Download PDF with all 10 doctors

Qu i n t e s s e n t i al F O C US ™
2013
Trust.
When it comes to your family’s health care,
finding a doctor you trust is the first decision, and
possibly the most important one you’ll make. If
you’re looking for the best medical care available,
you don’t need to go very far.
The doctors and dentists appearing in these
pages have been trained at many of the same
world-renowned institutions and specialty training
programs you’ll find in downtown Chicago.
To receive the highest quality medical care
available, we recommend that you start here.
A Quintessential FOCUS ™ Special Advertising Section
The medical and dental professionals participating in this Special Advertising Section provided the
information in these articles. Quintessential Barrington has not independently verified the data.
You know what heartburn feels like.
But do you know what it can do to you?
T
hat burning sensation is caused by stomach
cause heartburn, but it can also cause ulcers,
acid backing up into your esophagus, the tube
strictures (narrowing) of the esophagus, Barrett’s
that carries food to your stomach. Those acids can
damage delicate tissue. Sometimes the damage
leads to cancer. That’s why chronic heartburn is
something you can’t ignore.
Dr. Willis Parsons at Northwest Community
Hospital introduces HALO Ablation Therapy, a
new outpatient treatment for Barrett’s Esophagus
that can stop esophageal cancer before it starts. Willis Parsons, M.D.
(Northwest Community Hospital)
Gastroenterology
Esophagus and cancer of the esophagus.
What’s important to know:
If left untreated, heartburn can turn into a pre-cancerous condition, known as Barrett’s esophagus.
Barrett’s sufferers are much more likely than others to develop esophageal cancer. About 10,00015,000 people in the United States are diagnosed
with esophageal adenocarcinoma each year.
Treating Heartburn
Heartburn is a painful condition most all of us have
experienced at one time or another. In fact, one in
10 Americans experiences heartburn symptoms
at least once a week. The American Gastroenterological Association reports that more than 60 million Americans experience heartburn symptoms
at least once each month.
Esophageal adenocarcinoma is now the fastest
Willis Parsons, M.D., is a Board Certified
growing form of cancer in the United States, and
Gastroenterologist. After completing
its incidence is rising faster than breast cancer,
medical residency and GI fellowship at
prostate cancer or melanoma. By the year 2015,
Harvard, he did an advanced endoscopy
it is estimated to exceed colon cancer if it contin-
fellowship at Maine Medical Center.
ues at its current rate.
As medical director of the GI Center
Barrett’s can be treated.
at Northwest Community Hospital, he
Heartburn is often uncomfortable, but it does
The treatment is called endoscopic radiofre-
is interested in improving the quality of
not usually pose a serious health problem for
quency ablation therapy. Radiofrequency ablation
patient care and evaluating the latest
most people. But – if left untreated – heartburn
(RFA) uses an electrode mounted either on a bal-
technologies. Dr. Parsons is recognized
can result in more serious health problems,
loon or endoscope to deliver heat energy to burn
as a top doctor by both U.S. News &
off precancerous spots on the esophagus. RFA
World Report and TopTierMD. He has
What is heartburn?
results in a high rate of complete destruction of
taught the HALO Ablation Therapy to
Despite its name, heartburn has nothing to do
Barrett’s esophagus, as well as reduces progres-
physicians nationwide. Dr. Parsons is
with the heart. Heartburn is a sensation felt in the
sion of the disease. It’s a simple procedure that
a nationally-recognized expert on complex
esophagus caused by acid that comes up from
doesn’t require surgery, and usually takes 35-45
the stomach (aka acid reflux). Heartburn is also
GI procedures and is considered a
minutes. It’s very safe. Patients recover quickly,
a symptom of a more serious gastroesophageal
leader in utilizing the innovative HALO
although some may have a sore throat or chest
reflux disease, or GERD.
discomfort for a few days following the proce-
What’s actually happening in the body that
dure. This is easily treated with medication.
even cancer.
ablation technology.
causes heartburn?
When swallowing, food passes down the throat
and through the esophagus to the stomach. Normally, there’s a muscular valve in the lower part
of the esophagus that opens to allow food into
the stomach (or to permit belching); then it closes
again. Then, the stomach releases strong acids to
help break down the food. But, if the lower valve
does not close tight enough, or opens at inappropriate times, stomach acid can reflux back into
the esophagus, irritating it and causing the burn-
For more information, or to request an appointment, contact:
Willis G. Parsons, M.D.
Busse Center for Specialty Medicine
Northwest Community Hospital
880 West Central Rd., Suite 4500
Arlington Heights, IL 60005
847-618-3060
www.therapeuticendoscopy.org
www.nch.org
ing sensation we know as heartburn.
Not only can stomach acid in the esophagus
A Quinte sse ntia l Foc us™ Spec ia l Adv ertising Sec tion
Building Partnerships with Hospitals
Ireen Evangelista, RN
Reha bilitation a nd Th er a py S erv ic es
Alden Estates Poised for Affordable Care Act
A
s we begin a new year, many health care
facilities are bracing for health care reform.
icaid (CMS) Core Measures. The Core Measures
For rehabilitation centers such as Alden Estates
and Pneumonia. By comparison, the National RTH
of Barrington, the Affordable Care Act is top of
Average for Heart Failure patients is 24.6 percent,
mind. The Affordable Care Act is a mandated na-
while patients diagnosed with Acute MI have an
tionwide initiative to make patient care safer and
average RTH nationwide of 19.9 percent. Those
to support effective transitions of patients from
with Pneumonia have an RTH of 18.2 percent.
hospitals to other care settings, including rehabilitation centers such as Alden. The initiative’s
primary goal is to reduce hospital readmissions.
