Archives for May 2011

7 Ways to Beat Stress

stress reliefStress adversely affects every aspect of your life, from your health to your relationships. Many people don’t realize how stressful their lives are, and they don’t know how to deal with or reduce their stress. Let’s explore seven ways to improve your life by beating stress.

Determine your stressors.

We all have different areas of our lives that cause stress. While you may not be able to change stressful situations, by identifying your stressors, you can develop a plan to deal with them as effectively as possible. For example, if work causes stress, you can go to the gym after work to release tension with a workout, or leave the building for lunch to get away from your desk for a few minutes.

You might be able to change your response to stressors by altering the situation to make it easier to bear. For example, if visiting the doctor during the day is stressful because you need to go to work afterward, perhaps you can meet the doctor in the evening or on a weekend day. If you become agitated during rush hour traffic, try a new route or travel at a different time.

Avoid people, places, and things that upset you.

We all have people who make us uncomfortable or tasks we dislike doing. When those aggravations become stressful, it’s time to take matters into your own hands. Rethink whether it’s necessary to have dinner with the neighbor who criticizes your cooking. Perhaps it makes sense to find an accountant to do your taxes or a detailer to wash your car. Delegating tasks and avoiding stressful people not only reduce your stress, but they also give you a marvelous feeling of freedom.

Know your limits.

Be realistic about your time and what you can do, and say no when you need to. When you’re at your limit, additional items on your to-do list become stressors. Stand your ground and be assertive when you need or want to say no.

Give yourself a treat.

Integrative therapies such as massage, reflexology, and aromatherapy help to reduce stress, lower blood pressure, and relax you. They’re also fun and rejuvenating. Find a certified practitioner or visit a spa, keep an open mind, and give it a try.

Turn off the noise.

Unplug and spend at least 30 minutes alone and quiet every day. We’re all bombarded by technology and advertising, and it’s overwhelming. When you get away from the constant noise, you’ll feel your stress melt away. Spend that time doing what you enjoy, whether it’s a walk or a hot bubble bath. Unwind and enjoy.

Tune out negativity.

Do you really need to watch the 10 pm newscast each night or read the paper every day?  The news is mostly negative, which raises your stress levels. Your mind doesn’t need any more input on weather disasters or the latest political upheavals around the world. Don’t take on the world’s problems as your own. Rather than watch the news, find a comedy or cartoon to watch. Better yet, turn off the TV and read a book.

Experiment to find your best release.

Some women relieve stress by laughing or crying, and others find exercise or art to be their release valve. You may need to try a few different outlets to relieve stress, such as watching classic TV comedies, renting a movie that makes you cry, painting, or going to the gym. You may find one perfect stress reliever, or you may decide a combination of activities helps.

As you work through your stress, stay positive. Negativity is an unhealthy stressor and can creep into areas of your life that aren’t stressful. An upbeat attitude will do wonders to combat stress and help you feel healthy and at your best.

What do you do to combat stress?

Are Implant Problems Affecting Your Life?

implant problemsBelow is an In Her Words post from one of our patients who came to us with implant problems. Read her story below:

I am so thankful to Dr. Craigie and Dr. Kline and Christina for making me feel at ease. Meeting someone for the first time and having surgery the same week was a lot to take in, but thanks to everyone, including The Center for Natural Breast Reconstruction staff, Christine, and Gillian. And a special, big thank you to Gail for helping me with my insurance and all the conversations we had prior to my office visit with Dr. Craigie. Gail, thank you for making me feel like a person not a number, you are wonderful!

I cannot say enough about the results from my surgery! It was absolutely fantastic to say the least! I am amazed how natural I look! I really am excited to have my follow-up. Can it get any better? I do not have the pain in my breasts or the hardness and pulling from the implant anymore. I can lift my arms straight up over my head now! I noticed that I don’t have the flu-like feeling anymore—it’s gone!

