Services

ADVANCED MEDICINE OF MOUNT KISCO, P.C.

Fifteen-Minute Complimentary Consultation

To discover how we can make a difference in your health and quality of life, we invite you to call us to set up a free consultation.

Advanced Medicine of Mount Kisco, P.C., was established to provide people in Westchester and surrounding communities with the best in complementary and traditional medical care. We are committed to helping you and your family achieve an optimal level of health, reduce your risk of disease, and enhance your overall quality of life. The best way to accomplish this, we believe, is through a holistic approach, combining the best of conventional and complementary medicines. All our care has a strong emphasis on nutrition and is tailored to your individual needs and concerns. We will make every effort to inform you about all available treatment options and to provide ongoing education about health promotion and disease prevention, empowering you to choose the care that is best for you.

CONTENTS

What is Holistic Medicine?

Conditions Amenable to Nutritional and Natural Therapies

Our Philosophy of Care

How to Choose a Holistic Health-Care Practitioner

Our Practitioners

Welcome to Our Office

 

Conventional Medical SERVICES

COMPLEMENTARY MEDICAL SERVICES

NUTRITIONAL TESTING & EVALUATION

WOMEN’S HEALTH

CHILDREN’S SERVICES/PEDIATRIC NUTRITION

 

Conventional Medicine

Internal Medicine
Our staff is experienced in many aspects of medicine, including conventional medicine, nutritional medicine, and gastroenterology. We combine the best of standard medicine along with natural, complementary approaches. Most new patients are initially seen by a medical physician, who will recommend the appropriate care to meet your specific needs along with our nutritional specialists.

Gastroenterology
Dr. Neil Raff, who has specialized training in both gastrointestinal and nutritional medicine, is the ideal practitioner for those seeking holistically minded care for medical problems related to diet and nutrition. According to Dr. Raff, “It is simply common sense to choose the best healing options for people from all that is available. The body cannot heal without proper nutrition. Contrary to popular belief, we are not what we eat, but what we absorb. Nutrition for disease prevention and treatment must integrate concepts of clean food, stress reduction, nutritional supplements (e.g., vitamins, minerals, and herbs) uniquely combined for each individual.”

Medical Diagnostic Testing
 Our staff is trained to evaluate blood tests from a nutritional and medical perspective allowing for greater accuracy in terms of interpretation and treatment options. Rather than comparing blood values to the “normal” ranges” (which are not necessarily healthy), we use “healthy” ranges to help determine one’s individual needs for nutrients. Along with a careful patient history, standard and nutritional blood analyses provide important information for assessing your present state of health as well as your medical and nutritional needs.

Among the medical diagnostic tests we provide are*:

  • Adrenal hormone testing
  • Amino-acid profiles
  • Anemia screening
  • C-reactive protein tests
  • Cholesterol screening
  • Electrocardiogram testing
  • Fatty-acid profiles
  • Homocysteine testing
  • Hormonal profiles
  • Liver function testing
  • Lung function testing
  • Lyme disease screening
  • Standard blood testing
  • Stool analysis
  • Thyroid/pituitary testing
  • Urinalysis
  • Vitamin/mineral testing

*See our Web site, www.blooddetective.com,  for more information on these and other tests.

Complementary Medicine

Arterial Elasticity Index
The Arterial Elasticity Index (AEI) is an extremely useful noninvasive test for determining the flexibility or hardness of arteries. The AEI is measured with a modified blood pressure cuff that measures the extent of arteriosclerosis in the arteries. Arteriosclerosis — also known as hardening of the arteries — is a major cause of premature death in the United States. Several natural therapies may reduce or reverse arteriosclerosis to varying degrees. Using AEI, alongside conventional cardiovascular markers, we can precisely monitor your response to therapy and adjust it accordingly.

Autonomic Nervous System Evaluation
Heart disease, hypertension, anxiety, hyperactivity, autoimmune disease, certain gastrointestinal disorders, and many other conditions may be related to imbalances of the autonomic nervous system. The autonomic nervous system is composed of counterbalancing parts: the sympathetic part, which can be thought of as the “accelerator,” and the parasympathetic part, which is the “brake.” A balance between these two parts is necessary for health. The autonomic nervous system controls automatic (involuntary) body functions, including secretion of acid into the stomach for digestion and speeding up of the heart rate in response to stress. This noninvasive test helps measure the overall “fitness” of one's autonomic nervous system so that the appropriate natural treatments can be recommended.

