The clocks “fall back” November 6, 2016 which means that there will be less day light. Many people chalk up feeling blue in winter as simply a fact of cold weather and lack of sunshine. But 4 to 6 percent of people may have a winter depression which is clinically referred to as Seasonal Affective Disorder. Another 10 to 20 percent may have mild SAD. SAD is four times more common in women than in men. Although some children and teenagers get SAD, it usually doesn't start in people younger than age 20. Your chance of getting SAD goes down as you get older.SAD is also more common the farther north you go. For example, it's seven times more common in Washington State than in Florida. Dr. Sanam Hafeez is a neuro-Psychologist in NYC (Manhattan and Forest Hills, Queens), and treats patients in her practice who display and express mood changes once October rolls around.
Dr. Hafeez explains that, “In most cases, seasonal affective disorder symptoms appear during late fall or early winter and go away during the sunnier days of spring and summer. However, some people with the opposite pattern have symptoms that begin in spring or summer. In either case, symptoms may start out mild and become more severe as the season progresses.”
The following are symptoms to look for to see if you are suffering from SAD
Depression
Hopelessness
Anxiety
Loss of energy
Heavy, "leaden" feeling in the arms or legs
Social withdrawal
Oversleeping
Loss of interest in activities you once enjoyed
Appetite changes, especially a craving for foods high in carbohydrates
Weight gain
Difficulty concentrating
How is SAD treated?
Many people with SAD will find that their symptoms respond to a very specific treatment called bright light therapy. For people who are not severely depressed and are unable—or unwilling—to use antidepressant medications, light therapy may be the best initial treatment option says Dr. Hafeez.
Light therapy consists of regular, daily exposure to a “light box,” which artificially simulates high-intensity sunlight. Practically, this means that a person will spend approximately 30 minutes sitting in front of this device shortly after they awaken in the morning. If patients do not improve, a second exposure of 20-30 minutes may be added in the early afternoon. Treatment usually continues from the time of year that a person’s symptoms begin, such as in fall, on a daily basis throughout the winter months. Because light boxes are created to provide a specific type of light, they are expensive and may not be covered by insurance. Unfortunately, having lots of lamps in one’s house and spending extra time outside is not as effective as this more expensive treatment.
Dr. Hafeez states that, “Side effects of light therapy are uncommon and usually reversible when the intensity of light therapy is decreased. The most commonly experienced side effects include irritability, eyestrain, headaches, nausea and fatigue.”
Scientific studies have shown light therapy to be very effective when compared to placebo and as effective as antidepressants in many cases of non-severe SAD. Light therapy may also work faster than antidepressants for some people with notable effects beginning with in a few days of starting treatment. Other people may find that it takes a few weeks for light therapy to work, which can also be the case for most people who take antidepressant medications. Although not explicitly recommended, some people may elect for treatment with both light therapy and antidepressant medications. The combination of these treatments may be synergistic and a more robust way to address the symptoms of SAD.
In her practice Dr. Hafeez has found that antidepressant medications have been useful in treating people with SAD. Of the antidepressants, fluoxetine (Prozac) and bupropion (Wellbutrin) have been studied in the treatment of SAD and shown to be effective. The U.S. Food and Drug Administration (FDA) has approved these medications for treatment of major depressive disorder. Dr. Hafeez cautions that, “Any person considering treatment with an antidepressant medication should discuss the benefits and risks of treatment with their doctors.”
Individuals with a predisposition to bipolar disorder should be more cautious in approaching treatment for SAD and depression in general. Light therapy, like antidepressant therapy has been associated with increased risk of experiencing a manic episode. The specifics of this are beyond the scope of this review and again, should be discussed with one’s doctors.
Finally, a healthy lifestyle, including regular exercise, a good diet and a strong social network, is also likely to help you cope with SAD.
Sanam Hafeez Psy.D
New York State Licensed Neuropsychologist and School Psychologist
Dr. Sanam Hafeez is a New York City based Neuropsychologist and School Psychologist. She is also the founder and director of Comprehensive Consultation Psychological Services, P.C. She is currently a teaching faculty member at Columbia University.
Dr. Hafeez graduated from Queens College, CUNY with a BA in psychology. She then went on to earn her Master of Science in Psychology at Hofstra University. Following that she stayed at Hofstra to receive her Doctor of Psychology (Psy.D.) She later completed her post-doctoral training in Neuropsychology and Developmental Pediatrics at Coney Island Hospital.
Dr. Hafeez’s provides neuropsychological educational and developmental evaluations in her practice. She also works with children and adults who suffer from post traumatic stress disorder (PTSD), learning disabilities, autism, attention and memory problems, trauma and brain injury, abuse, childhood development and psychopathology (bipolar, schizophrenia, depression, anxiety, etc…) In addition, Dr. Hafeez serves as a medical expert and expert witness by providing full evaluations and witness testimony to law firms and courts.
