Page 4 - Boca Exposure - July '18
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Page 4, Boca Exposure

      The American Cancer Society And Colorectal Cancer Screening

      By Steven E. Reznick,                              be due to lifestyle issues including tobacco and alcohol      As a practicing physician these are sensible guidelines.
      M.D., FACP                                         usage, obesity, ingestion of processed meats and poorer   The CT virtual colonoscopy involves a large X irradiation
         Colorectal cancer is the                        sleep habits.                                     exposure and necessitates a pre-procedure prep. Cologuard
      fourth most common cancer                             To combat this increase, the American Cancer Society   and DNA testing misses few malignancies but has shown
      with 140,000 diagnoses                             has changed its recommendations on screening suggesting   many false positives necessitating a colonoscopy. Both
      in the nation  annually. It                        that at age 45 we give patients the option of:    CT virtual colonoscopy and Cologuard may not be
      causes 50,000 deaths per                              • Fecal immunochemical test yearly             covered by your insurer, and they are expensive, so
      year and is the number                                •  Fecal  occult  blood  high  sensitivity  guaiac  based   consider the cost in your choice of screening.
      two cause of death due to                          yearly                                               I still believe flexible sigmoidoscopy must be
      cancer.                                               • Stool DNA test (e.g., Cologuard) every three years  combined  with  the  fecal  occult  blood  high  sensitivity
         Col ore ct a l c anc er                            • CT Scan virtual colonoscopy every five years   testing and prepping. Looking at only part of the colon
      screening guidelines have                             • Flexible sigmoidoscopy every five years      makes little sense to me in screening.
      called for digital rectal examinations beginning at age 40      • Colonoscopy every 10 years.           Colonoscopy is still the gold standard for detecting
      and colonoscopies at age 50 in low risk individuals. An      Their position paper points out that people of color,   colorectal cancer.
      aggressive public awareness campaign has resulted in a   American Indians and Alaskan natives have a higher      Board Certified in internal medicine, with added
      marked decrease in deaths from this disease in men and   incidence of colon cancer and mortality than other   qualifications in geriatrics, Dr. Reznick has practiced
      women over age 65.                                 populations. Therefore, these groups should be screened   in Boca Raton since 1979. For information about
         The same cannot be said for men and women younger   more diligently.  They additionally note that they   his concierge medicine practice, or to schedule a
      than 55 years old where there is an increased incidence   discourage screening in adults over the age of 85 years   complimentary meeting with Dr. Reznick, call (561) 368-
      of colorectal cancer by 51 percent with an increased   old. This decision should be individualized based on the   0191 or visit
      mortality of 11 percent. Experts believe the increase may   patient’s health and expected independent longevity.
      Cosmetic Dermatology’s Newest Innovations

      By Robyn Siperstein, M.D.                          be seen. During Siperstein’s cosmetic injections, this device   where hair is thin (not completely bald) are the best places to
         According to Dr. Robyn Siperstein, founder of a large   helps her to see and avoid larger veins, thereby minimizing   use it. After monthly PRP treatments, a majority of patients
      dermatology practice that focuses on delivering the highest   the potential for bruising. While the use of this device and a   noticed increases in both the quality of hair and volume.
      level of patient care with offices in Boca Raton and Boynton   cannula significantly decreases the likelihood of bruising, it   Additionally, PRP is used in laser resurfacing and micro-
      Beach, Fla., there have been several new and exciting   cannot always be eliminated entirely. In light of this, Siperstein   needling procedures to decrease downtime and enhance
      innovations in the field of cosmetic dermatology.  also offers complimentary IPL treatments one to two days   results. The growth factors and collagen induction speed the
         One of those innovations is the AccuVein device which   after the procedure if patients do experience bruising, which   healing process and create a youthful glow from increased
      uses an invisible infrared laser to detect blood vessels. This   eliminates most of the bruising within 24 to 48 hours.  collagen production.
      device allows doctors to personalize treatments to the patient’s
      anatomy by providing vein visibility. Not only does this
      increase patient safety, but it also decreases downtime by
      providing a roadmap of the blood vessels that cannot usually

                                                            Another new innovation is a treatment called “PRP” or
                                                         platelet rich plasma. Blood contains many different parts,
                                                         such as white blood cells (that fight infection), red blood
                                                         cells (that carry oxygen) and platelets (that help with blood
                                                         clotting). PRP contains a higher concentration of platelets,
                                                         which have a variety of growth factors. These have many
                                                         medical applications such as wound healing, along with the      If you have any further questions or would like to learn
                                                         newest advancements in the dermatology field for both hair   more about either of these procedures, Siperstein Dermatology
                                                         loss and skin rejuvenation. PRP is created by taking a patient’s   Group offers complimentary cosmetic consultations.
                                                         own blood (utilizing the AccuVein device described above),   About The Author
                                                         and placing it in a centrifuge for 10 minutes in a special test      Dr. Robyn Siperstein is a graduate of Yale University and
                                                         tube which allows the enriched platelets to separate out. Since   Yale University School of Medicine. She has dermatology
                                                         PRP is concentrated from a patient’s own blood, it is extremely   offices in both Boynton Beach and Boca Raton. Feel free to
                                                         safe, with very few side effects.                 schedule a complimentary cosmetic consultation in her office
                                                            PRP is used for thinning hair in men and women. Areas   and call with any further questions, (561) 364-7774.

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