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living in Singer Island, was one of them. Sharon Ben-David, a nancial advisor caused by distracted drivers in , and M focus throughout theday. Finally, this and sometimesmadeithard forherto gym with this pain.” a lot,too,butthere wasnogoingtothe me I to used get to comfortable. work out me tosleep, becausethere wasnowayfor hardconsistent, anditmadevery for hands, especially my left hand.” into myelbows andanumbnessinmy these shootingpainsdown myarmsand But to get in addition to that I started while Iwasdriving,whichisbadenough. then the neck pain justbecameunbearable. for awhilealready,” Sharon notes.“But the problem, so I’d been dealing with this years, butthetreatment never really xed turn her head. where latelastyear, sheliterallycouldnot that worsened over the years to the point left her with a sore back and neck pain than just spin Sharon’s car around. It also around right there in the intersection.” and theimpactofcrashspunmycar I stillgothitinthebackcornerpanel, to avoid beinghitrightinthe door, but because I got out of the way fast enough didn’t make it. and Itriedtospeedupgetthrough but the intersection when I saw him coming, now ,remembers. “Iwasalready in through ared lightandhitme,” Sharon, the sleepless nights left her exhausted a ected heratwork, largelybecause was textingwhiledriving,andhedrove Support SystemSupport “I had been seeing other providers for Sharon saystheproblem even “ atpainandnumbnesswere pretty “I literallycouldnotturnmyhead The impactofthecrashdidmore “I was actually kind of fortunate wasthisyoung kidwho“There MARC A. WEINBERG, DC ADAM HOLLEMAN, DPT FORREST HARVEY, DC MCU™ therapy relieves chronic neck,radiating arm pain COLIN O. BEHRUE, DC BRYAN HUNTE, DC Banish BellyBulges in automobile accidents States alone were injured people intheUnited ore thanhalfamillion Institute ofColorectal Institute Slim BodyLaserSpa Forever Young Health & WellnessHealth

quickest, most eective manner possible. patient’s problems and treats them in the nologies todeterminethecauseoftheir Center, located in North Palm Beach. how sherst learnedaboutActive Health practor thatwasinherinsuranceplan. at’s her insurancecompanyto chiro-nd anew for the problem once and for all. past February, shedecidedtond acure that it’s a x that will last.” dozens ofpeoplewiththismachineand Sharon reveals. “He saidthey’ve helped have this has machine that not everybody do to x theproblem, hesaid,Well, we Iasked Dr.“When whathecould Harvey A LastingFix that and causes degenerate.” them to rub the discsshiftandweaken over timeand stabilized,” Dr. educates.“As Harvey aresult, down from typical wear and tear. spine breakingof the discs in the cervical disease is usually the result of one or more degenerativeating arm pain, disc cervical degenerativetion called cervical disc disease. that thecauseofSharon’s painwasacondi- Harvey, DC, whose examination revealed Center, Sharon wasexaminedby Forrest uses avariety oftechniques and tech- because the muscles around them are not During her rst visit to Active Health  e team at Active Health Center Her  rst order of business was to call “The reason thediscsdegenerateis “The A common causeofneckand radi- Smile for the Camera Regency Court Dentistry Regency Court Remote Control FHCN SpecialReport ,” ,” at Active Health Center. tests,” explainsMarc A. Weinberg, DC, isometricstrengthdoctor-supervised patients must rst go through a series of -percent ofpatientsmakingafullrecovery. also proven to be highly eective. itation oftheneck,MCUmachinehas ecient systemforassessmentandrehabil- lems. Considered themostcomplete and allows the MCU to correct those prob- ized treatment program isdesignedthat a loss in range of motion. are strengths, weaknesses, imbalancesor speci c areas oftheneckinwhichthere movement forstrength todeterminethe records  different ranges of muscle to as ress whilethepatientreceives thetherapy. assessment of the patient’s physical prog- the neck and provides a comprehensive lates and strengthens the muscles around is aunique,nonsurgicaldevicethatiso- candidate fortheMCUmachine, by more thanpercent, withmore than  percent while strength levels increased therapy, patientpainlevels decreased by studies show thatafterreceiving MCU is anMCU™orMulti-Cervical Unit It . “To ensure someoneisagood According toActive Health Center, Once thatdataisproduced, acustom- A toolinwhatmanydoctorsrefer  emachineDr. spokeof Harvey evidence-based medicine, the MCU Back In Action MedicalCenter Support System(see Support , page4) L.I.V. Medical Weight Loss Stem CellSolution An IdealSolution Winter 2019 Ben-David & Aesthetics Sharon N eck P ain

Page 2 | Florida Health Care News | Winter 2019 | North and West Palm Beach County Edition Laser Aesthetics fter years of working for a com- pany doing web design, Jamie Burns decided she’d rather work for herself. In , she Banish Belly Bulges Astarted her own business, Working Girl Creative, where she now does web design Relax your way to losing stubborn pounds and inches from home.  e decision to be self-em- ployed turned out to be life-altering for Jamie in more ways than one. “I do a lot of networking for my busi- ness and for an organization I’m involved with,” she relates. “Along with that, there’s a lot of volunteering and many charity events. At one of those events, I won a certi cate for laser weight-loss treatment sessions.

TRED J. RISSACHER, DC

“I’d spent the last year trying to lose some of the weight I gained, weight that just crept up on me over the years. It was mostly around my midsection. I tried a number of di erent diets, but didn’t make any headway losing the weight.”  e failed diets frustrated Jamie, as did the way her clothes were beginning to feel on her. She had to stop wearing anything form- tting because they exag- Jamie gerated the bulge around her middle. Burns Eventually, she reached a tipping point and made a decision to act. “ e clothes I had were becoming “ e actual process was easy. I just sustainable inch reduction without pain, go to Slim Body Laser Spa. It was one of uncomfortable,” she shares. “Certain laid on my back for thirty minutes while downtime, rigid food discipline or stren- many New Year’s resolutions I made. I clothes, like clingy blouses and leggings, the laser released the stored calories, I uous exercise. Areas such as the belly,  nally made one that’s working.” I put in the back of my closet and didn’t listened to music like you’d hear in a mas- chest, back, thighs, arms and chin can all After losing pounds and inches, want to look at them. I got to the point sage spa, and it was very calming.” be safely improved using laser lipo.” Jamie says she’s happier about the way her where I looked in my closet and said, Wait Each -minute laser session includes The difference is the laser, which clothes are  tting. She’s even dragging out a minute. I don’t want to go up another size. three ten-minute treatments on di erent works directly on the problem fat cells, of the back of her closet some of the items “ en I thought, I’ve got to change problem areas. When the sessions are causing them to release their contents and she once banished there. something. So, I decided, I’m going to do completed, patients are encouraged to go shrink. Each laser session releases approx- “My clothes are much more comfort- something completely different than I’ve to an area called the whole body vibration imately  to  grams of free fatty acids, able now, and I don’t worry about having done before. I’m going to sign up for those room, con rms Dr. Tred. or  to  calories, into the body’s to buy bigger sizes,” she con des. “I’m laser weight-loss sessions.” “ e laser treatments release stored surrounding tissue. now able to wear tops that are a bit more  e certi cate Jamie won was donated calories from the fatty layer of cells,” he “Those released fatty acids are clingy and other form- tting clothes I by Tred Rissacher, DC, of Slim Body Laser educates. “It’s a slow process for the body absorbed naturally and made available to couldn’t wear before.” Spa in Stuart. to absorb and convert those calories into the body in the form of energy, which is The three-week, nine-session pro- “When I walked in, it felt like a spa,” energy with normal exercise and time. typically utilized over the following day gram is not the end of the road for Jamie. Jamie recalls. “It was very professional and Whole body vibration accelerates this or two,” explains Dr. Tred. “ at’s where She plans to use the progress she made at organized. I was immediately greeted by transfer of energy. whole body vibration comes in. It enables Slim Body Laser Spa as a springboard to the girls at the reception desk. I’ve known “Without whole body vibration, it that fatty acid to move more quickly from living a healthier lifestyle and furthering of Slim Body Laser Spa for years from takes two to three days for the body to the surrounding tissue into the body’s met- her weight-loss goals. She also encourages going to the Women’s Power Lunch, so burn the released calories. Whole body abolic system, where it is burned as energy.” others to become winners by using this vibration does it e ectively in only ten program to jumpstart their weight loss. that was one reason I was comfortable Results Beyond Belief trying something that had laser in its title. minutes, so patients get results quicker “I absolutely recommend Dr. Tred’s “Dr. Tred then showed me a video and lose inches more consistently than Jamie saw a signi cant di erence in her laser weight-loss system at Slim Body and explained how the program worked, they would if they relied on home exercise belly using Dr. Tred’s Ultimate Laser- Laser Spa to anyone who’s not seeing and it made so much sense to me, much to burn the calories.” Assisted Weight Loss System and was in progress losing weight with what they’re disbelief at the success of the treatments. doing on their own,” she relates Jamie. “It more than the other thing I looked into, Goodbye Girth which freezes fat cells. I said, Okay, I’m And like her career choice, the results of was de nitely successful for me.” going through with this. Dr. Tred’s Ultimate Laser-Assisted Weight Dr. Tred’s program were life-altering for her. FHCN article by Patti DiPanfilo. Jamie’s photo by Jordan Pysz. Loss System is like a dream come true. “After my nine sessions, I lost eight and Lapex before and after images courtesy of Slim Body Laser Spa. mkb With it, many people can lose one to  ve a half inches in my midsection as well as B&As of Dr. Rissacher’s inches of measured girth while lying on eight pounds,” she enthuses. “It was great Here’s where you patients their backs for  minutes three times per that the results were so immediate, and it week for three weeks.  at’s with no strict was so encouraging after struggling for a year can find us: calorie reduction or excessive exercise. to make some progress with my weight. And Stuart “This dream has become reality in to have this happen in only three weeks! the form of today’s FDA-approved tech- “I won that certificate last year  SE Ocean Blvd., nology called low-level laser lipo machines, in October, and I had it hanging on Suite A treatments/ weeks’ time Total inch loss =  /” also known as red light lasers,” observes Dr. my refrigerator. One day, I said, Come Tred. “ ere’s no longer a need for people January, I’m going to use this certi cate and ( ) - to subject themselves to the risks associated with surgical interventions such as liposuc- Tred J. Rissacher, DC, completed his undergrad- uate studies at Indian River Community College Areas Served: tion and tummy tucks, or the use of thermal and earned his Doctorate degree in Chiropractic Stuart, Hobe Sound, Palm City, energy such as fat freezing and hot lasers. from Cleveland Chiropractic College in Kansas Jensen Beach, Sewalls Point, “When applied to the fat layer City. He attends postgraduate seminars on the treatments/ weeks’ time Total inch loss =  /” Jupiter, Saint Lucie West, Port diagnosis and treatment of spine disorders. The underneath the skin, low-level laser ther- Saint Lucie, Fort Pierce, Vero apy will produce predictable, consistent, Lapex BCS is being used “o label” for spot fat reduction and laser-assisted weight loss. Beach and Okeechobee. For more information, please visit www.slimbodylaserspa.com

Results may vary from person to person based on di erent factors, and there is no guarantee for speci c results. Testimonials and examples found in this publication, in our article from the Slim Body Laser Spa of Stuart, are veri ed results that have been actually achieved by our clients as described. However, these results may not apply to the average person and are not intended to represent or guarantee that anyone will achieve the same or similar results. FDA indications for use FDA (k)  e Lapex is intended to emit energy in the visible and infra red spectrum to provide topical heating for the purpose of elevating tissue temperature for the temporary relief of minor muscle and joint pain and sti ness, minor arthritis pain or muscle spasm, the temporary increase in local blood circulation and/or temporary relaxation of muscle. Ophthalmology/Retina Specialist North and West Palm Beach County Edition | Winter 2019 | Florida Health Care News | Page 3

