Tag Archives: Straight No Chaser

Straight, No Chaser: Endometriosis

 endometriosis-2
Guys, it really is tough to be a woman. There are so many different medical conditions women have to deal with that men don’t. Many of these just don’t even make sense. Take the example of endometriosis. This is a condition that millions of women suffer from in which cells that are supposed to live and grow in the lining of the womb (uterus), migrate, implant and grow in other parts of the body. What does that mean to the woman? For starters, it means menstrual-type activity that normally occurs in the womb can occur elsewhere. That just seems cruel. In any event, here’s your what, how, why and what to do for endometriosis.
How?
If you understand that every month a woman’s menstrual period represents the shedding of cells from the inner lining of the womb lining, then you’re most of the way to understanding endometriosis. Endometriosis is the result of these shedded cells migrating, implanting and growing outside of the uterus.

endometriosis

Where?
Tissue that migrates from the womb (endometrial lining) most commonly implants onto the ovaries, bladder, intestines, rectum and pelvic lining, although other locations are possible.
Who gets it?
You’re more likely to develop endometriosis if someone in your family (e.g., mother or sister) has it, if you started your periods at a young age, if you’ve never had children, if your periods are irregular (i.e., frequent or last more than seven days at a time) of if you have a closed hymen (vaginal opening).
What happens next?
One oddity of these endometrial implants is they tend to stay affixed to their new areas in a way that didn’t occur in the womb. Because this is the tissue that is involved in menstruation, they can grow and bleed in conjunction with your menstrual cycle.
What are the symptoms?
Any, all or none of the following may occur. Endometriosis may exist without symptoms, but it’s most typically defined by pain.

  • Pain during or following sexual intercourse
  • Pain with bowel movements
  • Painful periods
  • Pelvic/low back pain at any time during the menstrual cycle
  • Premenstrual and menstrual pain and/or cramping in the lower abdomen
  • Intestines obstruction (blockage) or other abnormal functioning (rarely)

How is this figured out?
Your job is to recognize the symptoms and seek assistance. Tests may include a vaginal ultrasound and direct visualization of your pelvis via a procedure called laparoscopy, which also allows for treatment.
How is this treated?
There’s a wide range of treatment, which depends on your level of health, the presence/significance of symptoms and your desire to have children in the future.
Options range from symptomatic treatment with exercise, relaxation techniques and pain medication to hormonal medications and surgery to remove areas of the endometriosis. The options are assessed and used based on the particulars of each patient. Details of individual medical and surgical options are discussed at www.sterlingmedicaladvice.com.
What’s the end result?
The treatments mentioned are often effective in improving symptoms but not in providing a cure. A cure is most likely to occur by removal of the womb (uterus), fallopian tubes, and both ovaries (a hysterectomy/oophorectomy).
Complications of endometriosis can include infertility, but this is not universal. More commonly, pain interferes with the activities of daily living, there are large cysts in the pelvis (called endometriomas) and post-menopausal cancer presents in the affected areas.
You should get evaluated for endometriosis if a family member has endometriosis or has particularly problematic menstrual periods or if you are having difficulties becoming pregnant (especially after trying for one year).
endometlook
Feel free to ask your SMA expert consultant any questions you have on this topic.
Thanks for liking and following Straight, No Chaser! This public service provides a sample of what  http://www.SterlingMedicalAdvice.com (SMA) offers. Please share our page with your friends on WordPress, Facebook @ SterlingMedicalAdvice.com and Twitter at @asksterlingmd.
Copyright © 2014 · Sterling Initiatives, LLC · Powered by WordPress

Snow can improve your health

food
Trick your family (and yourself). Stock up on foods that increase your health outcomes and let the junk food run out just in time for inclement weather. (Groundhog said it’s not over.) Take advantage of being snowed in and cook rather than swinging by a fast food joint … and pass on ordering in. On average, cooking at home is much healthier than eating out. Use this time to retrain those taste buds. It might not take as long as you think, and the benefits will stretch across your lifetime.
Note that your kids may also need a bit of adjustment. Try a new vegetable. They might surprise you by liking roasted or grilled brussell sprouts (those cute little cabbages) or stewed (not fried) okra. Chop up fruit for snacks. Put out nuts in a bowl. Hide or toss the sugary snacks and desserts, and find healthy substitutes.
Our nutritionists can help. Feel free to contact us at 844-SMA-TALK (844-762-8255) or www.sterlingmedicaladvice.com for advice or information. We are prepared, 24/7, to give you the immediate and personal advice and information.
Thanks for liking and following Straight, No Chaser! This public service provides a sample of what http://www.SterlingMedicalAdvice.com (SMA) offers. Please share our page with your friends on WordPress. We are also on Facebook at SterlingMedicalAdvice.com and Twitter at @asksterlingmd.

