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Livewell articlesTRANSCRIPT
HEALTH COLUMN
Someone told me that the amount of sleep you get is really important in managing Bipolar Disorder. Is this true? — Lauren F., Smith� eld
Yes, it is. Mood and sleep have a very close, complex relationship. They both rely heavily on our body’s regulation of brain chemicals such as serotonin. In fact, sleep diffi culties are a key symptom used to diagnose Bipolar Disorder and depression.
People who have sleep problems are much more likely than the general population to develop mood disorders. If you have a bipolar disorder, getting the right amount of sleep is one of the best things you can do for yourself.
I hear the word bipolar a lot. I thought being bipolar meant you are depressed. What exactly is it and what are the symptoms? — Marcus P., Goldsboro
Great question, as the defi nition of bipolar is commonly confused. Bipolar disorder is far more than just mood swings; it is a disease and a condition that causes serious psychological problems to a degree that daily life and function are hampered. The most prominent symptoms of bipolar disorder are alternating cycles of mania and depression, and the symptoms associated with each of those. For instance, in the manic phase, behavior may include a dramatic increase in energy accompanied by a decreased need for sleep, and aggressive, sometime provocative behavior. The depressive stage can include persistent anxiety or feeling of sadness, extreme fatigue, and sleep disturbances. Again, bipolar disorder is a cycling of these phases. Some people may be misdiagnosed as having depression alone. To make an appointment with Dr. Attiah, call 919-587-4051
Bipolar, Manic Depressive DisorderNadir Attiah, M.D.
Dr. Attiah has devoted many years to the study of Psychiatry. A clinical researcher in neurology, he completed his residency at the Brody School of Medicine at East Carolina University and Pitt County Memorial Hospital. Part of the expert team of psychiatrists at Wayne Health Psychiatric Services, Dr. Attiah believes there is a strong connection between body and mind and uses an integrative approach to healing.
with Wayne Memorial Hospital is your premier resource for health education and the most up-to-date information you need to stay healthy. From a weekly radio show to
award-winning publications, women’s events, and more, the physicians and health care experts at Wayne Memorial Hospital want you to know your health and how to improve it.
LiveWell at waynehealth.org!
To make an appointment with Dr. Attiah, call 919-587-4051
Got Questions? Email us at [email protected]
HEALTH COLUMN
I have been diagnosed with prostate cancer and want to better understand the advantages of daVinci robotic prostatectomy over traditional prostate surgery? — Bill C., Goldsboro
Until recently, men facing prostate cancer surgery had little choice of available surgical procedures. Thankfully, that has changed. Robotic prostatectomy is an advanced way to perform minimally invasive prostate cancer surgery. The surgical robotic unit, daVinci™, has truly revolutionized and advanced prostate cancer surgery. Unlike the traditional open prostatectomy which involved large incisions and unwanted side effects, the daVinci treatment method profoundly reduces blood loss, pain, and recovery time. The precision of daVinci allows your doctor to remove the gland without harm to surrounding tissue, and the majority of robotic prostatectomy patients are discharged the same day.While clinical studies support the effectiveness of the daVinci System, individual results may vary. We encourage you to ask your physician about all treatment options available to you, as well as their risks and benefi ts.
How do I know if I’m eligible for a clinical trial? — Anne P., Goldsboro
Each study has its own eligibility criteria for who can participate. As researchers, our desire is to study participants who are similar in some key areas. For example, a treatment trial may be for a particular type and stage of breast cancer, a particular age, or for patients who have had previous treatments. To fi nd out if you’re eligible for a particular study, please call us at 919.736 .1110.We’re here to help.
� e daVinci Surgical Systemwith Teresa Corbett RN
Teresa Corbett, RN, is Administrative Director, Surgical Services at Wayne Memorial Hospital and has been with the Hospital for over 30 years.
with Wayne Memorial Hospital is your premier resource for health education and the most up-to-date information you need to stay healthy. From a weekly radio show to
award-winning publications, women’s events, and more, the physicians and health care experts at Wayne Memorial Hospital want you to know your health and how to improve it.
