Hotflashes | April 2021

Is Sugar to Blame?

For years, researchers have suspected that the typical Western diet, high in fat, animal protein, and sugar, and low in vegetables, legumes, whole grains, and fruit, plays a leading role in the high rates of inflammatory bowel disease (IBD). While fat and animal protein have traditionally been considered the prime suspects, a growing number of studies now point to sugar as a leading culprit.

Sugar is already well known for its pro-inflammatory effects on the body and its link to a number of diseases, including cardiovascular disease, obesity, cancer, and type 2 diabetes. And while the precise nature of the relationship between sugar and IBD remains unsettled, more and more data from animal studies points to sugar’s deleterious effects on the gut microbiome.

A study published in October 2020 in Science Translational Medicine found that mice who consumed a 10 percent sugar solution for a week (less than the typical 15 percent contained in most soft drinks) significantly altered the composition of gut microbiota in a bad way. Two types of mucus-degrading bacteria became more abundant, leading to erosion of the gut’s protective mucus layer, while quantities of “good” bacteria, like Lactobacillus, diminished, effectively setting the stage for colitis.

Fiber-rich foods like vegetables, legumes, whole grains, and fruits — mainstays of the Mediterranean diet — all encourage the production of short-chain fatty acids. And they’re just what a Western diet, with its taste for high-sugar foods and drinks, is missing.

Everydayhealth.com

 

Move Over Vitamin C

Move over, vitamin C. Zinc may be the new cold fighter in town. Many studies have shown that taking a zinc treatment may help shorten the duration of the common cold.

Zinc is considered a trace mineral, which means your body needs only a small amount of it to work properly. Most Americans get enough daily zinc in their diets. Zinc heals wounds and keeps your immune system humming and ready to take on threatening bacteria and viruses. An over-the-counter zinc supplement may help reduce the duration and the severity of the common cold — as long as you take it within 24 hours of the first sign of sickness.

Zinc lozenges are cold remedies that are often combined with vitamin C, whereas zinc supplements are fitting for people with a zinc deficiency. Zinc lozenges and nasal sprays directly interfere with the rhinovirus’ ability to breed in the moist environment of the throat or nose, so taking a zinc lozenge or using zinc nasal spray have been shown to have the greatest anti-viral effectiveness.

Everydayhealth.com

 

Six Signs You Are Dehydrated

Every creature needs water not only to survive, but to thrive. Next time you are experiencing these signs and symptoms of possible dehydration think to yourself, “When was the last time I had a glass of water?”

  1. Bad Breath: Saliva has antibacterial properties, but dehydration can prevent your body from making enough saliva. If you’re not producing enough saliva, you can get bacterial overgrowth in the mouth, and one of the side effects of that is bad breath.
  2. Dry or Flushed Skin: A lot of people think that people who get dehydrated are really sweaty, but in fact, as you go through various stages of dehydration you get very dry skin.
  3. Muscle Cramps: When your body loses enough fluid, it’s unable to cool itself off adequately, leading to heat illness. One symptom to look out for is muscle cramps, which can happen while exercising, particularly in hot weather.
  4. Fever and Chills Are Symptoms of Heat Illness: Other symptoms of heat illness include fever and chills. You may sweat profusely while your skin is cool to the touch. Fever can worsen dehydration. The higher the fever, the more dehydrated you may become. Unless your body temperature decreases, your skin will lose its cool clamminess and then become hot, flushed, and dry to the touch. At this point, it’s important that you cool yourself down immediately and see a medical professional.
  5. Food Cravings, Especially for Sweets, May Just Mean You’re Thirsty: When you’re dehydrated, it can be difficult for organs such as the liver, which uses water, to release glycogen (stored glucose) and other components of your energy stores, so you can actually get cravings for food. While you can crave anything from chocolate to a salty snack, cravings for sweets are more common because your body may be experiencing difficulty breaking down glycogen to release glucose into the bloodstream to use as fuel.
  6. Headaches Could Be a Sign You Need to Drink More Water: Even mild dehydration can cause a dehydration headache and trigger a migraine headache. Although various factors besides dehydration can cause headaches, drinking a full glass of water and continuing to sip more fluids during the day is an easy way to ease your pain if, in fact, dehydration is a culprit.

Everydayhealth.com

Hotflashes | March 2021

Endometriosis Awareness Month

Endometriosis, or endo, is a disease where the tissue that forms the inside lining of the uterus grows where it doesn’t belong – sometimes on the ovaries, fallopian tubes and other organs found in the pelvic area – which can cause chronic pain. Symptoms related to endometriosis vary, and some symptoms are associated with pain that can be debilitating and may interfere with day-to-day activities.  Common symptoms of endometriosis include swelling and period pain, as well as pain throughout the month and during sex. It affectes one in 10 women of reproductive age in the United States. Some girls start experiencing pain as early as age nine.

If you or your daughter have been experiencing abdominal pain, especially when combined with a cycle, contact a doctor to help diagnosis the issue. Don’t just live with the pain. There a treatment options available and a better quality of life ahead.

 

Beans Over Meat

There’s more evidence that swapping out a juicy steak for plant-based meals can benefit your health. A new study from Trusted Source, based on 30 years of observation, has reconfirmed that replacing red meat with plant-based protein can help keep your heart healthy.

The study, published by The BMJ, showed that replacing red meat with high-quality plant foods, like beans, nuts, or soy may be associated with a modestly reduced risk of coronary heart disease (CHD). The study also suggests that replacing total red meat consumption with whole grains and dairy products, and processed red meat with eggs, may also reduce this risk. Researchers based their findings on observing 43,272 U.S. men with an average age of 53.

Red meats to stay clear of include processed bacon, hot dogs, sausages, and salami, which are associated with an increased risk of death and major chronic diseases, according to the study.

Choosing plant-based options over red meat can help reduce the amount of saturated fats, cholesterol, and heme iron, which can keep the heart healthy. Plant-based options also increase the intake of unsaturated fat, fiber, antioxidants, polyphenols — all of which can benefit heart health by either increasing protective cholesterol, reducing bad cholesterol, or improving the function of the heart’s blood vessels. Pass the beans!

(healthline.com)

 

Stone Cold Struggle

Kidney stones are common — if you haven’t had a kidney stone, you likely know someone who has as kidney stones affect 1 in 11 people in the United States. Overall, about 19 percent of men and 9 percent of women in the United States will develop a kidney stone by the time they are 70 years old.

Kidney stones typically develop when there is too much waste and not enough fluid in the kidneys which can be due to a number of factors, including:

  • Not drinking enough water
  • Not getting enough calcium
  • A diet high in salt or sugar
  • A lack of citrate, a substance that help prevent stones from forming
  • Family history and genetics
  • Eating large amounts oxalate-rich foods (such as nuts, spinach, chocolate, and certain teas)
  • Drinking colas, which contain phosphate and have a high sugar content
  • Consuming too much animal protein

A kidney stone often goes unnoticed until it starts to pass into your ureters. Once this happens, symptoms typically appear without warning. You’ll likely feel sharp, stabbing pain at the bottom of your ribcage, though the pain can shift into the genital area as well. The pain from kidney stones often comes in waves, and you may feel better for a few hours before the pain comes back.

Depending on the size of the stone, it can take up to six weeks to pass (though many patients opt for interventions within that time frame). Small stones may take only a few days to a week to pass. Your doctor will likely prescribe medications to help you manage the pain during this time. Anti-inflammatory medications can help reduce pain while passing a kidney stones as well.

(everydayhealth.com)

Painful Periods

 

Feeling pain before or during your menstrual period is very common. More than half of women and girls with periods have some pain for 1 to 2 days each month. During your period, your uterus contracts. Your uterus also releases natural chemicals called prostaglandins. These chemicals can cause cramps.

Symptoms related to painful periods can include:

  • Muscle cramps in your lower belly or back
  • Nausea
  • Vomiting
  • Diarrhea
  • Headaches
  • If pain during your period is severe, you also may have trouble sleeping.

Period pain also can be caused by medical conditions, including:

  • Endometriosis
  • Cysts in the ovaries
  • Adenomyosis
  • Fibroids

Period pain that is caused by a medical condition may get worse over time. No matter if your period pain is mild or severe, you can ask your obstetrician–gynecologist (ob-gyn); or other health care professional for help. Period pain can cause you to miss school or work, or it can disrupt your everyday activities. It is especially important to get help if your pain is severe, feels worse than usual, or is making your life hard every month.

Information gathered from https://www.acog.org/womens-health/faqs/painful-periods

Depression During Pregnancy

 

Depression is a common illness that can be mild or very serious. It is more than feeling sad or upset for a short time or feeling grief after a loss. Depression changes your thoughts, feelings, behavior, and physical health. It affects how you function in your daily life. It also can affect how you relate to your family, friends, and coworkers. Depression can occur at different times of life or in different situations.

Depression is common during pregnancy, affecting about 1 in 10 pregnant women. Some women have depression and anxiety for the first time in their lives during pregnancy or after delivery. The signs of depression can seem like the normal ups and downs of pregnancy. A blue mood now and then is normal. But it’s important to know the signs of depression.

Talk with your OBGYN if you have any of these signs for at least 2 weeks:

  • Depressed mood most of the day, nearly every day
  • Loss of interest in work or other activities
  • Feeling guilty, hopeless, or worthless
  • Sleeping more than normal or having trouble sleeping
  • Loss of appetite, losing weight, or eating much more than normal and gaining weight
  • Feeling very tired or without energy
  • Having trouble paying attention, concentrating, or making decisions
  • Being restless or slowed down in a way that others notice
  • Thinking about death or suicide

Thinking about death or suicide is a sign of depression. If you are in crisis or feel like you want to harm yourself or others, call 911 right away. See the Resources section for other support options, including helplines you can text or call and online support groups for pregnant women. You also can talk with a trusted friend, family member, or your ob-gyn.

Women who have severe depression during pregnancy may have trouble taking care of themselves. They may not eat healthfully, attend prenatal care checkups, or get enough rest. If you took antidepressants before pregnancy, you may become depressed again if you stop taking them. Having untreated depression during pregnancy also raises your risk of postpartum depression.

