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“Constant pain severe enough to limit activities of daily living are signs that your hip or knee joint may need surgical replacement,” says McLeod Orthopedic Surgeon Dr. Rodney Alan. “Beyond the pain itself, a person’s age and overall health are considerations.”

In medical terms, a knee or hip joint replacement involves surgically replacing injured or damaged parts of the joint with metal, plastic or other materials.

Total Joint Replacement “Bring It On” say Boomers

Posted on in Orthopedics

Knee replacements tripled in people ages 45 - 64 from 1997 - 2009.

American Academy of Orthopaedic Surgery

Carotid artery disease is the major cause of stroke and a leading cause of disability in the United States. 


It was more than 2 decades ago that a surgical procedure to remove a woman’s uterus with small incisions was first introduced.  Yet, in 2010 nearly 60% of the hysterectomy surgery in the US were still being performed with long incisions across a woman’s stomach. Although the traditional approach to hysterectomies can be medically required in some cases, most women are excellent candidates for the newer technique.

“The Laparoscopic Supracervical Hysterectomy (LSH) is a technical name for the procedure which involves making a small ¾” incision so that a wand-like implement to clip and remove the uterus,” says Dr. Charles Tatum of McLeod OB/GYN Associates.. “Compared to the traditional method, the LSH is described as minimally invasive and it has a quite a few benefits for the patient.”

When it comes to discovering breast cancer, a woman can do a self-exam, looking for lumps or changes in the size or shape of the breast,” says Radiologist Dr. Noel Phipps, Medical Director of McLeod Breast Imaging. “Also, a physician or nurse can perform a clinical breast exam, feeling for lumps or other changes.  Or the gold standard for diagnosing breast cancer is the mammogram.   But the questions many women face are 1) when should I start getting mammograms and 2) how often should I get a mammogram?


Snickering aside, women should be grateful to Gynecologist Arnold Kegel.  In the late 1940s, he developed an exercise for pelvic muscles that offers women huge benefits. Studies show that 70% of women with stress incontinence who use the Kegel exercise will see improvement.  Beyond the leakage issue, Kegels can prepare a pregnant woman’s body for labor and improve your sex life.

“Before your doctor recommends surgery of some type, he or she is likely to suggest the Kegel exercise,” says Dr. Michael Davidson of Advanced Women’s Care.  “Weak pelvic muscles are one cause of urine leakage among women.  Like any other muscle in our body, exercise can strengthen the muscles and give you more control.”

Heart disease and cardiovascular conditions can be treated in numerous ways, depending on the seriousness of the condition and the patient’s history or other medical problems.

Prevention. If you are reading this, it may already be too late to think about preventing your heart disease. However, many diagnosed heart issues can be treated successfully with the lifestyle changes listed below. If you don’t have a heart problem, following the lifestyle recommendations can prevent or delay serious heart issues for you.

Females experience stress incontinence (or urine leakage) when they cough, sneeze, laugh, exercise vigorously or, very commonly, simply by swinging a golf club. Urodynamic testing conducted in the doctor’s office is used to determine the type of incontinence.

Treatments include exercises (Kegels), bladder training or medication.  When these treatments fail to solve the problem, bladder incontinence surgery is the next step.

If there can be any good news about Cancer Treatment, this is it: You may be encouraged to add foods to your diet that most of us are cautioned to avoid,” says McLeod Registered Dietitian Kitty Finklea.  “Cancer can change the way your body uses food. And loss of appetite is a common side effect of chemo and radiation therapy.” 

In addition to appetite loss, cancer patients may experience nausea, vomiting, constipation or diarrhea, changes in taste or smell and an allergy to dairy products (lactose intolerance). Not everyone has the same side effects, even if they are taking the same treatments. 

Talk To Your Doctor about Incontinence.

Posted on in Women's Health

Embarrassment for personal incontinence is understandable and can cause you to put off seeing a doctor. First, remember – you are not alone. One source says women wait an average of more than 6 years before finally seeking help for their incontinence. On the average only 10% of women who experience urinary incontinence will seek professional medical help.

“This is sad, because there are many treatment options available,” says McLeod Gynecologist, Dr. Gary Emerson. “We’re trained to deal with your problem professionally. Bladder control problems are a common issue. Fifty percent of women will experience urinary incontinence during their lifetime. Those numbers increase as women age with one in three by age 60 experiencing some type of bladder control problem. Urinary incontinence is not a disease of old age as women as young as 20 experience bladder control and leakage problems.”

Women Are Different At Heart

Posted on in Heart Health

Heart disease is the leading cause of death for women in South Carolina. Heart disease and stroke account for nearly 28% of women’s deaths in South Carolina. To put it on a more personal, understandable level – about 15 women die EVERY DAY in South Carolina from heart disease and stroke.

 These statistics alone show the serious impact of heart disease on women in our home state and hometown. While cardiac issues are often considered “men’s diseases,” recent statistics show that at least as many women as men die from coronary artery disease.

