Yogi, a golden retriever from Austin, was recognized during The Humane Society of the United States’ “Dog of Valor” award ceremony at
St. David’s Rehabilitation Hospital. Yogi is credited with saving his then 57-year-old owner, Paul Horton, after he fell off his bike late last year and suffered a spinal cord injury, leaving him paralyzed from the chest down.
Horton was taken to
St. David’s Round Rock Medical Center, where Mark Burnett, M.D., a neurosurgeon and executive medical director of NeuroTexas Institute at St. David’s HealthCare, performed surgery to stabilize his spine and release the pressure. Horton was then transported to
St. David’s Rehabilitation Hospital, where he worked to rehabilitate from his spinal cord injuries.
“I truly believe Yogi saved my life,” Horton said. “He’s my hero.”
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Wednesday, June 01, 2011
The past few weeks we focused on heat-related injuries which consist of a continuum of syndromes, including heat cramps, heat exhaustion, and heat stroke. As this series comes to a close, we need focus on the prevention of heat-related injuries.
Prevention of Heat Related Injuries:
-
Pay attention to environmental conditions, dress accordingly, and avoid prolonged heat exposure.
- Adequately hydrate before, during, and after physical activity.
- Avoid prolonged heat exposure and prolonged physical exertion during adverse conditions.
- Ensure proper intake of dietary salt and fluids rich in electrolytes.
- Pace work schedules for those who need to work under adverse conditions.
- Monitor yourself and others for signs and symptoms of heat related injuries.
- Community outreach to individuals at risk.
Jim Cretella, M.D.
St. David’s Round Rock Medical Center
St. David’s Urgent Care - Round Rock
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Tuesday, May 31, 2011
If you witnessed a loved one collapse in sudden cardiac arrest, would you know what to do?
The American Heart Association offers these eye-opening statistics about cardiac arrest and CPR: effective bystander CPR, provided immediately after sudden cardiac arrest, can double or triple a victim’s chance of survival, but less than one-third of out-of-hospital sudden cardiac arrest victims receive bystander CPR.
While this is a frightening situation to consider, taking steps to educate yourself about what to do in such an emergency is easier than you think.
The Take 10 Program was initiated by Take Heart Austin with the purpose of alleviating fears of bystanders and empowering them to activate EMS and start compression-only CPR. In just 10 minutes, participants can practice giving uninterrupted, high-quality chest compressions and review the basic steps of operating an Automated External Defibrillator, or AED. While Take 10 is not a CPR certification, it teaches valuable skills in a concise, portable program.
St. David’s Emergency Center is partnering with Take Heart Austin to bring the Take 10 Program to your community. We will be hosting programs throughout Lakeway and Bee Cave. Be on the lookout for the Take 10 logo around the area, and stay tuned to the St. David’s Emergency Center blog to find out when and where you can take just 10 minutes to learn how you can potentially save a life.
Do you know CPR?
Katie Lyke
Manager of St. David’s Emergency Center
Austin’s first free-standing Emergency Department, opening in August of 2011
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Monday, May 30, 2011
This month's
Fit4Life cooking demo at their St. David's Round Rock Health and Wellness Center focused on some tasty desserts that the whole family can enjoy! Dietitian Tarie Beldin, RD, LD taught attendees new presentation tricks and nutritional facts to help create bite-sized sweets.
Tarie's June cooking demo is all about the grill. We all love a tasty burger or hot dog, but come prepared to learn some new recipes for your al fresca meal!
Cost: $15.00 per person
For more information:
Please contact Tarie Beldin, RD, LD
(512) 341-6118 or tarie.beldin@stdavids.com
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Thursday, May 26, 2011
If you’re anything like me, you’re probably pretty familiar with Murphy’s Law, which states that anything that can go wrong, will go wrong. Also, if you’re anything like me, you find Murphy’s Law more often reads a little like this: Anything that can go wrong, will go wrong…in the middle of the night on a weekend or holiday when my doctor’s office is closed. My husband never splits his chin open playing basketball on a Wednesday morning, and I’ve never wondered at one in the afternoon on a Monday if perhaps those leftovers I ate for dinner did taste a little funny now that I remember it. So what do you do when Murphy’s Law catches you off-guard? That’s where we come in.
My name is Katie Lyke, and I’m the Manager of St. David’s Emergency Center—Austin’s first free-standing Emergency Department, opening in August of 2011. If you’ve been anywhere near the Hill Country Galleria in Bee Cave in the last few months, you’ve probably seen the construction just in front of City Hall and wondered what exactly was going up. We’re a brand spankin’ new concept in the city: a full-service, 12-bed ER with our own lab and radiology departments, ready and willing to handle anything life can throw at you—twenty four hours a day, seven days a week. Holidays included.
The purpose of this blog is to give you an inside look at what we can do for you. Over the next few months, I’ll be updating you on construction progress, upcoming events, and health information relevant to your community. For example, let’s look at how far we’ve come over the past few months!
In February, we were just a frame of steel…
…and by April, we had rooms!
Life may not always be predictable, and even though anything that can go wrong will mostly likely go wrong when it’s least convenient, fast and friendly, 24/7 emergency care will be here soon, closer than you think.
-Katie
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Thursday, May 26, 2011
Last week, St. David’s HealthCare employees gathered for food and fun during their annual Employee Appreciation Celebrations. We are so fortunate to have the most amazing group of people caring for our patients and families and, although we appreciate them every day, we were delighted to be able to share in this celebration. When you combine this much fun with excellent care, you get great hospitals!
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Wednesday, May 25, 2011
As we approach the summer months, we need to focus on the prevention and recognition of heat-related injuries. Heat-related injuries consist of a continuum of syndromes, including heat cramps, heat exhaustion, and heat stroke.
Heat Exhaustion:
- True medical emergency related to severe heat injury that carries a high mortality rate.
- Characterized by a core body temperature >104.9 degrees, the loss of the ability to sweat, and neurologic impairment, ranging from confusion to being obtunded.
- Types of heat strokes include non-exterional and exertional heat stroke.
Non-exertional Heat Stroke: - Those who are at greatest risk include the elderly, infants, the chronically ill, and individuals living in poverty.
- Symptoms develop gradually and usually occur during summer heat waves.
- Stressors may include lack of air conditioning, presence of cardiovascular disease, and lack of access to water and food.
Exertional Heat Stroke: - Usually affects younger individuals as a consequence of vigorous physical activity.
- Treatment of heat stroke is beyond the scope of this blog, but involves aggressive cooling measures, fluid and electrolyte administration, and treating end organ dysfunction and complications. In general, patients require ICU admission.
Jim Cretella, M.D.
St. David’s Round Rock Medical Center
St. David’s Urgent Care - Round Rock
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Monday, May 23, 2011
By Mary Evers, D.O.
Spring is in full bloom and summer will be here before most of us are ready, which means high temperatures, plenty of sunshine, suntans and sunburns. While being in the sun and enjoying the outdoors is part of many Central Texans’ lives, people need to be conscious of the dangers created by ultraviolet overexposure from the sun.
According to the National Council on Skin Cancer Prevention, more than two million new cases of skin cancer are diagnosed in the United States each year—outnumbering all other cancers combined. Of these two million cases of skin cancer, more than 68,000 of these will be melanoma, the most life-threatening form of skin cancer.
May is National Skin Cancer/Melanoma Awareness Month. In recognition of this, St. David’s Georgetown Hospital will host a free skin cancer screening on Saturday, May 21. This screening will help people identify problem areas and provide education on proper sun protection.
The benefit of a skin cancer screening is the potential to find cancer at an early stage, as many skin cancers can be asymptomatic. The earlier doctors are able to diagnose and treat skin cancer, the better the outcomes. While having a routine, formal screening from a healthcare professional is important (at least once a year is recommended), there are a number of warning signs you can check for at home.
During your self-exam, pay particular attention to sun-exposed areas (scalp, face and hands), as well as the following:
- A spot or sore that itches, is painful, crusts or bleeds.
- A skin growth that appears translucent or pearly and changes in size or shape.
- A mole or birthmark that is irregular, changes in color, increases in size, or is itching, bleeding or tender.
If you see anything suspicious, contact your primary care physician or dermatologist as soon as possible.
In addition to the importance of routine skin checks, it’s equally important to protect yourself while in the sun. Below are several steps you can take to help prevent sun damage and the development of skin cancer:
- Wear protective clothing, such as a wide-brimmed hat, sunglasses and a lightweight, long-sleeve shirt.
- Schedule your outdoor activities during non-peak hours, which are before 10 a.m. and after 4 p.m.
- If you are outdoors, seek shade—do not allow your skin to burn.
- Wear sunscreen with an SPF of 45 or greater and reapply every two hours.
- Do not use tanning beds.
- Give yourself extra protection when you’re around water, snow and sand, because they reflect the damaging rays of the sun and can cause you to burn easier.
Mary Evers, D.O., is a dermatologist, who practices at St. David’s Georgetown Hospital.
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Friday, May 20, 2011
Everybody loves a good BLT sandwich, but have you ever enjoyed a BLT salad? This leafy concoction maintains all the flavor, including the bacon, and is only 151 calories per serving.
Interested in attending the next Fit4Life cooking demo on May 23rd? Join us next Monday and learn how to create delicious and healthy summer desserts! Call: (512) 478-3681 or (888) 868-2104
BLT Salad
- 1 cup cubed whole-wheat country bread
- 2 teaspoons extra-virgin olive oil
- 4 medium tomatoes, divided
- 3 tablespoons reduced-fat mayonnaise
- 2 tablespoons minced chives, or scallion greens
- 2 teaspoons distilled white vinegar
- 1/4 teaspoon garlic powder
- Freshly ground pepper, to taste
- 5 cups chopped hearts of romaine lettuce
- 3 slices center-cut bacon, cooked and crumbled
1. Preheat oven to 350 degree. Toss bread with oil and spread on a baking sheet. Bake, turning once, until golden brown, 15 to 20 minutes.
2. Cut 1 tomato in half. Working over a large bowl, shred both halves using the large holes on a box grater. Discard the skin. Add mayonnaise, chives (or scallion greens), vinegar, garlic powder and pepper; whisk to combine.
3. Chop the remaining 3 tomatoes. Add the tomatoes, romaine and croutons to the bowl with the dressing; toss to coat. Sprinkle with bacon.
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Wednesday, May 18, 2011
As we approach the summer months, we need to focus on the prevention and recognition of heat-related injuries. Heat-related injuries consist of a continuum of syndromes, including heat cramps, heat exhaustion, and heat stroke.
Heat Exhaustion:
-
Symptoms include: dizziness, weakness, malaise, light-headedness, fatigue, nausea, vomiting, headache, and muscle aches, associated with heat exposure.
- Patients may have rapid breathing, rapid heart rate, excessive sweating, fever, and may even faint.
- Diagnostic tests generally include complete blood counts, electrolytes panels, and checking for muscle injury.
- Treatment involves removing the individual from the heat, utilizing cooling measures, and instigating IV fluid and electrolyte replacement.
- In general, most patients can be safely discharged home from the emergency room after they have responded to therapy.
Jim Cretella, M.D.
St. David’s Round Rock Medical Center
St. David’s Urgent Care - Round Rock
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Friday, May 13, 2011
Summer always seems revolve around the BBQ pit and this salad completes any al fresco meal. Grilled corn, sweet red peppers and asparagus combine in perfect harmony for a delicious and healthy summer salad.
Interested in attending the next Fit4Life cooking demo on May 23rd? Call: (512) 478-3681 or (888) 868-2104
Summer Corn Salad with Asparagus
- 6 ears corn, husk and silk removed
- 1 bunch asparagus spears, trimmed and cut into 1 inch pieces
- 1 (7 ounce) jar roasted sweet red peppers, drained and chopped
- 2 cloves garlic, minced
- 6 basil leaves, chopped
- 1 tablespoon olive oil
- 1 tablespoon balsamic vinegar
- salt and pepper to taste
1. Preheat an outdoor grill for medium-low heat and lightly oil grate.
2. Place the ears of corn on the grill and cook until the kernels are tender, about ten minutes turning frequently. Remove the ears from the grill and cool. Cut the kernels off of the cob.
3. Fill a large saucepan with lightly salted water and bring to a boil over high heat. Add asparagus and cook until just tender, about 1 minute. Drain in a colander and rinse immediately under cold, running water until well chilled. Set aside.
4. Combine the corn, asparagus, roasted peppers, garlic, basil, olive oil, and balsamic vinegar in a large bowl; season with salt and pepper to taste. Serve at room temperature or chilled.
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Wednesday, May 11, 2011
Each year, during the week of Florence Nightingale’s birthday, a very exceptional and extraordinary group of men and women are recognized for their tremendous work and compassion. Their work exemplifies critical thinking skills, assessment and application of care models that provide quality clinical care to patients with complex mental and physical diseases. The art and science of nursing has been one of the oldest professions noted today. Florence Nightingale was not the first nurse ever to exist in the world. She was, however, the first person to actually advocate it as a profession. Nursing has a long centuries-old rich history. It has evolved out of a serious need to provide a blanket of responsibility and safety for directing and coordinating the care of a patient, often in the worst of times.
The world of professional nursing has evolved over the hundreds of years from which it came. The history books are filled with various types of nurses around the world. As you might imagine, this is a very proud and prestigious group of professionals who cherish their heritage. Few things last hundreds of years without seeing tremendous change. Nursing is no exception. As medicine changed, as the patient changed, so did the profession of nursing. Most of the change has been very good for the profession.
There are over 3.1 million registered nurses who maintain a license in the United States today. Approximately 2.4 million of them are actively employed. Within those numbers are 300,000 advanced practice nurses, many of whom have prescriptive authority in 49 states. Nurses are leaders in the healthcare of our patients. They are the glue that binds the numerous multidisciplinary teams together. They reduce the fragmentation between providers and are the professional who is in charge of the prioritization of the patient’s plan of care under the direct orders of a licensed independent practitioner (usually a MD).
This could be, and often is, a daunting task. Nurses have lived and worked through famines, plagues, wars and the depressions. While much change has been necessary, change comes easily to nurses who believe their patients will have better care. This is a profession that is well compensated, but that is not nearly the sole reason a nurse becomes attracted to it. The “ calling” is much more complicated. It comes deep from within to completely care for another individual in need.
Nurses must disregard any biases they may personally have whether that is with race, ethnicity, religion, wealth, poverty and the like. They must care for everyone equally. This simplifies their mission. It is everyone, everyday, every hour, anywhere.
The noble profession that often remains more comfortable helping others receiving that priceless gift as their true reward, does have a week that recognizes each and every one of the nurses in the nation. In 1954, through work with legislators and the American Nurses Association, President Richard Nixon began the task of honoring this most worthy group of professionals, and then in 1974, President Ronald Reagan officially named May 6 as National Nurses Day.
Celebrations occur all over the nation in various formats. At St. David’s HealthCare, we honor each and every nurse, highlighting those who represent our mission and vision to be the finest healthcare provider in the world and to provide exceptional care to every patient every day, with a spirit of warmth, friendliness and personal pride.
As a fifth generation nurse, I feel I speak for many nurses who are both here and present as well as those who have passed before us. We are in a unique group of men and women who have chosen one of the hardest professions mentally and physically that exists. While I have touched on several topics reflecting this fascinating career, something everyone can do during Nurses Weekis to find a nurse and tell them how much you personally appreciate them for what they do. If it were not for them, the quality healthcare we know today would not exist.
On behalf of St. David’s HealthCare, it is an absolute honor and privilege to stand beside you as a colleague and professional nurse. It is our responsibility and obligation to continue what has been our calling for centuries, and that is to never forget our place in history and present day as the advocate for our most important charge—our patient.
Happy Nurses Week 2011!
Sally Gillam, RN, BSN, MAHS
Chief Nursing Officer
SDSAMC Click here to view all the Nurses Week 2011 photos.
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Wednesday, May 11, 2011
As we approach the summer months, we need to focus on the prevention and recognition of heat-related injuries. Heat-related injuries consist of a continuum of syndromes, including heat cramps, heat exhaustion, and heat stroke. We will start this four part series by focusing on heat cramps.
Heat Cramps:
- Painful muscle contractions, usually involving the calves.
- Occur when body fluids, lost from sweating, are replaced with only water, which has no electrolytes.
- Prevent by maintaining adequate dietary salt intake and by drinking commercial electrolyte beverages to replace fluids lost while sweating.
- Treatment involves resting in a cool environment, as well as fluid and electrolyte replacement. Oral hydration should be adequate for mild symptoms; IV fluids for moderate to severe cases.
Jim Cretella, M.D.
St. David’s Round Rock Medical Center
St. David’s Urgent Care - Round Rock
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Tuesday, May 10, 2011
At
St. David’s South Austin Medical Center, employees are valued not only for the care they provide our patients, but for who they are. Whether we are crowning the ICARE winners, enjoying BBQ on employee appreciation day, getting a much needed massage, or cutting a rug at the Holiday party, we all truly enjoy and respect each other. We have great leadership and feel like part of a family. It is wonderful to love what you do and even better to be doing what you love in a place you love.
Look for a job in the health care industy? Contact us.
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Monday, May 09, 2011
National Nurses Week is celebrated annually May 6-May 12, concluding on the birthday of Florence Nightingale, the founder of modern nursing. St. David's HealthCare hosts events throughout the week to honor our nurses who not only have passion for their profession, but a strong commitment to patient safety.
Looking for a career in the nursing field? Contact us.
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Friday, May 06, 2011
During the April
Fit4Life Summer Salads cooking demo, dietician Tarie Beldin, RD, LD, explored the perfect protein, quinoa. This light and delicious salad is perfect for those warm summer days.
Interested in attending the next Fit4Life cooking demo on May 23rd? Call: (512) 478-3681 or (888) 868-2104
Quinoa Salad with Tomatoes, Zucchini & Feta
- 1/2 cup quinoa
- 1 cup water
- 2 tsp freshly squeezed lemon juice
- 2 tsp extra virgin olive oil
- Kosher salt and fresh ground black pepper, to taste
- 1-2 tsp fresh mint leaves
- 1 cup chopped ripe tomatoes
- 1 cup chopped cucumber
- 1/2 cup crumbled feta
In a small sauce pan, bring the water to boil. Add quinoa, reduce heat to summer, cover the pan, and cook 15 minutes or until the liquid is absorbed. Remove from heat and set aside, covered, for 10 minutes. In a small glass jar, combine lemon juice, olive oil, salt and pepper, and shake until the dressing is emulsified.
Combine quinoa, mint, tomatoes and cucumber in a large mixing bowl. Pout in the dressing, and toss gently to combine. Transfer to a serving bowl, top with feta, and serve at room temperature.
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Wednesday, May 04, 2011
St. David’s Georgetown Hospital, in partnership with Williamson County EMS, Texans in Motion and the Georgetown Health Foundation, hosted a Car Seat Safety Inspection to educate parents on the proper use of car seats for children and infants. Families were educated about which car seat best fits their cars and children and how to properly install the car seat.
Have questions about car seat safety for your family? Contact us.
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Tuesday, May 03, 2011
Fit 4 Life provides a monthly cooking demo at their St. David's Round Rock Health and Wellness Center. Throughout the class attendees learn kitchen tips and nutritional facts to help create healthy and delicious meals. In April, dietitian Tarie Beldin, RD, LD, shared some of her favorite summer salad recipes. View photos from the class below and be on the look out for these delicious recipes.
Tarie's May cooking demo is all about the sweet tastes of summer. Whether you are at a family BBQ or at the pool with the kids—there is nothing better than some dessert! Come learn how to make your favorite sweets healthier and get some ideas for new treats to make your summer one to remember!
Cost: $15.00 per person
For more information:
Please contact Tarie Beldin, RD, LD
(512) 341-6118 or tarie.beldin@stdavids.com
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Monday, April 25, 2011
Last week St. David's HealthCare recognized those employees who have reached certain milestones in 5 year increments of service. We would not be where we are today without our wonderful employees, thank you to everyone who helps us provide exceptional care to Central Texas daily! View photos from the Service Awards banquet below:
Looking for a job in the health care industry? Be sure to visit our careers page, just click here.
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Friday, April 22, 2011
St. David's HealthCare employees from various locations participated in Easter Egg Hunts this past week. Nurses, doctors, interns and kids swarmed the lawns hoping to pick-up eggs filled with candy and winning tickets. If the egg hunt wasn't enough, children were mesmerized by Miss Rabbit the clown, balloon animals, a four-car train and face painting.View photos from the Easter celebrations below:
Looking for a job in the health care industry? Be sure to visit our careers page, just click here.
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Wednesday, April 20, 2011
Yesterday,
St. David’s North Austin Medical Center, in partnership with the
Texas Organ Sharing Alliance (TOSA), commemorated National Donate Life Month with a donor drive, featuring activities to raise awareness of the importance of organ donation and registration.
The donor drive featured information about the Donate Life Texas Registry and the hospital’s Kidney Transplant Center, which is the only kidney transplant program in Central Texas. Additionally, those affected by organ donation, including a donor family and a recipient, told personal accounts about their transplant experiences.
Not an organ donor? Visit
www.DonateLifeTexas.org to sign-up!
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Monday, April 18, 2011
Spring is rounding the corner which means lots of leafy greens, fresh vegetables & succulent fruits to enjoy! Join us at the St. David's Round Rock Medical Center for our
April Cooking Class with Tarie Beldin, RD, LD. The class will discover:
- Which salads are the healthiest choices when eating at restaurants.
- How to prepare delicious salads that keep you satisfied.
- How to "dress" your salad.
Tarie will provide recipes handouts to help attendees follow along during the cooking demo. Furthermore, you get to taste the refreshing and appetizing salads that will help you feel energized and ready for summer.
When:
Monday, April 25th 6:00-7:30 pm
Where:
St. David’s Round Rock Health & Wellness Center
1812 N. Mays St Suite 101
Cost:
$20.00 per person
For more information:
Please contact Tarie Beldin, RD, LD
(512) 341-6118 or tarie.beldin@stdavids.com
To register:
Call- (512) 478-3681 or (888) 868-2104
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Thursday, April 14, 2011
Infertility is a very common condition estimated to affect approximately 1 in 6 couples. This may even be an underestimate since many couples never end up seeking care. As patient awareness and education increases, the number of couples seeking care and achieving their goal of family building will increase. Presently the CDC estimates that ART (Assisted Reproductive Technologies) accounts for slightly more than 1% of total U.S. births. There were 142,435 ART cycles reported in 2007 and 57,569 infants born as a result of ART cycles in 2007. These numbers only reflect those births where the babies were conceived via in-vitro fertilization procedures. There are many couples who can conceive with simpler and less expensive treatment than in-vitro fertilization. They key is to seek care early so that appropriate interventions and treatment can be done in a timely fashion. This is important not only because advancing age of the female partner can have a significant impact on the chances of success, but also the emotional toll can keep couples from getting the care they need.
Generally speaking, it is recommended that if the female partner is under age 35 and the couple has been trying at least for a year without success then they should consider undergoing an evaluation to identify any factors that can contribute to infertility. If the female partner is over age 35, then it is best to seek an evaluation after 6 months of trying without success. This is of course true assuming that there are no known causes of infertility present such as blocked tubes or lack of ovulation or poor sperm etc. If there is a known cause then evaluation should be sought ASAP.
When a couple decides they want to start the process of getting evaluated for infertility they could either go to their ob gyn, PCP or come directly to a reproductive endocrinology and infertility specialist. Simple treatment and be initiated with the obgyn however studies have shown that time to pregnancy is the shortest with a specialist. Typically once pregnant, the patient is followed by the reproductive endocrinologist until about 8-10 weeks gestation and then referred back to their obgyn for continued obstetric care.
The take home message here would be that it is important to seek care in a timely fashion. There are many causes of infertility that are amenable to simple treatment options and chances of successful conception are high for many couples. Obtaining the appropriate information is extremely important for patients to make well informed decisions on how they want to proceed to build their family.
Rinku Mehta, M.D.
St. David's Round Rock Medical Center
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Wednesday, April 13, 2011
In a study presented recently at the American College of Cardiology 2011 Scientific Sessions in New Orleans, investigators reported that individuals who went to the emergency room for heart attacks did better if they called an ambulance, instead of getting their own ride.
If you think you are having a heart attack, a critical factor in determining your outcome is the speed with which your blocked coronary artery is re-opened. In modern hospitals, that means the speed with which you are taken to the cath
lab for angioplasty and stenting.
In this study, patients with heart attacks who called 911 made it into the cath lab significantly faster than patients who showed up on their own. What is the reason for this? Paramedics are often able to obtain an electrocardiogram (EKG) in the field, and if the EKG shows signs of a heart attack, they can radio ahead to mobilize the cardiac team. When you arrive, you can be transferred into the cath lab quickly with this information in hand.
So, if you or a loved one ever need to go to the emergency room for symptoms you think might be due to your heart, call 911.
For more information regarding the study mentioned above, please refer to link found below:
http://www.medpagetoday.com/MeetingCoverage/ACC/25685
Michael Grad, MD
Chairman of CardiologySt. David's Round Rock Medical Center
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Tuesday, April 12, 2011
Neck or back pain is very common even in healthy adults and usually gets better without a lot of specific treatments. Usually just some rest, ice, and over-the-counter medications for a short time will take care of a muscle strain or certain arthritic conditions of the spine. But if your pain fits one of these descriptions you should consider seeing your doctor sooner rather than later since it may be more than just a muscle strain.
- It goes into your arm (if you have neck pain) or leg (if you have back pain).
- You have numbness or “funny feelings” instead of or in addition to the pain.
- You have weakness or unsteadiness of the hands or legs, ie difficulty walking, as well as pain.
These are indications that you may have a pinched nerve in your neck or back causing the shooting pain. If so you might also have numbness, “funny feelings” called “paresthesias” or even weakness as a result. This is called “radiculopathy”, commonly known as “sciatica”.
- The pain gets worse instead of getting better within a reasonable period of time (usually 2-3 weeks) or is persistent and unrelated to bodily positions or motion.
- The pain is routinely associated with unexplained, seemingly unrelated symptoms such as fever, weight loss, chills, or night sweats.
Muscle strains tend to improve with rest and time. If your pain seems like it routinely fits the pattern in item #4 or #5 you might have a more serious underlying condition such as an infection or even a tumor causing the pain.
If your pain fits one of these descriptions your doctor can take a detailed history and examination and run appropriate tests to make sure you have the right diagnosis and get the proper treatment. They can also refer you to a spine specialist if you need it.
Mustasim Rumi, MD
St. David's Round Rock Medical Center
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Monday, April 11, 2011
This past month
CNN Health spoke about a new bill called the Children's Sports Athletic Equipment Safety Act. The legislation is designed to protect our youth from the dangers of sports-related head injuries. Helmet standards would be raised to help decrease the estimated 3.8 million sports related concussions that occur every year in the United States.
Jackie Theaker, LMOT, a licensed masters of occupational therapy at St. David's Round Rock Medical Center responds to the article below:
"I work with folks who have brain injury due to head injuries. Even a minor head injury can cause long term problems. I have seen quick a few people lose their jobs because they experience subtle differences in speed of thinking, get irritated easily and are unable to control their anger , are incapable of multi-tasking or recalling all the things they had promised to do. Those with more severe injuries may need caretakers for the remainder of their lives. Although, it will be an expense to replace helmets in the schools; I believe we should take a long term view. Millions will be saved if only a few head injuries are avoided and who can put a value on the ability to walk, think, or talk?"
What do you think about the new legislation? Let us know by leaving a comment below and on our
Facebook page.
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Friday, April 08, 2011
Do you or a loved one have joint pain? If so, come enjoy a complimentary dinner and learn about advancements in joint replacement surgery. Dr. Goldberg will provide educational insight of the joint replacement process and answer your questions one-on-one.
To register please call (888) 868-2104 or click here.
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Wednesday, April 06, 2011
St. David's HealthCare sponsored Austin Woman Magazine's Healthy Living event held last week at the Renaissance Hotel in North Austin. The all-day event allowed women to increase their health knowledge through keynote speakers, breakout sessions and panels. Physicians from St. David's facilities provided valuable information about a variety of topics including: menopause, eating habits, sexual health and weight loss.
Interested in participating in future St. David's HealthCare events? Like us on facebook!
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Thursday, March 31, 2011
What is endometriosis?
The inside lining of the uterus that produces a monthly period is called the endometrium. Endometriosis is when this type of tissue grows on the outside of the uterus in the pelvis or abdomen. It can be anywhere such as the ovaries, fallopian tubes, bladder or bowel. Your hormones each month will stimulate the endometriosis just like the endometrium. Your body was not made to handle this tissue and stimulation outside of the uterus.
What are the symptoms and how do I know if I have endometriosis?
The most common symptoms are painful periods, pelvic pain, painful intercourse, abnormal bleeding, and infertility. Having any of these symptoms doesn’t necessarily mean you have endometriosis, and you could have endometriosis without any symptoms at all. A normal ultrasound of the uterus and ovaries does not rule out endometriosis since it is usually flat like a freckle or mole. Sometimes, a large amount can build up and be seen by ultrasound. Most of the time, you and your doctor may suspect you have endometriosis but an accurate diagnosis can only come after seeing it in your pelvis during surgery.
How is endometriosis treated?
If you do not want to get pregnant, the first line treatment is birth control pills. Taking them continuously to avoid a menstrual cycle will be best. Other options include progesterone agents such as Depot Provera, Implanon, and progesterone pills. The best medical therapy is Depot Lupron, an injectable medication given for about 6 months at a time. This temporarily stops your monthly cycles to allow the endometriosis to heal. Some physicians will give a progesterone pill daily during this treatment to prevent side effects. Surgery is an option to remove endometrial implants using laser or cautery. This can improve symptoms dramatically, but without further medical therapy, it will likely come back. This may be a good option if you are trying to get pregnant. For severe, refractory cases, a hysterectomy with removal of the ovaries may be necessary. Menopause is generally a cure since the hormonal stimulation ceases.
If you think you may have endometriosis, discuss your symptoms and fertility desires with your personal ob/gyn. A personalized treatment plan will be tailored to your individual symptoms, needs and desires.
Jo Choudhry, MD
Cornerstone Ob/Gyn
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Tuesday, March 29, 2011
A mommy makeover is a combination of procedures that are designed to rejuvenate your body after the changes that it underwent with childbirth. Common target areas include stubborn tummy fat, loss of breast fullness, and drooping nipples. These areas are often times addressed with a combination of procedures performed during the same operation to produce a full body makeover. Usually a mommy makeover surgery involves either a breast augmentation (possibly combined with a breast lift) and tummy tuck (abdominoplasty) or liposuction. By undergoing several procedures at once our mommy makeover patients can lessen their overall recovery time after surgery and save money by limiting the cost of the surgical facility and anesthesia charges. Dr. Kerr performs all of his mommy makeover surgeries in the safety of a hospital (St. David’s Round Rock Medical Center), and you have the option for an overnight stay in the hospital if you would like a little extra help recovering from your surgery.
Who is a good candidate for Mommy Makeover?
A good candidate for a mommy makeover is any healthy patient who wants to rejuvenate areas of her body that underwent undesirable changes with pregnancy. Smoking is a definite contraindication to undergoing many of these procedures so potential candidates should make sure they quit at least one month prior to any surgery. Otherwise, good candidates are patients who have the time and resources to take about 10-14 days off for the initial recovery if a full abdominoplasty and breast lift are performed. After a tummy tuck you can't lift more than 10-15 lbs. for 6 weeks so it's important to make sure your lifestyle can accommodate this restriction. Breast augmentation and basic liposuction have a much quicker recovery time but patients still need about 5-7 days at a minimum before they feel back to normal.
What important safety facts should I know about a Mommy Makeover?
Important safety facts about a mommy makeover include understanding clearly the risks and benefits of each procedure involved. For a tummy tuck and breast augmentation the common risks include but are not limited to: a small risk of bleeding, infection, seroma (fluid collection under the skin that has to be drained in the office), scarring or contracture around the implants, and asymmetry of breasts or abdominal scars. While these risks are real, they are not very common and most healthy patients undergo surgery and recovery without any major problems besides some pain and discomfort for the first few days that is managed with pain medication and muscle relaxants.
What results can I expect?
While each person has a different body shape and size most moms can achieve a very nice result from just a few combined procedures. Taking the time to meet with Dr. Kerr during your complimentary consultation is a large part of determining what types of results are possible. We also have many before and after photographs available on our website at: http://www.synergyplasticsurgery.com/photo-gallery. While all results are variable, finding a patient with a similar body type to yours online is a good way to start thinking about what you could look like after surgery.
Dr. Mahlon Kerr
Plastic Surgeon
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Monday, March 28, 2011
Last week the first-ever LIVE
STRONG Cancer Navigation Center opened right here in Austin, TX. We are very excited to welcome the amazing new resource into the community!
The Navigation Center will provide one-on-one support for cancer patients and survivors. All services, ranging from emotional support to financial concerns, are free of charge. Centers like this allow us to grow stronger in the fight against Cancer.
Find out more information by visiting
http://www.livestrong.org/.
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Thursday, March 24, 2011
St. David’s HealthCare today announced the establishment of
Texas Institute for Robotic Surgery at
St. David’s North Austin Medical Center, which will feature the Robotic Institute University, the nation’s first educational epicenter teaching best practices for hospital and surgical teams involved in robotic-assisted surgery.
The event showcased how the institute will be a leader in international treatment, training and clinical research center that combines excellence in robotic-assisted surgery and outcomes in education and training. Attendees got to test drive the da Vinci Surgical System and speak to Dr. Randy Fagin, who was named Chief Administrative Officer of the Institute.
For more information and to stay up to date will innovative news in Robotic Surgery, make sure to "like" the new Texas Institute for Robotic Surgery Facebook page!
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Monday, March 21, 2011
St. David's HealthCare proudly sponsored The Go Red for Women Summit which recently took place in Austin, Texas. The event challenges and inspires individuals to take control of their heart health while joining St. David’s HealthCare and the American Heart Association to spread the word about taking action to fight heart disease.
Cardiovascular disease is the single leading cause of death among American women. Nearly 1,200 women die of cardiovascular diseases in the United States each day—almost one woman every minute. It is claiming more lives each year than cancer, chronic lower respiratory diseases and accidents combined, and it is largely preventable.
Not only is St. David’s HealthCare the leading healthcare provider in the region, we are the leading provider of cardiovascular care and women’s services. We are committed to working with top physicians to provide high-quality, compassionate care to the women of Central Texas, and we are proud to join the American Heart Association to promote awareness of heart disease in women and help save lives.
View photos from the Go Red for Women Summit below and be sure to like us on Facebook so you can stay up to date with St. David's HealthCare news and information.
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Monday, March 14, 2011
March is National Social Work Month and we are focusing on the role of the social worker as a positive change agent. There are 640,000 professional social workers in the United States who have dedicated their careers to either helping people transform their lives, or improving environments that make such progress possible.
About Social Workers…
- Social Workers champion access, equality and fairness.
- Social Workers improve the fabric of society by being advocates for people who need help addressing serious life challenges and exploring their options.
- The Social Work profession was established more than 100 years ago to provide as many people as possible with the tools and support they need to overcome adversity (poverty, illness, addiction, abuse, discrimination, etc.) and reach their full potential.
- The Social Work profession also works to change systems and customs that limit the ability of vulnerable individuals and groups to lead fulfilling and productive lives.
- The nation’s Schools of Social Work promote social work education as a way for socially conscious people to make a significant difference in the world through service and leadership.
- Every day, Social Workers witness the best and worst of human nature. A Social Worker’s success is often defined by the opportunities people enjoy thanks to their intervention.
- Social Workers believe they have a responsibility to effect positive change for the future.
Thank you to all of the outstanding social workers at our various St. David's locations for all of your hard work and dedication to serving our patients.
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Friday, March 11, 2011
St. David's Round Rock Medical Center awarded three individuals who exemplify the Frist Humanitarian qualities in their daily life. Dr. Anthony K. Trevino, M.D., Director of Pyhsical Therapy, Dana Keesey and volunteer Pricilla Hicks all received a Frist
Humanitarian Award.
The Frist Humanitarian Award honors
outstanding commitments to humanitarian values which are the foundation
of St. David's HealthCare. Congratulations to our 2011 Round Rock winners!
