In My Book: Health
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ImmunizationsMany adults are behind on their vaccinations. These checklists will help you determine if you need any vaccinations. Please check the boxes that apply to you.
Arthritis- Rheumatoid arthritis (RA), an autoimmune disease, strikes approximately three times more women than men. This form of arthritis is very different from degenerative joint disease. The inflammation occurs in joints in a symmetric distribution on both sides of the body.
Fibromyalgia- Fibromyalgia, a little understood condition that can cause joint pain, affects women eight times more frequently than men.
Weight ManagementA common resolution for this time of year is to improve health, diet and exercise. Often weight loss is part of that plan. The article in this newsletter issue on how to increase your metabolism should be helpful. As people age, their metabolism decreases by 5 – 10% every ten years, mostly due to loss of muscle mass and decreased physical activity.
Rheumatology"We now recognize over 100 different forms of arthritis," says Robert Hoffman, MD, chief of rheumatology at the University of Miami Miller School of Medicine. "That's why getting the correct diagnosis is important. You need the ri
Pediatric CareOur building was constructed in 1993. The first floor houses a state-of-the-art labor and delivery unit, postpartum maternity unit, well baby nursery, and Level III neonatal intensive care nursery. A neonatologist is on staff 24 hours a day to provide specialized pediatric care of your newborn. Our office is on the second floor.
Smoking CessationIf you have resolved to make this the year that you stamp out your smoking habit, over-the-counter availability of nicotine replacement therapy now provides easier access to proven quit-smoking aids. Even if you've tried to quit before and failed, don't let it get you down. On average, smokers try about four times before they quit for good. Start enjoying the rest of your smoke-free life! Locally, there are a variety of free support services, hotlines and smoking cessation classes to help you kick the smoking habit.
Family PracticeFor your first visit, please arrive 20 minutes early in order to complete a number of forms. You are invited to print the registration form and medical history form and fill them out in advance to shorten your pre-appointment time to 10 minutes. We also encourage you to collect your family health history information for 3 generations including parents, grandparents, aunts and uncles and bring a copy to bring to your appointment. Your first appointment may take up to an hour, so please give yourself the time needed for us to meet you. If you are taking medications, please bring the names and dosages with you.
Emergency CareSince December, 18 patients have been admitted to El Camino Hospital with confirmed influenza resulting in 6 admissions to the ICU and one death. Last week, the emergency department saw 20-50 patients/day with ILI. Many cases appear to be due to a resurgence of pH1N1 which is included in the flu vaccines, though the vaccines do not provide 100% prevention. If you think you have the flu, contact us. An anti-flu medicine called Tamiflu may be helpful.
Multiple Sclerosis- Other autoimmune conditions that cause joint pain, such as lupus, scleroderma, and multiple sclerosis (MS), also hit women harder than men: Women are nine times more likely to develop lupus, three times more likely to have scleroderma, and twice as likely to suffer from MS. Polymyalgia rheumatica (PMR)...
EpilepsyGabapentin which is a medicine used for epilepsy and neuropathic pain and migraine prevention has been shown to be helpful when taken with the evening meal at a dose of 600 mg.
MammographyBy law, the mammography center will send your results directly to you. If you have not been notified or have questions regarding your results, please call our office.
IontophoresisIontophoresis uses water to conduct a mild electrical current through the skin's surface. It's not entirely understood how or why iontophoresis works, but it's believed that the electric current and mineral particles in the water work together to microscopically thicken the outer layer of the skin, which blocks the flow of sweat to the skin's surface. Once this sweat output is blocked or interrupted, sweat production on the palms and soles is, often suddenly and dramatically, "turned off."
UltrasoundYou may need a pelvic exam, Pap smear, endometrial biopsy, and sometimes an ultrasound or sonohysterography before the NovaSure
MRINone of the tools are perfect, but they are often used by doctors and insurance companies (sigh) to decide if ordering an expensive test like a breast MRI is really justified.
RadiologyLaboratory testing and radiology studies can be done at whatever facility you prefer. Just let us know so we can order appropriately. Laboratory charges are separate. We no longer have a draw station in our office.
Ovarian CancerThe average risk for women of getting ovarian cancer in their lifetime is 1.4 percent (14 out of 1,000) but if you have a strong family history of breast and ovarian cancer and happen to carry a certain gene, the risk can go up to 15 percent to 40 percent.
Cervical CancerIn February 2012, a symposium, cosponsored by the American Cancer Society (ACS), the American Society of Colposcopy, the Cervical Pathology ASCCP, and the American Society for Clinical Pathology (ASCP) issued new “guidelines” regarding tests for cervical cancer screening.
Colon CancerIt does not look for rare mutations (<1%) like the BRCA mutation for breast cancer, Lynch syndrome for colon cancer, or genes associated with sudden death. It does not screen for carriers of recessive diseases like cystic fibrosis or spinal muscular atrophy (SMA). The genetics of common complex diseases are not fully understood, so many of the studies show a relationship but not necessarily a cause and effect.
