Cleveland HeartLab Introduction!

We will be starting a weekly update from Cleveland HeartLab! Tune in and "know your risk"!

 

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"While routine lipid screening plays an important role in cardiovascular risk assessment it does not provide a complete picture of your health. In fact, nearly 50% of all heart attacks and strokes occur in patients with ‘normal’ cholesterol levels.Recent evidence goes beyond lipids to suggest that inflammation within the artery wall is the primary contributor to this residual risk for heart attack and stroke. Inflammation contributes to both vulnerable plaque formation and to plaque rupture.

Inflammation can be easily measured with advanced testing that assesses a patient’s inflammatory state and cardiovascular risk. Monitoring their inflammatory status may allow you to catch the beginning, or even treat advanced stages of inflammation, in an effort to reduce their cardiovascular risk.

Cleveland HeartLab offers unique inflammation testing which provides additional and complementary insight into cardiovascular risk beyond cholesterol testing alone. Our inflammation testing consists of simple blood and urine biomarkers that identify inflammatory risk across a risk spectrum. This additional information allows for targeted treatment to reduce risk over one’s lifetime.

This group of tests covers a patient’s biomarker profile which may result from lifestyle concerns (F2-IsoPs, OxLDL) to the development of metabolic or cardiovascular disease (ADMA/SDMA, Microalbumin, hsCRP) and formation of vulnerable plaque and increased risk for an adverse event (Lp-PLA2 Activity, MPO)."

 

Ultrasounds!

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"Advances in 3D and 4D ultrasound technology now offer capabilities ranging from better visualization of congenital birth defects to dynamic, multiplanar views of the fetal heart.

Along with advances on the research front, the growing availability of 3D and 4D ultrasound technology has also increased public access to these ultrasound services—increasing the potential for safety risks to both mothers and their fetuses, expert say.

The mainstream press has been filled with reports of the latest trend for expectant parents—“ultrasound parties,” where a technologist performs ultrasound in the home and 3D and 4D images are immediately shared with friends and family in a celebratory environment. Party attendees view still 3D ultrasound images of the fetus and 4D ultrasound images that appear to show fetal movement in real time."

To continue reading, please click on the link below!

http://www.rsna.org/newsdetail.aspx?id=8946

InterStim Therapy

"The relief you’ve been waiting for

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  • Targets the nerves that control your bladder to help it function normally again
  • 85 percent of people using it achieved success in the first year4
  • 3X greater improvements in quality of life compared to medications5
  • Only therapy that lets you see if it works before you and your doctor decide
  • More than 225,000 patients have received relief as a safe, FDA-approved and minimally invasive Bladder or Bowel Control Therapy

Implanting an InterStim™ system has risks similar to any surgical procedure, including swelling, bruising, bleeding, and infection. Talk with your doctor about ways to minimize these risks.

  • 84% satisfaction among those who use it6
  • 76% of people achieved success at 6 months compared to 49% who used
  • medications5,†
  • The only OAB therapy that provides better relief than medications5,7,8

The most common adverse events experienced during clinical studies included pain at implant sites, new pain, lead migration, infection, technical or device problems, adverse change in bowel or voiding function, and undesirable stimulation or sensations. Any of these may require additional surgery or cause return of symptoms."

To continue reading, please click on the link below!

http://www.medtronic.com/us-en/patients/treatments-therapies/bladder-control/therapies.html

da Vinci Surgery!

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"If you’ve been told you need surgery, you may have several options to consider. One minimally invasive option is da Vinci Surgery.

Find out why many patients and surgeons choose da Vinci Surgery, and learn about the clinical evidence supporting its use.

The da Vinci System has brought minimally invasive surgery to more than 3 million patients worldwide. da Vinci technology – changing the experience of surgery for people around the world."

 

To continue reading, please click on the link below!

http://www.davincisurgery.com/

Midwifery and Social Media

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"Midwives love networking – whether sitting in the tea room, hanging out at the desk, having dinner out with colleagues or catching up at midwifery conferences, workshops and meetings. The buzz of midwives conversations and laughter is inevitable. The move to using social media as a way to stay in touch and keep connected has become easy for midwives.

