I have been fielding a lot of questions from my patients about Zika virus and have been working with the Maven app for women to answer Zika concerns. I thought it would be helpful to post some excellent websites that cover all you need to know about Zika. I am also available on the Maven App for brief video consults with me about Zika or any other women's health concerns. Use code ZIKAANSWERS for a free appointment ( good until midnight tonight).
ACOG - ZIKA information for women
CDC- ZIKA updates
To get the Maven App for iPhone or iPad :
Just wanted to share this very inspiring blog post. Joanna is a wonderful massage therapist working here in Chappaqua and a breast cancer survivor as well. She dedicates time helping other women tackle the side effects of breast cancer treatment through massage. I stumbled upon this blog post about her and think it is a great read for anyone touched by cancer. I highly recommend Joanna for any massage therapy needs. Check it out here:
I often advise my patients, especially my young woman and teenagers to track their cycles with a period tracker app. Clue and Pink Pad Pro are two I like, but there are many out there. Not only can you track your cycle, but you can note when it is very heavy or painful, if you are getting headaches, PMS, irregular bleeding or any other symptoms that you might want to talk to your doctor about. Then when you see your physician, instead of guessing and trying to remember your symptoms, you can just pull out your phone! Many of these apps will also send you a reminder alert to take your birth control pills, or other medications. It can also be great for perimenopausal women who want to track their cycles as well as some of their menopause symptoms. The have been getting lots of buzz lately , check out this article from the NY Times today:
Too busy to get to the office? Grab your tablet or phone and find me on Maven, the first digital health clinic for women!
I am happy to be working with Maven, the first digital health clinic for women. Too busy to get the office? Live too far away to come in for an appointment? For the cost of a typical office co-pay, you can see me for a brief consultation using the Maven App on your phone. While this does not replace a office visit and physical exam, many simple issues can be dealt with using tele-health. This is a rapidly growing area in medical care, and I am proud to be a founding practitioner with Maven. Some things that can be easily addressed via tele-health appointments:
General medical questions ( because google is NOT a reliable source for burning questions!), advice about birth control options, simple UTI's, and brief follow up appointments that don't require a physical exam. Have some concerns about a medication? Want to ask that question you didn't feel comfortable asking your doctor at your last physical? Confused about birth control or hormone therapy? Have a question about sexual health that was not addressed well by your doctor? Maven is perfect for all these things. Maven also has many other practitioners, from nurse practitioners, midwives, pediatricians, psychologists, nutritionists,physical therapists and doulas. Get the Maven app now at www.mavenclinic.com . Please note, if you don't see availability for me on the app, just send a message via the contact form, and I will open up a time for you!
After Angelina Jolie's latest health news hit the headlines, the Young Survival Coalition interviewed me about my experiences as a young breast cancer survivor. Read the interview here
Glad to see that Angelina Jolie is publicly talking about her choice to have her ovaries removed to prevent ovarian cancer. She brings to light the important issues facing BRCA positive patients- including choices about surgery and its effect including premature menopause. I love that she says "health choices are a part of life, not to be feared". I think it is really important for patients to not be afraid to talk about their options and have all the medical information about their cancer risks. Check out the article here:
Results from a recent study support the idea that if hormone replacement therapy is given near the time that a woman enters menopause, that there is NOT an increase risk of cardiovascular risk. This data should reassure women that low dose, preferably trans-dermal menopausal hormone therapy is safe, effective and can help improve symptoms. Menopausal hormone therapy needs to individualized for each patient after a review of the patient's medical and family history, current health status and menopause symptoms. There is no one "correct" way to treat menopausal symptoms and I encourage women to consider their full range of options, from lifestyle and diet, over the counter supplements , to hormone replacement. There are many great options, and the bottom line is that you should not suffer with menopausal symptoms.
From the KEEP study-
KEEPS hormone therapy trial in newly menopausal women (September 2014)
The Women's Health Initiative (WHI), a set of menopausal hormone therapy (MHT) trials in older postmenopausal women (average age 63 years) reported an excess risk of coronary heart disease (CHD) with MHT. Emerging data, including secondary analyses from the WHI, now suggest that use of MHT in the early menopausal years is not associated with excess CHD risk. The Kronos Early Estrogen Prevention Study (KEEPS) is the first randomized trial of MHT in younger menopausal women (727 women ages 45 to 54 years) . When combined with cyclical monthly oral progesterone, low dose oral conjugated estrogen (0.45 mg daily) or transdermal estradiol (50 mcg daily) for four years relieved menopausal symptoms. While several markers of cardiovascular risk improved in the MHT group, there was no significant effect on surrogate markers of atherosclerosis progression (coronary artery calcium and carotid intima-medial thickness) when compared to placebo. This trial provides additional reassurance that early use of MHT is safe for the treatment of menopausal symptoms, though it does not support a role for MHT in prevention.
It was a great day yesterday at the first ever Young Survivors Conference hosted by Breast Cancer Options and the Young Survival Coalition. I was honored to be a speaker. For those of you interested, please see a copy of my presentation below. I will post the video of the conference and the other speakers's presentations when they become available. Thank you Hope Nemiroff Breast Cancer Options for putting this together! For more information check out www.breastcanceroptions.org and www.youngsurvival.org
Please spread the word on this excellent free conference that I will be speaking at next weekend.
I will be doing a Women's Wellness presentation with two fantastic female health care colleagues on the topic of managing Peri-Menopause on Dec. 5th at 7 pm at the Pleasantville Library. Stephanie Schwartz, RD,MS,CDN, of Nutritionally Yours, has a wealth of experience in menopause, women's health and cancer prevention. Susan Riordan, MSPT, ATC is women's health physical therapist with expertise in dealing with pelvic floor dysfunction, urinary incontinence and other issues pertinent to women transitioning to menopause. This will be an informal talk open to all women in their late interested in learning about peri- menopause. Topics covered will be hormone changes, the stress-hormone connection, managing menstrual dysfunction and symptoms, overview of traditional and alternative therapies for menopause, including nutrition, exercise and stress management. Email email@example.com to RSVP or for more information. See flyer below !