Category Medicine

Botox As An Antidepressant?

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The concept that Botox treatments can effectively treat depression has been around for a while, but a study surrounding this idea has recently been published in the Journal of the American Academy of Dermatology. Dr. Jason Reichenberg was able to determine that depression scores dropped over 40% in patients who had Botox treatments, versus 15% in patients who received a placebo. This was the case even in patients who were dissatisfied with the cosmetic result of Botox treatments.

The results point to Botox as an effective means of treating depression, especially in patients who are resistant to other treatments for depression. By relaxing the frontalis muscle and glabellar complex in the forehead, Botox makes it difficult for an individual to frown, which in turn appears to have a positive effect on mood and well-being. If you can’t frown, then you can’t fully experience the distress which a frown would ordinarily express, causing a modification of mood.

Botox is also used for correction of lines and wrinkles around the eyes, migraine headaches, temporomandibular joint disorder (TMJ), and excessive sweating.

For those of you in the Los Angeles area who are interested in Botox treatments, please visit http://www.drstaceynaito.com/botox-treatments

Bound And Determined

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People frequently ask me what my biggest life goals are.  As a chronic overachiever, I entertain many different interests and am pretty fearless about diving into new ventures and determining whether I have talents which fee them. 

My BIGGEST passions lie in the fields of medicine and fitness.  From the time I obtained my bachelor’s degree in Exercise Science, I have been completely committed to fitness and to leading by example.  My medical degree is another feather in my cap which increases my knowledge and my influence, but I always strive to combine all my talents and interests together as much as I can in order to lend a number of perspectives on health, wellness, anti-aging and fitness.

My ultimate goals in medicine and fitness are to:

1) Have my own TV show.  A few years ago, I began stating that I wanted to become the female version of Dr. Oz.  I said this at first in jest, then became more intrigued by the idea until it became one of my ultimate goals.  I reasoned that if Dr. Oz can command the attention of women around the globe (his viewer demographic appears to be mostly women between their early 20’s and late 60’s), why couldn’t an attractive 50-year old female physician, fitness professional, IFBB Pro, writer, and model who is also highly experienced in aesthetic medicine, nutrition, fitness and anti-aging achieve something similar? That shift in thinking was all I needed to spark a tremendous goal which I am constantly trying to manifest. And come hell or high water, I will reach this goal.

2) Establish a foothold in the fitness industry as an icon for the older crowd.   This is also HUGE for me, whether it manifests via workout content, products which are sold with my name or endorsement on them, or even a specific show on television or the internet. Instead of allowing my chronological age to deter me from going after I want, I use it to empower my goal set and am proud of forging new ground in territories which other people may be afraid of stepping into. I also refuse to allow others to discourage me because they have narrow minded ideas about what someone my age should be doing. I will not be the stereotypical fuddy-duddy who grumbles about my age and who lets it block me from my goals.

3) Launch my own specialty skin care line.  I have wanted to do this ever since I held the position of Director of Cosmetic Research at a Los Angeles area hospital.  Since I am of mixed ethnicity I would love to tailor a line of skincare products and cosmetics towards individuals of multiple ethnicities who have unique concerns. I honestly believe that there are too many harsh and reactive chemicals which are used in skincare products and cosmetics, and also understand first-hand that people of color have different needs and issues.

4) Design women’s fitness apparel and swimsuits with a distinctive edge.  I have yet to see clothing and swimsuit designs which incorporate the design elements I have always wanted to see and which are edgy and appealing.  The only thing that has been my real stopping point here is that I cannot stand sewing! When I was 17, I designed an entire spring line of active apparel for a company, and was thrilled to see my vision made and sold. Decades later, I’d love the opportunity to delve into that world once more.

What do I want to be when I grow up?  Lots of things!  I will keep my nose to the grindstone to make these goals and dreams manifest.

My Oldest Patient

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Shortly after I completed my residency training in family medicine in 2004, I worked briefly for a company which offered mobile physician home visits. Though I soon realized that driving to patients wasn’t my thing, I definitely met some very interesting people during that time.

