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WHO IS RIGHT FOR YOU:
Chiropractor or Osteopath?
Restoring or improving health through spinal manipulation has
historically been the goal of both chiropractors and osteopaths.
by Karen Finucan Clarkson
While their roots are somewhat similar, the terference to the nervous system can lead
two professions have evolved over the past 100- to disease or loss of function. Osteopaths
plus years in ways that give consumers options, believe that impacted circulation ad-
depending on the nature of the health issue, its versely affects the body’s ability to
severity and a person’s individual preferences. maintain its own health.
Chiropractic and osteopathic medicine “are Osteopathic physicians are li-
on the same page with certain tenets,” said censed to practice medicine by Mary-
iStockphoto/www.lightstylephoto.com
Robert Hayden, DC, a spokesperson for the land’s Board of Physicians, part of the
American Chiropractic Association and a chiro- Maryland Department of Health and
practor in Griffin, Ga. “They look at the body Mental Hygiene. They may perform
as a unified whole, not just a group of parts. surgery and prescribe medicine. Osteo-
There’s an assumption that the body is a self- pathic manipulative treatment (OMT) “is just
healing organism, that it is self-regulating, and one of many tools used to diagnose and treat
that most of the time it doesn’t need help in illness,” said Kenneth J. Fish, DC, of Well-
regulating to homeostasis (equilibrium).” springs Chiropractic Clinic in Gaithers-
The main differences between the two profes- burg, who is trained as both a chiropractor
sions lie in their educational requirements and and osteopath.
scope of practice. Chiropractors believe that in- -- See page 22 --
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2 Finding Doctor Right x June 2010 Special Supplement to The Gazette
1753828
Finding Doctor Right x June 2010 Special Supplement to The Gazette 3
HOW TO FIND THE RIGHT
Eye Specialist
Your own particular needs will determine whether you
should see an optician, optometrist or ophthalmologist.
by Christine Miller Ford
Finding someone to sell you contact bly be sure the emphasis there isn’t
lenses or assist in picking out eyeglass going to be on the eye exam,” he said.
frames that fit is just one aspect of eye At his practice, in addition to fitting
care, local vision professionals say. glasses and prescribing contacts, Appel-
Depending on a patient’s needs, the baum offers sophisticated therapies to
right choice might be an optician, an help patients overcome difficulties, such
optometrist or an ophthalmologist. as blurry vision or the tendency to skip
Patients in the market for an eye ex- lines when reading.
am need to consider their own needs An optometrist doesn’t perform sur-
and priorities, according to Dr. Stanley gery, but is otherwise trained to diag-
A. Appelbaum, an optometrist and the nose, treat and manage a range of eye
owner of Vision Therapy & Sensory In- conditions, according to Dr. Thomas
iStockphoto/Andrew Manley
tegration Specialists, which has offices Wong, whose term as president of the
in Bethesda and Annapolis. Maryland Optometric Association end-
“If you walk into a place at the mall ed in November.
and what you see are frames and big dis- To earn the title of optometrist, a
plays about frames, then you can proba- -- See page 20 --
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4 Finding Doctor Right x June 2010 Special Supplement to The Gazette
HOW TO FIND THE RIGHT
Cosmetic
Physician by Christine Miller Ford
Before making an appointment for a facelift, tummy
tuck or other procedure, local experts suggest asking
friends for referrals and taking time to investigate the
surgeon’s background.
“You want to do your due diligence,” explained Dr. Michael J.Will,
iStockphoto/Dennis Guyitt Photography
who has a private practice in Frederick County and is in his second
year as president of the American Board of Cosmetic Surgery.
Whether a patient is interested in reconstructive surgery (cor-
recting problems created by disease, accidents or birth defects) or
cosmetic surgery (appearance-enhancers such as breast augmenta-
tion, a brow lift or a nose job), it’s important to get a thorough look
into the surgeon’s education, training and expertise, Will said.
-- See page 18 --
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Are Your Feet a Pain?
of Lyme Disease Dr. Gary Feldman, DPM
Specializes in:
• Treatment of Sports
The deer tick population is reaching epidemic proportions. injuries of the foot
and ankle
These ticks can carry multiple highly infectious organisms.
• Fractures
Infected deer tick nymphs can be the size of the period at the end • Heel and arch pain
of this sentence (.) • Bunions
The Centers for Disease Control and Prevention • Pediatric foot problems
states that Lyme disease is diagnosed based on symptoms, objective
physical findings and a history of possible exposure to infected ticks.
