Health Matters Blog

Treating Depression in Primary Care

Published June 5, 2014

Roxanne S. Karter By Roxanne Karter A wellness visit is an opportunity for your primary care provider to examine your health at regular intervals. In addition to the stethoscope, blood pressure gauge and tongue depressor, our ears are one of the most important tools we bring into the exam room. Because oftentimes what we hear from you, the patient, about how you’re feeling is as telling as any medical test. When we see a patient with a chronic complaint, like pain or fatigue, and can’t find any physical reason for an ailment, mood disorders become part of the discussion. It may be surprising to some to learn that depression is frequently first diagno...

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Pain in the Neck? PT May Help

Published May 29, 2014

By Kim Hawkins, DPT We hear a lot about back pain but neck pain is also very common. It is often the result of many everyday activities in which the neck muscles are strained or overworked. The human head weighs about 10 to 12 pounds and the neck muscles are holding that weight up all day long. Add poor posture to the mix and then those muscles are working even harder. Most people with neck pain experience low to moderate pain, but some people have more persistent symptoms. Pain coming from the neck may be felt across the shoulders, between the shoulder blades or even down the arm. Some people experience headaches and others can have sympt...

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A Journey Toward Healing: Jim’s Story Part II

Published May 21, 2014

By James Leonard The following is part two of an interview given by patient James Leonard to help the BMH Center for Wound Healing observe its one-year anniversary.

The first day I went into the HBOT chamber I felt my elbows touching the sides. I’m very claustrophobic, and even though the chamber is clear whenever my elbows would touch, I’d think, “Wow, this is really close!” My head was positioned on an incline, so sometimes I would move it and hit my head on the top and realize how tight it was. It was really tough. The chambers have TVs. You can also listen to music. Most of the time I ke...

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A Journey Toward Healing: Jim’s Story

Published May 15, 2014

Jim Leonard_HBOT By James Leonard The following is part one of an interview given by patient James Leonard to help the BMH Center for Wound Healing observe its one-year anniversary.

I was diagnosed with Type 1 Diabetes when I was five years old. Back when I was a young man, I didn’t do the things I needed to do to maintain my health. Now, 50 years later, I have heart disease and recently had to have cataract surgery on both my eyes. I also have Charcot syndrome, a condition common to many diabetics that causes foot deformities. Charcot had already cost me a toe on my right foot and I was in danger of losing my whole ...

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Healing Wounds on a Case-by-Case Basis

Published May 8, 2014

Tracy Turcotte, RN By Tracy Turcotte The Center for Wound Healing at BMH uses a case management approach to treating chronic, non-healing wounds. In my role as Clinical Nurse Manager, I also case manage a number of our patients and get to build relationships with my patients. When a patient arrives for their first visit, we take approximately 60-90 minutes to work through their medical history and develop a course of treatment. On each visit, we take a picture of the wound and a complete set of measurements. Having these measurements and pictures assist the physician and case manager with determining the effectiveness of treatment and make decisions about...

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A Year of Healing, A Year of Learning

Published April 30, 2014

Lynne Vantassel By Lynne Vantassel Brattleboro Memorial Hospital opened its Center for Wound Healing a year ago. It was the first wound care center of its kind in Vermont and one of a few in the tri-state region to offer Hyperbaric Oxygen Therapy (HBOT). Over the past twelve months, we have learned a lot about the needs of patients in our community. In turn, they have learned that they don’t have to live their lives coping with chronic, non-healing wounds. [caption id="attachment_8378" align="alignright" width="193"] Lynne Vantassel[/caption] To date, the Center has provided treatment to more than 200 individuals. These wounds are caused by a vari...

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Collaborative Practice for Women’s Obstetrical and Gynecological Health Care

Published April 25, 2014

Raine Kane, CNM, BA, MSN By Raine Kane, CNM Depending on where we live in the United States, collaborative care between midwives and obstetricians/gynecologist varies considerably. For Brattleboro OB/GYN and Four Seasons Midwifery, a collaborative approach has existed since opening of the practice. In 2001, Lois Trezise, CNM, joined Brattleboro OB/GYN as their first midwife. A collaborative relationship occurred naturally with a strong commitment between the three providers to deliver continuity of care for women seeking maternity and gynecology care. [caption id="attachment_515" align="alignright" width="200"] Raine Kane, CNM, BA, MSN[/caption] Over the ...

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Mental Health in the Postpartum Period

Published April 18, 2014

Heather Ferreira By: Heather Ferreira, CNM Roughly forty percent of pregnant women report being treated for depression during pregnancy or just prior to pregnancy. Postpartum depression is defined as depression that occurs anytime during the first year after childbirth. It occurs in approximately ten to fifteen percent of women in the general population. While ten to fifteen percent may sound infrequent, the number is much higher for women with certain risk factors. [caption id="attachment_10618" align="alignright" width="199"] Heather Ferreira, CNM[/caption] These include: Inadequate social support Past or current diagnosis of depression ...

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In Vitro Fertilization: What’s New

Published April 11, 2014

Judith H. McBean, MD By: Judith McBean, MD Infertility affects approximately 1/8 reproductive age couples in the United States, however if they seek help, the chances of success has never been better. As couples enter into this world they are often faced with a daunting collection of procedures and terms that resemble alphabet soup. In this article we will explore the world of infertility and find out a little about what is new. [caption id="attachment_522" align="alignright" width="200"] Judith H. McBean, MD[/caption] In Vitro Fertilization or IVF is often used when other infertility treatments fail and is one of the most common assisted reproductive te...

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Human Papilloma Virus and Pap Smears—The Latest Guidelines

Published April 3, 2014

James E. Bunker, MD By: James Bunker, MD Human Papilloma Virus has garnered a great deal of attention in the gynecologic literature over the past decade, primarily as it relates to abnormal pap smears. Also referred to as HPV, human papilloma virus is a sexually transmitted virus that is extremely common, especially in reproductive age women less than 30 years of age. It is estimated that 80% of sexually active women will have HPV at some point in their lifetime. At any given moment in time, 25-30% the population between ages 14 and 59 can be found to harbor the virus. However, the highest prevalence occurs in women between the ages of 20-24, where it approac...

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