SOU T H W EST FLO RID A'S MAGAZINE November 2011 www.swfheallhandwellness.com FREE Living with Alzheime 's Di тАв IS Yo Isn't I Love M~ PhenTabz Rx┬╖ (Amphela-HCL) _ _ _ _ _ _ _ _ _ _ www.swfHealthandWeliness.com _ _ _ _ _ _ _ _ __ es 1\ , Urology prob1ems can have a huge impa<:1 on one's qu~lity of life. OUf experts al Specialists in Urology offer leading-edge treatments. inrxwative researt;h and the ~t ildvall(ed minimally inv.~e su'gkal procedures. From urinary incontinence to pelvic disorders. sexual dysfunction to cancer, OUr fellowship trained ~icians in female urology are here to help. Spedalists in Urology provides. comfonable, private. <;peei.lile<! pl3(e for women logo where people whoc"re will liMen. evaluate their problem and provide treatment thaI wililruly make a difference in their lives. N. f ranco, M.DтАв тАв J.Jay,M.D. in Urology www.SpecialistslnUrology.com 239┬╖434┬╖ 6300 C. Langford, 0.0, R. Rivera, M.D. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ www.swfHea lthand Weliness.com _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Providing catheters and other urinary supplies in the convenience of your home. USI See Spot. See Spot Change. 239-985-9327 WYNI.urologicalsupplies.us !iN ...., amel. "" ""go /1 Urological Supplies, Inc тАв National provider, we can csellv8i'" your products to any location тАв L.ocally owned and opernted тАв Same Day Free тАв Our highest priority Is satisfied customers тАв Call today for free ~",,"~ тАв Medicare Approved and 8e<:ept most inSIJrances, we do all the billing _ Gastroenterology Associates тАв 01 S.W. Florida, P.A. and Compassionate Care Sf>┬лia/W Nf iN tIM TlYatmmr "IDi~rtive Syr'.... Dinm lnr тАв Stomach Pain . Esophageal ┬╖ Acid Reflux ' Liver тАв CoIor┬лlaI Cancer Screenings ┬╖ Pancrealic Di50roers www.giaswfl.com Board Certified Experts in the field of Gastroenterology and Liver Disorders See Riverchase Dermatologv. Same week appointments available тАв SWFL's Most Comprehensive Skin Center тАв Three Fel1owship-trained Mohs Surgeons тАв Dermabeam Non-surgical Radiation Therapy тАв Camisa Psoriasis Center тАв Cosmetic and Laser Dermatology тАв Aesthetic and Plastic Surgery ┬╖ Spa Blue MD - Medical Spa www.RiverchaseDermatology.com Serving Southw<:st Florida Since 1990 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ www.swfHealth a ndWellness.com _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Contents November 201 1 6 Sacral Neuromodulation for 16 Urinary and Fecal Incontinence 7 Why Isn't My Thyroid Medication Working? 8 Venous Insufficiency: 17 VAX-O: Non-Surgical Neck & Back Pain Treatment 18 Care Reform Turn Back the Ballroom Dance can $jew the Progression 01 Alzheimer's Will President Obama's Health Clock on Vein Treatments? Diabetes is Killing Your Heart Why it is Silent Ischemia 20 Periodontal Disease and the Diabetic Patfenl 9 Protect Your Skin: 22 Prevent Melanoma 10 What you can do now to Conquer Aging in the Future 11 12 13 Finding a Health Coach to Help You Meet Your Health and Well-being Goals Aging, Aching Booes and Joints? Why Diabetes can Result in Hard to Heal Wounds 23 Uving with Alzheimer's 24 Resolving Erectile Dysfunction 28 I've Beoomea Warrior for Health! 31 Regardless of Your Age or Medical Condition! Spiritual Wen ness Seeking a Vibrant Prayer Ufe Inflammatory Bowel Disease (IBO) in Adults TAKE BACK YOUR SEX LIFE! Find us on 14 Taking Control With Inte!"- Facebook mrttent Catheterization Now m~n of all ag~s can find th~ solution 10 ~re<:tiJ~ dysfunclion and premature ejaculation and start enjoying a great sex life. We offer personalized treatment that s fast and easy, with no surgery or pain. On~ appointm~nI will chanS" your life forevcr. тАвтАвтАв See Results In Just 1 Visit and Get Your Sex Life Back! Our Licensed Physicians Will Help You ELIMINATE ERECTILE DYSFUNCTION Florid.', South_s t H~ lth'w.sl".., M.~zl,.. C<l1I be tound in (N8f 600 SO<JIt._ I Florida medical lacili!ies inck.>di"O, hospiIal's, CIO<:IOr's, chiroprllClOr" and <:Ie<1tisl'S oIIioe,. Find a copy of your FREE SO<Jlhw1Ist Florid,', He/lItMW.,I_ Maoa;:ine in rrIO$I grooery and convorVel\Qt . _ as wei To get your ertlcle publi shed and for ed rates, call 239.389.9449 [email protected] _ _ _ --._._ ..._ .... -.swn_. ___ . . " ' __ ..... ..... . ....... ..... 0:: '7"" SO\ITHWESrF\.Clf\lOoO,."$ >El<.TH$wl".I.NUS "",,",",,2011. "" _ _ _ ""1--..0- ..,., _ ..... _ _ ""' , "I ... _dlKlllltM'ESTFLORIDOo"S _ _ _ _тАв ... _ .. "'" _ ""I lKlIIltM'EST fI.Clf\OO."S _ _ _ _ .... f\;IN" _ " _ . Tho .... , , _ ... SOUTHWEST FlOlmll'S _ ""1 .......... _ тАв __ _ .. ~ ~USMALE CLI'iIC Call (239) 693-5200 12650 World Plaza Lan~, Building 72, Suite 2 Fort MyCT'S. FL 33907 theusmalec1inic.com _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ www.swfHealthandWeliness.com _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 6HthWE os November 2:011 - lee Edition Sacral Neuromodulation for Urinary and Fecal Incontinence By Dr. Carolyn Langlord, of Specialists in Urology H Ilave yoo tried treatment for overactive bladder, urinary incontinence or fecal incontinence and still suffer from any of the symptoms below? тАв Urgen.:.:y 10 gerlO the restroom in time , [n.:.:reased frequency of urination тАв Gelling up at night 2 ormore times to urinate тАв Wearing adult protective undergarments or pads тАв Inability 10 empty your bladder C()mpletely тАв Curbing your usual ~ivities because you must be n.car a restroom at all times тАв Loss of bowel eontrol or fecal soiling [fyou an: a man or woman who said yes 10 any of these then yoo should know about an advancOO therapy that can dmstically improve your quality Qf life. Commonly used tllerapies such as behavi0T1l1 modification, bladder lnIining and medications an: a fi~tline of therapy for Q\'eI"aC1ive bladder (DAB).UnfQltWlatcly in many patients these do 001 wml< or don't worl< well enough. Some patients may 001 be able tQ IOlerate the common side effects Qf medications such as dry mouth. dry eyes or constipation. F┬лal incontinence (FI) ean occur alone or in rombination with DAB and can be a socially devastating problem. After conservative measures such as fiber therapy. biofeedback or medications have failed many FI patients are left feeling hopeless. Fortunately, the FDA has =ently approved the use of sacrnl neummodulation specifically for FI in the United Statcs. It has been used successfully in Europe for yeaJS and over 100,000 implants have been placed to date. Studies have shown that 83% of patients with F! experienced a > 50% reduction in fecal incontinence episodes per week. Sacral neuromodulation (SNM) allows regulation of the nerves that go to the bladder and bowel. This works by sending mcssages baek to the brain to regulate the "on-off' switch for bladder and bowel function. A simple way tQ think of SNM is as a pacemaker for the bladder and bowel. It can help improve your pelvic (loor function and possibly return it 10 nonnal function . SNM is approved by the FDA for the treatment of refractory DAB, urge inoonlinen.:.:e, urinary retention and now fecal incontinence. Currently One rompany (Medtronics, Minneapolis) produces this SNM device for international use under the name lnterstim. 11 is also used successfully to treat bowel dysfunction including severe constipation and fecal urgency. frequency and fecal soiling. This is possible because there are nerves in the pelvis that work On both the bladder and bowel. SNM is a very appealing option to patients due 10 its high success rate (up to 83%) and a unique trial phase. This trial phase oD-7 days is called a percutaneous nerve evaluation (PNE) and is a simple procedure that places a thin temporary lead next tQ the nerve that controls bladder and bowel function. This can be placed using local anesthesia or with light sedation, and takes only minutes to perform. This gives the patient the ability to <"test drive" the device without going through the full implant. It also helps patients to gain insight on just how much the lnterstim could help them. At the end of the trial the leads are removed in the office without damaging the nervc. If the PNE is successful in reducing symptoms it is likely that the full implant will work in these patients. The lnte~tim uses an implantable Icad and small battery that are placed for long tenn treatment of DA B , urinary retcntion and or fccal incontinence. Once placed, thc [ntc~tim can last up 10 IOy~ depending QIl its use. The banery can be easily changed under local anesthesia. After implantation, the Inte~tim is vinually undC1ectable even in a bathing suit. [f you or someonc you know has refractory ovcr active bladder or fecal iocQntinenee sacral neuromodulation may be the answer. Experienced physi_ cians can have success where others have failed. A full range Qftreatments for DAB. urinary inoon_ tinence and sacral neuromodulation for fecal inrontinence are offered by Dr. LangfordofSpecialists in Urology. If you would like mQre information regarding these or any other urologic eoncerns please contact Dr. Langford at 239-434-6300 or www.spccialistsinurology.rom. Dr. Carolyn Langford. of SpedalislS Urology. ha.s unique dis/inc/ion being the only """,j cerlifiedftmale urologist in South ..┬╖cst Florido w h"" ,~. pleted a 1 year fello .. , , ship in ,┬╖aiding dY$_ ~ II""'┬╖' "''''1'';'/''''/''''' ."he .- Cleveland Clinic. ,...m lawJe graduate Universiry and gradrmte of the Medicine and Dentislry of New Jersey O$teopiJlhic Medicine Or: Langford i.! a Dr. IAngfotd completed her Urologic Sl.rgery TrainIng 01 the UniVI'TSiry of Medicine and Dentistry of New Jersey Scltool of O$teOpa1hic MedicUw. Dun┬╖ng her training she ..-as both Chief Intern and Chief Urology Resident. She liwrI completed a 1 )'ear foI11"1tt1hip atthe Cleveland Clinic Flon┬╖da in the sfX'┬╖ cw/ry of Female Urology. PeMc Floor Reconstruc┬╖ tiOll and Male and Female l"caminellCe. Dun┬╖ng her fellu",ship she ...", imemational fJOP'iT ofthe ymrfar Sockryfar Urodynamics and Female Urology. In addition 10 Ihi.! she has been a guesl speaker at n"""""", educational ,.,.nue$ including the Interna┬╖ tional Urog;mwfogy muting in Atheru. GtUCe. I"" Among her specwl interulS is the treatment of the (!Itti", fX'Mc floor a.s a ..┬╖/raJe a.s many ofthe urologic problems of illCQlttinence and prolapse coaist. TIle", Mve beeII COWllless llI.Iwmces in ttdmique and male┬╖ ri.lis IMI Dr. lAngfotd keeps herself uptklled (Nt by ollendingfrequenl specialry meetinfJ$. She is. one ofa jewdactors in Southwesl Flori(/(). chosen as a clinical UIs/TuCl()rfar ather physicians by Bos/Ofl Scwmijic. Dr. lAngford is Board Certified by the American Board ofO$teopalhic SurgroM. 239-434-6300 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ www.swfhe a lthandwellness.com _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ lee Edition┬╖ November 201 He th & Welllll 7 Medication Wor By Robert Gilliland, B.5" D,C. allY people, especially women, continue to suffer with hypothymid symptoms despite taking medication. Is 1M still happening to you desp~e taking thyroid hormone medication? Do )\lu continue to struggle with )\lur weigllt despite diet and exercise? Is )\lur $lUn dl) and ~ctr{? Do)\lu need 10 take a sweater with)(lu when IW go to a restaurant? Are IW 100 tired to play with )(Iur children or go out with )\lur friends? Are you still tired even after S hours 01 sleep? Does hair ktss continue to be a problem lor )(Iu1 Are )\lu depressed? Do)OU lack motiVation? Your thyroid medication was supposed to get rid of )\lur symptoms, rigllt? So why isn1 IWr Itlyroid medlcabon worlling? There are a number of things that can cause )\lur thyroid medication to be ineffectiYe. However, the first thing I think of whef1 someone tells me their medication isn't working is that they may hlMl an autoimmune tIrfroid , Wtr{? Hashimoto's Is The Number One Cause Of Hypothyroid Symptoms Hashimoto's (an autoimmune diSOl'deo-) is the number one cause of hypothyroid symptoms in the United States. Interestingly, women account lor 75'11. of al l autoimmune diseases, Hashimoto's Is Often Missed During Routine Thyroid Screenings. Wtr{? Routine Itlyroid screening checks yourTSH {thyroid stimu lating honnone) levels. With Hashimoto's )OUrTSH level can all)'Wllere 00 the scale. It can be Jew,( normal or high. ~ nucwil1l!S depending on Ymether)OUr immune system is attad<ing or is in retreat The TSH level of someone with Hashimoto's will go up and down with or without medical intervention. When JOU have an autoimmune thyroid )OUr immune system attacks your thyroid tissue, Ymen this happens, that tissue will release it's thyroid hormooe. causing your TSH level to decrease. When )OUr immune system SlOpS its attack. the remaining thyroid tissue doesn1 produce enough thyroid hormone. causing )(IurTSH level to go up. Can you see wtr,' routine thyroid testing - checking your TSH level, can easily miss Hashimoto's, Routine Thyroid Testing Does Not Include Testing For Hashimoto's Another reason to locus on an autOimmune thyroid is the fact that. even ~ )(Iur doctor SUSpeCl$ Hashimoto's. lie or she may not test IW for it wtr{! Secause it wil l IlOl change the way they treat )\lu, Most docto~s idea 01 success is keeping )OUr TSH level within a vel) broad lab range. adJustmg and readjusting )\lur thyroid medication as needed, Sut ~ the underlying autoimmune condition is not addressed.)