Straight, No Chaser: Go Eat Rocks? Discussing Pica

pica
What the what? Pica is a pattern of eating non-food materials. This pattern must be present for at least a month to make the diagnosis. Pica is not a single incidence of a foreign body ingestion. It is not the activity of infants exploring their universe. It is an intentional and repeated effort to consume certain substances not associated with human nutrition.
Who does this?

  • Pica can be seen in any age group, although it is more frequently seen in younger children.
  • Estimates suggest that up to a third of children below age six engage in this activity.
  • Pica is also seen disproportionately during pregnancy.

Why would anyone do this?
Some individuals can’t overcome cravings or the desire to feel a certain texture in their mouth. These cravings may result from nutritional deficiencies such as iron or zinc.
What type of things are people with pica eating?
Common substances include the following:

  • Clay or dirt
  • Feces
  • Hairballs
  • Ice
  • Paint or paint chips
  • Rocks
  • Sand

What’s done about this?
The approach should include three considerations: addressing the underlying cause, addressing the consequences of the ingestion and eliminating the desire to continue the activity.

  • Addressing the underlying cause: When pica occurs in malnourished individuals, iron and/or zinc replacement (preferably through improving regular nutrition) is important.
  • Addressing the consequences of the ingestion: Lead poisoning may occur if certain types of paint/paint chips are ingested. Infection may occur if soil, feces or other contaminants are eaten. These are serious considerations and must be addressed.
  • Elimination of the desire to continue the activity: Family education, proper nutrition, positive reinforcement for good behaviors and negative reinforcement (such as aversion therapy) for destructive behaviors are possible components of therapy. Additional medications to modify behavior may also be needed.

What happens as a result of this?
It stands to reason that either a positive or negative outcome could occur. The disorder can disappear on its own, particularly if it’s simply associated with nutritional deficiencies that are addressed.
Pica can be long-lasting and destructive if associated with developmental disorders and undiscovered. It may also be especially dangerous if the substance ingested is toxic (e.g., lead poisoning via paint chips). In these instances it may be discovered as part of an illness presenting and resulting from the abnormal ingestions.
Complications can include infection, intestinal obstruction, lead poisoning, malnutrition and a mass of indigestible material can become trapped in the stomach or intestines (known as a bezoar) The appearance of a hairball is shown on the X-ray below.

bezoar

What am I supposed to do about this?

That should be the easy part. If and when you notice anyone ingesting something abnormal on just one occasion, you should seek medical attention.

Feel free to ask your SMA expert consultant any questions you have on this topic.

Thanks for liking and following Straight, No Chaser! This public service provides a sample of what  http://www.SterlingMedicalAdvice.com (SMA) offers. Please share our page with your friends on WordPress, Facebook @ SterlingMedicalAdvice.com and Twitter at @asksterlingmd.

Copyright © 2014 · Sterling Initiatives, LLC · Powered by WordPress

Game Ready!

20-minute-workout
If you’re watching the game from home … or if you don’t care what you look like in the sports bar, join in with all that physical activity. Move your body!
When you do simple exercises at home, you benefit. These healthy building blocks count. Do them with vigor until you can get to the gym.
Did you know your SMA personal healthcare consultants include personal trainers? We’re ready to help you improve your health in most any circumstance.
Feel free to contact us at 844-SMA-TALK (844-762-8255) or www.sterlingmedicaladvice.com for advice or information. We are prepared, 24/7, to give you the immediate and personal advice and information you need.
Thanks for liking and following Straight, No Chaser! This public service provides a sample of what http://www.SterlingMedicalAdvice.com (SMA) offers. Please share our page with your friends on WordPress. We are also on Facebook at SterlingMedicalAdvice.com and Twitter at @asksterlingmd.

Straight, No Chaser: Total Knee Replacement Surgery

TKR1

When you’re watching the big game, it’s likely you’re watching a group that includes someone who may require joint replacement surgery over the course of his life.
Can you believe that over half of a million total knee replacement (TKR) surgeries are performed a year?
As we age or experience knee injury, the progression of limitations on us imposed by arthritis and other diseases of the knee-joint can become too much to bear. Persistent pain and limited range of motion can make each step an exercise in physical and mental agony.
Risks for TKR include having osteoarthritis, infection, obesity, being younger than 55 years old and being male.