View all of the photos from the Frist Humanitarian Awards ceremony on our facebook & flickr pages.
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Tuesday, March 08, 2011
As the weather warms up, we tend to think that flu season is behind us. However, according to the CDC, flu season can last until May. In fact, based on the most recent statistics, we may not yet have reached the peak of flu season this year. So, although we are all looking ahead to spring, we still should be mindful of influenza for a few more weeks.
Some general precautions to avoid getting flu include:
- Avoid close contact with people who are ill
- WASH YOUR HANDS OFTEN
- Avoid touching your mouth, nose or eyes as virus germs can enter your body through these locations
Oh no! It’s too late and you are already sick! Signs and symptoms of flu often appear abruptly and include:
- Fever
- Achiness and fatigue
- Headache
- Cough
- Runny nose and sore throat
- Possibly gastrointestinal symptoms, including vomiting and diarrhea
If you think you have flu, you should see a physician within 48 hours of the onset of symptoms. This gives you a chance to be diagnosed and possibly be treated with an antiviral medication that could help you feel better 1-2 days sooner, and may prevent you from developing serious complications of flu, such as pneumonia.
You can also do some things at home to help yourself feel better. Taking Motrin and Tylenol for fever, drinking plenty of fluids and getting adequate rest will help you feel better while you are sick. Avoid going out if possible to prevent spreading the flu to other people. You should stay home from work or school until you have gone 24 hours without a fever and without taking medication for fever.
Additional information about the 2010-2011 flu season as well as influenza in general can be found by visiting www.cdc.gov/flu
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Thursday, March 03, 2011
March is National Nutrition Month; where dietitians help return the focus to the basics of healthy eating. This year’s theme: “Eat Right With Color” encourages Americans to include a colorful variety of fruits, vegetables, whole grains, lean proteins and dairy on their plates every day. Even though Spring may still be more than a month away, there are plenty of colorful, seasonal foods to fill your plate. A rainbow of color creates a palette of nutrients. Healthy eating involves more than just calorie counting. In fact, most children do not get all of the essential nutrients needed for their growth and development. If you are a busy working Mom with a household of picky eaters – how can you make sure your family has enough color in their diet?
Green – produce in shades of green contain antioxidants and may help reduce cancer and promote healthy vision.
Fruits – Avocado, grapes, honeydew, kiwi
Vegetables – Artichoke, asparagus, broccoli, green beans, green peppers and leafy greens such as spinach
Orange/Deep Yellow – contain nutrients to protect the immune system, protect vision and reduce the risk of cancer.
Fruits – Apricot, mango, cantaloupe, peach and pineapple
Vegetables – Carrots, orange or yellow pepper, corn and sweet potato
Purple/Blue – have antioxidant and anti-aging benefits and may help with memory, urinary tract health and reduce the risk of cancer.
Fruits – Blueberries, blackberries, plums or raisins
Vegetables – Eggplant or purple cabbage
Red – can help to maintain a healthy heart, immune system and reduce cancer risk.
Fruits – Cherries, cranberries, pomegranate, red/pink grapefruit and watermelon
Vegetables – Beets, red peppers and tomatoes
White/Tan/Brown – contain nutrients that may promote heart health and reduce cancer risk.
Fruits – Banana, pears, dates and white peaches
Vegetables – Cauliflower, mushrooms, onion, parsnips, turnips and potatoes
Aim for at least 3 different colors on your plate. Rather than grilled chicken and a baked potato; top the chicken with salsa, add mashed sweet potatoes and a spinach salad with strawberry slices. The more colorful your plate, the more visually appealing it is, the more flavor it has and the more nutrients it contains.
Have your children help you plan meals that contain at least 3 colors and have them help prepare part of the meal. The more involved children are with the meal planning and preparation, the more likely they will be to eat or at least taste the different colors and foods. Remember, it can take up to 20 times for a child to try a food until they don’t hate it! Don’t give up, offer healthy options along with foods they are familiar with. Also, we are the greatest role models for our children, when they see mom and dad eating healthy and being physically active, they are more likely to follow in our footsteps.
For more information on how to “Eat Right With Color”, visit www.eatright.org and look for a link to National Nutrition Month 2011.
Written by: Tarie Beldin, RD, LD
St. David’s Round Rock Health & Wellness Center
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Wednesday, March 02, 2011
Yesterday, St. David's Medical Center honored three individuals who consistently show a dedicated spirit through exemplary service to patients and the health care community. Dr. Audelio Rivera, staff member Cynthia Colovas and volunteer Jack Ryle all received a Frist Humanitarian Award.
The Frist Humanitarian Award honors outstanding commitments to humanitarian values which are the foundation of St. David's HealthCare. Congratulations to our 2011 winners!
View all of the photos from the Frist Humanitarian Awards ceremony on our facebook & flickr pages.
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Monday, February 28, 2011
Written by: Tarie Beldin, RD, LD
St. David’s Round Rock Health & Wellness Center
March is National Nutrition Month; where dietitians help return the focus to the basics of healthy eating. This year’s theme: “Eat Right With Color” encourages Americans to include a colorful variety of fruits, vegetables, whole grains, lean proteins and dairy on their plates every day. Even though Spring may still be more than a month away, there are plenty of colorful, seasonal foods to fill your plate. A rainbow of color creates a palette of nutrients. Healthy eating involves more than just calorie counting. In fact, most children do not get all of the essential nutrients needed for their growth and development. If you are a busy working Mom with a household of picky eaters – how can you make sure your family has enough color in their diet?
Green – produce in shades of green contain antioxidants and may help reduce cancer and promote healthy vision.
Fruits – Avocado, grapes, honeydew, kiwi
Vegetables – Artichoke, asparagus, broccoli, green beans, green peppers and leafy greens such as spinach
Orange/Deep Yellow – contain nutrients to protect the immune system, protect vision and reduce the risk of cancer.
Fruits – Apricot, mango, cantaloupe, peach and pineapple
Vegetables – Carrots, orange or yellow pepper, corn and sweet potato
Purple/Blue – have antioxidant and anti-aging benefits and may help with memory, urinary tract health and reduce the risk of cancer.
Fruits – Blueberries, blackberries, plums or raisins
Vegetables – Eggplant or purple cabbage
Red – can help to maintain a healthy heart, immune system and reduce cancer risk.
Fruits – Cherries, cranberries, pomegranate, red/pink grapefruit and watermelon
Vegetables – Beets, red peppers and tomatoes
White/Tan/Brown – contain nutrients that may promote heart health and reduce cancer risk.
Fruits – Banana, pears, dates and white peaches
Vegetables – Cauliflower, mushrooms, onion, parsnips, turnips and potatoes
Aim for at least 3 different colors on your plate. Rather than grilled chicken and a baked potato; top the chicken with salsa, add mashed sweet potatoes and a spinach salad with strawberry slices. The more colorful your plate, the more visually appealing it is, the more flavor it has and the more nutrients it contains.
Have your children help you plan meals that contain at least 3 colors and have them help prepare part of the meal. The more involved children are with the meal planning and preparation, the more likely they will be to eat or at least taste the different colors and foods. Remember, it can take up to 20 times for a child to try a food until they don’t hate it! Don’t give up, offer healthy options along with foods they are familiar with. Also, we are the greatest role models for our children, when they see mom and dad eating healthy and being physically active, they are more likely to follow in our footsteps.
For more information on how to “Eat Right With Color”, visit www.eatright.org and look for a link to National Nutrition Month 2011.
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Friday, February 25, 2011
This week, St. David’s HealthCare and Heart Hospital of Austin hosted an interactive cardiac educational exhibit in the Capitol Rotunda in recognition of American Heart Month.
St. David’s HealthCare’s Fit 4 Life program provided glucose and BMI screenings. According to the American Heart Association, people with BMIs of 25 or more are at higher risk of heart and blood vessel disease.
Heart Hospital of Austin displayed technology used to treat patients with heart disease and hosted a series of educational sessions, including teaching adult learners how to use an Automated External Defibrillator, or AED. Fifth-grade students dressed in surgical attire learned about the field of thoracic surgery through a hands-on heart-suturing exercise with a surgeon. Students also had the opportunity to learn about the tools and techniques cardiologists use to improve heart health through an educational session called, “Cardiology 101.”
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Friday, February 25, 2011
Regular exercise is beneficial to your body. It is an excellent way to improve your health during pregnancy. Before implementing an exercise program, always talk to your health care provider. If you’ve been exercising, you will probably be able to maintain your program with some adaptation as you grow.
GUIDELINES:
- Always consult with your health care provider about their specific recommendations and limitations on exercise parameters.
- If already exercising regularly, there is no established absolute heart rate maximum, breathing should be minimally labored.
- Keep your heart rate under 150 beats per minute if not already regularly exercising.
- Avoid strenuous exercise in extremely, hot, humid weather or during illness with fever.
- Drink plenty of water and dress appropriately. Remember to take plenty of breaks.
- Exercising 30 minutes a day is ideal. Always begin with a warm-up period and a cool down.
- Avoid doing any exercises on your back.
- Avoid any exercise that has risk for abdominal trauma.
BENEFITS:
- Strengthens your cardiovascular system, which increases your endurance and gives you energy.
- Allows you to sleep better.
- Helps prepare you for childbirth.
- You are less likely to gain excess weight. Your strength and muscle tone will be maintained.
- Helps reduce constipation, swelling, backaches and bloating. Improves your posture.
- May help to prevent or treat gestational diabetes.
- Helps to improve your mood and self-image.
TOP RECOMMENDED EXERCISES:
- Kegel exercises
- Swimming
- Walking
- Running and jogging
- Stationary bicycling
- Stair Climbing Machines
- Yoga
- Aerobics and Dance
AVOID THESE EXERCISES:
- Skiing
- Water Skiing
- Horseback Riding
- Abdominal exercises
WARNING SIGNS:
Stop exercising and call your doctor if you experience any of the following symptoms: - Vaginal bleeding
- Uterine contractions
- Feeling faint or dizziness
- Increased shortness of breath
- Headache
- Calf swelling or pain
- Chest pain
For more information talk to your physician and also visit:
www.americanpregnancy.org
www.acog.org
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Friday, February 18, 2011
Last night
Austin Woman Magazine launched their 2011 Pink Pages. Heart Hospital of Austin and St. David's HealthCare are major sponsors for the business directory for women. The publication encourages women, who influences over 85% of all purchases made in the U.S. today, to make smart buying decisions. St. David's HealthCare and Heart Hospital of Austin are proud supporters of the 2011 Pink Pages and
Austin Woman Magazine's goal to connect women throughout the city of Austin.
View all of the photos from the Pink Pages launch party on
St. David's flickr page.
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Tuesday, February 15, 2011
What is breast reduction surgery?A breast reduction is a surgery where excess breast tissue is removed, the breast skin is tightened, and the nipple is elevated back to a more youthful position. Breast reduction surgery is often covered by major health insurance plans if several criteria are met.
Common criteria include:
- back/neck pain
- bra strap grooving
- difficulty with physical activity
- rashes under or between the breasts
- painful breasts
- failure of conservative measures like physical therapy and wearing extra supportive bras.
Breast reduction surgery has a very high patient satisfaction rating, and in many cases can really improve your quality of life.
What are the benefits of breast reduction surgery?The benefits of breast reduction surgery are many and can include:
- Reduced pain from your back and neck
- increased ability to participate in physical activity
- diminished rashes under the breast tissue
- improved self-image
Breast reduction surgery restores the breasts to a more youthful appearance with repositioning of the nipple and tightening of the breast skin. Breast reduction surgery does require some visible scars, but like a breast lift these can be hidden somewhat by the natural color change that the areolar border and the fold under the breast.
Who is a good candidate for a breast reduction?A good candidate for breast reduction surgery is a women who has large breasts that are causing difficulty with physical activity or any of the following problems: back/neck pain, bra strap grooving, rashes under or between the breasts, painful breasts, and/or failure of conservative measures like physical therapy and wearing extra supportive bras. Oftentimes insurance companies require a minimum amount of breast tissue to be removed during surgery. For women who want to reshape their breasts and just remove a minimal amount of breast tissue then a breast lift might be a better fit.
Dr. Mahlon Kerr
Plastic Surgeon
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Tuesday, February 15, 2011
Hope everyone had a great Valentine’s Day! Yesterday Heart Hospital of Austin and St. David’s HealthCare were recognized by the Texas Senate for leadership in the fight against heart disease.
Be sure to like St. David's HealthCare on facebook and follow @StDavidsHC on twitter to stay up to date with the great things we are accomplishing for Austin and the medical community.
Pictured above: Dr. Matthew Selmon, Cardiologist, Austin Heart; Ms. Marsha Pohorelsky, ICU/CCU Director, Heart Hospital of Austin; Mr. David Laird, President and CEO, Heart Hospital of Austin; Mr. Jon Foster, Group President, HCA; Sen. Kirk Watson, Texas Senator
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Wednesday, February 09, 2011
I am so happy when a patient takes the initiative to come in for a preconception visit. Preconception care allows me to identify individual risk factors that may impact your future pregnancy, and it allows you to possibly change these risk factors. Together, we can optimize your chance of having a healthy pregnancy.
Here are some major issues that are discussed at a preconception visit:
Medical History
We will review your past and present medical problems and how these may affect your pregnancy. It is helpful to bring a list of your current medications (including herbal supplements.) We will also review past pregnancies and infections.
Potentially Harmful Exposures
It is important to avoid tobacco, alcohol and illicit drug use before and during pregnancy. I will ask about these and other potentially harmful exposures.
Family History
You should be aware of medical problems in your family. Ask your husband about genetic issues in his family. Couples in high risk groups may be referred to a genetic specialist for screening.
Immunizations
Certain infections may cause serious risks during pregnancy. It is important to be current on your immunizations before pregnancy. A blood test is usually ordered to check your rubella status, and if you have not had the chicken pox virus this may be checked as well.
Vitamins
Folic acid supplementation can help prevent serious birth defects. This is why all women of child bearing age should take at least 400 mcg of folic acid daily. You may choose to take folic acid by itself or as a prenatal vitamin.
If you are considering pregnancy, then meet with an obstetrician. This may be part of your annual exam or its own separate visit. This commitment to your health is an essential first step to having a healthy baby.
Stephanie Michel, M.D.
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Tuesday, February 08, 2011
WHAT: A contact dermatitis from the oil on the leaves of poison ivy and poison oak plants. Oil penetrates the skin and triggers a delayed immune reaction. Very common plant in Central Texas. Especially found in creek beds and wooded areas. Watch out along trails (including Lady Bird Lake). Spring and summer time are the worst.
WHAT RASH LOOKS LIKE: Itchy, red rash with small, raised, shiny bumps or small blisters in a patch on area of exposed skin. Often in a line pattern on extremities from brushing against plant. Usually appears 2-4 days after exposure but can even appear the same day in very sensitized people. Rash lasts about a week. In very sensitive people, the rash may continue to pop up all over body, even in areas not physically exposed from the plant. Occasionally, large, weepy blister lesions can form. People are generally only contagious on the first day while the leaf oil is on their skin and clothing.
TREATMENT:
Mild cases: Calamine or caladryl lotion, over the counter Hydrocortisone cream. Zanafel (Urushiol) cream (over the counter) reports to penetrate skin and bind to leaf oil and block bodies reaction. Oral Benadryl for itching.
Moderate/Severe cases: Prescription steroid creams or tablet and injection forms of steroids, often taken for a week or more. (If stopped too early rash often comes back)
___
ROBERT SIMPKINS M.D.
St. David's Urgent Care - Pflugerville
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Monday, February 07, 2011
Many people create New Year’s Resolutions about starting to run. The trick and probably the hardest part about it is to stick with and don’t give up. There are several easy ways to keep the resolution strong.
First, begin with a specific plan that is within your reach. General goals are usually too easy to give up on, and goals that are too difficult will be easy to break.
Specific: Find a certain amount of time that you want to go run (i.e. 20min, 30min) and find time for that 3-4 times a week in your daily schedule. Write these times down on a calendar or set a reminder on your phone. If you have a race you would like to train for write down the date and keep it in mind every time you don’t feel like running.
Next you’ll need the right kind of shoes. In Austin it is not hard to find a local running store, once you do get yourself outfitted in the appropriate running shoes. If you’re a shop-a-holic like myself, nothing says “yeah I get to run tomorrow” more than when I have a new outfit to run in, but that isn’t necessary you can run in whatever makes you comfortable. Comfort is key to keep yourself going.
Hold yourself accountable for your time. If you find it hard to that find a local group in your area that meets at specific times and people that you can get to know that will help hold you accountable.
If you decide to run on your own start slow, there is no need to start a new lifestyle change and get injured right away. Take baby steps (especially if you are a brand new runner). Begin walking with intermittent spurts of running. For example, walk for ½ mile and run for ¼ mile and walk the remainder mile. If ¼ a mile is too far to run begin smaller. With each week try and run a little longer making your walk smaller and your run longer. In no time you’ll be running a full mile and in a few months you’ll be running a 5k. You can also look up Beginner running programs on line that will help you make a plan.
Reward yourself. Small rewards throughout your training period will also help keep you motivated. If it’s a small sweet for every 1/2mile you run without stopping or a new pair of running shorts for every mile, these things will keep you going through the long haul.
So remember these things and you’ll reach your New Year’s Resolution to start running in no time.
- Specific goals
- Right running apparel (i.e. shoes)
- Start small to prevent injury
- Hold yourself accountable.
- Reward Yourself.
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Tuesday, February 01, 2011
A breast lift is a procedure I commonly perform to restore a youthful shape to the breast, and to reposition the nipple higher on the breast. While there are many different types of breast lifts that can be done, it's important to customize the procedure for each woman's individual breast size and shape. A breast lift can also be combined with a breast augmentation for women interested in increasing the size and fullness of their breasts. I commonly perform a variation of the well-known lollipop lift. In this type of breast lift (known medically as a mastopexy), incisions are made around the areola (the flat colored portion of the nipple) and extend down toward the breast fold. Scars located on the perimeter of the areola heal very well, and over time the vertical scar also becomes less noticeable. During surgery we re-suspend the breast tissue higher on the chest and tighten the breast skin that can become loose with pregnancy and aging. This results in much more youthful and rejuvenated breasts.
How is breast lift surgery done?
A breast lift is performed by carefully placing incisions so that they are hidden as much as possible in the natural fold under the breast and at the border of the areola. By taking advantage of the normal color changes and curvature of the breast visible scarring can be diminished. The goal of a breast lift is to tighten the skin by removing any excess skin and lift the actual breast tissue and nipple so that they are higher on the chest. I typically perform a breast lift in a hospital operating room. You go to sleep for the procedure, and go home after surgery. Typical breasts lifts take anywhere from 2-4 hours depending on the amount of surgery required.
What is the recovery period like?
Full recovery takes several weeks. After surgery I wrap your breasts in an ACE wrap. This is exchanged for a supportive bra that does not have an underwire after a few days. The bra is worn all the time except for showers for the next month. At 6 weeks most patients have no restrictions. Most patients take narcotic pain medicine for a few days, and then switch to Motrin/ibuprofen at a week after surgery. I typically recommend taking 7-10 days off from work depending on how much physical activity is part of your work.
Dr. Mahlon Kerr
Plastic Surgeon
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St. David's Round Rock Medical Center
Monday, January 31, 2011
People ask me all the time how they can improve their chances of getting pregnant. It’s true that certain things may be out of your control (e.g. blocked fallopian tubes) and may require the assistance of a fertility specialist. However, there are a number of things you DO have control over that can help optimize the success of pregnancy.
First, for all you smokers out there, here is yet another reason to quit smoking. Women who smoke have a higher risk of infertility as well as a higher risk of miscarriage with any pregnancy. Even if you proceed with fertility treatment, such as IVF, the chance of pregnancy goes down by up to 50%. Even if you don’t smoke, if your partner does, this can decrease your fertility.
Secondly, get your weight under control. An optimal body mass index (BMI) for fertility (and health) appears to be between 18.5 and 25. If you do not fall within this range, consider talking further with your physician about strategies to safely change your weight. Even if you are not able to modify your weight to this range, even small changes in the right direction can make a major impact on your health and fertility! (A BMI calculator can easily be found on the internet)
Third, limit your caffeine intake and alcohol intake. There is some evidence that drinking excess caffeine (e.g. more than 2 cups of coffee daily) can decrease your chances of conceiving as well as increase the chance of miscarriage after conception. Before ovulation, keep alcohol to a minimum (no more than 1-2 alcoholic drinks in a day); there is no known safe amount of alcohol to drink after ovulation (and possible conception) has occurred.
Lastly, make sure you are getting enough sleep and that you are engaging in some sort of regular activity during this time. Giving your body adequate rest and maintaining lower stress levels is important.
Trying to conceive can be stressful, and it’s important to make the right choices so that you can maximize your chances for success!
Dr. Natalie Burger
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Thursday, January 27, 2011
Certain foods can affect your baby’s health or yours during pregnancy. Eating well balanced meals are important, but knowing what is not safe can help you make healthy choices.
- UNDERCOOKED MEAT, POULTRY AND EGGS - These can cause food-borne illnesses due to coliform bacteria, salmonella, and toxoplasmosis.
- UNPASTEURIZED FOODS - Which includes most imported soft cheeses, Mexican-style cheeses (queso blanco and fresco), Brie, Blue cheese, Feta, Camembert. These contain bacteria called listeria, which has the ability to cross the placenta and can lead to miscarriage, and possible infection or blood poisoning in the fetus.
- SEAFOOD HIGH IN MERCURY - Some may contain dangerous levels of mercury which can damage your baby’s nervous system. Higher amounts of mercury are found in the bigger and older fish. Avoid swordfish, shark, Tilefish and King mackerel. You can eat up to 12 ounces or two small servings of fish weekly, like tuna, catfish, cod and shrimp.
- CAFFEINATED BEVERAGES - Try to avoid caffeine during the first trimester to reduce the chance of miscarriage. Moderation is the key and caffeine should be limited to no more than 300mg per day while pregnant. Refraining from caffeine is the safest thing.
- DELI MEAT AND SMOKED SEAFOOD - Both found at the deli counters, they can be contaminated with listeria. They are safe to eat when they have been cooked in a meal.
- FRUITS AND VEGETABLES - Always wash them to prevent possible exposure to toxoplasmosis. The soil in which the fruits and vegetables are grown can be contaminated by toxoplasmosis.
Michelle A. Irvin, MD
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Tuesday, January 11, 2011
Methicillin-resistant Staphylococcus aureus (MRSA) is a bacterium that is resistant to beta-lactam antibiotics, including penicillins and cephalosporins (such as Keflex). There are 2 kinds of MRSA bacteria: healthcare acquired and community acquired. Healthcare acquired MRSA infections are seen in patients hospitalized within the past one year or in patients who recently had a medical procedure (dialysis, surgery, catheters). The community acquired MRSA (CA-MRSA) is the topic of this blog and is the most common pathogen in skin and soft tissue infections in emergency departments.
CA-MRSA can cause cellulitis, but more often causes necrotic lesions such as skin abscesses. These necrotic lesions are often incorrectly attributed to spider bites, particularly the brown recluse spider. The skin lesions are red, warm, swollen, and may have drainage or pus.
People at risk for CA-MRSA skin and soft tissue infections:
- Household contacts of a patient with proven CA-MRSA infection
- Children at daycares
- Athletes, particularly those in contact sports
- Soldiers
- Jail / prison inmates
- People with previous CA-MRSA infections
- IV drug abusers
- Native Americans
- Pacific Islanders
Treatment:
- Cellulitis is treated with antibiotics.
- Skin abscesses are treated with an incision and drainage, commonly known as lancing a boil. Based on the clinical discretion of the treating physician, an antibiotic may or may not be prescribed.
- Each Urgent Care Clinic at St. David’s HealthCare has a profile of antibiotics effective against certain bacteria, including Staphyloccocus aureus. The treating physician will choose the appropriate antibiotic.
Seek medical attention if you feel you have a soft tissue or skin infection.
James B. Balarbar, MD
St. David’s Round Rock Medical Center Emergency Department
St. David’s Circle C Urgent Care
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Tuesday, January 11, 2011
Methicillin-resistant Staphylococcus aureus (MRSA) is a bacterium that is resistant to beta-lactam antibiotics, including penicillins and cephalosporins (such as Keflex). There are 2 kinds of MRSA bacteria: healthcare acquired and community acquired. Healthcare acquired MRSA infections are seen in patients hospitalized within the past one year or in patients who recently had a medical procedure (dialysis, surgery, catheters). The community acquired MRSA (CA-MRSA) is the topic of this blog and is the most common pathogen in skin and soft tissue infections in emergency departments.
CA-MRSA can cause cellulitis, but more often causes necrotic lesions such as skin abscesses. These necrotic lesions are often incorrectly attributed to spider bites, particularly the brown recluse spider. The skin lesions are red, warm, swollen, and may have drainage or pus.
People at risk for CA-MRSA skin and soft tissue infections:
- Household contacts of a patient with proven CA-MRSA infection
- Children at daycares
- Athletes, particularly those in contact sports
- Soldiers
- Jail / prison inmates
- People with previous CA-MRSA infections
- IV drug abusers
- Native Americans
- Pacific Islanders
Treatment:
- Cellulitis is treated with antibiotics.
- Skin abscesses are treated with an incision and drainage, commonly known as lancing a boil. Based on the clinical discretion of the treating physician, an antibiotic may or may not be prescribed.
- Each Urgent Care Clinic at St. David’s HealthCare has a profile of antibiotics effective against certain bacteria, including Staphyloccocus aureus. The treating physician will choose the appropriate antibiotic.
Seek medical attention if you feel you have a soft tissue or skin infection.
James B. Balarbar, MD
St. David’s Round Rock Medical Center Emergency Department
St. David’s Circle C Urgent Care
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Tuesday, January 11, 2011
Methicillin-resistant Staphylococcus aureus (MRSA) is a bacterium that is resistant to beta-lactam antibiotics, including penicillins and cephalosporins (such as Keflex). There are 2 kinds of MRSA bacteria: healthcare acquired and community acquired. Healthcare acquired MRSA infections are seen in patients hospitalized within the past one year or in patients who recently had a medical procedure (dialysis, surgery, catheters). The community acquired MRSA (CA-MRSA) is the topic of this blog and is the most common pathogen in skin and soft tissue infections in emergency departments.
CA-MRSA can cause cellulitis, but more often causes necrotic lesions such as skin abscesses. These necrotic lesions are often incorrectly attributed to spider bites, particularly the brown recluse spider. The skin lesions are red, warm, swollen, and may have drainage or pus.
People at risk for CA-MRSA skin and soft tissue infections:
- Household contacts of a patient with proven CA-MRSA infection
- Children at daycares
- Athletes, particularly those in contact sports
- Soldiers
- Jail / prison inmates
- People with previous CA-MRSA infections
- IV drug abusers
- Native Americans
- Pacific Islanders
Treatment:
- Cellulitis is treated with antibiotics.
- Skin abscesses are treated with an incision and drainage, commonly known as lancing a boil. Based on the clinical discretion of the treating physician, an antibiotic may or may not be prescribed.
- Each Urgent Care Clinic at St. David’s HealthCare has a profile of antibiotics effective against certain bacteria, including Staphyloccocus aureus. The treating physician will choose the appropriate antibiotic.
Seek medical attention if you feel you have a soft tissue or skin infection.
James B. Balarbar, MD
St. David’s Round Rock Medical Center Emergency Department
St. David’s Circle C Urgent Care
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Emergency & Urgent Care
Round Rock
Wednesday, December 29, 2010
Written by: Tarie Beldin, RD, LD - St. David’s Round Rock Medical Center
Fit 4 Life Weight Management Program
It’s a new year, time to get back to the fit, healthy, unstressed person you were not in December! Most New Year’s resolutions have something to do with becoming healthier, namely losing weight or exercising. Although we all want to look good in a bathing suit come summer, how can we reach our goals without feeling deprived and so sore we can’t get out of bed?
What is the best “diet” to follow to lose weight?
When we hear the word diet, it implies a beginning and an ending, something that makes us eliminate our favorite foods and counting the days till it is over! The best “diet” is the one that you do not know you are on! You need to make small changes to your current diet until you have a new lifestyle! My recommendations would include: drinking 48-64 oz of water each day, eating 5-7 servings of fruits and vegetables daily and really assessing where your calories are coming from…is it from eating out, junk food or too many high calorie beverages. Once you know what areas need work, it makes the task of changing your diet a little easier.
How much weight can I expect to lose?
A healthy weight loss is between 1-2 pounds per week. One pound is equal to 3500 calories, so to lose a pound in a week, you would have to eliminate 500 calories each day! For your nutritional safety; women should not go below 1200 calories a day and men should not go below 1500 calories. In addition, although you are not doing a specific diet, those who keep food and activity records lose 50% more weight than those who do not.
Do I HAVE to exercise?
Although you do not need to spend 2 hours a day at the gym to reach your goal…if you want to keep your metabolic rate up, look toned and have more energy – you will have to be physically active. The goal would be 30-60 minutes a day, most days of the week. If you are currently not very active, first get medical clearance from your physician and start slowly. Take a 10 minute walk twice a day, use small weights or resistance bands while you watch TV at night. As you start to lose weight and feel better, you will be able to do more activity! Most importantly, find activities that you enjoy doing.
There is a never-ending supply of books, magazines and infomercials designed to make weight loss look quick and easy! Most who have had struggled with their weight know that if it was quick and easy, everyone would all be at their goal weight! Support, accountability and education are the keys. For more information on the Fit 4 Life Weight Management program, please call 341-6118.
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Round Rock Medical Center
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New Year's
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Round Rock
nutrition
food
weight loss
Wednesday, December 29, 2010
It’s a new year, time to get back to the fit, healthy, unstressed person you were not in December! Most New Year’s resolutions have something to do with becoming healthier, namely losing weight or exercising. Although we all want to look good in a bathing suit come summer, how can we reach our goals without feeling deprived and so sore we can’t get out of bed?
What is the best “diet” to follow to lose weight?
When we hear the word diet, it implies a beginning and an ending, something that makes us eliminate our favorite foods and counting the days till it is over! The best “diet” is the one that you do not know you are on! You need to make small changes to your current diet until you have a new lifestyle! My recommendations would include: drinking 48-64 oz of water each day, eating 5-7 servings of fruits and vegetables daily and really assessing where your calories are coming from…is it from eating out, junk food or too many high calorie beverages. Once you know what areas need work, it makes the task of changing your diet a little easier.
How much weight can I expect to lose?
A healthy weight loss is between 1-2 pounds per week. One pound is equal to 3500 calories, so to lose a pound in a week, you would have to eliminate 500 calories each day! For your nutritional safety; women should not go below 1200 calories a day and men should not go below 1500 calories. In addition, although you are not doing a specific diet, those who keep food and activity records lose 50% more weight than those who do not.
Do I HAVE to exercise?
Although you do not need to spend 2 hours a day at the gym to reach your goal…if you want to keep your metabolic rate up, look toned and have more energy – you will have to be physically active. The goal would be 30-60 minutes a day, most days of the week. If you are currently not very active, first get medical clearance from your physician and start slowly. Take a 10 minute walk twice a day, use small weights or resistance bands while you watch TV at night. As you start to lose weight and feel better, you will be able to do more activity! Most importantly, find activities that you enjoy doing.
There is a never-ending supply of books, magazines and infomercials designed to make weight loss look quick and easy! Most who have had struggled with their weight know that if it was quick and easy, everyone would all be at their goal weight! Support, accountability and education are the keys.
Written by: Tarie Beldin, RD, LD - St. David’s Round Rock Medical Center
Fit 4 Life Weight Management Program
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Tuesday, December 07, 2010
Carbon Monoxide Poisoning
As the winter months bring freezing temperatures, we often turn to supplemental heat sources like space heaters.
Carbon monoxide is a colorless, odorless, tasteless gas that is a byproduct of combustion from space heaters, wood burning stoves, electrical generators, faulty furnaces, propane fueled equipment, and gasoline powered tools.
Common signs and symptoms of carbon monoxide poisoning include:
- Headache
- Nausea and Vomiting
- Dizziness
- Confusion
- Chest Pain
- Palpitations
- Syncope
- Shortness of Breath
- Seizure
- Coma
While the treatment for carbon monoxide poisoning is complex and beyond the scope of this blog, the key is prevention and early recognition of symptoms.
Tips to Prevent Carbon Monoxide Poisoning:
- Ensure adequate ventilation around potential carbon monoxide sources.
- Install a carbon monoxide detector. These devises are widely available, are relatively inexpensive, and are just as important as smoke detectors to protect you and your family.
- Seek medical attention immediately if you feel you have been exposed to a carbon monoxide source and have developed signs and symptoms of poisoning. A simple blood test can be used to determine exposure.
Jim Cretella, M.D.
Department of Emergency Medicine
St. David’s Round Rock Medical Center
St. David’s Round Rock Urgent Care
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Tuesday, December 07, 2010
Carbon Monoxide Poisoning
As the winter months bring freezing temperatures, we often turn to supplemental heat sources like space heaters.
Carbon monoxide is a colorless, odorless, tasteless gas that is a byproduct of combustion from space heaters, wood burning stoves, electrical generators, faulty furnaces, propane fueled equipment, and gasoline powered tools.
Common signs and symptoms of carbon monoxide poisoning include:
- Headache
- Nausea and Vomiting
- Dizziness
- Confusion
- Chest Pain
- Palpitations
- Syncope
- Shortness of Breath
- Seizure
- Coma
While the treatment for carbon monoxide poisoning is complex and beyond the scope of this blog, the key is prevention and early recognition of symptoms.
Tips to Prevent Carbon Monoxide Poisoning:
- Ensure adequate ventilation around potential carbon monoxide sources.
- Install a carbon monoxide detector. These devises are widely available, are relatively inexpensive, and are just as important as smoke detectors to protect you and your family.
- Seek medical attention immediately if you feel you have been exposed to a carbon monoxide source and have developed signs and symptoms of poisoning. A simple blood test can be used to determine exposure.
Jim Cretella, M.D.
Department of Emergency Medicine
St. David’s Round Rock Medical Center
St. David’s Round Rock Urgent Care
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Carbon Monoxide Poisoning
Monday, November 29, 2010
By Esther Fields, D.O.
Fall is here in Central Texas, and when temperatures begin to drop, we become more susceptible to contagious viruses. Beginning in late October, doctors at St. David’s Georgetown Hospital began seeing more cases of respiratory illnesses among those of all ages. Because of the increase in these cases throughout the season, St. David’s Georgetown Hospital is committed to educating the public on the types of respiratory illnesses, their symptoms and prevention techniques.
Symptoms of respiratory illnesses can range from mild and self-limiting, to life threatening. Knowing how to recognize certain symptoms and identifying whattype of respiratory illness you may have is the key to proper treatment.
Some of the most typical respiratory illnesses include:
- Pneumonia. An inflammatory illness within the upper respiratory tract. Typically comes with an abrupt fever, cough, breathlessness, chest pain, abnormal lung sounds and wheezing. Pneumonia is common among all age groups and is the leading cause of death among the young, the old and the chronically ill.
- Bronchitis. Occurs when the bronchiole linings swell or become thick. It is characterized by a cough with or without the production of mucus, a runny nose and low-grade fever. Acute bronchitis often occurs during the course of a cold or flu.
- Influenza. Commonly referred to as the flu, is an infectious, viral disease. Influenza has many subtypes—one being H1N1. The most common symptoms are chills, fever, sore throat, muscle pains, and weakness or fatigue. Influenza involves the lungs while the common cold does not.
- The common cold. The most frequent infectious disease. On average, adults have two to four infections in a year, and children have six to 12 per year. The first indication you are coming down with a cold is often a sore or scratchy throat. Other common symptoms include a runny nose, congestion, and sneezing.
- Tuberculosis. An infectious disease that spreads from person to person through coughing, laughing and sneezing. Symptoms include loss of appetite, weight loss, fatigue, fever and chills, chest pain and coughing. Approximately 22,000 cases of tuberculosis are reported each year in the United States.
