2to01hld0607 2to01hld0607 zallcall 57 … 2to01hld0607 zallcall 57 18:03:10 06/06/11 b ... features...
TRANSCRIPT
2TO01HLD0607 2TO01HLD0607 ZALLCALL 57 18:03:10 06/06/11 B
floridatoday.com LIFE&HEALTH DTuesday
June 7, 2011
FEATURES EDITOR SUZY FLEMING LEONARD, [email protected] or 242-3614
Dr. PamelaTronetti
Senior consult
Top 5 cosmeticsurgeries
318,123Breast augmentation
289.016Lipoplasty (liposuction)
152,123Blepharoplasty (eyelidsurgery)
144,929Abdominoplasty (tummytuck)
138,152Breast reduction
Top 5 nonsurgicalprocedures
2.4 millionBotulinum Toxin Type A(Botox and Dysport)
1.3 millionHyaluronic acid
936,270Laser hair removal
562,706Laser skin resurfacing
493,896Chemical peel
American Society forAesthetic Plastic Surgery
60seconds
When it comesto health, listento yourmother
Of news you can use
Tell us yourhealth ideas
Do you have ideas orfeedback on the healthand medical coveragein all medical reporter
Susan Jenks at321-242-3657 or
New on CD“The Book of
Mormon,”Original Broadway Cast
“Revelator,”Tedeschi Trucks Band
“Ronnie Dunn,”Ronnie Dunn
“Suck It and See,”Arctic Monkeys
“Remixes 2: 81-11,”Depeche Mode
“Live at Donington1990,”
Whitesnake“Il Volo (Spanish
Version),”Il Volo
“AnniversaryCelebration,”Randy Travis
New on DVD“True Grit”“The Big C”
“Breaking Bad: TheComplete Third
Season”“The Man WhoWould Be King”
“The Outlaw JoseyWales”
“Leverage: ThirdSeason ”
“White Collar:Seasons 1 & 2”“Green Lantern:
Emerald Knights”
Hospice teentraining
Volunteer training willbe offered from
10 a.m. to 3 p.m.Wednesday at Bright
Star Center forGrieving Children &Families, 3661 S.
Babcock St.,Melbourne. The
program is open toteens in ninth through
12th grades. Call321-434-1782.
Textile showThe hours for “BritishBolts: Artists Fabricsfrom the Mid-Century”are 10 a.m. to 4 p.m.
Tuesday throughFriday and noon to4 p.m. Saturday at
the Ruth Funk Centerfor Textile Arts,
Florida Tech, 150 W.University Ave.,
Melbourne. A story inThursday’s paper was
incorrect.The exhibition runsthrough Aug. 27.Admission is free.
Call 321-674-8313 orvisit textiles.fit.edu.
On Mother’s Day, I thought aboutsome of my mom’s health advisories,such as “Stay away from stray dogs.They might have rabies” and “Don’tgo barefoot. You might step on arustynailandgetlockjaw.”
She also read me Biblestories,andfor a while I was seriously concernedabout getting leprosy, not to mentionboils.
So,do theseancient diseases —ra-bies, lockjaw,leprosyandboils—stillexist?
Whogets themandhow?Whatarethetreatments?
Rabies is a virus that is spreadthrough saliva and affects the vic-tim’sbrain.
Across the world, 90 percent of allrabies in humans is from rabid dogs,but other carnivores like bats andraccoonsalsoaresusceptible.
“Furious” rabies results in aggres-sion and vicious behavior and is fol-lowed by paralysis and death.“Dumb” rabies causes lassitude andthenparalysisanddeath.
In humans, the disease starts withflulike symptoms. Then the patientbecomes agitated and has excessivesalivation and jaw muscle spasms.Any attempt to eatordrinkcancausethe spasm to be so painful the patientrefusesanynutrition.
The treatment is rabies immunog-lobulin, injections of rabies vaccine,muscle relaxants, IV nutrition andventilatorsupportasnecessary.
Ifuntreated, apersoncan dieofas-phyxia and paralysis in three to 10days. In theUnitedStates,aggressivediagnosis and treatment make this avery rare disease, less than two casesperyear.
Tetanus still is a worldwide killer,causing 50,000 deaths annually. Inthe U.S., there have been only233 cases reported from 2001 to2008. Florida is in the top five states,with 25 cases. People older than 65are twice as likely to get tetanus asyounger people, and 13 percent ofcasesare fatal.
Clostridium tetani bacteriumis theculprit, and is found in soil, dust, ani-mal fecesandvegetation.