Before coming to Dr. Craigie’s office, I have had five painful surgeries with implants and expanders going wrong with infections, plus lengthy hospital stays and home care. This was over a period of four years—four years taken out of not only my life but also my family’s life. Just think of how much time and money was wasted on paying insurance companies when I could have had only one surgery and a follow-up! If I only knew there was an alternative option before having my first implants.

My goal is to get the word out. Women need to know that you do have an alternative, besides using implants. Utilizing the body’s own tissue! Again, I was never given this option.

I cannot thank you enough Dr. Craigie and Dr. Kline for your skilled surgical talents and dedication in this field that made me look and feel like a women again!

Sincerely,
D.N South Amherst, Ohio

Do you know of someone whose life is affected by implant problems? Share this story with them.

The Importance of Sleep and How to Get More of It

sleep apneaWe know we need it, but we don’t get enough. Sleep can be elusive, and most of us have problems sleeping occasionally. According to the National Sleep Foundation (NSF), at least 40 million Americans suffer from sleep disorders, and 60 percent of adults report having insomnia at least a few times a week.

While the occasional sleepless night is nothing to worry about, the Harvard Women’s Health Watch reported that chronic insomnia decreases the immune system and leads to health problems such as weight gain and hypertension. These health issues, as well as medication and painful disorders such as arthritis, often result in continued insomnia, creating a vicious cycle.

Other health issues linked to sleep loss include:

  • Impaired memory and learning problems.
  • Less effective decision-making.
  • Daytime drowsiness, thought to affect some 40% of adults per the NSF.
  • Irritability, anxiety, and impatience.
  • Mood swings.
  • Higher stress levels.
  • Diabetes.

The need for sleep varies, with an average of eight hours being the ideal for most adults. Shift workers, truck drivers, medical professionals, and teens and young adults tend to live on less sleep than they truly need, causing problems for themselves and others.

While quantity of sleep is important, quality of sleep is vital to your health. You’re better off sleeping soundly for 7 hours than sleeping restlessly for 9 hours. You can take some simple steps to improve both the quality and quantity of your sleep:

  • Avoid strenuous exercise, alcohol, and caffeine at least four hours before bed.
  • Keep a regular sleeping and waking schedule, even on weekends.
  • Reconsider keeping a television or computer in your bedroom. The light from the screen can disrupt sleep.
  • Make sure your mattress is comfortable, turn it regularly, and replace it after 5–7 years.
  • Keep your room as dark as possible and slightly cool.
  • If your sleep partner tends to toss and turn, consider a larger bed or one of the newer beds that has dual controls for firmness. These modern beds tend to minimize disruption of your sleep if your partner is restless.

While short-term insomnia is usually not an issue, continued sleeplessness may indicate a problem such as sleep apnea or narcolepsy. Most sleep disorders go undiagnosed, and could be discovered and treated with a simple test at your local hospital or sleep center. If you have insomnia more than once a week, talk to your doctor about a referral for sleep testing.

For more tips on health and wellness, subscribe to our blog.

Can I Have My Current Implant Removed to Receive a Muscle-Sparing Free Flap Breast Reconstruction?

dr. richard kline

Dr. Richard M. Kline, Jr.

The below question is answered by Richard M. Kline Jr., M.D., of The Center for Natural Breast Reconstruction.

I had reconstruction with implants after my breast cancer diagnosis in 2009. How hard is it to go back and do breast reconstruction with a flap? What would the recovery time be?  Also, does insurance give you a hard time about taking out the implants and revising having a flap?

It’s no trouble at all to remove implants and replace them with a muscle sparing free flap breast reconstruction. We’ve done it successfully hundreds of times. Unfortunately, roughly 30% of women who come to us are seeking conversion from a failed or unsatisfactory implant based reconstruction. Recovery time after flaps is usually 6 – 8 weeks, although some ladies recover much faster. I don’t think insurance usually gives you a hard time—once you’ve started the reconstruction process, they seem to follow through until you are finally content with your reconstructed breast.

