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Видео добавленное пользователем “Lee Health”
What You Don’t Know About Mono
 
01:56
The main reason it’s called the ‘kissing disease’ is that the virus that causes it only is found in saliva. Aside from the sassy nickname, there’s probably a lot you don’t know about mono. It comes from the Epstein - Barr virus, by adulthood most of us have been exposed. “Eighty percent of adults are immune to it because they’ve had it,” says Dr. Joseph Babey, who is a pediatrician with Lee Memorial Health System. As soon as you get over mono, your symptoms will go away for good, but you’ll always carry the virus. It may become active from time to time without causing symptoms, but it can be spread. Another interesting fact: some people get mono and never know it. “Because you can be exposed to it and have an extremely mild case where you don’t have the severe sore throat and all of that,” says Dr. Babey. An antibody test can tell if you have or have ever had the virus. Common symptoms of Mononucleosis are: fever, tiredness, muscle aches, headache and sore throat. “The first thing that you realize that you have it is a sore throat. And some pain in your neck and this is the acute phase. And the glands swell up. Now the glands that swell up are not only the glands in the neck but the glands over the whole body,” says Dr. Babey. It can pack quite a punch and carry a lot of downtime. “Mono can go on for up to 6 weeks, there are several treatments, rest and bed rest. Staying relatively inactive until your body is able to overcome it,” says Dr. Babey. Teens can be cleared for school once their fever is gone. So while the nickname may give you a chuckle, mono should always be taken seriously. View More Health Matters video segments at leememorial.org/healthmatters/ Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we’ve been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries. Visit leememorial.org
Просмотров: 51957 Lee Health
Acid Reflux Taking Your Breath Away
 
01:32
Is your heartburn taking your breath away? Doctors find that people with asthma are twice as likely to also suffer from gastroesophageal reflux disease or GERD. “We never realized his before. But gastroesophageal reflux disease, which is basically heart burn acid from the stomach coming up the food pipe, spilling up the throat sometimes spilling into the lungs, can cause a tremendous amount of aggravation and asthma-like symptoms,” says Lee Memorial Health System pulmonologist, Dr. Sagar Naik. Experts aren’t exactly sure how the two are connected, or which one comes first. But it is often a factor in diagnosing adult onset asthma. “We have seen folks who don't have asthma at all and suddenly the reflux becomes such a problem that they start having asthma symptoms,” says Dr. Naik. Getting a grasp on GERD can help people handle their asthma. It begins with diet. Not just what you eat, but changing your eating habits may provide relief. “Avoiding acidic foods: coffee, orange juice. Taking simple pills to reduce gastro acidity. Not laying down flat after having a heavy meal, instead staying up right for three to four hours before lying down, can go a long way” Treating acid reflux is helping many patients breath a little easier View More Health Matters video segments at leememorial.org/healthmatters/ Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we’ve been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries. Visit leememorial.org
Просмотров: 21984 Lee Health
Recognizing Staph Infections
 
01:38
It’s a common diagnosis but doctors say staph infections can be prevented. Dr. Michelle Hoffman, a pediatric infectious disease physician, says staph lives in warm moist areas but can quickly become a staph infection once the area is exposed. “Staph actually likes to live on the skin in the front of the nose. It often lives there perfectly fine not causing any infection. It’s when you get a break in the skin that you end up getting an infection.” Staph infections are very common and contagious. “When you leave a staph infection untreated it can progress causing systemic disease, including infection in the blood, it can also cause meningitis, or pneumonia, so it is a potentially serious infection,” said Dr. Hoffman. Staph is typically spread by contact. Adult patients commonly get staph at the gym, making it important to wipe down gym equipment before and after use. Also, don’t share towels or reuse wash cloths. For children, make sure they don’t sit too long in a dirty diaper. It can cause them to develop a staph infection on their skin. “The most common symptoms of staph infections in children are skin and soft tissue infections, so typically a pimple like lesion, or a boil, or an abscess. It’ll look red, hot, be warm, and often have puss,” said Dr. Hoffman. The infection can be very painful and, if left untreated, it can spread throughout the body. “There are strains of staph that we can use a typical antibiotic for and you can usually give those by mouth to treat the infection,” said Dr. Hoffman. Patients will typically be rid of the staph infection within two to three weeks of treatment. View More Health Matters video segments at LeeHealth.org/Healthmatters/ Lee Health in Fort Myers, FL is the largest network of health care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For more than 100 years, we’ve been providing our community with personalized preventative health services and primary care to highly specialized care services and robotic assisted surgeries. Lee Health - Caring People. Inspiring Care. Visit LeeHealth.org
Просмотров: 45157 Lee Health
Defibrillator-Pacemaker: What's the Difference?
 
02:03
Bob Graham had no idea his heart was ailing until he collapsed at the gym. "All of a sudden I just went over and that's the last I remember until I woke up about two weeks later." When Bob left the hospital, he took two things with him; a stent to keep his artery open and a pacemaker that regulates his heartbeat. "I have it checked about every three months, and they check it out to see if they have to put another new battery in." Pacemakers are often confused with defibrillators which can both be implanted in the chest. They both stay with you for life but inside are very different devices. "A defibrillator is a device that's very similar to a pacemaker. A defibrillator is a bit different in that it senses if the heart stops and can actually shock the heart internally and return normal function," says Dr. Richard Chazal, a cardiologist with Lee Memorial Health System. The pacemaker is meant for patients like Bob, with heart arrhythmias, which are not treatable with medication. It only works when it's needed. "A typical pacemaker simply can keep the heart from going too slowly but if a person had their heart stop the pacemaker usually won't work," says Dr. Chazal. About the size of a pocket watch, the pacemaker is smaller and targets arrhythmias. A slightly bit bigger in size, the defibrillator takes up the pacemaker's function but includes the ability to jump-start the heart. "A defibrillator will provide that pacing function but also in someone with a really bad heart where the heart might actually stop or having what we call ventricular fibrillation, that defibrillator can sense that event and immediately shock the heart within a matter of seconds," Dr. Chazal. You doctor can address the suitability of either device. Both have proven safe and reliable restoring patients quality of life. "I live normal, I have no problems," says Bob. View More Health Matters video segments at leememorial.org/healthmatters/ Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we've been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries. Visit leememorial.org
Просмотров: 135621 Lee Health
Picking up on Parkinson’s
 
01:43
One problem with Parkinson’s disease is that it often takes years before it’s diagnosed. Looking back, people realized they missed early warning signs. “Because it is a progressive, neurodegenerative disease that goes through several stages,” says Nathalie Grondin, who is a physical therapist with Lee Memorial Health System. There is no single defining symptom of Parkinson’s disease; rather, a combination of warning signs. Perhaps the most typical is shaking or tremors. “There’s a very specific type of tremor, they call it a pill-rolling tremor it typically will start in one hand and it will start at rest,” says Grondin. Another change is often overlooked… “The early indicators could be changes in handwriting, very small and shaky handwriting,” says Grondin. Since Parkinson’s affects the part of the brain that controls movement, changes in walking could be another tip-off. “There will be a shuffling gait. A person wants to move and their feet get stuck. That’s often a hallmark,” says Grondin. A quiet voice and masked or muted facial expressions are other classic signs. Getting a Parkinson’s diagnosis is only the beginning. The earlier it’s confirmed, the sooner people can get help. Unlike years past, when it was passively treated with medication, todays Parkinson’s patients are encouraged to be proactive. “It’s been proven that with regular exercise, activity targeted towards specific problems that a person can actually slow the progression of Parkinson’s,” says Grondin. Picking up on Parkinson’s as soon as possible enables people to navigate life putting their best foot forward. View More Health Matters video segments at leememorial.org/healthmatters/ Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we’ve been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries. Visit leememorial.org
Просмотров: 24589 Lee Health
Palliative Care Versus Hospice
 
01:51
Palliative care and hospice care are similar in that they both offer medical support for people with serious, sometimes terminal illnesses. But the two have very different objectives. "Patients, families even our medical professionals are still confused about the role of palliative care in a patient with serious illnesses," says Dr. Sherika Newman, a palliative care physician with Lee Memorial Health System. Dr. Newman is part of the palliative care team at Lee Memorial Health System. "Palliative medicine actually runs concurrent with a patient's medical illness even when they are in curative phases such as chemotherapy, radiation therapy, being treated for their heart failure or chronic lung disease," says Dr. Newman. There's a key distinction that sets it apart from hospice. "Hospice is end of life care meaning the patient can no longer benefit from curative measures or they have failed curative measures and they're truly at end of life and only need the support of care for end of life," says Dr. Newman. Palliative care is frequently directed toward cancer, heart conditions and stroke, but any illness that's long term and debilitating can fall under its umbrella. Taking a team approach, both palliative care and hospice includes doctors, nurses, social workers, even clergy. Points of interest range from pain management to helping a patient cope with the consequences of their condition. "We're focusing on quality of life and not isolating the patient into just focusing on the medical disease. And I think that as the baby boomers age, and they are an intellectually aging group, they're going to want these types of support care," says Dr. Newman. It's focus on quality of life, not end of life, sets palliative care apart. View More Health Matters video segments at leememorial.org/healthmatters/ Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we've been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries. Visit leememorial.org
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Diaper Rash Dos & Don’ts
 
