It was a long time coming, but we’ll finally be moving into our new space. We will be moving down one floor in the same building to Suite 302 (see here for location). We are all very excited, we will no longer be sharing space, and I’ve designed the space so it works for us. Administratively things have not gone as smoothly as I would have liked (especially) the past few months and I apologize to anyone who was affected by that. It’s hard to keep track of things when there’s too much stuff and too little space to put it in.
We will be moving on Thursday July 30th, and will not be seeing patients that day. There may be interruptions in phone service as we switch over, and our computers will be down for at least part of the day. We are hoping to have at least rudimentary services up and running on Friday. Hopefully Hanh Tran, PA will be able to see a few patients on Friday. We will only be scheduling urgent problems that day though; things that will not be able to wait over the weekend. Please call as early as possible, if you think you need to be seen that week.
In addition to, (and because of) our moving, we have a lot of other changes coming. In September (after Labor Day) we will have Saturday morning hours. Misty Tax, NP, will be providing those. She comes in Wednesday evenings from 4-8pm also. Wednesdays have been hit or miss this past year, but we plan to do them more regularly starting in the fall. Hanh stays until 8pm on Tuesdays, and I’m there until 6:30 on Mondays. We open 7:30 every weekday am, so there will be lots of appointments available at times outside the workday.
Please be assured that if you see Hanh or Misty, I am always available to them either in person or by phone. They are both very good about asking questions if they are not completely sure about a diagnosis or treatment. In addition, I review every chart for every office visit they perform. That way if I think they may have missed something, we can call the patient back and change things. Fortunately they are both very good, and that is an extraordinarily rare occurrence.
Please keep reading below, and wish us luck on the move!
To your good health!
Dr. Jasmine Moghissi
PS: As always, please feel free to forward this newsletter to your friends and colleagues. Even if they are not my patients, I'd be happy to have them as subscribers. Just click the "foward email" button at the bottom of the newsletter.
Please remember that this newsletter contains general medical information, but not medical advice. Please see me, or your regular doctor (if it is not me) to discuss these medical issues prior to acting on them.
| Health Tip: Hyperhidrosis – Why Do I Sweat So Much?
Hyperhidrosis is excessive, uncontrollable sweating. It usually begins in childhood or adolescence and is most commonly found in the underarm (axillary) area, palms, feet (plantar), and face, although it can be on any site on the body. Somewhere between 1 and 3% of the population is affected, and men and women are equally affected.
Although hyperhidrosis is not medically serious or life-threatening, it can significantly interfere with a person’s quality of life. People with hyperhidrosis may have cold, wet hands, and leave puddles of sweat on whatever they touch. Their feet will be prone to bacterial and fungal infections, and therefore may be discolored and smell. They soak through clothing at the underarms, leaving large dark wet spots that can be impossible to hide. They may sweat and drip from the face. This can really be a significant problem.
So what causes hyperhidrosis? No one is really sure, but we do know that sweat is produced to cool the body and prevent overheating. Nerves from the autonomic nervous system activate the sweat glands as a response to heat, hormones, stress, and physical activity (including exercise). There are 2 types of hyperhidrosis, generalized (all over the body) and localized (palms, soles, armpits, and face). Generalized hyperhidrosis occurs while awake and during sleep, and can be also be caused by infections, some types of cancers, low thyroid, diabetes, gout, and other endocrine diseases, menopause, psychological stress, alcoholism and some medications. Localized hyperhidrosis usually starts at puberty, and usually does not occur during sleep. It can also be caused by anxiety, certain odors, some foods (like coffee, chocolate, spices), and spinal cord injuries.
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| Cornerstone Wellness Weight Management update
The people at Cornerstone Wellness have been making some positive changes. They had some production problems with inconsistent shakes, which now should be resolved. They added some fiber to the shakes (all that protein can sometimes be constipating) and improved the taste.
The fish oil capsules have been improved also. Most enteric coated pills are coated with PCB’s, which in this case makes the fish oil palatable (to prevent fishy burps). Cornerstone Wellness is now getting the oil from Croda, who so highly purifies it that the oil is tasteless. A soft gel coating, and blue cobalt jars protect the oil from oxidation (which is what causes the fishy taste and smell).
Cornerstone Wellness has a new website, with lots of interactive features for our patients. We have a new body fat analyzer which downloads directly into the website, and each patient has access to their own pages. You can put together your own daily food list, and see how many calories, carbs, protein, fat etc grams you are taking in. There is also a movement tracker you can wear, which we can download to your pages on the website which tells you how much energy you burned during that time period. You can buy or rent this for a small price.
We are still not charging anything but a copay for your visits, with the supplements costing about $200/month (and you can usually use your flexible spending account to pay for them). This is an extremely healthy diet, especially designed for diabetics and pre-diabetics. We have been having a lot of success with this, and hope you will consider it if you are having trouble losing weight or controlling you diabetes on your own.
Check out the new website at www.cornerstonewellness.md
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| Cosmetic Update
Lots of new things happening here also! I have a new laser coming in August, which specializes in treating spider veins (anywhere on the body, but especially legs and face), and hair removal for people with darker skin. We will also have an open house sometime in August to show our new space, and will be offering some great deals. I will send out a newsletter to my cosmetic patients with dates and more information when I have it.
Which brings me to my next point, I have been sending out an enewsletter once monthly with the current special to patients who have expressed an interest in this. If you are not receiving it and would like to be included on this list, please email me or reply to this newsletter, noting that you would like to be on the cosmetic newsletter mailing list.
This month’s (July) special is listed below, but in August we have something unusual coming up. The Botox people have given me a limited number of $50 rebate coupons with a minimum purchase of $200 of Botox. The promotion ends September 30, but once they’re gone, they’re gone. This is an especially good deal, since I still only charge $12/unit of Botox. Come in soon if you are interested!
| Our Current Cosmetic Special
Buy Hyalis Refining Serum at regular price ($50.00) and get a Powder Colorscience Sunforgettable Sun Protection SPF 30 (includes brush) at 50% discount ($25.00 savings)!
Hyalis is the ultimate summer moisturizer – it isn’t sticky and can be used anywhere on the body, including the lips!
Hyalis (formulated with the highest concentration of pharmaceutical grade 1% Hyaluronic Acid) is a fast acting hydrating serum that delivers immediate moisture for youthful, radiant skin. Hyalis helps smooth and plump skin to help minimize the signs of skin aging and leaves the skin supple and smooth with its intensive hydrating action.
Colorescience Sun Protection SPF 30 Brush gives you full spectrum (UVA and UVB) instant physical sun protection.
It is the first powdered sun screen. Completely free of dyes, fillers, talc, mineral oil and perfumes, it is one of the few sunscreens for people with sensitive skin or rosacea. Sunforgettable has received the FDA seal of approval and the Seal of Recommendation from the Skin Cancer Foundation of America. All that, and Very Water Resistant! Quick and easy application providing consistent quantity of protection. Refillable, Recyclable, Reusable.