Get the Motivation eat & Support You Need! HAIR RAISING MOMENT. • Reduce body fat and lose inches • Look younger and feel better • Reduce stress "orthopnea" and is a sign of heart or lung disease. Awaken- ing at night short of breath with relief on sitting up is called "paroxysmal nocturnal dyspnea" and is a fairly specific sign of heart disease. Rheumatic fever often dam- ages the valves of the heart, causing them to malfunction. In Geraldine's case the mitral valve leaflets became adherent to one another, leaving only a small opening through which blood could flow. Because of the resistance to flow caused by the small opening, pressure rises in the left atrium in an effort to get the blood across narrowed mi- tral valve. This increased pressure is transmitted back to the lungs, causing them to stiffen at first. Later the increased pressure forces fluid out of the capillar- ies into the lung tissue, causing congestion and interfering with oxygen exchange. The condition also leads to high blood pressure in the lungs, something we call "pulmonary hypertension." Further work-up, including a cardiac echocardiogram, con- firmed these diagnoses. During pregnancy, total body fluid increases, including the amount of fluid in the circulat- ing blood volume. The heart must work harder to supply the needs of the mother and the de- veloping fetus. This workload peaks between the third and sixth months of pregnancy. Geraldine's mitral stenosis did not allow her heart to compen- sate for the increased workload her pregnancy required. I reviewed options for man- agement with Geraldine and her husband. Terminating the pregnancy was one option that neither she or her husband wanted to consider. Heart sur- gery to open the mitral valve presented a risk to the fetus as well as the mother; they pre- ferred to avoid that, as well. Opening the valve with a bal- loon catheter - balloon valvulo- plasty - was an option to consider, but the X-ray needed to do the procedure presented an unknown risk to the fetus. They finally decided on a tri- al of medical therapy, using medicines that were unlikely to harm the fetus but might get her through the pregnancy, leaving corrective measures un- til after delivery. Fortunately, she responded favorably to careful treatment with diuretics, which kept the level of body fluid down and re- lieved some of the load on her heart and circulation. After de- livering a healthy baby girl, Geraldine's symptoms reverted to her pre-pregnancy status. She could lie flat comfortably and was not awakening at night short of breath anymore. ❑ Education + Motivation = RESULTS! 810-932-3902 Shelly Saginaw Personal Rainer Certified & Insured Hair transplant that rejuvenates YOUR natural look. For an active lifestyle - we've got you covered. ‘A Call Healthy Image Centre today for your consultation at (519) 974-0733 Delivering the results you're looking for, from the skin care specialists you trust 3955 Tecumseh Rd., E. • Windsor • Ontario CURE YOUR VARICOSE VEINS... And Never Worry About Showing Your Legs Again! Dr. Ozdaglar has successfully treated patients for over 20 years. You can be treated on an out-patient basis and be back to work the same day! Our clinic is the original, don't trust your legs to any- one else! TREADMILLS Va,"1 11-1RILJE® M.N. Ozdaglar, M.D., F.I.C.S. Senior Member Of- America Phlebology Society .......... OPEN 7 DAYS WEST BLOOMFIELD ROCHESTER HILLS 33010 Northwestern at 14 Mile (810) 626-7791 2680 Rochester Rd. (810) 299-0456 FREE '50 mat with purchase "Must mention Ad " KC BODY WORK THERAPEUTIC Internationally Certified Massage Therapists Specializing in Massage Therapy 18591 W. 10 Mile, Ste. 3 Southfield MICHIGAN VEIN CLINICS Bike & Fitness •Massage Medicine - Sports Medicine •Acupressure Points Myofacial Release for Back Pain, Headaches, Rehab., Sports Injuries, etc. •Sauna In Washington Square Med. Bldg. PLYMOUTH 851 S. Main Street 313-459-0980 Filiess For Life A PERSONALIZED PROGRAM FOR FITNESS & WEIGHT LOSS ► 810-557-8757 , Hours: 9am - 11pm Mon. - Sat. , For your best price, selection and personalized service CINDY , Measurement Evaluation NutritionalAnalysis Personal Trainer Specialized Programs For People with Health Concerns Call for free consultation in your lure or offioe (810) 299-4888 ALICIA T. FREIDINGER • M.ED Exercise Physiology • ACSM, ACE, Fit - CPR Certified SCHLUSSEL :Human 41, BIRMINGHAM 30600 Telegraph 810-642-0210 41. *Ag CHRYSLER motor sales, inc. Plymouth walled lake, mi Jeep 669-2010 Eagle m ,mme Call The Sales Department (810) 354-7123 Ext. 209 Advertise in our new Entertainment Section! THE JEWISH NEWS