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Listen CLoseLy to stop a Quiet KiLLer - Henry Ford Health System

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<strong>Henry</strong> <strong>Ford</strong><br />

women’s <strong>Health</strong> Services<br />

<strong>Henry</strong><strong>Ford</strong>.com/Womens<strong>Health</strong><br />

seasons<br />

fall 2010<br />

<strong>Listen</strong> Closely <strong>to</strong> S<strong>to</strong>p a <strong>Quiet</strong> Killer<br />

We’ve all experienced these common complaints: nausea, constipation, feeling<br />

bloated. Did you know they can be signs of ovarian cancer?<br />

Ovarian cancer is sometimes called the disease that whispers because women<br />

often do not recognize symp<strong>to</strong>ms until the disease is at an advanced stage.<br />

What’s more, these symp<strong>to</strong>ms are vague and can be associated with other<br />

problems, so cancer may not be suspected right away.<br />

But pay attention <strong>to</strong> your body. If you notice these symp<strong>to</strong>ms almost<br />

every day for more than a few weeks, see your doc<strong>to</strong>r:<br />

• Feeling bloated<br />

• Nausea<br />

• Diarrhea or constipation<br />

• Urinating often<br />

• Loss of appetite<br />

• Unexplained weight gain or loss<br />

• Abnormal vaginal bleeding<br />

The causes of most ovarian cancers are not known. However,<br />

experts do know a woman may be at higher risk for the disease if she:<br />

• Is older than age 50<br />

• Has a personal or family his<strong>to</strong>ry of breast or colon cancer<br />

• Has never given birth<br />

About 10 percent of ovarian cancer cases are linked <strong>to</strong> genetic<br />

fac<strong>to</strong>rs. Women who have a close female relative — mother, sister or<br />

daughter — who had ovarian cancer are at greater risk. So are<br />

women with mutations in either the BRCA1 or BRCA2 gene. These<br />

mutations, which are most common in Jewish women of Eastern<br />

European descent, also increase the risk for breast cancer.<br />

Talk with your doc<strong>to</strong>r about your own ovarian cancer risk. You<br />

may want <strong>to</strong> undergo screening tests, genetic counseling or<br />

other preventive measures.<br />

September is Ovarian Cancer Awareness<br />

Month. To watch a video about the<br />

condition, go <strong>to</strong> <strong>Henry</strong><strong>Ford</strong>.com/<br />

Womens<strong>Health</strong> and click on<br />

“Gynecologic Cancer.”<br />

Thomas E. Buekers, M.D.<br />

Direc<strong>to</strong>r,<br />

Gynecologic Oncology<br />

<strong>Henry</strong> <strong>Ford</strong> <strong>Health</strong> <strong>System</strong><br />

more inside<br />

meet our New Experts<br />

Work Out, cheer up<br />

understanding<br />

Headaches


adNan Munkarah, M.D.<br />

Chairman,<br />

Women’s <strong>Health</strong> Services<br />

<strong>Henry</strong> <strong>Ford</strong> <strong>Health</strong> <strong>System</strong><br />

A New Vision for<br />

Women’s <strong>Health</strong><br />

Since before becoming chair of Women’s<br />

<strong>Health</strong> Services at <strong>Henry</strong> <strong>Ford</strong>, I have<br />

wanted <strong>to</strong> create a comprehensive<br />

women’s health program in which all the<br />

providers are interested and experienced<br />

in gender-specific medicine. While most<br />

people think of women’s health as just<br />

obstetrics and gynecology, our vision at<br />

HFHS is much broader. We want <strong>to</strong><br />

address all the health and medical needs<br />

of a woman with sensitivity and<br />

expertise.<br />

This vision is beginning <strong>to</strong> become a<br />

reality. In May of this year, we offered a<br />

full-day educational symposium for<br />

primary care providers. Participants<br />

heard speakers from many clinical<br />

specialties discuss gender-specific<br />

research, women-specific care guidelines<br />

and new treatment strategies.<br />

In Oc<strong>to</strong>ber, we will kick off the next<br />

phase of our vision by reaching out <strong>to</strong> the<br />

community. We will be hosting the 2010<br />

<strong>Health</strong>y Intuitions Expo at <strong>Henry</strong> <strong>Ford</strong><br />

