Healthy Concepts

Exercise is a key component of living a healthy lifestyle at all ages. Whether you are an adolescent, conditioning for a high school sport or a newly retired grandpa who wants more energy to play with his grandkids, exercise plays a vital role in the end result. Depending upon your age and lifestyle goals, your exercise regime will look different from others, and will continue to change as we get older and the needs of our bodies change.

As people age, their reasons for exercising may change. One of the most common reasons people start an exercise program later in life is because they have noticed that their body doesn’t “feel” the same way it did when they were in their 30s and 40s. Perhaps the same daily routine is now starting to feel uncomfortable at times and they want to gain that strength back to continue to live independently for a very long time. It is very common for people, as they age, to start feeling aches and pains during the regular activities of daily living that they have done for as long as they can remember. This can be frustrating for many, but the good news is that all people go through it at some point. A regular exercise program can help overcome those obstacles.

Another reason people turn to an exercise program as they age is that it can be a social opportunity to meet others and form friendships. The experience of forming friendships and strong bonds through participating in the same fitness class or walking on the treadmill alongside another person. Social connections with people who also want to be active has a positive impact because it makes people more accountable in their program. Oftentimes, the friendships formed through exercise will lead into even more social opportunities and programs.

Perhaps one of the most familiar reasons people start an exercise program is because their doctor told them to. Those who follow this advice should experience the many benefits of regular exercise including: weight control, combating common health conditions, boosting energy, improving mood, providing social opportunity and building confidence.

Regardless of the reason people choose to exercise, many places have professionals on hand to help guide people through a successful wellness journey. After consulting with your doctor, people of all ages should feel encouraged to try various types of exercise that meet your individual needs. Exercise should be fun and it should feel good.

Consult with a wellness professional to make sure you are making good choices. Whether you’re participating in a Zumba Gold class, swimming laps in the pool, or practicing yoga three days a week, you are well on your way to living a healthy lifestyle. Making time for yourself, and loving yourself enough to choose a healthy lifestyle, is the best medicine we can give ourselves at any age. 

Allison* had been seeing her chiropractor for treatment of back pain for some time when her progress plateaued. The adjustments she received no longer seemed to “hold.” She had been so hopeful up to that point because she was finding relief from her pain for the first time in years. The chiropractor suspected that deep hard-wired movement and compensation patterns prevented Allison from integrating localized soft tissue manipulation and spinal adjustments. Familiar with the work of Dr. Ida P. Rolf and the whole body process of balance and alignment known as Rolfing Structural Integration (Rolfing SI), the chiropractor recommended that Allison seek out the skills of an area Certified Rolfer. Having tried everything else and not knowing where to turn, Allison decided to give it a whirl.

In Allison’s first consultation with the Rolfer, she learned how Rolfing SI addresses system-wide imbalances found within the fascial infrastructure of the body. Since fascia is a web of connective tissue that surrounds, supports and protects all of the muscles, nerves, bones, organs and tissues of the body, any restriction or shortness in one part of the web can literally pull the entire structure out of alignment. Allison was experiencing tightness in some areas and laxity in others, which like uneven tension in guy wires for a utility pole was pulling her body off of its natural and healthiest center of gravity. Allison could see the manifestation of this in her posture while standing in front of a mirror: she had slumped, rounded shoulders (one higher than the other), forward head posture, one foot turned out to the side, and uneven weight distribution on her feet.

The Rolfer explained to Allison that she would be an excellent candidate for the “Ten Series”: ten sessions of manual therapy that address specific areas of the body in a particular order. The purpose of the Ten Series is to balance the right side of the body with the left, the front side of the body with the back side, and the inside (affecting innermost core muscles) with the outside of the body. The overall goal of these sessions is to help change unhealthy patterns of moving, standing and being. Allison felt that the process of Rolfing SI made sense, so she committed to experiencing the work. The Rolfer encouraged her to stay physically active and maintain regular appointments with her chiropractor for additional support.