Coexisting eye diseases don’t bar patients from  oater procedure

evin Donato likes to joke that uses a noninvasive procedure called laser at the printing and adver- vitreolysis to remove the eye  oaters from tising specialty business he his patients’ eyes. owns, they’ll print anything “When my doctor told me it was a laser Kbut money.  at’s okay for Kevin. Money treatment, it scared me,” Kevin admits. “I isn’t what’s most important to him. He’s wasn’t really comfortable with it, just the more concerned about his health, espe- sense that I was going to have a laser put in cially the health of his eyes, which have my eye to get rid of this problem. been problematic since his childhood. “That was in October. I knew I Kevin Donato needed to reach out to Dr. Lowe, but I didn’t do it right away.  en in March, I was out on my boat, and I had a moment when I just had it with the floater. I couldn’t deal with it anymore. When I got back into town, I called Dr. Lowe and made an appointment.” During their consultation, Kevin PETER J. LOWE, MD expressed his concerns about laser vitreolysis to Dr. Lowe.  e retina specialist carefully “I never had great eyesight,” Kevin explained how the procedure is performed. shares. “I have astigmatism, and I had eye He noted that it takes ten to  minutes to surgery when I was very young.  ere was complete, requires no incisions and causes a tendon that was pulling my right eye no discomfort. Dr. Lowe estimated he’s per- and causing me to be cross-eyed.  at formed more than  of those procedures tendon had to be surgically pulled back over the past  ve-plus years. to put my eye straight. “I was still very nervous about it,” “I go to the eye doctor every year, relates Kevin, “but Dr. Lowe took time and I’ve always worn glasses and contact with me. He told me how he’ll put a lens lenses. Now, I wear a reading contact in on top of my eye and have me look left his right eye, so it also improved his psy- I don’t see a blurry spot running across my right eye, and a contact for distance and right.  en, he’ll dissolve the  oater chological visual adaptation.” my eye anymore. I’ve been out in the sun in my left eye. I’m comfortable with that with the laser. He took an extra step and Proceeding with treatment on Kevin many times since the procedure and hav- because I don’t like wearing reading glasses went through the entire procedure, doing illustrates how Dr. Lowe’s expertise en’t had any issues with my eyes.” to read or use the computer.” everything but use the laser.  at trial run enables him to treat patients with  oaters Kevin is proud of himself for overcom- About eight months ago, Kevin made me more comfortable with the pro- who also have coexistent eye diseases. ing his fear, but he gives Dr. Lowe most began noticing a spot moving across his cess and helped me know I could do it.” “When I  rst started doing laser vitre- of the credit. He says Dr. Lowe is unlike vision in his right eye. Initially, he thought olysis, I concentrated on ideal patients, such many physicians and adds that the doctor it was the result of being overly tired and Ideal Candidates as elderly patients who’d had cataract sur- has tremendous empathy for his patients. spending too much time in front of the “Kevin had a very complex ocular his- gery,” he states. “As I got more experience, I “Doctors sometimes get a bad reputa- computer. The irregularity continued, tory,” notes Dr. Lowe. “He’d been seen became more comfortable treating patients tion because they don’t always have good however, despite getting rest and taking by other ophthalmologists early in his life with other unique eye diseases. Now, there bedside manners, but not Dr. Lowe,” breaks from the electronics. and had surgery for strabismus, which is are few contraindications to the treatment. enthuses Kevin. “His bedside manner is “When a contact moves o your eye, when the eyes aren’t perfectly aligned. exceptional, and I told him that in my your vision becomes blurry just for the “More recently, he was having prob- Excellent Eyesight  nal follow-up appointment.  at’s why I second it’s not in place,” he describes. lems seeing from his right eye because it After all was said and done, Kevin’s con- decided to go through with laser vitreolysis. “That’s what this spot was like, but it was getting cloudy. In addition to a little cerns regarding laser vitreolysis were “I’m especially grateful for the time lasted closer to ten seconds. My vision latent eye turn, he had a fairly large cen- relieved through the kind attention he Dr. Lowe took with me to go through that would be blurry, then it would be clear, tral  oater obscuring the visual pathway received from Dr. Lowe.  anks to the dry run. With his help, I set my mind to then blurry again. Something went across in that eye.” doctor, Kevin became comfortable with go through the procedure. I’m very appre- my line of sight that caused this to hap- At  rst, Dr. Lowe wasn’t certain Kevin the steps of the procedure, and he’s glad ciative of that.” pen. It went on twenty-four seven. was a candidate for laser vitreolysis due to he did. He says he couldn’t be happier FHCN article by Patti DiPanfilo. Photo by Nerissa Johnson. mkb “I struggled with the blurry spots in my his strabismus because with that, Kevin with the outcome. right eye because the only way I could read had an inherent suppression of vision “ e  oater is gone,” Kevin raves. was with my left eye, which was my distance in his right eye. But after performing a “My vision is nice and clear now, and I Be Floater Free! eye. I had to wear reading glasses again.” thorough examination and  nding no don’t have any issues. I’m very excited. Frustrated, Kevin went to his eye other clinical problems with Kevin’s eye,  e procedure was a big success, and my Dr. Lowe is proud to off er laser doctor, who told him the spot moving Dr. Lowe proceeded with the treatment. eyesight has been excellent ever since. vitreolysis, a nonsurgical method across his eye was an eye  oater. His eye “Kevin had already adapted to the “I’m back to wearing the reading to vaporize vitreous fl oaters. For doctor recommended Kevin make an visual weakness he had since his youth,” contact in my right eye and a distance more information, or to schedule appointment with Peter J. Lowe, MD, observes Dr. Lowe. “ en, when the  oater contact in my left eye. I’m now able to an appointment, please visit a board-certified ophthalmologist at came along, it totally threw o the way he read the computer screen, a magazine and Retinal Eye Care Associates at Retinal Eye Care Associates who sub- was seeing with two eyes. After treatment, my phone without reading glasses. And these locations: specializes in diseases of the retina and he experienced signi cant visual improve- vitreous. She explained that Dr. Lowe ment and was able to see clearly again from Dr. Lowe now off ers Lake Worth   S. Congress Ave., Suite L Peter J. Lowe, MD, is a board-certi ed ophthalmologist who specializes in retinal and vitreous disease. After completing his undergraduate degree at Washington VIP Urgent University in St. Louis, he received his medical degree from Chicago Medical School. ()  - Dr. Lowe completed an internship at Cook County Hospital prior to completing an Care ophthalmology residency at Michael Reese Hospital, both in Chicago. He contin- for patients with wet Delray Beach ued his education with a fellowship at Harvard University, Massachusetts Eye & Ear macular degeneration,  Linton Blvd., Bldg. E, In rmary, where he specialized in retinal and vitreous diseases. With more than  years in practice, he is a member of the American Academy of Ophthalmology, the diabetic retinal diseases Suite  Palm Beach County Ophthalmology Society, the Florida Society of Ophthalmology and other vascular and the Palm Beach Medical Society. disorders of the eye. ()  - Visit Dr. Lowe and Retinal Eye Care Associates online at www.retinaleyecare.com Page 4 | Florida Health Care News | Winter 2019 | North and West Palm Beach County Edition Neck Pain Florida Health Care News 215 Bullard Parkway Temple Terrace, FL 33617 Support System (813) 989-1330 (continued from page 1) Winter 2019

Barry Levine “Once the source of weak- with patients typically going “But the extra time was worth it Executive Publisher ness and/or imbalance is found, through three sessions a week for because now, I feel great. the patient is prescribed their nine weeks. During those nine “I’ve been doing the home Gina L. d’Angelo CFO/HR own speci c treatment regimen weeks, patients are re-tested at exercises just like they told me, on the MCU to  x the problem. least three times to determine the and I feel one-hundred-percent Roy Cummings Editorial Supervisor One of the great things about the e ectiveness of the treatments. better, and I have to say that one MCU machine is that it takes “We re-test the patient every of the great things about this Michelle Brooks Creative Director out all the guesswork.” three weeks, or nine visits, and whole experience was how the Dr. Harvey determined compare the results of those tests people at Active Health Center Brian Levine Project Coordinator during his initial examination with the results we received from make it so much fun. of Sharon that she was in fact our original examination of the “They create an environ- Patti DiPanfilo a good candidate for MCU patient,” explains Colin Behrue, ment that actually makes you Annette Mardis Editorial Staff therapy. However, because the DC, at Active Health Center. want to go there. And it’s not condition of her neck was so “ at shows us how well the just because you know you’re Laura Engel Production Assistant severe, it was decided that prior patient is progressing, and based improving, but because you just to beginning therapy on the on the  ndings, we make clin- want to see the people and say Nerissa Johnson Graphic Designer MCU machine, Sharon should ical changes.  e change could good morning to them.  rst go through a series of gentle be di erent exercises, di erent “They all work synergisti- Nerissa Johnson chiropractic adjustments. angles or di erent weights that cally to make sure you’re happy Jordan Pysz Fred Bellet “When Sharon first pre- help the patient continue to and comfortable and feeling bet- Photography sented to the office, she was improve and build strength.” ter. I don’t think there’s anything Steve Turk unable to even turn her head After nine weeks of ther- such as a ten-star rating, because Mario Hill completely to the left or the apy, patients are typically given  ve is as high as it goes, but that Kent Booth right,” Dr. Harvey reports. “She a maintenance program that just doesn’t seem to be enough Robert Mize was stuck in a neutral position, includes exercises they do at for them.” Rick Bowser because her neck muscles were home to maintain their strength. FHCN article by Roy Cummings. Photos by At long last, Sharon is Distribution so weak. Sharon was one who needed a Nerissa Johnson. mkb running pain free. “So, we progressed with little more time before graduat- her by providing her with some ing to the home exercise part of Active Health Center chiropractic care to increase the program. Advanced Technology Neck Pain her range of motion. Once she “I was supposed to be done reached a point where we were by May , but when they took Slim Body Laser Spa for Neck Pain Laser Aesthetics able to get her on the MCU, we the test that day it showed that Physicians at Active Health Center are proud to present the started strengthening her neck.” I still didn’t have full strength in Retinal Eye Care Associates most effective and complete system for the diagnosis and Ophthalmology/Retina Specialist A single MCU session lasts my neck, so we actually contin- treatment of patients suff ering from neck pain, headaches, between  and  minutes, ued until June ,” Sharon says. whiplash disorders and general cervical spine disorders, Acute Wound Care Compression Therapy including arthritis and herniated discs, with the MCU (Multi- Cervical Unit). Active Health Center is located in North Palm The Dry Eye Spa & Marc A. Weinberg, DC, completed his undergraduate Beach at: V.I.P. Laser Eye Center studies at the University of Florida and went on to gradu- Dry Eye Treatment ate cum laude from Life Chiropractic College in Marietta,  Northlake Blvd., Suite F GA. He is approved by the National University of Health Institute of Colorectal Sciences to perform Manipulation Under Anesthesia, a Health & Wellness procedure that is proving to be e ective in relieving and () -  Functional/Integrative Medicine correcting the causes and complications of many painful Regency Court Dentistry conditions. He has been certi ed by the Southeastern Back Dentistry Institute to perform hands-on spinal decompression. In , he was appointed Alternative Medicine Research and L.I.V. Medical Development Director for the American Thoracic Outlet Seventy Years Weight Loss & Aesthetics Syndrome Association. He has also authored two chap- Medical Weight Loss ters in a medical textbook on Thoracic Outlet Syndrome. Dr. Weinberg has been a constant student, healer and avid Back In Action Medical Center lecturer for the past  years and makes sure that he always of Combined Stem Cell Therapy/ puts his heart, as well as his knowledge and expertise, into Neuropathy Treatment the care of his patients. Ashton Vein Center Vein Treatment Colin O. Behrue, DC, completed his undergraduate stud- Patient Care ies in molecular/microbiology at the University of Central Florida and went on to receive his Doctor of Chiropractic Whether you have aches and pains from a motor vehicle degree, cum laude, from Palmer Chiropractic College Florida in Port Orange. He has completed postgraduate education accident, an70 old injury, a slip and fall or just feeling in neurology and is certi ed to perform NCV, EMG, H-re ex, pain from the trials of daily life, the physicians at Active SEP and evoke potentials. Dr. Behrue is a native of Palm Health Center will help you feel young and get active Beach County and looks forward to serving the community. again. In business for more than  years, the doctors Florida Health Care News is published by Florida Health Care News, Inc. Bryan T. Hunte, DC, earned his undergraduate degree off er pain relief for: Florida Health Care News, Inc., reserves the right to in tness and cardiac rehab/exercises science and biol- decline any advertising/marketing article. ogy from Ithaca College. He received his Doctor of Florida Health Care News is provided for information Chiropractic degree from National University of Health Lower back pain Knee pain only and should not be construed as health care advice Sciences. He is currently working toward his diplomate. or instruction. If you have questions concerning articles Neck pain Wrist pain in this edition, feel free to call our contributing editors. Florida Health Care News provides a paid forum for Forrest Harvey, DC, completed his Bachelor’s degree in Neck sti ness Carpal Tunnel health care professionals to present their ideas about Biology from Pennsylvania’s Westminster College before earn- various aspects of health care treatment and proce- Syndrome dures. Florida Health Care News, Inc. is not responsible ing his Doctor of Chiropractic degree from Palmer College of Upper back pain for the health care delivered by the contributing editors Chiropractic in Port Orange, Florida. He treats patients of all Herniated discs presented in this edition. ages but as a former two-sport collegiate athlete, Dr. Harvey Arm pain Articles reflect the opinion of the sponsoring profes- especially enjoys working with athletes. sional or organization and do not necessarily reflect Leg pain the opinions of other contributing editors. Contributing editors have approved all text contained within their Adam Holleman, DPT, earned his undergraduate degree respective articles. in exercise science from Virginia Polytechnic Institute in © 2019 Florida Health Care News, Inc. All rights reserved. The contents of this publication, including Blacksburg, VA. He received his doctorate in physical ther- articles, may not be reproduced in any form without apy from Winston-Salem State University. He performed ALSO OFFERING: written permission from the publisher. research in biomechanical analysis of golf swings of patients • Low Level Laser Therapy • Eccentron™ Negative following total hip replacement. Dr. Holleman is a member Resistance for Better of the American Physical Therapy Association and ortho- FOR ALL health care pedic section. He is pursuing advanced certi cations as a • State-of-the-Art Spinal Leg Strengthening professionals having certi ed strength and conditioning specialist, spinal manip- Decompression for Outcomes articles in this publication: THE PATIENT AND ANY OTHER PERSON ulation certi cation and as an orthopedic certi ed specialist. Neck and Back RESPONSIBLE FOR PAYMENT HAS THE RIGHT TO REFUSE TO PAY, CANCEL PAYMENT OR BE REIMBURSED FOR PAYMENT FOR ANY OTHER SERVICE, EXAMINATION OR TREATMENT WHICH IS PERFORMED AS A RESULT OF, AND WITHIN 72 HOURS For more information, visit Active Health Center online at www.activehealthctr.com, OF RESPONDING TO, THE ADVERTISEMENT FOR A FREE, DISCOUNTED OR REDUCED FEE or on their MCU informational website at www.mcunow.com SERVICE, EXAMINATION OR TREATMENT. Compression Therapy North and West Palm Beach County Edition | Winter 2019 | Florida Health Care News | Page 5