Alden Estates of Barrington has been preparing for more than a year to meet the directives
as outlined in the Affordable Care Act, as well as
ensure its patients are functioning to the best
of their ability when they leave the rehabilitation
center and go home.
Return to Hospital Tracking
include Congestive Heart Failure (CHF); Acute MI;
Staff Training
Alden’s strategic approach includes a combination of tracking, therapy, technology, and staff
education that’s training-intensive.
All Alden staff must undergo intensive training
in orthopedic and post-acute protocols and spe-
Ireen Evangelista, RN, is the Director of
cific care plans. Alden partnered with Mayo Clinic
Nursing for Alden Estates of Barrington,
nurses to develop the training program, which in-
which specializes in short-term orthopedic
cludes 6-8 hours of additional classroom training,
recovery and post-acute services. She is
including post-tests and bedside training.
a registered nurse (RN) and is wound care
At Alden Estates of Barrington, short-term reha-
In the new healthcare era, nurses and staff
certified. Ireen was named 2011 Direc-
bilitation patients get the therapy, education and
need to be more skilled and knowledgeable in
tor of Nursing of the Year by the Illinois
tools they need to not only survive but thrive
meeting the needs of short-term patients.
Health Care Association (IHCA)
when they leave the facility and go home. When
Advanced Technology
patients leave Alden, the goal is make sure they
From electronic medical records (EMR) to elec-
are stable and able to return to living their lives. To
tronically monitored hourly rounds, Alden Estates
achieve this, physical, occupational, and speech
of Barrington has the technology and tracking
therapies are offered up to twice a day, seven
in place to meet the demands of the Affordable
days a week, to increase flexibility and functional-
Care Act.
ity. Nutritional counseling and exercises to do in
the home setting are an added benefit.
at its annual convention in Peoria.
In fall 2011, Alden made the switch from paper to computers to monitor patient care. The
Poised for Partnerships
In the past year, Alden Estates of Barrington has
spent a lot of time and money on technology, training and implementing new programs and services to
provide the right level of care as defined by the
Affordable Care Act. We expect hospitals will be
Alden realized a year ago when the Affordable
advantages include better tracking and trending,
Care Act was implemented that we needed to
enhanced quality of care and safety and improved
carefully vetting skilled nursing/rehabilitation facili-
get ahead of the curve, and so we started track-
consistency and accuracy of documentation. We
ties that can produce low readmission rates. Alden
ing and improving our outcomes to share with
can now track billings and reimbursements, im-
Estates of Barrington has tried to be at the forefront
hospitals. As a result, Alden Estates of Barrington
prove and streamline regulatory compliance, and
of the Affordable Care Act by being the first on the
has a very low Return to Hospital (RTH) rate of 0-5
reduce the time spent charting. Best of all, nurses
block to develop the measures we think are neces-
percent on the Centers for Medicare and Med-
spend more time with patients.
sary to be a preferred partner with area hospitals.
The Affordable Care Act and You
➜ The Affordable Care Act became a federal mandate in 2011
➜ The goal of the Act is to make patient care safer, support effective
transitions of patients from hospitals to other care settings, and to
reduce hospital readmissions
➜ Hospitals will be looking for skilled nursing/rehabilitation centers
that are committed to patient care and safety, and that have low
Return to Hospital (RTH) rates
Alden Estates of Barrington
Rehabilitation and Therapy Services
Contact: Ireen Evangelista, RN
Alden Estates of Barrington
1420 South Barrington Rd.
Barrington
847-382-6664
www.aldenestatesofbarrington.com
➜ Skilled nursing/rehabilitation centers must be able to educate
patients, train staff and have the tracking and systems in place to
ensure low RTH rates.
A Quinte sse ntia l Foc us™ Spec ia l Adv ertising Sec tion
Metabolic Syndrome: Epidemic of the Century
M
etabolic Syndrome, or Syndrome X, is arguably
doctor informed him about Metabolic Syndrome. Roy
spread as pimples and the common cold. This is the
was told to change his lifestyle and eating habits to avert
name given to a health disorder characterized by four
cardiovascular complications. He soon started eating
hallmark symptoms: central obesity, hypertension, hy-
healthier foods such as low calorie salads consisting of
perlipidemia and hyperglycemia.
lettuce, spinach, cucumbers, mushrooms, zucchini, raw
Meet Roy, a baby boomer born into a middle class
onions, and tomatoes. Roy also increased his soy and
family. During the first year of his life he was protected
whey protein ingestion by treating himself to seafood,
baby food.
Throughout his childhood, he began to carelessly
indulge in fatty items such as butter, cheese, and eggs
(with yolk) as well as carbohydrate filled foods like pancakes and chocolates. As Roy grew up and went to
school, his cafeteria was filled with a wide array of both
carbonated and caffeinated sodas, bacon, beef, and red
meat. At such a tender age he was eating around 2000
to 2500 calories per day; and as a result, Roy weighed
about 200 pounds at the age of 18 with a BMI of over 30,
lean beef (collagen), non-fried chicken, and egg whites
(albumin).
He realized fat and carbohydrate intake is one of
the main culprits for obesity. This occurs because the
body has four sections of energy to draw from in order
Sunil Kadakia, M.D., is a Board Certified
physician in internal medicine, general
cardiology, and interventional cardiology. He
to meet its metabolic needs: blood glucose, glycogen
has been in private practice since 1991 and
(in a form of stored glucose), muscle, and fat. It pulls
is licensed in the state of Illinois without any
from these reserves in a particular order: blood glucose
loss claim lawsuits for the past 21 years. He
is burned first, followed by the glycogen reserve. After
has extensive expertise in treating all types
glycogen is drained, the body turns to its muscle and fat
compartments. If we refill the glycogen stores, the fat
which is classified as obese.