OHP provides this comprehensive diagnosis and treatment of Lyme
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Finding Doctor Right x June 2010 Special Supplement to The Gazette 5
WHO IS RIGHT FOR YOU:
Psychologist or Psychiatrist? by Christine Miller Ford
Determining which type of mental health practitioner and, ultimately,
which provider you need requires an understanding of the differences
in their education and training, as well as an assessment of your needs.
When it comes to treating depression, anxiety and other condi-
tions that affect one’s mental well-being, the first step is often the
most difficult, said Dr. Steven Israel, a psychiatrist based in Rockville.
Simply acknowledging that a problem exists and then making an
appointment with a mental health professional is key, said Israel, the
medical director for Potomac Ridge Behavioral Health.
How does a patient know if he or she needs to see a psychiatrist—
a medical doctor who can prescribe drug therapies—or a psycholo-
gist, who specializes in how a patient processes thoughts and emo-
tions and who is trained to deliver psychotherapy? Or perhaps a li-
censed counselor or social worker would better fit a patient’s needs?
“It’s a complex marketplace out there,” Israel said. “What’s most
important is to be proactive and talk with someone. Once you’ve
done that, then you’ll be able to get an idea of what you’re dealing
iStockphoto/endopack
with and the treatment options that are available.”
A thorough exam by a psychiatrist would give a patient an under-
standing of what’s wrong and the various methods that could be em-
-- See page 17 --
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HOW TO FIND THE RIGHT
Podiatrist by Jim Mahaffie
When you wake up in the morning, do your heels hurt
like crazy? Are your arches or ankles sore after you
exercise? Are your toenails discolored?
For any of these issues, you probably and training comparable to medical doc-
don't need a general practitioner; you tor’s, including four years of undergradu-
might be better off with a podiatrist, a ate education, four years of graduate ed-
doctor who treats aliments of the feet and ucation at one of several accredited podi-
lower legs. atric medical colleges, and two or three
According to the U.S. Bureau of La- years of hospital residency training, ac-
bor statistics, podiatrists, or doctors of cording to the APMA.
podiatric medicine (DPMs), “diagnose Amir Assili, DPM, is a doctor with Shady
and treat disorders, diseases, and injuries Grove Podiatry in Gaithersburg, and is also
iStockphoto/Monkey Business Images
of the foot and lower leg.” DPMs must be co-director of the Wound Care Center at
licensed. Shady Grove Adventist Hospital. Assili has
Although not MDs, podiatrists are de- very specific advice for people choosing a po-
fined as physicians by the federal govern- diatrist. First, “look for solid training in a
ment and in most states, according to the board-certified DPM,” he said. Certification
American Podiatric Medical Association should come from the American Board of
(APMA).They receive medical education -- See page 12 --
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Yuri A. Deychak, M.D., F.A.C.C.
Samuel D. Goldberg, M.D., F.A.C.C.
Frank N. Gravino, M.D., F.A.C.C.
Edward Healy, M.D., F.A.C.C.
Samuel Itscoitz, M.D., F.A.C.C.
Aaron E. Kenigsberg, M.D., F.A.C.C.
Julie B. Krivy, M.D., F.A.C.C.
Greg Kumkumian, M.D., F.A.C.C.
Mark R. Milner, M.D., F.A.C.C., F.A.C.P.
Alan I. Schneider, M.D., F.A.C.C.
Daniel J. Schwartz, M.D., F.A.C.C.
Herman B. Segal, M.D., F.A.C.C.
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8 Finding Doctor Right x June 2010 Special Supplement to The Gazette
HOW TO FIND THE RIGHT {{Picking the
OB/GYN
right ob/gyn is an
important process
because of how
by Christine Miller Ford intimate the
relationship
It’s ideal for patients to feel comfortable bringing can be.||
- Dr. Debra Acerenza
questions and concerns to their healthcare
providers—whatever the specialty—but in the case
of a woman and her gynecologist, two local
physicians say it’s more than ideal: it’s essential.
