Health Matters Blog

Wound Care Takes A Team Commitment

Published April 12, 2013

Gregory R. Gadowski, MD, FACS By Greg Gadowski [caption id="attachment_505" align="alignright" width="195"] Gregory R. Gadowski, MD[/caption] It’s been an exciting time at BMH since the Green Mountain Care Board approved the establishment of a state of the art wound care center at our hospital. We’ve been doing intensive staff training and working hard to have everything in place when the facility opens its doors next month. The BMH Center for Wound Healing will be the first of its kind in Vermont and the only one in the vicinity providing comprehensive, multidisciplinary care for chronic and non-healing wounds. While technologies like hyperbaric oxygen thera...

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Some Wounds Won’t Heal

Published April 5, 2013

By Lynne Vantassel Chronic wounds currently affect more than eight million people in the United States. Fueled by an aging population, the incidence of such wounds is on the rise as more patients are diagnosed with chronic medical conditions. A chronic or non-healing wound is a wound that hasn’t healed within 30 days using conventional treatments. These sores are symptomatic of one or more underlying conditions that prevent the normal flow of blood and hurt the natural healing process. Diabetes and venous disease put a patient at risk for chronic wounds. In fact, non-healing wounds are particularly prevalent in the estimated 25.8 mil...

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Striving for Perfection Part of the New Health Care Model

Published March 29, 2013

Kathleen McGraw, MD by Kathleen McGraw, MD [caption id="attachment_8101" align="alignright" width="226"] Kathleen McGraw, MD[/caption] One of the exciting things about the role of Chief Medical Officer at Brattleboro Memorial Hospital right now is the change in health care that is currently underway in the state. Vermont is leading the nation in health care reform. The process of implementation, which is going to take many years, has medical professionals paying attention to patient quality and safety and tying it to the patient experience in ways we never have in the past. The doctors and staff at Brattleboro Memorial Hospital have been committed to provi...

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New Study Links Obesity and Colorectal Cancer

Published March 22, 2013

Gregory R. Gadowski, MD, FACS By Greg Gadowski Back in February, just before the start of Colorectal Cancer Awareness Month, the Dana-Farber Cancer Institute in Boston published results of a new study linking obesity and inactivity with an increased risk for a subtype of colorectal cancer known in the medical world as CTNNB1-negative. Such a discovery could lead to new treatment options sometime in the distant future. For now, however, the results reinforce the need for people ages 50 and over to undergo routine screenings for colorectal cancer, especially if they are overweight or do not regularly exercise. [caption id="attachment_505" align="alignright" width="195...

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Men Get Varicose Veins Too!

Published March 15, 2013

Gregory R. Gadowski, MD, FACS By Greg Gadowski When people hear about varicose veins they most often think of a disease that affects women. One reason that varicose veins are more prevalent in women is that pregnancy is an additional risk factor for varicose veins. Of the more than 4 million people in the United States with varicose veins, it is estimated that 25 to 30 percent of them are male. Risk factors include family history of varicose veins, obesity, sedentary lifestyle, smoking, and prolonged standing. [caption id="attachment_505" align="alignright" width="195"] Gregory R. Gadowski, MD[/caption] Our veins have one-way valves that keep blood moving toward ...

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Gallbladder Disease Increasing and Trending Younger

Published March 8, 2013

Thomas-H.-Lewis By Thomas H. Lewis About 20 years ago when the laparoscopic procedure was first perfected, there was a big bump in the number of gallbladder removal operations in the United States. It made sense there would be an increase since the new procedure was a lot safer for patients and sped up recovery time. But recently there has been another bump in the number of gallbladder removals, both nationwide and in our local community. [caption id="attachment_4098" align="alignright" width="180"] Dr. Thomas H. Lewis[/caption] What’s more, the patients showing symptoms of gallbladder disease are younger than they ever were before. Gallstones can...

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Breast Disease -The Basics

Published March 1, 2013

Joseph Rosen, MD By Joseph Rosen, MD In the United States, almost 200,000 women each year will be diagnosed with invasive breast cancer. Approximately another 60,000 are diagnosed with non-invasive duct carcinoma in situ. For the 1 in 9 women who will be diagnosed with breast cancer in her lifetime, the single biggest risk factor is simply getting older. Five percent of breast cancers are diagnosed under the age of 40, 25 percent under the age of 50, and 75 percent will occur after age 50. [caption id="attachment_543" align="alignright" width="200"] Joseph Rosen, MD[/caption] Almost 70 percent of the women diagnosed with breast cancer have no identif...

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Celebrate American Heart Month

Published February 22, 2013

By Eileen Casey Right now as you are reading this article your heart is pumping away and you barely give it a thought. The average heart rate at rest is about 70 beats per minute. That's 4,200 beats an hour or 100,800 beats a day or 36,792,000 a year. If a person lives until they are 80, then their heart will beat about 2,943,360,000 times! Even though your heart does all of this work for you, how much do you do for your heart? Lifestyle factors like smoking, or eating a diet high in processed foods, or being a couch potato can all make your heart unhealthy. Much like performing normal maintenance on your car so you can drive it 100,000...

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Breast vs. Bottle? Nutrition and Nurturing Most Important

Published February 15, 2013

By Dawn Kersula Here in Vermont and New Hampshire, most babies begin their lives breastfeeding. According to the latest available data, 86 percent of Vermont babies began their lives breastfeeding, and at six months 58 percent were still breastfed. In New Hampshire, the numbers were 78 percent and 50 percent. [caption id="attachment_5693" align="alignright" width="180"] Dawn Kersula, RN[/caption] Several months ago, Brattleboro Memorial Hospital’s Birthing Center participated in a Maternity Practices in Infant Nutrition and Care survey (mPINC) conducted by the Centers for Disease Control Nutrition Branch. The composite score of 88 ...

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Tonsil & Adenoid Surgery, and Why Sleep Apnea Matters in Kids

Published February 8, 2013

By William Wood, MD The most common reason for a child’s family to consider tonsil & adenoid surgery is obstructive sleep apnea (OSA). The American Academy of Pediatrics (AAP) published a guideline in 2002 stating that tonsil and adenoid surgery “is the first line of treatment for most children” who have been diagnosed with OSA. [caption id="attachment_5560" align="alignright" width="226"] Dr. Bill Wood[/caption] But just what is OSA, and why does it matter, in kids? If a child pauses for two full breathing cycles while asleep, that is abnormal, and should be discussed with the child’s physician. (Adults can pause for ...

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