FAQ’s

Gynecology FAQ's


Women age 35 and older should have mammograms every one or two years. However, the likelihood of developing breast cancer is higher if a close blood relative has been diagnosed with the disease, especially if they were diagnosed before the age of 40. Likewise, women who began having their periods before the age of 12 or who went through menopause after the age of 55 are at higher risk, as are women who had their first child after age 30 or who never had a child. If you believe you may be at a higher risk, ask our physician when you should start being examined.

You should not miss any pill of the packet First, read the instructions that came with your pill. Generally speaking, if you miss one pill with the advise of our Gynaecologist, take two pills the next day. If you miss two pills, take two pills on each of the next two days. It’s best to use a backup contraception method such as condoms for the remainder of the month.

Cervical cancer screening is used to find abnormal changes in the cells of the cervix that could lead to cancer. Screening includes the Pap test and, for some women, testing for a virus called human papillomavirus (HPV).

Obstetrics FAQ's


If you’ve tested positive with a home pregnancy test, give us a call. We will schedule an appointment for you.

During pregnancy you should avoid fish that contains Mercury (including swordfish, tile fish, mackerel and shark). Also avoid saccharine, alcohol, deli meats, unpasteurized cheeses, and meat, poultry and fish that have been under-cooked.

It is safe to exercise in moderation during pregnancy, unless your obstetrician advises against it. Some exercises can help with childbirth.

It is usually safe to travel by airplane up to 34 weeks into your pregnancy. If you need to travel after 34 weeks, check with our physician. To reduce your chances of getting a blood clot during a flight.

IVF FAQ's


Because the IVF process bypasses the fallopian tubes (it was originally developed for women with blocked or missing fallopian tubes), it is the procedure of choice for those with fallopian tube issues, as well as for such conditions as endometriosis, male factor infertility and unexplained infertility. A physician can review a patient’s history and help to guide them to the treatment and diagnostic procedures that are most appropriate for them.

While some research suggests a slightly higher incidence of birth defects in IVF-conceived children compared with the general population (4 – 5% vs. 3%), it is possible that this increase is due to factors other than IVF treatment itself.

It is important to recognize that the rate of birth defects in the general population is about 3% of all births for major malformations and 6% if minor defects are included. Recent studies have suggested that the rate of major birth defects in IVF-conceived children may be on the order of 4 to 5%. This slightly increased rate of defects has also been reported for children born after IUI and for naturally-conceived siblings of IVF children, thus it is possible that the risk factor is inherent in this particular patient population rather than in the technique used to achieve conception.

Research indicates that IVF-conceived children are on par with the general population in academic achievement as well as with regards to behavioral and psychological health. More studies are under way to further investigate this important issue.

Compared with the general population, women who have never conceived appear to have a slightly increased risk of ovarian cancer (about 1.6 times the rate). Because it is thought that many of these women have also used fertility medications, it has been hypothesized that a link might exist between fertility medications and this particular cancer. A number of studies have been conducted since 1992 when this concern was first raised. None have found an association between fertility medications and higher risk of ovarian or between IVF treatment itself and higher risk of ovarian cancer. Preliminary results from an ongoing National Institutes of Health study likewise suggest no association between fertility medications and ovarian, uterine or breast cancer.

It is possible that this association is due not to the use of fertility medication, but to the fact that this population of women has never undergone childbirth. Findings from the National Institutes of Health and others suggest that pregnancy or some component of the childbearing process may in fact protect directly against ovarian cancer.

Because anesthesia is used for egg retrieval, patients feel nothing during the procedure. Egg retrieval is a minor surgery, in which a vaginal ultrasound probe fitted with a long, thin needle is passed through the wall of the vagina and into each ovary. The needle punctures each egg follicle and gently removes the egg through a gentle suction. Anesthesia wears off quickly once egg retrieval is concluded. Patients may feel some minor cramping in the ovaries that can be treated with appropriate medications.

Pediatrics FAQ's


All children are different and grow at different paces. Some children mature in bursts, some at a steady pace. However, if you have questions about your child’s development, consult with our pediatrician.