Cancer and Nutrition
According to the National Academy of Sciences, 60 percent of women’s cancers and 40 percent of men’s cancers are related to nutritional factors. Cancer, in turn, leads to poor nutrition, which worsens one’s ability to heal. Proper nutrition can help break this deadly cycle. Unfortunately, conventional cancer care pays little attention to nutrition, with potentially detrimental consequences. Our health providers are not oncologists (cancer specialists), nor are we substitutes for oncologists. However, we are trained to help cancer patients integrate nutritional therapies into their health regimen as a complement to their traditional cancer treatments. In designing our nutritional protocols, we take into consideration the patient’s stage of cancer, his or her physical and emotional state, and whether he or she is receiving chemotherapy and radiation, among other factors.

Chelation Therapy/Heavy Metals Testing
A variety of blood and urine tests are available to measure the amounts of toxic heavy metals that accumulate in the body, such as lead from polluted air, mercury from contaminated fish, and cadmium from cigarette smoke. Excess concentrations of these substances can have many health consequences. Chelation therapies, administered orally or intravenously, can effectively remove heavy metals from the body.

Consultations: Medical and Nutritional
Our physicians and nutritionists work hand in hand to determine a patient’s nutritional needs. Each patient undergoes complete medical and nutritional examinations, the results of which are used to design a comprehensive, individualized nutritional protocol. This may include dietary recommendations, nutritional supplementation, lifestyle modification, exercise, and ongoing nutrition education.

Detoxification
The body wages a constant battle to rid itself of toxins — chemicals that even in tiny amounts can damage tissues, interfere with the function of enzymes, and cause acute or chronic disease. This complex cleansing process, called detoxification (detox for short), occurs in cells throughout the body, but particularly in the liver and intestinal tract. Cells detox our tissues by collecting, transforming, and eliminating toxins, which are ultimately deposited in the urine for removal from the body. Toxins are also eliminated through the skin, sweat and feces.

Simply drinking lots of “green” juices or receiving colonics, herbal and fiber supplements is not detoxification — although these activities may be part of a thorough detox plan. For a true detox, several nutritional factors must be present, including specific antioxidants and amino acids. Moreover, a balanced detox plan must consider the individual’s health status, health goals, and biochemistry (lab tests), as well as his or her lifestyle and dietary habits.

Environmental Medicine
The quality of our food, water and air directly affects the way our mind and body functions. Every day, we are exposed to toxic chemicals that can predispose us to headaches, fatigue, skin rashes, autoimmune disease, gastrointestinal disorders, and other ailments. A physician trained into environmental medicine focuses on using natural therapies to enhance an individual’s resistance to deleterious substances, taking the patient’s total environment (internal and external) into account. Blood, urine, detailed consultations, questionnaires and other tools are available to help find and measure the success of environmental health-promoting methods.

Healthy-Aging Medicine
Healthy-aging medicine recognizes that natural hormones, diet, nutrition, herbs, and exercise can be used to make you feel younger and lower your risk for disease. How well you age and how long you live are largely determined by your genes and by your daily health choices. While there is little you can do about the former, there is much you can do about the latter. Our practitioners are well-versed in the latest tests for determining how well your organs are aging. From these results, they can design healthy-aging programs and therapies (including natural and synthetic hormones) that affect many biomarkers. Biomarkers are specific measures used to indicate the progress of disease or the effect of therapy. Natural approaches can be employed to improve many biomarkers, including cholesterol levels, body-fat percentage, aerobic capacity, flexibility, mental response, arterial elasticity, antioxidant levels and other accepted quality of life assessments. See also Detoxification Programs

Herbal Therapy
Herbal therapy has been used safely and effectively for centuries throughout the world to promote health and healing. In fact, most prescription drugs are derived from plants and herbs – with many vital constituents of the plant removed. However, when used properly, whole plants and herbs retain the subtle ingredients necessary to alleviate a variety of health conditions without side effects. Herbs, which are used internally and externally, can strengthen the body’s natural ability to heal. Examples of healing herbs include teas, tinctures, extracts, oils, ointments, compresses, and poultices.

