myers, FL 33907 We have 3 locations to serve our patients better... Naples, Sanibel and Ft. Myers! "While the patient rests comfortably with headphones and a pillow headrest, the whitening gel is applied, the light is activated, and the procedure begins," he describes. The entire process lasts about an hour from start to finish. "The solution doesn't damage the tooth enamel ," assures Dr. Rembos, "but really gets into those tiny spaces and cleans out the discolorations that have accumulated over the years." Dr. Rembos explains that although many patients feel their results are dramatic, individual results will vary, as programs are tailored for each patient's individual needs. Some patients' teeth darken with time from simple staining, whereas others have additional discolorations as a result of illness or the use of certain medications. Stains respond more easily to whitening than do medically induced discolorations. Northwestern University Graduate Many patients are pleased to discover that they can get their old silver fillings replaced with a newer material made from either resin or porcelain composite, a significant improvement and often a prelude to whitening treatment. - - - - - - - - - - - - - - - - - - - - - www.swfHealthandWellness.com - - - - - - - - - - - - - - - - - - - - - Lee Edition - July 2010 Health & Well ness Veneers are a more advanced cosmetic option and may be appropriate for a variety of dental conditions seen in front teeth, particularly gaps between teeth, stained fillings, and pennanently discolored, chipped, or crooked teeth. Dr. Rembos points out that a patient does not have to have every tooth treated with a veneer or crown to achieve a good cosmetic result. "For example, patients who want to brighten their smiles may have several veneers placed on their front teeth and then have the rest of their teeth whitened to match the vibrancy of their new veneers. When appropriate, laser technology is often used to achieve the most appealing final cosmetic result." With more than twenty years of experience and a Fellowship in Implant Dentistry, Dr. Rembos is aware of every technique available to his patients. One important development over the years has been the widespread availability of dental implants for patients with one or more missing teeth. "After the procedure is complete, most patients comment about how simple and comfortable the entire process was," adds the doctor. Convenience + comfort Many dental practices are so overburdened that when calling for an appointment, most new patients or those with dental emergencies can't be seen for several weeks. Dr. Rembos makes sure that doesn 't happen in his practice. "We pride ourselves on accommodating emergencies as well as our regular patients for quality dental care," he emphasizes, "and new patients can Rlan N. Rembos, D.D.S. Dazzle them ... every time you smile! Dr. Rembos welcomes calls regarding this article. His practice offers three convenient locations: "When natural teeth are not present," says Dr. Rembos, "the jawbone fails to deliver necessary nutrients to support bone and gum health." Fort Myers 12691 New Brittany Blvd. Patients are pleased to learn that Dr. Rembos both places and restores implants at his office, so there is no chance of miscommunication between dentist and implantologist. Sanibel 2323 Wooster Ln. The entire process, from surgery to placing of the crown, can be perfonned at the office over several months ' time. (239) 274-9797 (239) 472-4445 Naples 4001 Tamiami Trail N., Ste. 280 (239) 434-0400 They say alopecia isn't a disease. Tell that to those who suffer from it. Alopecia isn't technically considered a disease because it's a cosmetic condition without medical rami"cations. !at's small consolation to the men and women who su#er from it. If you're dieted with alopecia totalis,areata or universalis, we can o#er more than sympathy. W e provide advanced solutions that make you look like yourself again and like yourself again. To learn more about the natural alternatives that can help you put alopecia behind once and for all, call today for a free , no-obligation consultation with one of our alopecia experts. 