Dr. Hafeez immigrated to the United States from Pakistan when she was twelve years old. She is fluent in English, Urdu, Hindi and Punjabi (Pakistani and Indian languages.) She resides in Queens, New York with her husband and twin boys.
Train It Right Youtube Launch
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Health Smart Financial Services ("Health Smart"), a technology-enabled specialty lender, announced today that it has closed a new senior revolving credit facility with CWB Maxium Financial ("CWB Maxium").
Health Smart's technology platform allows healthcare providers to offer their customers affordable monthly payments for services and products that require private out-of-pocket expense. Health Smart has a rapidly growing base of over 1500 merchant partners who benefit from the company's instant credit approval and paperless transaction capability.
"CWB Maxium is a great partner for our business," said Wayne Pommen, President & CEO of Health Smart. "This new revolving facility replaces our existing facilities and provides us with substantially increased funding capacity to grow our consumer loan portfolio. Combined with the growth equity investment we received from iA Financial Group last month, we are very well capitalized to continue our pace of growth in 2017 and beyond."
"We are pleased to be a funding partner for Health Smart as they capture the point-of-sale financing opportunity in Canada," said Neil Cruickshank, Vice President at CWB Maxium. "Health Smart has tremendous potential to attract quality financial assets. The transaction aligns with our strategy for creative and innovative financing, and supports our growing portfolio in the Canadian financing sector. We look forward to ongoing growth opportunities and collaboration."
About Health Smart: Health Smart Financial Services is a leading Canadian point-of-sale consumer lender focused primarily on the healthcare sector. Using Health Smart's platform, healthcare providers can have their customers approved for affordable monthly payments on-location or remotely using desktop, tablet, or smartphone interfaces. By partnering with Health Smart, merchants provide their customers with greater access to services while growing their sales. Health Smart's major segments include dentistry, fertility, audiology, mobility devices, veterinary services, and cosmetic procedures, in addition to selected segments outside the healthcare sector. Health Smart has approved over $170 million in consumer credit since inception.
About CWB Maxium: CWB Maxium Financial is a CWB Group company and offers creative structured financing that responds directly to the specific needs of each customer. Maxium Financial Services Inc. was founded in 1993, and on March 1, 2016, it became a CWB Group company. Today, the portfolio exceeds $1 billion. With over 35,000 customers, CWB Maxium is earning a reputation for innovative lending solutions coupled with an unparalleled ability to build long-term relationships. Learn more at www.cwbmaxium.com
ACE launches JointHealth™ Education
North America's first on-line classroom designed to educate, empower and graduate today's modern arthritis patient
Arthritis Consumer Experts (ACE) today announced the launch of its newest on-line patient education program: JointHealth™ Education. Designed to enable arthritis patients to progress from being a "student" of arthritis to full-fledged "graduate," JointHealth™ Education empowers and equips them to be equal partners on their health care team. As part of the launch, ACE is introducing the first course in the program - JointHealth™ Education: Rheumatoid Arthritis (RA) - to help patients and their healthcare providers better understand each other's motivations and goals for the patient's overall treatment and care plan.
"JointHealth™ Education was inspired by many of ACE's members living with an inflammatory arthritis who have told us they lack the communications expertise to have full, satisfying conversations with their rheumatologists on topics such as treatment options during their clinical visits. The program is informed by our organization's participation on a global advisory panel that conducted a survey in 16 countries of rheumatoid arthritis patients and their health care providers. The results illuminate the discord between the needs, concerns and fears of patients compared to the views of their health care providers," said Cheryl Koehn, Founder and President of Arthritis Consumer Experts and a member of the RA Narrative Global Advisory Panel.
Key findings of the RA Narrative Global Patient Survey included:
The vast majority of RA patients survey indicated they defined treatment success as no longer being in pain and having little to no inflammation, followed by improvement in their overall quality of life; the healthcare provider survey reported that their goals for their patients were achieving disease remission and/or low disease activity;
More than a third of patients surveyed reported they do not take their RA prescription medication as prescribed;
Over two-thirds of RA patients reported they felt uncomfortable raising their concerns/fear with the healthcare provider, and over a third strongly agreed or agreed that they worry if they ask too many questions, their healthcare provider would consider them a "difficult patient" and this would affect their quality of care.
These and other important findings from the RA Narrative Global Patient Survey led ACE to seek a made-in-Canada solution that focuses on closing the "communication gap" between RA patients and their rheumatologist to help them work as equal partners in disease management.
"The survey represents the views of 4,000 RA patients around the world and of their healthcare providers in the companion survey, providing ACE the road map for the development of JointHealth Education RA," said Koehn. "This evidence tells us that a patient's perception of their RA and its treatment, as well as their relationship with their healthcare provider, impacts the management and the outcomes of their disease. It shows us that, together, RA patients and their rheumatologists can better communicate and understand one another's views to achieve the best possible outcomes for patients."