My favorite and most memorable patient from my mobile medicine days was an elderly woman, aged 105. During my hospital days, I had seen and treated a number of centenarians, but this woman was the oldest. I was called upon to visit this woman’s home (I’ll call her Mary) to perform a blood pressure check and manage her hypertension. She lived in a charming duplex which was erected circa 1905. I knocked on the door and when the door opened, a friendly middle-aged man greeted me and introduced me as Mary’s caregiver (let’s name him Tim).

The interior of the duplex was a time capsule. I honestly felt like I had stepped into the 1920’s, because everything in the place was from that era: lamps, paintings, coffee cups, pens, furniture, curtains, pillows, etc. As my eyes scanned the room, I saw Mary sitting in a large chair with a walker in front of her. Mary’s face certainly was old and her body was frail, but she possessed fire in her eyes and a sassy attitude to match. I thought of how this woman, born in 1899, was witness to three different centuries, as a result of the year she was born as well as the longevity which extended her time on planet Earth far beyond that of the average person.

Mary smiled at me and motioned for me to come over.
MARY: “Well you’re a pretty young lady…what’s your name?”
ME: “Hello Mary, I’m Dr. Naito.”
MARY: “DOCTOR??? DOCTOR??? Tim, what have you tricked me into? Why do we have a doctor here?” Mary’s brow was furrowed.
TIM: “Well Mary, since you refused to take your blood pressure medicine, and since your blood pressure reading was very high today, I had to call the mobile doctor service to come see you. Now be nice to the doctor, will you please?”

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At this point I asked Mary if I could take her blood pressure again, and she consented. I took her blood pressure reading: 175/95. I began to ask Mary questions: was she in pain anywhere, did she have a headache, was she dizzy, was she nauseous, was her heart racing, was her vision blurry? I took her pulse: 78 and steady. Mary had no complaints. I then conducted a physical exam on her, which was completely normal. I then asked Mary if she would please take her blood pressure medication immediately, to which she also consented. Once Mary took the medication, I informed her that we would wait about 30 minutes to assess her response to it. She responded by saying, “Well I like you, young doctor! We’re going to have a nice chat!”

The next 30 minutes were incredibly fascinating and funny as Mary settled into a stream of vignettes about her life, focusing mostly on her days as a true flapper, wild and carefree, wearing short dresses, “necking” with handsome young men, hanging out in jazz clubs, and being a general troublemaker. One of those young men managed to steal her heart, and they married in 1922. She spoke about how she became an actress quite by accident when her husband, who was a Hollywood film producer, began to cast her in his films. Mary and her husband were more interested in traveling the world and investing their money than buying an expensive home, so they lived in their modest duplex from 1922 until his death almost 60 years later, and Mary refused to move into an assisted living facility when she became an invalid. It was the same duplex I was visiting that day.

After thirty minutes of hearing the most engaging stories about Mary’s life, I didn’t want to interrupt her. But I was working, after all, so I told her I needed to re-take her blood pressure. This time it was 138/72 and Mary was still completely asymptomatic. I told Mary that it was time for me to go and began gathering my supplies.
MARY: “Oh no you don’t! You’re going to drink a martini with me. It’s my nightly ritual. Been doing it since I was 20 years old.”
ME: “Every night since 20?”
MARY: “Yes indeed. It’s kept me sane all these years, and I enjoy it.”
ME: “But I need to drive over the hill, and it’s rush hour.”
MARY: “Oh please! Now stop complaining and just sit. Tim, make my usual times two.”

After several minutes Tim emerged from the kitchen with two double gin martinis. I don’t like gin, but I wasn’t about to complain or refuse to drink the martini. Mary and I (actually, she talked and I listened) continued to talk for another 30 minutes while sipping on our cocktails. The martini was STRONG but well made, so I continued sipping. Mary polished off her entire martini like the martini drinking expert she was, and motioned to me when she took her last sip. “Well, dear? You’ve got some left in there.” I had to finish the last couple of sips of my martini while Mary watched me, making sure I did so. Once I did, she smiled warmly. “That’s my girl!”, she beamed.

I gathered my belongings and said goodbye to her, and when she motioned for a hug, I walked over to her and wrapped my arms around her. She hugged me and patted my back with her hand.

I never saw her after that.

Yes I AM a Doctor!

