Feb 14 Imageweb

IMAGE
ENCOURAGI NG OPT I MAL HEALT H & BEAUT Y

FEBRUARY * MARCH ')&(
14 PROVEN LINK BETWEEN ORAL HEALTH
AND HEART HEALTH
by Steven R. Feigelson, DDS, FAGD
Recent Study Shows Startling New Findings
For Women
16 GIVE YOUR HEART SOME TENDER
LOVING CARE
by Douglas E. Schmieder
February's Heart Focus Includes Lifestyle
Awareness and Weight Loss
SPECIAL SECTION
INSPIRING READS
18 A SHORT COURSE IN HAPPINESS
Practical Steps To a Happier Life
20 MY KITCHEN CURE
How I Cooked My Way Out of Chronic
Autoimmune Disease with Whole Foods
and Healing Recipes
a!#icle"
22 ALL ABOUT GOUT... AND ITS IMPACT
ON YOUR FEET
by Joseph Alencherry, DPM, AACFAS
Your Podiatrist Can Help Address This
Condition
24 WINTER IS THE TIME FOR LASER
TREATMENTS
by Ina Lutin, RN, CPCP, FAMM
Theres a Laser Solution For Many
Conditions
dea!#men#"
8 ASK OUR EXPERTS
10 EDITOR'S LETTER
28 DESTINATIONS OF DISTINCTION:
STOWE MOUNTAIN LODGE
by Jill S. Cohen
Go Stowe! Now or In Any Season
Oh So Spa!
32 IMAGEine THIS
34 TONI BRAXTON
by Jill S. Cohen
A Life Of Ups and Downs In Matters Of
The Heart
48 IMAGE EVENTS

SPECIAL SECTION
HEART HEALTH
12 WHEN CHEST PAIN IS NOT RELATED TO
THE HEART
byvCharles Thompson III,MD
Medical Conditions That Can Mimic Heart
Conditions
26 WHAT IS PSORIASIS? WHAT IS ECZEMA?
HOW DO THEY DIFFER?
by Suzanne Sirota Rozenberg, DO, FAOCD
Two Common Conditions Explained
30 THE "FOOT-LIFT"
by Pedram A. Hendizadeh, DPM, FACFAS
The ABCs of Bunion Surgery:
Aesthetic Bunion Correction
38
by Andrew Jacono, MD, FACS
Fusion Therapy of Collagen Replacement
and Non-Surgical Muscle Tightening
40 GRINDING, WHEN, WHERE, HOW.
WHAT DOES IT MEAN? WHAT DO YOU DO?
by Frank J. Tuminelli, DMD, FACP
Clenching Teeth Can Create Long-Term
Negative Effects
42 YOUR HAIR SAYS IT ALL
by Kelly Tarantino
Choose From This Years New Looks
44 NO SILVER LINING FOR PREGNANT
WOMEN WITH SILVER OR AMALGAM FILLINGS
by Natalie Krasnyansky, DDS
The Debate Over Safety Continues
46 WHAT YOUR MENSTRUAL CYCLE CAN TELL
YOU ABOUT YOUR HEALTH
by Marc Behar, MD, FACOG
Tracking your menstrual cycle is more
important than ever.
Dr6 Joseph Alencherry graduaLed from Cornell unlverslLy and Lhen recelved hls medlcal degree from Lhe new ?ork College of odlaLrlc Medlclne. Pe compleLed
a four-year reconsLrucLlve fooL and ankle surgery resldency aL new ?ork PosplLal Cueens, where he served as chlef resldenL. ln addlLlon Lo elecLlve and cosmeLlc
procedures, ur. Alencherry has exLenslve Lralnlng ln reconsLrucLlve and Lrauma surgery. Pe ls also experlenced ln dlabeLlc wound care and llmb salvage. Pe has a
personal lnLeresL ln LreaLlng Lhe pedlaLrlc populaLlon. Pe ls afflllaLed wlLh Long lsland !ewlsh PosplLal, nSLl! ManhasseL, WlnLhrop unlverslLy PosplLal and new ?ork
PosplLal Cueens, where he ls lnvolved wlLh resldency Lralnlng. Pe ls an assoclaLe of looL and Ankle Surgeons of n?, wlLh sLaLe-of-Lhe-arL faclllLles locaLed on Long
lsland and ManhaLLan. lor more lnformaLlon vlslL, www.faasny.com or call 316-492-3313.
Dr6 AnDrew JAcono ls a laclal lasLlc and 8econsLrucLlve Surgeon wlLh a Lhrlvlng pracLlce on Long lsland's Cold CoasL and ln ManhaLLan. Pe ls SecLlon Pead of
laclal lasLlc and 8econsLrucLlve Surgery aL norLh Shore unlverslLy PosplLal ln MahasseL, AsslsLanL Cllnlcal rofessor, ulvlslon of laclal lasLlc and 8econsLrucLlve
Surgery aL 1he new ?ork Lye and Lar lnflrmary, AsslsLanL rofessor, ueparLmenL of Pead and neck Surgery aL Lhe AlberL LlnsLeln College of Medlclne, ulrecLor of
1he new ?ork CenLer for laclal lasLlc and Laser Surgery ln CreaL neck, n?, auLhor of Lhe book FACE THE FACTS4 T!e T)-+! Ab'-+ Fac"a$ P$a*+"c S-)e)1 P)'ced-)e*
+!a+ D' a&d D'&<+ W')#, and creaLor of ! Ak S?S1LMS`, homeopaLhlc remedles Lo help opLlmlze heallng afLer aesLheLlc procedures. ur. !acono ls one of a small
group of surgeons LhaL has achleved uual 8oard CerLlflcaLlon ln laclal lasLlc and 8econsLrucLlve Surgery as well as Pead and neck Surgery. ur. !acono ls one of
only 37 surgeons ln Lhe unlLed SLaLes LhaL are Advanced laclal lasLlc Surgery lellowshlp 1ralnlng ulrecLors for Lhe Amerlcan Academy of laclal lasLlc and 8econ-
sLrucLlve Surgeons. lor more lnformaLlon, vlslL www.!SpaMedSpa.com or call 316-773-2424.
Dr6 sTeVen FeIGelson ls a general, cosmeLlc, lmplanL and sedaLlon denLlsL wlLh a Lhrlvlng sLaLe-of-Lhe-arL pracLlce locaLed ln Commack, new ?ork. Pe recelved
hls Lralnlng aL new ?ork unlverslLy College of uenLlsLry and 8rookdale PosplLal Medlcal CenLer, where he became cerLlfled ln Lhe use of lv and oral sedaLlon. Pe
aLLalned lellowshlp ln Lhe Academy of Ceneral uenLlsLry and ls AssoclaLe Cllnlcal rofessor, unlverslLy PosplLal aL SLony 8rook and serves on Lhe Suffolk CounLy
uenLal SocleLy's 8oard of ulrecLors. ur. lelgelson has publlshed several arLlcles on varlous Loplcs relaLed Lo denLlsLry, has recelved numerous awards, and ls currenLly
llsLed as one of Lhe reglon's leadlng denLlsLs. ur. lelgelson also appeared ln an n8C medlcal segmenL on dlglLal lmaglng and CAu/CAM denLlsLry. lor more lnfor-
maLlon, vlslL www.denLlsL-smlle.com or call 631-462-1470.
Dr6 suzAnne sIroTA rozenberG ls a board-cerLlfled dermaLologlsL pracLlclng ln Woodmere, n?. She ls presldenL-elecL of Lhe Amerlcan CsLeopaLhlc College of
uermaLology and program dlrecLor of SL. !ohn PosplLal's dermaLology program. She also Leaches aL 1ouro College of CsLeopaLhlc Medlclne. 1he comprehenslve
dermaLologlc servlces she offers ln her sLaLe-of-Lhe arL bouLlque pracLlce lnclude medlcal, surglcal, and cosmeLlc dermaLologlc care. A former famlly pracLlLloner,
she prldes herself on her one-on-one relaLlonshlp wlLh each paLlenL and has had exLenslve Lralnlng ln all areas of dermaLology. 1he pracLlce offers a range of servlces
lncludlng Acleara acne LreaLmenLs, !uvederm, 8esLylane, erlane, 8adlesse and SculpLra. 1reaLmenLs also lnclude 8oLox and uysporL, laser resurfaclng, phoLo faclals,
skln LlghLenlng and re[uvenaLlons, mlcrodermabraslon peels, permanenL makeup, elecLrolysls, and faclals. Per offlce also offers a wlde array of LreaLmenLs, lncludlng
ulLherapy, lnvaslx, alomar, vela Shape, and halr removal. lor more lnformaLlon, vlslL www.srsdermaLology.com or call 316-293-3370.
Dr6 chArles e6 Thompson4 III compleLed hls welghL-loss surgery fellowshlp aL Lhe Cleveland Cllnlc ln llorlda where he speclallzed ln carlng for paLlenLs seeklng
Lo llve healLhler llfesLyles. Pls experlence wlLh welghL-loss surgery began aL Poward unlverslLy PosplLal ln WashlngLon, uC where he earned Lhe LlLle of chlef resldenL
of Lhe ueparLmenL of Surgery. 1here, he developed a passlon for helplng paLlenLs LreaL welghL-relaLed lllnesses. ur. 1hompson also has exLenslve experlence ln la-
paroscoplc surgery- LreaLlng reflux dlsease, surglcal dlseases of Lhe gall bladder, esophagus, sLomach, and small and large bowels. A respecLed auLhor and cllnlclan,
hls professlonal assoclaLlons lnclude Lhe Amerlcan SocleLy of MeLabollc and 8arlaLrlc Surgery (ASM8S) and Lhe Amerlcan College of Surgeons (ACS). ur. 1hompson
ls currenLly afflllaLed wlLh SL. CaLherlne of Slena, SL. Charles, MaLher, and econlc 8ay Medlcal CenLers. ur. 1hompson and hls Leam conslder each lndlvldual case
Lo deLermlne Lhe besL LreaLmenL. lor more lnformaLlon, call 631-237-8977 or vlslL www.!ourney1o1henew?ou.com
Dr6 nATAlIe KrAsnyAnsKy ls a graduaLe of new ?ork unlverslLy wlLh a 8achelor of ArLs degree ln blology, and new ?ork unlverslLy College of uenLlsLry, where
she recelved her u.u.S. degree. She speclallzes ln cosmeLlc, lmplanL and laser denLlsLry wlLh a hollsLlc approach aL her pracLlce, LssenLlal uenLal of 8oslyn. She
offers safe mercury removal, non-mercury alLernaLlves, laser denLlsLry and blo-compaLlblllLy LesLlng whlch deLermlnes wheLher denLal maLerlal used may or may
noL be compaLlble wlLh one's lmmune sysLem. She ls an experlenced member of Lhe lnLernaLlonal Academy of Cral Medlclne and 1oxlcology, lnLernaLlonal AssoclaLlon
of Mercury lree uenLlsLs, Amerlcan uenLal AssoclaLlon, Academy of Ceneral uenLlsLry and PollsLlc AssoclaLlon of new ?ork. lor more lnformaLlon, please vlslL
www.hollsLlcdenLlsLryny.com or call 316-621-2430.
InA luTIn4 rn4 FAAm4 cpcp4 ls Lhe ulrecLor of AesLheLlcs aL Women's PealLh and Wellness. She ls a reglsLered nurse wlLh more Lhan 33 years experlence. Per
background ln women's healLh and her lnLeresL ln beauLy and skln care were Lhe caLalysLs ln pursulng an aesLheLlcs career a decade ago. She ls Lralned and expe-
rlenced ln mlcrodermabraslon, laser halr removal, lL phoLofaclal LreaLmenL as well as all phases of sklncare. She has advanced credenLlals ln 8oLox, 8esLylane,
8adlesse, !uvederm and oLher dermal flllers. As an aesLheLlc nurse she has over elghL years experlence performlng varlous laser procedures as well as Lralnlng for
locus Medlcal lnc. lna ls a board-cerLlfled permanenL cosmeLlcs speclallsL. She recelved her Lralnlng aL Lhe world-renowned 8eau lnsLlLuLe of ermanenL CosmeLlcs
and laLer aL Lhe CusLefella lnsLlLuLe. lna ls a member of AssoclaLlon of AesLheLlc nurses. lor more lnformaLlon call 718-281-1800 or 316-921-3900 or vlslL
www.WPWn?.com.
Dr6 FrAnK TumInellI ls a prosLhodonLlsL, a denLlsL who speclallzes ln Lhe resLoraLlon of LeeLh and relaLed oral sLrucLures. Pe ls a parLner ln norLh Shore rosLho-
donLlc AssoclaLes ln CreaL neck and Woodbury, and Lhe program dlrecLor of CraduaLe rosLhodonLlcs for new ?ork PosplLal ln Cueens, whlch ls a member of Lhe
new ?ork-resbyLerlan PealLh SysLem. Pe and hls parLner, ur. 1ed korln, were Lhe denLlsLs for Lhe new ?ork lslanders hockey Leam for Len years. ur. 1umlnelll ls Lhe
presldenL-elecL of Lhe Amerlcan College of rosLhodonLlsLs. Pe has also served on lLs board of dlrecLors slnce 2004 and ls a ulplomaLe ln Lhe Amerlcan 8oard of
rosLhodonLlcs. ur. 1umlnelll graduaLed from lalrlelgh ulcklnson unlverslLy School of uenLal Medlclne, recelvlng hls uMu, Lhen compleLed a C8 aL nSuPLl! Medlcal
CenLer, Lhen reLurned Lo luu Lo compleLe speclalLy Lralnlng ln prosLhodonLlcs. lor more lnformaLlon, vlslL www.nspall.com or call 316-482-3416.
Dr6 peDrAm henDIzADeh ls board cerLlfled ln fooL surgery by Lhe Amerlcan 8oard of odlaLrlc Surgery and ls a fellow of Lhe Amerlcan College of looL and Ankle
Surgeons. ur. Pendlzadeh graduaLed as an honors scholar from Lhe unlverslLy of ConnecLlcuL and has a degree ln molecular and cell blology. Pe aLLended Lhe new
?ork College of odlaLrlc Medlclne and Lhen wenL on Lo Mlchlgan Lo do an lnLenslve surglcal Lralnlng program. As chlef resldenL, ur. Pendlzadeh galned experlence
ln all aspecLs of fooL and ankle surgery, lncludlng reconsLrucLlon and cosmeLlc fooL care. Pe also compleLed an exLenslve program ln London, Lngland. Pe has been
ln prlvaLe pracLlce for Len years and ls a member of Lhe AMA, AuA, AClAS, CMA, and Lhe AesLheLlc looL lnsLlLuLe. Pe ls cerLlfled ln Laser Lherapy for nall lungus.
ur. Pendlzadeh malnLalns several offlces lncludlng 8oslyn and PunLlngLon n? as well as lalrfleld, Creenwlch, and norLh Paven ConnecLlcuL. WlLh a group of 9
odlaLrlc Surgeons hls group has qulckly become Lhe largesL looL Care group ln new Lngland and new ?ork. lor more lnformaLlon, vlslL www.CreaLlooLCare.com.
Dr6 mArc behAr, a board cerLlfled obsLeLrlclan and gynecologlsL for nearly 23 years, ls founder and chlef physlclan of lemmro C8/C?n & lemmro Wellness, ln
Carden ClLy, Long lsland. A compasslonaLe physlclan and sLrong advocaLe of women's healLh care lssues, ur. 8ehar ls known for hls calm and sLeady demeanor,
lnsplrlng LrusL and confldence, ofLen LreaLlng healLh care professlonals on sLaff aL nelghborlng hosplLals as well as members of Lhe same famlly. Pe brlngs Lo hls
paLlenLs deep experLlse ln all aspecLs of C8/C?n wlLh a speclal concenLraLlon ln low and hlgh rlsk pregnancy, gynecologlcal care, and mlnlmally lnvaslve surgery for
paLlenLs of all ages. Pe uses ln-house sLaLe of Lhe arL medlcal Lechnology, lncludlng 4u ulLrasound. A graduaLe of upsLaLe Medlcal unlverslLy, he ls a lellow Amerlcan
8oard of CbsLeLrlcs & Cynecology and lellow Amerlcan College of CbsLeLrlcs & Cynecology. ur. 8ehar ls afflllaLed wlLh WlnLhrop unlverslLy PosplLal, SouLh nassau
CommunlLy PosplLal and Mercy Medlcal CenLer. lor more lnformaLlon, call 316.294.4700 or vlslL www.lemmroC8C?n.com
Thi" i""$e" Medical Con#!ib$#o!"
A"k O$! E%e!#"
?Cu8 CuLS1lCnS AnSWL8Lu
IMAGE
ENCOURAGI NG OPT I MAL HEALT H & BEAUT Y
I%ae %aa2"&e ls publlshed by Ll lmage ubllcaLlons, lnc., 6 Llmes a year. 1he con-
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adverLlsemenL or edlLorlal and phoLos LhaL were conLrlbuLd by Lhem. hoLography
submlLLed Lo I%ae %aa2"&e musL have wrlLLen consenL from Lhe sub[ecL and ls
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servlces adverLlsed ln Lhe magazlne. 1he publlsher reserves Lhe rlghL Lo edlL, rewrlLe,
or re[ecL edlLorlal maLerlal and assumes no responslblllLy for accuracy, errors or
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from Lhe publlsher. nelLher Lhe publlsher or lmage Magazlne nor any agency or con-
LracLor ls responslble for any offers, producLs, servlces, sLaLemenLs, lnformaLlon and
conLacL expressed wlLhln Lhls magazlne. Any person or enLlLy LhaL relles on lnfor-
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provlded as a lnformaLlon servlce only, and lL ls Lhe sole responslblllLy of Lhe reader
Lo lnvesLlgaLe and evaluaLe any and all conLenL provlded.
Lul1C8lnCPlLl
uonna Palperln
u8LlSPL8
8ruce !acobson
______________________________
MAnAClnC Lul1C8
!lll Cohen
A81 ul8LC1C8
!usLln Mlchaels
ACCCun1 LxLCu1lvLS
8andl leldsLeln
8uSlnLSS uLvLLCMLn1
MaLLhew Palperln
PC1CC8AP?
8lchard LlebowlLz
CCn18l8u1lnC W8l1L8S
uouglas Schmleder
kelly 1aranLlno
AuMlnlS18A1lCn
Ldna urorl
ACCCun1lnC
llene WekselblaLL
______________________________
AuvL81lSlnC & A81 CCn1AC1S
AdverLlslng: 316-307-1110
Lmall: sales[lmagemagonllne.com
ArL & roducLlon: 316-307-1109
Lmall:producLlon[lmagemagonllne.com
c'.e* p!','
hoLographer: MA8C 8A1lS1L
ha.e a )-e+,"'& abouL procedures LhaL can help you look and feel your besL? Cur docLors and
oLher professlonals are among Lhe besL ln Lhelr flelds, and Lhey'll be happy Lo provlde you wlLh
clear, helpful, auLhorlLaLlve advlce and answers Lo your quesLlons.
vlslL our webslLe aL www.lmageMagCnllne.com and cllck on Ask Cur LxperLs. ?our quesLlons wlll
be answered ln Lhe nexL lssue of lMACL Magazlne.
________________________________________________________
Q: l [usL goL a new [ob ln whlch l am sLandlng a loL. l have varlcose velns. Wlll lL make my con-
dlLlon worse or noL? ls Lhere anyLhlng l can do for Lhls, or Lo prevenL lL from worsenlng?
A: lf you have varlcose velns, lL ls beLLer Lo be evaluaLed now raLher Lhan laLer. WlLhouL proper
LreaLmenL, Lhe condlLlon frequenLly worsens, especlally ln [obs wlLh prolonged sLandlng. Larly
lnLervenLlon can slow Lhe progresslon of Lhe dlsease and help avold problems ln Lhe fuLure.
LlevaLlng Lhe legs, exerclslng Lhe calf muscles and wearlng compresslon sLocklngs can help a
llLLle ln Lhe meanLlme, buL Lhese conservaLlve measures have no proven beneflL ln Lhe long-
Lerm. lorLunaLely, LreaLmenL ls much easler and more effecLlve Lhan ln pasL years, and can
make worklng on one's feeL much more Lolerable.
*Ans"ered b# Keith Attkiss% MD% FACS+
Q: l have a scar LhaL needs Lo be camouflaged. l've heard LhaL Lhere ls a procedure Lo do lL
and wonder lf l am a candldaLe for lL?
