Finding A Top Physician

Choosing a Physician is an important decision. Thus, our goal is to assist you in making that decision.
First of all, when selecting a Physician, you may want to begin your search
several different ways:
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Ask family, friends,
neighbors and/or co-workers. |
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Contact your local
Chamber of Commerce or Better Business Bureau for reputable Physicians
that specialize in the area of medicine that you have a need for. |
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Contact your city,
county or state medical agencies for names of qualified Physicians.
Contact and ask for referrals from medical associations. Many are listed
in this publication. |
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Ask your family
doctor. He or she is in constant contact with all kinds of health care
professionals and will be able to provide you with recommendations. |
We recommend that
you interview the Physician and ask the following:
How long have you
been in practice?
Is your staff
friendly and accommodating?
What are the
procedures if we need a doctor in the middle of the night or on a
weekend?
Do you have an
associate that covers for you when you are not available?
Do you have more
than one office and if so, how is your time divided between offices?
What kind of
continuing education do you utilize?
Do you accept phone
calls during office hours?
How do you stay
current on the latest drug prescriptions available and medical
testaments?
What types of
insurance coverage do you accept?
How do you handle
billing? Do you require payment at the time of visit?
Discuss your family
medical history and particular problems you are concerned about.
After you have
consulted a few Physicians you should have a good idea which one you
felt most comfortable with and best answered your questions.
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How Physicians Were Selected
Consumers' Research Council
of America has compiled a list of Physicians throughout the United States by
utilizing a point value system. This method uses a point value for criteria that
we deemed valuable in determining top health care professionals.
The criteria that was used
and assessed a point value is as follows:
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Experience:
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Each year the Physician has been in practice
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Training:
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Education
and Continuing Education
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Professional
Associations:
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Membership
in Professional Medical Associations
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Board
Certification:
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Completing an approved residency program and
passing a rigid examination on that specialty
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Simply put, Physicians that have accumulated a certain amount
of points qualified for the list. This does not mean that doctors that did not
accumulate enough points are not good Physicians; they merely did not qualify
for this list because of the points needed for qualification.
Similar studies have been
done with other professions using a survey system. This type of study would ask
fellow professionals who they would recommend. We found this method to be more
of a popularity contest. For instance, professionals who work in a large office
have much more of a chance of being mentioned as opposed to a professional who
has a small private practice. In addition, many professionals have a financial
arrangement for back-and-forth referrals. For these reasons, we developed the
point value system.
Since this is a subjective
call, there is no study that is 100% accurate. As with any profession, there
will be some degree of variance in opinion. If you survey 100 patients of a
particular Physician on their level of satisfaction, you
will undoubtedly hear that some are very satisfied, some moderately satisfied
and some dissatisfied. This is really quite normal.
We feel that a point value
system takes out the personal and emotional factor and deals with factual
criteria. We have made certain assumptions. For example, we feel that the more
years in practice is better than less years in practice; more education is
better than less education, being board certified is better than not being
certified, etc.
The Top Physician list that we have compiled is current as of a certain date and
other doctors may have qualified since that date. Nonetheless, we feel that the
list of top Physicians is a good starting point for you to find a qualified
family health care specialist.
No fees, donations,
sponsorships or advertising are accepted from any individuals, professionals,
corporations or associations. This policy is strictly adhered to, ensuring an
unbiased selection.
Immunization
 Immunization is a method of
developing resistance within the human body for specific diseases using
microorganisms that have been killed or modified. Immunization is also known as
vaccination or inoculation. Immunization has drastically reduced the number of
serious and deadly diseases. The success of vaccines speak for themselves. In
1962, the year before measles vaccine was introduced, there were over 500,000
cases reported. Currently less than 100 cases per year are now reported. The
number of cases of Meningitis in the United States for children and infants has
dropped 96% since the the vaccine was introduced in 1988.
A vaccine may consist of a
living organism that have been purposely weakened or altered. The microorganisms
have been modified enough so that the human body will create immunity and not
get the actual disease. The theory of vaccinations are based on the ability of a
person's immune system to respond much faster and more effectively to a
microorganism the second, third or fourth time that the immune system confronts
the invading organism. Some immunizations protect a person for their entire
life. Many other vaccines, such as Tetanus, require booster shots at required
intervals to provide continued protection.
The American Academy of
Pediatrics and the U. S. Public Health Service recommends a series of
immunizations beginning at birth. For your convenience we have provided a Recommended Childhood Immunization Chart in a separate chapter. Check with your Pediatrician for any
risks and side effects associated with the vaccines that could affect your child.
Hepatitis A
Hepatitis A is a disease that affects the liver like other types of Hepatitis.
Hepatitis A is a caused by a virus found in feces and bowel movements and is
spread through personal contact, or drinking and eating contaminated food or
water.
Unlike Hepatitis B, Hepatitis A
does not cause long-term illness or liver damage. Signs of Hepatitis A include
fever, vomiting, stomach pain, loss of appetite, tiredness, dark urine and
jaundice (yellowish tone to the skin and eyes). Blood testing is required to
determine which type of Hepatitis is present.
Hepatitis A vaccine requires two doses. The first dose can be given to children two years of age or older and
the second dose should be given six to eighteen months after the first dose.
Hepatitis B
Hepatitis B is a disease that affects the liver. Some people who have the virus
Hepatitis B never feel sick, while others have symptoms that can last for a few
weeks. These symptoms include jaundice (yellowish tone to skin and eyes), pain
in muscles, pain in joints, vomiting, diarrhea, loss of appetite, and tiredness.
In the United States alone there are over one million chronically infected with
the Hepatitis B virus. Many of these chronically-infected people will suffer
from serious health problems such as Cirrhosis or liver cancer. The Hepatitis B
virus is the leading cause of liver cancer in the world.
Hepatitis B is spread through
contact with body fluids and blood of an infected person. This disease is also
spread by sharing personal items like toothbrushes and razors with an infected
person. Another way that this disease is spread is through unprotected sex and
needle-sharing associated with drug use.
You can protect your child by getting them vaccinated with three doses of the
Hepatitis vaccine. A newborn should get the first vaccine between birth and two
months old, the second vaccine between one and four months and the third vaccine
between six and eighteen months of age.
HIB (Haemophilus Influenza Type B)
HIB disease was the leading cause of bacterial Meningitis in
children under five years of age. Approximately 12,000 children contracted Meningitis
(inflammation of the covering of the brain) as a result of HIB. About 25% of these children
suffered permanent brain damage and close to 5% died.
HIB is a bacterial disease that is spread through the air by coughing and sneezing. When
the bacteria enters the blood system or lungs it is then called "invasive" HIB disease.
This type of HIB can cause complications that lead to Pneumonia, Arthritis and
Epiglottitis. Most of the time this type of HIB occurs in children under the age
of five.
Great success has be realized with the Haemophilus Influenzae Type B vaccine. The first
vaccine came out in 1985 and soon afterward the disease began to disappear. In 1985 there were over
20,000 cases of HIB and now there are only a few hundred cases per year.
Children should get three to four doses of the vaccine: The first dose is recommended at two months
of age, the second dose at four months and the third dose between twelve and fifteen
months of age. Children who are over five years old do not need the HIB vaccine.
Polio
Polio is caused by a virus that
resides in the throat and intestinal tract. Polio is spread through contact with
feces and bowel movements of an infected person. Polio was one of the worst
diseases in the past century. In 1916 it had killed over 6000 people and had
left over 27,000 paralyzed. Today, there is no Polio in the United States but it
is still common in other parts of the world.
Some children who get Polio
become paralyzed. This type of Polio is called paralytic Polio. It can start out
like a common cold, and soon the victim will develop severe muscle pain.
