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