23 typically be seen within a day or two. Early treatment often prevents unnecessary pain and additional costs. " In addition to a wide range of cosmetic, restorative, and general dental services, Dr. Rembos offers patients a state-of-the-art way to feel relaxed and comfortable during their dental procedures. " We exclusively use a computerized anesthetic delivery system called the WAND," says Dr. Rembos. "Our patients love it, and we offer it for all our procedures at no additional cost to the patient. The system senses the pressure in the tissue to allow for more comfortable injections, and provides comfort both during and after treatment. Consequently, patients don't experience the tenderness and soreness associated with conventional methods." To ensure a relaxed environment, additional comforts such as stereo headsets and head pillows are made available to every patient. "We always use an intraoral wireless camera to show patients what's going on in their mouth on a large screen. Our panoramic x-ray machines take a picture of the entire mouth and jawbone in twelve second without having to place multiple films in the mouth. Our patients love these features and conveniences. By having available such equipment, patients no longer have to fear gagging on multiple films to obtain a full mouth view. "Our patients often remark that dentistry has come a long way - that it's not the way it used to be," reports Dr. Rembos. "That's when we know we 're doing things right." E%t ~tDrm£dH~ Schedule a FREE consultation on a Wednesday afternoon in June and receive Botox Cosmetic for $ , 0.00/ Unit and 20% off Fillers. ~ADVANCED LaDanna Raye Hairstylist / (W ___l EYE CARE ~ & LASER CENTER One ofNaples' Favorite Stylists! We Focus on ALL your eye care needs 239-254-9100 www.stanciueyecare.comI239-949-2020 12980 Tamiami Trail N orth, Unit 18, Naples, FL 34110 ~x~ Specializing in corrective color ~;~ Easy care, low maintenace hair for Ladies & Gentlemen ;':;E: Medical hair replacement Dr. Alina StanciuJ MOJ fAAO Board Certified Eye Physician and Surgeon J5 years experience NewYori<. Trained Ruent in Spanish, French and Italian Medicare and Most insurances accepted - Now accepting most Vision plans 3501 Health Center Blvd, 2210 Bonita Springs I 840-1 11th Ave N # 2 Naples -------------------------------------------- contact us 239-389-9449 -------------------------------------------- 24 Health & Well ness July 2010- Lee Edition Neurological and Vestibular Rehab Dizziness and Balance Center of Southwest Florida I By Sheila LoBianco, MSPT Are You Headed For A Fall? Dizziness and balance problems can lead to falls, which are the number one cause of death from injury among those 65 and older. Fortunately, there is help. ccording to the American of Orthopedic Academy Surgeons, more than one-third of the population over the age of sixty-five experience falls each year, and many patients who suffer serious fall-related injuries die within two to five years. "Fifty percent of all falls are due to vestibular involvement," observes Sheila LoBianco, MSPT, Clinic Director of Dizziness and Balance Center of Southwest Florida, "and eighty-five percent of all dizziness problems are related to the vestibular system. " The vestibular system is the part of the inner ear that helps control balance. "Determining the type and degree of vestibular dysfunction is critical in developing a treatment program that will decrease a patient 's fall risk," points out Sheila, "yet recent statistics show that patients with vestibular disorders will see an average of six doctors before receiving a diagnosis. "However, those averages can be overcome." Jack Nuber says his balance had been deteriorating: "I tried to get help. I don't even remember how many doctors I saw ... but no one could help me . .. " Then Jack was treated at Dizziness and Balance Center of Southwest Florida. He says, "I wish I'd discovered this five years ago." He is now back on the tennis court. The number one indicator for fall risk is a previous fall. Other indications include symptoms of dizziness, decreased activity level, taking one or more medications, decreased sensation in the legs or feet, and fear offalling. "Falls are typically not the result of a single cause or risk factor," educates Sheila. "More often than not, they are the consequence of a combination of factors. Many gait and balance disorders are the result of neurological disorders such as stroke, ataxia, foot drop, Parkinson's disease, Multiple Sclerosis, and others." Benign Paroxysmal Positional Vertigo (BPPV) is a disorder that causes vertigo, dizziness, and other symptoms precipitated by a change in head position. Getting out of bed and rolling over in bed are two common "problem" motions. About fifty percent of dizziness in people over age sixty-five is due to BPPV Frances Houghton, who suffered with BPPV for years until she consulted with Dizziness and Balance Center, says, "In one treatment my vertigo was gone. It's miraculous ... " Not all balance problems can be solved in just one treatment," acknowledges Sheila. However Dizziness and Balance Center of Southwest Florida specializes in helping patients regain their balance and offers a comprehensive evaluation, individualized treatment, and intensive patient and family education. "That is what makes our program successful, while Dizziness and Balance Center Of Southwest Florida, P.A. 3820 Colonial Blvd., Suite 103 Fort Myers, FL. 33966 239-433-1777 - - - - - - - - - - - - - - - - - - - - - www.swfHealthandWellness.com - - - - - - - - - - - - - - - - - - - - - Lee Edition - July 2010 Health others fail ," states Sheila. "We have the equipment, education and experience to put the pieces of the puzzle together and use that information to design a treatment plan that actually works!" Sheila welcomes your inquiries regarding this article. For further information or to schedule an appointment, please call (239) 433-1777. Dizziness and Balance Center of Southwest Florida is Patients, hoth local and from all over the United States, seem to agree. Sheila says many of her regular clients are from as far away as Port Charlotte, Sarasota, Naples, even Central Florida. "And I've had family members fly their family down from New York and New Jersey because of our specialization, because we have training that no one else has." "I'd go back in a heartheat," states Clare Zukowski, a patient who was recently cured of her vertigo. "If it comes back again, that's where I'll go." & Well ness 25 How do I know if I have a balance problem? Check off the items that may apply to you. located at 3820 Colonial Blvd., Suite 103, in Ft. _ _ I have a tendency to touch walls and furniture when I walk around my house. Myers. Next to McGregor Baptist Church. _ _ I avoid walking on uneven surfaces like Sheila LoBianco, MSPT, received her MS in Physical Therapy from the University of Alabama at Birmingham. She holds a Certificate of Competency in Vestibular Rehabilitation and advanced Function Test University's certification in Vestibular Interpretation from Emory Department of Rehabilitation. grass, sand, or ramps. _ _ I feel unsteady when I need to go to the bathroom at night. _ _ I feel imbalanced when I shower or wash my hair, especially when I close my eyes. _ _ I notice I keep my feet far apart when I am standing or walking. Sheila has .!fifteen years of experience as a physical therapist treating patients with neuro- _ _ I feel I need to look down all the time to keep my balance. logical impairments and multi-factorial gait disturbance and is trained in Neuro-developmental Treatment (NDT). She has nine years' experience in the evaluation and treatment of balance and vestibular impairments. Sheila is a member of the American Physical Therapy Association (A PTA) Neurology Chapter, Florida Physical Therapy Association (FPTA), _ _ I have a lot of trouble negotiating curb steps or stairs. If you have checked off two or more of these statements, you should discuss this with your health care providers. ·Provided by Dizziness and Balance Center of Southwest Florida For more information, please visit www.BalanceSWFL.com and the Vestibular Disorders Association. Patients don't have to live with dizziness and balance disorders. Call Today! 239-481-5999 License #HHA29991364 , We Are SeniorAdvocates Your Partner in Home Health Care Solutions. Neurological And Vestibular Rehab Patients don't have to Dve with cllzziness and balance disorders. Specialty Programs Senior Care Management· Home Orthopedics Rehabilitation Optimum Balance · Urology· Transitional Care Program Te1ehealth· Alzheimer's and Dementia Care Giver Training Behavioral H ealth Program 3820 Colonial 103 Fort Myers, Florida 33966 -------------------------------------------- contact us 239-389-9449 -------------------------------------------- 26 Health & Well ness July 2010- Lee Edition Sonostream LIVE Ultrasound experience shared with loved ones near and far I I Sweet Baby 0' Mine Streaming your 4D ultrasound does not affect tbe quality in any way. It simply gives you a way to share something so precious with those who can't be next to you during this magical moment. It truly is an amazing way for everyone in your family to bond with your precious new addition ... no matter wbere they are in the world! it possible that someone in a different state (or country for that matter) can participate in and experience the ultrasound in real time? Yes, thanks to a new technology offered at Sweet Baby O'Mine. 5 The exciting new Sonostream LIVE technology will allow you to share your 3D/4D ultrasound experience LIVE - in real time, privately across the Internet with anyone in the world! Delighted Mommy-To-Be writes: I would like to express my gratitude for Using a secure broadband Internet connection and a password protected site, your friends and family can now experience tbe sights and sounds of your 3D/4D ultrasound session with you, both live as well as on demand! the two 30/40 experiences I have had at Sweet Baby 0' Mine. Your studio is always very inviting, relaxing and com- Across town, across the country, or across the globe, we can make it happen! Imagine the grandparents being able to sit at tbeir computer and share your ultrasound experience with you as if they were in the room too! Imagine your husband wbo is deployed in Iraq being able to experience the ultrasound right there with you and to be