Gener a l Ca r d iology
However, a turning point came in Roy’s life when his
the “epidemic of the century” and is as wide-
with an over whelming amount of love, milk, and
Sunil Kadakia, M.D., FACC
of adult cardiology diseases and has done
thousands of interventional procedures with
a very high success rate. Dr. Kadakia
Attending college, Roy enrolled in a meal plan with
burning halts until glycogen is once again depleted. Spe-
unlimited cafeteria food. Food items such as chips and
cifically, Insulin and Glucagon mediate the bodily energy
Cardiac Cath Lab Director at Advocate Good
candy became a part of Roy’s routine. He loved eat-
shifts between compartments.
Shepherd Hospital.
ing pizza, pasta, and desserts, while considering green
Reflecting back on our main character Roy, although
vegetables and lettuce as “grass.” His calorie intake in-
he had difficulties implementing his new medically su-
creased to a whopping 2500-3000 calories per day and
pervised diet, Roy was highly motivated, and greatly
as a consequence, his resulting weight was 250 pounds
reduced his carbohydrate and fat intake by eating 30-
with abdominal obesity.
40 grams of carbohydrates and fats and 110-120 grams
Roy started noticing certain issues such as the dis-
of protein, which is around 900 calories per day along
comfort of travelling, both for him and his co-travelers.
with vitamins and mineral supplements. As a result, Roy
Furthermore, if Roy and a co-worker were engaged in
started losing weight at a steady pace due to fat metabo-
a discussion, walking through a three-foot doorway
lism as a primary source of energy. Along with a boost
seemed to be an obstacle since Roy was unable to ac-
of confidence, he enjoyed shopping for new outfits since
company his companion. Overall, his weight gain chart
his waist size had reduced from 44 to 32 inches over a
looked like a stock market boom and the scales didn’t go
up to his weight!
He started experiencing shortness of breath while
walking at a fast pace or climbing stairs. In addition, he
was unable to sleep comfortably on his back at night
having excessive snoring, frequent episodes of absent
breathing (apnea), and daytime sleepiness (obstructive
sleep apnea). Roy also experienced leg edema and progressive weight gain (Right heart failure), frequent urination, increased waves of thirst and hunger (Diabetes),
and intermittent headaches (hypertension).
Barrington Cardiology’s goal is
to practice safe, effective,
patient-centered, timely, efficient,
and equitable health care. We
will provide efficient service based
on your needs and values, with
scientific-based care.
self-esteem, vitality, and a better sexual life and family
life. He said goodbye to any blood pressure, diabetes,
or cholesterol lowering medications. In the end, he had
better control of his portions and food choices, and in
effect, of his life.
Consequently, I urge you all to follow Roy’s example and live healthier lives. Overweight patients want
rapid results and a program they can stick to. This low
intake carbohydrate/fat diet with appetizing protein meal
Not sleeping well, he awoke tired. His snoring required sleeping away from his wife for the past two
patients who are looking to engage in a healthier life-
years so she was not kept awake. His fasting insulin lev-
style with longer lasting outcomes. A word of advice,
els exceeded 300 (as high as the test would go). His tri-
“Don’t dig your grave with your own knife and fork.” As
glycerides were at 280, and the coronary risk was rated
the esteemed Hippocrates once said, “Let food be your
an 8, with 4 being the normal high mark. Even his vita-
medicine and medicine be your food”.
low. Moreover, he had low testosterone levels.
Dr. Kadakia’s Philosophy
span of 6 to 9 months. Roy also gained more energy,
supplements is an effective treatment tool meant for
min D levels were at 24, while 50 is normally considered
is Chairman Section of Cardiology, and
Barrington Cardiology
Sunil Kadakia, M.D. Interventional Cardiology
Lipid Clinic
Irina Staicu, M.D.
General Cardiology
Vein and Pacemaker Clinic
Hetal Gandhi, M.D.
General Cardiology
Nuclear Cardiology
Vascular Clinic
120 N. Northwest Hwy
Barrington, IL 60010
847-516-2424
www.BarringtonCardiology.com
Article co-authored by Karishma Kadakia and
Natasha Kadakia.
A Quinte sse ntia l Foc us™ Spec ia l Adv ertising Sec tion
Reshaping Your Body After Pregnancy
or Weight Loss
W
hether it is five or 50 pounds, our bod-
Breast tissue changes with both pregnancy
ies go through significant changes with
and weight loss. Lax skin may leave the breasts
weight fluctuations. For example, during preg-
appearing stretched out and changes in breast
nancy, skin stretches to accommodate the grow-
volume, particularly after breastfeeding, may
ing baby. After giving birth and losing any excess
leave the breasts looking deflated. In addition to
pounds, skin may be stretched and sagging. Simi-
change in breast size and projection, loss of vol-
larly, with any amount of weight loss the appear-
ume may also result in asymmetry of breast size
ance of the face, breasts, and body may sag, and
and distortion of the nipple and areola. Reducing
appear aged, rather than ideally reflecting your
excess breast skin and redefining projection and
new, leaner physique.
the appearance of the nipple and areola can be
Renee Burke, M.D.