02:07
Very few, if any, children make it out of diapers without this irritating problem: diaper rash. It can range from uncomfortable to painful. “One in four children actually see a pediatrician or a physician for that problem, usually between the ages of zero and three years of age,” says Dr. Anthony Pietroniro, who is a pediatrician with Lee Memorial Health System. Diaper rash is caused by the skin being exposed to moisture for long periods. In most cases it clears up in 2 or 3 days. When it comes to treatments; there are dos and don’ts that can make a difference to your bottom line. First the don’ts: don’t be fooled by ultra-absorbent diapers. Although they do pull moisture away from the skin, they still need to be changed frequently. “When a baby’s diaper is getting wet and heavy it’s definitely time to change it. Try not to let the baby’s skin be in contact with urine or with stool,” says Dr. Pietroniro. And don’t over use baby powder and wipes. What you think may be soothing, could actually be irritating. “I, as a pediatrician, discourage using powders or cornstarch for preventing or treating diaper rash because that can be inhaled into the lungs. When changing a diaper it’s best not to use the wipes that you can buy in the store. What works really nicely is just warm water and a soft towel. And it’s best to blot-dry the skin and not to rub the skin,” says Dr. Pietroniro. Now the dos: proper over-the-counter products can provide protection for your baby’s bum. “If the area is becoming really red, inflamed - apply an ointment that contains zinc oxide or even petroleum jelly because that creates a barrier to prevent the skin from getting further irritated,” says Dr. Pietroniro. And do let your baby go au natural- nothing is better for diaper rash than fresh air. “When the baby is napping lay the baby on a towel and take the diaper off so that the bottom can air out,” says Dr. Pietroniro. Finally, treat diaper rash with the same care you give your baby- a little TLC goes a long way. View More Health Matters video segments at leememorial.org/healthmatters/ Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we’ve been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries. Visit leememorial.org
Просмотров: 42702 Lee Health
Being Called Back After a Mammogram
 
01:48
The gold standard in breast cancer screening, mammography offers an x-ray view of the breast. The American Cancer Society recommends women start getting them at age 40, and every year thereafter. "The reason that we do it every year is that we're looking for subtle changes in the pattern over time. So if something begins to become distorted or a mass shows up or calcifications that are suspicious show up, those are the things that we're looking for," says Dr. Gail Santucci, diagnostic radiologist with Lee Memorial Health System. Certain breast tissue is easy to read, others make it more difficult. "She's our favorite candidate for screening because she has very small tissue. Tumors would show up very easily in a patient like this," says Dr. Santucci. The denser the breast, the harder it is to spot minor variations. Doctors are looking at two images of each breast. At least eight to ten percent of patients are called back to take more pictures. "With those four views we are taking of the breasts, we aren't looking up close at particular areas, we are kind of getting an overview and look for anything that triggers us to look closer," says Dr. Santucci. In itself, it doesn't mean the test was 'positive'. "It could be that the tissue overlaps funny on the mammogram pictures and it looks like it could be distorted by a mass, when in fact it's just normal tissue. It could be that we see a mass on the mammogram and we're not sure if it's a cyst or if it's solid," says Dr. Santucci. One to two percent of patients will undergo a biopsy. Only a half a percent end up having breast cancer. So getting a call back after a mammogram is no reason to hit the panic button. "I think that's one of the most misunderstood portions of mammography. People become very concerned when they get a call," says Dr. Santucci. View More Health Matters video segments at leememorial.org/healthmatters/ Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we've been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries. Visit leememorial.org
Просмотров: 15063 Lee Health
Autism & Asperger's: What's The Difference?
 
01:35
Autism affects 1 in 110 children. The majority are boys. Symptoms may show up before the age of two. The extent can vary greatly but the approach to treatment should be the same. "The highest potential we think is going to be made by the kids that get the treatment early on," says Sherri Campbell nurse practitioner with The Children's Hospital of Southwest Florida. Determining the type of social disorder is crucial, from a severe, classic autism to the milder Asperger's syndrome. "Under the autism spectrum disorder one of the subcategories is Asperger's syndrome that's the one that I think is often missed early on," says Campbell. A distinguishing feature between the two is speech. "Asperger's syndrome there is no speech delay so those are the kids that really might look a little odd with their behaviors or social skills but they really move along nicely in school sometimes and are age appropriate with their development but they just have some socialization issues," says Campbell. Classic autism is linked to late speech and less developed social skills. "If I was really looking for some issues I would look for a lack of eye contact that's one of the classic hallmarks that associate with autism and that can be seen fairly early on," says Campbell. Lee Memorial Health System offers free, monthly screenings for autism. It covers a standardized, developmental checklist, to help parents get a head start on therapy. "The children with Asperger's, sometimes they're not diagnosed until middle school but the children with speech delay in classic autism are easy to identify as early as 18 months," says Campbell. The bottom line: if you have any concerns about your child's development, acting early can make a difference.
Просмотров: 85469 Lee Health
Pediatrics: Transient Synovitis (Hip Pain)
 
01:48
People of all ages can experience hip pain: athletes, people growing older, even small children. "Something that we see very commonly in kids that mimics the infection of the bone or the joint is called transient synovitis," explains pediatric orthopedic surgeon, Dr. Matthew Wagner. Dr. Wagner is on the medical staff at The Children's Hospital of Southwest Florida. This is a pain or swelling of the tissues around the hip joint. Pediatric orthopedic surgeons like Dr. Wagner don't know the exact cause, but do have a few ideas. "It's a self-limiting condition. It's usually caused by a viral syndrome whether it's upper respiratory or GI, and it causes a child to limp and have pain. It most commonly affects the knee and the hip and the age of the child is somewhere between 5 and 10." The main symptom is pain in the hip. Sometimes it comes on gradually, other times sudden. The child may have trouble standing or complain of pain in the inner thigh. "They can have a viral element and then it can spontaneously lead to the child having pain and we of course are more concerned for bacterial infection." In prescribing the best treatment, physicians may examine the hip, take x-rays; even have blood drawn. "Those can be differentiated based on laboratory work and imaging such as ultrasounds of the joints or MRI of the bones." Anti-inflammatory medication is often prescribed and so is rest. Parents are sometimes advised to take their child's temperature at various times throughout the day. A high fever could signal something more serious. View More Health Matters video segments at www.leememorial.org/healthmatters/ Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we've been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries. Visit www.leememorial.org/caring
Просмотров: 12659 Lee Health
A Snapshot of Nuclear Imaging
 
02:09
Few people ever get this access unless they’re undergoing advanced testing. Lee Memorial Health System’s SPECT CT scanner is a state-of-the-art imager. It allows doctors to see you in a whole new way. “Nuclear medicine is used to assess how your body functions or how the organs inside your body work, whereas CT imaging is designed to show us your anatomy. This device puts the two of them together,” says Lee Memorial Health System radiologist Dr. John Rodriguez. We went to Cape Coral Hospital for an up-close look. The hybrid device adds a nuclear camera to a CT scanner. “If you forget this round part in the back here, this is a standard nuclear camera. It has two heads, meaning two different detectors. Inside here is a plate of detectors that senses the radioactive material that’s being emitted by the body. And then behind it is a cat scan. So if you take this part away, most people would recognize this as a typical shape of a cat scanner,” says Dr. Rodriguez. Unlike a traditional CT scanner which sends radiation though you, the nuclear camera operates off radio-pharmaceuticals which the patient takes prior to testing. It responds to specific areas of their body. And cuts radiation exposure in half. “The radiation comes out of the patient and hits a crystal that’s inside the camera and that crystal sends an electric signal that then through the magic of technology and innervations gets turned into an image,” says Dr. Rodriguez. The SPECT CT camera delivers an extremely accurate picture of what’s going on inside you. Among other uses, it’s well suited to analyze heart function. “One of the features that this has is an automated rotation sequence that basically keeps the camera with the heart, if we’re doing heart imaging, in the center of the image as it rotates around,” says Dr. Rodriguez. Scans are performed in minutes. The data gives doctors details they need to accurately diagnose complex conditions. View More Health Matters video segments at leememorial.org/healthmatters/ Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we’ve been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries. Visit leememorial.org
Просмотров: 6102 Lee Health
PET Scans and CAT Scans
 
01:37
When someone is diagnosed with cancer, they're forced to learn a whole new set of medical terms to help them understand their disease and its treatments. Two words they may become intimately familiar with are 'PET scan" or 'CAT scan'. PET scan and CAT scan are both non-invasive, diagnostic tool a doctor will use to look inside the body. They're both used to pin point cancer, but have very different objectives and methods. "So PET scan measures activity within a cell. It doesn't have to be cancer but cancers tend to be more active than the surrounding tissue," says Dr. Frank Rodriguez oncologist with Lee Memorial Health System. PET scan stands for Position Emission Tomography. It uses sugar marked with a radioactive molecule. Active cells consume sugar and therefore are able to be tracked. "So they will then concentrate or absorb a lot more of that radioactive molecule, and it will sit within that cancer for a period of time. Then using a camera we can see where the radioactivity is," says Dr. Rodriguez. While the PET scan allows doctors to distinguish between living and dead tissue, the CAT or Computerize Tomography scan offers a different perspective. "CAT scan, for example, measure density if you have something in, for example, the liver," says Dr. Rodriguez. The CAT scan detects changes in the body structure, such as the size, shape and exact location of an abnormal growth. "So when I see somebody who has either breast cancer or colon cancers or lymphoma or any other malignancies, you want to make sure that you have a clear understanding of where their tumors are," says Dr. Rodriguez. Alone, each imaging test has its benefits and limitations. But by combining these two state-of-the-art technologies, doctors can more accurately diagnose and monitor cancer. View More Health Matters video segments at www.leememorial.org/healthmatters Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we've been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries. Visit www.leememorial.org/caring
Просмотров: 25289 Lee Health
Congestive Heart Failure Fact and Fiction
 
