Build Better Bones
Can we prevent osteoporosis? Yes, by remembering that our bones are alive and always changing. They are continually making and losing bone. New bone is formed from calcium and other minerals. This allows bones to repair themselves after injury. When the bone-making system is healthy, the same amount of bone is rebuilt as is lost. This way, bones stay strong and able to support the body.
With osteoporosis, the bone-making system is out of balance and the amount of bone lost is greater than the amount of bone rebuilt. However, by taking a few simple steps–changing our diet, exercising, and in some cases, using supplements–we can tip the bone-making system back into balance and keep osteoporosis at bay.
- Exercise daily. If that is not possible, shoot for five times per week. At least 30 minutes of moderate exercise is recommended, such as a brisk walk.
- Make sure your fitness program includes weight-bearing exercise such as walking, running, skiing, skating or aerobics as these help build bone. Strength training, such as working with weights, is also key.
- Get your calcium! Your doctor can recommend the right amount for you based on your age, health and risk factors. Choose foods such as milk, yogurt, cheeses, kale and broccoli, which are all high in calcium.
- Ask your doctor if you need a Vitamin D supplement, as this vitamin also helps create strong, healthy bones.
Benefits of Robotic Surgery
Partners for Women’s Health has been offering robotic surgery to patients that qualify, thanks to Exeter Hospital’s new da Vinci Xi surgical robot, and Dr. Evelyne Caron, one of Partners’ physicians, is trained on the robot. According to Dr. Caron, thanks to robotics, surgeries that in the past would have been more complex and would have taken longer, are now easier, safer and better for the patient. She notes that surgeries that traditionally would have been done with a large incision are now done laporoscopically with the help of robots. Robotic surgery is especially helpful with fibroids, hysterectomies, and endometriosis issues.
Dr. Caron explains that the surgery is not automated; the surgeons are operating the robot, which gives them a technological advantage, such as seeing things in 3D and in incredible detail.
With robotic surgery, patients have less risk of infection, less blood loss, faster recovery, and less use of pain medication. As Dr. Caron says, “It’s absolutely a new day for medicine.”
Warmer weather means a return to mosquitos, and potentially, the Zika virus, which is spread by mosquitos. The Zika virus has been detected in all 50 states, due to the travel of infected persons. It can also be transmitted through sex. Thus, the virus is appearing in areas that are too cold to support the Zika mosquitoes themselves.
The Zika virus is of greatest concern to pregnant women or women trying to become pregnant. Zika is a more serious issue to this population as it can cause serious birth defects and even termination of pregnancy. Therefore, pregnant women or those trying to conceive are urged by the U.S. Centers for Disease Control to avoid travel to these regions. You can visit www.cdc.gov for the latest updates on the Zika outbreak.
If travel to regions where Zika is present is unavoidable, the CDC urges women to first consult with their healthcare provider before making the trip, and to then take the strictest precautions for avoiding mosquito bites. More information on Zika is also available on the Updates page.
Consider a Menopause Specialist
Is it time to see a menopause specialist? All obstetric-gynecology physicians, including those at Partners for Women’s Health, are trained to provide complete healthcare for women at all stages of their lives, including menopause. However, many doctors are starting to specialize in the treatment of perimenopause and menopause so that they may better guide women through their middle years.
It may be helpful, especially if you are having difficulties with the transition, to see a menopause specialist during this time. At Partners for Women’s Health, Drs. DiNicola, Turer and Browne all have a particular interest in menopause issues. Dr. Deborah Browne also has an extensive menopause background. She is a certified Threshold Menopause Educator, specializing in menopause education and treatment. She is also a member of the National Vulvodynia Association and the International Society for the Study of Vulvovaginal Disease, which helps women with chronic and acute vaginal pain and discomfort. If you are having trouble with perimenopause or menopause, it may be helpful to see a specialist.