Talk with your OBGYN as soon as possible. Tell them if you had depression in the past, if you take medication for depression, or if you are feeling depressed now. Your OBGYN may ask questions about your mood during prenatal care or postpartum visits. Or they may ask you to write down answers to a survey that screens for mental health conditions. Your answers will help your ob-gyn understand what kind of help you need.

Information gathered from https://www.acog.org/womens-health/faqs/depression-during-pregnancy

5 Most Common Questions About Menopause

 

Women tend to greet menopause with mixed emotions. They may be nervous about getting older or anxious about what they’re experiencing, physically and emotionally. To be sure, menopause is unlike anything you’ve felt before – and the transition can last for several years.

As an ob-gyn, I hear all sorts of questions about this time of life. Here are the top five questions I get – and my answers.

1. Should I start hormone therapy?

My patients either tend to be eager to start hormone therapy to ease their hot flashes, or already wary of it because of what they’ve read online.

Admittedly, there is a lot of scary information out there about hormone therapy and the risks of heart attack, breast cancer, and more. But the landmark 2002 study that raised some concerns about these risks was limited. The study looked at a unique population of older women. We now know that hormone therapy is generally a safe option, especially for women going through menopause in their 50s and younger.

Still, I recommend women try other methods first, especially for hot flashes: dressing in layers, carrying a portable fan, and sipping cold drinks. Avoid foods and drinks that can trigger hot flashes, such as alcohol and caffeine. Stop smoking and lose extra weight if you need to. Try meditation, which can make hot flashes less bothersome.

When these conservative measures and lifestyle changes don’t quite cut it, we consider hormone therapy. Certain types of antidepressants also can help with hot flashes.

 

2. How will menopause affect my sex drive?

This is a topic my patients are usually hesitant to bring up – understandably, it’s very personal.

The fluctuation of hormones during menopause can lead to vaginal dryness, which in turn causes pain during sex. Then women may find they don’t initiate sex anymore, for fear of this pain.

Vaginal moisturizers and lubricants can provide relief. If those don’t work, talk with your ob-gyn about topical or oral medications.

Don’t be resigned to abstinence after middle age. With a little help, everything can work as you want it to.

Yes, you should still come for your annual visit, no matter your age.

Dr. Shana Miles

 

3. Should I take natural supplements to treat my symptoms?

Ever seen an online ad for a product that relieves hot flashes? How about a natural remedy to improve your sleep during menopause? You may have also heard about “custom” compounded bioidenticals, which come from plants and resemble your body’s hormones.

The fact is, few plant and herbal supplements have been studied for safety or effectiveness. Know that these drugs are not well regulated. Some can contain dangerous levels of estrogen, progesterone, or even testosterone. Over-the-counter supplements also can have an effect on other medications you are taking or other medical conditions you have.

For these reasons, talk with your ob-gyn before taking supplements to treat your menopausal symptoms.

 

4. I haven’t had a period in years. Do I really need annual check-ups with an ob-gyn?

Yes, you should still come for your annual visit, no matter your age. You may no longer need birth control or prenatal care, but ob-gyns offer the full range of women’s health care. From screening for cancer and STIs (sexually transmitted infections) to discussing concerns about sex and urinary incontinence, your annual check-up can cover all aspects of your sexual and reproductive health.

 

5. Do I still need Pap tests and mammograms after menopause?

Yes to this one too. The recommendation is to continue with Pap tests until age 65, unless you have a risk factor for cervical cancer, such as HIV (human immunodeficiency virus). Even women who have had a hysterectomy may still need screening.

With mammograms, most women at low risk of breast cancer can stop at 75. In both cases, you and your ob-gyn should share information, talk about your wishes, and agree on when and how often you will be screened.

There’s a lot to learn about what happens to your body during menopause. Turn to your OBGYN with questions – it’s what we’re here for. And don’t overlook the value of talking with your mom, sisters, and friends who have “been there.”

Rest assured: Menopause is just another stage of life, as natural as any other. With open communication, you can address any concerns you may have about your symptoms and get the help you need.

Information gathered from https://www.acog.org/womens-health/experts-and-stories/the-latest/5-of-the-most-common-questions-about-menopause

COVID and Pregnancy

 

Experts are learning more every day about the new coronavirus that causes COVID-19. The American College of Obstetricians and Gynecologists (ACOG) is following the situation closely. This page will be updated as ACOG learns new information for pregnant and breastfeeding women.

Researchers are still learning how COVID-19 affects pregnant women. Current reports suggest that pregnant women have a higher risk for more severe illness from COVID-19 than nonpregnant women. Reports note that:

  • Pregnant women who have COVID-19 and show symptoms are more likely than nonpregnant women with COVID-19 and symptoms to need care in an intensive care unit (ICU), to need a ventilator (for breathing support), or to die from the illness. Still, the overall risk of severe illness and death for pregnant women is low.
  • Pregnant women with some health conditions, such as obesity and gestational diabetes, may have an even higher risk of severe illness, similar to nonpregnant women with these conditions.
  • Pregnant women who are Black or Hispanic have a higher rate of illness and death from COVID-19 than other pregnant women, but not because of biology. Black and Hispanic women are more likely to face social, health, and economic inequities that put them at greater risk of illness.

If you are planning or trying to get pregnant, you can get a COVID-19 vaccine. You also do not need to delay getting pregnant after you get a vaccine. Some COVID-19 vaccines will require two doses. If you find out you are pregnant after you have the first dose, you should still get the second dose.

While you are in the hospital or birth center, you should wear a mask if you have COVID-19. But when you are pushing during labor, wearing a mask may be difficult. For this reason, your health care team should wear masks or other protective breathing equipment. They also may take other steps to reduce the risk of spreading the virus, including wearing goggles or face shields.

Talk with your ob-gyn or other health care professional about your birth plan. In most cases, the timing and method of delivery (vaginal birth or cesarean birth) do not need to be changed if you have COVID-19. Women who are sick probably do not need a cesarean birth.

We believe that the safest place for you to give birth is a hospital, hospital-based birth center, or accredited freestanding birth center. Your hospital or birth center may be adjusting their policies. For example, there may be changes to the number of visitors allowed and how long you will stay in the hospital. Check with your hospital and ob-gyn or other health care professional about your birth plan. Be sure to mention if you are planning to have a doula with you during childbirth.

 

Please note that while this is a page for patients, this page is not meant to give specific medical advice and is for informational reference only. Medical advice should be provided by your doctor or other health care professional.

Information gathered from https://www.acog.org/womens-health/faqs/coronavirus-covid-19-pregnancy-and-breastfeeding

Flu Vaccine and Pregnancy

 

Normal changes in the immune system that occur during pregnancy may increase your risk of flu complications. You also have a higher risk of pregnancy complications, such as preterm labor and preterm birth, if you get the flu. You are more likely to be hospitalized if you get the flu while you are pregnant than when you are not pregnant. Your risk of dying from the flu is increased as well.

The Centers for Disease Control and Prevention (CDC) recommend that everyone 6 months of age and older—including pregnant women and women who are breastfeeding—get the flu vaccine each year. If you are pregnant, it is best to get the vaccine early in the flu season (October through May), as soon as the vaccine is available. You can get the shot at any time during your pregnancy. If you are not vaccinated early in the flu season, you still can get the vaccine later in the flu season. If you have a medical condition that further increases the risk of flu complications, such as asthma or heart disease, you should think about getting the vaccine before the flu season starts.

If you think you have the flu and you are pregnant (or you have had a baby within the past 2 weeks), contact your obstetrician or other health care professional right away. Taking an antiviral medication as soon as possible is recommended. Flu symptoms may include the following:

  • Fever or feeling feverish
  • Chills
  • Body aches
  • Headache
  • Fatigue
  • Cough or sore throat
  • Runny or stuffy nose

Antiviral medication is available by prescription. It is most effective when taken within 48 hours of the onset of flu symptoms, but there still is some benefit to taking it up to 4–5 days after symptoms start. An antiviral drug does not cure the flu, but it can shorten how long it lasts and how severe it is. Even if you just think you have the flu, it is best to be on the safe side and contact your obstetrician or other member of your health care team.

 

Information gathered from https://www.acog.org/womens-health/faqs/the-flu-vaccine-and-pregnancy

Healing and Adjusting after Pelvic Organ Prolapse

 

At 36, Lauren is a happy and healthy Colorado mom who likes to hike with her two kids. But 5 years ago, after the birth of her second child, she developed pelvic organ prolapse (POP). That’s when one or more of the pelvic organs (in Lauren’s case, the rectum and bladder) drop down from their normal position.

At the time, Lauren didn’t know what prolapse was. “I spent the next few years learning how to manage and change my lifestyle, and what the treatment options could be,” she says.

In this edited interview, Lauren discusses what she’s learned about POP and how she’s adjusted to her changing body.

 

How and when did you notice the prolapse?

Lauren: It was 5 weeks after my second child was born. I sneezed in the shower and felt something pop inside of me. Right away I thought, this cannot be good. I reached up and I felt a bulge in my vaginal wall. Instead of a mostly smooth and firm wall, I felt a lump and the wall dropping down in one place.

I immediately got out of the shower, called my midwife, and described what happened. She said it sounded like a rectocele – a kind of prolapse where the rectum drops down and bulges into the vagina.

 

What happened when you saw your health care team?

Lauren: When I went to see my midwife and ob-gyn, they said I had a grade-one rectocele and a grade-one cystocele, which means my bladder also had dropped down. I hadn’t even noticed the cystocele.

 

What were your symptoms like?

Lauren: I was having a lot of bladder urgency and difficulty holding urine. I also was having trouble fully eliminating stool. Sexual intimacy was painful, and I was avoiding it because you know your husband can feel the rectocele. When the rectocele was very bad, it made me afraid to pick up my kids’ toys. Some days it also made hiking uncomfortable.

Another thing: sometimes a rectocele can feel like a flesh pocket filled with pebbles – the pebbles being feces that have gotten stuck in the rectocele and can’t exit the body normally. So, a lot of women will put a finger in their vaginas to press against the bulge to push the feces back so they can eliminate completely. This was one of the worst parts of the rectocele when it first happened.