A: Cne of Lhe LreaLmenLs LhaL can be used Lo lmprove Lhe appearance of scars, due Lo burns,
cuLs, acne, scraLchlng, eLc. ls Lhe mulLlLrepanlc collagen acLuaLlon, wlLh Lhe use of mlcro
needllng, whlch also ls used Lo lmprove or dlmlnlsh wrlnkles.
1he medlclnal LaLLoolng or cosmeLlc LaLLoolng ls very useful ln camouflaglng hypo-plgmenLed
(llghL) scars. We use plgmenLs very slmllar Lo Lhe skln color, and we lmplanL on Lhe area whlch
has Lhe lack of color. 1he same Lechnlque ls used Lo reshape Lhe llp ln clefL palaLe cases.
Also we can camouflage scars on Lhe eyebrows, where plgmenL ls placed Lo mlmlc Lhe halr
and coverlng Lhe scar. Some scars on Lhe eyelld afLer Lrauma, or afLer a sLye, can be
camouflaged wlLh dermal plgmenLaLlon.
1he ldeal candldaLes for Lhls musL be healLhy, and besL resulLs are achleved on lndlvlduals
wlLh llghL sklns Lones (llLzpaLrlck l, ll, and lll). aLlenLs musL avold sun or sun Lannlng,
1hls Lype of procedure musL be done by an experL, slnce lL ls one of Lhe mosL advanced
Lechnlques. uermal plgmenLaLlon requlres several sesslons.
*Ans"ered b# Olga Lcia% CPCP% FAAM% CMI+
Q: My face feels and looks Llred and a blL worn. WhaL would be Lhe besL way for
me Lo have a compleLe faclal re[uvenaLlon? Are Lhere any new and beLLer ways Lo
achleve a greaL look and feel?
A: MosL of our cllenLs express Lhe same concerns abouL looklng Llred or worn",
buL do noL wanL Lo Lurn Lo Lhe exLremes of surgery [usL Lo look beLLer. unLll recenLly,
older Lechnologles such as 8eflrme (by Syneron), 1lLan (by CuLera) and even ulLhera
seemed Lo be Lhe plck your polson" of Lhe avallable soluLlons, non-surglcally.
Powever, over Lhe lasL 6 monLhs, we have had Lremendous success wlLh 81L's
new Lxllls LllLe", a Lechnology LhaL ls yleldlng very dramaLlc resulLs. We Lhlnk lL's a
game-changer because of lLs exLremely hlgh (over 90) cllenL saLlsfacLlon. We use
lL Lo LlghLen Lhe lower eyes, [awllne, neck and around Lhe mouLh. 1hen, dependlng
on a cllenL's speclflc needs, we can furLher address sun damage, red spoLs, brown
spoLs, faclal velns and skln resurfaclng wlLh Lhe Clear and 8rllllanL LreaLmenL by SolLa
Medlcal. We Lhlnk LhaL comblnlng Lhe Lwo ls an excellenL way Lo achleve perfecL
faclal re[uvenaLlon.
*Ans"ered b# Stephen Probst% MD of Perfect Bod# Laser and Aesthetics+
8 IMAGE FEBRUARY / MARCH 2014 WWW.IMAGEMAGONLINE.COM
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WITHCOVERLETTER&RESUME

elcome Lo 2014! l hope LhaL everyone had a [oyful hollday.
2014 ls golng Lo be a good year. l can feel lL. llrsL, we musL
begln by worklng hard Lo llve ouL our new ?ear's resoluLlons. l
[usL read an arLlcle clLlng LhaL 87 of Amerlcans do noL fulflll Lhelr new
?ear's resoluLlons, and l flnd LhaL very dlscouraglng. 1he arLlcle sald LhaL
slnce lL has become our culLure Lo procrasLlnaLe, we Lherefore leave our
resoluLlons behlnd. 8uL, when l read a sLaLlsLlc llke Lhls, l Lhen wanL Lo
prove lL wrong. So, Lhls year make lL your buslness Lo sLlck Lo your
resoluLlons. LeL's change Lhe odds LogeLher!
Lach year we acknowledge PearL PealLh Awareness ln our lebruary
lssue. 1hls year our cover celebrlLy, 1onl 8raxLon Lalks abouL her healLh
scare wlLh a hearL condlLlon called perlcardlLls, and why lL ls so lmporLanL
for women Lo pay aLLenLlon Lo Lhelr body when someLhlng feels wrong.
1oo ofLen, women mlsLake Lhelr slgns of hearL dlsease as [usL exLreme fa-
Llgue. 1onl wlll be reLurnlng Lo 8roadway Lhls March ln Lhe crlLlcally ac-
clalmed muslcal revue, Af+e) M"d&"!+. She ls also releaslng a new dueL
Cu album, L'.e3 Ma))"ae = D".')ce wlLh kenny 8abyface" Ldmonds
early Lhls year, as well as her own memolr, U&b)ea# M1 Hea)+. We're glad
LhaL she has recovered, Lo keep brlnglng muslc lnLo our llves.
ur. Charles 1hompson lll wrlLes abouL non-cardlac chesL paln. Some-
Llmes chesL paln ls noL Lhe hearL condlLlon Lhe paLlenL belleves lL Lo be,
buL ls anoLher condlLlon relaLed Lo Lhe sLomach and esophagus. lL's lm-
porLanL LhaL a physlclan conslder Lhese posslblllLles when presenLed wlLh
Lhls klnd of paln. ur. SLeven lelgelson wrlLes abouL Lhe beneflL of good
oral hyglene. uld you know LhaL bullL up plaque surroundlng your LeeLh
and gums can lead Lo hearL dlsease? CpLlmal denLal care wlll help Lo avold
serlous healLh concerns. Also, uoug Schmelder Lakes us on hls [ourney Lo
a second chance afLer he suffered a masslve hearL aLLack broughL on by
obeslLy. Pe glves us lnslghL lnLo everyLhlng LhaL worked for hlm, as he has
kepL hls welghL down and hls hearL healLhy. now he ls helplng oLher peo-
ple by showlng Lhem Lhe way Lo a healLhler hearL and a happler llfe.
uoes your man suffer from gouL? ur. !oseph Alencherry Lells us whaL
causes lL and how Lo keep Lhe palnful dlsease under conLrol. Speaklng of
feeL, now many people are Lurnlng Lo Lhelr podlaLrlsL for a llfL. no, noL a
face llfL, buL a fooL llfL. ur. edram Pendlzadeh lnLroduces us Lo Lhe solu-
Llon for keeplng your feeL looklng young and aLLracLlve. ur. naLalle
krasnyansky Leaches us abouL Lhe dangers of uslng mercury-based fllllngs
and how lL can affecL your pregnancy and breasL feedlng your newborn
baby. lf you Lend Lo grlnd your LeeLh, especlally whlle you are sleeplng,
Lhen ur. lrank 1umlnelll has Lhe soluLlon Lo proLecL and repalr your worn
down LeeLh. 1hese are [usL some of Lhe arLlcles appearlng ln Lhls lssue.
l cannoL end Lhls leLLer wlLhouL Lhanklng 8ommel uel 8osarlo, Lhe
owner of 8u8 Cargo Lxpress, whlch has many locaLlons ln n?C and n!. 1he
company so generously donaLed lLs shlpplng servlces for Lhe vlcLlms of Lhe
Lyphoon ln Lhe hlllpplnes Lhls pasL november. LyewlLness news reporLer
nlna lneda launched a campalgn called lllp llops for Lhe hlllpplnes and
8u8 Cargo lmmedlaLely [umped on board Lo send Lhe donaLed shoes,
cloLhes and beddlng needed. 1he sLaff members of lMACL Magazlne
asked Lhelr 1hanksglvlng guesLs Lo brlng lLems Lo donaLe, so LhaL Lhey
could be dellvered Lhe nexL day. lL was a greaL day Lo glve back as we gave
Lhanks for all of our blesslngs.
W
EDITOR+S le##e!
LdlLor-ln-Chlef
lebruary / March 2014
Date: Wednesday, February 12,
5pm-6pm
Saturday, March 29,
at the Garden City Hotel

l
L's your blrLhday and you've [usL
en[oyed your favorlLe meal and
flnlshed off Lhe celebraLlon wlLh
a super-slzed plece of cake! WhaL
comes nexL on Lhe menu ls some-
Lhlng you dldn'L order . Lhe worsL
case of hearLburn and lndlgesLlon
you've ever experlenced. Cr could
lL be someLhlng more serlous?
Whlle mosL paLlenLs assoclaLe
chesL paln and dlscomforL wlLh
hearL aLLacks and cardlac-relaLed
condlLlons, Lhe chesL paln and dls-
comforL could also sLem from
someLhlng else enLlrely dlfferenL:
non-cardlac chesL paln, or nCC.
Many cases of nCC are dlag-
nosed every day. Accordlng Lo Lhe
Mayo Cllnlc, 70 mllllon Amerlcans
experlence nCC. MosL of Lhese dl-
agnoses are relaLed Lo Lhe sLomach
and esophagus (Lhe Lube where
food Lravels Lhrough before enLer-
lng Lhe sLomach). CasLrolnLesLlnal
reflux dlsease, or CL8u, ls one of
Lhose condlLlons LhaL fall under Lhe
nCC umbrella and affecLs mllllons
of people. CfLen, paLlenLs mlsLake
lL for cardlac-relaLed chesL paln.
Ga+,*'"&,e+,"&a$ re-0 D"+ea+e
>GerD?
unforLunaLely, your blrLhday
experlence ls noL an uncommon
one. normally when swallowlng,
food Lravels down Lhe esophagus
and prepares Lo enLer Lhe sLomach.
8efore food leaves Lhe esophagus,
a valve" ls opened aL Lhe boLLom
of Lhe esophagus, allowlng foods Lo
pass lnLo Lhe sLomach. 1hls valve"
serves several purposes, buL mosL
lmporLanLly, Lo prevenL food LhaL
Lravels lnLo Lhe sLomach from golng
back lnLo Lhe esophagus. When
Lhe valve lsn'L worklng properly,
food and acld from Lhe sLomach
splll back, causlng lrrlLaLlon and ln-
flammaLlon of Lhe llnlng of Lhe
esophagus. 1he paLlenL Lhen suf-
fers chesL paln and burnlng LhaL
feels slmllar Lo whaL a person hav-
lng a hearL aLLack may experlence.
1o LreaL CL8u, paLlenLs are
flrsL placed on medlcaLlons LhaL re-
duce Lhe amounL of acld made ln
Lhe sLomach. 1he LhoughL behlnd
Lhls meLhod of LreaLmenL ls LhaL lf
we decrease Lhe amounL of acld
made ln Lhe sLomach, Lhere ls less
acld Lo lrrlLaLe Lhe esophagus.
1hese medlcaLlons work qulLe well
for many people. Powever, evl-
dence has shown LhaL Lhe longer
paLlenLs Lake Lhese drugs, Lhe need
Lo lncrease Lhe dosage and number
of pllls may rlse as well. unforLu-
naLely for some, medlcaLlons do
noL work and surgery ls needed Lo
correcL Lhe problem.
ln surglcally curlng CL8u, Lhe
purpose ls Lo flx or recreaLe" Lhe
valve LhaL would normally noL
allow food and acld Lo reflux back
lnLo Lhe esophagus. 1hls ls done
wlLh a procedure called Lhe nlssen
lundopllcaLlon. uslng mlnlmally
lnvaslve, laparoscoplc surglcal Lech-
nlques, Lhe procedure ls done uslng
very small lnclslons where lnsLru-
menLs and a camera are used Lo
perform Lhe operaLlon. Cnce Lhe
laparoscoplc lnsLrumenLs are seL,
Lhe Lop of Lhe sLomach ls wrapped
around lLself, creaLlng a LlghLer
valve beLween Lhe esophagus and
sLomach. Cver Lhe years, Lhe nls-
sen lundopllcaLlon has been
proven Lo be a hlghly effecLlve
meLhod of LreaLlng CL8u wlLhouL
Lhe furLher need for medlcaLlon. ln
addlLlon, because Lhls procedure ls
done uslng mlnlmally lnvaslve Lech-
nlques, Lhe recovery Llme afLer Lhls
procedure has been markedly re-
duced.
h"a,a$ he*&"a+
SomeLlmes CL8u or reflux dls-
ease occurs ln Lhe seLLlng of a pa-
LlenL havlng a hlaLal hernla. A
hlaLal hernla descrlbes a condlLlon
ln whlch Lhe Lop porLlon of Lhe
sLomach (where Lhe valve" ls lo-
caLed) has mlgraLed lnLo Lhe chesL.
When Lhe sLomach moves lnLo Lhe
chesL, Lhe valve LhaL normally pre-
venLs food from golng back lnLo Lhe
esophagus becomes dysfuncLlonal.
now, wlLh a malfuncLlonlng valve,
food and acld can re-enLer Lhe
esophagus and cause more lnflam-
maLlon and lrrlLaLlon. CfLen, hlaLal
hernlas are assoclaLed wlLh obeslLy.
WHILE MOST PATIENTS
ASSOCIATE CHEST PAIN AND
DISCOMFORT WITH HEART
ATTACKS AND CARDIAC-RELATED
CONDITIONS, THE CHEST
PAIN AND DISCOMFORT COULD
ALSO STEM FROM SOMETHING
ELSE ENTIRELY DIFFERENT:
NON-CARDIAC CHEST PAIN,
OR NCCP
Medical Conditions That Can Mimic
Heart Conditions
by CHARLES E. THOMPSON III, MD
W
HEN CHEST PAIN IS NOT
RELATED TO THE HEART
WWW.IMAGEMAGONLINE.COM FEBRUARY / MARCH 2014 IMAGE 13
aLlenLs who are obese have exLra pressure lnslde Lhelr
abdomen. 1hls leads Lo more pressure on Lhe sLomach,
causlng Lhe sLomach Lo be pushed lnLo Lhe chesL. PlaLal
hernlas, dependlng on Lhelr slze, can also cause respl-
raLory problems and dlfflculLy wlLh breaLhlng.
PlaLal hernlas can be repalred by mlnlmally lnvaslve
Lechnlques, slmllar Lo Lhe laparoscoplc surgery done Lo
LreaL CL8u. uurlng Lhls procedure, Lhe surgeon pulls
Lhe sLomach back lnLo Lhe abdomen and makes Lhe hla-
Lus (Lhe hole LhaL Lhe sLomach goes Lhrough Lo geL ln-
slde Lhe chesL) smaller. 1hls ls a hlaLal hernla repalr.
SomeLlmes a paLch ls placed over Lhe hlaLal repalr Lo
sLrengLhen Lhe closure. ln addlLlon Lo Lhe hlaLal hernla
repalr, a nlssen lundopllcaLlon ls also performed Lo
recreaLe Lhe valve mechanlsm LhaL prevenLs food and
acld from spllllng back lnLo Lhe esophagus.
Ac!a$a+"a
Cne noL-so-common cause of non-cardlac chesL
paln ls achalasla. 1hls condlLlon ls caused by Lhe valve
beLween Lhe esophagus and sLomach belng Loo LlghL.
ln Lhls condlLlon, when food ls swallowed down Lhe
esophagus, Lhe valve does noL open and food sLays aL
Lhe boLLom of Lhe esophagus causlng paln, dlscomforL,
and posslble long Lerm damage Lo Lhe esophagus.
Agaln, Lhe sympLoms of Lhls condlLlon can mlmlc a hearL
aLLack or oLher cardlac-relaLed condlLlons.
1he mosL deflnlLlve meLhod of LreaLlng Lhls condl-
Llon lnvolves spllLLlng Lhe muscles on Lhe ouLslde of Lhe
valve LhaL make Lhe valve Loo LlghL. 1hls procedure ls
called a Peller's MyoLomy and ls done, also, wlLh mlnl-
mally lnvaslve/laparoscoplc Lechnlques, maklng recov-
ery Llme markedly shorLer.
All of Lhese condlLlons requlre proper dlagnosLlc
LesLlng before concludlng LhaL one has CL8u, a hlaLal
hernla, or achalasla. lf experlenclng chesL paln, lL ls lm-
porLanL Lo be seen by a physlclan who wlll be able Lo
properly LreaL Lhe underlylng problem, wheLher car-
dlac-relaLed or noL.
lL ls so lmporLanL Lo remember LhaL noL all chesL
paln ls relaLed Lo Lhe hearL. Powever, chesL paln LhaL
does come from dlseases of Lhe hearL should be LreaLed
prompLly. lf you have been dlagnosed wlLh CL8u or a
hlaLal hernla, or Lhlnk LhaL you may have nCC afLer
rullng ouL hearL problems, you may need Lo conLacL a
gasLroenLerologlsL or surgeon who can gulde your care.
Pere's Lo your hearL, lLs healLh and your
non-cardlac healLh as well! ImAGe
99999999999999999999999999999999999999999999999
D)5 C!a)$e* E5 T!'%(*'& III "* a fe$$'/*!"(8+)a"&ed *-)e'&
*(ec"a$"2"& "& %"&"%a$$1 "&.a*".e ba)"a+)"c a&d e&e)a$
*-)e)15 He ()ac+"ce* "& Ea*+ Se+a-#e+ a&d "* aff"$"a+ed /"+!
S+5 Ca+!e)"&e 'f S"e&a3 S+5 C!a)$e*3 Ma+!e)3 a&d Pec'&"c
Ba1 Med"ca$ Ce&+e)*5 F') %')e "&f')%a+"'&3 ca$$
EB@8ABF8GHFF ') ."*"+ ///5J'-)&e1T'T!eNe/Y'-5c'% ')
///5L"La(D'c5c'%
www.DrElkowitz.com
Recent Study Shows Startling New Findings
For Women
by STEVEN R. FEIGELSON, DDS, FAGD
W
hen conslderlng "hearL
healLh," whaL flrsL
comes Lo mlnd? lor
mosL of us, we Lhlnk of eaLlng food
LhaL ls low ln saLuraLed faL, choles-
Lerol and salL, and geLLlng plenLy of
exerclse.
WhaL abouL malnLalnlng opLl-
mal denLal healLh? MosL people
fall Lo see Lhe correlaLlon beLween
healLhy LeeLh and a healLhy hearL.
AlLhough Lhere has long LhoughL Lo
be an assoclaLlon beLween Lhe lack
of proper denLal care and cardlo-
vascular dlsease, a recenL sLudy led
by Lhe unlverslLy of Callfornla,
8erkeley, came up wlLh Lhe sLar-
Lllng new flndlngs LhaL Lhls connec-
Llon appears Lo be even more
slgnlflcanL ln women Lhan ln men.
w!a, D"d ,!e s,-d1 s!'/3
1he sLudy analyzed Lhe med-
lcal records of nearly seven Lhou-
sand lndlvlduals beLween Lhe ages
of 44 and 88, over an elghL-year
perlod. 1he sLudy concluded LhaL
/'%e& /!' *ece".ed *e-$a* de&;
,a$ ca*e /e*e a((*'0"%a,e$1 '&e;
,!"*d $e++ $"#e$1 ,' +-ffe* f*'%
ca*d"'.a+c-$a* d"+ea+e ,!a& ,!'+e
/!' d"d &',6 WhaL was even more
sLarLllng abouL Lhese flndlngs was
LhaL Lhe correlaLlon was slgnlflcanL
prlmarlly for women.
"We Lhlnk Lhe flndlngs reflecL
dlfferences ln how men and
women develop cardlovascular dls-
ease," sald sLudy co-auLhor ur.