Plastic Surgery • B r east R estor ation
Renee Burke, M.D., completed plastic
surgery training at Vanderbilt University
Pregnancy is just one example of dramatic
accomplished by mastopexy, or breast lift. To re-
change to the body. The increased safety and
place lost volume, a breast implant is commonly
popularity of bariatric surgery (weight loss
recommended. Breast implants and a breast lift
plastic surgery training at Miami Children’s
surgery), including gastric bypass or gastric band-
are often combined to produce optimal breast
Hospital, and specialized training in
ing surgery, has both women and men excited
size and desired shape and firmness.
aesthetic surgery of the breast, eyes
Medical Center, craniofacial/pediatric
about achieving a new weight, but disappointed
Excess skin in the upper arms and thighs can
in the resulting appearance of loose, hang-
become a source of embarrassment when wear-
ing skin that does not improve despite fitness
ing sleeveless tops, shorts, or dresses. This skin
efforts or additional weight loss. Body contouring
is often accompanied by residual excess fat that
in Atlanta. Dr. Burke’s practice serves
to lift, excise, or reshape the skin and irregular or
can lead to rashes or irritation as the arms rub
Barrington and the Chicago region. She
excess pockets of fat can help achieve a toned
against the body or the thighs rub against one
is on staff at Advocate Good Shepherd,
and shapely appearance.
another. These conditions can be treated through
St. Alexius, Alexian Brothers Medical
and face with renowned oculoplastic and
aesthetic surgeon, Mark Codner, M.D.,
In addition to loose, hanging skin that may re-
arm lift (or brachioplasty) and thigh lift. Liposuc-
sult after pregnancy, the muscles of the abdomen
tion may be performed to first reduce excess fat
may also be stretched and may separate. Known
and reshape contours, with excision of the ex-
as diastasis recti, in this condition the abdomen
cess skin and a lift to follow, often performed in
surgical and nonsurgical rejuvenation of
can appear to have a bulge present when tensing
one surgical session.
the face and eyes, and body contouring
Center, and Sherman Hospitals. Dr. Burke
specializes in surgery of the breast,
the abdominal muscles. An abdomen with pro-
The resulting firmer, slimmer body after
nounced bulging appearance at rest may indicate
weight loss may result in an unexpected aging
herniation as a result of diastasis. Abdominoplas-
facial appearance. With weight fluctuation comes
ty, or tummy tuck, addresses specific abdominal
changes in facial volume that result in deflation
conditions to remove excess skin and/or tighten
and descent of our tissues. Jowls and loose skin
often in combination with fat grafting to restore
and return abdominal muscles to their proper po-
may develop in the face and neck, resulting in an
lost fullness can restore your facial appearance to
sition, as well as reduce excess pockets of fat.
aged or tired appearance. A facelift and/or necklift
a more youthful image.
through liposculpture.
Weight loss occurs for many reasons, and the
conditions that each of us experience are highly
individualized. I have two primary goals in adContact Information:
dressing your body image concerns post-weight
Renee Burke, M.D.
loss: identifying your specific needs, and custom-
Cosmetic and Plastic Surgery Associates
izing a safe treatment plan to help you realize and
1786 Moon Lake Blvd., Ste. 205
Hoffman Estates
847-885-1200
achieve realistic goals. No matter the source of
www.ReneeBurkeMD.com
email: [email protected]
Like on Facebook at Renee Burke MD
for six months to a year, and may not be indicated
weight gain or loss, body contouring is only recommended after achieving a stable weight loss
if you are planning future pregnancies. Even years
later, significant changes in weight or additional
pregnancies can dramatically influence the outcomes of your prior body contouring procedures.
A Quinte sse ntia l Foc us™ Spec ia l Adv ertising Sec tion
Smile for Success!
W
hen you hear that someone has a winning
into personality traits and physical characteristics.
smile, it usually means that the person
When asked to specify what physical attributes
has an attractive smile that is pleasing to look at.
are most closely associated with beauty, men
But does the attribute have literal implications
were most likely to select eyes (71 percent) fol-
that defines that individual’s social status and
lowed closely by the smile, whereas teen girls
success? Can a winning smile indicate that the
and women cited smile most often (60 percent
person is headed for a life full of success and hap-
and 61 percent).
piness? Some people believe so.
Thomas Jackson, D.D.S.
C osmetic a nd Impl a nt D entistry
A strong, beautiful smile has power. A full,
It’s well-known that being beautiful affords
genuine smile automatically exudes confidence,
people a variety of advantages. Many studies
likely due to the fact that people with great smiles
have shown that how a person looks influences
are more self-assured.
how they are perceived and treated by others. In
According to the Smarter Smile Survey con-
addition, scientific studies indicate that attractive
ducted by Harris Interactive, 64 percent of re-
people exhibit more positive behaviors and traits
spondents agreed that people with nice smiles
than those who are unattractive.
are more outgoing, and 87 percent thought that
Attractive people get ahead
the smile is very important to self-esteem.
Thomas Jackson, DDS, is advancedtrained in periodontics and periodontal
prosthesis. Dr. Jackson is a board-certified periodontist and the founder of the
Chicago Center for Cosmetic & Implant
Dentistry. He lectures nationally and
It is now thought that the advantages of being
In a separate study by Orbit chewing gum,
beautiful transfer to the work environment. A re-
roughly six in ten adults believe that if they had a
internationally on issues relating to dental
cent survey conducted by Elle magazine and MS-
whiter smile, it would boost their self-confidence.
implants and cosmetics. Dr. Jackson is
NBC found that attractive bosses are more likely
In addition, the study also found that 71 percent
an associate professor at Northwestern
to be described as competent, collaborative, and
of the respondents believe people with nice
good delegators.
smiles make friends far more easily than those
The results of the survey also indicate that
beauty confers virtue: “Good-looking bosses are
thought to have gotten their jobs because of rainmaking ability, hard work, social skills, and talent.”
On the other hand, less than 15 percent of unattractive bosses received high marks from their
employees. The report stated that “unattractive
bosses are suspected of crooked advancement:
nepotism and inflating their resumes.”
with crooked teeth.
and he may be reached at 847-842-6900.