Now, this is rarely a problem for me. And back then, I thought maybe it was just a unique problem I was having. I later learned it was a common symptom of a rectocele.

 

What kind of treatment did you try?

Lauren: First, my doctor referred me to physical therapy with a woman’s pelvic floor specialist. I did physical therapy once a week for a few months, and I made great improvements in controlling my muscles. The therapist checked nerves and ligaments and had me contract my vagina with Kegel exercises. The goal was to get my muscles working properly so my organs had support, even if the ligaments were overstretched.

Then my physical therapist recommended I see a rehabilitative Pilates instructor. This was only after I had gotten to a point where I would benefit from exercise again (and my body wouldn’t be compensating in incorrect ways that could cause more problems for me). I’ve now been doing that for 3 years. I feel much better, but not quite 100 percent.

I also decided to try an anti-inflammatory diet for other health reasons, unrelated to the prolapse. I cut out grains, gluten, and dairy, and I reduced sugar. I was an extremely healthy eater before – lots of fruits and veggies, whole grains, organic foods – but cutting out those foods turned out to be the final step that relieved my rectocele symptoms.

 

How are you doing now? Are you back to hiking? Are you enjoying sex again?

Lauren: I am hiking again, even with my youngest in a back carrier. Sex varies depending on whether I’m having a good or bad pelvic floor day. And that varies with hormone fluctuations, digestion, bowel movements, how much pelvic tension I’m carrying that day, and a few other factors. On good days, sex is great.

I will say that with all the movement now, I’m always trying to predict how a physical situation will impact my pelvic floor. It becomes second nature, and I wish I would have had more of that earlier in life – working with my body and listening to its cues, instead of taking it for granted.

 

What advice would you give other women dealing with prolapse or planning a pregnancy?

Lauren: I read a lot of pregnancy books and asked a lot of questions, but I didn’t understand the pelvic floor and how it is affected by pregnancy. I wish I had known what my ligaments were doing and that they could stretch so much. I wish doctors would talk more about this.

If you’re pregnant or thinking about getting pregnant, learn about the pelvic floor and the risk of prolapse so you can take care of yourself if it happens. If it’s already happened, know that you’re not alone. There are thousands of women dealing with this.

 

Information gathered from https://www.acog.org/womens-health/faqs/the-flu-vaccine-and-pregnancy

21 Reasons to See a GYN Before Turning 21

 

Although most teens don’t need to have a Pap test until they are 21 years old, there are at least 21 reasons to see a gynecologist before then.

Health

  • Learn about healthy lifestyles and how to feel good about yourself.
  • Discuss good habits for healthy bones.
  • Learn if you have a urinary tract infection (UTI) and the treatment options.
  • Get treatment for vaginal itching, discharge, or other symptoms.

Periods

  • Learn if your periods are normal.
  • Get relief if your periods are painful.
  • Find out why your periods are too heavy.
  • Discuss the timing of your periods and why bleeding may occur in between.
  • Learn ways to deal with premenstrual syndrome (PMS).

Sexuality & Relationships

  • Learn how to have healthy romantic relationships.
  • Learn what it means to be in a consensual relationship.
  • Ask questions about what it means to be lesbian, gay, bisexual, transgender, or queer (LGBTQ).
  • Learn about safe sex.
  • Talk about how your reproductive system works.

Pregnancy

  • Discuss birth control options.
  • Discuss the ideal time to start a family.
  • Get tested for pregnancy.
  • Weigh your options if you get pregnant.

Sexually Transmitted Infections

  • Learn how to lower your risk of sexually transmitted infections (STIs), including human immunodeficiency virus (HIV).
  • Get tested for STIs and HIV if you are sexually active.
  • Get the human papillomavirus (HPV) vaccine.

 

Information gathered from https://www.acog.org/womens-health/infographics/21-reasons-to-see-a-gynecologist-before-you-turn-21

Top 3 Questions Parents ask About Daughter’s Puberty

 

Puberty is a time of growth, and it can be a confusing and awkward time for parents and girls alike. Often parents don’t want to see their little girls growing up, and girls can be scared about all the changes. The first time a teen comes in with her parent or guardian, sometimes the adult does most of the talking. Here are the three most common questions asked.

1. How do I know if puberty has started?

The first sign of puberty in a young girl is breast development. The average age of breast development is 10, though some girls develop later and some develop earlier.

Puberty is a process. After breast development starts, there are a series of changes that involve pubic hair and underarm hair growth, growth spurts, and her first period.

2. How old will my daughter be when she has her first period?

The average age of menarche (when a girl gets her first period) in the United States is about 12 and a half. On average, a girl’s first period is 2 years after breast development begins. If breast development starts earlier, it’s possible she may start her period earlier. If breast development is later, she may start her period later. The whole process varies from girl to girl.

3. Will my daughter grow taller after she starts her period?

A girl’s largest growth spurt is typically just before she starts her period. A girl may grow slightly after she starts her period, but her major growth spurt is finished before the first period.

We recommend that a girl’s first ob-gyn appointment be between ages 13 and 15. This office visit allows a teen to get her questions answered and to start a relationship with the gynecologist. A lot of times these conversations also allow us to address any risky behaviors that might be on a girl’s mind, like drinking or vaping. Most girls don’t need a pelvic exam during their first visit.

Also, we want you to have the right information as a parent. There’s so much that’s available in the age of the internet, but it’s hard to know if what you read is accurate. When you get information straight from a medical professional, you’ll know that what you’re hearing is as correct and up to date as possible.

 

Asking questions

It’s also important that girls talk with parents, guardians, or trusted adults to learn more about the changes they are going through. There are also a lot of good books out there, so if it’s hard to start that conversation with family, a book is a great way to begin.

Some teens feel awkward talking about puberty. I encourage girls not to be shy, whether they’re talking with an OBGYN or their parents. But girls should have some time alone with their doctor, without parents in the exam room, so they can ask questions that they may feel are personal. We want girls to ask all of the questions they have. There are no wrong questions, and we as OBGYNs are here to help. We want to make sure every girl has the information she needs to understand her body and to take charge of her health – now and in the future.

 

Information gathered from https://www.acog.org/womens-health/experts-and-stories/the-latest/the-top-3-questions-parents-ask-about-their-daughters-and-puberty

My Periods Changed. Is Menopause Around the Corner?

 

It’s a common scene in any ob-gyn practice: A patient comes in, concerned that her periods have changed. “What’s going on?” she asks. “Is this menopause?”

If you’re a woman in your 40s, a change in your menstrual periods is the hallmark of perimenopause – that’s what we call the years leading up to your last menstrual period. Here’s a look at how we diagnose perimenopause and menopause, and what else to expect as you enter this phase of life.

 

A New Normal

A “change” can mean a lot of things when it comes to your menstrual period. It could be a change in the length of your cycle. It could mean your period is coming more often or less often. The flow could be heavier or lighter than you’re used to. You also could have some bleeding or spotting between periods. No matter the symptoms, women can usually recognize what’s normal for them – and when that stops being the norm. Your ob-gyn is there to help you figure out what’s going on.

 

Other Explanations

Perimenopause is what we call a diagnosis of exclusion. This means we first need to rule out other conditions that could be causing your abnormal bleeding. Other causes can include:

Hormonal problems, such as a thyroid disorder or hyperprolactinemia (high levels of the hormone prolactin). Problems with the uterus, such as polyps, fibroids, or adenomyosis (a problem with the lining of the uterus).

 

Infection

We use a combination of pelvic exams, blood tests, and ultrasounds to guide this framework. If nothing is wrong, then perimenopause is the likely explanation of irregular periods, especially for a woman in her 40s.

 

The Course of Perimenopause

A change in your periods is often the first sign of perimenopause, but there are other signs to look out for. The most common are hot flashes, sleep problems, vaginal dryness, mood changes, and a decrease in sex drive. Not every woman will experience all of these symptoms. For those who have symptoms, they may come in any order. Once these symptoms arrive, most women can expect menopause itself to be a few years away. (Menopause is officially confirmed after you go 12 months without a menstrual period. But the average age for the last period is 51.)

There are many treatments to help with bothersome symptoms like hot flashes and sleeplessness. Even a few years of hormone therapy can help you get through the worst of it.

If you are prone to anxiety or depression, know that perimenopause can bring those conditions back to the surface. Finding a support network can make a big difference. Antidepressants also may be an option.

 

Part of the Reproductive Journey

We usually diagnose menopause in hindsight, after that full year of absent periods. I’ve found that most women know they’ve reached menopause when they get there. Even if your irregular periods turn out to be something else, you’ll face menopause eventually. Talk with your ob-gyn about what you’re experiencing. Together we can work through this part of your health journey.

Information gathered from https://www.acog.org/womens-health/experts-and-stories/the-latest/my-periods-have-changed-is-menopause-around-the-corner 

Gestational Diabetes

 

Cathy was looking forward to an uneventful second pregnancy when she was diagnosed with gestational diabetes (also known as GD or GDM). Marked by high blood sugar levels, GD is a form of diabetes that first develops during pregnancy, often without any symptoms. Women with GD need special care both during and after pregnancy. The condition can put mom and baby at long-term risk for type 2 diabetes. Cathy knew she had to change her diet and lifestyle to keep herself and her baby healthy. In this edited interview, she explains how she did it.

When were you diagnosed with gestational diabetes?

Cathy: It came up after the routine glucose screening in my sixth month of pregnancy. My blood glucose (blood sugar) levels were high, and I went back for a follow-up. It was a total surprise. I had no symptoms. My first daughter had been born at 9 pounds and that was a risk factor – though I didn’t know it at the time.

I managed gestational diabetes with diet changes and insulin injections. My midwife told me GD was serious and could affect the baby’s health. But she also told me it was controllable. And we just rolled with it from there. I felt like I got very good care.

What was your treatment plan?

Cathy: We started with lifestyle changes, mostly to my diet. I ate low-carb, watching my carb and sugar intake and balancing it with protein.