01:51
The diagnosis is frightening. When you hear the words 'congestive heart failure,' you're likely to fear the worst. Congestive heart failure: a common heart condition, it's become a major player in health care intervention. In this country, it's the leading cause of hospitalization for people over 65. "As the death rate from heart attack has actually been dropping over the last ten years or so, the death rate for congestive heart failure's still staying up. So from a medical standpoint this is one of the principal health issues that faces our nation," says Richard Chazal, a cardiologist with Lee Memorial Health System. When you hear the work 'failure,' it's not surprising people have misconceptions. Myth number one: congestive heart failure means the heart has stopped working. "The term failure in this case means the failure of the heart to accommodate the normal blood volume, and thus fluid volume in the body," says Dr. Chazal. Several things can weaken the heart, including coronary artery disease or a heart attack. It becomes congestive when the damaged heart muscle's pumping power can't keep up. Eventually fluid builds up in the lungs, abdomen and legs. Which leads to myth two: people with congestive heart failure shouldn't exercise. In fact, it can be helpful in mild cases. "Congestive heart failure first of all should be treated with prevention whenever possible. And that means regular exercise, avoidance of smoking, trying to keep the diet under good control. Anyone though who has had congestive heart failure does need to be observed and followed with careful attention," says Dr. Chazal. Myth number three is that congestive heart failure is a consequence of old age. "There are a variety of causes for congestive heart failure the most common of which is the end result of long standing high blood pressure," says Dr. Chazal. In fact, while most common in the elderly, congestive heart failure is seen across all ages. One final fact: if you suspect any health issue, you need to seek a medical evaluation. View More Health Matters video segments at leememorial.org/healthmatters/ Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we've been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries. Visit leememorial.org
Просмотров: 5068 Lee Health
Pinworm Dangers
 
01:35
It’s the most common type of worm infection in the United States, and it’s not head lice. Health experts say pinworms are usually found in children who then pass it on to adults. Dr. Pierre Loredo, a pediatrician with Lee Memorial Health System, says washing your hands will lower your risk for a pinworm infection. “Pinworms are small, threadlike, white worms. They’re about a third to a half an inch long.” Pinworms are three times more common than head lice. “What happens is you’ll have it in kids, especially kids in crowded areas such as your preschool or your daycare. But then what happens is it’s contagious and the parents pick it up,” said Dr. Loredo. Pinworms are usually passed in crowded areas with children like parks and preschools. If a child touches a contaminated toy, toilet seat, even clothing, they could be at risk for a pinworm infection. “A child swallows or inhales a pinworm. The eggs hatch in the intestine. The female lays eggs in the perianal region. A child scratches that region and now their hands are transmitted,” said Dr. Loredo. Scratching is the most common symptom. “To find out if your child has it you could place a clear adhesive tape on the anus of the child in the morning and pull the tape off and look for thread like worms,” said Dr. Loredo. If the child has pinworms there are treatments available. “You want to treat all family members. And you want to go ahead and treat again 14 days later should the symptoms reoccur. Then you want to wash the sheets, clothes, anything that could be contaminated,” said Dr. Loredo. View More Health Matters video segments at leememorial.org/healthmatters/ Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we’ve been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries. Visit leememorial.org
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Fibroids & Pregnancy
 
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Between 20 and 30% of women in their childbearing years have them; fibroid tumors. It's possible they don't even know it. "A fibroid is a benign mass that occurs in the uterus. And it's monoclonal, meaning its one cell that replicates itself over and over an over again. It can be small like a piece of rice or large like a cantaloupe," says Dr. Sarah DiGiorgi, ob/gyn on Lee Memorial Health System's medical staff. Fibroids may present problems in pregnancy. First in conceiving. "If there are a number of fibroids that are all within the lining of the uterus called the endometrium and it can make it difficulty for pregnancy to implant. The second complication, if they are growing near the tube or where the tube comes in from the uterus it can kind of block off that entrance and the sperm can't enter," says Dr. DiGiorgi. If a woman becomes pregnant, they may impact her ability to carry. "If they have a very large fibroid that can become a very large problem later on in the pregnancy. Sometimes fibroids can grow to a certain size and start to die in the center and that can cause different types of issues. And so depending on the clinical situation some patients are recommended to have their fibroid removed not because it might impact their ability to get pregnant, because it may make their pregnancy slightly more complicated, says Dr. DiGiorgi. Should they stay or should they go? It's a question many women with fibroids ask themselves-especially if they're considering a family. A myomectomy is a surgery that removes fibroids without removing your options. "For people who are having pain or discomfort having a myomectomy can allow you to preserve your fertility so if you're thinking 'I may want to have children some day in the future' the myomectomy allows you to still maintain your uterus but treat the problem that's is present in this time," says Dr.DiGiorgi. The procedure can be performed robotically, which promotes faster healing with less downtime. View More Health Matters video segments at leememorial.org/healthmatters/ Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we've been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries. Visit leememorial.org
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Cardiology: Do You Know The Warning Signs of Heart Disease?
 
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Edward Palank, M.D., talks about the risks and warning signs of heart disease.
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Orthopedics: Septic Arthritis in Children
 
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Dr. Matthew Wagner, M.D. of Lee Memorial Health System discusses septic arthritis in children.
Просмотров: 11283 Lee Health
Extreme Face Pain: Trigeminal Neuralgia
 
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A disorder you've probably never heard of is one you're not likely to forget. It used to be nicknames the Suicide Disease. "It's known probably to be one of the worst pains known to man." says neurosurgoen Dr. Dean Lin with Lee Memorial Health System. Trigeminal Neuralgia made Tina Shores' life a living nightmare. "I couldn't eat, I couldn't even touch my eyelashes. Couldn't wash my face for days because of the pain, you just touch it and it would just whew, its terrible," says Shores. The extreme facial pain was caused by a vascular compression of the fifth, or trigeminal nerve as it exits the brain. "I happens when the nerve, as it exits the brain there is actually, usually a blood vessel, or an artery sitting on top of it," says Dr. Lin "and it pulsates on top of it and that causes sharp, shooting electrical pain." Getting the proper diagnosis can take years and it's common for patients to go from specialist to specialist looking for answers and hoping for a solution. "They'll see multiple doctors, they'll see multiple dentists. I've seen many patients with multiple teeth yanked out." The first line of treatment is medication. Tina's case required surgery. "The definitive surgery is not for everybody. It's where we actually go into the back of the skull, the back of the brain, and we basically put a Teflon sponge between a blood vessel in the nerve," says Dr. Lin. Older patients may prefer a percutaneous technique where surgeons insert a needle into the nerve and burn it rather than cutting the skull. Tina was extremely happy with her decision. "It's a big change a 100% change I'd do it again today if I needed to." View More Health Matters video segments at www.leememorial.org/healthmatters/ Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we've been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries. Visit www.leememorial.org/caring
Просмотров: 12906 Lee Health
Hemorrhoid or Fissure?
 
01:54
While it may not be the subject of casual conversation, rectal bleeding is something you should discuss with your doctor. But very often people are embarrassed and brush it off. "A lot of people think 'oh I have bleeding from my bottom, it's just hemorrhoids' and that's not always the case," says Dr. Jeffrey Neale, a colorectal surgeon on medical staff with Lee Memorial Health System. When someone presents with bleeding, the first thing doctors want to do is rule out cancer. "We have to work them up with our gastrointestinal colleagues to make sure there's no bleeding from the rest of the colon or in the rectum and make sure there's no polyps or cancers present," says Dr. Neale. Most times, the bleeding results from either a hemorrhoid or fissure. Both are visible on a rectal exam. While they may have the same end point- they are very different conditions and have symptoms that set them apart. "If you're having pain it could be an anal fissure. An anal fissure is a tear in and around the anus that can cause quite a significant amount of pain," Dr. Neale says. Generally caused by trauma, strain or bowel disease, fissures are associated with pain and blood during a bowel movement. A hemorrhoid is an engorged or inflamed vein in the rectal region. Clotted or external hemorrhoids may involve a lump. And constant discomfort, not limited to using the bathroom. "There's inside hemorrhoids and outside hemorrhoids. They're all treated similarly even though they're somewhat different," says Dr. Neale. "Outside hemorrhoids may present with pain and a large purple bump and if that's slowly going away they usually would resolve on it's own." Over the counter-medications and lifestyle and diet changes can usually rectify the problem. Your doctor may suggest further treatment if symptoms persist. View More Health Matters video segments at leememorial.org/healthmatters/ Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we've been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries. Visit leememorial.org
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Flexor Tendon Injuries
 
01:38
Deep cuts in your hand can injure the tendons and nearby nerves. An injury that looks simple on the outside can be much more complex on the inside; making it impossible to even bend your fingers. “When a tendon is cut, if caught early enough, we can take those two ends and bring them close together and suture them,” says Dr. Dennis Sagini, an orthopedic hand surgeon on the Lee Memorial Health System medical staff. A cut tendon cannot heal without surgery. Nearby nerves and blood vessels may need to be repaired as well. “There is a very precise type of suture that we use, there’s a very precise technique of suturing the tendon leads to better recovery,” says Dr. Sagini. Surgery is usually performed within 7 to 10 days after an injury. In general, the sooner surgery is performed, the better recovery will be. Soon after surgery, the patient will start physical therapy. Specific exercises will help gradually regain motion and function. “The therapy is about 6 weeks to 3 months. And in that period we can’t allow a patient who has had a tendon repair to be too aggressive with flexion because it will pull that tendon apart that we’ve repaired,” says Dr. Sagini. Despite extensive therapy, some patients have long-term stiffness after flexor tendon injuries. Sometimes, a second surgery is required to free up scar tissue and to help the patient regain motion. View More Health Matters video segments at leememorial.org/healthmatters/ Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we’ve been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries. Visit leememorial.org
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Rheumatoid Arthritis Fixing The Feet
 