Questions To Ask Your Oncologist About Your Cancer.

Posted on in Cancer

Much like winners in the TV game show “Jeopardy,” a cancer patient’s chances for success are greatly increased by putting their concerns in the form of a question. In fact, one recent study has shown that patients WANT to ask questions about and be more involved in decisions about their care.

“We know from experience that patients want to be engaged in the decisions about their care,” says McLeod Oncologist Dr. Michael Pavy. “For many cancer patients, the diagnosis signals a loss of control over their life. Not only does involvement in treatment decisions give a person back some sense of control, but also it’s truly the best approach we cancer specialists can take.”

Pelvic Organ Prolapse Symptoms & Treatment

Posted on in Women's Health

“Pelvic relaxation may sound like something pleasant but that is definitely not the case,” says McLeod Gynecologist, Dr. John Browning. “The phrase is another way of describing pelvic organ prolapse – or the failure of a woman’s body to support the uterus. At its worst, the condition can result in a woman’s uterus, bladder, small bowel, and even the rectum protruding from her vagina and cervix. Thank goodness there are a number of ways to solve this problem.”

Causes. Multiple vaginal births, obesity, aging and high impact activities or chronic straining due to constipation are among the risk factors and causes for pelvic relaxation. Women as young as 20 can experience some of these conditions.

Cancer Treatment Options

Posted on in Cancer

“Cancer is not one disease,” says McLeod Cancer Committee Chair Dr. Rajesh Bajaj. “In fact, it is a group of perhaps thousands of different diseases, which have some common characteristics. For this reason, cancer treatments are very complex and increasingly personalized.”

Although each patient’s treatment must be calculated uniquely, the options fall into three main categories: Medications, Chemotherapy and Radiation Therapy.

Know the Symptoms of a Heart Attack

Posted on in Heart Health

Chest Pain.
Nausea.Sweating.Know the Symptoms of Heart Attack.  “Anyone who experiences the signs and symptoms of a heart attack should immediately take an aspirin and call 911,” says McLeod Emergency Services Medical Director Dr. Jeremy Robertson. “Rapid treatment is extremely important in preventing damage to the heart and the patient’s survival.”

Heart disease is the nation’s #1 killer. Sadly, about 325,000 people a year die of a heart attack before they get to a hospital. Some waited too long, because they either didn’t recognize the symptoms or were afraid to go to the ER, because they would be embarrassed if they were mistaken.

Urge Incontinence Signs & Symptoms

Posted on in Women's Health

“’Pelvic Health’ is a new phrase used among professionals in women’s health,” says McLeod Gynecologist, Dr. Charles Tatum. “We know what it means, but to the layperson, the descriptor can be confusing or even misleading. To clarify, pelvic health refers to five areas of concern that affect more than 1 in 3 women.”

Pelvic Health includes:

You've Been Diagnosed With Cancer, Now What?

Posted on in Cancer

Hearing the words “You have breast cancer” (or any kind of cancer) can be emotionally destructive. You hear the words but your mind is overcome by a tidal wave of questions and feelings. Denial. Helplessness. What if’s? What now’s? Even “take charge” people can be thrown into shock and depression – their thoughts and lives brought to a screeching halt.

Here are some practical tips to help you take back control over your emotions and your life after your doctor has confirmed a breast cancer diagnosis. Start with the one important realization:

Electrophysiology's Important Role in Cardiology

Posted on in Heart Health

Many heart patients know about a cardiologist, whose role is to test and diagnose heart problems. And they know about cardiac surgeons, who open chests for bypass or other heart surgery. There is a subset of cardiologists, who receive additional training in the electrical rhythms of the heart. This subspecialty is called electrophysiology.

The heart muscle is kept in rhythm, pumping blood, by a series of electrical signals from nerves,” says McLeod Electrophysiologist Dr. Rajesh Malik. “When those signals are irregular, the patient suffers what we call arrhythmia, fibrillation or tachycardia. The heart may beat too fast, too slow or vary between too fast and too slow.”

How To Talk To Someone Diagnosed with Cancer.

Posted on in Cancer

It is not easy talking to someone who has a life-threatening health issue, even for those of us who deal with it every day,” says McLeod Oncologist, Dr. Sreenivas Rao. “So, we understand how difficult you find it when faced with a friend or family member who is a cancer patient. This article includes some suggestions and some straight talk directly from cancer survivors.”

First, be a good listener. Be respectful. Don’t be scared of silence. Don’t avoid their situation. That would be rude.

Are You Due for a Heart Valve Job?

Posted on in Heart Health

An overview: Heart Valve Problems & Treatment for Mitral Valve Prolapse

If you did something over 100,000 times a day (40 million times a year), you would eventually fatigue and wear out. Right? So, it is no wonder the valves in our beating hearts can wear out as they get no rest.

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