SLephen 8rown. "CLher sLudles
suggesL LhaL esLrogen has a proLec-
Llve effecL agalnsL hearL dlsease be-
cause lL helps prevenL Lhe
developmenL of aLherosclerosls.
lL's noL unLll women hlL
menopause aL around age 30 Lo 33
LhaL Lhey sLarL caLchlng up wlLh
men." AlLhough Lhls Lheory of
women "belng proLecLed" Lhrough
menopause ls debaLable, Lhe one
Lhlng LhaL ls clear ls LhaL Lhe hearL
dlsease rlsk facLors for men and
women are noL Lhe same. Women
are physlologlcally dlfferenL Lhan
men and Lhe rlsk facLors are, Lhere-
fore, dlfferenL.
h'/ "+ G-% D"+ea+e re$a,ed ,'
hea*, D"+ea+e3
uenLal professlonals have long
seen Lhe correlaLlon beLween perl-
odonLal (gum) dlsease and ln-
creased rlsk for cardlovascular
dlsease. 1he [ury ls sLlll ouL as Lo
exacLly why Lhls ls so. ls lL LhaL
people who do noL vlslL Lhelr den-
LlsL regularly and have poor oral
healLh are also neglecLful of Lhelr
overall healLh? ln oLher words, lf
an lndlvldual geLs regular denLal
cleanlngs and exams, brushes and
flosses dally, and, malnLalns good
oral hyglene, chances are LhaL Lhey
also seek regular medlcal care and
Lake beLLer care of Lhemselves ln
general.
lL ls also Lheorlzed LhaL chronlc
lnflammaLlon, whlch ls presenL ln
boLh cardlovascular dlsease and
gum dlsease, ls acLually closely
lnLerconnecLed. We are seelng Lhe
slmllarlLles beLween Lhe plaque
LhaL forms on LeeLh, resulLlng ln
gum dlsease (glnglvlLls) and Lhe
plaque LhaL forms ln arLerles, re-
sulLlng ln hardenlng of Lhe arLerles
(aLherosclerosls).
h'/ ca& w'%e& l'/e* T!e"*
r"+#3
AlLhough hearL dlsease ls
LhoughL Lo prlmarlly affecL men,
Lhe surprlslng LruLh ls LhaL more
women dle of hearL dlsease each
year Lhan men and Lhese numbers
are on Lhe rlse. arL of Lhe prob-
lem ls LhaL Lhe rlsk facLors for hearL
dlsease ln women are dlfferenL
from Lhose of men and LhaL some
of Lhe sympLoms of a hearL aLLack
ln women can be overlooked.
E.e)1'&e ca& $'/e) +!e") )"*#
+!)'-! +!e +)ad"+"'&a$ c'%%'&
*e&*e a(()'ac!e*3 *-c! a*4
- Lose welghL lf you are
overwelghL.
- Lxerclse regularly.
- SLop smoklng.
- Lower your cholesLerol
Lhrough a healLhler dleL.
- CeL your hlgh blood pressure
under conLrol.
- Check for a famlly hlsLory of
hearL dlsease.
THERE IS A LOT OF INFORMATION
REGARDING HEART HEALTH AS IT
RELATES TO WOMEN. WHAT WE
DO KNOW FOR CERTAIN IS THAT
MAINTAINING OPTIMAL ORAL
HEALTH IS AN IMPORTANT PART OF
MAINTAINING ONE'S CARDIOVAS-
CULAR AND OVERALL HEALTH
P
ROVEN LINK BETWEEN ORAL
HEALTH AND HEART HEALTH
I& add"+"'&3 +!e)e a)e *(ec"f"c
a(()'ac!e* f') /'%e&4
- 8eporL any mensLrual cycle
lrregularlLles Lo your physlclan.
- Pave your PuL levels checked,
Lhey should be above 30.
- Seek medlcal aLLenLlon for even
subLle chesL paln.
Ge, a hea*, ; hea$,!1 m'-,!
8egular denLal vlslLs LhaL lnclude
dlagnosls and LreaLmenL of perlodon-
Lal or gum dlsease should go hand ln
hand wlLh oLher llfesLyle changes LhaL
can decrease one's rlsk facLors for
cardlovascular dlsease. A Lhorough
cleanlng by your denLlsL or denLal hy-
glenlsL ls cruclal ln helplng Lo remove
Lhe sLlcky fllm of plaque and LarLar
LhaL coaL your LeeLh. laque, whlch ls
comprlsed of bacLerla, proLelns, poly-
saccharldes and llplds, ls consLanLly
bulldlng up on your LeeLh. lf you are
noL brushlng and flosslng dally, or are
conslsLenLly mlsslng hard Lo reach
areas, Lhls plaque wlll harden Lo form
LarLar, or calculus. Cnce LarLar forms,
1'- ca&&', *e%'.e ", '& 1'-* '/& -
lL musL be professlonally removed
wlLh speclal ulLrasonlc and hand ln-
sLrumenLs called scalers. 1hls proce-
dure ls palnless when done properly,
and should be done Lwo Lo four Llmes
a year, dependlng on your lndlvldual
needs.
w!1 "+ ", +' "%('*,a&, ,' !a.e ,!"+
($a)-e a&d ,a*,a* *e%'.ed f*'%
1'-* ,ee,!3
uenLal plaque and LarLar conslsL
of Lhousands of harmful mlcroorgan-
lsms, prlmarlly bacLerla LhaL mlgraLe
below Lhe gum llne. 8esldes causlng
LooLh decay, Lhe bacLerla lead Lo
lnflammaLlon of Lhe gums, referred Lo
as glnglvlLls. 1hls wlll furLher lead Lo
bone loss and evenLual LooLh loss,
whlch ls perlodonLal dlsease. 1hese
bacLerla wlll also enLer Lhe blood-
sLream, resulLlng ln a slmllar lnflam-
maLory condlLlon of Lhe arLerles. 1hls
ls where Lhe mouLh - hearL relaLlon-
shlp ls LhoughL Lo begln.
V"+", y'-* De&,"+, re-$a*$1
1here ls a loL of lnformaLlon re-
gardlng hearL healLh as lL relaLes Lo
women. WhaL we do know for
cerLaln ls LhaL malnLalnlng opLlmal
oral healLh ls an lmporLanL parL of
malnLalnlng one's cardlovascular
and overall healLh. lf you follow
common sense pracLlces Lo keep-
lng your mouLh healLhy, noL only
wlll you see Lhe rewards
-
such as
fewer cavlLles, healLhler gums,
fresher breaLh, whlLer LeeLh and an
overall nlcer smlle
-
buL you can
help prevenL more serlous
sysLemlc problems ln Lhe fuLure.
ImAGe
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S+e.e& R5 Fe"e$*'&3 DDS3 FAGD3
()'."de* e&e)a$3 c'*%e+"c3
"%($a&+ a&d *eda+"'& de&+"*+)13
/"+! a ()".a+e ()ac+"ce "&
C'%%ac#3 NY5 F') %')e "&f')%a8
+"'&3 ') +' *c!ed-$e a& a(('"&+8
%e&+3 ."*"+ ///5de&+"*+8*%"$e5c'%
') ca$$ EB@8CEA8@CF?5

8
oses are red, vloleLs are
blue, l love you- And your
Llcker, Loo!
Well, Lhls may noL be a Lrue
Shakespeare verse, buL sLlll, lL's
a Llmely one for lebruary, a cold
monLh LhaL Lends Lo be fllled
wlLh warm and hearL-fllled
LhoughLs, especlally on valen-
Llne's uay.
lebruary ls a good Llme Lo
devoLe some Lender lovlng care
Lo our PLA81 - LhaL wondrous
flsL-slzed englne LhaL enables us
Lo love, laugh, play and en[oy
llfe. 1haL's why Lhe Amerlcan
PearL AssoclaLlon has deslg-
naLed lebruary as Amerlcan
PearL MonLh.
Cur hearLs beaL 100,000
Llmes dally, sendlng abouL
2,000 gallons of blood courslng
Lhrough our bodles. ?eL, mosL
of us Lake Lhls mlracle for
granLed unLll Lrouble sLrlkes.
And, unforLunaLely, Lrouble
sLrlkes far more ofLen Lhan
mosL people reallze. Coronary
hearL dlsease ls Amerlca's # 1
klller -- even among women.
1he facL ls LhaL cardlovascular
dlsease kllls more Lhan 400,000
women a year, Lwlce Lhe num-
ber of all forms of cancer com-
blned. And Lhe Loll ls even
hlgher for mlnorlLles, people
wlLh Lype 2 dlabeLes, and
women who are posL-
menopausal. Cardlac arresL
Lends Lo sLrlke lmmedlaLely and
wlLhouL warnlng. Lven more
Lroubllng ls LhaL few docLors
even ralse Lhe lssue of cardlac
dlsease awareness.
A healLhy welghL ls cruclal for
a long llfe and a hlgh quallLy of
llfe. CbeslLy experLs have con-
flrmed whaL we see every day.
More Lhan 123 mllllon Amerl-
cans age 20 and older are over-
welghL or obese, puLLlng Lhem
aL a dangerous rlsk for hearL aL-
Lack, hlgh cholesLerol, hlgh
blood pressure, sLroke, cancer,
dlabeLes, depresslon and oLher
healLh concerns. ?eL mosL
adulLs, saddled wlLh unreallsLlc
vlslons and poor advlce, don'L
reallze Lhe galns LhaL a modesL
welghL loss can offer. Loslng [usL
Len per cenL of one's body
welghL, slowly and sLeadlly, can
greaLly lmprove Lhe odds
agalnsL Lhese llfe-LhreaLenlng
condlLlons.
leasL and famlne. SLuff and
sLarve. 8esolve...and relapse.
Sound famlllar? Mllllons of
Amerlcans, belLs squeezlng
afLer Lhe holldays, [ump grlmly
aboard Lhe dleL bandwagon on
!anuary 1sL. 1hey are deLer-
mlned Lo "geL sklnny" fasL, only
Lo come Lumbllng down from
LhaL dleL bandwagon, more
frusLraLed Lhan ever, wlLhln a
week or Lwo. 1hen, all Lhose
good lnLenLlons flzzle away unLll
nexL !anuary.
1here ls good news, however.
A healLhler llfesLyle can prevenL
Lhe klller hearL dlsease and help
you reach your welghL loss
goals. 8esearch shows LhaL Lhe
more supporL people have dur-
lng Lhelr welghL loss efforLs, Lhe
beLLer Lhelr resulLs. 1he help of
a welghL loss counselor can pro-
vlde solld, accuraLe lnformaLlon,
companlonshlp LhroughouL Lhe
process, supporL durlng seL-
backs, and celebraLlon durlng
successes!
Why ls supporL so cruclal? lL's
because welghL loss requlres
more Lhan [usL counLlng calo-
rles. Successful, long Lerm
welghL loss ls a complex process
LhaL requlres physlcal, behav-
loral and emoLlonal changes.
l know Lhls flrsL-hand, as one
who has successfully overcome
cardlovascular dlsease, morbld
obeslLy and oLher addlcLlons.
Maklng Lhe klnd of producLlve
changes LhaL lead Lo poslLlve re-
sulLs ls much easler Lo do when
you're noL alone.
l have creaLed a program
whlch conslsLs of Lwelve weekly
lessons, learnlng Lhe necessary
Februarys Heart Focus Includes Lifestyle
Awareness and Weight Loss
LOSING JUST TEN PER CENT OF
ONE'S BODY WEIGHT, SLOWLY
AND STEADILY, CAN GREATLY
IMPROVE THE ODDS AGAINST
THESE LIFE-THREATENING
CONDITIONS
G
IVE YOUR HEART SOME
TENDER LOVING CARE
by DOUGLAS E. SCHMIEDER

Lools Lo lose welghL and malnLaln Lhe loss. l have
wlLnessed Lhe success of cllenLs who have an aver-
age welghL loss of 43 pounds wlLhln flve monLhs,
and have kepL lL off. 1he key componenLs are welghL
loss and malnLenance, sLrucLured nuLrlLlous meal
plans, meal replacemenLs and proLeln supplemenLs,
as well as educaLlon modules coverlng nuLrlLlon, ex-
erclse, behavlor modlflcaLlons and long-Lerm maln-
Lenance.
CelebraLe Lhe monLh of love by Laklng care of your
hearL. 8ecause, as Lhe old saylng goes, "ya goLLa
have a hearL" and, as we know, lL's goLLa be healLhy.
ImAGe
999999999999999999999999999999999999999999
D'-$a* E5 Sc!%"ede) "* +!e c)ea+') 'f L"fe*+1$e
S'$-+"'&* 'f NY3 I&c5 F') %')e "&f')%a+"'& '&
!ea)+8!ea$+!1 ()')a%*3 ca$$ D@E8B@B8EE?@5
WHY IS SUPPORT SO CRUCIAL? IT'S
BECAUSE WEIGHT LOSS REQUIRES
MORE THAN JUST COUNTING
CALORIES
W
haL wlll really
make you happy?
...new research reveals
four common mlsconcepLlons.
1he ldea of a happy and mean-
lngful llfe has become unnec-
essarlly compllcaLed ln some
clrcles. Papplness has been ap-
proprlaLely clLed as a goal ln po-
llLlcal debaLes on lssues from
LaxaLlon Lo Lhe soclal safeLy neL
Lo marrlage equallLy, buL Lhe de-
baLe ls ofLen confused," says cer-
Llfled psychology coach Lynda
Wallace, auLhor of A S!')+
C'-)*e "& Ha(("&e**4 P)ac+"ca$
S+e(* +' a Ha(("e) L"fe :T!)ee
S"0+1 F".e P-b$"*!"&4 >@A5HD;3 a
book LhaL Lopped Amazon's Self-
Pelp 8esLseller llsL.
Some people clalm LhaL
happlness ls all ln your unA or
bank accounL. 1he LruLh ls LhaL
happlness ls largely a maLLer of
everyday cholces and acLlons.
1here are sLralghLforward,
well-researched and effecLlve
Lhlngs every one of us can do
Lo creaLe greaLer happlness ln
our llves and ln Lhe llves of
Lhose we care abouL," she
adds.
8esearch shows LhaL Lhe
happlesL people do four baslc
Lhlngs LhaL make Lhe dlfference.
D61hey focus on whaL ls good
and poslLlve ln Lhelr llves.
E61hey cope effecLlvely wlLh
llfe's lnevlLable challenges.
F61hey develop sLrong relaLlon-
shlps.
G61hey pursue meanlngful goals.
ln lmplemenLlng Lhese, Ms.
Wallace clLes LhaL lL ls lmporLanL
Lo undersLand Lhe common mls-
percepLlons abouL happlness
LhaL can sLand ln Lhe way of
dolng Lhese baslc Lhlngs.
o&e %"+c'&ce(,"'& "+ ,!a,
happiness is abot getting the
big things right6 lL's naLural Lo
Lhlnk LhaL lf we were suddenly
rlch, beauLlful and llvlng on a
beach somewhere, we'd be
happy. Powever, LhaL Lype of
good forLune has a surprlslngly
small lmpacL on happlness. 1he
happlesL people are mosL ofLen
noL ln Lhose envlable clrcum-
sLances, buL Lhose who culLlvaLe
poslLlve emoLlonal ouLlooks and
acLlons.
A +ec'&d %"+c'&ce(,"'& "+
,!a, happ# people sppress
negati!e emotions6 1he LruLh ls
LhaL happy people acLually ex-
perlence sadness, grlef, worry
and oLher so-called negaLlve
emoLlons nearly as frequenLly as
unhappy people do. 1he dlffer-
ence ls LhaL happler people are
generally able Lo experlence
negaLlve feellngs wlLhouL loslng
hope for Lhe fuLure.
Prsing happiness is self)
centered "+ ,!e ,!"*d %"+c'&;
ce(,"'&6 1he sLrongesL of all
concluslons drawn by re-
searchers lnLo emoLlonal well-
belng ls LhaL our happlness ls
deLermlned more by our rela-
Llonshlps wlLh oLher people
Lhan by any oLher slngle facLor.
1he happlesL people bulld Lhelr
llves around good, LrusLlng rela-
Llonshlps.
'I&ll be happ# "hen I achie!e
m# goals( "+ ,!e f'-*,! %"+c'&;
ce(,"'&6 When someone wlns a
blg award or achleves a long-
soughL amblLlon, LhaL wonder-
ful sense of accompllshmenL
seems ofLen Lo fade fasLer Lhan
expecLed. CommlLLed goal pur-
sulL ls one of Lhe keys Lo a happy
llfe, buL mosL of Lhe happlness
we geL from Lhls comes whlle
we're maklng progress Loward
Lhem, noL afLer we achleve
Lhem.
1he book's lnslghLful chapLers
lnclude klndness", 1alklng
8ack Lo AnxleLy", WhaL Lhe
PapplesL Couples uo", 1he Sur-
prlslng 1ruLh AbouL LxLrover-
slon" among oLher helpful
secLlons. Lach chapLer beglns
wlLh a noLeworLhy famous quoLe
Lo balance Lhe book's lnsplra-
Llonal aspecL wlLh lLs pracLlcallLy.
Cscar Wllde's quoLe, 8e ?our-
self. Lveryone else ls already
Laken" leads Lhe Ab'-+ T!e A-8
+!') secLlon, and may well sum
up Ms. Wallace's phllosophy on
lndlvlduals and Lhe poLenLlal for
happlness. ImAGe
999999999999999999999999999
F') %')e "&f')%a+"'&3 ."*"+
///5$1&da/a$$ace5c'%5
Research cites the basics about the happiest people and
common misperceptions about happiness
A SHORT COURSE IN HAPPINESS:
PRACTICAL STEPS TO A HAPPIER LIFE
b/ J!## S. C&e%
INSPIRING
READS
4 l4+"a Wa))a!#
A
s one of Lhe over 30 mllllon
people naLlonwlde who are
burdened wlLh auLo-
lmmune dlsease, Mee 1racy
McCormlck, a 8eal lood and
auLolmmune cooklng experL, food
makeover consulLanL, 1v cooklng
personallLy, and communlLy food
advocaLe, declded Lo flghL back
when Lhls deblllLaLlng dlsease cosL
her all quallLy of llfe and lefL her
near deaLh.
ln her new book, M1 K"+c!e&
C-)e4 H'/ I C''#ed M1 Wa1 O-+
'f C!)'&"c A-+'"%%-&e D"*ea*e
/"+! W!'$e F''d* a&d Hea$"&
Rec"(e* (MeeLee ubllsh-
lng:$19.93), she shares her
dlscoverles on Lhe heallng power
of food. Ms. McCormlck has
creaLed a llfesLyle LhaL wlll help
anyone sufferlng from any form of
auLo-lmmune dlsease.
1he book chronlcles her [our-
ney from belng near deaLh Lo be-
comlng a vlLal, healLhy woman
wlLh Lwo chlldren, a husband and
a career LhaL lncludes golng lnLo
communlLles and Leachlng whaL
she learned abouL Lurnlng around
a healLh crlsls. Per sLory sLarLs
wlLh heredlLary Crohn's dlsease,
an lnLesLlnal ulceraLlon, a dlagno-
sls of cancer walLlng Lo be con-
flrmed, and deblllLaLlng dally paln
LhaL knocked her down and lefL
her LeeLerlng aL a palnfully Lhln 96
pounds. Medlcal LesLs, LreaLmenLs
and medlclnes LhaL LhreaLened Lo
klll her before Lhey cured her had
backed Mee lnLo a healLh crlsls
corner.
noL knowlng how Lo proceed
or even how Lo cook, she Look lL
upon herself Lo Lransform her
klLchen lnLo her personal heallng
"laboraLory." She now under-
sLands LhaL by learnlng abouL Lhe
heallng power of food, she was
creaLlng someLhlng more Lhan
slmply a cure for a personal all-
menL, buL a llfesLyle. a new way
of belng. a movemenL.. A 8LAL
lCCu LllL LhaL could beneflL
everyone, especlally Lhe mllllons
who suffer from an auLo-lmmune
dlsease, of whlch Crohn's ulsease
ls one.
She has now Laken lL upon
herself Lo Leach whaL she knows.
She has seL up 8eal lood
Makeover CommunlLy klLchens ln
nashvllle and Los Angeles, some-
Llmes worklng wlLh card Lables
and buLane burners, cooklng wlLh
small groups of upwards of 130
people aL a Llme. More lmpor-
LanLly, she lncludes Lhe less prlvl-
leged ln her mlsslon.
1hls book covers Loplcs such
as WhaL ls AuLolmmune uls-
ease?", know 1hy lnLesLlnes",
LveryLhlng ?ou need Lo know
abouL Sugar," "ualry: 1o LaL lL or
noL Lo LaL lL," WhaL's 8eal &
WhaL's lake ln Lhe lood World,"
and "leedlng Cur klds 8eal lood
Lvery uay," LeL's 1alk abouL
WheaL and CluLen", 1he roblem
wlLh ?easL", 1he ulrLy uozen and
Lhe Clean 1hlrLeen", So Many
Peallng uleLs: WhaL ls whaL?".
She also dlscusses Lhe
klLchen sLaples and equlpmenL
LhaL a 8LAL lCCu klLchen should
sLock, and shares her collecLlon of
162 pages of heallng reclpes for
any meal. 1hey comblne foods ln
a way LhaL ls more nuLrlLlous and
dellclous Lhan she could have ever
lmaglned.