Wounds in areas with poor bloodSee TRONETTI, 4D
Michael R. Brown, FLORIDA TODAY
Popular procedure. Dr. Roxanne Guy does liposuction surgery on one of her pa-tients at the Apollo Surgery Center in Melbourne. Liposuction is the second-mostpopular cosmetic surgical procedure in the United States.
‘Pent-up’ demandfor plastic surgeryTo appear youthful,millions seek Botox,fillers, lasers, peels
The price of surgeryCosmetic surgeries accountedfor 17 percent of the totalcosmetic procedures performedin 2010, but 62 percent ofexpenditures, according to theAmerican Society for AestheticPlastic Surgery. Here areaverage surgeons’ fees:Breast augmentation: $3,486to $3,797Lipoplasty (liposuction): $2,914to $3,122Face-lift: $6,629Rhinoplasty (nose job): $4,314Breast reduction: $5,384Blepharoplasty (eyelid surgery):$2,912Abominoplasty (tummy tuck):$5,332
— American Societyfor Aesthetic Plastic Surgery
* Facility fees, anesthesia andother surgical costs are notincluded. Data is based on2009 statistics.
INSIDEBY SUSAN JENKSFLORIDA TODAY
At slightly taller than5 feet and less than1 2 0 p o u n d s , K e l l eTreadwell describes her-
self as a tiny woman with tinywrists and “tiny little legs.”
But, after giving birth to two8-pound babies, now ages 5 and 9,she said, her once-tiny waist bal-looned to 34 inches. And her stom-ach pushed outward, forming aridge along her belly, the result oftornmusclesduringchildbirth.
“I’ve tried over the past fiveyears, but I can’t get the musclewall in my stomach to come back,”the West Melbourne resident said.“I can’t lose anything around thewaist,despitedietandexercise.”
So the 38-year-old Treadwellturned toabdominoplasty—betterknown as a tummy tuck — withMelbourne’s Dr. Roxanne Guy, aboard-certified plastic surgeonand past president of the AmericanSociety of Plastic Surgeons. Abdo-minoplasty was the fourth mostcommon cosmetic surgery chosenby women in 2010, according to arecently released survey by theAmerican Society for AestheticPlasticSurgery.
In Treadwell’s case, one of these“vanity” surgeries, so named be-cause they are considered med-ically unnecessary, had little to dowithvanity.
“I just don’t feel good and strongand healthy,” she said. “I’m notplanning to wear a bikini after-ward.”
Even in the wake of a bad reces-sion,Treadwell isoneofmillionsof
consumers in the United Stateswho each year decide to undergoplastic surgery, which rarely iscovered by insurance. Americansspent almost $10.7 billion on cos-metic procedures in 2010, a slightincrease over 2009’s $10.5 billionprice tag, according to the speci-altygroup’sestimates.
The most popular surgeriesSee PLASTIC, 6D
Gannett
Get the mostout of your gymLooking to get in shape and thinkingabout joining a gym? Not so fast.Trainer Tom Holland’sunconventional guidebook, “Beatthe Gym,” gives you the ins andouts, from what gym to join to whatto do once you’re there, 4D
People’s Herbal Pharmacy .........2DHealth Newsmakers ..................4D
Space Coast Cancer Center opens Viera location
BY SUSAN JENKSFLORIDA TODAY
Viera Health Park just got its owncancer center, a branch of the Titus-ville-based Space Coast CancerCenter. ItopenedMonday.
Adjacent to Health First’s newViera Hospital near Lake AndrewDrive and Wickham Road, the can-cer center will provide chemother-apy, laboratory diagnosis and radia-tion therapy.
“We’re openand seeingpatients,”said Dr. Richard Levine, medical di-
rector of SpaceCoast Cancer Cen-ter. “But radiationservices are notcommissioned untilmid- to late-July.”
Once all servicesare in place, the cen-ter expects to hold a
ribbon-cutting ceremony and anopen house for the community from5 to7 p.m.Aug.10.
Space Coast Cancer Center cur-rently employs seven medical onco-logistsandaradiationoncologist.
Levine said another medical on-cologist will join the staff in July andthe practice will add a second radia-tiononcologistwithin12 months.
Initially, the Viera facility will oc-cupy 7,500 square feet on the firstfloor of the park’s medical officebuilding, expanding to 30,000square feet by 2013, nearly one-third of the building. The expansionwill make the Space Coast CancerCenter’s new center larger than theflagship facility in Titusville, whichoccupies22,000squarefeet.
“Our goal is to be a regional can-cer center,” Levine said, citing thegroup’s affiliation with one of thenation’s top-ranked cancer centers,MoffittCancerCenterandResearchInstitute inTampa.
The affiliation gives patients inBrevard County access to cutting-edge cancer treatments through re-
search studies known as clinicaltrials. It also adds Moffitt’s exper-tise to patients’ cancer carethrough group consultations andanalysis.