West Bloomfield Hospital. We want it <strong>to</strong><br />

be a fun day where women from the<br />

community can wander on Main Street<br />

and enjoy a variety of activities, including<br />

health exhibits and demonstrations, “Ask<br />

the Doc<strong>to</strong>r,” health screenings and a<br />

farmers market. We will also offer short<br />

interactive lectures on <strong>to</strong>pics such as<br />

caregiver support, weight loss, heart<br />

disease, emotional health and more.<br />

I hope you will join us on Oc<strong>to</strong>ber 2.<br />

I promise you will have an enjoyable<br />

day. Go <strong>to</strong> <strong>Henry</strong><strong>Ford</strong>.com/<br />

<strong>Health</strong>yIntuitions <strong>to</strong> register or<br />

learn more.<br />

Yours in good health,<br />

New Experts Care<br />

for Women of All Ages<br />

<strong>Henry</strong> <strong>Ford</strong> Women’s <strong>Health</strong> Services is<br />

growing <strong>to</strong> meet your needs. The<br />

following providers recently joined our<br />

team, offering care in a range of advanced<br />

specialties.<br />

Thomas E. Buekers, M.D.<br />

Direc<strong>to</strong>r, Gynecologic Oncology<br />

Dr. Buekers completed his<br />

residency at William<br />

Beaumont Hospital and his<br />

fellowship in gynecologic oncology at the<br />

University of Iowa Hospitals and Clinics,<br />

where he went on <strong>to</strong> become direc<strong>to</strong>r of<br />

the gynecologic oncology program.<br />

Nabila Rasool, M.D.<br />

Gynecologic Oncologist<br />

Dr. Rasool comes <strong>to</strong><br />

<strong>Henry</strong> <strong>Ford</strong> from Cleveland<br />

Clinic, where she completed<br />

her fellowship in gynecologic oncology.<br />

She is a graduate of the University of<br />

Michigan Medical School, where she<br />

did her residency in obstetrics and<br />

gynecology. Dr. Rasool will join the<br />

division of gynecologic oncology in<br />

Oc<strong>to</strong>ber.<br />

Ali Luck, M.D.<br />

Urogynecologist<br />

Dr. Luck is a graduate of<br />

the University of Iowa. She<br />

completed her obstetrics and<br />

gynecology residency at Mountain Area<br />

<strong>Health</strong> in North Carolina, and her<br />

fellowship in female pelvic medicine<br />

and reconstructive surgery at St. Louis<br />

University of Medicine. Dr. Luck will<br />

accept new patients at <strong>Henry</strong> <strong>Ford</strong> West<br />

Bloomfield Hospital.<br />

Gregory Goyert, M.D.<br />

Direc<strong>to</strong>r, Maternal-Fetal<br />

Medicine (High-Risk<br />

Pregnancy)<br />

A graduate of the University<br />

of Michigan, Dr. Goyert completed his<br />

residency in obstetrics and gynecology<br />

and his fellowship in maternal-fetal<br />

medicine at Wayne State University. He<br />

will accept new patients at <strong>Henry</strong> <strong>Ford</strong><br />

Medical Center – New Center One and<br />

<strong>Henry</strong> <strong>Ford</strong> Medical Center – Fairlane.<br />

To make an appointment with<br />

one of these experts — or<br />

any provider at <strong>Henry</strong> <strong>Ford</strong><br />

<strong>Health</strong> <strong>System</strong> — please call<br />

1-800-HENRYFORD<br />

(436-7936). You can also<br />

schedule your appointment<br />

on our website. Just visit<br />

<strong>Henry</strong><strong>Ford</strong>.com and select<br />

“Doc<strong>to</strong>r Appointments.”<br />

2 Seasons Fall 2010


Boost Your Mood<br />

with Exercise<br />

Women looking for a lift may want <strong>to</strong><br />

head <strong>to</strong> the gym. Regular exercise may<br />

improve mood, control stress, increase<br />

energy, relieve tension, boost selfesteem<br />

and alleviate PMS, studies show.<br />

Even severe depression and anxiety<br />

disorders respond positively <strong>to</strong> physical<br />

activity.<br />

Aerobic activities help increase blood<br />

flow throughout the body. This noticeably<br />

increases mental sharpness, thinking ability<br />

and stamina. In turn, we worry less, sleep<br />

and perform better, and have higher<br />

self-esteem.<br />

How Does It Work?<br />

One theory is that physical activity<br />

positively affects endorphins, brain<br />

chemicals that regulate mood and<br />

emotions. Others say vigorous activity<br />

helps the body rid itself of hormones<br />

created by stress. A third theory:<br />

Workouts improve feelings of selfworth.<br />

The explanation is likely a<br />

combination of these theories.<br />

In addition <strong>to</strong> boosting mood, exercise<br />

strengthens your heart, lungs and muscles<br />

and helps prevent osteoporosis. It improves<br />

Do you pinky swear?<br />

<strong>Henry</strong><strong>Ford</strong>.com/Womens<strong>Health</strong><br />