Paralysis starts within the first week and most often affects the muscles in the
legs. Some children can recover but most will become permanently disabled. Once
contracted there is no treatment for Polio.
Children should get four doses
of IPV (Inactivated Polio Vaccine). The first dose should be administered at two
months of age, the second dose at four months, the third dose between six
and eighteen months and a booster between four and six years of age.
DtaP (Diphtheria, Tetanus
and Pertussis)
DtaP is three vaccines,
Diphtheria, Tetanus and Pertussis, combined into one. A child needs five DtaP
vaccines for maximum protection. The first three shots
should be given at two, four and six months of age, the next vaccine at fifteen
to eighteen months and a booster between the ages of four and six.
Diphtheria is a bacterial
disease that resides in the mouth, throat and nose of an infected person. The
disease is spread through the air by coughing and sneezing. This disease was a
major cause of childhood sickness and death. In 1920 over 150,000 were infected
with Diphtheria and about ten percent of them died. Today there are only a few
cases a year.
Tetanus is a bacterial disease
that can live anywhere and can be found in soil, dust and manure. Tetanus enters
the body through cuts and scratches on the skin. It can get through even a tiny
pin-prick but it is more common with deep puncture wounds or cuts. Tetanus
produces a poison in the body that causes muscle spasms in the arms, neck, legs
and stomach. It has been known to cause such powerful muscle contractions that
it will actually break a child’s bones. Tetanus is not contagious.
Pertussis, also known as
'whooping cough', is a very contagious disease and is common in the United
States. It is caused by a bacteria that resides in the mouth, throat and nose.
Pertussis is spread via the air by coughing and sneezing. This disease causes
such severe coughing that it can continue until the air is extracted from the
lungs, causing a person to make a loud ‘whooping’ sound as they gasp for
air. Children have be known to turn blue from lack of air, vomit and experience
problems eating and drinking.
Pneumococcal Disease
Pneumococcal disease is a bacterial disease that kills more people in America
each year than all other vaccine-preventable diseases combined. This disease is
the leading cause of bacterial Meningitis. Over 200 children die from invasive
Pneumococcal disease each year.
This disease is spread through the air by
coughing and sneezing. There are over 90 strains of the Pneumococcal bacterium.
Pneumococcal disease is the leading cause for all middle ear infections in
children. It is becoming more resistant to antibiotics, making the
vaccination increasingly important.
Children should get four doses
of the vaccine. One dose at two, four and six months of age and the last dose
between twelve and fifteen months. It will not prevent all, but many of the ear
infections caused by the Pneumococcal bacteria.
MMR (Measles, Mumps & Rubella)
The MMR is a combination of three vaccines
in one, Measles, Mumps and Rubella. This vaccine works well and should protect a
child for the rest of their lives. Children should get two doses of the MMR
vaccine. The first dose should be given at twelve to fifteen months of age and
the second dose at any time twenty eight days or more later.
Measles is a deadly disease that kills
over one million people a year through out the world. Most children get a rash
and a cold and need to stay home for a few days. Approximately ten percent of
children with Measles get an ear infection, and five percent will get Pneumonia.
Measles is caused by a virus
that spreads very easily to any child that is exposed it. Measles is airborne
and is contracted through coughing, sneezing and close-contact conversation.
Before the Measles vaccine in 1963 there were over 500,000 cases reported each
year and over 3 million cases went unreported. Today there are only a few
hundred cases a year.
Mumps is a virus that is spread
through the air via coughing, sneezing or close-contact conversation. Children
get Mumps through others who are already infected. Common signs of Mumps is
swelling of the cheeks and jaw and many sufferers get a headache and fever.
Approximately ten percent of children who get Mumps also get Meningitis, but
generally Mumps is a mild disease.
Rubella is also
known as 'German Measles' and '3 day measles'. Rubella strikes children,
teenagers and adults who have not been vaccinated. The Rubella vaccine was first
licensed in 1969. Prior to that, in 1965, there were 12 ½ million people who
contracted the disease. Today there are only a few hundred cases reported per
year. The biggest threat of Rubella is to unborn babies; If a woman gets
Rubella during the first few months of pregnancy there is an 80% chance that the
baby will have some type of birth defect.
Varicella (Chicken Pox Vaccine)
Chicken Pox is caused by a virus and can be spread very easily from person to
person. The virus is airborne and is contracted through coughing, sneezing and
close-contact conversation. Chicken Pox is generally a mild disease but serious
problems can still occur. The Chicken Pox blisters can become infected and as a
result, some children contract Encephalitis (infection of the brain).
A single dose of the Varicella vaccine is recommended for children between the ages of 12 to 18
months. Children who miss this vaccination can still get it up to the age of
thirteen. Data suggests that the vaccine is 70 to 90% effective in preventing
Chicken Pox and 95% effective in preventing a serious outbreak of the disease.
Immunization
Schedule
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Birth
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1
month |
2
months |
4
months |
6
months |
12
months |
15
months |
18
months |
2
years |
4
to 6
years
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Hepatitis
B
Shot 1
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Shot
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Shot
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HIB
Shot 1
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Shot
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Shot
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Polio
Shot 1
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Shot
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Shot
3 |
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Shot
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DtaP
Shot 1
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Shot
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Shot
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Shot
4 |
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Shot
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Pneumo
Shot 1
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Shot
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Shot
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Shot
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MMR
Shot 1
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Shot
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Varicella |
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Hepatitis
A
Shot 1
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Hepatitis
A
Shot 2 |
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Shot
2
6 to 18 months after the fist shot
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Common
Surgical Procedures
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Thyroid
Surgery
Thyroid experts advise that people
over the age of thirty five be thyroid tested. Experts have concluded that
women are seven times more likely than men to develop a thyroid problem.
Age is also another major factor. Women at the age of sixty have a one in
five chance of having a thyroid problem. The post-partum and menopausal
periods are times when a woman is most vulnerable to thyroid disorders.
Many symptoms of a thyroid disorder
are common symptoms of other health conditions. These symptoms do not mean
that you have a thyroid disorder, but you should be aware of them so you
can determine if you should be tested by your Physician.
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Some common symptoms include:
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A high or low pulse
rate Fatigue and exhaustion
Anxiety-Panic Attack
Low sex
drive High or low blood
pressure Insomnia
Heart palpitations Irregular menstrual
cycles
Rapid weight gain or loss despite exercise and diet
Mood swings irritability
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There
are various reasons for thyroid surgery. Common reasons for thyroid
surgery include:
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When a woman is
pregnant and her hyperthyroidism cannot be controlled and regulated by
any other means.
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When breathing and
swallowing is difficult due to enlarged thyroid nodules.
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When cancerous cells
have been discovered near or on the thyroid gland.
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In most cases thyroid surgery is not complicated and the actual
surgery takes less than two hours. It is now common for this
type of surgery to be performed on an outpatient or overnight
basis. There are three types of thyroid surgery performed. They
are as follows:
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| Thyroid Lobectomy: |
The removal of
approximately one quarter of the thyroid gland
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| Subtotal
Thyroidectomy: |
The removal of
approximately one half of the thyroid gland
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| Total Thyroidectomy: |
The complete removal
of the thyroid gland
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Most thyroid patients resume work within
seven to fourteen days following surgery. Generally, the only major
restriction will be no swimming. You will be encouraged to move about as
soon as possible. Eating and drinking can be a discomfort and a soft
diet is usually prescribed until it has had time to heal.