02:04
To see Audrey Walston move today, you'd never guess how far she's come. "It was painful to walk, to move, to put a shoe on. It got that I couldn't wear shoes because the foot had got quite deformed," says Walston. Audrey has rheumatoid arthritis. An autoimmune disease, it attacks the joints throughout the body. "And by doing that, it creates a lot of swelling, inflammation, pain. And that creates deformity if it left unchecked," explains Dr. Andrew Belis. He is a foot and ankle surgeon on medical staff of Lee Memorial Health System. That's exactly what happened to Audrey- her hands and feet were especially hard hit. "It can affect the feet where the toes and the joints of the feet collapse or dislocate or angulate, usually in an outward appearance," says Dr. Belis. Her X-rays reveal Audrey's feel were so damaged she could barely function. The pain was unbearable. "I was ready to chop a leg off if that would've taken some of the pain away or improved my quality of life," says Walston. That's when she made her way to Dr. Belis. "She was in bad shape. She came in with a kind of 'walking on the ankles' and really severe inverted, flat-foot type problem." By the time rheumatoid arthritis patients seek out surgery, they've usually been on medications for many years. Being a progressive disease, the joints are damaged over time. Doctors may use several surgical techniques from tendon lengthening to joint fusion to rebuild the foot from the ground up. "We did some minimally invasive things up near her toes because the joints were not too, too far gone. In the end we did multiple fusions and we used internal hardware to hold it in place. And she did very well," says Dr. Belis. Her feet look much better, but it's nothing compared to how she feels. "I figured I won the lotto, getting around the way I do," Walston exclaims. View More Health Matters video segments at leememorial.org/healthmatters/ Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we've been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries. Visit leememorial.org
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Negative Pressure Wound Therapy
 
01:32
Each day millions of people receive some type of wound therapy after a surgery or an injury. To help with that recovery, health experts at Lee Memorial Health System are using a popular device that helps patients recover faster and safer. It’s called a negative pressure wound therapy. It works much like a vacuum seal. After foam is placed inside the wound, a vacuum assisted closure is placed on top. Once the machine is turned on, the wound is slowly pulled together. “It helps bring the wound edges together. It helps remove the drainage. It controls any swelling inside the wound, stimulates the formation of granulation tissue which speeds up the entire wound healing process” said Marcus Scharre, a wound care supervisor with Lee Memorial Health System. The device is used on more than six million wounds nationwide. “Larger wounds can take a significant time to heal, so this speeds it up big time” said Scharre. Negative wound pressure therapy is used on wounds that are too large or too deep for stitches or staples. Typically, patients wear the device for six to eight weeks. “They’re used on a lot of different wounds” said Scharre. “Acute wounds, chronic wounds, surgical incisions, pressure ulcers, things like that.” Before negative wound pressure therapy, health experts commonly used a system called wet to dry where they changed the patient’s dressing every day. With negative pressure wound therapy, the dressing is only changed three times a week. When a patient leaves the hospital, they transition to a smaller, more portable wound vac. This allows patients to leave the hospital sooner while still receiving the treatment they need. The negative pressure wound therapy lowers the risk for infection by offering a quicker and safer wound closure. View More Health Matters video segments at leememorial.org/healthmatters/ Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we’ve been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries. Visit leememorial.org
Просмотров: 46080 Lee Health
Diagnosing ALS
 
01:51
So many things about ALS, or Lou Gehrig's disease, are a mystery, including what causes it. But doctors have no doubt about its progression. They believe they can provide people with this fatal disease some relief, if they could just diagnose it early enough. As elusive as finding a cause for ALS is diagnosing the disease itself. Sometimes called Lou Gehrig's disease, it's a progressively fatal neurological disease that attacks the nerve cells responsible for moving our muscles. "Often a patient may have a foot drop or hand weakness. It progresses in the limb that it starts out with and then it progresses to the contiguous limb. It's usually present for some time prior to patients coming in," says Dr. Nima Mowzoon, a neurologist on Lee Memorial Health System's medical staff. That's how it went down with Hilde Heard in 2006. "I had a slight, not even a limp but like a drag that came with walking a long distance. I felt my left foot dragging and then my right toe was just drawing up and being limp," says Heard. In the months that followed, her condition got worse. "It took a year to, for this to just accelerate and then I was diagnosed in 2007," says Heard. About 10 percent of ALS patients have an inherited gene mutation. That leaves the other 90 percent who get it randomly with no identifiable cause or risk factor. So the diagnosis many times comes from ruling out everything else. "Diagnosis is a combination of a clinical presentation, clinical diagnosis, and a use of EMG (which is electromyography) which is the nerve and muscle testing. We often end up doing other testing including MRIs of the spine to exclude things that can mimic ALS," says Dr. Mowzoon. Early symptoms include foot drop, hand weakness or clumsiness, muscle cramps or twitching in the arms, shoulders or tongue and fatigue associated with any of the above. The sooner it's identified, the more likely patients are to get relief. "People don't understand, statistically it's one in a hundred thousand that get the disease," says Heard. Research is continuing to find a cure for ALS or at least a biomarker or test that will help identify the disease at its earliest stage. View More Health Matters video segments at leememorial.org/healthmatters/ Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we've been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries. Visit leememorial.org
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Gastroparesis & Diabetes
 
02:15
Imagine not being able to eat a simple meal without getting sick to your stomach. That's what happens to patients with gastroparesis, a condition that paralyzes the stomach. "Most people who have the condition don't ever get over it. This is something they have their whole life and what we do is try and get their life as tolerable as possible," says Dr. Michael Bays, gastroenterologist on Lee Memorial Health System's medical staff. Ordinarily, muscle contractions propel food through your digestive tract. But in gastroparesis, the muscles in your stomach don't work properly. It can interfere with digestion, cause nausea and vomiting, and problems with nutrition. Most people get it as a complication of a more common health condition. "There's a number of reasons, diabetes would be the most common. I would say that a good 70-80 of all the gastroparesis patients I have are diabetics," says Dr. Bays. "Yes, I am diabetic," says Angela Crider, gastroparesis patient. Crider is managing both disorders. "When you look at what you can eat as a diabetic and you look at what you can eat for gastroparesis, that leaves very little, so I do a lot of liquid things," says Crider. If you have diabetes, one of the best ways to help control gastroparesis symptoms is to vary when and how you eat. "Small amounts, more frequently, 5-6-7 meals a day things that are easy to digest. As unhealthy as it sounds no fruits and no fresh fruits or vegetable. If you want those, put them in a juicer," says Dr. Bays. A number of medications stimulate the nerves damaged by the diabetes, but don't work on everyone. Others benefit from a surgically implanted device. "Most medications are neurostimulators. What's also used for this is a pacemaker. The pacemaker electrically stimulates the nerve and the medication chemically stimulates the nerve," says Dr. Bays. Crider resorted to a newer technique, Botox injections around the pyloric valve. "We give it a couple of weeks to work and then if they're emptying more appropriately, or more quickly then it's done the job," says Dr. Bays. "It's allowed me to somewhat carry on a normal life even with this pretty serious diagnosis," says Crider. Not an easy task with two chronic conditions. View More Health Matters video segments at leememorial.org/healthmatters/ Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we've been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries. Visit leememorial.org
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Signs of Head & Neck Cancer
 
01:52
It's been called the '15 minutes that could save your life'. Screening for head and neck cancer is a small time investment that may help doctors find a problem when it's most treatable. "We would love to screen lots more people," says Dr. Phillip Andrews. He is an otolaryngologist (ear, nose and throat specialist) on medical staff at Lee Memorial Health System. "The earlier we catch any cancer greatly increases the chance of curing it." Head and neck cancers include any cancer above the collar bone, outside the brain. Dentists commonly screen the mouth and tongue, but doctors perform a thorough exam. "It's not invasive at all; we look at the skin of the face and the neck. We look in the nose, we look in the mouth, in the throat; we look at the voice box and feel on the neck," says Dr. Andrews. Unlike cancer screens that are linked to very specific tests, like a mammogram, a colonoscopy, the PSA or PAP test - oral cancer screenings look for signs and symptoms. Including ones that you should share with your doctor. "Any sore that doesn't heal in the mouth, on the skin, in the nose, it's something that does not heal - you've got to be concerned about it," says Dr. Andrews. "If you're hoarse more than three weeks you've got to have somebody look at it." New or unusual pains can also be a red flag. "Pain in the throat, difficulty swallowing that does not go away after two or three weeks. Pain in the ear that is unexplained could be coming from a throat cancer, because the nerve that supplies the two areas is the same." A lump in the neck should also be checked out. Head and neck cancers seem to sneak up on people, so if you suspect an oral cancer- speak up. View More Health Matters video segments at leememorial.org/healthmatters/ Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we've been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries. Visit leememorial.org
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Burning Back Pain with Radio Frequency Ablation
 