At first, I was really overwhelmed because both my husband and then-3-year-old daughter have pretty severe food allergies. I dreaded adding another level of complication to our family meal-planning. I met with a nutritionist who helped me plan meals that would work for all three of us.

It turned out to be totally doable. I just had to adapt our existing system for my new diet with GD. I remember eating a lot of vegetables and lean protein, which we all could enjoy.

The other part was that I used a glucose meter to stick my finger and test my blood sugar after every meal. I kept track of my carb intake and blood sugar levels and sent the results to my endocrinologist every week.

What you do when you’re pregnant has a direct effect on your baby. Having GD made me so much more aware of that.

But then your blood sugar levels were still high. What happened next?

Cathy: The doctors could tell from my charts that my healthy eating wasn’t working on its own. So I started insulin injections. I had never given myself shots before – but there I was, doing it once a day. And that did the trick, getting my blood sugar levels to where they needed to be.

Was there any impact on your delivery or the baby’s health?

Cathy: I had more frequent nonstress tests in the last trimester. And it was best for me to deliver on or before my due date because GD can cause babies to be born larger. I had an induction scheduled for the latest date possible, but Willa came on her own in a quick, intense labor and delivery.

She was actually born on the small side, under 7 pounds, but with no complications. One of the delivery nurses mentioned I must have done a good job controlling my blood sugar! Now Willa’s a healthy 9-year-old.

How did GD affect your feelings about your pregnancy?

Cathy: What you do when you’re pregnant has a direct effect on your baby. Having GD made me so much more aware of that.  If I ate too much or the wrong things, it wasn’t just going to make me sick, it was going to make her sick. For example, if I ate a yogurt with a little too much added sugar – yep, 20 to 30 minutes later, my blood sugar would be high.

I remember splurging on a small piece of cake at my baby shower at work. I had been watching my diet so carefully for weeks, and that cake made me feel so physically terrible. My heart was pounding! I was fascinated with the instant feedback, learning how certain foods would impact my body. Having that information gave me a sense of progress and made the whole thing feel easier. (I aspire to keep eating that way!)

What would you tell someone who has GD?

Cathy: It seems like a lot, and it is. Take it one step at a time. Tackle what you can. Everyone wants a good outcome, and there are many treatment options available to help ensure that.

 

Information gathered from https://www.acog.org/womens-health/experts-and-stories/the-latest/managing-a-pregnancy-with-gestational-diabetes

Hotflashes | February 2021

What Can Cause Gestational Diabetes?

The cause of gestational diabetes is unknown. Thousands of women are affected every year, nearly ten percent of pregnancies in America. We do know that the placenta supports the baby as it grows. Sometimes, these hormones also block the action of the mother’s insulin to her body and it causes a problem called insulin resistance. This insulin resistance makes it hard for the mother’s body to use insulin. And this means that she may need up to three times as much insulin to compensate.

Gestational diabetes can also start when the mother’s body is not able to make and use all the insulin it needs for pregnancy. Without enough insulin, glucose can’t leave the blood and be changed into energy. When glucose builds up in the blood, it’s called hyperglycemia.

Whatever the cause, you can work with your doctor to come up with a plan and maintain a healthy pregnancy through birth. Ask questions. Ask for help. There are many ways to combat gestational diabetes.

(Diabetes.org)

 

Pomegranate Hype

Technically considered a berry, every pomegranate bulb contains upwards of 600 arils (a.k.a. seeds), which have a unique sweet-tart flavor. Good to know, considering the arils are the only part of a pomegranate you eat.

Unlike other trendy foods, pomegranate nutrition is just as legit as its reputation. The winter fruit is packed with polyphenols, powerful antioxidants that help protect your body’s cells from free-radical damage linked to inflammation, signs of aging, and certain cancers. Fun fact: It’s got more antioxidants than green tea!

Admittedly, pomegranate is higher in sugar than other fruits (a cup of raspberries, for example, has only five grams). But it also has a LOT of fiber, which can help keep your blood sugar levels more balanced. Whether you’re pounding pom seeds by the fistful or incorporating them into dishes, they’re the ultimate palate pleaser.

Try out a few of these ideas

  • Blend them into a smoothie like you would any berry.
  • Toss them into salads to add crunch, texture, and color.
  • Sprinkle them over yogurt or oatmeal.
  • Use them as garnish for festive holiday cocktails or mocktails.

(womenshealthmag.com)

 

Manage Blood Sugar Spikes After Meals

If you’re trying to manage diabetes, you already know it’s important to keep track of your blood sugar levels. But how do you handle a spike that comes after you eat? It’s called “postprandial” blood glucose, and if you take some simple steps, you can get it under control and help avoid health problems.

Take these tips before and after meals to manage blood sugar spikes after meals.

  • Keep blood sugar in check before meals. That way, even if it goes up after you eat, it won’t be so dramatic.
  • Watch what you eat. Limit sweets, white bread, rice, pasta, and potatoes. They tend to trigger post-meal spikes.
  • The type of fat you eat may play a role, as well. One study shows you may be able to curb blood sugar spikes after you eat if you skip foods with lots of butter and choose a meal made with a little olive oil instead.
  • Eat breakfast every morning. Even when you’re in a hurry to get out the door, don’t be tempted to skip it. A study shows that folks with diabetes who don’t eat breakfast get higher blood sugar spikes after lunch and dinner. The ideal morning meal? It might just be one that’s packed with protein. A small study shows that when people ate a 500-calorie breakfast that was 35% protein, their post-meal blood sugar levels were lower than those who started their day with high-carb food. But check with your doctor to see what’s right for you.
  • Go for an after-dinner walk. It’s a healthy habit for everyone, but if you have diabetes, it’s also a good way to burn extra glucose from a meal.

(webmd.com)

COVID-19 Update

As the number of COVID cases continues to rise, we want to remind you to stay safe. At The Veranda, we are doing our part to keep our patients safe by being selective with appointment times, social distancing in our waiting areas, separating sick and well patients, and even allowing patients to remote check-in while waiting in their cars. Our goal is to continue to serve our patients and keep them safe at the same time. In the end, we are all in the same team and we will get through this. If you have any Covid symptoms like cough, fever, sore throat, loss sense of taste or smell, fatigue etc. please call the office to speak with a nurse. From there, we will give you instructions on how and when, we can treat you safely and quickly.

Don’t Forget…We have the Most Accurate Rapid Test in Town!
Our top priority at The Veranda is to keep our patients and their families healthy by providing them the most comprehensive medical testing and technology. We are taking another step to ensure your family and our community is safe from the spread of COVID-19. Back in October we started providing rapid testing for patients experiencing COVID-19 symptoms or to those who have been exposed to someone with COVID-19. We are the only facility in town currently offering the Abbot ID Now test, it is the MOST ACCURATE TEST IN TOWN with 95% accuracy and requires no need for a backup test. A specimen is still obtained through nasal swab, and only takes 13-minutes once processed to produce a result.
We are requiring all patients to make an appointment for the test. Most appointments can be made the day you start experiencing symptoms, so please call (229) 883-7010 right way if you feel ill, or were exposed to someone with COVID-19.

Hotflashes | January 2021

Bath Time Parenting Hack

There comes a point in every day, when you have young kids, where everyone is having a bit of a moment. Mom is at her end and the kids need an activity. Cue the bubbles! Bath time is a great way to entertain the kiddos while mom takes a much-needed break. So, when you feel a tantrum or breakdown coming, start filling up the tub, drop in some essential oils and let the water work its magic.

It’s also the perfect time for messy, sticky snacks, saving your furniture and children from disaster. No need for clean-up because the kids are already in the bath. Having an afternoon bath lined up is an easy way to say yes to messy crafts like finger painting as well.

Possibly the best reason to fill up the tub is it kills endless afternoons and saves time at night for more family time. So, get that bath in early, snuggle up on the couch with your jammies and have a family movie or game night. Win, win!

 

Study Shows Teens Feeling Less Anxiety During Lockdown

A group of researchers in South West England suspected that young teens who were remote schooling due to the COVID-19 pandemic might be feeling more anxiety. They reasoned that many teens would be feeling worried about friends and family becoming ill. Also, they would have less social support due to being isolated at home. When they conducted a survey, however, what they found was surprising to them: the students were actually experiencing less anxiety. In addition, they were experiencing other benefits, such as a greater feeling of well-being and more connection to their schools.

  • A new study of over 1,000 students found that many young teens are feeling less anxiety, not more, during remote learning due to the pandemic.
  • The study found that 54 percent of 13- to 14-year-old girls were at risk of anxiety prior to the pandemic, but that figure dropped by 10 percent during lockdown.
  • That figure dropped from 26 percent to 18 percent for boys in the same age group as well.
  • Many students also reported feeling a greater connection to their schools with increased opportunities to talk with their teachers.

(Healthline.com)

 

Heart Disease Top Cause of Death in Women

Heart disease is the leading cause of death of women in the United States. But if you ask most American women, a surprisingly low number would not know that fact, according to new research. According to the Centers for Disease Control and Prevention (CDC), about 1 in every 5 female deaths are linked to heart disease.

The American Heart Association found that despite the risk, many women are unaware of the signs of heart attack and stroke or the risk heart disease poses. While chest discomfort is common, they may experience other symptoms that are less associated with heart attacks including dizziness, shortness of breath, or nausea. Know the signs, because they can be different in women.

Other symptoms can include:

  • pain or discomfort in the back, jaw, stomach or both arms
  • breaking out into a cold sweat
  • shortness of breath with or without chest pain
  • vomiting
  • chest pain

Hotflashes | December 2020

Creating Holiday Boundaries for Those with Chronic Illness

Chronic illnesses come with their own sets of issues, especially during the holidays. The pressures from family and friends not dealing with your health issues can be heavy. Setting boundaries for yourself and informing your loved ones can help everyone, especially those living with chronic illnesses, enjoy the holidays together. Try starting with assessing these key issues and how you can strategize your holiday plans around your health needs.

Create time for rest: Some of us feel pressure to “keep up” energetically with our loved ones who aren’t living with chronic illness, and that pressure can lead us to disconnect from our needs and breach our own boundaries. Know your limits.