Take your smile to the next level
So what can be done to improve your smile? The
first step is to have an evaluation by a cosmetic
dentist. In general, a pleasing smile begins with
a healthy smile. A full examination will reveal any
problems related to dental decay or periodontal
stains or lighten yellowish teeth. In addition, replacing older, discolored fillings may also spruce up your
smile. More dramatic options to create that winning
disease. Once your teeth and gums are found to
smile could include gingival plastic surgery, braces,
be healthy, a cosmetic dental evaluation is neces-
veneers, or a cosmetic reconstruction.
sary to outline goals and set up a cosmetic plan.
A beautiful smile has power
University’s Feinberg School of Medicine,
With the porcelain veneers and no-metal crowns
So what defines beauty? In a Clairol “What Is
The plan may be as simple as having your
that are available today, the result can be very natural
Beauty?” survey, beauty attributes were divided
teeth cleaned and whitened to remove unsightly
in appearance. A cosmetic dentist can go through all
of the options with you. If you’re looking for a cosmetic dentist, make sure to do your homework. Ask
to see a portfolio of actual completed cases and ask
Contact Information:
for references from other patients.
Dr. Thomas Jackson, D.D.S.
The Chicago Center For Cosmetic & Implant Dentistry
205 W. Main Street
Barrington
847-842-6900
www.cccid.com
A step in the right direction
So will whitening your teeth get you that job promotion you’ve been working toward? Will correcting your
crooked front teeth bring you life-long happiness?
Certainly there are many factors involved when considering life success, but having a nice smile and feeling confident is a step in the right direction.
A Quinte sse ntia l Foc us™ Spec ia l Adv ertising Sec tion
Take Care of Your Hearing
T
he sense of hearing is essential for proper
Adults and Older Adults
development of speech, intellect, and social
During this developmental stage, we are often
behavior. The auditory, or hearing system, re-
preoccupied with our professional and family
sides in one of the strongest bones in our body,
lives and try not to pay too much attention to our
the temporal bone. Sound travels through the
hearing, however, some individuals may start
ear canal and is amplified by the ear drum and
experiencing hearing loss. Around fifty years of
the hearing bones-ossicles.
The inner ear, or
age, our hearing begins to deteriorate noticeably.
the cochlea, transduces the sound pressure into
Some people may start to develop hearing loss
electrical impulses that are transmitted to various
due to genetic predisposition, diseases of the
areas within the brain including the auditory cor-
hearing bones, or intake of certain medications.
tex, which processes the sound information. It is
Often the level of noise exposure at work place
important to care for this system throughout the
can add to natural hearing weakening. Gener-
phases of life.
ally, hearing loss occurs slowly and the person
Childhood
During the first few years of life, hearing is vital
for the development of speech. Neonates are
screened for possible hearing loss, in order to
avoid any problems related to hearing that could
have an effect on the proper development of
speech. If parents observe any delay in speech
development or abnormality in their child’s behavior, (asking to increase the volume while watching
TV or not responding to verbal commands) they
should have their child screened for hearing loss.
Arkadiush T. Byskosh, M.D.
Ear, Nose, Throat and Allergy Specialist
losing hearing does not perceive this, but family
Arkadiush T. Byskosh, M.D. is Board-
members and friends are the ones who notice
Certified in Otolaryngology-Head and
these changes. An individual may have problems
understanding speech, especially if there is any
Neck Surgery. He attended Northwestern
noise present; therefore, people may avoid their
University in Chicago for medical school
regular activities like going out to the restaurant
and residency. The Ear, Nose, Throat and
or to the movies with friends. As a result, some
elderly individuals may feel alienated and even
Allergy Clinic, S.C. offers comprehensive
depressed when not able to have normal family
hearing assessments by a Doctor of
and social life. Additionally, the more input our
Audiology. Hearing aid evaluations and
brain receives, the better it can function and preserve our intellectual ability. Untreated hearing
the sale of most nationally-recognized
School-age children may be misdiagnosed with
loss can lead to early signs of dementia and other
brands are also available. Services and
learning disabilities, Attention Deficit Disorder
mental disorders. It is crucial to have our hearing
(ADD) or Attention Deficit Hyperactivity Disorder
treatment include: the treatment of ear
checked on a regular basis during this stage of life
(ADHD), while in reality, they may have a problem
by specialized physicians. In some cases, simply
with hearing. The hearing problems in this stage
ear cleaning can improve hearing difficulties, yet
nasal obstruction, endoscopic sinus
of life may be medically or surgically corrected
in other situations hearing aids are recommended
through the placement of ear tubes when fluid
surgery, allergy testing and treatment,
to enhance our lifestyle. In our modern times,
is present in the middle ear, or proper hearing
there are multiple hearing aids to choose from
aids may be suggested when nerve weakness is
which can be minimally visible and comfortable.
detected. In certain situations, a child may need
Throughout all of these stages, maintaining
a cochlear implant which can restore hearing if
the health of our hearing can improve our intel-
hearing nerves are not functional.
lectual, family, and social life.
disease, tinnitus and dizziness, sinusitis,
as well as snoring and sleep apnea.
Adolescence and Young Adults
These are the difficult years for our hearing.
Most children should have had their hearing difficulties diagnosed prior to this stage, but adolescents can develop hearing loss, even though
their hearing was normal in childhood. Infection,
neurologic conditions, and other illnesses can
cause hearing loss that may become apparent
during this developmental stage.
Listening to
loud music or working in a noisy environment for
Contact Information:
Arkadiush T. Byskosh, M.D.
Ear, Nose,Throat and Allergy Clinic, S.C.
1525 S. Grove Ave., Suite 101
Barrington, IL 60010
847-382-7000
www.barringtonhearingcenter.com
prolonged periods of time can lead to permanent
nerve hearing loss.