After Allison started seeing her Rolfer for regularly scheduled sessions, she began to notice that her body felt less achy and more alive. She found that she could access deeper, more subtle movements in her exercise routine and daily activities. She could feel more evenness in balance and grounding of her feet. Her body seemed to naturally default to being tall and upright without forcing what she thought was “proper” posture. She found that her new tool of heightened body awareness could help her proactively correct movement patterns and habits to effectively halt formation of aches and pains. What surprised Allison the most was that she could allow for much longer expanses of time between chiropractic adjustments. She was delighted that her chiropractor was now able to manipulate different areas of her spine with greater ease.

Allison’s journey to a more mobile and pain-free existence helped her to discover that she could heal if she gave her body what it needed. For Allison, chiropractic care and Rolfing SI proved to synergistically complement one another. By experiencing the benefits and strengths of both therapies, she began to see her body as a close friend to be listened to rather than an outside obstacle that only caused frustration and pain.

*Name changed to protect privacy.

I have been dancing my entire life. When it was time to decide the next step after high school I knew that I wanted to major in dance. However, my love and passion while doing so began to fade. I was constantly competing with students next to me to be chosen to perform. I did not feel comfortable expressing myself verbally or through dance with the people around me. I felt judged for the things my body could not do in dance technique. By the time I graduated I was sure that I just wanted to find a normal desk job and let dance fall by the wayside. I was never chosen to perform much; I was criticized because my strong body was not as flexible as other students. I did not move in the same way as other students. Dance had become something that was a chore, and I did not believe myself to be skilled in it any longer. I had negative self-talk about how it was all a dream that would come to a stop after graduation, because sometimes we need to be realistic in our expectations of ourselves and come to terms with reality. Right? Wrong.

After graduation and finally finishing a bachelor’s degree in fine art, I did not feel proud. I felt that I had wasted my time while others were out getting degrees in science, and business. That was until I found a place that not only welcomed women but encouraged them to be strong, and to be themselves. I had always wanted to try pole dance. As a dancer whose feet were always on the ground and who admired the upper body strength I knew it had to take I was not sure if I would do well at it but I loved it anyway. My first class already felt successful. It was only day one and not only was I being encouraged and supported by the women around me for what my body could do, I also felt pride.

As a beginner in pole I was already addicted. It was the highlight of my Monday to know that I could go somewhere and practice and be guided by knowledgeable instructors. I had little successes every week and they were celebrated. I began to feel that passion for dance and movement again. As I moved past the beginner stages and into an intermediate place I was overwhelmed with joy that I did not quit dancing as I had considered so many times before. It was a revival to my heart and soul! I continued to progress and made friends along the way, bonding over our safe space to be ourselves, and the strength we were gaining physically and mentally. Our bodies are very vulnerable. To be judged based on the way it does or does not move can be debilitating. Pole showed me that I could be strong and flexible, and defy gravity in a way I never thought possible.

At this moment, I could not be more proud that not only have I found a way to continue dancing after college, but I have completely changed my mind and the judgments I had made toward my talent and my body. After six months of practicing the aerial arts I was able to show off what I had learned in the Aerial Dance Pole Exercise Christmas show performance. I was soon after offered a chance to train as a new instructor at the studio, which I am so grateful to be able to do.

My experience goes to show that if you have a passion for something it will seek you out. Do not give up on yourself. If I had decided that dance was no longer for me, and if I had let that negative self-talk win, I would not have had the same opportunities. Starting pole dance gave me my self-confidence back. I am doing things now I would have never thought possible. It is an avenue of becoming an even better version of oneself while building camaraderie with those who share the interest. Let pole show you what you can do for yourself, as it showed me. 

Music is everywhere: on the radio, in movies and television shows and as a backdrop when shopping or celebrating milestones.