JointHealth™ Education provides current, evidence-informed lessons, quizzes and coaching videos through a secure, on-line classroom where they can learn from the comfort of their own home or over the work day lunch hour. The program helps prepare patients to appropriately frame their health concerns and questions with their healthcare provider. Upon successful completion of a course the patient "Graduate" receives a certificate indicating they have the knowledge and communication tips needed to successfully prepare for their medical visit, talk to their health care provider about setting treatment goals and making an overall plan, discuss specific treatments (medication and non-medication forms) to manage and monitor their type of arthritis.
"Canadian rheumatologists have been actively discussing and pursuing ways to improve communication between patients and rheumatologists in order to work together to set treatment goals and establish a treatment plan to achieve the best possible disease outcomes. JointHealth™ Education is a valuable tool not just for patients, but also for rheumatologists – junior and senior, alike – to better assess the wants and needs of patients through their eyes, not just ours as was the case in days gone by," said Kam Shojania, MD, FRCPC, Clinical Professor and Head, Division of Rheumatology, University of British Columbia, and Medical Director of the Mary Pack Arthritis Program.
About Arthritis Consumer Experts
Arthritis Consumer Experts is a national organization that provides free, science-based information and education programs in both official languages to people with arthritis. ACE serves people living with all forms of arthritis by helping them take control of their disease and improve their quality of life through education and empowerment. Founded and led by people with arthritis, ACE also actively advocates on arthritis health and policy issues, through ACE's JointHealth™ family of programs and the Arthritis Broadcast Network, directly to consumers/patients, healthcare professionals, media and government. ACE is guided by a strict set of guiding principles, set out by an advisory board comprised of leading scientists, medical professionals and informed arthritis consumers.
World Stroke Day reminds us all that stroke is treatable
March of Dimes Canada celebrates global campaign on October 29
Anna Bauer-Ross was 36 when she had her stroke. She was on vacation in the Bahamas with her young kids, unaware of how her life was about to change.
"I had to relearn the basics because the stroke had caused a severe left side neuropathy and even damaged my vocal chords," Bauer-Ross says. "My days of being a busy mom, carpooling, and taking my children to their sporting events were over. I was learning how to conquer the most elementary tasks: walking, writing, even seeing."
The most surprising thing is that Anna is not alone - stroke can and does strike people of all ages. It's a devastating diagnosis, of course, but there's good news too: stroke is treatable!
That's the theme of this year's World Stroke Day (October 29th). Like March of Dimes Canada'sStroke Recovery Program, the World Stroke campaign focuses on rehabilitation and recovery, and the fact that stroke survivors can return to engaged, fulfilling lives.
"What happens after a stroke is extremely important," says Andria Spindel, President and CEO of March of Dimes Canada. "March of Dimes Canada focuses on helping the individual move past the stroke, find meaning and support, develop re-integration and independence skills, build new or renew social relationships, access recreation, health education and more. Stroke Recovery groups assist in rebuilding lives."
Today, Bauer-Ross is doing well, but she describes recovery as a long-term process.
"Recovery never ends. It's a journey. The key has been to understand the importance of medication maintenance, staying active with the help of my family, and doing all that I can to stay on course with my recovery."
March of Dimes Canada is a nationally registered charitable organization providing support services to people with disabilities, their families and caregivers across Canada. Our goal is to enhance the independence and community participation of people with physical disabilities every day through a wide range of programs and services across Canada. For more information, please visit www.marchofdimes.caor call 1-800-263-3463.
SOURCE March of Dimes Canada
Fitness Ladies Why Draw Brows When You Can Tattoo. You sweat off your brows anyway. So why not try a permanent fix! Introducing: The Good Geisha
“Restoring confidence in someone’s life makes all the difference.”
- Amber Gotzmiester –
COSMETIC TATTOOING IN TORONTO
TORONTO, ON – From permanent make-up, to medical and restorative procedures; cosmetic tattooing, known as ‘micropigmentation’ is becoming a common practice for both men and women living in and outside of the GTA. Responding to this growing trend, are Cosmetic Tattoo Artists, Amber Gotzmeister and Anna Chow, who have teamed up to bring Toronto its first premiere cosmetic tattoo shop calledThe Good Geisha. The pair is working hard together at quickly distinguishing themselves from the bad to THE GOOD by practicing voluntary standards in an unregulated industry with ongoing health and safety concerns.
“Many professionals in the industry, including myself, strongly believe that cosmetic tattooing does not belong in an environment where you'd get your nails done,” says Amber Gotzmeister. “Because the industry is unregulated with little enforced standards, you want to do your research before selecting someone to administer cosmetic tattooing. You have to be very careful. I would strongly advise against budget cosmetic clinics and day spas offering cosmetic tattooing.”
Gotzmeister hasbeen a senior instructor at the Micropigmentation Centre since 2014, primarily focused on all “hands on” practical training for all of the programming.She also leads the Microblading Programteaching theory, design concepts and strategies.Gotzmeisterhas performed over 500 eyebrow and eyeliner services; 200 lips and 100 paramedical.