After the first year, healthy children, without ongoing conditions or other issues, can typically graduate to once or twice a year. However, this is only a basic rule. Questions or concerns about your child’s health? Talk with our pediatrician.

Sudden infant death syndrome (SIDS) is a cause of major concern for parents and medical professionals alike. Take precautions with your baby; doing so can lower many of the risks.

The pain often starts in the middle of the tummy and moves down low on the right side. The tummy becomes sore to touch. This is often worse with coughing and walking around. A child with appendicitis often shows signs of being unwell such as fever, refusing food, vomiting or (sometimes) diarrhoea.

Orthopaedics Surgery


Most orthopaedic injuries and conditions are treated without surgery, using a range of treatments that include activity modification, physical therapy and medications. Surgery is an option for certain orthopaedic problems and often for those conditions that do not alleviate symptoms.

The most common orthopaedic surgeries are:

  • Arthroscopic surgery of the knee, shoulder, elbow, wrist, hip and ankle
  • Joint replacement surgery, during which an arthritic or damaged joint is removed and replaced with an artificial joint
  • Repair of soft tissue injuries, such as torn tendons or ligaments

The primary goals of joint replacement surgery are to restore mobility and to relieve pain. Good evidence-based medicine data reveals that a typical total hip or knee replacement lasts at least 20 years in about 80 percent of patients, which lets patients enjoy their favorite activities without pain. Joint replacement care at Sibley is a truly comprehensive experience; it encompasses the entire process from evaluation through rehabilitation. Care at Sibley includes diagnostic imaging, patient education, surgery and both inpatient and outpatient physical therapy. Sibley also has a skilled nursing facility, The Renaissance, for inpatient rehabilitation, which can be used to assure that any postsurgery issues are completely addressed.

Healing times depend largely on the patient’s overall health, body type and lifestyle. With proper care, rest and therapy, patients heal sufficiently to return to most activities of daily living within several weeks of their procedure. The duration of hospitalization ranges from two days for a shoulder replacement to three to five days following a knee or hip replacement.

ENT


A hearing test, or audiogram, is an important part of your visit. The testing not only checks your hearing, but also gives the ear, nose and throat specialist a more thorough assessment of your inner ear and whether there might be a physical cause for your hearing difficulty. A hearing test helps answer three important questions:

  1. Do you have hearing loss?
  2. What is causing your hearing loss?
  3. What is the best way to improve your hearing?

Most individuals have not had a hearing test since they were in elementary school! Along with the physical examination of your ears that will be performed during your visit, the hearing test allows the physician important data to create a more thorough plan of care for you.

Yes, all of the otolaryngologists at Advanced ENT are trained in medicine and surgery of the ears, nose, throat, and related structures of the head and neck for adult and pediatric patients.

Radiology


Some common conditions and diseases include heart failure, pneumonia, bowel obstruction, appendicitis, kidney stones, and many types of cancer. In less common or rare diseases, a diagnosis is often made in collaboration with other physicians. Examples of these conditions include sickle cell anemia, amyloid angiopathy, and mesenteric ischemia.

The Radiologist and the patient’s Primary Care Physician work as partners. After evaluating the patient’s symptoms and physical exam findings, the Primary Care Physician will order the radiology exam most appropriate to assist in diagnosis. Common exams include chest X-ray, abdominal ultrasound, chest CT, or brain MRI. The Radiologist will set specifications for the exam, interpret (or “read”) the imaging study, and send a report to the Primary Care Physician. If the Radiologist identifies a disease that requires emergency treatment, they will contact the Physician immediately. This close relationship between the Radiologist and Primary Care Physician promotes the best possible patient care.