Communicate your expectations: Whether you decide to send a thoughtful group email, or have individual conversations with a few key people, being clear about your needs ahead of time can help everyone support you.

Consider set boundaries and moveable boundaries: decide where your boundaries may be more solid to serve you, and where you’re open to giving them more flexibility from time to time.

 

Beating Your Bloating During Pregnancy

Blame your hormones…well somewhat. Your body’s making more of estrogen and progesterone now to relax smooth muscle tissue. Unfortunately, this causes your gastrointestinal tract to relax a little too much, leading to side effects like bloating, indigestion, constipation, stomachaches and, yes, all that horrific gas you’ve been having lately. But, believe it or not, you could actually be adding to your own discomfort just by what you’re eating or what you wear. Here’s a list of the most common causes of bloating and indigestion during pregnancy.

• Eating greasy, fatty, or highly seasoned foods
• Eating or drinking too much caffeine—chocolate, soda, coffee, or other drinks
• Eating big meals
• Eating too fast
• Lying down/not moving much after eating
• Wearing restricting clothing

Sound familiar? Try these tips to help cut back on the bloating:
• Eat several small meals throughout the day
• Pace yourself while eating and drink less during each meal
• Drink water throughout the day and avoid caffeinated drinks
• Try to avoid lying down following a meal. But if you’re totally pooped, at least prop up your upper body with some pillows when you lie down.
• Wear loose and comfy clothing

 

Start New Traditions for the 2020 Holidays

The year has been very hard and many of us would rather forget it. However, the best family experiences, regardless of circumstance, are chronicled to create lasting memories. Christmas 2020 should be no different. We can use the season to salvage some good memories by using the unique circumstances to create new ones.

Create a Christmas 2020 scrapbook. Use this year’s season as the chance to start a scrap booking tradition.

Cue up an epic Christmas movie lineup. Make a list of must-watch Christmas movies for the family. This year’s twist? Include extended family members in this family activity via Zoom. For more fun, include extended family members in the movie compilation. This ensures that there’s something for everyone.

Camp out under the Christmas tree. Have a staycation one night under the Christmas tree and enjoy the lights while sipping hot cocoa before bed.

Go virtual with your Christmas greetings. Everything else is already virtual, why not Christmas cards? Record videos, include a TikTok, and even shots of the family pets. These will be a source of love, warmth, and hilarity for years to come.

Try a Christmas cookie swap. Get a couple of family members in on the plan, then mail cookies to each other.

Parents.com

HOTFLASHES | November 2020

National Diabetes Awareness Month

According to the American Diabetes Association (ADA), National Diabetes Month was actually established 40 years ago in 1975, but the U.S. presidents didn’t start passing proclamations recognizing November as “diabetes month” until the early 1980s. This month is of course a time when diabetes organizations of all sizes launch awareness efforts, initiatives and campaigns, and the diabetes community comes together to share stories about this condition with the general public.

34.2 million Americans have diabetes, and one in five of those people don’t even know they have it. The need for diabetes awareness month is more important than ever because of the high-stakes issues of affordability and access along with increased risk of death for those with diabetes. Eight in ten people have prediabetes, and can cut their chances of getting diabetes in half with the proper diet and exercise. Regular routine physicals are the best way to stay up to date on your healthcare. Your doctor can run important tests and help you get back on track if anything suspect comes back.

If you or a loved one has diabetes, there are numerous online resources to help cover your medical supplies, advise you on exercise programs and even provide meal ideas to keep you on the right track. Diabetes is a serious medical condition and should be treated accordingly. Make this your month!

 

Break You Binging Cycle

Everyone is guilty of binge watching a series every now and then, but with social distancing many of have turned to streaming services for our entertainment…and now it’s becoming a problem for our health, The key to binge-watching is to make it an occasional pleasure and not an everyday event. However, breaking the bingeing cycle may be more difficult for some than for others, especially for people who are bordering on the unregulated binge area.

Here are a few tips to help break the habit:

Break out of your couch potato habits and try to be more active: Get up after an episode and stretch or watch programs while on a treadmill or other exercise equipment.

For those inclined to reach for a snack and beverage during a binge, opt for berries, grapes, and other fruits, and skip the sugar and alcohol.

Be mindful of bingeing hours, stick to a time window such as 7 p.m. to 10 p.m. to allow for “emotional cooling” before bedtime.

Try to spread out consumption over the week rather than chunks at a time; not only does this prolong the pleasure derived from streaming favorite shows, but it may also help bingers to switch to more physical activities and social connections.

Most importantly, the next time you reach for the remote, remember…everything in moderation.

 

What’s the Buzz About Honey?

Nutritionally speaking, raw honey contains very small amounts of a wide variety of vitamins, minerals, proteins, and disease-fighting antioxidants that, theoretically, make it more healthful than granulated white sugar. Compared with granulated sugar, honey is sweeter, higher in calories, and higher in carbs and total sugars.

One tablespoon (tbsp) honey, equal to 21 grams, provides about 60 calories and 17 grams of carbohydrates (16 to 17 g from sugar), while 1 tbsp granulated sugar provides 49 calories and 13 g carbohydrates (13 g from sugar).

Honey’s natural antibacterial qualities are well known. When modern antibiotics were developed, medicinal use of honey fell out of favor. But with the development of antibiotic-resistant bacteria in recent decades, researchers are looking anew at honey’s antibacterial qualities. Because bacteria do not generally seem to develop resistance to honey, it has therapeutic potential for use as a broad-spectrum antibiotic (one that can treat different types of infections). Just be sure to follow your doctor’s orders.

Most Accurate Rapid Test in Town

Our top priority at The Veranda is to keep our patients and their families healthy by providing them the most comprehensive medical testing and technology. We are taking another step to ensure your family and our community is safe from the spread of COVID-19. On October 12, we will start providing rapid testing for patients experiencing COVID-19 symptoms or to those who have been exposed to someone with COVID-19. We are the only facility in town currently offering the Abbot ID Now test, it is the MOST ACCURATE TEST IN TOWN with 95% accuracy and requires no need for a backup test. A specimen is still obtained through nasal swab, and only takes 13-minutes once processed to produce a result.

We are requiring all patients to make an appointment for the test. Most appointments can be made the day you start experiencing symptoms, so please call (229) 883-7010 right way if you feel ill, or were exposed to someone with COVID-19.

HOTFLASHES | October 2020

Healthy Life with Hyperthyroidism

Hyperthyroidism, or overactive thyroid gland, occurs when your thyroid produces too much thyroxine. This can result in a multitude of symptoms, including fatigue and insomnia, unintentional weight loss, rapid heart rate, and more. Once your hyperthyroidism is under control, your symptoms will improve, too.

Still, an overactive thyroid can be challenging to treat. Unlike hypothyroidism, (underactive thyroid) which involves taking thyroid hormone replacements, hyperthyroidism requires stopping the thyroid from making too many hormones. Treatments can include radioactive iodine, anti-thyroid drugs, and sometimes surgery.

Despite any hype you might read on the internet, there is no “natural cure” for hyperthyroidism. Still, you can embark on diet and lifestyle changes that can support thyroid treatments — some of these can even help you manage your symptoms and feel better.

(everydayhealth.com)

Immunity Support for the Long Game

Recalibrating your immunity for the long game comes down to the classic health habits you hear time and time again: sleep, stress reduction, and sweating it out. The key is doing all of these to at least some degree and not expecting one to be the ultimate cure-all. “You won’t make your immune system healthier in a week by pumping yourself with vitamins because someone close to you is sick,” says E. John Wherry, PhD, director of the Institute for Immunology at the University of Pennsylvania. “But you absolutely can help your immunity by making certain lifestyle changes.”

Sleep—specifically getting at least seven hours most nights—might be the Most Important Thing. People who get six hours of shut-eye a night or less for one week were about four times more likely to catch a cold when exposed to a virus compared to those who got more than seven hours, according to a study published in the journal Sleep.

Exercise Smarter– Folks who exercise regularly develop more T cells (those destroyer white blood cells) than their sedentary peers, a recent study found. It also helps modulate the stress hormone cortisol, which, when raised, leads to inflammatory activity.

Stress Less– It’s well established that stress prompts the release of cortisol, that fight-or-flight hormone that enables you to run for your life. When cortisol is high, your immune system isn’t as active, your body sends all of its resources to the thing it thinks is most likely to kill you, and away from other stuff, like your protective network. Lean into the things that help you during your most stressful moments. Whether it is meditating, breathing exercises, practicing gratitude or a mantra, find what helps you the most and do it!

 

Chocolate Chip Pumpkin Bread

Ingredients

1 and 3/4 cups (220g) all-purpose flour

1 teaspoon baking soda

2 teaspoons ground cinnamon

1/4 teaspoon ground nutmeg*

1/4 teaspoon ground cloves*

1/4 teaspoon ground ginger*

3/4 teaspoon salt

2 large eggs, at room temperature

3/4 cup (150g) granulated sugar

1/2 cup (100g) packed light or dark brown sugar

1 and 1/2 cups (340g) pumpkin puree (canned or fresh)

1/2 cup (120ml) vegetable oil, canola oil, or melted coconut oil

1/4 cup (60ml) orange juice*

2/3 cup (120g) semi-sweet chocolate chips*

Directions

Adjust the oven rack to the lower third position and preheat the oven to 350°F (177°C) degrees. Lowering the oven rack prevents the top of your bread from browning too much too soon. Spray a 9×5 inch loaf pan with non-stick spray. Set aside.

In a large bowl, whisk the flour, baking soda, cinnamon, nutmeg, cloves, ginger, and salt together until combined. In a medium bowl, whisk the eggs, granulated sugar, and brown sugar together until combined. Whisk in the pumpkin, oil, and orange juice. Pour these wet ingredients into the dry ingredients and gently mix together using a rubber spatula or a wooden spoon. There will be a few lumps. Do not overmix. Gently fold in the chocolate chips.

