Quarterly eNewsletter
Fall 2016
Table of Contents

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Come Meet Dr. Parvus -
From Cleveland Clinic to Austin
 Parvus
 

Free Community Talk:
Creating Health 
by Dr. Dirk Parvus

Wednesday, November 9th 
6 pm
Atria at the Arboretum ~ 9306 Great Hills Trail 
 
Dr. Parvus will talk about how health can be created, nurtured, and recovered using a functional medicine/integrative approach. 

Dr. Parvus has been collaborating with Dr. Hausman-Cohen and Resilient Health. He has a wealth of experience which includes working at the well-known Cleveland Clinic in the Functional Medicine department. In Creating Health he focuses on addressing hormones, gut issues, and brain health. He has been trained in the MEND protocol (Metabolic Enhancement of Neurodegeneration) for reversing cognitive impairment and Alzheimer's. He is certified in Functional Medicine, Sports Medicine, Emergency Medicine, Addiction Medicine, and Family Medicine (clearly an underachiever...!) Come and join Dr. Hausman-Cohen and Dr. Parvus for this free educational event. 

Functional medicine is a 5 part exam-based certification. It focuses on optimizing functioning of the body and its organs by addressing the underlying causes of disease, not just treating symptoms. It uses a system-oriented approach and engages both patient and practitioner in a therapeutic partnership. Much like Dr. Hausman-Cohen's Integrative Medicine board certification, becoming a Functional Medicine physician involves becoming  knowledgeable  in the science behind nutrition, supplements, hormonal optimization, and balancing the gut bacteria/milieu

You do not have to be a patient to come, so feel free to bring friends and family. We hope you can join us!

Image by time.com
Here are 8 reasons why exercise is essential!
 

Exercise helps us achieve and maintain a healthy body weight.

Exercise burns calories - crucial for maintaining a healthy weight.  But exercise also builds muscle.  Muscle tissue is more insulin sensitive and burns calories at a faster rate than adipose (fat) tissue.  Exercise along with a healthy diet is crucial for a successful weight loss plan that not only allows you to get the weight off, but keep the weight off.

 

Exercise helps prevent and treat chronic disease processes. Exercise reduces blood pressure, improves insulin sensitivity, increases HDL or good cholesterol, reduces LDL or bad cholesterol and reduces triglycerides.  Did you know that there is an enzyme in skeletal muscles that is activated by aerobic exercise that actively breaks down triglycerides?  Overall, exercise reduces one's risk of heart disease by lowering BP, improving lipids and reducing insulin resistance.

 

Exercise improves mood and cognition. Aerobic exercise helps the body release endorphins, which can help relieve stress and anxiety.  Aerobic exercise also increases a substance called BDNF (brain-derived neurotrophic factor) that can help treat and prevent depression.  BDNF also keeps the brain healthy and can reduce the risk of dementia as we age.  Studies using functional MRIs showed that people with depression had certain areas of their brain that did not light up correctly.  Aerobic exercise 45 minutes four days per week over several months reversed these changes and the brain was then lighting up as it should.

 

Exercise reduces inflammation. Many disease processes have inflammation at the core of their pathophysiology.  Aerobic exercise reduces markers of inflammation such as CRP (C-reactive protein). 

 

Exercise improves strength and balance. A regular exercise program can help improve muscle strength, which can prevent musculoskeletal injuries.  Improved balance can reduce fall risk.

 

Exercise helps keep our bones healthy in order to prevent fracture. Weight-bearing exercise, such as walking, running, jumping and light weight-lifting stimulates the bone to grow.  Over time, this helps improve bone mineral density, which reduces our risk of fracture.

 

Exercise can improve our sexual health. Exercise has been shown to help improve libido, stamina as well as reduce risk of erectile dysfunction.

 

Exercise improves our sleep. Regular exercise can help you fall asleep faster and help deepen your sleep.  Just don't exercise right before bedtime!


Image by ThorLaser.com

We have been providing our "cold laser" therapy for about 3 months and wanted to update you on our successes and experiences. Read about some of our success stories below!

 

Post-surgical swelling and pain  We received a call from a mother whose 30 year old daughter had recent knee surgery. She was concerned as she had healed both poorly and slowly from previous surgeries. The patient, who was unable to drive and was in severe pain, came in for laser therapy that week. She was barely able to walk even with the use of crutches four days after her second knee surgery. Her knee was swollen and she was using a lot of pain medication. We started her laser treatments and by Day 2 the swelling was 70% better! By Day 3 she was driving herself and full of energy. She told us she was stopping in for her laser treatment on her way to work. A few more treatments and she was feeling great. 