Music is an integral part of cultures all over the world. Music can express emotions not easily conveyed otherwise. It also provides a sense of community and belonging and can help unite the divided.

Playing musical instruments or singing has a number of benefits. From the earliest days after their birth, children can be calmed by music. Music helps people work out their feelings and can be uplifting and comforting when people need a boost. While many people are familiar with the mood-enhancing benefits of music, they may not know that music also has developmental benefits.

According to Don Campbell, internationally known educator and author of “The Mozart Effect for Children,” music enhances intelligence, coordination, emotional expression, creativity, and socialization skills. Studies have suggested that music and movement affect all areas of development. Music can bolster listening skills, improve motor skills, assist with problem solving, and promote spatial-temporal reasoning. Many others say that music can calm and focus the mind, which is why it so often employed by therapists.

In the book, “The Importance of Music,” author Ellen Judson cites a 10-year study that tracked more than 25,000 middle and high school students. The study showed that students in music classes receive higher scores on standardized tests than students with little to no musical involvement.

In addition, singing and engaging in musical appreciation sharpens one’s ability to communicate. Learning a piece of information attached to a tune will more readily embed that information in the brain. For example, many children learn the alphabet via song. Pairing lessons with song can help anyone retain information more easily.

Music also is fun, so much so that kids may not realize they’re actually learning while singing. Matthew Freeman, development manager of “Sing up,” a national singing project to help enhance music in children’s education, states that children don’t think of singing as work and may be more willing to participate. Song can be used to reinforce all different subjects, from language arts to mathematics.

Children or adults who are apprehensive about meeting new people can use music as a means to open the door to new friendships. Joining a choral group will immediately introduce people to others who enjoy music as well. Group singing is less intimidating than singing alone, so it takes some of the pressure off of a person and can staunch performance anxiety.

Music is beneficial throughout one’s life and can be an enjoyable way to make learning more fun. 

Source: MetroCreative Connection.

Blood sugar control is important for all of us. It is critical if you are prediabetic or diabetic, but why is it important if you are not diabetic? Are you overweight? How do you feel? Are you well nourished? Do you have heart disease? All of these maladies are related to blood sugar control.

It is obvious if you are prediabetic or diabetic your body does not handle blood glucose (sugar) well. Blood glucose is made from carbohydrates you ingest. In the last 50 years, processed foods have become the backbone of our diets. They have added sugar and other carbohydrates. You can be eating a lot of carbohydrates without even realizing it. Everyone, diabetic or not, should stop eating all processed foods. Processed foods are all foods that have more than one ingredient on the label. Most real foods do not require a label.

Now that the processed foods are out of your diet, let us identify carbohydrates. Carbohydrates include every food except fiber, protein and fat. However, carbohydrates can be mixed with fiber, protein and fat. All fruit, vegetables, dry beans and nuts are carbohydrates.

Carbohydrates are divided into two classes: fast digesting high starch (carbohydrate), low fiber foods. They should be eliminated from your diet if you are prediabetic, diabetic or are overweight. Fast digesting carbohydrates include all forms of sugar and everything made from flour, potatoes and rice. Your body does not need them.

Slow digesting, high fiber fruits, nuts, vegetables and dry beans will replace the fast digesting carbohydrates in your diet. They are rich in fiber and nutrients and do not raise blood sugar much.

If you are not a prediabetic, diabetic or overweight, limit your consumption of the fast digesting carbohydrates to two servings per day at most. Two slices of bread, one potato or one cup of rice per day. This plan will prevent diabetes and being overweight, along with the diseases that go with them.

If you are prediabetic, diabetic or overweight, I can help you. I have been diabetic for 25 years and am complication free. I will share what I have learned and help you to better health. I carry Hi-maize 260 resistant starch fiber that can be added to your diet to reduce your blood sugar and weight. 

Dogs have solidified their places in many families. Nowadays, more and more dogs accompany their pet parents on trips to the store, vacations and various recreational pursuits - including trips to the beach or the backyard pool.

