CityView Magazine

Be healthy, Be strong Be in charge. Kalpana A. Krishna, MD Jenny Le Vuong, PA • Primary Care and Internal Medicine • Special emphasis on women's health issues • EDUCARE – Preventive care with lifestyle management and early screening for high risk conditions including cancer • NEW - Member of the American Society of Bariatric Physicians with specialty in obesity and diet counseling • Insurance: Medicare, Tricare and major commercial insurances accepted Dr. Kalpana A. Krishna Board-Certified Internist Jenny Le Vuong PA-C Ramsey North Medical Clinic 5603 Ramsey Street 910.488.MEDS (6337) www.ramseymeds.com Accept New Pat ing ients see the beauty of sound™ What can sound do for your brow? Or your chin? Or your neck? Ultherapy® —the only FDA-approved, non-invasive lift—uses ultrasound to tighten your skin. Before • Single Treatment • No Downtime • Non-Surgical • Natural Results Find out if you are a candidate. Call us today! Mary B. Kansora, MD, FACS 910-323-2002 2139 Valleygate Drive www.valleyeyeclinic.net Aesthetic CliniC PllC Visions at valley eye After 360 Days Fellows of the American College of Surgeons American Board of Ophthalmology Certified For full product and safety information, including possible mild side effects, see Ultherapy.com/IFU. © 2013 Ultherapy is a registered trademark of Ulthera Inc. 1002221A 30 | January/February • 2014 sult of stress, medical problems or pain from injury. Short-term insomnia can disappear after injury recovery or as the stress disappears. However, long term, chronic insomnia can last for months, years or even decades. Complex cases of insomnia require deep examination of sleep habits, medication management and, when needed, a reeducation on how to sleep. "We do prescribe our fair share of sleep medications, but we really work on ways to improve or modify behavior [first]," said Dr. Fleishman, "More medication is not always the answer, as each come with their own set of problems." The consequences of letting a sleep disorder go untreated, vary depending on the disorder but can be serious. Moderate to severe sleep apnea, if left untreated, for example, increases your risk for high-blood pressure, heart disease, strokes and heart arrhythmias. Insomnia is often associated with mood disorders, depression, anxiety and chronic pain. Daytime sleepiness issues can make it difficult to learn, pay attention at your job or cause you to fall asleep behind the wheel. Sleep deprivation also has a significant impact on your dietary habits. Erratic sleep patterns lower your satiety hormones (leptin) and increase your appetite hormones (ghrelin). This means that your body will be less likely

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