 

Back or neck pain triggering headaches; chronic muscle aches/spasms  A recent male patient relayed that he had "tried everything" - injections from the spine/pain doctors, epidurals, PT and more for his upper back pain. It was clear on exam that his neck muscles and upper back were incredibly tight. Within 10 minutes of starting his laser treatment, his muscles relaxed and he felt relief from his 8 years of chronic pain. He finished his course of treatment and is very happy with his results. Our chronic headache, shoulder pain, and knee pain patients are also noticing great results. We find that 6 laser treatments is average for pain reduction, and 8-10 treatments are needed if the pain is chronic and includes tendon or nerve involvement. 

 

If you are wondering if laser treatments might help you, schedule a quick laser evaluation visit by calling our sister office, Resilient Health, at 512.717.9775, or by sending an appointment request through the portal. Usual copay/deductible will apply to the office visit, and laser treatment itself is an additional charge ranging from $35-$85 per treatment. For more information about laser, visit  Resilient Health's website

HPV vaccine - Protect your Preteen
by Dr. Jessica Heselschwerdt HPVvaccine

Image by cdc.gov
HPV  is a virus that causes genital warts and certain types of cancer. It is extremely common- about 90% of the population will have an  HPV  infection at some point in their lives. It is acquired by skin-to-skin contact, including intercourse or any other contact involving the genital area. For most people, the body will clear  HPV  on its own, and it causes no major health problems. However, in about 10-20% of people, the  HPV  persists, and may eventually lead to cancer.  HPV  can cause cervical cancer in women, penile cancer in men, and cancer of the anus or mouth/throat in either gender. Each year, according to the CDC, 17,500 women and 9,300 men are affected by 
HPV -related cancers.
 
In women, we can do pap smears (once every 3 years) in order to detect abnormal cells that may eventually turn into cervical cancers. There are no screening tests for the other kinds of cancers that HPV can cause. However, there is a vaccine that protects against 7 of the strains of HPV that cause cancer (including the two highest-risk type that cause about 70% of cervical cancers) as well as two strains that cause the majority of genital warts. 

The  HPV vaccine is given in a series of two or three immunizations over the course of six months. It can be given any time between the ages of 11-26 for women, and between the ages of 11-21 for men. The latest guidelines (just released last week by the CDC) state that 11- to 14-year-olds can now receive just two doses of the vaccine at least six months apart, rather than three doses as original studied. Clinical trials showed two doses of HPV vaccine in younger adolescents produced an immune response similar or higher than the response in older teens/young adults who received three doses. Patients who start the series later (ages 15-26) will continue to need three doses of the HPV vaccine. So to avoid an additional vaccine and "poke," start your child's HPV series early!

Multiple studies have concluded that the vaccine is very safe. Side effects are rare and mild, and may include pain at the injection site, dizziness, fever, or nausea. The vaccine has also been shown to be very effective. Since the advent of the vaccine, rates of  HPV among teens has dropped by 64%- even though vaccine rates are still quite low. Only about half of adolescent girls have had at least one dose of the  HPV vaccine. 

So why is this vaccine underutilized - and why has it gotten a somewhat controversial reputation? Much of the controversy stems from concern that vaccinating a child against a sexually transmitted disease is unnecessary, or even worse, that it may encourage their children to engage in sexual activity. It can be an uncomfortable subject - one that even doctors may have trouble bringing up. Furthermore, most schools don't require the  HPV vaccine as they do other childhood immunizations, so it may sometimes feel easier to put it off. But children won't be children forever. The vaccine is more protective if it is given long before the onset of sexual activity. 

At Balcones Woods Family Medicine, we strongly recommend that all females and males be given the  HPV vaccination series, preferably between the ages of 11 and 12. If you or your child falls within the recommended age ranges (11-26 for females, 11-21 for males) and has not been fully vaccinated against  HPV, we encourage you to come in to begin or complete the vaccine series. If you have any further questions about the safety, efficacy, and benefits of the vaccine, we would love to discuss this with you further at your next visit.
Registered Dietitian Consults Now Available!RDvisits

In working with our patients to optimize their health, we realize that food is often a big part of the solution.  Therefore in July, as we opened Resilient Health, we started offering dietitian services to ALL our patients.  Our registered dietitian, Andrea Glaser, is trained to give sound dietary advice and personalized meal plans tailored to your lifestyle, helping you successfully achieve your health goals. For patients who don't like to cook, she is skilled at helping you figure out what you can "put together" from easy to find grocery store ingredients (which you can even have delivered to your house with services like Instacart). For those who do like to cook, new healthy recipes abound in Andrea's files.  For patients on a budget, she can help you navigate wallet-friendly options that will keep you on track with your health goals.
 