Staying healthy and illness-free is important to us all, and maybe more so during apacked fall and winter season. Missed days at school or work can often set us back. Adopting good health habits now can help to greatly prevent respiratory illnesses during this year’s high season.
Here are five ways to stay healthy:
- Get plenty of sleep. There is no magic number for the amount of sleep you need—it actually varies from person to person. Children under 18 usually need more sleep, up to 10 hours, while adults should get between seven to eight hours per night to be fully rested.
- Stay physically active. Anything that gets the heart pumping is important for good health. Physical activities can range from endurance exercises—long distance running, biking or rock-climbing—to easy, moderate activities, including dancing, canoeing or walking briskly.
- Manage your stress. Stress is a normal part of life. Eliminating stress sources by effectively allotting your time or taking moments to be by yourself, help you have a less stressful life.
- Drink plenty of fluids. The recommended amount of water to drink per day is around eight glasses; however, this daily recommendation should really be based on your lifestyle and how much water your body needs to stay hydrated.
- Eat nutritious food. Some of the world’s healthiest foods are common, everyday foods, such as fruits, vegetables, whole grains, nuts and seeds, lean meats, and fish.
While these tips may not help you completely avoid a respiratory illness this fall or winter season, they do give you a good starting point to a healthier life. Maintaining a healthy lifestyle throughout the year will help keep your body healthy during these higher risk seasons.
___________________________
Esther Fields, D.O., is an interventional pulmonologist at St. David’s Georgetown Hospital.
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Monday, November 29, 2010
By Esther Fields, D.O.
Fall is here in Central Texas, and when temperatures begin to drop, we become more susceptible to contagious viruses. Beginning in late October, doctors at St. David’s Georgetown Hospital began seeing more cases of respiratory illnesses among those of all ages. Because of the increase in these cases throughout the season, St. David’s Georgetown Hospital is committed to educating the public on the types of respiratory illnesses, their symptoms and prevention techniques.
Symptoms of respiratory illnesses can range from mild and self-limiting, to life threatening. Knowing how to recognize certain symptoms and identifying whattype of respiratory illness you may have is the key to proper treatment.
Some of the most typical respiratory illnesses include:
- Pneumonia. An inflammatory illness within the upper respiratory tract. Typically comes with an abrupt fever, cough, breathlessness, chest pain, abnormal lung sounds and wheezing. Pneumonia is common among all age groups and is the leading cause of death among the young, the old and the chronically ill.
- Bronchitis. Occurs when the bronchiole linings swell or become thick. It is characterized by a cough with or without the production of mucus, a runny nose and low-grade fever. Acute bronchitis often occurs during the course of a cold or flu.
- Influenza. Commonly referred to as the flu, is an infectious, viral disease. Influenza has many subtypes—one being H1N1. The most common symptoms are chills, fever, sore throat, muscle pains, and weakness or fatigue. Influenza involves the lungs while the common cold does not.
- The common cold. The most frequent infectious disease. On average, adults have two to four infections in a year, and children have six to 12 per year. The first indication you are coming down with a cold is often a sore or scratchy throat. Other common symptoms include a runny nose, congestion, and sneezing.
- Tuberculosis. An infectious disease that spreads from person to person through coughing, laughing and sneezing. Symptoms include loss of appetite, weight loss, fatigue, fever and chills, chest pain and coughing. Approximately 22,000 cases of tuberculosis are reported each year in the United States.
Staying healthy and illness-free is important to us all, and maybe more so during apacked fall and winter season. Missed days at school or work can often set us back. Adopting good health habits now can help to greatly prevent respiratory illnesses during this year’s high season.
Here are five ways to stay healthy:
- Get plenty of sleep. There is no magic number for the amount of sleep you need—it actually varies from person to person. Children under 18 usually need more sleep, up to 10 hours, while adults should get between seven to eight hours per night to be fully rested.
- Stay physically active. Anything that gets the heart pumping is important for good health. Physical activities can range from endurance exercises—long distance running, biking or rock-climbing—to easy, moderate activities, including dancing, canoeing or walking briskly.
- Manage your stress. Stress is a normal part of life. Eliminating stress sources by effectively allotting your time or taking moments to be by yourself, help you have a less stressful life.
- Drink plenty of fluids. The recommended amount of water to drink per day is around eight glasses; however, this daily recommendation should really be based on your lifestyle and how much water your body needs to stay hydrated.
- Eat nutritious food. Some of the world’s healthiest foods are common, everyday foods, such as fruits, vegetables, whole grains, nuts and seeds, lean meats, and fish.
While these tips may not help you completely avoid a respiratory illness this fall or winter season, they do give you a good starting point to a healthier life. Maintaining a healthy lifestyle throughout the year will help keep your body healthy during these higher risk seasons.
___________________________
Esther Fields, D.O., is an interventional pulmonologist at St. David’s Georgetown Hospital.
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Respiratory Illness
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Bronchitis
Tuesday, November 23, 2010
The holidays are here, and even though they come with enough cookies, candy and comfort foods to last a lifetime, don't run screaming from the buffet table just yet. Food may be a centerpiece of holiday festivities, but the holiday season doesn’t mean you have to pack on the party pounds.
Try these tips for making your holidays healthful:
Take the edge off your hunger before a party. Feeling hungry can sabotage even the strongest willpower, so eat a small, low-fat snack such as fruit or low-fat cheese before you head out the door. Research has shown that those who eat breakfast tend to consume fewer calories throughout the day. This will help you avoid rushing to the buffet table when you arrive. Drinking a glass of water just before you sit down to eat will help fill you up and keep you from eating too much.
Make just one trip to the party buffet. Choose only the foods you really want to eat and keep portions small. Often just a taste satisfies a food craving or curiosity. Also, move you’re socializing away from the buffet table to eliminate unconscious nibbling.
Meet and greet. Conversation is calorie-free. Get a beverage (try sparkling water and a lime twist rather than alcohol) and settle into the festivities by catching up with old friends and making new ones.
Choose lower-calorie party foods. Go easy on fried appetizers and cheese cubes. Instead, have some raw vegetables with a small amount of dip—just enough to coat the end of the vegetable— or try boiled shrimp or scallops with cocktail sauce or lemon. To help ensure there will be healthful treats, bring a dish to the party filled with raw vegetables with a yogurt or cottage cheese dip, or bring a platter of fresh fruit.
If you are at a sit-down dinner party, cut your first helping in half. That way, you can enjoy seconds (and your host or hostess will feel good about that) and the total amount of food you eat will be about the same as a normal-size portion.
Portions, Portions, Portions- practice portion control: enjoy your favorite holiday foods but be mindful of your portions. Try eating slower or using smaller plates. Fill up ½ your plate with lower calorie items such as raw veggies or shrimp cocktail. Finally, practice using a hunger rating scale (1-5) 1: ravenous 2: somewhat hungry 3: comfortable 4: comfortably full 5: stuffed. Try not to let yourself get to a 1 or a 5.
Portions are right in the palm of your hand:
- 1 cup= 2 rounded palms
- ½ c= 1 rounded palm
- 1 oz= 1 handful
- 3 oz= palm of hand
- 1 tbsp= size of thumb
- 1 tsp= tip of thumb
- 1 oz of cheese= size of thumb
Enjoy physical activity after a holiday feast. Find activities the whole family can do such as walking, biking, football or hiking, and develop family fun-time habits that can continue after the holiday season.
Be realistic. Don't try to lose weight during the holidays—this may be a self-defeating goal. Instead, strive to maintain your weight by balancing party eating with other meals. Eat small, lower-calorie meals during the day so you can enjoy celebration foods later without overdoing your total calorie intake.
Have fun. Enjoy traditional holiday meals and party foods with family and friends while maintaining a healthy lifestyle, too.
[Produced by ADA's Public Relations Team]
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Tuesday, November 23, 2010
The holidays are here, and even though they come with enough cookies, candy and comfort foods to last a lifetime, don't run screaming from the buffet table just yet. Food may be a centerpiece of holiday festivities, but the holiday season doesn’t mean you have to pack on the party pounds.
Try these tips for making your holidays healthful:
Take the edge off your hunger before a party. Feeling hungry can sabotage even the strongest willpower, so eat a small, low-fat snack such as fruit or low-fat cheese before you head out the door. Research has shown that those who eat breakfast tend to consume fewer calories throughout the day. This will help you avoid rushing to the buffet table when you arrive. Drinking a glass of water just before you sit down to eat will help fill you up and keep you from eating too much.
Make just one trip to the party buffet. Choose only the foods you really want to eat and keep portions small. Often just a taste satisfies a food craving or curiosity. Also, move you’re socializing away from the buffet table to eliminate unconscious nibbling.
Meet and greet. Conversation is calorie-free. Get a beverage (try sparkling water and a lime twist rather than alcohol) and settle into the festivities by catching up with old friends and making new ones.
Choose lower-calorie party foods. Go easy on fried appetizers and cheese cubes. Instead, have some raw vegetables with a small amount of dip—just enough to coat the end of the vegetable— or try boiled shrimp or scallops with cocktail sauce or lemon. To help ensure there will be healthful treats, bring a dish to the party filled with raw vegetables with a yogurt or cottage cheese dip, or bring a platter of fresh fruit.
If you are at a sit-down dinner party, cut your first helping in half. That way, you can enjoy seconds (and your host or hostess will feel good about that) and the total amount of food you eat will be about the same as a normal-size portion.
Portions, Portions, Portions- practice portion control: enjoy your favorite holiday foods but be mindful of your portions. Try eating slower or using smaller plates. Fill up ½ your plate with lower calorie items such as raw veggies or shrimp cocktail. Finally, practice using a hunger rating scale (1-5) 1: ravenous 2: somewhat hungry 3: comfortable 4: comfortably full 5: stuffed. Try not to let yourself get to a 1 or a 5.
Portions are right in the palm of your hand:
- 1 cup= 2 rounded palms
- ½ c= 1 rounded palm
- 1 oz= 1 handful
- 3 oz= palm of hand
- 1 tbsp= size of thumb
- 1 tsp= tip of thumb
- 1 oz of cheese= size of thumb
Enjoy physical activity after a holiday feast. Find activities the whole family can do such as walking, biking, football or hiking, and develop family fun-time habits that can continue after the holiday season.
Be realistic. Don't try to lose weight during the holidays—this may be a self-defeating goal. Instead, strive to maintain your weight by balancing party eating with other meals. Eat small, lower-calorie meals during the day so you can enjoy celebration foods later without overdoing your total calorie intake.
Have fun. Enjoy traditional holiday meals and party foods with family and friends while maintaining a healthy lifestyle, too.
[Produced by ADA's Public Relations Team]
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Monday, November 22, 2010
Choosing weight loss surgery, also known as bariatric surgery, is a big deal! Many people who are struggling with weight management have asked me why I chose surgery. My answer is simple. Nothing else worked for me long term. I have struggled with my weight for over 30 years and have lost many pounds with many diets on many occasions, but I could never get a handle on making the lifestyle changes that were required to keep if off. My appetite consumed me. I was at the end of my rope: mentally exhausted and perpetually defeated. I could not continue down the same path day after day of hope followed by failure.
I learned all I could about bariatric surgery and the different types of procedures by: - Looking online at long term weight loss and health improvements associated with surgery.
- Talking to other weight loss surgery patients about how their lifestyle and habits changed after surgery (Please call 512-544-5433 to learn about our support groups).
- Attending a Seminar to hear a weight loss surgeon discuss the risks and benefits of surgery.
Becoming informed about what I realistically could expect from weight loss surgery helped me make the decision that was right for me. My only regret? That I didn’t make this decision much sooner!
~ Rebecca Posey, RN
____________________________
Rebecca Posey is a registered nurse, and manager of St. David’s Bariatric Surgery Program in Austin, Texas, since the program began in 2002. Rebecca had Gastric Bypass in May of 2008 and has lost more than 100 pounds.
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Monday, November 22, 2010
Choosing weight loss surgery, also known as bariatric surgery, is a big deal! Many people who are struggling with weight management have asked me why I chose surgery. My answer is simple. Nothing else worked for me long term. I have struggled with my weight for over 30 years and have lost many pounds with many diets on many occasions, but I could never get a handle on making the lifestyle changes that were required to keep if off. My appetite consumed me. I was at the end of my rope: mentally exhausted and perpetually defeated. I could not continue down the same path day after day of hope followed by failure.
I learned all I could about bariatric surgery and the different types of procedures by: - Looking online at long term weight loss and health improvements associated with surgery.
- Talking to other weight loss surgery patients about how their lifestyle and habits changed after surgery (Please call 512-544-5433 to learn about our support groups).
- Attending a Seminar to hear a weight loss surgeon discuss the risks and benefits of surgery.
Becoming informed about what I realistically could expect from weight loss surgery helped me make the decision that was right for me. My only regret? That I didn’t make this decision much sooner!
~ Rebecca Posey, RN
____________________________
Rebecca Posey is a registered nurse, and manager of St. David’s Bariatric Surgery Program in Austin, Texas, since the program began in 2002. Rebecca had Gastric Bypass in May of 2008 and has lost more than 100 pounds.
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Thursday, November 18, 2010
Thanksgiving is a day to gather family members and friends for a meal or several if you’re attending multiple Thanksgiving-get-togethers.
Thanksgiving is a time to give thanks, but sometimes the focus is more centered on celebratory eating and with that, over-indulgence.
Don’t get me wrong, I love Thanksgiving and all the food that comes along with it! However, I feel that there’s a way to enjoy the holiday, while being mindful of our health. Here are some helpful tips for having a happy and healthy Thanksgiving:
Turkey Preparation
The turkey is the centerpiece of a traditional Thanksgiving meal of stuffing, mashed potatoes, gravy, cranberry sauce and pumpkin pie. You don’t have to sacrifice flavor to have a healthy Thanksgiving and adjusting how you prepare your turkey is one way. Use low sodium seasoning and cook the turkey in the skin to lock in moisture, but remove it before you eat the meat to avoid additional calories and fat.
Healthy Substitutions
An easy way to make your Thanksgiving meal healthier is to adjust your recipes. For example, reduce the amount of butter that’s whipped into the mashed potatoes, and substitute low-fat milk or buttermilk for whole milk. Another way to cut calories is to replace sweet potato casserole with baked sweet potatoes topped with low fat margarine, cinnamon and a sugar substitute.
Table Setting
How you set your table can also contribute to healthy eating on Thanksgiving Day. Use smaller plates, not large platter-like dinner plates. We eat with our eyes and using a smaller plate generally helps you feel more satisfied with the amount of food you get. Also, be sure to keep the serving dishes away from the dinner table. You’re bound to eat less if the food is served in one spot and the dinner table is in another, rather than the food being spread across the dinner table in front of you.
Dessert
Who doesn’t look forward to a great piece of pie at the end of a Thanksgiving meal? If you’re going to treat yourself to a slice of pie, pumpkin is the best choice. While a slice of pumpkin pie is about 300 calories and 14 grams of fat, it’s lighter in calories and heavier in nutrients, such as vitamin A and fiber, than other desserts. A piece of apple pie is crammed with about 400 calories and 20 grams of fat, and pecan pie takes the cake at about 500 calories and 27 grams of fat per slice.
Beverages
Be sure to monitor the beverages you consume throughout the day on Thanksgiving. Drink water or artificially sweetened iced tea instead of sugary soda or other beverages loaded with calories. If you decide to sip some egg nog, realize that one cup contains 320 calories and 19 grams of fat (without any alcohol added). As a trade-off, you might down a cup of egg nog but skip the pie. Others might partake of the egg nog and pie but take a walk afterward.
Wine is also a popular beverage during the holidays. Be sure to drink moderately and be aware that wine will add extra calories to your holiday meal. A five ounce glass of red wine contains 125 of calories and a five ounce glass of white wine contains 120 of calories.
Portion Size
One of the easiest ways to have a healthier Thanksgiving is to pay attention to your portion sizes. Fill half of your plate with vegetables—salad with low-fat dressing or steamed veggies—before you load up on the higher-calorie foods. By the way, green bean casserole doesn’t quite qualify as a vegetable; it’s chock-full of fat.
Minimize grazing after your Thanksgiving meal. Store the leftovers right after the meal, so you limit the temptation to taste one more bite of mashed potatoes or one more spoonful of green bean casserole.
People should choose the foods that mean the most to them for the Thanksgiving holiday. You can have cheese and crackers anytime, but you may only have stuffing on Thanksgiving, so save your calories for the things that matter most!
If you over do it during the Thanksgiving Holiday, you may think about signing up for “Fit 4 Life” at St. David’s Round Rock Medical Center. “Fit 4 Life” is a 10-week course that provides programs that promote, teach skills for, and return individuals to healthy living through weight management, fitness and nutrition counseling. To find out more about the next “Fit 4 Life” course in early January 2011, call 341-6118.
Tarie Beldin is a registered and licensed dietitian at St. David’s Round Rock Medical Center.
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Tarie Beldin, RD, LD
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class
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Thanksgiving
nutrition
food
Thursday, November 18, 2010
Thanksgiving is a day to gather family members and friends for a meal or several if you’re attending multiple Thanksgiving-get-togethers.
Thanksgiving is a time to give thanks, but sometimes the focus is more centered on celebratory eating and with that, over-indulgence.
Don’t get me wrong, I love Thanksgiving and all the food that comes along with it! However, I feel that there’s a way to enjoy the holiday, while being mindful of our health. Here are some helpful tips for having a happy and healthy Thanksgiving:
Turkey Preparation
The turkey is the centerpiece of a traditional Thanksgiving meal of stuffing, mashed potatoes, gravy, cranberry sauce and pumpkin pie. You don’t have to sacrifice flavor to have a healthy Thanksgiving and adjusting how you prepare your turkey is one way. Use low sodium seasoning and cook the turkey in the skin to lock in moisture, but remove it before you eat the meat to avoid additional calories and fat.
Healthy Substitutions
An easy way to make your Thanksgiving meal healthier is to adjust your recipes. For example, reduce the amount of butter that’s whipped into the mashed potatoes, and substitute low-fat milk or buttermilk for whole milk. Another way to cut calories is to replace sweet potato casserole with baked sweet potatoes topped with low fat margarine, cinnamon and a sugar substitute.
Table Setting
How you set your table can also contribute to healthy eating on Thanksgiving Day. Use smaller plates, not large platter-like dinner plates. We eat with our eyes and using a smaller plate generally helps you feel more satisfied with the amount of food you get. Also, be sure to keep the serving dishes away from the dinner table. You’re bound to eat less if the food is served in one spot and the dinner table is in another, rather than the food being spread across the dinner table in front of you.
Dessert
Who doesn’t look forward to a great piece of pie at the end of a Thanksgiving meal? If you’re going to treat yourself to a slice of pie, pumpkin is the best choice. While a slice of pumpkin pie is about 300 calories and 14 grams of fat, it’s lighter in calories and heavier in nutrients, such as vitamin A and fiber, than other desserts. A piece of apple pie is crammed with about 400 calories and 20 grams of fat, and pecan pie takes the cake at about 500 calories and 27 grams of fat per slice.
Beverages
Be sure to monitor the beverages you consume throughout the day on Thanksgiving. Drink water or artificially sweetened iced tea instead of sugary soda or other beverages loaded with calories. If you decide to sip some egg nog, realize that one cup contains 320 calories and 19 grams of fat (without any alcohol added). As a trade-off, you might down a cup of egg nog but skip the pie. Others might partake of the egg nog and pie but take a walk afterward.
Wine is also a popular beverage during the holidays. Be sure to drink moderately and be aware that wine will add extra calories to your holiday meal. A five ounce glass of red wine contains 125 of calories and a five ounce glass of white wine contains 120 of calories.
Portion Size
One of the easiest ways to have a healthier Thanksgiving is to pay attention to your portion sizes. Fill half of your plate with vegetables—salad with low-fat dressing or steamed veggies—before you load up on the higher-calorie foods. By the way, green bean casserole doesn’t quite qualify as a vegetable; it’s chock-full of fat.
Minimize grazing after your Thanksgiving meal. Store the leftovers right after the meal, so you limit the temptation to taste one more bite of mashed potatoes or one more spoonful of green bean casserole.
People should choose the foods that mean the most to them for the Thanksgiving holiday. You can have cheese and crackers anytime, but you may only have stuffing on Thanksgiving, so save your calories for the things that matter most!
If you over do it during the Thanksgiving Holiday, you may think about signing up for “Fit 4 Life” at St. David’s Round Rock Medical Center. “Fit 4 Life” is a 10-week course that provides programs that promote, teach skills for, and return individuals to healthy living through weight management, fitness and nutrition counseling. To find out more about the next “Fit 4 Life” course in early January 2011, call 341-6118.
Tarie Beldin is a registered and licensed dietitian at St. David’s Round Rock Medical Center.
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Tuesday, October 19, 2010
By Scott Russell, M.D., FACS
October marks National Breast Cancer Awareness Month, and St. David’s Georgetown Hospital is supporting the fight for further awareness and education. While the medical profession has made tremendous strides in the struggle against this disease during the last quarter century, the battle is far from over: an estimated one in eight women in the U.S. is expected to develop invasive breast cancer over the course of their lives.
In addition to continued public education, St. David’s Georgetown Hospital is also dedicated to the early detection of breast cancer. This commitment is evident in the hospital’s digital mammography unit, which utilizes the latest technology to provide the most thorough and comprehensive breast exam.
Although certain genetic factors may not be preventable, there are other precautions you can take to decrease your risk of developing breast cancer, including:
- Know Your Options When it Comes to Screenings: Thanks to recent technological developments there are a variety of breast cancer screening options available today. While it’s recommended that women age 40 or older have a yearly mammogram to check for abnormalities or lumps that may indicate early stages of breast cancer, you should talk to your doctor about the best option and screening schedule for you. These tests can often see cancerous lesions earlier than they can be detected with a self-exam.
- Know Your Family History and Share it: This is something all of us should do with our doctors, but it’s even more important for women who come from families with a history of breast cancer. Talk to your doctor about your family history and tests to detect a gene mutation that can indicate a high risk of developing breast cancer as well as ovarian cancers.
- When Possible, Limit Exposure to Estrogen: Estrogen levels have been linked to the development of breast cancer. Limiting factors such as alcohol consumption and physical inactivity can minimize a woman’s estrogen exposure. For older women who have experienced menopause, discussing the risks and benefits of estrogen replacement relative to breast cancer with your doctor is particularly important.
- Maintain a Healthy Weight: Being overweight is not just an unhealthy lifestyle choice; it is also one that can increase your likelihood of developing breast cancer. This is particularly true for women who have experienced menopause because the majority of the estrogen in a woman’s body comes from her fat tissue, and the more fat on the body the higher the degree of estrogen.
- Limit Alcohol Consumption: Alcohol may alter the way estrogen is metabolized by a woman's body and it may cause blood estrogen levels to rise, thus increasing the risk of breast cancer onset.
- Never Smoke: Smoking has been shown to greatly increase the risk of several cancers, including breast cancer.
- Exercise Regularly: Exercise’s many benefits include helping to prevent breast cancer. It not only helps you maintain a healthy weight level, but by exercising you also modulate high levels of estrogen and may even enhance the immune system.
At St. David’s Georgetown Hospital we understand how frightening of a topic breast cancer can be. However, it is also a topic that cannot be ignored. Open communication with your doctor is the first step towards prevention and early detection. Call St. David’s Georgetown Hospital at (888) 868-2104 for more information, or see your physician.
Scott Russell, M.D., FACS, is a general surgeon at St. David’s Georgetown Hospital.
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Tuesday, October 19, 2010
By Scott Russell, M.D., FACS
October marks National Breast Cancer Awareness Month, and St. David’s Georgetown Hospital is supporting the fight for further awareness and education. While the medical profession has made tremendous strides in the struggle against this disease during the last quarter century, the battle is far from over: an estimated one in eight women in the U.S. is expected to develop invasive breast cancer over the course of their lives.
In addition to continued public education, St. David’s Georgetown Hospital is also dedicated to the early detection of breast cancer. This commitment is evident in the hospital’s digital mammography unit, which utilizes the latest technology to provide the most thorough and comprehensive breast exam.
Although certain genetic factors may not be preventable, there are other precautions you can take to decrease your risk of developing breast cancer, including:
- Know Your Options When it Comes to Screenings: Thanks to recent technological developments there are a variety of breast cancer screening options available today. While it’s recommended that women age 40 or older have a yearly mammogram to check for abnormalities or lumps that may indicate early stages of breast cancer, you should talk to your doctor about the best option and screening schedule for you. These tests can often see cancerous lesions earlier than they can be detected with a self-exam.
- Know Your Family History and Share it: This is something all of us should do with our doctors, but it’s even more important for women who come from families with a history of breast cancer. Talk to your doctor about your family history and tests to detect a gene mutation that can indicate a high risk of developing breast cancer as well as ovarian cancers.
- When Possible, Limit Exposure to Estrogen: Estrogen levels have been linked to the development of breast cancer. Limiting factors such as alcohol consumption and physical inactivity can minimize a woman’s estrogen exposure. For older women who have experienced menopause, discussing the risks and benefits of estrogen replacement relative to breast cancer with your doctor is particularly important.
- Maintain a Healthy Weight: Being overweight is not just an unhealthy lifestyle choice; it is also one that can increase your likelihood of developing breast cancer. This is particularly true for women who have experienced menopause because the majority of the estrogen in a woman’s body comes from her fat tissue, and the more fat on the body the higher the degree of estrogen.
- Limit Alcohol Consumption: Alcohol may alter the way estrogen is metabolized by a woman's body and it may cause blood estrogen levels to rise, thus increasing the risk of breast cancer onset.
- Never Smoke: Smoking has been shown to greatly increase the risk of several cancers, including breast cancer.
- Exercise Regularly: Exercise’s many benefits include helping to prevent breast cancer. It not only helps you maintain a healthy weight level, but by exercising you also modulate high levels of estrogen and may even enhance the immune system.
At St. David’s Georgetown Hospital we understand how frightening of a topic breast cancer can be. However, it is also a topic that cannot be ignored. Open communication with your doctor is the first step towards prevention and early detection. Call St. David’s Georgetown Hospital at (888) 868-2104 for more information, or see your physician.
Scott Russell, M.D., FACS, is a general surgeon at St. David’s Georgetown Hospital.
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Thursday, October 14, 2010
Halloween is a holiday for children, full of costumes, parties and treats! As parents, we need to “take back the night” with some boundaries over this night of sugar!
It goes without saying the children under the age of 13 should have parental supervision while Trick or Treating, however here are some tips to let the kids enjoy their candy in moderation.
- Choose appropriate size trick or treat bags. A small child should not use a king size pillow case as their bag, rather a plastic pumpkin or smaller bag especially made for collecting their treats!
- Make sure that everyone has a healthy dinner before going Trick or Treating. This may lessen the chance that they will snack on goodies before returning home.
- Inspect all candy. Candy should be in its original wrapper. Discard “homemade” candy or treats, unless you know who made them.
- Put a limit on the number of pieces of candy allowed each day.
- Pair candy with a healthy snack. For example; a mini Snickers bar and apple slices.
- Keep the candy “out of reach”.
- Implement the tradition of the “Great Pumpkin” or the “Halloween Fairy”, who comes in the middle of the night and takes the candy and leaves behind a small toy.
- Collect left over candy and take to a food pantry or make goodie bags to send to our soldiers over-seas.
If you will be staying home and answering the door for the little ghouls and goblins, you can stock up on options that are healthier for the kiddos as well as for you.
- Buy candy you do not like. That way it won’t be as tempting for you.
- Give small packages of pretzels, animal crackers, raisins, sugar-free gum, or packages of low fat popcorn or hot chocolate.
- Try a non-food approach…kids love stickers, tattoos, pencils, bubbles or spider rings.
Whether you have children or not Halloween candy is everywhere. It is at work, at stores at the bank and will be on sale come November 1st. It is important to be aware of how many calories those “fun size” chocolate bars have. Halloween is just the beginning of the high calorie holidays between now and the end of the year!
Trick or Treat Calories…
3 mini peanut butter cups…108 calories
1 small package of peanut M&M’s…108 calories
Fun size 3 Musketeers…73 calories
Fun size Milky Way…81 calories
Fun size Snickers…71 calories
Fun size Butterfinger…96 calories
Regular size Tootsie Roll…140 calories
Fun size Starburst…171 calories
Even though they are small, these “treats” can add up big. Remember that an extra 100 calories a day can mean a 10 pound weight gain in a year! So enjoy your treats in moderation and here’s to a Healthy Halloween!
By: Tarie Beldin, RD, LD
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Thursday, October 14, 2010
Halloween is a holiday for children, full of costumes, parties and treats! As parents, we need to “take back the night” with some boundaries over this night of sugar!
It goes without saying the children under the age of 13 should have parental supervision while Trick or Treating, however here are some tips to let the kids enjoy their candy in moderation.
- Choose appropriate size trick or treat bags. A small child should not use a king size pillow case as their bag, rather a plastic pumpkin or smaller bag especially made for collecting their treats!
- Make sure that everyone has a healthy dinner before going Trick or Treating. This may lessen the chance that they will snack on goodies before returning home.
- Inspect all candy. Candy should be in its original wrapper. Discard “homemade” candy or treats, unless you know who made them.
- Put a limit on the number of pieces of candy allowed each day.
- Pair candy with a healthy snack. For example; a mini Snickers bar and apple slices.
- Keep the candy “out of reach”.
- Implement the tradition of the “Great Pumpkin” or the “Halloween Fairy”, who comes in the middle of the night and takes the candy and leaves behind a small toy.
- Collect left over candy and take to a food pantry or make goodie bags to send to our soldiers over-seas.
If you will be staying home and answering the door for the little ghouls and goblins, you can stock up on options that are healthier for the kiddos as well as for you.
- Buy candy you do not like. That way it won’t be as tempting for you.
- Give small packages of pretzels, animal crackers, raisins, sugar-free gum, or packages of low fat popcorn or hot chocolate.
- Try a non-food approach…kids love stickers, tattoos, pencils, bubbles or spider rings.
Whether you have children or not Halloween candy is everywhere. It is at work, at stores at the bank and will be on sale come November 1st. It is important to be aware of how many calories those “fun size” chocolate bars have. Halloween is just the beginning of the high calorie holidays between now and the end of the year!
Trick or Treat Calories…
3 mini peanut butter cups…108 calories
1 small package of peanut M&M’s…108 calories
Fun size 3 Musketeers…73 calories
Fun size Milky Way…81 calories
Fun size Snickers…71 calories
Fun size Butterfinger…96 calories
Regular size Tootsie Roll…140 calories
Fun size Starburst…171 calories
Even though they are small, these “treats” can add up big. Remember that an extra 100 calories a day can mean a 10 pound weight gain in a year! So enjoy your treats in moderation and here’s to a Healthy Halloween!
By: Tarie Beldin, RD, LD
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Friday, September 24, 2010
CONGRATULATIONS TO ALL NURSES…
We received notice from the American Nurses Credentialing Center that St. David’s South Austin Medical Center was just awarded the National Level “Pathway to Excellence” designation for another 3 years.
Three years ago we applied for the Texas Nurse Friendly status. We were successful in that endeavor. That program has grown into a National level program, awarded by the ANCC.
To remind you, it required that an extremely lengthy and involved document be produced and read by three reviewers from all parts of the Nation. Once they were in agreement that SAMC’s nurses had the correct vision and mission as well as control of their practice of nursing through strong and dedicated shared governance programs, a survey of nurses occurred to validate those thousands of pages of documents.
That survey was concluded and our results provided yesterday.
It is with great pride, as your CNO, that I share with you what the National director stated about YOU and OUR amazing group of nurses.
In summary:
- Over 400 nurses completed the survey. Outstanding engagement.
- Of the 40 questions, greater than 28 were answered at or above the 75th level. ( top quartile)
- Many more questions had responses at or above the 90th percentile. ( top 10 percent)
- They stated this demonstrates a high level of nursing engagement and control of practice, more than they are ever use to seeing, even at a national level.
I want to send each nurse my personal congratulations on this achievement. It demonstrates that you take tremendous pride in yourself and your colleagues. It validates that your shared governance councils are working hard to make sure your voice is well heard and acted on. It means we have a strong Nationally recognized Nursing program, and it means you don’t mind letting everyone know just how truly wonderful you are.
We know that, now everyone knows that.
For those who have the opportunity to work with one of these mastiffs in navy blue… please know they are among the best nationally and deserved to be awarded this most noble recognition for their commitment to patient care and safety as well as their parallel work on driving practice and making major contributions to their profession.
CONGRATULATIONS: NURSING TEAM- “You are the finest!”
Sally
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Friday, September 24, 2010
CONGRATULATIONS TO ALL NURSES…
We received notice from the American Nurses Credentialing Center that St. David’s South Austin Medical Center was just awarded the National Level “Pathway to Excellence” designation for another 3 years.
Three years ago we applied for the Texas Nurse Friendly status. We were successful in that endeavor. That program has grown into a National level program, awarded by the ANCC.
To remind you, it required that an extremely lengthy and involved document be produced and read by three reviewers from all parts of the Nation. Once they were in agreement that SAMC’s nurses had the correct vision and mission as well as control of their practice of nursing through strong and dedicated shared governance programs, a survey of nurses occurred to validate those thousands of pages of documents.
That survey was concluded and our results provided yesterday.
It is with great pride, as your CNO, that I share with you what the National director stated about YOU and OUR amazing group of nurses.
In summary:
- Over 400 nurses completed the survey. Outstanding engagement.
- Of the 40 questions, greater than 28 were answered at or above the 75th level. ( top quartile)
- Many more questions had responses at or above the 90th percentile. ( top 10 percent)
- They stated this demonstrates a high level of nursing engagement and control of practice, more than they are ever use to seeing, even at a national level.
I want to send each nurse my personal congratulations on this achievement. It demonstrates that you take tremendous pride in yourself and your colleagues. It validates that your shared governance councils are working hard to make sure your voice is well heard and acted on. It means we have a strong Nationally recognized Nursing program, and it means you don’t mind letting everyone know just how truly wonderful you are.
We know that, now everyone knows that.
For those who have the opportunity to work with one of these mastiffs in navy blue… please know they are among the best nationally and deserved to be awarded this most noble recognition for their commitment to patient care and safety as well as their parallel work on driving practice and making major contributions to their profession.
CONGRATULATIONS: NURSING TEAM- “You are the finest!”
Sally
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Category:
Tags:
nursing
South Austin
SAMC
Wednesday, August 25, 2010
Say good-bye to sleeping in, lounging by the pool and staying up late…school has started again! While kids are busy catching up with friends and brushing up on their reading, writing and arithmetic – something else is happening – time for healthy, family meals starts to disappear! Between school, after-school activities and both parents working, we eat when and what we can, often on-the-run and away from home.
Study after study shows that there is a correlation between a nutritious diet, test scores and classroom behavior. Why wait until TAKS testing…with a little planning and a well-stocked pantry, you can feed the kids a healthy breakfast, pack a fun, filling lunchbox and still have time for that second cup of coffee before work!
Ready, Set, Breakfast
Mornings are crazy…try to get as much done the night before (lay out clothes, backpacks packed etc.) Also, take advantage of the weekends to make breakfasts ahead for the week. The goal would be to include a serving of whole grain as well as some lean protein. The whole grains provide energy, however because of the fiber they are digested slower. Combine that with some lean protein and this can sustain your energy throughout the morning.
Lunch…To Pack or Not to Pack
If you have a picky eater and worry about whether they will eat anything at all, it may be best to pack your child’s lunch. Again, with the mad-dash to get out the door on time in the morning, planning and preparation are key. Try to include: whole grains, lean protein, a fruit and/or vegetable and low-fat milk or water. To increase the odds that the lunch will be eaten- have your child help plan and pack what they will take. Texas schools have made tremendous strides in improving the nutrition of school meals. Fryers are no longer used, so all items are now baked. Reduced fat cheese and turkey sausage is used in the pizza and foods of minimal nutritional value are not allowed to be sold during meal times. If your child purchases school lunch, take some time to sit down and review the menu and make suggestions on what the healthier choices would be.
