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Coastal Health A publication from
SouthCoast Medical Group 7044 Hodgson Memorial Drive Savannah, Georgia 31406 912-303-3552 912-303-3506 (fax) Services: Allergy and Immunology Cardiology Eye Care Family Medicine General Surgery and Surgical Oncology Imaging Center Infectious Disease Internal Medicine Laboratory Services Nephrology Neurology Ob/Gyn Pediatrics Physical Therapy Pulmonology Sleep Medicine Travel Medicine Weekend Care
SouthCoast Medical Group is pleased to provide you with this issue of Coastal Health, a magazine created for patients of SouthCoast Medical Group (SCMG) and residents of the coastal region. As each issue of Coastal Health will demonstrate, SCMG has a host of services and locations to oﬀer. We are continuing to grow and to provide our region with compassionate, quality, cost-conscious healthcare. As you read through Coastal Health, we hope you learn something new about your health, our community, and the physicians and staﬀ who are dedicated to caring for our patients. In this issue, our lead story highlights our newest department, OB/GYN Associates of Savannah. We are privileged to have a group of this caliber to join our mission to oﬀer exceptional healthcare. You will also hear from our Neurologist, Victor W. Rosenfeld, MD, as he explains ﬁbromyalgia. Our physician spotlight in this issue introduces you to Kathryn J. Hull, MD. We appreciate your conﬁdence in SouthCoast Medical Group, and we look forward to serving your health care needs. We understand you have many choices, and we aim to exceed your expectations. Sincerely, Robert P. Jones, MD President
In this issue Department spotlight
SouthCoast Medical Group Welcomes OB/GYN Associates of Savannah The Benefits of Vertical Integration . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 Feature
What is Fibromyalgia? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8 Tips To Help You Sleep . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12 Physicians and locations
Meet SouthCoast Medical Group’s Physicians . . . . . . . . . . . . . . . .14 Health Myths about Women . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16 Physician spotlight
Getting to know … Kathryn J. Hull, MD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18
Coastal Health is published by Oser-Bentley Custom Publishers, LLC, a division of Oser Communications Group, Inc., 1877 N. Kolb Road, Tucson, AZ 85715. Phone (520) 721-1300, fax (520) 7216300, www.oser.com. Oser-Bentley Custom Publishers, LLC specializes in creating and publishing custom magazines. Editorial comments: Karrie Welborn, email@example.com. Please call or fax for a new subscription, change of address, or single copy. This publication may not be reproduced in part or in whole without the express written permission of Oser-Bentley Custom Publishers, LLC. To advertise in an upcoming issue of this publication, please contact us at (520) 721-1300 or visit us on the Web at www.oser-bentley.com. January 2011 Coastal Health 3
Physicians of OB/GYN Associates of Savannah. Standing: Melissa L. Cobbs, MD; H. Elizabeth McIntosh, MD; Glen Scarbrough, MD; Kathryn J. Hull, MD Seated: Jules Toraya, MD; Melanie B. Helmken, MD. 4 Coastal Health
SouthCoast Medical Group Welcomes
OB/GYN Associates of Savannah The Benefits of Vertical Integration By Karrie Welborn
Like a wheel with many spokes gathered around a steady hub, SouthCoast Medical Group (SCMG) is comprised of a variety of medical disciplines that allow physicians to have the best of private practice while centralizing administrative and business tasks. In 2010, one of the disciplines added to the organization was obstetrics and gynecology, through the inclusion of the long-established OB/GYN Associates of Savannah (OB/GYN Associates). Founded in 1995, this practice holds a stellar reputation in the community. With the addition of this group, the benefits are strong for all concerned—SCMG, OB/GYN Associates and most importantly, the patients. The physicians and staff at SCMG are pleased to welcome OB/GYN Associates into their medical family. Introducing OB/GYN Associates of Savannah From birthing babies to coping with menopause; from puberty into maturity, OB/GYN Associates cover all the health aspects in a woman’s life. Melanie Helmken, MD, one of the founders of OB/GYN Associates, noted that before 1995 the Ob/Gyn community of Savannah was comprised primarily of solo practitioners who, although willing to share call, were not really bonded as partners. Dr. Helmken began a private practice in