“We hear countless horror stories and witness mistakes up-close and personal; often having to correct errors from improper and unprofessional procedures,” says business partner, Anna Chow. “There has also been little positive media coverage on our industry. We want to change these attitudes by highlighting the benefits, but while addressing health & safety concerns such as infections, permanent disfigurement, and Hepatitis B and C. Not only can cosmetic tattooing be expensive to correct, improper procedures can also be detrimental to one’s health.”
“Many celebrities are rumoured to have had permanent make-up procedures,” says Gotzmeister. “When you live your life constantly in the spotlight and under a microscope, it seems like a viable option. The same goes for those rushing to get to work in the morning. Many people are turning to cosmetic tattooing to save themselves the time and hassle from applying makeup.The three most common procedures are eyebrows, eyeliner, and lips, in that order. However, it changes between cosmetic and medical based on demographic and market targeting. American insurance companies are even starting to include cosmetic tattooing in their coverage plans. Canada has yet to follow.”
“I absolutely love how natural my brows look after microblading with Amber,” says Melissa Andre of Melissa Andre Events. She was able to perfect my brow shape and give me perfect definition to highlight my eyes. I fly between Toronto and LA throwing parties for Drake and many other celebrities; cosmetic tattooing has helped me save a lot of application time. When you are constantly working in the spotlight and busy like me, the procedure was a wise investment that improved my business of being social.”
Why "The Good Geisha"?
“I really wanted to make sure I wasn't confused with the typical beauty bar so I wanted a name that reflected a traditional tattoo shop. I found a "tattoo shop name generator" on Google and just clicked a button to come up with names. The first click populated the name Bad Geisha. I liked it, but I didn’t want to give off a brothel impression. I changed bad to good and bounced it off my husband. He said I should put word "the" in front of it. When I bounced it off my girlfriends she mentioned the stigma of the geisha so I did some research. I found an article by Elle magazine that I think summed up exactly what made me fall in love with the name.”- Gotzmeister
"There are numerous reasons why geisha have remained icons of enduring enchantment since they first emerged in Japan in the 1700s. They are a very secretive group, existing in what is known as karyukai, or "the flower and willow world." To see one, even in their traditional home base of Kyoto, is rare, not only because there are now fewer than 300 of them, but because they perform their tea ceremonies only for the wealthiest and most elite (contrary to popular belief, geisha were never courtesans; the confusion stems from Western soldiers' reductive use of the term geisha girls for Japanese prostitutes during WWII). Living embodiments of mystery, serenity, and romance, there are perhaps no other women on earth so devoted to the pursuit of beauty in all of its forms." – Elle Magazine Source -
About Amber Gotzmeister
Amber Gotzmeister is aColour Correction Expert, the Senior Instructor at the Micropigmentation Centre and the Co-owner of The Good Geisha. Shestarted in the medical camouflaging makeup industry in 2003 teaching her clients how to cover their scars and birthmarks with makeup.Her directed focus in micropigmentation began in 2007, and since then she has performed countless procedures.As an instructor, Amber developed and implemented fundamental training programs as well as advanced workshops targeting the popular procedure, Microblading. Amber is known for her calming personality and her extensive knowledge on colour in the skin.Amber holds a CIDESCO designation in medical esthetics and a Marvel Makeup Diploma since 2003.Specialities: 3D Microblading, Colour Corrections, Cosmetic & Para Medical Tattoos.@microbyamber
About Anna Chow
Anna has always had a passion in visual arts even as a child. With a finance background and having worked on Bay St., she decided to quit her career and pursue her passion. She entered the industry by extensively training under numerous worldwide renowned artists before starting her own Studio in Vaughan and now a Co-Owner of The Good Geisha.Her strong belief of "when you stop learning, you stop growing" is why she continues to learn, share andinstructMicroblading. Her love and perfection for the beauty industry is reflected through her work as she finds fulfillment by listening to her clients’ needs, assessing facial structures and helping recreate their image. Specialties: Microblading, Micropigmentation,Certified Slope Needle Specialist and Certified Eliminink Specialist. @annavictoriachow
FAQs
1. What procedures does The Good Geisha specialize in?
We specialize in all forms of cosmetic tattooing, which include eyebrows, eyeliners, lips and beauty marks. We also specialize in para-medical tattooing, which includes density re-pigmentation for scalp, areola/nipple complex re-pigmentation and also camouflaging for skin disorders. Our most popular procedure is eyebrow Microblading, which lasts up to 1 year (for some, a little longer) and it gives a very soft, realistic look.
2. What is the main difference between The Good Geisha and typical beauty bars? The Good Geisha is Toronto’s very first Premiere Cosmetic Tattoo Shop. We specialize in only cosmetic/medical tattooing. No other services, no confusion. With over 10 years of combined experience, we aim to raise the bar in health and safety in our growing industry, by providing a standard in which you can trust and expect the highest quality of work using only 100% disposable tools.
