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Copyright 2013, The News-Press. Use of this site signifies your agreement to the Terms of Service and Privacy Policy/Your California Privacy Rights , updated March 13, 2007.February 5, 2013 2:09 pm / Powered by TECNAVIA
So you thought “Tweens”were the kids betweenchildhood and adoles-
cence?There exists another gray
area, a valley of limbo inVisionland, when the visioncorrection that served wellthe first part of your life getsmore complicated.
This bunch of “tweeners,”as local ophthalmologist Tre-vor Elmquist calls them, areadults of a certain age whoface aging, hormonal andactual vision changes. That’swhen they begin messingaround with reading glassesand may need bifocals, andthey feel as if they’re in aholding pattern until they’recandidates for cataract sur-gery.
It begins between 40 and45 with presbyopia, when thelens of the eye stiffens withage and loses its former abil-ity to focus on objects upclose, as in reading.
And for at least 30 percentof the population with near-sightedness — or myopia —the added inconvenience ofpresbyopia may herald theneed for bifocal or multifocal
lenses to correct both nearand far vision and with multi-focals, the in-between dis-tance as well.
At about the same age,contact lens wearers maybegin to find their eyes dry-ing. It’s a natural develop-ment, Elmquist said, causedby aging and associated hor-monal changes in both menand women. Some peoplemay be comfortable in con-tacts well into their 60s, how-ever.
Until about age 45, a per-son is often a candidate forLasik or other vision-correc-tion surgery, Elmquist said.
Lasik stands for laserin-situ keratomileusis andreshapes the cornea to cor-rect nearsightedness, far-sightedness and/or astigma-tism, when the eye is notround but rather oblong orfootball-shaped, making vi-sion correction more compli-cated.
Eyesight changesdon’t mean you have toslow down your active
lifestyle. Stay attuned toprevention, know thesigns of trouble, and
check your options forimprovement.
See into the future
Dr. Trevor Elmquist, right, conducts a cataract examination onpatient Antonio DiPietrantonio on Thursday in his office atAssociates in Eye Care of Southwest Florida in south Fort Myers.TERRY ALLENWILLIAMS/THE NEWS-PRESS
By Dayna [email protected]
CATARACTCLUESThere is no way to pre-vent the main cause ofcataracts — aging — butthey may not need atten-tion unless they are both-ersome.Some measures may keepcataracts at bay, said Dr.Trevor Elmquist of Elm-quist Eye Group in FortMyers, Cape Coral and atShell Point. Among them:»Minimize exposure toultraviolet light.Wearsunglasses.» Don’t smoke.» Be cautious about usingsteroid medications, suchas oral prednisone.» Avoid electric shockand head trauma. Thefirst cataract surgeryElmquist performed wasat Walter Reed ArmyMedical Center during hisresidency. A lieutenantcolonel in his early 40shad developed cataractsafter an electric shockaccident.
INSIDE» Eye health and your diet» 9D
See EYES » D10
* THE NEWS-PRESS » TUESDAY, FEBRUARY 5, 2013 » SECTION D
News-press.com/health for morehealth and fitness news.
CELEBRATING SOUTHWEST FLORIDA’S ACTIVE LIFESTYLES
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Many of us take a multivitamin daily, but do we really know which vita-mins we are deficient in and which ones we should be taking? In mostcases the answer is no.
To improve the usefulness of vitamins and supplements, you can have atest done called Spectracell. This is a blood test that measures the levels ofall the vitamins, minerals and anti-oxidants. The results then allow you tochoose the ones you are deficient in and not expose yourself to the harmfuleffects of taking the ones you already have enough of.
If you take too much of the fat-soluble vitamins (A, D, E and K), theycan become toxic over time. So talk with your physician or health careprovider about the Spectracell blood test. This will allow you to be academ-ic in your approach to becoming and staying healthier!
DR. SAL SAYS
Dr. Sal LacaginaWrite to him [email protected]
TIP
Blood test can help with vitamin intake
What’s better? To be over-weight and exerciseregularly or to be slen-
der and not exercise? Manypeople are surprised to learnthat an overweight exerciseris generally far healthier.
Regular exercise strength-ens the lungs, heart, musclesand immune system, as well asimproves blood lipids andblood glucose control.
Have you ever noticed howprofessional football linemenhave fat around their middle?
FITNESS BEYOND 50
HARRY H. [email protected]
EXCESS FATALLOWABLETO A POINT
See FAT » D10
More than half of femaleswith acute coronary syndromedo not have the traditional riskfactors such as elevated LDLor “bad cholesterol.” The LDLcan be further tested to see ifit is small and dense, which ismore likely to cause heartdisease or large and fluffy,which is not as serious.
C-reactive protein is a mea-sure of inflammation, whichmay be a good marker forheart disease, especially inwomen. A level of 1 or less is
QUESTION OF THEWEEK
Q:What canwomen do toreduce chancesof heart disease?