\lu will continue to have symptoms. What Causes An Autoimmune Thyroid? We still don1 know exactly Ymat causes ~, but most researchers awee ~'s a mi>ture of genetic susceptibihty and environmental factors such as iodine (excess). infection, pregnancy, diet and intestinal permeability. Signs That You May HaYe An Autoimmune Thyroid тАв You have other autoimmune disease like rheumatoid arthrttis or cel iac disease, тАв You doctor has to constantly &djust your tIrfroid medicatioo. тАв You are taking a boatload 01 supplements. тАв II Iodine makes )\lu r symptoms worse. How Is Hashimoto's Diagnosed? A blood test forlPO andjorTBG antibodies will confirm an autoimmune thyroid. With Hashimoto's, )(Iur immune system can attack the enzyme lPO (Itlyroid pelOlidase) Ymich h~ps package iodine into cluster of 3 (T3) or 4 (T4), 13 and 14 are you tIrfroid hormones. Or rt can attack the pmtein that transportS your thyroid hormone throughout )\lur 00dv. thyroid binding globulin. Treating An Autoimmune Thyroid Medically TI'r(roid hormones are an impOrtalll part of treating Hashimoto's┬╖ especially \\tIen TSH is consistently e4eYated and14 an 13 are consistently low. Sut th)'rok:I medication is ooly ooe piece of the puzzle. and ~ won't be effectiye on its own unless the autoimmunity and inflammation are addressed. SWF Natural Health Center 444-3106 ┬╖ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ www .swfHealthandWeliness.com _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 8 ;s November 2:011 - Lee Edition Venous Insufficiency: Will President Obama's Health Care Reform Turn Back the Clock on Vein Treatments? By Joseph MagnanI, M,o., FAC.s, f the estimated 35 million adults in the U.s. ..w suffef /!Om supedicial venous insufficiency, 0( YeOOllS reftUl disease, symptoms and signs which cause sigi and disabmty. Until 2000. 1M only treat┬╖ ments ava ilable for patients with significant saphenous vein Insufficiency were compteSSion hose, high ligation OJ lig,ltion and stripping. The latter two treatments were often considered too invasive for patients with symptoms other than bleeding veins or non-Ilealing leg OJ ankle venous ulcers. The laodscape 01 venous insufflcieocy treatment was transformed dramaticalf)' by the introduction of endoYellOUS thermal ablation (seal ing veins rather than stripping) io 2000. Tl1e radiofrequency catheter system was the fifSt system apprOYed by the FDA in 1999 and the LASER system for endovenous ablation received FDA approval in 2001, Advances In Venous Insuflldency Treatment ~ 'fides Relief for Millions Over the past decade, our urKlerstanding of I'!!IIOUS insuffl┬╖ eiency has been ~a\!)' impro.oed as endoYeno\Is ablation has I:leen applied to pabent:s with a<MInced stageS of I'!!IIOUS insuflideocy with acelleot results. Supertidal veins other than the ~t saphenous lein. such as the small saphenous lein. inle!saphenous lein. anterior aa:essory saphenous lein and perforating leins are now treatable with ~ ablation. MOOem ultTasolJnd e'o'aluation of the lower e4remit)' >enoIIS ~ by experienced ..ascular tedl~ can accurately identify v.tId1 leins are insufficiellt leaking and the severity of refha Urtra┬╖ sound directed sealing of the abnormall'eins under local anesthesia has yielded far superior results than lein ligation or stl'ipplng. The net resu~ has been relief for miHions of patients 'Ml!kIwide and for I'IJndreds of thousands 01 pate'ts., !he lISA.lbs are ~heaIed ., fflC(W'\I tme. SUISIs derma1itis cI\a,,*, are being re\'eI'Sed and leg S┬еIeIling and pain is recedng in thousands of patients 0IICe thou!tlt to be untreatable. How wII Pleslde.1t Obama's Health CIftI Program AHed T110se with Vflnous Disease? What does the Mure hold for patients with l'enous insufficiency in the USA? How will President Obama's health care reform act affect the treatment of patients with venous disease? H the Canadian Health care program. wIlich the President has touted as one v.tIicll sI10uld be emulated. is our window into the fuwre of health care. the prospeets for patients with venous insufficiency may oot be so favorable. Uke most other plrfslcians in southwest Rorida. I often see patients from Other states and countries during their winter I'lIcations. In the past 5 )ears. I have seoo a number of Canadians v.tIo have presented with severe venous insufficiency. One patient was a 65 )ear old active woman with terrible leg pain and swelling and was confirmed to have severe great saphenous insufficiency. Another Canad ian patienL 84 )ears old and active. presented with a 2 year history of severe stasis dermatitis (~chy alld scaly skin) and 2 months of severe pa in and muttiple ulcers. Both patients had been treated with compression hose and had seen their Canad ian primary care physicians for e'o'aluation. The only treatment for these patients covered under the Canad ian Health plan was either lig<ltion or ligation and stripping of the great saphenous vein. They both decided to obt!\in a second opin ion and sul)sequently underwent endovenous ablation rather than stripping. at their personal expense. Both patients were treated successfully with outpatient endovenous closure. under loca l anesthesia and recovered with minima l to no down time. Geroera l anesthesia is no longer required. no incisions reqUired. no fasting or lab WO<k needed. no more I'enollS insufficiency or I'enollS hypertension. The first patient rewmed for her 3 week follow-up appointment without leg pain for the first time in )ears. The second patient's leg ulcers dried up and the stasis dermatitis alld ulcers healed without incident To learn more about Venous IllSIJfficiency aod our amanced. minima lly invasive treatment options. please oont&ct Vein Specialists at 239┬╖694┬╖VEIN {8346). or visit lIS online at www.weknOWYeins.com. The treatment 01 these 2 pat,ents ""th venous insuN, ciency represents a m,crocosm of the direct,on ,n whic h med,eal care ,n the Uni ted States ,s head,nlt as we tran sotJon ,nto the proposed government run health care system 01 Pres,dent Obama 11 cost conta ,n ment efforts are locused on restrict,ng access to more modern tec h nology. ano pat,ents are oHered "hat are perce,veo to t>e -le55 expensrve- procedures , wh,c h may rn lacl be more anloquated ~nd rnvasrve treatments. they "rll Irkely opt nol to see k treatmemlor Iherr med rcal problems . Only when they df'\lelop severe complrCill ions 01 the d,sease " rll they seek ~nentJon . In [he case 01 venous rn suH,┬╖ cieney, these camp li cahon5 are leg ul ce rot ion s or varrcose ,,100 bleed rng. As in Canada and OlM r coun trres " ith nationa lized hea lth ca re. prrvate and para llel hea lth care delrvery systems 01 medrcal care wrll Irkely t>e spa"ned. The olfload ing 01 patrent care responsibi l'ty to tnese private cl ini cs oNerin g more modern techno logy. and the shott 01 Ihe I,nancial burden Irom the National Health care system to the indi",dual patient will serve to create t\\'O very d,sparate classes of medica l care, Cana dians ... ,11 likely still come south to the USA fortheor more modern and readol, ""a ola ble treatments. i)j' prr,ate cl rnr cs . The questron ,s ...hether Amenca ns " rll tolerate the rat,onrng 01 healthcare Ilrm'ted numt>er 01 tota l h,p replacements per month or seve rrty 01 compl ,catrons of venous drsease ) or accept rng lulllrnanc ral responsrb rl rty for the mo re ad\'anced , mon,ma lly rnvaSNe treatments wh,eh have. up untJI nQllo. been covered i)j' most payers fo ll owrng rs a Irnk to ne'/l' medrca l code~ whICh are p~rt of the ne'/l' health care system (ICO 10 Cod rn g System), ,"clu d,nlt codes for ,nMY Irom ducks. t u~jes , macaws and e"en burnrng wate' sk rs: http://onlrne .''Sj .com! article ema 'l! SB 1000 14240~31119041 03404 5 765 6() 7427 46()211 05 IMrQjAAMTA>:MDI",NjEyNDYjWl.htm l? mod - wSJ share ema ,1 Changes ,n our hea lth ca re system are el eil~y needed A mu lbdrse'plrnal)" appmach to address the many aspects 01 our hea ~h care dehvery system rs ,mperatrve to any mean,ngfu l eHorI at ,mprQllrng the currenl system We cannot aHord to rgnore thrs probl~m , nor can ....e ~fford to m~ke ha5ty ~nd rnr;omplete reforms whrch 510nd to undermr ne the doctor┬╖patient relation5llrp , restroct pabent access tD modern. m,n,ma lly r....┬╖as.ve treatments, stifie medical and tech nologic ,nn(}\"atJon. and eqland and extend the l('(feral gG"Iernment's ro le rn determ,nrng who gets what treatments, .....hen and lor hoI" lo ng. Tori reform. senous erackoo",n on M('(f,ea,d and Medocare flaud. portable hea~h ,nsurance across state Irn es wrth consolr dation of redundant and top heavy ,nsurance admin,stra toon. ,ncenbves to physic-ans and hea lthcare prw1ders ....t>o care for un, nsured or ind itent patients and block IJOnlS to states to CO'o'тВмr Medoca1d and SPilrlo. ,nnovat,on lIa\'e all t>een pruposed but are not currentl, rneluded rn Presrdent Obama's hea lth care reform act _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ www.swfHealthandWeliness.com _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Lee Edition - November 2011 Hf Ith & WelinE Protect Your Skin: Prevent Melanoma Riverchase Dermatology and Cosmetic Surgery Melanoma doesn't always begin as a mole. It can also occur on otherwise normal-appearing skin. such as Nonnal moles are generally brown or black. wilh a diSlinct border separaling the mole from your $IIrTOUIIding skin. They're oval or round and usually smaller than 1/4 inch in diameter - the size of a pencil eraser. lan. Mosl people have bel┬╗'Ct" 10 a~d 40 moles. Many of these develop by age 40. ahhough moles may change in appearance over time - some may even disappear wilh age. elanoma. the most serious type of skin cancer, develops in the cells that produce melanin the pigment that gives your skin its color. Melanoma can also fonn in your eyes and. rarely, in internal organs. such as your intestines. lbc exact cause of all melanomas isn't clear. but e~posure to ultraviolet (UV) radiation from sunlight or tanning beds increases your risk of developing melanoma. Other factOTS, such as your genetic makeup. likely also playa role. Limiting your sun exposUJC and avoiding tanning beds can help reduce your risk of melanoma. Knowing the warning signs of skin cancer can help ensun.: that cancerous changes arc detected and treated before the cancer has a chance to spread. Melanoma can be lrealOO successfully if il is dclectcd early, Melanomas can develop anywhere on your body. but they mosl often develop in areas thai have had e~posure to the sun. such as your back. legs, arms and face. Melanomas can also occur in areas lhal don'l receive much sun exposure, such as the soles of your feet. palms of your hands and on fingernail beds. These hidden melanomas are more common in people with darker skin. Characteristics of unusual moles that may indicate melanomas or other skin cancers follow the A-B-C-D-E guide developed by the American Academy of Dermatology: тАв A is 10/ asymmetrical shape. Look for moles with irregular shapes, such as two very different-looking halves. тАв B is 10/ in'eg-ular border. Look for moles with irregular, notched or scalloped bo!ders - characteristics 01 melanomas. тАв C is lor chMges in 0010/. Look lor growths that have many colors 0/ an uneven distribution of color. тАв D is for diameter. Look for new growth in a mole larger than about 1/4 inch. тАв E is for evolving. Look 10/ changes over ~ me, such as a mole that grows in size 0/ that changes color 0/ shape. Moles may also evolve to develop new signs and SymplomS, such as new itch iness or bleeding. Other suspicious changes In a mole may include; Scalincs.s Itching Spreading of pigmem from lhe mole into 1he surrounding skin Oozil1g or bl┬л'ding 9 Factors that may increase your risk of melanoma include: - Fr.ir ski" . Having less pigment (melanin) in your skin means you have less prolcclion from damaging UV radialion. If you have blond or red hair.lighl-colored eyes. and you freckle or sunburn easily, you're more likely to develop melanoma than is someone with a darker comple~ion. But melanoma can devclop in people Wilh darker comple~ions as well. тАв A his/f1ry f1[su"bu, ,,. One or more severe. blistering sunburns as a child or leenager can increase your risk of melanoma as an adult тАв Excessive ul/ra~iolefl/ (U J? light exposure. UV radiation. which comes from the sun and from lanning beds, can increase the risk of skin cancer. including melanoma. - lIa".;"g ma"y moles M u""s" M moles. Having more than SO ordinary moles on your body indicates an increased risk of melanoma. Also. having an unusual lype of mole increases lhe risk of melanoma. E~posure 10 тАв A[amily hi$tory o[ meianomiL lfa close relative. such as a parent. child. or sibling has had melanoma you have a greater chance of developing il as well. , Weakened immu"e system, People with weak immune syslems have an increases risk of skin cancer This includes people who have H[VIAI DS and those who have undergone organ lransplanlS. If you notice any skin changes !hat concern you visil your family doctor or general prac1ilioncr right away_ Depending on your situation and the OUleome of any teslS, you may be referred 10 a doctor who specializes in skin diseases (dcnnatologiSl) or to a doctor who specializes in caocer treatment (onoologisl). With fOOt convenient locations throughout Southwes1 Florida, the skilled providers and staff of Riverchase Dermatology and Cosmetic Surgery arc happy to answer any ~tions you may have about melanoma Of ather skin issues. Contact the office nearest you today if you are concerned about any changes you notice on your skin. 00 ...... flo..... 2Glt\IoSt..ol """" ...... IOI~~o., Il10 ... I..... f50N,COO ... ' ...... iIOJ F.r1 MJc_ Coni The first melanoma symptoms often are; Cancerous (malignant) moles vary greally in IllIG_o., 1.2S┬еIsu7o....,.. 