Savannah in 1993, and 18 months later, she and three other physicians decided to establish a joint practice. In addition to Dr. Helmken, the founding physicians were Jules Toraya, MD; Roger W. Scarbrough, Jr., MD; and Melissa L. Cobbs, MD. Dr. R. W. Scarbrough has since retired from the practice of medicine. However, prior to his retirement his son, Glen Scarbrough, MD, joined him in the practice. The practice also includes partner H. Elizabeth McIntosh, MD, and the newest member of the team, Kathryn J. Hull, MD. Why Ob/Gyn? Knowledge and technology in the world’s professional arenas have undergone many changes in the last century. Medicine is no exception. Electronic Medical Records (EMRs), NaviCare® WatchChild® Solution, which is a fetal and maternal monitoring system, surgical innovations, greater knowledge and ultra sophisticated testing options are just a few of those changes. The ﬁrm’s managing partner, Dr. Toraya, has been practicing medicine as an Ob/Gyn physician for 29 years and has seen wonderful new technologies come into practice over those three decades. From babies who might not have survived premature or diﬃcult births and who can now be delivered safely; to early detection of breast cancer through mammograms and other preventative measures, the
ﬁeld of obstetrics and gynecology is an ever-growing body of knowledge. Understanding menopause and helping women move through its challenges is also a part of the Ob/Gyn ﬁeld. Dr. Toraya said he was drawn to Ob/Gyn “not only because I wanted to bring babies into the world, but to treat the whole patient. Ob/Gyn is a positive way to do that.” An Ob/Gyn physician does far more than deliver babies. “We are often the only physician a woman sees,” said Dr. Helmken, “so we try to cover all of her needs.” She added that being able to follow one generation of women to another, is one of the most rewarding aspects of her practice. Besides the joy of helping birth babies, an Ob/Gyn physician takes care of the female body long before pregnancy and long after the childbearing years. This means care for the entire reproductive system, and indeed, being cognizant of the mental and emotional aspects physical challenges can cause. Ob/Gyn includes treating, sometimes surgically, a variety of ilnesses such as cancer and pre-cancerous conditions; incontinence; absent, painful or heavy menstruation; infertility, infections and postpartum distress. Not all women have babies. All women, though, need to care for the health of their body. An Ob/Gyn physician provides the guidance to do so. Coastal Health 5
Dr. Glen Scarbrough said, in sharing why he chose this field, “Medicine, and Ob/Gyn chose me. My parents were in healthcare and my father, Dr. R.W. Scarbrough, was an Ob/Gyn physician.” In fact, Dr. G. Scarbrough, a surgeon with a specialty in laparoscopy, came to OB/GYN Associates specifically to practice medicine with his father. Laparoscopy is a less invasive method of surgery. In Ob/Gyn, it is utilized for tubal ligations, ovarian cysts, endometriosis, urinary incontinence issues and in some cases, hysterectomies. All of the physicians at OB/GYN Associates believe in treating the whole
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person; it is an intrinsic facet of the practice. That belief, in conjunction with the respect and care the six physicians have for one another, is truly the heart of OB/GYN Associates of Savannah. Why Join SCMG? In many ways the reasons for joining a larger organization such as SCMG are the same as the reasons the founders joined together in 1995—to pool funding, knowledge, resources and technology. The 1995 decision to join together was a horizontal integration, meaning all of the participants were in the Ob/Gyn field. Dr. Toraya explained
that vertical integration, such as OB/GYN Associates joining SCMG, allows various medical practice disciplines to come together in a centralized plan. In turn, this means they have available, as a part of SCMG, referral options within the larger organization such as eye care, sleep medicine, internal medicine, and so on, should their patients need to seek additional types of medical care. In addition, the practice can now expand the types of services, particularly testing options, which they are able to offer under one roof. The practice now offers mammograms at the office rather than having to send a patient to an imaging site or hospital. Tests for bone density, complete blood testing, and gynecological ultrasound are now also available in the office. The fact that these resources are now available to the practice is a clear advantage for patients, as they will not have to go to other locations to complete their care. When a practice joins SCMG, the autonomy of the small practice remains intact, particularly in how the day-to-day operations are handled. The physicians of OB/GYN Associates of Savannah would like for their patients to know that the faces patients are used to seeing, and the processes they have come to expect, have not changed. The same six physicians and staff, with their teamwork, compassion, knowledge, and care for each individual will be available. The faces and friendly welcoming of the office personnel— receptionists, lab personnel, nurses, medical assistants, office manager— remain the same. The vertical integration of OB/GYN Associates with SouthCoast Medical Group extends the services and resources available to the practice while retaining the positives inherent in an autonomous practice. In exchange, OB/GYN Associates brings a ready-made Ob/Gyn department to SCMG, a division previously missing in the larger organization. The mission of SCMG, “To provide compassionate, quality and costconscious healthcare to every patient.” is well-served in this partnership.
