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3 Things to Know about Cord Blood Donation

TCBBAnniversaryValentine’s Day is a day to express your love. Valentine’s Day was extremely special for the labor and delivery unit at St. David’s Medical Center since it marks the first anniversary of our partnership with Texas Cord Blood Bank. Over the past 365 days, due to the generosity of our patients, we have collected 1, 161 units of cord blood that can potentially be used to save someone’s life!

Top 3 Things to Know about Cord Blood Donation:

  1. Cord blood donation is free and does not interrupt the normal birth process. Privately banking your cord blood can cost thousands of dollars, which many families don’t have at the time of birth.
  2. By donating your baby’s cord blood, you can help treat life-threatening diseases such as leukemia, aplastic anemia or genetic blood disorders. Blood is drawn from the umbilical cord and placenta after the baby is delivered and does not cause any discomfort to mom or baby.
  3. Cord blood is found to be a rich source of stems sells and is currently being used as an alternative to bone marrow in treating the life-threatening diseases listed above.

Celebrate with us today as the work of St. David’s Medical Center and our amazing patients goes on to positively affect the lives of others!

-Meghan Frazier

The Game Plan: Preventing Youth Sports Injuries

By Lewis Leibovich, M.D.

According to the National Alliance of Youth Sports, more than 30 million children participate in team and individual sports each year. The school year is peppered with sporting activities—from cheerleading and track to football and soccer. They are all fun ways to improve physical fitness and hand-eye coordination, while teaching children determination and teamwork. Unfortunately, these activities are also some of the most frequent causes of youth injuries.

Annually, more than 3.5 million sports-related injuries in kids require medical attention, according to the National SAFE KIDS Campaign. However, many of these injuries are preventable.

Since younger athletes are still growing, their bones, muscles, tendons and ligaments are more likely to be affected by minor accidents. As children get older, the rate and severity of sports-related injuries increases. The most common types of sport-related injuries in children are ankle sprains, shoulder strains, concussions, dehydration and patellofemoral pain syndrome, which is related to knee strain and injury. With proper precautions, young athletes can play sports knowing their bodies are in the best physical condition.

Below are some measures young athletes, their parents and coaches can take to prevent some sports-related injuries:

  • Ensure children get physicals before they begin practicing or playing sports. It’s important to know if there are any underlying health conditions that may interfere with the level of activity a child can achieve.
  • As with any physical activity, participants should drink at least 12 ounces of water 30 minutes before the activity begins. Continue to hydrate throughout, as well as 20 minutes following the activity.
  • Require at least a 10-minute warm up before any strenuous physical activity to raise the heart rate gradually—not suddenly—and increase blood flow to the muscles.
  • Athletes should stretch both before and after the activity. They should hold each stretch for 10 to 15 seconds for maximum effectiveness. Make sure they stretch their entire bodies—stretching the legs will only help warm up the lower body.
  • If athletes complain of exhaustion or pain, listen to them and do not force them to play through the pain. Adults are taught to listen to their bodies and know their limits—there is no exception for children.
  • Be sure someone on the coaching or training staff is certified in CPR and first aid.
  • Kids of the same age can differ in size, maturity and strength. Take extra caution when children are competing with kids who are more physically advanced, and avoid that situation if possible.
  • For younger athletes, make sure practices are suited to the sport they play. It’s critical to ensure they are receiving the proper conditioning that will allow their bodies to adapt so they can continue playing for years to come.
  • Ensure athletes are wearing and using the appropriate safety equipment, even during practice. Be sure to adjust the equipment to fit the child. If something does not fit properly, it will be less likely to prevent injury.

Keep in mind that contact sports have higher rates of injury, but individual sports injuries tend to be more severe. As soon as an accident occurs, appropriate action should be taken. For treatment of simple injuries, apply the R.I.C.E. technique—rest, ice, compression and elevation—but never hesitate to take an injured athlete to a hospital.

Even if an injury seems minor, listen to the child. If the child complains of persistent pain following an accident, or if their “minor” injury prevents them from performing at their normal level, it is time to see a doctor. The faster an injury is treated, the faster the body can begin to heal and recover.

Lewis Leibovich, M.D., is a physician with St. David’s Urgent Care Pflugerville.

School’s In Session: Lesson No. 1—Stay Healthy!

via flickr

Now that the first school bell has rung in the academic year, many parents—especially parents of younger children—worry about students’ wellness. However, you can help keep your student healthy by arming yourself and your child with information about ways to avoid illness. After all, illness can lead to absence, which can have a direct impact on the learning process.