TKR2

TKR involves removal of damaged bone and other tissue (e.g., cartilage) from the knee joint and creation and placement of a new joint (a prosthesis) made of plastic and/or metal. Most TKRs are successful, with approximately 90 percent of patients experiencing rapid and signficant pain reduction and improved joint function.
Of course, many of you have heard about complications of joint replacement surgeries, and TKR also comes with risks. Scarring, blood clots and infections may occur, but in the hands of a competent orthopedic surgeon, these risks pale in comparison to the benefits that the otherwise healthy individual will receive. Recovery involves a brief post-surgery hospitalization, followed by treatment in a rehabilitation facility and a couple of months of physical therapy (PT).
PT is especially important, because with it you’re setting your future bar. You need to work to whatever limits you want to reach, and you need to get started right away. Once the knee stiffens post-surgery, you won’t be able to get back what you’ve lost. Your post-surgery life and use of your knee will be a direct result of how hard and how much you work that knee during rehabilitation.
Recovery involves mental and physical considerations. Physically, you’re likely not going to be engaged in high-impact sports anymore (or even running for that matter, although this is a case-by-case consideration) because of the risks of loosening the prosthesis and requiring revision surgery. Riding a bike and other activities involving flexibility will be possible.
Mentally, TKR is not a fountain of youth, and you have to wrap your brain around that fact. You must define quality of life through the loss of pain and improved mobility.

TKR

Prosthesis are expected to last at least 15-20 years, and that level of longevity should give you a new lease on life. If you find yourself or your loved ones in severe pain from arthritis or other knee pain, ask your physician what circumstances may lead to the need for a TKR. You can certainly discuss the matter further with your SMA expert consultant.
Thanks for liking and following Straight, No Chaser! This public service provides a sample of what  http://www.SterlingMedicalAdvice.com (SMA) offers. Please share our page with your friends on WordPress, Facebook @ SterlingMedicalAdvice.com and Twitter at @asksterlingmd.
Copyright © 2014 · Sterling Initiatives, LLC · Powered by WordPress

Happy New Month!

february
Welcome to February!
Remember that it’s best to mark health improvements in small increments? Well, let’s call February the next increment–phase 2– of your New Year’s resolution. Time to go to the next gear. Don’t fade now. Imagine how you’ll look and feel this time next year.
Feel free to contact us at 844-SMA-TALK (844-762-8255) or www.sterlingmedicaladvice.com for advice or information. We are prepared, 24/7, to give you the immediate and personal advice and information you need.
Thanks for liking and following Straight, No Chaser! This public service provides a sample of what http://www.SterlingMedicalAdvice.com (SMA) offers. Please share our page with your friends on WordPress. We are also on Facebook at SterlingMedicalAdvice.com and Twitter at @asksterlingmd.

Straight, No Chaser: Avoiding Sports Injuries

sportsinjuriesfootballhelmets

Tomorrow is Super Bowl Sunday, a de facto American sports holiday! Last year, over 111 million Americans watched this exhibition of athleticism and violence. In fact, the last four Super Bowls have been the four most watched television programs in the United States. In other words, it’s way beyond popular. Maybe you’ll be tossing a pigskin around today with friends and family. Maybe you’ll play a game before the big game. If so, you should know what you (and they) are up against.
Athletes are at risk for injuries for different reasons than weekend warriors. Although accidents happen to everyone, poor conditioning and training, propensities not to stretch or warm up, relatively poorer playing conditions, and use of inferior equipment (or lack of use of any at all) make your adventures a little more risky. Straight, No Chaser has reviewed many common sports injuries. Links to some are listed below, and others you can read up on just by typing what you’re looking for into the search box on the right.
The most common sports injuries include the following conditions.

Of course, the most common aren’t all the rage. Everyone’s concerned about concussions. Here’s a Straight, No Chaser review of concussions.
The weekend warrior is too often engaged in a testosterone fest and doesn’t listen to his body. If you get hurt, stop. If you don’t listen to your body, someone more serious could be on the verge of happening.

sports-injuries soccer

Here are some tips to help you avoid sports injuries.

  • Always warm up, regardless of the sport. It’s especially helpful to stretch the Achilles tendon, hamstring and quadriceps areas and hold the positions without a bouncing motion.
  • Avoid bending knees past 90 degrees.
  • Avoid twisting knees. This is best done by keeping your feet as flat as possible during stretches and running.
  • If you’re jumping, land with your knees bent.
  • Cool down following vigorous sports. You want your heart rate to come down gradually.
  • Wear properly fitting shoes. You can avoid stress fractures and sprains by wearing shoes that provide shock absorption and stability.
  • Avoid running on hard surfaces like asphalt and concrete. It’s preferable to run on softer, flat surfaces. Appreciate that running uphill may increase the stress on the Achilles tendon and the leg itself.
  • Know when to stop.