01:47
Back pain is one of the biggest reasons people visit the doctor. It's often chronic, excruciating pain and keeps people from enjoying a normal life. To see him today, you would never guess Mike MacDonald was incapacitated following a car crash a year ago. "The worst thing was just trying to tie my shoes in the morning and getting dressed. It was horrible," says MacDonald. The pain was in his lower or lumbar spine, the result of injury-related arthritis of the facet joint. When physical therapy didn't work, he foresaw a painful future. "I figured I'd just turned 50 and I'm in for it," says MacDonald. "We tried to exhaust all non-interventional options but it became apparent that his pain was lingering and he was sort of at a plateau. And I discussed with him the interventional procedure," says Dr. Christopher Dawson, a physical medicine and rehabilitation physician on the medical staff of Lee Memorial Health System. Called radio frequency ablation, or RFA, doctors essentially burn away the offending nerves. "I use a cannulated insulated needle, usually a five millimeter period of area of that does heat up. You want that small bit of area that heats up to be very close to the nerve that you're trying to localize for the actual ablation. And I burn it at four levels and it's for 90 seconds," says Dr. Dawson. Prior to the procedure, nerves are tested with a pain block to make sure that once disabled, the pain would be diminished by at least 50 percent. For most people, the 'hot shot' kills the problem. "I won't see a patient back for anywhere from three to four weeks because it may take that long for them to tell optimal benefit," says Dr. Dawson. Mike is back on his feet and back to his favorite past times. "I was almost in tears, because I didn't think I'd ever be right again, I didn't. I thought it was going to change my whole lifestyle," says MacDonald. Most importantly, he's back to seeing a bright future. View More Health Matters video segments at leememorial.org/healthmatters/ Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we've been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries. Visit leememorial.org
Просмотров: 73189 Lee Health
Rubber Bands Relieving Hemorrhoids
 
01:49
Hemorrhoids may be an embarrassing subject to bring up with your doctor, but there’s no need to suffer in silence. Nowadays there are several options that can get you out of this painful position. “Hemorrhoids are natural for everybody to have. It’s just a question of whose hemorrhoids are bothering them,” says Dr. Steve Moenning, who is a general surgeon with Lee Memorial Health System. Hemorrhoids are simply swollen veins around the anal canal. Either internal or external, they can cause bleeding, itching and pain. Dr. Moenning recommends starting conservatively, like increasing fiber and fluids. If it doesn’t resolve he has another treatment that doesn’t include major surgery. “There’s other options where if it’s just an internal hemorrhoid we can actually treat that patient in the office with a painless procedure,” says Dr. Moenning. Called rubber band ligation, doctors are able to destroy the hemorrhoid. An ultrasound probe pinpoints the artery that feeds the inflamed blood vessel. Doctors tie an absorbable suture around it, the technique cutting off blood supply without any cutting. “It basically sucks up the hemorrhoid, puts a rubber band on the tissue and then that tissue would slough off after about ten days,” says Dr. Moenning. Rubber band ligation is considered the most effective nonsurgical treatment for internal hemorrhoids over the long term. Making it a good choice for all but the most severe cases. “That’s a nice procedure because you can do it at the time of the office visit. So somebody could actually miss no work, come in and have the hemorrhoids taken care of,” says Dr. Moenning. Some people resume normal activity minus heavy lifting almost immediately. Others need to take it easy for a few days. The bottom line is that there are several ways to leave hemorrhoids behind. View More Health Matters video segments at leememorial.org/healthmatters/ Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we’ve been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries. Visit leememorial.org
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Epic: Electronic Health Records
 
01:49
It's an epic undertaking: the first step toward paperless records. Everything under the Lee Memorial Health System umbrella is being streamlined into one data base. "This is a next generation, more capable, electronic record and it also is one that will allow the very same electronic record to be used across different care delivery settings," says Mike Smith Chief Information Officer with Lee Memorial Health System. Gulf Coast Medical Center is the first of four hospitals to go live with electronic health records. Outpatient centers will be added in the coming months. By the time it's all said and done, between 8 to 10 thousand computers will be tied into the same system, speaking the same language, following patients wherever they go. "You may have had a test, an important test result from the last encounter you may have had allergies presented from the encounter before that and that summary for multiple encounters for multiple locations the physician sees all relevant information," says Smith. As the Epic system goes system wide it will create more accurate health records. "They get a better snapshot of the patient," says Betsy Groendy, ICU Educator with Lee Memorial Health System. "So we can do chart reviews so that we can look up any previous visits that they had." Betsy is a system "super user" she's helping her peers get up to speed. "We are also able to chart real-time so that the information that we are giving to the physicians is up-to-date and clinical decisions are based on the information that we're inputting into the computer system." "There are already incidences where that seamless record has made a difference in the care delivery for patients that present at one or more of those settings," says Smith. Putting stock in computers rather than paper requires hefty support, and backup. View More Health Matters video segments at www.leememorial.org/healthmatters/ Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we've been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries. Visit www.leememorial.org/caring
Просмотров: 177878 Lee Health
Stopping Bladder Leakage, Naturally
 
02:02
Whenever Susan Peterson left the house, she felt tethered by bladder leakage. It made it impossible to wander freely. "It's always racing to the bathroom, even ahead of time just when you start to feel the urge. If I'm away from home you're always scoping out 'where's the nearest bathroom'?," says Peterson. At 53 years old, Peterson suffers from mixed incontinence, meaning she has both sudden urges and accidents. "I probably on average, would change 8 pads a day," says Peterson. Millions of women in this country feel her pain. "It is the muscles, especially laxity in the muscles. The pelvic floor muscles either get stretched out or weakened through time. And the bladder can certainly drop," says Dr. Harold Tasi, urologist on Lee Memorial Health System's medical staff. Those pelvic floor muscles support the uterus, bladder, small intestine and rectum. Strengthening them can make the difference between getting to the bathroom or not. For years women have been told to use Kegel exercises. But it's easier said than done. "Everyone has a different idea how to do them, how many times to do them. It's very subjective. Now we're trying to get women in a very regimented way of doing pelvic floor stimulation," says Dr. Tsai. This device is helping Peterson. "Some women actually feel stimulation at a very low level," says Dr. Tsai. It's an insertable, electrical muscle stimulator that trains the body to tighten the pelvic floor. "It's a medical device and women can do it in the comfort in their home which is the nice thing and it's only 12 minutes a day. It causes stimulation in pelvic muscles and women are able to identify which muscles to contract," says Dr. Tsai. Women know they're doing it right because they get feedback. The device helps them to track and monitor their progress. "I test myself when I'm at home in case I don't make it. I'll see how much longer I can stay away from the bathroom instead of walking towards it," says Peterson. At a fraction of the cost of surgical procedures, it helps women get the strength they need. "Even seconds makes a big difference," says Dr. Tsai. Peterson is now taking her newfound confidence...on the road. "I'm going on vacation tomorrow, we take off for the Dominican," says Peterson. View More Health Matters video segments at leememorial.org/healthmatters/ Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we've been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries. Visit leememorial.org
Просмотров: 11430 Lee Health
When a Goiter Becomes a Pain in the Neck
 
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If you've had problems with a goiter you know it can be a pain in the neck. But do you know what's behind the bulging bump? "Goiter is a general definition of an enlarged gland. And it has a lot of, a lot of different causes. Could be the inflammatory, could be the thyroiditis, could be multiple tumors, could be multiple nodules or cysts," says Dr. Jacob Goldberger, general surgeon on Lee Memorial Health System's medical staff. The most common cause worldwide is an iodine deficiency. The thyroid concentrates iodine from the body to produce its hormone. In the absence of iodine, the body attempts to compensate. It's still an issue in undeveloped countries. In this country goiter cases dropped drastically in the 1920's once iodine was infused in table salt. The more common cause of goiter in the U.S. is autoimmune thyroiditis - where the body attacks itself. "The general term that applies to it is Hashimoto Thyroiditis. The gland burns itself out and essentially stops functioning. But in the process, it forms a huge, scarified gland, non-functioning," says Dr. Goldberger. Graves disease may also produce a goiter. "Graves disease is a hyperactive, or excessively active, thyroid. It becomes enlarged, swollen, and very uncomfortable for the patient and is treated medically very easily most times with either medication or radioactive iodine. On occasion, it is difficult to control and they're sent over to the surgeon," says Goldberger. If a goiter gets so large that it constricts the airway, your doctor may recommend removal. In itself, the goiter is generally harmless. "An enlarged gland itself is of no consequence unless: one, you have symptoms of breathing difficulty, swallowing problems or pressure situation, or if it's quickly enlarging suggest that you may have something else going on such as a tumor growing," says Dr. Goldberger. If you or your doctor detects a goiter, it's important to determine the cause and then respond appropriately. View More Health Matters video segments at leememorial.org/healthmatters/ Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we've been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries. Visit leememorial.org
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Signs You Have Sciatica
 
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Sciatica- it sounds like something your grandma may have had- it's true older people are more prone to the condition, but the young or middle-aged aren't exempt. "I've seen sciatica in patients as young as 19. So is it more common in the older population? Absolutely. But it's not uncommon to see this symptom in 30 and 40 year olds," says Dr. Christopher Dawson, physical medicine and rehabilitation on Lee Memorial Health System's medical staff. Difference is, young people are less familiar with the signs. "When patients come to my office with sciatica, they describe sharp, shooting pains down the leg. They might have weakness in the muscles of the leg. They also might complain of a numbness or tingling sensation in the leg," says Dr. Dawson. The American Academy of Orthopaedic Surgeons offers this list of sciatica's most common symptoms: feeling a persistent cramp in the leg, pain when you sit, sneeze or cough, leg weakness, numbness or pins-and-needles in the leg or a burning sensation that runs down the leg Sciatica isn't actually a leg problem- it's a nerve issue. The sciatic nerve is the longest nerve in the body, branching out from the spinal cord in the lower back, running through the legs and buttocks. When this nerve is compressed, injured or inflamed, it triggers sciatica. Once identified, there are several treatment options. "Conservative measures are first and foremost. Those include physical therapy. Also, medical management, sometimes a course or corticosteroids by mouth and also injection therapies are of great benefit for these patients," says Dr. Dawson. Knowing the signs, symptoms and underlying cause of your mystery leg pain, may put you on the path to relief. View More Health Matters video segments at leememorial.org/healthmatters/ Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we've been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries. Visit leememorial.org
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Brachymetatarsis: Fixing a Deformed Foot
 
