Pomerene Hospital Blog

The 1,2,3's of Hernia Awareness

Pomerene Marketing - Monday, June 01, 2020

1. Did you know June is National Hernia Awareness Month?

A hernia occurs when an internal part of the body pushes through a weakness or defect in the body wall or muscle.5 million people are estimated to have some type of hernia.However, only approximately 750,000 people per year seek medical attention for their hernia. Hernias do not go away or get smaller on their own. Without correction, hernias usually become larger and more painful and uncomfortable and prevent people from enjoying favorite activities.As the hernia becomes larger, the bulge may limit mobility and/or the ability to perform physical exertion and/or exercise. The most optimal treatment for hernias with the best result is surgical intervention. The type of surgical repair will depend on the location, size and whether the hernia is a primary occurrence (first time) or recurrent after a prior repair. Hernia surgeries are common procedures that we are currently offering at Pomerene.

2. What are the potential complications of an unrepaired hernia?

 

Hernia repair is an elective procedure. The main complications of hernias are incarceration and strangulation.Incarceration occurs when the hernia and its contents can not be pushed, or reduced, back into the internal part of the body. Strangulation occurs after the hernia becomes incarcerated and then swelling cuts off the blood supply to the hernia and its contents.Incarceration and strangulation are surgical emergencies and medical attention should be sought immediately. The signs symptoms of incarceration/strangulation are a persistent bulge at the hernia site that can not be reduced, increasing pain at the site of the hernia, increasing redness, and increasing swelling of the skin/soft tissue overlying the hernia.Nausea and vomiting may indicate incarceration/strangulation of bowel and resultant obstruction.

3. What are the types of hernias?

  • Abdominal Hernia – Also referred to as a ventral hernia.Abdominal hernias generally occur above the belt line.
  • Umbilical Hernia – Occurs around or in your belly button. If your belly button typically is pushed in, but suddenly appears to have something bulging out then you most likely have an umbilical hernia.
  • Incisional Hernia – Occurs at the incision line of a previous surgery.The site is weakened because of the cutting of the skin, tissue, & muscles in that particular area.
  • Femoral Hernia – Occurs in the upper inner thigh or groin area. These types of hernias are more common in women.
  • Inguinal Hernia –Occurs on either the left or right side (sometimes both sides = bilateral inguinal hernia).The bulge can be appreciated in the groin below the belt line and/or extending into the scrotum. This particular hernia is more common in men.
Author: Michael Schell, M.D.

 

Add Color on a Budget

Pomerene Marketing - Monday, June 01, 2020

 

Are you a fan of produce but concerned about the cost? You are not alone! No need to fret because below are some tips for you to enjoy fruit and vegetables without breaking the bank AND make you feel so much better after eating them!

 

  • #AddColor by keeping it seasonal – stick with buying produce during its season to avoid over-spending.

  • #AddColor by buying local – this goes along with buying seasonal produce. Local orchards, markets, and greenhouses are stocked with fresh fruit and vegetables that are grown primarily within that specific season, and often grown right in your hometown!

  • #AddColor by re-purposing your aging produce – are your bananas or apples bruised? No need to throw them out! Bruised or aging fruits and vegetables can be great for smoothies, breads, soups, sauces, jams, etc. Throwing away food is throwing away money- the less you do, the better!

  • #AddColor by trying alternative options – Canned, frozen, and dried fruits and vegetables are great ways to still get the nutrients of the food, without having to spend as much. Be sure to check the label for added sodium and sugars that are not necessary!

  • #AddColor by trying a garden – Be in control of the produce you enjoy and try building a garden! Though it requires a lot of work, it saves a ton of money! Start small and “grow” from there 😉

 

Older Adult Care During COVID-19

Pomerene Marketing - Wednesday, May 27, 2020

 

How can older adults keep healthy while at home?

The current situation is overwhelming in many ways. We are all fighting an invisible enemy. It’s not going to go away anytime soon and we all have to practice living with it, taking necessary precautions to protect ourselves and our loved ones.

In this stressful situation, along with protecting us from being exposed to whatever it is out there, it is even more important to keep our chronic medical conditions under check for better quality of life. Stress causes lot of physical and psychological changes. 

Stress eating, lack of activity, change in routine schedules/sleeping patterns and mood changes will adversely affect our health, especially if we have chronic health co-morbities like high blood pressure, diabetes, heart failure, obesity, depression, etc.