We’ve discussed the RICE method of treating strains and sprains in the past. Make a habit of this for even minor ankle, knee, wrist, elbow and shoulder sprains. It helps with pain and swelling, and it also speeds recovery.
Whether you’re enjoying the Big Game or just your game, it’s good to know what you’re looking to avoid. Don’t let a sports injury sneak up behind you. If you are in need of information or advice, contact your personal healthcare consultants at 844-SMA-TALK or www.sterlingmedicaladvice.com. Have a great day, and enjoy the game.

sports-injuries-matador-gored-in-butt

Thanks for liking and following Straight, No Chaser! This public service provides a sample of what  http://www.SterlingMedicalAdvice.com (SMA) offers. Please share our page with your friends on WordPress, Facebook @ SterlingMedicalAdvice.com and Twitter at @asksterlingmd.
Copyright © 2014 · Sterling Initiatives, LLC · Powered by WordPress

Want to Raise Your Health IQ? Try Sterling Medical Wellness

wellness_images
One of the stars of our suite of services at SterlingMedicalAdvice.com is Sterling Medical Wellness. It is a self-administered health curriculum that helps you assess risk factors in your body, environment, or family history. You are then provided information and advice about areas where you can improve or maintain your health.
Many corporations (approximately half in the U.S.) engage wellness programs, knowing that healthy employees and healthy workplaces lead to better mental and physical health, improved quality of life and higher productivity. It’s a win-win: good for health; good for the bottom line.
Are you looking for a quality Wellness program for your business/organization? Visit us (or have your company’s employee assistance program official visit us) at www.SterlingMedicalAdvice.com, and schedule a free consultation with a member of our business support team.
Thanks for liking and following Straight, No Chaser! This public service provides a sample of what http://www.SterlingMedicalAdvice.com (SMA) offers. Please share our page with your friends on WordPress. We are also on Facebook at SterlingMedicalAdvice.com and Twitter at @asksterlingmd.

Straight, No Chaser: About Uterine Fibroids

fibroids

We’ve spent quite a bit of time lately on conditions involving abnormalities of male and female sex hormones. We do so again today in discussing fibroids (aka fibroid tumors, leiomyomas, fibromyomas and myomas). Fibroids are noncancerous growths on the female uterus (the womb). Fibroids are extremely common. In fact, by age 50 approximately half of women will have fibroids. On the other hand, they appear to be rare under age 20. This is a condition that is most prominent during the childbearing years.

fibroidsbig

Fibroids seem to run the gamut in size, clinical signs and symptoms. Although the cause isn’t known, its effects are related to estrogen production. Here are some interesting facts about fibroids you should know.

  • If a fibroid is present, it will likely continue to grow during the childbearing years and is likely to shrink after menopause (due to the relative presence of estrogen in the former circumstance and the relative lack of estrogen in the latter).
  • Women tend to have multiple fibroids if and when they occur.
  • Fibroids can range in size from too small to see with the naked eye to several pounds in size, causing obstruction in the pelvis.
  • Fibroids are more common in African-Americans.
  • During pregnancy, fibroids may grow significantly due to increasing estrogen levels. They may return to their previous size once childbirth has occurred.

Regarding symptoms, fibroids may be present without symptoms or may make a woman’s life unbearable. Any of the following symptoms may be present.

  • Heavy menstrual bleeding (menorrhagia)
  • Longer than normal menstrual periods
  • Bleeding between menstrual periods
  • Stronger than normal pain or cramping during menstrual periods
  • Ongoing sensation of fullness in the pelvis
  • Frequent desire to urinate
  • Pain during sexual intercourse

If this complex of symptoms begins to become substantial, your physician will likely order an ultrasound, which can identify the fibroids. These ultrasounds also help to monitor the growth and possible interference or obstruction of fibroids within the uterine cavity.
Much of the management of fibroids depends on the severity of symptoms and the presence of any complications. Often nothing more than monitoring growth, treatment of pain and supplementation of iron for significant losses of blood and anemia is required. In more severe cases, other options are available, including the following:

  • If you have particular difficulties with abnormal bleeding (heavy or irregular periods), you may be prescribed birth control pills.
  • Short-term hormonal therapy may be given via injection to shrink the fibroids.
  • IUDs (intrauterine devices) that release the hormone progestin may reduce pain and heavy bleeding.
  • There are several surgical procedures that treat fibroids, including removal of the fibroids, stopping the blood supply to the fibroids and, in severe cases, removal of the uterus (hysterectomy).