But doctors at Space Coast Can-cer Center also perform their ownresearch studies, submitting datato the National Cancer Institute orMoffitt,accordingtoLevine.
He said these studies include col-lecting quality data for treatmentsinvolving breast, head and neckcancers, for example, as well as fortwo lung cancer studies, one in-volving vaccines, the other a tar-geted therapy to a specific proteininsidethe lungs.Contact Jenks at 321-242-3657or [email protected].
Levine
Health Park facilityplans to expand
LISTINGS BEGIN ON 8DLISTINGS BEGIN ON 8D
2TO0601D0607 FLORIDA TODAYÀ 2TO0601D0607 ZALLCALL 57 18:04:32 06/06/11 B
6D TUESDAY, JUNE 7, 2011 FLORIDA TODAY
Morewomen thanmen choose cosmetic proceduresPLASTIC, from 1D
included breast augmenta-tion or enhancements forwomen and liposuction toremove unwanted fat aswell as eyelid surgery formen and women. However,quick-hit, nonsurgical ap-proaches continued to out-strip consumers’ desire togo under the knife to lookandfeelbetter.
About 2.5 million peopleopted for Botox or the botu-linum-toxin competitorDysport to maintain ayouthful appearance, whileanother million or moreturned to nonsurgical fill-ers, such as Juvederm, Res-tylane and Hylaform tocombat deep frown lines,crows feet or ordinary wrin-kles. Steady demand alsoheld for laser hair removal,laser skin resurfacing, la-ser-based skin-tighteningandchemicalpeels.
In comparison, all cos-metic surgery procedures,though up 9 percent overthe previous year, totaledjust 1.6 million, the plasticsurgery society noted. Evensought-after breast aug-mentations accounted forjust318,123procedures.
Still, local plastic sur-geons and society memberssuggest there’s pent-up de-mand from the recessionyears beginning to resur-face.
“I can see a difference inthe last few months. It’s notlike 2006 and 2007,” Guysaid. “There’s been a defi-nite uptick in demand and amore sustained uptick thanbefore.”
Dr. Frank Venzara, a cer-tified plastic surgeon onMerritt Island,agreed.
While theeconomyhasn’tcompletely rebounded, hesaid in an e-mail, it pickedup the first quarter of thisyear, reflected in the in-creasing number of menand women getting plasticsurgery in2011.
“They say agoodbarome-ter of the economy is to lookat how many people arehaving cosmetic surgicalprocedures,”hesaid.
What men,women want
What men and womenchoose to do cosmeticallydiffers, in part, on anatomy,and in part, on societal ex-pectations.
Far more women thanmen still choose these elec-t ive procedures, with8.6 million women under-going surgery or nonsurgi-cal cosmetic procedures in2010, compared with about750,000men.
The top five women’s sur-gical procedures are: breastaugmentation, liposuction,breast reduction, tummytucks and cosmetic eyelidsurgery. For men, the topfive in 2010 were liposuc-tion, rhinoplasty or nosejobs, eyelid surgeries,breast-reduction proce-dures andotoplasty,earsur-gery.
Melbourne facial plasticsurgeon Ross Clevens said,at one time, ear surgery forprotruding ears was cov-ered by health insuranceand ideally done around thefirst grade, “before a childbecomes a source of mock-ery.”
As insurance coverage aschanged, however, physi-cians are seeing moreyoung adults coming in forearcorrections,hesaid.
“Patients years later re-ally focus on these things,”Clevens said. “And yet, inanhour or two, you can do oneof these procedures andchangesomeone’s life.”
As to the economic forcesthat drive patients’ cosmeticdecisions, he said, his prac-
tice still sees many patientsseekingface-lifts,whichcanrun as high as $15,000 to$20,000, to tighten muscles,sculpt the fat and resurfacetheskin.
But face-lift patients, hesaid, tend to be older andmore economically securethan younger patients seek-ing breast and body surgeryprocedures.
When it comes to nonsur-gical choices, Clevens saidhe sees increasing demandfor the newer laser technol-ogies, which involve mini-mal recovery and downtimeafterward and “give excel-lent results.” Lasers cantreat lines, wrinkles ortighten the skin, althoughClevens and others said, it’snotasgoodasaface-lift.
“For mild tightening, it’sgreat,” Guy said, referringto the newer lasers. “Butthey’re expensive and thetechnology improves rap-idly, much to the chagrin ofpeople who buy them” andmustconstantlyupgrade.
Risks go withthe rewards
As with all surgery, plasticsurgerycarriesrisks.
“I tell my patients you canhave a heart attack and die,though it’s rare,” said Dr.James Matas, president-electof the American Society forAesthetic Plastic Surgery, inprivatepracticeinOrlando.