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doctor-bag2It appears to be a lifelong curse for me to have to deal with people who never seem to take the fact that I am a bona fide medical doctor seriously. Most recently, I was challenged by a hater who didn’t bother to check facts and find out WHY I had “board-certified physician” on my main Instagram profile. All she saw was B.A. in Exercise Science and stupidly assumed that I had no other credentials. I purposely left out all my medical certifications and titles because I had to include my fitness background, writing and modeling descriptions in a limited number of characters.

She attacked me by posting a challenging comment on MY Instagram post, so I wrote to her clarifying my background and then blocked her because her comment was rather scathing. She returned through a different IG profile and BLASTED me, hurling profanity at me via another public comment. So I threw all her filthy words back to her and blocked her again. I REFUSE to be bullied by haters, especially those who don’t bother to do some research before hurling false accusations and insults against people they don’t even know.

Even those who know me through social circles will exclaim, “Oh wow, you mean you’re a DOCTOR doctor? That’s amazing!”, as if my medical training and career are somehow not supposed to be taken seriously by those near and dear to me. I want to yell, “YES, I am a doctor! Why didn’t you believe me the first time I told you? Why do I have to somehow prove it to you?” What irks me is that I don’t see these people doubting the abilities of their friends who work in any other industry, be it certified public accounting, law enforcement, or any other respected profession. I honestly resent the insinuation that my credentials somehow don’t count because I don’t wear a white coat all the time (by the way, I can’t STAND wearing those polyester nightmares) or flaunt my professional title like a badge.

For those of you who question what my credentials are, I will be very clear. Several years after I obtained my Bachelor’s degree, I completed four years of medical school which culminated in a medical diploma. After that, I completed my internship year (which was also my first year of family practice residency training) and became licensed as a physician. Two more years of residency training in family practice followed, then I sat for my specialty boards and became board-certified in family practice. Eight years later I had to sit for board recertification, and that process will repeat itself every eight years until I retire from medicine.

I am not a nurse or a physician’s assistant (though those professions are highly respectable, and attract some of the smartest and most compassionate people on the planet). What I AM is:

Degreed.
Licensed.
Board-certified.
Physician…ahem, a.k.a. Medical Doctor.
Yessir.

I may not be conservative or conventional, but I expect the same amount of respect as a physician who chooses to fit the mold and wear conservative attire and a white coat. My patients refer to me as Dr. Naito, not as Dr. Stacey or Stacey. I have worked VERY hard to become a physician, and I also recognize how hard my colleagues work as well. That is why when I am around other physicians, I err on the side of caution and refer to them as DOCTOR and not by their first names unless they specifically ask me to refer to them on a first name basis.

Joints That Snap, Crackle, and Pop

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You’re sitting with friends, and you reach for something next to you, when you hear a pop in your shoulder. There’s no pain, yet that popping sound has you concerned that something is wrong. Should you worry?

Popping or cracking sensations and sounds can occur just about anywhere in the body and, if they aren’t expected or commonplace for an individual, can be alarming. Scientists can’t agree on what it is exactly that causes all those strange noises, but one theory is that as tendons and ligaments tighten around or move over a joint, the result is snapping, popping or cracking. As for popping knuckles, one popular idea is that air bubbles within joint fluid escape, causing a popping sound, while another belief is that a vacuum is formed when the joint is adjusted, causing synovial fluid to rush into the space. It’s a different scenario with arthritic joints, which may creak and grind as a result of bone moving across bone.

Just because your body might make those strange sounds when you move, such noises and movements don’t necessarily mean bad news. However, any time those noises or movements are accompanied by pain or restriction of movement in the body part moved, it’s time to have it evaluated by a physician.

Hot Female Doctors

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Over the past few years, several male physicians, including Dr. Travis Stork of The Doctors and Dr. Mike (aka doctor.mike on Instagram), have enjoyed some media attention as a result of their good looks. Never mind that these docs have endured years of medical training (in Dr. Mike’s case, he’s still going through it as a resident). Their followers are more interested in celebrating how hot they are. However, I want to know where all the hot lady doctors are?