All of these options are serious endeavors. Factors such as your general health and your desire to have children in the future must be considered.

fibroid sites

Complications of fibroids are significant enough to warrant discussion. They including the following:

  • Excessive bleeding may cause anemia (low red blood cell count).
  • Excessive bleeding or severe pain may necessitate emergency surgery.
  • Fibroids may twist, causing a blockage in blood vessels. This occurrence may make surgery necessary.
  • Fibroids may block the bladder, leading to frequent UTIs (urinary tract infections) due to incomplete emptying of urine from the bladder.
  • Rarely, fibroids may cause infertility.
  • Rarely, in pregnant women fibroids may cramp the space of the womb. This can result in premature birth or the need for a C-section.
  • Rarely, fibroids may undergo cancerous changes. These complicated fibroids are called leiomyosarcomas.

Many women who have abnormal menstrual periods, including heavy bleeding, pain, cramping, fullness of the uterine area and bleeding between periods are found to have fibroids. If you have these symptoms, and they’re causing significant distress, contact your physician. You certainly can contact your SMA personal healthcare consultant with any questions you have at www.sterlingmedicaladvice.com or 844-SMA-TALK (844-762-8255).
Thanks for liking and following Straight, No Chaser! This public service provides a sample of what  http://www.SterlingMedicalAdvice.com (SMA) offers. Please share our page with your friends on WordPress, Facebook @ SterlingMedicalAdvice.com and Twitter at @asksterlingmd.
Copyright © 2014 · Sterling Initiatives, LLC · Powered by WordPress

www.SterlingMedicalAdvice.com

logo blue

You’ve heard about us. Now go experience the difference. We’ve provided you access to physicians, dentals, pharmacists, nutritionists and mental health professionals in a way that’s way more convenient and way less expensive than an emergency room visit.
Register at www.SterlingMedicalAdvice.com and receive

  • immediate, 24/7 access to medical and healthcare experts for personalized advice and information
  • email access to medical and healthcare experts from all specialty areas with a 24-hour guaranteed reply
  • unlimited access to medical and healthcare information through answers to over 1,000 frequently asked questions
  • unlimited access to medical information through expanded versions of Straight, No Chaser

You may also contact us immediately at 844-SMA-TALK (844-762-8255). We’re standing by to assist you.
Thanks for liking and following Straight, No Chaser! This public service provides a sample of what http://www.SterlingMedicalAdvice.com (SMA) offers. Please share our page with your friends on WordPress. We are also on Facebook at SterlingMedicalAdvice.com and Twitter at @asksterlingmd.

Straight, No Chaser: In the News – Testosterone Therapy Doubles the Risk of Heart Attacks

Testosterone_main 

If you’re a regular reader of Straight, No Chaser, you’ll recall recent discussions of low testosterone and male menopause (which often includes low testosterone levels as a component of the syndrome). More importantly, you may recall our Straight, No Chaser post that discussed managing low testosterone without receiving testosterone therapy. Well as it seems, you may want to read that post again if you’re suffering from low testosterone (hypogonadism).

In the news is a new study out of the University of California-Los Angeles, which notes two particularly disturbing findings about treatment of low testosterone:

  • The rate of developing a heart attack is nearly tripled in men less than 65 years old with a history of heart disease.
  • The rate of developing a heart attack doubled in men older than 65 years old with or without a history of heart disease.

The study, which was published in the journal PLOS One (Public Library of Science), followed a study with similar findings published in November 2013 in the Journal of the American Medical Association.
If you’re one of those individuals that view medicines as “magic in a bottle,” or if you’re someone so impressed by those commercials that you take testosterone just for an “extra boost,” this serves as another reminder that health has no shortcuts. Medications have risks, and health has benefits.
Alternatively, if you have serious health concerns consistent with low testosterone or male menopause (andropause), please discuss your concerns with your physician. You certainly can discuss your concerns with your Sterling Medical Advice expert consultant at www.sterlingmedicaladvice.com or at 844-SMA-TALK. We’ll keep you informed of risks and benefits of medicines as well as how to appropriately address your medical concerns with and sometimes without medications. Your personal healthcare consultants are standing by.
Thanks for liking and following Straight, No Chaser! This public service provides a sample of what  http://www.SterlingMedicalAdvice.com (SMA) offers. Please share our page with your friends on WordPress, Facebook @ SterlingMedicalAdvice.com and Twitter at @asksterlingmd.
Copyright © 2014 · Sterling Initiatives, LLC · Powered by WordPress