Establishing a
“Picking the ‘right’ ob/gyn is an important process because of
comfortable
how intimate the relationship can be,” said Dr. Debra Acerenza,
who heads the Obstetrics and Gynecology (ob/gyn) department
dialogue with
at Frederick Memorial Hospital. “You need to feel that you can the doctor ought
really ask any question about your body. Many subjects can be to be a top
embarrassing or difficult to discuss with anyone, especially some- priority for
one you only see once a year.” someone
Dr. Judith Gurdian, chair of Obstetrics and Gynecology at searching for
Shady Grove Adventist Hospital in Rockville, said that for many an ob-gyn.
women, the ob/gyn who’s right at one stage of life may not work - Dr. Judith Gurdian
so well at another.
-- See page 16 --
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Finding Doctor Right x June 2010 Special Supplement to The Gazette 9
SHOULD YOUR CHILD SEE A:
Pediatrician or
Family Doctor? by Wendi Winters
You’re about to become a new
parent. Congratulations! Have you
selected a pediatrician yet?
A what?
Wouldn’t the general practitioner who takes
care of your own aches and pains be a good choice?
Maybe.
While all four pediatricians below praised gen-
eral practitioners as being qualified to provide care
for the lifespan of a patient, including the child-
hood years, parents might want to consider the ad-
iStockphoto/digital planet design
vantages of having their children see a pediatrician.
“Pediatricians can delve into a child’s behav-
ioral and developmental issues more so than a GP
(general practitioner) because a lot of the kids we
-- See page 14 --
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10 Finding Doctor Right x June 2010 Special Supplement to The Gazette
QUESTIONS TO ASK
while searching for
the right pediatrician
• Where did the doctor go to medical school? And for
training in pediatrics?
• Is the doctor certified by the American Board of
Pediatrics?
• How much experience does the doctor have?
• Does the doctor have any children?
-Dr. Henry Sakai
• Is the pediatrician accepting new patients with your
type of insurance?
• What are the office hours? Are there hours on the
weekends for sick and emergency visits?
• What is the best time to call with routine questions?
• When the office is closed, is there a doctor on call
to whom you can speak?
iStockphoto/Digital Planet Design
• Does the practice have a nurse advice line?
• How often will your child be seen for checkups and
immunizations?
• Between visits, can you talk to the doctor if you
have questions?
-- See page 15 --
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PODIATRIST, from page 8
Podiatric Surgery.Then, the doctor should be affiliated A 150-pound person walking just one mile
with an institution or hospital, as many are in the Mont- exerts a force of 63.5 tons on a single foot.
gomery County and Frederick areas. - American Podiatric Medical Association
Look for a podiatrist who has at least three years of
residency training, and specific training in podiatric ical information resource. When you have diabetes,
medicine and surgery (PMS), said Yenisey Yanes, nerve damage can cause loss of feeling in extremities,
board-certified podiatrist at Frederick Foot & Ankle so you may not feel a cut, blister or sore.This can lead
Specialists, as well as a consultant at Frederick Memo- to untreated ulcers and infections, and may even lead
rial Hospital’s outpatient wound care clinic. “Also, you to amputations.
want a doctor who is flexible, has good hours, and is “Some diabetic patients have never seen a podia-
knowledgeable in the newest technologies,” she said. trist before,” said Assili. “If you have diabetes, you
Assili said that, in recent years, he is seeing many should regularly see your primary care doctor, and
more foot and lower leg problems in patients. “I be- probably an endocrinologist and an eye doctor.You
lieve it's the baby-boomer generation. People are more should also see a podiatrist for a baseline exam of pos-
active, living longer, and as a result we see more foot sible neuropathy in legs and feet.” He said he occa-
deformities and ailments.” sionally has to see some patients as often as once a
Both Assili and Yanes treat problems like corns, month for problems related to diabetes.
calluses, ingrown toenails and foot fungus. But they Yanes said that about 25 percent of her practice in-
are also experts in more complex medical issues volves diabetic patients, for whom she recommends
such as bunions, heel spurs, arch problems, ankle and routine care every two months. “We can see early signs
foot injuries, deformities such as hammertoes, and in- of trouble and stop them before they get worse,” she
fections.Yanes is trained to handle tibia fractures, as said. She cited studies that clearly show fewer ampu-
well. Both do surgeries, orthotic modifications and tations with patients that have a regular relationship
skin grafts, and work in fracture management and with a podiatrist.
iStockphoto/Jeffrey Banke
sports injuries. According to the APMA, there are approximately
Diabetes is also a big contributor to foot ailments. 15,000 podiatrists practicing in the United States. To
Over time, blood sugar levels in people with diabetes find one near you, visit www.apma.org/findapodiatrist.
can damage nerves or blood vessels, according to For more information about general foot health, go to
MedlinePlus, the National Institute of Health's med- www.apma.org and click “Foot Health Tip Sheets.”
