Page 18 - Talk of Tequesta - December '23
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Page 18, The Talk Of Tequesta



                                                           TaMPa general news




              Nonalcoholic Fatty Liver Disease: The Silent Threat


                                                      New Guidelines Advise Screenings



        Could you have fatty liver disease? According to the   liver stiffness, which is a                 those related to NAFLD. Her vast experience and unique
      American Association of Clinical Endocrinology (AACE),   marker for scarring.                        credentials are why many local primary doctors and
      individuals with risk factors such as Type 2 diabetes, obesity,     “This new, advanced              endocrinologists refer their patients with NAFLD to her
      high blood pressure, high cholesterol or metabolic syndrome   preventative measure                   care.
      should be screened for nonalcoholic fatty liver disease   available  through TGH                       Olsen is the only physician in the Palm Beach County
      (NAFLD) by their primary doctor or endocrinologist.   Digestive Health Center                        region with specialized expertise in the management of
        The vast majority of Americans, nearly 96 percent with   offers patients a greater                 patients with end-stage liver disease, both before and after
      NAFLD, are unaware they have the chronic disease. When   opportunity to detect                       liver transplantation. She treats patients with colon, liver and
      left untreated, NAFLD can result in liver cirrhosis, fibrosis   and treat nonalcoholic               bile duct cancer; gallbladder disease; alcohol-related and
      or failure, and even death.                       fatty liver disease as soon                        nonalcohol-related liver disease; drug-related liver injury;
        The AACE recently released new guidelines for the   as possible,” said Dr.                         and all forms of hepatitis.
      early screening and diagnosis of NAFLD, hoping to   Olsen. “Our goal is to                             A  doctor’s  order  is  needed  for  the  screening,  and
      mitigate its progression and raise awareness to allow for   provide the most up-to-                  patients with high-risk factors are encouraged to contact
      earlier identification, disease management and referrals to   date and comprehensive                 their primary care provider to determine if a screening
      specialists. If NAFLD is detected and managed early, it’s   information to our                       for NAFLD is appropriate. TGH Digestive Health Center,
      possible to prevent it from progressing and could reduce   patients, and to give them                formerly TGH Gastro Group of the Palm Beaches, has
      the amount of damage and fat in the liver.        the greatest level of comfort and reassurance.”    offices at 2001 N. Flagler Drive, West Palm Beach, FL
        Dr. Sonja K. Olsen, a board-certified gastroenterologist     Olsen brings more than a decade of experience in   33407, and 3401 PGA Blvd., Suite 500, Palm Beach
      and hepatologist, is trained in the AACE’s updated   providing  world-class  digestive  and  liver  care,  and   Gardens, FL 33410. Both offices can be reached by calling
      screening for NAFLD. She offers screenings at Tampa   specializes in liver disease and disorders, including   (561) 659-6543.
      General Hospital (TGH) Digestive Health Center, formerly
      TGH Gastro Group of the Palm Beaches. The pain-free
      screening consists of a FibroScan, a noninvasive diagnostic
      device used to measure the fat content of the liver, and                          MediCal MaTTers



                all abouT Kids                                  Medicare Corner With Kathy O



                                                           It’s Time For Medicare Annual Enrollment Period (AEP) Oct. 15 To Dec. 7 You May Still
           Stop Yelling At                                         Have Time To Change Plans With A Special Enrollment Period – Call Me!



                 Your Kids                                Is it time for hearing                           •  Hearing  aids,  hearing  exams,  and  hearing  tests  that
                                                        aids? Need new glasses?
                                                                                                           haven’t been ordered by a doctor
                                                        Traveling outside the U.S.?
                                                                                                           • Long-term care, such as that delivered in most nursing
                                                        Need dental cleanings or                           homes (custodial care)
        By Jim Forgan, Ph.D.,                           more?                                              • Orthopedic shoes (with only a few exceptions)
        School Psychologist                               Original Medicare does                           • Outpatient prescription drugs (with only a few exceptions)
          “Here we go again,                            not include coverage for                           • Routine foot care (with only a few exceptions)
        mom’s  rocket  launcher                         these potentially high-                            • Routine physical exams (beyond the annual wellness
        went off and she’s yelling                      cost health care expenses.                         visits)
        at me.” This statement                          Medicare Advantage plans                           • Screening tests (with some exceptions)
        captures how kids I work                        may fill in the gaps for items                     • Shots (vaccinations—except those approved)
        with often describe how                         original Medicare does not                         • Some diabetic supplies (like syringes or insulin unless
        their mom or dad deals                          cover.                                             it is used with an external insulin pump)
        with them when they are                           Think about your healthcare needs when you read   • First three pints of blood
        not acting right. “Yelling                      this surprising list of other common services that are not   • Additional charges for a private hospital room
        is the only way I can get                       included in original Medicare.                     • Private nursing care
        him to listen and behave,” is a common parent response.   What Medicare Does Not Cover             • Skilled nursing care costs beyond 100 days a year
        All agree, yelling does not contribute to a peaceful home.     Health care costs that are not covered include, but are   • Meals delivered to the home
          Yes, at times we parents must raise our voices and make   not limited to:                        • Medical charges billed by relatives
        it stern and serious. But yelling, shouting, screaming, and   • Acupuncture                        • Personal comfort items
        threatening is parenting by instilling fear into your child.   • Ambulance  services  (except  in  emergencies  or  when   • Intermediate care
        Unfortunately, fear and intimidation don’t produce lasting   the individual’s health would be in danger if other     Medicare Advantage plans or supplements can fill in
        behavioral changes. Sure, your child might behave when   transportation was used)                  the gaps that Medicare does not cover in most instances.
        you’re around but leave them with relatives or a sitter   • Chiropractic services, except for some limitations  Call today for your free, no hassle consultation. I can meet
        and prepare yourself for a bad report. When you yell at   • Dental care and dentures (with only a few exceptions)  with you one on one or virtually. I am here to help find the
        your child to get him to do what you want, he is learning   • Cosmetic surgery                     best plan for your needs today!
        that’s how he should treat his peers or friends when he   • Custodial care (help with bathing, dressing, using the     I speak Medicare: supplement, drug plan and Advantage
        encounters someone who doesn’t do what he wants. You   bathroom, and eating) at home or in a nursing home  plan.
        are the example he looks to for learning how to interact   • Health care while traveling outside of the United States     For your free Medicare plan review please call me.
        with others.                                    (except in limited cases)                            Kathy Olejniczak, agent, (561) 835-5413 or cell/text
          Do you yell at your child when he asks you to read an   •  Eye  care  –  routine  exams,  eye  refractions,  and  most   (561) 212-7640
        unknown word from his homework? No, you teach him   eyeglasses
        how to pronounce the word. Try to maintain this teaching
        mindset when it comes to his behavior. Keep teaching him
        over and over how to behave appropriately.
          Perhaps ask him questions instead of yelling commands.
        “Are you being helpful? Is this good for the family? What
        will happen if you don’t stop?” People often tune out
        yelling, but a question has an implied response requirement.
        Being asked a question requires reflection and thought, and
        this helps your child’s mind to shift and transition. Parenting
        requires us to modify our behavior just like modifying our
        child’s behavior so keep learning and practicing.
          Maybe you’ve thought, “Why does he act like
        that? Maybe there is something wrong with him. Is he
        ADHD or maybe autistic?” Our testing process provides
        information to help answer your questions. Call to discuss                                                     747-PALM
        your child as we test for autism, dyslexia, dysgraphia,
        ADHD, depression, learning disabilities, and anxiety. Visit                                                         747-7256
        JimForgan.com or call (561) 625-4125.
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