bowel function, which can help prevent<br />

colon cancer. And, it can make your<br />

immune system stronger.<br />

Which Exercise Is Best?<br />

The mood-boosting effects of aerobic<br />

exercise, such as jogging or walking, are<br />

well established. However, nonaerobic<br />

exercises, such as weight training or<br />

gardening, may be just as effective.<br />

Exercises designed <strong>to</strong> encourage<br />

relaxation like yoga or tai chi are also<br />

great mood boosters.<br />

Good news: Women may see mental<br />

health benefits as soon as they start. So,<br />

start increasing your physical activity <strong>to</strong>day.<br />

Every little bit helps.<br />

National Women’s <strong>Health</strong> and Fitness Day<br />

is September 29. Boost your mood <strong>to</strong> get<br />

rid of mental stress. To determine your<br />

stress levels, go <strong>to</strong> <strong>Henry</strong><strong>Ford</strong>.com/<br />

Behavioral<strong>Health</strong> <strong>to</strong> take a quiz.<br />

Philis Mims-Gillum, M.D.<br />

Obstetrician/Gynecologist<br />

<strong>Henry</strong> <strong>Ford</strong> Medical Center –<br />

Detroit Northwest<br />

This Oc<strong>to</strong>ber, celebrate Breast<br />

Cancer Awareness Month by<br />

asking your friends <strong>to</strong> join you<br />

in making a promise <strong>to</strong> commit<br />

<strong>to</strong> regular mammogram<br />

screenings and promote breast<br />

cancer awareness. Use the<br />

<strong>Henry</strong> <strong>Ford</strong> Pinky Swear<br />

application on Facebook <strong>to</strong> send<br />

“Pinky Swear” requests <strong>to</strong><br />

friends and family, asking them<br />

<strong>to</strong> join you in your commitment.<br />

You can find Pinky Swear<br />

online at Facebook.com/<br />

<strong>Henry</strong><strong>Ford</strong>PinkySwear.<br />

Pear Crisp<br />

INGREDIENTS:<br />

Nonstick cooking spray<br />

6 cups pear, cored and cubed<br />

3 tablespoons all-purpose flour,<br />

divided<br />

2 tablespoons honey<br />

1 tablespoon lemon juice<br />

⅓ cup old-fashioned rolled oats<br />

¼ cup packed brown sugar<br />

½ teaspoon ground cinnamon<br />

¼ teaspoon ground ginger<br />

1 tablespoon trans fat–free<br />

margarine<br />

½ cup reduced-fat whipped <strong>to</strong>pping<br />

(such as Cool Whip Lite)<br />

DIRECTIONS:<br />

Preheat oven <strong>to</strong> 350 degrees. Spray a<br />

10-inch round oven-safe baking dish<br />

with nonstick cooking spray. In a<br />

large bowl, combine pears and 1<br />

tablespoon flour and gently <strong>to</strong>ss <strong>to</strong><br />

coat pears. In a small bowl, combine<br />

the honey and lemon juice; pour<br />

over pears and gently stir until pears<br />

are coated. Place pears in the<br />

prepared baking dish. In a large<br />

bowl, combine the oats, brown sugar,<br />

2 tablespoons flour, cinnamon and<br />

ginger; <strong>to</strong>ss <strong>to</strong> combine. Using a<br />

pastry cutter or fork, cut in the<br />

margarine until the mixture becomes<br />

crumbly. Top the pears with the<br />

crumb mixture. Bake for 40 <strong>to</strong> 45<br />

minutes or until the pear mixture<br />

bubbles and the crumb <strong>to</strong>pping is<br />

golden brown.<br />

YIELD: 8 servings (1/2 cup crisp and<br />

2 tablespoons of whipped <strong>to</strong>pping)<br />

Each serving contains 173 calories, 3 g fat, 1 g<br />

saturated fat, 0 mg trans fat, 0 mg cholesterol,<br />

2 g protein, 23 mg sodium, 38 g carbohydrate,<br />

5 g fiber and 22 mg calcium.<br />

www.<strong>Henry</strong><strong>Ford</strong>.com 3


seasons<br />

Nancy Schlichting<br />

President and CEO, <strong>Henry</strong> <strong>Ford</strong> <strong>Health</strong> <strong>System</strong><br />