Hydrogen Peroxide Therapy
Most cells produce hydrogen peroxide. For example, granulocytes (a type of white blood cell) produce hydrogen peroxide as a first-line defense against bacteria, viruses, and parasites. Other cells make hydrogen peroxide to help metabolize proteins, carbohydrate, fats, vitamins, and minerals. Complementary health-care providers have been using intravenous hydrogen peroxide for decades as an experimental therapy for a variety of conditions that are unresponsive to conventional medical treatments.

Immune-focused consultation
Nutrition can have a major impact on the health of the immune system. Using detailed laboratory analyses, we can determine how well various parts of your immune system are functioning and how they can be bolstered with nutritional remedies, along with stress reduction and exercise.

Intravenous Nutrition/Vitamin and Mineral Injections
Because of age, illness, or medications, some people require higher-than-normal doses of nutrients or cannot absorb the nutrients they need from food alone. However, the necessary vitamins and minerals can be administered intravenously or with intramuscular injections, allowing the nutrients to be absorbed rapidly into the bloodstream for delivery to the organs and tissues in need. These methods, in combination with a balanced, individually tailored diet and nutritional supplements (if needed), can meet one’s nutritional needs more quickly and thoroughly than dietary interventions alone.

Ozone Therapy
Ozone appears to activate the immune system and antioxidant defense systems against dozens of disease organisms, including hepatitis viruses and HIV. Ozonation has and continues to be studied for its potential role in reducing the risk of transmitting infectious agents in blood products. Our office uses intravenous or rectal methods of ozone administration as an experimental therapy.

Vitamin and Mineral Supplementation
Food refinement and processing has created a food supply that, according to some governmental studies, does not supply the recommended daily allowances, intakes or values of many vitamins and minerals. Nutritional supplements, whose value in fighting disease has been demonstrated in thousands of scientific studies, can help ensure one’s optimal nutritional intake. For fuller and more rapid absorption of vitamins and minerals in the body, intravenous administration or injection is sometimes recommended. For your convenience, we stock highly absorbable nutritional supplements for a variety of conditions, but patients are not obligated to purchase them from us.

NUTRITIONAL TESTING & EVALUATION

A partial list of our laboratory services:

Allergy Testing
We use two blood tests — the IgG4 test for delayed allergies and the IgE for immediate allergies — for a quicky analysis of food sensitivities and allergies. However, the best way to evaluate these problems is to eliminate the suspected foods from the diet for a time, then reintroduce them into the diet. Since each of the dozens of possible food allergens must be eliminated and reintroduced one by one, it may take a long time to pinpoint the source of problem. Environmental allergy testing is also available. Also, many allergies do not produce immediate symptoms that can be visually recognized and must be determined through careful testing.

Amino-Acid Profiles
Amino acids, the building blocks of proteins, are essential for healing, chemical detoxification, neurological (brain) function, and countless other physiologic functions. A simple blood or urine test can be used to measure one’s profile of essential amino acids. If any are found to be deficient, we can design individually tailored amino-acid drink mixes that precisely target your needs.

Body-Composition Analysis
Measures of muscle mass, water weight, and body-fat percentage can be used to assess one’s current health and disease risk and to monitor one’s response to therapy. We begin most treatments by taking baselines measurements of one’s body composition. It is particularly helpful to monitor these measures in people who are following a weight-loss program or in those with degenerative, chronic conditions. This helps ensure that weight loss is from fat and not muscle and that lean organ tissue is preserved. Lean tissue loss is a well-established marker of morbidity (disability) and mortality (risk of death).

Essential Fatty-Acid Profile
An essential fatty-acid profile is a blood test that measures the levels of a large number of critical dietary fats, including omega-3, omega-6, mono-unsaturated, saturated, and trans fatty acids. Some conditions that are commonly associated with essential and fatty-acid deficiencies or imbalances are eczema, menstrual disorders, immune conditions, irritable bowel disease, cancer, and inflammatory disease. Deficiencies and imbalances can be corrected with oral supplementation.

Bone Density Testing
Osteoporosis is a major cause of suffering and disability among the elderly in America, particularly among elderly women. Conventional medical opinion is that if people faithfully take calcium supplements, do some aerobic and weight bearing exercise, and hormone replacement therapy, they are safe from osteoporosis. Complementary medicine recognizes that degrading bone health tells may be secondary to absorption problems, chronic infections and disease, hormonal disorders and nutritional inadequacies. Osteoporosis screening is quick, painless and is part of a well-balanced nutritional and natural medicine approach. Please consult the information below and consider whether or not you should be tested.