With children being in close quarters every day, conditions are favorable for the spread of communicable diseases, such as respiratory illnesses, colds and the flu. Perhaps the simplest thing students can do to prevent spreading germs from person to person is to wash their hands frequently and thoroughly. The Texas Department of State Health Services recommends:

  • Scrubbing your hands for about 20 seconds, using warm water and soap
  • Drying your hands with a clean, disposable towel
  • Using an alcohol-based hand cleaner when soap and water are not available

Most importantly, make sure students wash their hands before eating, or touching their mouth, nose and eyes. Students should also avoid sharing things that may contain respiratory germs, such as food, eating utensils, drinking glasses,lipstick and towels.

Remind kids to cover their mouth and nose with a tissue (not a handkerchief) every time they sneeze, blow their nose or cough. If one is not available, they should cough or sneeze into their elbow or upper sleeve.

If your children do get sick and develop a fever, keep them home until they are cleared by a physician to return to school. Because many viruses can survive for hours outside the body, cleaning household surfaces with a virus-killing disinfectant can help prevent the spread of infection among siblings at home.

Additionally, ensure your child is up to date on all vaccines (if your student was allowed to register and attend school this year, he or she is likely current on all immunizations, as students in public schools cannot attend classes without proper immunization, unless they are exempt).

Finally, make sure your child gets plenty of rest. According to the Centers for Disease Control and Prevention, elementary school-age children need 10 to 11 hours of sleep per night, while children between the ages of 10 and 17 need about eight or nine hours of sleep.

While taking these precautions won’t guarantee an illness-free school year, it can considerably lessen the likelihood a child will get sick—and help ensure your student is performing at his or her optimal level.

–James Balarbar, M.D., is the medical director at St. David’s Urgent Care Circle C

3 Things You Can Do to Help Avoid West Nile Virus

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West Nile virus illnesses in Texas continue to rise dramatically, with the number of cases this summer rising to 1,013 — with 40 deaths. That is a 58 percent increase in cases and 74 percent increase in deaths. State officials warned that the infections may continue until the first hard freeze of the year. To protect yourself and your family from exposure to mosquitoes infected with West Nile virus:

  1. Be sure to wear long pants and long sleeves during dusk and dawn.
  2. Apply a repellant with DEET.
  3. Remove all standing water from the yard.

West Nile virus is asymptomatic in 80% of those infected. 20% of patients present with clinical disease. West Nile virus can cause a neuro-invasive disease or West Nile fever. In addition, a recent research study completed by Dr. Art Leis indicated that 40% of West Nile fever patients also had markers for the more serious West Nile illness indicating the effects of West Nile fever may be more extensive than previously thought.
In the more severe cases, patients can develop a variety of neurological deficits including meningitis, encephalitis and polio-like limb weakness. Rehabilitation at an intensive rehabilitation hospital and the expertise of neurology may be required. Patients may require physical therapy for strengthening and training to learn to walk again, occupational therapy to relearn activities of daily living such as bathing, dressing and toileting and speech therapy to address any deficits in cognitive function, memory, swallow or communication.

There is no cure or treatment for West Nile virus. Until our first hard freeze, remember to protect yourself and your family from exposure to mosquitoes.

Diane Owens, PT, FACHE
Assistant Administrator
St. David’s Rehabilitation Hospital

Free Adolescent Heart Screening

A special Thank You to the more than 100 youth who came out to St. David’s Round Rock Medical Center this past Saturday for the Free Adolescent Heart Screening. It was great to meet such wonderful people and we were proud to bring this wonderful benefit to our community.

The youth who attended the screening, ages 14-18, received an EKG and Sonogram to test for Hypertrophic Cardiomyopathy (HCM) which affects 1 in 500 young athletes. The results were reviewed by a St. David’s Round Rock Medical Center physician.

In conjunction with the screening, Explorer Post 247 was on hand to train over youth, parents and siblings in hands free CPR. To the beat of the Bee Gee’s “Staying Alive”, over 70 people were trained in CPR while learning what to do in case of emergency. Post 247 gives youth the opportunity to explore different career in EMS. If you are between the ages of 14-21 and are interested please go to www.emspost247.org

In just 15 minutes adolescents and parents walked away not only with two medical tests regarding heart health results but also something much greater, a good peace of mind.