3. Why should consumers avoid typical beauty bars? What health and safety concerns should consumers be aware of?
Typically beauty bars encompass a wide range of beauty services, which means their facilities may not be designed for a tattooing service. Beds or chairs should be linen free and appropriately wrapped in barrier film. All tools should be 100% disposable (including all hand pieces used for Microblading). Ask if your artist is Bloodbourne Pathogen Certified? This will ensure that they have had adequate training in the risks of tattooing, cross-contamination, and health and safety in the tattoo shop workplace. Consumers should do their research before committing to any type of tattoo. They should look into an artist’s work, ask to see their before and after photos, and check out the facility beforehand to ensure the highest form of safety measures are put into place.
4. What is the difference between micropigmentation and microblading?
MICROBLADING is a short term tattoo for the eyebrows. We use tiny pin like needles (not an actual blade) to implant pigment into the skin approximately 0.5 mm deep using a manual tool. This results in crisp realistic lines that resemble real eyebrow hairs. This style of tattooing is meant to last up to 1 year. You will require 1 touchup session within 4-6 weeks prior to initial appointment.
MICROPIGMENTATION is a permanent tattoo for eyebrows, eyeliners, lips, beauty marks, colour correction, scaring, areola/ nipple complex, and scalp using a state of the art electrical machine. Any form of tattooing on the face, palms of hands, and soles of feet will fade faster than anywhere else on the body. Therefore the longevity of the tattoo will be unique to each person’s needs, skin type, and lifestyle.
5. What is the average cost of microblading?
The average cost of microblading is anywhere from $450 - $650. The price varies depending on the artist and the artist’s experience in the field.
6. How long does microblading last (procedure and results)?
Microblading is a manual procedure that creates a hyper realistic hair stroke effect and can last anywhere from 1-2 years. The procedure takes about 90 mins. A person’s skin type and their innate healing process will determine their results. Everyone heals differently and some people’s skin/cell turnover pushes the colour out quicker or slower than others. There is no way to determine or guarantee what your individual experience will be.
7. Who is a good candidate for microblading? Almost anyone can be a candidate formicroblading. The only people who we caution are those who are in need of significant corrective work. Or those prone to keloid scarring. We would then, in most cases, recommend Micropigmentation as an alternative.
8. How does the microblading procedure actually work (what materials/techniques are used)? We use tiny pin like needles (not an actual blade) to implant pigment into the skin approximately 0.5 mm deep using a manual tool. We do this by gently pulling the needles through/across the skin to create a hair stroke feathered effect.
9. Is there any aftercare or maintenance involved after the procedure? Yes, aftercare is very important. Just like any tattoo, the aftercare regimen determines the colour retention in the tattoo. At The Good Geisha, we ask the clients to use our aftercare product the night of their procedure, and continue to use it for the following 2 weeks. Using a clean cotton swab, lightly massage a thin coat over the area several times per day. This will help with healing, minimize crusting and aid in colour retention.
FULL LIST OF SERVICES AND PROCEDURES:
Microbladingis a short-lived tattoo for the eyebrows. The Good Geisha uses tiny pin-like needles (not an actual blade) to implant pigment into the skin approximately 0.5 mm deep using a manual tool. This results in crisp realistic lines that resemble real eyebrow hairs. This style of tattooing is meant to last up to one year. Clients will require one touchup session within 4-6 weeks prior to initial appointment.
This is good for someone who is nervous or apprehensive to take the leap into a permanent tattoo. This is also what everyone is seeing on instagram so it is very trendy. It is actually a very old method of tattooing - like we are talking back to the bamboo stick days but it has come full circle and has been reintroduced more recently starting in Asia.
Micropigmentation is a permanent tattoo for eyebrows, eyeliners, lips, beauty marks, colour correction, scaring, areola/ nipple complex, and scalp using a state-of-the art electrical machine. Any form of tattooing on the face, palms of hands, and soles of feet will fade faster than anywhere else on the body. Therefore the longevity of the tattoo will be unique to each person’s needs, skin type, and lifestyle.
Eyebrows are the most popular procedure. Most women are unhappy with their brows either from over plucking or they are just naturally sparse. Our brows thin with age and disappear from the tails mostly from sleeping and rubbing in pillows. Then there is more a medical aspect like conditions such as alopecia (when you stop growing hair altogether). No eyebrows equals no expression. This is also a great option for those suffering through chemo treatments. I have done many brows prior to their treatment commencement and when they start to lose their hair it’s not such a shock because they still have "eyebrows".
Eyeliner is the second most popular and is primarily for cosmetic purposes except for those with alopecia. It saves women time (approx. 10 min per day) from having to put their eyeliner on evenly every day. There are so many meme’s and videos making fun of this fact. The Good Geisha posted one on the Facebook page MicrobyAmber and it reached over 60,000 views.