LiveWell at waynehealth.org!
Got Questions? Email us at [email protected]
HEALTH COLUMN
What is the di� erence between cosmetic and reconstructive surgery? — Anne L., Goldsboro
Cosmetic surgery reshapes your body’s natural structures like the nose, eyelids, breasts, or face. Procedures include rhinoplasty, eyelid rejuvenation, breast augmentation, and liposuction.
Reconstructive surgery is performed on abnormal structures of the body, caused by trauma, tumors, congenital defects, or even disease. Generally, reconstructive surgery is performed to improve function as well as appearance and self-esteem. Procedures include hand surgery, skin grafts, burn care, and reconstructive surgery after mastectomy.
Should breast reconstruction be done at the same time as my mastectomy, or can I delay it? —Wanda D., Mount Olive
There are advantages and disadvantages to both. Some women don’t want to think about reconstruction while coping with a cancer diagnosis. Ideally, it’s best to do it at the same time as the mastectomy, but you may choose to wait. Delayed breast reconstruction means that rebuilding is started later. For women who need radiation to the chest area after the mastectomy, starting the reconstruction at the time of mastectomy will leave many reconstructive options open that may not be available after having radiation. Also, starting reconstruction at the time of mastectomy will eliminate time spent without a breast. The most important thing is to discuss this decision with your oncologist and breast cancer surgeon. Your overall health and stage of cancer are important factors in this decision.
Reconstructive Surgerywith Dr. Benjamin Eskra, Plastic Surgeon
Dr. Benjamin Eskra is a board-certifi ed plastic surgeon, member of the American Society of Plastic Surgeons, and a published author in “Plastic and Reconstructive Surgery Board Review.”
with Wayne Memorial Hospital is your premier resource for health education and the most up-to-date information you need to stay healthy. From a weekly radio show to
award-winning publications, women’s events, and more, the physicians and health care experts at Wayne Memorial Hospital want you to know your health and how to improve it.
LiveWell at waynehealth.org!
Got Questions? Email us at [email protected]
HEALTH COLUMN
My brother has just been diagnosed with prostatitis. Does that mean he has prostate cancer? — Tina N., KinstonGood question. I know it can be scary. The answer is no. Prostatitis is infl ammation of the prostate gland and it is categorized into four major types: acute bacterial, chronic bacterial, chronic pelvic pain, and asymtomatic infl ammatory prostatitis. All of these types of prostatitis can be treated with medication. There is also benign prostate hyperplasia, or BPH, which is another non-cancerous prostate condition. This is when the prostate gland swells as a result of the normal aging process. BPH can be minimized by changes in diet and lifestyle. Remember, having a healthy diet and good hygiene can reduce risks for prostate problems. Diets high in fi ber, drinking adequate amounts of fl uids, and maintaining a proper weight all go far in the prevention of prostate problems.
What are the most common signs or symptoms of prostate problems? — Daniel T., Goldsboro
There are quite a few; however, the most prominent are diffi culty in urinating and ejaculating. If you observe these signs, please consult your doctor immediately. Other symptoms of prostate problems include:
• Burning sensation during urination• Pain during urination• Frequent urination
Keep in mind that in the early stages of prostate cancer, there are few, if any, symptoms, and it is possible to suffer from prostate cancer for many years and not even know it. If you’re over 40, get your screening; it’s simple and could save your life.
Diagnosis: Prostatitiswith Dr. Sherman Hawkins, Jr., Urologist
Dr. Sherman M Hawkins, Jr. is a board-certifi ed specialist in stones and oncology at Wayne Urological Associates & Incontinence Center. He received his Doctor of Medicine in 1987 from Georgetown University’s School of Medicine in Washington, D.C., and completed his residency at the Naval Medical Center in Portsmouth, Virginia.
• Pain or discomfort in the penis• Painful ejaculation
with Wayne Memorial Hospital is your premier resource for health education and the most up-to-date information you need to stay healthy. From a weekly radio show to
award-winning publications, women’s events, and more, the physicians and health care experts at Wayne Memorial Hospital want you to know your health and how to improve it.