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Cynthia Diaz is accustomed to keeping her feet under wraps - her toes especially. “People would look down at my feet and be like ‘oh what’s wrong with her feet?’” says Diaz. She was born with a foot deformity called brachymetatarsia. More common in females, it usually occurs when the fourth metatarsal bone doesn’t fully form. Resulting in a tiny toe that looks like it’s growing on top of the foot. “It can cause the toe to look deformed where you have a toe that’s pulling up, and back- because the bone behind it is not long enough to support it,” says Dr. Andrew Belis, who is a podiatrist on medical staff of Lee Memorial Health System. The condition can lead to balance problems and foot issues. When Cynthia started experiencing pain wearing shoes, her parents sought help. “Then the more we investigated, the more it could cause other health problems, and that’s when we came and saw Dr. Belis,” says Cynthia’s father, Jose Diaz. He offered a foot fix, sometimes called toe lengthening. Doctors actually break the toe bone then attach this external fixator, which pulls the bones apart, encouraging new growth. “And basically you have two connections on either side of the bone, you cut the bone in between and you slowly stretch out the whole bone,” says Dr. Belis. It doesn’t happen overnight, but is amazingly fast. “Really we can get about a millimeter of bone growth per day,” says Dr. Belis. Patients turn a screw four times a day until enough length is achieved. Most people have brachymetatarsia in both feet. Cynthia had the other one fixed. “It’s really cool to kind of look at it sometimes and then compare feet,” says Diaz. One down and one to go. Once the second procedure is done, Cynthia will be in good standing, for the first time in her life. “I used to walk differently because now the weight kind of shifted on my feet so I walk forward on my feet,” says Diaz. The procedure takes two to three months to complete. “There’s a time of growth and then there’s a time of healing and at which point we can then take the device off,” says Dr. Belis. No pins or plates are left behind and the foot looks perfectly normal. Her parents expect a lot of shoe shopping in the future. “Oh definitely, whatever she wants,” says Jose. They understand the effort it took to walk in Cynthia’s shoes. View More Health Matters video segments at leememorial.org/healthmatters/ Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we’ve been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries. Visit leememorial.org
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Treating Contracture- Loosening up after a Stroke
 
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Navigating life was an extreme challenge for Sue Burke. In 2009 she suffered a crippling stroke. "I couldn't walk flat on my foot. My heel couldn't get down. So I was walking on the side of my foot and twisting my ankle all the time," says Burke. As many as half of stroke patients feel Burke's pain. They also experience muscle spasticity or tightening, called a contracture. "It's more common than you think. This is something that anytime you have a stroke and you have unusual losses of certain muscle groups you can get contractures," says Dr. Jason Nemitz, foot and ankle orthopedic surgeon on Lee Memorial Health System's medical staff. Contractures can be felt in the arms, wrist or legs. In Burke's case, her Achilles tendon became her weak spot. "My therapists were almost giving up on me because I couldn't put my foot flat. And it was very painful," says Burke. "She'd had some Botox injections to try to release the tendon, and basically make everything relax, but that didn't really go very well for her. They had been trying to brace her or do anything they could to get her foot in a better position. That's when I met her," says Dr. Nemitz. When it seems like all else fails, doctors may have another option. A surgery, that nicks the tight tendon and helps it loosen up. "The procedure is known as a percutaneous Achilles lengthening where you make three small incisions and make tiny little notches in the Achilles tendon that then allows the tendon to flex up to its normal position," says Dr. Nemitz. So instead of being stuck at a 30-40 degree angle, Burke's ankle is pointed in the right direction. "I can walk without a shoe on and without the brace on. They're getting me back so I can walk barefoot," says burke. Her contracture now a memory, Burke's taking life one step at a time. View More Health Matters video segments at leememorial.org/healthmatters/ Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we've been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries. Visit leememorial.org
Просмотров: 6800 Lee Health
Speech After Stroke-Treating Aphasia
 
01:39
Frank Sullivan is one of almost 5 million stroke survivors in the U.S. "I've had a stroke, this June here locally." He lives with a common after effect, called aphasia. "I have a very hard time with my speech and how fast I can talk." "Aphasia is neurological disorder and it damages the part of the brain that controls speech and language," says Mary Jo Haughey, a speech pathologist with Lee Memorial Health System. It takes several forms, from understanding language to finding the right words. "Expressive is what we're doing right now. I'm talking to you so I'm using my words, I'm putting them together. The receptive is, if I was talking to you and you didn't understand," says Haughey. Speech therapy helps fill in the voids by recreating the building blocks of communication, step by step. "We'll start out with maybe simple tasks like having them identify pictures, name the pictures. I'll say the word have them repeat it and then go to more complex tasks of having them identify the function or form of the object," says Haughey. It requires practice and patience. "We want to build that language, expand that language. Imitate sentences of increasing length and complexity," says Haughey. Frank has been working with a therapist for months. "I'm hoping at some point I'll be back to speaking the way I normally do." It's best to start immediately following a stroke but patients can improve their word power years later. View More Health Matters video segments at leememorial.org/healthmatters/ Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we've been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries. Visit leememorial.org
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Bilateral Knee Replacement: When Two Knees Go Bad
 
01:58
Imagine having not one, but two bad knees. That's how Chris Naylor found herself navigating through life. "The arthritis was the same in both knees however in the right knee, this particular leg it went down straight on the upper leg and the arthritis did enough damage where it angled outward and I no longer had a straight leg." Her orthopedic surgeon, Dr. Ed Humbert, knew exactly what Chris needed; two total knee replacements. She had two options: do them simultaneously or stage them one at a time. "Some patients decide that they want to do the right and the left knee simultaneously which is always an option on the right patient," says Dr. Ed Humbert, an orthopedic surgeon on the medical staff with Lee Memorial Health System. Done at the same time, the bilateral knee replacement carries risks and benefits. "The risks of medical problems which are associated with surgery go up a little bit which would be strokes, heart attacks, blood clots in the legs or deep vein thrombosis. Those risks go up a little bit when you start to do multiple operations, with the benefit of you go through one rehab period of both knees," says Dr. Humbert. Downtime is lower with the double replacement. For people who are juggling a work schedule, it may be a good option. Chris evaluated her choices and opted to do them back-to-back. "I had the first one done, went through four weeks of physical therapy, had a break for two weeks from physical therapy, had the second knee done, started all over again and I'm now about ten weeks post-op of the second knee." The total knee replacement is one of the most common surgeries done in this country. A half million are performed each year. "Replacing of a knee is really resurfacing the knee. We don't cut out the knee joint we really resurface a few millimeters or take off a very few millimeters of the damaged cartilage and bone and cap the end of the femur bone the tibia bone and the patella," says Dr. Humbert. Having opted to do them in stages, Chris is back on her feet and happy with her decision. "It's been wonderful. It probably might not be a choice for everyone, but it was an outstanding choice for me." View More Health Matters video segments at leememorial.org/healthmatters/ Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we've been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries. Visit leememorial.org
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Parting with your Parathyroid
 
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They may be tiny, four pea-sized glands, but if not working properly your parathyroid can pack quite a punch. "Hyperparathyroidism or increased high calcium, can cause peptic ulcer disease; it can cause mental confusion, accelerated atherosclerosis, kidney stones, and pancreatitis. So it can cause a dramatic amount of problems if left untreated," says Dr. William Kokal, general surgeon with Lee Memorial Health System. Parathyroid glands secrete a hormone that manages calcium and phosphorus. It regulates calcium in the blood, bones, intestines and urine. If the system kicks into overdrive, patients may experience symptoms, without connecting them to an over-active or hyperparathyroid. "They might have a lot of symptoms but typically what brings them to the doctors is a routine lab where the calcium is elevated. And in the work up they find it secondary to primary hyperthyroidism," says Dr. Kokal. Hyperparathyroidism is diagnosed in a simple blood test, when levels of calcium and parathyroid hormone are too high. Once confirmed, the go-to treatment is surgery. "In patients that have chronic high calcium from hypothyroidism, we recommend that be dealt with surgically. Typically it's a single gland that causes this problem. And in most times we do what they call a radionuclide isolation of that gland or finding that gland, and then make a small cut to take it out," says Dr. Kokal. The operation cures the disorder in 95% of cases, and the body can function normally with one less gland. Parathyroid removal can be performed in a minimally invasive manner, which offers little scarring and a quicker recovery. View More Health Matters video segments at leememorial.org/healthmatters/ Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we've been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries. Visit leememorial.org
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What to Expect From Cardiac Rehab
 