able to hear your voice as you both see the baby for the first time ... TOGETHER! How Does It Work? Using a video capture device that's integrated with the ultrasound machine, those you invite will see what you see! From a wave to a stretch to a yawn, you'll all be able to experience tbe 4D ultrasound together. As your ultrasound is performed, the 4D ultrasound images will be processed and streamed LIVE over the Internet and into their computer via our dedicated web server. The video stream is also recorded so that it can be viewed on-demand in the future. A microphone can be placed in the viewing room so that everyone watching can hear you talk as the ultrasound takes place. All the ooo's and ahh's will only add to the experience! Sweet Baby ~ Mine -~,' DISCOVER THE JOY Call Toda~! (239) 267 -BABY 2229 fortable. It is such an awesome and memorable time in my life to share my twins with family and friends. I love the OVO that came in my package it is so beautiful to be able to view at any time with my loved ones. I also thought that Sonostream LIVE was one amazing service that Sweet Baby 0' Mine provides to their clients. I am now able to share my twins with my family members in Upstate New York that were unable to be there with me! I am always anticipating the next time we are able to scan the twins so I can keep viewing the development and growth of my precious little miracles. - Jessica A. Join Sweet Baby 0' Mine on Facebook to view 4D ultrasound pictures, read what others are saying about the exciting services offered, and check out specials! Call and schedule your 3D/4D experience today IN A BUBBLE OR SMALL TEXT BOX: FREE Sonostream LIVE for deployed fathers! -------------------------------------------- contact us 239-389-9449 -------------------------------------------- Lee Edition - July 2010 Health & Well ness Aging B~!:~cefully I t usually starts in the mirror either some morning or a time of day when we see ourselves in unflattering light. What happened to our hair? My clothes don't fit. Why does my skin look like crinkled aluminum foil? What happened to the young body that looks like the way I feel? Read a few magazines or watch TV for a while and it's apparent that we are a society that values youth and also seeks happiness. Young is good, old is bad. Being young and having things make us happy, being old and having less makes us sad. Part of the reason that midlife can be so difficult is that it brings up our fears about aging. We fear that life is almost over and we still have not yet attained our long held goals. It would seem inevitable that as our muscles weaken, our hearing and vision fade , and as our skin gets wrinkled things would really get depressing. Bring on the antidepressants and the meds! Yes, it does seem dark and dismal, but a recent Gallup poll has found that by almost all measures people get happier as they get older. How can this be? And it doesn't always look so good for those young folks. Another study found that enjoyment and happiness decrease once we pass our "invincible years" gradually until we hit 50, rise steadily for the next 25 years, and then decline very slightly Loren said, "There is a fountain of youth: it is your mind, your talents, the creativity you bring to your life and the lives of people you love. When you learn to tap this source, you will truly have defeated age." Often times our minds go where our bodies are unable to follow. Physical conditioning and strength is not about youth and beauty, it is about having your body being the friend and vehicle it was meant to be. at the end. The decline can usually be associated with health issues, death of loved ones, and the typical problems of being a senior citizen. A commitment to your body through exercise and diet is as essential as financial planning. While good fortune and genetics can playa big part in anyone 's physical condition, more often our health is a result of the hard work we commit to ourselves so that we may be there with those we love and do the things that we love. Eleanor Roosevelt said, "Beautiful young people are accidents of nature, but beautiful old people are works of art." Researchers have also found that with age, many of us learn to live more comfortably with ourselves, and accept our human imperfections and frailties. We stop comparing ourselves to others, and begin to appreciate what we have. So since we can't avoid aging except by dying and since it appears that aging is not something to be feared, shouldn't we be focusing on how to age "gracefully"? Get out and get moving! What is aging gracefully? Is it being a silver haired person, impeccably dressed, and driving down the highway in their convertible? Wouldn 't it be better to be someone who feels good in their skin, is able to be active and do the activities they love without pain, and can live thinking that