Archive for the ‘Doctor Is In’ Category

DOCTOR IS IN: Keep kids safe during radiation procedures

By Kimberly Applegate, M.D., M.S., F.A.C.R.

Children’s Healthcare of Atlanta radiologist and Vice Chair of Quality and Safety, Department of Radiology, Emory University School of Medicine.

kimberly applegate
When faced with the need for medical imaging tests in their children, many parents are afraid as they may not understand the technology or the reasons why a test is being performed. Parents also do not often understand the risks and benefits for their child. The diagnostic radiologist is a physician imaging expert. Most radiologists receive 13 years of extensive training (medical school, residency, subspecialty). Radiologists often also endure additional training in how to perform and interpret imaging in children safety.

Pediatric radiologists are careful with the risks that tests pose for children. One particularly important risk is from ionizing radiation. Pediatric radiology facilities use low radiation dosages that are tailored for the size of each child to minimize the radiation …

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DOCTOR IS IN: Domestic violence — stopping abuse and bringing awareness

BY MELISSA KOTTKE, MD, MPH

Assistant Professor in the Department of Gynecology and Obstetrics at Emory University School of Medicine, Director of the Jane Fonda Center for Adolescent Reproductive Health, Practicing OBGYN at Emory University Hospital Midtown.

KottkeOne in four women will experience some kind of domestic violence during her lifetime. Each year, intimate partner violence results in an estimated 2 million injuries and 1,200 deaths among women. These statistics may be shocking, but sadly, they are very real.

October is Domestic Violence Awareness Month. This is a month to focus on ending the violence that affects so many lives and to increase awareness that there is help for those suffering. It is a time to remember those who have lost their lives because of an abusive relationship. And it is also a time to work towards the prevention of intimate partner violence.

Intimate partner violence can affect anyone, regardless of age, race, sexual preference, economic background …

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DOCTOR IS IN: Know your child’s medicine

BY GARY FRANK, M.D.

Medical Director, Quality and Medical Management, Children’s Healthcare of Atlanta

G_FrankDrug reactions in children may be more common than you think. A recent study published in the journal Pediatrics revealed that more than half a million U.S. children see a doctor each year after experiencing a reaction to a medicine. While some of these reactions are severe enough to require medical treatment and hospitalization, the most common types of reactions are rashes and stomach upset. The study also showed that antibiotics are the most common type of medicine to cause a reaction resulting in a doctor visit.

Allergic reactions

If your child has known allergies it is especially important to read the label or ask your pharmacist about the medicine’s ingredients.

Allergic reactions can be serious, even life threatening. Call 911 or go to the nearest emergency department right away if your child shows any of these signs:

  • Hives
  • Swelling of the mouth, eyes or …

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DOCTOR IS IN: Understanding risks and symptoms in ovarian cancer

BY SHARMILA MAKHIJA, MD

Georgia Cancer Coalition Distinguished Cancer Scholar and Associate Professor, Department of Gynecology and Obstetrics, Emory University School of Medicine, and Director of Gynecologic Oncology for Emory Healthcare and Emory Winship Cancer Institute

S-MarkhijaOvarian cancer may not be the most common cancer in women, but it may be the most feared by women. Each year in the United States, about 21,550 women are diagnosed with ovarian cancer. It is the eighth most common cancer among women, and one for which there is no known cause. The estimate for new cases of ovarian cancer in the United States in 2009 is 21,550 and estimated deaths are14,600, according to the American Cancer Society.

Ovarian cancer forms in tissues of the ovary (one of a pair of female reproductive glands in which the ova, or eggs, are formed). Most ovarian cancers are either ovarian epithelial carcinomas (cancer that begins in the cells on the surface of the ovary) or malignant germ cell …

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DOCTOR IS IN: All sports and energy drinks are not created equal

BY ROSHNI PATEL, M.D.

Associate Medical Director of Urgent Care Services at Children’s Healthcare of Atlanta at Egleston and Hughes Spalding.  She is also the Assistant Professor of Pediatrics at Emory University School of Medicine within the Division of Pediatric Emergency Medicine.

patelDoes it feel like you can’t go anywhere without hearing about the latest fad in sports or energy drinks? Some claim to give you more energy throughout the day, lose weight or even prepare you to train for the Olympics.

Several of these types of beverages are strategically marketed toward youth as well, promising extra nutrition, concentration, energy and performance enhancers, to name a few.

But, after glancing over the fancy packaging, you learn that most contain large amounts of sugar, caffeine or ingredients that are not regulated by the Food and Drug Administration (FDA).

