LW/Bealth OMFORTABLE • ha.A WITH A VERY CARING STAFF. Beautiful Nursing Home. Quiet Setting, Overlooking Two Beautiful Lakes. THE BEST KEPT SECRET IN OAKLAND COUNTY. Medicare & Medicaid Approved Bortz Health Care on Green Lake 6470 Alden Drive • Orchard Lake 248-363-4121 Please call to arrange for our complimentary limousine to drive you to our elegant mansion for your personal tour. Dental Implants The Other Option No Unsightly Clasps • No Drilling on Teeth • No Messy Adhesive Dr. Novetsky, Lukacs and Associates 5/29 1998 124 „I P Call today for an appointment Implant Group 248453-4740 We accept BUS and Medicare Don't Be Ai Drip: 1 Get Your Faucet Fixed! Check out the Plumbers in our i Marketplace i• Home and i Service Guide. • Dr. Sheldon Kushner and medical assis- tant Gina Rachal discuss a patient's records. remains the same and the ability to have an ejection is unchanged. Dr. Kushner's reassuring words to patients are that if they didn't have a problem before a vasectomy, they won't have one afterwards. Sexual activity can usually begin again two to four days after the procedure. Although both the conventional procedure and the no-scalpel proce- dure are done in a doctor's office, the difference between the two is how the doctor gets to the tubes. In a conventional vasectomy, the doctor numbs the scrotum and then makes an incision with a scalpel. Eac(..-, tube is lifted out, cut and sealed with electric current. The incision is then stitched closed. For a no-scalpel vasectomy, the doctor pierces the skin of the numbed scrotum with a special instrument that makes a tiny hole. The same instrument is used to gently stretch the opening so the tubes can be reached. The tubes are then blocked '-\ using the same methods as a conven- tional vasectomy. 'Another advantage of the no- scalpel technique is that it takes less time to perform than the convention- al vasectomy," explains Dr. Kushner. "And since there's no incision, there's less pain and I seldom recommend anything stronger than Tylenol or Advil for discomfort." Patients are advised to continue alternative birth control methods until sperm counts are checked. Dr. Kushn- er, who has performed over 1,000 of these procedures over the last decade, checks his patients at least twice until they show a negative sperm count, which may take six to eight weeks. Vasectomies are very effective at preventing pregnancies and should be considered a permanent form of birth control. They can be reversed, but it is a major procedure and doesn't always work. For example, some men develop antibodies to their own sperm or there may be a change in blood flow.