their body is not their enemy but rather a part of their life that they listen to and understand? As we can see from these recent studies, LouAnn Good is the Owner of Fitness Together, located in south Fort Myers, part of the world's largest personal training organization. She has over 15 years ofpersonal training experience in the Lee County area. All personal trainings at Fitness Together are done one on one in a private training studio where there are no interruptions; no waiting for equipment, and all the attention is on you, the client. "One Client - One Trainer- One Goal" As personal trainers, we work with our clients to guide them on a path to meet their goals. A client's typical goal is to bring their physical health to a condition where their body can function at a level that can keep pace with their thinking. Sophia [xrehel'lce ~e Miracle of 3D &4D LALtrasouVl 239-337-BODY www.FTFortMyers.com d From a yawn to a stretch, or the beating of your baby's heart, your 3D/4D ultrasound session will give you a realistic first look at your baby's movements in the womb. Sweet Baby O'Mine -- DISCOVER THE JOV Cal! Toda\j! (239) 267 -BABY 2229 27 CHOOSE HEART MONITOR OR RMR READING FREE WHEN ADDING 25 SESSIONS WITHIN SAME MONTH One personal 1 Client 1 T..-aine ... 1 Goal WE ARE NOT A GIMMICK. training session FREE + One Evaluation We are not going to transform your body in 24 hours. Or promise you results in 6 minutes or less. What we are going to do is change how you move, change how you eat, and change how you think, all to change how you feel. with purchase of 25 sessions • .... . .. .. 0II0< 0 ___ 1W, ..,. . _CIoont, OnIy Fitness Together Ft Myers ~ PRIVATE TRAINING GETS RESULTS. ALEXANDRA CRAIG, personal trainer 9671 Gladiolus Dr. ~ Suite '*108 ftfortmyers.com 239.337.BODY to get started. -------------------------------------------- contact us 239-389-9449 -------------------------------------------- Lee Edition - July 2010 Health & Well ness Are You Traveling This Summer? T he days of stress free flying are a thing of the past. After 9/11, it will never be the same. Arriving at the airport earlier is now a requirement, due to airport security. Having your check-in luggage and other carry-on items x-rayed and searched is now commonplace. Who would have thought that we would even be required to take off our shoes prior to boarding flights? No more taking water, perfume, cologne, shampoo, conditioners, mouthwash, toothpaste, or any other objects that may be considered dangerous; like tweezers, shaving razors, nail clippers or anything else someone could possibly use to hijack or bring down the aircraft. Snacks and beverages used to be complimentary, but now there are usually standard charges for any food or drink. There is now a charge for using headsets to watch & listen to in-flight movies or entertainment. [fyou would like to use a pillow or blanket during your flight; good luck, most airlines have discontinued them altogether. Most airlines also are charging for any extra baggage, especially if the items exceed a certain weight limit. Coping with all of these extraneous factors can be very stressful, especially if travelers are dealing with any other mental or physical handicaps. One disability, hearing loss, can prove to be extremely difficult and stressful when traveling, creating anxiety while trying to listen to instructions, or flight information while traveling. Arrival times, flight numbers, concourse information, gate numbers, aisle and seat numbers, and departing times are crucial to successful and timely travel. Hearing loss can make a person feel disoriented and anxious in some situations, especially when obtaining crucial information while traveling. Misunderstanding of vital data may prove not only to be very disheartening but costly as well, especially if an individual misses his or her flight. Obtaining another flight to the originally planned destination may not even exist. Hearing instruments can make all of the difference In the world. Hearing device wearers note they feel more confident, with less anxiety in most situations. They feel more self-assured than those individuals 28 that do not wear hearing devices. Other benefits noted by hearing instrument wearers, is they are more likely to participate in social activities, concerts, theaters, and groups. Users also have fewer feelings of isolation and depression, frequently associated with hearing impaired individuals. Also, most users note improved relations in their marriage, with friends and relatives, their mental health, sense of safety, relations at work, sex life and life-overall , since communication is a key factor. The use of hearing devices has many benefits tangible, and intangible. The newest digital technology has forever changed the way hearing impaired individuals can not only hear, but understand speech now and into the future. Don't get left behind! LEONARDI HEARING CENTER, INC. W.L. ' HUNTER' HUNTLEY. III. B( -HIS w.L. "Hunter" Huntley, III, Be-HIS, went to Edinboro State (ol/ege, Edinboro, PA, and finished his education at the University of Florida before entering training with Beltone Electronics in Chicago, IL He was a Beltone hearing instrument dispenser from 7986 to 1992. He has operated Leonardi Hearing Centerllnc., since 1994. 