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Fibromyalgia? By Victor W. Rosenfeld, MD
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Fibromyalgia Syndrome (FMS) is a widespread pain and fatigue syndrome without a known cause. The earliest description of FMS in medical literature dates back to 1869 when Physician George Beard described a syndrome he named Neurasthenia. Later, in 1904, Neurologist William Gower coined the term “Fibrositis.” In 1976, the name was changed to Fibromyalgia which means pain in the muscles, ligaments and tendons. Most patients with Fibromyalgia complain of hurting all over or “from head to toe.” The neck and back, hips and shoulders are typically prominent complaints. Patients will also complain of burning sensations, numbness, dry eyes, dry mouth, temperature sensitivity and feeling cold, headaches, fatigue, poor sleep, dizziness, abdominal and bladder problems, sensitivities to medications, restless legs, jaw discomfort, and difficulties with mood, memory and constipation.
Symptoms and Associated Syndromes Pain: Though the whole body can hurt at times, the spine, neck, shoulders, hips and knees tend to be the most prominent areas involved. The pains can come and go and move around, making it diﬃcult for the patient and doctor to understand what is happening. Patients can also have tingling, burning types of symptoms in their hands and feet or other parts of their bodies. Anti-inﬂammatories usually do not provide signiﬁcant relief and even strong narcotic analgesics provide little in the way of pain relief, and thus are not recommended.
Fatigue: Fatigue can be mild or disabling. This can be “brain fatigue” where there is difficulty with memory, attention, concentration and multitasking, commonly referred to as “fibrofog.” The fatigue will typically manifest as the feeling of having no energy or being unable to work, exercise, How is FMS Diagnosed? or sometimes even move. Many patients The official criteria was developed by will meet official criteria for Chronic the American Academy of Rheumatology, Fatigue Syndrome. and includes pain in the left and right sides of the body and the upper and Sleep: lower half of the body for at least Patients complain of waking up feeling they three months. There must also be at haven’t slept at all and not getting deep least 11 of 18 anatomically specific sleep, referred to as “non-restorative sleep.” “tender points.” Laboratory tests may Even if they do get deep sleep, known as be unremarkable but hormone and “Delta sleep,” their brain waves appear as if autoimmune tests sometimes reveal they are still awake, called “Alpha Wave abnormalities. Overnight sleep studies are Intrusion.” Insomnia, Sleep Apnea, and commonly ordered now as more than Restless Legs are all common, can be 50 percent of patients are found to identified by sleep studies and are amenable have sleep disordered breathing, many to treatment. have periodic limb movement disorder and most have problems with little or Irritable Bowel Syndrome: no deep sleep. Most patients with Anywhere from 40 percent to 70 percent of FMS have a problem with their patients with FMS will meet the criteria for deep sleep known as “Alpha/Delta” Irritable Bowel Syndrome (IBS). Symptoms sleep, a persistence of wake-like can include constipation, diarrhea, brain patterns throughout the night, abdominal pain, gas, nausea and bloating. but unfortunately, many sleep labs do not routinely screen for this. MRIs might be Irritable Bladder: ordered to rule out other conditions that Many patients with FMS will also complain can affect the brain and spinal cord. of difficulty with frequent need to urinate,
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Though the whole body can hurt at times, the spine, neck, shoulders, hips and knees tend to be the most prominent areas involved. The pains can come and go and move around, making it difficult for the patient and doctor to understand what is happening. or sense of urgency, and even in some cases urinary incontinence, sometimes diagnosed as interstitial cystitis. Tension Headache and Migraine: Many FMS patients suffer with recurrent headaches that can have the characteristics of tension headaches or of migraine headaches.
