July 2013
Blog

July 2013 posts

Multiple Sclerosis Cyclists Ride Cross-Country to Swedish

Help us thank and congratulate them Sunday, August 4. Photo from Diane Mattens.

More than 30 bike riders will arrive at the MS Center at Swedish on the afternoon of Sunday, August 4 to celebrate their cross-country bike ride and to make a contribution in support of the Center. We are seeking MS Center patients and friends to help us welcome the riders, including Swedish patient, Diane Mattens, and to thank them for their generous support.

The cyclists will be wrapping up their 4,295 mile bike ride that began...

Gauged or Stretched Ear Lobe Repair

Closure of stretched ear lobes is becoming more common in Seattle.

Do injectable therapies benefit progressive forms of MS?

The American Academy of Neurology (AAN) recently published their Top Five Recommendations in the Choosing Wisely Campaign in promoting high value neurological care. This was done in collaboration with the American Board of Internal Medicine Foundation and Consumer Reports to reduce ineffective and costly care.

One of the AAN’s recommendations was to stop prescribing interferon-beta and glatiramer acetate to people who have progressive, non-relapsing forms of multiple sclerosis (MS).

The AAN made clear that  the recommendations were intended to promote discussion between patients and their providers about the value of these therapies, not to completely stop the use of specific treatments.

The recommendation to stop prescribing interferon-beta and glatiramer acetate is not unanimously supported by all MS neurologists, many of whom feel that this was an oversimplification.

People with ...

Acoustic Neuromas & How We Treat Them

Acoustic Neuromas, also known as vestibular schwannoma, is a slow growing  benign tumor on the balance nerve connecting the inner ear to the brain.

This is an uncommon condition, found in roughly 1 in 100,000 people. The most common symptoms include hearing loss, tinnitus (ringing in your ear), and vertigo (a feeling of imbalance). Because these symptoms are present with many conditions, it is important to see your doctor if they persist more than a few weeks. Your healthcare provider will make a referral to an ENT surgeon or to a Neurotologist if they feel you need further evaluation. Neurotology is a sub-specialty of  otolaryngology (ears, nose, and throat) specializing in the neurological conditions of the ears and brainstem (also referred to as skull base surgery. if an acoustic neuroma is suspected). The neurotologist may conduct a clinical evaluation, hearing and balance tests and imaging studies, such as MRI, to make the diagnosis. 

Once diagnosed, there are many options to consider:

  • Observation with a repeat MRI scan in 6 months. If the scan shows no growth,  repeat scanning at annual intervals for 3 years is recommended. If the tumor size is stable, the scan will be repeated after 2 years thereafter. If at any interval the tumor grows, the other treatment options should be considered.
  • Radiosurgery is an option which ...

Heat Sensitivity and Multiple Sclerosis: Resources to help cool off MS symptoms

The summer months have arrived and the weather is warming up. While many sun-deprived residents of the Pacific Northwest are enjoying more sunshine, many people living with multiple sclerosis (MS) experience a temporary worsening of their symptoms when the weather gets warmer.

Air conditioners, fans, and cooling products like vests and neck wraps can help keep the body cool and prevent or reverse the symptoms. But what if you can’t afford it, or think your income is too high to get financial assistance?

Swedish System Recognized as ‘Best Hospitals’ by U.S. News & World Report

Swedish is again recognized as one of the leading hospital systems in Washington State as part of U.S. News and World Report’s 2013 Best Hospitals annual rankings, which were released Tuesday, July 16, 2013.

All eligible Swedish campuses were ranked in the top 10% statewide (a total of 107 hospitals are included in the Washington survey.)  Swedish/Issaquah, just entering its third year serving Eastside communities, is not yet included/eligible for the Best Hospitals rankings.

Swedish is included in two categories of rankings:

Worrying about your child's growth

The above letters reflect many of our children’s feelings when they are first seen by Dr. Kletter. They and their families arrive to the Pediatric Endocrinology clinic with hope that something can be done.

Children are usually followed by their pediatrician or primary care provider. The following questions are guidelines for parents who are worried about their child’s growth. While any “yes” to the questions may not indicate a problem, it warrants a discussion with your child’s healthcare provider.

  • Is my child the shortest or tallest in the class?
  • Is my child unable to keep up with children of the same age in play?
  • Is my child growing less than 2 inches or more than 3 inches a year?
  • Is my child showing signs of early sexual development (before age 7 in girls and before age 9 in boys)?
  • Has my 13 year old girl or 15 year old boy failed to show signs of sexual development?

An experienced pediatric endocrinologist will evaluate the following possible causes of short stature and growth failure:

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