Thyroid replacement drugs will almost
always be prescribed for the remainder of the patient's life. It is
common to be tested a month after starting hormone replacement drugs to
make sure that you are not taking too much or too little. A patient
following this surgery should carefully watch for signs of
hypothyroidism which symptoms include fatigue, feeling run-down,
depressed, muscle cramps and weight gain. Good patient/doctor
communication and patient follow-up is essential for a good and complete
recovery.
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Angioplasty
Angioplasty is a procedure performed
during a heart catheterization. The atherosclerotic blockages in the
coronary arteries are compressed against the vessel wall by expanding a
balloon from within the artery. The angioplasty
procedure is an invasive method of opening blocked arteries that are
restricting and impeding blood flow. When the balloon is inflated, the
plaque blocking the interior arterial wall is compressed and remains
compressed, clearing space so the blood flow volume can increase.
The angioplasty method is a less invasive
procedure as compared to a bypass surgery. Angioplasty has less risk and
the recovery period is much quicker. Your cardiologist will tell you if
you are a good candidate for this procedure. The cardiologist will take
into consideration your age, severity of the blockage and your overall
physical condition.
Angioplasty procedures have been
performed for the past 25 years. Results show that patients are doing
better today because of advanced drug therapies and new advanced
techniques that are better able to detect the exact locations of the
blockages.
In the early 1990's surgeons
started using stents. Stents are tiny wire mesh tubes which are inserted
permanently at the location of the blockage. The use of stents have been
highly successful in reducing the possibility of arterial collapse and
the renarrowing of the artery which is called restenosis. Seasoned
doctors who perform this procedure are able to install stents in one or
more arteries with a high degree of success.
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Coronary Artery Bypass Graft
Surgery
Coronary bypass surgery is very successful
in relieving angina. This surgical procedure is highly invasive which
requires the opening of the chest, routing the blood through a heart
lung machine, transplanting new vessels and stopping and restarting the
heart. Bypass surgery requires taking large blood vessels from the
patients legs, stomach or chest and grafting them to the front and back
of the blocked arteries.
 During a bypass procedure the heart-lung machine
takes over the functions of the heart and lungs. This is
done so the heart can be carefully stopped and the surgeon can work in a
blood-free environment. The heart-lung machine keeps oxygen-rich blood
flowing through the body. It receives the blood and removes the carbon
dioxide and other waste products, warms and/or cools the blood and adds
oxygen as it pumps the blood through the patient's body. At the
conclusion of the bypass surgery, the heart is restarted and the
heart-lung machine is disconnected.
New advances in bypass surgery are continuing. A
minimally invasive bypass surgery technique is being tested with
promising results. This new procedure requires the surgeon to work on
the front of the heart through a four inch incision while it is beating
slowly. Another type is that the heart is stopped and a surgeon uses a
fiberoptic scope that is passed through a 4 ½ inch incision and the
surgeon works on all sides of the heart by viewing a video image. This
less invasive procedure would be less expensive and requires a much
shorter hospital stay.
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Rhinoplasty
Rhinoplasty is plastic surgery of the nose.
This procedure is very common and you are a good candidate for this
procedure if:
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The nose is
crooked or off-center |
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Nostrils are
excessively wide or flared |
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A bump or high
point on the nasal bridge |
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The nose is
too large for the face |
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The nasal tip
is sagging or thickened/ enlarged |
Many surgeons prefer not to
operate on teenagers until they have completely stopped growing. Each
case is individual and needs to be discussed in detail with your
surgeon.
The actual procedure usually
takes between one and two hours. Rhinoplasty can be performed under
local or general anesthesia depending on what procedure you and your
surgeon have decided upon. The skin of the nose is separated from the
bone and cartilage and then is sculpted to the desire shape. Many times
the incisions are made on the inside of the nose and it depends on each
particular surgeon and what needs to be exactly done.
You will experience facial discomfort for the first twenty-four to forty-eight hours. It is common
for your face to feel swollen and to have a headache. It is usually
recommended to stay off of your feet for the first 24 hours and get
proper rest. By applying cold compresses, swelling and aching will be
reduced to a minimum. Slight bleeding will occur and blowing your nose
is discouraged for the first week.
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Arthroscopic Surgery
Until recently, treatment, diagnosis and
examinations were difficult in orthopedic injuries. The arthroscope has
made it possible for surgeons to treat joint injuries quickly and
effectively. The arthroscope is a small fiber optic medical device used
for viewing. This high-tech instrument consists of a tiny lens and video
with a light source.
The arthroscope is inserted through a
very tiny 1/4" incision into the joint. The incision is called a
portal. Other portals in the immediate area are used for the insertion
of other medical instruments used in the surgical procedure. An
Arthroscopic Surgeon can correct and diagnose a variety of problems such
as ligament tears, arthritis and other joint-related problems. The
portals leave very little scars and many times are unnoticeable.
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Gallbladder Surgery
Each year over 500,000 Americans have
gallbladder surgery. One type of gallbladder surgery, called a
Laproscopic Cholecystectomy, is used in 95% of gallbladder removal
surgeries. The surgeon inserts a miniature video camera and surgical
instruments through tiny incisions in the abdomen. The video camera
transmits images to a video monitor, giving the surgeons a close up and
detailed view of the various organs and tissue. While using the camera
as his eyes, the surgeon separates the gallbladder from the liver, ducts
and other tissue. The cystic duct is cut and the gallbladder is removed
through one of the small incisions.
Laparoscopic surgery is preferred since
abdominal muscles are not cut. This results in a much quicker recovery
and sometimes requires only one night in the hospital. However, an open
surgery is sometimes required due to problems. They call this an open
surgery because it requires an incision that is 5 to 9 inches long in
the abdomen. This is considered a major surgery with up to a one-week
stay at a medical facility.
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Vasectomy
A vasectomy is a simple surgical procedure
that causes sterility. Over 500,000 men in America choose to have this
procedure done as a permanent form of birth control. Vasectomy is nearly
100% effective.
A vasectomy makes men sterile by keeping
the sperm out of the fluid that is discharged through the penis during
sex. The sperm are the male's reproductive cells in men. When sperm meet
with a woman’s egg, pregnancy results. The sperm passes through tubes
called vas deferens to other glands and mixes with seminal fluids to
make semen. A vasectomy blocks the vas deferens so the semen does not
contain sperm. Without the sperm a pregnancy can not occur. Men
consider a vasectomy for the following reasons:
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Their mate's health could be in jeopardy if by a
future pregnancy.
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They want to
enjoy the act of sex without causing a pregnancy.
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They do not
want a child in the future.
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Other methods
of birth control are unacceptable.
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They do not
want to pass on any hereditary illnesses.
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It is easier,
safer, faster and more cost effective than to
have their mate
have a tubal sterilization.
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This simple surgical procedure takes
about twenty minutes to perform. Your family doctor or local hospital
can assist you in finding a surgeon to perform this procedure. Most men
will recover with little to no time off work. Many of theses procedures
are scheduled on a Friday and the patient can return to work the next
Monday morning.
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Vasectomy (No scalpel) The no-scalpel vasectomy was developed in
China over 25 years ago. Since that period over 10 million men have had
no-scalpel vasectomies. A small puncture is made in the skin with a
specially designed clamp, then the vas deferens are clipped and divided.
The hole is so small that sutures are not required. There is less
bleeding, discomfort, swelling and chance of other complications. Using
the no- scalpel technique, the complication rate for a vasectomy
procedure has gone down to 0.4% as compared to 3.1% with the standard
incisional technique. The no scalpel surgery takes about 12 to 15
minutes under local anesthesia and is an office procedure |
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LASIK Surgery
LASIK, or "LAser in SItu
Keratomileusis" is the most common refractive surgery
procedure used to correct poor vision. This procedure is great for
people who are tired of wearing glasses or who have a difficult time
wearing contact lenses. Many people who are susceptible to getting eye
infections from contact lenses will opt for this surgery.