A quick explanation of imaging technology follows:

  • X-Ray: Imaging with x-rays involves exposing a part of the body to a small dose of ionizing radiation to produce pictures of the inside of the body. X-rays are the oldest and most frequently used form of medical imaging.
  • Ultrasound: Ultrasound imaging involves exposing part of the body to high-frequency sound waves to produce pictures of the inside of the body. Because ultrasound images are captured in real-time, they can show the structure and movement of the body’s internal organs, as well as blood flowing through blood vessels.
  • Mammography: Mammography utilizes x-rays to image breasts. Imaging with x-rays involves exposing a part of the body to a small dose of ionizing radiation to produce pictures of the inside of the body. A recent advance is “digital mammography”, a mammography system in which electrical signals capture the images instead of conventional x-ray film.
  • CT (Computed Tomography) Scan: Sometimes called CAT Scan, a CT Scan is a noninvasive medical test that combines special x-ray equipment with sophisticated computers to produce multiple images of the inside of the body.
  • MRI (Magnetic Resonance Imaging): An MRI is a noninvasive medical test that uses a powerful magnetic field, radio frequency pulses, and a computer to produce detailed pictures of organs, soft tissues, bone, and virtually all other internal body structures.

Dentistry


Many people do not see a dentist on a regular basis. They only go when they have a problem. This is known as “crisis treatment” versus “preventive treatment.” While these patients may feel they are saving money, it often ends up costing much more in dollars and time. This is because many dental problems do not have symptoms until they reach the advanced stages of the disease process. An example is tooth decay. It is typical to hear, “Nothing hurts… I don’t have any problems.”

Tooth decay often does not hurt until it gets close to the nerve of the tooth. It is not uncommon to see a patient with a huge cavity who has never felt a thing. The dentist can usually detect a cavity 3-4 years before it develops any symptoms. This early detection can help you prevent root canal treatment.

Always spend two to three minutes brushing your teeth. It takes that long to get rid of the bacteria that destroy tooth enamel. Do not brush too hard. It takes very little pressure to remove bacteria and plaque. Floss at least once a day. Flossing is the only way to get bacteria from between your teeth.

Watch the sugar you eat. There is sugar in candy, fruits, crackers and chips. These are the foods that the bacteria in your mouth like best. Be mindful of foods like raisins and peanut butter that stick to your teeth. They can provide a constant supply for the bacteria eating into your teeth. Try to minimize the times during the day when sweet items are eaten and brush your teeth afterwards.

If you cannot brush after a meal, rinse your mouth with water – which can help to remove food from your teeth. Chewing sugarless gum after a meal can also help. Chewing deskulates the flow of your saliva which acts as a natural plaque-fighting substance. And do not forget your regular dental visits. Good dental habits will go a long way toward a no-cavity visit.

Fluoride is a mineral that occurs naturally in many foods and in water. Some natural sources of fluoride are brewed tea, canned fish, cooked kale and spinach, apples, and skim milk. Some city water contains fluoride, so by drinking tap water you will acquire fluoride. If drinking water does not have fluoride, supplements are available.

The lack of exposure to fluoride places individuals of any age at risk for dental decay. Fluoride is important to dental health because it helps prevent tooth decay by making your tooth enamel more resistant to acid attacks from plaque bacteria in your mouth.

Studies have shown that children who consumed fluoridated water from birth had less dental decay. Fluoride can reverse early decay and help prevent osteoporosis, a disease that causes degenerative bone loss. Talk to your dentist or dental hygienist about whether you’re getting the daily amount of fluoride you need.

Neonatology


The neonatologist or pediatrician at your birth hospital will make the arrangements for transfer of your baby.

We have a large group of people on rounds, all working to help your baby get better. On rounds, the nurses, physicians, nurse practitioners, respiratory therapists, nutritionists, pharmacists and social workers all provide input to form the best care plan for your baby.

Newborn screening
State law requires a blood test that screens your baby for many treatable diseases that can occur in early childhood.

Hearing screen
A hearing screen is completed by an audiologist on all babies to evaluate for hearing loss.

Hepatitis B vaccine
You will be asked to sign a consent form for your baby to receive the first baby shot against hepatitis B.