Many people assume all dogs can swim and swim well. But WebMD advises that not all dogs are natural-born swimmers, and some may be more skillful than others. Unfortunately, there’s no way to gauge a dog’s swimming prowess until the animal is introduced to water. That’s one reason why dog owners must make water safety a priority when taking their pets near water.

Introducing water

Make dogs feel comfortable in the water by gradually introducing them to it. Start in an area that can be controlled, such as a kiddie swimming pool. That’s shallow enough to help dogs if they struggle. Show the dog that the water can be enjoyable. Get in with the dog and let him or her get acclimated to the feeling of water on its paws. Let your pet set the pace, being certain not to force the issue.

If you’re at the beach or lakeside, throw a stick progressively further from the shore. This can help the dog incrementally adapt to the feeling of deeper water. Tossing your dog into the water or submerging his head can be traumatic.

Recognizing poor swimmers

Dogs that have large bodies and short legs often do not swim for fun. American Bulldogs, for example, may not be as skilled or as enthusiastic about swimming as Labradors. If your dog gives you a hard time about swimming or struggles to stay afloat, you may not be able to share laps together. Instead, watch him or her carefully around the water to prevent accidents should your pet wander in.

Watching for currents

At the beach, the same currents and rip tides that can pose a threat to humans can threaten dogs. Even strong swimmers can be affected in rough surf, and dogs may not have the intellect to escape currents, so it’s best to avoid the situation.

Washed-up fish and seawater also can be threatening to dogs. Dogs may be enticed by the smell of dead fish, but become ill if they consume decomposing marine life. The same is said for drinking seawater. Bring fresh water along to quench the dog’s thirst so he or she will not be tempted to lap up the saltwater.

Life preservers

Dogs riding in boats should be fitted with canine life preservers. These will help dogs stay afloat should they fall in the water, while also making dogs more visible in the water.

Water and dogs may seem like a natural fit, but individuals should test their dogs’ swimming abilities and exercise precaution whenever their pets are around water. 

Source: MetroCreative Connection.

Higher health insurance costs require us to know more about premium and out-of-pocket costs to help us determine which insurance coverage is best for us.

Below are three different health insurance plan examples to review:


Plan 1

Plan 2

Plan 3

Monthly premium cost:




Annual cost:





Out-of-Pocket Cost:







(After deductible)





(Before deductible)




Maximum out-of-pocket:

(Annual/calendar year)





Total costs:

(Annual premium + MOOP)




More people are looking for greater premium savings to offset higher out-of-pocket costs.

Plan 1 offers $4,800 premium savings each year compared to Plan 3. When you apply the premium savings, the $6,000 Plan 1 deductible becomes $1,200.

This is lower than the Plan 3 deductible of $2,000. Your $35 office visit is not offered in Plan 1, but more people are moving to higher deductibles to access the monthly premium savings.

When you have greater control of your money, you can do more to access the health care you want and need.

Since 2014, the Affordable Care Act offers everyone access to health insurance. It also offers affordability to lower income households below 400 percent of the federal poverty level (FPL). In 2017 that number is about <$47,000 for a one-person household and <$65,000 for a household of two.

The best plan for you will depend on many considerations, such as your current medicines, doctors, medical care needs and household income.

As the market moves to higher deductible plans to lower premium cost, we need to know more about our health and what we can do to avoid expensive medical care.

Changes in health care and insurance make it more important than ever to work with a licensed health insurance broker to review your options.


Declining testosterone levels in men is inevitable as they age. This begins around age 40, and levels continue to drop by 1-2 percent yearly after age 40; however, most men do not begin to notice until their 50s. Recent prevalence study (2015) of low T (serum testosterone <300 ng/dL) in US males was found to be 28.9 percent by Dr. James Dupree, MD, MPH, Assistant Professor Department of Urology/Andrology at University of Michigan-Ann Arbor.