The actual procedure is fast and
virtually painless. First, anesthetic eye drops are put in your eye.
After a few moments the eye drops will start numbing the nerves of the
eye. A suction ring is then placed over the center of the cornea. The suction creates pressure in the eye
which is required for the microkeratome to function properly. The
microkeratome is a highly sophisticated instrument that is of paramount
importance in the LASIK procedure. The instrument has an extremely sharp
blade that moves back and forth at a very high speed. It actually shaves
a thin layer of the cornea and folds the cornea back. The part of the
cornea that is uncut acts as a hinge.
At that point the suction ring
and the microkeratome are removed. The next instrument used is the
excimer laser. This laser uses a cool ultraviolet light beam to
precisely remove very minute pieces of tissue from the cornea to
actually reshape it. A properly shaped cornea will focus light into the
eye and onto the retina, resulting in clear vision.
The last step is folding back
the cornea into its original position. The eyes heal very quickly and
vision will improve immediately.
When opting for this procedure,
finding a Physician is very important. Even with
the highly technical and sophisticated excimer laser and microkeratome,
the Physician is still the most important part of the procedure.
Therefore, choosing a Physician should take a lot of thought and
consideration. Many consumers can be fooled by the clever advertisements
they hear on the radio or see on TV. For instance, it is common for
vision correction facilities to advertise that they have performed over
20,000 procedures. Although this may be true, it does not mean that the
Physician performing your surgeries has done all 20,000 procedures.
Therefore, find out how many surgeries the actual doctor performing your
surgery has done. We suggest that he or she has done a minimum of 300.
We also suggest asking your family Physician or friends for any
recommendations when searching for the right surgeon.
Also, feel free to ask your Physician questions; Most healthcare professionals don’t mind.
Here are a few questions you may consider asking:
|
Allergies
What is an Allergy?
An allergy is a reaction of the body to foreign substances such as dust, pollen,
insect bites, drugs, animal fur, animal excretions, smoke, plants, feathers,
cosmetics, chemical pollutants, and various kinds of foods. It is estimated that
over 40 million Americans suffer from some type of allergies. It is common for
people to think that they have a cold or flu, only to find out that they have an
allergy. Many times the symptoms are very similar.
Symptoms generally include watery
eyes, sneezing, nasal congestion, itchy skin, rash and upset stomach. Most
allergies are reactions to substances that are generally harmless. When your
immune system reacts to an allergen that has been absorbed into the body, the
body now treats the allergen as a harmful invader and causes the white blood
cells to produce antibody molecules called Immunoglobulin E (IgE). When this
series of events happens it causes the body to release Histamine, which can
cause allergic symptoms such as watery eyes, sneezing and itching.
Diagnosis of Allergies
Allergies are diagnosed from the patient's medical history, skin and patch tests
to help identify the allergen. Physicians inject common allergens just below the skin in separate
sections to see which substance is causing redness and swelling . This test
determines which allergens the person is sensitive to.
Mold Allergies
Mold allergies are very common. The sources of mold in the home are found where
there is moisture. Common places are in damp basements, closets, refrigerator
drip pans, house plants, air conditioners, humidifiers, garbage pails, shower
stalls, toilets, old foam rubber pillows, and plumbing leaks. Humidity promotes
the growth of various molds.
Weight
Control
Weight control
is an important part of our culture. We are reminded daily in our society that
being overweight is not "in" or fashionable. Just look at TV or any
type of media advertising and you will soon see that being thin and in good
shape is what is popular.
Your primary goal should be to have a healthy body. Healthy bodies come in
different shapes and sizes. Weight control is just a part of having a healthy
body. Other factors include your diet, nutrition and the amount and kind of
exercising you are getting. Displayed later on in this chapter is a height/weight chart that will
serve as a guideline.
When you see your family doctor, they
will check your height, weight, and blood pressure, blood lipids, (cholesterol,
triglycerides), and blood sugar (for people with diabetes). All of these involve
medical conditions related to weight. Proper weight control and weight
management can help provide for a healthy body.
Obesity
Obesity is basically a
medical condition that signifies the excess storage of body fat. It is normal
for the body to store fat tissue under the skin and around joints and organs.
Fat is essential for good health because it provides energy when the body
demands it and provides insulation and protection for vital organs. It is the
accumulation of too much fat that poses the health problems of obesity. These
health problems include diabetes, hypertension, stroke, heart disease and
arthritis.
The United States has one of
the highest percentages of obese adults. It is estimated that over 36% of adults
in America are obese. Obesity is most common among minorities, especially
minority females. Over 50% of African-American and Mexican-American women are
obese. Over 20% of children between the ages of 6 to 17 fit in the obese
category.
A primary concern of obesity
is the risk of developing disease. Obese people are twice as likely to develop
high blood pressure and over 70% of heart disease cases are linked to excess
body fat. Obese women are twice as likely to develop breast cancer and 40% more
likely to develop colon cancer. Close to 80% of Type II or non-insulin dependent
diabetics are obese.
Obesity is partially
determined by genetic makeup. Research has revealed that basal metabolic rate
and the size and number of a person's fat cells help in determining the amount
of weight loss that is possible. When calories from food intake equal the amount
of energy that the body requires to function the weight remains the same.
However, when more calories are consumed than the body needs, the body will
store the extra calories, resulting in weight gain.
Diet
Diets are the most common
treatment for obesity. There seem to be countless diets that are promoted and it
is recommended that your weight control diet be supervised by a your family
doctor. Most health care professionals will recommend a diet that consists of
1200 - 1500 calories per day. People who are over 40 pounds overweight may
require a more aggressive approach and may be put on a restricted diet of 500 to
800 calories per day.
There many types of weight
loss medications on the market today but there are also many side effects that
include insomnia, anxiety and irritability. Your family doctor can evaluate your
particular condition, health issues and can recommend weight-loss
medications under the right circumstances. Used correctly, they can be very
effective in the treatment of overweight people.
Exercise
Exercise should be an
important part of your weight management plan. Calorie reduction alone is not a
complete plan will not result in long-term weight loss. Regular exercise is a
long-term plan for continuing weight reduction. Exercise will also improve some
of the medical conditions associated with obesity which include high cholesterol
levels, high blood pressure and diabetes.
A long-term exercise plan
sometimes requires lifestyle and behavior modification, which can be hard for
many obese people to accept. Successful weight management plans require strong
discipline to control eating urges and to implement exercise plans. New habits
need to be learned and many old bad habits need to changed, such as food types
consumed and unproductive eating habits.
When choosing an exercise
program, the person should consult their family doctor. The exercise program
will be designed around the person's work capacity, which will be determined by
your doctor. Exercise tests using the treadmill or stationary bicycle are the
most common ways to determine and measure work capacity. Once your work capacity
has been determined, an exercise program can be recommended. The formula will
include what your training heart rate should be and how much intensity should be
expended during your workout.
An exercise program can be
the most important part of your weight management program because it will give
you so many other added health benefits. Many studies show a direct correlation
between physical fitness and mental achievement.