'I02 тАв A change in an exiSling mole appearance. Same may show all of the changes тАв lbc development ofa new, unUSWII-looking lislOO above, while others may have only one ortwo 1-800-561-0ERM .... RlwlrchaseDermltology.com unusual cha.-aclerislics. groWlh on your skin _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ www.swfHealthandWeliness.com _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 10 & We S$ November 201 1 - lee Edition '┬в' What you can do now to Conquer Aging in the Future new trend on the anti-aging front is having facial procedures done at an earlier age than ever before. Staning early has some real benefits. Patients used to wail until lines and wrinkles became creases and sagging skin and the only solution was an invasive face lift or some type of plastic surgery. Today, doing certain OOII-invasive treatments in your 30$. 4Os. and 50s may preserve the stn,Jctun: of your face hailing orevrn slOpping the hands of time for a younger, more rejuvenated look. 30's AiingAreas: I. Unes &Wrinkles 2. Under Eye$ 3.VoIOO1e Loss In Your 30s The very first lines and wrinkles fonn around the eyes and mouth and on the forehead. Slight bags under the eyes may also become noticeable. With the use of Ik>to~ and fillers yOll are less likely 10 develop lines and wrinkles. Staning Botox in your early 30' s is now cormnon practice. Patients now use 801'1:< for p~tative purposes and 10 reshape the jawline and lift Ihe brows. In your 30's lines and wrinkles start to develop bul you can inhibit their progression with injections as a pre_ ventative measure. You can also USC the same approach to treat and correct any of nature's impe-rfe<;tions. 40's AgingAreas: , Brow. 2. Crow's Feet l.l.ower nee In Your 40s 50 S Botox is becoming better known for being a " b,ow iJlaper" in addition to its association as a wrinkle freezcr. An ideal treatment for those with relatively low brows, BolOx works by weakening the mu""lc in the forehead that pulls on the browline. lifting and cievating it back to a I1'I01"e desirable position. To reduce the appearance of Cr(IW'S fe<.:t and prevent new ones from fonning Dr. Stanciu injects the area with Bo!o~. In your 20s and 30s, you should usc Boto~ as a way to prevent crow's feel and soften any lines. As you age. BotOlt Cosmetic!! can be used 10 tn:at these lines and ntake them less visible. Fillers in your 40 '5 With age oomes changes in facial fat, and this loss of volume results in nasolabial folds: the lines that stretch from your nose 10 your mQUth. The I1'I01"e fat that'S lost, the I1'I01"e prominent they are. Hyaluronic acid filleTS like Juvcdcnn and Restylane arc best used 10 correct and smooth out the5\: lines. f or patients that complain of somewhat deeper folds. Dr. Stanciu may inject the cheeks with a bit of filler 100, 10 lift the fold. To augment thin lipS Dr. Stanciu uses the same acid based filleTS to add volume and plump youthful lipS. D iscover your Foun tain of Augmenting the cheeks can delay aging due to enhanced suppa". Adding volume to the ehe<.:k You,h by ca ll;ng 239.9"9.2020 to scht'<l ul c your FREE consultation or ";Sil Our we bsite www.stani cucyecare.com to see some tile ama тАв.in g Irnnsfomlations of some of our patients. !!a~Sta~,~~1f~Fc;.0~,';C~i~0~1. ~~;~E~~;,,~~re~.:~1.asef COOter is a facial rejwenation specialist and inject┬╖ able treatment ~rt..oo has been perlonning these procedures for Ole( 10 rears With excel lent results. She specializes In aest!letic procedures such as the European Face Uft. BotoIC CosmetJol), and all dermal fillers. lip augmentation and Ble?haroplasty or eye lid lifts cosmetic and functional. Of. Stanciu is a memtler of the American Academy of Cosmetic Surgery and frequently attends aesthetic meeting<; nationally and internationally. Ag,ngArca, D"""",,~ Lower Face Euro~.n Face Lift & Beyond Get on Eleva ted Look: Fillers in your 30'5 area, fills in hollows and folds. gives fullness and prevents gravity from pulling on the muscles so the cheeks woo't deflale. Both hyaluronic injectables and collagen slimulating fillers can reinstate definition to the cheeks, giving a more defined profile. , In Your 50S and Beyond Ikcau,c thc '~IIl ,urnnmd ing lil~ cyc, " thc til innc┬╖,t anJ ",,,,I lk li cat~ III ",,' h""Ji~,. ;t', t,pICally til" rLN pb"c 10 ,h,,,, "~r" of ,,~m ~ \\'h,1t.- n",,.,nV"'''l┬╖ p"'''┬╖l┬╖dur ..┬╖, help put <llf ",,~cry. Ii" m",,,. ,,,,,,.,ur~ICal option, '''c J"'t n"t <lu"e e""ugh L,d,d ,urge" (tc<h",<aliv <alb] Bl~pha"'I'Ia't\ t"" P"'''c, durc I" "''''''''' ,"cC" ,~'" ,,,,,I I,,, Ii-om thc ~ychd" It i, ""~ "f thl' n""t """,,,,,,n ,┬╖",m~tI" p"""c,lu",, p.:rli>nnc,1 '" rhc I'S. CTC'''ITl~ " "'<I" ,<luthru I 10'" hy "'"'''' I ng I'll. 'k m. and ()r mLJ,,'k Iro'" th~ ~,'did" I'" ~hd ,,"~~rv "m "o",d d,oopmg uP!"" 1id, Ihat ",a~c ,0" I "o~ tlrl┬╖d. "Idl" '" ;mgr, In "'''". l┬╖'tr~m~ C;"l', it lMY mtcrICrc" itil yo,,,, "'011 D,5cover Your Fountain af youth IO"TO!",an Face l. 11t " a IlIlL<llI, ,-., .... ,,1 'qu, ~na┬╖ t,,,,, trcatm~nt that Ilr. SI,," " ou dc, d"l"'d ,,,.,,, " ltcm'UlI" t" 'ur~",y II, S"lnC"", I""hn ,<!"c "f n"id tac~ ,,:lL lptmg "nd litimg c'<,,,,hinc, d"n",,1 r,lk" ","h '''icc(ahk, "",h 'IS Boto," CO'lllelle In ",dcc t<l ,'nnw\" ,mkle, m d,]fer┬╖ ~nl "ay' I'h~", "O"TI~tlC f,llc" ",,'h '" Ju"cdcr",". R"tybn~'. and R"d ic"e. r~plal'~ 1,,,( \"Iu",~ and ,~,t"rc' '''''lhi'u l conto\'" 10 Ih, ,km. "'H~,tlll Tl~ ''''''; "'rinkit.-, In wllt .. ,,1 Il"t"~ ("'Illl┬╖tle. Te la,,┬╖, rhc """d~, 110,,1 ,"Ll'~ fro"" bnc' ixt"ecn thc eych"",,> I'hc c'<,mbmalwn or the," I'mdUch in thc h,,,,d, "I' a ,ki ll fu l ""g""n IL'" II, S"lnC'" ",,,,Id g"" rc,,,lh In or 1x┬╖1t,┬╖, tha" an il1\ ,,, i\ t' tlC'~ 11ft " ilh m inlTl\,,1 r"lT'. rHl rc-.;m cry IlTnc. ,",,(a,,1 rc,,, Irand "gllllicallt linanelal ,," lng, ~<llIal _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ www.swfHealthandWeliness.com _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ th & Wellno, lee Edition - November 2011 H 11 Finding a Health Coach to Help You Meet Your Health and Well-being Goals By Deborah Lee, PhD, AN n the last edition of Healtll & Wellness Magazine, we explored tile topic of 1nt@atiYe healtll coach ing, Mlat it is and Mlat it isn't As a review, integrative health coaches worll witll individuals who seek to im pKM! any area of healtll and well-being in their life sllCh as nutrition and p/lySJcal activity, wor\< isstJes. relationshipS isstJes and worll-Iffe ba lance. Healtll is seen as more than pl'tfSical healtll and encompasses every aspect of 11 person's life incll/ding prole$-sJoJlllI and personal developmenL mind-bolly-Spirit connection, environment. etc. What is the Coach's Background and Tl-aining? WOrl<ing wltll a healtll coach. individua ls develop their health and weliness!'PIIls and the health coach assists them in development and execution of 11 plan to achieve their !'PIlls and provides the suppOrt motivation and acaJuntably so the cl ient is more likely to achieve their !'PIlls for long.term sllSta inable behavior change. The process is based in the relationship between the client and the health coach. Unlike uaditional models of care where the health care pro-;ider tells the patient/client what they need to do. the agenda in a hea lth coaching relationsh ip is set by tile cI ienL not by the heatth coach. , Did they complete the entire training ~m? How to Find a Reputable Health Coach 00 ~u know there is no standardized training, no lega l requ irement and no specific level of edvcation to be a heatth coach (or any other type of coach SlJch as a life coach or executive coach ' )? Health coaches do not need a license to call themselves coaches or to po-actice their trade. Anyone can hang out a shingle as a health coach (or any other type of coach) and pro-;ide services with no formal degree or training. There are Qvestions ~u can ask wilen selecting a health coach to help ~u select a coach who best meets )OUr needs. "'t""Odeos ,,,,.",'oacmg 239.580.7333 тАв 00 tIley haYe a professioJlllI degree to augment their heatth coachin(r' , Which health coach training program did they atterld? , How many Ilours of training did they rece~? , How was the training deI~red (oo-site. distance leaming, or a combination)? , Are they a certified health coach? certification means the person has completed extensive training and has at least 100 hours of coaching time as part of the certification process. certifICation should take seYef(ll months arid depending on the level of certilieation, seYef(ll years. certification should require completion of an el\ilm, either oral or written, and in some cases both . For health coaChing, ~u most likely want to select a person with a backgound in a health profession or allied health profession, such as nursing, nutrition (registered dietician). health education, medical social worlc. etc. An irldi'lidual with a degree in a health profession , depending on the profession, was required to pass 11 licensing ellilm. wIlich means they meet the minimum standard to practice in their field. Why is this imponam? Because there is no educational or training requirement for coaches. ~u should haw some level of comfort that the person has an understanding through their professiona l train ing of health and wellness and WO<1\ing with people who hltYe health chal lenges. A good e.xample of the importance of ~ur health coaell 's qualifications comes into play for those wIlo have a chronic health condition or are dealing with an isstJe that impacts their health. Oiabetes is a comple>; cond i~on that requires a muttifaceted approach to mitigate complications that can arise. While the health coac!l does nOI need to be an expert in diabetes, they do need to hltYe an understanding of the cond ition. Your health coach needs to know how to wor\< with !he regimen the pl'tfSician has identified and how to complement the other resources that may be 8Vl'Iilable, such as a diabetes educator and/or a registered dietician. These pmYiders will give jou information on how to check ;our blood sugar, how to recognire the symptoms il ~ur glucose level is too high or too low. and counsel ~u on what to eat to manage ;our blood sugar. This information is invaluable. The integrative health coach does not replace these proyiders. The integratiYe health coaell works with )OU to figure out how to reduce the challenges of living with diabetes by helpOng jOO develop a plan for how to keep ~urself healthy and focus on ~ur wellbeing. What is different is that the integrative healtll coach's approach is centered on what the person wants, and by being centered on the person and their desires for their Iffe, behill'ior change is more likely to result ' SpoIls coechlnC ..... Illness _ to 110 In II1Is . _ . odd_ I a~ _ and not Intended DebGnlh 1M, PhD. RN is an Integrative Health Coach and President of Better Choices Keaith Coaching based in Naples. She received her train ing at Duke Integrative Medicine's Integrative Health Coach Professional Traini ng Program wIlere she is currently working towards certifICation as an Integrative Health Coach. She bM.gs 30 years of professional and personal e>:perience to her integrative health coaching practice. After working as a hospital and home care nurse, researcher. university professor, public health professional and health care administrator in the U.S. and Canada. she decided to retum to the root of why she became a nurse; to help people feel better and stay healthy, Oebo rah can be reached at Deborah. or _.BettertholcesHealthCoar;hlng.com _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ www.swfHealthandWeliness.com _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 12 S5 November 201 1 - lee Edition Aging, aching bones and joints? Take three steps to better health By John C. Kagan, M.D. Bone and joint pain is one of the 101' reported health problen1S and a leading cause of severe long┬╖\C"nTt pain and disability. Given the aging baby boom population. changes in risk factors and increasing life cxpcctancy. bone and joint problems are predieted to increase greatly. As an orthopedic surgeon, my goal is 10 empower patients to panieipate in decisions about their f,;arc and treatment. any people consider aching bones and