LiveWell at waynehealth.org!
Got Questions? Email us at [email protected]
HEALTH COLUMN
What is the di� erence between a CT and MRI? — Frank G., Freemont
A CT or CAT scan is a sophisticated type of x-ray that allows radiologists to obtain thin cross-sectional images of the body. CT scans are widely used to image the brain, the soft tissues of the neck, chest, abdomen, pelvis, and the spine. The power of CT is that it can rapidly acquire very detailed anatomic images to diagnose a vast number of illnesses.MRI, or magnetic resonance imaging, also provides detailed cross-sectional images of many of the same areas of the body as CT. MRI is not as fast as CT, but is superior to CT in evaluating joints such as the wrist, elbow, shoulder, hips, knees, and ankles. It also provides more detailed images of the brain, spinal cord, and the vertebral discs (diagnoses herniated discs). Vascular studies (blood vessel imaging) are also frequently performed with MRI. Breast MRI is extremely useful in high-risk patients, and is used to clarify abnormalities found on mammograms and/or ultrasounds.
Choosing an MRI Facility with Dr. Kevin Cregan, Radiologist
Dr. Kevin Cregan is a board-certifi ed radiologist with a degree from the University of Pittsburgh School of Medicine and a fellowship at Thomas Jefferson University Hospital in Philadelphia.
What should I look for when choosing an MRI facility? — Jennifer E., Goldsboro1. State-of-the art equipment which will produce the best possible images
and not miss important diagnoses. The best images are produced on the latest, fastest, high-resolution MR systems, such as breast MRIs and two Siemens MR units at Wayne MRI. This type of technology is often not in place on mobile MR units.
2. On-site radiologists to tailor the MR studies to each patient’s medical condition.
3. A comfortable spacious facility with at least one Open MRI is very important for claustrophobic and larger patients. Wayne MRI can meet the imaging needs of all patients with our open Siemens Espree and our short-bore Avanto. Medication to relax the anxious patient can also be provided by our on-site radiologists.
with Wayne Memorial Hospital is your premier resource for health education and the most up-to-date information you need to stay healthy. From a weekly radio show to
award-winning publications, women’s events, and more, the physicians and health care experts at Wayne Memorial Hospital want you to know your health and how to improve it.
LiveWell at waynehealth.org!
provided by our on-site radiologists.
Got Questions? Email us at [email protected]
HEALTH COLUMN
For the past few months I’ve felt tired all the time. I’m not sleeping well and I even ended up quitting my company softball team, which I’ve enjoyed for many years. My wife thinks I’m depressed, but I don’t feel sad. Is it possible that I am depressed? — David C., Johnston
While both men and women may develop what are considered standard symptoms of depression, they often experience depression differently and have different ways of coping with it. In fact, men with depression are more likely to describe their symptoms the way you do — fatigue, irritability, loss of interest in work or hobbies, and sleep disturbances — rather than the feelings of sadness, worthlessness, and excessive guilt that are most commonly associated with depression.An estimated six million men in the United States have a depressive disorder, and although these illnesses are highly treatable, many men think depression is “all in your head.” The truth is, depression is a very real, physical illness that can strike at any age. I encourage you to discuss your symptoms with your family doctor.
I don’t have a particular question, but wanted to share a thought. Sure, the educated side of me knows that we should seek mental health help as readily as we would any other health condition, but to be honest, it still feels like it’s admitting a personal weakness and I fear I’ll be “labeled” if I do seek help. — Cindy S., Goldsboro
Thank you for sharing this. The stigma associated with mental health disorders is a very real problem, and can cause many harmful effects, as it prevents many people from seeking treatment. We now know that mental health disorders aren’t based on some kind of personal weakness; they have a biological basis and can be treated like any other health condition. Despite this knowledge, however, we still have a long way to go before we overcome the many misconceptions and biases people have about mental health.