What is social media?

The term "social media" is an umbrella term that covers the multiple ways that technology is used for social interaction. Social media differs from traditional media, such as newspapers, television and radio; in that anyone using mobile and web-based technologies can publish and receive information at any time. Real time interactive dialogue enables the co-creation of meaning and value of all aspects of social life - perfect for a socially-based profession such as midwifery."

 

To continue reading, please click the link below!

http://www.pregnancy.com.au/midwifery/midwifery-resources/midwifery-articles/midwives-and-social-media.shtml

12? There are more! This is a good start!

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"It’s easy to be confused by all the birth control options out there: Should you take a progestin-only pill or the mainstream combination pill? Can an IUD affect your chances of having children in the future? Is the female condom as effective as its male counterpart? 

Luckily, we have answers. Here are 12 of the most common birth control methods, and why you should or shouldn’t try them. "

To continue reading, please click on the link below!

http://www.health.com/health/gallery/0,,20354669,00.html#weighing-your-options-1

Checklist - Be Prepared!

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"Do I really need to see my doctor every year?
Yes. Many women only see their doctors when they are sick or injured, forming a negative connotation with doctor visits. Routine visits with your healthcare provider are imperative in helping prevent and recognize disease early when it may be easier to treat, identify health issues, establish wellness goals and build a relationship with your physician. 

Is an annual physical the same as a well-woman visit?
All women need a general health check each year. This checkup is often referred to as an annual physical. You should also have a well-woman visit each year. This is an additional checkup that focuses on the female reproductive system and sexual health. Well-woman visits don't replace routine health checkups, but your doctor often can do both checkups at the same time. Some women decide to see a gynecologist for their well-woman visits. Most insurance plans cover both visits. 

The following checklist should be covered at either your annual checkup or your well-woman visit:

  • Medical history
  • Family health history
  • Relationships and sexual partners
  • Eating habits and physical activity
  • Use of alcohol, tobacco and other drugs
  • Mental health history, including depression
  • Measurement of your height and weight
  • Calculation of your body mass index (BMI)
  • Measurement of your blood pressure
  • Performance of a breast exam (feeling your breasts and under your arms for lumps or other changes)
  • Performance of a Pap test and pelvic exam
  • Discussion of health topics relevant to your age and risk factors
  • Determination of screenings and follow-up services that are right for you
  • Creation of health goals through a written wellness plan"

To continue reading, please click on the link listed below!

https://www.stlukes-stl.com/ask-doctor/keeping-yourself-healthy.html

Considering Mirena?

"Mirena is a hormonal intrauterine device (IUD) that's inserted into the uterus for long-term birth control (contraception). A T-shaped plastic frame that releases a type of progestin, Mirena thickens the cervical mucus to prevent sperm from reaching or fertilizing an egg. Mirena also thins the lining of the uterus and partially suppresses ovulation.

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Mirena is one of two hormonal IUDs with Food and Drug Administration approval. The other is Skyla, which prevents pregnancy for up to three years. Mirena prevents pregnancy for up to five years after insertion."

To continue reading, please click on the link below! 

http://www.mayoclinic.org/tests-procedures/mirena/basics/definition/prc-20012867

Birth Control Issues?

"Essure is a permanently implanted birth control device for women (female sterilization). Implantation of Essure does not require a surgical incision. In the procedure, a health care provider inserts flexible coils through the vagina and cervix and into the fallopian tubes – the tubes that carry the eggs from the ovaries to the uterus. Over a period of about three months, tissue forms around the inserts. The build-up of tissue creates a barrier that keeps sperm from reaching the eggs, thus preventing conception. Essure is considered a permanent form of birth control and therefore is not intended to be removed.

Over the past several years, the FDA has been examining the growing number of adverse event reports associated with the use of Essure. Reported adverse events include persistent pain, perforation of the uterus and/or fallopian tubes, intra-abdominal or pelvic device migration, abnormal or irregular bleeding, and allergy or hypersensitivity reactions. Some women have had surgical procedures to remove the device. In addition, Essure failure, and, in some cases, incomplete patient follow-up, have resulted in unintended pregnancies."