Reduce limb swelling and improve circulation

annah Heit spent more  e company the nurse practitioner than  years as a registered contacted was Acute Wound Care, a fully nurse, first in pediatrics accredited home medical equipment and later in quality assur- provider specializing in hospital-grade Hance, reviewing several departments.  e compression devices and specialty wound- Kentucky native lived most of her adult care dressings.  e compression pumps life in Michigan, and it was from there she are prescription devices and are approved relocated to Florida and retirement. All by Medicare and covered by many com- those years on her feet as a nurse, however, mercial insurers. had a profound e ect on her legs. “Our easy-to-use compression pumps “A few years ago, my legs started remove  uid that has accumulated in the swelling, and they were uncomfortable,” legs or arms,” describes Alyssa Parker, cer- The pumps she shares. “I didn’t really have any pain, ti ed compression therapist with Acute are non- but I couldn’t wear shoes because my feet Wound Care. “The pump’s limb-sized invasive were as big as my legs. My legs were also sleeves gently massage the limb, drain- and highly discolored from the ankle to about mid ing any excess  uid back into the body’s e ective calf.  ey were a kind of bluish-red color.” circulatory system so it can be naturally Initially, Hannah was told she had eliminated. Compression pumps increase venous insu ciency, a condition in which the circulation in the a ected limbs while reduce  uid retention in the limbs, they recommend it to others with conditions veins in the legs are unable to do their job alleviating many painful symptoms. also improve overall blood  ow. like mine. I recommend Acute Wound of pumping blood back to the heart. Blood “ e pumps are both highly e ec- “ e pumps assist circulation by con- Care, too. I had no problems with any leaks and pools in the legs, causing symp- tive and noninvasive, and for the legs, tracting the leg muscles, assisting blood part of their process.” toms such as swelling and discoloration. they are much easier to use than com- flow back toward the heart,” explains Physicians throughout Florida have Subsequently, Hannah underwent vein sur- pression stockings. Patients generally Alyssa. “ ere, the blood is collected, sent been recommending Acute Wound Care’s gery to treat her insu ciency she reports. use the pumps twice a day for forty- ve to the lungs to be oxygenated and then compression pumps to their patients for “I was told to put returned to the body’s organs and tissues. years and have been getting great results. my legs up at night, but I “The pumps assist “To aid blood  ow, the pumps have “Many doctors have told me that couldn’t always do that,” circulation by contracting multiple chambers. Each chamber  lls up they’ve encouraged their patients to use Hannah adds. “I was also the leg muscles, with air, from the foot to the groin.  en, the pumps to reduce limb swelling and supposed to wear these each chamber releases, and the pattern improve circulation,” Alyssa con rms. assisting blood flow back special compression hose, repeats in a rhythmic fashion. “They say the compression pumps are but I couldn’t wear them toward the heart.” “In addition to the circulation boost, great, safe, noninvasive devices that sup- because it was too much many patients will see a noticeable dif- plement the medical treatment they’ve trouble getting them on and o .” minutes, with an interval of at least two ference in the swelling and in the size of provided to those patients. The swelling and discomfort in hours between treatments, so it is usually their limbs after their  rst forty- ve-min- “One even told me that he received Hannah’s legs continued after surgery, so done in the morning and in the evening. ute pumping session.” feedback from his patients, and that she eventually sought the advice of her While using the pumps, patients simply Acute Wound Care is proud of its they agree the devices and the out- primary care provider. sit back with their limbs raised to further hands-on approach to patient care. Not comes are positive. He said the patients “ e nurse practitioner I saw in my assist with circulation.” only does a compression therapist go to also appreciate how good a job Acute internist’s o ce looked at my legs and Once Acute Wound Care received patients’ homes to set up the equipment Wound Care does of following up and said, You have lymphedema, excess  uid in Hannah’s prescription, a compression and instruct them on how to use it, they mentioned that all are very pleased with your lymph vessels,” notes Hannah. “I’m therapist contacted her to review the next also adjust the pump’s pressure level to the Acute Wound Care and its product. not sure, but it may have been caused step and answer any questions. After that, patients’ comfort. “ at same doctor said he’s so sat- by the venous insu ciency.  e nurse the therapist delivered the device, set it “When we are in the patient’s home, is ed with Acute Wound Care that he thought I would bene t from a compres- up and explained to Hannah how to use we set the pressure based on the severity strongly endorses them and their com- sion pump. She called the company that and care for it. of the condition and the physician’s pre- pression devices to other physicians. He provides them and got me all set up.” scription,” states Alyssa. “We then adjust said he’s personally thrilled with Acute Healthy Discovery it so the patients are comfortable and will Wound Care because they help doctors The nurse practitioner who diagnosed actually meet the requirements of the improve their quality of care and the Hannah’s lymphedema treats a full range treatment, so they get great results.” quality of their patients’ lives.” of medical conditions at the practice, FHCN article by Patti DiPanfilo. Photo by Jordan Pysz. including lymphedema, persistent leg Doubly Endorsed Photo of pump courtesy of Acute Wound Care. mkb edema and venous disease among the Hannah has been using her compression most common. device from Acute Wound Care for more For patients with these disorders than a year now. She says she is pleased it’s generally recommended to try con- with the results she’s getting from it. She’d servative therapy first. Examples are like to use it more often than she does, but compression stockings, optimizing water she’s established a treatment schedule with and electrolyte balance, and diuretics.  e her doctor that works well for her. compression device is a great treatment “The usual treatment with the option for those who have tried conser- compression pump is twice a day for Are You vative therapy and still have persistent forty-five minutes,” relates Hannah. swelling or poor circulation. “But I do it once a day for an hour.  e Su ering From Many patients have significant limb sleeves feel  ne when I have them Chronic improvements in terms of diminished on, and then my legs are nice and small  uid retention in their legs or arms after when I take them o .  e swelling goes Limb Swelling? using the compression pump. With con- down signi cantly.” sistent compression therapy the swelling In addition to reducing the swelling, Visit Acute Wound Care on improves as well as the venous blood  ow, the compression pump treatments have the web at wound healing, and overall mobility.” also relieved much of Hannah’s leg dis- www.acutewoundcare. comfort and have enabled her to wear com Circulation Support shoes again. The discoloration, which or call them directly: Alyssa agrees that patients with lymph- is related to her venous insufficiency, edema, venous disease and other conditions remains and may take years to fade, if it Toll Free leading to poor circulation once had few does at all. However, the circulation in her () -HEAL () options beyond the standard therapies leg veins has improved with treatment, Hannah enjoys doing puzzles for limb swelling.  at’s a treatment hole aiding her venous insu ciency. Locally after therapy. Acute Wound Care’s compression pumps “I’ll continue using the compres- () -  ll.  e safe and painless pumps not only sion pump,” she comments, “and I Page 6 | Florida Health Care News | Winter 2019 | North and West Palm Beach County Edition Dry Eye Treatment Tailored Treatments “I spoke to my ophthalmologist “Other doctors don’t typically perform getting the prescription correct on my  ap in the cornea is created  rst, which is Wonderful Feeling with their experiences at  e Dry Eye Spa about LipiFlow, then did some research,” the expression of oil glands, but we  nd left eye, but he never gave up on it. He made by the eye surgeon, who cuts corneal Immediately after getting the LipiFlow & V.I.P. Laser Eye Center. states Diana. “I also read an article about that adding this step enhances the bene- just kept testing and testing until he got a tissue with a surgical blade. treatment, Diana’s eyes started feeling bet- “I recommend the LASIK procedure Dr. Salinger in Florida Health Care News  ts of LipiFlow more rapidly, and they last result that satis ed us. The V.I.P. Laser Eye Center offers ter little by little.  en, all of a sudden, she and V.I.P. Laser Eye Center,” enthuses Bruce. and saw that he also expresses the oil longer,” observes Dr. “After the test- iLASIK™ – an all-laser vision correction that realized a burst of relief. She was amazed “ e sta is wonderful.  ey explain every glands in the eyelids. I wanted to do what- Salinger. “This step ing, Dr. Salinger said eliminates the need for the eye surgeon to by the experience and by the treatment’s step they’re doing and the results they’re get- ever would make my eyes better, so I called can double or triple that LASIK® surgery use a surgical blade in preparing the cornea. ultimate results. ting. I’m delighted with the entire process. and made an appointment. the duration of the would work for me. With iLASIK, the  ap is created by an ultra- “My eyes feel wonderful,” she mar- Dr. Salinger and his sta are just top-shelf, “I told Dr. Salinger I wanted to have the treatment’s bene ts.” But given my age and fast laser. It o ers even more precision and vels. “Dr. Salinger always asks me how I’m and I’m really pleased with my results.” LipiFlow as soon as possible. I believed it was Dr. Salinger saw THE DRY EYE SPA® & the fact that I’m in the safety in achieving freedom from glasses. doing on a scale of one to ten, with ten As Diana prepares for her cataract sur- going to be a good solution for me.” Diana three weeks V.I.P. LASER EYE CENTER  rst stages of cataracts, “LASIK is already one of the safest being the best. When I last saw him, I said, gery, she knows it will go more smoothly after her LipiFlow CLIFFORD L. SALINGER, MD he left the decision up and most accurate surgical procedures cur- Dr. Salinger, you get a ten plus!  e di erence now that she’s had her dry eye treated. She’s The Finish Line procedure for a fol- to me. I decided to rently available,” informs Dr. Salinger. “ e in my eyes is remarkable.” pleased with the di erence the treatment has “Diana came to us in mid March of this year low-up appointment. have it done.” iLASIK technology improves safety even  e comprehensive therapy plan created made in her daily life already. with signi cant dry eye disease in both eyes,” When he examined her eyes, they showed more and also contributes to signi cantly by Dr. Salinger, which included the LipiFlow “With the dry eye, my eyes were notes Dr. Salinger. “Her cataract surgeon was a great deal of improvement already. Correction and Cataracts better results. procedure, eased the uncomfortable dry eye uncomfortable all the time; it was a twenty- savvy enough to understand that signi cant “Diana was experiencing less redness, “Bruce came to us asking, Am I too old for “Bladeless LASIK symptoms Diana suf- four-hour thing,” she relates. “Now that I’ve dry eye disease a ects the cataract surgery in burning, tearing and overall discomfort,” laser vision correction?” relates Dr. Salinger. o ers multiple bene- fered. She notes how had the LipiFlow with Dr. Salinger at  e several critical ways. he offers. “She returned to the office at “ e answer used to be purely based on  ts, but the biggest are extensive they were Dry Eye Spa and V.I.P. Laser Eye Center, it’s “First, it makes the surgery more chal-  ve weeks post-treatment and said she was age, but not anymore. Age is a factor, but a more uniform sepa- “I no longer have to prior to treatment a really, really good feeling.” lenging. Second, healing after surgery is thrilled with the comfort in both eyes.” it’s not an absolute.  e presence of cata- ration of the layers of wear glasses or and how much better FHCN article by Patti DiPanfilo. Bruce’s photo by Jordan Pysz. slower.  ird and most important, dry eye With this substantial improvement in racts is also a factor.” the cornea, a more they are now. Lipiflow graphic courtesy of The Dry Eye Spa® &V.I.P. Laser fter years of compensating for cataract surgery, he suggested she have her alters the measurements and calculations Diana’s dry eye symptoms, Dr. Salinger was Dr. Salinger explains that if a person has uniform flap thick- contacts!” “The redness I Eye Center. Eye glasses, no symbol and eye graphic from kisspng. her increasingly blurry eye- dry eye treated before surgery. Not treating necessary to determine the appropriate lens able to cut back on some of the other treat- cataracts that are already signi cantly devel- ness and a smoother had wasn’t just in the Eyeball header background from Pixabay. mkb sight, Diana* finally accepted the dry eye before cataract surgery may implant strength for the best uncorrected ments in her comprehensive therapy plan. oped, then doing laser vision correction is surface after the  ap – Bruce eyes,” she describes. *Patient’s name was changed to protect her privacy. the need for cataract surgery lead to less accurate measurements, less vision following surgery. “We’re finding that eighty to ninety not appropriate because surgery reshapes the is created,” he adds. “It was all along the Aearly in . At the same time, the than ideal results and worsening of the “The ophthalmologist rightly told percent of our patients are getting signi - cornea. As cataracts develop, they can a ect A goal of laser edges, too, but it’s all New Zealand native and former snow- dry eye condition. Diana to treat her dry eye  rst to improve cant improvement of their dry eye disease, the vision as well, making people slightly vision correction is to make people less gone now.  e itching, grittiness and feeling bird from Upstate Diana’s doctor the condition of her eyes’ environment although many don’t reach it as quickly as more myopic, or nearsighted. dependent on corrective lenses. One way of something in my eyes are all gone. I have New York was also told her about a new and stabilize the disease.  en her surgery, Diana,” Dr. Salinger asserts. “She was more “If we reshape the cornea with a laser to do that is with monovision, which cor- no symptoms whatsoever since LipiFlow Convenient experiencing other treatment for dry healing and choice of implant would be motivated than the average person because while the lens is changing, we’re running rects one eye for distance vision and one treatment. It’s wonderful. issues with her eyes eye called LipiFlow®, more straightforward.” she saw the  nish line as the chance to have in circles, like a dog chasing its tail,” o ers eye for near vision. “I know my vision will improve more Location! that further compro- then referred her to After doing several tests to determine vision-correcting cataract surgery.” the doctor. “We’re chasing the change “We proposed monovision to Bruce, after cataract surgery, but I got some Dr. Salinger is proud to present mised her vision. Clifford L. Salinger, the extent of Diana’s condition, Dr. Salinger in the lens as it becomes a full-fledged but he didn’t like that idea,” remembers improvement since the LipiFlow. Now, my “My eyes were MD, founder of  e began her on a comprehensive therapy for Doctor Recommended cataract.  at’s not good practice. Dr. Salinger. “He wanted both eyes cor- eyes don’t get as tired as they used to when the latest breakthrough medical really bothering me, Dry Eye Spa & V.I.P. her dry eye disease. For Diana, this included Retired business owner and snowbird Bruce “People who have little change associ- rected for distance vision. He believed he I’m reading or watching television. My technology for dry eye disease. and not just from the The Laser Eye Center in hot compresses, lid hygiene with special Davis didn’t have dry eye disease like Diana. ated with cataracts, as Bruce did, can still would feel o balance with monovision. vision is better in that respect.” cataracts,” she re ects. Palm Beach Gardens. cleaning agents, vitamin supplements, a mild He struggled with another condition – be measured for laser vision correction. I warned him that, in all probability, his Like Diana, Bruce has become more He off ers consultations in Stuart. “ ere was also terri- Dr. Salinger spe- steroid drop for in ammation, and antibi- distorted vision in both eyes. It was an issue However, in the presence of even early lens near vision would be compromised after independent as a result of Dr. Salinger’s ble itchiness, redness, cializes in dry eye otic drops and ointment. that started in his youth. changes, we can’t predict how quickly the surgery, but he wasn’t deterred. work. He says his vision is better than ever The Dry Eye Spa & V.I.P. Laser Eye grittiness and a feeling disease, which a icts “After two weeks of treatment, Diana “I had German measles when I was six, cataracts will develop and interfere with the “We did the LASIK procedure on and that he has become virtually glasses free. Center is located in Palm Beach there was something System millions of Americans. was still having quite a bit of discom- and the high fever caused changes in my cor- surgery’s results. We anticipated that Bruce February , , and six days after the “I no longer have to wear glasses or stuck in my eyes all Fast • Noninvasive • Painless He provides extensive fort because the surfaces of her eyes were neas that left me with pretty bad eyesight,” had a good amount of time because his lens procedure, he was /  in his right eye contacts!” Bruce exclaims. “I do wear Gardens at: the time. All of these Eff ective • Long-lasting education and testing, so dry,” reports explains the York, changes were so minimal. He wanted to and /  plus in his left eye. With both glasses for reading, but I don’t mind that symptoms were related as well as comprehen- Dr. Salinger. “So, on Pennsylvania native. move forward with LASIK.” eyes open, he was reading most of the / because my distance vision is excellent. I’m  RCA Center Drive to my dry eye disease. sive treatment for the April third, we did “It made me terribly lines on the chart, and against all odds, delighted with it now.” “I was having a lot of di culty with my disorder. Among the treatments he provides the LipiFlow treat- “I have no symptoms nearsighted, so I’ve Safety and Precision he was reading the absolute smallest print Both Bruce and Diana are grateful to Suite  vision. Some of that was because of the cat- is the LipiFlow Thermal Pulsation System ment, and she did whatsoever since worn glasses or con- LASIK corrects vision through a laser that on the reading card, which is equivalent Dr. Salinger and his sta for their successful aracts and some of it was due to the dry eye. from TearScience®. very well with it.” tact lenses since I was changes the curvature of the cornea. A small to contract-size print.” outcomes.  ey are also more than pleased () -    ey both contributed to my vision being “Dry eye disease, also called ocular sur- The three-step LipiFlow treatment.” a kid, and with either blurry and not as good as it should be.” face disease, is caused by a combination of LipiFlow treatment the glasses or con- German measles at six led to Bruce’s According to Diana, dry eye disease is a factors,” Dr. Salinger points out. “Among takes about an hour, – Diana tacts, I actually had vision problems as an adult nasty disorder to have. She tried treating hers those are a reduction in the quantity of tears with cleaning of the pretty good vision.” Tired of Reading Glasses? with popular, over-the-counter eye drops but on the surface of the eyes and a decrease in eyelids before the He did until never received lasting relief from them.  e the quality of the tears produced. Tear qual- procedure and expressing the oil glands in recently, when Bruce, , noticed he was Now, There’s a Solution symptoms always returned. ity includes the composition and amount of the eyelids afterward. having issues while wearing his contacts, “People can’t treat dry eye with over- oils in the eye’s tear layer. “During the LipiFlow procedure, an eye- which he preferred over glasses.  