A Quinte sse ntia l Foc us™ Spec ia l Adv ertising Sec tion
Interventional Pain Management Can Be
the Answer for Chronic Pain Sufferers
T
housands of people around the country live
pational rehab, complementary and alternative
with chronic pain. It could be the dull pain re-
methods, and psychosocial support. Key to the
lated to headaches, the crippling pain of fibromy-
success of the treatment, however, is the pa-
algia, or pain that originated with trauma to the
tient. Without patient cooperation and openness
neck or back from an old sports injury or accident.
to new treatment methods, successful outcomes
The physical effects of chronic pain include tense
cannot be achieved.
muscles, limited mobility, a change in appetite
and an overall lack of energy. Prolonged physical
effects can lead to emotional issues such as depression, anger, and anxiety.
Chronic pain is best described as persistent
pain that lasts longer than three months or beyond the expected period of healing and is not
relieved by standard medical management. Often
with chronic pain, normal lifestyles can be restricted or even impossible.
Living with chronic pain, however, should not
J. Nnaemeka Onwuta, M.D.
Interv entiona l Pain M a nagem ent
According to Sg2, a leading healthcare intelligence organization, studies show that 60 percent
of patients in chronic pain management programs
experience pain reduction as compared to 25 percent of patients receiving conventional medical
J. Nnaemeka Onwuta, M.D., is board
treatment. Also, the need for medication can be
certified in anesthesiology and pain
reduced up to 75 percent.
management and serves as the medical
Depending on the type of pain a person is suffering, there are several interventional procedures
director of Advocate Good Shepherd’s
that can be used on an outpatient basis, such as
Interventional Pain Center. In practice for
the past 15 years, he is a member of the
be the same as living in pain. With today’s highly
epidural injections into the spine, nerve blocks to
advanced interventional pain management tech-
reduce pain, spinal cord stimulation using elec-
nology there are many ways to treat the pain that
trical impulses, discography that takes an inside
does not involve a life reliant on medications.
look at discs to determine the source of pain, and
Advocate Medical Group and has offices
in Algonquin and Barrington. He received
Interventional pain management is defined by
implantable drug pumps that deliver pain medi-
his medical degree from the University of
the American Society of Interventional Pain Physi-
cations right to the source of the problem. Even
Pittsburgh School of Medicine and did his
cians (ASIPP) as “a discipline of medicine devot-
more advanced techniques and procedures in-
ed to the diagnosis and treatment of pain related
fellowship in pain management at Cook
clude spinal cord and peripheral nerve stimulator
disorders.” Interventional pain management is a
implantation, spinal injections and fracture aug-
welcome alternative for individuals who have ex-
mentation procedures such as vertebroplasty and
hausted traditional treatment methods.
kyphoplasty that involve injecting acrylic cement
Practice, the American Academy of Pain
into the fractured vertebra for stabilization.
Management, and the American Society
This multidisciplinary approach to relieving,
reducing or managing pain starts with your primary care physician. Your doctor will begin by looking
for the root cause of the problem, and in many
cases refer you to a pain management specialist who will work in collaboration with you and
your primary care physician to develop a treatment plan.
County Hospital. He is a member of the
American Society of Interventional Pain
Remember that chronic pain sufferers do not
of Anesthesiologists. Dr. Onwuta is a del-
have to go it alone. Pain management programs
egate to the Illinois State Medical Society
like the one offered at Advocate Good Shepherd
and is the former president of the Kane
Hospital are close to home, and provide the ex-
County Medical Society.
pertise and advanced treatment methods that
can put you on the road to a pain-free life.
A pain management specialist is a doctor board
certified in pain management and frequently also
board certified in additional disciplines such as anesthesiology, neurology or physical medicine and
rehab. The pain management specialist begins by
performing a comprehensive physical exam and
thorough evaluation of your medical history. This
may involve a series of diagnostic tests to rule out
other conditions that present similar symptoms.
Based on this knowledge, the pain management
specialist will develop a treatment plan to help
reduce your pain and regain control of your life.
Pain management
specialist Dr. J.
Nnaemeka Onwuta’s
practice philosophy is to provide
competent medical
care to patients while
treating them with
respect, compassion
and the utmost devotion to their needs.
Dr. Onwuta recommends starting with your primary care
physician when experiencing any pain-related issues.
J. NNaemeka Onwuta, M.D.
Advocate Medical Group
Advocate Good Shepherd
Outpatient Center
Advocate Good Shepherd Hospital
Medical Office Building 2
2284 County Line Rd.
27750 W. Hwy. 22
Algonquin
Barrington
847-304-3645
847-842-7540
A pain management treatment plan combines
interventional treatments, physical and occu-
A Quinte sse ntia l Foc us™ Spec ia l Adv ertising Sec tion
Photo Finish
Alecia Grounds
Ph ys ica l Th er a pist
Physical Therapists Use New Video Motion Technology
T
hrough the years we have seen many chang-
ally takes less than five minutes and incorporates
es to how we function in daily life due to
different angles to capture deviations in multiple
the transformations in technology. Most would
planes of motion. Another appointment is sched-
say advances in technology have made our lives
uled one to two weeks later to review the video
easier. Physical therapists would agree that the
and provide an in-depth analysis completed by the
generation of video analysis has been able to sup-
physical therapist. With the data collected in the
plement the plan of care for patients by allowing
analysis, a therapist can recommend appropriate
physical therapists to breakdown functional tasks
exercises and modifications strategies to improve
that the human eye alone cannot detect.
the functional task in order to decrease pain.
Dartfish is a video analysis software that allows a physical therapist to record and scientifically analyze a patient’s functional motion. This
current technology enables physical therapists
to detect deviations and compensatory patterns
in order to identify a current pain source and to
prevent injury. The movement can be reviewed in
a frame by frame playback utilizing the Dartfish
software. Dartfish allows a wide variety of sports
to be analyzed such as running, biking, golfing,
and throwing.