As a fully credentialed, board certified physician who also happens to be deeply involved in fitness, bodybuilding and modeling, I know that I stand out a bit in a sea of medical professionals, and to be honest, I am proud of it. Yes, I get plenty of criticism for modeling in bikinis, but I don’t see why I should feel a drop of shame for doing so. Women all over the world wear bikinis, and go sans suits in some locales. It’s not a crime or a scandal to wear a bikini, or to show my legs or midsection. I have modeled my entire life, and I have no plans to stop at all, especially if I have a physique which is bikini-worthy. Because of this, I have become known as a “hot doctor”.

You would think that societal influences have relaxed enough to allow a female physician to flaunt her femininity without getting dinged for it, but I continue to see resistance all over social media. In fact, it recently came to my attention that there aren’t too many female docs who are confident enough to push the envelope and post images which may be considered more alluring. It is still considered “proper” and customary for a female doctor to remain covered up in social media posts. I’m not talking about jeans and a t-shirt. I’m talking about professional business attire and a white coat, or scrubs. So does that mean that women who are physicians aren’t allowed to reveal who they are outside of the clinical setting? That’s ridiculous.

My life is so varied, full and exciting that I can easily escape the dry and often depressing climate of medicine and enjoy something that has twists and turns. None of my other pursuits diminish what I bring to the table as a healer. If anything, they add a humanness and relatability which I think my patients appreciate. I have said before and will say again that I have never been, nor will I ever be, a “typical” physician (whatever that means). I don’t talk about medical cases and read medical tomes when I am away from the office. Many of my colleagues are so unbalanced that they will eat, breathe and live medicine constantly, but that is not my style at all. Some of them are also social misfits and cannot talk about a non-medical topic without stumbling and bumbling. The social awkwardness of some physicians is so painful to witness that I find myself cringing and looking for a quick exit when social hour begins at a conference or medical dinner.

In response to some criticism I received about posting professional swimsuit images on my main Instagram account, I established a medical Instagram profile to appease the haters somewhat, as well as legitimize my medical practice. However, I still post what I WANT to post on my main account, and if my posting habits continue to solidify the “hot doctor” label I have been given, then SO BE IT!

Too Many Cooks (Repost)

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Adult female with personal trainer at gym.I am getting pretty tired of clients who think they are suddenly fitness authorities, or who think nothing of following the advice of 52 different people on what to do about diet, exercise after signing up for a comprehensive training and meal plan which I customize for them. Honestly, why hire me if you’re just going to follow whatever your whim decides is cool at the moment? I don’t get easily insulted, but it’s more that I put time into customizing plans and don’t appreciate it when a client reads some silly excerpt in Shape magazine, and decides that it must be better than my advice because it was in a popular women’s magazine.

I deal with know-it-all attitudes both as a fitness professional and as a physician. Let me be very clear. I have a four year college degree in Exercise Science from a well respected college. I have almost thirty years of experience with weight training, and have done contest prep coaching since 2010. I am also an IFBB Professional Athlete. On top of that, I have worked as a board-certified and fully licensed physician for over a decade. Yet I am challenged on a regular basis by people who think that because they looked up something on WebMD or Google, they are suddenly more knowledgeable than I am. In fact, I am not sure which bothers me more: the disrespect I get as a doctor, or the disrespect I get as a fitness professional. Both are infuriating.

The BEST advice I can give to anyone who is looking for a comprehensive plan in fitness, nutrition, or hormone balancing is to pick ONE expert and stick with that person’s knowledge, instead of second guessing the individual by throwing other mostly uneducated opinions on what to do. I give people a lot of credit for knowing their own bodies. However, it is important to remember that contradicting your coach, physician or mentor is a study in animosity that will pitch you in poor stead with the very person who is trying to help you.

Who Is That Old Person In The Mirror?

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This post is dedicated to every single patient and client who has admitted to me that at some point after they began their descent into middle age, they looked in the mirror and no longer recognized the reflection staring back. The aging process can be terribly cruel, and when hormonal levels plummet, the physical changes can appear almost overnight. Taut, supple skin is replaced with saggy skin. A full, thick head of hair is reduced to a thin, lifeless mass. Joints begin to creak and resist natural movement. Brilliant white teeth begin to look dingy. Once full cheeks and lips become deflated. Grey and white hairs sprout and take over the scalp. Back fat and belly fat obliterate a once trim waistline. I could go on, but you get the idea.