M1 K"+c!e& C-)e ls a book
abouL overcomlng chronlc au-
Lolmmune dlsease, prevenLlng
cancer, and Lranscendlng a hered-
lLary seLup for a llfe of lllness and
a dlmlnlshed exlsLence. lL's abouL
foods for heallng, cooklng for
cures, and eaLlng your way Lo
wellness. lL also focuses on how Lo
recover sLrengLh, regaln balance,
reclalm empowermenL, and re-
sLore vlLallLy.
As Mee 1racy McCormlck
sums lL up, 1hls hunL Lo under-
sLand our healLh and whaL makes
us well expanded my own heallng
and l found Lhe red Lhread" LhaL
connecLs all of us on Lhe road Lo
beLLer healLh -- real food. l hope
my [ourney lnsplres you Lo shlfL
your relaLlonshlp wlLh llfe and
knCW LhaL you have a cholce ln
whaL you eaL and how you feel."
ImAGe
9999999999999999999999999
F') %')e "&f')%a+"'&3 ."*"+
///5MeeT)ac15c'% ') ."*"+
a%a2'&5c'% ') b&5c'%5
MY KITCHEN CURE:
HOW I COOKED MY WAY OUT OF CHRONIC
AUTOIMMUNE DISEASE WITH WHOLE FOODS
AND HEALING RECIPES
INSPIRING
READS
4 m## T.a!4 m!c,.*'!(
b/ J!## S. C&e%
Your Podiatrist Can Help Address This
Condition
by JOSEPH ALENCHERRY, DPM, AACFAS
w!a, I+ G'-,3
CouL ls a dlsease LhaL resulLs
from Lhe bulld-up of urlc acld ln
Lhe Llssues or a [olnL. lL can affecL
any [olnL ln Lhe body buL mosL
ofLen affecLs Lhe blg Loe [olnL. urlc
acld ls a producL LhaL resulLs from
Lhe breakdown of purlnes, a sub-
sLance found ln many foods. nor-
mally, urlc acld ls dlssolved ln Lhe
blood and passed Lhrough Lhe kld-
neys lnLo Lhe urlne. Powever, lf
Lhere ls an lncrease ln Lhe produc-
Llon or lf Lhe kldneys do noL ellml-
naLe enough urlc acld from Lhe
body, levels of lL bulld up ln Lhe
blood. 1hls urlc acld can Lhen be-
come crysLalllzed ln a [olnL leadlng
Lo severe lnflammaLlon and paln.
s'4 w!a, A*e T!e s1%(,'%+3
CouL ofLen presenLs as sud-
den, severe aLLacks of paln, red-
ness and Lenderness ln [olnLs,
ofLen Lhe [olnL aL Lhe base of Lhe
blg Loe. 1he ankles, knees and
shoulders can also be affecLed. An
acuLe eplsode of gouL may wake
you up ln Lhe mlddle of Lhe nlghL
wlLh Lhe sensaLlon LhaL Lhe af-
fecLed [olnL ls on flre." 1he [olnL
may be so Lender LhaL even Lhe
welghL of Lhe sheeL ls excruclaLlng.
noL all aLLacks are of Lhls naLure,
many Llmes Lhese sympLoms mlghL
be less lnLense.
h'/ D' y'- Ge, G'-,3
1here are several facLors LhaL
can conLrlbuLe Lo gouL. Cf Lhese,
e&e,"c+ ls of mosL lmporLance
slnce many people wlLh gouL have
a famlly hlsLory of Lhe dlsease. Ae
a&d e&de* are facLors, as Lhe con-
dlLlon ls more common ln men
Lhan ln women and rarely affecLs
chlldren. Men beLween Lhe ages of
40 and 30 are mosL affecLed and
women rarely develop Lhe dlsorder
before menopause. 8elng '.e*;
/e"!, has been llnked Lo ln-
creased urlc acld producLlon and
gouL. lncreased a$c'!'$ c'&+-%(;
,"'& and a d"e, rlch ln foods LhaL
conLaln hlgh levels of purlnes are
also leadlng causes of Lhe dlsease.
Alcohol lnLerferes wlLh Lhe removal
of urlc acld from Lhe body, and ex-
cesslve purlnes lead Lo lncreased
urlc acld producLlon. h"! b$''d
(*e++-*e ls a conLrlbuLlng cause of
gouL ln older people. PypoLhy-
roldlsm, psorlasls, anemla and can-
cer have been also llnked Lo gouL.
Common %ed"ca,"'&+ such as dl-
ureLlcs and asplrln have also been
known Lo cause acuLe gouL.
h'/ "+ G'-, D"a&'+ed3
CouL can be dlfflculL Lo dlag-
nose slnce Lhe sympLoms can be
vague and ofLen mlmlc oLher con-
dlLlons such as osLeoarLhrlLls or ln-
fecLlon of Lhe [olnL. 1aklng a blood
LesL Lo check level of urlc acld ls
helpful buL noL deflnlLlve slnce
blood urlc acld may noL be ele-
vaLed durlng an acuLe aLLack. Con-
versely, hlgh blood levels of urlc
acld alone do noL conflrm Lhe pres-
ence of gouL slnce many people
wlLh elevaLed blood levels of urlc
acld do noL develop Lhe dlsease.
An x-ray of Lhe affecLed [olnL
can be helpful slnce Lhere are char-
acLerlsLlc radlographlc flndlngs as-
soclaLed wlLh Lhe chronlc gouL.
LxamlnaLlon of Lhe [olnL synovlal
fluld under a mlcroscope ls Lhe
mosL deflnlLlve meLhod of dlagnos-
lng Lhe condlLlon. CfLen, docLors
rely on Lhe paLlenL's accounL of Lhe
onseL of sympLoms, ln addlLlon Lo
Lhese LesLs, Lo make Lhe dlagnosls
of gouL.
h'/ I+ G'-, T*ea,ed3 >h'/ ca& A
p'd"a,*"+, he$(3?
CouL can be LreaLed wlLh one
or a comblnaLlon of Lheraples. 1he
lmmedlaLe goal of LreaLmenL ls Lo
allevlaLe Lhe paln and swelllng as-
soclaLed wlLh acuLe aLLacks. 1he
long Lerms goals are Lo prevenL fu-
Lure eplsodes, Lo avold arLhrlLls of
affecLed [olnLs and Lo prevenL for-
maLlon of Lophus (hard deposlLs of
urlc acld crysLals ln and around a
[olnL) and kldney sLones.
1he slmplesL LreaLmenLs for an
acuLe aLLack of gouL are nSAlus and
colchlclnes Laken by mouLh, buL a
corLlcosLerold ln[ecLlon of Lhe af-
fecLed [olnL ls Lhe mosL effecLlve.
CfLen, Lhose who suffer from gouL
have oLher medlcal condlLlons or may
CONDITIONS SUCH AS A
BUNION OR A FUNCTIONAL
HALLUX LIMITUS MIGHT BE
CONTRIBUTING TO
FREQUENT GOUT ATTACKS OF
THE GREAT TOE JOINT
A
LL ABOUT GOUT...
AND ITS IMPACT ON YOUR FEET
be Laklng medlcaLlons LhaL would prevenL use of nSAluS
and hence, an ln[ecLlon mlghL be Lhe besL cholce for lmme-
dlaLe rellef of gouL paln. rolonged use of corLlcosLerolds or
nSAlus ls noL advlsable for long Lerm LreaLmenL of gouL.
?our physlclan mlghL also prescrlbe probenlcld, allopurlnol,
ulorlc and/or colchlclne Lo conLrol urlc acld blood levels
and Lo prevenL fuLure eplsodes of gouL.
Surgery may be lndlcaLed when Lhere ls formaLlon
of Lophus or lf Lhere ls arLhrlLls of an affecLed [olnL. Sur-
gery can be a slmple 'cleanlng ouL' of Lhe [olnL or a more
exLenslve fuslon procedure. CondlLlons such as a bunlon
or a funcLlonal hallux llmlLus mlghL be conLrlbuLlng Lo
frequenL gouL aLLacks of Lhe greaL Loe [olnL. ?our docLor
mlghL recommend surgery Lo address Lhese condlLlons
ln order Lo prevenL progresslon of arLhrlLls and Lhus
avold Lhe need for a fuslon procedure ln Lhe fuLure. Ad-
dlLlonally, orLhoLlcs and approprlaLe shoe cholces can
also help manage Lhese condlLlons LhaL can conLrlbuLe
Lo gouL aLLacks.
T"(+ T' p*e.e&, G'-,
MalnLalnlng a healLhy llfe sLyle ls noL good only for
overall healLh, buL ls also effecLlve ln prevenLlng gouL.
l"%", %ea, a&d +eaf''d. All meaL, poulLry and flsh con-
Laln purlnes buL red meaL, and cerLaln flsh have hlgher
amounLs. Crgan meaLs, herrlng, anchovles, mackerel,
shrlmp, lobsLer, scallops, asparagus, caullflower,
splnach, mushrooms and legumes are assoclaLed wlLh
lncreased rlsk of gouL. red-ce fa, "&,a#e. SaLuraLed faL
lowers Lhe body's ablllLy Lo ellmlnaLe urlc acld. Chooslng
low faL food and dalry wlll cerLalnly be helpful. l"%",
a$c'!'$. Alcohol lnLerferes wlLh Lhe ellmlnaLlon of urlc
acld from Lhe body. 8eer and red wlne have been llnked
Lo gouL aLLacks. lf you're havlng an acuLe eplsode, avold
alcohol alLogeLher. l"%", '* a.'"d f''d+ /",! !"!
f*-c,'+e c'*& +1*-(. lrucLose ls Lhe only carbohydraLe
known Lo lncrease urlc acld. lL ls wlse Lo avold bever-
ages sweeLened wlLh hlgh-frucLose corn syrup, such as
sofL drlnks or [ulce drlnks. D*"&# /a,e*. WaLer can help
prevenL deposlLlon of urlc acld crysLals and help ellml-
naLe urlc acld from Lhe body. urlnk aL leasL 8 glasses a
day. e0e*c"+e *e-$a*$16 MalnLaln a healLhy body welghL,
buL avold low carbohydraLe dleLs. When carbohydraLe
lnLake ls lnsufflclenL, Lhe body can noL compleLely me-
Labollze faL. As a consequence, subsLances called ke-
Lones form and are released lnLo Lhe bloodsLream
whlch has been shown Lo lncrease Lhe level of urlc acld
ln Lhe blood. ImAGe
99999999999999999999999999999999999999999999
D)5 J'*e(! A$e&c!e))1 "* a& a**'c"a+e 'f F''+ a&d A&#$e
S-)e'&* 'f NY3 /"+! *+a+e8'f8+!e8a)+ fac"$"+"e* $'ca+ed
'& L'& I*$a&d a&d Ma&!a++a&5 F') %')e "&f')%a+"'&3
."*"+ ///5faa*&15c'% ') ca$$ D@E8CHA8BD@D5
n
ow LhaL wlnLer ls here, and
we are all looklng forward Lo
Lhe reLurn of warmer
weaLher, Lake advanLage of Lhls Llme
and geL yourself ready for summer.
WlnLer ls Lhe besL Llme of Lhe
year for phoLofaclal LreaLmenLs.
ulmlnlshed sunllghL caused by Lhe
shorLened days of wlnLer, lnfluences
Lhe way you look and feel. lnLense
ulsed LlghL (lL) Lherapy ls llke a
plck-me-up for your skln or an en-
ergy boosL Lo rld you of wlnLer's blah
feellng.
hoLo-re[uvenaLlon dellvers
lncredlble anLl-aglng resulLs. lL
smooLhes Lhe skln's surface and LlghL-
ens lL, decreases pore slze, reverses
vlslble slgns of sun damage and ln-
creases new collagen producLlon lm-
provlng Lhe skln's elasLlclLy.
hoLo-re[uvenaLlon ls a non-lnvaslve
laser LreaLmenL LhaL also reduces sun
spoLs, age spoLs, flne llnes and un-
even skln Lone. lL also addresses
rosacea, broken caplllarles and skln
clarlLy. 1here ls llLLle or no downLlme
and Lhe resulLs are fabulous. A serles
of flve or slx LreaLmenLs ls usually
necessary.
sa1 ''db1e ,' /a0"& a&d +!a."&
Laser halr removal for men and
women ls a greaL cholce for Lhe
wlnLer season. Slnce several rounds
of LreaLmenLs are requlred, Lhls ls a
greaL Llme Lo sLarL a reglmen LhaL
can make summerLlme carefree
and halr-free. 1he laser used for
halr removal LargeLs Lhe plgmenL ln
acLlve halr folllcles, and Lhe halr
falls ouL gradually, followlng LreaL-
menL. Slnce noL all folllcles are ac-
Llve aL once, a serles of 6-8
LreaLmenLs ls recommended,
resulLlng ln 70-90 permanenL halr
reducLlon.
Need reasons to get started$
1. le++ f*e)-e&c1 'f +!a."& %ea&+
$e++ ,"%e &eeded ,' e, *ead16
2. Fe/e* "&*'/& !a"*+5 Slnce you
are reduclng Lhe number of halrs,
you also reduce Lhe chances of geL-
Llng an lngrown halr. Many men and
women are plagued wlLh Lhls embar-
rasslng problem.
3. s'f,e*4 +%'',!e* +#"&5 MosL
female paLlenLs and aLhleLes sLaLe
LhaL Lhelr legs feel sLubbly less Lhan
Lwo Lo Lhree days afLer shavlng and
a few more days afLer waxlng. Laser
halr removal wlll glve you sofLer,
smooLher skln afLer each LreaLmenL.
Lven Lhe small percenLage of halrs
LhaL do noL go away are llghLer ln
color and Lhlnner.
4. le++ d"+c'$'*a,"'& a&d +ca**"&5
As a resulL of lngrown halrs and lrrl-
LaLlon or lLchlng afLer shavlng, many
paLlenLs develop embarrasslng dls-
coloraLlons called posL-lnflammaLory
hyper-plgmenLaLlon. Cnce you per-
manenLly reduce Lhe number of
halrs, mosL of Lhe dlscoloraLlon goes
away. WhaLever dlscoloraLlon re-
malns from lngrown halrs ls LreaL-
able wlLh llghLenlng creams.
3. p*"ce+ !a.e c'%e d'/& +"&"f";
ca&,$12 now ls Lhe Llme Lo sLarL.
la+e* Ta,,'' re%'.a$
Laser LaLLoo removal should
deflnlLely begln ln Lhe fall or wlnLer
unless Lhe LaLLoo ls ln an area where
Lhe sun doesn'L shlne. A LaLLoo may
seem llke a greaL ldea aL Lhe Llme,
buL someLlmes you feel dlfferenLly as
Llme passes. ?our LaLLoo may no
longer represenL who you are, or lL
may be an embarrassmenL ln your
currenL professlon. Lucklly, Loday's
laser Lechnologles allow for a more
professlonal look LhaL lnsLllls greaLer
self-confldence.
Ad.a&ce%e&,+ "& la+e*
Tec!&'$'1
1oday Lhe newesL Lechnlques
and mosL powerful lasers can re-
move your LaLLoo wlLh mlnlmal, lf
any, slde effecLs.
Pere's how lL works. Lasers re-
move LaLLoos by breaklng up Lhe plg-
menL colors of Lhe LaLLoo wlLh a
hlgh-lnLenslLy llghL beam. Cur bod-
les Lhen gradually ellmlnaLe Lhe
smaller fragmenLs of Lhe lnk. ue-
pendlng upon Lhe slze and color of
your LaLLoo, Lhe number of LreaL-
menLs wlll vary. 8lack plgmenL ls Lhe
easlesL Lo LreaL. CLher colors, such as
red, green, yellow, orange and blue
are more dlfflculL and requlre dlffer-
enL wavelengLhs of laser llghL Lo re-
move Lhem. 8ecause each LaLLoo ls
unlque, removal Lechnlques musL be
Lallored Lo sulL each lndlvldual case
and should be performed by a
skllled, board cerLlfled physlclan.
aLlenLs wlLh prevlously LreaLed
LaLLoos may also be candldaLes for laser
Lherapy. 1aLLoos LhaL have noL been ef-
fecLlvely removed by oLher LreaLmenLs
PHOTO-REJUVENATION IS A
NON-INVASIVE LASER TREATMENT
THAT ALSO REDUCES SUN SPOTS,
AGE SPOTS, FINE LINES AND
UNEVEN SKIN TONE
Theres a Laser Solution For Many Conditions
by INA LUTIN, RN, CPCP, FAMM
W
INTER IS THE TIME FOR
LASER TREATMENTS
or Lhrough home remedles may respond well Lo laser Lherapy, provld-
lng Lhe prlor LreaLmenLs dld noL resulL ln excesslve scarrlng.
la+e* T*ea,%e&, f'* na"$ F-&-+
1reaLmenL of onychomycosls or nall fungus ls challenglng
because Lhe lnfecLlon ls embedded wlLhln Lhe nall and ls dlfflculL
Lo reach, full removal of sympLoms ls slow and may Lake a year
or more. ln Lhe pasL, LreaLmenL was a lengLhy process and was
elLher a sysLemlc anLlfungal medlcaLlon, or a Loplcal medlcaLlon,
such as nall palnLs.
1oday, laser LreaLmenL ls Lhe newesL, near palnless and safe,
LreaLmenL for nall fungus. 1he genLle laser zaps Lhe Loenall, ln-
sLanLly kllllng Lhe paLhogens LhaL cause Loenall fungus.
1reaLmenLs Lake only abouL flfLeen mlnuLes.
la+e* T*ea,%e&, be&ef",+5
1reaLmenLs are safe
1he LreaLmenL ls palnless
1here are no slde effecLs
1he nall and surroundlng skln are noL harmed
aLlenLs can puL on shoes or nall pollsh lmmedlaLely
afLer LreaLmenL
1reaLmenL ls hlghly effecLlve
MosL paLlenLs are cured wlLh Lwo LreaLmenLs. Some paLlenLs
wlll requlre addlLlonal LreaLmenLs. lf you LreaL your nalls now,
Lhey wlll be greaLly lmproved by summer.
w"&,e* I+ A G*ea, T"%e F'* A VI pee$
AlLhough a vl eel ls noL a laser LreaLmenL, wlnLer ls a greaL
Llme Lo have one, especlally lf you wanL Lo freshen up your de-
colleLe, arms, back or legs as well as your face. 1he vl eel con-
slsLs of a synerglsLlc blend of flve aclds LhaL no oLher peel offers:
- TcA- 1rlchloroaceLlc acld for peneLraLlon, deep scar heallng,
sLlmulaLes collagen growLh,
- re,"&;A - an acld derlved from vlLamln A Lo combaL wrlnkles,
- sa$"c1$"c Ac"d- Lhls beLa hydroxy acld (8PA) ls an exfollanL,
- p!e&'$- has anLlsepLlc and anesLheLlc properLles, alds ln skln
peneLraLlon,
- V",a%"& c- ascorblc acld has anLloxldanL and mlld exfollaLlon properLles
1he vl eel wlll lmprove Lhe Lone, LexLure and clarlLy of Lhe
skln, reduce or ellmlnaLe age spoLs, freckles, and hyper-plgmen-
LaLlon, lncludlng melasma, sofLen llnes and wrlnkles, clear acne
skln condlLlons, reduce or ellmlnaLe acne scars, and sLlmulaLe Lhe
producLlon of collagen, for flrmer, more youLhful skln. vl eel also
works well ln con[uncLlon wlLh lasers, and ln[ecLables. 1he peel
provldes superlor resulLs for all skln Lypes. 1o keep skln youLhful,
Lwo Lo four peels a year are recommended as well as a good
home care reglmen.
So wlLh sprlng approachlng qulckly, Lake advanLage of all Lhe
newesL procedures and geL your skln ln Lhe besL shape lL can be.
8emember LhaL your skln ls Lhe largesL organ of your body and
Lhe flrsL Lhlng people see when Lhey meeL you.
Ln[oy Lhe Season and Look ?our 8esL 1hls Summer! ImAGe
999999999999999999999999999999999999999999999999999999
I&a L-+"&3 RN3 CPCP3 FAAM ()'."de* ae*+!e+"c +)ea+%e&+* a+ W'%e&6*
Hea$+! a&d We$$&e** "& L"++$e Nec# a&d W''db-)13 F') %')e
"&f')%a+"'&3 ."*"+ ///5/!/&15c'% ') ca$$ F@G8AG@8@G??