Resolution Check-Up

New-Year-Resolutions

Hi.
How’s it going? How’s that healthy behavior promise you made to yourself? Full steam ahead? Did you slip? Did you forget about it? Did you drop it completely?
Just wanted to send you a note to let you know I’m cheering for you. You can do it! Some of you really must do it. You owe it to yourself and your family.
Also want to remind you to check-in with your Personal Healthcare Consultant as often as you need. We’re available 24/7 with immediate medical and healthcare information and advice from over 300 specialty areas, including behavioral health experts, fitness gurus, pharmacists and dentists.
Contact us at 844-SMA-TALK (844-762-8255) or www.sterlingmedicaladvice.com.
Thanks for liking and following Straight, No Chaser! This public service provides a sample of what http://www.SterlingMedicalAdvice.com (SMA) offers. Please share our page with your friends on WordPress. We are also on Facebook at SterlingMedicalAdvice.com and Twitter at @asksterlingmd.

Straight, No Chaser: Here's How You Complete End-of-Life Planning

durable-power-of-attorney

Now that you’ve had a chance to wrap your mind around the concept of needing to make end of life decisions (click here to review), let’s discuss some specific mechanisms by which you can ensure your wishes are honored.
Living Will: This document, also known as medical directives, addresses those scenarios where you are unable to communicate your near death choices. The key consideration is that a living will keeps the power and decision-making in your hands, even when you’re incapacitated or otherwise unable to state your preference. You’ll want to have a copy of this form with you or with your family.
Do Not Resuscitate (DNR): A DNR form takes the living will consideration straight to the end of life question and explicitly states your preference not to receive cardiopulmonary resuscitation (CPR) and advanced cardiac life support (ACLS) if needed.  Your physician will retain a copy of this document in your medical record as a way of alerting other medical providers (such as in the emergency room–if and when you show up there) of your desire.
Healthcare Power of Attorney (POA): The healthcare POA is your designee to carry out your medical wishes beyond what you have explicitly stated. A healthcare POA may serve more than one function.

  • If you haven’t made DNR or living will type decisions, a POA will make those decisions for you.
  • If you’ve made some decision and not others, the POA will fill in the gaps.
  • Making a POA designation is literally putting your life in someone else’s hands. Be very careful who you choose for this role. Some people will simply designate next-of-kin or a family member.  Others will want someone objective with no other motives (e.g., financial) than fulfilling their wishes. Either choice is much better than no choice, which too often leaves family members with competing interests and potentially having to carry the burden of making decisions for you that you could have made in advance.
  • Your POA will not be able to overturn decisions you’ve designated on the DNR form or your living will.
  • Your POA will not be able to make any decisions for you while you’re still able to do so unless you ask him/her to do so.

It’s important to know that you can simultaneously have a living will, DNR declaration and a Healthcare POA.  If you’re able, it may be wise to engage an attorney to sort through the various documents.
I hope for your sake and the comfort of any family you may leave behind that you take the time to engage in end-of-life planning for yourself and others in your family.  I’ve seen all too often how messy it gets when issues aren’t addressed in advance.  You really don’t want that happening to you at the end of your life.
Thanks for liking and following Straight, No Chaser! This public service provides a sample of what  http://www.SterlingMedicalAdvice.com (SMA) offers. Please share our page with your friends on WordPress, Facebook @ SterlingMedicalAdvice.com and Twitter at @asksterlingmd.
Copyright © 2014 · Sterling Initiatives, LLC · Powered by WordPress

Notice Anything Different?

A bump? A bruise? Discoloration?
Be sure to notice. Don’t ignore you. You’re the only you we have. If something seems out of the ordinary, we are prepared and happy, 24/7, to give you the immediate and personal advice and information you need. Try us at 844-SMA-TALK (844-762-8255) or www.sterlingmedicaladvice.com.
Thanks for liking and following Straight, No Chaser! This public service provides a sample of what http://www.SterlingMedicalAdvice.com (SMA) offers. Please share our page with your friends on WordPress. We are also on Facebook at SterlingMedicalAdvice.com and Twitter at @asksterlingmd.

Straight, No Chaser: In The News – A Struggle Between Death and Life

death-and-life life-and-death

Death is a part of life. The more sensibly both are handled, the better off you, your loved ones and society will be in the short and the long term. Challenges in handling death and dying exist whether death is expected or dramatic and untimely. One of the main purposes of this blog is to help you live and die well, empowered and knowledgeable about how to handle various situations when death comes to you.

