January 2012
Blog

January 2012 posts

Let it snow

Have you been outside enjoying this weekend's snow fall?. Whether or not you were able to play outside, we thought we'd share some new videos in our robotic surgery series that don't require going out in the cold..and might give you inspiration of a craft project to do with your kids.

In Seattle, we can make a snowman:

And not only can our robots (driven by our robotic surgeons)
fold paper airplanes, but they can also make a snowflake:

It may be your first robotic knee surgery...

....but at Swedish, it's definitely not ours.

If you have advanced arthritis in part of your knee, robotic-assisted surgery is a great way to go. The incision is smaller. Recovery time is faster. And the surgery is more accurate for better knee function down the road.

So where should you go? Well, Swedish was the first in the Puget Sound area to perform MAKOplasty for partial knee replacements, and we’ve done more of them than any hospital in the region.

Come learn more from a Swedish orthopedic surgeon at one of our seminars, and take the first step toward a pain-free life. Or, watch the below video to see highlights from a partial knee replacement procedure:

 

FREE ROBOTIC KNEE SURGERY SEMINAR

Call 206-386-2502 or register online at www.swedish.org/classes
Wednesday, Jan. 18, 6–8 p.m. OR Thursday, Feb. 16, 6–8 p.m.
Swedish Orthopedic Institute 601 Broadway, Seattle
(Corner of Broadway and Cherry St. – Hourly parking available under the building)

How's the View

When pilots train they learn from a book, and then simulators, then by riding in the co-pilot’s seat. It’s a progression of information that’s built upon the comprehension of the previous set of knowledge learned.

Driving a car is no different. It is not recommended, and by Washington State Law not allowed, that children ride in the front seat until the age of 13 years old. This has to do with the bone structure and how it develops after we go through puberty; how the seatbelt holds onto said bone structure and the fact that in the front seat, in a front-end collision, the engine block is being shoved into the passenger compartment. This is a very safe, reasonable recommendations for keeping kids safe in a car.

If a child starts riding in the front seat at the age of 13 years, they will have 2 to 3 years worth of observation before they start driving the vehicles themselves...unless they’re looking at screens.
Years ago, we started putting DVD players and game systems into vehicles to keep kids happy and occupied. Smartphones, iPods, iPads, and all other handheld entertainment systems have followed those kids up to the front seat, once they were old enough to sit there.

The problem lies with the fact that they’re not learning from observation. The parents are probably not having conversations about ...

 

Childhood obesity

Eating healthy and being physically active are important things to keep in mind during and especially after the holidays when an abundance of food is present.

Parents often have questions about their child’s weight such as: Is my child’s weight appropriate? Is there a difference between being overweight and being obese? When should we be worried about his or her weight? If I am overweight, what is the risk that my child may become overweight?

Physicians often use the term BMI (body mass index) to define the terms overweight and obese, and this provides physicians and parents with a guide to monitor weight in children. BMI can be calculated using the weight and height (weight in kilo divided by square of height in meters; this can also be calculated using the BMI calculator. A child is considered overweight if the BMI is greater than the 85th percentile and obese if greater than 95th percentile. Once a child is obese, they are at risk of developing complications like hypertension, high cholesterol levels, diabetes, etc.

Physical activity should be a significant part of everyday life of your child. Each child should aim to be active for a minimum of 30 minutes per day. They can be enrolled in an organized sports activity program like football, soccer, baseball, or swimming, or they can remain active by riding a bike, jogging and so on. Parents need to be aware if their child is playing video games for hours at a time and restrict the amount of screen time if necessary. Reduced television watching and computer use may reduce BMI and sedentary behavior.

Eating healthy plays an essential role in the well-being of every child. Studies have shown a lower prevalence of obesity in children who eat a healthy breakfast every day. Parents need to provide children with healthy food options at home so that they can develop a habit of eating healthy. It is important for children to try to eat all food groups, including grains, vegetables, fruits, dairy, and meat or fish. Fats, oils and sweets must be consumed in limited amounts. Lifestyle modification involving the whole family is a key factor in maintaining healthy weight in children.

What if my child is obese or overweight?

Rather than Resolutions, Establish Healthy Habits

I’m all for a new year to spark good intentions, but the group of 100+ gym members that magically appear in January and hijack my stair climber only to stand at the top and text have proven again that the majority of these resolutions only last through February. That’s good news for my quads, but rather than brainstorm overly ambitious feats, why not establish healthy, realistic habits that everyone can carry out through next Christmas?

Healthy Weight

Let’s resolve to the BMI instead of the cover of People magazine to determine what a healthy weight is.

BMI (body mass index) calculation uses weight and height to determine one’s relative risk of disease. This number correlates with body fatness, but it’s important to remember that it is not a direction measure as it reflects both muscle and fat. (Click here to calculate your BMI.)

 

 

 

 

 

 

BMI is an inexpensive, quick and easy to-perform method of screening for weight categories that may lead to health problems. However, it doesn’t take into account frame size, bone density, muscle mass (highly trained athletes have high BMIs due to increase muscle mass), or body fat (women have more body fat than men, also older people have more body fat than younger).

Ideal Body Weight

So the BMI is one method for determining what your risk is at your present weight. What about if you want to know what your ideal weight range is? I recommend using this method (known as the Hamwi method):

  • Men: 106lbs for first 60” (5 ft) and 6lbs per inch thereafter ±10%
    • Example: 5’ 10” = 149-183 pounds
  • Women: 100lbs for first 60” (5 ft) and 5lbs per inch thereafter ±10%
    • Example: 5’ 3” = 104-127 pounds

Like using the BMI, you have to consider the interpretive standards for this calculation also. If you consider yourself to have a small frame, then use the lower end of this range; whereas if you have a large frame then you would use the upper end of this range.

How do you achieve an ideal weight?

If we want to reach or maintain a healthy weight, consuming a healthy diet and engaging in physical activity is essential.

What is a Healthy Diet?

It took me 4+ years and an expensive degree to develop a confident answer to this question…but to save you time and money, let’s look at the straightforward responses of two of my favorite authors:

Family Resolutions

It's a new year - have you ever wondered how to incorporate resolutions into family life?

Yes, parents are pressed for time, but remember we have strength in numbers. Family is our strength and our motivation. In Franklin Covey’s book titled 7 Habits of Highly Effective Families, is a suggestion for creating a family mission statement. This is where each family member helps create a mission statement for the whole family. We add things in that are most important and beneficial for the family as a whole. It gets written up and framed on the fridge or hung in a prominent place. Because each member of the family had input and a say in what the mission statement represents, they all have a stake in it. This mission statement brings the family together to work for a common goal.

The same can be said for New Year’s Resolutions. I have heard more than once that New Year’s Resolutions can be hard to stick to be cause we’re still in the dead of winter with short, cold, rainy days. That makes it difficult to start anew.

However, creating Family Resolutions just might have an extra edge for succeeding. We have that wonderful built-in support system.

Here’s what to do:

Five Healthy New Year's Resolutions for Men and Women

I'm a family doctor at Swedish's South Lake Union Primary Care Clinic - if you're into new year's resolutions, here are five healthy ones to try:

(Listen to the end for a 'bonus' resolution)

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