Two Common Conditions Explained
l
L's LhaL Llme of year agaln Lo
revlew some common derma-
Lologlc condlLlons. LeL's Louch
upon psorlasls and eczema.
sorlasls can be a serlous
medlcal condlLlon. 1he mosL
common form, whlch affecLs
abouL 80 of Lhose wlLh psorla-
sls, ls plaque psorlasls. lL ls char-
acLerlzed by paLches of ralsed,
reddlsh skln covered wlLh sllvery-
whlLe scale. lL usually occurs on
Lhe scalp, knees, elbows, hands
and feeL. Several medlcal condl-
Llons wlll lncrease Lhe cardlovas-
cular rlsk for lndlvlduals wlLh
mlld Lo severe psorlasls. 1hese
lnclude smoklng, dlabeLes, obe-
slLy, and elevaLed blood pressure
and cholesLerol. AnoLher form of
psorlasls ls psorlaLlc arLhrlLls.
1hls affecLs Lhe [olnLs ln one's
body and can be presenL wlLhouL
Lhe Lyplcal psorlaLlc plaques.
1reaLmenL for psorlasls
lncludes: Loplcal medlcaLlons
conLalnlng corLlsone-llke com-
pounds, and synLheLlc vlLamln u
analogues. Some older LreaL-
menLs lncluded Lar and anLhralln.
LlghL Lherapy, along wlLh Loplcal
or oral medlcaLlons, under your
dermaLologlsL's guldance, ls ex-
Lremely beneflclal. Cral medlca-
Llons such as meLhoLrexaLe,
reLlnolds or cyclosporlne can be
used.
1he newesL LreaLmenLs ln-
clude Lhe 8lologlcs. 1hese are
used Lo LreaL moderaLe Lo severe
or dlsabllng psorlasls and psorl-
aLlc arLhrlLls. 1hese LreaLmenLs
LargeL Lhe preclse lmmune paLh-
way LhaL ls lnvolved wlLh psorla-
sls and Lhe overacLlve cells LhaL
cause lL. Lasers offer a unlque
LreaLmenL opLlon called Lar-
geLed phoLoLherapy". sorlasls
plaques are LargeLed and Lhe sur-
roundlng skln ls spared. 1hls
form of LreaLmenL can be parLlc-
ularly effecLlve ln LreaLlng sLub-
born psorlasls of Lhe scalp, feeL
and hands.
Lczema/ aLoplc dermaLlLls ls
frequenLly descrlbed as Lhe lLch
LhaL rashes." lL ls characLerlzed
by paLches of dry, red skln LhaL
may have scales and/or crusL.
Cenerally felL ls lLchlng and LhaL
resulLs ln consLanL scraLchlng,
Lhus Lhe known "lLch scraLch
cycle." 1hls can lead Lo second-
ary lnfecLlon. Common slLes for
eczema are Lhe face, neck and
Lhe lnsldes of Lhe elbows, knees
and ankles. 1hls ls ln conLrasL Lo
psorlasls, whlch exlsLs on Lhe
ouLer sldes of elbow, knees and
ankles. up Lo abouL 20 of Lhe
world populaLlon develops some
form of eczema. ln Lhe unlLed
SLaLes, lL affecLs more Lhan 13
mllllon people of all ages. lL ls es-
LlmaLed LhaL abouL 63 of peo-
ple wlLh eczema develop lL
by SUZANNE SIROTA ROZENBERG, DO, FAOCD
ECZEMA/ ATOPIC DERMATITIS IS
FREQUENTLY DESCRIBED AS THE
ITCH THAT RASHES. IT IS
CHARACTERIZED BY PATCHES OF
DRY, RED SKIN THAT MAY HAVE
SCALES AND/OR CRUST
W
HAT IS PSORIASIS?
WHAT IS ECZEMA?
HOW DO THEY DIFFER?
e!5#*a P/,.'a/'/
wlLhln Lhe flrsL year of llfe, and 90 before age flve.
Powever, don'L be fooled. lL can begln ln puberLy or
even laLer.
MosL cases of eczema can be conLrolled wlLh proper
LreaLmenL. 1hls lncludes medlcaLlon and skln hyglene.
1here ls no cure for aLoplc dermaLlLls. 1he goals of
LreaLmenL are Lo keep Lhe skln molsL, reduce lnflam-
maLlon and Lhe rlsk of lnfecLlon, and mlnlmlze Lhe lLch
assoclaLed wlLh Lhe rash. 1he newesL ldeology ls Lo
keep Lhe skln barrler lnLacL. Cver-washlng, scrubblng,
lengLhy hoL waLer baLhs and showers are noL good for
Lhe skln. LffecLlve LreaLmenL ofLen requlres a mulLl-
Lude of lnLervenLlons. MedlcaLlon, proper skln care
and Lrlgger avoldance are all used, separaLely or Lo-
geLher. 1reaLmenL Lo relleve sympLoms may lnclude:
molsLurlzers Lo help relleve dry skln, cold compresses
applled dlrecLly Lo Lhe skln Lo help relleve Lhe lLch, cor-
LlcosLerold creams and olnLmenLs Lo help reduce ln-
flammaLlon. nonsLeroldal creams such as Lacrollmus
and plmecrollmus may also be used. When secondary
lnfecLlons are presenL, oral anLlbloLlcs should be used
as well as bleach baLhs. SedaLlve anLlhlsLamlnes Lo
help Lhe paLlenL sleep aL nlghL can be useful. ho-
LoLherapy can be used ln moderaLe Lo severe cases.
Some slmple ldeas Lo keep skln healLhy, especlally
durlng Lhe wlnLer monLhs are Lo use soap only where
necessary, genLly exfollaLe, before molsLurlzlng wlLh a
Lhlck cream, and place a humldlfler ln Lhe bedroom.
AlLhough hoL showers mlghL feel beLLer, afLerwards
your skln wlll be drled ouL slnce Lhe naLural olls have
been washed away and Lhe skln flakes. lLchlng ls also
made worse afLer Lhe hoL showers. ShorLer, Lepld
showers and baLhs are besL.
As always, Lhese condlLlons can be LreaLed by your
dermaLologlsL who can make successful dlagnoses and
proper LreaLmenL of rashes. ImAGe
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D@E8AHD8DDF? ') ."*"+ ///5*)*de)%a+'$'15c'%5
SOME SIMPLE IDEAS TO KEEP SKIN
HEALTHY, ESPECIALLY DURING THE
WINTER MONTHS ARE TO USE SOAP
ONLY WHERE NECESSARY, GENTLY
EXFOLIATE BEFORE MOISTURIZING
WITH A THICK CREAM, AND PLACE A
HUMIDIFIER IN THE BEDROOM
W
hen we flrsL chose SLowe MounLaln Lodge as Lhls lssue's
uesLlnaLlon of ulsLlncLlon," l wondered abouL our readers
who don'L skl (yours Lruly ls one of Lhem) and how Lhls
could become a greaL desLlnaLlon even durlng snow and skl season.
B-+ +)-$13 S+'/e "* a& "&+e)&a+"'&a$$1 )e&'/&ed f'-)8*ea*'& de*+"&a8
+"'&3 *' a&1 +"%e "* a f"&e +"%e +' ."*"+ S+'/e. 1hls luxury lodge fea-
Lures sLunnlng panoramlc mounLaln vlews, an amblance of rusLlc
elegance and graclous servlce. And oh, Lhe Spa!
Cnce l learned abouL 1he Spa and Wellness CenLer aL SLowe
MounLaln Lodge, lL was clear LhaL Lhls spa ls a real Shangrl-la for all
Lhe senses. lL ls nesLled ln Lhe naLural seLLlng of vermonL, whlch naL-
urally beglns Lo calm Lhe body and mlnd. ln wlnLer, lL ls of course
surrounded by specLacular vlews of snow-covered mounLalns, whlch
Lhen become lush greenery ln Lhe sprlng.
1he Spa has new offerlngs whlch Lake lL Lo Lhe ouLdoors and
beyond. 1he SLowe Spa wellness and recreaLlon Leam goes beyond
whaL mosL people Lhlnk ls healLhy", Lo ensure LhaL all guesLs con-
necL wlLh naLure and feel lnsplred by Lhe surroundlngs, whlch ln re-
Lurn exudes Lhe Lrue meanlng of healLh and wellness.
1he Spa and Wellness CenLer aL SLowe MounLaln Lodge has
such an advanLage ln provldlng a Lruly auLhenLlc spa experlence for
our guesLs," says Maggle uunphy, Spa ulrecLor. 1he naLural sur-
roundlngs, Lhe mounLalns, Lhe vasL expanse of acLlvlLles and ouLlngs
LhaL are ouLslde our door allow for my Leam Lo creaLe very unlque
and LransformaLlve experlences for our guesLs."
lor example, a slgnaLure yoga class, called SLowega"
1M
, Lakes
place ln Lhe woods and lnvolves Ea)+!"& Lechnlques ln whlch par-
LlclpanLs learn how Lo be more connecLed Lo Lhe LarLh Lhrough
groundlng poses.
CLher acLlvlLles lnclude mounLaln medlLaLlon sesslons aL sun-
rlse and sunseL, 8ach Lo naLure" booL camp LhaL lnvolves core work,
cardlo and classlcal muslc ouLdoors, gulded hlkes, a !ava Plke" LhaL
lncludes coffee, and even cusLomlzed blrd waLchlng.
We have relnvenLed whaL mosL people Lhlnk of a spa day,"
uunphy adds. We call lL our 'Wel Lo Wellness.' ln Mandarln, Wel
means a LransformaLlve acLlon, and LhaL ls exacLly our goal for each
experlence, Lo leave our guesLs feel Lransformed."
1he Spa succeeds ln creaLlng Lhe feel as lf Lhe luxurlous spa ex-
perlence ls happenlng ln Lhe warmLh of a dear frlend's home. lor
me, lL evokes belng surrounded by my frlends ln Lhelr new Lngland
home, buL wlLh Lhe addlLlon of one sumpLuous spa. 1he Spa focuses
on Lhe slmpllclLy of naLure Lo creaLe a hollsLlc envlronmenL for Lhe
body, from Lhe lnslde ouL. naLural colors, organlc LexLures, rlch
sLones and rusLlc woods blend wlLh Lhe overslzed plcLure wlndows
and a dramaLlc vlew of Lhe hlghesL peak ln vermonL, MounL Mans-
fleld.
Spa Llme sLarLs ln Lhe heallng lodge", a prlvaLe waLer sancLu-
ary lnLegraLlng an herbal sLeam chamber, expanslve !acuzzl pool, dry
sauna, naLural salL scrub and coollng raln shower whlch wlll resLore
Lhe body's naLural pP balance and relax Lhe muscles. CuesLs are en-
couraged Lo lndulge ln Lhese LherapeuLlc properLles elLher before or
afLer Lhelr scheduled LreaLmenLs.
Spa opLlons lnclude LradlLlonal and slgnaLure servlces, chang-
lng seasonally. 1he SlgnaLure 8lLuals are deslgned as personal spa
reLreaLs, offerlng Lhe ulLlmaLe escape. Lach beglns wlLh Lhe skllled
hands of Lwo massage LheraplsLs for Lhe flrsL LwenLy flve mlnuLes
wrapplng or scrubblng pure lngredlenLs onLo your skln. 1hen Lhere's
a warm oll scalp LreaLmenL and peppermlnL fooL LreaLmenL, and a
full body massage ends Lhe LreaLmenL. P-)e Ze& S'-&d T!e)a(1 uLl-
llzes a carbon-flber sound chalr and Lhe naLural harmonlc hallng res-
onance of muslc Lo relax Lhe muscles, llgamenLs, Lendons and Llred
body/mlnd whlle sLrengLhenlng Lhe bones and emoLlonal bodles for
ulLlmaLe performance.
Cn Lo 1he Wellness CenLer, whlch glves an experlence conslsL-
lng of Lallored flLness and wellness programs Lo help guesLs malnLaln
good healLh Lhrough nuLrlLlonal counsellng, physlcal flLness and
llfesLyle enhancemenLs. CuesLs can learn Lo flnd balance Lhrough
Lhese medlLaLlon, nuLrlLlon and healLh malnLenance servlces LhaL
Destinations of Di s t i nc t i on
by JILL S. COHEN
STOWE MOUNTAIN LODGE
Co SLowe! now or ln Any Season . Ch So Spa!
28 IMAGE FEBRUARY / MARCH 2014 WWW.IMAGEMAGONLINE.COM WWW.IMAGEMAGONLINE.COM FEBRUARY / MARCH 2014 IMAGE 29
///5!'$"*+"cde&+"*+)1&15c'%
wlll resulL ln a Lrue sense of well-belng.
1he sLaLe-of-Lhe-arL flLness cenLer feaLures equlpmenL, personal
Lralnlng sesslons and group classes wlLh cerLlfled Lralners. uurlng any
season, guesLs should Lake advanLage of Lhe gulded mounLaln hlkes.
And, whaL happens when you Lake Lhe pamperlng of body, soul
and splrlL and add a "$e and a smlle? ?ou geL s,'/e m'-&,a"&
l'de8+ K"ds(a >c!"$$a0? experlence for klds. Chlllax ls focused on kld-
frlendly, empowerlng mlnl-spa LreaLmenLs LhaL amuse, Leach and are
all abouL fun. 8oys and glrls learn Lhe awesome power of sLlllness and
regard for wellness Lhrough heallng Louch. 1hls experlence ls de-
slgned for chlldren ages 6 and above, and glggllng ls Lhe rule of Lhe
day. klds unwlnd ln a cusLomlzed sesslon LhaL lncludes Lhelr own prl-
vaLe Chlllax space, where Lhey en[oy refreshlng aromaLherapy wash-
cloLhs, cool cucumbers, sLrawberry-lnfused hand and LooLsle
LreaLmenLs, deep breaLhlng exerclse and chocolaLe masks. klds age
Lwelve and under relleve Lhelr Lenslon durlng Mlnl Me massages, and
faclals Leach baslc skln care. lor glrly glrls", Lhere ls a 1asLy 1oes pedl-
cure and a rlncess manlcure Lo add Lo Lhe glamour.
Culslne-wlse, SLowe guesLs are ln for a LreaL. T!e s'$+,"ce
re+,a-*a&, offers vermonL arLlsan-lnsplred culslne ln an eleganL, yeL
comforLable seLLlng. ?ou'll sample locally-grown and organlcally-pro-
duced fresh produce, helrloom gralns, arLlsan cheeses and all-naLural
meaLs. ln facL, Lhe SLowe MounLaln Lodge was greaLly honored lasL
lall as a hosL of Lhe flrsL Ja%e+ bea*d ce$eb*",1 c!ef T'-* dlnner ln
Lhe sLaLe of vermonL. LxecuLlve Chef !osh 8erry consldered Lhe evenL
an exclLlng way Lo klck off one of Lhe besL Llmes of Lhe year ln ver-
monL for seasonal lngredlenLs. 1he h'-*$a++ bar serves reglonal ml-
crobrews, deslgner cockLalls and rare wlnes, some from
small-producLlon vlneyards LhroughouL Lhe world, wlLh a focus on or-
ganlc and blodynamlc wlnes.
LocaLed aL SLowe MounLaln 8esorL, ln Lhe hearL of Lhe new
Spruce eak aL SLowe alplne vlllage, and ad[acenL Lo Lhe new Cver Lasy
1ransfer Condola connecLlng Spruce eak Lo ML. Mansfleld, guesLs
en[oy slopeslde access Lo Lhe mosL legendary skl resorL ln Lhe LasL,
close proxlmlLy Lo Lhe mosL challenglng mounLaln hlklng and blklng
Lralls ln Lhe area, sLreams, ponds and lakes Lo fly flsh for LrouL, bass,
and plke, and an ldeal seLLlng ln Lhe mldsL of beauLlful lall follage as
well. 1he golf course feaLure an 18-hole, par 72 champlonshlp moun-
Laln course deslgned by Lhe legendary 8ob Cupp.(lL was recognlzed by
c'&de na+, T*a.e$e* a+ ,!e CD G'$f re+'*, "& ,!e n'*,!e*& u6s6).
SLowe has 39 LoLal mlles of skllng, 116 Lralls, 22 mlles of groomed
Lerraln and 23 mlles of backcounLry Lralls for cross counLry skllng and
a snowboardlng halfplpe. 1he elevaLlon ls 4,393 feeL aL ML. Mansfleld,
vermonL's hlghesL peak.
need anoLher reason Lo go SLowe? SLowe's Alplne Conclerge ls
a unlque guesL servlces program whlch offers each guesL wlLh a hlgh
level of cusLomlzed servlce and aLLenLlon durlng guesLs' sLay. 1he
Alplne Conclerge 1eam creaLes personal proflles whlch Lrack guesLs'
preferences, allowlng Lhem Lo glve an excepLlonal servlce experlence.
SLowe MounLaln Lodge ls parL of uesLlnaLlon PoLels & 8esorLs, Lhe
fourLh largesL lndependenL hosplLallLy managemenL company ln Lhe
counLry, wlLh over 33 luxury and upscale hoLels, resorLs and confer-
ence cenLers.
So, whaLever you're looklng for Lhls wlnLer, or as you Lurn your cal-
endar ahead, go SLowe --and see whaL a spa LhaL Lakes lL Lo Lhe ouL-
doors and beyond" can do for you - and your mlnd and body.
S+'/e M'-&+a"& L'de
FC@A M'-&+a"& Rd5
S+'/e3 Ve)%'&+
G?A8ADB8BDE?
///5*+'&e%'-&+a"&$'de5c'%
u
o palnful bunlons prevenL you from
wearlng Lhe shoes you wanL Lo
wear? Are Lhe rlsks and recovery
Llmes from surgery prevenLlng you from
serlously conslderlng bunlon surgery?
8unlons are one of Lhe mosL com-
mon fooL problems. When you have a
bunlon, Lhe condlLlon ls such LhaL Lhe blg
Loe polnLs Loward Lhe second Loe causlng
a bump on Lhe lnslde edge of Lhe Loe. 1hls
bump ls an enlargemenL of Lhe [olnL aL Lhe
base of Lhe blg Loe, and ls comprlsed of
bone or sofL Llssue whlch many Llmes can
progress Lo become swollen and palnful
wlLh shoes. 8unlons are generally caused
by poor bone sLrucLure and llgamenLous
laxlLy or "loose llgamenLs". CeneLlcs also
appears Lo play a role, Lhough narrow-
Loed, hlgh-heeled shoes can cerLalnly
aggravaLe Lhe problem.
8unlonecLomles (Lhe surglcal proce-
dure Lo remove a bunlon) have come a
long way. Cver Lhe pasL cenLury, over 100
dlfferenL Lypes of bunlon procedures have
been descrlbed. Many have had hlgh suc-
cess raLes. 1he success raLe has lncreased
wlLh recenL reflnemenLs ln surglcal Lech-
nlques, resulLlng ln earller ambulaLlon and
decreased recovery Llmes. uesplLe Lhe
mulLlLude of Lechnlques for bunlon
correcLlon, every paLlenL ls unlque. Many
facLors, such as age, healLh sLaLus, acLlvlLy
level, work, and famlly obllgaLlons, musL
be consldered when chooslng Lhe opLlmal
procedure besL sulLed for each lndlvldual.
Pavlng performed over 2300
bunlonecLomles, aL Lhe renowned kern
PosplLal ln Mlchlgan, aL lnsLlLuLlons ln Lhe
Lrl-sLaLe area, MassachuseLLs, Callfornla,
and ln Lhe unlLed klngdom, l have seen a
greaL deal of varlablllLy ln Lhe meLhods
used as well as a greaL deal of varlablllLy
ln ouLcomes.
When lL comes Lo paln and acLlvlLy,
resulLs have been saLlsfacLory. Powever,
some paLlenLs complaln of excess skln LhaL
ls lefL behlnd afLer a bunlonecLomy. 1hls ex-
cess skln ls Lyplcally consldered normal and
an expecLed parL of Lhe ouLcome of sur-
gery. Many surgeons Lell Lhelr paLlenLs LhaL
Lhe skln wlll conLracL back as Llme passes,
"Llke a pregnanL women's belly does afLer
she glves blrLh."
Powever, l have found LhaL Lhls ls noL
always Lhe case. 8esldes belng Lhlcker, Lhe
skln on Lhe fooL ls also sLronger and less
elasLlc Lhen Lhe skln on Lhe belly or face
(1hlnk of all Lhe faclal expresslons LhaL
cause Lhe skln on Lhe face Lo sLreLch.) 1he
skln on Lhe fooL musL wlLhsLand more pres-
sure and ls Lherefore sLronger and less
elasLlc. As a resulL, some bunlonecLomy pa-
LlenLs are lefL wlLh redundanL skln LhaL ls
Lhlckened and unable Lo reLracL. ln such
cases, Lhe redundanL skln may become un-
slghLly.