Weight Chart
The following
charts provide healthy weight ranges for different body sizes and builds:
WOMEN
| Height |
Small Frame |
Medium Frame |
Large Frame |
| 4' 10" |
102 - 111 |
109 - 121 |
118 - 131 |
| 4' 11 |
103 - 113 |
111 - 123 |
120 - 134 |
| 5' 0" |
104 - 115 |
113 - 126 |
122 - 137 |
| 5' 1" |
106 - 118 |
115 - 129 |
125 - 140 |
| 5' 2" |
108 - 121 |
118 - 132 |
128 - 143 |
| 5' 3" |
111 - 124 |
121 - 135 |
131 - 147 |
| 5' 4" |
114 - 127 |
124 - 138 |
134 - 151 |
| 5' 5" |
117 - 130 |
127 - 141 |
137 - 155 |
| 5' 6" |
120 - 133 |
130 - 144 |
140 - 159 |
| 5' 7" |
123 - 136 |
133 - 144 |
143 - 163 |
| 5' 8" |
126 - 139 |
136 - 150 |
146 - 167 |
| 5' 9" |
129 - 142 |
139 - 153 |
149 - 170 |
| 5' 10" |
132 - 145 |
142 - 156 |
152 - 173 |
| 5' 11" |
135 -148 |
145 - 159 |
155 - 176 |
| 6' 0" |
138 - 151 |
148 - 162 |
158 - 176 |
MEN
| Height |
Small Frame |
Medium Frame |
Large Frame |
| 5' 2" |
128 - 134 |
131 - 141 |
138 - 150 |
| 5' 3" |
130 - 136 |
133 - 143 |
120 - 134 |
| 5' 4" |
132 - 138 |
135 - 145 |
140 - 153 |
| 5' 5" |
134 - 140 |
137 - 148 |
144 - 160 |
| 5' 6" |
136 - 142 |
139 - 151 |
146 - 164 |
| 5' 7" |
138 - 145 |
142 - 154 |
149 - 168 |
| 5' 8" |
140 - 148 |
145 - 157 |
152 - 172 |
| 5' 9" |
142 - 151 |
156 - 160 |
155 - 176 |
| 5' 10" |
144 - 154 |
151 - 163 |
158 - 180 |
| 5' 11" |
146 - 157 |
154 - 166 |
161 - 184 |
| 6' 0" |
149-160 |
157 - 170 |
164 - 188 |
| 6' 1" |
152-164 |
160 - 174 |
168 - 192 |
| 6' 2" |
155-168 |
165 - 178 |
172 -197 |
| 6' 3" |
158-172 |
167 - 182 |
176 - 202 |
| 6' 4" |
162-176 |
171 - 187 |
181 - 207 |
Pregnancy

Pregnancy
begins when a male's sperm fertilizes a female's egg and it implants in the
lining of the female uterus. Pregnancy affects the female's hormonal patterns
and this results in one of the first signs of pregnancy, a menstrual period.
Other symptoms include breast swelling and tenderness, fatigue, frequent
urination, nausea, mood swings and weight gain.
A normal pregnancy lasts
approximately forty weeks, or 280 days, after the beginning of the last
menstrual period. Sometimes a woman goes into labor before the expected date of
birth, resulting in a premature birth. Approximately seven percent of
pregnancies result in premature births. Births are considered premature when the
baby is delivered prior to 37 weeks of pregnancy.
There are
three stages of
pregnancy, referred to as trimesters. Since there is forty weeks of pregnancy
they are divided into three equal parts.
First
Trimester
The first 14 weeks of pregnancy are referred to as the first trimester.
The first signs of the pregnancy may be nausea, tenderness and increased size in
the breasts, and color of the areola.
|
2 weeks
|
The
sperm and egg join in the fallopian tube.
|
|
3 weeks
|
The
unborn baby is only one-sixth of an inch long but is rapidly developing.
The backbone, spinal cord and nervous system are forming.
|
|
4 weeks
|
The
menstrual cycle has stopped.
The amniotic fluid that cushions the fetus begins to form.
Nerve growth begins.
|
|
5 weeks
|
The
embryo is the size of a raisin.
The placenta begins functioning.
The neural tube develops that will soon mature into a complex brain.
|
|
6 weeks
|
On the
26th day the heart begins to beat.
Embryo is now 1/4 inch long.
Major organs start to develop.
Nausea, fatigue and frequent urination begin.
|
|
7 weeks
|
Hands
and feet are shaped like little paddles.
Heart has divided into right and left chambers.
Heart is beating @150 beats/minute.
Major muscle system has begun to develop.
Baby now has its own blood type.
|
|
8 weeks
|
Unborn
baby is now called a fetus.
Fetus is now 3/4 inch long.
Baby’s head appears much larger.
Baby’s veins are visible.
Ears begin to take shape.
|
|
9 weeks
|
Organs,
muscles and nerves begin to function.
Hands begin to develop fingers.
Feet begin to develop toes.
|
|
10
weeks
|
The
fetus weighs 1/3 ounce.
Wrists and ankles have formed.
Genitals have begun to form.
Baby's blood is oxygenated through the placenta.
|
|
11
weeks
|
Major
organs are fully formed, including liver, kidneys, intestines and lungs.
Baby's head is half the size of the whole fetus.
Fetus is 2" long and weighs ½ ounce.
|
|
12
weeks
|
The
brain is fully formed and baby can feel pain.
Eyelids cover the eyes but will not open until the seventh month.
Hair on head has developed.
Kidneys are developed and begin to secrete urine.
|
Second Trimester
The second trimester is filled with tremendous growth and development. The mother should
start to feel better and have more energy.
|
13 weeks
|
Baby now has unique fingerprints.
|
|

|
|
14 weeks
|
Muscles lengthen and become organized by
kicking and other movement.
|
|
15 weeks
|
Baby
now has taste buds.
|
|
16 weeks
|
Fetus
weighs six ounces and is 5 ½ inches long.
|
|
17 weeks
|
Circulatory
system and urinary tract are working.
Lungs can inhale and exhale amniotic fluid.
|
|
18 weeks
|
Fetus
now weighs 6 ounces.
|
|
19 weeks
|
With
ultrasound the baby's sex can now be determined.
|
|
20 weeks
|
Baby
can hear.
Sensory development advances.
|
|
21 weeks
|
Fetus
now has a white sticky coat
to protect skin and ease delivery.
|
|
22 weeks
|
Fetus
is now 7 ½ inches long.
Fetus weighs 3/4 of a pound.
Eyebrows and lids are fully developed.
|
|
23 weeks
|
Fetus
is 8" long.
Fetus weighs one
pound.
|
|
24 weeks
|
Baby
practices breathing by breathing in amniotic fluid.
|
|
25 weeks
|
Fetus
weighs 1-1/4 pounds.
|
|
26 weeks
|
Fetus
makes breathing movements.
|
|
27 weeks
|
Fetus
weighs 2 pounds.
Fetus is 11" long.
|
Third Trimester
During the final trimester the mother will probably gain 9 to 13 pounds and will probably feel tired and need to rest more frequently.
|
28 weeks
|
Baby can open his eyes and suck his thumb.
|
|

|
|
29 weeks
|
Fetus weighs 3 pounds.
|
|
30 weeks
|
Brain
growth is now very rapid.
|
|
31 weeks
|
Baby’s
lungs and digestive tract are near maturity.
|
|
32 weeks
|
Baby
weighs 4 pounds.
Baby can turn its head.
|
|
33 weeks
|
Fetus
is 18" long.
Fetus weighs 4-1/4 pounds.
|
|
34 weeks
|
Baby
weighs 5 pounds.
|
|
35 weeks
|
Baby
is now 19.5" long.