—Richard M. Kline Jr., M.D

Fashion Feminar: What to Wear to a Wedding

 

what to wear to a weddingJoin Lee Heyward, style coach and owner of Charleston Style Concierge, and Kathryn Poe, owner of Mary Mojo Boutique, as they discuss tips for planning your wardrobe for a wedding. The live event, What to Wear to a Wedding, happening on Wednesday, May 25th at 6:30 p.m. at Mary Mojo Boutique in Mount Pleasant, SC, will benefit the Warriors Wear Pink organization.

Warriors Wear Pink lends assistance both financially and mentally to families fighting breast cancer. A portion of the proceeds from ticket sales and shopping at Mary Mojo Boutique during the evening of the event will be donated to Warriors Wear Pink. (Click here to register!)

In an effort to eradicate wedding attire confusion, Lee and Mary will host this exciting and highly informative Feminar, dedicated to helping women eliminate frustration and quickly and easily dress for a wedding.

During this event at Mary Mojo Boutique (1405 Ben Sawyer Blvd., Mount Pleasant, SC), you’ll learn . . .

  • How to make one dress work for both a casual and dressy wedding.
  • What to wear according to the time of a wedding.
  • How to know the dress code when it isn’t specified.
  • What colors you should NEVER wear.
  • Which accessories are must-haves for the next wedding you attend.

Once Lee and Mary have finished their Feminar, you’ll be invited to delight in refreshments and shopping. Tickets to the event cost $20, but remember, part of the proceeds go to a great cause!

Since space is limited, you must register for this live event. Click here for more information or to register for this exclusive Feminar.

 

 

 

Share this event with your friends and bring your girlfriends along for a fun night of refreshments and shopping!

The First Step in Quitting Smoking: Why Do You Want to Quit?

quit smokingAre you ready to quit smoking?

The first step in quitting is to determine why you want to quit. You know you should, and maybe your doctor has told you that you need to quit. However, you won’t be successful long-term unless the desire to quit comes from you, and the reasons you quit have to be your reasons. You can’t quit to please others or because they’re pressuring you. If you do, you’ll use that person as your excuse to go back to smoking.

You know what we’re talking about. At least once, you’ve tried to quit because someone was bugging you. When you did, you lasted for a few weeks or even a few months, but it was a tough quit to maintain because you weren’t doing it for yourself. In the end, you went back to it because deep down, you didn’t want to quit then—and you were even a little resentful of the person who was pressuring you.

So if you’re thinking about quitting for your kids, your spouse, or the dog, stop right there. What are your reasons for quitting? What do you want out of it? Your reasons will keep you going when you have that irresistible craving for a smoke. Your reasons will help your quit go more smoothly. Yes, quitting can be difficult at times—but quitting for other people’s reasons is even harder.

Here are ten common reasons for quitting we’ve heard from successful smokers:

  • I was tired of spending all my money and having nothing to show for it.
  • I woke up one day and decided I was done. I’d had enough of the smell, the expense, and the coughing.
  • I knew I could do so much more with the money and time I spent on smoking.
  • I wanted to feel better and not be dependent on cigarettes to get me through the day.
  • I didn’t like being addicted to nicotine because I was missing a lot of life.
  • I was sick of smelling and feeling bad all the time.
  • I wanted to run and play with my kids (or grandkids).
  • Being a smoker wasn’t for me—I’m worth a lot more than that, and I want to live to be an old lady.
  • The thought of having lung cancer or COPD scared me, and I knew it was time to quit.
  • I just got tired of the habits: waking up and smoking, driving and smoking, eating and then smoking . . . it was ridiculous.

Do any of these reasons resonate with you? What benefits of quitting are you looking forward to? When you have your own, clear reasons to quit, it’s time to move forward and do it—but quitting without a reason that is meaningful to you is a setup for failure.

 

How Long Should I Wait to Have a DIEP Flap After Radiation?

Dr. James Craigie

The below question is answered by Dr. James Craigie of The Center for Natural Breast Reconstruction.

How long should I wait to have a DIEP flap after radiation?