To continue reading, please click on the link below!

https://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/ImplantsandProsthetics/EssurePermanentBirthControl/default.htm

Chantix - Kicking The Habit!

"To understand how CHANTIX is believed to work, it’s important to know how the nicotine from cigarettes affects you.

When you smoke, nicotine is sent to your brain where it attaches to nicotine receptors. A chemical called dopamine is released, making you feel good. Then your dopamine levels drop. This makes you want another cigarette.

CHANTIX attaches to nicotine receptors in the brain, so that nicotine can’t. With CHANTIX, dopamine is still released, but less so than with nicotine. It is believed that these actions are how CHANTIX may help you quit smoking.

CHANTIX is a prescription medication that, along with support, helps adults 18 and over stop smoking. You may benefit from quit-smoking support programs and/or counseling during your quit attempt. It's possible that you might slip up and smoke while taking CHANTIX. If you do, you can stay on CHANTIX and keep trying to quit."

For more information, please click on the link listed below! 

http://www.chantix.com/about-chantix

Follow Up With - Dr. Molly M. Rheney!

"Vaginitis refers to any inflammation or infection of the vagina. This is a common gynecological problem found in women of all ages, with one-third of  women having at least one form of vaginitis at some time during their lives.

The vagina is the muscular passageway between the uterus and the external genital area. When the walls of the vagina become inflamed, because some irritant has disturbed the balance of the vaginal area, vaginitis can occur.

What causes vaginitis?

Bacteria, yeast, viruses, chemicals in creams or sprays, or even clothing can cause vaginitis. Sometimes, vaginitis occurs from organisms that are passed between sexual partners. In addition, the vaginal environment is influenced by a number of different factors including a woman's health, her personal hygiene, medications, hormones (particularly estrogen), and the health of her sexual partner. A disturbance in any of these factors can trigger vaginitis."

To continue reading, please click on the link listed below!

http://wwwpediatrics.med.miami.edu/health-library/women/gynecon/infecthub/vagts

Provider of the Week: Dr. Molly M. Rheney!

Dr. Rheney served as Chief of the Obstetrics & Gynecology Department at Jackson-Madison County General Hospital from 1992 through 1994. She was also a member of the Credentialing Committee in 1992. Dr. Rheney is a Fellow of the American College of Obstetricians & Gynecologists, and a member of the American Medical Association, the Tennessee Medical Association and the West Tennessee Consolidated Medical Assembly.

Follow Up With - Stacey Mott

"We’ve all seen the movie scenes where a man gasps, clutches his chest and falls to the ground. In reality, a heart attack victim could easily be a woman, and the scene may not be that dramatic.

“Although men and women can experience chest pressure that feels like an elephant sitting across the chest, women can experience a heart attack without chest pressure, ” said Nieca Goldberg, M.D., medical director for the Joan H. Tisch Center for Women's Health at NYU’s Langone Medical Center and an American Heart Association volunteer. “Instead they may experience shortness of breath, pressure or pain in the lower chest or upper abdomen, dizziness, lightheadedness or fainting, upper back pressure or extreme fatigue.”

Even when the signs are subtle, the consequences can be deadly, especially if the victim doesn’t get help right away.

‘I thought I had the flu’"

For more information, please click on the link listed below! 

http://www.heart.org/HEARTORG/Conditions/HeartAttack/WarningSignsofaHeartAttack/Heart-Attack-Symptoms-in-Women_UCM_436448_Article.jsp#.WWZubYjyvIV

Provider of the Week: Stacey Mott

Stacey has worked in the Jackson, TN area as a Registered Nurse since 1994. Since completing her training as a Nurse Practitioner in 2010, she has practiced in family medicine and cardiology. She specializes in preventative care for those at high risk for cardiovascular disease and secondary care for the cardiac patient. As a provider for the Woman's Clinic, she helps identify women who are at risk for heart attack or stroke, and assists them in a plan for prevention. This plan may include education, diet and lifestyle changes, prescription medications, or more extensive cardiac evaluation with diagnostic testing and follow-up. 

Follow Up With - Hannah Dunlap!