01:44
Studies show cardiac rehab can be a lifesaver, but the majority of people who could use it, aren't. "The general Medicare guidelines, which most insurances follow, go from heart attack, angina, stent, heart transplant, open heart surgery- which can include the bypass graphs or valve repair," says Alexis Collins, RN, with Lee Memorial Health System. That adds up to millions of potential patients. Only one in four is taking advantage. Collins works on lifestyle modification. "We want you to not only have the dietary, the exercise benefits, but to maintain your smoking sensation, to control your blood pressure, control your blood cholesterol. When you are with us for up to 12 weeks we're reinforcing that. You are becoming accountable for yourself," says Collins. Here's what to expect from a cardiac rehab program like the one at Cape Coral Hospital: you'll begin with an evaluation of your history and medical condition, go on to a personal treatment plan, get counseling on healthy choices and take part in supervised exercise. "Oh yeah, it's wonderful to watch them to get stronger. They feel better, they are doing more, they are able to do more at home. Nothing breeds success like success," says George Hays, cardiac exercise specialist with Lee Memorial Health System. A study from the Mayo Clinic found cardiac rehab graduates were 50% less likely to die within 5 years of their heart event. Lowering risk factors while raising fitness levels adds up to a change of heart. "That's what we try to get across to them. So we try to encourage them to work outside of here to develop some independence," says Hays. "And not see you come back as a patient," says Collins. View More Health Matters video segments at leememorial.org/healthmatters/ Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we've been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries. Visit leememorial.org
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Adult Onset Asthma
 
01:58
Stan Hilman worked in construction, once he left the workplace, he never expected it may have left a lasting impact. "This only happened after I retired, and then I notice that I was wheezing and went to a pulmonologist." Stan was diagnosed with asthma. Most frequent in children, in someone over twenty the condition is called adult onset asthma. It's possible to develop asthma at age fifty, sixty, or even later in life. "I might have had some sort of a breathing condition to start with but it was really highlighted by the fact of working in construction and breathing all of the contaminants that flew in the air," says Stan. Research shows prolonged exposure to certain workplace materials may set off asthma symptoms in adults, along with allergies. "Asthma is genetic, but they are also thinking its environmental," says Theresa Summe. Theresa is with Lee Memorial Health System, she teaches people, primarily children, how to manage asthma. "The state of Florida actually has a five-year plan called the Asthma State Coalition Which they're going out, trying to educate, because asthma is on the rise," says Summe. Unlike children who experience intermittent asthma attacks, usually brought on by a trigger, adults are more likely to have persistent symptoms and require daily medications. "I use a nebulizer with dilated materials in there, I use these pocket puffers. Try to exercise a lot, take deep breaths and watch my diet closely as to what I eat that would restrict breathing problems," says Stan. Finding the source of his problem was refreshing to Stan. With his doctor's help, he's now able to breathe easier. View More Health Matters video segments at leememorial.org/healthmatters/ Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we've been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries. Visit leememorial.org
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My Child Won't Eat: Diagnosing Pediatric Feeding Disorders
 
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IS YOUR CHILD A PICKY EATER -- OR DO THEY HAVE A FEEDING DISORDER? GETTING A CHILD TO EXPLORE NEW FOODS CAN SOMETIMES BE CHALLENGING FOR PARENTS. BUT KNOWING WHAT'S CAUSING YOUR CHILD TO REJECT THEM CAN HELP SOLVE THE PROBLEM. WE LOOK AT SOME COMMON PEDIATRIC FEEDING DISORDERS IN TODAY'S HEALTH MATTERS. Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we've been providing residents like you with everything from primary care treatment to highly specialized care services and robotic assisted surgeries. Visit www.leememorial.org/caring
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Diabetic Neuropathy
 
01:51
Pat Schulkins is one of the millions of Americans with type 2 diabetes. "Oh I probably have had it around 15 years," says Pat Schulkins. She monitors her glucose, but when it came to the state of her feet, Pat was unfeeling. About half of diabetics have this side effect called neuropathy. "These patients, especially when they get really bad, lose the ability to feel their feet. So they don't know when there's a problem," says Dr. Andrew Belis, foot and ankle surgeon on staff with Lee Memorial Health System. Diabetic neuropathy is nerve damage brought on by uncontrolled blood sugar. The feet and toes are most commonly affected. The lack of sensation increases the risk of serious problems when injuries and sores go unnoticed. That's exactly what happened to Schulkins. "It was like a big blister kind of, inward though. It wasn't sticking out like a blister does," says Schulkins. By the time she noticed the ulcer on her foot, it was almost too late to save. "The ulcer was there and it was chronic and resistant to care. And we got to change courses and address the underlining bone structure, so we basically reconstructed her foot so there's not these high pressure spots where the ulcer or the bone would break through the skin," says Dr. Belis. Experts stress the importance of knowing the symptoms, which may include, tingling, burning, pain or numbness in the feet; getting annual foot exams and wearing approved diabetic shoes if needed. "Even simple things like an ingrown nail can get infected; it can get down to the bone and can risk losing the toe. You or I notice a sore or even a small cut on your foot people with diabetes have less feeling they may not notice it until two or three weeks later. By that point it could have erupted into a full blown infection," says Dr. Belis. Although she managed to side step an amputation, Schulkins will never take her feet for granted. "And I know, I never thought it would happen," says Schulkins. View More Health Matters video segments at leememorial.org/healthmatters/ Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we've been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries. Visit leememorial.org
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Is It Time To Get A Wheelchair?
 
01:49
Living with multiple sclerosis led Vickie Richmond to a difficult decision. "Things were getting worse and worse. I was on the walker, I was just falling with the walker and they said 'hey its time for a wheelchair'," says Vickie Richmond. It was her first step towards freedom. "This gives me a lot of independence. Even though I have to have someone put it in the car but once they get it out of the car I'm gone. You know 'see ya'," says Richmond. Deciding when it's time for a wheelchair can be an emotional milestone. But for those facing medical conditions, they may not have a choice. "Some diagnoses that I see commonly are cerebral palsy, muscular sclerosis, ALS, pain - chronic pain you know and general arthritis, aging where they may now need a wheelchair when they didn't before, spinal cord injury, amputation sometimes," says Amy Morrell, physical therapist with Lee Memorial Health System. Physical therapist Amy Morrell gives mobility assessments at the Lee Center for Rehabilitation and Wellness. "Maybe a wheelchair isn't the best for them. Maybe they could use a walker. We look at would a scooter be best to help them get around in their environment. A manual wheelchair or a lightweight wheelchair. Insurance looks at how they're getting around in their home environment," says Morrell. The ideal is to restore mobility and the give people the ability to enjoy a normal life. "Definitely. I mean you can do anything from a wheelchair. People go boating, they fish, kids play soccer. There are all sorts of things you can do. Also to be able to work, to get around the work environment," says Morrell. Getting a wheelchair assessment gave Richmond the drive to face her future. "If you need the wheelchair, get in it. It will make life easier for you," says Richmond. View More Health Matters video segments at leememorial.org/healthmatters/ Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we've been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries. Visit leememorial.org
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Inside a Rotator Cuff Tear
 
01:51
'Unrelenting pain.' 'Like a dull toothache.' 'It keeps me awake at night.' These are just some of the common complaints that orthopedic surgeon Dr. John Mehalik hears on a daily basis. "A lot of patients will say, 'oh, it doesn't really hurt in my shoulder. It hurts in the upper part of my arm and that's actually fairly classic for rotator cuff problems." Rotator cuff tears are considered the most common cause of pain and disability for adults. "When you get a rotator cuff tear, typically what will happen is the tendon will tear from the bone, leaving a deficiency in the tendon like this and the reason that patients get pain as a consequence of that is primarily due to overload of the surrounding tendons." After a series of physical examinations, x-rays, and in some cases, MRIs or ultrasounds, Dr. Mehalik will recommend arthroscopic rotator cuff repair if surgery is needed. This technique uses smaller incisions which means less scarring and a quicker recovery for patients. "In the repair process, what we do is freshen this edge of the bone, right over here where this tendon used to be attached to. We use some little devices down inside the bone that are called suitre anchors, they work like a drywall anchor in your home works to hold a picture," explains Dr. Mehalik. It gets buried down deep inside the bone and has a strong suitre to it and we route that suitre through the torn edge of the cuff and then swet it back down anatomically where it used to be." This minimally invasive procedure takes a little less than an hour. Patients usually return to normal activities within 3 months. A much faster recovery than traditional surgery which generally takes between 6 to 12 months. View More Health Matters video segments at www.leememorial.org/healthmatters/ Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we've been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries. Visit www.leememorial.org/caring
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Making Strides With an Ankle Fusion
 
02:02
"It started when I had a motorcycle accident when I was 18 years," says Robert Werschky. Now 67, Werschky still felt the results almost 50 years later. The catastrophic crash left him with 23 breaks below his knee. This is an x-ray of his ankle taken last year. "The ankle was more or less crushed. And the doctors at the time told me I would have a lot of problems later on in life. And sure enough it came true," says Werschky. An active guy, an avid golfer, walking was always a pain. When it became uncontrollable Werschky took steps to fix the problem. "That's when I called Dr. Nemitz and he came forth with the only permanent solution: to have my ankle fused. You know, a patient really doesn't want to hear that. They really don't," says Werschky. "When they're getting to the point of needing a fusion to begin with, they have lost so much of their motion. They may have a few degrees left but it's mostly painful motion. And what I tell them is 'I'm going to take away the pain and maybe stiffen the joint a little bit more'," says Dr. Jason Nemitz, foot and ankle orthopedic surgeon on Lee Memorial Health System's medical staff. There is a lot of misconception surrounding ankle fusion. People fear a total loss of mobility in the foot. Fact is, there are three joints that affect motion. The other ones will compensate and provide some flexibility. "So the foot can go up and down around that joint as well as side to side," says Dr. Nemitz. Here's a view of Werschky ankle as it looks today. "You fix the two joints with a series of screws. If you compress those two joints together, you're trying to convince those two surfaces that they're actually a broken bone, that they're going to heal to each other," says Dr. Nemitz. And that's exactly what happened. In the months since, Werschky has made great strides. Now he walks for the pure pleasure. "Just simply going for a walk in the morning with my wife. I could actually walk 18 holes of golf now. It's just changed my life tremendously," says Werschky. Once he got over the stumbling block. View More Health Matters video segments at leememorial.org/healthmatters/ Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we've been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries. Visit leememorial.org
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Tips to Stop Stuttering
 