Adnan Munkarah, M.D.<br />

Chairman, Women’s <strong>Health</strong> Services<br />

One <strong>Ford</strong> Place<br />

Detroit, MI 48202<br />

Postmaster: Please deliver between September 13 and 17.<br />

Nonprofit Org<br />

U.S. Postage<br />

PAID<br />

<strong>Henry</strong> <strong>Ford</strong><br />

<strong>Health</strong> <strong>System</strong><br />

Melissa Sampey<br />

Edi<strong>to</strong>r<br />

Julie Goldstein-Dunn<br />

Edi<strong>to</strong>r<br />

Seasons is published by <strong>Henry</strong> <strong>Ford</strong> <strong>Health</strong> <strong>System</strong>. The<br />

information is intended <strong>to</strong> inform and educate about subjects<br />

pertinent <strong>to</strong> health and should not be a substitute for consultation<br />

with a personal doc<strong>to</strong>r. © 2010. Printed in the U.S.A.<br />

2010 <strong>Health</strong>y<br />

Intuitions Expo<br />

A Day for Women at<br />

<strong>Henry</strong> <strong>Ford</strong><br />

West Bloomfield Hospital<br />

Saturday, Oct. 2,<br />

8 a.m. <strong>to</strong> 3 p.m.<br />

Join us for a FREE day of special<br />

events, break-out sessions, vendor<br />

tables, a farmers market, health<br />

screenings — and more!<br />

Learn about women’s health <strong>to</strong>pics,<br />

meet our staff and take<br />

part in fun activities.<br />

A complimentary lunch will be<br />

provided with your registration.<br />

To register, visit <strong>Henry</strong><strong>Ford</strong>.com/<br />

<strong>Health</strong>yIntuitions or call<br />

1-800-HENRYFORD (436-7936).<br />

fall events<br />

<strong>Henry</strong> <strong>Ford</strong> has designed FREE<br />

seminars with real answers — just<br />

for you. Our sessions are offered<br />

throughout Metro Detroit and<br />

focus on health <strong>to</strong>pics that affect<br />

women of all ages. Space is limited,<br />

so reserve your spot <strong>to</strong>day. Just go <strong>to</strong><br />

<strong>Henry</strong><strong>Ford</strong>.com/HotTopics.<br />

If you suffer from chronic headaches,<br />

take a look at your routine and see if you<br />

notice any habits that may be <strong>to</strong> blame.<br />

Stress, caffeine and overuse of pain<br />

medication can all lead <strong>to</strong> headaches.<br />

You can keep a clear head by following<br />

some basic rules:<br />

• Eat at the same times every day, and<br />

don’t miss meals.<br />

• Wake up and go <strong>to</strong> bed at the same<br />

times every day. Aim for six <strong>to</strong> eight hours<br />

of sleep nightly.<br />

• Exercise regularly.<br />

• Try not <strong>to</strong> take pain relievers more<br />

than twice a week, unless your doc<strong>to</strong>r<br />

advises otherwise.<br />

• Find ways <strong>to</strong> reduce your stress level.<br />

Relaxation techniques, such as meditation<br />

or yoga, may help.<br />

Hormones and Migraines<br />

Migraines — which cause intense,<br />

throbbing pain and a queasy s<strong>to</strong>mach or<br />

Heading<br />

Off<br />

Headache<br />

Pain<br />

vomiting — are especially common in<br />

women. They are often due <strong>to</strong> falling<br />

estrogen levels right before the start of a<br />

woman’s period.<br />

If you tend <strong>to</strong> get migraines a few days<br />

before, during or after your period, your<br />

migraines may be triggered by hormones.<br />

Unlike other migraines, hormone-related<br />

headaches usually don’t cause disturbed<br />

vision, or auras.<br />

Taking an over-the-counter pain<br />

reliever such as aspirin or acetaminophen<br />

can lift mild <strong>to</strong> moderate migraine pain.<br />

But if this doesn’t help, talk with your<br />

doc<strong>to</strong>r. Together, you can find the best<br />

way <strong>to</strong> treat — and prevent — your<br />

headaches.<br />

Dace Zvirbulis, M.D.<br />

Neurologist<br />

<strong>Henry</strong> <strong>Ford</strong><br />

West Bloomfield Hospital<br />

10182m detroit

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