Most health insurances will cover a Dartfish
analysis and for those that do not, there is a reasonable cash rate. The process begins with an
The analysis is where a therapist can detect
deficits and compensatory motions that may be
contributing to the pain. The therapist is a movement specialist and will breakdown the transi-
Alecia Grounds is a physical therapist at
tional phases of a specific sport to address any
Accelerated Rehabilitation in Barrington.
deviations. Once the therapist has identified de-
She graduated from Carroll University
viations, they are able to conclude specific impairments and contributing factors that are causing
in 2011 with her Doctorate of Physical
the deviation and pain. In the follow up visit the
Therapy. To schedule a free injury screen
patient will be presented with visual feedback to
or to discuss the benefits of Dartfish
allow the patient to see how their body is moving.
please call 847-381-0372. Accelerated
The therapist will provide an updated home exercise program to address any strength or mobil-
Rehabilitation Center in Barrington
ity deficits seen in the video. A copy of the video
accepts most insurance, offers early
that includes questions about the specific sport
will be sent home with the patient to offer con-
morning and late evening appointments,
and any pain complaints. For instance, questions
tinued learning.
and offers a variety of programs such
evaluation. This consists of a subjective history
that would be gathered about running include
Early in 2013, Dartfish will be available at Ac-
number of years the patient has been running,
celerated Rehabilitation Center in Barrington for
how many miles per week, type of shoe wear/
running analysis. Accelerated Rehabilitation will
and balance training, Graston Technique/
orthotics, terrain where most running occurs and
also be creating a golf program mid-year to ac-
ASTYM, certified manual therapy, and
any upcoming races. Next, the patient will warm
commodate the community’s interests. A golf
a headache/concussion program.
up by performing the activity and then the func-
professional will be joining the Accelerated Rehab
tional task is recorded. The video recording usu-
team to assist with improving golf swings.
Over the past couple of years the minimalist shoes have
as hand therapy, vestibular rehabilitation
cause of pain. In doing so, a person can increase their chance for
Speak with your doctor, or consult your local
physical therapist for an injury screening
to see if conservative treatment is right for you.
To schedule a physical or occupational therapy
appointment, or a complimentary injury
screening, please contact:
further exacerbation or creating a new injury. Video analysis will
Accelerated Rehabilitation Centers
be able to detect other factors in running such as type of strike
455 W. Northwest Hwy., Unit A
Barrington
847-381-0372
increased in popularity. Some runners with pain will attempt to
switch to a minimalist shoe without knowing their own mechanics
or without changing other running factors that may be the actual
pattern, cadence, step length and other components that can ensure
proper shoe wear for a specific runner.
www.AcceleratedRehab.com
A Quinte sse ntia l Foc us™ Spec ia l Adv ertising Sec tion
Vein Disease Is Not Just a Disease of the
Elderly and Actually Is Inherited
M
y understanding of vein disease, and that
of young adults, whose parents have vein disease
of my physician peers, was about the
or varicose veins, can prevent decades of suffer-
same as the general public’s when I first began to
ing. The genetic chance of inheriting varicose vein
practice medicine. It was essentially that varicose
disease from one parent with known disease is
veins and venous hypertension were an older per-
about 40 percent; if both parents have the prob-
son’s disease and in the decade before someone
lem, it can jump to almost 90 percent!
retired, they would begin to experience varicose
I have successfully treated 15- to 20-year-olds
veins and then have them for the rest of their life.
in my practice, who already had advanced vein
Much of what I believed about varicose veins was
disease. When treated proactively, even before
predicated on that long ago misunderstanding.
varicose veins develop, almost a lifetime of pain,
Stephen Rivard, MD,
ACEP, RPhS, FACEP
VArico se Vein Spec ia list
Stephen Rivard, MD, ACEP, RPhS, FACEP
Now that the science of veins and vein dis-
fatigue, swelling, cramping, and poor blood flow
ease has become a Board Certified medical
can be avoided, not to mention the prevention of
specialty (Phlebology), the facts of the matter
cosmetic issues. Moreover, younger women can
of Excellence in the Diagnosis and
are known to be quite different. Vein disease is
also avoid the sometimes debilitating pain and
Treatment of Vein Disease™, located
predominantly genetically inherited and actually
complications of blood clots during pregnancy via
begins to manifest, although not always visibly, in
the same proactive screening.
the mid – to late-teen years.
It is important to know this for several reasons. Early evaluation of venous flow in the legs
of Illinois Vein Specialists, SC, a Center
in Lake Barrington, IL.
Dr. Rivard holds double Board Certification
in Phlebology (the study of vein disease)
The Modern Treatment of Vein Disease
and Emergency Medicine and he is also
In previous generations having to live with chronic
Certified in Ultrasonography, the key
vein disease was almost taken for granted. That’s
because in those days treatments for varicose
veins required anesthesia, a two-hour surgical
Dr. Rivard’s Philosophy: I can’t
think of a better career than medicine for someone, like myself,
who’s been intellectually curious
as long as I can remember. The
complexity of the human body
that ages and changes over time
and acts in an environment that
may contain dangers like disease
and accidents – what a wonder!
What could be more challenging
than puzzling out what’s going
on when a patient presents? The
diagnosis we make is based on
knowledge and experience, the
information they provide and the
testing that we do. What fun! And
then I get to live a life of service
to others by intervening and making the patient healthier than they
were when we first met. If there
is a better way to live, I don’t
know of it.
is the Founder and Medical Director
diagnostic technology employed in both
diagnosing and treating vein disease.
