May 1, 2016
Jack Wohlers, PhD, of Centre Syracuse tells about detection and treatment of eating disorders. Rich O’Neill, PhD, talks about how to help a loved one struggling with addiction. Upstate graduate Michael Weiner, MD, discusses an Alzheimer’s disease research project that seeks participants.
April 24, 2016
Pediatric urologist Matthew Mason, MD, explains diagnosis and treatment of undescended testicles and other urologic problems that affect babies. Urologist Natasha Ginzburg, MD, discusses pelvic floor disorders affecting women. Urologist JC Trussell, MD, tells about causes and treatments for erectile dysfunction.
Eating disorders, such as anorexia, bulimia and binge eating, can be viewed as a way to cope with life changes and stress, says psychologist Jack Wohlers, PhD. These complex disorders often occur during the transition from childhood to adolescence and from adolescence to early adulthood, says Wohlers, the clinical director of Centre Syracuse, a treatment program for adults and teens with eating disorders. He describes the secretive behaviors and shame that can be associated with these disorders and the importance of early detection and treatment.
Psychologist Rich O’Neill, PhD, shares the joys of the changing season from winter into spring in this week’s Check Up From the Neck Up.
Erectile dysfunction is a common problem that is generally treated with a three-tiered approach, says Upstate urologist JC Trussell, MD. Erectile dysfunction is the persistent inability to achieve or maintain a penile erection for satisfactory sexual performance, Trussell says, and it’s an issue for more men as they get older. He describes the types of ED, contributing factors including stress, diabetes and heart disease, and the usual remedies, starting with medications, then moving to devices if needed, and, as a last option, an implanted prosthesis, all of which have had high rates of success.
The pelvic floor is a complex structure that can be the source of disorders as women age and bear children, says Natasha Ginzburg, MD, urologist and director of female pelvic medicine and surgery at Upstate. She describes the pelvic floor as a hammock of muscle and tissue that, in women, includes the vagina, rectum and uterus. Problems with urination, defecation and protruding organs in the pelvic floor can be treated successfully through behavioral changes, physical therapy, medicines and biofeedback, with surgery (generally minimally invasive) as a last choice, she said.
An undescended testicle occurs in about 3 percent of full-term baby boys but in as many as 45 percent of boys born prematurely, explains Matthew Mason, MD, a pediatric urologist at Upstate. The reasons why one testicle (or occasionally both) does not find its way to the scrotum are unclear, he says, noting that pediatricians check for this problem in well-child visits. Mason also describes aspects of the condition and possible complications, such as reduced fertility and testicular cancer, as well as treatment options.
April 17, 2016
Urologist Oleg Shapiro, MD, discusses kidney cancer. Nurses Lorrie Langdon and Michelle Vallelunga tell about atrial fibrillation and its connection to stroke. Wikipedian Lane Rasberry talks about the medical information available at the online encyclopedia.
Lane Rasberry is confident that Wikipedia, the most consulted source of medical information, is of comparable value to online medical sources such as WebMD and the Mayo Clinic. As the Wikipedian in residence at Consumer Reports, specializing in health information, he visited Upstate to explain the free online encyclopedia and show how people can become involved. Rasberry notes his history with Wikipedia, how its medical and other information is edited and the importance of citing reliable sources.
April 10, 2016
Neurosurgeon Satish Krishnamurthy, MD, discusses hydrocephalus with the parent of a patient. Nurse and certified diabetes educator Kristi Shaver provides tips for living with diabetes. Registered dietitian nutritionist Maureen Franklin shares ideas for maintaining weight loss long term.
Handling an alcoholic or drug-addicted loved one is a particularly thorny issue because people worry that frank talk about the problem might endanger their relationship, says psychologist Rich O’Neill, PhD. O’Neill touches on the related issues of enabling, tough love, blame and interventions and advises that people who keep silent about the love one’s addiction will likely lose the relationship anyway.
Atrial fibrillation, or “a-fib,” is a common heart problem that can greatly increase the risk of stroke, as two Upstate nurses explain. A heart that is in atrial fibrillation is beating too fast, too slow or irregularly, which might allow blood to pool and clot instead of being pumped normally, say Lorraine “Lorrie” Langdon (at right), coordinator of the Heart Failure Program, and Michelle Vallelunga (at left), data coordinator of the Comprehensive Stroke Center at Upstate. Those clots can travel to the brain and cause a stroke. The nurses go over risk factors and how atrial fibrillation is diagnosed and treated, plus what to do if you think someone is experiencing atrial fibrillation or a stroke.