Some of these ingredients include:

Guarana—a source of caffeine thought to aid in weight loss

Taurine—an amino …

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DOCTOR IS IN: Nation moves quickly toward H1N1 vaccine

BY SRILATHA EDUPUGANTI, MD, MPH

Assistant professor of medicine in the Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine; Medical director of the Hope Clinic of the Emory Vaccine Center; investigator in the adult H1N1 influenza clinical trials.

With the arrival of fall, and schools and colleges well under way, Georgia already has seen a substantial number of cases of novel H1N1 flu. Although it appears that most cases have been mild, there have been more serious cases, just as there are every year with seasonal flu.

Doctors in the region have noted serious illness not only among individuals with underlying medical conditions but also among young, previously healthy individuals.

The U.S. government declared the H1N1 outbreak a public health emergency in April 2009, and two months later the World Health Organization classified the outbreak a pandemic, reflecting its widespread nature. To minimize the impact of H1N1 flu in our …

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DOCTOR IS IN: Common injuries in young lacrosse players

BY DAVID MARSHALL, M.D.

Medical Director, Sports Medicine Program, Children’s Healthcare of Atlanta and Clinical Assistant Professor, Emory University School of Medicine

DavidMarshallAlmost 300,000 children play lacrosse, making it one of the fastest-growing sports in the U.S. While both boys and girls participate in the sport, the style of play for each gender is different.

Overall, participation in lacrosse is safe and the injury rate among young athletes is actually very low. Because of rules differences for the boys and girls games, some injury patterns in male and female players differ as well.

In the boys game, body checking is allowed. Male lacrosse players wear protective equipment—helmets, facemasks, mouthguards, padded gloves and pads on their shoulders, ribs, arms and elbows.  The goalkeeper is also required to wear a throat protector and chest protector.

Conversely, female lacrosse players wear only mouthguards and eye goggles, as body checking is not allowed. Goaltenders …

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DOCTOR IS IN: Controlling your cholesterol

BY CHERYL WILLIAMS, RD, LD

Clinical Nutritionist, Emory Heart & Vascular Center, Emory HeartWise Cardiac Risk Reduction Program

If you’re a healthy weight and exercise regularly, you probably don’t think you need to worry about your cholesterol, right? Wrong.

Cheryl-Williams_EMORYWhile it is a fact that diet and exercise play crucial roles in controlling cholesterol, eating too many fatty foods – especially those high in saturated fat and trans fat – is the primary cause of high cholesterol. Thin, active people may not be aware of how much bad fat they consume.

Saturated fats are derived primarily from animal products and are known to raise cholesterol levels. They are found in common foods like butter, cheese, whole milk, pork and red meat. Lower-fat versions of these foods usually contain saturated fats, but typically in smaller quantities than the regular versions. Certain plant oils, like palm and coconut oils, are another source of saturated fats. You may not use these oils when you …

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DOCTOR IS IN: When flu is, and isn’t, an emergency

BY JIM FORTENBERRY, M.D.

Pediatrician-in-Chief, Children’s Healthcare of Atlanta

The first thing on many parents’ minds right now is how to protect their children from the flu. And, time after time, parents bring children with flu symptoms to the emergency room when it’s not an emergency.

While H1N1 flu is a new strain, at present it is acting just like a mild-to-moderate case of the flu with the same type of outcomes as seasonal influenza.

Parents should take away that H1N1 title and name, and think of this as the flu. Think of it this way: “If this was the regular flu, would I be going to the emergency room?”

The symptoms of H1N1 flu in people are similar to the symptoms of seasonal flu and include fever, lethargy, lack of appetite and coughing. Some people with H1N1 flu also have reported runny nose, sore throat, nausea, vomiting and diarrhea.

The great majority of children don’t have a level of illness that needs medication or requires hospitalization, and can …

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DOCTOR IS IN: Electronic Medical Records bring slow but substantial change

BY MARK WULKAN, M.D.

Surgical Director, Pediatric Intensive Care Unit and Director, Minimally Invasive Surgery Center, and Medical Director of Informatics, Children’s Healthcare of Atlanta; and Associate Professor of Surgery and Associate Professor of Pediatrics, Emory University School of Medicine

The electronic medical record (EMR) is slowly transforming the way doctors, nurses, and other health care providers deliver patient care. Patients financial records have been electronic for decades; however, clinical data (the information entered by doctors, nurses, and other health care professionals) has been lagging. Processes for capturing lab and radiology results, history and physical details, operative reports, discharge summaries and other critical data have been very basic; paper charts remain the primary means of documentation and communication among the health care team.

Today, some hospitals are creating comprehensive EMRs for their patients that include the …

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