Pour the batter into the prepared loaf pan. Bake for 60-65 minutes, making sure to loosely cover the bread with aluminum foil halfway through to prevent the top from getting too brown. The bread is done when a toothpick inserted in the center comes out clean with only a few small moist crumbs. This may be before or after 60-65 minutes depending on your oven, so begin checking every 5 minutes at the 55 minute mark or so.

Allow the bread to cool completely in the pan on a wire rack before removing and slicing. Cover and store leftover bread at room temperature for up to 3-4 days or in the refrigerator for up to about 10 days.

Flu Shots Now Available

This year, it’s more important than ever, to get a flu shot.  Flu season begins in October and can last until May. That means our community will be fighting the Flu and COVID-19 at the same time. With both the Flu and COVID having similar symptoms like, fever, cough, and difficulty breathing its more important than ever to get a flu vaccine to protect yourself and keep our healthcare system from being overburdened. Getting vaccinated yourself can also help protect people around you, including those who are more vulnerable to serious flu illness, like babies and young children, older people, and people with certain chronic health conditions.

The CDC recommends that everyone over the age of 6 months receive a flu vaccine especially those with chronic conditions, pregnant women and people over the age of 65.

At The Veranda, we are here to help. Schedule your flu vaccine today or request one at your next visit. Flu vaccinations are covered by most insurance companies.

For more information or to make an appointment, call The Veranda at 229-883-7010 or log on to your patient portal to request an appointment.

Get your flu shot today!

HOTFLASHES | September 2020

Let’s get Figgy

It’s fig season – but you better hurry and enjoy the tiny fruit while you can because fig season only goes through October. Not only is this small fruit a delight to eat, but it packs 7 percent of a person’s daily allowance of fiber. They are a great source of polyphenols, which can decrease the risk of heart disease and type 2 diabetes.

The opportunities to use figs during mealtimes are endless: add sliced figs to yogurt or oatmeal, toss them into a salad, or place them on charcuterie boards next to your favorite salty cheese. One of our favorites is bacon-wrapped figs! Simply wrap each fig with half a slice of bacon and bake in a 425-degree oven until the bacon is nice and crispy. Serve warm for the best combination of sweet and salty you’ve ever tasted.

 

Prostate Cancer Awareness Month

September is Prostate Cancer Awareness month, and that gives you the opportunity to have a crucial conversation with the men in your life. An estimated 192,000 men in the United States will be diagnosed with prostate cancer this year. That’s one new case every 3 minutes and another death from prostate cancer every 16 minutes. Prostate cancer is the most common non-skin cancer in men in the U.S. – more likely to occur than colon, kidney, melanoma, and stomach cancers combined. (pcf.org)

Although prostate cancer can be silent, there are some common signs and symptoms such as frequent urination, difficulty in starting urination, difficulty holding urine, weakened or interrupted urine flow, burning or pain when urinating, blood in urine or pain and stiffness in the lower back, hips or upper thighs. If a man is experiencing these symptoms, he needs to make an appointment with his doctor.

Screening for prostate cancer is easy, whether it’s done by a blood test or physical exam. Prostate cancer has a very high cure rate of nearly 100% if detected early. Encourage your husband, father, brothers, and friends to talk to his doctor about regular screening. It could save his life!

 

Helping Your Child with Depression

Let’s face it – being a teenager in the year 2020 is a lot harder than it was in the 80s and 90s. Sure, every teen goes through a moody phase, but depression is more than moodiness. It is estimated that one in five adolescents will suffer from depression; however, most never receive the help they need. We hope to provide some insight into signs and symptoms as well as things parents can do to help.

 

What are the signs and symptoms of teen depression? It is important to understand depression in teens is not the same as depression in adults. Teen depression may not manifest as sadness, rather in irritability, anger, and agitation. Other common signs are unexplained aches and pains, extreme sensitivity to criticism, and withdrawal from some – but not all – people. Teens lack the capacity to identify their state as depression, so it is important that a parent step in to advocate for them.

How can a parent help a depressed teen? Remember, depression is not a phase. It is a real issue that needs to be addressed. If you suspect your teen is depressed, bring it up to them in a loving way with no judgment. Don’t ask a lot of questions – just listen and acknowledge their feelings. If your teen will not open up, trust your gut, and consult a professional.

What are some practical tips to help a teen navigate depression?

  • A depressed teen has the tendency to withdraw from friends and activities they used to enjoy. Gently encourage them to connect again by making face-to-face conversations a priority, getting them involved in an activity that fosters their talent or volunteering for a cause important to them.
  • The link between physical and mental health cannot be denied. Lack of exercise and a poor diet will make depression worse. Help your teen become physically active, limit their screen time, encourage sleep, and provide healthy meals.
  • Stay active and involved in their treatment, from attending doctor’s appointments to helping with medication. Depression is not a straight and narrow road. It’s bumpy and can last for a while. Be patient and celebrate the wins along the way!

 

HOTFLASHES | August 2020

A Surprising Link Between Sugar and Alzheimer’s

Finding a definitive cause and cure for Alzheimer’s disease continues to leave scientists frustrated while the number of Americans diagnosed with the disease continues to rise – now approaching six million. Families struggle under the weight of caring for loved ones with the debilitating disease while the science community continues searching for answers.

One recent discovery is interesting and worthy of great consideration – the diabetes connection. It is estimated that thirty million Americans have type 2 diabetes – that’s one in ten people – and the number continues to rise. Scientists are still investigating the potential links, but here is what they know now:

·  Type 2 diabetes affects the ability of the brain and the body’s ability to process sugar and produce insulin
·  High blood sugar levels cause inflammation throughout the entire body – including the brain. Studies have shown high levels of inflammation in those with Alzheimer’s.
·  The damage to blood vessels as a result of diabetes reducing blood flow can lead to vascular dementia which some scientist believes to be a factor in developing Alzheimer’s disease.
While the jury is still out on the link between sugar and Alzheimer’s, one thing is sure – taking the steps necessary to prevent type 2 diabetes will benefit us all in the long run.

 

Debunking Polycystic Ovarian Syndrome

Polycystic Ovarian Syndrome (PCOS) is an endocrine condition that affects up to 27 percent of women ages 15-44 in which hormone levels are out of balance, throwing off ovulation and causing irregular periods. The main hormones affected are insulin and androgen, also known as the “male hormone” – however, it is also produced at lower levels in women. PCOS is typically characterized by irregular periods, hair growth on the face or chin, hair loss, acne, weight gain, and trouble getting pregnant without medical intervention.

Diagnosing PCOS can be frustrating as there is no one diagnostic tool. Your physician will work to put together all the factual pieces of test results, your family history, and symptoms. Equally frustrating is the fact that there is no cure for PCOS; rather, it can be successfully managed and treated. Living a full and healthy life with PCOS is achievable, but it’s important to listen to your doctor and ignore the fake news! Common misconceptions about PCOS include:

1.   It means you’re infertile. The number of your eggs and their quality is not affected by PCOS; however, medication may be needed to help your body release them on a regular basis.
2.   It only requires treatment if you’re trying to have a baby. Because of the hormone imbalances caused by PCOS, the risk of diabetes, high cholesterol, and cancer are increased, so it’s important that you seek treatment.
3.   It causes cysts on ovaries. While the name may be confusing, PCOS doesn’t involve cysts at all; rather, it causes the growth of follicles.
4.   It causes pain. Ovary follicles on women with PCOS only measure between 2 to 10 millimeters, and since they do not rupture, they don’t cause pain as a cyst would.
5.   It causes your hormone levels to be that of a man. While PCOS does increase levels of testosterone in women, they are nowhere near the levels of a man.

 

The Best All-Natural Health & Beauty Ingredients

From your great-grandmother’s secret ingredient to the tips your friends are sharing on Instagram, it seems that everyone has an opinion about which all-natural beauty products are the best. Who do you listen to in your quest to clean up your health and beauty products? We have compiled a list of top ingredients that are tried and true.
Coconut oil for hydration and anti-inflammatory benefits. Science has shown that extra virgin coconut oil can suppress inflammation and enhance the skin’s protective function. Use it to moisturize skin and soothe diseases like eczema and psoriasis. Be careful – it can cause acne-prone skin to worsen.

Green tea for anti-aging. People have been drinking green tea for years, but there are also benefits to using it topically. Thanks to the polyphenols. Green tea can soothe the skin after a sunburn and help fight the signs of sun damage.
Oatmeal to decrease inflammation. Grandma might have been right about oatmeal baths for rashes and eczema, but you can’t use just any old oatmeal. The size and quality of the oats matter. Look for products that contain colloidal oatmeal, which is gentle and safe.

Soy to improve collagen production and brighten aging skin. The soybean produces a lot for a small legume – antioxidants, fatty acids, isoflavones, and estrogens or phytoestrogens that help with skin issues for menopausal women. As a woman goes through menopause, the decrease in estrogen the body produces results in skin that has lost its brightness. Topical treatments using products containing soy can help by decreasing pigmentation and improving collagen formation.

HOTFLASHES | July 2020

Sunscreen Specifics

Summertime means more time spent outdoors – and more sunscreen that should be used. If you’re like us, all of the information out there about sunscreen can be confusing. What’s the right SPF? Spray or lotion? Too much or too little? We’ve done the research for you, and some of our findings might surprise you.

When it comes to the amount of sunscreen – you probably aren’t wearing enough. Products that contain zinc oxide and titanium oxide tend to be thicker, which can trick you into thinking you’re covered. The Skin Cancer Foundation recommends one ounce (think shot glass) of sunscreen applied every two hours.

Avoid sunscreen that contains oxybenzone, known to disrupt hormone balance, or vitamin A, which does not interact well with sunlight and may even trigger cancer-producing cells when exposed to the sun.

Don’t be misled by extreme SPF claims. The FDA says they “do not have adequate data demonstrating that products with SPF values higher than 50 provide additional protection.” Most experts agree – stick with an SPF between 30-50.

Spray-on sunscreens might be more efficient, but you run the risk of an uneven application resulting in sunburn. Plus, the airborne chemicals pose an inhalation risk to children and adults.

Don’t get burned by water-resistant claims. It’s best to reapply sunscreen after every swim!