e issue y middle age, people begin to a natural range of vision and o ers long- the-counter drops and live normally with “LipiFlow is a revolutionary break- piece contacts the outer eyelid and contains was one that annoyed him more than hurt notice that the newspaper, books term performance to help people enjoy it,” she shares. “It doesn’t work that way. through for treating chronic dry eye disease. a soft,  exible bladder that intermittently him. and other nearby objects are clearer overall vision over time. Bblurry, and they’ve become more “The KAMRA Inlay is like a  e dryness, redness, burning and feeling It relieves dry eye symptoms by removing in ates to provide controlled pressure and “If I wore my contacts for eight to ten of something in my eyes never went away blockages of the eyelid’s oil glands. Opening massage,” explains Dr. Salinger. “Heat is also hours, they would become uncomfortable,” dependent on reading glasses. contact lens, only smaller and with the over-the-counter medications.  ey and clearing the blocked glands enhances applied to the inner surface of the lid because he describes. “ ey didn’t feel dry necessar- That’s due to a natural but thinner,” informs Dr. Salinger. were just a temporary  x.” the natural production of the oils needed to of its proximity to the glands.” ily, although eye drops helped.  ey were frustrating change everyone “It has an opening in its center, When Diana consulted with the oph- restore a healthier tear layer on the surface Both of these functions work to liquefy just uncomfortable, and I’d have to take experiences called presbyopia. which gives it a pinhole aper- thalmologist who was to perform her of the eye.” then remove clogging debris from the oil glands. them out. I asked some opticians about Presbyopia is a loss of elasticity ture e ect.  is e ect enables possible treatments, and they suggested I see in the eye’s natural lens, mak- the KAMRA to more tightly Dr. Salinger.” ing it too sti to focus up close. focus light coming into the eye, Cli ord L. Salinger, MD, recipient of the “Heroes in Medicine” , awarded by the Palm Bruce took the opticians’ advice and Now, there’s a revolutionary which restores near vision while Beach County Medical Society, is a board-certi ed ophthalmologist with subspecialty certi- NOW AVAILABLE, made an appointment at V.I.P. Laser Eye breakthrough technology for alleviating maintaining distance vision. cation in corneal and refractive surgery, and dry eye. After completing his undergraduate Center. He was amazed by the thoroughness or reducing the need for reading glasses “ is new technology is ideal for peo- degree at The Johns Hopkins University in Baltimore, he received his medical degree from BREAKTHROUGH and precision of Dr. Salinger’s approach to in people with presbyopia. It’s called the ple who want to greatly reduce or eliminate UMDNJ-Rutgers Medical School, New Brunswick, NJ. Dr. Salinger completed an ophthalmology KAMRA® Inlay.  is new technology is now their dependence on reading glasses. In residency at UMDNJ-New Jersey Medical School. He is a member of the American Academy TECHNOLOGY testing and treatment. of Ophthalmology, the Cornea Society and the Florida Society of Ophthalmology. He is a past “I thought Dr. Salinger was a wonder- being o ered at  e Dry Eye Spa & V.I.P. some cases, however, reading glasses might associate professor at the University of Rochester and has lectured extensively nationally and DNA TESTING FOR ful doctor,” comments Bruce. “He’s very Laser Eye Center. still be necessary for people to see very  ne abroad. In addition to his volunteer work, traveling overseas on many occasions, he has been detail-oriented and careful about getting  e KAMRA Inlay is a surgical treat- print in dim light or do close-up tasks for the education chairman for the Florida Society of Ophthalmology for more than  years. LASIK SAFETY things right. We had a lot of problems ment that restores everyday vision, provides an extended period of time.” Visit The Dry Eye Spa & V.I.P. Laser Eye Center on the web at www.TheDryEyeSpa.com Dry Eye Treatment North and West Palm Beach County Edition | Winter 2019 | Florida Health Care News | Page 7 Tailored Treatments “I spoke to my ophthalmologist “Other doctors don’t typically perform getting the prescription correct on my  ap in the cornea is created  rst, which is Wonderful Feeling with their experiences at  e Dry Eye Spa about LipiFlow, then did some research,” the expression of oil glands, but we  nd left eye, but he never gave up on it. He made by the eye surgeon, who cuts corneal Immediately after getting the LipiFlow & V.I.P. Laser Eye Center. states Diana. “I also read an article about that adding this step enhances the bene- just kept testing and testing until he got a tissue with a surgical blade. treatment, Diana’s eyes started feeling bet- “I recommend the LASIK procedure Dr. Salinger in Florida Health Care News  ts of LipiFlow more rapidly, and they last result that satis ed us. The V.I.P. Laser Eye Center offers ter little by little.  en, all of a sudden, she and V.I.P. Laser Eye Center,” enthuses Bruce. and saw that he also expresses the oil longer,” observes Dr. “After the test- iLASIK™ – an all-laser vision correction that realized a burst of relief. She was amazed “ e sta is wonderful.  ey explain every glands in the eyelids. I wanted to do what- Salinger. “This step ing, Dr. Salinger said eliminates the need for the eye surgeon to by the experience and by the treatment’s step they’re doing and the results they’re get- ever would make my eyes better, so I called can double or triple that LASIK® surgery use a surgical blade in preparing the cornea. ultimate results. ting. I’m delighted with the entire process. and made an appointment. the duration of the would work for me. With iLASIK, the  ap is created by an ultra- “My eyes feel wonderful,” she mar- Dr. Salinger and his sta are just top-shelf, “I told Dr. Salinger I wanted to have the treatment’s bene ts.” But given my age and fast laser. It o ers even more precision and vels. “Dr. Salinger always asks me how I’m and I’m really pleased with my results.” LipiFlow as soon as possible. I believed it was Dr. Salinger saw THE DRY EYE SPA® & the fact that I’m in the safety in achieving freedom from glasses. doing on a scale of one to ten, with ten As Diana prepares for her cataract sur- going to be a good solution for me.” Diana three weeks V.I.P. LASER EYE CENTER  rst stages of cataracts, “LASIK is already one of the safest being the best. When I last saw him, I said, gery, she knows it will go more smoothly after her LipiFlow CLIFFORD L. SALINGER, MD he left the decision up and most accurate surgical procedures cur- Dr. Salinger, you get a ten plus!  e di erence now that she’s had her dry eye treated. She’s The Finish Line procedure for a fol- to me. I decided to rently available,” informs Dr. Salinger. “ e in my eyes is remarkable.” pleased with the di erence the treatment has “Diana came to us in mid March of this year low-up appointment. have it done.” iLASIK technology improves safety even  e comprehensive therapy plan created made in her daily life already. with signi cant dry eye disease in both eyes,” When he examined her eyes, they showed more and also contributes to signi cantly by Dr. Salinger, which included the LipiFlow “With the dry eye, my eyes were notes Dr. Salinger. “Her cataract surgeon was a great deal of improvement already. Correction and Cataracts better results. procedure, eased the uncomfortable dry eye uncomfortable all the time; it was a twenty- savvy enough to understand that signi cant “Diana was experiencing less redness, “Bruce came to us asking, Am I too old for “Bladeless LASIK symptoms Diana suf- four-hour thing,” she relates. “Now that I’ve dry eye disease a ects the cataract surgery in burning, tearing and overall discomfort,” laser vision correction?” relates Dr. Salinger. o ers multiple bene- fered. She notes how had the LipiFlow with Dr. Salinger at  e several critical ways. he offers. “She returned to the office at “ e answer used to be purely based on  ts, but the biggest are extensive they were Dry Eye Spa and V.I.P. Laser Eye Center, it’s “First, it makes the surgery more chal-  ve weeks post-treatment and said she was age, but not anymore. Age is a factor, but a more uniform sepa- “I no longer have to prior to treatment a really, really good feeling.” lenging. Second, healing after surgery is thrilled with the comfort in both eyes.” it’s not an absolute.  e presence of cata- ration of the layers of wear glasses or and how much better FHCN article by Patti DiPanfilo. Bruce’s photo by Jordan Pysz. slower.  ird and most important, dry eye With this substantial improvement in racts is also a factor.” the cornea, a more they are now. Lipiflow graphic courtesy of The Dry Eye Spa® &V.I.P. Laser fter years of compensating for cataract surgery, he suggested she have her alters the measurements and calculations Diana’s dry eye symptoms, Dr. Salinger was Dr. Salinger explains that if a person has uniform flap thick- contacts!” “The redness I Eye Center. Eye glasses, no symbol and eye graphic from kisspng. her increasingly blurry eye- dry eye treated before surgery. Not treating necessary to determine the appropriate lens able to cut back on some of the other treat- cataracts that are already signi cantly devel- ness and a smoother had wasn’t just in the Eyeball header background from Pixabay. mkb sight, Diana* finally accepted the dry eye before cataract surgery may implant strength for the best uncorrected ments in her comprehensive therapy plan. oped, then doing laser vision correction is surface after the  ap – Bruce eyes,” she describes. *Patient’s name was changed to protect her privacy. the need for cataract surgery lead to less accurate measurements, less vision following surgery. “We’re finding that eighty to ninety not appropriate because surgery reshapes the is created,” he adds. “It was all along the Aearly in . At the same time, the than ideal results and worsening of the “The ophthalmologist rightly told percent of our patients are getting signi - cornea. As cataracts develop, they can a ect A goal of laser edges, too, but it’s all New Zealand native and former snow- dry eye condition. Diana to treat her dry eye  rst to improve cant improvement of their dry eye disease, the vision as well, making people slightly vision correction is to make people less gone now.  e itching, grittiness and feeling bird from Upstate Diana’s doctor the condition of her eyes’ environment although many don’t reach it as quickly as more myopic, or nearsighted. dependent on corrective lenses. One way of something in my eyes are all gone. I have New York was also told her about a new and stabilize the disease.  en her surgery, Diana,” Dr. Salinger asserts. “She was more “If we reshape the cornea with a laser to do that is with monovision, which cor- no symptoms whatsoever since LipiFlow Convenient experiencing other treatment for dry healing and choice of implant would be motivated than the average person because while the lens is changing, we’re running rects one eye for distance vision and one treatment. It’s wonderful. issues with her eyes eye called LipiFlow®, more straightforward.” she saw the  nish line as the chance to have in circles, like a dog chasing its tail,” o ers eye for near vision. “I know my vision will improve more Location! that further compro- then referred her to After doing several tests to determine vision-correcting cataract surgery.” the doctor. “We’re chasing the change “We proposed monovision to Bruce, after cataract surgery, but I got some Dr. Salinger is proud to present mised her vision. Clifford L. Salinger, the extent of Diana’s condition, Dr. Salinger in the lens as it becomes a full-fledged but he didn’t like that idea,” remembers improvement since the LipiFlow. Now, my “My eyes were MD, founder of  e began her on a comprehensive therapy for Doctor Recommended cataract.  at’s not good practice. Dr. Salinger. “He wanted both eyes cor- eyes don’t get as tired as they used to when the latest breakthrough medical really bothering me, Dry Eye Spa & V.I.P. her dry eye disease. For Diana, this included Retired business owner and snowbird Bruce “People who have little change associ- rected for distance vision. He believed he I’m reading or watching television. My technology for dry eye disease. and not just from the The Laser Eye Center in hot compresses, lid hygiene with special Davis didn’t have dry eye disease like Diana. ated with cataracts, as Bruce did, can still would feel o balance with monovision. vision is better in that respect.” cataracts,” she re ects. Palm Beach Gardens. cleaning agents, vitamin supplements, a mild He struggled with another condition – be measured for laser vision correction. I warned him that, in all probability, his Like Diana, Bruce has become more He off ers consultations in Stuart. “ ere was also terri- Dr. Salinger spe- steroid drop for in ammation, and antibi- distorted vision in both eyes. It was an issue However, in the presence of even early lens near vision would be compromised after independent as a result of Dr. Salinger’s ble itchiness, redness, cializes in dry eye otic drops and ointment. that started in his youth. changes, we can’t predict how quickly the surgery, but he wasn’t deterred. work. He says his vision is better than ever The Dry Eye Spa & V.I.P. Laser Eye grittiness and a feeling disease, which a icts “After two weeks of treatment, Diana “I had German measles when I was six, cataracts will develop and interfere with the “We did the LASIK procedure on and that he has become virtually glasses free. Center is located in Palm Beach there was something System millions of Americans. was still having quite a bit of discom- and the high fever caused changes in my cor- surgery’s results. We anticipated that Bruce February , , and six days after the “I no longer have to wear glasses or stuck in my eyes all Fast • Noninvasive • Painless He provides extensive fort because the surfaces of her eyes were neas that left me with pretty bad eyesight,” had a good amount of time because his lens procedure, he was /  in his right eye contacts!” Bruce exclaims. “I do wear Gardens at: the time. All of these Eff ective • Long-lasting education and testing, so dry,” reports explains the York, changes were so minimal. He wanted to and /  plus in his left eye. With both glasses for reading, but I don’t mind that symptoms were related as well as comprehen- Dr. Salinger. “So, on Pennsylvania native. move forward with LASIK.” eyes open, he was reading most of the / because my distance vision is excellent. I’m  RCA Center Drive to my dry eye disease. sive treatment for the April third, we did “It made me terribly lines on the chart, and against all odds, delighted with it now.” “I was having a lot of di culty with my disorder. Among the treatments he provides the LipiFlow treat- “I have no symptoms nearsighted, so I’ve Safety and Precision he was reading the absolute smallest print Both Bruce and Diana are grateful to Suite  vision. Some of that was because of the cat- is the LipiFlow Thermal Pulsation System ment, and she did whatsoever since worn glasses or con- LASIK corrects vision through a laser that on the reading card, which is equivalent Dr. Salinger and his sta for their successful aracts and some of it was due to the dry eye. from TearScience®. very well with it.” tact lenses since I was changes the curvature of the cornea. A small to contract-size print.” outcomes.  ey are also more than pleased () -    ey both contributed to my vision being “Dry eye disease, also called ocular sur- The three-step LipiFlow treatment.” a kid, and with either blurry and not as good as it should be.” face disease, is caused by a combination of LipiFlow treatment the glasses or con- German measles at six led to Bruce’s According to Diana, dry eye disease is a factors,” Dr. Salinger points out. “Among takes about an hour, – Diana tacts, I actually had vision problems as an adult nasty disorder to have. She tried treating hers those are a reduction in the quantity of tears with cleaning of the pretty good vision.” Tired of Reading Glasses? with popular, over-the-counter eye drops but on the surface of the eyes and a decrease in eyelids before the He did until never received lasting relief from them.  e the quality of the tears produced. Tear qual- procedure and expressing the oil glands in recently, when Bruce, , noticed he was Now, There’s a Solution symptoms always returned. ity includes the composition and amount of the eyelids afterward. having issues while wearing his contacts, “People can’t treat dry eye with over- oils in the eye’s tear layer. “During the LipiFlow procedure, an eye- which he preferred over glasses.  e issue y middle age, people begin to a natural range of vision and o ers long- the-counter drops and live normally with “LipiFlow is a revolutionary break- piece contacts the outer eyelid and contains was one that annoyed him more than hurt notice that the newspaper, books term performance to help people enjoy it,” she shares. “It doesn’t work that way. through for treating chronic dry eye disease. a soft,  exible bladder that intermittently him. and other nearby objects are clearer overall vision over time. Bblurry, and they’ve become more “The KAMRA Inlay is like a  e dryness, redness, burning and feeling It relieves dry eye symptoms by removing in ates to provide controlled pressure and “If I wore my contacts for eight to ten of something in my eyes never went away blockages of the eyelid’s oil glands. Opening massage,” explains Dr. Salinger. “Heat is also hours, they would become uncomfortable,” dependent on reading glasses. contact lens, only smaller and with the over-the-counter medications.  ey and clearing the blocked glands enhances applied to the inner surface of the lid because he describes. “ ey didn’t feel dry necessar- That’s due to a natural but thinner,” informs Dr. Salinger. were just a temporary  x.” the natural production of the oils needed to of its proximity to the glands.” ily, although eye drops helped.  ey were frustrating change everyone “It has an opening in its center, When Diana consulted with the oph- restore a healthier tear layer on the surface Both of these functions work to liquefy just uncomfortable, and I’d have to take experiences called presbyopia. which gives it a pinhole aper- thalmologist who was to perform her of the eye.” then remove clogging debris from the oil glands. them out. I asked some opticians about Presbyopia is a loss of elasticity ture e ect.  is e ect enables possible treatments, and they suggested I see in the eye’s natural lens, mak- the KAMRA to more tightly Dr. Salinger.” ing it too sti to focus up close. focus light coming into the eye, Cli ord L. Salinger, MD, recipient of the “Heroes in Medicine” , awarded by the Palm Bruce took the opticians’ advice and Now, there’s a revolutionary which restores near vision while Beach County Medical Society, is a board-certi ed ophthalmologist with subspecialty certi- NOW AVAILABLE, made an appointment at V.I.P. Laser Eye breakthrough technology for alleviating maintaining distance vision. cation in corneal and refractive surgery, and dry eye. After completing his undergraduate Center. He was amazed by the thoroughness or reducing the need for reading glasses “ is new technology is ideal for peo- degree at The Johns Hopkins University in Baltimore, he received his medical degree from BREAKTHROUGH and precision of Dr. Salinger’s approach to in people with presbyopia. It’s called the ple who want to greatly reduce or eliminate UMDNJ-Rutgers Medical School, New Brunswick, NJ. Dr. Salinger completed an ophthalmology KAMRA® Inlay.  is new technology is now their dependence on reading glasses. In residency at UMDNJ-New Jersey Medical School. He is a member of the American Academy TECHNOLOGY testing and treatment. of Ophthalmology, the Cornea Society and the Florida Society of Ophthalmology. He is a past “I thought Dr. Salinger was a wonder- being o ered at  e Dry Eye Spa & V.I.P. some cases, however, reading glasses might associate professor at the University of Rochester and has lectured extensively nationally and DNA TESTING FOR ful doctor,” comments Bruce. “He’s very Laser Eye Center. still be necessary for people to see very  ne abroad. In addition to his volunteer work, traveling overseas on many occasions, he has been detail-oriented and careful about getting  e KAMRA Inlay is a surgical treat- print in dim light or do close-up tasks for the education chairman for the Florida Society of Ophthalmology for more than  years. LASIK SAFETY things right. We had a lot of problems ment that restores everyday vision, provides an extended period of time.” Visit The Dry Eye Spa & V.I.P. Laser Eye Center on the web at www.TheDryEyeSpa.com Page 8 | Florida Health Care News | Winter 2019 | North and West Palm Beach County Edition Functional/Integrative Medicine