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It's an embarrassing problem for many children, causing many of them to shy away from social interactions. Whiles there is no cure for stuttering, there area therapies that can help. Finding the right words is one thing, but for many children getting them out is a problem. One in four young children will have a pattern of stuttering as their speech develops. "You don't know which one is going to out grow it. So the theory used to be don't treat it they're going to outgrow it, but that's not the theory anymore. I've worked with children as young as three," says Mary Jo Haughey, a speech therapist with The Children's Hospital of Southwest Florida. A lot of research has gone into stuttering. Most involve altering patterns that contribute to the problem, especially in young children. "With them it's really modifying the environment, having the parents slow-down their speech pattern, not having a lot of competing noise like if you sit down at the dinner table turn the TV off. You don't work directly on the stuttering itself at that age level," says Haughey. If the child is school aged, it's best to talk the issue over with their teachers, because they benefit from education, too. "If you ask them a question, let them raise their hand, don't call on them immediately. Let them be the one to volunteer. If they're extremely self-conscious about their speech and they have to do an oral report let them do it individually," says Haughey. Speech therapy may be used to help kids find their voice. "Like lots of people when they sing, they won't stutter because they're changing the loudness of their voice. They're changing the pattern. And that's a lot of the things that you will work on in therapy,' says Haughey. The child might be encouraged. Look for and avoid trouble spots. "If they wanted to say 'by' and they'll get really stuck. It's called an easy contact, try it with 'byyy' don't press those lips hard together, make it a soft contact," says Haughey. Famous stutters include Winston Churchill, James Earl Jones, Nicole Kidman and Tiger Woods, proving a speech disorder doesn't have to stop anyone from achieving their goals. View More Health Matters video segments at leememorial.org/healthmatters/ Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we've been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries. Visit leememorial.org
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Heart- Skipping a Beat?
 
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A fluttering heart, heart palpitations, skipping a beat. It may be expressed in different ways, but most folks, like Marian Alpaugh know it when they feel it. "It's a quickening of the heart. It doesn't stay in sync. What they try to do, they try to get it so that it's a regular pattern," says Marian Alphaugh, heart patient. An irregular heartbeat is called an arrhythmia. It means the heart's electrical impulses are out of order. The most common form is atrial fibrillation. "There's a normal progression of the electricity of the heart and through certain triggers and electrical reasons the top part of the heart actually fires off at quite a rapid rate. And what that can cause, is the top part is a little out of synch of the bottom part," says Dr. Roshan Vattyham, cardiologist with Lee Memorial Health System. A-fib isn't the same for everyone. Patients may find triggers that get their heart out of whack. "Heightened exercise can cause some triggers. The other things we try to look for is excess caffeine, sometimes dark chocolate, severe alcohol use. So there's certainly things you can try to do to prevent it from happening," says Dr. Vattyham. This abnormal rhythm isn't constant. People go in and out of A-fib. Medications may be used to regulate the heartbeat, because patients with frequent A-fib have a higher risk of stroke. "The longer you've had it, the more you're going to be in it. So in those patients you just try to control their heart rate and make sure you're feeling okay and control your risk for strokes," says Dr. Vattyham. Alpaugh went on drug therapy, but also made heart healthy changes including diet and exercise. "Very important, I go twice a week, and do aerobic exercise in the water and then come here twice a week for the strengthening," says Alpaugh. Responding to your heart's rhythm and restoring it's pace, can help you side-step unnecessary chaos. View More Health Matters video segments at leememorial.org/healthmatters/ Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we've been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries. Visit leememorial.org
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Difference Between Alzheimer's and Dementia
 
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Hank Graefen's mother-in-law suffered from dementia. When he and his wife became caretakers in her final years, they studied up on the condition. "The more you can learn the better you're going to be and you better understand the disease." Often used interchangeably, both dementia and Alzheimer's are forms of mental degradation. In many ways they seem the same but are actually two different medical terms. "I tell people that it's sort of like dementia is the team and Alzheimer's is one of the players," says Dr. Michael Raab, a geriatrician with Memory Care at Lee Memorial Health System. Dementia covers a number of disorders; Alzheimer's is most common. "Depending on who you believe, between 60% and 80% are caused by Alzheimer's disease," says Dr. Raab. Alzheimer's has physical characteristics in the brain, which most other forms of dementia don't have. "When you look at the brain, there are tangles and plaques. The Lewy Body dementias, the vascular dementias, the front dementias, none of them really have any plaques or tangles," says Dr. Raab. What's more, Alzheimer's involves a gradual progression that can begin in middle age. General dementia is usually found in advanced years, Hank's mother-in-law was in her 90s. "She didn't have a bad word to say about anybody, she's the sweetest person you'll ever want to meet." Finally, various conditions can affect different parts of the brain. Only a specialist can give you proper diagnosis. "It takes very sophisticated testing which is what we do with our neuropsychologists, to try and differentiate the areas of thinking that have been lost," says Dr. Raab. View More Health Matters video segments at leememorial.org/healthmatters/ Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we've been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries. Visit leememorial.org
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Asthma in School
 
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With summer drawing a close, 9-year-old Andrew Konkus will soon be back at school and away from his mother. Andrew suffers from severe asthma. "We started tracking patterns. Spring and fall are really bad for him, it affects him with sports, it affects him with being in school," says Andrew's mother Colleen Konkus. Along with his school supplies, Andrew will carry a lot of responsibility with him. "It's scary as a parent because if he has an asthma attack due to his allergies and if he's on the school bus, that worries me. So we do have paperwork filled out from his pediatrician to allow him to carry an inhaler at all times," says Konkus. Its estimate 7-million kids under the age of 18 have asthma and it counts for 13-million missed school days. If the condition is well managed, kids can go to school and parents can have a peace of mind. "Every child that comes into the program we immediately contact the school nurse," says Teresa Summe. Teresa coordinates the Asthma Management Program for Lee Memorial Health System. "The school nurse works with the teachers so that the child has the medication with them when they need it. We work with the PE coaches, whoever needs to be in the whole picture. We want the child to be comfortable," says Summe. Parents should also have an action plan to include: reinforcing their children's medications and uses, making sure they know their triggers and early symptoms and what to do if they have a flare-up at school. "We have children that will come in and they're hiding in the restrooms, taking her medications or some haven't even told the school nurses," says Summe. When it comes to asthma, knowledge is power. "I just take off this cap, put my lips up to it," says Andrew. Something Andrew has already learned.
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Pediatric Orthopedics: Osteomyelitis in Children
 
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Dr. Matthew Wagner , M.D. of Lee Memorial Health System discusses osteomyelitis in children
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Fast Fix for Fractured Spine
 
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Fifty percent of women and 25% of men will suffer a compression fracture in their lifetime. Many times it’s their spine that bears the brunt. Patients are usually elderly people who have osteoporosis or soft bones. “Once they develop this fracture it’s extremely painful. It’s difficult to do daily activities. It’s difficult to get out of bed, it’s difficult to get in to bed, bathing is difficult,” says Dr. Paul Fuchs. He is an orthopedic surgeon on medical staff of Lee Memorial Health System. Almost every movement is difficult, though sustaining a fracture takes little effort. “Maybe they sit down vigorously on a sofa, or step off of a curb, maybe they didn’t see the bottom of a step, they’re carrying a heavy bag of groceries and they can sustain a fracture,” says Dr. Fuchs. There is now a relatively fast fix for fractures. A procedure called kyphoplasty reinforces the bone from the inside. Sometimes called internal casting, it addresses the break and alleviates pain. “We’ll put a small balloon into the fracture and try and re-create the proper alignment. And then fill the bone with bone cement to try and harden the bone. Essentially heal the fracture within minutes.” With a minimally invasive approach, patients are less likely to experience dangerous symptoms caused by inactivity—like pneumonia. View More Health Matters video segments at leememorial.org/healthmatters/ Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we’ve been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries. Visit leememorial.org
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Gout Diet Dos & Don'ts
 
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All roads lead to your gut when it comes to gout. A painful form of arthritis caused by a buildup of uric acid. Diet is a common cause- the big toe is a common target. "Gout is a condition that causes extreme pain, swelling and redness in joints. The classic scenario the joint at the base of the right toe and typically patients will call and say they have intense pain usually it last 24-48 hours," says Dr. Gary Goforth, Director family medicine residency program Lee Memorial Health System. Men and the obese are at greater risk. If you're prone to gout, the foods you eat and don't eat play a role in keeping your joints pain-free. "It's a condition it's been around for ages and ages. We typically think of it as a disease caused by poor eating habits, heavy alcohol use," says Dr. Goforth. Gout occurs when high levels of uric acid in the blood cause crystals to form and accumulate around a joint. Your body produces uric acid when it breaks down purines. Purines occur naturally- but you also get them from certain foods. The no-no list include: organ meats, scallops, asparagus, mushrooms, alcohol and sugary drinks. There is also a good gout diet. "We tell people to eat fresh vegetables, eat more dairy products, drink coffee. In moderation that has been found to reduce the rates of gout," says Dr. Goforth. Drinking lots of fluid, as long as it's non-alcoholic and non-sugary, helps flush uric acid from the body. The added bonus, a gout diet, is an overall balanced diet, which may help you maintain a healthy lifestyle. View More Health Matters video segments at leememorial.org/healthmatters/ Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we've been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries. Visit leememorial.org
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