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Finding Doctor Right x June 2010 Special Supplement to The Gazette 13
PEDIATRICIAN, from page 10 and/or residencies training to become a
see are pretty healthy, as opposed to pediatric specialist. To remain certified
patients who are getting older and by the American Board of Pediatrics,
have more wear and tear issues,” said pediatricians must continue training
Dr. Joseph Hsu, who is chair of Pedi- throughout their careers to meet up-to-
atrics at Shady Grove Adventist Hos- date board standards.
pital in Rockville and in practice with Before grandma gets a peek, one of
Takai, Hoover, Hsu & Associates in the first people your newborn encoun-
Germantown. ters is usually a pediatrician.
“Parents can get more help from a “A pediatrician will often see infants
pediatrician with issues like hitting, bit- soon after birth in the hospital and may
ing or potty training. Not that a GP sometimes be present at the time of
can’t do that, but pediatricians are birth,” said Dr. Henry S. Sakai, a pedia-
trained in a broader spectrum of child trician with Pediatric Associates of
care issues,” he said. Montgomery County in Wheaton and
“Many GPs are excellent in the care chair of Pediatrics at Holy Cross Hospi-
of the pediatric patient,” said Dr. David tal in Silver Spring. “From that time on,
Reitman, chair of pediatrics at Subur- the doctor may care for that individual
ban Hospital-Johns Hopkins Medicine until they reach adulthood.”
in Bethesda, who said he preferred not “Perhaps one of the most fulfilling
iStockphoto/christie & cole studio inc.
to make a blanket recommendation in aspects of a pediatrician’s job is to care
favor of pediatricians over general prac- for these rapidly changing physical,
titioners. “Some families will prefer to emotional and intellectual states of their
have one doctor who can take care of all patients,” said Sakai.
members.” “Pediatricians will follow the growth
All four pediatricians interviewed and development of that individual as he
noted they spent three years after med- or she progresses through infancy to
ical school during their internships their teenage years. Through frequent
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14 Finding Doctor Right x June 2010 Special Supplement to The Gazette
physical exams, the doctor will ensure said Dr. Jennifer Burns, who is affiliated QUESTIONS TO ASK PEDIATRICIANS, from page 11
that each child is growing and thriving, with The Pediatric Center of Frederick, • What’s the doctor’s preferred method of communication?
as well as reaching appropriate develop- which has many locations in Frederick - Dr. Jennifer Burns
mental milestones,” he said and throughout that county. “Also, as
A pediatrician’s experience “runs the children are not just small adults, it is im- • With what hospital is the doctor affiliated? Is that the hospital to
gamut from very sick newborns to kids portant for them to be cared for by some- which the doctor would send your child? Does this doctor make
hospital visits?
in intensive care,” said Reitman. “There one who can give them age and develop-
is a whole spectrum of illness. Pediatri- mentally appropriate care.” • How many pediatricians does the practice have? How many nurse
cians have a true expertise in treating To find the right pediatrician for you, practitioners or other providers?
children and adolescents. Most medical especially if you are new to the area or ex- • What are the practice’s future plans? Will it be opening more offices?
residencies will give 12 weeks training pecting a child, “ask your friends and • Has it transitioned to electronic medical records?
dedicated to taking care of kids; much neighbors (whom) they use. They are a -Dr. Joseph Hsu
less medical training is done with pedi- good resource and can give a new parent • Does the practice reserve a block of time each day for sick visits?
atric patients and more is devoted to some perspective,” Hsu said. • Does the practice have a “sick” waiting room and a well child wait-
adult issues. “Ask multiple friends, as one person ing room to help prevent the transmission of illnesses?