Certain things that we all can do to maintain good health are:

  • Keep our regular routine and schedules as much as possible even though we are at home most of the time  
  • Being compliant with medications
  • Keeping track of blood sugars and blood pressure as indicated by your doctor
  • Checking with your provider’s office in a timely manner if there are any acute health concerns
  • Keeping yourself active as much as possible
  • Take a walk when possible to increase number of steps
  • Simple aerobic exercises, stretching exercises, yoga, gardening, etc. can be safely done at home.
  • Never lose motivation. Even if it’s just for 10-15 minutes a day, it’s okay! KEEP MOVING!
  • Always try to eat healthy! Increase Omega 3 fatty acids in your diet to help elevate your mood.
  • oOmega 3 fatty acids can be found in a handful of mixed nuts, seafood, flaxseeds, and chia seeds to name few.
  • Take probiotics
  • If you ever feel the situation is getting out of hand and/or you feel depressed or stressed, please seek help immediately. “WE ARE ALL IN THIS TOGEHTER”

What are some ways to prevent falls?

  • Avoiding sudden changes in position and quick turns will help to maintain balance thus decreasing falls
  • Pay attention to surroundings. Use a cane, hold onto support/side rails when possible
  • Keep hydrated
  • Wear comfortable shoes that fit well and be careful while walking on uneven or slippery surfaces
  • Contact your provider’s office if you think your blood pressure or heart rate are running low
  • Taking a Vitamin D supplement daily
  • Check with your eye doctor if there is a problem with vision

What are some activities that can help keep my loved one busy while at home?

  • Drawing, word puzzles, painting, board games, gardening, routine house chores, anything and everything that elevates ones’ mood. Use judgement on ability and follow necessary safety precautions.

What are some important things for me to monitor with my loved one?

Monitor:

  • Blood sugar if he/she is diabetic
  • Blood pressure
  • Weight check if history of heart failure
  • Obesity
  • Salt and fluid intake check if history of heart failure
  • Maintaining a food diary helps to keep track of carb/fat intake

What should my loved one do to protect themselves if they need to go out of the house to grocery shop or run errands?

  • PREVENTION IS ALWAYS BETTER THAN CURE. But when we cannot avoid being out please try to:
  • Maintain adequate social distancing i.e., at least 6 ft distance all the times
  • Washing hands more frequently
  • Not touching unnecessary surfaces/objects when out as much as possible
  • Coughing or sneezing into ones’ sleeve or arm
  • Wearing a face mask if he/she has no contraindications and is able to tolerate
Author: Rohini Kalisetti, M.D., Pomerene Internal Medicine 

 

Your Questions Answered with Dr. Rodney Miller

Pomerene Marketing - Tuesday, May 19, 2020

How concerned should I be about going to my doctor visit or having a procedure at the hospital?

That is a very good question, and the answer may change with time. Currently the CDC is recommending people isolate themselves to help prevent the spread of COVID-19. However, seeking medical care is warranted. In-person visits or telemedicine can be utilized. Hospitals and offices are routinely monitoring patient and employee temperatures as they enter and exit the building. Also sometimes obtaining a travel history and finding out if they or a close acquaintance may have symptoms that are concerning. Of course, social distancing is recommended as well as wearing a face covering over the mouth and nose to help prevent the spread of the disease. It is also encouraged to avoid large gatherings.

Asymptomatic people with no symptoms or pre-symptomatic people who have yet to develop symptoms can be potentially spreading the disease. Testing can be carried out to determine if a person has the disease, or has antibodies to COVID-19. Facilities are routinely cleaning thoroughly to help avoid the spread of the disease. With that being said, Holmes County has had a low incidence of COVID-19 and hopefully with our appropriate measures in place, it is relatively safe to visit your doctor or hospital.

Can I have my elective surgery?

Recently, the governor of Ohio has allowed elective surgeries to be performed at the hospitals and surgery centers. They are trying to avoid prolonged inpatient stays for non-emergency surgeries. Also, we are trying to prioritize patient care based on symptoms. Patients are being screened for symptoms of COVID-19 and testing may be performed preoperatively to check for the disease Patients are recommended to self-quarantine for two weeks to avoid becoming sick and potentially having complications of the disease. Patients that are elderly and have medical conditions may benefit from avoiding surgery if their symptoms allow.

I am trying to avoid surgery, how can I control my joint pain?

Ice, heat or pain-relieving ointments can be tried. Ace wrap or a brace could also be considered. Home exercises, chiropractic treatments and/or physical therapy, either virtual or in-person, could be utilized.If you are not allergic, Tylenol is typically a safe over-the-counter pain reliever. Never exceed the amount recommended on the bottle. Motrin or Aleve, anti-inflammatories, at low doses for a short period of time may also help. However, anti-inflammatory medications can increase your risk of stomach ulcers, heart attacks and stroke. Therefore, it is recommended to talk to your primary care provider before taking these medications for any length of time. Injections, such as cortisone or other medications, can help alleviate pain.

What is Telemedicine?