Urinary Tract Infection
Lung CancerFor example, they identified the effect of smoking on lung cancer and the effect of obesity on at least 8 major cancers.
Prostate CancerFor example, a recent study showed Vitamin E could increase the risk of prostate cancer in men but the Women’s Health Study showed a reduction in the risk of deep venous thrombosis or clots in the veins in women.
Internal MedicineAnother recent study in the Archives of Internal Medicine showed that women aged 55-69 who took multivitamins had a 2.4% increase in death rates.
Arthroscopy—If all else fails, some joint pains can be improved by repairing damage to the joint with an arthroscopy, or in the worst case scenarios, having a complete joint replacement.
Minimally Invasive SurgeryConfirmed the benefits of having hysterectomies performed by minimally invasive surgery, including the daVinci Robot, instead of a large abdominal incision.
Hysterectomy® Surgery, a hysterectomy requires only a few small incisions, so you can get back to life faster - within days rather than the usual weeks required with traditional surgery.
Endometrial AblationBecause pregnancy following endometrial ablation is very dangerous, you should not have the procedure if you want to have a baby in the future.
GynecologyThe American College of Ob-Gyn recommends that teenage girls have their first visit to a gynecologist between the ages of 13 and 15. A pelvic exam is usually not necessary depending upon symptoms or risks. Subsequent visits are approximately annually.
MenopauseIn this newsletter, you will find more detailed discussion of menopause management using hormone replacement, but many women cannot take hormone replacement due to breast cancer, heart disease, coagulation abnormalities, or stroke risks, so Estrovera can be useful as an alternative.
ObstetricsWe often use the services of the Prenatal Diagnostic Center (PDC). These are Stanford faculty physicians who offer high-risk obstetrics consultation, prenatal testing, and ultrasound in their office on the second floor of Orchard Pavilion, the building where our offices are located.
Endometriosis1 While no woman wants to face surgery, today the vast majority of gynecologic conditions - from endometriosis to uterine fibroids, heavy menstrual bleeding to cancer - can now be treated effectively without a big incision. With
Labor and DeliveryAffects how one feels in a sexual relationship. If women do not feel comfortable with their appearance, they may avoid being seen without clothes. This often happens after childbirth or as women get older and put on unwanted weight or lose muscle tone.
Skin CancerThe morning will include health lectures on a variety of topics including advances in GYN surgery, senior health, bones and joints, pelvic health, veins, skin cancer prevention, GI/Colon health and dealing with depression.
DermatologyIontophoresis uses a simple device to treat excessive sweating of the hands (palmar hyperhidrosis) and feet (plantar hyperhidrosis). It is particularly useful for people who've tried prescription-strength antiperspirants but find that they need a stronger treatment. Used correctly and adjusted to individual situations, iontophoresis has proven to have a very high success rate (83% according to the American Academy of Dermatology) for people with sweaty palms and sweaty feet.
LesionsCalifornia joins 4 other states with similar laws on notification of breast density—New York, Virginia, Texas and Connecticut. Similar bills are pending in 12 states. Connecticut, the first state to pass a notification bill, has shown a 100 percent increase in breast cancer detection rates in women with dense breast tissue who had supplementary screenings. Connecticut also requires insurers to pay for ultrasounds for women with dense breasts. The additional screening for the 8,652 women found to have lesions on supplementary ultrasound cost $2.15 million, or $110,000 for each additional cancer found. Most authorities feel that finding cancers early saves many times that amount compared with the cost of late-stage cancer treatment.
HypothyroidismOther contributors include things like alcohol, smoking, lack of sleep, depression, stress, head injury, stroke, dementia, vitamin deficiencies, and hypothyroidism.
Botox® Cosmetic therapy for facial wrinkles and underarm sweating. Treatment of both of these areas has been FDA approved attesting to the proven efficacy and safety. Following are the answers to commonly asked questions regarding BOTOX
LiposuctionThere are 500,000-1,000,000 stem cells in 1cc of body fat. That’s a lot of cells! Under local anesthesia, in the office, the doctor does a mini-liposuction (I wanted him to take more!). The cells are processed and then deployed (don’t you like that word?) into the specific joints and since I had a lot of stem cells also IV (intravenously). Dr. Sutherland stood by my side the whole time. Actually, I thought it was interesting. I even watched the liposuction with a mirror. Unfortunately, 3 months later I have seen no improvement.
Stress ManagementExercise, a healthy diet with lots of fruits, vegetables and grains, stress management, and maintaining a normal weight can all go a long way towards cancer prevention.
Mental HealthCare management, caregiver support resources, adult day programs, dementia/memory loss, housing/living options, mental health services, and meal programs.
PsychiatryIn the September 2010 New York Times article titled; “Regimens: Massage Benefits Are More Than Skin Deep”, Dr. Rapaport, chairman of psychiatry and behavioral neurosciences at Cedars-Sinai Medical Center in Los Angeles published the results of a remarkable test study which found that
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