joints as cQmmOn signs ofaging. While the aging process docs result in loss of muscle mass and bone tissue, which Can contribute to bone and joinl problems. there = steps you can take 10 remain active and healthy as you age. What happens to our bodies as we age? As we age. our mU!iCles begin to shrink and lose maSS. While Ihis is a natural process, a sedentary lifestyle csn accelerate it. In addition. muscle fibers and tendon lissues also decrease as we age, resulting in stifTer muscles. As Our muscle mass decreases. we lose strength. making il dif_ ficult to perfonn everyday tasks such as opening jars. The heart muscle is also impacted and the decrease in blood flow tan CIUse people to tire as they age. As the body slows, a person's metabolism begins 10 slow down and un lead 10 obesity and high f,;holesteroL In addition to changcs in our musele lOne. the aging process also resulls in loss of bone tissue. As we age. Our bones lose mass and be<.:ome more fragile. This can cause osteoporosis. which affects both men and wOmen and Can result in bone fractures. In additi.;,". the cushioning cartilage between bones breaks down and can cause painful, inflamed joints leading to osteoarthritis. What steps can I take to Improve bones and joint health? Allhough the fragility of bones and joints increases as we get older. many of the changcs in muscles. joints and bones are due to lack of use, rather than simply getting older. There are things you Can do to help prevent injury and anhritis. Below are three steps to help maintain optimal bone density and heallh: тАв Get your recommended value of Calcium and Vitamin D - Calcium is essential 10 maintain strong bones and teeth. however, your body does not produce calcium naturally. Instead, calcium must be absorbed from your dietary intake. There are many sourees of calcium: green leafy vegetables. mi lk and other dairy products.. salmon, almonds. tofu and any food products. fortified with calcium. Vitamin D is important for bone health be<.:ause it aids the body in absorbing calcium. Talk with your doctor to make sure that you are gening your daily requirement of vitamin O. As always, consult a physician befo,,", taking any medications, vitamin supplements or beginning an exercise regime. For more infonnation on ways to maintain healthy joints and bones or to dis<:= trcannenl oprions, call 239-936-6778 or visit www.Kaganortho.com. For more useful tips on your bone and joint health and updates on our practice. visit my bing al www.kaganbonchealth.comandfollowmeonline on Facebook and on Twiner. тАв Know your body - If you have had fractures in the past. you're more likely to have them in the future. Be aware of your body's limitations and pain threshold. Reduce your risk of falls and fractures by having your physidan f,;hock your eyesight. prescription medications and balance to assess your risk of falls and tips for preventing falls that can lead to broken bones and aching joints. тАв Exercise - Less than 10 pereent of Americans participate in regular exercise. It┬╖s crucial to maintain an exereise regimen al any age. To maximize bone heallh, try weight bearing exercises lih running. walking or yoga. Stretching is also an excellent way to help maintain flexible joints.. Walking, dancing, bicycling and swimming are also good options. Regular ph~ical activity f,;an slow loss of mUs<:le mass and reduce your risk of developing high blood pressure, heart disease, and some forms ofcanf,;er. JOHN C. ~ l\ "t KAGAN h4.D. 10..0(""'''00",""''''''' ,UI.'"" _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ www .swfHealthandWellness.com _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ lee Edition - November 2011 n 3< w. Inflammatory Bowel Disease (IBD) in Adults By Michael H. Weiss, MD, FACG nflammalory bowel disease is an autoim┬╖ mune ┬лmdition where the body 's immune defense systems sees something foreign in the gastrointCSlinal tract, and causes white blood cells 10 go and attack the intestines. Many different1heories as 10 what causes the inflammation to stan have been investigated. but 10 dale none have been proven. The two types of [nflammatory Bowel Disease are Ulcerative Colitis and Crohn's disease. The distinction hetween the two are based upon where the GJ tract is involved with the inflammation. and whether the inflammation can penetrate all the way through the howel wall Or is confined to the interior surface or lining of the howeL Both forms of IBD can cause diarrhea which may be bloody, frequent howel movements or diarrhea. and abdominal cramps or pain. In addition. patients may lose weight, have fevers, mouth uleers, or develop symptoms outside the intestinal tract such as anhritis, swollen joints, skin lesions. Or visual symptoms and eye redness. ~Gastroenterology Associates тАв 01 S.W. Florida. P.". www.giaswfl.com ... For the diagnosis of lBO, usually a patient would have stool tests done to rule out infections, and then likely be referred to a gastrointestinal specialist for a sigmoidoscopy Or colonoscopy, procedures thaI allow the doctor to look inside the colon (large intestinc) to get biopsies which help them come up with the proper diagnosis . ColonOs<':opies are usually done with the patient completely asleep, and therefore are painless. After a diagnosis is established, treatment consists of medications to decrease or stop the inflammation of the intestines. These include anti-inflammatory medications that work like aspirin inside the intestinal lining, and sometimes strongcr medication that alters the bodies immune system to stop the white blood cells from allacking the inlestines in the first place. Some people find that altering their diet helps to contro l the symptoms, but no specific diet has been proven to heal the inflammation. Avoiding aspirin medications such as motrin or advil can help the bowel recover from the inflammation . Stopping smoking also plays a large role in healing the disease . Treatment for severe inflammation docs occasionally require surgery, but the goal of medical therapy is to prevent surgery and preserve normal howel function. Unfonunatcly, IBD is a lifelong disea!iC and requires monitoring and treatment by a well trained physician. Most patients with either of the inflammalOry howel diseases live long and productive lives. Michael H. Weiss, M .D. Board-Nrli/iM GIlS' nH'nler%giJl Dr. Weiss joined Gastroenterology Associates of S. W. Florida, P.A. In [995 . Dr. Weiss received his ~'';:':::,,'' Medical Degree from the University of South Florida College of Medicine. Tampa, Florida. He completed his Post-graduate training in Internal Medicine and his Gastroenterology Fellowship at Wilford Hall USAF Medical Genler, Lackland Air Foree Base. TX. Dr. Weiss is a fellow of the Ame-rican College of Gastroenterology. Free Seminar --_.""-,._- ___ Thursday, November 10th - 5:30pm ..."'.' .... ""-'- '- _ ~_"" ' _ ' _'-"""'>a_ ' ..... QlId Learn about a DRUG FREE altema1lve iliaC will dlaoge your life! Limited Seating ... call Now! 239-444-3106 SWF Katural Health Center 27~99 Riverview Center Blvd., Bonita A. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ www.swfHealthandWeliness.com _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 14 S$ November 201 1 - lee Edition TAKING CONTROL WITH INTERMITIENT CATHETERIZATION By Urological Supplies, Inc. Taking Control with Intemaittent SeIf┬╖Catheterization (ISC) It is important 10 ask your health<;= provider which method for managing neurological bladder dysfunction is best for you. Intermittent self_ catheterization (lSC) may be rcrommendcd. II is the regular, temporary insertion ofa catheter into Ihe bladder to drain urine. Many consider ;110 be the preferred method for bladder control because of convenience and discretion compared to other collection devices or absorbent products. Additionally, many benefit frQrn a reduction in urinary lracl infections with [SC. However. 10 ensure Ihal Catheter Eyelets Eyelets an: the small holes at the tip ofa cathctcr. To assure passage through the urethra to the bladder without trawna, it is critical to consider the eyelet quality when selecting a catheter. Thcy fall inlO two main categones: тАв Cold Punched eyelets are produced using a lesser expensive manufacturing method which results in ragged, sharp edges that can cause irritalion. тАв Poli$h~ eyelets ""luire additional manufacturing steps to finish the edges for a smooth transition between the eyelets and the catheter surface for maximum comfon. the full benefit of ISC is experien,,;d, use of a quality calheter is essential. What You Should Know Catheter features can have a significant immediate and long-term physical impact 10 safety and comfort. Heallhcare providers and medical product suppliers an: excellent resources fw understanding catheter options. Another means for selecting a catheter is to oonsider distinct features such as material oontrnt and eyelet quality. Material Content тАв L"tu: is a COmmOn material used by many calheler manufacturers. [t can be an irritant to many individuals and for some, even the s[ightest e~posul"<' to it can cause an immediate, life_ threatening allergic reaction. The amount of [ate~ e~posure needed to produce sensiti,vnion or an allergic reaction is unknown however, it has been shown that incl"<'asing Ihe e~posure to late~ proteins increases the risk of developing allergic symptoms. тАв DEJlP, Di(2-ethy[he~yl) phtha[ate┬╖, is a chemical additive used to make plastic (such as PVC) flexible. 11 has been banned from children's ure anicles and toys because it can pose a scrious health risk however, up to 28% of the PVC used my most catheter manufacturers contains DEH P. тАв For infomunion OIl DEHP, "'" CA EPA Off",. orEnv. Heatth Huard A>senmen, liS! of ~ Known 10 the Stole 10 c..... Cone┬л or R<prodUCIi тАвтАв T",icity. Dec. 8. 2006. Cure Medical Catheters - Proven Function & PromiSing Furunl Cure Medical cathelers function like olher SCI products that you may all"<'ady be familiar with . There is nothing new to learn. The big difference is Ihal ONLY the Cure Calhi!l and Cure C",hi!l Closed System. enable the advantages of ISC bladder control with all these product-specific benefits: тАв Always lalex_free fw safety тАв Always DEHP-free тАв Always feature smooth, polished eyelets for maximum oornfon тАв Plus, an e~clusive commitment to contribute to research for a cure for SCI & CNSJD CuI"<' Medical offers the sterile. single-use Cure Ca/hef~ in pediatric. female, and male sizes with a straight tip in 8-18 French size~. The male catheter is also available with a coude tip. Additionally. Cure Medical offers a sterile. unisex Cure Cil/hete"" Closed System featuring a prelubricated straight tip catheter with integrated 1500 ml collection bag as Singles or in Kit configurations. Kits include a nonstaining BZK wipe. Ihree povidone-iodine swabsticks, one pair of ambidextrous gloves. a sterile wipe. and an underpad. _____________________ www.swfHealthandWeliness.com _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Hearing For Life Since 1950 ~lEcrJ)NAmmm HEARING CENTER, INC. 0% Financing Available for those who qualify FREE SERVICES: SALES, SERVICE a REPAIR: Hearing Tests Video Otoscopy Consultation All Makes It Models Call For Free Quote Shooters Et Musicians Earplugs otf..┬г.o..o FREE rt~rkey. "IN HOUSE" -- W.l. ""unt'" 1I.RUe, III, HAS, BC┬╖HIS 239┬╖997┬╖8288 www.leonardihearing.com SERVICE .f,um~. PLAN REXTON With Purchase .. тАвтАвтАв"''',, тАвтАв';"""'"' accept most insurance plans. 1890 Soo'imer&1 Lakes Drive, Rlrt M~ Florida 33907 I 239┬╖768-6396 2828 lamlamiTrajl~. Na~11orida 16251 N. Clevellind Ave. I S _ (comer of LittlelOll Ad.) 341031 239-687-2165 .PllyslclansRehabliltatlon.aom North Fort Myers, FL 33903 Attend Dr. Kagan's next Ask and Answer Seminar: Saturday, December 10 10a.m. to Noon From frequently asked Questions to the most complex and unique orthopaedic cases, Dr. John C. Kagan has been providing Southwest Florida patients w~h answers HealthPark Medical Center 9981 S. HeeltbPark 0,. Fort Myers, Rooms 201┬╖202 and treatment options for more than 30 years. Get answers to your questions about joint pain and all your orthopaedic needs. For a consultation, call Dr. Kagan today at 2J9┬╖936-6778. JOHN C. ~ ~ ir KAGAN M.D. ""'0 (I.mao O"HOP. '"" IUO<iION . t:wMr For reservations. call 239-9J6...6778 eKt. 2221. Visit www.kaganortho.com to register online and for more information. Space is limited. .A ,. ~ Tu m ph'lfi<:~n $I""" 2Q(}() lor ~ Blog: www.koog.onb o _IIb."""' . ..... . . .. 