January 2014
Blog

January 2014 posts

Treating and preventing common sports injuries

Looking to be more active in 2014? Have you been waiting all year to enjoy winter sports such as skiing or snowboarding?

There are a few common injuries that often get my patients down when they are on the go. Below are a few tips and tricks to help you prevent these common injuries and determine the best treatment options should you need it.

Sprains/Fractures
The most common injuries in the wrist and ankle are sprains and fractures. Throwing, twisting, weight-bearing, and impact can put you at risk for a wrist injury. Ankle sprains and fractures are typically caused by making a fast, shifting movement with your foot planted on the ground.

In most cases, I recommend the RICE approach: rest for around 48 hours; ice the injured area to reduce swelling (use a pack wrapped in a towel); compress with an elastic ACE wrap; and elevate the injury above heart level.

However, if you experience these symptoms, contact your provider for further evaluation.   
  • Pain at the time of injury
  • Swelling
  • Bruising or discoloration
  • Difficulty moving the wrist or ankle
  • A “popping” or tearing sensation during the trauma
  • Warmth and tenderness of the skin
More serious injuries will likely be treated with a splint, boot or cast. The healing process can take up to six weeks. Surgery may also be required.

ACL Tears
The ACL, or anterior cruciate ligament, is one of the major ligaments in your knee that helps with stabilization when turning or planting. ACL injuries take place during cutting or pivoting movements. The hallmark of a torn ACL is a distinct popping noise and your knee may give out. The  ...

What you should know about ovarian cysts

Finding out there is a cyst on the ovary is often a concerning experience for a woman.  Women aren't sure what it means for them or what will need to be done.
 
A woman has two ovaries, which produce eggs, which allow a woman to get pregnant, and produce female hormones.  These hormones cause the lining of the uterus to grow, which then shed (as the period).  Ovaries are actively making hormones and ripening eggs from when the period first starts until when she goes through menopause.  As an egg is ripening in the ovary, several small cysts will form.  These grow to about 2.5 cm, or one inch, and then when the woman ovulates or releases the egg the cyst drains and is gone.  So when a woman has an ultrasound that shows a cyst less than 3 cm it is usually a "follicular" cyst - that is a cyst with a developing egg.  This type of cyst is completely normal and will come and go.
 
Cysts that are  ...

Swedish MS Center recognized by Healthcare Design magazine

Healthcare Design magazine recently recognized the Swedish Multiple Sclerosis Center at Cherry Hill as a finalist in the Family Spaces category of its annual Healthcare Design Remodel Renovation Competition.

You can see a pdf version of the piece here.

You can also check out a post on the article by James Bowen, M.D., medical director of the MS Center, on the Swedish Blog.
 

Swedish MS Center design recognized

Less than two years old, the Swedish Multiple Sclerosis Center has already received an overwhelming amount of praise from patients and physicians alike for its holistic approach to world class care.

Now we can add one more accolade to the list.

Healthcare Design magazine recently recognized the MS Center’s patient and family waiting area as a finalist in the Family Spaces category of its Healthcare Design Remodel Renovation Competition.The entire piece beautifully encapsulates the approach, design and ultimately the quality of care that the MS Center strives to deliver. Here is an excerpt of one of the judge’s comments:

“The entire design is a phenomenal reflection of a deep understanding of the unique needs of patients with multiple sclerosis. It is apparent the design team did their research, listened to the voice of the patient and caregivers, and integrated evidence-based design principles….”

That’s high praise, and it is rewarding to know that the attention we paid to every detail — from furniture and flooring to treatment and waiting areas — was noticed. But it is even more rewarding to know that the center has become an incredible resource in treating those diagnosed with MS, a degenerative disease that strikes the central nervous system.

Updates on LINX - GERD reflux management system

Since my initial LINX blog post 20 months ago, we have been engaged in a dialogue with patients from around the world who suffer from gastroesophageal reflux disease or GERD.  Despite my initial trepidation to “blogging”, this has been a rewarding experience to hear about patient’s problems, their concerns about the current treatments (PPI’s and Nissen fundoplication) and simply interacting with them.  I thank the patients who have taken time to share their thoughts on the blog.

 

When our social media manager asked me to provide an update on LINX, I realized that I have been simply responding to patient’s questions and I haven’t posted any of my thoughts or updates on what is happening with the LINX device.

There are some exciting developments for patients who are interesting in having a LINX implanted.

 
Use of MRI and LINX
  • Torax, the company who designed and manufactures the LINX device, has received FDA support for the use of MRI with the LINX device.  This conditional approval allows for patients to undergo and MRI that is 0.7 Tesla or less.   I am trying to clarify with our radiologists what a 0.7 Tesla MRI will cover.
Medicare coverage
 
  • For medicare patients, LINX now has a dedicated procedure code that allows for payment to cover the cost of the hospital portion of implanting the LINX device.  The surgeon’s fee is a separate code and fee and is usually covered.
Insurance update
 
  • For patients with non-medicare insurance, the ...

Jaundice in newborn babies

As a new parent, you’re understandably eager and excited to leave the hospital and settle into your new routine with your baby. Sometimes, that routine is delayed due to the baby’s blood test confirming hyperbilirubinemia, also known as jaundice.

Jaundice in newborns is caused by an excess of red blood cells. Jaundice is seen as a yellow color to the skin, appearing first at the head (skin and sclera – or “whites of the eyes”) then progressing to the feet. As it decreases, it lessens in reverse. Before birth, the placenta removes bilirubin from the baby’s system; after birth, the baby’s liver takes over. In breast-fed babies, an imbalance between mother’s milk supply and baby’s feeding can lead to a higher-than-expected bili level. In addition to ensuring the baby is feeding well and having enough wet/stool diapers, phototherapy or “bili lights” may be needed. Bili lights help speed up the process by breaking down the bilirubin in the skin.

For phototherapy, your baby will be ...

Easy tips to change the way we eat

Two-thirds of Americans are overweight and obese. With this trend, diseases such as type 2 diabetes, heart disease, high blood pressure, gout, arthritis and sleep apnea have become commonplace with my patients.

While there are key steps that we can all take to be healthier – don’t use tobacco, limit or abstain from alcohol, make exercise a part of our daily routine – I want to focus on a few simple ways to change the way we eat.

I think Michael Pollan, author of The Omnivore’s Dilemma and other books on food, said it best: “Eat real food. Not too much. Mostly plants.

So how can you get started and make it permanent?

1. Eat real food
Foods that can sit on a shelf for years are usually loaded with salt, genetically modified ingredients, high-fructose corn syrup and artificial preservatives. This is not the food our body was meant to eat.  Instead ....
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