And finally, it’s a misconception that sunscreen alone will prevent skin cancer. Wear a floppy hat to cover your face and buy a cute beach umbrella to sit under. You’ll thank yourself later!

 

 

What’s in Your Beach Bag?

Now that you’re clear on the sunscreen basics, it’s time to think about beach bag essentials for your family vacation. Try including these items in your bag for an easier, breezier day at the beach.

Baby Powder – Don’t let sand irritate you or your crew. Rub baby powder over sand-covered skin and watch it fall right off!

Rash Guard items – If you have ocean-swimmers, this is a must! Look for rash guard apparel and topical application sticks that reduce friction.

Resealable sandwich bags – Not only can these plastic bags be used to collect shells, but they serve as a smartphone protector. Simply seal your phone in the bag – it will protect it from sand, water, and sunscreen – and will still be functional through the clear plastic!

Wet wipes – A day at the beach can be messy. Use wet wipes to clean sticky faces and hands.

Lip Balm Sunscreen – Don’t forget to protect your lips from damaging sun rays. Reapply often throughout the day.
 

Taking the OUCH out of shots

Our moms said it to us when we were children, and chances are, we’ve said it to our kids too, – “This won’t hurt a bit.” Immunizations are a vital part of a child’s health, but the reality is that, for kids, needles can be scary. The good news is that there are a few things you can do to help ease the pain of shots.

Provide a distraction such as playing with a new toy, singing a song, reciting ABCs, or blowing bubbles.

One study has shown that coughing once before and once during vaccination can reduce painful reactions. Tell your child to blow out imaginary candles on a birthday cake or take a colorful pinwheel for your child to blow on during the injection.

For babies, make sure you bring a pacifier. Studies have shown that pain is reduced when infants suck on a pacifier before, during, and after a shot.

The most important thing a parent can do to help ease the pain and stress of a shot is to stay calm. Long “pep- talks” meant to prep your child for their immunization is futile and will only lead to more stress as your child pleads his case with growing intensity. It’s best to team up with your pediatrician to keep the child calm and accomplish the task at hand.

COVID-19 Antibody Testing

The Veranda now has the capability to perform in-house COVID-19 Antibody Testing.

Limited Time Walk-Up Antibody Testing at The Veranda
June 8 -11th from 1PM – 4PM
No Appointment Required | Veranda Patients Only


A COVID-19 Antibody test looks for the presence of COVID-19 antibodies, which are proteins made in response to a COVID-19 infection. Antibodies are detected in the blood of people who are tested after an infection; they show an immune response to the infection.

The Veranda has chosen to use the FDA-approved Beckman Coulter’s Enzyme-Linked Immunosorbent Assay (ELISA) COVID-19 Antibody test. This test will be performed in our own high-complexity CLIA certified lab by our own trained certified lab technicians. In the studies for the Beckman Coulter’s COVID-19 IgG antibody test, the test showed 99.1% clinical sensitivity at day 14 and 100% at day 18. In other words, this is a very accurate test with rare false positives and false negatives with results in 24 hours or less.

For your convenience, there is no appointment needed for the antibody testing and your labs will be drawn in our outdoor clinic area (the covered pavilion on the right of the building) and you will not need to come inside The Veranda.

 

Important things for you to know:

  1. This test is conducted via blood draw.
  2. Masks are required at the outdoor clinic and inside The Veranda at all times.
  3. No appointment is necessary.
  4. Results in 24 hours or less. Patients can access results via NEW patient portal account with Priva. If you do not have a portal, you can request a be put on the call list but this may delay you getting your results.
  5. This test can be filed with your insurance company.
  6. During walk-in lab testing, we will ONLY be doing the COVID-19 Antibody test and you will NOT be seen by a provider.
  7. This test is not meant to be used to screen for a current, active COVID-19 infection. If you think you currently have COVID-19, you should contact your doctor for assessment and potential nasal swab testing.

Who Qualifies for the COVID-19 IgG Antibody Test? Click Here

Interpreting The Results: What do they mean? Click Here


Purpose of the COVID-19 Antibody Test
At this time, the full use of the results of this test is unknown. It is in our opinion that, until a vaccine or cure for COVID-19 is available, this is one of the few tools available to us in the reopening of our communities and businesses, as we do not currently know when this pandemic will end. Results of this test should be used in addition to the recommended safety precautions. We do not know if the antibodies that result from COVID-19 will provide someone with protection (immunity) from getting the infection again. If antibodies do provide immunity, we don’t know how much antibody is protective or how long protection might last. Scientists are currently conducting studies to answer these questions. Antibody tests are important for detecting previous infections in people who had few or no symptoms.

 

HOTFLASHES | June 2020

Sleep Health

When it comes to your health, getting a good night’s rest is just as important as diet and exercise. Sleep affects everything from hormones to brain function and can directly affect your weight. You don’t have to be an expert to realize that quality sleep has declined in recent years for a variety of reasons thanks to our modern age – but there are things we can do to take back control of our sleep.

Open the windows and allow natural light to shine during the day. Our bodies were designed with an internal clock called the circadian rhythm, which helps you stay awake and know when it’s time to go to sleep. Natural bright light keeps your circadian rhythm healthy, which will increase daytime energy and help bring about better sleep at night.

While blue light during the day can be helpful, exposure at night can wreck your sleep by reducing the brain’s production of natural melatonin – the hormone that helps you fall asleep. Televisions, laptops, and smartphones are the electronic culprits that increase our nighttime exposure to blue light. Consider wearing blue light blocking glasses at night – or even better – avoid these things at least two hours before bedtime.

Caffeine has several health benefits, but for those who suffer from lack of sleep, the cut off for caffeine intake must be 6-8 hours before bedtime. That’s how long caffeine can remain in your bloodstream. If you must have a cup of coffee before bed, make it decaf!

Of course, when you’ve tried everything and failed – it’s time to see a doctor. You might have sleep apnea – a disorder which causes inconsistent and interrupted breathing during sleep. This condition commonly affects both men and women. Call your physician to discuss your next steps toward better sleep!

 

 

Packing Your Hospital Bag – Don’t forget DAD!

For weeks you’ve been packing the infamous hospital bag – gowns for mom, lotions and self-care items, baby products, and that cute coming home outfit for your newborn. But there’s one person you might be overlooking – Dad! While you’ve been busy growing a human, he’s been right by your side and will play an important role in the hospital. It will mean a lot to him to have a few of his favorite things in the hospital too. Here are a few ideas:

Cash and coins. There may be a lot of waiting time for dad while you’re in labor. Make sure he has enough money on hand to visit the cafeteria or nearest snack machine in a pinch.

Favorite snacks. You might not know it until the big day, but dad might tend to stress-eat. Pack his bag with protein bars, fruit, or other favorite healthy snacks.

New dads need showers too! Make sure his shampoo, body wash, toothbrush, and toothpaste are packed alongside yours.

Books or magazines. There can be a lot of downtime in the hospital as you hurry up and wait. Make sure he has something to occupy his mind, so the nerves don’t take over.

New fathers – especially first-time dads – are nervous. These little acts of kindness will show your appreciation and will let him know you think he’s going to be an awesome dad!

 

 

Summer Peach Sorbet

Nothing says summer in the south like a good batch of fresh, ripe Georgia peaches! Whether you are making an after-dinner treat for your family or bringing along dessert for your neighbor’s back yard barbeque, peach sorbet is a no brainer! A plus? It’s dairy-free and only has four ingredients!

6 large ripe Georgia peaches

¾ cup sugar

1 tsp. of fresh lemon juice

A pinch of salt

Peel and slice peaches. Freeze until they are firm. Add to a food blender along with sugar, water, lemon juice, and salt. Blend until smooth. Serve immediately or freeze for up to three days.

New Phone System Changes

Changes to Help Us Help You!

We have made several changes in the past few days in how we are managing incoming calls. Our goal is to decrease your on-hold wait time and get your needs met faster. The changes have decreased the average wait time significantly.

What you need to know:

There is now a menu of options. From appointments to refills, you can select the reason for your call and get routed to the correct person faster.

In the case of prescription refills, you will be connected to a voicemail with instructions to leave your information and details. Make sure you don’t wait until your medicine is completely out before calling for a refill. This will ensure there is no lapse in your prescription needs.

Our old system was very frustrating. But we are committed to making this process easier for our patients. We want every part of your visit to have the same attention to detail you expect when you meet with your provider. The phone system is no different!

HOTFLASHES | May 2020

Summer Safety for Kids

Even with the uncertain times, summer weather is still quickly approaching. Before you set foot on some summer fun, it’s important to make sure the kiddos stay safe. Let’s go over the top three areas of summer that have the potential to be hazardous and the steps you can take to ensure safety.

Water Safety. While swimming and other water activities are great ways for kids to stay active during the summer, precautions are necessary to keep them safe.

• If possible, take your children to swimming lessons.

• Make sure there is always an adult to supervise water fun.

• When boating, always make sure your child is wearing a life jacket.

Sun Safety. It only takes a few serious sunburns to produce skin cancer later in life. Adults must step in to make sure kids are protected from the damage of UV rays when outdoors.

• Stay in the shade as much as possible.

• When possible, dress your child in long sleeve shirts and pants.

• Hats and sunglasses are not only cool, but they go a long way to protect!

• Use a sunscreen of at least SPF 15 every time your child goes outside. Apply 30 minutes before exposure and reapply as needed based on activity.

Home Safety. Injuries among kids are common in the summer months, and with a little precaution, some of them can be prevented.

• Train your child on age-appropriate tasks such as using a stove, kitchen utensils, and other appliances.

• Make sure everyone in the family knows how to prevent house fires and how to respond should one occur.

• Take a look at your outside playground and repair or replace battered playsets.

 

The Incredible Edible Egg

In the 1970s, our healthcare system began to put great focus on the role of cholesterol in heart disease. It was said that eggs, which are high in cholesterol, should be very limited in one’s diet. It seemed logical that a food high in cholesterol could cause an increase of cholesterol – but new research shows this simply isn’t true. One study found that people who ate more than seven eggs per week saw an increase in HDL cholesterol, which has protective properties against bad cholesterol (LDL). There is evidence that suggests eating two eggs per day can actually be beneficial in lowering risk factors for heart disease and type-2 diabetes.