239-936-6778┬╖ www.kaganortho.com FORTM'fERS, 3210~andAve.. Suite l 00 F(W1 ~ Fl33901 CAPt CORAl.: 2nl Del Prado BIYd .. Su~e 260 ""CooJ,FL339O< _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ www.swfHealth andWeliness.com _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 16 r & We November 201 1 - Lee Edition By Eric D. Rosenkrantz MD schcmia is a condition where Ihe flow of oxygen-rich blood to a pan <>flhe body is restricted. Cardiac ischemia refers to lack of blood flow and oxygen \0 Ihe heart muscle. Cardiac ischemia happens when an artery bcromcs narrowed or blocked for a shon lime, preventing oxygen-rich blood from reaching the hean . If ischemia is severe '1r lasts too long, it can cause a hean attack (myocardial infarction) and can lead \0 heart tissue death. In most cases, What are the symptoms of silent ischemia? a temp<Jrary blood shortage to Ihe hean causes Silent ischemia has no symptoms. But researchers have found that if you have episodes of sweating, you may also have episodes of silent iscbcmia. Ihe pain of angina pectoris. BUI in olher cases, there is nO pain. These cases are called silent ischemia. It can be oommon wilh diabetes. How Is siloot ischemia diagnosed? Silent ischemia may also disturb the hean's rhythm. Abnormal rhythms such as ventricular \.aChycardia or ventricular fibrillation can inter- fere wilh the heart's pumping ability and can cause fainting '1r even sudden cardiac death. How common is silent ischemia, and who is at risk? The American Hean Association estimates that 3 to 4 million Americans have episodes of silent ischemia. People who have had previous hean attacks or those who have diabetes are especially at risk for developing silent ischemia. The following teslS can be used 10 diagnose silent ischemia: тАв An exercise stress test can show blood flow through your coronary aneries in responsc 10 exercise. usually walking on a treadmill. тАв Holter monitoring records your hean rate and rhythm over a 24┬╖hour period (or longer). You wear a recording device (the Holter monitor), whieh is connected to disks on your chest Doctors can Ihen look at the printout of the recording to find out if you have had episodes of silent ischemia while you were wearing the HolTer monitor. _____________________ www.swfHealthandwellness.com _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ lee Edition - Novembe r 2011 n'" We " 17 VAX-D: Non-Surgical Neck & Back Pain Treatment By Physicians Rehabil~alion hronic pain is one of tile most debilitating health conditions. Studies show thaI back and neck paIn is often re<:urrent even if the original problem 1l!SOIYes, many patients suffer chronic symptoms at intervals. Chronic back and neck pain SlJffere!S olten live a Ine of compromise in their daily activities. Back and neck pa in is frequently treated in an epjsodic manner. Treatment options /0( both back and neck pain irlClude drugs, heat and cold, bed┬╖rest, chiropractiC! manipulation. physical therapy. eJcen::ises, acupuncture. local epidural injections, prolotherapy, ID┬гT (IntradisGal Electrothermal Therapy or heat cauterilation with an electrothermal catheter) and the various typeS of SlJrgery. Before resoning to a SlJrgical approach, it makes sense to fJY a conservatiVe procedure, VAX┬╖D. It is known that the many forms 01 'traction' and gravity inversion have not demonstrated the ability to lower the intradiscal pressure. Clinical study has now docu┬╖ mented VAX┬╖D's ability to lower intradiscal pressure {Ramos G., Martin W. Journal of Neurosurgery). Decompression of the discs and spinal structures is achiel'ed under precisely controlled. mon~ored conditions with no invasion or disruption of the spine's norma l biornec/1anOcs. Many of these are simply aimed at providing temporary reduction of symptoms without altering the underlying disease process or addressing the pathophysiology aSSOCiated with lumbar discogenic disorders. Surgical decompression of intervertebral discs has been established for the management of low back pain and sciatic pain in selected cases. Surgery may disrupt the natura l biomechanical functions essential to preserve pain┬╖free spina l mobility. The majority of LBP patients are not idea l SlJrgical candidates, and SlJrgery in the pOOrly selected patient can lead to 'failed back syndrome'. VAX-O Genesis is a !leW computerized treatmeot for chronic neck pain, low back pain and sciatica. The treatment is safe and effective without the risks of injections. anesthesia or surgery. VAX┬╖D treatmeot is designed to relieve the pressure on the Slnlctures that may be causing chronic spinal pain. It can relieve the pain associated with hefniated discs, degenerative disc disease, and sciatica. VAX┬╖D is the only bacll treatment device that has been shown to decrease tile disc pressure in dinical resean::h. VAX-O distracts the spine. taking the pressure off of the discs and spinal nerves, and allows the back to heal itseH. Many patients experience a relief of their pain and other symptoms during tile treatment sessions, and theo a gradual reduction in symptoms as treatment progresses. Patients find the treatment to be comfortable and relaxing. All treatments are administered with patients fully clothed. Ooth ing thaI separates at tile waist and that can be loosened at the wrists and neck is most comfortable. PHYSICIANS REHABILITATION sna.wZlNG rN -~='-'-' 239-687-2165 rw::l( & NECKf\\rN I www.PhyslclansRahlbllltation.com ______________________ www.swfHealthandWellness.com _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 18 November 20 11 тАв l ee Ed,tion Ballroom Dance Can Slow the Progression of Alzheimer's By Theo and Ganine DeI'IoIh foI't Myers Fred AsIairv Dance Studio oday, we face a real fear of oot n:membering who we are, the people around us and the prC<'ious mo:mories o f our past could be lost forever. fkca~ we live so much longer, Alzheimer's di$USe has bcromc тАв legitimate thn:cal 10 all W(: know. Recent studies show a few positive ways 10 slow its progression. A 21-year-old study in the New England Journal of Medicine has proven that tak.ing frequent ballroom dance leSSOlls reduces Alzheimer's disease: by an amazing 76%. WOW! r Danelng Stimulates the Brain Our bnin oonsuntly n:wi~ its neural palhways as needed; and if il doesn~ need 10, il "''OfI~. Which mearu iI's impot"Wll 10 involve yourself in aclivilies Ihat require splil-KCOnd. rapid-fire doeision┬╖ making. In partncr dancing, we are cilher leading or following another ~rson and Ihis requirn into:nsc: focu, of when: we are in 'pace and oonsunl adjustments in our balance. weight clwtgcs. in poslure, in di~, simultaneously involving kinesthetic, rational, musital and emoIional processes. We tan dance our way 10 bener health because daneing integrates several brain functions at once and will stimulate the connectivity of the brain by generating the need for new pathways. DancIng for Diabetes Anolher ~weighly~ issue affecling millions of Americans is Diabetes. We eU!Rntly have a teenage dance studenl who becllm diabetic after a virus infected herpancn:llI . She relies on an insulin pump, constant moniloring and cxcl"(;i se to achieve normalcy in her life. Her parents, both in the medical field, have found Ihal Ballroom and Latin Dancing lessons hold her interest, challenge her mind and body and provide the physical workout she: needs 10 maintain a healthy lifestyle. Dsnelng Bums Cams and Promotes weight l oss Diet control, medicalion. and weigbt control will assist I CQo1ipl0i1t.ised panctUS to have. near normal blood supr level, Cells always need fuel and insulin is the: body'. helper to 1I1CIabolizc carbohydrates inlO fuel. Increasing the amount offuelthal the: ~ll$ use through exercise will cut down the amount ofinsulin the body roquirn. A higb aerobic-low impact activity. ballroom dancing ine~ascs our metabolic rate and bums tons of calories while improving circulation. In other wvrds, danei", intn:ascs energy, whi<;h bums olt" caJbs and promotes weight loss, tbermy taking the: burden orr the: pancn:as to produo.:e. Ballroom Dancing: Elterclse for the Body and Bralnl Ballroom dancing is e~ereillC for both the body and the brain. It's fun and I proven method for improving our quality (If life. Isn't il time you cQIIsidercd dancing your way through life? Not only ((If the fun ofit, but for the health ofil. To learn mon:, tall the Fort Myers Fred ASlain: Dance Studio al 239-939-1517, or visit our website at www.fonmytrsfredastain:.com. See you at the studio! call 239-939-1517 or viSit our website at WW'N.fortmyersfredastaire.com. _ _ _ __ _ _ _ __ _ _ __ _ _ _ _ ___ www .swfHealthandWellness .com _ _ __ _ _ __ _ _ _ __ _ _ __ _ _ __ lee Edition - November 2011 lh & We Hearing Loss Linked to Diabetes and Alzheimer's ByW.L - Hunter" Huntley, III, Be┬╖HIS " Proper" stimulation 10 the porti.;," of the brain that interprets spee.:h is critical; othctwise it will lose function, Studies at John's Hopkins indicated even individuals with mild hearing loss arc twice as likely to suffer from dementia and Alzheimer's, Those with sevCTe hearing impairment arc five times as likely to dcvelop these maladies_ T he month of November. is designated as Diabetes and AlzheImer's AwareneSS Month. This is designed 10 e.:Iucate and make the general public more aware of these diseases that amict thousands of Americans everyday. Free Hearing Eva luation If you Qr a loved Qnc sus~ts that YQur hearing may not be up to par, call us today for a FREE. no obligation hearing evaluation. To learn more, .:all leonardi Ilearing Center al 239-997-8288 Qr visit our website at www.1eonardihcaring.com. Hearing Loss Co mmon Due t o Complications of Diabet es Diabetes. aka: the silent killer. can WTCak havoc on the human body on the inside. Sometimes victims are not aware they have the disease until the advo:rse effects show up later. Diabetes can cause poor circulation to extremities. sometimes requiring amputations. Ere<;tile dysfunction can be a problem due to lack of proper circulation. In addition, vision and hearing loss are also very COmmOn due 10 the COmplicaliQns of diabetes. Untreat ed Hearing Loss linked to Dementia and Alzheimer's Hearing devices an: usually sueccssful if a hearing loss is detected early enough. Untreated hearing loss is linked to brain atrophy. dementia and Alzheimo:r's according to John's Hopkins Medical University, the University nf Pennsylvania and The National Institute on Aging, LEONARDI HEARING (ENTER,INC. W.L. "Hunter" Hunlley, III, HAS, BC-HIS W.L "Hunter" Huntley, III, HAS, BC 'HIS, went to Edinboro State College, Edinboro, PA, and finished his edUCOfion or the University of Florida before entering "oining with Belrone Electronics in Chicago, IL. He wos a Beltone heoring instrument dispen~r from 1986 to 199], He has operated Leonardi Hearing Center, Inc. since 1994. 16251 N, Cleveland Ave, #81 (Corner of Litlleton Rood) I N. Fort Myers, FL 33903 RED ASTAIRE FRANCHIS!O DANC! STUD I OS Swing into savings! Come in for your FREE Trial Lesson 239-939-1517 239-997-8288 DR. ERIC ROSE NKRA NTZ YOU ┬╗ ┬гS }: R VE A C HANG}: &HlrdCertiJied INTERNAL MEDIClNElNON┬╖INVASIVE CARDIOlOGY 25 YEARS EXPERIENCE - TRAI NED AT MOUNT SINAI PrOl,jding Old Fa shion Cure SPEC IALTY Vascular Diseases ' Heart & Artery Screening Cardio Diabetic Program ┬╖ IV Vitamins Cape Coral Pkwy E. Su~e F 239-540-4500 --------------------------------------------- contact us 239 - 389┬╖9449 --------------------------------------------- 20 r & We S$ November 201 1 - lee Edition PERIODONTAL DISEASE AND THE DIABETIC PATIENT By Juan Teodoro, D.M.D. Fa ctors Than Link Oiabetes to Peri odontal Diabetes Diabetes mellitus is a disonkr in which blood (Gum) Disease levels of glucose (a simple sugar) arc abnonnally high because the body doesn't release Or use insulin adequately, Diabetes affects more than 18 million individuals in the United States and more than 171 million individuals worldwide and has reached epidemic starus. Unwntrolled diabetes can impair white blood cell function which increases susceptibility to infection and poor wound healing. Diabetes is also l'IXognized as an important risk faclOr for more scvere and progressive periodontal disease. an infection resuhing in the destruction of tissues and supporting bone that form the allachment around the tooth. Periodontal Disease Periodontal disease (or gum disease) inname and destroy the suucturcs SurrQunding and supporting the teeth. primarily the gums. bone and the OUICT layer of the tooth root. Periodontal disease is caused mainly by an accumulation of bacteria. Pockets form between the teeth and gums and extend downward between the root of the tooth and the underlying bone. These pockets collect plaque in an oxygen-free environment. which promotes the growth ofhactcria. тАв Studies show tbat people with insuffidcnt blood sugar control secm to dcvelop gum diseasc more frequently and more sevcrely than people who have good management over their diabetes. тАв Diabetcs reduces thc bod~'s resistance to infection, which increase the probability of the gums becoming infected. тАв High glucosc levels in saliva promote growth of bacteria that can cause gum discase, Diabetes and Periodontal Disease: Making the Infection Connection People with diabetes are more likely to have periodontal disease than prople without diabetes. probably because diabetics are more suseeptib le to contnlCting infections. [n fact. periodontal disease is orlen considered the sixth complication of diabetes, Those people who don't have their diabetes under control are especially at risk. A study in the Journal of Periodontology found that poorly controlled type 2 diabetic patients are more to develop periodontal disease than wellcontrolled