Stoney Creek Behavioral Healthwith Sharon Hinson,
MA Ed Program Coordinator Sharon Hinson, MA Ed, joined Stoney Creek Behavioral Health at Wayne Memorial Hospital in September 2006. She is a Licensed Professional Counselor who serves as the Director of the Structured Outpatient Program at Wayne Memorial Hospital.
with Wayne Memorial Hospital is your premier resource for health education and the most up-to-date information you need to stay healthy. From a weekly radio show to
award-winning publications, women’s events, and more, the physicians and health care experts at Wayne Memorial Hospital want you to know your health and how to improve it.
LiveWell at waynehealth.org!
Got Questions? Email us at [email protected]
HEALTH COLUMN
I have just been diagnosed with gynecologic cancer. Why should I consider participating in a clinical trial? — DeeAnn S., Wilson
Choosing to participate can be a complex decision, as well as a frightening one. I salute you, DeeAnn, for taking an active role in decisions regarding your health and seeking to learn more about clinical trials. This year, an estimated 83,000 women will be diagnosed with a gynecologic cancer, and despite the importance of participating in clinical trials, only three percent of them will do so.
Women who participate not only make an extremely valuable contribution to scientifi c knowledge, they also gain access to new research treatments before they are widely available. With special training in the design and conduct of clinical trials, the clinical trial team at Wayne Memorial Hospital is ranked fourth in the State of North Carolina for the number of clinical trials monitored. That says a lot considering the number of teaching centers surrounding us.
How do I know if I’m eligible for a clinical trial? — Lori P., Goldsboro
Each study has its own eligibility criteria for who can participate. As researchers, our desire is to study participants who are similar in some key areas. For example, a treatment trial may be for a particular type and stage of breast cancer, a particular age, or for patients who have had previous treatments. To fi nd out if you’re eligible for a particular study, please call us at 919.736 .1110. We’re here to help.
� e Value of Clinical Trialswith Dr. I-Wen Chang
Dr. I-Wen Chang joined Southeastern Medical Oncology Center in August 2007. She is board-certifi ed in both Hematology and Medical Oncology. Dr. Chang completed medical school, internal medicine residency, and fellowship at Wake Forest University North Carolina Baptist Hospital, Winston Salem, NC.
with Wayne Memorial Hospital is your premier resource for health education and the most up-to-date information you need to stay healthy. From a weekly radio show to
award-winning publications, women’s events, and more, the physicians and health care experts at Wayne Memorial Hospital want you to know your health and how to improve it.
LiveWell at waynehealth.org!
We’re here to help.
Got Questions? Email us at [email protected]
HEALTH COLUMN
I have just been diagnosed with gynecologic cancer. Why should I consider participating in a clinical trial? — DeeAnn S., Wilson
Choosing to participate can be a complex decision, as well as a frightening one. I salute you, DeeAnn, for taking an active role in decisions regarding your health and seeking to learn more about clinical trials. This year, an estimated 83,000 women will be diagnosed with a gynecologic cancer, and despite the importance of participating in clinical trials, only three percent of them will do so.
Women who participate not only make an extremely valuable contribution to scientifi c knowledge, they also gain access to new research treatments before they are widely available. With special training in the design and conduct of clinical trials, the clinical trial team at Wayne Memorial Hospital is ranked fourth in the State of North Carolina for the number of clinical trials monitored. That says a lot considering the number of teaching centers surrounding us.
How do I know if I’m eligible for a clinical trial? — Lori P., Goldsboro
Each study has its own eligibility criteria for who can participate. As researchers, our desire is to study participants who are similar in some key areas. For example, a treatment trial may be for a particular type and stage of breast cancer, a particular age, or for patients who have had previous treatments. To fi nd out if you’re eligible for a particular study, please call us at 919.736 .1110. We’re here to help.
� e Value of Clinical Trialswith Dr. I-Wen Chang
Dr. I-Wen Chang joined Southeastern Medical Oncology Center in August 2007. She is board-certifi ed in both Hematology and Medical Oncology. Dr. Chang completed medical school, internal medicine residency, and fellowship at Wake Forest University North Carolina Baptist Hospital, Winston Salem, NC.
with Wayne Memorial Hospital is your premier resource for health education and the most up-to-date information you need to stay healthy. From a weekly radio show to
award-winning publications, women’s events, and more, the physicians and health care experts at Wayne Memorial Hospital want you to know your health and how to improve it.
