Matt .01,astie fuvew, Dr. Barak Tanzman Board Certified Plastic & Reconstructive Surgery A cut above the rest Dr. Tanzman is the official plastic surgeon and proud sponsor of Mrs. Michigan, United States 2014 Vaser° Assisted Hi-Def Lipo Sculpture • Breast Augmentation, Reduction, Lift and Reconstruction Ultrasound Liposuction • Fat Grafting • Face Lifts • Facial Peels • Eyelid Lifts • Brow Lifts Rhinoplasty (nose) • Tummy Tuck • Lip Augmentation • Facial Implants • Nasal Augmentation Prominent Ear Surgery • Laser Resurfacing • Post Bariatric Surgery • Full Body Reconstructive • Surgery Hand Surgery • Latisse° • Botox° • Juvederm° • Sculptra° • Voluma° • Skin Care Programs Stacie Zotkovich Mrs. Michigan, United States 201 EL Northpointe Building 27901 Woodward Avenue, Suite 100 Berkley, Ml 48072 1 William Cans Drive Suite G131 - South Garden Entrance Commerce, Ml 48382 Email: chauplasticsurgery@gmail.com I 248-799-2880 Visit our website for a full list of specific procedures www.chauplasticsurgery.corn Ask Dr. Vieder • LAKES URGENT CARE When your health concerns can't wait. What exactly is heat stroke? Heat stroke is really the terminal end result and most severe presentation of heat related illnesses. Heat stroke is a true medical emergency and is life-threatening. More importantly, heat related illness can occur within a spectrum that includes mild forms such as heat cramps, heat fainting and heat exhaustion. When these early presentations are not appropriately addressed and treated, they eventually lead to heat stroke. Early symptoms of heat illness include heavy sweating, rapid breathing, a fast pulse and muscle cramps. Eventually they progress to nausea, vomiting, headache, dry skin and then to the full spectrum of profound weakness and life-threatening dehydration. What can I do to prevent or treat it? Treatment of heat related illness begins with prevention! When participating in outdoor activities in high environmental temperatures and humidity levels, it's imperative to drink plenty of fluids and to limit the amount of strenuous activity and exposure. The best fluids to use would be water or the common sports activity beverages such as Gatorade or Powerade. Salt tablets are generally not required. Avoiding alcoholic beverages is also important, because alcohol acts as a diuretic and can worsen the level of dehydration. One of the main mechanisms that our bodies use to cool itself is sweating and evaporation of sweat. So if the humidity levels are high, the sweating mechanism becomes impaired and greatly increases our risk of increasing body temperature leading to heat illness. When is it serious enough to see a doctor/urgent care facility? If a person suffering from heat related illnesses is removed from the hot environment and is able to drink fluids to rehydrate, they generally do not need medical attention. However, if confusion, weakness or altered behavior is present, that would be a good reason to seek medical attention at a qualified urgent care or emergency department as this type of problem likely requires IV fluids. For more info, visit the Ask Dr. Vieder page at LakesUrgentCare.com 0 Dr. Sanford Vieder, DO, FACOEP, Medical Director at Lakes Urgent Care, West Bloomfield 0, JN July 31 • 2014 55