InnovativeForever technology improves complexion, Young erases signs of aging very day is a beach day for Anna’s search led her to the Institute proven through real science, is that col- Anna*. That’s how it is of Colorectal Health & Wellness in lagen is actually rejuvenated and grows. when you make your living Stuart, where the practice’s founder So, it serves as a great, natural filler coaching the fast-growing and director, board-certi ed colorectal for your face. Esport of beach volleyball. surgeon Deborah A. DeMarta, MD, “Clinical studies have been done “I started playing beach volleyball FACS, FAARFM, specializes in integra- proving that having two or three Forever in college and became a coach after tive and anti-aging medicine. Young BBL treatments in a year can that,” Anna says. “I like that I’m giving remove as much as eleven years of aging something back to the sport because I from your face. It’s a really lovely and Upon completion of the procedure, love everything about it.” versatile procedure.” patients can return to normal activities Well, almost everything. Anna, who the same day. Forever Young BBL treat- is rather light skinned, has never cared Quick, Easy, No Downtime ments require no downtime for recovery, for the constant exposure to the sun that Forever Young BBL treatments can and most patients begin to see the e ects her skin gets. INSTITUTE OF COLORECTAL be completed in an hour or less and within a week or two. “It’s caused a lot of damage,” she HEALTH & WELLNESS begin with the technician performing That’s how it was with Anna, who says. “I had a lot of sun spots and my DEBORAH A. DEMARTA, MD, FACS, FAARFM a skin cleansing to remove any resid- says her sun spots began to  ake o .  at skin had a rough texture. I heard that ual oils. The technician then applies a prompted her to get a second treatment, after there was a treatment for that, so I Following an aesthetic consulta- colorless gel that keeps the skin cool. which she began to notice a positive change decided to look into it.” tion to determine her speci c skin type, The treatment itself is performed in the texture and appearance of her skin. Anna began receiving BroadBand Light using a handpiece that has a crystal- “ e Forever Young treatments took Deborah A. DeMarta, MD, FACS, (BBL™) skin treatments, which are chilled applicator attached to it. care of my sun spots and made my skin FAARFM, is a colorectal surgeon designed to treat a variety of skin con- Depending on the skin type and treat- look and feel younger,” Anna relates. and functional medicine specialist. ditions, including sun spots,  ne lines, ment objective, adaptors and  lters are “It’s a great treatment that I recommend Dr. DeMarta completed her medical wrinkles and rosacea. used to ensure the treatment delivers the to anybody who has sun damage or just internship and residency at Mount Sinai Hospital in New York City. She “The treatment is called Forever desired results safely and e ectively. wants to look younger.” completed a research and clinical Young BBL™, and in addition to “ ere’s a speci c  lter that targets FHCN article by Roy Cummings. mkb fellowship at the Cleveland Clinic in Fort Lauderdale e ectively removing solar damage, it brown spots such as freckles, age spots *Patient’s name withheld at their request in  and is a fellow of the American College of is also one of the most cost-e ective and hyperpigmentation caused by sun Surgeons. Dr. DeMarta is the founder and principal ways to complete the goal of anti- damage,” Dr. DeMarta educates. Excellence in of the Institute of Colorectal Health & Wellness. As aging for skin on any part of the body,” “Another filter targets redness, as a functional medical practitioner, she works with Functional Medicine patients to identify the underlying causes contrib- Dr. DeMarta explains. in rosacea and broken blood vessels, For more information or to schedule a uting to chronic health issues. She then develops “The way it works is simple. The another filter treats acne and another consultation, please call or visit the Institute, individualized programs to restore natural balance broadband light heats the tissue, and filter is used for tightening of the located in historic downtown Stuart at: using nutrition, supplements and lifestyle changes. part of the response, which has been skin.”  SW Atlanta Ave. Visit the Institute of Colorectal Health & Wellness online at www.InstituteHealthWellness.com (772) 539-9556 Special to FHCN Remote Contro l Minimally invasive, robotically assisted heart procedure proves e ective dam* describes himself as a the mitral valve fails to close tightly the a ected area by performing open In addition to alleviating the need to  tness fanatic.  e -year-old when the left ventricle contracts.  is heart surgery - sawing the sternum in break or cut the breastbone, the advantages retired Naval o cer works out failure results in a leakage or backward half, spreading the ribs and operating of robotically assisted mitral valve surgery at the gym at least  ve days a  ow of blood through the valve. through the front of the chest. include less blood loss, less post-operative Aweek and usually gets in a jog of at least When As a result patient pain, less scarring and a shorter  ve miles every other day. this leakage of advances recovery time than with traditional surgery. He’s in excellent physical condi- occurs, blood in medical Research shows that robotically tion for a man his age, which is why he  ows through technology, assisted mitral valve surgery is just as suc- thought something must be wrong when the valve in surgeons can cessful as the traditional option. In an he suddenly found himself out of breath both direc- now perform NYU Langone study of , patients midway through the  minutes it usually tions, causing the same oper- who had the minimally invasive surgery, takes him to mow his lawn. an increase in ation remotely their long-term clinical outcomes were After taking the advice of his general the volume of with the aid of equivalent to those achieved by patients practitioner and visiting a heart specialist, blood in the a small camera who had a traditional sternotomy. Adam was surprised to learn that he was valve as well and thin robotic Adam is among those who can attest to su ering from mitral valve disease, which as an increase arms that are the fact that the robotically assisted surgery is the most common form of heart valve in pressure in fed into the works. He opted for that approach after he disease in the United States. the atrium. body through a was told of his condition and says now that Nearly half a million patients are This, in turn, series of small the surgery has given him a new lease on life. admitted to a hospital each year as a increases the incisions on “When I was told I needed to have result of some form of mitral valve pressure in the the right side heart surgery I wasn’t just shocked, I was disease. In turn, those visits result in veins leading of the chest. scared,’’ Adam says. “Along with the con- approximately , Americans – most from the lungs to the heart. While the surgeon works at a com- cern I had for my general overall health, of them  or younger - undergoing In mild cases of mitral regur- puter console that provides complete I was worried about the long layo that I surgery for the condition. gitation, sufferers may not feel any control of the movement of the robotic thought I’d be facing after surgery. One of four heart valves, the mitral symptoms at all. In more severe cases, arms, the camera provides a clear, “But I was in the hospital for only two valve is the one that allows the blood however, the lack of efficient blood three-dimensional view of the mitral days with this new surgery and within a received from the lungs to flow from flow can cause palpitations and may valve and its surroundings. month of leaving, I was back working out the left atrium, also known as the upper leave su erers feeling tired and short of Like traditional mitral valve surgery, the and going through my normal routine. If chamber of the heart, to the left ventricle, breath the way Adam did. robotically assisted version requires general I had been forced to have the traditional or lower chamber of the heart. For years, the primary treatment anesthesia and the use of heart-lung bypass surgery, it might have been months before What Adam learned upon his visit for mitral valve regurgitation was a sur- machines to perform the functions of those I was active again.” was that he was su ering from mitral gery designed to repair or replace the organs during the procedure. It provides FHCN article by Roy Cummings. mkb valve regurgitation, a condition where valve that required the surgeon to access several advantages over open heart surgery. *Patient’s name withheld at their request. Dentistry North and West Palm Beach County Edition | Winter 2019 | Florida Health Care News | Page 9