Baby weighs 5-1/2 pounds.
|
|
36 weeks
|
Baby
weighs 6 pounds.
|
|
37 weeks
|
Baby
is 20" long.
|
|
38 weeks
|
Pregnancy
is considered full term from this point on.
|
|
39 weeks
|
Baby
is 7-½ pounds.
|
|
40 weeks
|
Baby
is full term.
|
ADD and ADHD
Attention Deficit Disorder
is a syndrome that is a neurological disorder. ADD has a subgroup which includes
hyperactivity, (ADHD). Approximately 5% of the population is affected by this
disorder. Boys with ADD tend to outnumber girls by a ratio of 3 to 1. Some of
the symptoms ADD/ADHD are as follows:
| |
Talks excessively
Often interrupts
Often loses or misplaces things
Is easily distracted
Has a hard time following instructions
Bounces from one activity to another
Has poor listening skills
Has difficulty in paying attention
Has difficulty remaining seated
Blurts out answers to questions
Cannot sit still; fidgets and squirms frequently
Is forgetful
Is unable to concentrate
Is impulsive
Has difficulty in organizing tasks
Makes careless mistakes
Has difficulty waiting in line or for their turn in a game
|
There are different theories
on the causes of ADD/ADHD, but there has not been one conclusively proven. The
primary theory seems to be that the disorder is genetic/hereditary. Experts feel
that there is the strongest correlation with this theory as evidence supports.
Other theories are that the afflicted person had experienced head trauma either
before, during or after birth. Women that had experienced labor for over 13
hours were twice as likely to have a child with ADD/ADHD. Other theories include
food allergies and neurobiological brain differences.
Recent studies and evidence
appear to indicate that ADD/ADHD is a permanent condition, although it is
believed that some children will outgrow the hyperactivity portion of ADHD.
Untreated, the potential long-term effects are staggering, as these
statistics show:
| |
Over 75% of people with ADD get divorced
Over 50% stay behind a grade
Over 46% get suspended
Over 10% get expelled
Over 2½ million school kids have ADD
|
There are medications that
have been used to treat ADHD. These medicines do not cure the disorder, they
temporarily control the symptoms. There are three medications in the class of
drugs known as stimulants that seem to be the most effective in both children
and adults. They are Ritalin, Dexedrine (or Dextrostat) and Cylert. Many people
treated with these see dramatic results quickly. These drugs improve the
person's ability to focus, work and learn. These medications may also increase
the person's physical coordination, with improvements noticed in handwriting and
sports.
Ninety percent of children
improve with one of the three drugs mentioned. It is generally advised that if
one doesn’t work, the others should be tried. Before your Physician changes the drug type, they will try adjusting the dosage. If your
child falls into the ten percent that fail to respond to stimulants, there are
other medications that can still be effective.
Other treatments include
psychotherapy. This type of therapy gives a patient a chance to discuss
different ways to handle their emotions and self-defeating behavior patterns.
The therapy's objective is to make the patient understand how they can change,
some alternate ways to handle their emotions, and to help them gain control of
symptomatic behavior.
CT
(CAT) Scan
Computed Axial Tomography
A CAT-scan uses x-rays to
create images of the body. The primary difference between an x-ray and a
CAT-scan is that an x-ray is a two-dimensional image, as opposed to the
three-dimensional CAT-scan image. The CAT-scan imaging technology and expertise
of the radiologist can study several three-dimensional slices of the body. The
images represent slices of the body and are approximately one centimeter per
slice. The benefit of this is that a radiologist can not only see if there is a
tumor in the body, but can also determine the depth and size of the tumor.
Another benefit of a
CAT-scan is that the information generated is sent to a computer, as opposed to
a standard x-ray on a flat piece of film. The data collected and sent to the
computer can then be enhanced and viewed three-dimensionally.
CAT is an acronym for Computerized
Axial Tomography. The term computerized indicates a series of various
images that is combined into one three dimensional image by means of a
sophisticated computer. The term axial indicates a series of
cross-sectional x-ray images made along a specified body axis. The term tomography
refers to a method for obtaining sectional views of the body that eliminate the
x-ray shadows of the body structures before and behind the desired section.
When a patient is having a
CAT-scan, they are placed on a table where the large coil of an x-ray tube is
then rotated around the desired body part of the patient. Electrical sensors
record the emerging rays as a pattern of electrical impulses that are fed into a
computer and processed into a final single image. The image is stored in the
computer and can be put on disc and viewed on a monitor.
A CAT-scan takes anywhere
from fifteen minutes to one hour to perform. There is no pain and very little
discomfort. CAT-scans have a reputation of being a simple and safe way to see
inside the body.
MRI
Magnetic
Resonance Imaging
MRI stands for Magnetic Resonance Imaging,
a technology developed after CT scanning. This technology incorporates
computer-controlled radio waves and very big magnets. These large magnets create
a magnetic field so strong that it is over 25,000 times stronger than the earth’s
magnetic field. Once operating, the machine creates the magnetic field, sends
radio waves into the body, and measures the response of its cells. This
measurement determines how much energy is being released from the cells. The
data from these responses is routed to the computer where a three dimensional
picture of the body is created.
EBT
Electron Beam
Tomography
Electron Beam Tomography is
different than a CT
scan or MRI. This type of technology uses an electron beam that is focused on a
tungsten target located beneath the body. EBT scans are very fast and can be
taken in a 100 millisecond exposure time. The advantage of this is that no body
motion such as a heart beat can interfere with the clarity of the image in a CT
scan or MRI. This type of technology uses an electron beam that is focused on a
tungsten target located beneath the body. EBT scans are very fast and can be
taken in a 100 millisecond exposure time. The advantage of this is that no body
motion such as a heart beat can interfere with the clarity of the image.
EBT scans can detect
blockages of blood flow by looking for the amount of calcium in the blood
vessels. This technology can detect lung cancer, tumors and other medical
disorders.
PET
Positron Emission
Tomography
Positron Emission Tomography
is yet another technology utilizing electronic detection of short-lived positron
emitting radiopharmeceuticals. It is a non-invasive procedure that can
quantitatively measure metabolic, biochemical and functional activity in living
tissue. PET can measure chemical changes that occur before visible signs can be
detected on other imaging techniques.
PET is a nuclear medicine
technique that uses a radioactive tracer and hundreds of radiation detectors,
with the assistance of a powerful computer to identify the biochemistry of
internal organs. Patients are injected with minuscule amounts of radioactive
tracers. The patient receives approximately the same amount of radiation as the
would with a standard x-ray. The patient is then scanned with a special camera
called the PET Scanner. The images are created three-dimensionally for viewing.
These images are used to determine tissue function, rapidly growing tumors and
to determine if prescribed treatments such as chemotherapy are working.
PET imaging is also used for
the detection of colon cancer, lung cancer, heart disease, and even neurological
disorders such as Alzheimer's disease.
3D / 4D Ultrasound
3D stands for
"three-dimensional". A 3D Ultrasound exam will create a three-dimensional image. 4D presumably stands for "four-dimensional". 4D is
similar to 3D, with the exception that the fourth dimension, representing time,
gives live-action images of the unborn child. 3D and 4D Ultrasound use sound
waves to create images. This technology is safe for the mother as well as the
unborn fetus.
The 3D/4D
method works similarly to radar; Ultrasound uses sound waves to look inside the
body. When the device is placed upon the body it projects sound waves and the
returning echo generates an image. This is a safe and non-invasive procedure
that does not require any exam preparation. The procedure lasts approximately 30
to 60 minutes; the time variance is due to many factors including the position
of the baby in the womb.
Expectant
mothers have Ultrasounds performed at various times throughout their pregnancy.
At around 16 to 25 weeks the ability exists to see more of the baby at once, and
view the amazing development that has already taken place. From 25 to 36 weeks,
babies tend to build more fat, resulting in the ability to see more facial
features. Image quality varies, depending on the baby’s position, size and
movement.