diabetics are. Researeh suggests that the relationsbip between periodontal disease and diabetes goes both ways - periodontal disease may make it more difficult for people who have diabetes to control their blood sugar and diabetes may make it more difficult for people to control their periodontal disease. likcl~ тАв People with diabetes who smoke arc much more likely to develop gum diseasc than people who smoke and do not have diabetes, тАв Poor oral hygiene is a major factor in gum diseasc for cveryonc. but it is evcn more so for a person with diabetes, \1aintenancc of a healthy dentition for the purpose of "",thctics. dictary imake and nutrition, quality of life. and overall general health is the ultimate goal of dental health care. In addition to public awareness and education efforts. much of dcmal care is focused on effective and efficient preventive and therapeutic management of periodontal disease. Take Steps to Keep Your Mouth Health~ Dr. Teodoro is a Board [, Visit your dentist regularly. Cerlified Periodontist. He holds both Diplo2. Keep your diabetes in check -┬╖ watch your diet, mate StatUS in the kecp a regular excreise routine. take your preAmerican Academy 0 Seven: periodontal disease can increase blood sugar. scribed medications and monilor your blood Periodontology and the contributing to increased periods of lime when the glucose levels. Intrenational Congress body functions with high blood sugar levels. This 3, Ilnlsh and noss every day. puts diabetics al an increased risk for diabetic comaJOrollmplanto/ogisu. plications. Diabetcs slows circulation. Therefore, Dr. Teodorourved afa Major in the U.S. Air Fo 4. Watch for any changes in your Qral health. such diabetics who have periooontal disease should be practicing periodontics. Throughout his Air Fore as rore gums. bleeding gums. dry mouth. bad trealed to eliminate the periodontal infection. This Career he served 03 Chief of Periodontics. Directo breath. loose tcetb or a changc in the way your of the Implant Board &, Clinical Instructor. He' recommendation is suppol1ed by a study reported in dentures fit, and be sure to discuss these changes the Journal of Periodontology in 1991 involving I i3 currently a clinical assistant professor at the Naple with your dentist. dental residency program for the University ~ Pima Indians with bolh diabetes and periodontal Florida, Dr. Teodoro is still the only periodontist i disease. The study found Ihal when their periodontal 5, Keep your dentist up 10 date about any medicainfections were treated, the management of their both Lee .& Collier County trained in Admnc tions yQU may be taking. diabetes markedly improved. Laserdenlistry. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ www.swfHealthandWeliness.com _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Lee Edition┬╖ November 2011 f It! & We 55 21 I Just because you have diabetes doesn't mean you'll have ond health problems. But it's helpful to understand how your diabetes may affect your overall health - including the health of your mouth. Ask your physician or dentist about any other questions you may have about your diabetes or oral care. Minimally-Invasive, FDA Approved Laser Treatment for Periodontitis Treatment Options for Periodontal Disease There's another procedure, however, that makes treating periodontal disease easier and virtually pain-free. It's known as the Laser Assisted New Attachment Procedure (LANAP) and involves the use of the PerioLase Laser. This is Ihe first and only FDA approved laser method used to trea! periodontitis. Traditionally. when dealing with advanced periodontal disease, paTientS have to undergo gum surgery, an invasive procedure thaI involves euning and folding back the gum tissue to gain access to the rootS and SlllT(mnding bone. Then the periodontist will clean the bacteria from the roots, and trim and reshape the bone around the teeth using a drill and sharp hand ins!ruments. The gums are then placed back and stitched in place. This traditional method is usually quite painful and, more oftcn Ihan not, leaves patientS in disoomfort for days. How does it work? Tartar, associated with innamed and bleeding gul1l$, is removed from the root surface of the tooth using an ultrasonic scaler and small instruments. Then, a small amount of light energy from the PerioLase is directed through a tiny fiber which is gently placed between the gum and tooth. This laser light energy removes a tiny amount of diseased tissue and aids in reducing the bacteria associated with the disease. After the area is thoroughly cleaned. the body can heal the area naturally. ' " Bonito Periodontics ..,.-\ I ---.. ImpI~nu - M~i ntenance - LASERTher<!p)' '--~/' IV & O ral SedatIOn тАв Gum Gnfu ~ www~."pk'"t Mindfulness┬╖Bosed Stress Reduction (MBSR)'M Next MBSR cours Next Fre ... _. Nov. 17 . ~ 2 - March 6 To rese'r' go 10 www.lntegrativeMinclfulnes-.netorcall (239) 390-1113 Spri""lls. Fl34135 tum _____________________ www.swfHealthandWeliness.com _____________________ 22 r '" WI;' '5 November 2011 тАв Lee Edition Also, collagens with silver sterili:re the wound bed at the same time, Tt'Suhing in infection free fast healing wounds. S<x:ond, Lymphedema pumps (massaging pressure slecves) can literally milk this fluid ITom the limb by pushing it back to the torw where it is reabsorbed and urinated out. This combination is incredibly fast and effective. Most initial Lymphedema pump treatments result in a 5-12% swelling reduction in the first hour of use! Find a Doctor Who Understands By Patrick Rich, Acute Wound Care he constant ups and downs of uncontrolled insulinlblood sugar takesa tenible 1011 011 the human body. Essentially. il will age you before your lime. This results in poor circulation early in life and subsequent hard to heal wounds and/or limb swelling. commonly referred 10 as Edema. The Dangers of Lymphedema The comxl function oflhe ancrial,lymphalic and vascular system is critical in supplying limbs healthy blood while at the same time removing buildup of the bodies' waste products. Once these bad fluids have reached critical mass, the Lymphatic system can be overwhelmed resulting in swelling. Allhis slagc, the body can literally creale sores from the inside out. Any bump Or bruise Can tum inl0 a small open wound which quickly results in a large open wound. Since linle circulation exists and what fluid is there is loxic, infection invariably ensues. Left untll'ated, both wounds and swelling will worsen into cellulitis, perhaps gangrene and then amputation. Diabetics have an amputation rate 10 times greater than non diabetics for this reason. MSRA Resistant Roll Gau~e and Pads Antibiotics are a traditional COUISC, however, many strains today are antibiotic resistant strains or MRSA (Methicillin Resistant Staphylococcus Aureus). In 2005, MRSA deaths overtook IIIV/AIDS deaths in the United Statcs. An excellent alternative is a Silver based dressing (Silver is an inert sterilizer) which kills ofT h.arrnful bacteria in the wound bed. Bener still, the body likely has never seen silver so no immunity has been developed. MSRA resistant roll gauze and pads have also been created which further protect the wound. This gauze contains PolyDADMAC, a biocide that is 99.999"/. effective against MRSA, yet won't disrupt wound healing. Further Critical Advances in Healing On healing, two fUMher mo-dalilies have resulted in critical advances. First, collagen is now used to shut down a naturally occurring destructivc enzyme in the body, MMP's (Matrix Metalloproteinascs). Most wounds break OUt ofa static phase with collagen since the MMP's literally attack the collagen versus the human tissue (rentembcr to change your dressing daily!!). lymphedema What to do? First, find a doctor that knows and understands the benefits of collagen and silver On static woundsIMRSA. Secure it with a MRSA resistant roll gauze and tape the gauze. NEVER put tape on the skin as tape can create new wounds on fragile tissue. Second, veritY helshe understands your diabetic propensity for slow healing wO\lnds and swellinglLymphedcma. Since ANY swelling is indicative of an overloaded lymphatic s~tem, pump this fluid away as quickly as possible with a Lymphedema pump. "An Ounce of Prevention is Worth a Pound of Cure" Lymphedema is a degenerative condition that if left untreated can bc<;ome im:versib1e. There is no cure, only treatments. If treated early, wounds and Lymphedema are normally 100% controllable. If left alone, the results can be infection, amputation, even death. So act fast, heal fast and watch your insulin. React to even the smallest open wound or swelling quickly. "An ounce of prevention is worth a pound of CUll'," has never been SO true. Acute Wound Care, LLC is a local Bonita Springs, Fl provider specializing exclusively in high end wound products and Lymphedema equipment. q;--'4i~;f4fd!np \it ACUTE WOUND CARE For more information, contact the experts al 239-949-44 I2, or visit us online at WWW.ACUTEWOUNOCARE.COM. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ www.swfHealthandWellness.com _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Lee Edition - November 2011 n & w. lness 23 Living with Alzheimer's T hen: are many people in the world who ~uffer from disabilities so severe that most of uS can't imagine living life in tIte manner as tltey do. One of such extreme conditions is Alzheimer┬╖s. a progressive disease that affects each and every aspect of one's daily existenCe. Not only docs it impact the one who is actually suffering from it. even those near and dear 10 him oftentimes are negatively impacted. especially as the disease enters into Later stages. Be it emotionally or in the form of helping a patient take care of himself. relatives and mends of one suffering from this disability find it cxlJerncly hard 10 handle the situation. which is why they take help of professionals to give proper care 10 the patient. Needless to say. it is very hard On the part of the loved ones to see the patient in such a condition. Particularly in the lalCr stages of Ihe disease. lhe patient tends 10 forget very basic things. and it takes a lot of effOJ1 from trained individuals to ensure Ihat the patienl does not hann himself or his family by IICtions that arc obviously not under his control. This disease is still controllable in Ihe initial stages, but as time passes by, the condition of the patient continues to get worse. and while one can keep the patie!l1 at horne when the problem starts, as it develops into more advanced stages, professional help becomes more of a necessity than a provision. contrary, it means you recognize the imponance of providing proper care for dementia patients. PToviding long term qualily care is a daunting task and One that requires a full team of dedicated individuals. The major help one can give to the patient is to reduce his stress. and not make issues OUI of things that the patient can nOI control are due to the disability. For instance. it is common for those wilh Alzheimer's to develop different caling preferences; such that. one might nOllike the foods he did earlier. or might nOt any longer enjoy social activities even Ihough he used to be quite the extrovert. These things need to be nOled and considered to properly provide special care for those with Alzheimer's or other dementia illnesses. It is nOI uncommon for the burden of caring for dementia patients to become overwhelming. Seeking assistance does nOI mean you failed your loved one, on the 9!~a44~~ ACUTE WOUND CARE Are yo u s ufferi ng from lymphedema and c hron ic s welling of upper or lower extremities? We Can Help! rfICOvety ~ yoo _to Live the Moment.... Love the Moment"" w. btIOn.in IMnfI ob<_.not """"'ob<~p>liDgln o.oo:h ..udm!'. tndMdu.al joum<y.not prooidi.. "Superior. quo!iIy CU<. W.lIpreocrvethrirdipity...ruJe - - ...... freedom IOtmo.oo:hd.ywllh ~.not~ ┬╖Sp┬лW; .... I. Ahbe; ..... тАв......tl...,.'...... 0. ........ .o..-,u.-..ds..w.sStod'- ~.~ 7n.,..1*<IL ┬╖~CC(E>l""'~c.r.)li<......L ~yoo _$OO<I ┬╖ t"""~ ~ .. . ~ kIn'n Il'Mtr>Wrt plat\. ... _11>0 Superior Residences at Ilealth Park is a special memory care community for those with Alzheimer's Disease and other Dementia related illnesses. The Memory Care Team al Superior Residences is specially tnlined in providing a supportive and nurturing environmenl while preserving capabilities and protecting the dignity of each resident. Life Enrichmenl Programs available to residents enhance independence and activities are designed 10 address personal inlerest. It is clear thaI the Superior Residences staff is commiucd to improving the quality of life for all residents and restoring peace of mind to family and friends. For more infonnation about the amenities and services availahle for families with a loved One affected by Alzheimer's or other dementia related ill┬╖ nesses, please call (239) 437-5511. . Uk Enri<h_.t "'<1.ItI, .notl.... more.. $00<1 .... ti",.., 'IOU/ own tIomel Call Us Today! 239-949-4412 www.-.-.