Re-fuel With an After-School Snack
Long gone are the days when everyone came home and dinner was served at 5:00 pm! Kids have after-school activities, homework, perhaps an after-school job and parents do not get off work until 5 pm or later. That can mean 6 or more hours between lunch and dinner for most children, making an after-school snack a must! Not all snacks are created equal, if your child participates in after-school sports they need something light and nutritious such as some string cheese, fruit and some whole grain crackers, in addition to being well hydrated. Even if they are just coming home and doing homework, snacks should contribute to the overall nutrition of the diet, not just be full of empty calories and fat. Try having a “snack shelf” in the refrigerator stocked with cut up fruit and veggies, low fat cheese, yogurt and flavored milk. In addition, have a snack basket on the counter or in the pantry full of small bags of pretzels, granola bars and homemade trail mix.
Dinner Rush
Mornings may be crazy, but evenings can be even crazier!!! Trying to coordinate schedules, rides to and from practices and friends’ houses and time for homework and studying can leave little time for a healthy dinner. In fact 50% of people do not know what they will eat for dinner at 6 pm! This leads to drive-thrus and pizza delivery! Try to plan 2-3 dinners and stock your kitchen accordingly. A healthy, family-pleasing dinner can be on the table in 30-40 minutes! Boil some whole grain pasta, top with marinara sauce and serve with a side salad. Pick up a rotisserie chicken, steam some broccoli in the microwave add French bread and some fruit for dessert. Kids love breakfast for dinner. Scramble some eggs, add some beans, low fat cheese and some salsa and wrap in a whole wheat flour tortilla. Again get your family involved in the planning, cooking and clean-up, so that not just one person is responsible!
Kids pattern their eating and activity habits after their parents. Make meal times, family times. Studies show that when you eat together as a family, children are less likely to engage in high-risk behaviors such as: smoking, drinking and drugs. Let’s start the school year off right, with kids that are fit, fueled and ready to learn!
Additional Tips and Recipes:
Breakfast:
Ready-to-eat cereal with fruit and low fat milk, toasted bagel with low-fat cream cheese and all fruit spread, toasted waffle with peanut butter and sliced strawberries, make a breakfast trail-mix with some Cherrios, Cocoa Puffs, nuts and dried cranberries.
Spiced-Up Muffins
1 box, spice cake mix
1 can (14 ½ oz) pureed pumpkin
Mix cake mix into the pumpkin. Add to muffin tins and bake at 350 degrees for 18-20 minutes. Makes 12-14 regular size muffins.
Egg Muffins
1 dozen eggs
1 cup of low fat milk
2 cups low fat shredded cheese
*spinach, mushrooms, ham, onions, crumbled bacon
Salt and pepper to taste
Beat eggs, add remaining ingredients. Divide evenly among 12 muffin tins that have been sprayed with non-stick cooking spray. Bake at 350 degrees for 20-25 minutes. Cool well. These can be re-heated in the microwave, for breakfast all week.
Lunch:
Sandwiches can be so much more than bread and meat. Try using a flavored flour tortilla or wrap, or one of the new thin sliced bagels. Kids love dipping…provide cut up veggies, cubed cheese and meat for them to dip into their favorite salad dressing, dip or even hummus. With the right equipment lunch ideas can be endless. Try soups or stews in a thermos. Left-overs or pasta salad in kid-sized containers. Don’t forget about that special treat. Whether it is rice cakes, applesauce or cookies.
Kid-Friendly Pasta Primavera
2 cups small dry pasta – cooked (Ditalini or small fun shapes like bunnies, hearts or A,B, C’s)
10 Cherry tomatoes – halved
¼ cup Frozen peas
¼ cup Frozen corn
½ cup Fresh mozzarella cheese – cut into small pieces
Italian Dressing
Place frozen corn and peas in colander. Dump cooked pasta and water over the frozen veggies to quick thaw. Add tomatoes and cheese. Add dressing to taste.
Grilled Cheese Pizza Sandwich
2 slices sourdough or whole wheat bread
1 tsp olive oil
2 Tbsp tomato sauce
¼ inch slice of mozzarella cheese
2 basil leaves, finely chopped (optional)
Cut bread into a fun shape or leave square. Brush outside of bread with olive oil. Spread pasta sauce on inside slices of bread. Add cheese and basil. Grill in skillet on low heat for 4 minutes, flip and grill an additional 4 minutes. Remove and let cool completely before packing in lunch.
After School Snacks: Having items that are quick and already prepared helps with younger children as well as those that have to take their snack with them to practice etc. For children who come home or older children, easy to prepare snacks gives them a sense of accomplishment and allows them to become familiar in the kitchen.
Mini Strawberry Cheesecakes
3 oz cream cheese, softened
3 Tbsp strawberry jam
Graham crackers
Break graham cracker sheets into squares or rectangles. Mix together the softened cream cheese and the strawberry jam. Spread on graham crackers. Chill for 30 minutes or enjoy right away. Experiment with different flavors of jam.
Yummy Fruit Dip
7 oz jar of marshmallow cream
8 oz softened cream cheese
Tub of whipped topping
Blend together the softened cream cheese and the marshmallow cream. Fold in the whipped topping. This dip is great with all types of fruit, cubed Angel Food cake, vanilla wafers or graham crackers.
Full story
Posted by:
Tarie Beldin, RD, LD
Category:
Tags:
health
Round Rock Medical Center
family
recipes
kids
school
snacks
nutrition
food
Wednesday, August 25, 2010
Say good-bye to sleeping in, lounging by the pool and staying up late…school has started again! While kids are busy catching up with friends and brushing up on their reading, writing and arithmetic – something else is happening – time for healthy, family meals starts to disappear! Between school, after-school activities and both parents working, we eat when and what we can, often on-the-run and away from home.
Study after study shows that there is a correlation between a nutritious diet, test scores and classroom behavior. Why wait until TAKS testing…with a little planning and a well-stocked pantry, you can feed the kids a healthy breakfast, pack a fun, filling lunchbox and still have time for that second cup of coffee before work!
Ready, Set, Breakfast
Mornings are crazy…try to get as much done the night before (lay out clothes, backpacks packed etc.) Also, take advantage of the weekends to make breakfasts ahead for the week. The goal would be to include a serving of whole grain as well as some lean protein. The whole grains provide energy, however because of the fiber they are digested slower. Combine that with some lean protein and this can sustain your energy throughout the morning.
Lunch…To Pack or Not to Pack
If you have a picky eater and worry about whether they will eat anything at all, it may be best to pack your child’s lunch. Again, with the mad-dash to get out the door on time in the morning, planning and preparation are key. Try to include: whole grains, lean protein, a fruit and/or vegetable and low-fat milk or water. To increase the odds that the lunch will be eaten- have your child help plan and pack what they will take. Texas schools have made tremendous strides in improving the nutrition of school meals. Fryers are no longer used, so all items are now baked. Reduced fat cheese and turkey sausage is used in the pizza and foods of minimal nutritional value are not allowed to be sold during meal times. If your child purchases school lunch, take some time to sit down and review the menu and make suggestions on what the healthier choices would be.
Re-fuel With an After-School Snack
Long gone are the days when everyone came home and dinner was served at 5:00 pm! Kids have after-school activities, homework, perhaps an after-school job and parents do not get off work until 5 pm or later. That can mean 6 or more hours between lunch and dinner for most children, making an after-school snack a must! Not all snacks are created equal, if your child participates in after-school sports they need something light and nutritious such as some string cheese, fruit and some whole grain crackers, in addition to being well hydrated. Even if they are just coming home and doing homework, snacks should contribute to the overall nutrition of the diet, not just be full of empty calories and fat. Try having a “snack shelf” in the refrigerator stocked with cut up fruit and veggies, low fat cheese, yogurt and flavored milk. In addition, have a snack basket on the counter or in the pantry full of small bags of pretzels, granola bars and homemade trail mix.
Dinner Rush
Mornings may be crazy, but evenings can be even crazier!!! Trying to coordinate schedules, rides to and from practices and friends’ houses and time for homework and studying can leave little time for a healthy dinner. In fact 50% of people do not know what they will eat for dinner at 6 pm! This leads to drive-thrus and pizza delivery! Try to plan 2-3 dinners and stock your kitchen accordingly. A healthy, family-pleasing dinner can be on the table in 30-40 minutes! Boil some whole grain pasta, top with marinara sauce and serve with a side salad. Pick up a rotisserie chicken, steam some broccoli in the microwave add French bread and some fruit for dessert. Kids love breakfast for dinner. Scramble some eggs, add some beans, low fat cheese and some salsa and wrap in a whole wheat flour tortilla. Again get your family involved in the planning, cooking and clean-up, so that not just one person is responsible!
Kids pattern their eating and activity habits after their parents. Make meal times, family times. Studies show that when you eat together as a family, children are less likely to engage in high-risk behaviors such as: smoking, drinking and drugs. Let’s start the school year off right, with kids that are fit, fueled and ready to learn!
Additional Tips and Recipes:
Breakfast:
Ready-to-eat cereal with fruit and low fat milk, toasted bagel with low-fat cream cheese and all fruit spread, toasted waffle with peanut butter and sliced strawberries, make a breakfast trail-mix with some Cherrios, Cocoa Puffs, nuts and dried cranberries.
Spiced-Up Muffins
1 box, spice cake mix
1 can (14 ½ oz) pureed pumpkin
Mix cake mix into the pumpkin. Add to muffin tins and bake at 350 degrees for 18-20 minutes. Makes 12-14 regular size muffins.
Egg Muffins
1 dozen eggs
1 cup of low fat milk
2 cups low fat shredded cheese
*spinach, mushrooms, ham, onions, crumbled bacon
Salt and pepper to taste
Beat eggs, add remaining ingredients. Divide evenly among 12 muffin tins that have been sprayed with non-stick cooking spray. Bake at 350 degrees for 20-25 minutes. Cool well. These can be re-heated in the microwave, for breakfast all week.
Lunch:
Sandwiches can be so much more than bread and meat. Try using a flavored flour tortilla or wrap, or one of the new thin sliced bagels. Kids love dipping…provide cut up veggies, cubed cheese and meat for them to dip into their favorite salad dressing, dip or even hummus. With the right equipment lunch ideas can be endless. Try soups or stews in a thermos. Left-overs or pasta salad in kid-sized containers. Don’t forget about that special treat. Whether it is rice cakes, applesauce or cookies.
Kid-Friendly Pasta Primavera
2 cups small dry pasta – cooked (Ditalini or small fun shapes like bunnies, hearts or A,B, C’s)
10 Cherry tomatoes – halved
¼ cup Frozen peas
¼ cup Frozen corn
½ cup Fresh mozzarella cheese – cut into small pieces
Italian Dressing
Place frozen corn and peas in colander. Dump cooked pasta and water over the frozen veggies to quick thaw. Add tomatoes and cheese. Add dressing to taste.
Grilled Cheese Pizza Sandwich
2 slices sourdough or whole wheat bread
1 tsp olive oil
2 Tbsp tomato sauce
¼ inch slice of mozzarella cheese
2 basil leaves, finely chopped (optional)
Cut bread into a fun shape or leave square. Brush outside of bread with olive oil. Spread pasta sauce on inside slices of bread. Add cheese and basil. Grill in skillet on low heat for 4 minutes, flip and grill an additional 4 minutes. Remove and let cool completely before packing in lunch.
After School Snacks: Having items that are quick and already prepared helps with younger children as well as those that have to take their snack with them to practice etc. For children who come home or older children, easy to prepare snacks gives them a sense of accomplishment and allows them to become familiar in the kitchen.
Mini Strawberry Cheesecakes
3 oz cream cheese, softened
3 Tbsp strawberry jam
Graham crackers
Break graham cracker sheets into squares or rectangles. Mix together the softened cream cheese and the strawberry jam. Spread on graham crackers. Chill for 30 minutes or enjoy right away. Experiment with different flavors of jam.
Yummy Fruit Dip
7 oz jar of marshmallow cream
8 oz softened cream cheese
Tub of whipped topping
Blend together the softened cream cheese and the marshmallow cream. Fold in the whipped topping. This dip is great with all types of fruit, cubed Angel Food cake, vanilla wafers or graham crackers.
Full story
Posted by:
Enter Here
Category:
Tags:
Fit4Life
Round Rock
food
Tuesday, August 24, 2010
In our previous blog we touched upon the statistics about infertility--- approximately 1 in 6 couples in the U.S. have issues pertaining to infertility. There can be many causes for infertility. The most common causes are listed below:
Advanced age of the female partner- A woman’s age has a profound impact on the chances of achieving a pregnancy. Women are born with a finite number of eggs and the egg number declines with increasing age along with a decrease in egg quality. Chances of pregnancy and live birth beyond age 43 are <1%. Lifestyle factors such as smoking can accelerate the decline in egg quality and quantity.
Anovulation – The lack of regular menstrual cycles is a sign of lack of appropriate ovulation. This is a very common cause of infertility. Many women with irregular cycles have polycystic ovary syndrome (PCOS). Other causes of cycle irregularity can be hormonal issues such as with thyroid or prolactin, diminished ovarian reserve, stress, hypothalamic causes, obesity, certain medications and some other conditions. The good news is that issues with ovulation are often easy to treat with simple medications such as the oral pill clomiphene citrate. If you have irregular cycles it is important to seek evaluation with your doctor.
Polycystic Ovarian Syndrome (PCOS) - This is one of the most common diseases responsible for infertility. There are several hormonal imbalances in this disorder, causing menstrual irregularities and anovulation. In many cases of PCOS, medication can help reverse this imbalance and help a woman achieve ovulation. Also, studies have shown that even an 8-10% reduction in body weight in obese women with PCOS can significantly improve metabolic parameters and response to treatment as well as chances of conception.
Blocked fallopian tubes – Tubal factor is another common cause of infertility. You may be ovulating normally and everything else checks out alright. However, a blockage in one or both of your uterine tubes can prevent sperm from reaching the egg. A blockage can be diagnosed with a hysterosalpingogram, or HSG. If tubal blockage is diagnosed, sometimes surgery can be undertaken to try and correct the anatomical abnormality, but often In-vitro fertilization is the best treatment.
Endometriosis - Endometriosis is the presence and growth of functioning endometrial tissue in places other than the uterus. Women with endometriosis have lower chances of conception per cycle than those without. However the chances of conception are significantly improved with fertility treatments. If you have a known diagnosis of endometriosis and have not conceived successfully after trying on your own (barring other issues) for 6 months, it is reasonable to request your doctor give a referral to see an infertility specialist.
Uterine abnormalities – There can be congenital or acquired abnormalities of the uterus such as a septum or intrauterine adhesions, fibroids, polyps etc which can hinder fertility or cause a miscarriage. These can be often diagnosed via an pelvic sonogram or hysterosalpingogram (HSG). Most infertility specialists will assess you for uterine abnormalities at the initial consultation and order testing as appropriate.
Male factor - About 30-40% of the time when a couple has infertility it is due to abnormalities with partner’s sperm. A semen analysis is a basic part of infertility evaluation and if abnormal treatment options can range form intrauterine insemination to in-vitro fertilization with intracytoplasmic sperm injection to donor sperm.
Unexplained infertility – Approximately 10% of couples have unexplained infertility where all the testing is negative. However the good news is that many couples are amenable to treatment and can achieve a successful pregnancy with some help.
The recommendations to seek care currently are that if a woman is under age 35 and has been trying for one year without success then it is best to seek an evaluation. In women over age 35, best to seek evaluation after 6 months of trying. Of course, if there are concerns prior to that time, it is always okay to see your obgyn or reproductive endocrinologist.
Rinku Mehta, M.D.
St. David's Women's Center of Texas
Full story
Posted by:
Category:
Tags:
infertility
pregnancy
texas
Tuesday, August 24, 2010
In our previous blog we touched upon the statistics about infertility--- approximately 1 in 6 couples in the U.S. have issues pertaining to infertility. There can be many causes for infertility. The most common causes are listed below:
Advanced age of the female partner- A woman’s age has a profound impact on the chances of achieving a pregnancy. Women are born with a finite number of eggs and the egg number declines with increasing age along with a decrease in egg quality. Chances of pregnancy and live birth beyond age 43 are <1%. Lifestyle factors such as smoking can accelerate the decline in egg quality and quantity.
Anovulation – The lack of regular menstrual cycles is a sign of lack of appropriate ovulation. This is a very common cause of infertility. Many women with irregular cycles have polycystic ovary syndrome (PCOS). Other causes of cycle irregularity can be hormonal issues such as with thyroid or prolactin, diminished ovarian reserve, stress, hypothalamic causes, obesity, certain medications and some other conditions. The good news is that issues with ovulation are often easy to treat with simple medications such as the oral pill clomiphene citrate. If you have irregular cycles it is important to seek evaluation with your doctor.
Polycystic Ovarian Syndrome (PCOS) - This is one of the most common diseases responsible for infertility. There are several hormonal imbalances in this disorder, causing menstrual irregularities and anovulation. In many cases of PCOS, medication can help reverse this imbalance and help a woman achieve ovulation. Also, studies have shown that even an 8-10% reduction in body weight in obese women with PCOS can significantly improve metabolic parameters and response to treatment as well as chances of conception.
Blocked fallopian tubes – Tubal factor is another common cause of infertility. You may be ovulating normally and everything else checks out alright. However, a blockage in one or both of your uterine tubes can prevent sperm from reaching the egg. A blockage can be diagnosed with a hysterosalpingogram, or HSG. If tubal blockage is diagnosed, sometimes surgery can be undertaken to try and correct the anatomical abnormality, but often In-vitro fertilization is the best treatment.
Endometriosis - Endometriosis is the presence and growth of functioning endometrial tissue in places other than the uterus. Women with endometriosis have lower chances of conception per cycle than those without. However the chances of conception are significantly improved with fertility treatments. If you have a known diagnosis of endometriosis and have not conceived successfully after trying on your own (barring other issues) for 6 months, it is reasonable to request your doctor give a referral to see an infertility specialist.
Uterine abnormalities – There can be congenital or acquired abnormalities of the uterus such as a septum or intrauterine adhesions, fibroids, polyps etc which can hinder fertility or cause a miscarriage. These can be often diagnosed via an pelvic sonogram or hysterosalpingogram (HSG). Most infertility specialists will assess you for uterine abnormalities at the initial consultation and order testing as appropriate.
Male factor - About 30-40% of the time when a couple has infertility it is due to abnormalities with partner’s sperm. A semen analysis is a basic part of infertility evaluation and if abnormal treatment options can range form intrauterine insemination to in-vitro fertilization with intracytoplasmic sperm injection to donor sperm.
Unexplained infertility – Approximately 10% of couples have unexplained infertility where all the testing is negative. However the good news is that many couples are amenable to treatment and can achieve a successful pregnancy with some help.
The recommendations to seek care currently are that if a woman is under age 35 and has been trying for one year without success then it is best to seek an evaluation. In women over age 35, best to seek evaluation after 6 months of trying. Of course, if there are concerns prior to that time, it is always okay to see your obgyn or reproductive endocrinologist.
Rinku Mehta, M.D.
St. David's Women's Center of Texas
Full story
Posted by:
Enter Here
Category:
Tags:
North Austin
Breast Care/Women
infertility
Maternity/Newborn
Wednesday, August 18, 2010
Dr. Michael Burris, an orthopedic surgeon at St. David's North Austin Medical Center, stopped by Good Day to talk about preventing sports-related injuries.
Full story
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Category:
Tags:
orthopedics
sports
ortho
NAMC
orthopedi
Wednesday, August 18, 2010
Dr. Michael Burris, an orthopedic surgeon at St. David's North Austin Medical Center, stopped by Good Day to talk about preventing sports-related injuries.
Full story
Posted by:
Enter Here
Category:
Tags:
North Austin
Thursday, August 05, 2010
Dr. Manish Chauhan is a cardiologist at St. David's North Austin Medical Center and is taking part in a study to patch small holes in hearts in order to fix migraine headaches. The procedure is called Patent Foramen Ovale and utilizes a catheter to guide a small sheath of fabric to cover both sides of the hole.
(photo: Ralph Barrera AMERICAN-STATESMAN)
Full story
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Category:
Thursday, August 05, 2010
Dr. Manish Chauhan is a cardiologist at St. David's North Austin Medical Center and is taking part in a study to patch small holes in hearts in order to fix migraine headaches. The procedure is called Patent Foramen Ovale and utilizes a catheter to guide a small sheath of fabric to cover both sides of the hole.
(photo: Ralph Barrera AMERICAN-STATESMAN)
Full story
Posted by:
Enter Here
Category:
Tags:
North Austin
Heart & Vascular
Wednesday, August 04, 2010
The Profession of Nursing is built on a platform of trust and advocacy for every patient. Nurses are at the core of every decision made for a patient. They are excellent evaluators and communicators of data. They are critical thinkers who use compounded data to evaluate and coordinate plans of care.
Nursing is a profession that has evolved over hundreds of years into its current existence. It has survived some of the most challenging and darkest times in our history. Nurses are survivors and leaders during turbulent changing times. They are the professional that we trust and want near us when healthcare needs arise. They are leaders.
It is proven that the care provided by a nurse to a patient is one of the most highly correlated indicators of satisfaction in the entire patient’s stay. This is no accident. This is because it is the nurse who is responsible for assuring the patient and their family is cared for twenty for hours a day and in just about every inpatient and outpatient setting there is.
Nurses have become extremely adaptable and creative professionals. They have also increased their areas of responsibility by multiple folds. While the patient receives care from numerous colleagues, it is the nurse who must be assured that care is fully coordinated and the patient is safe and as comfortable as possible.
For all the reasons mentioned and a hundred more, it is the nurse who must display a sense of accountability to each and every patient. Being accountable is the method by which a nurse fulfills that level of trust with a patient. Sustaining that level of accountability, removing any variability builds that trust level even further.
The St. David’s Healthcare Partnership embraces a mission statement, values, goals, and behavioral standards that are expectations of everyone. Tirelessly, our team works to assure every patient receives the best care possible every day to every patient with a spirit of warmth friendliness and personal pride.
This partnership has the finest nurses, second to none. Sustained and unwavering accountability, connection to purpose, and the sense of professional accomplishment drive this team of dynamic professionals. Being a nurse means being accountable, it always has.
Sally A. Gillam RN, BSN, MAHS
Chief Nursing Officer
St. David’s South Austin Medical Center
Full story
Posted by:
Category:
Tags:
mission
nursing
careers
culture
profession
texas
Wednesday, August 04, 2010
The Profession of Nursing is built on a platform of trust and advocacy for every patient. Nurses are at the core of every decision made for a patient. They are excellent evaluators and communicators of data. They are critical thinkers who use compounded data to evaluate and coordinate plans of care.
Nursing is a profession that has evolved over hundreds of years into its current existence. It has survived some of the most challenging and darkest times in our history. Nurses are survivors and leaders during turbulent changing times. They are the professional that we trust and want near us when healthcare needs arise. They are leaders.
It is proven that the care provided by a nurse to a patient is one of the most highly correlated indicators of satisfaction in the entire patient’s stay. This is no accident. This is because it is the nurse who is responsible for assuring the patient and their family is cared for twenty for hours a day and in just about every inpatient and outpatient setting there is.
Nurses have become extremely adaptable and creative professionals. They have also increased their areas of responsibility by multiple folds. While the patient receives care from numerous colleagues, it is the nurse who must be assured that care is fully coordinated and the patient is safe and as comfortable as possible.
For all the reasons mentioned and a hundred more, it is the nurse who must display a sense of accountability to each and every patient. Being accountable is the method by which a nurse fulfills that level of trust with a patient. Sustaining that level of accountability, removing any variability builds that trust level even further.
The St. David’s Healthcare Partnership embraces a mission statement, values, goals, and behavioral standards that are expectations of everyone. Tirelessly, our team works to assure every patient receives the best care possible every day to every patient with a spirit of warmth friendliness and personal pride.
This partnership has the finest nurses, second to none. Sustained and unwavering accountability, connection to purpose, and the sense of professional accomplishment drive this team of dynamic professionals. Being a nurse means being accountable, it always has.
Sally A. Gillam RN, BSN, MAHS
Chief Nursing Officer
St. David’s South Austin Medical Center
Full story
Posted by:
Enter Here
Category:
Tags:
nursing
South Austin
SAMC
Tuesday, August 03, 2010
Infertility is a very common condition estimated to affect approximately 1 in 6 couples. This may even be an underestimate since many couples never end up seeking care. As patient awareness and education increases, the number of couples seeking care and achieving their goal of family building will increase. Presently the CDC estimates that ART (Assisted Reproductive Technologies) accounts for slightly more than 1% of total U.S. births. There were 142,435 ART cycles reported in 2007 and 57,569 infants born as a result of ART cycles in 2007. These numbers only reflect those births where the babies were conceived via in-vitro fertilization procedures. There are many couples who can conceive with simpler and less expensive treatment than in-vitro fertilization. They key is to seek care early so that appropriate interventions and treatment can be done in a timely fashion. This is important not only because advancing age of the female partner can have a significant impact on the chances of success, but also the emotional toll can keep couples from getting the care they need.
Generally speaking, it is recommended that if the female partner is under age 35 and the couple has been trying at least for a year without success then they should consider undergoing an evaluation to identify any factors that can contribute to infertility. If the female partner is over age 35, then it is best to seek an evaluation after 6 months of trying without success. This is of course true assuming that there are no known causes of infertility present such as blocked tubes or lack of ovulation or poor sperm etc. If there is a known cause then evaluation should be sought ASAP.
When a couple decides they want to start the process of getting evaluated for infertility they could either go to their obgyn, PCP or come directly to a reproductive endocrinology and infertility specialist. Simple treatment and be initiated with the obgyn however studies have shown that time to pregnancy is the shortest with a specialist. Typically once pregnant, the patient is followed by the reproductive endocrinologist until about 8-10 weeks gestation and then referred back to their obgyn for continued obstetric care.
The take home message here would be that it is important to seek care in a timely fashion. There are many causes of infertility that are amenable to simple treatment options and chances of successful conception are high for many couples. Obtaining the appropriate information is extremely important for patients to make well informed decisions on how they want to proceed to build their family.
Rinku Mehta, M.D.
Full story
Posted by:
Category:
Tags:
infertility
pregnancy
family planning
obgyn
Tuesday, August 03, 2010
Infertility is a very common condition estimated to affect approximately 1 in 6 couples. This may even be an underestimate since many couples never end up seeking care. As patient awareness and education increases, the number of couples seeking care and achieving their goal of family building will increase. Presently the CDC estimates that ART (Assisted Reproductive Technologies) accounts for slightly more than 1% of total U.S. births. There were 142,435 ART cycles reported in 2007 and 57,569 infants born as a result of ART cycles in 2007. These numbers only reflect those births where the babies were conceived via in-vitro fertilization procedures. There are many couples who can conceive with simpler and less expensive treatment than in-vitro fertilization. They key is to seek care early so that appropriate interventions and treatment can be done in a timely fashion. This is important not only because advancing age of the female partner can have a significant impact on the chances of success, but also the emotional toll can keep couples from getting the care they need.
Generally speaking, it is recommended that if the female partner is under age 35 and the couple has been trying at least for a year without success then they should consider undergoing an evaluation to identify any factors that can contribute to infertility. If the female partner is over age 35, then it is best to seek an evaluation after 6 months of trying without success. This is of course true assuming that there are no known causes of infertility present such as blocked tubes or lack of ovulation or poor sperm etc. If there is a known cause then evaluation should be sought ASAP.
When a couple decides they want to start the process of getting evaluated for infertility they could either go to their obgyn, PCP or come directly to a reproductive endocrinology and infertility specialist. Simple treatment and be initiated with the obgyn however studies have shown that time to pregnancy is the shortest with a specialist. Typically once pregnant, the patient is followed by the reproductive endocrinologist until about 8-10 weeks gestation and then referred back to their obgyn for continued obstetric care.
The take home message here would be that it is important to seek care in a timely fashion. There are many causes of infertility that are amenable to simple treatment options and chances of successful conception are high for many couples. Obtaining the appropriate information is extremely important for patients to make well informed decisions on how they want to proceed to build their family.
Rinku Mehta, M.D.
Full story
Posted by:
Enter Here
Category:
Tags:
North Austin
Breast Care/Women
infertility
Maternity/Newborn
Wednesday, June 23, 2010
Written by: Tarie Beldin, RD, LD - Fit 4 Life Program at St. David's Round Rock Medical Center
Every 5 years American's are "treated" to updated information on what a healthy diet should look like in the eyes of of the Dietary Guidelines Advisory Council! The 2010 Dietary Guidelines just released last week will replace the old guidelines published in 2005. So, how are we doing and what could we be doing to improve our diets and ultimately our health?
As I am sure you have heard by now, the American diet could use some improvements to help prevent obesity and diet related diseases such as heart disease, diabetes and cancer. Although many people are trying to eat healthier, on average Americans in all age groups consume too few fruits and vegetables, whole grains, low-fat dairy products and fish and are eating too much added sugar, refined grains, sodium and solid fats.
The term "couch potato" was created to refer to people who had sedentary habits that led to weight gain. The latest and greatest new term warns "SoFA's" contribute to about 35% of the total calories for American adults, teens and children. SoFA - stands for "Solid Fats and Added Sugars". Solid fats are in butter, cheese, stick margarine, fats in meats and hydrogenated vegetable fats. Added sugars, well are in many foods from cereals, breads, juices and the big one....soda! By reducing the intake of "SoFA's" Americans could have more room in their diets for more nutrient dense, lower calorie foods which could lead to a dramatic reduction in enery intake - combine that with an increase in physical activity and the mystery of weight loss has been revealed!
The Dietary Guidelines Advisory Committee recommends shifting food patterns to a more plant based diet that emphasizes vegetables, beans, fruits, whole grains, nuts and seeds. Add more fish and this now becomes the much touted Mediterranean diet, which has been beneficial for heart health and waistlines.
Other recommendations include:
- Increasing seafood and low or fat free dairy products and consume only moderate amounts of lean meats, poultry and eggs. I know we live in beef country, don't worry, there are ~29 different cuts of beef that qualify as lean.
- Significantly reduce the intake of foods containing added sugars and solid fats and chose more nutrient dense foods. This doesn't mean you can't have a soft drink or fried chicken, but do so less often and in smaller portions.
- Shake the salt habit. Although it may take 8-12 weeks to retrain your taste buds, it can be done. Emphasize flavors from herbs/spices, garlic, mustards, vinegars and salsas to season your foods.
- Decrease your intake of refined grains...especially those that also incorportate added sugars, solid fats and sodium!
The main thing to keep in mind is the dietitian's favorite word - "Moderation"! All foods can fit into a healthy diet. Eat a variety of foods that include plenty of produce and lean protein and don't forget to incorporate other important healthy behaviors like drinking water, exercise, stress management and getting regular check-ups.
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Wednesday, June 23, 2010
Written by: Tarie Beldin, RD, LD - Fit 4 Life Program at St. David's Round Rock Medical Center
Every 5 years American's are "treated" to updated information on what a healthy diet should look like in the eyes of of the Dietary Guidelines Advisory Council! The 2010 Dietary Guidelines just released last week will replace the old guidelines published in 2005. So, how are we doing and what could we be doing to improve our diets and ultimately our health?
As I am sure you have heard by now, the American diet could use some improvements to help prevent obesity and diet related diseases such as heart disease, diabetes and cancer. Although many people are trying to eat healthier, on average Americans in all age groups consume too few fruits and vegetables, whole grains, low-fat dairy products and fish and are eating too much added sugar, refined grains, sodium and solid fats.
The term "couch potato" was created to refer to people who had sedentary habits that led to weight gain. The latest and greatest new term warns "SoFA's" contribute to about 35% of the total calories for American adults, teens and children. SoFA - stands for "Solid Fats and Added Sugars". Solid fats are in butter, cheese, stick margarine, fats in meats and hydrogenated vegetable fats. Added sugars, well are in many foods from cereals, breads, juices and the big one....soda! By reducing the intake of "SoFA's" Americans could have more room in their diets for more nutrient dense, lower calorie foods which could lead to a dramatic reduction in enery intake - combine that with an increase in physical activity and the mystery of weight loss has been revealed!
The Dietary Guidelines Advisory Committee recommends shifting food patterns to a more plant based diet that emphasizes vegetables, beans, fruits, whole grains, nuts and seeds. Add more fish and this now becomes the much touted Mediterranean diet, which has been beneficial for heart health and waistlines.
Other recommendations include:
- Increasing seafood and low or fat free dairy products and consume only moderate amounts of lean meats, poultry and eggs. I know we live in beef country, don't worry, there are ~29 different cuts of beef that qualify as lean.
- Significantly reduce the intake of foods containing added sugars and solid fats and chose more nutrient dense foods. This doesn't mean you can't have a soft drink or fried chicken, but do so less often and in smaller portions.
- Shake the salt habit. Although it may take 8-12 weeks to retrain your taste buds, it can be done. Emphasize flavors from herbs/spices, garlic, mustards, vinegars and salsas to season your foods.
- Decrease your intake of refined grains...especially those that also incorportate added sugars, solid fats and sodium!
The main thing to keep in mind is the dietitian's favorite word - "Moderation"! All foods can fit into a healthy diet. Eat a variety of foods that include plenty of produce and lean protein and don't forget to incorporate other important healthy behaviors like drinking water, exercise, stress management and getting regular check-ups.
Full story
Posted by:
Tarie Beldin, RD, LD
Category:
Tags:
trends, fats, sugars, dietary guidelines
Monday, June 14, 2010
For those of you who weren’t able to make it to the Infertility seminar on Thursday, please take a look at Dr. Kavoussi’s presentation below and learn more about Infertility: Underlying Factors and Treatment Options.
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Monday, June 14, 2010
For those of you who weren’t able to make it to the Infertility seminar on Thursday, please take a look at Dr. Kavoussi’s presentation below and learn more about Infertility: Underlying Factors and Treatment Options.
Full story
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South Austin
maternity
women
infertility
SAMC
Wednesday, June 09, 2010
With today marking the kickoff of National Headache Awareness Week and continuing through June 13th, we wanted to provide you with a list of tips for headache sufferers from The National Headache Foundation. The Seven Healthy Habits of Headache Sufferers was created to help those suffering from frequent headaches and/or migraines.
The following tips can be easily incorporated in sufferers’ lives:
Diet: Eat regular meals, avoiding foods and drinks that are known to trigger attacks. Not all headache sufferers experience food triggers; however, it is possible that a migraine can occur up to 48 hours after eating a trigger food so it is important to pay attention to what you eat.
Sleep: Maintain a regular sleeping schedule, including weekends and vacations.
Stress: Implement stress reduction techniques into your daily life. Even though there is some controversy about whether stress alone is a migraine trigger, stress is a factor in tension-type headaches, which can trigger Migraines, and stress does make migraine sufferers more susceptible to their triggers.
Headache and Migraine diary: Keep a headache and Migraine diary of when your attacks occur, along with any triggers, and share the information with your healthcare provider.
See your healthcare provider: Make an appointment with your healthcare provider to specifically discuss your headaches and / or Migraines.
Be a partner in your health care: Be informed, be a participant in your treatment and be an advocate for your care.
Education: Stay appraised of the latest headache and Migraine news and treatment.
Did you know there are 8 different types of headaches? Rebound, Sinus, Organic, Tension-Type, Migraine, Cluster, and Hormone Headaches comprise the 8 different types.
It’s important to understand what type of headache you are experiencing in order to alleviate your pain efficiently. The find out more information on the different types of headaches please visit the National Headache Foundation at http://www.headaches.org.
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Wednesday, June 09, 2010
With today marking the kickoff of National Headache Awareness Week and continuing through June 13th, we wanted to provide you with a list of tips for headache sufferers from The National Headache Foundation. The Seven Healthy Habits of Headache Sufferers was created to help those suffering from frequent headaches and/or migraines.
The following tips can be easily incorporated in sufferers’ lives:
Diet: Eat regular meals, avoiding foods and drinks that are known to trigger attacks. Not all headache sufferers experience food triggers; however, it is possible that a migraine can occur up to 48 hours after eating a trigger food so it is important to pay attention to what you eat.
Sleep: Maintain a regular sleeping schedule, including weekends and vacations.
Stress: Implement stress reduction techniques into your daily life. Even though there is some controversy about whether stress alone is a migraine trigger, stress is a factor in tension-type headaches, which can trigger Migraines, and stress does make migraine sufferers more susceptible to their triggers.
