Make sunscreen a part of your daily routine

Often, people don’t think they need to apply sunscreen on a cloudy day because they don’t see bright sunlight or feel the burn of the rays. However, 95 percent of the UV exposure the average person receives is able to pass through clouds, glass and clothes.

Make sure sunscreen application is a part of your daily routine. Whether you’re driving to work, playing golf on a cloudy day, running errands, on the boat or wearing a high neckline or long sleeve shirt, remember to protect your skin with from UVA and UVB rays!

The sun’s UVA and UVB rays cause damage to your skin in different ways.

The B rays penetrate the top layer of your skin, while the A rays penetrate deeper layers. Here’s a trick to remembering: A rays affect AGING; B rays cause BURNING.

• UVA rays are always present – even on a cloudy day. These are the rays that cause signs of aging (i.e. wrinkles, sun spots, leathery skin) because they penetrate deep into your skin and damage the cells below the surface.

• UVB rays are the cancer-causing rays that cause sunburn. They’re most dominant during summer months, but they also reflect off snow and water. Large doses of the UVB rays can ultimately cause cancer.

To protect yourself, use a broad spectrum SPF daily. It protects against both A and B rays.

Because, we regularly see patients looking for rejuvenation with surgery, lasers, peels and fillers, we suggest patients and their family members of all ages start NOW!

There are many, many sunscreens available, so make sure you pick one that works for your lifestyle and skin type.

Our MediSpa carries a range of awesome clinical brand sunscreens. Some are tinted and can act similar to a makeup base for women. Many are water-resistant and theyk are great for all skin types and ages. Since you’ll be wearing this daily, take the time to find one that is easy for you to use, feels good on your skin and, most importantly, protects, protects, protects!

Question: I have been told I need a shoulder replacement. Do I have to have it done in a hospital?

Answer: If you asked me this question five years ago, I would have to tell you that a hospitalization overnight is required. But there have been advances in technique that now allow us to perform total shoulder replacements and reverse shoulder replacements as complete outpatient procedures.

The first and most impactful to patients is our ability to control postoperative pain. Using a combination of a block that numbs the extremity for up to 18 hours, and general anesthesia, and medication and ice after surgery has been the traditional approach for pain relief.

Recently we started to use special techniques in the OR at the time of surgery, injecting longacting medications inside the shoulder and this has resulted in a dramatic reduction in postoperative pain.

Surgical efficiency is critical. For me, most of these surgeries take less than an hour. Short operative times and a single dose of long-acting antibiotics help to reduce

Atlantis Orthopaedics infection risk. In addition, our ability to ensure quality home care has improved. We are able to send nurses, occupational therapists, and physical therapists to the home to monitor patients. We have been doing this for years. With our open lines of communication and state-of-the-art techniques, we are able to safely and effectively achieve a completely outpatient shoulder replacement.

Of course, there are some people who cannot, or should not, have their shoulder replaced as an outpatient because of medical conditions. Patients need to be otherwise pretty healthy in order to be considered for outpatient shoulder replacement surgery.