“A pediatrician is taking care of chil- with a bad experience can color your • Does the practice charge for phone consultations? If yes, how much?
dren all day, every day—nothing but chil- opinion. Ask the teachers at a local This is a growing trend since it does take time away from people
dren! We amass a huge body of informa- school or at a nearby preschool or day- with appointments.
tion in taking care of children,” he said. care center. Ask someone you know who • Is parking convenient? If there’s no parking and you have a sick kid,
“A general practitioner can handle chil- is a nurse—they see the doctors and have that’s a big issue.
dren, but this age group is usually not a their preferences,” he said. • Does your personality/outlook on parenting mesh with the pediatrician’s?
significant portion of his or her day.” “If you are moving to a new city, ask • While you are interviewing prospective pediatricians, and you want
“Given that medicine is now such a your current pediatrician for references. a one-on-one interview in the middle of office hours, do not be
rapidly evolving field, it is important to They may know someone with whom surprised if you are charged a fee as you are taking the doctor away
have your child cared for by someone they went to school, or they may have tak- from patient care.You would be charged a fee if you had a similar
who is knowledgeable about all of the en board certification courses with a pedi- consultation with a lawyer.
changes and current recommendations,” atrician in your new hometown,” he said. -Dr. David Reitman
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Finding Doctor Right x June 2010 Special Supplement to The Gazette 15
OB-GYN, from page 9
“I see a lot of women in their 40s and
50s who’ve had a male doctor their whole
lives,” Gurdian said. “But as they approach
menopause, they realize they really want to
Shady Grove
talk with someone who understands what
they’re heading into, someone who’ll be
Pregnancy truly empathic.”
Some women who are done having chil-
Center dren or who know they don’t want children
select a gynecologist who does not practice
You have Options obstetrics. But Acerenza, who practices
• Free Pregnancy Tests both, says it’s typical for her to continue to
• Pregnancy Assistance see patients even when they’ve decided not
to have more children.
• Post Abortion Support “I find that even after my patients de-
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care they get over the years,” she said.
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16 Finding Doctor Right x June 2010 Special Supplement to The Gazette
MENTAL HEALTH, from page 6
“The advantage to seeing a
ployed to restore the patient to full men-
psychiatrist initially is that this
tal health, said Dr. Eduardo Espiridion,
the medical director for psychiatric serv-
is a person trained both as a
ices at Frederick Memorial Hospital. medical doctor and familiar
“Some people do not want to use any with the latest prescription
kind of drug therapy, and that’s fine,” treatments, as well as someone
Espiridion said. “The advantage to see- trained (in) psychotherapy.
ing a psychiatrist initially is that this is a That way, you have the option
person trained both as a medical doctor for either approach.”
and familiar with the latest prescription
treatments, as well as someone trained - Dr. Eduardo Espiridion
to provide psychotherapy. That way, you
have the option for either approach.” We need each other. We complement
iStockphoto/killerb10
Typically, Espiridion said, a patient each other. We work together to ensure
beginning treatment with an anti-anxi- the patient is getting all the necessary
ety medication would see him regularly treatments.”
to ensure the medication is working Whatever the approach taken, a pa-
properly and for him to stay up to date tient needs to speak up if he or she isn’t be done for different problems.” turn is creating stress that leads people
on the patient’s overall progress. feeling better, Israel said. A shedding of any stigma related to of many backgrounds and income levels
But, Espiridion said, the patient also “It’s so important, if things aren’t getting mental health care is another to seek help, said Espiridion.
would have regular sessions with a psy- progressing, for the patient and the men- positive development in the field, both “You see everyone from a blue-collar
chologist or other licensed counselor for tal health care professional to stop and experts note. worker to someone working as a lawyer
the more time-intensive psychotherapy reconsider the process,” he said. “This is “People realize today that getting or in some other high-paying field rec-
sessions. a rich, evolving field—there are so many help for a phobia or anxiety or some oth- ognizing that their mental well-being is
“So often, you run into the percep- new prescription therapies out there and er condition that’s keeping you from liv- important. It’s so much more accepted
tion that a psychiatrist and other coun- we’re also finding new approaches to ing at the highest function possible isn’t now. People realize this is just another
selors somehow are rivals,” Espiridion cognitive therapies. All the time, we’re a sign of weakness,” Israel said. part of their overall health and that they
said. “That’s absolutely not the case. learning more and more about what can And the continuing economic down- deserve to feel their best,” he said.
Gazette Health
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Finding Doctor Right x June 2010 Special Supplement to The Gazette 17
COSMETIC, from page 5
“Ideally, you want to get someone
who is certified with the American Board
of Plastic Surgery,” said Will, whose
Ijamsville practice is called Will Surgical
Arts. “That way, you know this is some-
one who’s been extensively trained with
dental school and medical school.
They’ve passed rigorous oral and written
exams. Contrast that background to a
physician who has perhaps just complet-
ed a weekend course in cosmetic surgery.