Men’s health has been referred to by some as a “health crisis” or “silent health crisis.” This is because on average men live sicker and die younger than women, they do not visit the doctor as often as women and actually most men take better care of their vehicles than themselves!

Below is the Androgen Deficiency in Aging Males (ADAM) questionnaire, a screening tool*, used to detect common symptoms of androgen deficiency in men. Are you or is the man in your life at risk?

  1. Do you have decreased libido (sex drive)?
  2. Do you have a lack of energy?
  3. Do you have a decrease in strength and/or endurance?
  4. Have you lost height?
  5. Have you noticed a decrease in “enjoyment of life”?
  6. Are you sad and/or grumpy?
  7. Are your erections less intense?
  8. Have you noticed a recent deterioration in your ability to play sports?
  9. Are you falling asleep after dinner?
  10. Has there been a recent deterioration in your work performance?

If you answered YES to questions 1 or 7 (or any 3 other questions), you may be experiencing androgen deficiency/low testosterone levels and hormone testing may be useful.

Low testosterone may also be referred to as hypogonadism, testosterone deficiency syndrome, late onset hypogonadism or andropause. Symptoms of andropause are often missed due to the gradual onset, and development of symptoms can progress over 10-15 years! Symptoms can include fatigue, reduced energy, difficulty concentrating, sleep disturbances, moodiness/irritability, depression, declining libido, weaker erections, impaired sexual function, and decreased muscle mass/strength, which in turn can lead to increased body fat, osteoporosis, increase in LDL (“bad”) cholesterol, impaired fasting glucose levels, increased cardiovascular risks and increased risks for to name a few. The occurrence of low T has been found to be concurrent in a number of chronic health conditions:

  • Obesity and/or larger waist circumferences – 52 percent
  • Diabetes – 50 percent
  • Hypertension – 42 percent
  • Hyperlipidemia (elevated cholesterol/lipids) – 40 percent
  • Erectile dysfunction – 19 percent

Considering the general state of health in the United States, testosterone deficiency has been projected to be associated with the development of approximately 1.3 million new cases of cardiovascular disease and 1.1 million new cases of diabetes. So correction of low T may help reverse insulin resistance and help keep arteries more flexible, allowing for essential dilation/constriction with blood flow. Having said that, it can be seen that testosterone replacement therapy is important for men. In fact, recent research from New England Journal of Medicine reveals US prescriptions for testosterone increased by 1 million in 2013 (to 2.2 million prescriptions) versus the 1.2 million prescriptions in 2010.

However, there remains significant controversy regarding its use since there have been studies indicating increased risk of prostate cancer and cardiovascular events with testosterone use. This in turn prompted the FDA to issue warnings to physicians and patients. However, the 2016 Registry of Hypogonadism in Men (RHYME) study asserts testosterone use does not cause an increased risk of adverse cardiovascular events. Additionally, the following medical groups are in agreement: The European Association of Urology, International Society for Sexual Medicine, European Menopause & Andropause Society, Canadian Men’s Health Foundation, the American Association of Clinical Endocrinologists, and American College of Endocrinology, and furthermore 2017 Debruyne et al. research revealed that “testosterone treatment is not associated with increased risk of prostate cancer …” British Journal of Urology, International.

It can be seen that testosterone is important for men, so what can be done to restore optimal testosterone levels? There is plenty, and it is not just about a prescription! It starts with YOU taking charge of your future by increasing your knowledge, making changes toward a healthier lifestyle and finally having balanced hormones that in turn can allow for a happier, healthier life.