Telemedicine, also known as telehealth, utilizes a telephone call or cell phone with video capabilities, or a computer for the provider to evaluate the patient remotely Most insurances are now paying for this service to help maintain patient safety as well as the safety of the provider and their staff. A history and physical exam can be performed this way, and a treatment plan can be implemented. Follow-up visits, either virtually with telemedicine or in-person for future treatment, x-rays or injections can be established.

 

Keep Your Heart Healthy

Pomerene Marketing - Wednesday, February 05, 2020

Heart disease is the leading cause of death in the United States. The term "heart disease" refers to several types of heart conditions, the most common being coronary artery disease (CAD) and can cause a heart attack. Heart disease occurs when a substance called plaque builds up in your arteries. This narrows them over time and reduces blood flow and oxygen to the heart, causing the heart to become sick. Heart disease can be prevented by identifying risks and eliminating them from your life.

Here are some ways you can decrease your risk for developing heart disease:

  • Don't smoke or quit if you do
  • Maintain a healthy weight
  • Eat a healthy diet low in fat
  • Exercise regularly
  • Prevent or treat your other healthy conditions, especially high blood pressure, high cholesterol and diabetes
  • Learn to manage your stress in a healthy way. Stress can be very damaging to the heart.

A life style change is easier to maintain if you do it with our family or friends. Do it together and keep each other accountable. Your health is the best gift you could give your loved ones!

Stress and Diabetes During the Holidays

Pomerene Marketing - Monday, November 04, 2019

 

Well, it’s November and fall is here. The leaves have changed, the air is crisp and temperatures are dropping. What this means is that first, it is National Diabetes Awareness month, and second also that we are about to dive deep into the chaos of the holiday season. This typically involves decorating, cooking, parties, shopping, as well as visits with family and friends.

We know that stress can raise our blood sugar and this is how. When we are stressed, our bodies go into a “fight or flight” mode as if under attack. This causes glucose to be released into the bloodstream so we can use it as energy to escape that threat. End result…high blood sugar.

So how does one manage their blood sugar during this joyful but often stressful season?

1. Plan fun events with family and friends. This could include ice skating, going to a movie, or taking in the holiday lights.

2. Create opportunities for alone time if this is something that rejuvenates you.Cuddle up with a good book, watch your favorite Christmas special on television, or make time for a hobby you enjoy.

3. Focus on the blessings that surround you and what you have accomplished. Think positively.

4. Step aside and focus on your breathing when you get overwhelmed. Give yourself 5 minutes alone to collect yourself.

5. Don’t give up, consider each day a new start. Don’t’ let this holiday season pass you by without enjoying it. Take one step at a time and appreciate each moment.

Wishing everyone a happy and healthy holiday season!

Andrea Jenei, BSN, RN
Diabetes Coordinator 

 

Workplace Noise Exposure

Pomerene Marketing - Wednesday, July 31, 2019

 

Exposure to high levels of noise can cause permanent hearing loss. Short term exposure to loud noises may also lead temporary change in hearing causing ringing in your ears. Repeated exposures to loud noise can lead to permanent tinnitus and/or hearing loss.

As an employer the effects of noise exposure can not only be hazardous to your employees but can also effect the bottom line. Loud noise can create physical and psychological stress, reduce productivity, interfere with communication and concentration, and contribute to workplace accidents and injuries by making it difficult to hear warning signals. The effects of noise induced hearing loss can be profound, limiting your ability to hear high frequency sounds, understand speech, and seriously impairing your ability to communicate.

Exposure to Noise is measured in units of sound pressure levels called decibels. There are several ways to control and reduce worker exposure to noise in a workplace where exposure has been shown to be excessive.

Administrative controls are changes in the workplace or schedule that reduce or eliminate the worker exposure to noise.

Operating the loudest machines during shifts when fewer people are exposed, limiting the exposure time, and providing quiet areas are examples of effective and inexpensive administrative controls. It is worth noting that every time you double the distance between the source of noise there is a reduction in decibels of 6dBA. 

Engineering controls involve modifying or replacing equipment, or making physical changes at the noise source or along the transmission path to reduce the noise level at the worker's ear.

Choosing low-noise tools and machinery, maintaining and lubricating machinery and equipment placing a barrier such as walls or curtains between the noise source and employee and enclosing or isolating the noise source are all examples of ways to control noise exposure via engineering.

Noise exposure can be an often overlooked area in workplace safety. Make sure that you are protecting your workers and keeping them productive by controlling their exposure.

Blog written by: Cory Morris, PA-C

 

Water and Well Being

Pomerene Marketing - Wednesday, July 31, 2019

 

Water is needed for overall good health. Drinking enough water can help your body stay healthy and function at its best. Water is involved in every bodily

function from circulation, digestion, controlling of body temperature and the excretion of waste products.

