Another important question is the role of vaccination in MS. In general, vaccinations do not seem to cause MS attacks. Because the vaccinations do not usually cause MS attacks, but the flu can cause an MS attack about 1 in 10 times, most neurologists recommend that MS patients receive the influenza vaccine. It is ...
The influenza virus, better known as the flu, has been proven over and over to have the potential to cause serious disease in pregnancy. That includes an increased risk that when pregnant women “catch” the flu, they may require admission to the intensive care unit, require a ventilator and, less commonly, even death. It’s serious. Babies of women who are infected with the flu during pregnancy are more likely to be born prematurely and are at increased risk for stillbirth.
We recommend the flu vaccine at any point in pregnancy and offer the single dose, preservative free vaccine in our office to all pregnant women (with the exception of those who have a medical reason not to get it.) A common misconception is that the vaccine causes the flu - it does not. Another misconception is that it is not safe for the developing baby to be exposed to the vaccine itself or the immune response it generates. There is no evidence to support this fear in almost 50 years of administrating this vaccine and close follow up of those receiving it.
We recommend the flu shot, which is an inactivated virus. The Flumist is a live attenuated virus that is not recommended in pregnancy.
Your family members should also receive the vaccine as they can pass the flu on to a newborn who has not yet gotten the vaccine. Babies can suffer severe complications if they are infected with the virus before they can receive the vaccine.
The other vaccine we recommend during pregnancy is the Tdap booster. The benefit of the pertussis booster outweighs any perceived risk. Pertussis, or the whooping cough, is at epidemic levels especially on the west coast including Washington State. That may be ...
Below are answers to a few common questions that I often receive from my patients:
What if I am taking birth control?
Depending on the type you use, you may want to stop birth control a few months in advance of planned conception. Birth control suppresses ovulation and impacts fertility. The good news is the affects of birth control do not last long. For example, we recommend that women finish a pack of birth control pills, have their next menstrual cycle and then go through one additional full cycle before attempting to conceive. During this time, it is important to use a barrier method of contraception (condoms) if you plan to engage in sexual intercourse.
An IUD (Intrauterine Device) can thin the lining of the uterus. I recommend that patients with an IUD ....
Odds are that if you live in or around Seattle, either you or your children were born at a Swedish hospital. And after last year, those odds are even greater after our nurses and doctors delivered a record 9,014 babies in 2013.
Last year included a record number of births at Swedish/Issaquah (1,149) and Swedish/Ballard (1,022).
We attribute last year’s growth to our excellent reputation in the community as well as our outstanding ability to provide our patients with a safe, convenient and comfortable birthing experience. Last year we expanded our range of offerings for families when we opened our new Lytle Center for Pregnancy & Newborns and our Level II nursery at Swedish/Issaquah.
Now for some fun facts:
August saw ...
Oropharyngeal dysphagia is related to problems with the initiation of the swallows and clearing the food bolus from the mouth to the esophagus. This usually occurs within a second of swallowing and you may feel that you cannot initiate a swallow or food hangs up in the neck region. A test that is commonly used to evaluate this is a modified barium swallow or videofluoroscopic swallowing study. This study provides critical information on inability or excessive delay in initiation of swallowing, unintentional inhalation of food, unintentional expulsion of food from the nose or mouth, and/or abnormal retention of food in the back of the throat after swallowing. Most ...
A 4 week-old infant and his mother came to my office last week. The mother had started seeing small flecks of blood and stringy mucous in the infant’s diapers a week prior. The baby was fine in every other way, breast feeding normally, and looked quite healthy when I examined him.
I diagnosed the infant as having cow’s milk protein-induced proctocolitis, the term referring to allergic inflammation of the lower gastrointestinal tract from exposure to cow’s milk.
This is a diagnosis I make often. Here's what you should know about infants with milk allergies:
- It’s more common than you think. 2-3% of infants in the U.S. are allergic to cow’s milk protein. It is even more common in infants with eczema or who have parents or siblings with allergies.
- It’s seen in breast fed babies. Over 50% of infants with this condition are breast milk-fed infants. But remember, the babies are allergic to the dairy in their moms’ diets, not to their mothers’ breast milk per se!
- Switching to soy or goat’s milk doesn’t work. Over two-thirds of infants with cow’s milk protein allergy “cross-react” to soy protein (which means that they may not be truly allergic to soy protein, but their immune systems are just too “immature” to know the difference between the two). Similarly, if a mother switches from drinking cow’s milk to goat’s milk, it won’t help, because the source is still a “different species”; the infant’s immune system will still respond to the “foreign” protein.
- Treatment takes time. The inflammation resolves when all traces of cow’s milk (and soy), are removed from the infant’s diet. In the case of formula-fed infants, we switch to special hypoallergenic formulas. Typically after a successful switch, the bleeding stops within a week. However, with breast fed infants, the improvement can be a little slower. Since it can take up to 2 weeks for the dairy in a mother’s diet to circulate into her breast milk, the full effects may not been seen for up to a couple weeks.
- Allergy testing is not recommended. The type of allergy that ...
A short anatomy lesson
Our inner ear, or cochlea, has thousands of cellular components called hair cells. These cells act as biological amplifiers when the sound arriving at our ear is soft. That is, they pump up and down at the same frequency as the sound entering our ear making it more intense. This allows us to hear very soft sounds.
These same cochlear cells which amplify soft sounds can also contract and dampen the loud sounds which enter our ear. This prevents the ear from being over driven and this, in turn, prevents distortion.
So what happens if these cells are gradually damaged so that they no longer work properly? The simple answer is ...
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