Latest
on IBS
IBS, also known as Irritable
Bowel Syndrome and Spastic Colon, has become one of the most common digestive
disorders. IBS is considered a disorder of intestinal movement and sensation. In
fact, the muscles in the colon do not perform normally and begin to spasm.
IBS leads to pain and
discomfort, gas, bloating, irregular bowel movements and a host of other
digestive symptoms. Many of the symptoms experienced include the following:
|
Heartburn and
stomach acid |
Diarrhea |
| Fatigue |
Constipation |
| Panic attacks
and heart palpitations |
Groin pains |
| Lower back pain
|
Bloating |
| Weight
gain
Abdominal pain |
Stomach cramps |
|
The pain and discomfort
experienced by people who have IBS varies in magnitude from slight discomfort to
serious pain.
There are many possible
reasons for IBS. The colon may be more sensitive than normal and reacts
unfavorably to foods, medication, caffeine and alcohol. There are other factors
that can intensify the symptoms of IBS such as stress, emotional ups-and-downs
and menstrual periods in women.
In order for a Physician to diagnose IBS, questions must be asked about symptoms, medical
history, etc., and performing a physical and rectal examination is likely. After
these initial tests the doctor may want additional tests which could include
X-Rays, blood tests, checking for blood in a stool sample, flexible
sigmoidoscopy to examine the rectum and lower colon or a colonoscopy to examine
the lining of the colon.
Treatments include making
dietary changes, stress management and medication. There are certain foods that
will increase the odds of irritation which includes spicy foods, foods with a
high fat content, onions, cabbage, dairy foods, caffeine and alcohol. There are
also foods that can reduce that chances of irritation-causing spasms, and they
include fruits and vegetables, whole grain and high-fiber foods, and increasing
water intake.
Mammograms
Mammograms are
known as "the picture that can save your life". Breast cancer is
the second most common cancer in women and the leading cause of cancer-related
deaths in women aged 40 to 55. Breast cancer facts are startling:
|
|
Every 3 minutes, a
woman is diagnosed with breast cancer
|
|
|
Every 13 minutes a
woman dies from the disease
|
|
|
The American Cancer
Society predicts that more than 192,000 women will be diagnosed with
breast cancer this year
|
|
|
More than 40,000 women
will die this year from breast cancer
|
|
|
50% of women diagnosed
with breast cancer are over the age of 65
|
|
|
Breast cancer can
happen at any age
|
|
|
Early diagnosis is key
to surviving this disease
|
No matter what their ages,
all women need to take care of their breasts. As a person gets older the chances
of getting breast cancer increase. Cancer can appear at any time, so it is
important to be checked each year. If any kind of lump is detected or any other
type of change in the breasts are noticed, it is recommended that a doctor be
seen right away.
Mammograms are a relatively
simple procedure. A patient stands in front of a machine while the technician
places a single breast between two plastic plates. The plates press against the
breast and make it flat. Better image quality is possible when the breast is
flat, although it may cause a few minutes of discomfort.
The Mammogram consists of
two low-dose x-rays. One x-ray is taken from the top of the breast and the other
from the side. It only takes a few seconds for this important test, and it is
crucial to have one done by the age of 40 since doctors need to establish a
"baseline", or record of the breast’s normal appearance.
Mammograms are performed at
many locations. Many hospitals, clinics, imaging x-ray centers, and mobile van
units offer Mammograms. A doctor can recommend a location if one cannot be
found.
All About
High Blood Pressure
Everybody has
blood pressure. Without it, blood can't circulate through the body. And without
circulating blood, vital organs—like your brain—can’t get the oxygen and
food that they need to work.
Your blood
pressure measurements consist of two numbers: systolic and diastolic. The
systolic measurement is the pressure of blood against your artery walls when the
heart has just finished pumping. It is the first or top number of a blood
pressure reading. The diastolic measurement is the pressure of blood against the
artery walls between heartbeats, when the heart is relaxed and filling with
blood. It is the second or bottom number in a blood pressure reading.
Generally, when
you get your blood pressure checked, a reading that is less than 140 over 90
indicates that you don't need to worry. If either or both numbers are equal to
or greater than 140 over 90 for an extended period of time, you have high blood
pressure, or hypertension.
Hypertension is
dangerous because it causes the heart to work extra hard. This strain
contributes to heart attacks and stroke. When the heart is forced to work
excessively for an extended period of time, it tends to enlarge. A slightly enlarged
heart can function well, but a significantly enlarged heart cannot. High blood
pressure also causes damage to the arteries, causing arterial disease.
Also, untreated
high blood pressure can damage the delicate lining of the blood vessels. Once
damaged, fat and calcium can easily build up along the artery wall, forming
plaque. The blood vessel becomes narrowed and stiff, and blood flow through the
blood vessel is reduced. Over time, decreased blood flow to certain organs in
the body can cause damage, leading to:
| |
1 |
|
Heart disease, heart attack, and abnormal heartbeat.
|
|
2 |
|
Stroke.
|
|
3 |
|
Kidney failure.
|
|
4 |
|
Peripheral arterial disease. |
|
5 |
|
Eye damage.
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What
causes high blood pressure?
Several factors
are known to increase blood pressure, including obesity, heavy alcohol use,
family history, high salt intake, and aging. An inactive lifestyle, stress, low
potassium intake, low calcium intake, and resistance to insulin may also cause
your blood pressure to rise. Risk
factors you can't control include a family history of high blood pressure, your
race (being African-American increases your risk), and aging.
Getting
diagnosed
Because there
are usually no symptoms, diagnosing hypertension can be tricky. The most common
symptoms are headaches, dizziness, and lightheadedness, but these usually occur
only in severe hypertension and are often so mild that they're ignored. If you
are obese and has a family history of hypertension, this should raise a red flag
for hypertension. The only reliable way of diagnosing hypertension is with
regular blood pressure measurements.
Prevention
Doctors usually
recommend six lifestyle changes to help prevent high blood pressure. These six
strategies are especially important for people who have risk factors for high
blood pressure that cannot be changed, including family history, race, and
aging.
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1
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Maintaining a normal weight, and keeping a
Body Mass Index (BMI) of
18.5-24.9.
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Exercising for at least 30 minutes a day.
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Reducing your sodium intake to 2,400 mg per day,
which is about a
teaspoon.
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Limiting the amount of alcohol you drink.
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5
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Getting 3,500 mg of potassium
in your diet everyday.
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6
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Eating a diet that is rich in fruits, vegetables, and low-fat
dairy
products, with reduced amounts of saturated and total fats.
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Treatments
The
remedy for high blood pressure depends on the severity of
the disease and whether you have other health problems, such as heart failure or
diabetes, or you are pregnant. Your doctor may want you to try lifestyle changes
first, including losing weight, increasing activity, and eating a balanced diet.
If your blood pressure is above a certain level, your doctor may prescribe
medication along with the lifestyle changes.
Some people may only need lifestyle changes to
control their high blood pressure, while others need medication as well. Either
way, treating high blood pressure usually is a lifelong process.
Osteoporosis
Osteoporosis is a common bone disease in which bones become
thinner and more porous, which can lead to fractures. Osteoporosis affects both
men and women and occurs when the body fails to form new bone.
During the course of your life, the body needs the minerals phosphate and
calcium to build bones. If your dietary intake of these minerals is not
sufficient or if the body does not absorb enough of the minerals from the diet,
bone production and bone tissue will suffer resulting in brittle and fragile
bones. These bones are then subject to fracture.