Lips are sought after to bring colour that fades away from the vermillion boarder with age, coldsore scarring etc. It is also for those who like to wear colour every day. It is more of a staining effect then an opaque coverage that you get with actual lipstick. Cleft palette augmentation is also possible but I haven’t personally done any of those before.
Beauty marks are still popular from the Cindy Crawford days. They are entirely cosmetic unless it is to match something that was there before some type of scarring or augmentation.
Colour Correction is my (Amber’s) specialty. Colour theory in the skin is completely different then traditional colour theory. I have spent the last 10 years learning and testing colour changes in the skin with thousands of procedures under my belt for all types of cosmetic tattooing.
Scarring is possible to camouflage if the scar is lighter then that rest of the skin, and it is completely flat or depressed (anything raised is hypertrophic and cannot be tattooed). We can also combine colour matching with micro needling treatments that smooth the structure of the skin as well. This is a para medical procedure for any place on the body or face.
Areola/ nipple complex regimentation is for women who have augmentation scarring or loss of areola melanin due to trauma from surgery. Reconstruction due to mastectomy for survivors of breast cancer. We can create a new set or match the bilateral pair.
Scalp is for women and men with thinning hair. We can implant pigment in many different patterns to create density which gives the illusion of fuller thicker hair. Either for long hair, mid-short and also bald heads. This is also beneficial for those with hair transplant scarring as we can blend the hair pattern into the scar to create an illusion of no scar and an even density of the hair.
Most procedures are 1-2 hrs for cosmetic purposes. Lips and para medical can run longer 3-4 hrs. It depends on the extent of the procedure in combination with the skin type of the individual. (An eyeliner with a thick line and wing will take much longer than an eyelash enhancement which is a thin line following just inside the lash line).
Morning, Afternoon, and Night... Which Foods Will Do You Right?
If you are not in competition prep or following a weight loss plan from me www.trainitright.com/programs use the tips in this guest post for healthy eating:
Before you grab that morning cup of coffee on an empty stomach, that lunchtime slice of pizza, or indulge in a steak dinner or ice cream while watching TV, understand that what you eat and when you eat it can lead to stomach upset. It can also trigger more severe issues in your gut. On the flip side, there are some foods that when eaten at certain times of day may soothe already existing stomach issues or may even prevent stomach ailments from occurring down the line. We spoke with Dr. Gina Sam Assistant Professor in the Division of Gastroenterology, Department of Medicine at Mount Sinai School of Medicine, New York who offers insights on what and when to eat certain foods for a healthy gut.
Best Bets for Morning
Yogurt
It’s important to start the day with a healthy breakfast that factors in stomach health. Probiotics found in Greek yogurt is ideal as it regulates the growth of harmful bacteria that grown in the digestive tract. Probiotics also keep colon lining healthy as it breaks through gastric acid and gets to the colon. In 2015 a study published in the The Korean Journal of Gastroenterology showed that yogurt might improve intestinal function for those with inflammatory bowel disease. Those who are lactose intolerant can enjoy lactose free yogurt.
Oatmeal
Oatmeal is a great bet for breakfast and can be topped with blueberries another gut friendly food. Oatmeal doesn’t cause acid reflux. It soothes any morning stomach upset and regulates bowel movements.
Fresh Fruit
Honeydew, cantaloupe, and watermelon are great options for those sensitive to reflux. Bananas help restore potassium, electrolytes and normal bowel function, especially if you have diarrhea. Bananas are also high in fiber, which is great for digestion.
The Lunchtime Lowdown
Salads
Eating leafy greens daily is a great for digestion. Lunchtime salads that include grilled salmon; chicken or turkey won’t cause reflux and will be easily digestible throughout the afternoon. If you are sensitive to acid then you will want to avoid onions or tomatoes and for some even the seeds in cucumbers can trigger a bout of stomach cramping. Be careful with lemon juice and vinegar in salad dressings, which can promote reflux. Try adding fennel with arugula and baby spinach along with parsley. Parsley is known to help digestion and settles the stomach.
Kimchi
This delicious Korean coleslaw is made primarily with cabbage, which promotes the growth of healthy bacteria in the colon. Also cabbage helps to eliminate waste regulating bowl movements. Home made sauerkraut is also a delicious option but be mindful if you are sensitive to spicy foods. This is why it is best to make your own so you can regulate the amount of spice.
Mediterranean Plates
Lunchtime is optimal for grilled veggies, legumes such as lentils with olive oil along with grilled fish or chicken. Preparing a plate of various whole grains, cauliflower, carrots, figs and pears are all great sources of fiber for the mid day.
A Digestible Dinner
You really want to focus on ease of digestion at dinnertime. Foods that are high fat
can overwhelm the stomach, resulting in acid reflux and heartburn. Steatorrhea or pale colored stool is excess fat in the feces. People with IBS fare better when they avoid high fat foods. That said here are some options for a healthy gut.