The egg, which is the most affordable and available food on Earth, is also one of the most nutritious! It contains Vitamin A, folate, Vitamins B5, B12 and B2, Phosphorous, Selenium, Vitamin D, and choline. It sounds to us that the egg is everything it’s cracked up to be!

 

Happy Mother’s Day – It’s all about YOU!

Women all across the globe are busy with careers, relationships, home, and children – but most are putting themselves on the back burner. In order to keep all those plates spinning, it’s crucial that you put yourself first! When it comes to women’s health, there are a few common issues that tend to be ignored but shouldn’t.

  1. Your annual physical is the most important appointment you’ll keep all year. This time spent with your physician is vital to ensure your body is functioning properly, from blood pressure to hormone levels.
  2. It may seem like that shortness of breath is related to inactivity on your part, but with heart disease being the number one killer among women, don’t chance it. If you’ve noticed shortness of breath, back or jaw pain, nausea, chest pain, or cold sweats, seek medical attention immediately!
  3. Pelvic issues such as heavy, painful periods, abnormal vaginal bleeding, or painful intercourse are not issues that should be tolerated. These conditions can be treated, and more testing needs to be done to make sure there isn’t a more serious underlying problem.
  4. Skin changes should never be ignored. A mole or freckle that has changed color or shape needs to be seen by a physician. Checking your skin should be as routine as checking your breasts.
  5. Speaking of breast checks – performing a breast self-exam is one of the easiest things you should be doing on a regular basis. Take the time during your morning shower to check for lumps, changes in size, shape, or skin. Notify your doctor of anything unusual and, most importantly – keep your annual mammogram appointment!

Welcome Dr. Donna Graf

Welcome to The Veranda Dr. Graf!

We are excited to announce Donna Graf, MD, MBA, FACOG will be joining our Obstetrical and Gynecological team at The Veranda.

A part of the Albany community for more than 22 years, Dr. Graf has extensive experience in serving women and their families. From starting a family to managing women’s health at any age, Dr. Graf is a understanding physician dedicated to the health and well-being of her patients.She is an amazing addition to our OB-GYN team and we welcome her and her patients to The Veranda.

Dr. Graf will begin seeing patients on May 26th at The Veranda. We are currently taking appointments for her schedule. Please contact us at 229-883-7010.

Veranda friends help us welcome her to our family.

We Are Members of Privia Medical Group

As of April 21, 2020, we are proud members of Privia Medical Group!

Introducing Judy Y. Yeh, MD

Judy Y. Yeh, MD- Albany’s Only Urogynecologist

Judy Y. Yeh, MD focuses on treatment of pelvic floor disorders, such as urinary incontinence, pelvic organ prolapse, overactive bladder, and recurrent urinary tract infections.

 

3D Mammography

The Veranda is excited to introduce new 3D Mammography for breast cancer screening! With the most advanced mammography technology in Southwest Georgia, The Veranda is proud to offer patients the latest and most accurate in imaging technology.

Because doctors are able to see breast tissue in greater detail with 3D Mammograms, there is more than a 40% higher rate of detecting cancer in earlier, treatable stages. And, with improved accuracy of detecting or ruling out breast cancer, you’ll have fewer false alarms and less chance of having to come back for repeat exams. Plus, the 3D offers patients a more comfortable screening process.

Don’t delay! You don’t need a referral from another doctor. You can schedule your appointment with The Veranda today and experience the difference for yourself.

Remembering Our Friend & Colleague

William A. Aultman, M.D., FACOG

It is with a very sad heart we say goodbye to a part of The Veranda family. For more than 16 years, Dr. William “Will” Aultman served as an OB-GYN here at The Veranda. He was dedicated to improving the lives of his each of patients.

Six years ago, Dr. Aultman was diagnosed with neurological disease. Despite the challenges, the disease never tarnished his perfection of manners and grace as a true southern gentleman.

A dedicated father and husband, our hearts and prayers are with his family. Dr. Aultman will be laid to rest this Friday in Albany. In lieu of flowers, his family has chosen St. Jude’s Children’s Hospital, the Albany Humane Society and the Chattanooga Animal Center for those wishing to make a donation.

Arrangements and Donations:
https://www.kimbrellstern.com/obituaries/William-Aultman-3/

The Veranda Introduces New OBGYN Dr. Brandon Seagle, MD

The Veranda Reignites Obstetric Practice

The Veranda is excited to announce the addition of its newest physician, Brandon Seagle, M.D. Originally from Leesburg, GA. Dr. Seagle received his bachelor’s degree from The University of Chicago. He then went on to receive his medical doctorate from Stanford University School of Medicine and later a Master of Science in Health Services and Outcomes Research from Northwestern University. Dr. Seagle has chosen Albany to open his practice in Obstetrics and Gynecology and he joins The Veranda.

“I truly believe that Obstetrics and Gynecology is the best specialty in medicine, at least for me. I like the variety of surgery and the routine good outcomes, as well as the physiology of pregnancy. Pregnancy is a special time in a woman’s life, and I enjoy being a part of it,” says Dr. Seagle.

This will be a re-entry into Obstetrics for The Veranda as the practice made a shift 3 years back to concentrate on women’s health rather than labor and delivery in their Gynecology practice. “The Veranda is thrilled to be able to offer obstetric services to our patients again. Being with families as they add new members, is something we have enjoyed in the past and are excited about continuing into the future,” says The Veranda President John Inman, III, M.D., FACOG.

As well, Judy Yeh, M.D., Dr. Seagle’s wife, is completing her fellowship at Yale School of Medicine in Urogynecology, and will be joining The Veranda in the Summer of 2019. The two new physicians will lead up the obstetrics practice at The Veranda.

Dr. Seagle is now accepting new patients for Obstetrics and Gynecology

Hospital Privileges Change

Dear Parents;

As you may have heard, Andrew Carlson, M.D. has relinquished his pediatric inpatient care privileges at Phoebe Putney Memorial Hospital except for newborn care as of October 1, 2017. Dr. Carlson joins the majority of local pediatricians with this change in his inpatient care status. The change in pediatric privileges is in response to the new structure of the pediatric hospitalist program at Phoebe. All but two local pediatricians have opted to relinquish privileges at the hospital for patients age 3 and over. Dr. Carlson will continue to provide inpatient care to his newborn patients while hospitalized at Phoebe. Pediatric patients requiring inpatient hospital care will continue to be managed by the hospitalist at Phoebe. Dr. Carlson will be able to continue to follow all of his patients should they be admitted to the pediatric service at Phoebe. Subspecialty care would continue to be provided at pediatric hospitals such as Navicent in Macon and Eggleston in Atlanta.

At the present time, Newborn care has not been affected by the change in the pediatric hospitalist program.

We know you may have questions. And, we are here to answer each one. We encourage you to speak to our staff at your child’s next appointment.

Sincerely,

John S. Inman, III, M.D., FACOG
Chief Executive Officer
The Veranda

Andrew C. Carlson, M.D., F.A.A.P
Pediatrics
The Veranda

The Veranda Continues to Receive Ultrasound Accreditation

Congratulations to the Ultrasonography Department at The Veranda. In early February the Veranda received official notification from the American Institute of Ultrasound in Medicine of their accreditation renewal for the next three years.

The Veranda takes great pride in the work of each of the ancillary diagnostic departments in achieving the highest level of standards established by the various accreditation agencies. Accreditation comes with hard work and attention to detail. The Ultrasound Practice Accreditation Council congratulates the Veranda staff.

Dr. Inman, Jr. is Recognized for Years of Dedication

Hospital Authority Drafts Resolution in Honor of Inman’s Service

(ALBANY, Ga.)- Dr. John Inman, Jr. was recently recognized by the Hospital Authority of Albany and Dougherty County for his outstanding work during his medical career, and his work on its board as assistant secretary. They drafted and framed a resolution that included a list of his medical accomplishments including the staggering number of babies he has delivered, the many boards he has served on, and awards he has won including his most recent from Emory University in 2008.

Dr. Inman is very proud of his achievements and so is The Veranda. They are extremely honored to have him has the founder of OBGYN Associates and the legacy of excellence he has endowed to the practice.

The Veranda Elects New CEO

Dr. John Inman, III has been elected leader of multispecialty medical practice

The Veranda is proud to announce that John S. Inman, III, MD has been elected CEO of the multispecialty medical practice. Dr. Inman has been with OB-GYN Associates at The Veranda for 24 years. His father, John Inman, Jr. founded the practice in 1952. Additionally, William M. Sewell, MD is now Secretary/Treasurer for the corporation.

“I am honored to have been selected for this role,” stated Dr. Inman. “The healthcare industry is at a turning point. The Veranda is poised to meet these challenges and will continue to deliver the highest quality of medical services, which has been our hallmark for six decades.”

Dr. Inman received his undergraduate degree from Emory University in 1979. He then went on to earn his medical degree and completed his residency through Emory University’s School of Medicine in 1983 and 1987, respectively. Upon completion of his residency, he returned home where he has since practiced gynecology and obstetrics. Dr. Inman has earned numerous honors throughout his career. He and his wife Vicki have two children.

Dr. Sewell joined OB-GYN Associates at The Veranda in 1996. He completed his undergraduate studies at Christian Brother’s University in Memphis in 1983. Dr. Sewell then earned his medical degree at The University of Tennessee where he also completed his residency training. He too is active in several medical organizations and has earned numerous honors. Dr. Sewell and his wife Leah have two children and reside in Albany.

The Center for Medical Weight Loss at The Veranda

The Center for Medical Weight Loss at The Veranda Offers Comprehensive Plans Tailored Just For You

The Center for Medical Weight Loss at The Veranda offers non-surgical, one-on-one physician-directed programs with customized strategies not available through commercial weight loss programs. Only a medical doctor can customize a plan based on your unique metabolism, hormonal disorders, medication and other physical weight loss issues. Find out why thousands are turning to The Center for Medical Weight Loss for fast, safe, affordable weight loss. Call us at 903-1586 to schedule your appointment.