16251 N. Cleveland Ave. #8 I (Corner of Littleton Road) I N. Fort Myers, FL 33903 239-997-8288 ----------------------------------------------------------------- contact us 239-389-9449 ---------------------------------------------------------------- Lee Edition - July 2010 Health & Well ness 29 Doctors Talk About VAX-D "I've never found anything to work so well for back pain patients in my 39 years in medicine. VAX-D changes people 's lives and frees them from the misery of chronic low back conditions; it repairs damaged discs that cause excruciating back pain and sciatica. We have been able to fix the post-surgical train wrecks that no one else could repair. VAX-D should be used before surgery. VAX-D has lowered patients' needs for pain medicines-and that is a good thing." E. Michael Gutman, M.D. -Orlando, FL. Physician, Pain Specialist, Forensic Neuropsychiatrist, Back Pain Institute of Orlando • When I first saw the VAX-D system a few years ago, I had to find out if it worked because what the manufacturers were claiming was revolutionary and exciting. If it were true, r could help my patients without injections or surgery. What a dream come true! r looked at the medical studies performed on VAX-D, as well as the patients. r spoke with physicians who used VAX-D on their patients. I looked at the competition who claimed they were better than and improved over VAX-D, which cannot be since VAX-D is patented. The others may look very impressive, even sci-fi! Unfortunately, they are missing the patented science that is behind VAX-D. r became excited about VAX-D as a result of my in-depth study of the product. However, nothing compared to discovering for myself through using VAX-D in my own practice, that it works and can be the miracle cure that people are looking for. " A. Mohamed, M.D. -Houston, TX. Physician, Inlervenrionai Pain Management, Anesthesi%gist, Medical Spine Care Clinics J ( j ( VAX-D adds a new dimension to my practice by allowing me to noninvasively treat patient neck and back injuries that otherwise might require surgery. It also addresses the disc areas of neck and back pain that I cannot reach with prolatherapy injections. Further, combining VAX-D with other therapies, creates a synergistic approach that increases our patients' chances of complete recovery from pain and return to function." Daniel Royal, D.O.-Henderson, NV Physician, New Hope Medical Centers Patients have traveled to our clinic from allover the United States to be treated with VAX-D. My partner and r had a very successful multidisciplinary medical practice in Arizona. In 1994, after reading about VAX-D in a trade journal, we decided to travel to a clinic in California to see this "Medical Breakthrough" with our own eyes. We sat in the reception area for an hour and listened to the patients rave about the "magical" table. After a brief visit with the doctor, we flew home and bought the first VAX-D table in Arizona. Almost immediately, we too started to see seemingly miraculous results on the majority of our toughest cases. That was thirteen years ago, and I amjust as excited about VAX-D now as r was then." Thomas E. Blankenbaker, D.C. - Phoenix, A2 Chiropractic Physician, Spine & Disc Medical Center "I have treated literally hundreds of patients over the years from ages 17 to 84 with this revolutionary, non-invasive, non-surgical and non-drug treatment. The addition of a VAX-D clinic to my practice in 1999 clinically has been a most impressive and rewarding experience. I am thrilled to offer a treatment that has led to a reduction in use of many medications and an increase in quality of life." Gerald B. Weiss, M.D.-Norwalk, CT Physician, Board Certified in Neurology and Pain Medicine, Back Pain Specialist VAX-D: Non Surgical Spine & Disc Care l. e nt e r. Utilizing VAX-O treatment for Spinal Disc p(dl,'e"". "VAX-D therapy should be the initial Excruciating pain radiated down my left leg to my toes. MRI scans showed deterioration at the L4-LS and LS-S I areas. My doctor recommended a IS-day VAX-D regimen. r was doubtful about the sciatic pain in my leg, but I continued on the treatment and after the ISth session I only had a slight twinge occasionally. Since that day on, I have been completely free of the pain in my back and left leg. r jog the same as r used to, I cut the lawn, I'm back without any pain at all, and I've got to say that VAX-D was the thing that did it for me." Robert