-.com M6J"'akb_ ~ _ _ nJ39Ol Phone: (139) 437┬╖5511 ' www$uperiorALF.com _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ www.swfHealthandWeliness.com _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 24 & w. -s November 201 1 - lee Edition Treatment Options In addition to the popular phosphodiesterase inhibitors. such as Viaga. Cialis. and U:vitra. then: arc olher effective treatment options available for ED, which include vacuum pumps, intraurcthral suppositories. inj ection therapy. andlor penile implants. [\ is very important to consult a specialist in the area of ED treatment, noting that most or the men who corne into the clinic have failed olher treatments offered by their family physician, because the treatments offcn.:d depend {)n the cxpenise of Ike physician_ Successfully Treatil'l9 Over 96% of Patients Erttlile dysfunction is NOT a pan of getting older thai you have to accept. "ED is mOre than just a sexual problem_ A fulfilling sex life can lead to greater satisfaction in many olher aspects of life. ED treatment is a subspecialty of urolQgy. and that's OOf main focus here:' le<: emphasizes. "We have a great deal of experience and expertise in treating this condition. In fact, we are abk to successfully treat over ninety_six pm:ent of our patients. Our Goal: Improving Your Oveflill Qualify ofUfe Dedicated to helping men improve and maintain their health. our goal is to help improve our patients' overall quality ofhfe. by enabling them to have healthy. satisfying sex. Most importantly. we want men and women to understand that sex is part of a nonnal. healthy life and there's 00 reason why they can't have sex into their seventies. eighties, and beyond' For more infonnation or to schedule a consultation, please call: (239) 693-5200. Or. visit US online at www.theusmaleclinic.com. The US Male Clinic is located at 12650 World Plaza lan<:. Building 72, Suite 2. Fon Myers. Fl. D. Lee Abbott, PA-C The us Male Clinic 12650 World PI ... Lane, Suild ing n Suite 2, Fort M~t'$, H 239,693,5200 www.theusmaleclinic.oom ~ ~USMALE C I I N [ C _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ www.swfHealthandweliness.com _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Lee Edition - November 201 Guide Offers Tips On Living With Dementia By George T. Leamon, CLTC - Lulgenlnsurance A ::1~~:i~er'S tORepo~e andWo;~: American Association for LongTerm Care Insurance (AALTCl) reports, over 35 million people worldwide suITer from Alzheimer's disease and other forms of dementia. Without a significant medical breakthrough related to dementia care that number could double every 20 years, and by 2050 could affect over 115 million people, explains lesse Slome, executive director of AALTCI. "Sased On Our 30 years of caregiving experience we know that when someone receives a diagnosis of Alzheimer's or dementia that it suddenly involves mOre than just the patient," said Leann Reynolds. president of Homewalch CareGivers. The Guide to Dementia was prepared to arm families and caregivers with free information and resources. whi,h might not otherwise be provided. that can educate them and provide a roadmap for the difficultjoumey they face. The guide covers t he following: тАв Definitions of dementia and what those definitions mean both clinically and personally A free informational guide Living with Dementia is available for free download from Homewatch CareGivers. n& ;, 25 w~ There arefour types of People in this world Those who have been caregivers. Those who are caregivers. Those who will need a caregiver. Those who will be a caregiver. - Roslyn Carter тАв In-depth tips for communicating with loved ones experiencing dementia тАв Communication issues to watch out for as the symptoms of dementia progress George T. Leamon, CLTC - Lutgert Insurance тАв In_depth tips for helping family members with dementia around the house тАв Practical tips for understanding and dealing with behavior issues related to dementia 239.280.3246 810g: GeorgeTLeamon.com G~,..g~ L~" mo", Life ~nd Long Term c~~ Spedal- i" with Lulga, brsuranu. h{J$ bun in Naplu far тАв Self-help and wellness tips for family caregivers "Our goal is to support families by providing information and resourees," Reynolds added. "We want {his guide to be one of the resources that helps family members and caregivers deal with the numerous issues that arise from living with dementia." rWer 15 Y"~rr~ helping senior. with their Life !nsuranc~. Long Term Care. Annuilies Qnd 'he ropidly changing Medicare are"". When wa. 'he If.., time you had your i/Uurona reviewed? M ~ MaLR Thinking About Long-Term Care Insurance? 110" A/)ou, A PlIllI 771111 fJiU GM JiN/ 10qs Of Your Pnmium a""k If y"" Nnw Nffl/ 1t' G e orge T. Lea m o n , CLT C BiOI' G<org<n ..mon.<om V"j{, """,.I.u1g<n InsurmcHom P hon e: 239.280.3246 e.kuflng Our Chents' I rust S111ce \951 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ www.swfHealthandW eliness.com _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 26 & w. ,$ November 201 1 - lee Edi t ion NEW SAFE & EFFECTIVE By Marlena Cecil, PA-G (PhenTabzRX"' ) in the UK where it has received the greatest reviews from both the medical commu_ nity and more imponantly the patients. Gentech has finally released PhenTabzRX'" to the US and the results are the same - phenomenal. Now before we talk about PhenTabzRX'"'" it is absolutely imperative to remember that nO matter how effective at appetite suppression or increasing energy levels something is - "┬╖e still nm to remember that long term success ultimately comes from altering some nutritional patterns and irlOOlpOrating some level of activity to our weekly regimen. What is PhenTabzRXT"'? PhenTabz RX'"" is a true pharmac:ological diet pill like Phentennine, Xenical or Adipex. PhenTabz.RX T" is NOT an herbal supplement but rather a designer non-prescription pharmac:eutical analog providing superior appetite suppression and weight loss without the side effects. One pill is taken in the morning before breakfast and another before lunch - thafs it! ;thout the right lools losing weight safely and keeping il Qff arc nearly impossible. Fighting genetics. hunger, lack of energy and motivation is enough \0 make the strongest willed person quit or nol even bother allcmpting to lose weight! when it comes \0 Ihe batlle of Ihe bulge, you have \0 put up a good fight. Bul in our eat-and-run, oversized porlinn world, maintaining a healthy weight is hard enough, therefore weight loss can be a genuine struggle. s.:., Adding 10 the difficulty is Ihe abundance offad diets Ih81 tempi and confuse us and ullimalely do not work. So where is the silver lining and what can we do 10 seriously increase our chance of success after all we all know people who have actually rcached their goal weight AND maintained;!. First things first, we need to lose weight safely and CQfIsistendy. Consistent weight loss is the key to keeping motivation levels high and staying focused on your goal. For the past sever.ll decades the medical community was able to gn:ady enhan<.:e o;;onsistent weight loss via the all-time top selling appetite suppressant/weight loss medication Phentennine (Adipex & IQnanlin). While these medications were ''CrY efTe<:tive at decreasing appetite and increasing energy, they have a multitude of undesirable side effects and demonstrate a strong addio;:tive nature. Phannac:ological improvements in the past few years are staning to provide us with gn:atly advanced medications with far fewer side eff┬лts and improved effectiveness. Yes - this is where we hear about the silver lining. Gentech Pharmaceuti_ cal released their replacement for Phentermine _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ www.swfHealthandWellness.com - - - - - - - - - - - - - - - - - - - - - - - - Lee Edition┬╖ November 20 II How does PhenTabzRXTM work? Th, patented ingredients PhenTabzRXT" perfonn two essential functions_ It increases the body's mobility of fat (Sympathomimetic Amine) while increasing metabolic rate (increases ey.:lie AMP levels within the body). PhenTabzRXf>l then greally reduces appetite to ensure patients have control and motivation. The bottom line is Ehat PhenTabO'.RX"" provides consistent significant weight loss and increased energy. required to make it through your day including. plenty of energy for e~ercising. PhenTabzRXTM really shines at increasing your metabolism and fat burning which means your genetic. will no longer hold you back! '" PhentabzRXTM means Fast, Safe and Consistent Weight Loss! PhenTabz RJ(TM was clinically designed as the replacement for Phcntcrminc, Xenical, Alii, Adipex, and other weight loss pills whose side effects outweigh their benefits. Appetite Control & ItlCl"eased Energy PhenTabzRXTM seriously ,",oca yoo, hunger levels allowing you 10 make the right choices Ehat you want to when it comes to food and ponion size. PhcnTabzRXTM provides you with the energy levels CUi'4 ..... 0 1 ladll If you are serious about losing body fat (not just waEer weight) while achieving an incredible amount of energy needed to get through tlK= day - then look no funher than to the iiI sclling PhenTabzRXn'_ -- Pl I; IiтАв тАв 2-51bs/wk 2-3lbslwk Appet~e Suppression Strong Shong MetaboHsm Boost St rong St rong Energy Boost Strong Medium Prescription Strength YES YES Safe Long-Term Use YES NO Fat Mobilization YES YES Average Weight Loss r&WEI ..... s 27 We have had many health care professionals upgrade their patients to PhenTabzRXn,. Ask your doctor about PhenTab7RX"" today! PfienTabz"'" ()A'~ Jil:;&5 Celltets 0... Robert Brueck 3700 Central Ave., Ft Myer.;. FL 33901 "......"" 9371 Dr. A Hanna Suite 13, FtMyes. A 33919 ~L.akaCf. ..... ".."' Dr. Nas┬л Kamkar 3660 Central Ave. Su~e 15. Fl Myers. A 33901 239-2n┬╖ 9009 Dr. Anthony Williamitis 9200 Bonita BMch Rd., Bonita Springs, F1 34135 239-947-6806 Dr. Jorge SeITa 3501 Health Center Blvd .тАв Su~e Number 2190 Bonita Springs, Fl34135 Dr. Thomas Fac tors 18070 S Tamiami Ttl. 8, Ft Myers, Fl33908-4602 Dr. Chanun 0 Par1< 1220 Business Way Su~e 1 Lehigh Acres. FL 33936 t8f; Qa~!!e~tfc~, il don' t feel how you wanttofeell тАв Do you feel If you answer yes to any of the above, integrative health coaching may be just what you need. We wen with peop4e who want to feel better. The guidance aod support fA an experieno!d hea~ COildl can help you set goals and implement a pian for SllCa!SS. l!!t us show you how int"'Jrative hea~ COildling can help you 239-580-7333 [email protected] _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ www.swfHealthandWellness.com _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 28 ~ 'th&W, -$ November 201 1 - lee Edi t ion I've become a Warrior for Health! by louAnn Good ur world has become more complicated. Modern warfare and (CTTI,I'- foreign annioures il nol be what invades тАвm:::::~:~,~~::';,~":::,~:'::: country and ducalens our way of life. What If our country we,e threatened by an outSide force. One lha\ had the potential to bankrupt our economy, destroy our way of life and make our children so sick that children dying before their parents became commonplace. Whal if this threat was already within our borders, living amongst us? Would we surn:ndcr? Would we say we're too tired to fight? Would we say we can'! change and deny the threat? Our country's health and the skyrQCketing cost of heahhcare is HIE biggcsllhreat 10 our e┬л>nomy, to our way of life and 10 Ihe pursuit of happiness 1ha1 is Our binhright. Our country spends twice as much On heahhcare as most other industria1i:red countries in Ihe world. Our healthcare syslem. according 10 lhe World Health Organizalion in 200(1, ranked 311h in lhe world (jUSl after Costa Rica). Since "'e spend SO much, shouldn'l we be healthier? II is eslimaled lhal 10% of our illnesses are the result of our lifestyle and our habits. The Milken Inslitute estimates that chronic disease cost the US economy over one trillion dollars a year through healthcare COSIS and lost productivity. an amounl thaI could rise to six trillion dollars a year by 2050. According to the Center for Disease Control: Chronic Diseases are lhc uading Causes of Death and Disability in the U.S. 0 7 out of 10 deaths among Americans each year an: from chronic diseases. Hean disease, cancer and slroke account for more than 50% of all deaths each year. o ln 2005, 133 million Americans - almost I oul of every 2 adults - had at least one chronic illness. o Obesity has become a major heahh concern. I in every 3 adults is OOese and almost I in 5 youth between lbe ages of 6 and 1'1 is obese (BMI ;::. '151h percenlile of the CDC growlh chan). тАв About one-(ounh of people with chronic conditions have one or more daily activily limitations. o Anhrilis is the most common cause of disability. with nearly 19 million Americans reponing activily limitations . тАв Diabetes conlinues 10 be the leading cause of kidney failure, non-lraumatic lower-extremity amputations. and blindness among adults. aged 20-14.1 The four most common causes of chronic disease an: a lack of physical activily. poor nUlrilion. tobacco usc, and excessive alcohol consumplion. So fellow warriors. who is lhe enemy? Do we blame Phillip Morris, McDonalds. 