It’s never too late for Invisalign® clear braces

rior to taking a job as a high- wanted to be able to smile and not have level administrator for a large to worry about that hole in my mouth.” international water treatment Meryl was still thinking along those company, Meryl Rosenberg lines early last winter when a  lling fell Pworked as a sales rep for a computer soft- out of one of her teeth one Friday night ware company pushing one of the  rst while she was chewing on a piece of candy. generations of photo editing programs.  at mishap prompted a frantic search for Now that Meryl has a camera-worthy smile, she no longer has a dentist who could  x the problem. to fi ne-tune her photos. “I didn’t have a dentist at the time, NAVED and I told my husband, We’ll never  nd a Dr. Fatmi, who has helped more than “I think that made a big di erence FATMI, dentist on a Friday night,” Meryl remem-  patients over the age of  correct aes- with Meryl, and then, once she started bers. “He said, Oh, yeah, just watch me. thetic imperfections with Invisalign, had wearing the aligners again, she began see- DMD That’s how we found Dr. Fatmi and good reason to urge Meryl to try the tech- ing the results a lot faster. When you see Regency Court Dentistry.” nology again. In addition to the gap in her results, it makes you happy and makes Regency Court Dentistry is the smile line, she had some other aesthetics you want to wear them more.” It was while she was selling those soft- practice of Naved Fatmi, DMD, who that needed correcting. ware programs that Meryl learned what opened his doors to Meryl the very “She had a lot of space between some Life-Changing Results she considers to be an invaluable skill. next morning. Before the day was out, of her teeth, and she had what we call a Meryl started wearing her Invisalign clear “I used to go into stores and show Dr. Fatmi had done more than that. In cross-bite, meaning the teeth were overlap- braces in the summer of . By the fol- people how to fix up their photos,” she addition to replacing Meryl’s missing ping each other, especially on the bottom, lowing spring, she had completed the says. “I showed them how to put bor- filling, he’d also earned her trust. where there was a lot of crowding,” program and had graduated to wearing a ders around them and how to match “We just hit it o , and I can hon- Dr. Fatmi informs. retainer while she sleeps at night to pre- colors. I even showed them how to take estly say it was the  rst time I’ve ever been “All of that was causing Meryl some serve her new smile. She says the results someone out of a photo or move some- comfortable with a dentist,” Meryl says. personal issues. As she explained it to me, have been life-changing. thing around in one.” “He’s so gentle, and as we talked more and she was actually afraid to smile because “I absolutely love my smile,” Meryl It was that last skill that came in most more over time, he began talking to me she was very conscious of the way her enthuses. “I am so thrilled with it because handy because for years, Meryl had a gap about Invisalign, and he actually talked teeth looked.  at’s why she had tried for so long, I was so very self-conscious on the right side of her smile line that me into trying it again.” Invisalign once before.” about it that I didn’t even want to smile. showed up prominently in every photo Dr. Fatmi sold Meryl on the idea of But now, I have a wonderful smile. It’s like her shutterbug husband took of her. Metal or Plastic trying Invisalign once again by explain- Dr. Fatmi gave me my self-esteem back.” For years, Meryl solved the prob- Like metal braces, Invisalign clear braces ing some of the recent changes that have Meryl says most of her previous den- lem with the photos by simply cloning are designed to straighten crooked teeth. been made to the product, noting that the tal problems stemmed from her hesitancy an image of another tooth in her smile  e di erence is that they are made of braces are just as e ective as always but are to visit a dentist until it was absolutely line and moving it into the gap.  at lit- a clear, hard plastic that makes them now more comfortable to wear. necessary. She says that hesitancy has been tle trick made for a more pleasing family virtually invisible. Unlike metal braces, “Invisalign changes its product erased by Dr. Fatmi, who she now sees for photo album, but it didn’t solve the bigger Invisalign clear braces are also removable. every couple of years to make sure regular checkups and cleanings. problem of the gap itself. The plastic aligners are designed to patients get the proper tooth move- “Dr. Fatmi is so personable, and he made To correct that, Meryl first tried be worn for approximately two weeks at a ment they need and the comfort they me feel good about myself again!” Meryl Invisalign clear braces, which use a time, and wearers are advised to take them want,” Dr. Fatmi confirms. “With the exclaims. “I mean, I don’t have to clone the pic- series of transparent, removable plastic out when eating, drinking or brushing their most recent change, the plastic is a tures my husband takes of me anymore, and aligners to straighten crooked teeth. teeth. At the end of each two-week period, little more durable. thanks to Dr. Fatmi, I’m not afraid to smile. Despite the fact her dental insurance the aligner is changed out for a new one. “It’s still strong enough to move the “I’m so happy that I found was covering some of the cost, Meryl  e entire length of time a person teeth, but it’s softer, so it’s more com- Dr. Fatmi, and his sta is just great.  ey’re never completed the program. needs to wear Invisalign braces and con- fortable for the patient. In addition to all so nice and friendly. I’d recommend “I just didn’t stick with it, and I really tinue changing out the aligners depends explaining that, I also took some impres- Dr. Fatmi and Regency Court Dentistry don’t know why,” Meryl says. “I don’t on how misaligned the wearer’s teeth are. sions of Meryl’s teeth and showed her on to anybody.  ey’re the best you’ll  nd.” know if I just wasn’t mature enough to It’s typical for most patients to be out of a computer how they would look after she FHCN article by Roy Cummings. Patient photo by Nerissa handle it or what it was, because I really them after nine months. completed the program. Johnson. Background graphic courtesy of Pixabay. mkb