Radiation therapy is part of the treatment of breast cancer and will affect the results of breast reconstruction. The treatments can miraculously kill some growing cancer cells but they also change the area of the body left behind after surgery.

All of the elements of the body can be affected: blood vessels, scarring, healing function, and appearance.  The effects of radiation occur in two phases. Short term occurs during and immediately after the treatments. Elective surgery at this time is not possible, for obvious reasons. The long term effects develop after the early “burn-like” injury “settles down.” The long term reaction occurs for approximately the first six months.

The experience can be widely different from one person to the next. We have experienced difficulties with the receiving blood vessels after radiation when we did not wait for the body to recover from both long and short term damage. These types of problems could possibly increase the chance for the new breast to fail. Avoiding these problems may be possible by waiting and that is why the long recovery is needed before reconstruction is started.

—Dr. James Craigie

Spread the Word about the 2011 Women’s Empowerment Conference

womens healthWe are delighted to spotlight the upcoming 2011 Women’s Empowerment Conference hosted by the Women’s Empowerment Group on May 21, 2011 at the Technical College of the Lowcountry, Beaufort Campus, Beaufort, SC, happening at 8:00 a.m. – 3:00 p.m.

Dedicated to educating and assisting women to live “Healthier Lives Through Education,” the Women’s Empowerment Group has created their very first Women’s Empowerment Conference for all women of the Lowcountry to attend. In an effort to educate women and young females about common health issues, the conference will work to educate females about heart disease, cancer, diabetes, stroke, and chronic diseases. Attendees may also receive HIV tests, as well as breast exams.

Throughout the day at the conference, there will be a variety of breakout session topics, including . . .

Dream Big, Live True: This is an entrepreneurial workshop hosted by Elizabeth Millen, editor and publisher of Pink Magazine.

Breast Health 101: This workshop will focus on what females can do to take care of their breasts and work to prevent breast cancer. The workshop will be hosted by Lucy Spears, a mission / coordinator survivor.

Sexy Senior: This workshop will focus on sex throughout life and will be hosted by Gwen Bampfield, JD.

Fats: The Good, Bad and the Ugly: Hosted by Sarah Smith, RD, LD, CDE, this workshop will focus on how to prevent chronic diseases.

Your Body is Your Temple: This discussion will focus on how to nourish the body and soul, and will be hosted by Gina Jordan, MD.

Sexual Health: With a focus on women’s sexual health issues, this workshop will be hosted by Ardra Davis-Tolbert, MD.

Teen Conference: This discussion will focus on a broad range of health topics for teenagers ages 13 – 18.

The event will also feature health screenings, door prizes, fitness demonstrations, heart health discussions, snacks and beverages, and giveaways.

**Since seating at the event is limited, please pre-register prior to Saturday, May 14. Registration is completely free. Click here to fill out your pre-registration form.

Spread the word and bring your daughters, mothers, grandmothers, and girlfriends for a day of fun and health education you’ll always remember.

For more information, click here to visit the Women’s Empowerment Group website.

How to Maximize Insurance Coverage and Discover the Full Range of Benefits

health insuranceHealth insurance coverage can be confusing, and often patients don’t know what is covered, which can lead to problems and extra expense. Following are three ways to maximize your insurance coverage and get the most for your money.

Premium cost isn’t the only consideration.

Many employers offer only one health insurance policy, but you do have the option to purchase coverage elsewhere. If you choose to purchase privately, look at more than the monthly premium before buying. Plans vary widely in their coverage and total cost, and some will be a better fit with your family’s health situation and desired coverage.

