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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Henry Ford women’s Health Services HenryFord.com/WomensHealth seasons fall 2010 Listen Closely to Stop a Quiet Killer We’ve all experienced these common complaints: nausea, constipation, feeling bloated. Did you know they can be signs of ovarian cancer? Ovarian cancer is sometimes called the disease that whispers because women often do not recognize symptoms until the disease is at an advanced stage. What’s more, these symptoms are vague and can be associated with other problems, so cancer may not be suspected right away. But pay attention to your body. If you notice these symptoms almost every day for more than a few weeks, see your doctor: • Feeling bloated • Nausea • Diarrhea or constipation • Urinating often • Loss of appetite • Unexplained weight gain or loss • Abnormal vaginal bleeding The causes of most ovarian cancers are not known. However, experts do know a woman may be at higher risk for the disease if she: • Is older than age 50 • Has a personal or family history of breast or colon cancer • Has never given birth About 10 percent of ovarian cancer cases are linked to genetic factors. Women who have a close female relative — mother, sister or daughter — who had ovarian cancer are at greater risk. So are women with mutations in either the BRCA1 or BRCA2 gene. These mutations, which are most common in Jewish women of Eastern European descent, also increase the risk for breast cancer. Talk with your doctor about your own ovarian cancer risk. You may want to undergo screening tests, genetic counseling or other preventive measures. September is Ovarian Cancer Awareness Month. To watch a video about the condition, go to HenryFord.com/ WomensHealth and click on “Gynecologic Cancer.” Thomas E. Buekers, M.D. Director, Gynecologic Oncology Henry Ford Health System more inside meet our New Experts Work Out, cheer up understanding Headaches

<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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