Posted on: September 16, 2013
by Dr. Harlan Weinberg, Medical Director of Pulmonary and Critical Care Medicine at NWH
Medical knowledge and information management is crucial to the delivery of health care.
“But nothing has changed clinical practice more fundamentally than one recent innovation: the Internet…Falsehoods are easily and rapidly propagated on the Internet: once you land on a site that asserts a false rumor as truth, hyperlinks direct you to further sites that reinforce the falsehood…1
As physicians, we are struggling to figure out how best to use this technology in the interests of our patients and ourselves. Although the Internet is reshaping the content of the conversation between doctor and patient, we believe the core relationship should not change…Physicians are in the best position to weigh information and advise patients, drawing on their understanding of available evidence as well as their training and experience.” (NEJM 2010; 362:1063-66; Untangling the Web — Patients, Doctors and the Internet; P. Hartzband, MD et al).
So, let’s look at some helpful suggestions that will unburden our medical internet searches:
Posted on: September 16, 2013
Whooping Cough: Are You Vaccinated?
by Dr. Navid Mootabar, Chief of Obstetrics and Gynecology at Northern Westchester Hospital. & Dr. Peter Richel, Chief of Pediatrics, Northern Westchester Hospital
Pertussis — more commonly known as whooping cough — might seem like an outdated concern. However, cases have been on the rise, according to the Centers for Disease Control and Prevention. The thought had been that there was lifelong immunity from the vaccine. Unfortunately, that’s not true. Immunity lasts about five to ten years. In 2010 there were 27,550 cases of pertussis in the United States, and 3,350 were in infants less than six months of age; the infection was fatal for 25 of those infants. That’s why the CDC now recommends that all pregnant women be immunized.
Posted on: August 19, 2013
by Amy Rosenfeld, MS, RD, CDN, Northern Westchester Hospital
Is everyone you know going gluten-free? While a gluten-free diet is trendy, it is less appropriate for weight loss but crucial in the treatment of celiac disease.
A protein found in wheat, rye, barley and most oats (although there are some certified gluten-free oat products), gluten is the base of bread products and works as an emulsifier and thickener in packaged foods. In healthy individuals, gluten is perfectly healthy. For celiac patients, however, gluten damages the small intestines, causing inflammation and malabsorption of nutrients. Over time, nutrient deficiencies and conditions can develop, including osteoporosis or poor growth in children.
Posted on: August 15, 2013
Sensitive to Gluten or Suffering from Celiac Disease?
by Dr. Elie Abemayor MD, Chief of Gastroenterology, Northern Westchester Hospital.
Just 10 years ago, Americans with celiac (SEE-lee-ak) disease had a tough time getting a diagnosis. Doctors thought that the autoimmune digestive disorder was extremely rare in this country. However, recent studies suggest that at least 1 percent of the US population—about 3.5 million—may have this genetic condition, which causes symptoms like bloating, abdominal pain, and diarrhea and can lead to malnutrition and thinning bones. Even worse: Up to 83 percent of them don’t realize they have it, according to statistics from the National Foundation for Celiac Awareness. People used to think that celiac disease was primarily a problem in Northern Europe, now we know that we’re pretty much comparable.
Posted on: July 22, 2013
The Aesthetic Side of Treating Cancer
By Dr. Michael Rosenberg, Director of the Institute for Aesthetic Surgery and Medicine, Vice-President for Physician Surgical Services and Associate Medical Director at Northern Westchester Hospital
With a diagnosis of cancer, all most people can think is, “Please cure it quick.” Thankfully, cancer treatment has come a long way; through advanced surgery, radiation, and chemotherapy techniques, more and more patients are surviving this dreaded disease. But there’s a lot more to surviving cancer than treatment. We’re starting to see treatment as just the first step.