In many cases, dietitian services are covered by insurance (diabetes, prediabetes, heart disease, high cholesterol, high blood pressure, food allergies/gluten intolerance and obesity are often covered by many insurances).  If your insurance does not offer dietitian coverage, we are offering Andrea's services at a discounted rate of $50/hr if denied through the end of 2016.  Whether you are having any of these health issues, cognitive problems, other food-related issues, or just need some new ideas for improving your health with food, Andrea is here as a resource.  

To schedule an appointment with Andrea at our Resilient Health office on Far West, call 512-717-9775, or send a message thru your patient portal requesting an appointment by clicking here. You do not have to be a Resilient Health patient to benefit from her services. We recommend bringing in a 3-day food diary of what you have eaten over the past 3 days and a list of food preferences and allergies/ dislikes, to maximize your time together and yield better outcomes for you!
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FLU SEASON IS HERE - FLU VACCINE AVAILABLE!fluvaccine
 

Image by cdc.gov
We have had patients with the flu already this season!  We have regular, preservative-free, and high-dose flu vaccine available. We encourage all of our patients to get the flu vaccine every year. Please note that we do not have FluMist as the CDC has determined that it is not effective for this year's flu season.

We are excited to offer web scheduling for flu vaccines. We have many time slots available to meet your needs. 

  • On the left-hand side click Appointments
  • Click Schedule New or Schedule Online
  • Choose Injection/Vaccination as visit type
  • Click Select appointment at the bottom of the page
  • Click in the Provider space and choose Nurse Schedule (the only option available)
  • Find an available time slot that works for you and click on it. 
  • Click Review and Schedule at the bottom of the page
  • Click Schedule this appointment  
If you are unable to schedule via the portal, or do not find a time slot that works for you, please call us at 512.231.1901 to schedule your flu shot visit with the nursing staff. 

For our Resilient Health patients.......please contact Resilient Health directly if you would like to have your flu vaccine administered at that location. If you would like to schedule at BWFM, you are of course welcome to do so and may schedule via the portal or by calling us.

For our littlest patients........if your child is 0-12, please call the office, or send a message via the portal, to schedule their flu vaccine. Do not schedule their flu vaccine in the portal. This is to make sure that we have the appropriate flu vaccine dose, as well as adequate staffing to meet your needs. 
Carbon Monoxide - The Silent Killer
It's almost time to "fall back" on our clocks. The poison control center use our twice-a-year time changes as an easy reminder to change the batteries in your smoke detectors AND your carbon monoxide monitors. How important are these to have in your home?

There are around 150 carbon-monoxide (non-fire) related deaths in the US each year. These episodes are more common in colder climates where people can be tempted to use gas-powered heaters, grills, and generators in their garages or even homes to help with warmth or to use when the power is out.

Carbon monoxide is colorless and has no odor - so it is completely undetectable. 

Image by cdc.gov

Symptoms of carbon monoxide poisoning  include headache, nausea, fatigue, shortness of breath and dizziness.  Two people died in Texas in February this year when they were using a portable stove to heat their home.  Other dangers include: letting the car engine run in the garage (even with the garage door open), running a generator near a home window, or having a furnace/fireplace with faulty ventilation.

So the important points are: 
  • Have a carbon monoxide monitor in your home. 
  • Change the batteries twice a year. 
  • If the monitor goes off, get everyone out of the home or apartment and call 911. Any dwelling can have a faulty heater/ furnace/and possibly gas heat as well.
So yes, carbon monoxide is an important issue - to put it in perspective though, there were 18,630 traffic deaths in the US in 2015 - so don't forget seat belts and stay alert!
            
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new
We want to extend a warm welcome to our new patients who recently joined us.

We know how lucky we are to have a supportive patient-community which helps us remain one of the few independent family practices in Austin. We appreciate you and want to thank you for your support of the medical home fee which helps us to continue to provide the top-quality, evidence-based care that you deserve.
                    
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ipad
We're so happy to announce that we now have check-in iPads at both locations! These tools help ensure that we have updated health and demographic information, and replace the timely and cumbersome paperwork that our patients had to complete in the past. Our patients have been very happy with the new system!

Dr. Hausman-Cohen
Dr. Weston
Dr. Heselschwerdt
Dr. Hochman
Laurelin Mullins, FNP-c
Charis Bearden, FNP-c

Balcones Woods Family Medicine
11149 Research Blvd, Suite 210
Austin, TX 78759
512.231.1901 phone
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Resilient Health
3410 Far West Blvd, Suite 100
Austin, TX 78731
512.717.9775 phone
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