How to start

  • Begin to eliminate bad habits related to sleep, diet and exercise
  • Get your cholesterol checked
  • Control your blood pressure/cholesterol if they are high
  • Don’t smoke
  • Increase physical activity to at least 30 minutes daily, most days of the week
  • Eat a healthy diet with more fruits/vegetables and less saturated/trans fats
  • Find a provider who specializes in male hormones — get your hormones tested!
  • Consider starting a wellness program to include:
    • Lifestyle/nutritional guidance
    • Supplement recommendations
    • Sexual health consultation
    • Thyroid care
    • Hormonal replacement (if needed)
  • Start on high-quality, pharmaceutical grade supplements to start feeling better faster
    • Drug store/big retail chain brands do not guarantee quality ingredients. These often contain fillers or binders that may cause additional health issues

Testosterone replacement therapy, when done correctly with careful monitoring and follow up labs, can make a world of difference. If you or someone you know is experiencing signs/symptoms of low testosterone, be proactive and take care of yourself. Abraham Morgentaler, MD Associate Clinical Professor of Urology at Harvard Medical School, says it best: “signs of low T should not be ignored.” He goes on to say that “aging is associated with bad hearing, bad teeth, bad arteries, bad joints and cancer, and we treat those things” — as we age weaker eyesight is common and “nobody would argue you should not wear glasses because of it.” (Men’s Health, 2014).

*Disclaimer: This is for general information only and is not intended to replace a consultation with a health care professional, nor is it intended to provide specific medical advice and should not be used for the diagnosis or treatment of medical conditions. 


Let’s face it — whether we like it or not, our skin matures as our bodies age. These changes can manifest as uneven skin tone, fine lines and wrinkles, enlarged pore size, and discolored areas. When it comes to combating aging, there are many new cosmetic treatments available, but it can be tough to determine which are both worth the investment and have optimal improvements. Let me walk you through a few procedures new to the market.

Gold level status

When you hear the word gold you most likely equate it with high quality or being number one, but gold now has a whole new meaning. New to the cosmetic treatment market is a unique, high quality gold treatment that is not only worth the investment, but is also a treatment that I would consider to be more than “just a fad.”

AquaGold® fine touch™ is a new microneedling device that enhances the effects of basic microneedling and allows clinicians to customize the treatment based on one’s needs. What is microneedling, you might ask? It’s a noninvasive, nonsurgical procedure that utilizes several fine needles to puncture the skin and create a “controlled trauma” to the skin. The skin responds by stimulating collagen and elastin in the skin resulting in improvements to many concerns, including fine lines and wrinkles as well as skin texture and scarring.

The AquaGold® fine touch™ is unique in that it has several 24-karat gold hollow needles smaller than strands of hair. When the tiny needles are applied to the skin, they painlessly deliver custom solutions into the dermis where they are most effective. This treatment is painless and has minimal, if any, downtime, and a little redness for a day at most. The results last 3-4 months and will continue to improve with subsequent treatments.

The new Liquid Gold facial utilizes the AquaGold fine touch™ and is an excellent option for those looking for a softer appearance but don’t want a drastic change. The Liquid Gold facial utilizes a combination of products to give the skin a glowing complexion and is particularly good at softening fine lines around the eyes and lips. A small amount of Botox, or micro-Botox, minimizes pore size and smoothes the skin. Hyaluronic acid boosts hydration in the skin minimizing fine lines and wrinkles. A mixture of antioxidants, vitamins, growth factors and retinoids can also be added to enhance the results. This facial is a top preventative treatment for those wanting to halt the aging process.

Reverse the aging process

With age can come sunken or flattened cheeks, temple indentations and facial hollowing. The ideal treatment for this is Sculptra®, an FDA-approved collagen stimulator used to diminish facial wrinkles, giving you a fuller, more youthful look. Its main ingredient, poly-L-lactic acid (PLLA) works deep in the skin to stimulate collagen production and helps restore your skin’s structure and volume.

Since it takes time for skin to manufacture new collagen, the results from Sculptra® are very natural and appear gradually over the time. The treatment requires a series of injections, often three over the course of three to four months, to achieve the best results and often last up to 3 years. Sculptra® injections can be injected in a more global fashion, thereby providing even, soft, natural collagen layers that “age with you.”