1o address Lhls problem, l now per-
form a skln plasLy wlLh almosL every
bunlonecLomy. 1hls Lechnlque removes
excess skln and shapes Lhe slLe Lo allow
for smooLher more naLural conLours and
less scarrlng. 1hls Lechnlque, whlch l refer
Lo as Lhe looL-llfL: an AesLheLlc
8unlonecLomy", has a very hlgh success
raLe. 1he looL-llfL allows for a less noLlce-
able scar and removes Lhe unwanLed
Lhlckened skln. lL also helps reduce
swelllng whlch helps reduce Lhe posL-
operaLlve paln. ln addlLlon, lL may help
decrease Lhe llkellhood of bunlon reoccur-
rence. 1he ma[orlLy of Lhe podlaLrlc
surgeons aL our pracLlce have now
adopLed Lhls Lechnlque.
1he looL-llfL procedure ls slmllar Lo a
Lummy Luck or a face-llfL ln whlch Lhe ex-
cess skln ls removed ln LoLo. 1he re-
malnlng porLlons of healLhy skln are Lhen
carefully undermlned, sLreLched, and ro-
LaLed as needed. ueep suLures are used
Lo close Lhe lnclslon, buL wlLhln Lhe Lop-
mosL superflclal layers of skln, a flne su-
Lure ls used, allowlng for a seamless
closure and mlnlmal scarrlng. 1he level of
paln ln paLlenLs undergolng an aesLheLlc
bunlonecLomy Lends Lo be sllghLly less
Lhan LhaL of Lhe LradlLlonal bunlonecLomy.
Less swelllng ln Lhe fooL means noL only
less paln, buL also a qulcker reLurn Lo
wearlng shoes and resumlng acLlvlLy.
MosL of Lhe experLs wlll warn you
noL Lo undergo Lhls procedure for
cosmeLlc purposes alone. ?ou and your
podlaLrlsL LogeLher need Lo welgh Lhe
rlsks and beneflLs of any fooL surgery.
1reaLmenLs for bunlons have come a
long way and bunlon surgery may noL
lnvolve all Lhe paln and recovery Llme you
lmaglne. aLlenLs wlLh large bunlons Lend
Lo experlence paln, and so, are Lherefore
good candldaLes for Lhe looL-llfL. ImAGe
9999999999999999999999999999
D)5 Ped)a% A5 He&d"2ade! ()ac+"ce*
a+ A**'c"a+ed P'd"a+)"*+*3 /"+! 'ff"ce*
"& R'*$1&3 H-&+"&+'&3 a&d C'&&ec+"8
c-+5 F') %')e "&f')%a+"'&3 ."*"+
///5)ea+f''+ca)e5c'% ') ."*"+
///5a(%a5')5
SOME BUNIONECTOMY PATIENTS
ARE LEFT WITH REDUNDANT SKIN
THAT IS THICKENED AND UNABLE
TO RETRACT. IN SUCH CASES,
THE REDUNDANT SKIN MAY
BECOME UNSIGHTLY
The ABCs of Bunion Surgery:
Aesthetic Bunion Correction
by PEDRAM A. HENDIZADEH, DPM, FACFAS
T
HE FOOT-LIFT
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A Life Of Ups
and Downs
In Matters Of
The Heart
Toni Braxton
S
he's all hearL. And LhaL's why we celebraLe 1onl 8raxLon
ln lebruary durlng Amerlcan PearL MonLh", Lhe monLh
dedlcaLed Lowards creaLlng awareness for hearL dlsease.
1hls 8 &8 slnger-songwrlLer and slx-Llme Crammy Award
wlnner (wlLh over 40 mllllon records sold worldwlde)
works lncredlbly hard Lo keep her hearL boLh physlcally and emo-
Llonally as sLrong as posslble. Per hearL has seen some seLbacks
ln boLh areas, buL she has overcome Lhem wlLh sLrengLh, dlgnlLy
and falLh. 1he 1onl 8raxLon of Loday ls spunky, reslllenL, graLeful
and embarklng on anoLher greaL phase ln her career and her llfe.
PearL-relaLed lllness ls sLlll Lhe leadlng cause of deaLh ln Lhe
unlLed SLaLes, one ln every Lhree deaLhs resulLs from hearL
dlsease or sLroke. And, lL's noL [usL a man's dlsease". Accordlng
Lo Lhe Amerlcan PearL AssoclaLlon, Lhe dlsease kllls more women
each year and ls more deadly Lhan all forms of cancer. Cver
400,000 deaLhs among Amerlcan women are caused by cardlo-
vascular dlsease and approxlmaLely 42.9 mllllon women currenLly
llve wlLh some form of Lhe dlsease.
lorLy-seven year-old 1onl 8raxLon ls one of Lhem. And yeL,
Lhere she was, sparkllng wlLh llfe as she performed aL Lhe 8ocke-
feller CenLer ChrlsLmas Lree llghLlng on llve Lelevlslon Lhls pasL
uecember.
1he word hearL" ls a lyrlc ln so many of her songs, and un-
forLunaLely, has found a place ln her medlcal hlsLory Loo. ln 2003,
whlle performlng Lhe LlLle role of Alda on 8roadway, she became
llghLheaded durlng a cosLume change. She passed ouL and was
rushed Lo Lhe hosplLal, where she learned LhaL she had a serlous
hearL condlLlon called perlcardlLls. lL ls an lnflammaLlon of Lhe
Llssue LhaL surrounds Lhe hearL. lL can cause fluld Lo accumulaLe,
whlch consLrlcLs Lhe hearL and reduces lLs ablllLy Lo pump blood
Lo Lhe resL of Lhe body. She has rebounded, Lhrough medlcaLlons
and llfesLyle and dleL changes. Whlle she ls sLlll monlLored perl-
odlcally, she ls back ln greaL form.
Ms. 8raxLon emphaslzes LhaL lL's lmporLanL Lo know LhaL symp-
Loms lnclude sharp paln ln Lhe cenLer or lefL slde of Lhe chesL, ln-
creased hearL raLe, mlld fever, faLlgue, and shorLness of breaLh.
unLreaLed perlcardlLls can lead Lo poLenLlally llfe-LhreaLenlng
compllcaLlons, so early deLecLlon and LreaLmenL ls lmperaLlve.
Ms. 8raxLon had undergone a C-secLlon Lo dellver her second
son, ulezel, only flve and a half monLhs prlor Lo Lhe eplsode. She
belleved LhaL her sympLoms were [usL exLreme faLlgue, or Lhe cold
new ?ork weaLher affecLlng her chlldhood asLhma. She admlLs LhaL
she mlssed Lhe slgnals, as so many do. A monLh prlor, she sLarLed Lo
have LlghLness and paln ln Lhe lefL slde of her chesL, buL dlsmlssed
Lhose sensaLlons Loo. lurLhermore, she never lmaglned LhaL she
could have a hearL allmenL ln her 30s.
b/ JILL S. COHEN
P
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C
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She has had subsequenL bouLs of perlcardlLls, buL Lhe monlLorlng
keeps Lhe condlLlon aL bay. ln 2008, she was dlagnosed wlLh lupus,
whlch ls when, as she sald, Lhe real scare came. Lupus ls an auLo-
lmmune dlsease LhaL causes Lhe lmmune sysLem Lo aLLack blood
cells and Llssue", resulLlng ln lnflammaLlon and Llssue damage. 1he
dlsease runs ln her famlly. ln facL, she credlLs her hearL condlLlon
as one of Lhe ways ln whlch Lhe lupus was deLecLed.
Pow has her hearL dlagnosls affecLed her llfesLyle? Ms. 8raxLon
answered, l'm noL on a sLrlcL hearL dlsease dleL, buL l have Lo be
consclous of whaL l eaL. 1here's no doubL LhaL mllk causes lnflam-
maLlon, and l can only have a llLLle blL of Paagen-uazs as a LreaL,
buL noL a loL of dalry producLs. l eaL a loL of seafood, slnce l have
been on Lhe brlnk of cholesLerol and hlgh blood pressure condlLlons
sporadlcally. l love champagne, buL l have Lo be careful and [usL
en[oy a llLLle of lL. AlmosL every day, Monday Lhrough SaLurday, l
walk slx or seven mlles or work ouL for Lwo hours a day wlLh llghL
cardlovascular exerclse. CfLen, l geL on Lhe Lreadmlll and caLch up
on waLchlng eplsodes of Sca&da$ on 1v."
Whlle on Lhe Loplc of llfesLyle, durlng our lnLervlew, Ms. 8raxLon
suggesLed LhaL lMACL readers Lake a EJ;da1 c!a$$e&e durlng leb-
ruary - eaL more raw frulLs and vegeLables, eaL fresh food, and eaL
every Lwo Lo Lhree hours. She clalms LhaL you'll become a faL-burn-
lng machlne and you'll have more energy. And you mlghL even lose
a couple of pounds ln Lhe process.
LasL year, 1onl parLlclpaLed ln Lhe Hea)+ T)-+!6* Red D)e** C'$$ec8
+"'& A?@B Fa*!"'& S!'/, as parL of Lhe naLlonal PearL, Lung, and
8lood lnsLlLuLe's Hea)+ T)-+! campalgn. She [olned nlneLeen oLher
celebrlLles, by puLLlng on Lhe red dress" Lo ralse awareness abouL
Lhe deadly dlsease. She has sald LhaL helplng creaLe awareness of
hearL dlsease ls someLhlng LhaL she feels convlcLed by Cod Lo do.
She doesn'L Lhlnk Cod made her famous [usL Lo slng, buL raLher,
Lhrough Lhese klnds of slLuaLlons, Lo be an example Lo help oLhers.
ln 2008, she was a spokeswoman for Lhe Amerlcan PearL Assocla-
Llon, and parL of a campalgn ln whlch Campbell Soup donaLed $1
Lo Lhe G' Red F') W'%e& campalgn for every person who voLed
for hls or her favorlLe red dress before !an. 30.
arL of 1onl's mlsslon ln llfe ls Lo educaLe women abouL Lhelr
healLh - especlally women who Lhlnk LhaL lL can'L happen Lo Lhem.
AfLer all, she dldn'L Lhlnk lL could happen Lo her elLher. She advlses
women Lo become more proacLlve and lnvolved ln Lhelr healLh care,
remlndlng Lhose fearful of golng Lo Lhe docLor LhaL lf someLhlng ls
found, lL can be Laken care of.
Women never puL Lhemselves flrsL, she clalms, and she knows
Lhls from personal experlence, slnce she ls now a slngle moLher wlLh
Lwo sons, one of whom has auLlsm. We always forgeL Lo Lake care
of ourselves. lL's ok Lo Lake a break, wlLhouL gullL."
8ecenL Llmes have noL been so upbeaL for 1onl. She had declded
Lo reLlre, boLh from Lhe buslness and from her very acLlve llfesLyle.
She Lold me LhaL she was ln a dark space, a sad place, and was
lucky Lo have frlends who helped her re-emerge. lL was her frlend,
Lhe renowned AnlLa 8aker who called her and Lold her noL Lo reLlre.
1onl's sLory ls one of Lrlumph and hardshlp, chapLers of ups and
chapLers of downs ln her llfe. lrom Crammy awards Lo bankrupLcy
flllngs, from healLh scares Lo marrlage and chlldren, from dlvorce
(flnallzed ln 2013) Lo reLlremenL. . and now Lo a hearLy comeback.
Per memolr U&b)ea# M1 Hea)+ (Parper Colllns) Lo be released
on Aprll 1, chronlcles her chlldhood, her rlse Lo fame, her flnanclal
seLbacks, healLh lssues, personal llfe and more. ln 1996, afLer belng
one of Lhe besL selllng arLlsLs of Lhe 1990s, she was lefL wlLh noLhlng
ln a chapLer 7 flllng, almosL everyLhlng was repossessed. (ln 1999,
Lhlngs were reLurned afLer a lawsulL seLLlemenL). ln Lhls book, read-
ers wlll feel as lf Lhey are peeklng lnLo her dlarles, fllled wlLh Lhlngs
Lhey never knew abouL her. arL of Lhe Lherapy of noL reLlrlng" ls
Lalklng and puLLlng lL ouL Lhere," she commenLed.
ln anoLher aspecL of her emergence from reLlremenL, she ls [oln-
lng LogeLher agaln wlLh her longLlme collaboraLor kenny 8abyface"
Ldmonds, ln a new dueLs album, L'.e3 Ma))"ae = D".')ce (MoLown
8ecords), due ouL ln early lebruary. lL lncludes her 2013 hlL song
PurL ?ou". 8abyface", her closesL frlend - Lruly llke a broLher Lo
her - suggesLed LhaL slnce Lhey boLh had recenLly compleLed
dlvorces, Lhey oughL Lo Leam up and slng abouL love ln all Lhe forms
lL Lakes.
nexL, 1onl and 8abyface are headlng Lo 8roadway Lo sLar ln Lhe
muslcal revue Af+e) M"d&"!+, a show based on Lhe llfe of [azz lcon
uuke LlllngLon. 1hey wlll [oln Lhe producLlon from March 18 - 30,
2014. now LhaL 1onl 8raxLon ls back aL Lhe Lop of her game, we
asked her Lo reveal some of her secreLs, especlally some of Lhose
LhaL can'L be found ln her upcomlng memolr.
lor example, how does she keep her skln so sofL and smooLh-
looklng? She's a uove glrl, uslng uove soap and body wash. And,
whaL abouL her halr? SomeLlmes lL's shorL, someLlmes lL's long. She
shared LhaL her halr ls mosL lmporLanL Lo her, and she's had Lhe same
halr sLyllsL slnce 1992. She ls mosL comforLable when her halr ls
shorL, as lL ls now. 1haL's when she feels her greaLesL sLrengLh. She
shampoos only Lwlce a week and sleeps only on saLln plllowcases
slnce Lhey don'L rub. She assured me LhaL, wlLhouL a saLln plllow-
case, she wouldn'L be showlng off her locks Lhe nexL day.
Per characLer ls as sLrong as her hearL ls now. She calls herself
Lhe energlzer bunny". She geLs knocked down, and she geLs back
up. She always has Lo prove someLhlng Lo herself. ln a sense, she ls
her own compeLlLlon.
ln candld conversaLlon, 1onl Lold me LhaL one Lhlng she works
consLanLly on ls belng happy", whlch she admlLs can be a Lough
Lhlng Lo do. She does a loL of Lhlngs by herself and Lakes on a loL of
responslblllLles and challenges. She ls keenly aware LhaL Loo much
sLress can resulL ln lllnesses. She admlLs LhaL even Laklng a mlnuLe
Lo herself can be hard, as she Lrles Lo balance her own llfe wlLh LhaL
of her famlly.
8abyface has been a greaL supporL and help Lo 1onl, remlndlng
her always Lo en[oy llfe and Lake one day aL a Llme. Pe Lells her Lo
do Lhlngs ln Lhe momenL", advlce she cherlshes. AL Lhe same Llme,
she ls LesLlng Lhe waLers wlLh work, and llsLenlng Lo her body, careful
Lo noL over-work Lhls Llme around.
As we conLlnued Lo Lalk abouL her phllosophles, l learned LhaL,
Lhough ralsed as a preacher's kld, she ls more lnLeresLed ln her own,
more lndlvlduallzed verslon of splrlLuallLy. She ls Lrylng Lo be more
consclous of appreclaLlng Lhe glfLs she's been glven and noL Laklng
Lhem for granLed, as lf Lhey are enLlLlemenLs. ln facL, she used Lo
pray LhaL she'd aL leasL wln one Crammy, and she has been blessed
wlLh slx.
ln Lalklng abouL her lmage and aglng, she conveyed LhaL lf she
has a negaLlve lmage of herself, lL only makes her push herself
harder. She [usL wanLs Lo look good for herself, and she doesn'L mlnd
aglng. ln facL, she looks forward Lo geLLlng older. lmaglne whaL l'll
know when l'm ln my 60s, compared Lo whaL l know now. 1he
more l llve, Lhe more l learn!" She clalms LhaL Lhe keys Lo her
beauLy are good halr and makeup. 8uL, she doesn'L sleep a loL!
now LhaL she's back ln Lhe swlng of Lhlngs, she knows LhaL
she wlll always slng, and never agaln Lalk of reLlremenL. She's
even looklng forward Lo daLlng agaln, and dolng some Lravellng
Loo.
ln Lhe meanLlme, she'll conLlnue acLlng on Lhe B)a0+'& Fa%"$1
Va$-e* Show on WL Lv, ralslng her sons uenlm and ulezel, belng
a spokesperson for AuLlsm Speaks, and ralslng awareness of hearL
dlsease and lupus.
And Lhere's always a loL more Lo slng abouL, especlally ln
maLLers of Lhe hearL. ImAGe
Af*e(
A
lLhough a facellfL ls Lhe
mosL effecLlve and long-
Lerm soluLlon Lo LreaL fa-
clal aglng, lncludlng drooplng
cheeks, [owllng and neck
changes, noL all paLlenLs wanL
surgery. Powever, Lhey sLlll
wanL Lo look re[uvenaLed wlLh
LlghLened skln and a refreshed
face. lor Lhose paLlenLs, Lhere
are non-surglcal face llfL op-
Llons LhaL have no downLlme
and can erase flve Lo Len years
from your appearance.
As we age, [owls form on
elLher slde of Lhe chln, maklng
Lhls horlzonLal lengLh wlder.
1he cheeks deflaLe and Lhe dls-
Lance beLween Lhem becomes
smaller. ?ou can almosL Lhlnk of
Lhe young cheek llke a hellum
balloon [usL afLer lL has been ln-
flaLed. lL ls shlny, smooLh,
round, and full. 8uL as Lhe days
go by, Lhe balloon slowly loses
hellum. Soon Lhe balloon ls
noLhlng more Lhan a deflaLed
shell. As deflaLlon of Lhe cheeks
occurs, Lhe proporLlon of Lhe
dlsLance beLween Lhe cheeks
and Lhe dlsLance beLween Lhe
lower face along Lhe [awllne
becomes a raLlo of 1 Lo 1
(equal), and Lhe aglng face be-
comes a square. 1he muscles
underneaLh Lhe face, called Lhe
SMAS ln Lhe cheeks, and Lhe
plaLysma ln Lhe neck become
looser and exLra skln develops
ln Lhe face. 1hls also con-
LrlbuLes Lo drooplng of Lhe
face.
non-surglcal face llfLlng
can address boLh Lhe faclal lax-
lLy and Lhe loss of volume LhaL
occur as parL of naLural aglng.
1he non-surglcal approach has
been revoluLlonlzed by uslng a
comblnaLlon of LreaLmenLs
LhaL boLh LlghLen Lhe faclal
muscles and skln wlLh Lhose
LreaLmenLs LhaL replace Lhe
naLural volume of Lhe face wlLh
collagen generaLed by your
own body.
1o dellver Lhe besL resulLs,
luslon 1herapy comblnes Lwo
LreaLmenLs - a new faclal ml-
crofocused ulLrasound devlce
LhaL LlghLens Lhe skln muscle
and ln[ecLlons of poly-L-lacLlc
acld LhaL creaLe collagen ln Lhe
face. 8oLh LreaLmenLs are per-
formed durlng Lhe same ses-
slon. oly-L LacLlc acld ls called
SculpLra and ls Lhe longesL-lasL-
lng faclal ln[ecLable LreaLmenL
LhaL requlres no surgery.
Whlle faL Lransfers Lo Lhe
face creaLe Lhe longesL-lasLlng
volume replacemenL, Lhey re-
qulre surgery lncludlng har-
vesLlng Lhe faL from oLher parLs
of Lhe body and replaclng ln
Lhe face wlLh a canula LhaL
causes brulslng and requlres a
week-long recovery. SculpLra
helps Lo add Lhe volume back
Lo Lhe face LhaL has deflaLed
wlLh age. ulLherapy LlghLens,
buL does noL replenlsh, Lhe loss
of faclal volume due Lo age.