Cardiology


The cardiac rehab programs offered at Hunt Regional can benefit patients who have any of the following symptoms or conditions:

  • Acute myocardial infarction
  • Coronary-prone individuals
  • Valvular heart disease
  • Myocardial disease with history of congestive heart failure
  • Atherosclerotic heart disease
  • Angina pectoris (chest pain)
  • An abnormal stress test
  • Angioplasty or artherectomy
  • Pacemaker or AICD
  • Coronary artery bypass surgery
  • Heart transplant

Stress tests are designed to determine your cardiac health, diagnosing if there is any significant blockage in your coronary arteries. During an EKG stress test, you are attached to an electrocardiogram machine with electrodes and asked to walk on a treadmill until you reach a pre-determined heart rate while a physician monitors for EKG changes.

If you cannot walk very well or long enough to perform a traditional stress test, our physicians at Hunt Regional can perform a Dobutamine Stress EKG. During this procedure, Dobutamine is infused through a catheter to increase your heart rate and the strength of your heart’s contractions, mimicking the heart’s behavior during exercise while a physician monitors your EKG.

Some risk factors for cardiopulmonary problems are hereditary and thus out of your control. Children of parents with heart disease are more likely to develop cardiac issues themselves, while certain races are predisposed to heart disease. Men are also at a higher risk of cardiopulmonary problems than women, and those over 65 are much more likely to experience cardiac problems.

There are a variety of factors that can put you at risk for cardiac problems, some of which can be changed. These risk factors include:

  • Smoking tobacco
  • High cholesterol
  • High blood pressure
  • Physical inactivity
  • Excess body fat
  • Diabetes

The presence of more than one of these factors greatly increases your risk for cardiac problems. Additionally, stress, alcohol consumption and diet are other controllable factors that can raise your chances of experiencing heart-related issues.

Oncology


Our daily diet makes a huge difference in the functioning of our immune system. There are certain foods which strengthen the immune system of the human body and lower the risks of infections. It is a not an immensely difficult task to find a link between a good nutritious palate and the prevention of cancer. There are certain foods which do contribute to the prevention of cancer. Also, different foods have varied effects on the human body. Cancer can be prevented by good nutrition.
• Focus on fruits and vegetables in the daily diet.
• Include lots of fibers in the diet. This can be done by using brown bread instead of white bread and brown rice instead of white polished rice.
• Avoid fried food and opt for natural food.
• Cut down on processed food including red meat.
• Prepare food healthily. Avoid cooking in high heat and use less oil. We must wash our food pretty well and use steam as a process to cook.

Many people go through a time of grief and sadness when they first learn that they have cancer. They grieve the loss of health and certainty in their lives. This sadness may seem like depression, but it’s not the same. Grieving – feeling sadness, fear, anger, or going through crying spells – is a common reaction to learning you have cancer. It usually doesn’t last a long time, and is normal.

Patients having Hormonally driven cancers –Breast and prostate do experience weight gain during the course of therapy also during chemotherapy the repeated use of steroids in certain types of chemotherapy is responsible for weight gain.Also a check should be kept on hypothyroidism which is at times precipitated post radiotherapy and certain targeted therapies,also diabetes which is precipated at times during the course of treatment can lead to weight gain. Usually the end of treatment brings pivotal changes, both mental and physical, for cancer survivors, including a recommended switch back to a mostly diet rich in unsaturated fats to manage weight. Just like other healthy people, cancer survivors should consume a diet of fruits and vegetables, grains and protein.
Regular exercise which is not strenuous especially during chemotherapy has the following benefits
• Increases Appetite
• Allays Depression
• Decreases chances of constipation
And of course helps in checking the weight and aggravation of Diabetes and cardiovascular related diseases
The important thing is to keep Doing Exercise to a level which does not let fatigue set in and therefore these schedules should not be stringent.

Spine Surgery


Normally the patient will be able to stand and attempt to walk on the second or third day after surgery. All catheters can also then be removed. However, this is up to your doctor’s discretion as each patient’s condition may vary.

The surgical wound will only be able to get wet once it has completely healed. This may take approximately 10-14 days

Certain spine surgeries will require that you wear a back Brace. Generally, these will have to be worn for approximate 1-2 months or up to your doctor’s discretion.