No matter what area of your skin you would like to invest in, make it a priority to do your research prior to committing to a cosmetic treatment. There are several options available on the market, each targeting certain areas of the body. Your local skin care expert can listen to your concerns, evaluate your skin and ultimately determine the best treatment options for you and your skin type.

“A mother’s love” conjures up a beautiful image, an overwhelmingly intense emotion born between a woman and her child.

To realize it is a dream of many, the decision often met with a great deal of thought, love and purpose. The accompanying emotions are wide ranging and all consuming: excitement, fear, anxiety and joy.

Unfortunately, it’s disappointment and grief felt by the 15 percent of women who experience fertility issues. It’s a devastating realization, but one Dr. Rami Kaldas, M.D., a board-certified gynecologic surgeon and obstetrician, and the founder of the Kaldas Center for Fertility, Surgery & Pregnancy, S.C, associates with an uncharacteristically positive feeling:

Definite hope.

He is deliberate in including such a bold adjective to describe an often considered whimsy emotion. The team at the Kaldas Center has the education, tools and the expertise to back up such confidence in their ability to fulfill the dream of pregnancy.

“Invariably people are overwhelmed with emotion because no one has actually made them understand (infertility) and given them definite hope,” Dr. Kaldas says. “It’s not an indefinite thing. This is what you’ve got, this is what we’re going to do about it and these are your chances (of becoming pregnant) after we do it. And if it doesn’t work, this is what we’re going to do next.”

Understanding endometriosis: The Kaldas Center approach

While each woman and their body is unique, among those struggling to get pregnant, Dr. Kaldas asserts that their infertility is likely due to the same, sole condition.

“If someone has not become pregnant in over a year and everything else — the husband or boyfriend being checked, the other labs — is fine, I truly believe that it is endometriosis unless proven otherwise.”

The chronic condition affects one in 10 women. Dr. Kaldas simply describes endometriosis as “uterine lining gone bad, wreaking havoc outside the uterus,” and attributes it to being the cause of more than half of all infertility cases. Cells that normally grow inside the uterus grow outside of it, resulting in the body’s immune response blocking pregnancy from occurring. This creates inflammation, scarring and pain.

The largely accepted treatment for endometriosis is one Dr. Kaldas considers old fashioned and unnecessary.

“Ninety nine percent of obstetricians are burning endometriosis and that makes it worse,” he explains. “You have to think of it in a three-dimensional way — it’s not paint on a wall, it’s an iceberg. You’ve got to cut it out.”

The Kaldas Center is the number one clinic in Wisconsin to excise endometriosis using a laser, removing the problem all together rather than removing surface tissue one visit at a time. They are the experts in this technique.

“I had the very good fortune of being taught by the person who was the very first to put a camera on a scope and connect a laser to it,” Dr. Kaldas says. “While the patient is asleep we essentially put laparoscopic instruments through tiny incisions and pick up the endometriosis, laser around and underneath it and remove it. It’s that easy… it typically takes me half an hour to an hour and I’ve done several thousand surgeries.

“The sad thing is, we see young women who want to get pregnant with ovaries being removed for endometriosis that just don’t need that done. Seeing patients who are being treated with outdated techniques is disappointing.

“(Education) has become a mission and a gospel because we’ve seen so much nonsense. And on top of that, fertility cycles and medication are expensive. We want people to find us sooner rather than later because they go through so much.”

An uplifting, local space for holistic treatment

The Kaldas Center — now with an entirely new and custom-designed location at 701 S Nicolet Drive in Appleton — thrives on educating and understanding their patients and all they go through, and has created a space that is conducive to the struggles and joy that go along with the scope of sentiments their patients experience. It’s both calming and bright, and contemporary and comfortable.

“When they walk in, (patients) feel uplifted,” Dr. Kaldas says. “That was the whole goal, and it really worked up to our expectations. We didn’t want a typical medical office. We needed it to be a different sphere, a different world. It has nothing to do with what you’ve been through in the past.