You should consider several things when buying health insurance:

  • Coverage should be adequate for any current health issues, including paying for prescriptions, medical equipment, and services such as physical therapy and nursing care.
  • Pre-existing condition coverage varies, but normally there is a waiting period before insurance will cover those health issues.
  • Deductible is the amount you pay each year before insurance goes into effect. This may be separate from your copayment.
  • Coinsurance is the percentage you pay after insurance kicks in. This typically varies from 10–50%.
  • Maximum out-of-pocket expense is the maximum dollar amount you will pay each year. Once you have reached that amount, insurance pays 100% up to the maximum plan dollar limit.
  • Maximum plan dollar limit is the most the policy will pay. Plans may have an annual and / or lifetime maximum dollar limit.
  • Copayment is the amount you pay at the time you visit the doctor, pick up a prescription, or enter the hospital. This payment may or may not count toward your deductible.

You will also want to check whether your doctors and pharmacies are listed in the insurance company’s network of providers. If they are, your visits and prescriptions will cost less. If they aren’t, you’ll pay considerably more—and some plans will not cover any care given out of network.

Read your policy thoroughly.

It’s not exciting reading, but familiarizing yourself with your policy will avoid nasty surprises and extra cost and hassle later. Speaking of surprises, you might find services and products are covered that you never thought of, such as alternative treatments and over-the-counter medicine.

Insurers send updated policies regularly, so be sure to read those as well, and keep the summary of benefits handy for quick reference.

Double-check your policy before, during, and after you receive care.

Make sure that everything you need is covered by your policy. Check whether you will need referrals from your physician or authorizations from the insurance company before you go in for care. Every insurance company has specific procedures they follow, and straying from them can cost money or time.

Any time you receive care, you need to be proactive about ensuring that your doctor’s office is coding and submitting your information correctly. Afterward, carefully check all bills to see that the insurance company is paying them. Don’t be afraid to talk to the insurance company directly and do what you can to maximize your coverage.

Sign up for our RSS feed to receive instant updates.

How to Make Sure You and Your Doctor Communicate Effectively

breast reconstructionYour relationship with your doctor is a partnership, and one of the best ways you can help each other is to communicate effectively. You’ll avoid misunderstandings and hurt feelings, and the two of you can quickly move forward in your treatment. When it’s time for your next appointment, using the following tips can make a positive difference in your relationship.

Always be as honest and as specific as possible.

Even if you’re uncomfortable, tell the truth—your doctor can’t successfully treat you otherwise. If you’re not sure how to answer a question, say so instead of guessing. Your answers should be as specific as possible, even if you need to add more information or ask questions before replying.

Don’t be afraid to ask or tell your doctor anything—he or she has literally heard it all.

Listen, and then ask questions.

Sometimes while the doctor is talking, patients have an emotional reaction that prevents them from hearing the rest of what the doctor has to say. Listen to everything the doctor says, try not to react right away and let it process for a moment, and then ask questions.

Note anything unusual, and write down your questions before you go.

Keep a calendar or day planner with you, and jot down any symptom that is unusual for you. The night before you go to the doctor, make a note of these symptoms as well as questions you have. Often we go to the doctor with a list of questions in our head, and then forget what we wanted to ask. This step will save time for both of you during the appointment.

Never ignore unusual pain, discharge, or bleeding. Contact your doctor immediately.

Tell your doctor about everything you take.

Make a list of your medications and any dietary supplements you take, including vitamins and aspirin. Be sure to note dosage size and frequency. Give the list to your doctor for your file, and send a copy to your pharmacist. Update these lists at least once or twice a year.

Don’t be offended by non-medical questions.

Your doctor might ask about your job or what you do on weekends, and this is not to pry, but to evaluate how your lifestyle might be affecting your health. Stress, eating habits, and alcohol consumption may be factors in your condition.

Let your doctor know if he or she doesn’t communicate well with you.

Your doctor needs to know if his or her communication style isn’t effective. Think back on your last few appointments. Did he or she say anything that upset you, and was everything explained in a way you could understand? Were you comfortable talking with him or her?

Give your doctor specific suggestions to improve your partnership. If you’re not comfortable doing that in person, send an email or leave a voice mail after hours on the doctor’s private line.

Your doctor is there to help you—and he or she can do a much better job when you have built a relationship based on trust and good communication. This process can take a little time but is well worth the effort.

What do you and your doctor do to create effective communication?