That’s why it’s so impor-tant, he said, that patients goto doctors who are “certifiedin core medical skills and notgoing out of their scope ofpractice.”
Being certified means “we
sit for written exams and anoral exam before we under-take any procedure,” includ-ing administering Botox topatients,Matassaid.
“Botoxtodayisdonebygy-necologists and even den-tists,” he said. “Consumersneed to ask, ‘does it makesense, isitsafe?’ ”
Sometimes, those seekingcosmetic surgery also proveunsuitable.
“Many patients need med-ical clearance” to ensure achronic medical condition iswell-managed and undercontrol,Clevenssaid.
Although he recently hadto turn away a 34-year-oldwho wanted a nose job be-cause of the patient’s highblood pressure, he said, an-
other woman “pushing 80 isgoing off to chase gorillas inRwanda” after several sur-geries to enhance her ap-pearance, illustrating howmuchthesedecisionsvary.
‘Walk around’day after surgery
Before her five-and a-halfhour surgery, Treadwell ex-pected the most immediatebenefit would be the loss of“lots of inches” off her waist.She admitted to beingscared,yethopeful.
But Guy said the surgerywent “fantastically well,” andTreadwell was awake andtalking immediately after-ward.
She said she was able to
strengthen Treadwell’s ab-dominal wall between thetwo dominant muscles thatrun down the front of the ab-domen. The connective tis-sues between these musclesoften get stretched duringpregnancy, Guy said, “al-most like a hernia, pouchingout.”
Guy said she also used lip-osuction to recontour Tread-well’s body around the frontand back of her waist, beforeopening the abdomen to do atummytuck.
As is customary, Guy said,she saw her patient the nextday fora follow-upexamand“to walk around” to preventbloodclotsfromforming.Contact Jenks at 321-242-3657or [email protected].
Top 5 cosmetic surgeries by genderWHAT WOMEN WANT
0 Breast augmentation
0 Lipoplasty
0 Breast reduction
0 Abdominoplasty(tummy tuck)
0 Blepharoplasty(eyelids)
WHAT MEN WANT
0 Lipoplasty
0 Rhinoplasty (nose job)
0 Blepharoplasty
0 Gynecomastia (breastreduction)
0 Otoplasty (ear surgery)— American Societyfor Aesthetic PlasticSurgery; 2010 data
FT-0000408433
3 Simple Steps:1. Simply sign the referral form2. Give the referral form to the
person you are referring3. Have the referred friend or
family member contact us.
The people you refer will receivethe careful and personal attentionthat you would expect to receivefrom your health care professionalplus the highest quality products.
Give friends and family the opportunity toenjoy better hearing, great service and the
security that comes from using
Complete guidelines available online or at our office.
FT-0000409306
SPECIAL
FRIENDSFRIENDS& FAMILY& FAMILY
OFFER
Callbefore
June 30, 2011269.5552
You’llreceive a
$25Wal-MartGift Cardfor each referralthat purchaseshearing aiddevices.
Now’s your chance to help someone you care about!
REFERRAL FORM
Name of Referral: _______________________________Phone: ________________________________________
Your Name: ____________________________________Address:_______________________________________Phone: ________________________________________Signature: ____________________________________
Patients trust us, Doctors refer to us.1055 Cheney Hwy. (Hwy 50), Titusville, FL 32780
www.contentmenthearingcare.com
Board Certified in Hearing Instrument Sciences. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Lose up to 20Lose up to 20 lbs.lbs.**
emetabolic.com©
B-12/Lipo InjectionsNOW AVAILABLE
Independently owned and operated
Cocoa BeachCocoa Beach 636-1656636-1656IndialanticIndialantic 953-0203953-0203Titusville/Port St. JohnTitusville/Port St. John 267-3200267-3200Melbourne/Palm BayMelbourne/Palm Bay 953-0203953-0203RockledgeRockledge 636-1656636-1656Merritt IslandMerritt Island 636-1656636-1656SUNTREESUNTREE location COMING SOON!location COMING SOON!
* Results not necessarily typical; could vary person to person.
JulyJuly4th4th
by
Call now for yourCall now for your FREEFREE consultation!consultation!
• Lose 2-7 lbs. Per Week• No Calorie Counting• No Strenuous Exercise• One-on-one Support
Dramatically IncreaseDramatically IncreaseFat Burning Metabolism!Fat Burning Metabolism!
start right now!start right now!
PrescriptionNOW AVAILABLEHCG
$$ offoff100100Programs starting from
OR receive4949$FOURFOUR
WEEKWEEKMedicallySupervisedPrograms
FT-0000409565