The HPV Vaccine: Why It’s Important
If you are a young adult, or have a pre-teen or young adult in your family, then the HPV vaccine should be part of your immunization program. Simply stated, the HPV vaccine (Human papilloma virus) is a vaccine to prevent cancer. The HPV vaccine prevents infection from the strains of HPV that cause more than 70 percent of all cervical, anal and oropharyngeal cancers, precancerous cervical lesions and genital warts. It is available for boys and girls ages nine to 26. Most doctors recommend that children receive the vaccine around age 11 or 12. It is a three-shot series given over the course of six months. Your child must complete the three-shot series for maximum protection from cancer. If you have questions about the vaccine, talk with your physician. Partners for Women’s Health also has a doctor on staff who specializes in pediatric and adolescent girls. If you would like to see Dr. Caron, contact our office. To read more about Dr. Caron’s background, visit the Staff section of our website.
Get connected with Partners for Women’s Health through our Patient Portal
The Patient Portal is an online service that provides you with a fast, reliable, easy to use method of communicating with your physician’s office any time it’s convenient for you. With Patient Portal, you can connect with your doctor during office hours through a convenient, safe and secure method.
The Patient Portal allows you to do the following:
1) Request Appointments
Even receive appointment reminder emails!
2) Email Your Doctor’s Office
No more playing phone tag. Simply send a message!
(NEVER use email in an emergency or if you need immediate assistance.)
3) Manage Your Medications
View dosage information and request a prescription refill!
4) Care for Your Entire Family May Be Possible
If your family member is also a patient of Exeter Hospital Core Physicians, you may be able to combine accounts. You would then have one location for your entire family’s upcoming appointments, medications and more.
If you want to enroll in the Patient Portal, simply call or visit our office, or complete our online Patient Portal (NextMD) Enrollment Form. After validating your information, we will notify you of your temporary enrollment token number. You will also receive an email with instructions on how to use this token number to complete your patient portal enrollment.
What You Should Know About Zika
Zika is a virus that is spread by mosquito bites. It causes fever, rash, joint aches and conjunctivitis or “red eye.” It is currently occurring in Central America, northern South America (especially in Brazil), and in the U.S. territories of American Samoa, Puerto Rico and the U.S. Virgin Islands. In most people, Zika is not of great concern, with symptoms usually abating in a few days to a week. However, in pregnant women or women trying to become pregnant, Zika is a more serious issue.
The U.S. Centers for Disease Control (CDC) report that Zika is transmitted from the mother to the unborn child and can cause serious birth defects, including microcephaly, and termination of pregnancy. For this reason, pregnant women in any trimester are advised NOT to travel to any regions where Zika is being reported. The CDC also cautions that women trying to become pregnant, and their partners, should also avoid areas where Zika is present as the virus is believed to also be transferred during sexual intercourse.
If travel to regions where Zika is present is unavoidable, the CDC urges women to first consult with their healthcare provider before making the trip, and to then take the strictest precautions for avoiding mosquito bites.
If you are pregnant and have recently been to a region where a Zika outbreak has occurred or is now occurring, see your doctor even if you do not have symptoms. Your provider will then determine whether you or your unborn baby should undergo certain tests.
If you believe you had Zika at some point, but are now well, you should also see your doctor right away.
The CDC also emphasizes that Zika is spreading, so the areas where it may be found will be constantly changing. If you are pregnant and planning to travel (or are trying to become pregnant), visit the CDC website at www.cdc.gov/zika first to see if Zika has been detected in the areas you are planning to visit.
The Dangers of Marijuana During Pregnancy & Breastfeeding
With the recent legalization of medical marijuana in a number of states, there has been the incorrect assumption that marijuana must be safe to smoke during pregnancy. However, this is not the case. Marijuana is still a drug, and a drug with known harmful side effects to developing babies.
Medical research has shown that the chemicals in marijuana influence brain maturation.
Babies born to women who used marijuana during their pregnancies respond differently to visual stimuli, tremble more, and have a high-pitched cry, which may indicate problems with neurological development. As marijuana-exposed children reach school age, they tend to have difficulty with problem-solving skills, memory and the ability to remain attentive.
According to the National Institute on Drug Abuse, breast-feeding mothers should also be leery of using marijuana as research suggests that THC is secreted into breast milk in moderate amounts. These amounts could also be harmful to a baby’s developing brain.
While marijuana may have positive uses in aiding certain medical conditions, it is still a drug that can put your baby’s healthy development at risk.
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