There’s simply no comparison.”
Will offers a word of caution, howev-
er. Some certifications sound impressive
but mean little, he said. “There are sham
boards out there,” he said. “A patient
doesn’t want to just glance at a surgeon’s
list of qualifications. You want to really
study what they’ve done to become
trained in this field.”
On his website, for instance, Will lists
iStockphoto/Dennis Guyitt Photography
his associations, including the American
Board of Oral and Maxillofacial Surgery,
American Dental Board of Anesthesiolo-
gy, the American College of Surgeons,
as well as the the American Academy of
Cosmetic Surgery.
As far as training, Will himself com-
pleted four years of dental school, four
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18 Finding Doctor Right x June 2010 Special Supplement to The Gazette
Whether a patient is interested in reconstructive
Are you in Pain?
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(appearance-enhancers such as breast augmentation, a Let Us Help
brow lift or a nose job), it’s important to get a • Arthritis and Pain
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Finding Doctor Right x June 2010 Special Supplement to The Gazette 19
EYE, from page 4
person must complete a four-year, post-graduate degree in an ac-
credited optometry program and pass a national certification exam.
Some optometrists also complete a one- or two-year residency in a
sub-specialty such as ocular disease, said Wong, whose practice is
based in Kensington.
For many patients, an ophthalmologist—a medical doctor
specially trained in caring for eyes—is the choice that makes the
most sense, said Dr. James Heltzer, whose practice, Champlain
Ophthalmology, is located in Bethesda.
An ophthalmologist, he explained, is trained in all aspects of
medical and surgical diagnosis, as well as in the treatment of
eye diseases. After completing four years of medical school and
at least one additional year focused on general medicine or sur-
gery, an ophthalmologist also completes years of training in eye
care, he said.
Heltzer specializes in treating glaucoma and also helps pa-
tients with conditions such as eye infections. Because many of
the patients he sees have chronic conditions, he comes intimate-
ly familiar with their health needs, he said.
“Developing long-term relationships with my patients is very
satisfying,” said Heltzer, who has been in private practice for a
decade.
Whatever vision professional a patient visits, it’s a good idea to get
iStockphoto/Morgan Lane Studios
a written assessment following the appointment, Appelbaum said.
Appelbaum, who has been practicing for more than 20 years,
said it’s also important that a patient who requires glasses or con-
tacts leaves with a written prescription.
“Some places resist giving patients the written prescription,
but if you’ve paid for the appointment, you’re free to get your
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20 Finding Doctor Right x June 2010 Special Supplement to The Gazette
CHEVY CHASE
Whatever vision According to Frishman, an optician
is an expert in handling tasks such as fit-
professional a patient ting glasses and helping first-time con-
CARE PHARMACY
visits, it’s a good idea to tact lens users learn how to insert and
remove their lenses.
get a written assessment “If a teenager comes in and wants to
after the appointment. get contacts for the first time, we don’t
just send him out with a pair thinking
-Dr. Stanley A. Appelbaum that his parents will help him learn how
to put them and take them out,” Frish-
glasses or contacts anywhere you’d man said. “Our opticians will work with
like,” he said. that patient in the office to make sure
That said, it’s not such a good idea to he’s fully able to handle the contacts be-
buy contacts from just anyone, Appel- fore he leaves here.”
baum said. At his office, Frishman said he ad-
“There are (convenience stores) now ministers the vision examination without
where you can buy contact lenses to relying on a lesser-trained technician to Our store is locally owned and operated. Our friendly and
change your eye color,” Appelbaum said handle any part of the procedure. knowledgeable staff is always available for questions and consultations.
incredulously. “People can develop seri- “You basically have to gauge whether
We have a variety of over-the counter products and full lines of vitamins.
ous eye infections from improper care the patient coming in has a medical prob-
20 %
lem such as cataracts or an injury and he
FREE
associated with those kinds of lenses.
They can risk going blind even. It’s
scary.”