In the news this week was the culmination of the difficult eight-week struggle between authorities, hospitals officials, laws, statutes, judges and family members, all making decisions about a young pregnant woman’s life—or in this case death. In Fort Worth, Texas, family members of the apparently brain-dead, 33 year-old Mrs. Marlise Muñoz rallied for her to rest in peace as was her stated but not documented wish. The hospital sought to enforce a Texas law aimed to protect her 22-week pregnancy though medically unviable and discovered to be abnormal.

Finally through court order, the wishes of the young woman were granted. The hospital removed her from life supports.

Imagine the horror endured by the family each day of those eight weeks. Imagine having daily visits with your loved one, now functionally a corpse, not allowed the dignity to rest in peace. How prepared are you and your family to address a similar situation if tragedy strikes today and the same questions swirl around your comatose or vegetative body? Have you thought about how you want the powers that be to proceed? Have you written it down? Have you legalized the document? Have you designated a power of attorney/trusted friend and given him or her a copy of the advance directive? Have you informed your family of your wishes?

Even though you read all of the Straight, No Chaser blogs, on occasion you need help. We offer you 844-SMA-TALK and www.SterlingMedicalAdvice.com so you are able to regularly and emergently contact your Personal Healthcare Consultant and diligently work toward your health goals.

You might leave sooner than planned. Sometimes in the emergency room we do see miracles, but more often we see the end of life. What we don’t want for you and your loved ones is stress on top of grief or a lifetime of memories about the horrific, extended death of a loved one. Take a look at this post for more details. Make it easier on yourself and your family … and authorities. Don’t delay.

Thanks for liking and following Straight, No Chaser! This public service provides a sample of what  http://www.SterlingMedicalAdvice.com (SMA) offers. Please share our page with your friends on WordPress, Facebook @ SterlingMedicalAdvice.com and Twitter at @asksterlingmd.

Copyright © 2014 · Sterling Initiatives, LLC · Powered by WordPress

Quality of Life

elder with drink

How does your quality of life rank? Healthy? Happy? Stress free?
Contact your Personal Healthcare Consultant and receive information and advice on how you can live the healthy life you choose.
We are prepared, 24/7, to give you the immediate and personalized advice and information you need. Contact us at 844-SMA-TALK (844-762-8255) or www.sterlingmedicaladvice.com.
Thanks for liking and following Straight, No Chaser! This public service provides a sample of what http://www.SterlingMedicalAdvice.com (SMA) offers. Please share our page with your friends on WordPress. We are also on Facebook at SterlingMedicalAdvice.com and Twitter at @asksterlingmd.

Straight, No Chaser: So… You Skipped Your Period? Let's Discuss Secondary Amenorrhea

missed-periods-300x205

It happens all the time, but one thing that makes both men and women anxious is a missed menstrual period. Everyone’s always worried about being pregnant (and you should be).

amenorrhea

While a missed menstrual period is the defining feature of early pregnancy, it can be due to a number of other factors and conditions.
Skipped periods are a fact of life. Doctors use the term amenorrhea—primary and secondary amenorrhea—to describe the absence of menstruation.
Primary amenorrhea, which is very rare, is when a female has not yet started her monthly periods, though she is older than age 15 and has otherwise completed puberty. We discuss primary amenorrhea over at www.sterlingmedicaladvice.com.
Secondary amenorrhea, which is much more common, is the absence of periods in a previously menstruating woman. Periods may be irregular, with the woman skipping periods for the first few years after she begins menstruating and during perimenopause (the time preceding menopause). However, when the lapse in regular periods last for over six months, it is called secondary amenorrhea. (This designation does not pertain to post-menopausal, pregnant or breast-feeding women.)
Let’s jump right into the risk factors and causes. There are many, and these conditions tend interfere with the balance and levels of the body’s sex hormones.
Risk factors
You are more likely to have amenorrhea when the following factors are present:

  • Excessive exercise
  • Significant, sudden weight loss (e.g., gastric bypass, extreme diets)
  • Obesity
  • Severe anxiety or emotional distress
  • Very low body fat (less than 15% – 17%)

Other possible causes include the following:

  • Brain tumors (e.g., pituitary tumors)
  • Cancer/chemotherapy treatment
  • Dilatation and curettage (D&C)
  • Drugs used to treat schizophrenia or psychosis
  • Overactive thyroid gland
  • Polycystic ovarian syndrome
  • Reduced function of the ovaries
  • Severe pelvic infections
  • Use of hormone shots (e.g., Depo-provera) and the six-month period after cessation of these shots