LiveWell at waynehealth.org!
We’re here to help.
Got Questions? Email us at [email protected]
HEALTH COLUMN
My husband and I are both so busy, but we are thinking about childbirth classes. With all the websites, books, and videos out there, is taking a childbirth class really that bene� cial? — Karen Q., Kinston
You’re right—there are many sources of information out there, but it’s hard to know what information you really need to know. Childbirth classes help fi lter the information and zero in on the essentials. More than that, nothing can replace the human interaction you experience from attending the classes. Childbirth classes are a wonderful way to meet other pregnant women and their families, ask questions, and calm worries. The classes also help prepare you for the many aspects of childbirth, from changes pregnancy brings to labor and delivery to parenting once your baby is born. The educators at Wayne Memorial Hospital, many of whom are specially trained obstetrical nurses and/or mothers themselves, share valuable lessons with personalized answers.
� e Value of Childbirth Classeswith Gethney Hill
Gethney Hill is the Director of Perinatal Services and she holds certifi cation in Inpatient Obstetrics and Childbirth Education. She is a member of the Association of Women’s Health Obstetrics and Neonatal Nurses, the North Carolina Perinatal Association, and the North Carolina Organization of Nurse Leaders.
Aren’t childbirth classes just about breathing techniques? I really think I’ll want an epidural in labor anyway. — Cari M., Goldsboro
Great question, Carmen. Even if you elect epidural anesthesia, you will experience the labor process. Today, childbirth classes go well beyond the basics, to include valuable information about the total process of labor and birth, as well as all the choices available to you during childbirth. Breathing techniques are only one of a variety of topics discussed in childbirth classes. For instance, time is devoted to coping skills. Coping strategies for labor have been shown to decrease use of anesthesia, enhance maternal confi dence, and support successful outcomes when things don’t go as planned.
with Wayne Memorial Hospital is your premier resource for health education and the most up-to-date information you need to stay healthy. From a weekly radio show to
award-winning publications, women’s events, and more, the physicians and health care experts at Wayne Memorial Hospital want you to know your health and how to improve it.
LiveWell at waynehealth.org!
Got Questions? Email us at [email protected]
HEALTH COLUMN
I have a severe overbite that actually causes me pain in my jaw when I chew. Do I need braces or surgery? — Ed P., Goldsboro
First and foremost, talk to your dentist; but the standard of care leans toward orthognathic surgery, or corrective jaw surgery, along with orthodontic therapy. In other words, I would not recommend jaw surgery alone without braces. Both an oral and maxillofacial surgeon, as well as an orthodontist, would be involved in your treatment. Your tooth alignment can be critical for a successful outcome.
What is a Maxillofacial Surgeon? Are they dentists? — Cindi C., Johnston
Yes, but maxillofacial surgeons are typically trained in oral surgery as well, so many are referred to as oral and maxillofacial specialists. There are many of us who are educated as Doctors of Dentistry or Doctors of Medicine, depending on where we studied. Maxillofacial surgery is a specialty that corrects a wide spectrum of diseases and defects, as well as injuries of the head, neck, jaws, face, and tissues of the oral and maxillofacial region. We treat accident victims suffering facial injuries, care for patients with oral cancer, and treat tumors of the jaws. We also prepare patients for dentures, place implants, and perform cosmetic facial procedures.
Maxillofacial Surgery with Dr. John Fidler, Jr.
Dr. John Fidler, Jr., DDS, is a board-certifi ed Oral and Maxillofacial Surgeon. He began his dental training at West Virginia University School of Dentistry and trained in general practice at St. Agnes Hospital in Baltimore, Maryland. He completed his residency in Oral and Maxillofacial Surgery at the Naval Hospital in Great Lakes, Illinois.
with Wayne Memorial Hospital is your premier resource for health education and the most up-to-date information you need to stay healthy. From a weekly radio show to
award-winning publications, women’s events, and more, the physicians and health care experts at Wayne Memorial Hospital want you to know your health and how to improve it.
