Health Matters Blog

Body Weight and Breast Cancer: There is a Relationship

Published October 2, 2014

Kelly McCue, MSN, CNS-Oncology, RN, OCN, CHPN by Kelly McCue Much of the conversation about increased body weight, and in particular, obesity and health, focuses on how obesity increases a person’s risk for chronic illnesses, such as heart disease or diabetes. Several types of cancer are also associated with obesity, however, including breast cancer. [caption id="attachment_11330" align="alignright" width="199"] Kelly McCue, MSN, CNS-Oncology, RN, OCN, CHPN[/caption] According to the National Cancer Institute (NCI), obese women have a higher risk for breast cancer following menopause. The research shows a link between some breast tumors and increased levels of estrogen. Once t...

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Plantar Fasciitis…A Real Pain in the Heel

Published September 25, 2014

Maureen Mohaney, PA-C, ATC By Maureen Mahoney, PA-C, ATC Do you get stabbing pain in the heel or bottom of your foot with your first steps out of bed in the morning? Does it feel better once you start walking around? Does the pain return after standing for a long time or at the end of the day? Do you get heel or arch pain when you get up from sitting? These are some of the symptoms which could indicate you are suffering from Plantar Fasciitis. [caption id="attachment_10946" align="alignright" width="199"] Maureen Mohaney, PA-C, ATC[/caption] Plantar Fasciitis is one of the most common causes of pain affecting the heel and underside of the foot. It involves the...

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Five things that I have learned as an orthopaedic surgeon

Published September 18, 2014

Dr. Elizabeth McLarney By Elizabeth McLarney, MD In my almost 20 years of being an orthopaedic surgeon, I have learned many things. There are a few things that I would like to share with you. Motion is life. Orthopaedic surgeons say this because we know if we don’t keep the soft tissues around a joint moving after surgery or an injury that the joint will become stiff and lose range of motion. This can be extrapolated to a larger meaning. We know that if people stay active, they stay healthier. Exercise should occur for at least 30 minutes to one hour per day. This should be every day. This exercise should include aerobic exercise (like walking, biking, swim...

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Lateral Epicondylitis, Better Known as Tennis Elbow

Published September 11, 2014

William Vranos, MD By Dr. William Vranos Lateral epicondylitis, also known as tennis elbow, is one of the most common adult ailments seen in the offices of orthopedic surgeons. Approximately 1-3% of adults will experience lateral elbow pain at one time or another in a given year. For the most part, the discomfort is mild and transient, and care is not sought. However, in some patients, the discomfort is enough that it will affect their daily activities and possibly their work. These patients require more aggressive care. Both nonsurgical and surgical treatments are available, depending on its duration and severity, as well as, the needs of the patient. [c...

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Osteoporosis

Published September 4, 2014

Jon C. Thatcher, MD by Jon Thatcher, MD It is an unpopular reality that our bodies begin a slow decline after our mid 30s as we slide into those “golden years.” Differences in hair color, muscle mass, and eyesight are obvious changes, but what goes unnoticed is the gradual loss of bone mass. Often it is not until a fracture occurs due to a simple fall from a low height, such as standing, that fragile bones become apparent. These “fragility fractures” are most common about the shoulder, wrist, hip, and spine, often require surgery and can have life changing consequences. Osteoporosis has become a well-recognized bone condition. As life expectancy ha...

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When Rapid Care Isn’t Rapid

Published August 22, 2014

Brian Richardson By: Brian Richardson Rapid Care in the BMH Emergency Department is a concept; a process rather than just a place. It is not just a couple of treatment rooms but rather it is a commitment to you and our community. It combines the correct patient with the correct provider in the correct room. It has allowed the Emergency Team to better utilize resources and deliver care in a safe and compassionate fashion. The process in our Emergency Department is also a work in progress, a different train of thought in an environment that demands flexibility. Much of the time this process works but on occasion the rapid care process is anything but rapid. ...

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Dental Care in the Emergency Department (Part 2)

Published August 19, 2014

George Pierce Terwilliger, MD By George Terwilliger, MD In first of this two part series about dental care, I explained the causes and treatment of dental pain. The upshot is that most dental problems are preventable through good diet, regular brushing and flossing, and getting regular professional dental care. Dental problems that bring people to the ED usually are not very amenable to the skill set of emergency departments. Most dental pain needs the services of a dentist or an oral surgeon. Current law states that emergency departments and urgent care centers in Vermont must evaluate every patient who shows up, regardless of ability to pay. However, there is no s...

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Dental Care in the Emergency Department (Part I)

Published August 7, 2014

George Pierce Terwilliger, MD By George Terwilliger, MD Dental problems are among the more common reasons people visit the Emergency Department (ED). In Brattleboro, between 2 and 3% of ED visits are for dental pain. While some of these cases are due to trauma, by far, most are related to dental decay and could have been almost completely prevented with good diet and good dental hygiene. [caption id="attachment_8254" align="alignright" width="199"] George Pierce Terwilliger, MD[/caption] An acute dental pain emergency usually results from a long history of poor diet (prolonged daily exposure to sweets) and poor dental hygiene (inadequate brushing, not flossing an...

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Quality Patient Care in Your Emergency Department

Published July 31, 2014

Laurie Kuralt, BSN, RN, CCRN By Laurie Kuralt, BSN, RN, CCRN Many improvements have been made in the new BMH Emergency Department (ED) as of late. Not only do we have a new, modern facility, but we are working on making improvements about the process of how we care for patients from the time they enter the doors, until they leave. Many of these changes are geared toward improving the patient experience in the ED as well as quality care. We are striving for excellence. As with most change implementation, this takes time and continuously relooking at strategies to get the changes correct. Sustaining the change is the ultimate goal. Some of the improvements we have ma...

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Pertussis in the Community

Published July 25, 2014

By Dr. Kathleen McGraw, CMO Summer is here in full force, and with that comes more outdoor activities, scraped knees, and the occasional summer cold. However this past month we also had a more unwelcome guest in our community – Pertussis. The Vermont Department of Public Health has reported 11 cases of Pertussis in Windham County during the month of June, most of which were children ages 3-17. While none of these cases have been seen in at Brattleboro Memorial Hospital, we do see the need to do all that we can to prevent its further spread. Pertussis, also known as Whooping Cough, can be a very serious illness which is easily spread t...

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