Rather than purchasing contacts in
or she needs to see an ophthalmologist,
or whether the person simply needs an
eye exam, which an optometrist can do,” DELIVERY Entire OTC Purchase
OFF
a store where no one with vision ex- Frishman said. Expires Sept. 30, 2010
pertise is available to answer questions, “I develop a personal relationship • Compounding of Prescriptions • Multi-lingual (Farsi, Turkish, English)
vision centers in malls and shopping with my patients and they count on me
centers tend to employ opticians, ex- to refer them to an ophthalmologist if a CHEVY CHASE CARE PHARMACY Fax: 301-986-4962
plained Dr. Gerald N. Frishman, an health issue emerges. We work together (inside Chevy Chase Supermarket) Open M - F, 10 am - 7 pm
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Finding Doctor Right x June 2010 Special Supplement to The Gazette 21
CHIROPRACTOR, from page 2 While not all osteopathic
“Osteopaths are fully qualified in all physicians use manipulation
areas of medicine and, in addition, are in their practice, those who
educated in the practice of physical
medicine and manual manipulation of do may use it in conjunction
soft tissues and all of the moveable joints with other therapies, such as
of the body,” said Fish. “They are
trained to view the body as an integrat- pain medication, muscle
ed unit of systems and understand how relaxants or surgery.
mechanical issues affect function and
iStockphoto/www.lightstylephoto.com
vice versa.” pain—and focus on treatment by manip-
Chiropractors are licensed by the ulation and on functional rehabilitation
Maryland State Board of Chiropractic of the affected areas.
& Massage Therapy Examiners to treat Because manipulation is the chiro-
musculoskeletal ailments, including practor’s primary tool, chiropractic stu-
back and neck pain, pain in the joints of dents spend some 555 hours learning
the arms or legs and headaches. “Chiro- adjustment techniques and studying
practic adjustment is the primary tool in spinal analysis, according to the Ameri- who do may use it in conjunction with one’s care to a chiropractor or osteopath
our toolbox,” said Steve Wander, DC, of can Chiropractic Association. other therapies, such as pain medication, and weighing the benefits of each, pa-
the Spinal Correction andWellness Cen- Osteopathic medical schools general- muscle relaxants or surgery. “On the tients should do their homework, said
ter, Doctors of Chiropractic in Rockville ly require between 150 and 300 hours of rare occasion that I write a prescription Hayden. “Interview providers and talk
and Gaithersburg. Chiropractors do not musculoskeletal manipulation, accord- for a pain reliever, I tell the patient, ‘I’m
about their patient philosophy,” he said.
prescribe medication. ing to Tyler Cymet, DO, associate vice treating you [with manipulation] so that
“Talk to other patients about their
“Chiropractors are educated in basic president for medical education with the you won’t need this drug,’” said Harold
medical sciences, with a focus on anato- American Association of Colleges of Os- Goodman, DO, a physician in private outcomes and check the web for issues
my and neurology,” said Fish. “They are teopathic Medicine in Chevy Chase. practice in Silver Spring. When indicat- with licensure. The health care process
well trained in the treatment of spinal- While not all osteopathic physicians ed, he refers patients to surgeons. should be a team effort where the patient
related pain—such as back and neck use manipulation in their practice, those When deciding whether to entrust is an active participant,” he said.
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22 Finding Doctor Right x June 2010 Special Supplement to The Gazette
OB/GYN, from page 16 “As a physician, the more
care problems such as colds or general information I have, the
medical problems,” she said. “We usually better able I am to address
encourage our patients to have a primary
care physician for these visits who can also the problem ... It makes it
manage problems such as hypertension or very difficult when a doctor
high cholesterol. has to play 20 questions and
“Even though patients think it is eas-
ier just to be seen once a year by one pull information out of
physician, (such as) their gyn, who can
potentially manage everything, I feel
a person.” where you are greeted
with a warm smile
they get better comprehensive care if - Dr. Judith Gurdian
they make visits to their primary care
physician who may be more up to date 20 questions and pull information out of a
on treating hypertension, depression or person.”
high cholesterol because it is what they Establishing a comfortable dialogue
do on a daily basis.” with an ob/gyn ought to be a top priori-
Speaking up about bothersome symp- ty for someone searching for an ob/gyn,
toms or raising questions about various op- Gurdian said.
tions for care is important for patients of “I know it can be a challenge just to
any age, Gurdian notes. find an ob who’s accepting new patients
“As a physician, the more information and who accepts your insurance, but if you
I have, the better able I am to address the meet this doctor and you don’t feel like
problem,” she said. “Most of my patients you’ve made a connection, keep looking.
are pretty vocal about what they want to “That rapport is something essential.
talk about, which I’m glad about. It makes Patients shouldn’t settle for a relationship
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Drs. Stern, Greenbaum, Krantz and Schwartz
1752790
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