See HEART » D9
» Zumba Fitness Class Ditch theworkout and join the party! BrickhouseCardio Club offers a fun and supportiveatmosphere where you can focus onyour fitness goals. Come out, get fit,make friends and have fun. Call Carriefor information at 424-6111. 10-11 a.m.Mondays, Wednesdays and Saturdays,Brickhouse Cardio Club, 311Del PradoBlvd., Cape Coral. $5 per class. brick-housecardio.com
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Brickhouse Cardio Club offersZumba. THE NEWS-PRESS FILE PHOTO
The News-Press 02/05/2013 Page : D09
Copyright 2013, The News-Press. Use of this site signifies your agreement to the Terms of Service and Privacy Policy/Your California Privacy Rights , updated March 13, 2007.February 5, 2013 2:11 pm / Powered by TECNAVIA
* THE NEWS-PRESS » TUESDAY, FEBRUARY 5, 2013 » D9
LeeMemorialHealth SystemWelcomesNewPhysician
Rahul Challapalli, M.D.Pulmonology
5216 Clayton CourtFort Myers, FL 33907
239-274-8500
www.LeeMemorial.org
We are pleased to announce that Rahul
Challapalli, M.D., has joined Lee Memorial
Health System. A pulmonologist, Dr.
Challapalli joins Lee Physician Group.
Dr. Challapalli earned his medical degree
from Guntur Medical College in Guntur,
India. He also completed an anesthesiology
residency at Kingston Public Hospital
in Kingston, Jamaica, as well as internal
medicine residencies at The Brooklyn
Hospital in Brooklyn, N.Y. and the VA
Medical Center & Community Medical
Center inWilkes-Barre, Pa. where he also
completed a pulmonary fellowship. Dr.
Challapalli is board certified in internal
medicine and pulmonary diseases.
Dr. Challapalli’s areas of expertiseinclude the following:� ����������� �� � ��� ���� ��� � ��� ��������� ��� ��� ���� � ��� ����� �� ����� ���COPD
Rahul Challapalli, M.D.
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Do you have knee painfrom osteoarthritis?
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Physicians in your area are currently conducting a research study withan investigational medication for people with osteoarthritis of the knee.
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If you are experiencing moderate to severe pain that is not effectivelycontrolled by your current medication we invite you to learn more.
To qualify, you must:• Be at least 18 years old• Have been diagnosed with osteoarthritis in one or both of your knees• Have been taking a non-narcotic medication on a regular basis formore than 30 days but still have moderate to severe pain in your knee(s).
Qualified participants will receive all study-related care, including physicalexams, lab services and study medication at no cost. Insurance is notrequired and compensation for time and travel may be available.
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BEFORE AFTER
Michael L.Novotney,M.D., F.A.C.S. Abraham Sadighi, M.D., F.A.C.S.Brooke Drew, Physician Assistant
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Do you have pain,cramping, weakness, oraching in your legs whileyou walk or rest?What about consistentlycold or numb feet?Do you have any woundsthat just won’t heal?
If so, these may be signsof a very serious vascularcondition that can leadto infections andamputations if leftuntreated.
Call us today for aconsultation. Mostvascular concerns arecovered by insurance.
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reassuring. Two grams ofomega 3 fish oil tablets aday helps reduce in-flammation. Checkingvitamin D levels is im-portant since a deficien-cy has been linked toheart disease.
Stress and depression
are independent riskfactors for developmentof heart disease, buthappiness and vitalitycan reduce the risk. Goodsleep helps protect theheart unless one snores.These individuals shouldbe checked for sleepapnea, which increasesthe risk of heart prob-lems. Relaxation tech-niques, deep breathingand aMediterranean diet
all decrease the likeli-hood of developing thiskiller.
Moderate exercise aminimum of 30 minutesper day, five days a weekis crucial for prevention.
—Dr. Heather Auld is an obstetri-cian/gynecologist with Physicians’Primary Care of Southwest Floridain the Park Royal office, 9021 ParkRoyal Drive, Fort Myers. Call 432-5858.
Continued from D1
Heart
Are you man of acertain age? Heardof low T for low
testosterone, or andro-pause for the male formof menopause? Testoster-one deficiency and re-placement have becomebig news. However, whywould we want to artifi-cially give testosteroneto men?
I went to my friendand neighbor Dr. Ale-jandro Miranda-Sousa, aboard certified urologist,and asked him about lowT.
In his words, “Low Tis real. I don't know if itis more prevalent nowa-days or we all are justmore aware and lookingfor it. We treat a patientwith laboratory abnor-malities and clinicalsymptoms which aresometimes nonspecific:irritability, low libido,weight gain, decreasedmuscle mass, insomnia,low stamina, low energy,sleepiness, hypercholes-terolemia, erectile dys-function, mood swings,etc….” Other things I
learned:» As Dr. Miranda-
Sousa stated, symptomsof low T really are vagueand can mimic the signsof normal aging; changesin body mass muscle,less energy or stamina,reduced sexual libido.
» Low T could affectas many as 30 percent ofmen over 40, but onlyabout 12 percent of themwill have clinical symp-toms.
» Testosterone natu-rally declines after 30 to40 years of age, and thereare differences of opi-nion as to how low thelevel has to be beforecalling it abnormal.
»Most men with lowtestosterone will not
have any symptoms, anddon’t need to be treated.So don’t have your levelschecked just to see whatthey are.
»While we don’t haveany reason to believe thatlow T causes depressionor diabetes, there is someevidence that for pa-tients with depression ordiabetes and who ALSOhave low testosterone,then hormone replace-ment may help.
Bottom line, the symp-toms of natural aging canmimic low T. The symp-toms of depression, dia-betes or heart diseasecan also mimic those oflow T. What you need todo is talk with your fam-ily doctor or urologist.Together, you can decideif your symptoms war-rant checking your tes-tosterone level. Also, wecan’t overestimate reg-ular exercise, gettingenough sleep, maintain-ing a healthy weight, andeating right.
— E-mail: [email protected] or call694-6246.
medicineHOUSE CALL WITH DR. ANDY
Trying to find the truth about low testosterone
DR. ANDY