Channey, M.D. treatment for chronic back paIn patients suffering from bulging, herniated, degenerative discs, and facet syndrome. r view back surgery as a last resort, and VAX-D gives my patients a more conservative treatment option that can eliminate the need for surgery altogether. VAX-Dis also a treatment option for those patients who have had surgery and have a relapse or experience a return of pain following surgery. With VAX-D, r have a key non-surgical treatment for back pain." Vik Singh, M.D., Q.M.E. -West Hills, CA Physician, Former Assistant Surgeon General of the United States and Pain Specialists Physician, Medical Director, Corespine Program: California Back Non Surgical Spine & Disc Care Center, Inc. Utilizing VA X-D treatment for Spinal Disc problems. 14090 Metropo li s Ave., Suite 10 1, Ft. Myers, FL. 33 91 2 Tel: 239-728-DISC (3472) 1239-489-4100 e-mail: lowback2 @comcast.net website: www.239backpain.com -------------------------------------------- contact us 239-389-9449 -------------------------------------------- 30 Health & Well ness July 2010- Lee Edition THAT MAY CAUSE YOU STRESS! I By Myles Rubin Samotin, MD - Board Certified Orthopaedic Surgeon, Fellowship Trained in Foot and Ankle Y may have heard the term stress fracture, but just what is it and how does one get it? A stress fracture is exactly what it states it is, a fracture of the bone caused by "stress" to the bone. It is a "microfracture" of the bone, similar to a crack in the concrete of your driveway. It occurs due to several causes, but most of the time due to the muscles that support the body become overly fatigued and the stress transfers to the bone, sometimes resulting in a fracture. OU The people who get this fracture are people who either do repetitive exercises, (people who constantly are running, or doing consistent exercises that overexert the muscles) or people who have problems with bone quality or density, due to medical problems, poor nutrition, or osteoporosis. The muscles are not strong enough and the bone fractures. As you can imagine, these stress fractures rarely involve upper extremities, since we don't put pressure on these bones on a consistent basis. These fractures almost always involve the tibia (shinbone) or one of the many bones of the foot, many times involving a metatarsal bone. Women are much more likely to suffer these, since estrogen, which helps support bones, tends to decrease as women age. Long distance runners, triathletes are very susceptible to these fractures, BUT, many "snowbirds" will suffer from these when they first come down to Florida, since they will start a strong exercise program without properly building up the supportive muscles. The symptoms of stress fractures are relatively simple: PAIN. This pain will increase as you continue putting pressure and stress on the affected bone, and will subside when the bone can rest. The first thing in proper diagnosis is to a see the proper specialist who can give a correct diagnosis. Since the bones associated with stress fractures involve mainly the foot and ankle, then a foot and ankle specialist, with orthopedic experience is the proper medical person to see. He will order the proper tests, to diagnose the stress fracture. Most normal X-Rays will NOT show any fracture, and a person may be misdiagnosed because of this. Special tests such as bone scans and MRI's can make the proper diagnosis. When you see your orthopedic foot and ankle specialist, he will order the proper tests and will make the diagnosis of a stress fracture. He will rest your leg by placing it into a walking boot to give it the chance to heal. The most important thing to remember during this time of rest is that you MUST give it enough time for the fracture to heal. Several weeks of rest may be necessary. If you start to use the bone too early, the fracture may not have totally healed and another stress fracture may result. Therefore, care must be given to properly let the stress fracture mend. All patients must remember that the BONE IS FRACTURED. Give it time to heal. Anytime that a lower extremity has been consistently painful over a period of time, the diagnosis of stress fracture cannot be ruled out. You should seek your orthopedic foot and ankle specialist. I am the only fellowship trained orthopaedic foot and ankle specialist, with clinical experience of over 12 years in the Naples area. I believe my combination of extensive education and clinical experience along with willingness to use new techniques in a state-of-the-art office allows me to give the best possible care to ALL your foot and ankle needs. I know that I can give you the orthopaedic foot and ankle distinction. - - - - - - - - - - - - - - - - - - - - - www.swfHealthandWellness.com - - - - - - - - - - - - - - - - - - - - - Lee Edition - July 2010 Health Spiritual ())fiilness _______ y B,;., y "j;.;., e r.;.,r . .;oH.;..sk~ins'.;..M.;..S ...; M ;.;.. FT The Grand Buffet Belief System ur modem day culture has progressed into a society that no longer adheres to absolute truth, Whatever sounds good to me is true for me and whatever sounds good to you is true for you, When we go out to eat at a buffet, we like to get a little bit of this and a little bit of that to make one huge plate full of everything that looks good to eat With our "have it my way" mentality, we often times form our belief system in the same way we choose our food, No longer is it good enough to believe God's Word for what it says, instead, we believe bits and pieces of God's Word and we like to mix a little bit of psychology, a little bit of sociology, and throw in some new age philosophies and then you get a grand buffet helief system that is based on nothing substantial. God's Word says, "See to it that no one takes you captive through hollow and deceptive philosophy, which depends on human tradition and the basic principles of this world rather than on Christ" (Colossians 2:8) Our culture and modem philosophies of the day are like smog, We really don 't recognize we are breathing it in until we step out of it and look back, Our culture runs rampant with increasing influence from new age philosophies, psychics, and all sorts of religions, Something must change because we are so open to everything that we don't stand for anything! What do you base your beliefs on? How do you know what is true? Is it more logical to base your beliefs on man 's ideas and popular philosophies, or God's Word that has been tested and tried over the centuries? How can we get to a place where we make good decisions based on real truth? We need to start with who and what we allow to influence our thinking and behavior. Who Are We Listening Too? The lens that we see and live life through will determine the life you and I will live! Jesus tells us, "if you hold to my teaching, you are really my disciples. Then you will know the truth, and the truth will set you free, " (John 8:31-32) Those of us who claim to believe in Christ, are we really following & Well ness 31 Can't We Mix Worldly Philosophies With God's Truths? Why would we want to add anything to God's clear truths found in the Bihle? That is like saying here is a fresh, cold glass of water, let me add some sewer sludge to it, and than it will be ready to drink. That is absurd because we traded fresh water for disease infested sewer waste, This leads to physical sickness, as mixing worldly philosophies to God's perfect word leads to spiritual confusion and ultimately disease infested sin, That is why God's word says, "the foolishness of God is wiser than man 's wisdom, and the weakness of God is stronger than man's strength," (I Corinthians 1:25) We must recognize our knowledge is finite, fallible, and weak while God's knowledge is perfectly accurate, powerful, and unchanging, God's Word stands alone as the only source that changes men's hearts, everything else merely cleans up the surface, The philosophies of the day will come and go, but God's Word and His truths will stand forever because they are eternal. God's Word tells us that, "all men are like grass, and all their glory is like the flowers of the field; the grass withers and the flowers fall , hut the Word of the Lord stands forever," (I Peter 1:25) For more information, please contact Oasis Counseling Center at (239) 389-2073 or email [email protected]. Oas· Him? Christ tells us that we are set free when we follow His teachings, not mentally just believe He is the Son of God. If we say we follow Christ than we must he guided hy God's Word. That means we must study God's Word to know how God wants us to live. We can 't say I am following Christ, and not know what God 's Word says. The Bible tells us, "we know that we have come to know Him (Jesus) if we obey His commands. The man who says, I know Him (Jesus), but does not do what He commands is a liar, and the truth is not in him, But if anyone obeys His Word, God's love is truly made complete in him." (1 John 1:3-5) When God's Word guides our life than we grow in discernment and recognize the worldly teachings bombarding us. Who are we listening too, God or someone else? Are we getting our beliefs from God 's Word or worldly philosophies like Oprah, Dr. Phil, and other psychologies of our day? Counseling 6~~------l Call Today! 239.389.2073 ------------------------------------------ contact us 239-389-9449 ------------------------------------------ Dr. Magnant offers state of the art vein treatments in a spa-like setting. You'll find comfort in knowing that he is SWFL's premier Vein Expert and is a Board Certified Vascular Surgeon. Schedule An Appointment Today! 239.694.8346 weknowveins.com Joseph Magnant, MD, fACS Vein Expert and Board Certified Vascular Surgeon