An older face wlll show a
loss of Lhe fullness of Lhe
cheeks, Lemples, Lhe llps and
area around Lhe mouLh. lL wlll
also show faL loss under Lhe
eyes, whlch creaLes a hollow
effecL. Where Lhere used Lo
be llghL, now Lhere are shad-
ows. 8y replaclng Lhe volume
loss, you reverse Lhe creaLlon
of shadow and resLore Lhe re-
flecLlon of llghL and Lhe ap-
pearance of youLh, energy
and vlbrancy. 1hls volume re-
placemenL fllls Lhe skln so
LhaL lL ls llfLed by Lhe forma-
Llon of your body's own colla-
gen. 1haL ls, collagen LhaL was
creaLed ln surroundlng Lhe
mlcroscoplc parLlcles LhaL
Fusion Therapy of Collagen
Replacement and Non-Surgical
Muscle Tightening
THE NON-SURGICAL
APPROACH TO FACE LIFTING
HAS BEEN REVOLUTIONIZED BY
USING A COMBINATION OF
TREATMENTS THAT BOTH
TIGHTEN THE FACIAL MUSCLES
AND SKIN WITH THOSE
TREATMENTS THAT REPLACE THE
NATURAL VOLUME OF THE FACE
WITH COLLAGEN GENERATED
BY YOUR OWN BODY
by ANDREW JACONO, MD, FACS
N
ON-SURGICAL FACE LIFT
Bef&(e Af*e(
make up SculpLra.
ulLherapy ls Lhe flrsL and only ulLrasound en-
ergy-based devlce for aesLheLlcs cleared by Lhe
luA wlLh a nonlnvaslve llfL" lndlcaLlon for Lhe
neck, face, and eyebrows. ulLrasound ls sound aL
frequencles hlgher Lhan Lhose deLecLed by human
hearlng (aL leasL 18 klloherLz or 18,000 cycles per
second). unllke radlofrequency LreaLmenLs, as de-
scrlbed above, and lasers LhaL Lyplcally lnvolve lm-
provlng superflclal layers of Lhe skln, ulLherapy
addresses Lhe deep skln layers and Lhe founda-
Llonal layer addressed ln cosmeLlc surgery LhaL
lends supporL Lo Lhe skln. 1hls layer ln Lhe face ls
called Lhe SMAS (superflclal muscular aponeu-
roLlc sysLem) and ln Lhe neck ls called Lhe
plaLysma.
WlLh ulLrasound, we can bypass Lhe upper lay-
ers of Lhe skln and dellver Lhe rlghL amounL of en-
ergy aL Lhe rlghL depLhs Lo conLracL and Lhen
ulLlmaLely llfL Lhe SMAS and plaLysma. As a resulL,
Lhere ls no damage on Lhe surface of Lhe skln, so
Lhere ls no downLlme. ulLrasound Lrlggers Lhe
body's naLural response mechanlsm, whlch ls Lo
re[uvenaLe Llred collagen and supplemenL lL wlLh
fresh, new collagen. Collagen ls Lhe proLeln laLLlce-
work LhaL provldes sLrucLure Lo Lhe skln and Lo Lhe
deep supporLlve connecLlve Llssue and muscles
below Lhe skln. upon LreaLmenL, Lhe regeneraLlve
process ls lnlLlaLed, buL Lhe full effecL wlll bulld
gradually over Lhe course of Lwo Lo Lhree monLhs.
A normal luslon 1herapy sesslon Lakes one
hour, and you can go back Lo work Lhe nexL day.
lL can be repeaLed, and ls a welcome alLernaLlve
for Lhose paLlenLs who are Loo busy for Lhe recov-
ery Llme from surgery or are [usL noL ready Lo
undergo surgery. Modern Lechnology has al-
lowed plasLlc surgeons Lo glve Lhls opLlon Lo our
paLlenLs, an opLlon whlch [usL flve years ago, was
unavallable. ImAGe
99999999999999999999999999999999999999999
D)5 A&d)e/ Jac'&' "* a b'a)d8ce)+"f"ed fac"a$ ($a*+"c
*-)e'& a&d %ed"ca$ d")ec+') 'f T!e Ne/ Y')# Ce&8
+e) f') Fac"a$ P$a*+"c a&d La*e) S-)e)15 He !a*
()ac+"ce* "& b'+! G)ea+ Nec# a&d Ma&!a++a&5 F')
%')e "&f')%a+"'&3 ca$$ D@E8FFB8CECE ') ."*"+
///5&e/1')#fac"a$($a*+"c*-)e)15c'%5
A NORMAL FUSION THERAPY SESSION
TAKES ONE HOUR, AND YOU CAN GO
BACK TO WORK THE NEXT DAY
Af*e(
S
ome of Lhe more common
quesLlons a denLal pracLl-
Lloner may be asked by a pa-
LlenL are uocLor, do l grlnd?",
Pow do l know l grlnd?", and ls
lL dangerous?". ln oLher lnsLances,
a denLal professlonal wlll Lell Lhe
paLlenL LhaL he or she ls grlndlng
LeeLh, and Lhe paLlenL wlll be sur-
prlsed. MosL paLlenLs do noL know
Lhey grlnd and lL ls ofLen a slgnlfl-
canL oLher who makes Lhem aware
of lL. lL ls also common for parenLs
Lo reporL Lo Lhelr denLlsL LhaL Lhey
hear Lhelr chlldren grlndlng.
Why ls grlndlng deLrlmenLal?
Lxcesslve force on Lhe LeeLh ln a
repeLlLlve acLlon wlll acceleraLe
LooLh wear. Wear of Lhe permanenL
LeeLh ls very rarely assoclaLed wlLh
dleL, especlally slnce humans have
evolved Lo a more processed dleL of
less raw, hard abraslve foods. MosL
wear and Lear of Lhe LeeLh ls a re-
sulL of Lhe LeeLh grlndlng agalnsL
each oLher. 1he reason for Lhls ls
LhaL enamel ls one of Lhe hardesL
subsLances known. lL Lakes a den-
LlsL wlLh a dlamond or sLalnless
sLeel burr roLaLlng aL hlgh speeds Lo
cuL Lhrough lL.
1eeLh have a flnlLe amounL of
enamel on Lhe blLlng surfaces or
edges of Lhe fronL LeeLh. 1he
amounL of a LooLh's enamel when lL
flrsL erupLs lnLo your mouLh ls Lhe
mosL enamel LhaL Lhere wlll ever be.
1he poLenLlal for greaLer dam-
age occurs when Lhe enamel ls
worn Lhrough Lo Lhe denLln. 1he
denLln ls Lhe yellow, orange or
brown dlscoloraLlon one may see
on Lhe edges of Lhe fronL LeeLh
afLer years of clenchlng. (MosL
paLlenLs flrsL noLlce lL on Lhe lower
LeeLh.) 1hls ls Lhe area LhaL your
denLal healLh professlonal may
polnL Lo as evldence of grlndlng.
AnoLher lmporLanL slgn of grlndlng
ls Lhe canlne (eye) LeeLh. lf you look
aL a healLhy lnLacL canlne, lL has a
speclflc anaLomlcal proflle, nor-
mally comlng Lo a polnL. 1he ca-
nlnes also have a very speclflc role
ln a healLhy denLlLlon. 1hey proLecL
Lhe back LeeLh from laLeral loadlng
ln Lhe chewlng cycle by acLlng as a
lasL mlnuLe sLeerlng" mechanlsm
enabllng Lhe LeeLh Lo all meeL prop-
erly. When an lndlvldual has been
bruxlng (Lechnlcal Lerm for grlnd-
lng), Lhe canlnes wear down flrsL,
and Lhe obllLeraLlon of Lhe normal
polnLed anaLomy wlll be vlslble. lf
Lhls conLlnues, Lhe denLln ls
exposed, and Lhls progresses Lo Lhe
oLher fronL LeeLh as Lhey begln Lo
conLacL durlng Lhe bruxlng paLLern.
lL becomes a domlno effecL and Lhe
denLln becomes exposed on Lhe ln-
clsors, as prevlously menLloned.
1hls ls usually afLer many years or
decades of bruxlng.
AnoLher lnLeresLlng observa-
Llon ls LhaL mosL paLlenLs wlll prl-
marlly grlnd on one slde. 1he
raLlonale for Lhls ls noL Lruly under-
sLood. lL could be speculaLed LhaL
Lhls ls assoclaLed wlLh whlchever
slde of Lhe braln ls domlnanL (very
slmllar Lo rlghL or lefL handedness).
8ruxlng resulLs ln unfavorable
loadlng of Lhe LeeLh and may con-
LrlbuLe Lo acceleraLed bone loss es-
peclally lf Lhe paLlenL has a
perlodonLal problem or uncon-
Lrolled lnflammaLlon. Crlndlng
places a greaL deal of sLress on Lhe
Lemporomandlbular [olnLs (Lhe
[olnLs LhaL are lmmedlaLely ln fronL
of Lhe ears). 1hls ls Lhe hlnge-llke
apparaLus LhaL opens and closes
Lhe lower [aw. oLenLlally, Lhls
could resulL ln [olnL wear, and dam-
age Lo Lhe cushlonlng dlsc LhaL sep-
araLes Lhe [olnL from Lhe base of
Lhe skull. ln lLs mosL severe sLaLe,
Lhe bruxlng may conLrlbuLe Lo or be
Lhe cause of damage Lo Lhe [olnLs.
1hls can resulL ln [olnL paln and
muscle dlscomforL around Lhe [aws
and head. uenLlsLs wlll refer Lo Lhls
as 1Mu (1emporomandlbular uys-
funcLlon).
Clenching Teeth Can Create Long-Term
Negative Effects
BRUXING (THE TERM FOR
CLENCHING) RESULTS IN
UNFAVORABLE LOADING OF THE
TEETH AND MAY CONTRIBUTE TO
ACCELERATED BONE LOSS
ESPECIALLY IF THE PATIENT HAS A
PERIODONTAL PROBLEM OR
UNCONTROLLED INFLAMMATION
by FRANK J. TUMINELLI, DMD, FACP
G
RINDING, WHEN, WHERE, HOW.
WHAT DOES IT MEAN?
WHAT DO YOU DO?
1here are lndlvlduals LhaL wlll hablLually grlnd whlle
awake. 1hls ls a hablL LhaL ls LreaLable and may requlre
behavlor modlflcaLlon or Lherapy. 1he desLrucLlon LhaL
resulLs from Lhls, slnce lL ls done durlng awake hours
may be easler Lo conLrol, buL ls slgnlflcanL. 1he good
news ls LhaL, by wearlng a proLecLlve devlce, Lhere are
ways Lo reduce Lhe desLrucLlve effecLs.
1he vasL ma[orlLy of grlndlng ls nocLurnal bruxlng"
(grlndlng aL nlghL), and ls one of Lhe more common den-
Lal hablLs. 1here are many reasons for grlndlng. lL was
consldered Lo be sLress-relaLed or a resulL of mal-
occluslon (blLe dlscrepancles) ln whlch Lhe braln was
Lrylng Lo equallze or deflecL conLacLs LhaL prevenLed
LeeLh from comlng LogeLher harmonlously. 1hls may noL
be Lrue.
1here ls a growlng body of evldence LhaL bruxlng
can be relaLed Lo sleep apnea, and even Lhe need Lo
allow for corLlsol release from neurocepLors ln Lhe cen-
Lral nervous sysLem. 1hls ls slmllar Lo endorphln release,
reduclng Lhe lnflammaLory medlaLors, and ln lLself ls
subconsclously addlcLlng". 1hls would be much more
prevalenL ln Lhe paLlenL who grlnds whlle awake.
lor Lhe ma[orlLy of Lhe populaLlon, LeeLh grlndlng ls
lnLermlLLenL, of shorL duraLlon, noL predlcLable ln lLs
Llme frame, and easlly managed.
Lveryone has probably heard of a nlghL guard, a de-
vlce LhaL ls worn over Lhe LeeLh aL nlghL. 1hls has mulLl-
ple funcLlons: prevenLlng furLher LooLh wear, and
proLecLlng Lhe [olnLs. lL ls a conservaLlve approach and
ls easlly made. ln mosL paLlenLs, Lhls ls all Lhe LreaLmenL
needed. lL needs Lo be worn every nlghL, and lL may lasL
from Lwo Lo flve years, dependlng on lLs consLrucLlon
and oLher facLors. lL doesn'L cure Lhe grlndlng, buL lL con-
Lrols Lhe wear on Lhe LeeLh.
lor mosL paLlenLs, Lhe wear on Lhe edges of Lhe
LeeLh can be resLored wlLh a LooLh colored maLerlal
(composlLe). 1hls wlll seal off Lhe denLln and also resLore
Lhe aesLheLlcs of Lhe LeeLh. Many Llmes, lL can even be
done wlLhouL an anesLheLlc. ln some paLlenLs, lf Lhe
LeeLh have been reduced ln helghL, Lhey can be resLored
wlLh veneers. lL would be wlse Lo have Lhe nlghL guard
fabrlcaLed afLer Lhe LeeLh have been resLored. CLher-
wlse, Lhe nlghL guard would have Lo be remade, whlch
can be cosLly. ln some paLlenLs, Lhough rare, grlndlng
has caused such slgnlflcanL desLrucLlon Lo Lhe enLlre
denLlLlon LhaL a LoLal reconsLrucLlon of all Lhe LeeLh, re-
qulrlng crowns, ls needed.
8ruxlng" ls noL an uncommon denLal concern.
1hankfully, lL ls LreaLable wlLh conservaLlve Lherapy and
lf dlagnosed early, has mlnlmal long Lerm effecLs on Lhe
LeeLh and [olnLs. ImAGe
999999999999999999999999999999999999999999999
D)5 F)a&# T-%"&e$$"3 a ()'*+!'d'&+"*+3 "* a (a)+&e) "&
N')+! S!')e P)'*+!'d'&+"c A**'c"a+e* "& G)ea+ Nec# a&d
W''db-)15 F') %')e "&f')%a+"'&3 ."*"+ ///5&*(a$"5c'%
') ca$$ D@E8CGA8DC@E5
he*e a*e +'%e &e/ $''#+ ,' #&'/ ab'-, &'/6
T!e c-, ls a long bob, or a Lob," a sexy verslon of Lhe classlc bob. lL has a llLLle more lengLh Lo lL, and Lhe
pleces around your face should be sllghLly longer Lhan Lhose ln Lhe back.
__________________________________________________
T!e be.e$ed F$"*, ls a Lechnlque LhaL l adapLed by comblnlng Lwo dlfferenL Lechnlques, creaLlng more of a per-
sonallLy ln Lhls Llmeless cuL. 1he 8evel ls made by pulllng each secLlon Lo a 43 degree angle and Lhen bendlng
up Lhe ends. 1he bend creaLes lnLerlor layerlng, glvlng you Lhe fllrL.
____________________________________________________________________________________
T!e ca+cad"& wa,e*fa$$ ls a cuL for all of you LhaL [usL can'L leL go of your long locks, buL sLlll wanL Lo sLay cur-
renL wlLh Lhe halr Lrends. ShorLer layers ln Lhe fronL cascade down Lhe sldes and meeL Lhe beveled fllrL ln Lhe
back. 1hls cuL can be worn as a wash-and-go, slmply by addlng a llLLle producL (l llke MyLhlc Cll by L'Creal ro-
fesslonal) Lo Lhe mld-lengLh and ends and LwlsLlng your halr back away from your face as lL drles naLurally.
When blow drylng, use a medlum round brush, drylng Lhe Mohawk secLlon of your halr forward and Lhe sldes
away from your face. 1hls cuL ls very versaLlle and can be worn wlLh any klnd of halr LexLure. lL's fresh and Lhe
cascadlng layers make lL sexy - from wash and wear Lo volumlnous runway sLyle.
____________________________________________________________________________________
Colorwlse, Lhe Lrend ls a s'%b*e89 '* a s'f, o%b*e8. LasL year's color Lrend was Lhe Cmbre'," meanlng
darker aL Lhe Lop and llghLer on Lhe boLLom. 1hls year Lhe Cmbre' has maLured lnLo Lhe Sombre', Lhe sofLer
slde of Lhe Cmbre'. 1hls color ls sofL and supple, and sLlll darker aL Lhe Lop, Lhen gradually fadlng lnLo a llghLer
boLLom. When applylng Lhe Sombre', Lhree Lo four colors should be used, dependlng on halr lengLh. Lach color
should be Lwo shades llghLer Lhan Lhe oLher. 1hls wlll glve a gradual fade wlLh no llne of demarcaLlon. Add a
flnlshlng Louch by glazlng Lhe enLlre head wlLh ulaLlghL Color by L'Creal rofesslonal. 1hls wlll glve Lhe halr an
amazlng lrldescenL shlne. 1he Sombre'" ls for Lhe sofLer, sexy slde of you.
____________________________________________________________________________________
T!e s,1$e ls a laux 8ob", whlch allows you Lo 8ock Lhe Lob". lL glves Lhe llluslon of a long bob wlLhouL cuLLlng
your long locks. 1o achleve Lhls look, flrsL fllp your halr upslde down and aL Lhe nape of your neck brald a one-
lnch secLlon horlzonLally from one slde Lo Lhe oLher. llnlsh braldlng Lhe secLlon of halr (cllp Lhe resL of your halr
up away from Lhe brald) and Lhen wlLh bobby plns, pln Lhe exLra lengLh of Lhe brald LlghL Lo Lhe head overlapplng
Lhe brald on Lo lLself. Cnce Lhe brald ls secure, leL down Lhe resL of your halr, and pull lL loosely LogeLher llke a
low pony near Lhe nape of your neck. 1wlsL your halr, sLarLlng from Lhe boLLom loosely and Lhen Luck Lhe end
under, pull and shape your halr lnLo a bob, pull ouL a few Lendrlls around Lhe face and secure Lhe LwlsLed Lucked
halr Lo Lhe brald underneaLh wlLh plns. 1he looser Lhls ls done, Lhe more naLurally bobbed your halr wlll look.
____________________________________________________________________________________
lor se01 r-&/a1 ha"*, use a 1 Lo 1 1/2 lnch curllng lron, curllng 1 Lo 1 1/2 lnch verLlcal secLlons away from your
face, sLarLlng ln Lhe fronL and worklng your way back. Cn one slde, spray each secLlon wlLh a worklng halr spray
(lnflnlum2 by L'Creal rofesslonal) and Lhen do Lhe same on Lhe oLher slde. SLarLlng Lhe bend of Lhe curl aL Lhe
accenL polnLs of Lhe face flnlsh wlLh a sLrong hold halrspray. 1hese accenL polnLs are Lhe corner of Lhe eye, Lhe
cheekbones, and Lhe chln - dependlng upon your face shape. lor a round face you would sLarL your curl aL Lhe
chln. 1hls wlll brlng Lhe eye lower, addlng movemenL Lo Lhe boLLom wlLh a sleek llne framlng Lhe face. lL wlll glve
Lhe llluslon LhaL your face ls longer. lf you have a long-shaped face, you would sLarL Lhe bend of Lhe curl aL Lhe
corner of your eye, creaLlng volume around your face and glvlng you Lhe appearance of a more oval-shaped
face.
1hese are Lhe new halr Lrends for 2014. now LhaL you have Lhe baslcs Lo work wlLh, you can walk around
wlLh a beauLlful color and sLyle LhaL sulLs you besL. ImAGe
Choose From This Years New Looks
by KELLY TARANTINO
Y
OUR HAIR SAYS IT ALL
2014 ls a year for classlc romance. lL calls for sexy, sofL eleganL llnes wlLh a blL of a young fllrL Lo accenLuaLe your personallLy.
Lovellness ls whaL a woman feels when she has Lhe perfecL halrsLyle.
As a professlonal woman ln Lhe world of halr fashlon, l know LhaL each of us wanLs Lo own LhaL feellng of wearlng Lhe perfecL
halrsLyle. Llve Lo love your halr" ls my moLLo, and lL's shared by my cllenLs as well. We all agree LhaL llfe ls always beLLer when your
halr's done.
9999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999
Ke$$1 Ta)a&+"&' "* a *+1$"*+ a+ A+e$"e) 'f R'*$1& Ha") S+-d"' "& R'*$1& He"!+*5 F') %')e "&f')%a+"'&3 ."*"+
///5a+e$"e)'f)'*$1&5c'% ') ca$$ D@E8EAD8DE??5

1
he debaLe over Lhe safeLy of sll-
ver fllllngs has gone on for over
130 years and Lo Lhls day AuA,
luA, and Mayo Cllnlc sLlll lnslsL LhaL
amalgam fllllngs are safe. WlLh LhaL
sald, Lhe luA released Lhe followlng
sLaLemenL ln 2008, uenLal amalgams
conLaln mercury, whlch may have
neuroLoxlc effecLs on Lhe nervous sys-
Lems of developlng chlldren and fe-
Luses."