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None of the changes associated with aging are fun, especially the physical changes which end up making us feel frustrated by a rapidly changing physical landscape. While some folks begrudgingly accept the aging process without considering any interventions, a growing segment of the aging population has turned to everything from adrenal support supplements, to hair dye, to dermal injectable fillers, to surgery, in an effort to fight the aging process every step of the way.

The good news is that there are more anti-aging options than ever before. In addition, there is a greater awareness of the importance of proper nutrition and regular exercise in fighting the aging process. But let’s face it. Many people still want a magic pill or an instant fix, and that is where cosmetic interventions such as fillers and surgery come into play.

Is it cheating to have treatments which make you feel more like yourself? I certainly don’t think so, nor do my patients. Unless you are on a mission to pump your face so full of fillers that you look like a Barbie doll, you can turn to fillers to restore volume which has been lost over the years and STILL LOOK LIKE YOU.

I offer the following injectable facial medical treatments:
Botox
Juvederm
Voluma
Kybella
Radiesse
Bellafill
Restylane

In addition, I also perform medical grade chemical peels, surgical skin tag and mole removal, and bioidentical hormone replacement.

For those of you in the Los Angeles area who are interested in any of the treatments or services I offer, please check out my medical site: http://www.drstaceynaito.com/#!procedures/c1pna

Curious About Medical Grade Chemical Peels?

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If you are suffering from enlarged pores, fine lines and wrinkles, or brown discoloration on your skin from sun exposure, you may want to consider having a chemical peel. Medical grade peels are more robust than self-application kits, and produce more significant results. My favorite medium strength peel is the Perfect Derma Peel by Bella Medical Products. The Perfect Derma Peel is suitable for most skin types and consists of a powerful mixture of ingredients:

TCA
Kojic Acid
Retinoic Acid
Salicylic Acid
Phenol
Vitamin C
Glutathione

Please check out my video diary which details my personal experience using the Perfect Derma Peel. The results I achieved were fantastic! I had experienced such a dramatic improvement in the brown sun spots I had, that the concealer I was using for fifteen years was too dark for me! Gone were the stubborn brown splotches which served as the marks of too much time out in the sun.

I completely and enthusiastically endorse the Perfect Derma Peel. If you are in the Los Angeles area, click on the link here to book a peel with me: http://www.drstaceynaito.com/#!chemical-peels/comt

Keeping Pace With A Crazy Schedule

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George Kontaxis shoot

The last few weeks have been NUTS. I am talking about day after day of so many shifts in my schedule and demands on my time, that I am torn in many different directions, and cannot focus on a darned thing. When this kind of chaos ensues, I begin to lose items, certain basic vocabulary terms escape me, and I feel like I am rushing by everything and everyone, like a bullet train zooming through a bustling cityscape.

For the life of me, I can’t find a gray tank top which I had recently purchased and put…somewhere. I honestly can’t remember where. This isn’t like me, because I am VERY organized, to the point of having all of my clothing organized by color, sleeve length, etc. So why can’t I find that gray top?

I literally run around in my bedroom, grabbing for clothes, rushing, trying to keep up with the stressful demands of being in so many places all the time. It’s starting to get old. Forget about having time to read a book, or watch a TV show, because by the time the dust settles from the crazy days I have been flying through, the notion of blissful sleep is so seductive that I don’t want to do anything else.

What keeps me from unraveling is the consistency I demand with my eating habits and my workouts. I am not joking about this. Despite the insane schedule I have been juggling lately, I still weight train six mornings each week. I attend lyra class one to two evenings during the week. My meals consist of clean foods like chicken breast, salmon, tilapia, green beans, asparagus, brown rice, quinoa, avocado, almonds, oats, and Greek yogurt. I have been drinking plenty of alkaline water. I have also been consistent about consuming MitoXcell every morning (I LOVE this supplement and intend to post more about it when I get a chance to breathe!), and I also take my regular supplements (like turmeric, CoQ10, folic acid, etc.) daily. My energy levels have been decent, and my mood has been generally great, with only a couple of stark exceptions.

There are two days next week which I have designated as clean up and organization days, and I desperately need them. During those days, I will perform the deep cleaning throughout most of the house which the housekeeper always neglects, I will reorganize cabinets and drawers, clean up the garage and patio, and find that gray top!