This leads to increased use of birth control pills to help control the symptoms. Some patients undergo total hysterectomies, which leaves them without any ovarian hormones and causes hormonal balance to be even more challenging. Temporomandibular Joint Dysfunction: Many FMS patients have tremendous jaw and face pain.
Multiple Chemical Sensitivity: A third of patients with FMS are sensitive to odors and very intolerant of many medications. They report that they â€œget every side eďŹ€ect,â€? and so typically cannot tolerate pharmaceuticals.
Myofascial Pain Syndrome: The majority of patients have pain in the muscles, joints, tendons and ligaments. Morning stiffness is commonly reported in FMS patients.
Primary Dysmennorhea: Painful and irregular periods can be experienced with many female patients.
What is the cause of Fibromyalgia? The ultimate cause of FMS is still a mystery, but there is a lot that is now
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known about this condition. Genetics: A family history is seen in one-third of patients. Research is looking at the COMT gene which plays a role in serotonin regulation, the autonomic system and pain control. Neurochemistry: The best documented abnormality in FMS is low serotonin levels in the spinal fluid, which could impair the nervous system ability to control pain signals. Substance P is the major pain signaller and studies have shown it is elevated 300 percent. Pain in FMS is not caused by inflammation, but a signal processing error that causes pain amplification within the central nervous system.
Hormones: Abnormalities have been shown in growth hormone, thyroid hormones and antibodies, cortisol, estrogen, progesterone and testosterone. Early childhood trauma or turbulence, whiplash injuries, extremely stressful events, and even infections have been associated with the development of FMS by disrupting regulation of the hypothalamic pituitary-adrenal axis. Sleep: Deep sleep or slow wave sleep is responsible for tissue repair, immune system regulation, hormonal and neurochemical regulation. Disturbed deep sleep (Alpha-Delta Sleep), which is seen in the majority of patients, is associated with many of the neurochemical and hormonal problems in FMS and is consequently a major focus in current research and treatment. How do we treat Fibromyalgia? Reduction of pain is a primary goal. Medications that boost serotonin and norepinepherine such as duloxetine and milnaciprin are now FDA approved for the treatment of FMS. These SNRIs can occasionally cause nausea, sleep problems, sweating and decreased libido. Pregabalin, which is also FDA approved, has been studied and shown to be effective for treatment of pain but can cause swelling, and weight gain, as well as somnolence. A few patients can respond to medications that work through dopamine such as Wellbutrin or Mirapex. Decreasing Substance P with agents like Tizanidine can also be helpful for pain and muscle spasm and may help sleep. Narcotic agents are thought to be a last choice, but the pseudo-narcotic Tramadol can be safe and effective. Experimental medications that improve deep sleep, such as Sodium Oxybate, are currently under investigation, but other sleep aids are frequently used. Hormonal manipulation may provide beneďŹ t in some patients. Stimulants can
be useful for cognitive impairment and fatigue. Beta-blockers, though they can interfere with sleep and mood, can be helpful for autonomic dysfunction, which is commonly seen in FMS. Gaufenesin, which had been used frequently in the past, is now no longer considered a mainstay of therapy as it has not been shown to be helpful in randomized-blinded trials. A healthy diet low in refined sugar may help some patients. Gluten sensitivity or allergy is also seen in some patients and can mimic many symptoms of FMS. Stretching, low-impact aerobic exercise, and aquatic therapy can also be helpful. Organized stress reduction is critical; meditation and yoga have been found to be beneficial. Further Resources on Fibromyalgia The National Fibromyalgia Association (NFA) provides access for patients, media, industry, medical professionals, and organizes national CME and patient meetings. They also produce a monthly magazine, FM Aware. For more information, go to www.fmaware.org. Victor W. Rosenfeld, MD, received his Doctorate