WOMEN’S HEALTH

Our office provides a variety of health services to support the needs of women. When necessary, we work in collaboration with a holistically-minded gynecologist.

Hormone Balancing (Natural)
During the normal course of aging, hormones such as DHEA, estrogen, testosterone, pregnenolone, progesterone, and growth hormone are produced in lesser and lesser amounts or become less effective. Specialized blood, saliva, and urine tests are available to assess hormonal imbalances. If imbalances are found, they can be treated with an individualized regimen of dietary changes, herbs, vitamins, and minerals. These may be used alone or in conjunction with synthetic and natural hormones.

Infertility/Fertility Nutrition
Infertility can result from various factors, including genetic defects, accumulation of environmental toxins, high stress, excess exercise, hormonal problems, and, not surprisingly, poor nutrition. We believe that a natural, nutritional-based approached is the best way to encourage a healthy pregnancy. Some of our patients choose a traditional medical (drug) approach for their fertility concerns along with a natural approach.

Premenstrual Syndrome
Bloating, headaches, cramps, swelling, fluid retention, breast soreness, acne, sugar cravings, anxiety, mood swings, irritability, and lower back, muscle, and joint pain are just some of the symptoms that women experience during their monthly cycles. Much of this suffering can be avoided by paying attention to the diet or adding nutritional supplements (if imbalances or deficiencies exist). Specialized tests, not routinely available by conventional doctors, but available in our office, can help uncover the important details.

Pre- and Postmenopausal Therapy
Menopause, the natural conclusion of the female reproductive phase of life, is characterized by a decline in estrogen production and levels and in the function of the ovaries — not to mention a host of annoying and debilitating health effects, such as hot flashes, vaginal dryness, and tissue atrophy, urinary tract infections, and irregular bleeding. Many of these problems can be relieved with a carefully tailored regimen of herbs, vitamins, minerals, diet, exercise, stress-management, and natural and synthetic hormones. Blood, saliva, urine, and nutritional testing can help pinpoint your hormonal imbalances and nutritional needs.

CHILDREN’S SERVICES/PEDIATRIC NUTRITION

Many children in the United States have one or more nutritional deficiencies, possibly contributing to, or resulting from, ear infections, throat infections, eczema, allergies, some medications (i.e. antibiotics) and other health conditions. For some of these children, the problem is poor diet and poor food absorption. (Like adults, children are not what they eat — they are what they absorb from what they eat.) To make matters worse, many medical doctors (including most pediatricians) have little or no formal training in the special nutritional needs of children. Several tests, along with a dietary review, can be used to determine your child’s nutritional needs. It is better to prevent nutritional deficiencies than to wait for them to show up as kids grow up.

We specialize in natural support for the following pediatric conditions:

Attention Deficit Disorder and Hyperactivity
Although many children with attention deficit disorder or hyperactivity can be helped with drug therapies, many cannot. Some health-care providers believe that these disorders are caused or aggravated by food and environmental allergies as well as by toxins in foods, water, and air. Natural substances, such as organic foods, amino-acid supplements, essential fatty acids, vitamins, minerals, and enzymes can be very effective when carefully tailored to the child’s ability to comply. Laboratory tests and dietary evaluations are available for assessing children and individualizing treatment.

Autism
Families with autistic children know that life can sometimes be hard — not just for the child with autism, but for the entire family. Sadly, mainstream medicine offers few options for autistic children and families. However, exciting advances in natural medicine, largely ignored by regular medical doctors, have been shown to improve the overall health of autistic children. We invite the families of autistic children to participate in a natural approach to the treatment of autism or to combine medical and natural methods.

Food allergies, Eczema, and Gastrointestinal Distress
It is not uncommon for children to suffer from food allergies as well as eczema and gastrointestinal distress. In some cases, the problems are all related, traceable to specific foods. Whether these problems occur individually or in combination, there are a number of highly effective therapies that can help relieve symptoms and repair the underlying causes — without the use of steroids or antibiotics. For a child’s continued good health, it is important not only to identify food allergies, but also to incorporate supportive nutritional programs.

 

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Copyright 2000-2008, Dr. Michael Wald