Grilled Fish
Cold-water fish such as salmon, halibut, or tuna when grilled in olive oil are full of omega-3 fatty acids, which can address any inflammation in the digestive tract. According to a 2014 study featured in the World Journal of Clinical Cases, omega-3’s were sites as being beneficial to those with ulcerative colitis.
Grilled Chicken with Couscous or Brown Rice
Chicken another lean meat that offers protein and is easy to digest goes great with couscous or brown rice especially if you tend to get acid reflux after late meals. Another option for a side dish is guacamole or avocado slices with lime. Artichokes also feed the good bacteria in your gut as does asparagus and lentils.
Stomach Friendly Snacking
When it comes to snacking there are several options you can reach for. Granny smith apples with almond butter, baby carrots and hummus, hallowed out cucumber and cottage cheese, kale and zucchini chips and assorted nuts (not peanuts) are all healthy and good for the gut.
You know your body best. Pay close attention to what agrees with you at varying times of the day and if you notice changes in how you take to certain foods see your doctor.
About Dr. Gina Sam:
Dr. Gina Sam, MD/MPH is an Assistant Professor in the Division of Gastroenterology, Department of Medicine at Mount Sinai School of Medicine, New York. She is the Director of the Mount Sinai Gastrointestinal Motility Center specializing in achalasia, gastroesophageal reflux, functional disorders, irritable bowel syndrome, gastroparesis, and anorectal disorders including pelvic floor dyssnergia and fecal incontinence.
In addition, she does practice General Gastroenterology including colon cancer screening with colonoscopy. She also has a special interest in Women's Health Issues.
Dr. Sam graduated from Tufts University School of Medicine with her medical degree and her Master's in Public Health with a concentration in Community Health in 2003. She has established the Mount Sinai Gastrointestinal Motility Center at Mount Sinai Medical Center providing a multidisciplinary approach to motility and Functional gastrointestinal disorders.
4 Ways To Prevent Gestational Diabetes
If you are overweight, pregnancy can be a challenge at times. You can be prone to many complications. This can include complications not just for you but your baby as well. Your baby could be at risk for gestational diabetes.
According to research you are at risk of developing gestational diabetes if:
1. You're obese (your body mass index is over 30).
2. You've had gestational diabetes in a previous pregnancy.
3. You have a strong family history of diabetes.
According to the Canadian Diabetes Association all pregnant women should be screened for gestational diabetes within 28 weeks of pregnancy. So make sure to check with your physician that you have been checked.
What exactly is gestational diabetes?
The Baby Centre describes gestational diabetes as a type of diabetes that some women get during pregnancy. It has been estimated that between 2 and 10 percent of expectant mothers develop this condition. This type of diabetes can occur during pregnancy when your body cannot produce enough insulin to handle the effects of a growing baby and changing hormone levels.
Insulin helps your body to control the level sugar in your blood. If your body cannot produce enough insulin, your blood sugar levels will rise and result in negative side effects. If your blood sugar levels are too high, too much sugar will end up in your baby's blood. When this happens, your baby's pancreas needs to produce more insulin to process the extra sugar. All this excess blood sugar and insulin can cause your baby to put on extra weight, particularly in the upper body. This is not something you want to happen.
The good news is women who do develop gestational diabetes can go on and give birth to perfectly healthy babies if they properly manage their condition. Healthy dietary changes and exercise may be enough to keep your blood sugar levels under control. However, sometimes medication is needed, too. The American Diabetes Association recommends the following:
1. Eat three small-to-moderate-size meals and two to four snacks every day, including an after-dinner snack. Your meal plan may contain fewer carbohydrates than you normally eat. It's best to include complex carbs (contain more fiber) Pair lean protein with carbohydrates at all meals and snacks. Protein helps to make you feel fuller, sustain energy, and give you better blood sugar control.
2. Don't skip mealsand eat breakfast. Be consistent about when you eat meals and the amount of food you eat at each one. Your blood sugar will remain more stable if your food is distributed evenly throughout the day and consistently from day to day.
3. Include high-fiber foods, such as green vegetables and fruit, whole grain breads.
4. Stop snacking on foods and beverages that contain simple sugars such as soda, fruit juice, flavored teas and flavored waters, and most desserts – or avoid them altogether.
Remember being active and exercise helps. Make sure to check with your physician if it is ok for you to exercise. Once you are make sure to exercise within your ability. If you are unfamiliar with exercise or what you should be doing when you are pregnant seek out a proper fitness expert for a consultation.
New Study on Finally Treating Chemo Brain
Breast cancer patients and support groups first brought attention to a phenomenon they called “chemo brain” or “chemo fog” in the 1980s. The often vague yet incredibly distressing mental changes cancer patients experienced were real, yet many medical professionals continued to question the phenomenon’s seriousness and very existence. Studies on cancer-related cognitive decline unfortunately did not begin until the late 1990s, and, 30 years later, there is still no treatment.