Headache and Migraine diary: Keep a headache and Migraine diary of when your attacks occur, along with any triggers, and share the information with your healthcare provider.
See your healthcare provider: Make an appointment with your healthcare provider to specifically discuss your headaches and / or Migraines.
Be a partner in your health care: Be informed, be a participant in your treatment and be an advocate for your care.
Education: Stay appraised of the latest headache and Migraine news and treatment.
Did you know there are 8 different types of headaches? Rebound, Sinus, Organic, Tension-Type, Migraine, Cluster, and Hormone Headaches comprise the 8 different types.
It’s important to understand what type of headache you are experiencing in order to alleviate your pain efficiently. The find out more information on the different types of headaches please visit the National Headache Foundation at http://www.headaches.org.
Full story
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South Austin
sleep
headache
diet
stress
SAMC
Tuesday, June 01, 2010
As Sun Safety Week begins today and continues through June 7th, it is important to acknowledge the consequences associated with extensive sun exposure and remember a few safety tips to help protect yourself and those you love. The
American Cancer Society has found that more than one million cases of skin cancer are reported each year and the
Journal of American Medical Association reports that one in five will develop skin cancer in his or her lifetime.
We have listed a few sun safety tips, from the Sun Safety Alliance, to help reduce your likelihood of developing skin cancer or other related complications.
- Generously apply sunscreen with SPF of at least 15 which provides broad-spectrum protections from both UVA and UVB rays. Re- apply at least every two hours and after swimming or sweating.
- Wear protective clothing such as long-sleeved shirts, pants, a wide brimmed hat and sunglasses with UV protection
- Seek shade when appropriate, remembering that the sun’s rays are strongest between 10am and 4pm
- Avoid tanning beds. UV light from tanning beds can lead to skin cancer and wrinkling. Consider using a sunless self-tanning product instead.
- Use extra caution near water, snow and sand as they reflect the UV rays, increasing your chance of sunburn
- Drink plenty of water
- Remember to practice sun safety every day, all year long!
- A: Asymmetrical shape – One half is unlike the other half
- B: Border irregularity – Border is notched or scalloped
- C: Color change – Skin is varied from one color to another
- D: Diameter – Diameter of mole or skin lesion exceeds 1/4 inch
- E: Evolving/ Elevation – Mole or skin lesion changes in size, color or shape as time passes or a pigmented lesion that goes from being flat to being elevated
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Tuesday, June 01, 2010
As Sun Safety Week begins today and continues through June 7th, it is important to acknowledge the consequences associated with extensive sun exposure and remember a few safety tips to help protect yourself and those you love. The
American Cancer Society has found that more than one million cases of skin cancer are reported each year and the
Journal of American Medical Association reports that one in five will develop skin cancer in his or her lifetime.
We have listed a few sun safety tips, from the Sun Safety Alliance, to help reduce your likelihood of developing skin cancer or other related complications.
- Generously apply sunscreen with SPF of at least 15 which provides broad-spectrum protections from both UVA and UVB rays. Re- apply at least every two hours and after swimming or sweating.
- Wear protective clothing such as long-sleeved shirts, pants, a wide brimmed hat and sunglasses with UV protection
- Seek shade when appropriate, remembering that the sun’s rays are strongest between 10am and 4pm
- Avoid tanning beds. UV light from tanning beds can lead to skin cancer and wrinkling. Consider using a sunless self-tanning product instead.
- Use extra caution near water, snow and sand as they reflect the UV rays, increasing your chance of sunburn
- Drink plenty of water
- Remember to practice sun safety every day, all year long!
- A: Asymmetrical shape – One half is unlike the other half
- B: Border irregularity – Border is notched or scalloped
- C: Color change – Skin is varied from one color to another
- D: Diameter – Diameter of mole or skin lesion exceeds 1/4 inch
- E: Evolving/ Elevation – Mole or skin lesion changes in size, color or shape as time passes or a pigmented lesion that goes from being flat to being elevated
Full story
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cancer
tanning
South Austin
su
sun
American Cancer Society
Sun Safety Alliance
dermatologist
SAMC
Wednesday, May 26, 2010
Now more than ever there is a tremendous focus on health. Having a healthy diet can prevent not only obesity but also reduce the risk for many diseases such as: high blood pressure, cardiovascular disease and certain cancers. Changing your diet to include more fruits and vegetables, lean protein, whole grains and low fat dairy can be challenging. Add to the mix “organic” products, which have been growing at a steady pace of 20% annually and this can create confusion and decision overload for consumers.
What are organic foods? Organic food is produced by farmers who emphasize the use of renewable resources and the conservation of soil and water to enhance environmental quality for future generations. Organic meat, poultry and dairy products come from animals that are given no antibiotics or growth hormones. Organic produce is grown without using conventional pesticides or fertilizers made with synthetic materials, sewage sludge or ionizing radiation.
Are organic foods healthier for me and my family? There is an ongoing debate on whether organic foods are more nutritious than conventionally produced foods. From studies that have been done, there is not a statistically significant difference in the nutrient quality of organic vs. traditional foods. Organic foods tend to be more expensive due in part to their smaller production scale and higher labor costs. Whether you are single or feeding a family of 4, it may come down to a financial decision rather than a nutrition one if organic products are right for you.
Some conventionally grown fruits and vegetables have been shown to contain high levels of pesticides even after being washed. Below is a list of the 10 fruits and vegetables that contain the highest levels of pesticides – ones you may consider purchasing organic, should you decide.
§ Peaches and Nectarines § Apples § Bell Peppers § Celery § Strawberries § Cherries § Lettuce and Spinach § Imported Grapes § Pears § Potatoes Not all foods need to be purchased organic. There is no difference in safety or nutrient value in packaged or processed foods such as chips, pasta, cereal, oil and canned foods between organic and non-organic versions.
Labeling of organic products. In order to assure consumers that what they are buying is indeed organic the USDA’s National Organic Program was established in October of 2002. Farms etc. are inspected and are required to meet organic production and handling guidelines in order to be certified “USDA Organic.” Look for the USDA Organic seal shown below on products that are at least 95% organic to make sure you are getting a truly organic product.
Full story
Posted by:
Tarie Beldin, RD, LD
Category:
Tags:
wellness
health
Round Rock Medical Center
diet
fit 4 life
organic
Round Rock
nutrition
food
Wednesday, May 26, 2010
Now more than ever there is a tremendous focus on health. Having a healthy diet can prevent not only obesity but also reduce the risk for many diseases such as: high blood pressure, cardiovascular disease and certain cancers. Changing your diet to include more fruits and vegetables, lean protein, whole grains and low fat dairy can be challenging. Add to the mix “organic” products, which have been growing at a steady pace of 20% annually and this can create confusion and decision overload for consumers.
What are organic foods? Organic food is produced by farmers who emphasize the use of renewable resources and the conservation of soil and water to enhance environmental quality for future generations. Organic meat, poultry and dairy products come from animals that are given no antibiotics or growth hormones. Organic produce is grown without using conventional pesticides or fertilizers made with synthetic materials, sewage sludge or ionizing radiation.
Are organic foods healthier for me and my family? There is an ongoing debate on whether organic foods are more nutritious than conventionally produced foods. From studies that have been done, there is not a statistically significant difference in the nutrient quality of organic vs. traditional foods. Organic foods tend to be more expensive due in part to their smaller production scale and higher labor costs. Whether you are single or feeding a family of 4, it may come down to a financial decision rather than a nutrition one if organic products are right for you.
Some conventionally grown fruits and vegetables have been shown to contain high levels of pesticides even after being washed. Below is a list of the 10 fruits and vegetables that contain the highest levels of pesticides – ones you may consider purchasing organic, should you decide.
- Peaches and Nectarines
- Apples
- Bell Peppers
- Celery
- Strawberries
- Cherries
- Lettuce and Spinach
- Imported Grapes
- Pears
- Potatoes
Not all foods need to be purchased organic. There is no difference in safety or nutrient value in packaged or processed foods such as chips, pasta, cereal, oil and canned foods between organic and non-organic versions.
Labeling of organic products. In order to assure consumers that what they are buying is indeed organic the USDA’s National Organic Program was established in October of 2002. Farms etc. are inspected and are required to meet organic production and handling guidelines in order to be certified “USDA Organic.” Look for the USDA Organic seal shown below on products that are at least 95% organic to make sure you are getting a truly organic product.
Full story
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Fit4Life
Round Rock
food
Wednesday, May 19, 2010
Do you suffer from numbness and tingling in the arm and hand?
Do you have pain and tenderness in your wrist and small finger?
Do you notice diminished grip and pinch strength?
Bicyclists can frequently develop this neuropathy that affects the ulnar nerve in the forearm and hand. During cycling the nerve tends to become inflamed at the elbow or wrist when the arm absorbs vibration and shock transmitted via the handlebars. Additionally, it can flare up when the hand and arm are maintained in a fixed position for a long time.
CAUSES
Evidence suggests that improper adjustment of the bicycle to the size and anatomical characteristics of the rider can cause the neuropathy. It is more likely to occur if the handlebars are too low relative to the height of the saddle or if the front of the saddle is pointed downward, thrusting the body weight forward on the hands. If the frame of the bicycle is too large for the rider, necessitating a reach to the handlebars, the risk of handlebar palsy increases significantly.
PREVENTION
- Frequently change hand positions from the dropped position to the brake hoods to the “top position”.
- Wear padded gloves or use padding to increase the handlebar width. Gloves decrease rider stiffness and fatigue while absorbing heat, impact and vibration.
- Correct bicycle fit. Bicycles must fit the rider’s dimensions. Have your bicycle fit with a reputable bicycle dealer.
The early stage symptoms may be limited to tingling while riding with drop handlebars. This disappears if the hands are moved to another position. In severe cases the nerve may become compressed due to swelling of surrounding muscles. The ability of the nerve to transmit messages to the muscles in the forearm/hand may be significantly reduced. If you have persistent symptoms or are unable to spread your fingers apart, see your doctor.
Mary Crompton, OTR/L, CHT
Certified Hand Therapist
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St. David's South Austin Medical Center
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Therapy
Wednesday, May 19, 2010
Do you suffer from numbness and tingling in the arm and hand?
Do you have pain and tenderness in your wrist and small finger?
Do you notice diminished grip and pinch strength?
Bicyclists can frequently develop this neuropathy that affects the ulnar nerve in the forearm and hand. During cycling the nerve tends to become inflamed at the elbow or wrist when the arm absorbs vibration and shock transmitted via the handlebars. Additionally, it can flare up when the hand and arm are maintained in a fixed position for a long time.
CAUSES
Evidence suggests that improper adjustment of the bicycle to the size and anatomical characteristics of the rider can cause the neuropathy. It is more likely to occur if the handlebars are too low relative to the height of the saddle or if the front of the saddle is pointed downward, thrusting the body weight forward on the hands. If the frame of the bicycle is too large for the rider, necessitating a reach to the handlebars, the risk of handlebar palsy increases significantly.
PREVENTION
- Frequently change hand positions from the dropped position to the brake hoods to the “top position”.
- Wear padded gloves or use padding to increase the handlebar width. Gloves decrease rider stiffness and fatigue while absorbing heat, impact and vibration.
- Correct bicycle fit. Bicycles must fit the rider’s dimensions. Have your bicycle fit with a reputable bicycle dealer.
The early stage symptoms may be limited to tingling while riding with drop handlebars. This disappears if the hands are moved to another position. In severe cases the nerve may become compressed due to swelling of surrounding muscles. The ability of the nerve to transmit messages to the muscles in the forearm/hand may be significantly reduced. If you have persistent symptoms or are unable to spread your fingers apart, see your doctor.
Mary Crompton, OTR/L, CHT
Certified Hand Therapist
Full story
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South Austin
Cyclists
Handlebar Palsy
SAMC
Wednesday, May 19, 2010
I was first introduced to the idea of Nordic Walking at a conference I attended several years ago. I recognized that using walking poles enabled patients to walk in a more upright, less stooped and more biomechanically correct posture. For many of our physical therapy patients this is a very good thing!
The improved walking posture combined with the unique 4-wheel-drive type action of walking with poles radically reduces the stress to the feet, ankles, knees, hips and back by transferring impact forces from the lower extremities to the upper extremities. In doing so, it not only provides a workout for the upper body, it also creates a low impact, highly effective workout – burning more calories and working more muscle groups than regular walking!
Using walking poles can help individuals with balance issues walk more comfortably. Patients with Multiple Sclerosis (MS), Parkinson’s Disease (PD), peripheral neuropathy, lumbar pain or following procedures such as
total hip and total knee replacements can also benefit. As patients progress from partial to full weight bearing, they find using the poles is more stable than using a cane or walker.
Walking poles can help many patients increase their confidence with walking, enabling them to get outside, start walking safely and effectively launch much needed walking campaigns. As a result, they can be used as an adjunct to physical therapy for many patients enabling independence, increased endurance, improved balance, function and activity tolerance.
Nordic Walking poles need to be selected and measured correctly according to height. For more information call our Buda Clinic at 512 295-6272.
David Turner, PT, OCS
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St David's South Austin Medical Center
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SAMC
Wednesday, May 19, 2010
I was first introduced to the idea of Nordic Walking at a conference I attended several years ago. I recognized that using walking poles enabled patients to walk in a more upright, less stooped and more biomechanically correct posture. For many of our physical therapy patients this is a very good thing!
The improved walking posture combined with the unique 4-wheel-drive type action of walking with poles radically reduces the stress to the feet, ankles, knees, hips and back by transferring impact forces from the lower extremities to the upper extremities. In doing so, it not only provides a workout for the upper body, it also creates a low impact, highly effective workout – burning more calories and working more muscle groups than regular walking!
Using walking poles can help individuals with balance issues walk more comfortably. Patients with Multiple Sclerosis (MS), Parkinson’s Disease (PD), peripheral neuropathy, lumbar pain or following procedures such as
total hip and total knee replacements can also benefit. As patients progress from partial to full weight bearing, they find using the poles is more stable than using a cane or walker.
Walking poles can help many patients increase their confidence with walking, enabling them to get outside, start walking safely and effectively launch much needed walking campaigns. As a result, they can be used as an adjunct to physical therapy for many patients enabling independence, increased endurance, improved balance, function and activity tolerance.
Nordic Walking poles need to be selected and measured correctly according to height. For more information call our Buda Clinic at 512 295-6272.
David Turner, PT, OCS
Full story
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SAMC
Wednesday, May 12, 2010
Summer Food Safety Guidelines
Summer parties can take on many forms, such as community picnics, outdoor pot-lucks with friends and neighbors, or tailgate parties. There is also one sure thing at every picnic – lots of good food. The important point is to have safe and healthy food, not food that can cause food borne illness, especially during warm summer months when the weather can quickly lead to spoiled food. Each year there are over 76 million cases of food borne illness...67% of these are due to improper food handling.
There are 4 things to remeber when planning a party outdoors:
-
Clean
-
Separate
-
Cook
-
Chill
- As always, wash hands and work areas before preparing food.
- Plan your menu with an eye to safe food handling. Cook foods in plenty of time to thoroughly chill them in shallow containers in the refrigerator before packing.
- Have enough coolers with ice or frozen gel packs in which to store perishable foods like meat, poultry, fish, eggs and salads. You want to keep the food at 40 degrees F. Fill cracks and crevices with ice packs or frozen bottles of water. You can further insulate warm foods by placing your cloth napkins, a kitchen towel or other linens in the cooler along with the food.
- Pack foods right from the refrigerator into the coolers. Your cooler should be used to keep foods at a steady temperature – not to cool them down. If you place warm food in a cooler with ice, the ice is going to melt before the food can chill.
- Pack raw meats, poultry or seafood on the bottom of the cooler. This will reduce the risk of them dripping on other foods.
- Arrange food in the cooler so that the items you’ll be eating first are on top. That way, you won’t have to dig through the contents and take some things out to find what you need.
- Pack coolers until they are full. A full cooler will stay cold longer than one that is partially full.
- Don't put the cooler in the car trunk; carry it inside an air-conditioned car. At picnics, keep the cooler in the shade and keep the lid closed. Replenish the ice if it melts.
- Use a separate cooler for drinks so the one containing food won't constantly be opened and closed.
- Find out if there's a source of safe drinking water at your picnic destination. If not, bring water for preparation and cleaning; or pack clean, wet, disposable cloths or moist towelettes and paper towels for cleaning hands and surfaces. Cross-contamination during preparation, grilling, and serving food is a prime cause of food borne illness.
- If you plan on getting takeout foods, such as fried chicken, eat the food within an hour of pick up.
- Do not partially grill extra meat or poultry to use later. Once you begin, cook until completely done to assure bacteria are destroyed. Grill raw poultry until the juices run clear and there is no pink. Hamburgers should not be pink in the center.
- When taking food off the grill, don’t put the cooked items on the same platter that held the raw meat unless you have washed the platter in between uses.
- Follow the “two hour rule.” Don't leave perishable food un-refrigerated for more than two hours. Put perishable foods back in a cooler as soon as you finish eating. Don't leave them out while you go for a swim or a hike, and don't leave them out all afternoon for nibbling.
- If picnic leftovers have been sitting out for more than an hour or two, discard them. Cold food that was kept in a cooler that still has ice should be safe. If the ice has melted, the food should be discarded.
Full story
Posted by:
Tarie Beldin, RD, LD
Category:
Tags:
wellness
health
parties
Round Rock Medical Center
fitness
Memorial Day
diet
fit 4 life
summer
picnics
Round Rock
nutrition
food
Wednesday, May 12, 2010
Summer Food Safety Guidelines
Summer parties can take on many forms, such as community picnics, outdoor pot-lucks with friends and neighbors, or tailgate parties. There is also one sure thing at every picnic – lots of good food. The important point is to have safe and healthy food, not food that can cause food borne illness, especially during warm summer months when the weather can quickly lead to spoiled food. Each year there are over 76 million cases of food borne illness...67% of these are due to improper food handling.
There are 4 things to remember when planning a party outdoors:
-
Clean
-
Separate
-
Cook
-
Chill
Other things to remember:
- Always wash hands and work areas before preparing food.
- Plan your menu with an eye to safe food handling. Cook foods in plenty of time to thoroughly chill them in shallow containers in the refrigerator before packing.
- Have enough coolers with ice or frozen gel packs in which to store perishable foods like meat, poultry, fish, eggs and salads. You want to keep the food at 40 degrees F. Fill cracks and crevices with ice packs or frozen bottles of water. You can further insulate warm foods by placing your cloth napkins, a kitchen towel or other linens in the cooler along with the food.
- Pack foods right from the refrigerator into the coolers. Your cooler should be used to keep foods at a steady temperature – not to cool them down. If you place warm food in a cooler with ice, the ice is going to melt before the food can chill.
- Pack raw meats, poultry or seafood on the bottom of the cooler. This will reduce the risk of them dripping on other foods.
- Arrange food in the cooler so that the items you’ll be eating first are on top. That way, you won’t have to dig through the contents and take some things out to find what you need.
- Pack coolers until they are full. A full cooler will stay cold longer than one that is partially full.
- Don't put the cooler in the car trunk; carry it inside an air-conditioned car. At picnics, keep the cooler in the shade and keep the lid closed. Replenish the ice if it melts.
- Use a separate cooler for drinks so the one containing food won't constantly be opened and closed.
- Find out if there's a source of safe drinking water at your picnic destination. If not, bring water for preparation and cleaning; or pack clean, wet, disposable cloths or moist towelettes and paper towels for cleaning hands and surfaces. Cross-contamination during preparation, grilling, and serving food is a prime cause of food borne illness.
- If you plan on getting takeout foods, such as fried chicken, eat the food within an hour of pick up.
- Do not partially grill extra meat or poultry to use later. Once you begin, cook until completely done to assure bacteria are destroyed. Grill raw poultry until the juices run clear and there is no pink. Hamburgers should not be pink in the center.
- When taking food off the grill, don’t put the cooked items on the same platter that held the raw meat unless you have washed the platter in between uses.
- Follow the “two hour rule.” Don't leave perishable food un-refrigerated for more than two hours. Put perishable foods back in a cooler as soon as you finish eating. Don't leave them out while you go for a swim or a hike, and don't leave them out all afternoon for nibbling.
- If picnic leftovers have been sitting out for more than an hour or two, discard them. Cold food that was kept in a cooler that still has ice should be safe. If the ice has melted, the food should be discarded.
Full story
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Fit4Life
Round Rock
Wednesday, May 05, 2010
Read the latest issue of
In Celebration of Nursing and find out about about the amazing care and commitment of the nursing staff at St. David's Medical Center.
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Wednesday, May 05, 2010
Read the latest issue of
In Celebration of Nursing and find out about about the amazing care and commitment of the nursing staff at St. David's Medical Center.
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MedCenter
Monday, May 03, 2010
WHAT:
Stroke is the third leading cause of death in America and a leading cause of severe, long-term disability in adults. According to the National Stroke Association, more than two-thirds of survivors will have some type of disability. However, up to 80 percent of strokes are preventable.
Stroke Prevention Guidelines
*Source: National Stroke Association
- Know your blood pressure.
- Find out if you have atrial fibrillation.
- If you smoke, stop.
- Drink alcohol in moderation only.
- Find out if you have high cholesterol.
- Control diabetes.
- Exercise.
- Eat low-salt, low-fat foods.
- Identify circulation problems.
- Know symptoms of stroke.
WHO:
NeuroTexas Institute at St. David’s HealthCare
WHEN/
WHERE:
Those interested in attending any of the following events can call NeuroTexas Institute at St. David’s HealthCare at (512) 544-9000 for more information, or to RSVP.
• Tuesday, May 4, 8 a.m. to 5 p.m.
Free Stroke Screening
St. David’s Medical Center, 919 E. 32nd Street (near the hospital cafeteria; free valet parking is available for participants ages 55 and older)
The free screening will include a check of participants’ risk factors for stroke, blood pressure and fasting blood sugar levels.
• Tuesday, May 11, 7 p.m.
Women & Stroke Community Lecture, featuring Patience Reading, M.D.
(in partnership with the American Heart Association/American Stroke Association)
Mexican American Cultural Center, 600 River Street
Topics discussed will include women and stroke (why women are unique), maintaining a healthy lifestyle, stroke risk factors, warning signs of a stroke and how to respond immediately to a stroke, as well as care giving challenges. The lecture is free; a light dinner will be served.
• Friday, May 14, 11:30 a.m.
Stroke Prevention Seminar, featuring Richard Tyer, M.D.
Sun City Community Center, 2 Texas Drive (in Georgetown)
Neurologist, Richard Tyer, M.D. (an affiliate member of NeuroTexas Institute at St. David’s HealthCare), will share information on maintaining a health lifestyle, stroke risk factors and warning signs, and how to respond immediately to a stroke. The seminar is free and open to the public; lunch will be served.
• Tuesday, May 18, 6 p.m.
Free Stroke Prevention Seminar, featuring Ray Bogitch, M.D.
(in partnership with Westbank Libraries)
Laura’s Library (Westbank Libraries), 9411 Bee Cave Road (in Westlake)
Neurologist, Ray Bogitch, M.D. (an affiliate member of NeuroTexas Institute at St. David’s HealthCare), will share information on maintaining a health lifestyle, stroke risk factors and warning signs, and how to respond immediately to a stroke. The seminar is free and open to the public; a light dinner will be served.
NeuroTexas Institute at St. David’s HealthCare
NeuroTexas Institute at St. David’s HealthCare, located near downtown Austin at 919 East 32nd Street, is dedicated to ensuring the best clinical outcomes for patients with conditions affecting the brain, spine and nerves. The Institute was founded to promote quality care, provide academic leadership and perform advanced research in the field of neurosciences. For more information please visit NeuroTexasInstitute.com.
St. David’s HealthCare
With a total of 40 sites across Central Texas, St. David’s HealthCare includes five of the area’s leading hospitals and is one of the largest health systems in Texas. Known for compassionate, high-quality care, the organization has been recognized with the Texas Award for Performance Excellence, the highest honor bestowed by the State of Texas based upon world-class quality measures. Ranked in 2007, 2008 and 2009 as the top Austin-area employer among large companies at the Austin Business Journal’s annual “Best Places to Work” event, St. David's HealthCare is the fifth-largest private employer in the Austin area, with more than 6,700 employees and $3.1 billion in annual gross revenues. For more information, please visit StDavids.com.
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Monday, April 26, 2010
Let Mom relax this Mother's Day! Taking her out to eat may be a tradition...why not create a new tradition and prepare her a wonderful, delicious brunch using these ideas. Don't forget to also do the dishes!!!
Menu:
Sweet Berry Bruschetta
Place bread on an ungreased baking sheet; lightly coat with cooking spray. Sprinkle with 2 tsp sugar. Broil 3-4 inches from heat for 1-2 minutes or until light brown.
In a small bowl, combine cream cheese, almond extract and remaining sugar. Spread over toasted bread. Top with berries and almonds; dust with powdered sugar.
Smoked Salmon & Grilled Asparagus Fritta
Preheat oven to 350.
Coat Asparagus with some olive oil and sprinkle with salt and pepper, grill on a grill pan or outside on a grill until tender, let cool. Saute onion in butter in a 10 inch oven proof omelet pan oven medium heat until translucent, ~5 minutes.
In a large bowl, beat the eggs, add the heavy cream, goat cheese, smoked salmon, grilled asparagus, dill, salt and pepper and combine. Pour mixture over the onions and place omelet pan in center of oven. Bake the frittata for about 50 minutes, until it puffs and a knife inserted in the middle comes out clean. Serve hot, directly from the pan.
Chocolate Mousse
Melt chocolate in top of a double-broiler or in a microwave bowl. Stir occasionally until smooth. Allow to cool slightly.
In a large bowl add whipping cream, sugar and vanilla and beat with electric mixer until soft peaks form.
Fold whipped cream a little at a time into the melted chocolate until smooth and completedly incorporated.
Chill 20-30 minutes before serving.
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Tarie Beldin, RD, LD
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Mother's Day
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Round Rock
nutrition
food
Monday, April 26, 2010
Let Mom relax this Mother's Day! Taking her out to eat may be a tradition...why not create a new tradition and prepare her a wonderful, delicious brunch using these ideas. Don't forget to also do the dishes!!!
Menu:
Sweet Berry Bruschetta
Place bread on an ungreased baking sheet; lightly coat with cooking spray. Sprinkle with 2 tsp sugar. Broil 3-4 inches from heat for 1-2 minutes or until light brown.
In a small bowl, combine cream cheese, almond extract and remaining sugar. Spread over toasted bread. Top with berries and almonds; dust with powdered sugar.
Smoked Salmon & Grilled Asparagus Fritta
Preheat oven to 350.
Coat Asparagus with some olive oil and sprinkle with salt and pepper, grill on a grill pan or outside on a grill until tender, let cool. Saute onion in butter in a 10 inch oven proof omelet pan oven medium heat until translucent, ~5 minutes.
In a large bowl, beat the eggs, add the heavy cream, goat cheese, smoked salmon, grilled asparagus, dill, salt and pepper and combine. Pour mixture over the onions and place omelet pan in center of oven. Bake the frittata for about 50 minutes, until it puffs and a knife inserted in the middle comes out clean. Serve hot, directly from the pan.
Chocolate Mousse
Melt chocolate in top of a double-broiler or in a microwave bowl. Stir occasionally until smooth. Allow to cool slightly.
In a large bowl add whipping cream, sugar and vanilla and beat with electric mixer until soft peaks form.
Fold whipped cream a little at a time into the melted chocolate until smooth and completedly incorporated.
Chill 20-30 minutes before serving.
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Round Rock
Tuesday, April 06, 2010
If a daily walk could be bottled into prescription form, there is no doubt that it would be the most prescribed drugs in the world! Walking has been associated with controlling your blood pressure, decreasing your risk for heart attack, boosting your “good” cholesterol (HDL), lowering your risk of stroke, reducing your risk for type 2 diabetes, as well as managing your weight. And the list goes on and on and on!
According to the American College of Sports Medicine, adults aged 18-64 should do 2 hours and 30 minutes each week of moderate-intensity aerobic physical activity. Moderate intensity exercise is a level of activity that noticeably increases your heart rate and breathing rate. You may perspire some, but you will still be able to carry on a conversation. In other words, you can talk, but you can’t sing. If you are breathing too lightly, increase your pace, and if you can’t catch your breath, slow down. Remember also that, you do not have to do all your walking at one time, if you would like to break it up into three 10 minute sessions or two 15 minute sessions, you will get the same benefits as if you walked for 30 minutes without rest.
And last but not least, try to keep it interesting. One is the reasons walking is such a popular exercise for so many, is that you can do it almost any place at anytime without any special equipment. So the next time you have 10-15 minutes to kill before you have to go do one of the countless errands that I am sure you have to do, take a quick walk. Or the next time you are at the grocery store- park as far as you can away and then take an extra couple of laps around the inside perimeter of the store. You will be happily surprised to see how many places you can sneak in those extra steps! Happy walking!
For more information on why walking is so beneficial, or how to start your own walking plan, check out the American Heart Association’s website at : http://startwalkingnow.org
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Tarie Beldin, RD, LD
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American Heart Association
Tuesday, April 06, 2010
If a daily walk could be bottled into prescription form, there is no doubt that it would be the most prescribed drugs in the world! Walking has been associated with controlling your blood pressure, decreasing your risk for heart attack, boosting your “good” cholesterol (HDL), lowering your risk of stroke, reducing your risk for type 2 diabetes, as well as managing your weight. And the list goes on and on and on!
According to the American College of Sports Medicine, adults aged 18-64 should do 2 hours and 30 minutes each week of moderate-intensity aerobic physical activity. Moderate intensity exercise is a level of activity that noticeably increases your heart rate and breathing rate. You may perspire some, but you will still be able to carry on a conversation. In other words, you can talk, but you can’t sing. If you are breathing too lightly, increase your pace, and if you can’t catch your breath, slow down. Remember also that, you do not have to do all your walking at one time, if you would like to break it up into three 10 minute sessions or two 15 minute sessions, you will get the same benefits as if you walked for 30 minutes without rest.
And last but not least, try to keep it interesting. One is the reasons walking is such a popular exercise for so many, is that you can do it almost any place at anytime without any special equipment. So the next time you have 10-15 minutes to kill before you have to go do one of the countless errands that I am sure you have to do, take a quick walk. Or the next time you are at the grocery store- park as far as you can away and then take an extra couple of laps around the inside perimeter of the store. You will be happily surprised to see how many places you can sneak in those extra steps! Happy walking!
For more information on why walking is so beneficial, or how to start your own walking plan, check out the American Heart Association’s website at : http://startwalkingnow.org
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Round Rock
Monday, April 05, 2010
Congratulations to our 2009 Frist Humanitarian Award Winners!It is a pleasure to recognize all of our Frist Award winners for 2009. These individuals embody the characteristics and values that distinguish the noble field of health care from other industries and sectors. They are—in essence—symbolic of what makes our organization so extraordinary. These individuals have been nominated by their peers to receive this high tribute, which bears the name of an individual who himself personified humanitarianism, Dr. Thomas Frist Sr. It was Dr. Frist who said, “It’s not the bricks and mortar and equipment that make a great hospital. It’s the warmth and compassion of the people.”
Congratulations to the following nominees at each facility:
St. David’s North Austin Medical Center Employee Nominee: Mitch Pearson, Manager, Central Supply Volunteer Nominee: Helen Alexander Physician Nominee: Dr. David Cuellar
St. David’s Round Rock Medical Center Employee Nominee: Neva Schmelzer, Cardiac Rehab Supervisor
Volunteer Nominee: Vernell Thompson
Physician Nominee: Dr. Lewis Lux
St. David’s Medical Center
Employee Nominee: Jamaal Jones, Laboratory Assistant
Volunteer Nominee: Carolyn Bartlett
Physician Nominee: Dr. Declan Fleming
St. David’s Georgetown Hospital
Employee Nominee: Elisa Roberts, Supervisor, OB/Labor & Delivery
Volunteer Nominee: Richard Dunitz
Physician Nominee: Dr. Clifton O’Meara
St. David’s South Austin Medical Center
Employee Nominee: Mary Posern, Director, Imaging Services
Volunteer Nominee: Suzanne Faugh
Physician Nominee: Dr. Will Curtis
Of these extraordinary nominees, one physician, one employee and one volunteer were selected as overall Frist Award winners in each category for St. David’s HealthCare.
The St. David’s HealthCare Employee winner is:
Mitchell Pearson, Sterile Processing Manager
St. David’s North Austin Medical Center
Mitch Pearson has been employed at North Austin Medical Center for the past two years and within that time Mitch has shown a variety of outstanding attributes.In his unparalleled motivation to do the right thing, he displays a strong personal commitment to compassion for all those around him.
Mitch routinely assists with feeding the homeless in collaboration with his church. He will make the time to listen to each individual’s story, whether for five minutes or an hour. Mitch will sit down right beside each person and listen with a nonjudgmental and compassionate ear.
Mitch recently flew to Haiti to assist with the ongoing relief efforts. In the short time he was there, he has made such an impact that he was recently described in the following manner by his peers:
“Mitch was an operating room specialist in the army, and served in Iraq in 2005. That year, his unit was the busiest trauma center in the world. He now manages a 15 room surgical suite in Austin, has 12 staff under his direction. Having him on this mission has been like having Clint Eastwood with you at a tough guy convention – very wise choice.”
Mitch is an inspiration to all those around him whom are blessed to know him or work with him. Those who do witness the selfless acts of generosity and kindness he demonstrates each and every day. Mitch genuinely and humbly demonstrates the characteristics that embody the essence of the Frist Humanitarian Award. Congratulations Mitch! The St. David’s HealthCare Volunteer winner is:
Suzanne Faught
St. David’s South Austin Medical Center
Suzanne has been a faithful volunteer at St. David’s South Austin Medical Center for two years, giving a minimum of 40 hours per month to our patients. When Suzanne is not attending to patients at the hospital, she can be found at one of her multitude of volunteer organizations. She is a dedicated member of the altar guild at her church and has been since 1993. She volunteered with other members of the church at Caritas of Austin, assisting with preparing and serving meals.
Suzanne has been involved in many important roles, such as speaking to the media to promote Mammography Awareness Day. Recently, she started volunteering twice a month at a local chemotherapy site. Suzanne visits the patients receiving chemo and lets them know about the resources available through the American Cancer Society.
As a member of the City of Austin CERT team (emergency response), Suzanne volunteered to work at the city-wide H1N1 Clinics.
Suzanne served on the Lone Star Girl Scout Council Board of Directors for 3 years and was an active adult volunteer with Girl Scouts for 12 years. From acting as an assistant troop leader to a secret cookie shopper to assisting with special events, Suzanne helped shaped the lives of many young women.
Additionally, Suzanne and her daughter are both members of the Daniel Coleman Chapter of the Daughters of the American Revolution (DAR). Suzanne volunteers at every ceremony and is on hand to congratulate the new citizens, give them information on registering to vote, and even hands them their first American flag.
As a member of DAR, Suzanne also volunteers at wreath laying ceremonies and other historical events across the state. She has served on various committees that help to promote and support state and national landmarks. She was also an active adult volunteer of the Children of the American Revolution for 10 years, helping to organize meetings and conferences as well as recognizing historical sites and attending events all over the state.
Suzanne has also driven around an elderly member of St. Francis to church for more than five years. She visits her after her doctor’s appointments and takes her soup and snacks when she is sick. Suzanne’s friend is 80 years old now and Suzanne has helped her remain independent and connected to her church and friends.
Aside from her blessings to the community and the hospital, Suzanne is described as a genuinely kind-hearted, generous and loving soul. She humbly personifies everything we look for in the Frist Humanitarian Award winner. Congratulations Suzanne! The St. David’s HealthCare Physician winner is:
Dr. William Curtis
St. David’s South Austin Medical Center
Dr. Will Curtis is an exceptional caregiver, completely devoted to his faith, family and profession. He exemplifies and embraces the values of integrity, compassion, and respect for human life.