Of course, you’re going to get evaluated, and the first question will be whether or not you are pregnant. The good news is for secondary amenorrhea (and even more so for skipped periods), simply addressing the underlying cause resolves the situation in most cases. However, don’t take it lightly. Get evaluated if you have concerns. Of course, you can feel free to contact your SMA expert consultant with any questions you have.
Thanks for liking and following Straight, No Chaser! This public service provides a sample of what  http://www.SterlingMedicalAdvice.com (SMA) offers. Please share our page with your friends on WordPress, Facebook @ SterlingMedicalAdvice.com and Twitter at @asksterlingmd.
Copyright © 2014 · Sterling Initiatives, LLC · Powered by WordPress

Don't Suffer in Silence

suffer-in-silence_2

Are you going through a rough time in your body or mind? Would you like to share your concerns and get advice from a Personal Healthcare Consultant?
At SterlingMedicalAdvice.com we have a network of over 300 experts from all medical and healthcare specialty areas, including mental health professionals. Let us help you think through how to improve your health today.
We are prepared, 24/7, to give you the immediate and personal advice and information you need. Contact us at 844-SMA-TALK (844-762-8255) or www.sterlingmedicaladvice.com.
Thanks for liking and following Straight, No Chaser! This public service provides a sample of what http://www.SterlingMedicalAdvice.com (SMA) offers. Please share our page with your friends on WordPress. We are also on Facebook at SterlingMedicalAdvice.com and Twitter at @asksterlingmd.

Straight, No Chaser: Male Menopause (aka Andropause)

homer-2011-10-22-at-12.10.22-PM3

Manopause?  Male Menopause? Yes, andropause is a thing (at least according to many medical authorities).
In a previous post, we discussed menopause. You may or may not be surprised to discover that men suffer through similar age-related changes called andropause.
With both sexes, changes are related to diminishing sex hormones. In the example of women, it’s estrogen and progesterone. With men, it’s testosterone. One big difference between the male and female experiences is lower testosterone levels don’t prevent men from still being able to have kids. Men can have kids into their 90s.
So the logical question to ask would be is this just the same as low testosterone? Well, not exactly. It’s the confluence of several problems men face with aging, including low testosterone, obesity, diabetes and depression (in those with these conditions). In particular, obesity, high blood pressure and diabetes seem to be particular risk factors. The fortunate news is this complex doesn’t occur universally and can be delayed with certain actions.
So what are you to do? For starters, know the symptoms and know when to ask for help. Here are symptoms commonly associated with andropause.

  1. Depression
  2. Difficulty sleeping
  3. Increased body fat, particularly in the midsection
  4. Irritability
  5. Less desire for physical activity
  6. Less energy
  7. Less erections or less strong erections
  8. Less mental sharpness and quickness
  9. Loss of armpit or genital hair
  10. Loss of confidence
  11. Loss of interest in regular activities
  12. Loss of libido
  13. Night sweats
  14. Reduced muscle mass
  15. Social withdrawal
  16. Swollen breasts

It’s important to get evaluated for these issues because even if these aren’t attributable to andropause, other causes can be serious. Examples of conditions that can cause these same symptoms include depression, drug and alcohol abuse, infections, heart disease, poor nutrition, stress and thyroid disease.
When you begin to develop these symptoms, you may discover that diet, exercise and weight control are important in relieving symptoms and slowing the progression of symptoms. Your physician likely will advise the same. In many cases, treating low testosterone is another important component of management.
Feel free to ask your SMA expert consultant any questions you have on this topic.
Thanks for liking and following Straight, No Chaser! This public service provides a sample of what http://www.SterlingMedicalAdvice.com (SMA) offers. Please share our page with your friends on WordPress. We are also on Facebook at SterlingMedicalAdvice.com and Twitter at @asksterlingmd.

Copyright © 2014 · Sterling Initiatives, LLC · Powered by WordPress

Speaking of Health Goals …

healthy-goals

You have set goals for your health, haven’t you? You’re not resigned to being sick and tired for the rest of your life, are you? Do you remember what it feels like to be healthy? Do you know that 80% of what ails us is within our control to  improve?
The body is fascinating. It heals … when the conditions are right. Find out how you can improve your health and ultimately your quality of life.
We are prepared, 24/7, to give you the immediate and personal advice and information you need. Contact us at 844-SMA-TALK (844-762-8255) or www.sterlingmedicaladvice.com.
Thanks for liking and following Straight, No Chaser! This public service provides a sample of what http://www.SterlingMedicalAdvice.com (SMA) offers. Please share our page with your friends on WordPress. We are also on Facebook at SterlingMedicalAdvice.com and Twitter at @asksterlingmd.

Page 88 of 93
1 86 87 88 89 90 93