The loss of bone mass does not occur overnight. It usually
occurs gradually over an extended period of time. Most people are not even aware
that they have osteoporosis until they fracture a bone. And it's at that time
that a person finds the disease is in its advance stages
Osteoporosis is a major health threat for an estimated 44
million Americans, or 55 percent of the people 50 years of age and older. In
the U.S., 10 million individuals are estimated to already have the disease and
almost 34 million more are estimated to have low bone mass, placing them at
increased risk for osteoporosis.
Who is at risk?
Many risk factors for osteoporosis are under our control.
Some are lifestyle choices, while others can be the outcome of chronic medical
conditions.
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Lack of calcium -
A balanced and nutritious diet that provides an
adequate intake of both calcium and vitamin D is important in the prevention and
treatment of osteoporosis. Calcium is critical to building and maintaining bone
strength. You also need vitamin D to help your body absorb the calcium.
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Medications -
If you have asthma, rheumatoid arthritis, or psoriasis you
may be taking medication that could damage your bones. Long-term use of
medications can weaken and damage your bones, particularly the ribs and
vertebrae. Your doctor may regularly review your bone density and recommend
additional drugs to prevent bone loss.
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Alcohol -
Heavy drinking is one of the most common risk factors for
osteoporosis among men. Alcohol interferes with your body's ability to absorb
calcium and it reduces your ability to replace old bone with new.
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Smoking -
Cigarette smoking speeds up the rate of bone loss in both men
and women. Men who smoke are at a higher risk for hip fractures and two to three
times more likely to experience a spinal fracture than those who don't smoke.
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Dieting -
Some diets and fasts do not provide enough nutrition.
Insufficient calcium and vitamin D can impact bone health and formation. Before
starting a diet, talk to your doctor about how best to achieve your goals
without risking your bone or overall health. |
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Being female –
80% of those with osteoporosis are women.
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Prevention
Osteoporosis is preventable. Here are some ways to help
prevent osteoporosis:
Calcium and Vitamin D
You can help to avoid the depletion of your bone mass by
insuring that you get adequate amounts of calcium in your diet along with
vitamin D, which allows your body to absorb calcium. While it is best to get calcium and vitamin D from natural
sources— like milk, yogurt, and vegetables—take a multivitamin to supplement
you the intake of calcium and vitamin D.
Weight-Bearing Exercise
Bones need a challenge to make them strong. Weight-bearing
exercises give them that challenge by causing your bones and muscles to work
against gravity. In activities like jogging, jumping, tennis or soccer, your
feet and legs absorb the impact of your weight against the force of gravity.
This stimulates the bones in your hips and spine, and helps to build density and
strength in the areas that are most vulnerable to the loss of bone mass.
Bone Density Testing
Doctors today have a valuable tool, bone density testing, to
help us gauge the condition of our bones while there is still time to prevent
osteoporosis. These painless diagnostic tests can determine the bone mineral
density (BMD) of your bones and provide valuable information to help you and
your doctor tailor a course of preventive measures.
Medications
Bone loss can be increased by several factors from menopause
in women and low testosterone in men to long-term use of corticosteroids for
asthma and rheumatoid arthritis. Doctors can prescribe medication to counteract
osteoporosis. The medication replaces a hormone in the body, which slows bone loss and may decrease spinal
fractures by as much as 40 percent.
Treatment
Osteoporosis treatment is aimed at preventing bone loss and
rebuilding bone, which will help reduce your risk of fractures. Osteoporosis
medications work with the body's bone remodeling cycles.
Currently, there are three types of medications used to treat, and in
some cases prevent, osteoporosis. They are bisphosphonates, hormones, and
selective estrogen receptor modulators (SERMs).
Bisphosphonates
Bisphosphonates are synthetic versions of pyrophosphate, a
salt our body manufactures to help with energy metabolism. Bisphosphonates slow
the bone resorption portion of the bone remodeling process, without lowering the
bone formation. This gives your body a chance to increase bone density.
Hormones
Estrogen is a female hormone that, in conjunction with the
hormone progestin, controls the female reproductive cycle. A woman's estrogen
and progestin levels decrease as she ages. Declining levels of estrogen affect
bone density and put women at risk for fractures. By taking estrogen, you can
slow bone loss and even regain bone density.
Calcitonin
Calcitonin is a naturally occurring hormone that helps our
bodies regulate calcium and bone metabolism. It can slow bone loss and increase
spinal bone density. Calcitonin is used for treatment, but not prevention of, postmenopausal osteoporosis.
SERMs
Selective Estrogen Receptor Modulators, or SERMs,
are a new group of drugs that cause estrogen-like responses in certain tissues
of the body, such as reducing bone
loss and increasing bone density throughout the body. SERMs can be used to
prevent and treat osteoporosis in postmenopausal women only.
Sleep
Disorders
Insomnia
Just as humans have a need to eat and drink, an equally important need is to sleep. Insomnia
is a sleep disorder in which a person experiences poor sleep or has trouble
sleeping. Over 90 percent of people experience some degree of insomnia at some
point in their lives. Insomnia can involve:
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Difficulty falling asleep. |
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Difficulty staying asleep. |
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Waking up too early in the morning. |
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Not feeling refreshed after a night's sleep. |
Poor sleep for any length of time can lead to mood
disturbances, lack of motivation, decreased attention span, trouble with
concentration, low levels of energy, and increased fatigue. About one-third of
the average person's life is spent sleeping. Healthy sleep is vital to the human
body and important for the optimal functioning of the brain and other organs.
The consequences of insomnia include impaired mental function, a
higher risk for accidents, stress and depression, heart disease, and headaches.
There are three types of insomnia:
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Transient, or mild, insomnia -
sleep difficulties that last for a few days,
where there is little or no evidence of impairment of functioning during
the day
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Short-term, or moderate, insomnia -
sleep difficulties that last for less
than a month, that mildly affect functioning during the day, together with
feelings of irritability and fatigue |
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Chronic, or severe, insomnia
- sleep difficulties that last for more than
a month, that severely impair functioning during the day, and cause strong
feelings of restlessness, irritability, anxiety, and fatigue
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What are the causes?
Psychological Causes
In many people, insomnia can be the result of:
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Anxiety,
a condition in which individuals
feel increased tension, apprehension, and feelings of helplessness,
fear, worry, and uncertainty. This may be due to the effects that other people at work have on us, financial
worries, concerns over relationships outside work or numerous other causes.
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Stress,
or how effectively a person copes with any emotional, physical,
social, economic, or other factor that requires a response or change. |
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Depression,
a mood disturbance characterized by feelings of sadness, despair, and discouragement.
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Physical Causes
The physical causes of insomnia include the following:
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Hormonal changes in women.
These include premenstrual syndrome, menstruation, pregnancy, and menopause. |
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Decreased melatonin.
The levels of melatonin, the hormone that helps
control sleep, decrease as a person ages. By age 60, the body produces very
little melatonin. |
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Medical conditions.
These include allergies, arthritis, asthma, heart
disease, high blood pressure, hyperthyroidism, and Parkinson's disease. |
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Pain.
Pain and discomfort from a medical illness or injury often interfere with sleep. |
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Genetics.
Problems with insomnia do seem to run in some
families. |
Treatment
Mental Relaxation
Since stress and worry, including the worry about not being
able to fall asleep, are often at the core of insomnia, many people have found
that mental relaxation techniques can help them to feel less anxious and
therefore sleep better.
Physical Relaxation
If you are anxious about falling asleep, certain muscles in
your body become tense and sometimes painful, interfering with sleep. Physical
relaxation techniques can help.
Medication
Medication is an effective way to induce sleep.
However, many doctors consider sleeping pills both overused and
dangerous because they can become addictive. They suggest that medication be
used a last option, after other treatments have been tried.
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