At the core of every hospital is the desire to provide the best patient care, control pain, and ensure successful outcomes. As an Anesthesiologist, Dr. Curtis is not only concerned about controlling pain, he is passionate about it. He recently spoke to SDSAMC staff during Pain Management Week to educate them about Regional and Block Anesthesia. Because of Dr. Curtis’s dedication, St. David’s South Austin Medical Center is seeing record pain management scores – some of the best within HCA.
Dr. Curtis’s compassion spreads across nations. He has taken mission trips to Mexico and Israel to expand his faith and help the local people. Most recently, Dr. Curtis dropped everything, got on a plane and headed to devastated Haiti to offer his expertise and services. Although practicing under subpar conditions, and forsaking his own comforts, Dr. Curtis brought much needed relief to over 100 Haitians. He did this without reservation or concern for himself.
Dr. Curtis is involved in IMPACT, a program through his church that focuses on inspiring young members to grow in their faith. He was recently able to speak to this group about his experience in Haiti and the calling we all have to help our fellow man. Additionally, he is a part of a men’s mentoring group within his church. He seeks and gives inspiration wherever he goes, affecting hundreds of lives. His faith and his family are extremely important and have shaped him into the exceptional man he is today.
At only thirty-eight years old, Dr. Curtis is setting a stellar example for staff, peers and the community as a whole. He is consistently praised for his calm and confident demeanor and highly respected for his clinical judgment. He is a humble leader who graciously leads by example. He gives freely, without an ounce of hesitation – a perfect and deserving candidate to receive the Frist Humanitarian Award. Congratulations Dr. Curtis!
Once again, we congratulate all of the Frist Award winners throughout St. David’s HealthCare. Your work is an inspiration to all of us!
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Wednesday, March 31, 2010
Getting Ready for Summer
The sun is shining, temperatures are rising and the days are getting longer. When summer comes, people think about shedding layers of clothes, as well as a few pounds. With our New Year’s Resolutions long forgotten, how can we get “beach ready” for our summer vacations, without sacrificing our health or tasty foods?
It is a natural trend to eat lighter during the summer due to the heat and especially if we focus on filling up on fresh fruits and vegetables, whole grains, low fat dairy and by making sure we drink enough fluids to stay hydrated. In addition, we are tired of our indoor fitness routines and cannot wait to enjoy the great outdoors!
Warm Weather Eating
Breakfast – typically the smallest meal of the day, but the most important because it sets the tone for the entire day. If you skip breakfast you are more likely to overeat at lunch. Take advantage of the fact that the temperatures are warmer and the sun is shining when you wake up and enjoy some cereal and berries, a whole wheat bagel or a fruit smoothie on your deck, patio or porch.
Lunch – this meal can be dangerous for 2 reasons…many people eat out, where it is more difficult to control the portion size and it is followed by sitting at a desk for the next several hours. The solution – pack your lunch, a turkey sandwich on whole wheat, a salad with grilled chicken or even a frozen dinner with a salad or a piece of fruit. Because lunch doesn’t usually take an hour, take advantage of the warmer weather and take a 10 minute walk, you’ll feel more energized to get through the rest of your day – possibly without the 4:30 pm trip to the vending machine.
Dinner – take advantage of the longer days and fire up the grill!!! You can prepare great tasting lower fat foods, similar to what you might find at fast food or other restaurants, but healthier. A lean burger or steak, chicken, fish or shrimp. Don’t forget to add veggies to the mix by using a grill basket, kabobs of peppers/onions/tomatoes and of course…ears of corn!
Other eating tips - summer is the season for fresh fruits and vegetables, whether you grow your own or visit your local farmer’s market or grocery store, be sure to include as many colors as possible. The brighter the color the more nutritious…especially with peppers, and berries which are very high in antioxidants that can reduce your risk of cancer, decrease your blood pressure and can even slow aging! In addition fruits and veggies are high in fiber which aids in weight control because it promotes a feeling of fullness.
Great Summer Workouts
Swimming – definitely helps with the heat and humidity, but is also low impact, which is great if you have joint problems and can be a whole body workout. Try walking in the pool, water aerobics or even use a kick board and doing flutter kicks to work your legs and a little of the glutes.
Hiking or mountain biking – a great way to take in nature and is different than just walking or biking through your neighborhood. Try adding aluminum poles while hiking, which adds an upper body work out and is better for a beginner because using the poles reduces stress on the knees and distributes the body’s weight more evenly.
On the beach – snorkeling or swimming are great, but even if the ocean is not your thing, try volleyball, building a sand castle or throwing a Frisbee. Even walking in soft sand on the beach is a workout, because the sand gives you extra resistance that you do not get from asphalt or a treadmill. It is also great for ankle stability, to build up the lateral ankle to help prevent sprains due to rolling the ankle.
Let being outdoors bring back all of those childhood memories of the fun vacations you had. By adding more “fun”, recreational activities, it will be easier to make exercising more of a habit and create memories with your family.
Hydration in the Heat
Staying hydrated is important to summer exercise. Hotter weather puts added demands on the body, so preventing dehydration is the key and you cannot rely on being “thirsty” as a gauge.
Type of fluid…water is usually all that is needed for most people, unless you are exercising outdoors for more than 45 minutes to an hour, and then you may need a beverage with added sugar and salt to replace what is lost in sweat and can also help to increase the amount of fluid absorbed.
Signs of dehydration…most people are chronically dehydrated, because we do not have a gauge, like a fuel gauge in your car, you can’t always tell when it is starting. Early signs of dehydration are poor concentration, fatigue and headache. The best way to tell if you are properly hydrated is to check the color of your urine. If your urine is pale to very clear it is a good indication that you are well hydrated. If you urine is dark yellow it is more concentrated and might suggest that you are dehydrated.
How much fluid…the adult body is ~60% water and loses ~1 cup per day from normal activity, a good rule of thumb is 6-8 glasses of water per day. You also get fluid from other beverages and fruits and vegetables. However, as the temperatures increase and if you spend more time outdoors, you may need more than that to stay hydrated. If you are going to be working or exercising out in the heat, it is suggested that you consume 16 oz before and 8 oz every 20 minutes during the time you are outdoors.
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Posted by:
Tarie Beldin, RD, LD
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wellness
health
Round Rock Medical Center
heat
diet
fit 4 life
summer
Round Rock
hydration
nutrition
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Wednesday, March 31, 2010
Getting Ready for Summer
The sun is shining, temperatures are rising and the days are getting longer. When summer comes, people think about shedding layers of clothes, as well as a few pounds. With our New Year’s Resolutions long forgotten, how can we get “beach ready” for our summer vacations, without sacrificing our health or tasty foods?
It is a natural trend to eat lighter during the summer due to the heat and especially if we focus on filling up on fresh fruits and vegetables, whole grains, low fat dairy and by making sure we drink enough fluids to stay hydrated. In addition, we are tired of our indoor fitness routines and cannot wait to enjoy the great outdoors!
Warm Weather Eating
Breakfast – typically the smallest meal of the day, but the most important because it sets the tone for the entire day. If you skip breakfast you are more likely to overeat at lunch. Take advantage of the fact that the temperatures are warmer and the sun is shining when you wake up and enjoy some cereal and berries, a whole wheat bagel or a fruit smoothie on your deck, patio or porch.
Lunch – this meal can be dangerous for 2 reasons…many people eat out, where it is more difficult to control the portion size and it is followed by sitting at a desk for the next several hours. The solution – pack your lunch, a turkey sandwich on whole wheat, a salad with grilled chicken or even a frozen dinner with a salad or a piece of fruit. Because lunch doesn’t usually take an hour, take advantage of the warmer weather and take a 10 minute walk, you’ll feel more energized to get through the rest of your day – possibly without the 4:30 pm trip to the vending machine.
Dinner – take advantage of the longer days and fire up the grill!!! You can prepare great tasting lower fat foods, similar to what you might find at fast food or other restaurants, but healthier. A lean burger or steak, chicken, fish or shrimp. Don’t forget to add veggies to the mix by using a grill basket, kabobs of peppers/onions/tomatoes and of course…ears of corn!
Other eating tips - summer is the season for fresh fruits and vegetables, whether you grow your own or visit your local farmer’s market or grocery store, be sure to include as many colors as possible. The brighter the color the more nutritious…especially with peppers, and berries which are very high in antioxidants that can reduce your risk of cancer, decrease your blood pressure and can even slow aging! In addition fruits and veggies are high in fiber which aids in weight control because it promotes a feeling of fullness.
Great Summer Workouts
Swimming – definitely helps with the heat and humidity, but is also low impact, which is great if you have joint problems and can be a whole body workout. Try walking in the pool, water aerobics or even use a kick board and doing flutter kicks to work your legs and a little of the glutes.
Hiking or mountain biking – a great way to take in nature and is different than just walking or biking through your neighborhood. Try adding aluminum poles while hiking, which adds an upper body work out and is better for a beginner because using the poles reduces stress on the knees and distributes the body’s weight more evenly.
On the beach – snorkeling or swimming are great, but even if the ocean is not your thing, try volleyball, building a sand castle or throwing a Frisbee. Even walking in soft sand on the beach is a workout, because the sand gives you extra resistance that you do not get from asphalt or a treadmill. It is also great for ankle stability, to build up the lateral ankle to help prevent sprains due to rolling the ankle.
Let being outdoors bring back all of those childhood memories of the fun vacations you had. By adding more “fun”, recreational activities, it will be easier to make exercising more of a habit and create memories with your family.
Hydration in the Heat
Staying hydrated is important to summer exercise. Hotter weather puts added demands on the body, so preventing dehydration is the key and you cannot rely on being “thirsty” as a gauge.
Type of fluid…water is usually all that is needed for most people, unless you are exercising outdoors for more than 45 minutes to an hour, and then you may need a beverage with added sugar and salt to replace what is lost in sweat and can also help to increase the amount of fluid absorbed.
Signs of dehydration…most people are chronically dehydrated, because we do not have a gauge, like a fuel gauge in your car, you can’t always tell when it is starting. Early signs of dehydration are poor concentration, fatigue and headache. The best way to tell if you are properly hydrated is to check the color of your urine. If your urine is pale to very clear it is a good indication that you are well hydrated. If you urine is dark yellow it is more concentrated and might suggest that you are dehydrated.
How much fluid…the adult body is ~60% water and loses ~1 cup per day from normal activity, a good rule of thumb is 6-8 glasses of water per day. You also get fluid from other beverages and fruits and vegetables. However, as the temperatures increase and if you spend more time outdoors, you may need more than that to stay hydrated. If you are going to be working or exercising out in the heat, it is suggested that you consume 16 oz before and 8 oz every 20 minutes during the time you are outdoors.
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Wednesday, March 17, 2010
Skin-to-skin contact is often recommended to help a baby breastfeed. This involves having your baby on your chest, in between your breasts, with her head under your chin, with baby wearing nothing except a diaper. Make sure you cover baby’s back with blankets, to keep her surrounded with your warmth. For a sleepy baby, or a baby having difficulty with latch, you bay have to have skin-to-skin contact for an hour, or sometimes longer, before she begins to show feeding cues. Even while baby is just snuggling with you, skin-to-skin contact offers many benefits!
A study compared infants with low temperatures after delivery. They were treated with skin-to-skin contact or placement in a radiant warmer. The kangaroo care group had slightly higher temperatures, and more of these infants had reached normal temperature within 4 hours of treatment, compared with the radiant warmer group.
[Huan, Y.Y.; Huang, C.Y.; Lin, S.M.; Wu, S.C. Effect of Very Early Kangaroo Care on Extra uterine Temperature Adaptation in Newborn Infants with Hypothermia Problems. Hu Li Az Zhi, 2006.]
Brazilian mothers of hospitalized babies who had skin-to-skin contact responded to the Visual Analogue Mood Scale before and after visiting their babies. They reported feeling calmer, stronger, well coordinated, energetic, contented, tranquil, quick-witted, relaxed, proficient, happy, friendly, and clear-headed. Mothers who did not have skin-to-skin contact only reported feeling clumsy.
[Continho de Macedo, E.; Cruvinel, F.; Lukasova, K.; Fama D’Antino, M.E. The mood variations in mothers of preterm infants in kangaroo mother care and conventional incubator care. Journal of Tropical Pediatrics, 2007.]
In a review of 16 randomized controlled trials and one quasi-randomized trial, 806 mother-infant pairs, of diverse socio-economic backgrounds, from six different countries were studied. Early skin-to-skin contact resulted in higher scores on all measures of breastfeeding status and duration. Babies were more likely to maintain temperatures and respirations in the normal range, less likely to cry, and less likely to have low blood glucose levels. There were no significant negative effects of skin-to-skin contact.
[Anderson, G.C.; More, E.; Hepworth, J.; Bergman, N. Early Skin-to-skin contact for mothers and their healthy newborn infants. Cochrane Database of Systematic Reviews, 2003.]
For more resources:
St. David's Medical Center
Women's Services
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Wednesday, March 17, 2010
Skin-to-skin contact is often recommended to help a baby breastfeed. This involves having your baby on your chest, in between your breasts, with her head under your chin, with baby wearing nothing except a diaper. Make sure you cover baby’s back with blankets, to keep her surrounded with your warmth. For a sleepy baby, or a baby having difficulty with latch, you bay have to have skin-to-skin contact for an hour, or sometimes longer, before she begins to show feeding cues. Even while baby is just snuggling with you, skin-to-skin contact offers many benefits!
A study compared infants with low temperatures after delivery. They were treated with skin-to-skin contact or placement in a radiant warmer. The kangaroo care group had slightly higher temperatures, and more of these infants had reached normal temperature within 4 hours of treatment, compared with the radiant warmer group.
[Huan, Y.Y.; Huang, C.Y.; Lin, S.M.; Wu, S.C. Effect of Very Early Kangaroo Care on Extra uterine Temperature Adaptation in Newborn Infants with Hypothermia Problems. Hu Li Az Zhi, 2006.]
Brazilian mothers of hospitalized babies who had skin-to-skin contact responded to the Visual Analogue Mood Scale before and after visiting their babies. They reported feeling calmer, stronger, well coordinated, energetic, contented, tranquil, quick-witted, relaxed, proficient, happy, friendly, and clear-headed. Mothers who did not have skin-to-skin contact only reported feeling clumsy.
[Continho de Macedo, E.; Cruvinel, F.; Lukasova, K.; Fama D’Antino, M.E. The mood variations in mothers of preterm infants in kangaroo mother care and conventional incubator care. Journal of Tropical Pediatrics, 2007.]
In a review of 16 randomized controlled trials and one quasi-randomized trial, 806 mother-infant pairs, of diverse socio-economic backgrounds, from six different countries were studied. Early skin-to-skin contact resulted in higher scores on all measures of breastfeeding status and duration. Babies were more likely to maintain temperatures and respirations in the normal range, less likely to cry, and less likely to have low blood glucose levels. There were no significant negative effects of skin-to-skin contact.
[Anderson, G.C.; More, E.; Hepworth, J.; Bergman, N. Early Skin-to-skin contact for mothers and their healthy newborn infants. Cochrane Database of Systematic Reviews, 2003.]
For more resources:
St. David's Medical Center
Women's Services
Full story
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Category:
Tags:
maternity
breastfeeding
education
newborn
Wednesday, March 17, 2010
Skin-to-skin contact is often recommended to help a baby breastfeed. This involves having your baby on your chest, in between your breasts, with her head under your chin, with baby wearing nothing except a diaper. Make sure you cover baby’s back with blankets, to keep her surrounded with your warmth. For a sleepy baby, or a baby having difficulty with latch, you bay have to have skin-to-skin contact for an hour, or sometimes longer, before she begins to show feeding cues. Even while baby is just snuggling with you, skin-to-skin contact offers many benefits!
A study compared infants with low temperatures after delivery. They were treated with skin-to-skin contact or placement in a radiant warmer. The kangaroo care group had slightly higher temperatures, and more of these infants had reached normal temperature within 4 hours of treatment, compared with the radiant warmer group.
[Huan, Y.Y.; Huang, C.Y.; Lin, S.M.; Wu, S.C. Effect of Very Early Kangaroo Care on Extra uterine Temperature Adaptation in Newborn Infants with Hypothermia Problems. Hu Li Az Zhi, 2006.]
Brazilian mothers of hospitalized babies who had skin-to-skin contact responded to the Visual Analogue Mood Scale before and after visiting their babies. They reported feeling calmer, stronger, well coordinated, energetic, contented, tranquil, quick-witted, relaxed, proficient, happy, friendly, and clear-headed. Mothers who did not have skin-to-skin contact only reported feeling clumsy.
[Continho de Macedo, E.; Cruvinel, F.; Lukasova, K.; Fama D’Antino, M.E. The mood variations in mothers of preterm infants in kangaroo mother care and conventional incubator care. Journal of Tropical Pediatrics, 2007.]
In a review of 16 randomized controlled trials and one quasi-randomized trial, 806 mother-infant pairs, of diverse socio-economic backgrounds, from six different countries were studied. Early skin-to-skin contact resulted in higher scores on all measures of breastfeeding status and duration. Babies were more likely to maintain temperatures and respirations in the normal range, less likely to cry, and less likely to have low blood glucose levels. There were no significant negative effects of skin-to-skin contact.
[Anderson, G.C.; More, E.; Hepworth, J.; Bergman, N. Early Skin-to-skin contact for mothers and their healthy newborn infants. Cochrane Database of Systematic Reviews, 2003.]
For more resources:
St. David's Medical Center
Women's Services
Full story
Posted by:
Enter Here
Category:
Tags:
MedCenter
Breast Care/Women
breastfeeding
Maternity/Newborn
Friday, March 12, 2010
Many are interested in learning about the benefits of breastfeeding. Check out the attached document from the
International Lactation Consultant Association for five reason breastfeeding is good for the child and five reason why it is good for mom.
For more resources:
St. David's Medical Center
Women's Services
Full story
Posted by:
Category:
Tags:
baby
women
breastfeeding
child birth
newborn
Friday, March 12, 2010
Many are interested in learning about the benefits of breastfeeding. Check out the attached document from the
International Lactation Consultant Association for five reason breastfeeding is good for the child and five reason why it is good for mom.
For more resources:
St. David's Medical Center
Women's Services
Full story
Posted by:
Category:
Tags:
maternity
women
breastfeeding
child birth
newborn
Friday, March 12, 2010
Many are interested in learning about the benefits of breastfeeding. Check out the attached document from the
International Lactation Consultant Association for five reason breastfeeding is good for the child and five reason why it is good for mom.
For more resources:
St. David's Medical Center
Women's Services
Full story
Posted by:
Enter Here
Category:
Tags:
MedCenter
Breast Care/Women
International Lactation Consultant Association
Maternity/Newborn
Thursday, March 11, 2010
Tomato Feta Salad
4 pints of grape tomatoes, red or mixed colors
1 1/2 cups diced onion
1/4 cup white wine vinegar
6 Tbsp olive oil
1 Tbsp Kosher salt
1 tsp fresh ground black pepper
1/4 cup chopped fresh basil
1/4 cup chopped fresh parsley
1 1/2 pounds feta cheese
Cut the tomatoes in half and place them in a large bowl. Add the onion, vinegar, olive oil, salt, pepper, basil and parsley and toss well. Dice the feta cheese into 1/2-3/4 inch cubes and gently fold into the salad. Serve at room temperature.
There is talk of there being a "tomato shortage" and fresh herbs are so expensive at the grocery store. This is a wonderful opportunity to get out and plant a garden and include tomatoes, basil and parsley. Enjoy!
Full story
Posted by:
Tarie Beldin, RD, LD
Category:
Tags:
wellness
health
recipes
diet
fit 4 life
Round Rock
nutrition
food
Thursday, March 11, 2010
Tomato Feta Salad
4 pints of grape tomatoes, red or mixed colors
1 1/2 cups diced onion
1/4 cup white wine vinegar
6 Tbsp olive oil
1 Tbsp Kosher salt
1 tsp fresh ground black pepper
1/4 cup chopped fresh basil
1/4 cup chopped fresh parsley
1 1/2 pounds feta cheese
Cut the tomatoes in half and place them in a large bowl. Add the onion, vinegar, olive oil, salt, pepper, basil and parsley and toss well. Dice the feta cheese into 1/2-3/4 inch cubes and gently fold into the salad. Serve at room temperature.
There is talk of there being a "tomato shortage" and fresh herbs are so expensive at the grocery store. This is a wonderful opportunity to get out and plant a garden and include tomatoes, basil and parsley. Enjoy!
Full story
Posted by:
Enter Here
Category:
Tags:
Fit4Life
Round Rock
food
Thursday, March 04, 2010
There's so much information available to expectant couples-- via the internet, books, and television, Some families may wonder if it's still necessary to take a childbirth class. Many moms are planning to have an epidural, and wonder if a class is necessary at all.
Childbirth classes teach a lot more than just how to deal with labor pain. Modern childbirth classes teach couples about the normal process of birth, recognizing labor and when to call their doctor, what to expect at the hospital, possible medical interventions and pain medications, and what to expect after you have your baby. Childbirth classes actually reduce anxiety about the birth process, which helps labor progress normally. Teaching couples basic tools to deal with labor helps both the mom and her support person feel confident, regardless of her plans for pain medications. Parents who feel informed and educated about their choices feel more comfortable talking with their doctor and nurses about their care. Finally, couples who take a prepared childbirth class often feel more satisfied with their birth because they understood what was happening, and they were able to relax and enjoy the experience.
St Davids Medical Center offers an array of classes for you and your family. We encourage you to browse through our web page to find a class that meets your needs and fits your schedule. Feel free to call or email our Parent Education department with any questions. We're happy to help.
For more information visit:
Full story
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Category:
Tags:
maternity
baby
class
education
newborn
Thursday, March 04, 2010
There's so much information available to expectant couples-- via the internet, books, and television, Some families may wonder if it's still necessary to take a childbirth class. Many moms are planning to have an epidural, and wonder if a class is necessary at all.
Childbirth classes teach a lot more than just how to deal with labor pain. Modern childbirth classes teach couples about the normal process of birth, recognizing labor and when to call their doctor, what to expect at the hospital, possible medical interventions and pain medications, and what to expect after you have your baby. Childbirth classes actually reduce anxiety about the birth process, which helps labor progress normally. Teaching couples basic tools to deal with labor helps both the mom and her support person feel confident, regardless of her plans for pain medications. Parents who feel informed and educated about their choices feel more comfortable talking with their doctor and nurses about their care. Finally, couples who take a prepared childbirth class often feel more satisfied with their birth because they understood what was happening, and they were able to relax and enjoy the experience.
St Davids Medical Center offers an array of classes for you and your family. We encourage you to browse through our web page to find a class that meets your needs and fits your schedule. Feel free to call or email our Parent Education department with any questions. We're happy to help.
For more information visit:
Full story
Posted by:
Enter Here
Category:
Tags:
MedCenter
Breast Care/Women
Maternity/Newborn
Thursday, March 04, 2010
There's so much information available to expectant couples-- via the internet, books, and television, Some families may wonder if it's still necessary to take a childbirth class. Many moms are planning to have an epidural, and wonder if a class is necessary at all.
Childbirth classes teach a lot more than just how to deal with labor pain. Modern childbirth classes teach couples about the normal process of birth, recognizing labor and when to call their doctor, what to expect at the hospital, possible medical interventions and pain medications, and what to expect after you have your baby. Childbirth classes actually reduce anxiety about the birth process, which helps labor progress normally. Teaching couples basic tools to deal with labor helps both the mom and her support person feel confident, regardless of her plans for pain medications. Parents who feel informed and educated about their choices feel more comfortable talking with their doctor and nurses about their care. Finally, couples who take a prepared childbirth class often feel more satisfied with their birth because they understood what was happening, and they were able to relax and enjoy the experience.
St Davids Medical Center offers an array of classes for you and your family. We encourage you to browse through our web page to find a class that meets your needs and fits your schedule. Feel free to call or email our Parent Education department with any questions. We're happy to help.
For more information visit:
Full story
Posted by:
Category:
Tags:
maternity
baby
classes
women
education
child birth
Thursday, February 25, 2010
When the time comes to have you baby the last thing on your mind is, "what do I need for my hospital stay." Here is a list of, what we have found, to be the most important items you don't want to leave home without: - Camera
- Slippers / Robe
- Travel Shampoo / Conditioner
- Travel Toothbrush/Toothpaste
- Travel Deodorant
- Travel Hairbrush
- “Go Home” outfit for baby, including receiving blankets
- “Go Home” outfit for mom
- Clothes for 3 – 4 days for dad/support person
- Nursing Bra
- Extra pillows (with colored cases) to bring some of the comforts of home
- Infant Car Seat (make sure you read the instruction manual and have the seat properly installed in your car)
A good rule of thumb is, when you are ready to pack your hospital bag, try to think of what you would pack if you were going to stay in a hotel. It is best to pack light. The less you bring, the less you have to remember when you go home.
Here is a basic list of what we will provide while you stay with us:
- Hospital Gown (you can bring pajamas if you prefer)
- Pillows / Linens
- Feminine pads
- Mesh underwear (you can bring your own underwear if you prefer)
- Nursing pads
- Diapers
- Wipes
- T-Shirt for baby
- Receiving blankets to use in the hospital
For other resources please visit:
St David's Medical Center
Women's Services
Full story
Posted by:
Category:
Tags:
new
maternity
women
hospital stay
newborn
mat
Thursday, February 25, 2010
When the time comes to have you baby the last thing on your mind is, "what do I need for my hospital stay." Here is a list of, what we have found, to be the most important items you don't want to leave home without: - Camera
- Slippers / Robe
- Travel Shampoo / Conditioner
- Travel Toothbrush/Toothpaste
- Travel Deodorant
- Travel Hairbrush
- “Go Home” outfit for baby, including receiving blankets
- “Go Home” outfit for mom
- Clothes for 3 – 4 days for dad/support person
- Nursing Bra
- Extra pillows (with colored cases) to bring some of the comforts of home
- Infant Car Seat (make sure you read the instruction manual and have the seat properly installed in your car)
A good rule of thumb is, when you are ready to pack your hospital bag, try to think of what you would pack if you were going to stay in a hotel. It is best to pack light. The less you bring, the less you have to remember when you go home.
Here is a basic list of what we will provide while you stay with us:
- Hospital Gown (you can bring pajamas if you prefer)
- Pillows / Linens
- Feminine pads
- Mesh underwear (you can bring your own underwear if you prefer)
- Nursing pads
- Diapers
- Wipes
- T-Shirt for baby
- Receiving blankets to use in the hospital
For other resources please visit:
St David's Medical Center
Women's Services
Full story
Posted by:
Enter Here
Category:
Tags:
MedCenter
Breast Care/Women
Maternity/Newborn
Thursday, February 25, 2010
Although Lyn Colangelo has a family history of arthritis, she did not anticipate a total hip replacement at age 50.
After suffering through pain for over a year, getting cortisone shots, and walking with a cane, Lyn decided enough is enough and made an appointment to see Dr. David Savage to discuss surgical options.
Never having gone through surgery before, Lyn was understandably nervous, but knew she was in very capable and experienced hands. She checked into St. David’s South Austin Medical Center on December 22nd and due to Dr. Savage’s anterior approach to her hip replacement, she was back home by Christmas day.
The anterior approach, used by Dr. David Savage, enabled him to reach the hip joint from the front of the hip as opposed to the lateral (side) or the posterior (back) approach. This allows the hip to be replaced without detachment of muscle from the pelvis or femur. The surgeon can simply work through the natural interval between the muscles avoiding any trauma to the gluteal muscles and significantly decreasing recovery time and pain.
“The benefits of this approach to the patient are numerous. They do not have to keep their legs separated by a protective pillow after surgery since the risk of dislocation is only one tenth of that with more traditional approaches. They are also able to walk further sooner with less support in the form of a walker,” explains Dr. Savage.
Thanks to the anterior approach, this PhD and ACC Communications Professor, was up and walking within 24 hours of surgery and back to vacuuming within two weeks.
“I felt no pain and knew immediately after the surgery that I was already better,” Lyn explains.
After 4 short weeks of physical therapy, Lyn is fully mobile and enjoying life, pain-free.
Full story
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Category:
Tags:
orthopedics
St David's South Austin Medical Center
ortho
David Savage
Thursday, February 25, 2010
Although Lyn Colangelo has a family history of arthritis, she did not anticipate a total hip replacement at age 50.
After suffering through pain for over a year, getting cortisone shots, and walking with a cane, Lyn decided enough is enough and made an appointment to see Dr. David Savage to discuss surgical options.
Never having gone through surgery before, Lyn was understandably nervous, but knew she was in very capable and experienced hands. She checked into St. David’s South Austin Medical Center on December 22nd and due to Dr. Savage’s anterior approach to her hip replacement, she was back home by Christmas day.
The anterior approach, used by Dr. David Savage, enabled him to reach the hip joint from the front of the hip as opposed to the lateral (side) or the posterior (back) approach. This allows the hip to be replaced without detachment of muscle from the pelvis or femur. The surgeon can simply work through the natural interval between the muscles avoiding any trauma to the gluteal muscles and significantly decreasing recovery time and pain.
“The benefits of this approach to the patient are numerous. They do not have to keep their legs separated by a protective pillow after surgery since the risk of dislocation is only one tenth of that with more traditional approaches. They are also able to walk further sooner with less support in the form of a walker,” explains Dr. Savage.
Thanks to the anterior approach, this PhD and ACC Communications Professor, was up and walking within 24 hours of surgery and back to vacuuming within two weeks.
“I felt no pain and knew immediately after the surgery that I was already better,” Lyn explains.
After 4 short weeks of physical therapy, Lyn is fully mobile and enjoying life, pain-free.
Full story
Posted by:
Enter Here
Category:
Tags:
Arthritis
Orthopedic Surgery
Thursday, February 25, 2010
When the time comes to have you baby the last thing on your mind is, "what do I need for my hospital stay." Here is a list of, what we have found, to be the most important items you don't want to leave home without: - Camera
- Slippers / Robe
- Travel Shampoo / Conditioner
- Travel Toothbrush/Toothpaste
- Travel Deodorant
- Travel Hairbrush
- “Go Home” outfit for baby, including receiving blankets
- “Go Home” outfit for mom
- Clothes for 3 – 4 days for dad/support person
- Nursing Bra
- Extra pillows (with colored cases) to bring some of the comforts of home
- Infant Car Seat (make sure you read the instruction manual and have the seat properly installed in your car)
A good rule of thumb is, when you are ready to pack your hospital bag, try to think of what you would pack if you were going to stay in a hotel. It is best to pack light. The less you bring, the less you have to remember when you go home.
Here is a basic list of what we will provide while you stay with us:
- Hospital Gown (you can bring pajamas if you prefer)
- Pillows / Linens
- Feminine pads
- Mesh underwear (you can bring your own underwear if you prefer)
- Nursing pads
- Diapers
- Wipes
- T-Shirt for baby
- Receiving blankets to use in the hospital
For other resources please visit:
St David's Medical Center
Women's Services
Full story
Posted by:
Category:
Tags:
maternity
baby
Women's Services
hospital stay
newborn
St David's Medical Center
Tuesday, February 23, 2010
Elevated blood pressures can occur during pregnancy for many reasons. Women may have previous disease, or present with high pressures for the first time in pregnancy.
Part of the purpose of prenatal visits is to detect blood pressure changes and further evaluate the cause, as treatment may differ depending on the condition.
If you are found to have elevated blood pressures, your OB may order laboratory studies to evaluate your organ function (kidneys, liver, blood cells) and may have you complete a 24 hour urine looking for elevated protein. The goal is to differentiate high blood pressure alone from a more serious disorder called pre-eclampsia. The latter is a disease process related to the placenta that can lead to serious complications of pregnancy.
If diagnosed with pre-eclampsia or if blood pressures are persistently elevated, you may be referred to a maternal-fetal medicine specialist for guidance on management of the pregnancy and evaluation of your baby. The specialist will perform an ultrasound to evaluate the health and growth of the baby, and assess if blood flow in the placenta may be affected by the blood pressure. Continued management will often consist of frequent visits to your OB as well as the specialist to monitor you and your baby. In some cases, admission to the hospital or early delivery is necessary, but this occurs in a minority of cases. The goal of management is to ensure the health of both mother and baby with delivery at term.
Whatever the cause, rest assured that your OB and MFM specialist will work together to determine the reason for your elevated blood pressures and formulate a personalized course of treatment to ensure the safety and health of the pregnancy.
Full story
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Category:
Tuesday, February 23, 2010
Elevated blood pressures can occur during pregnancy for many reasons. Women may have previous disease, or present with high pressures for the first time in pregnancy.
Part of the purpose of prenatal visits is to detect blood pressure changes and further evaluate the cause, as treatment may differ depending on the condition.
If you are found to have elevated blood pressures, your OB may order laboratory studies to evaluate your organ function (kidneys, liver, blood cells) and may have you complete a 24 hour urine looking for elevated protein. The goal is to differentiate high blood pressure alone from a more serious disorder called pre-eclampsia. The latter is a disease process related to the placenta that can lead to serious complications of pregnancy.
If diagnosed with pre-eclampsia or if blood pressures are persistently elevated, you may be referred to a maternal-fetal medicine specialist for guidance on management of the pregnancy and evaluation of your baby. The specialist will perform an ultrasound to evaluate the health and growth of the baby, and assess if blood flow in the placenta may be affected by the blood pressure. Continued management will often consist of frequent visits to your OB as well as the specialist to monitor you and your baby. In some cases, admission to the hospital or early delivery is necessary, but this occurs in a minority of cases. The goal of management is to ensure the health of both mother and baby with delivery at term.
Whatever the cause, rest assured that your OB and MFM specialist will work together to determine the reason for your elevated blood pressures and formulate a personalized course of treatment to ensure the safety and health of the pregnancy.
Full story
Posted by:
Enter Here
Category:
Tags:
North Austin
Breast Care/Women
Blood Pressure
pregnancy
NAMC
Maternity/Newborn
Monday, February 22, 2010
Are you at risk for diabetes?
The Centers for Disease control estimates that there are 23.6 million people or 7.8% of the population which have diabetes. Could you be at risk for diabetes? Risk factors include: being overweight, family history of diabetes, age over 45, certain ethnicities (African American, Hispanics, Native Americans), history of gestational diabetes or giving birth to a baby weighing over 9 pounds, prior history of impaired glucose tolerance, high blood pressure, and polycystic ovary syndrome. If you are at increased risk for diabetes, the Diabetes Prevention Program has shown that you can reduce your risk of developing type 2 diabetes by up to 58% through lifestyle interventions which result in a modest weight loss. This includes eating a diet low in fat and calories and regular physical activity. The American Diabetes Association recommends that once over age 45, that you have your fasting blood glucose checked every 3 years to assess for the development of diabetes.
Debunking Common Diabetes Myths
As health professionals, patient education is one of our responsibilities. In honor of National Diabetes Month, please evaluate how your knowledge stacks up inresponding to these common myths that you may hear from your patients. If you have further questions, please contact the Diabetes Wellness Center at 901-2255.
Myth: If youdevelop diabetes, you can never eat anything with sugar again.
Fact: If eaten as part of a healthy meal plan, and combined within the overall diabetes management plan, sweets and desserts can be eaten by people with diabetes. Moderation in all carbohydrate intake is the key. This includes healthy carbohydrates like fruit and whole grains.
Myth: It's possible to have just “slight or borderline” diabetes.
Fact: Either you have diabetes or you don't. Those with elevated blood glucose readings not high enough to be considered diabetes have pre-diabetes. Pre-diabetes significantly increases the risk of developing diabetes if proper preventive action is not taken.
Myth: I feel fine, so my blood sugar is fine.
Fact: High or low blood sugar levels do not always produce noticeable symptoms. Monitoring is the only way to know for sure what the blood sugar level is.
Myth: If I have to start taking insulin, that means I didn't take care of my diabetes and I am a failure.
Fact: All persons with type 1 diabetes will require insulin. Those with type 2 may also require insulin later in the disease as it is a progressive disorder with declining pancreatic function.
Carmela Hubler, RN, MSN, CDE
Diabetes Education
St. David's North Austin Medical Center
Full story
Posted by:
Category:
Monday, February 22, 2010
Are you at risk for diabetes?