Specializing in all Naved Fatmi, DMD, received his Doctor of Dental Medicine degree Aspects of Dentistry, More Than Just Teeth from the University of Florida or patients looking for a facial reju- positive change for the patient, sometimes College of Dentistry in Gainesville. Including: venation to help enhance their new in just one day. JUVÉDERM results are He is a member of the American • Temporary fi llings smile, Regency Court Dentistry also evident the day they leave my office. Dental Society, the Florida Dental • Dental implants Fo ers JUVÉDERM® and BOTOX® Cosmetic BOTOX Cosmetic results are apparent Society and the Palm Beach Dental Society. • Extraction of teeth treatments as well as pregnancy and hydro within three or four days, in most cases. • Crowns facials, microdermabrasion and skin hydra- “For someone who may be more Contact Them • Veneers tion therapy.  ey even provide treatment introverted or shy about their appearance, • Porcelain onlays and inlays for acne, rosacea and other skin conditions. this is a huge boost to their self-esteem. for Your Smile • Dentures “Aesthetic services are becoming But the most important thing I want peo- Consultation more readily available at many dental ple to understand is that it doesn’t matter • Partials o ces as an additional treatment option,” how old a person is, and it doesn’t matter • Bridges Regency Court Dentistry is accepting Dr. Fatmi explains. “Who knows your what the problem is or where the prob- new patients. For more information • Invisalign facial structure better than your dentist? lem came from. Regency Court Dentistry • Whitening or to schedule an appointment, call “I love the aesthetics part of den- gives people the solutions they seek in or visit their o ce in Boca Raton at: • Dental emergencies tistry,” Dr. Fatmi continues. “It provides order to restore their con dence.”  Yamato Rd. Visit Regency Court Dentistry on the web at www.regencycourtdentistry.com Suite C and on Facebook at www.facebook.com/RegencyCourtDentistry () - Page 10 | Florida Health Care News | Winter 2019 | North and West Palm Beach County Edition Medical Weight Loss An Ideal Solution Customized weight loss program improves health, vitality

ll through high school and patients lose weight safely and e ectively well into early adulthood, while improving their health and vitality. Shelley Maldonado’s passion In addition to fostering better appe- for and continued participa- tite control, improving blood sugar and Ation in gymnastics kept her trim and cholesterol levels and reducing blood in tip-top shape.  en, as she puts it, pressure counts, Ideal Protein also helps “life got in the way” and that healthy patients develop and maintain eating hab- appearance disappeared. its that become second nature to them.  ose goals are achieved through customized meal plans that help to burn stored fat and preserve lean muscle by emphasizing high-quality proteins that are easily absorbed and limiting the amount of sugars and dietary fats that are taken in. “Most patients do like to eat pro- tein more than carbs or sugars,” Dr. Ravi explains. “And with Ideal Protein, they HIMAGIRI RAVI, MD can eat all kinds of proteins, including eggs, white  sh, turkey and chicken, and they eat four ounces of whatever that “I had two children and after that, protein is at each meal. I sort of lost my way a little bit,” pro- “ ey eat that in association with fesses the -year-old insurance claims some vegetables and some selected fruits supervisor. that they can also have as a snack.  at “I’d look in the mirror and think, gives the participant enough calories to Okay, that’s not too bad.  en one day, a make them feel as if their stomach is full, friend of mine posted some pictures of which helps them get through their day.” me and her on the internet, and when I Because the program removes most saw them, I thought, Oh my gosh! I had of the dairy, grains and a lot of fruits from no idea I’d gotten so big.” their diet, Ideal Protein participants need Dr. Ravi (right) says her patients have had “lots of success” Shelley’s startling realization sparked to take a multivitamin and also potas- with the Ideal Protein program. a search for a diet program that would sium,  sh oil and calcium supplements to help her regain the look she was once so ensure they receive an adequate weight loss program and go about their to the maintenance part of the program, proud of. At  rst, she asked a amount of minerals day. It’s a great program, and my patients she’s wearing a size  dress. few friends at work who each day. have had lots of success with it.” “I’m at a point now where, if I gain had recently lost some Participants in  ve pounds or something like that, I just weight what was the Ideal Protein My Rock, My Angel get back on the program and remind working for them. Protocol are also Shelley is one of those success stories. She myself, Protein, protein, protein,” Shelley “Then one encouraged to exercise says she struggled at  rst to stick to the says. “ at’s happened a couple of times, day, I was driving regularly. To aid them in diet limitations but that constant encour- and I’ve always lost the weight again somewhere and saw that endeavor, participants are agement from Dr. Ravi helped her get because I know how to do it now. this place,” the Lakeland given a booklet that shows them a variety through the transition period and into a “ rough the Ideal Protein program resident explains. “I have to be honest. of exercises that can be done to help them habit of eating healthier. and with Dr. Ravi’s help, I’ve learned I really don’t know what it was that burn more calories. “She explained to me that in order to how to eat right and eat healthy. I’ve also made me walk through the door that “Some of the exercises can even be rebuild your metabolism, you  rst have learned how a little bit of exercise can day. What I can tell you is that it was done while some- to break it down,” help you lose the weight and maintain one of the best things I ever did.” one is sitting down Before After Shelley says. “ at’s the weight loss you’ve achieved.  e door Shelley walked through and watching TV,” what you’re doing the “It’s a real simple program, and I really that day was the entrance to the practice reports Dr. Ravi,  rst two weeks you’re can’t say enough about Dr. Ravi and what of Himagiri Ravi, MD, a weight loss who has been rec- on the program, and a help she was to me through this. She was management specialist who recently ommending Ideal Dr. Ravi really my rock, my angel on earth.  e program renamed her practice and moved it Protein for patients helped me to under- works. It really does, but I don’t know if I from Lakeland to Boynton Beach. looking to lose stand portion size could have done it without Dr. Ravi.” Now known as L.I.V. Medical weight for more than and things like that. FHCN article by Roy Cummings. Photo by Nerissa Johnson. Weight Loss & Aesthetics, Dr. Ravi’s a dozen years. “She told me four Before and after images courtesy of L.I.V. Medical Weight practice focuses on improving “It’s an active ounces is about what Loss & Aesthetics.mkb each patient’s individual wellness management of diet, you can fit in the through an array of services, includ- exercise and healthy Shelley Maldonado palm of your hand, ing medically supervised weight loss, behavioral changes, so I use that as a guide Feel Better and hormone replacement therapy and and with the excep- for that part of it. She Look Your Best anti-aging treatments. tion of the home exercises, everything is also told me that you’re really not giving Longevity Into Vitality Medical Weight Loss done in the o ce, including the initial anything up on this program. You just can’t & Aesthetics is a premier weight loss and Safe, Eff ective blood work. Even the prescriptions are have some of those things every day. aesthetics center where the focus is on The weight loss program Dr. Ravi dispensed in our o ce. “ ere was one time when I was really each individual’s well-being as a whole. endorses is Ideal Protein®. A four-phase “We’ve set it up so that the patient craving a baked potato, and she said, Okay, Their experienced staff specializes in ketogenic weight loss and lifestyle pro- go ahead and have a baked potato. But you medically supervised weight loss, hormone can just walk in and take the bag that replacement therapy and a number of gram, Ideal Protein is designed to help he or she needs to go along with their can only have half of it.  en, you can’t have aesthetic services, including acne treatments, one again for a month.  at actually helped anti-aging treatments and skin rejuvenation. Himagiri Ravi, MD, is a weight loss management doctor and obstetrics me a lot because it made sense to me.” For more information, call or visit their o ce and gynecology specialist who has more than ten years of experience Combined with Dr. Ravi’s encourage- in Boynton Beach at: as a medical weight loss manager and more than  years of experience ment, the Ideal Protein program worked as an OB/GYN. She earned her medical degree from Andhra Medical   Jog Rd. College in Visakhapatnam, India in . She completed a residency at for Shelley. She says that when she  rst Suite  Andhra Medical College a year later and completed a second residency went to see Dr. Ravi, she was wearing a at Cornwall Regional Hospital in Montego Bay, Jamaica in . size  dress. Now that she’s graduated () - Visit them on the web at livmedicalweightlossaesthetics.com Stem Cell Therapy/Neuropathy Treatment North and West Palm Beach County Edition | Winter 2019 | Florida Health Care News | Page 11 Stem Cell Solution Sarah Sabol, DC hen Sarah Sabol, DC, decided to take “After that, I kept on training, although I should on a new life challenge four years have known better because my knee was still swell- ago, she took on one of the most ing,” she admits. “It kept getting bigger, and then it grueling. With her sights set initially started feeling unstable when I ran. I decided it was Won a race in Lake Placid, New York in , she began time to get an MRI.” training for an IRONMAN® triathlon, a three-event  e MRI showed that the cause of the swelling and race consisting of a .-mile swim, a  -mile bike ride instability in Sarah’s knee was a partial tear of her anterior and a . -mile run done all in one day. cruciate ligament, or ACL, the major stabilizing compo- nent in the knee joint. “Even after six months off from training, the nagging issues with my knee were still there,” Sarah HAL M. relates. “ e sta at Back In Action Medical Center, TOBIAS, where I work as a chiropractor, recommended stem MD cell therapy as a treatment. “I  gured, I’ve got nothing to lose, so they placed a stem cell injection into my left knee. After about six weeks, I started to notice a di erence.” “My goal was to  nish in under seventeen hours,” damage. Generally, one injection is su cient to obtain she relates. “I was successful and actually made it to Regenerative Medicine the desired results, but the treatment can be repeated if the podium at my  rst race. I felt pain in my left knee Stem cells are the body’s construction workers.  ey have necessary. Sarah only needed one injection to return to while I was running but just brushed it o .  e next the capability to transform, or di erentiate, into cells her training schedule. day, when I tried to walk up to get my award, I was with a speci c function in the body. For example, stem “Since I had the stem cell injection, there’s no more limping because my left knee had blown up to four cells that are placed where a ligament is damaged can visible swelling,” reports Sarah. “I get a little sti ness times the size of my right knee. become new ligament cells that repair the damage. Stem in my knee once in a while, but it’s not really painful. “I took six months to rest and wait for the swelling to cell therapy is also referred to as regenerative medicine. Actually, my left knee feels no di erent than my right subside. I  nally started running, biking and swimming “Because they can di erentiate, stem cells are used to knee now. again, but the knee pain and swelling came back. It got regenerate or repair various diseased organs and tissues,” “My activity level since the injection is good. I’m so bad, it was really hard to bend my knee at all.” con rms Dr. Tobias. “Stem cell therapy is e ective for back to full mileage. Right now, I’m training for a qual- By this time, it was  and Sarah was prepar- pain relief and for achieving better joint function. It has ifying marathon for Boston this December, then I’m ing for IRONMAN Florida. Before the race, she become an integral part of our rehabilitation process for going to run IRONMAN Texas next year in April, so visited an orthopedist who injected a steroid into joint pain, tissue growth, repair and healing.” my training volume has increased signi cantly. her knee. The injection improved her pain dramati- At Back In Action Medical Center, stem cell injec- “I de nitely recommend stem cell therapy at Back In cally, and she was able to complete the IRONMAN tions are given using live ultrasound guidance to ensure Action Medical Center to people who have knee prob- contest feeling great. the healing cells are placed directly into the site of the lems like mine.”