of Medicine from Emory University, School of Medicine in Atlanta, Georgia. He completed fellowships in neurology at the University of California, School of Medicine in Los Angles, California, and at the Alton Oschner Medical Foundation in New Orleans, Louisiana. His neurology residency was completed at the University of Miami, School of Medicine in Miami, Florida. Dr. Rosenfeld is board certified in Neurology and Sleep Medicine, with a special interest in Chronic Fatigue, Fibromyalgia, Neuroendocrinology, and Electrophysiology. He is the Medical Director of the SouthCoast Medical Group Sleep Center. Dr. Rosenfeld is actively involved in medical research, with numerous publications. He is a wellknown national lecturer on neurology and sleep conditions. Coastal Health 11
tips to help you
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■ Have your evening meal at least three hours before going to bed. ■ The best bedtime snack is one that has both complex carbohydrates and protein, and some calcium. Calcium helps the brain use the tryptophan to manufacture melatonin. This explains why dairy products, which contain both tryptophan and calcium, are top sleep-inducing foods. ■ Exercise regularly, but not prior to going to bed. ■ Avoid stimulants such as coﬀee, tea or cola after 6:00 p.m. ■ Create a bedtime routine by doing the same things each night. This tells your body that it is time to wind down. ■ Avoid TV, loud music, computers and work-oriented activities before bed. Relax 30 minutes before bed. Do something quiet and gentle, and if possible, in a dimmer light. ■ Reading is a good before bed activity, as long as you are reading something that will not keep your mind active or create apprehension. ■ Keep regular hours. Try to go to bed at the same time and get up at the same time every day. ■ Stick to your schedule even on weekends, as it will reinforce your sleep/wake cycle. ■ If you are unable to fall asleep within 15 to 20 minutes, get up and do something else—in dim light. ■ Keep the room colder than the rest of the house. ■ Sleep in a dark, quiet room. If necessary, use eye covers or earplugs. White noise can help. ■ Air ﬂow is important. Fresh air from a window is best, but movement from a fan keeps the room from becoming stuﬀy and the white noise it creates will aid sleep. ■ Power napping. A full sleep cycle takes approximately 90 minutes, but 20-26 minutes allows the body to recharge without going into deep sleep. Waking in the middle of the cycle will leave you groggy, while 20-26 minutes can refresh the mind and body. Leonardo da Vinci, Albert Einstein and Thomas Edison were all power nappers.
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Physicians and locations
Compassionate, quality, cost-conscious healthcare Allergy/Immunology Savannah – 912-527-5270 1326 Eisenhower Drive, Building 2 Stephen G. Hendrix, MD
Cardiology Savannah – 912-527-5300 1326 Eisenhower Drive, Building 2 Sidney J. Bolch III, MD, FACC Philip C. Gainey, MD, FACC Scott R. McGlynn, MD, FACC Geoffrey Peters, MD Baxley – 912-527-5300 105 E. Tollison St. Philip C. Gainey, MD, FACC Hinesville – 912-527-5300 455 South Main St., Suite 104 Geoffrey Peters, MD Sylvania – 912-527-5300 209 Mims Road Scott R. McGlynn, MD, FACC
Eye Care Savannah – 912-527-5200 1326 Eisenhower Drive, Building 1 Stephanie D. Croll, MD Renee E. Williams, OD Hinesville – 912-876-8015 455 S. Main St., Suite 104 Renee E. Williams, OD
Infectious Disease Savannah – 912-354-5543 5354 Reynolds St., Suite 421 Nenad Avramovski, MD Amanda L. Parks, MD Richard S. Roth, MD
Internal Medicine Savannah – 912-691-4100 1326 Eisenhower Drive, Building 1 Julio Cortes, MD Robert W. Grant, MD J. Kenneth Griffin Jr., MD Robert B. Remler, MD David E. Sauers Sr., DO Hiem Thong, MD
Hinesville – 912-877-6822 455 S. Main St., Suite 201 Firas Bannout, MD
Savannah – 912-527-5270 1326 Eisenhower Drive, Building 2 Douglas A. Hanzel, MD Stephen G. Hendrix, MD
Richmond Hill – 912-756-2020 10055 Ford Ave., Suite 5A Wallace E. Holland Jr., MD Richmond Hill – 912-756-3752 10200 Ford Ave., Suite 101 Edward M. Hoffman, MD Douglas A. Perry, MD
Savannah – 912-527-5100 1326 Eisenhower Drive, Building 2 Robert L. Weeks, MD
Hinesville – 912-877-6822 455 S. Main St., Suite 201 Nizar S. Eskandar, MD
