Neuroscience SNI

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How to deal with minor breakouts or major acne

March 01, 2013

Most of us experience acne at some point in our lives. It is most common in adolescents and young adults, but various forms can affect people well into adulthood. Knowing what you can treat with over the counter products and when to see a physician is the first step to improving acne.

The most common form of acne is comedonal acne and is characterized by whiteheads and blackheads. The next most common is inflammatory acne where deeper, pinker bumps appear on the skin. Milder cases of both comedonal and inflammatory acne can often times respond to over the counter (OTC) treatment with salicylic acid cleansers and topical benzoyl peroxide products. If you try OTC treatment for 6-8 weeks and see good benefit, you can avoid a trip to the doctor and keep using the OTC products.

More severe comedonal or inflammatory acne will commonly not respond to OTC treatment or get limited benefit. If a 6-8 week treatment trial with OTC products doesn’t control your acne, it’s time to see a...

Mindfulness for Childbirth and Parenting

February 27, 2013

What is mindfulness?

Mindfulness is defined by Nancy Bardacke, author of Mindful Birthing, as "the awareness that arises from paying attention, on purpose, in the present moment, and non-judgementally. It is cultivated through meditation practice and can help you navigate the uncharted waters that lie ahead with more joy, kindness, awareness, calm and wisdom than you might have otherwise. Mindfulness is a universal capacity of the human mind, but unless we intentionally choose to cultivate it, we can spend much of our lives on automatic pilot, sleepwalking through life rather than being fully present for it."

What makes mindfulness helpful for pregnancy? Or parenting?

"Taking the time to learn mindfulness through meditation practice now can help you more skillfully manage the inevitable stresses of pregnancy and the irreducible element of uncertainty of the birthing process. More than that, mindfulness meditation can hel...

How much tremor is too much?

February 26, 2013

Tremor is a normal physiologic reaction to anxiety or stress, but it is not normal to have a tremor when performing typical daily activities.

 

People who develop a tremor while eating, drinking, writing or doing other common activities may have a movement disorder called Essential Tremor. This is actually the most common movement disorder, and can affect up to 4% of people over age 40. People who have this disorder can take medications to help minimize the tremor, but they don't often reduce the tremor by more than about half. Deep brain stimulation (DBS) is an excellent treatment option for people with severe tremor, and can nearly eliminate the tremor in many patients. Many patients aren't sure when their tremor is severe enough to warrant surgery, and much of our conversation in the office is to help answer this question.

There is no one answer that is right for everyone, but for me it has to do with how well someone is actually doing in their daily life:

How Much is the Right Amount of Chemo for Locally Advanced Non-Small Cell Lung Cancer?

February 16, 2013

How much is the right amount of chemotherapy for locally advanced non-small cell lung cancer?

Lung Cancer Screening Saves Lives: So Why Aren't We Doing It?

February 15, 2013

The American Cancer Society recently came out with a recommendation about lung cancer screening for high-risk patients:

New considerations given about when to refer for Deep Brain Stimulation

February 15, 2013

Every year in the fall, our Swedish DBS Team has a table in the exhibit area at the Hope Conference for Parkinson's Disease. It is a wonderful opportunity to meet people in the PD community, and spend time chatting with our other neuroscience colleagues from centers in the area.

I am always surprised by the numbers of people who come by and say, “I am not ready, my disease is not bad enough, I am too young, or I haven't had PD long enough”...

The Goal of DBS (Deep Brain Stimulation) Surgery

February 01, 2013

I met with several patients this week to discuss their personal journey to making the decision to pursue DBS surgery. Not surprisingly, they were well educated about their disease and treatment options.

Each patient reminded me that there is a lot of information and misinformation about surgery for movement disorders.

The most important advice I can give any patient or family is...

Holidays at the Hospital (Swedish Issaquah) December 1

November 27, 2012

Bring the family and get into the holiday spirit at the Swedish/Issaquah Holidays at the Hospital. There’s something for everyone: a pancake breakfast, pictures with Santa, and lots of kids’ activities. Holiday cheer awaits you at the hospital on December 1 from 9 a.m. to noon.

Event features:

  • Pancake Breakfast
    $5 per person, $20 per family of six (infants are free)
    A portion of the proceeds supports Pediatrics at Swedish
  • Visit with Santa & Free Photos
    Come get a free photo with St. Nick and decorate a keepsake frame.
  • Teddy Bear Clinic
    Have your kids bring their favorite teddy bear or doll to our "Teddy Bear Clinic" for a check-up.
  • Giant Gingerbread House
    Kids can help decorate our giant gingerbread house.
  • Ask-the-Doc
    Our experts will be here to answer any questions you have.
  • ...

In-Room Massages for New Moms Come to Swedish/Issaquah

November 27, 2012

For many of us, a massage is a reward we give ourselves after a stressful week or while on a dream vacation. However, what about a massage after one of life’s most physical – and often painful – events: childbirth.

Childbirth is always unpredictable, but postpartum recovery doesn’t have to be. A postnatal massage service (Postnatal Body Therapy™ by Bavia™) is now available at the Swedish/Issaquah campus...

Vision Problems and Pituitary Tumors

November 26, 2012

Nearly everyone notices vision problems, especially as you get older. In the great majority of cases, this is simply due to changes in the focusing capacity of the lens, and the solution is wearing glasses. However, it isn’t safe to assume that this is always the case. It’s important to have your eyes examined by a trained professional to determine whether something more serious is affecting the eye or the vision nerve. 

In the video below you’ll learn about something I commonly see in my practice – vision loss from a tumor of the pituitary gland that is putting pressure on the vision nerves. This type of vision loss typically reduces the peripheral vision to either side. This can be diagnosed by a test at the eye doctor called Visual Fields. As in this case, a relatively simple operation can reverse the vision problem before it becomes permanent. The key is early diagnosis. If you notice that your peripheral vision is affected, ask your eye doctor to check visual f...