The Centers for Disease control estimates that there are 23.6 million people or 7.8% of the population which have diabetes. Could you be at risk for diabetes? Risk factors include: being overweight, family history of diabetes, age over 45, ethnicity (African American, Hispanics, Native Americans), history of gestational diabetes or giving birth to a baby weighing over 9 pounds, prior history of impaired glucose tolerance, high blood pressure, and polycystic ovary syndrome. If you are at increased risk for diabetes, the Diabetes Prevention Program has shown that you can reduce your risk of developing type 2 diabetes by up to 58% through lifestyle interventions which result in a modest weight loss. This includes eating a diet low in fat and calories and regular physical activity. The American Diabetes Association recommends that once over age 45, that you have your fasting blood glucose checked every 3 years to assess for the development of diabetes.
Debunking Common Diabetes Myths
As health professionals, patient education is one of our responsibilities. In honor of National Diabetes Month, please evaluate how your knowledge stacks up in responding to these common myths that you may hear from your patients. If you have further questions, please contact the Diabetes Wellness Center at 901-2255.
Myth: If you develop diabetes, you can never eat anything with sugar again.
Fact: If eaten as part of a healthy meal plan, and combined within the overall diabetes management plan, sweets and desserts can be eaten by people with diabetes. Moderation in all carbohydrate intake is the key. This includes healthy carbohydrates like fruit and whole grains.
Myth: It's possible to have just “slight or borderline” diabetes.
Fact: Either you have diabetes or you don't. Those with elevated blood glucose readings not high enough to be considered diabetes have pre-diabetes. Pre-diabetes significantly increases the risk of developing diabetes if proper preventive action is not taken.
Myth: I feel fine, so my blood sugar is fine.
Fact: High or low blood sugar levels do not always produce noticeable symptoms. Monitoring is the only way to know for sure what the blood sugar level is.
Myth: If I have to start taking insulin, that means I didn't take care of my diabetes and I am a failure.
Fact: All persons with type 1 diabetes will require insulin. Those with type 2 may also require insulin later in the disease as it is a progressive disorder with declining pancreatic function.
Carmela Hubler, RN, MSN, CDE
Diabetes Education
St. David's North Austin Medical Center
Full story
Posted by:
Enter Here
Category:
Tags:
North Austin
NAMC
diabetes
Monday, February 22, 2010
With this being the month many think about the heart related to Valentines Day a quick note regarding quickly fixing a broken heart seems appropriate.
Our current average time to open a closed heart artery is 41 minutes from arriving to emergency department door at
St David's Round Rock Medical Center. Quicker recognition of symptoms and restoration of blood flow decreases cardiac injury. Potentially decreasing damage from Iceberg sized collision damage to ice cube sized collision.
The biggest time factor is early recognition and getting trained people to help. Find out more signs and symptoms from the
American Heart Association remember the symptoms may not match the movie portrayals of chest clinching.Others may be counting on your help for their heart.
Michael Howell
Director of Cardiology
St. David's Round Rock Medical Center
Full story
Posted by:
Category:
Friday, February 19, 2010
With this being the month many think about the heart related to Valentines Day a quick note regarding quickly fixing a broken heart seems appropriate.
Our current average time to open a closed heart artery is 41 minutes from arriving to emergency department door at
St David's Round Rock Medical Center. Quicker recognition of symptoms and restoration of blood flow decreases cardiac injury. Potentially decreasing damage from Iceberg sized collision damage to ice cube sized collision.
The biggest time factor is early recognition and getting trained people to help. Find out more signs and symptoms from the
American Heart Association remember the symptoms may not match the movie portrayals of chest clinching.Others may be counting on your help for their heart.
Michael Howell
Director of Cardiology
St. David's Round Rock Medical Center
Full story
Posted by:
Tarie Beldin, RD, LD
Category:
Thursday, February 18, 2010
With this being the month many think about the heart related to Valentines Day a quick note regarding quickly fixing a broken heart seems appropriate.
Our current average time to open a closed heart artery is 41 minutes from arriving to emergency department door at
St David's Round Rock Medical Center. Quicker recognition of symptoms and restoration of blood flow decreases cardiac injury. Potentially decreasing damage from Iceberg sized collision damage to ice cube sized collision.
The biggest time factor is early recognition and getting trained people to help. Find out more signs and symptoms from the
American Heart Association remember the symptoms may not match the movie portrayals of chest clinching.Others may be counting on your help for their heart.
Michael Howell
Director of Cardiology
St. David's Round Rock Medical Center
Full story
Posted by:
Category:
Thursday, February 18, 2010
With this being the month many think about the heart related to Valentines Day a quick note regarding quickly fixing a broken heart seems appropriate.
Our current average time to open a closed heart artery is 41 minutes from arriving to emergency department door at
St David's Round Rock Medical Center. Quicker recognition of symptoms and restoration of blood flow decreases cardiac injury. Potentially decreasing damage from Iceberg sized collision damage to ice cube sized collision.
The biggest time factor is early recognition and getting trained people to help. Find out more signs and symptoms from the
American Heart Association remember the symptoms may not match the movie portrayals of chest clinching.Others may be counting on your help for their heart.
Michael Howell
Director of Cardiology
St. David's Round Rock Medical Center
Full story
Posted by:
Enter Here
Category:
Tags:
Heart & Vascular
American Heart Association
Fit4Life
Round Rock
Thursday, February 18, 2010
National Nutrition Month – March 2010 – “Nutrition From the Ground Up”
Purpose
National Nutrition Month® is a nutrition education and information campaign created annually in March by the American Dietetic Association. The campaign focuses attention on the importance of making informed food choices and developing sound eating and physical activity habits. Registered Dietitian Day, also celebrated in March, increases awareness of registered dietitians as the indispensable providers of food and nutrition services and recognizes RDs for their commitment to helping people enjoy healthy lives.
History
Initiated in March 1973 as a week-long event, "National Nutrition Week" became a month-long observance in 1980 in response to growing public interest in nutrition.
Sponsor
The American Dietetic Association's mission is to promote optimal nutrition and well being for all people by advocating for its members. With more than 70,000 members, ADA is the world's largest organization of food and nutrition professionals. The majority of ADA's members are registered dietitians and dietetic technicians, registered.
The American Dietetic Association reminds everyone that an easy way to focus on eating better is to start with the basics: build your nutritional health from the ground up.
“By starting slowly and giving yourself a good foundation, you can work towards a healthier life,” says registered dietitian Tarie Beldin. “Change doesn't have to be dramatic to make a difference.”
Beldin suggests ways to improve your nutrition from the ground up:
- Focus on fruits and veggies: “Take a good look at your current diet you'll probably realize you're not eating enough fruits or vegetables,” says Beldin. “Add a serving each day to one meal and increase it every few weeks. Adding more of these foods into your diet is important whether you buy frozen, fresh or organic.”
- Explore locally: From farmer's markets to community-supported agriculture, you have many options to find new, fresh foods in your area. “This can be a great way to eat well and support your community at the same time,” Beldin says.
- Make calories count: “Too often, people think of foods as good or bad and that only those on the ‘good foods' list are okay to eat,” says Beldin. “When you're choosing between options, focus instead on the one with more of the vitamins and nutrients that you need. Sometimes, foods with fewer calories aren't always the healthiest options.” To figure out how many calories you need to achieve a healthy weight, visit mypyramid.gov
- Expand your taste buds: A healthy eating plan emphasizes fruits, vegetables, whole grains, low-fat or fat-free dairy and includes lean meats, poultry, fish, beans and nuts. “Those are the basics, but within this wide range there are always opportunities to try new things and find new favorites,” Beldin says. “Expand your horizons. Try a fish you've never eaten before or find a new vegetable recipe. By testing yourself, you might find new healthy favorites to add to your regular grocery list.”
- Healthy treats are a must: “A healthful diet doesn't mean deprivation,” says Beldin. “If you have a sweet tooth, have fruit and yogurt for dessert. If you want a snack in the afternoon, have some trail mix or nuts. There is no reason to go hungry just because you're making healthful changes.”
For more tips on building your healthful diet from the ground up, during National Nutrition Month and all year long, visit eatright.org and click on “For the Public.”
The American Dietetic Association is the world's largest organization of food and nutrition professionals. ADA is committed to improving the nation's health and advancing the profession of dietetics through research, education and advocacy. Visit the American Dietetic Association at www.eatright.org
Full story
Posted by:
Tarie Beldin, RD, LD
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Tags:
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diet
St David's Round Rock Medical Center
nutrition
food
Thursday, February 18, 2010
National Nutrition Month – March 2010 – “Nutrition From the Ground Up”
Purpose
National Nutrition Month® is a nutrition education and information campaign created annually in March by the American Dietetic Association. The campaign focuses attention on the importance of making informed food choices and developing sound eating and physical activity habits. Registered Dietitian Day, also celebrated in March, increases awareness of registered dietitians as the indispensable providers of food and nutrition services and recognizes RDs for their commitment to helping people enjoy healthy lives.
History
Initiated in March 1973 as a week-long event, "National Nutrition Week" became a month-long observance in 1980 in response to growing public interest in nutrition.
Sponsor
The American Dietetic Association's mission is to promote optimal nutrition and well being for all people by advocating for its members. With more than 70,000 members, ADA is the world's largest organization of food and nutrition professionals. The majority of ADA's members are registered dietitians and dietetic technicians, registered.
The American Dietetic Association reminds everyone that an easy way to focus on eating better is to start with the basics: build your nutritional health from the ground up.
“By starting slowly and giving yourself a good foundation, you can work towards a healthier life,” says registered dietitian Tarie Beldin. “Change doesn't have to be dramatic to make a difference.”
Beldin suggests ways to improve your nutrition from the ground up:
- Focus on fruits and veggies: “Take a good look at your current diet you'll probably realize you're not eating enough fruits or vegetables,” says Beldin. “Add a serving each day to one meal and increase it every few weeks. Adding more of these foods into your diet is important whether you buy frozen, fresh or organic.”
- Explore locally: From farmer's markets to community-supported agriculture, you have many options to find new, fresh foods in your area. “This can be a great way to eat well and support your community at the same time,” Beldin says.
- Make calories count: “Too often, people think of foods as good or bad and that only those on the ‘good foods' list are okay to eat,” says Beldin. “When you're choosing between options, focus instead on the one with more of the vitamins and nutrients that you need. Sometimes, foods with fewer calories aren't always the healthiest options.” To figure out how many calories you need to achieve a healthy weight, visit mypyramid.gov
- Expand your taste buds: A healthy eating plan emphasizes fruits, vegetables, whole grains, low-fat or fat-free dairy and includes lean meats, poultry, fish, beans and nuts. “Those are the basics, but within this wide range there are always opportunities to try new things and find new favorites,” Beldin says. “Expand your horizons. Try a fish you've never eaten before or find a new vegetable recipe. By testing yourself, you might find new healthy favorites to add to your regular grocery list.”
- Healthy treats are a must: “A healthful diet doesn't mean deprivation,” says Beldin. “If you have a sweet tooth, have fruit and yogurt for dessert. If you want a snack in the afternoon, have some trail mix or nuts. There is no reason to go hungry just because you're making healthful changes.”
For more tips on building your healthful diet from the ground up, during National Nutrition Month and all year long, visit eatright.org and click on “For the Public.”
The American Dietetic Association is the world's largest organization of food and nutrition professionals. ADA is committed to improving the nation's health and advancing the profession of dietetics through research, education and advocacy. Visit the American Dietetic Association at www.eatright.org
Full story
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Enter Here
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Tags:
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Fit4Life
Round Rock
food
Wednesday, February 17, 2010
St. David's HealthCare and MedCath Corporation today announced an agreement for St. David's HealthCare to acquire the Heart Hospital of Austin. St. David's HealthCare is a multi-hospital regional healthcare system based in Austin, Texas. MedCath, the current manager and majority owner of the Heart Hospital of Austin, is based in Charlotte, North Carolina.
“This facility acquisition will complement the already exceptional cardiovascular programs currently operating throughout St. David's HealthCare,” said Jon M. Foster, president and chief executive officer of St. David's HealthCare. “One of the clinical areas St. David's HealthCare has continued to develop regionally is our cardiovascular service, which is strong thanks to the outstanding care provided by our St. David's HealthCare-affiliated physicians and staff.”
The acquisition is expected to be finalized upon completion of the normal regulatory approval process.
“The Heart Hospital of Austin has helped distinguish MedCath, epitomizing our model of providing high-quality care in an efficient manner,” said O. Edwin French, MedCath's president and chief executive officer. “We're proud of our legacy there, and we wish the new owners much success.”
“The Heart Hospital of Austin has received the No.1-ranking in Texas for cardiovascular services for six consecutive years from HealthGrades, a leading independent health ratings organization,” David Laird, president and chief executive officer of the Heart Hospital of Austin, said. “Joining St. David's HealthCare allows us to enhance the high-quality care that we have provided our patients for years, further benefitting the community in Austin.”
St. David's HealthCare
With a total of 24 sites across the region, St. David's HealthCare includes six of the area's leading hospitals and is one of the largest health systems in Texas. Known for compassionate, high-quality care, the organization has been recognized with the Texas Award for Performance Excellence, the highest honor bestowed by the State of Texas based upon world-class quality measures.
Ranked in 2007, 2008 and 2009 as the top Austin-area employer among large companies at the Austin Business Journal's annual “Best Places to Work” event, St. David's HealthCare is the fifth-largest private employer in the Austin area, with more than 6,200 employees and $3.1 billion in annual gross revenues. For more information, please visit StDavids.com.
MedCath Corporation
MedCath Corporation, headquartered in Charlotte, N.C., is a healthcare provider focused on high acuity services with the diagnosis and treatment of cardiovascular disease being a primary service offering. MedCath owns an interest in and operates 10 hospitals with a total of 825 licensed beds, located in Arizona, Arkansas, California, Louisiana, New Mexico, South Dakota and Texas. In addition, MedCath and its subsidiary, MedCath Partners, provide services in diagnostic and therapeutic facilities in various states. For more information, please visit MedCath.com.
Heart Hospital of Austin
The uniquely designed 58-bed hospital offers a full range of cardiac services and includes a 24-hour full service emergency center. Heart Hospital of Austin provides comprehensive physician-directed and patient-centered care resulting in excellent patient outcomes and satisfaction ratings. The hospital resulted from the shared vision of Austin Heart Cardiologists, Cardiothoracic and Vascular Surgeons Group of Austin and MedCath Corporation. Working with hospital leadership, the groups created an atmosphere of quality resulting in the No. 1-ranked heart program in Texas, six years in a row as ranked by HealthGrades. In July 2009, a study funded by the Centers for Medicare and Medicaid Services revealed the Heart Hospital of Austin as the leading hospital in the United States for treatment of a heart attack. For more information, please visit hearthospitalofaustin.com.
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St. David's HealthCare
MedCath
Heart Hospital of Austin
Monday, February 15, 2010
Join us on Thursday, February 18th, 6:30 - 7:30 p.m. to find out if weight loss surgery is right for you. This seminar will be held at St. David's Medical Center.
Come hear Dr. Mark R. Sherrod discuss obesity and it's related illnesses, surgical options, risks, benefits, and lifestyles changes. St. David's is recognized as a Center of Excellence for Bariatric Surgery.
To find out more information on weight loss surgery or to register for a FREE seminar, please call 512.544.LIFE (5433).
To download a flyer on the above information click: [
HERE]
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Monday, February 15, 2010
Join us on Thursday, February 18th, 6:30 - 7:30 p.m. to find out if weight loss surgery is right for you. This seminar will be held at St. David's Medical Center.
Come hear Dr. Mark R. Sherrod discuss obesity and it's related illnesses, surgical options, risks, benefits, and lifestyles changes. St. David's is recognized as a Center of Excellence for Bariatric Surgery.
To find out more information on weight loss surgery or to register for a FREE seminar, please call 512.544.LIFE (5433).
To download a flyer on the above information click: [
HERE]
Full story
Posted by:
Enter Here
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Tags:
MedCenter
bariatrics
weight loss
Friday, February 12, 2010
Every year since 1963 the President issues the proclamation that February is American Heart Month…and it has nothing to do candy or Valentines Day. Cardiovascular diseases, including heart attack and stroke are our nation's No. 1 killer…of both men AND women! The goal is to help raise public awareness of heart disease and to help raise funds for research and education.
The “Go Red” campaign specifically aims to help women take action against heart disease and to show support, it is recommended that everyone wear red on National Wear Red Day - Friday, February 5th.
The American Heart Association had developed “My Life Check” and it is designed to let people know that even the smallest improvements to your health can make a big difference. There are 7 areas to address:
- Get Active: - Try to incorporate 30-60 minutes of moderate activity each day
- Eat Better: - Limit your fat intake, choose unsaturated fats over saturated fats, eat more fish, include more whole grains, beans, lean meat and poultry, produce and low fat dairy to your diet. Also, limit sugar, salt and alcohol.
- Lose weight: - Know your Body Mass Index, health experts want our BMI at 25 or less. Along with the tips above, exercise portion control.
- Stop smoking: - This is still a major risk factor in the development of high blood pressure and heart disease
- Control Cholesterol: - First, know your numbers. You need to not only know what your Total Cholesterol is, but also your LDL (bad cholesterol) and your HDL (good cholesterol). Your cholesterol can be lowered by changing your diet, losing weight and incorporating exercise. Cholesterol <200 mg/dl LDL < 100 mg/dl HDL >44 mg/dl for men and > than 54 mg/dl for women
- Manage Blood Pressure: - High blood pressure is commonly known as the “silent killer”, meaning there are really no signs or symptoms until it is already high. If you are at risk for heart disease, have your blood pressure checked regularly and try to keep it at or below 120/80.
- Reduce Blood Sugar: - Having diabetes increases a person's risk of heart disease. Try to keep your fasting blood glucose levels between 70-110 mg/dl or whatever level has been determined by your physician.
These steps have one unique thing in common: any person can make these changes, they are inexpensive to start and the goal is what we all hope for ourselves and our families…a long, productive healthy life!
Written by: Tarie Beldin, RD, LD
St David's Round Rock Medical Center
Full story
Posted by:
Tarie Beldin, RD, LD
Category:
Tags:
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hospital
fitness
stroke
fit 4 life
women
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St David's Round Rock Medical Center
cardiovascular
Friday, February 12, 2010
Every year since 1963 the President issues the proclamation that February is American Heart Month…and it has nothing to do candy or Valentines Day. Cardiovascular diseases, including heart attack and stroke are our nation's No. 1 killer…of both men AND women! The goal is to help raise public awareness of heart disease and to help raise funds for research and education.
The “Go Red” campaign specifically aims to help women take action against heart disease and to show support, it is recommended that everyone wear red on National Wear Red Day - Friday, February 5th.
The American Heart Association had developed “My Life Check” and it is designed to let people know that even the smallest improvements to your health can make a big difference. There are 7 areas to address:
- Get Active: - Try to incorporate 30-60 minutes of moderate activity each day
- Eat Better: - Limit your fat intake, choose unsaturated fats over saturated fats, eat more fish, include more whole grains, beans, lean meat and poultry, produce and low fat dairy to your diet. Also, limit sugar, salt and alcohol.
- Lose weight: - Know your Body Mass Index, health experts want our BMI at 25 or less. Along with the tips above, exercise portion control.
- Stop smoking: - This is still a major risk factor in the development of high blood pressure and heart disease
- Control Cholesterol: - First, know your numbers. You need to not only know what your Total Cholesterol is, but also your LDL (bad cholesterol) and your HDL (good cholesterol). Your cholesterol can be lowered by changing your diet, losing weight and incorporating exercise. Cholesterol <200 mg/dl LDL < 100 mg/dl HDL >44 mg/dl for men and > than 54 mg/dl for women
- Manage Blood Pressure: - High blood pressure is commonly known as the “silent killer”, meaning there are really no signs or symptoms until it is already high. If you are at risk for heart disease, have your blood pressure checked regularly and try to keep it at or below 120/80.
- Reduce Blood Sugar: - Having diabetes increases a person's risk of heart disease. Try to keep your fasting blood glucose levels between 70-110 mg/dl or whatever level has been determined by your physician.
These steps have one unique thing in common: any person can make these changes, they are inexpensive to start and the goal is what we all hope for ourselves and our families…a long, productive healthy life!
Written by: Tarie Beldin, RD, LD
St David's Round Rock Medical Center
Full story
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Go Red for Women
Heart & Vascular
American Heart Association
Fit4Life
Round Rock
Wednesday, February 10, 2010
Brushy Creek M.U.D and St. David's Round Rock Medical Center
Proudly Present:
MATTERS OF THE HEART: A DISCUSSION OF HEART HEALTH AND YOU
With Guest Speaker
Neva Schmelzer, R.N.
SDRRMC Supervisor
Cardiac Rehabilitation
You are cordially invited to come learn about heart disease risk factors, signs, symptoms of a heart attack, and what to do in case you or someone you know experiences one. In addition to the free heart health lecture, there will also be a demonstration on compression only CPR, as well as many free screenings that you can participate in.
Free Screenings:
- Cholesterol
- Glucose
- Blood Pressure
- Cardiac Risk Assessment
Tuesday February 23rd, 2010
9:30 a.m. - 12:30p.m.
Brushy Creek M.U.D.
16318 Great Oaks Drive
Round Rock, TX 78681
For More Information, please call:
512.341.6586 or 512.255.7871 ext.226
Full story
Posted by:
Tarie Beldin, RD, LD
Category:
Tags:
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heart
CPR
Cholesterol
Blood Pressure
Cardiac
Glucose
St David's Round Rock Medical Center
Round Rock
Screening
Wednesday, February 10, 2010
Brushy Creek M.U.D and St. David's Round Rock Medical Center
Proudly Present:
MATTERS OF THE HEART: A DISCUSSION OF HEART HEALTH AND YOU
With Guest Speaker
Neva Schmelzer, R.N.
SDRRMC Supervisor
Cardiac Rehabilitation
You are cordially invited to come learn about heart disease risk factors, signs, symptoms of a heart attack, and what to do in case you or someone you know experiences one. In addition to the free heart health lecture, there will also be a demonstration on compression only CPR, as well as many free screenings that you can participate in.
Free Screenings:
- Cholesterol
- Glucose
- Blood Pressure
- Cardiac Risk Assessment
Tuesday February 23rd, 2010
9:30 a.m. - 12:30p.m.
Brushy Creek M.U.D.
16318 Great Oaks Drive
Round Rock, TX 78681
For More Information, please call:
512.341.6586 or 512.255.7871 ext.226
Full story
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Enter Here
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Fit4Life
Round Rock
Friday, February 05, 2010
After a 7.0 magnitude earthquake devastated Haiti on January 12, 2010, employees at St. David's HealthCare rallied together to provide aid in the form of time, money, medical supplies and equipment to the millions of people affected by this unexpected catastrophe. In addition to individual employee commitments, St. David's HealthCare has donated anesthetic drugs, antibiotics and operating room supplies. Employees are also collecting money to be matched by Hospital Corporation of America (HCA) and donated to Haiti's relief and rebuilding efforts.
“As healthcare professionals, we know how desperate the situation is in Haiti and how quickly we need to respond,” Steve Berkowitz, chief medical officer at St. David's HealthCare, said. “I am proud of the contributions St. David's HealthCare employees have made to the earthquake victims, and I'm thankful that their desire to offer compassionate care has extended to the people of Haiti in their most severe state.”
Serena Green, a NICU nurse at St. David's Medical Center, traveled to Haiti immediately after the earthquake alongside other medical professionals, providing support to the most critical and immediate medical needs. Green's journey to Haiti was made with Hill Country Bible Church and Austin Stone Community Church and was supported by St. David's HealthCare with significant amounts of medication and supplies.
Other staff members at St. David's Medical Center have also answered Haiti's call for aid. Jamy Dillion, a NICU nurse, went to Haiti with Mercy Works. Another NICU nurse, Jimmy Hall, and Courtney Smith, a transport respiratory therapist, are planning to go to Haiti in the near future.
Dr. Melanie Pagette, who practices at St. David's Round Rock Medical Center coordinated efforts to donate pharmaceuticals and medical supplies to Haiti. Pagette's efforts were supported by several doctors and medical professionals at St. David's HealthCare and were transported and distributed to Haitians by her husband. Other people at St. David's Round Rock Medical Center who helped with this effort include Patti Ellisor, chief nursing officer, and the pharmacy and materials management staff.
Dr. Jared Mabery, the Medical Director of St. David's Georgetown Hospital's Emergency Department left for Haiti immediately following the earthquake with a group of five other medical professionals. Mabery worked outside of Port-au-Prince for a week in a hospital associated with the medical clinic at Canaan Orphanage.
Will Curtis, an anesthesiologist at St. David's South Austin Medical Center traveled to Haiti with supplies donated by the facility.
Drs. Scott Smith and Joel Hurt of St. David's North Austin Medical Center were in Haiti the last week of January distributing two pallets of supplies and Drs. Devin Garza and Tyler Goldberg left for Haiti the first week of February.
In addition to these efforts, employees at St. David's HealthCare have also donated money to HCA. HCA has committed $1 million in cash and in-kind donations and will match employee donations dollar-for-dollar for all funds collected in January. Contributions will be divided between to the Red Cross, which is meeting the immediate needs on the ground in Haiti, and Doctors Without Borders, an international aid agency.
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HCA
St David's Medical Center
Thursday, January 21, 2010
“I was happy to hear that my case was being discussed by this group of professionals,” Todd says. “I benefited from receiving multiple opinions without having to see multiple doctors.” Months after surgery, Todd offers advice for others who face similar situations: “Finding the right doctor is the number one thing you have to do. Shop around and find a doctor who is really interested in your well-being and who is experienced in the procedure that you need.”
Todd Spinal
Ependymoma
NeuroTexas Institute
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Thursday, January 21, 2010
"My greatest pleasures are playing with my grandchildren and being with my husband," Dorothy says. "After the ablation that Dr. Natale performed, I can take advantage of every minute. I can't describe it other than it is like 'night and day' compared with the two previous ablations."
Dorothy
Atrial Fibrillation
Texas Cardiac Arrhythmia Institute
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Thursday, January 21, 2010
"Over the years, I have seen several physicians in Texas and Colorado for my back pain," Cathy explains. "Dr. Webb was different. I went in with a list of questions and did not have to ask any of them. He answered them all when he showed me my MRI. When I left his office I understood exactly what he was going to do and why I needed it. Dr. Webb was supposed to be my second opinion, but he became my first choice."
Cathy
Herniated Disk
NeuroTexas Institute
Full story
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Thursday, January 21, 2010
Remember back to high school when you or one of your fellow athletes fell on the cinder track? Your coach probably got out the wire brush to clean your wound or just said “rub a little mud on it!” Mercifully, our approach to wound healing has significantly changed since then. We no longer leave wounds open to air, let them scab over or soak most wounds with cytotoxic solutions such as Cholrox.
Luckily, most simple wounds heal despite what we do to them. Problem healing wounds, on the other hand, are wounds that don't heal in an expected time frame. Wounds have defined stages of healing: hemostasis, inflammation, proliferation and remodeling. Any breakdown in the process after hemostasis can change an acute wound into a chronic wound. Comorbidities such as diabetes mellitus, cancer, peripheral neuropathy, peripheral arterial disease, venous edema, malnutrition, anemia, immunocompromised state, chronic immunosuppression and infection all can change a wound from simple to complicated. To heal these complicated wounds, it is paramount to understand and control the factors that are slowing or stopping the healing process.
The first step in the approach to wound healing begins with a thorough assessment. This assessment includes: size and depth, presence of infection, necrotic tissue, granulation tissue, presence of protective sensation and the condition of the periwound. Impediments to healing are then assessed. These include hypoxia/ischemia, unrelieved pressure, infection (cellulitis, abscess or underlying osteomyelitis), venous edema, moisture imbalance, and advanced age. Other factors which should be controlled or stabilized include blood glucose levels, autoimmune diseases, malignancy, malnutrition, radiation damage and immunosuppression.
Proper moisture balance is important for wounds to heal. Hydrocolloids, occlusive dressings or hydrogels accomplish this. New research supports keeping wounds moist with the patient's own sera which contains healing factors. Heavily exudating wounds, however, require frequent dressing changes to avoid maceration. Remembering the medical school mantra, "If it is wet you dry it and if it is dry you wet it," still serves well in directing wound care.
There are a myriad of wound care products available. They are designed to promote a proper moisture balance, provide protection, reduce bioburden, and inhibit or kill microbes, remove necrotic tissue, and provide missing healing factors. Popular dressings include silver dressings, collagen dressings, cadexomer iodine preparations, porcine-derived acellular small intestine submucosa, and active Leptospermum Honey dressings. Regranex, a recombinant human platelet derived growth factor, had been used but now has a recent black box warning limiting its use. The only enzymatic debrider currently on the market is collagenase. NPWT (e.g. Wound V.A.C.) has been a revolutionary way of treating wounds and expedites healing times.
Treating wounds for infection is important. Evidence of increased wound breakdown, increased pain, warmth, purulent drainage and fever signifies infection and requires antibiotic treatment. Debridement and antimicrobial dressings are usually required to decrease the wound bioburden (bacterial containing debris in the wound which slows healing).
Lower extremity venous edema must be controlled. These patients present with ulcers, cellulitis, and dermatitis. The initial treatment of venous stasis disease is compression to manage the edema and promote healing. Correction of venous vascular pathology can resolve many of the sequelae. Newer office techniques with guided ultrasound now allow vascular surgeons to ablate local bridging vein pathology in their office.
For many wounds, a major impediment to healing is hypoxia or ischemia. After a thorough history, the physician should check for the presence or absence of pulses. The integumetary should be examined for hair loss, fissuring, loss of subcutaneous tissue, color/temperature changes, and delayed capillary refill. Doppler evaluation can assess macrovascular flow. Transcutaneous oximetry monitoring (TCOM) measures the oxygen in the small capillaries of the skin and can assess microvascular flow. Revascularization through open bypass or percutaneous vascular procedures (e.g. Silverhawk/laser, angioplasty and stenting) can improve blood flow in not only the iliac and femoral arteries, but also the smaller infrapopliteal arteries. Strict off-loading to allow healing is essential for neuropathic foot ulcers and other pressure ulcers.
Some hypoxic chronic refractory wounds require adjunctive hyperbaric oxygen (HBO) treatments for healing. These wounds include diabetic foot wounds of Wagner grade III or higher, soft tissue radiation necrosis wounds, necrotizing soft tissue infections, gas gangrene and compromised skin grafts/flaps. HBO treatments involve placing patients in a hyperbaric chamber where they breathe100% oxygen at greater than atmospheric pressure. The extra oxygen that is dissolved in the plasma is then able to oxygenate the ischemic tissue to augment healing.
The future of wound healing is bright. The advent of wound care centers which emphasize early diagnosis, aggressive care, and a multidisciplinary approach will significantly improve outcomes and decrease morbidity. Aggessive wound care and appropriate use of HBO can be limb or life saving.
Full story
Posted by:
Category:
Thursday, January 21, 2010
Remember back to high school when you or one of your fellow athletes fell on the cinder track? Your coach probably got out the wire brush to clean your wound or just said “rub a little mud on it!” Mercifully, our approach to wound healing has significantly changed since then. We no longer leave wounds open to air, let them scab over or soak most wounds with cytotoxic solutions such as Cholrox.
Luckily, most simple wounds heal despite what we do to them. Problem healing wounds, on the other hand, are wounds that don't heal in an expected time frame. Wounds have defined stages of healing: hemostasis, inflammation, proliferation and remodeling. Any breakdown in the process after hemostasis can change an acute wound into a chronic wound. Comorbidities such as diabetes mellitus, cancer, peripheral neuropathy, peripheral arterial disease, venous edema, malnutrition, anemia, immunocompromised state, chronic immunosuppression and infection all can change a wound from simple to complicated. To heal these complicated wounds, it is paramount to understand and control the factors that are slowing or stopping the healing process.
The first step in the approach to wound healing begins with a thorough assessment. This assessment includes: size and depth, presence of infection, necrotic tissue, granulation tissue, presence of protective sensation and the condition of the periwound. Impediments to healing are then assessed. These include hypoxia/ischemia, unrelieved pressure, infection (cellulitis, abscess or underlying osteomyelitis), venous edema, moisture imbalance, and advanced age. Other factors which should be controlled or stabilized include blood glucose levels, autoimmune diseases, malignancy, malnutrition, radiation damage and immunosuppression.
Proper moisture balance is important for wounds to heal. Hydrocolloids, occlusive dressings or hydrogels accomplish this. New research supports keeping wounds moist with the patient's own sera which contains healing factors. Heavily exudating wounds, however, require frequent dressing changes to avoid maceration. Remembering the medical school mantra, "If it is wet you dry it and if it is dry you wet it," still serves well in directing wound care.
There are a myriad of wound care products available. They are designed to promote a proper moisture balance, provide protection, reduce bioburden, and inhibit or kill microbes, remove necrotic tissue, and provide missing healing factors. Popular dressings include silver dressings, collagen dressings, cadexomer iodine preparations, porcine-derived acellular small intestine submucosa, and active Leptospermum Honey dressings. Regranex, a recombinant human platelet derived growth factor, had been used but now has a recent black box warning limiting its use. The only enzymatic debrider currently on the market is collagenase. NPWT (e.g. Wound V.A.C.) has been a revolutionary way of treating wounds and expedites healing times.
Treating wounds for infection is important. Evidence of increased wound breakdown, increased pain, warmth, purulent drainage and fever signifies infection and requires antibiotic treatment. Debridement and antimicrobial dressings are usually required to decrease the wound bioburden (bacterial containing debris in the wound which slows healing).
Lower extremity venous edema must be controlled. These patients present with ulcers, cellulitis, and dermatitis. The initial treatment of venous stasis disease is compression to manage the edema and promote healing. Correction of venous vascular pathology can resolve many of the sequelae. Newer office techniques with guided ultrasound now allow vascular surgeons to ablate local bridging vein pathology in their office.
For many wounds, a major impediment to healing is hypoxia or ischemia. After a thorough history, the physician should check for the presence or absence of pulses. The integumetary should be examined for hair loss, fissuring, loss of subcutaneous tissue, color/temperature changes, and delayed capillary refill. Doppler evaluation can assess macrovascular flow. Transcutaneous oximetry monitoring (TCOM) measures the oxygen in the small capillaries of the skin and can assess microvascular flow. Revascularization through open bypass or percutaneous vascular procedures (e.g. Silverhawk/laser, angioplasty and stenting) can improve blood flow in not only the iliac and femoral arteries, but also the smaller infrapopliteal arteries. Strict off-loading to allow healing is essential for neuropathic foot ulcers and other pressure ulcers.
Some hypoxic chronic refractory wounds require adjunctive hyperbaric oxygen (HBO) treatments for healing. These wounds include diabetic foot wounds of Wagner grade III or higher, soft tissue radiation necrosis wounds, necrotizing soft tissue infections, gas gangrene and compromised skin grafts/flaps. HBO treatments involve placing patients in a hyperbaric chamber where they breathe100% oxygen at greater than atmospheric pressure. The extra oxygen that is dissolved in the plasma is then able to oxygenate the ischemic tissue to augment healing.
The future of wound healing is bright. The advent of wound care centers which emphasize early diagnosis, aggressive care, and a multidisciplinary approach will significantly improve outcomes and decrease morbidity. Aggessive wound care and appropriate use of HBO can be limb or life saving.
Full story
Posted by:
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Category:
Tags:
Wound Care
Thursday, January 21, 2010
St. David's South Austin Hospital to be Renamed St. David's South Austin Medical Center
St.
David's South Austin Hospital today announced a $72-million capital
investment for a renovation and expansion project to begin in April
2010. The expansion will increase the hospital by three floors, more
than 100,000 square feet and 25 percent more beds.
In
addition to facility improvements, St. David's South Austin Hospital
announced that it will be renamed St. David's South Austin Medical
Center, effective immediately.
“Since this hospital was founded
more than 25 years ago, it has grown from a community hospital to a
thriving medical center serving a broad geography,” Brett Matens,
interim chief executive officer of St. David's South Austin Medical
Center, said. “Our new name will better identify the hospital's current
and future services to the community.”