However, a new study will publish on Monday, October 31st, which suggests that the lack of understanding and treatment for cancer-related cognitive decline may be about to change. For decades cancer patients have been affected by chemo brain – a mental cloudiness noticed before, during, and after cancer treatment. Defined as a decrease in mental “sharpness” – with many chemo brain patients having difficulties with memory recall, finishing tasks, and learning new skills – chemo brain indisputably impacts every aspect of the patient’s life. One doctor working to reverse such devastating effects is world-renowned scientist and founder of Posit Science, Dr. Michael Merzenich.
If you are interested in discussing the major developments and breakthroughs being made in the fight against cancer-related cognitive decline, the future of medicine, and how technology is creating new cognitive medical advancements, please let me know – I would be happy to arrange an interview with Dr. Merzenich or provide you with written commentary and additional information.
Additionally, please let me know if you would be interested in an early release on the forthcoming chemo brain study.
World's Smallest Pacemaker Licenced for Canadian Patients
The Medtronic Micra Transcatheter Pacing System is the first leadless pacemaker licenced in Canada and the worlds smallest pacemaker. (CNW Group/Medtronic Canada)
The Medtronic Micra™ Transcatheter Pacing System (TPS) is the First Leadless Pacemaker Licenced in Canada
Medtronic Canada, a subsidiary of Medtronic plc (NYSE:MDT), today announced it has received a Health Canada licence for the world's smallest pacemaker, the Medtronic Micra™ Transcatheter Pacing System (TPS). The Micra TPS is the first Health Canada licenced product with miniaturized pacing technology. It is cosmetically invisible and small enough to be delivered through a catheter and implanted directly into the heart - providing a safe alternative to conventional pacemakers without the need for cardiac wires (leads).
Comparable in size to a large vitamin capsule, the Micra TPS is attached to the heart with small tines and delivers electrical impulses that pace the heart through an electrode at the end of the device. Unlike traditional pacemakers, the Micra TPS does not require leads or a surgical "pocket" under the skin, and there are no visible signs of the device. The Micra TPS responds to patients' activity levels by automatically adjusting therapy.
Micra TPS is the first and only leadless pacing system to be licenced for both 1.5 and 3 Tesla (T) full-body magnetic resonance imaging (MRI) scans, providing patients with continued access to these advanced imaging diagnostic procedures.
The Micra design incorporates a retrieval feature to enable repositioning if needed; however, the device is designed to be left in the body. For patients who need more than one device, the miniaturized Micra TPS was designed with a feature that enables it to be permanently turned off so it can remain in the body and a new device can be implanted without risk of electrical interaction.
In November 2015, data from the Medtronic Micra TPS Global Clinical Trial, which included two Canadian centres, were published in the New England Journal of Medicine and presented during a late-breaking Special Report at the American Heart Association Scientific Sessions. These data showed the Micra TPS was successfully implanted in 99.2 percent of patients, there were no (0) dislodgements, and the system met its safety and effectiveness endpoints with wide margins at six month follow-up.
Data presented in August 2016 at the European Society of Cardiology (ESC) Congress showed that the risk for major complications with the Micra TPS remained consistently low, with 96 percent of patients experiencing no major complications through 12 months follow-up (95 percent confidence interval, 94.2 percent-97.2 percent, P<0.0001). The Micra TPS reduced the risk of major complications by nearly half (48 percent; hazard ratio = 0.52, P=0.001) compared to conventional systems and the risk was lower across all patient sub-groups, whether measured by age, sex or comorbidity (all hazard ratios < 1.0).
The overall reduction in major complications with the Micra TPS was associated with a 47 percent decrease (p=0.017) in the risk of hospitalization and 82 percent (p<0.001) reduction in risk of system revisions (meaning extraction, repositioning or replacement) compared to conventional pacing systems.
"Dating back to the development of the first external battery operated pacemaker more than 60 years ago, Medtronic has a long history of collaborating with clinicians to better understand the needs of patients, and then innovating new products to meet those needs," said Michael Blackwell, director of the CardioVascular Group at Medtronic Canada. "We are thrilled to be the first to introduce a transcatheter pacemaker to patients in Canada, and we're looking forward to working with physicians and educating implanters to extend the positive results of our global clinical trial experience to even more patients."
The Micra TPS was awarded CE Mark in April 2015 and FDA approval in April 2016. It is intended for use in patients who need a single-chamber pacemaker. The device was designed to allow patients to be followed by their physicians and send data remotely via the Medtronic CareLink™ Network; remote monitoring of Micra devices is expected to be available in the near future.
In collaboration with leading clinicians, researchers and scientists worldwide, Medtronic offers one of the broadest ranges of innovative medical technology for the interventional and surgical treatment of cardiovascular disease and cardiac arrhythmias. The company strives to offer products and services that deliver clinical and economic value to healthcare consumers and providers around the world.
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