100 much TV , the beer industry? As Pogo said. "we have met the enemy and he is us!"' , o тАв Client 1 Trainer 1 Goal 0 тАв 0 тАв 0 тАв 0 тАв 0 тАв 0 тАв 0 тАв 0 тАв 0 тАв 0 тАв 0 тАв 0 тАв 0 0 0 0 Fitness Together Fort Myers 9671 Gladiolus Dr. # 108 Fort Myers, FL 33908 239-337-BODY www.fitncsstogcthcr.comJfortmycrs Forget expecting the government to rescue us. (orget expecling our leachers 10 do (or our kids. whal we haven'l done for ourselves. forgel denial and forget hoping to just get "lucky'"! It┬╖s time to take aClion and lake responsibilily for our health. our kid's health and Our country's health. Gel off Ihe couch and go sweal somewhere! Man up and StOP eating alllhat stuff you know you shouldn't be eating' Take a look at the habils Ihal you know, and we all know, are killing uS and quill Modem marketing has convinced us lhal we're weak ("'bel you can't eat JUSt onel''). We are strong. we are powerful! Vote with your feet, vote wilh your dinner plale. and YOle for lhe future of our country by becoming a Warrior for Health! _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ www.swfhealthandwellness.com _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ lee Edition┬╖ November 2011 n&WE ..... s 29 Shingles and Postherpetic Neuralgia By Adam Shuster, 00 Pain Management ConSU~1S of SWFl hinglcs is one of the most common neuropathic pain syndromes affecting adults in the United States. Roughly 20"A. of the population will experience shingles in their lifetime. Shingles is cause by a viral infecti{)ll (Herpes Zoster). Usually, pain may start five to seven days prior to eruption of a rash. The typical pain produced by shingles is neuropathic in natun:. That meanS the pain involves the nervous system, usually the dorsal root ganglion, but may also affect other nerves as well. Shingles pain is usually described as burning, lancinating, itching, and can be accompanied by numbness or a tingling sensation. "The most conunonly affected area involves the thoracic dermatomes, but can also affect the 5th cnmiaJ nerve, also known as the trigeminal nerve. The rash and painful symploms tend to occur in the distribution of the affected spinal nerve. Herpes is hallmari<ed by ilS unilateral prcscnllttion, rash, and painful symptoms. The acute herpes infecti{)ll is a result of an inflam_ matory reaction at the dorsal root ganglia and peripheral nerves. Early treatment (within 72 hrs) with an antiviral medicati(ln such as Acyclovir, can not only shanco the course of shingles and decrease painful episodes during the acute infection, but it also decreases the chances of developing posther_ petic neuralgia. Postherpetic neuralgia is classified as a patient having herpetic pain which C{)llTinues 3-4 months after the rash has disappeared. [t is more common in the elderly and approximately SO"A. of adults aged over 70 are at risk for developing posTher_ petic neuralgia. There are many treatmenTS for posTherpetic neuralgia. Injections such as a thoracic or lumbar epidural steroid injection can be helpful. There arc a variety of medications which can be used as well. Narcotics may be helpful in the acute setting, but are often paired with antidepressants Or anticonvulsants. as narootics alone may be inadequate to control paIn. Antidepressants and anticonvulsants are used to decrease symptoms involving pain, Lidocaine burning, numbness, or tingling. ointment. or a lidocaine patch (Lidodcrm) may be applied to the affected area. This is a very safe and often helpful treatmenT. For postherpetic neu_ ralgia. a newer medication called Q utcnza can be topically applied and can offer pain relief for months at a time. Florida Pain Centers 239.333.1177 WE ARE NOT A GIMMICK. 'No ... FLO RlDA PAIN CE NTE RS ""'''''n&'0 ."n,l.,.m,.,... _ in l~ """ .. 0< . . - "'" ' ........ on ~ ""'''", .. .,. .... _ PAIN MANAGEMENT C ONSULTANTS. PA We Pride Ourselves in Providing St:l.le-Of-The-Art C"", For 239.337.80DY 10 23 Pain Condit ion. Circle ┬╖ Fort _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ www.swfhealthandwellness.com _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 30 Noyember 201 1 - Lee EdItIon A Contempo Spa: Private, Automated Spa Services for Your Comfort ntroducing a revolutionary eono:q!I IlIaI is Iwtq)ing acl'O$$ the globe. P,aJ>I'I Beach', Conlempo S~. A Conlempo Spa ~ the Sl:Mce$ ofa day ~pa to the benefits of UV Ther'1Ipy. performed via automated Cijuipmcnl. Clienls don', hay," 10 wony about having 10 feci uncomfonable in lhe pre$C11Cc of others in order 10 receive lhe benefits of massage and tanning Kl'Vices. for e:xample. In addition. all 5C1'Viccs can be perf~ in t\O"cnty minutes sessions (or less) ~h. 1bc idea: at the touch of. bullOO you can enjoy a private spa experience for тАв fBc:lion of the cost ...and in far less time than a day spa! II truly is the perfect hybrid of spa service, and UV Therapy! At Planet Beach Conlempo Spa, you can enjoy automated spa services Ih.1 hydnte your skin. rejuvenate yourcells and inviaorale your mind and body in an inspiring. alternative environment. A wide variety ofUV and UV┬╖Fr┬л TllnI1ing services are .1110 . vailable to give your skin thai $OUght ancr a10w. Offering 5eTVices to help you relax. glow and renew in liule time: rome for an hoIU" and romple(e up 10 Il\l'~ spa services. The following is just a small !aJTIIlle of the: aucoma(ed servico availabk: Luminous Facial - the rorst complete. natu_ rally Itdvanced FDA approved lkincarc: ~a(ment that uses light tlterapy with topical skinc.are products and diewy supplements that won: with the body's own na1Ufa1 proo;csscs to: mluce fine lincs and dark circles, provide immediate lifting and tightening, lighten age and sun spots, and ~...,a(e evcn skin (one and tc"ture. Results arc comparable to microdennabrasion, chemical peels, laser trcatmcn(s and even botoll. but at a mort rcuonable price and with no medical risk. side effo:c:tS or down (ime. While IIw:rc you may want to try the hydro massage bed wlw:rc you can enjoy a massage pinpointed for )'0\11" &rea of !xed in a private envitolllDent. If I massIIge isn~ what you are looking for, you migh( be in┬л:nsled in !=ning mon: about the uv Tho:rapy, hcills, Teeth Whitening, Olty~ Therapy, or any of the 0Iher senriccs tha( promIlIe rclnation and renewing for mind and body! Consult with <XlI s(aff to mill and match (he spa servico 10 crca(c (he perfect rombin,uion for your spa visit. In I world full ofunccnaintic:s, one this is for sun: the Conlo:mpo Spa experience II Pl_ Beach offen Red light Therapy _ noo-invlISive:, pain fi"ec mI light that natunllly alleviatcs the ~antnCC of aging skin, wrinkln and fine lines by: promoting collagen and elastin production, mlucing inflammation, and ine...,asing moistu..., retention, blood flow, ~ireulat ion and o"ygenation. With each IS minute aession, Red Light Thcrapy keeps skin feeling renewed and ...,freshcd, and ~an stimulate and speed up the healing of wounds. P!.aneI Beach Contcmpo 51"- services allow you 10 mu;miu; your spa service ~rots when you OOo't Hydro-Derma Fusion - combines infrared hea( and nutrient_rich dense steam which won closely togccher to: deeply moisturize skin, clcanse pores. Stop by today for a dramatically improve (one and te"tu..." inc...,asc ~ollaaen and skin elaslitily, cxtend (he mullS ofUV and UV.FREE Therapy. Dcsianed for deep hydration., Hydro-Derma Fusion will leave your skin _rished, beautiful and rcjuvenated aU in just 20 minulCS. If you a~ looking fora comfor1- private and a ffordable spa In:atmmts. that will leave: you feelin&...,tnsbod and ~ in far less time have. 101 of CXInI time. You can come in and than III ordinary day spa! receive hydration therapy and. m&$S3ge injust 40 6631 OrIon ~ Suite 1I0,Fon.M)t~. FL . (239) 433-7727 minUln. Or maybe you prefer 10 I~"~!':~_"":::'''''''''':'''':'''':__'''':_'''':__'''':'''':__' ' hydrale. sauna and tan all in only one hour. The affordable. time┬╖ emdenl seMces offer ~fits wdl beyond their prir;c points. free tour and skin care consultation! able spa for your spa massagc, 'pi facial, spa sauna, or any of <XlI other spa serviccs. please stop by and visit Planc:t Beach and their Contcmpo Spa fao;iliry. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ www . swfhellthandwellness.com - - - -- -- - - - - - - - - - - - - - - lee Edition - November 201 f Seeking A Vibrant Prayer Life 0, T."y Ho,l. , [X.e,ro,clOo", hat does it mean 10 have a prayer life? Is it mon: than just an O<,:C3sional prayer going up before a meal ? More than the occasional prayer for so and so to get beneT? The differenc<!' of having a prayer life or nol is this: Does your life depend on prayer or is prayer sprinkled into your life occasionally? I fear that most of uS live our Christian lives li ke cars OUI of gas. without prayer we don't get very far. We have said with our lips that We love God, and wc want 10 follow Him, yet our lives often reflect a pathetic image of true: Christianity. There are various reasons for the lack of faithfulness 10 God, but it starts with our prayer life. Leonard Ravenhill says, "that no man is better than his prayer life." Obedience; ~Pray without Ceasing "--1 Thessalonians 5:17 Why should we pray? [s il because Ihere is power in prayer or that we see people healed from prayer, or thai it slrengthens us? All these are important aspects of prayer, but there is a far greater reason why we should pray. and it is simply this, God COMMANDS uS to pray. We often overlook the fact that we MUST obey God. We as humans look at the bendits ofwhat we can get from God over obeying lIim. God is God and He descT\lcs our livcs as He is the One who gives us our very next breath. If our hean is following God for Ihe blessings instead of Ihe faci Ihal He is God, then we are self-centered and doing things for Ihe wrong reasons. God's Word warns uS when il says, "Do nOI be deceived: God cannOI be mocked. A man reaps what he sows . The one who sows 10 please his sinful nalure, from Ihal nature will reap destrudion; the one who sows to please the Spiril will reap elcmallifc." (Galalians 5:1-g, NIV) We can either please OUl'$elves which will lead to destruclion or we can please God which willicad to ctemallifc. A good gage 10 see if we are pleasing God or ourselves is to lake a close look at our prayer life. th & We N'J$S 31 Sponsored By www.pra/sefm.com Discipline: Praying When You Don't Feel L.ike It Why is il Ihal mOSt Chrislians have a hard timc developing and thriving in a prayer life that truly depends On God? The truth of the matter is that mOSI of Ihe time our flesh holds us back and we dOn'1 desire to spend more Ihan 2 minules in prayer. We must press on in prayer even when we don't feel like it and discipline ourselves to pray. The more we choose to pray and ask God 10 help us desire to pray, then the more il will become Ihe delight of our heans. Relationship; " Jesus.,went off t o a solitary place, where he prayed."--MaJ1< 1;35 Our rdationship with GOO is developed in our prayer life. If no prayer life, then no depth of relationship. How can we possibly say that we are building a relationship with God, and not be praying? Jesus prayed continually because of His greallove and submission 10 Ihe Falher. Scripture is clear Ihal Chrisl prayed often all night because of His love to the Father. Was Christ more in need of prayer than us today? Of COUI'$e not, but we are SO busy, righl? We are busy, but busy isn't an excuse not to pray. We have SO much on our plates Ihal only a Ihriving relalionship wilh Christ will get us Ihrough it aiL '"Trust in the Lord with all your heart and lean not on your own understanding; in all your ways acknowledge Him, and He will make your paths straight." (Proverbs 3:5-6, NIV) Who do we truSt in today, oUl'$elvcs or GOO? Prayer places our dependence on Christ instead of oUl'$elves. We say we trust in Christ for everything, yet practically we Ihink and acllike the world, as we accomplish everything in our own strength. We will never walk on the straighl path Wilhoul God's guidance, we will continue 10 fall by Ihe wayside because we are HELPLESS without God. Oasis Counseling iAlter wants to reJresl1 )'00" God, help uS 10 pray to be in obedience 10 your word, to pray to be in relationship with you and give uS the desire to pray during the many times we honestly don't fo:ellike it, so that we may grow in your Spirit and live to please you. hope, heio1, and IiIe with God's Word . Wa are located on Marco Island and our phone #23~38~2013. We are friends 01 HOPE CounseWng Centei located in Fort Myers, aod Iheir phone 1123t-48,.{Inr. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ww w.swfHealthandWellness.com _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ This Winter say goodbye to your swollen, achy legs and spider and varicose veins so you can get back in your shorts. Dr. Magnant has your solu tion. He offers state of the art vein trea tments in a spa-like setting. You'll find comfort in knowing that he is SWFl's premier Vein Expert and is a Board Certified Vascular Surgeon. Schedule An Appointment Today! 239.694.8346 weknowveins.com Joseph Magnant, MD, F.4CS Vein Expert dI1d Board Cerlifled ,.=I" ",,,~
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