Research indicates that
consumers feel the new name is a better fit for this facility, as the
hospital has evolved from a community hospital into a comprehensive
medical center that serves an entire region.
“The expansion will
enhance our current capabilities by providing superior accommodations
for patients and their families,” Matens said. “As the region grows, it
is important to have more physical space to serve our rapidly expanding
region.”
Plans to expand and renovate the hospital include:
- Clinical
improvements: A new three-story patient tower with one floor dedicated
to universal beds for critical care; an expanded, dedicated women's
services area, including a new nursery and Level II nursery;
completely renovated surgical suites, including a new operating room
for general surgery, and new operating rooms dedicated to neurosurgery
and orthopedic surgery; and a new post-anesthesia care unit (PACU).
- Hospitality
upgrades: A new family waiting area outside of the nurseries, more
parking, and additional larger-sized rooms for extended stays or
patients with large families.
- Community resource renovations:
An auditorium that can also be used as a community center; a renovated
chapel; and a remodeled, state-of-the-art dining area with a
full-service food court.
The expansion will necessitate an
increase in nursing staff within the medical surgical areas and
critical care departments, as well as an expected support staff
increase in all ancillary areas.
In 2005, St. David's South
Austin Hospital completed a $50-million expansion project that included
34 new medical surgical beds, a comprehensive cardiovascular center, an
observation unit in the intensive care unit (ICU) and a 360-space
parking garage. Additionally, the lobby registration area and physical
therapy facilities were relocated to increase convenience for patients.
The new expansion project is scheduled to break ground in April 2010, with an estimated completion date of April 2012.
Architectural
plans and interior design for the tower will be led by Nashville-based
Gould Turner Group, Inc. The garage expansion will be led by
Nashville-based Earl Swensson Associates, Inc. The general contractor
has not yet been named.
“This renovation highlights three of the
hospital's top priorities—providing the highest quality healthcare,
ensuring hospital stays are comfortable and convenient for patients and
their families, and offering resources for the community,” Matens said.
“This investment underscores our commitment to growing alongside South
Austin and the surrounding areas, providing an unmatched level of care.”
Full story
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SAMC Construction Update
Thursday, January 21, 2010
Urgent Care Clinic Treats Patients with Non-Critical Illness or Injuries
St.
David's Round Rock Medical Center opened its first urgent care clinic
on Tuesday, December 15, 2009, to treat patients with non-emergent
conditions. St. David's Urgent Care Round Rock includes a six-room
clinic with X-ray equipment and a lab. Physicians and staff at the new
clinic provide care for patients during standard business hours, after
hours and on the weekends without the wait of a hospital emergency room.
“The
St. David's Round Rock Urgent Care clinic will allow us to provide
immediate attention for patients for medical conditions that aren't
serious enough to warrant a visit to an emergency room,” Deborah Ryle,
Chief Executive Officer of St. David's Round Rock Medical Center, said.
“The clinic will be open during standard business hours, during the
evenings and on weekends, to achieve our goal of making health care
more convenient for all patients.”
St. David's Urgent Care Round Rock treats both adults and children. It provides treatment for the following:
- Colds, Flu and Pneumonia
- Lacerations, Broken Bones and Bruises
- Sports Injuries
- Back Pain
- Ear, Nose and Throat
- Fever
- Abdominal Pain, Vomiting and Diarrhea
- Urinary Tract Conditions
- Asthma and Emphysema
- Headaches and Migraines
As well as provide the following services:
- General Radiology
- General Laboratory
- Physicals
As
a follow up to a visit, patients without primary care physicians will
be referred to physicians in the area who are accepting new patients.
Patients with established doctors will be referred back to that
physician for follow up.
St. David's Urgent Care Round Rock is
staffed by board-certified physicians within St. David's HealthCare,
registered nurses and X-ray technicians. The clinic will be open
seven-days-a-week from 8 a.m. to 8 p.m. It is located at 1700 Palm
Valley, Suite 370 in Round Rock. Please call (512) 341-6000 for more
information.
Full story
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Emergency & Urgent Care
Thursday, January 21, 2010
St. David's South Austin Hospital to be Renamed St. David's South Austin Medical Center
St.
David's South Austin Hospital today announced a $72-million capital
investment for a renovation and expansion project to begin in April
2010. The expansion will increase the hospital by three floors, more
than 100,000 square feet and 25 percent more beds.
In
addition to facility improvements, St. David's South Austin Hospital
announced that it will be renamed St. David's South Austin Medical
Center, effective immediately.
“Since this hospital was founded
more than 25 years ago, it has grown from a community hospital to a
thriving medical center serving a broad geography,” Brett Matens,
interim chief executive officer of St. David's South Austin Medical
Center, said. “Our new name will better identify the hospital's current
and future services to the community.”
Research indicates that
consumers feel the new name is a better fit for this facility, as the
hospital has evolved from a community hospital into a comprehensive
medical center that serves an entire region.
“The expansion will
enhance our current capabilities by providing superior accommodations
for patients and their families,” Matens said. “As the region grows, it
is important to have more physical space to serve our rapidly expanding
region.”
Plans to expand and renovate the hospital include:
- Clinical
improvements: A new three-story patient tower with one floor dedicated
to universal beds for critical care; an expanded, dedicated women's
services area, including a new nursery and Level II nursery;
completely renovated surgical suites, including a new operating room
for general surgery, and new operating rooms dedicated to neurosurgery
and orthopedic surgery; and a new post-anesthesia care unit (PACU).
- Hospitality
upgrades: A new family waiting area outside of the nurseries, more
parking, and additional larger-sized rooms for extended stays or
patients with large families.
- Community resource renovations:
An auditorium that can also be used as a community center; a renovated
chapel; and a remodeled, state-of-the-art dining area with a
full-service food court.
The expansion will necessitate an
increase in nursing staff within the medical surgical areas and
critical care departments, as well as an expected support staff
increase in all ancillary areas.
In 2005, St. David's South
Austin Hospital completed a $50-million expansion project that included
34 new medical surgical beds, a comprehensive cardiovascular center, an
observation unit in the intensive care unit (ICU) and a 360-space
parking garage. Additionally, the lobby registration area and physical
therapy facilities were relocated to increase convenience for patients.
The new expansion project is scheduled to break ground in April 2010, with an estimated completion date of April 2012.
Architectural
plans and interior design for the tower will be led by Nashville-based
Gould Turner Group, Inc. The garage expansion will be led by
Nashville-based Earl Swensson Associates, Inc. The general contractor
has not yet been named.
“This renovation highlights three of the
hospital's top priorities—providing the highest quality healthcare,
ensuring hospital stays are comfortable and convenient for patients and
their families, and offering resources for the community,” Matens said.
“This investment underscores our commitment to growing alongside South
Austin and the surrounding areas, providing an unmatched level of care.”
Full story
Posted by:
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Category:
Tuesday, January 19, 2010
A new year…time to start fresh! Start over! A time to be the fit, healthy, organized person that you were not in December! Most New Year's resolutions have something to do with becoming healthier, namely losing weight or exercising. I believe that this should be a focus 365 days a year; however we seem to be more motivated to make changes in January. In case you have not noticed, gyms and fitness centers are jam packed right now with people working on those goals, the sad news is that by the end of January or beginning of February many people have abandoned their resolutions and have gone back to the habits and behaviors that are comfortable to them. Why does this happen? Is it lack of will power or motivation?
I believe the reason that most people cannot “stick” with their resolutions is that they start out gung-ho, making drastic changes right from the beginning that they cannot keep up with after the initial excitement wears off! Many people cannot go from being totally sedentary to running 5 miles a day or from eating fast food for each meal to being a vegetarian! The result is someone who is sore, worse yet, injured or hungry and feeling unsatisfied and deprived! No matter how badly you want to look good in that bathing suit come summer, when you try to make changes that are “un-doable”, you will not stick to them for long.
Here are some tips that can make it easier to reach your New Year's goal – without pain or starvation!
1. Set a REALISTIC goal. You should have a main goal and several “mini” goals that support your main goal. Your goals should be doable and measurable. It is neither healthy nor realistic to lose 100 pounds in 12 weeks. Also, there is a difference between saying that I want to lose 50 pounds this year or I want to be physically fit this year and stating – I will lose 1-2 pounds per week or I will walk for 15 minutes 3 days a week.
2. Write it down. When you write down your goals and make plans on how to achieve them, the more likely you are to be successful. Also, keeping food and activity records have been show to shape behaviors and help you reach your goal.
3. Make small changes. Rather than going from a junk food junkie to a vegetarian, try making small changes like substituting water for soda or mustard for mayonnaise or cooking at home 3 nights a week vs. eating out every night. As you feel comfortable with the changes you have made, then you can implement others.
4. Reward yourself (not with a hot fudge sundae). As you reach your “mini” goals, reward your hard work. Take a cooking class, buy a new pair of tennis shoes, get a massage…something to look forward to and to help motivate you to keep going.
5. Make mistakes! You are going to eat birthday cake, go to a happy hour, catch a cold and not make it to the gym for a week- that's life! Each time one of these situations happens is an opportunity for learning and problem solving.
6. Educate yourself! There is so much information on nutrition and fitness it is difficult to make sense of it all. Whether you do the research yourself or see a qualified professional, know how many calories you will need to reach your goal and learn about the calories in your favorite foods.
7. Get support. Having supportive family, friends and co-workers makes it easier and also gives you extra accountability.
Other tips and ideas:
- Keep tennis shoes at your desk at work; walk on breaks or for part of your lunch. How about a walking meeting?
- Take the stairs instead of the elevator.
- Park further away.
- Rather than going out to eat or to a movie…go dancing!
- Plan meals, grocery shop, bring your lunch to work.
- If you are going out to eat, know where you are going and if possible look up the menu and nutritional info online beforehand.
- Keep a water bottle full at all times. Drink water constantly.
- Eat breakfast; it truly is the most important meal of the day.
- Visit a website such as CalorieKing.com to help determine how many calories are in your favorite foods.
- Each week try a new low fat food, condiment or recipe.
- Plant a garden…physical activity and healthy food!
- Only weigh yourself once a week, on the same scale and at the approximately the same time of day.
For more tips, information or support, contact a registered dietitian or a certified personal trainer.
Now that you will be successful with the resolution of losing weight and being active…what will next year's resolution be?
Tarie Beldin, RD, LD
Fit 4 Life Weight Management Program
Full story
Posted by:
Tarie Beldin, RD, LD
Category:
Tuesday, January 19, 2010
A new year…time to start fresh! Start over! A time to be the fit, healthy, organized person that you were not in December! Most New Year's resolutions have something to do with becoming healthier, namely losing weight or exercising. I believe that this should be a focus 365 days a year; however we seem to be more motivated to make changes in January. In case you have not noticed, gyms and fitness centers are jam packed right now with people working on those goals, the sad news is that by the end of January or beginning of February many people have abandoned their resolutions and have gone back to the habits and behaviors that are comfortable to them. Why does this happen? Is it lack of will power or motivation?
I believe the reason that most people cannot “stick” with their resolutions is that they start out gung-ho, making drastic changes right from the beginning that they cannot keep up with after the initial excitement wears off! Many people cannot go from being totally sedentary to running 5 miles a day or from eating fast food for each meal to being a vegetarian! The result is someone who is sore, worse yet, injured or hungry and feeling unsatisfied and deprived! No matter how badly you want to look good in that bathing suit come summer, when you try to make changes that are “un-doable”, you will not stick to them for long.
Here are some tips that can make it easier to reach your New Year's goal – without pain or starvation!
1. Set a REALISTIC goal. You should have a main goal and several “mini” goals that support your main goal. Your goals should be doable and measurable. It is neither healthy nor realistic to lose 100 pounds in 12 weeks. Also, there is a difference between saying that I want to lose 50 pounds this year or I want to be physically fit this year and stating – I will lose 1-2 pounds per week or I will walk for 15 minutes 3 days a week.
2. Write it down. When you write down your goals and make plans on how to achieve them, the more likely you are to be successful. Also, keeping food and activity records have been show to shape behaviors and help you reach your goal.
3. Make small changes. Rather than going from a junk food junkie to a vegetarian, try making small changes like substituting water for soda or mustard for mayonnaise or cooking at home 3 nights a week vs. eating out every night. As you feel comfortable with the changes you have made, then you can implement others.
4. Reward yourself (not with a hot fudge sundae). As you reach your “mini” goals, reward your hard work. Take a cooking class, buy a new pair of tennis shoes, get a massage…something to look forward to and to help motivate you to keep going.
5. Make mistakes! You are going to eat birthday cake, go to a happy hour, catch a cold and not make it to the gym for a week- that's life! Each time one of these situations happens is an opportunity for learning and problem solving.
6. Educate yourself! There is so much information on nutrition and fitness it is difficult to make sense of it all. Whether you do the research yourself or see a qualified professional, know how many calories you will need to reach your goal and learn about the calories in your favorite foods.
7. Get support. Having supportive family, friends and co-workers makes it easier and also gives you extra accountability.
Other tips and ideas:
- Keep tennis shoes at your desk at work; walk on breaks or for part of your lunch. How about a walking meeting?
- Take the stairs instead of the elevator.
- Park further away.
- Rather than going out to eat or to a movie…go dancing!
- Plan meals, grocery shop, bring your lunch to work.
- If you are going out to eat, know where you are going and if possible look up the menu and nutritional info online beforehand.
- Keep a water bottle full at all times. Drink water constantly.
- Eat breakfast; it truly is the most important meal of the day.
- Visit a website such as CalorieKing.com to help determine how many calories are in your favorite foods.
- Each week try a new low fat food, condiment or recipe.
- Plant a garden…physical activity and healthy food!
- Only weigh yourself once a week, on the same scale and at the approximately the same time of day.
For more tips, information or support, contact a registered dietitian or a certified personal trainer.
Now that you will be successful with the resolution of losing weight and being active…what will next year's resolution be?
Tarie Beldin, RD, LD
Fit 4 Life Weight Management Program
Full story
Posted by:
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Category:
Tags:
Fit4Life
Round Rock
Monday, January 18, 2010
Elevated blood pressures can occur during pregnancy for many reasons. Women may have previous disease, or present with high pressures for the first time in pregnancy. Part of the purpose of prenatal visits is to detect blood pressure changes and further evaluate the cause, as treatment may differ depending on the condition.
If you are found to have elevated blood pressures, your OB may order laboratory studies to evaluate your organ function (kidneys, liver, blood cells) and may have you complete a 24 hour urine looking for elevated protein. The goal is to differentiate high blood pressure alone from a more serious disorder called pre-eclampsia. The latter is a disease process related to the placenta that can lead to serious complications of pregnancy.
If diagnosed with pre-eclampsia or if blood pressures are persistently elevated, you may be referred to a maternal-fetal medicine specialist for guidance on management of the pregnancy and evaluation of your baby. The specialist will perform an ultrasound to evaluate the health and growth of the baby, and assess if blood flow in the placenta may be affected by the blood pressure. Continued management will often consist of frequent visits to your OB as well as the specialist to monitor you and your baby. In some cases, admission to the hospital or early delivery is necessary, but this occurs in a minority of cases. The goal of management is to ensure the health of both mother and baby with delivery at term. Whatever the cause, rest assured that your OB and MFM specialist will work together to determine the reason for your elevated blood pressures and formulate a personalized course of treatment to ensure the safety and health of the pregnancy.
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Monday, January 18, 2010
Blog Post Needed
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Monday, January 18, 2010
Need Blog Post
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Monday, January 18, 2010
First blog post needed.
Full story
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Monday, January 18, 2010
First Blog Post Needed
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Friday, January 15, 2010
Need Blog Post.
Full story
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Friday, January 15, 2010
Since my arrival at St. Davids Medical Center, Department of Orthopedic Surgery, The commitment to providing surgeons with the latest effective technologies is impressive. Everything from Computer Navigation for replacement surgery, specialized hip replacement operating tables, the latest in blood preservation systems and access to all premium implants and bearing surfaces are available at St Davids. Their commitment to excellence is impressive.
– Dr. David Dodgin
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Friday, January 15, 2010
Since my arrival at St. Davids Medical Center, Department of Orthopedic Surgery, The commitment to providing surgeons with the latest effective technologies is impressive. Everything from Computer Navigation for replacement surgery, specialized hip replacement operating tables, the latest in blood preservation systems and access to all premium implants and bearing surfaces are available at St Davids. Their commitment to excellence is impressive.
– Dr. David Dodgin
Full story
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Orthopedic Surgery
Friday, January 15, 2010
Sensei® X Robotic Catheter System Received FDA Approval on Friday, September 11
On Tuesday, September 15, 2009, physicians at the Texas Cardiac Arrhythmia Institute at St. David's Medical Center performed the first procedure worldwide using the Sensei® X Robotic Catheter System, which received clearance from the U.S. Food & Drug Administration (FDA) on Friday, September 11, 2009. Electrophysiologists at TCAI use the new system to more effectively treat patients with atrial fibrillation, or A Fib—a common heart rhythm disorder that, if left untreated, can lead to stroke.
The new Sensei® X Robotic Catheter System, manufactured by Hansen Medical, Inc., is the next generation flexible robotic platform that integrates advanced levels of 3D catheter control with 3D visualization, a combination that provides accuracy and stability to the physician.
“With this device, we are able to reach deeper into the heart, allowing us to place catheters with greater precision and accuracy,” Rodney P. Horton, M.D., electrophysiologist at TCAI, said. “This advanced navigation allows us to safely and effectively treat patients with A Fib through complex arrhythmia mapping procedures.”
The new Sensei X platform uses the Artisan Extend™ Control Catheter, which increases the reachability and navigation properties of the existing Artisan catheter by offering more than 20 percent improvement in both bend and reach. As a result, physicians have the ability to place catheters deliberately and accurately within the heart. In addition, the Artisan Extend catheter offers improvements in setup and workflow, designed to improve usability and reduce procedure time. Artisan Extend™ Control Catheter received FDA approval last month.
The new Sensei X system allows doctors to control an electronic “arm” from a work station outside of the electrophysiology (EP) lab, improving their technical capabilities during EP procedures. It also reduces radiation exposure to both patient and physician.
TCAI is one of the world's most comprehensive centers dedicated to the latest treatment advances for correcting A Fib. It is led by Andrea Natale, M.D., F.A.C.C., a world-renowned expert on abnormal heart rhythms such as A Fib. Natale is at the forefront of the advancement of treatment for A Fib, leading numerous clinical trials and participating in the development of new technologies and procedures.
TCAI is a partnership between St. David's HealthCare and the physician group, Texas Cardiac Arrhythmia.
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Friday, January 15, 2010
Sensei® X Robotic Catheter System Received FDA Approval on Friday, September 11
On Tuesday, September 15, 2009, physicians at the Texas Cardiac Arrhythmia Institute at St. David's Medical Center performed the first procedure worldwide using the Sensei® X Robotic Catheter System, which received clearance from the U.S. Food & Drug Administration (FDA) on Friday, September 11, 2009. Electrophysiologists at TCAI use the new system to more effectively treat patients with atrial fibrillation, or A Fib—a common heart rhythm disorder that, if left untreated, can lead to stroke.
The new Sensei® X Robotic Catheter System, manufactured by Hansen Medical, Inc., is the next generation flexible robotic platform that integrates advanced levels of 3D catheter control with 3D visualization, a combination that provides accuracy and stability to the physician.
“With this device, we are able to reach deeper into the heart, allowing us to place catheters with greater precision and accuracy,” Rodney P. Horton, M.D., electrophysiologist at TCAI, said. “This advanced navigation allows us to safely and effectively treat patients with A Fib through complex arrhythmia mapping procedures.”
The new Sensei X platform uses the Artisan Extend™ Control Catheter, which increases the reachability and navigation properties of the existing Artisan catheter by offering more than 20 percent improvement in both bend and reach. As a result, physicians have the ability to place catheters deliberately and accurately within the heart. In addition, the Artisan Extend catheter offers improvements in setup and workflow, designed to improve usability and reduce procedure time. Artisan Extend™ Control Catheter received FDA approval last month.
The new Sensei X system allows doctors to control an electronic “arm” from a work station outside of the electrophysiology (EP) lab, improving their technical capabilities during EP procedures. It also reduces radiation exposure to both patient and physician.
TCAI is one of the world's most comprehensive centers dedicated to the latest treatment advances for correcting A Fib. It is led by Andrea Natale, M.D., F.A.C.C., a world-renowned expert on abnormal heart rhythms such as A Fib. Natale is at the forefront of the advancement of treatment for A Fib, leading numerous clinical trials and participating in the development of new technologies and procedures.
TCAI is a partnership between St. David's HealthCare and the physician group, Texas Cardiac Arrhythmia.
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Catheter
TCAI
Texas Cardiac Arrhythmia Institute
Heart & Vascular
Robotic
Friday, January 15, 2010
The Breast Center at St. David's Medical Center is pleased to announce that Clear Channel/The River is continuing to sponsor Mammo Mixers on the Third Thursday evening of every month for 2010.
What is a Mammo Mixer?
A Mammo Mixer is a social gathering with a healthy twist. There are two types of mixers:
- Sponsored by Clear Channel/The River (multiple groups attend and the sponsor provides food and entertainment)
- Individual groups reserve a private Mammo Mixer for their group alone. The group provides its own refreshments and entertainment (such as games!).
Why the Breast Center at St. David's?The Breast Center was the first in Austin to offer digital mammography. The equipment used is state-of-the-art, offering the clearest image available. The spa-like setting is conducive to an evening event such as the Mammo Mixers.
Where is the mixer held?
Mammo Mixers are held in the spacious John Thomas Library, which is located at The Breast Center at St. David's Medical Center. Now booking Clear Channel/The River Mammo Mixers 6:00 p.m. - 8:00 p.m., on the following dates (Mixers can be scheduled for private groups at other times):
- Thursday, January 21
- Thursday, February 18
- Thursday, March 18
- Thursday, April 15
- Thursday, May 20
- Thursday, June 17
- Thursday, July 15
- Thursday, August 19
- Thursday, September 16
- Thursday, October 21
- Thursday, November 18
- Thursday, December 16
Mammo Mixer requirements:
Women must be age 35 or over to have a screening mammogram without a doctor's order. Patients must have a Texas physician (doctor's orders not required for screening mammograms). Mammograms are not provided free at these events; insurances accepted. Those who need assistance should talk with Brenda Baumann, Director. Women under 35 must have a doctor's order.
The Breast Center at St. David's Medical Center
Park St. David's Professional Building
900 E. 30th Street, Suite 111
Austin, TX 78705
512.544.8803
Complimentary parking in St. David's Medical Center Central Garage!
Download a flyer of the above information: [
PDF]
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Friday, January 15, 2010
The Breast Center at St. David's Medical Center is pleased to announce that Clear Channel/The River is continuing to sponsor Mammo Mixers on the Third Thursday evening of every month for 2010.
What is a Mammo Mixer?
A Mammo Mixer is a social gathering with a healthy twist. There are two types of mixers:
- Sponsored by Clear Channel/The River (multiple groups attend and the sponsor provides food and entertainment)
- Individual groups reserve a private Mammo Mixer for their group alone. The group provides its own refreshments and entertainment (such as games!).
Why the Breast Center at St. David's? The Breast Center was the first in Austin to offer digital mammography. The equipment used is state-of-the-art, offering the clearest image available. The spa-like setting is conducive to an evening event such as the Mammo Mixers.
Where is the mixer held?
Mammo Mixers are held in the spacious John Thomas Library, which is located at The Breast Center at St. David's Medical Center. Now booking Clear Channel/The River Mammo Mixers 6:00 p.m. - 8:00 p.m., on the following dates (Mixers can be scheduled for private groups at other times):
- Thursday, January 21
- Thursday, February 18
- Thursday, March 18
- Thursday, April 15
- Thursday, May 20
- Thursday, June 17
- Thursday, July 15
- Thursday, August 19
- Thursday, September 16
- Thursday, October 21
- Thursday, November 18
- Thursday, December 16
Mammo Mixer requirements:
Women must be age 35 or over to have a screening mammogram without a doctor's order. Patients must have a Texas physician (doctor's orders not required for screening mammograms). Mammograms are not provided free at these events; insurances accepted. Those who need assistance should talk with Brenda Baumann, Director. Women under 35 must have a doctor's order.
The Breast Center at St. David's Medical Center
Park St. David's Professional Building
900 E. 30th Street, Suite 111
Austin, TX 78705
512.544.8803
Complimentary parking in St. David's Medical Center Central Garage!
Download a flyer of the above information: [
PDF]
Full story
Posted by:
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Tags:
Mammo Mixer
Breast Care/Women
Mammography
Friday, January 15, 2010
If you have a wound that won't heal, there have been many new wound care advances in the past few years that could help you. However, understanding the reason why you have a poorly healing wound is the key. Future blogs will discuss with how to deal with these wounds and where to go for help.
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Friday, January 15, 2010
If you have a wound that won't heal, there have been many new wound care advances in the past few years that could help you. However, understanding the reason why you have a poorly healing wound is the key. Future blogs will discuss with how to deal with these wounds and where to go for help.
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Wound Care
Friday, January 15, 2010
According to the American Trauma Society, trauma is the leading cause of death for all age groups under the age of 44. Winter months bring their own dangers and increased risk of trauma, including severe weather conditions and fire hazards. Here are some tips to help you avoid accidents caused by Jack Frost:
- Ensure smoke alarms in your house are working. Change the batteries and keep them fresh.
- Do not leave fires or candles burning overnight.
- Practice fire escape procedures with your family so you know the quickest and safest way to get out of the house in the event of a fire.
- Have your car inspected to ensure it is ready for extreme cold and possible icy conditions. Check the battery, tire tread and antifreeze levels.
- Dress appropriately for the weather. Coats, scarves, gloves and extra layers can help prevent sickness from the least (colds) to the extreme (hypothermia).
- Always carry an emergency kit in your car in case you get stranded (a flashlight, sand or kitty litter for icy conditions, blankets, distress signals such as flares and/or glow sticks).
- Always let someone know where you are traveling and the route you are taking.
- For children enjoying the winter weather, have them take frequent breaks from the cold by coming inside and having a warm drink.
- Be cautious when shoveling snow, defrosting your car or even using stairs outside. Ice is sometimes hard to see, and falls can occur in an instant.
These tips are just the beginning of cautionary things you can do to keep yourself safe during the extreme cold. The best thing to do is stay aware of your surroundings and be conscience of the weather conditions outside.
Rick Moore, RN, LPN
Trauma Clinical Director
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Friday, January 15, 2010
According to the American Trauma Society, trauma is the leading cause of death for all age groups under the age of 44. Winter months bring their own dangers and increased risk of trauma, including severe weather conditions and fire hazards. Here are some tips to help you avoid accidents caused by Jack Frost:
- Ensure smoke alarms in your house are working. Change the batteries and keep them fresh.
- Do not leave fires or candles burning overnight.
- Practice fire escape procedures with your family so you know the quickest and safest way to get out of the house in the event of a fire.
- Have your car inspected to ensure it is ready for extreme cold and possible icy conditions. Check the battery, tire tread and antifreeze levels.
- Dress appropriately for the weather. Coats, scarves, gloves and extra layers can help prevent sickness from the least (colds) to the extreme (hypothermia).
- Always carry an emergency kit in your car in case you get stranded (a flashlight, sand or kitty litter for icy conditions, blankets, distress signals such as flares and/or glow sticks).
- Always let someone know where you are traveling and the route you are taking.
- For children enjoying the winter weather, have them take frequent breaks from the cold by coming inside and having a warm drink.
- Be cautious when shoveling snow, defrosting your car or even using stairs outside. Ice is sometimes hard to see, and falls can occur in an instant.
These tips are just the beginning of cautionary things you can do to keep yourself safe during the extreme cold. The best thing to do is stay aware of your surroundings and be conscience of the weather conditions outside.
Rick Moore, RN, LPN
Trauma Clinical Director
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Emergency & Urgent Care
American Trauma Society
Friday, January 15, 2010
The benefits of digital mammography compared to conventional film mammograms are numerous. The steps involved are very similar; however, it is how the images are captured and what the physician can do with them that set digital mammograms apart.
With digital mammograms, images appear in seconds on a computer screen, with exceptional clarity, better visibility at the skin line, shorter exam times and 20 to 30 percent fewer callbacks. Mammograms are completed in 10-to-15 minutes. Digital mammography transfers images to a computer so that they can be electronically enhanced. Radiologists can zoom in, magnify and optimize different parts of the breast tissue using just four standard images.
Digital mammograms are preferred for women with dense breast tissue, traditionally younger women or women on hormone replacement therapy.
In addition to providing digital mammography at all facilities, St.David's HealthCare is the only Central Texas provider to use the MammoPad—a soft foam cushion that makes mammograms more comfortable for women—for all patients at all facilities. Invented by a breast surgeon, the MammoPad creates a soft, warm surface during a mammogram, instead of the traditional cold, harsh experience that many women expect. With the MammoPad, patients are more relaxed, allowing technicians to get better image quality. Overall, the MammoPad creates an experience that is both high tech and high touch for patients.
Women age 40 or over should have a yearly mammogram to check for abnormalities or lumps that may indicate early stages of breast cancer. Mammograms can see cancerous lesions earlier than they can be detected with a self-exam. Other factors, such as a family history of premenopausal breast cancer or genetic predisposition to breast cancer may require women to start mammograms at an earlier age.
Steps that women can follow to reduce their risk of developing breast cancer include:
- Having children before age 30
- Breastfeeding
- Limiting alcohol intake to one drink per day
- Maintaining a healthy weight and
- Exercising regularly
Les Handlin
Director, Imaging Services,
St. David's Round Rock Medical Center
St. David's Georgetown Hospital
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Les Handlin: Director, Imaging Services
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Friday, January 15, 2010
The benefits of digital mammography compared to conventional film mammograms are numerous. The steps involved are very similar; however, it is how the images are captured and what the physician can do with them that set digital mammograms apart.
With digital mammograms, images appear in seconds on a computer screen, with exceptional clarity, better visibility at the skin line, shorter exam times and 20 to 30 percent fewer callbacks. Mammograms are completed in 10-to-15 minutes. Digital mammography transfers images to a computer so that they can be electronically enhanced. Radiologists can zoom in, magnify and optimize different parts of the breast tissue using just four standard images.
Digital mammograms are preferred for women with dense breast tissue, traditionally younger women or women on hormone replacement therapy.
In addition to providing digital mammography at all facilities, St.David's HealthCare is the only Central Texas provider to use the MammoPad—a soft foam cushion that makes mammograms more comfortable for women—for all patients at all facilities. Invented by a breast surgeon, the MammoPad creates a soft, warm surface during a mammogram, instead of the traditional cold, harsh experience that many women expect. With the MammoPad, patients are more relaxed, allowing technicians to get better image quality. Overall, the MammoPad creates an experience that is both high tech and high touch for patients.
Women age 40 or over should have a yearly mammogram to check for abnormalities or lumps that may indicate early stages of breast cancer. Mammograms can see cancerous lesions earlier than they can be detected with a self-exam. Other factors, such as a family history of premenopausal breast cancer or genetic predisposition to breast cancer may require women to start mammograms at an earlier age.
Steps that women can follow to reduce their risk of developing breast cancer include:
- Having children before age 30
- Breastfeeding
- Limiting alcohol intake to one drink per day
- Maintaining a healthy weight and
- Exercising regularly
Les Handlin
Director, Imaging Services,
St. David's Round Rock Medical Center
St. David's Georgetown Hospital
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Imaging Services
Breast Care/Women
Mammography
Monday, January 04, 2010
On January 4, 2010 St. David's Round Rock extended its trauma services with the capability to provide care for all levels of trauma patients, including the most severely injured and critical patients. Pursuing the designation of a Level II Trauma Center is a long road, but it has been, and continues to be, a rewarding one. We've hired experienced personnel, including Michael Craun as our Trauma Medical Director and Rick Moore as the Trauma Nurse Director, to run and train our hospital staff and ensure we are prepared to handle this new level of trauma. We're committed to provide the residents of Williamson County with the highest level of care in the community.
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Monday, January 04, 2010
On January 4, 2010 St. David's Round Rock extended its trauma services with the capability to provide care for all levels of trauma patients, including the most severely injured and critical patients. Pursuing the designation of a Level II Trauma Center is a long road, but it has been, and continues to be, a rewarding one. We've hired experienced personnel, including Michael Craun as our Trauma Medical Director and Rick Moore as the Trauma Nurse Director, to run and train our hospital staff and ensure we are prepared to handle this new level of trauma. We're committed to provide the residents of Williamson County with the highest level of care in the community.
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Emergency & Urgent Care
Williamson County
Round Rock
Tuesday, September 01, 2009
A physician at the Texas Cardiac Arrhythmia Institute at St. David's Medical Center is the first in Texas to implant a new pacemaker equipped with wireless technology that can notify physicians of changes in their patients' device or condition. The latest technology was developed by St. Jude Medical to improve patient care and make device follow-up more efficient and convenient for both patients and physicians.
Dr. Shane M. Bailey, electrophysiologist at the Texas Cardiac Arrhythmia Institute at St. David's Medical Center (TCAI), implanted the Accent™ RF pacemaker to monitor the patient's heart and provide electronic stimulation when the heart beats too slowly.
The Accent RF pacemaker enables Dr. Bailey to monitor his patients' devices from the patients' home. On scheduled check-up dates, data from the pacemaker is wirelessly sent to the physician—in a hands free manner, with no patient interaction required, typically while the patient sleeps—and becomes available to the physician for viewing via the Merlin.net® Patient Care Network.
“I continue to be fascinated by how far medical science has advanced the field of electrophysiology in the past few years and I am pleased that TCAI is at the forefront of those advances,” Dr. Bailey said. “With new technologies such as the Accent RF pacemaker, I am able to provide better care for my patients, which is the ultimate goal.”
In addition to regular device follow-up appointments, the wireless communication also enables the device to automatically alert physicians to important changes with the device or the patient's heart rhythm, in between scheduled device checks.
The Merlin.net PCN also allows physicians to compile a more complete patient record, by easily transferring cardiac device data into electronic health records. This allows the physician to view all patient information side-by-side in a secure, easy to access location.
Cardiac pacemakers are used to treat bradycardia, which is a heart rate that is too slow. These devices monitor the heart and provide electrical stimulation when the heart beats too slowly for each patient's specific physiological requirements.
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TCAI
Texas Cardiac Arrhythmia Institute
Pacemaker
Heart & Vascular
bradycardia
Tuesday, September 01, 2009
A physician at the Texas Cardiac Arrhythmia Institute at St. David's Medical Center is the first in Texas to implant a new pacemaker equipped with wireless technology that can notify physicians of changes in their patients' device or condition. The latest technology was developed by St. Jude Medical to improve patient care and make device follow-up more efficient and convenient for both patients and physicians.
Dr. Shane M. Bailey, electrophysiologist at the Texas Cardiac Arrhythmia Institute at St. David's Medical Center (TCAI), implanted the Accent™ RF pacemaker to monitor the patient's heart and provide electronic stimulation when the heart beats too slowly.
The Accent RF pacemaker enables Dr. Bailey to monitor his patients' devices from the patients' home. On scheduled check-up dates, data from the pacemaker is wirelessly sent to the physician—in a hands free manner, with no patient interaction required, typically while the patient sleeps—and becomes available to the physician for viewing via the Merlin.net® Patient Care Network.
“I continue to be fascinated by how far medical science has advanced the field of electrophysiology in the past few years and I am pleased that TCAI is at the forefront of those advances,” Dr. Bailey said. “With new technologies such as the Accent RF pacemaker, I am able to provide better care for my patients, which is the ultimate goal.”
In addition to regular device follow-up appointments, the wireless communication also enables the device to automatically alert physicians to important changes with the device or the patient's heart rhythm, in between scheduled device checks.
The Merlin.net PCN also allows physicians to compile a more complete patient record, by easily transferring cardiac device data into electronic health records. This allows the physician to view all patient information side-by-side in a secure, easy to access location.
Cardiac pacemakers are used to treat bradycardia, which is a heart rate that is too slow. These devices monitor the heart and provide electrical stimulation when the heart beats too slowly for each patient's specific physiological requirements.
Full story
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Breast Care / Women's Blog
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