Mrs. Hannah Dunlap offers her special interest of Postpartum Depression this week. The below information is just a helpful start in understanding the meaning of Postpartum Depression. If you have any serious inquiries, please contact Woman's Clinic for more information regarding this topic! 

"As a new mom, you face a lot of challenges getting used to life with a newborn. You’re also probably dealing with lack of sleep, new responsibilities, or even breast pain if you’re nursing.

And what about the deep emotional pain that comes after childbirth and won’t let up? Not the milder “baby blues” that typically go away after a week or two. We mean postpartum depression. This is a severe form of clinical depression related to pregnancy and childbirth.

It’s more common than you think. One study of 10,000­ moms with newborns found that about 1 in 7 get postpartum depression. Luckily, most of those women find that treatment helps."

For more information, please click on the link listed below!

http://www.webmd.com/depression/postpartum-depression/understanding-postpartum-depression-basics#1

Provider of the Week: Hannah Yelverton!

Hannah worked at Jackson Madison County General Hospital as a registered nurse in Labor and Delivery for twelve years before graduating from Frontier Nursing University with her Masters of Nursing in 2014. As a Certified Nurse Midwife she manages low risk obstetrics, well woman exams, and minor gynecological problems. She has a special interest in post postpartum depression.

Follow Up With - Andrea Tomasek Grimball!

Andrea Tomasek Grimball has an interest in treating scars. Check out the information below to understand more on this topic! Feel free to reach out to our company for more assistance! 

"Scarring is the process by which wounds are repaired. Damage to the deeper layer of the skin, the dermis, is required to produce a scar. Damage to only the epidermis, the most superficial layer of skin, will not always produce a scar. Scars produce a structural change in the deeper layers of the skin which is perceived as an alteration in the architecture of the normal surface features. It is not just a change in skin color. Fetal tissues and mucosal tissues have the ability to heal without producing a scar. Understanding how and why this is possible could lead to better surgical scar outcomes.

A few scar facts!

  • Scars occur when tissues have been significantly damaged and repaired.
  • Scars result in changes that alter the physical architecture of normal skin or other tissue.
  • Scars can occur after physical trauma or as part of a disease process.
  • Poorly controlled wound healing can result in thick, unsightly scars that cause symptoms.
  • There is a genetic predisposition in some people to produce thicker, itchy, enlarging scars called keloids.
  • Scarring in areas of increased skin tension or movement tend to be unsightly.
  • When wounds are produced surgically, physicians utilize techniques to minimize scarring."

For more information, please click on the link listed below!

http://www.medicinenet.com/scars/article.htm

Provider of the Week: Andrea Tomasek Grimball!

Andrea Grimball, PA-C, joined the Woman's Clinic Cosmetic Boutique in April 2014. She has been board certified since 2001 and is trained in multiple office cosmetic procedures including non-ablative laser, IPL hair removal, photorejuvenation (i.e., age/sun spots), injectables, chemical peels, and medical micro-needling. Practice interests include treating scars and rosacea, as well as anti-aging treatment modalities. She is an associate member of the Society of Dermatology Physician Assistants, and maintains memberships in PA organizations at the state and national level.

Follow Up With - Jesse Rider!

"This site celebrates birth, breastfeeding and bonding--all rights and essentials for mothers and families everywhere. Breastfeeding is the natural, healthy way to ensure human babies receive human milk. Sometimes people have to overcome barriers to accomplish their goals, and we are here to help moms get on track, or enable them to stay on track, by offering support, advice, education and referrals.

We also advocate for the moms who are unable to breastfeed. We understand that the options for breast milk substitutes are limited and often sub-standard. We desire to improve access to human milk and improve the quality of artificial human milk (infant formulas). We strive share evidence-based information in a non-judgmental manner. 

We advocate for the mother's birthing and feeding rights. Our organization strives to share exceptional evidence-based information. The way to change the tide of birthing and breastfeeding in this country is to help moms, one baby at a time. Stay abreast of specials, educational opportunities and calls to action--sign up today."

This information can be found at birthingandbreastfeeding.com!

 

Jesse Rider specializes in lactation education. We would like to introduce some materials to make the subject more understandable for individuals that may not be familiar.