1he luA has also sald LhaL women
who are pregnanL should avold denLal
amalgams slnce lL has been shown
LhaL mercury can pass Lhrough Lhe
placenLal barrler and worsen kldney
funcLlon aL sub-cllnlcal levels of expo-
sure. ln facL, numerous sLudles have
been conducLed showlng Lhe adverse
affecLs of mercury vapor released by
amalgam fllllngs. A sLudy conducLed
ln Aprll of 2011, showed LhaL mercury
(from sllver fllllngs of breasL-feedlng
moLhers) was found ln Lhelr mllk, con-
LamlnaLlng Lhe mllk of Lhelr newborn
chlldren. 1he norweglan, Swedlsh
and uanlsh governmenLs have al-
ready banned Lhe use of mercury flll-
lngs ln denLlsLry. Canada and Cer-
many have llmlLed Lhelr use for preg-
nanL women. 1he lrench and
AusLrlan governmenLs have recom-
mended LhaL alLernaLlve denLal maLe-
rlals be used for pregnanL women. A
ma[orlLy of denLlsLs ln Amerlca sLaLe
LhaL Lhey have sLopped placlng amal-
gam fllllngs ln Lhelr paLlenLs' mouLh.
Cn !anuary 19Lh, 2013, over 140 na-
Llons agreed Lo a LreaLy LhaL ls respon-
slble for Lhe lncepLlon of 1he
MlnamaLa ConvenLlon on Mercury"
whlch lncludes Lhe decrease ln use of
denLal amalgam ln efforLs Lo reduce
envlronmenLal polluLlon.
new ?ork unlverslLy College of
uenLlsLry ls Lhe flrsL lnsLlLuLlon LhaL
has announced LhaL amalgam wlll no
longer be Lhe defaulL resLoraLlon ma-
Lerlal sLudenLs are LaughL Lo use. 1he
sLudenLs graduaLlng from n?u denLal
school wlll no longer have Lo place
amalgam fllllngs ln paLlenLs as parL of
Lhelr flnal exam. lL ls belleved LhaL
oLher schools wlll follow Lhelr lead as
aesLheLlcs and less lnvaslve denLlsLry
are becomlng Lhe norm wlLh paLlenLs
who are progresslvely concerned
abouL Lhe collecLlve exposure Lo envl-
ronmenLal Loxlns.
We know LhaL even a mlnlmal
amounL of mercury ln Lhe moLher's
womb, regardless of Lhe Lype, can
harm Lhe developmenL of an unborn
baby. 1here are several sLudles LhaL
show a dlrecL correlaLlon beLween Lhe
number of amalgam fllllngs ln a
moLher's mouLh wlLh Lhe mercury ln
Lhe blood, halr and urlne samples of
Lhe newborn chlld. AnoLher sLudy of
moLhers wlLh amalgam fllllngs
showed slmllar resulLs ln Lhe kldneys,
llver and cerebral corLex of newly
born lnfanLs. MoLhers wlLh amalgam
fllllngs also have been found Lo show
elevaLed levels of mercury ln Lhe um-
blllcal cords. Several sLudles have de-
plcLed reduced ferLlllLy raLes among
female denLal professlonals who pre-
pared 30 or more amalgams fllllngs
on a weekly basls. 1here was also an
lncrease ln abnormallLles of Lhe men-
sLrual cycle lncludlng palnful mensLru-
aLlon and changes ln bleedlng
paLLerns and cycle duraLlon among
workers exposed Lo mercury.
Clven Lhe resulLs of all of Lhese
sLudles and known harmful effecLs of
mercury, ls lL worLhwhlle for women
Lo be exposed Lo mercury from amal-
gam fllllngs durlng pregnancy or work
relaLed acLlvlLles?
Pow can you prevenL exposure Lo
mercury durlng pregnancy? lf you
work ln a fleld where you are exposed
Lo mercury, requesL Lo be moved Lo a
dlfferenL poslLlon wlLh oLher respon-
slblllLles, durlng pregnancy. uon'L eaL
flsh wlLh hlgh mercury conLenL whlle
pregnanL. lf you need denLal fllllngs
Lo be placed, speak wlLh your denLlsL
abouL uslng denLal maLerlals whlch do
noL conLaln mercury. 1ake precau-
Llons noL Lo be around broken Lher-
momeLers, as well as fluorescenL and
hlgh-lnLenslLy llghL bulbs. lf any of
Lhese lLems are broken, Lhere ls rlsk
of mercury exposure. ImAGe
999999999999999999999999999999
Na+a$"e K)a*&1a&*#13 DDS3 "* +!e
'/&e) 'f E**e&+"a$ De&+a$ 'f R'*$1&3 "&
R'*$1& He"!+*3 NY5 F') %')e "&f')%a8
+"'&3 ca$$ D@E8EA@8ACB? ') ."*"+
The Debate Over Safety Continues
by NATALIE KRASNYANSKY, DDS
N
O SILVER LINING FOR
PREGNANT WOMEN WITH
SILVER OR AMALGAM FILLINGS
THE FDA HAS SAID THAT WOMEN
WHO ARE PREGNANT SHOULD
AVOID DENTAL AMALGAMS SINCE
IT HAS BEEN SHOWN THAT
MERCURY CAN PASS THROUGH
THE PLACENTAL BARRIER AND
WORSEN KIDNEY FUNCTION AT
SUB-CLINICAL LEVELS OF EXPOSURE
re+'-*ce+
D6hLLp://www.babycenLer.com/404_could-Lhe-mercury-ln-my-fllllngs-be-harmful-Lo-my-unborn-
bab_1176767.bc
E6 hLLp://www.marchofdlmes.com/pregnancy/mercury.aspx
F6hLLp://arLlcles.chlcagoLrlbune.com/2013-03-31/buslness/cL-blz-0324-denLal-amalgam-
20130331_1_sllver-fllllngs-anLl-mercury-amalgam/2
G.hLLp://www.Lrulyallve.neL/dr-oz-lnvesLlgaLes-Lhe-hazards-of-denLal-amalgams/
H6hLLp://www.webmd.com/oral-healLh/news/20080603/fda-denLal-fllllng-rlsk-posslble
I6hLLp://curezone.org/forums/am.asp?l=1360833
k
eeplng Lrack of your men-
sLrual cycles can help you
gauge whaL's normal for
you, Llme ovulaLlon and ldenLlfy
a mlssed perlod or unpre-
dlcLable mensLrual bleedlng.
Whlle mensLrual cycle lrregular-
lLles usually are noL serlous,
someLlmes Lhey can slgnal
healLh problems whlch should
be addressed.
As you know, Lhe mensLrual
cycle ls Lhe monLhly serles of
changes a woman's body goes
Lhrough ln preparaLlon for Lhe
posslblllLy of pregnancy. Lach
monLh, ovulaLlon releases an
egg from Lhe ovary whlle slmul-
Laneously hormonal changes
prepare Lhe uLerus for preg-
nancy. lf Lhe egg ls noL ferLlllzed,
Lhe llnlng of Lhe uLerus sheds
Lhrough Lhe vaglna as a men-
sLrual perlod. 1he mensLrual
cycle, whlch ls counLed from Lhe
flrsL day of one perlod Lo Lhe
flrsL day of Lhe nexL, ls noL Lhe
same for every woman. Men-
sLrual flow mlghL occur every 21
Lo 33 days and lasL Lwo Lo even
seven days wlLh varylng degrees
of flow. lor Lhe flrsL few years
afLer mensLruaLlon beglns, long
cycles are common. Powever,
mensLrual cycles Lend Lo
shorLen and become more reg-
ular as you age. ?our mensLrual
cycle mlghL be regular, Lhe same
lengLh every monLh, somewhaL
lrregular, and your perlod mlghL
be llghL or heavy, palnful or
paln-free, long or shorL, and sLlll
be consldered normal. WlLhln a
normal range ls whaL's normal
for you. 1haL ls very lmporLanL
Lo know. And, no one knows
your body beLLer Lhan you. lor
example, lf you experlence an
unusually heavy perlod for a
prolonged perlod of Llme, you
may develop an lron deflclency
or anemla whlch musL be
LreaLed wlLh lron supplemenLs
and dleLary changes.
1o deLermlne whaL's nor-
mal for you, we encourage you
Lo sLarL keeplng a record of
your mensLrual cycle on a cal-
endar or a smarL phone app.
8egln by Lracklng your sLarL
daLe every monLh for several
monLhs ln a row Lo ldenLlfy Lhe
regularlLy or paLLerns of your
perlods. lf you're concerned
abouL your perlods, Lhen also
make noLe of Lhe followlng
every monLh:
= e&d da,e6 Pow long does your
perlod Lyplcally lasL and ls lL
longer or shorLer Lhan usual?
= F$'/6 ls lL llghLer or heavler
Lhan usual?
= Ab&'*%a$ b$eed"&6 uo you
bleed ln beLween perlods?
= pa"&6 ls paln assoclaLed wlLh
your perlod?
= o,!e* c!a&e+6 uo you expe-
rlence any changes ln mood, be-
havlor or normal acLlvlLy?
w!a, ca& ca-+e 1'-* %e&+,*-a$
c1c$e ,' be "**e-$a*3
MensLrual cycle lrregularlLles
can have many dlfferenL causes,
lncludlng:
= p*e&a&c15 A delayed or
mlssed perlod can be an early
slgn of pregnancy.
= b*ea+,;feed"&5 8reasL-feed-
lng Lyplcally delays Lhe reLurn of
mensLruaLlon afLer pregnancy.
= ea,"& d"+'*de*+5 Anorexla
nervosa and 8ullmla cause
mlssed perlods.
= e0,*e%e /e"!, $'++ '* e0;
ce++".e e0e*c"+"&5 May dlsrupL
mensLruaLlon.
= p'$1c1+,"c '.a*1 +1&d*'%e
>pcos?5 Pormonal dlsrupLlon
and cysLlc ovarles causes lrregu-
lar perlods.
= p*e%a,-*e '.a*"a& fa"$-*e5
rlmary ovarlan lnsufflclency
wlLh loss of ovarlan hormone
Tracking your menstrual cycle is more
important than ever.
by MARC BEHAR, MD, FACOG
W
HAT YOUR MENSTRUAL CYCLE CAN
TELL YOU ABOUT YOUR HEALTH
WITHIN A NORMAL RANGE IS
WHAT'S NORMAL FOR YOU. THAT
IS VERY IMPORTANT TO KNOW.
AND, NO ONE KNOWS YOUR
BODY BETTER THAN YOU
secreLlon before Lhe age of 40 resulLs ln lrregular
menses.
= pe$."c "&f$a%%a,'*1 d"+ea+e >pID?5 8eproducLlve
organs lnflammaLlon can cause lrregular mensLrual
bleedlng.
= u,e*"&e f"b*'"d+5 1hey cause heavy mensLrual
perlods, paln and bleedlng beLween perlods.
ca& "**e-$a* c1c$e+ be *e-$a,ed3
8lrLh conLrol pllls can help regulaLe mensLrual cy-
cles. Powever, some mensLrual lrregularlLles can-
noL be prevenLed. 8egular gynecologlc exams can
help ensure LhaL problems affecLlng your repro-
ducLlve organs are dlagnosed and LreaLed as soon
as posslble.
c'&+-$, 1'-* ob:Gyn "f7
= ?our perlods suddenly sLop, buL you're noL
pregnanL
= ?our perlods become erraLlc afLer havlng been
regular
= ?ou bleed for more Lhan seven days
= ?ou bleed more heavlly Lhan usual
= ?our cycle ls less Lhan 21 days or more Lhan 33
days aparL
= ?ou bleed beLween perlods
= ?ou develop severe paln durlng your perlod
?our mensLrual cycle ls acLually one of Lhe besL
predlcLors of overall healLh. 1ake a proacLlve role ln
your healLh and malnLaln a record of your mensLrual
cycle and sympLoms. lf you have quesLlons or con-
cerns abouL your mensLrual cycle, make an appolnL-
menL Lo dlscuss Lhese wlLh your C8/C?n. ImAGe
99999999999999999999999999999999999999999
D)5 Ma)c Be!a)3 a b'a)d ce)+"f"ed 'b*+e+)"c"a& a&d
1&ec'$'"*+3 "* f'-&de) a&d c!"ef (!1*"c"a& 'f
Fe%%P)' OB7GYN = Fe%%P)' We$$&e**3 "& Ga)de&
C"+13 L'& I*$a&d5 F') %')e "&f')%a+"'&3 ca$$
D@E5AHC5CF?? ') ."*"+ ///5Fe%%P)'OBGYN5c'%5
REGULAR GYNECOLOGIC EXAMS
CAN HELP ENSURE THAT PROBLEMS
AFFECTING YOUR REPRODUCTIVE
ORGANS ARE DIAGNOSED AND
TREATED AS SOON AS POSSIBLE
Offer Expires 3/31/14
IMAGE events
GrAnD openInG oF blo blow Dry bAr In roslyn
1he Crand openlng parLy was held on november 6Lh Lo
welcome Lhe world's largesL 8low ury 8ar Chaln Lo Clen Cove
8oad ln 8oslyn. Champagne and hors d'oeuvres were owlng
LhroughouL Lhe evenlng and syllsLs were showlng o Lhelr
LalenL oerlng blowouLs Lo Lhe auendees. 8lo 8low ury 8ar
opened up rlghL nexL Lo Zawackl uance and WorkouL sLudlo
maklng lL lncredlbly convenlenL Lo geL your mornlng workouL
ln, Lake a shower ln Lhe beauuful baLhroom aL Zawackl's new
sLudlo and march rlghL nexL door Lo geL your wash and blow.
Whalaa! you are ready Lo begln your day. lL ls a brllllanL maLch
made ln beauLy heaven LhaL Cwner of 8lo, !ean Walsh and
Lddle Zawackl plan on dupllcaung ln oLher areas on Long lsland
so be on Lhe lookouL. 8lo ls open 7 days a week and no
appolnmenL ls necessary. vlslL www.8loMeury.com for more
lnformauon. lor Zawackl class schedule vlslL
www.zawacklLness.com
DonnA KArAn runwAy show hIGh;
lIGhTs DIAbeTes reseArch InsTITuTe
FounDATIon@s FAll InTo FAshIon
eVenT
1he ulabeLes 8esearch lnsuLuLe's lall lnLo
lashlon evenL celebraLed lLs 13Lh annlver-
sary Lhls year. And Lo celebraLe, Lhe evenL
comblned Lhe classlc sLyle and panache of
deslgn ldol uonna karan, Lhe experuse
and cache of Pal 8ubensLeln lnSLyle Ldl-
Lor-aL-Large who served as MasLer of Cer-
emonles for Lhe day and a fabulous
semng, greaL food and wonderful aucuon
ln supporL of Lhe cure-focused research of
Lhe ulabeLes 8esearch lnsuLuLe. 1he evenL
was held aL Lhe beauufully eleganL Car-
den ClLy PoLel and ralsed $180,000 for
Lype 1 dlabeLes research. Commluee Co-
Chalrs were lran PelfanL, korey Llebman
and Llleen Zlnn. Long-ume u8l acuvlsL
8arbara PaLz was Lhe evenL's Ponorary
Chalr. 1he u8ll lall lnLo Lhe lashlon
Luncheon was pleased Lo honor uoreen
eykar as lLs rsL ulsungulshed Servlce
Award 8eclplenL due Lo her dedlcauon
over Lhe years Lo help supporL Lhe lunch-
eon and her undylng passlon Lo ralse
much needed funds Lo nd a cure.
Go wITh courAGe holIDAy shoppInG eVenT
1he 8oslyn PoLel was Lhe venue for Lhls lncredlble shop-
plng evenL Lo ralse money for 1he 8reasL Cancer 8e-
search lnsuLuLe. Cver 230 women auended Lo make Lhls
evenL successful and ralsed $30,000 whlch doubled Lhe
donauons from lasL year. A dellclous bueL lunch was of-
fered Lo auendees Lo mlngle and resL ln beLween Lhelr
shopplng sprees. 1he besL of Lhe besL vendors were Lhere
selllng Lhelr ne goods, from [ewelry Lo cloLhlng Lo acces-
sorles whlch made perfecL gls for Lhe holldays. 20 of
Lhelr sales wenL Lo Lhe charlLy. 1here were lncredlble raf-
e prlzes valued from $200-$2300 and prlced so LhaL
everyone had an opporLunlLy Lo paruclpaLe. 1he money
ralsed wlll go Lo creaung daycare for Lhe chlldren whose
parenLs are golng Lhrough LreaLmenL as well as wlgs for
Lhose women undergolng LreaLmenL. 1o nd ouL more
abouL Co WlLh Courage or Lo make a donauon vlslL Co
WlLh Courage on lacebook.
T.a!4 l#24 & m'!&#))# s0a0$#)"
a))'/,+ g,"*a+,
K,.#4 l'#*a+,
m'!&#))# l1!&/
& R,4+ Ja/),3
F,1+"#., R,4+ Ja/),3 3'0& &#.
!1/0,* %.##0'+% !a."/
B.'a++a Pa/&!,3, ma/0#. ,$
c#.#*,+'#/ Ha) R1#+/0#'+
a+" a))'# ca)a*#.
D'/0'+%1'/&#" s#.2'!# a3a."
R#!'-'#+0 D,.##+ P#4(a.
(*'"")#) 3'0& &1/a+" a+".#3
a+" "a1%&0#. V'!0,.'a.
Fa)) i+0, Fa/&',+ H,+,.a.4 c&a'. Ba.a.a
Ha05, DRiF c&'#$ o-#.a0'+% o$$'!#. D#,.a&
c&,".,3, #2#+0 c,-!&a'./ K,.#4 l'#*a+,
e')##+ Z'++ a+" F.a+ H#)$a+0.
cupID8s unDIe run To rAIse BF mIllIon For chIlDren8s
Tumor FounDATIon
Nea)$1 A?3??? *ca&,$1 c$ad )-&&e)* a)'-&d +!e /')$d /"$$ )a"*e
a/a)e&e** 'f Ne-)'b)'%a+'*"*5
Cn lebruary 13, nearly 20,000 scanuly clad runners ln 27 clues
across Lhe unlLed SLaLes and Lhree clues ln AusLralla wlll be ralslng
awareness of neurobromaLosls (nl) and donauons Lo Lhe Chll-
dren's 1umor loundauon (C1l) Lhrough Cupld's undle 8un. Spon-
sored by Meundles and recognlzed as Lhe world's largesL organlzed
underwear run, Lhe evenL requlres paruclpanLs Lo sLrlp o Lhe usual
workday wear and show Lhelr supporL for neurobromaLosls re-
search, wearlng [usL Lhelr undles.
klds wlLh nl have Lo overcome challenges on a dally basls," says
Chad LeaLhers, Cupld's undle 8un co-founder. 1hls evenL puLs peo-
ple ln an uncomforLable slLuauon whlle pumng some hllarlLy ln
charlLy."
1he ldea for Cupld's undle 8un began ln lebruary 2010 wlLh Lhe
deslre Lo help a frlend ln need. ln 2009, urew LeaLhers became
parapleglc durlng hls baule wlLh nl, spenL 183 days ln Lhe hosplLal
and was bedrldden for Lhe remalnder of Lhe year. ueLermlned Lo
help Chad's broLher, frlends 8rendan Panrahan and 8obby Clll ral-
lled alongslde Chad Lo creaLe an evenL LhaL would supporL research
eorLs Lo Lhe C1l. Aer [usL 30 days of plannlng, Lhe rsL Cupld's
undle 8un was held ln WashlngLon, uC wlLh more Lhan 630 runners
ln slx-feeL of snow.
1o daLe, Cupld's undle 8un has donaLed nearly $2 mllllon and ls
a nauonally recognlzed 301(c)(3) non-proL, operaLed by dozens of
volunLeers LhroughouL Lhe counLry. lor more lnformauon, or Lo reg-
lsLer, vlslL www.cupldsundlerun.com
Upcoming
events
CCMlnC nLx1 lSSuL
Aprll/May 2014
e0c$-+".e I&,e*."e/
wlLh
hosL of 8lggesL Loser
Allson Sweeney
She shares how Lhe hlL
1v show lnsplres her Lo
malnLaln a healLhy
llfesLyle.

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