“Our program uses multiple treatment modalities, speci cally tailored to an individual’s needs,” Dr. Tobias describes. “ ese may include special nerve stimulation, Negating Neuropathy injections, nutrition, laser therapy, stem cell therapy, vibration treatment, physical-type therapy and med- Advanced therapy program relieves condition’s painful symptoms ications. All of these modalities help relieve painful neuropathy symptoms. ere’s something to think about. Sixty to Sensory nerves transmit information to the brain, “ ose who wish to get o of their neuropathy med-  percent of people with diabetes expe- which is then interpreted as a feeling of comfort or pain. ication can try this new approach and may  nd relief rience burning, tingling and numbness  ere are a wide variety of symptoms when sensory nerves without medication. in their feet that often keep them up at are compromised, but most common is a general decrease in “ e bottom line is, these patients need their neu- Hnight.  ese are all symptoms of diabetic neuropathy, sensation, especially in the legs and feet. ropathy pain treated.  is multi-dimensional approach the most common type of a larger condition known as Autonomic nerves control automatic organ activ- was developed to try to relieve their pain and give them peripheral neuropathy. ities, such as breathing, digestion and heart function. a better quality of life. Now, there is hope for patients An estimated  million people in the United Symptoms of autonomic neuropathies include loss of su ering from neuropathy.” States su er with some type of peripheral neuropathy, bladder control, inability to sweat and a sudden drop FHCN article by Patti DiPanfilo. Sarah’s photo by Jordan Pysz. mkb a condition caused by damage to the body’s peripheral in blood pressure when going from sitting to standing. nervous system.  e peripheral nervous system is the “High glucose [sugar] levels in the blood can damage Hal M. Tobias, MD, is board certified in neurology by the American Academy of vast network of nerves that transmits information to nerves in people with diabetes, but there are many other Neurology and in pain medicine by the and from the central nervous system – the brain and causes of neuropathy as well,” acknowledges Dr. Tobias. American Academy of Pain Medicine. He spinal cord – and the rest of the body. “ ese include nerve compression or entrapment and certain earned an undergraduate degree in biol-  ere are many symptoms of neuropathy, and they medical disorders, such as kidney and endocrine disorders, as ogy from the State University of New York vary depending on which types of nerves are damaged. well as some autoimmune diseases, cancers and infections. at Bu alo and received his medical degree “ ere are three types of nerves in the body: motor, sen- “Exposure to toxins, including heavy alcohol con- from Sackler School of Medicine/Tel Aviv – Division for New York State Students. Dr. Tobias sory and autonomic nerves,” explains Hal M. Tobias, MD, sumption, and genetic mutations are other potential served his internship in internal medicine at St. a board-certi ed neurologist at Back In Action Medical causes of neuropathy. Sometimes, however, the cause is Thomas Hospital Medical Center in Akron, Ohio. He then completed Center in Palm City. “Most causes of neuropathy involve all simply unknown.” his neurology residency at Jackson Memorial Hospital in Miami, where three types of nerves, although patients may only be aware Although there are excellent chemotherapy treat- he served as chief resident and founded the Movement Disorder of one or two, even as their condition advances.” ments for cancer, sometimes there can be painful Clinic. Dr. Tobias is a Fellow of the American Board of Psychiatry and Neurology, a member of the American Academy of Neurology Motor nerves control voluntary muscle move- neuropathy side e ects from those treatments. Dr. Tobias and a board member of the American Association of Sensory ment. Damage to these nerves most often results may be able to help with these side e ects. Electrodiagnostic Medicine and the Florida Society of Neurology. in muscle weakness, twitching, painful cramps and shrinking of muscle tissue. Treatment Advancement According to Dr. Tobias, treatment for neuropathy over Get Back in the years was predominantly limited to medications. “When I started practice, amitriptyline was essentially action the only medicine used to treat patients with neuropa- thy,” he says. “Now, we basically use three medicines Back In Action Medical Wellness Center is staffed by skilled and experienced medical – gabapentin, pregabalin and duloxetine – that are anti- professionals who offer a full range of services seizure and antidepressant medicines.” to meet your medical needs, and they look Recently, Dr. Tobias asserts, there was an advance- forward to serving you. For more information or ment in neuropathy treatment that allows for to make an appointment for a free consultation, neuropathy’s uncomfortable symptoms to be managed call or visit their office in Palm City at: in a new way through a multi-dimensional program that is now o ered by Back In Action Medical Center.  SW Martin Highway Visit Back In Action Medical Center online at backinactionmedical.com (772) 324-9337 Page 12 | Florida Health Care News | Winter 2019 | North and West Palm Beach County Edition Vein Treatment

Minimally invasive techniques relieve nagging leg pain

ealth enthusiast Charlene Ashton Vein Center is the practice “People with chronic insu ciency After Charlene received clearance Litwin’s decision to move of  omas Ashton, MD. Dr. Ashton are also much more likely to from her cardiologist, who did some pre- from Chicago to Florida practiced general surgery for  develop ulcers, or open wounds, vious studies on her arterial blood  ow, was based primarily on years before dedicating himself to around their ankles, especially if Dr. Ashton proceeded with his treat- Hher desire to be closer to her son, but the the modern evaluation and treat- the venous insu ciency is left ment, choosing EVLA and VenaSeal to opportunity to live under perpetually ment of venous disorders, which untreated. Ulcers occur when treat Charlene’s venous insufficiency. sunny skies amid picture postcard settings he’s been doing for the past  the skin on the legs breaks down. The procedures were very effective for played a part in it as well. years. During that time, They can become infected, Charlene, and she’s very excited about Dr. Ashton has per- and the infection can their outcome. formed more than spread to other parts , procedures of the body.” Beyond Belief on leg veins. To treat leaking “I’m doing fabulously,” she raves. “Shortly During his veins and prevent after the procedure, I was able to walk initial examina- these complica- three or four times as much as I could THOMAS ASHTON, MD, FACPH tion of Charlene, tions, Dr. Ashton before. I walked probably a whole block, Dr. Ashton and his team at maybe even more. The treatment was “I love Florida,” Charlene exudes. “I ordered an ultra- Ashton Vein a success beyond belief. I didn’t expect love the climate; I love the palm trees.” sound examination Center o er a full results that quickly. Now, I can walk a A vitamin consultant and health and of her legs. The array of mini- couple of blocks, and I walk all over the wealth coach, Charlene arrived here eight results showed the mally invasive store for nearly six hours. years ago dreaming of daily walks along tiny, one-way valves procedures to “I’m still progressing. Dr. Ashton said sun-splashed beaches, but those walks in the leg veins that gently close it will take at least six months until I fully and many of her daily activities were soon help move blood out the leaking recover. He closed o the bad vein that hampered by severe leg pain. of the legs up toward veins and was taking away the circulation, so new “ e problem with my legs was going the heart were not divert blood circulation, called collateral circulation, on for quite a while,” Charlene admits. functioning properly. flow to healthy can  ow.  at increases each day, so I’m “I was having tremendous pain when I As a result, blood was veins. One pro- getting better and better every day.” walked. I would get cramping, speci cally pooling in Charlene’s cedure uses a For Charlene, visiting Ashton Vein in the side of my calf on my right leg, as legs, causing swell- laser and is called Center was a delightful experience. Not well as some cramping in my left leg. ing and pain. This endovenous laser only did she achieve great results from her “The pain was the worst thing is a condition called ablation, or EVLA. treatment, she also received great customer because I was used to walking two to venous insu ciency. Another technique service from the vein specialist and his sta . three miles; then, all of a sudden, I  e most com- uses radiofrequency “Dr. Ashton and his team at Ashton couldn’t walk. I couldn’t go more than mon sign of venous energy to seal the Vein Center are wonderful,” Charlene maybe an eighth of a block – a very insufficiency is incompetent veins. relates. “Dr. Ashton has a great bedside man- short distance – and my legs would varicose veins. Other “A newer procedure, ner, and he explained everything about the cramp. I work at a nutrition store and signs and symptoms called VenaSeal™, uses a procedure to me before he did it. And the do a lot of walking when I’m working. include swelling, pain, biologic adhesive to close procedures they do there are noninvasive. I had to hold onto a cart for support.” throbbing, stinging, the veins,” notes Dr. Ashton. “Years ago, they weren’t able to do it Charlene also had a few ugly varicose burning, heaviness, night- “ is technique works like an that way. But Dr. Ashton and his nurse veins in her legs, and experienced some time cramps and restless instantaneous closure. Once have done so many of these newer proce- heaviness and swelling, but she was most legs. In its later stages, there we’re done with the procedure, dures that when I had mine done, I felt concerned about the pain and how it may be discoloration of the patients can walk right out of next to nothing. It was virtually painless. restricted her mobility. It wasn’t the exter- skin around the lower legs or the o ce, and unless they’ve It was just amazing. nal aesthetics Charlene worried about; it ankles and, eventually, a break- got a great deal of swelling, “And the procedure helped as was what was going on deep inside her down of the skin. they don’t even need to wear far as the appearance of my legs, too. legs that troubled her. compression stockings. Cosmetically, they certainly are better. But “I went through testing to see if Generating Awareness “Sometimes, we combine procedures it’s what Dr. Ashton did for my ability to there was any problem with my arte- “Varicose veins and other venous prob- based on the patient’s anatomy. For exam- walk that makes me most happy. It’s so rial blood  ow, and that was okay,” she lems in the legs are the most common ple, the laser procedure works very well wonderful. I’m so grateful. reports. “ en, I met a nurse at another medical conditions on the planet,” with straight veins, but it’s better to use “I highly recommend them. I have physician’s o ce who was very knowl- declares Dr. Ashton. “It’s estimated that the VenaSeal on veins that twist and turn. their cards, and if anybody approaches me edgeable and told me about Ashton up to sixty percent of the population will We customize the treatment to  t each at work, I always recommend Dr. Ashton Vein Center. She said they could evalu- have a vein problem in their legs at some patient’s needs.” and Ashton Vein Center. I couldn’t ate my leg situation, so I took her advice time in their life. possibly think of anybody better.” and went there for an evaluation.” “ ere are about three hundred and Thomas Ashton, MD, FHCN article by Patti DiPanfilo. Photos by Nerissa Johnson.  fty million people in the United States, FACPh, is board certi ed Background graphic from Pixabay. mkb which means that two hundred and ten by the American Board million have venous disease. Only a very of Phlebology. He earned small fraction of those people, however, his medical degree from Stop Living in Pain are recognized as having the problem.” Rush University College Dr. Ashton and his team at Ashton Vein Venous insufficiency is under- of Medicine in Chicago, where he also completed Center o er today’s highest standard of recognized, underdiagnosed and under- a ve-year residency in general surgery in vein care. They use the most advanced and treated, explains Dr. Ashton, who says . Dr. Ashton has functioned as medical comprehensive methods to evaluate and the absence of treatment can have serious director and chief of surgery, and continues treat varicose veins and other vein diseases. consequences. It is a risk factor for other, to serve the American College of Phlebology If your legs are swollen and painful, contact dangerous conditions that can cause dis- as a faculty member. He is also a Fellow of them for a free consultation: tressing illness or even death. the American College of Phlebology, a “People with venous insufficiency distinction held by a select few physicians Palm Beach Gardens are thirty times more likely to develop worldwide. Dr. Ashton has dedicated his  Design Center Drive Charlene was delighted by her a blood clot than people with healthy experience as a surgeon exclusively to the Suite B experience with Dr. Ashton veins,” asserts the doctor. “ at’s a signif- diagnosis and comprehensive treatment of and his staff . icant risk because blood clots can be fatal. venous disorders and associated aesthetics. () - Learn more about available vein treatments on their website, ashtonveincenter.com