Savannah – 912-527-7211 9 Chatham Center South, Suite C Harresh B. Dulamal, MD Troy A. Murphy, DO Kristen A. Updegraff, MD
Radiology Savannah – 912-691-4200 1326 Eisenhower Drive, Building 1 Pamela H. Boland, MD David T. Estle Jr., MD Donald A. Harper, MD Todd E. Lanier, MD Patricia P. Shapiro, MD Andrew A. Wade, MD
Sleep Medicine Savannah – 912-527-5270, 912-691-4100 1326 Eisenhower Drive Douglas A. Hanzel, MD Victor W. Rosenfeld, MD
Surgery Savannah – 912-691-4100 1326 Eisenhower Drive, Building 1 Victor W. Rosenfeld, MD
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Richmond Hill – 912-756-3075 10055 Ford Ave., Suite 4A L. Nelson Elam, MD, FAAP Keith M. Seibert, MD, FAAP William E. Webb, MD, FAAP
Savannah – 912-691-4250 1326 Eisenhower Drive, Building 1 Lisa M. Bettio, MSRPT Christopher B. Curry, MSPT, MEd
Savannah – 912-527-5225 1326 Eisenhower Drive, Building 1 Nizar S. Eskandar, MD
Richmond Hill – 912-756-2020 10055 Ford Ave., Suite 5A Gary H. Fischer, MD
Rincon – 912-826-4866 613 Towne Park Drive West, Suite 305 Amanda H. Hendricks, MD, FAAP
Savannah – 912-527-5100 1326 Eisenhower Drive, Building 2 Bhavesh G. Patel, MD Jules Victor III, MD Benjamin L. Watson, MD, FACP
Savannah – 912-691-4100 1326 Eisenhower Drive, Building 1 David J. Delnostro, MD Theodore Geffen, MD Peter C. Miller, MD Thomas G. Moriarity, DO Christopher J. Oldfield, MD
Pooler – 912-748-2280 1000 Towne Ctr. Blvd., Suite 701 Richard R. Hightower Jr., MD Russell L. Sliker, MD
Pediatrics Savannah – 912-303-3500 310 Eisenhower Drive, Building 16 Robert P. Jones, MD, FABP David Mozer, MD, FAAP Micah D. H. Riegner, MD, FAAP Ericka Russell-Petty, MD
Savannah – 912-355-4408 5353 Reynolds St., Suite 300 Melissa L. Cobbs, MD Melanie B. Helmken, MD Kathryn J. Hull, MD H. Elizabeth McIntosh, MD Glen L. Scarbrough, MD Jules Toraya, MD
Savannah Surgical Oncology Savannah – 912-354-6303 7001 Hodgson Memorial Drive, Suite 1 Jeffrey S. Mandel, MD, FACS E. Stephen Yeager, MD, FACS
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Health Myths About Women Myth: Once you gain weight during menopause, you can’t lose it. Fact: Many women gain weight during menopause, and though a certain amount of weight gain is normal, it does not have to be permanent. As the body adjusts to less estrogen, the weight can go down, particularly with good nutrition and moderate exercise. Myth: If you eat a low-fat, low-calorie diet, you will lose weight. Fact: Restricting calories may be a quick ﬁx for some women, but it is not the long-term answer. The key factor in weight loss is not what we eat, but how we metabolize our food. Imbalances that can bring down metabolism are: • Over-worked adrenal glands • Thyroid imbalance • Insulin resistance • Toxic overload • Food sensitivities These imbalances will inﬂuence how the body metabolizes food and stores fat. Myth: As you age, your body requires less sleep. Fact: Waking more easily as we age may be
due to natural changes in the sleep cycle pattern. As we near 50, we tend to spend less time in the deeper phases of the sleep cycle. This change means we wake more often during the night and are more prone to sleep apnea and restless leg syndrome. Women, in particular, may experience hot ﬂashes. Myth: Breast cancer is the leading cause of death among women. Fact: Heart attacks, strokes and other cardiovascular diseases claim the lives of more than 500,000 women each year, compared to 43,000 for breast cancer. Myth: Getting hit in the breast can cause breast cancer. Fact: This old myth persists because occasionally an injury will cause a benign lump in the breast, which usually disappears in a few weeks. Myth: Prevention of osteoporosis begins with menopause. Fact: While the loss of bone mass that aﬀects one out of two women typically begins after menopause, prevention begins much earlier with health habits that promote bone strength. The National Osteoporosis Foundation (NOF) advocates