The importance of water in the body:

1. Main component of saliva which is essential for breaking down solid foods and for a healthy mouth

2. Regulate your body temperature-your body loses water through sweat in hot temperatures and with physical activity. Your temperature will rise if you don’t replenish the water you lose.

3. Lubricates and cushions your tissues, spinal cord and joints

4. Keeps you regular-more water means less constipation

5. Helps to prevent kidney stones, urinary tract infections and helps your kidneys filter waste

6. Water carries oxygen and nutrients to your body by improving circulation

7. Proper hydration can reduce fatigue and improve endurance for exercise

8. Can lessen or relieve a headache

REMEMBER, WATER IS IMPORTANT TO NEARLY EVERY PART OF YOUR BODY.

Aim to take in optimum amounts every day to stay healthy and hydrated! 

Blog written by: TJ Darr, Health and Wellness Coach at Pomerene Hospital

 

Spring Allergies Making You Miserable?

Pomerene Marketing - Monday, April 22, 2019

 

 

Spring is in the air! So why are you feeling miserable? During the spring allergy season, chronic sinus sufferers often experience symptom flare ups – or worse, symptoms that just never seem to go away, even with medication. Do you still experience facial pain or pressure, headaches, nasal congestion, post-nasal drip, difficulty breathing and/or loss of taste or smell? Do you suffer from frequent headaches?

Don’t put your follow-up visit or sinus procedure on hold any longer. Schedule an appointment today to get back on the road to relief!

Dr. Kurt Garren is ready to make the process easy for you. Call today at 330-343-9600 to book your consultation!


 

 

Empowering Women During Their Obstetrical Care

Pomerene Marketing - Monday, April 22, 2019

 

 

 

I really struggled with writing this article. It all seems really easy, just tell someone that they should do something. Hey woman, be empowered, but life rarely works that way. Years of paternalism (a system where the person who has the authority makes the decisions for another person because the authority figure knows what is best) has given women the false idea that the provider (doctor or midwife) knows entirely what is best for her body. How is it that a woman’s body knows exactly how to grow a whole person, but all the details and the birth should be given to the provider to “handle”? Now, I am not saying that providers are not needed.

Certainly, Mother Nature has flaws and providers can guide the woman and help prevent complications, but the key here is guide. Who is the expert on you? It’s not a trick question, it’s you! No one knows your preferences, needs, and desires more than you. Providers are the experts in what is normal or abnormal for most, what can go wrong in particular situations, and how to prevent or treat problems. Providers are there to answer your questions, to educate you about your body, and to guide you in your decision-making about what is the best way to treat your concerns or problems. They are not there to control and make decisions for you.

How do you go about taking back your power in your care? The first step is finding a provider that you feel comfortable with, who puts you at ease. In that first meeting, do they sit down with you? Do they look you in the eye, ask questions, and then listen to your answers? If not, you have to think, are they interested in what you have to say or do they have their own agenda? Truly, your care is about you, how can anyone think they know what is best for you without your input?

Next is finding your voice. Ask questions! How can you decide what you would like to do if you do not understand what you are choosing? Providers go to school and are educated, but they do not know how the available choices fit into your life. They are there to explain the options and then you decide which one suits your preferences, values, and comfort. Do not be afraid to ask questions, to challenge your provider, you are not an inconvenience.

You are the entire reason your provider has a job, and that job is to make recommendations and help you care for yourself. You have the right to know all of your choices and the right to accept or refuse any test, procedure, or medication. If you refuse something, the provider should respect your decision. It is your body and if they do not, then they are not the provider for you. You want to build that trust in the office, because for the pregnant women especially, a more vulnerable time is approaching.

Obstetrical violence occurs every day because providers think they know best for laboring women and make decisions for them without their consent. This leads to feelings of doubt and possibly lasting trauma. In that moment of extreme vulnerability, you need someone who will support you. You should carefully choose who you allow in your birth space, starting with your provider. Choose someone with whom you feel comfortable voicing concerns, asking questions, discussing options, and who empowers you to make decisions regarding your health. This is important because in an emergency you want that provider who is going to take a few extra seconds to discuss it with you and involve you in the decision-making.

Women are strong, we run households, we grow humans inside our bodies. We make decisions every day to grow, support, and nurture our families. Should we not do the same for ourselves? You are resilient, you are brave, and you know what is best for you. You have the right to be educated, the right to know all of your options, the right to make your own choices, and the right to have a provider who feels the same way.

Crystal is a Certified Nurse Midwife here at Pomerene and Pomerene Women's Health Services and has been with Pomerene for one year.

 



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