“We really aimed to make it look like the combination of someone’s home and a cafe. Every exam room, for example, has a bistro table in it with a wooden top and wrought iron legs. Most of the exam rooms have antique chairs. It gives people a warm feeling but it also makes them think outside of the box, that this is going to be different. They should be hopeful.”

The Kaldas Center believes that form follows function and vice versa, and that was the mantra behind the design and construction of their new space. The more accessible location — near the Appleton International Airport and interstate — holds an overwhelmingly comforting quality along with modern and state-of-the art equipment.

“We want people to know that you’ve got expertise right here that you will not find crossing one or even two states,” Dr. Kaldas says. “And it was important to us, especially for sufferers of recurrent pregnancy loss, endometriosis and pelvic pain to feel at home… so many have been in a way negated before.”

The entire team at the Kaldas Center undoubtedly has a standard of care that elevates them — it’s a combination of their work ethic and philosophy for caring for patients. But it’s also clear that it’s deeper than that. The dreams they help make come true and the hope they deliver to families is their purpose in life, not simply their work.

“I had a wise older gentleman recently comment on a mutual friend of ours who had a terminal illness,” Dr. Kaldas explains. “He said that maybe after our friend made it through that they’d stop working and focus on philanthropic things, maybe they’d regret that they had worked so much.

“I thought to myself that if someone told me that I was going to die tomorrow and I had worked the whole day before, I’d say great... I’d be so happy.”

“Results are what matter. Not only on the medical front and the fertility front but also psychologically and emotionally.” —Dr. Rami Kaldas

“We have a fundamental human element. We don’t just go through the motions.” —Dr. Rami Kaldas

Awareness and healing

March is Endometriosis Awareness Month, created in an effort to educate women about the diagnosis, how it affects fertility and quality of life, and what can be done to help.

Do you have a first-degree relative with endometriosis? The chances of inheriting the condition increase 7 to ten fold. Symptoms include:

  • Excessive pain with periods
  • Frequent pain during intercourse
  • Pain/diarrhea with bowel movements
  • Inability to become pregnant in over a year
  • Abnormal bleeding

Dr. Kaldas recognizes that his and his teammates’ ability to treat endometriosis efficiently comes from their technology and commitment to their art at the Kaldas Center. Helping spread that message to those who need it is what it’s all about for them.

“I have so many favorite parts of my day because I have such an incredible team here,” Dr. Kaldas says. “But it’s when the shingles fall from people’s eyes, it’s that ‘I once was blind but now I see’ element that I love.” 

The gift of motherhood

“Wanting a baby and (being) unable to conceive was a very emotional and challenging time for us, but Dr. Kaldas made this process easier and comforting. He always made me feel like there was still hope and we still had options to try… After the delivery of our daughter there was so much joy in the room shared by everyone. (Dr. Kaldas) really took the time to get to know us on a personal level and knew how much this baby meant to us.” —Danielle

“It had been two and a half years of trying to have a baby, two doctors, thousands of dollars, an undetermined diagnosis for infertility and one heartbreaking miscarriage before I walked into Dr. Kaldas’ office for the first time. As we discussed the road my husband and I had been down trying to have a baby, Dr. Kaldas listened attentively and laid out a plan he believed would work for us to have a baby on our own. Leaving his office that day, I felt a renewed sense of hope for the first time in a long time. We followed his treatment plan the very next month and to our surprise and excitement, we were pregnant with our first baby boy!” —Heather

Thank you from the Kaldas Center!

“Thank you to everyone who has had a hand in creating this beautiful new place for us to help people solve their problems and challenges achieving their family goals… we feel privileged to come and work here every day. It takes a community… and we thank all who have taken part.”

Kaldas Center for Fertility, Surgery & Pregnancy, S.C. is there for you

701 S Nicolet Road, Appleton


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