a diet rich in calcium and vitamin D, cautions against smoking and excessive use of alcohol, and has launched the Step On It America! campaign to promote weightbearing exercise. Walking, dancing, playing tennis, and lifting weights are all weightbearing exercises; swimming and bicycling, which are excellent for cardiovascular health, do not strengthen bones. A good exercise program combines both weightbearing and cardiovascular activities and will beneﬁt both your bones and your heart. Myth: Staying on the birth control pill too long decreases your chances of getting pregnant later. Fact: As soon as the pill is purged from your body (by the end of the ﬁrst period after you stop taking it), you'll be able to conceive just as easily as someone who never took an oral contraceptive, says Anita Sadaty, MD, an attending physician in obstetrics and gynecology at North Shore University Hospital in Manhasset, New York. Information was gathered from the following websites: www.womentowomen.com (Marcelle Pick, OB/GYN NP) www.abrazohealth.com/education/healthinf o.aspx?chunkiid=14705 www.womenshealthmag.com/health/truthabout-common-drugs
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Getting to know… Kathryn J. Hull, MD
Kathryn J. Hull, MD is an Ob/Gyn physician with OB/GYN Associates of Savannah at SouthCoast Medical Group. Dr. Hull joined the group in the summer of 2010. Her office is located in Candler Hospital at 5353 Reynolds Street, Suite 300, in Savannah. Dr. Hull attended the University of Georgia in Athens, and then received her medical degree from The Medical College of Georgia in Augusta. She completed her residency and internship in Obstetrics and Gynecology at The Medical College of Virginia in Richmond, Virginia. Dr. Hull is a native of Savannah and a welcome asset to the team at SouthCoast Medical Group.
rotation in Obstetrics and Gynecology and realized I liked helping to deliver babies and being able to provide both medical and surgical care for my patients, so I switched to Ob/Gyn and have been glad about my choice.
Q: What is it like interacting with patients on a day-to-day basis? A: It is what I look forward to most— getting to know my patients, determining what their needs are, and building relationships with them over time.
Q: What are the biggest challenges of your job?
Q: What led you to become a physician? A: I became a physician because I enjoy the challenge, I like to learn new things and improve my knowledge base, and it is so gratifying to work with and help patients.
Q: How has medicine advanced since the start of your career? A: It is difficult to know where to start with this question—medical knowledge and technology are expanding at an exponential rate. We have a better understanding of disease, sometimes even at the cellular or molecular level; we have new surgical methods that allow for minimally invasive techniques and quicker patient recovery; and there are new pharmaceutical options for patients every month. Never a dull moment! Q: Why did you choose your particular specialty?
A: I thought initially that I would be an Internal Medicine physician with a focus on women’s health. Then I did my 18 Coastal Health
A: There are many challenges, but I think one of the greatest is keeping up with advances in the field and having the judgment to know when to change my practice and when to wait until more information is available. There is a lot of data out there, but not all of it is good quality, and what is presented in the media is not always accurate or complete. One of my most important tasks is to filter the information, decide what action to take, and then educate my patients. Q: What are the most rewarding aspects?
A: Delivering a baby is a little miracle in which I am fortunate to participate. It is also great to know that I was able to fix a patient’s problem for her, either medically or surgically. The change in how a patient feels can be remarkable, and to see a smile on her face again—it is a wonderful feeling.
Q: What brought you to Savannah? A: I grew up in Savannah, and my parents still live here. It’s good to be back home and serving this community. I also have such a good quality of life here, and wonderful partners. Q: What are your hobbies? What do you do to relax when you are not at the office? A: When I’m not working I like to read, travel, cook, have friends over for dinner, and go for walks.
Advertiser Directory SouthCoast Medical Group would like to thank the following companies for helping make this publication possible.
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SouthCoast Medical Group 7044 Hodgson Memorial Drive Savannah, GA 31406
2Coastal Health In this issue SouthCoast Medical Group 7044 Hodgson Memorial Drive Savannah, Georgia 31406 912-303-3552 912-303-3506 (fax) O...