As a member of the first group of physicians to be Board Certified in Phlebology,
intervention in a hospital, significant post-opera-
he has pioneered in the development of
tive discomfort and were only successful about
this new field of medicine and has treated
50 percent of the time. And there was often a
thousands of patients. That’s why he is
a much sought after trainer of new phle-
recurrence. No wonder many chose to live with
bologists and, as the implications of vein
the pain instead of having the surgery.
disease have become better understood
Modern treatment methods, however, are
safer, almost pain free, far more successful--at a
by the medical profession, Dr. Rivard has
also become the region’s go to diagnostician for anomalous medical findings.
rate approaching 100 percent, and performed in a
His education and training include: B.S.,
doctor’s office with virtually no recurrence.
Loyola University, Cum Laude with honors; M.D., Loyola University; Residency,
Emergency Medicine, Butterworth Hospital, MI; and Fellowship training in Phlebol-
Contact Information:
ogy. Dr. Rivard carries the following Board
Certifications: National Board of Medical
Stephen Rivard, M.D.
Illinois Vein Specialists
Examiners; Phlebology, American Board
22285 Pepper Rd., Ste. 105
Lake Barrington
847-277-9100
American Board of Emergency Medicine;
www.IllinoisVeinSpecialists.com
Emergency Medicine. He is Certified in
of Phlebology; Emergency Medicine,
Diplomate, American Board of Emergency
Medicine; Fellow, American College of
Vascular Ultrasonography.
A Quinte sse ntia l Foc us™ Spec ia l Adv ertising Sec tion
A1C: What’s the Score?
IN
addition to self-testing blood glucose lev-
the form of more A1C, only until old red blood
els daily, it is important for people with
cells in your body die to be replaced by new ones
diabetes to also have the A1C test that measures
(with fresh hemoglobin), thereby erasing the A1C
the average blood glucose control for the past 2
“memory.”
to 3 months. Think of the A1C test like a baseball
player’s season batting average. Just like a single game’s batting record doesn’t give the complete picture for the player, single day blood test
A1C level is measured at the time of your diabetes diagnosis, or when treatment begins. Depending upon your situation, you may need to
have your A1C level tested at least twice a year,
effectiveness of your diabetes treatment plan.
or you may need testing every three months.
By measuring the fluctuating percentages of
More frequent testing may be indicated if you
A1C in the blood over a period of two to three
have started a new medication, or if you aren’t
months, you can get an overview of your average
meeting your blood glucose goals.
blood glucose control. This is very important to
ment program is striking out or hitting home runs!
By measuring the fluctuating
percentages of A1C in the blood over
Simply stated, a protein found inside red blood
get an overview of your average blood
cells, called Hemoglobin, will attach (the techni-
glucose control. This is very important
cal term is “glycate”) to glucose. (For trivia buffs,
the name “glucose” comes from the Greek word
“glukus,” meaning “sweet” and the suffix “-ose”
Endocrinologists are specially trained to
diagnose and treat hormone imbalances
and problems by helping to restore
the normal balance of hormones in your
a period of two to three months, you can
What is the A1C test?
End oc r inology
When should I have A1C tests?
results don’t give you the complete picture of the
determine whether or not your diabetes manage-
Victoria Ryvkin, MD
to determine whether or not your diabetes
management program is striking out
or hitting home runs!
meaning “sugar.”)
When diabetes is uncontrolled, too much glu-
Regardless of how you and your doctor mea-
cose enters the bloodstream, causing the excess
sure the effectiveness of your diabetes manage-
glucose to enter red blood cells and attach (gly-
ment, the key is to make sure to be vigilant about
cate) to molecules of hemoglobin. The A1C test
doing so. Although we don’t have the cure yet,
measures the percentage of this glycated hemo-
the good news is that there are many options
globin – or HbA1C (A1C for short) – in the blood.
today to help manage your diabetes. Keeping in
The test result will produce a number that indi-
close contact with your doctor and others in your
cates how well the diabetes is being managed.
diabetes management team makes a big differ-
system. Some examples of endocrine
conditions treated include diabetes, hypo/
hyperthyroidism, thyroid masses, pituitary
disease and adrenal abnormalities.
Victoria Ryvkin, MD, holds the following
qualifications:
• Board certifications: Internal Medicine
and Endocrinology
• Undergraduate degree: BA, Structural
and Molecular Physiology, University of
Illinois at Urbana-Champaign, 2003
• Doctor of Medicine degree: University
of Illinois College of Medicine, 2007
• Residency: Internal Medicine, University
of Illinois Hospital, 2007 – 2010
• Fellowship: Endocrinology, University
of Illinois Hospital, 2010 – 2012
• Languages: Fluent in English and
Russian; basic Spanish
ence in keeping you well and “off the bench!”
Why 90 days for testing?
Normally, your doctor will ask you to have your
A1C blood test done at regular intervals during
a 90 day time span to get your A1C “batting average.” That’s because the A1C “memory” is as
long as the average lifespan of red blood cells:
90 days. For example, your blood sugar was high
last week because more glucose attached to
your hemoglobin causing a high A1C number, but
this week your blood sugar levels are back under
control, lowering your A1C number, with similar
For a person without diabetes, a
typical A1C level is about 5 percent.
For patients with diabetes, the
American Association of Clinical
Endocrinologists recommends a level
of 6.5 percent, or below as the target
goal. The American Diabetes
Association suggests a goal of
7 percent.
fluctuations throughout the 90 day period. Your
red blood cells carry memory of blood glucose in
A Quinte sse ntia l Foc us™ Spec ia l Adv ertising Sec tion
For more information,
view Dr. Ryvkin’s profile
video at:
www. nchmedicalgroup.com.
NCH Medical Group
199 W. Rand Rd.
Mount Prospect, IL
847-618-5450