LiveWell at waynehealth.org!
Got Questions? Email us at [email protected]
HEALTH COLUMN
I’m 46 and still consider myself an athlete. But, the wear and tear on my knees has left me with considerable pain — enough that for the � rst time in years, I’m saying no to league sign ups. Am I too young for a knee replacement? — Brian T., Goldsboro
If you’re experiencing severe degenerative arthritis, and it is not relieved with conservative treatments, knee replacement may be an excellent option. Not being able to exercise for 5–10 years while waiting for the “proper” age for a joint replacement isn’t good for your heart or muscles. I encourage you to sit down and explore your options with a board-certifi ed orthopaedic surgeon. It’s really a quality-of-life issue. Thankfully, we’re more comfortable doing total knee replacements in patients younger than 60 because of the quality of materials we now have available to us. I don’t blame you for wanting to keep doing the things you love and wanting to remain active. It’s better to be fi t than fat!
I’m facing rotator cu� surgery. Will there be a large incision? — Joel L., Lenoir
Unlike the conventional rotator cuff surgery, our arthroscopic procedure doesn’t require a large incision or cutting of the deltoid muscle. For you, that means less pain and a much faster recovery. At Wayne Memorial Hospital, the advantages of arthroscopic surgery mean smaller incisions and less pain in the shoulder joint following surgery. It is generally performed as an outpatient procedure. You arrive in the morning, have the surgery, and you are home the same day.
Orthopaedic Surgerywith Dr. Gregory Bauer
Dr. Bauer is an orthopaedic surgeon with a special interest in shoulder disorders. He has presented research at national and international meetings on shoulder replacements and treatment of adhesive capsulitis, commonly known as frozen shoulder, and is an instructor on complex surgical techniques.
with Wayne Memorial Hospital is your premier resource for health education and the most up-to-date information you need to stay healthy. From a weekly radio show to
award-winning publications, women’s events, and more, the physicians and health care experts at Wayne Memorial Hospital want you to know your health and how to improve it.
LiveWell at waynehealth.org!
Got Questions? Email us at [email protected]
HEALTH COLUMN
Why is a specialized Wound Care Center necessary to Wayne County? — Cindy S., Goldsboro
There is a growing incidence of severe grade diabetic wounds in our region. Obesity is a major contributor to type 2 diabetes and, sadly, North Carolina ranks among the worst states in the country for obesity. We believe that a hospital-based center of excellence in advanced wound care maintains the best quality patient care while limiting capital expenditures. Providing superior, advanced wound healing care and management through a specialized facility better serves our community’s needs. The Wound Care Center at Wayne Memorial Hospital has consistently achieved high treatment success rates that result in the dramatic increase in patient quality of life and signifi cant cost savings to our healthcare system.
What exactly is a non-healing wound and how is it treated? — Joseph W., Johnston
If a wound has failed to heal after 30 days, it is considered a non-healing wound. The treatment can vary from the application of special wound healing agents to surgical intervention that facilitates healing. The Wound Care Center at Wayne Memorial Hospital offers the benefi t of Hyperbaric Oxygen Therapy (HBOT), which is considered an advanced technique in wound healing. The Hyperbaric chamber provides 100 percent oxygen to the wound in a pressurized environment. Often a primary treatment, HBOT improves circulation and encourages new tissue growth, which helps speed recovery.
� e Wound Care Center with Jennifer Wilder
Jennifer Wilder is Program Director of the Wound Care Center at Wayne Memorial Hospital. A Goldsboro native and second generation medical professional, Jennifer has an MBA with a concentration in healthcare management from East Carolina University.
with Wayne Memorial Hospital is your premier resource for health education and the most up-to-date information you need to stay healthy. From a weekly radio show to
award-winning publications, women’s events, and more, the physicians and health care experts at Wayne Memorial Hospital want you to know your health and how to improve it.
LiveWell at waynehealth.org!
Got Questions? Email us at [email protected]