Holly Krivokapich
Health and Wellness Coordinator

Don’t Let your Child be the ONE

June officially kicks off the summer months and for thousands of young athletes, an intense schedule of practice, games and tournaments. While often times the health and vigor of young athletes is taken for granted, each year a number of adolescents suffer from Hypertrophic Cardiomyopathy (HCM). The leading cause of sudden cardiac arrest in young athletes, HCM affects approximately 1 in 500 student athletes. While it’s often hard to diagnose HCM without proper screening, some of the symptoms include:

  1. Shortness of breath)
  2. Chest Pain
  3. Heart palpitations
  4. Light-headedness
  5. Fatigue

As daunting as the possibility of HCM can be St. David’s Round Rock Medical Center is here to help. On June 14, we will be hosting a seminar discussing The Importance of Adolescent Heart Screening at the St. David’s Round Health and Wellness Center at the CHASCO YMCA. Come learn the symptoms, risks and what you can do to protect your child through screening. As an added benefit, St. David’s Round Rock is hosting a FREE Adolescent Heart Screening on July 14th for children between the ages of 14-18. Sign up for both of these by calling 512-478-3627. We hope to see you there!

Holly Krivokapich
St. David’s Round Rock Medical Center
Health and Wellness Coordinator

3 Key Elements of Preventing Stroke


I hope that you found the May topic of Stroke Prevention helpful through either taking steps to lessen the risk for stroke or for knowing the stroke symptoms. Here are three key elements regarding stroke in what you can do for prevention and how to respond if stroke occurs in yourself or someone around you.

Prevention

  • 
Treat high blood pressure
  • Control diabetes
  • Stop smoking
  • Treat elevated cholesterol
  • 
Limit alcohol
  • 
Exercise
  • Risk of recurrent stroke
  • Medication compliance



Think Fast

Face

  • 
Facial droop
  • Uneven smile

Arms

  • Arm Numbness
  • 
Arm Weakness

Speech

  • Slurry Speech
  • Difficulty speaking or understanding

Time

  • Call 911 and get to the hospital immediately
  • Brain is Time. The quicker you get to the hospital the better your chances are

DASH Diet

The DASH Diet, Dietary Approach to Stop Hypertension, can beneficially impact blood pressure which in turn lowers your risk for heart disease, stroke, and some types of cancer. The DASH Diet uses recipes that use very little salt, whole grains and interesting ways to incorporate fruits and vegetables. Click here for the DASH shopping list which will help you on your trip to the grocery store.

Our next topic will be the Importance of Adolescent Heart Screening. If you have a young athlete in your life, this is the seminar for you! Join me at the St. David’s Round Rock Health & Wellness Center Thursday, June 14 from 6-7:30 pm to learn the importance of adolescent heart screening and how you can protect your child. Register by calling ( 512) 478-3627 or (888) 868-2104. I look forward to seeing you there!

Hope to see you there!

Holly Krivokapich

St. David’s Round Rock Medical Center

Health and Wellness Coordinator

The Weight Of The Nation: A Documentary

I recently had the pleasure of attending the screening of an HBO documentary entitled, The Weight Of The Nation.  It’s about the obesity epidemic that our nation is facing today.  It is a realistic representation of a multifaceted problem.

More than two-thirds of U.S. adults age 20 and over are overweight or obese, while nearly one-third of the nation’s children and adolescents age 2 to 19 are overweight or obese.  Obesity contributes to five of the ten leading causes of death in America, including heart disease, diabetes, stroke, cancer, and kidney disease.  We are clearly in crisis.

Made in partnership with the Michael & Susan Dell Foundation and Kaiser Permanente, this series is comprised of 4 films that will debut on HBO on May 14th and May 15th beginning at 7:00 pm Central.  The portion presented at the screening was Children In Crisis.  We are facing, for the first time in our nation’s history, a shorter life expectancy for our next generation of children.  That, by itself, should be enough to motivate us to action.

Obesity is a preventable disease; it’s not a condition that we have to accept like a natural disaster.  We must begin to make the necessary changes in our culture to ensure a healthy life for ourselves and our children.  After all, our lives depend on it.

For more information about weight management and weight loss surgery, please give us a call at St. David’s Bariatric Center, 512-544-LIFE (5433) or visit us online at www.stdavidsweightloss.com.

Patients as Lifesavers – Cord Blood Donation with Texas Cord Blood Bank

The words “cord blood” may not mean very much to you, but for some patients, those two words may mean the difference between life and death.

Right now, you may be asking yourself “what is cord blood?”
Cord blood is blood that is left in the umbilical cord and placenta after the birth of a baby. The umbilical cord and placenta are usually discarded after a baby is born.

This special blood is a rich source of stem cells which can treat a number of illnesses and life threatening diseases.

Now you may be thinking “wait, aren’t stem cells tiny embryo’s?”
The types of stem cells that are found in cord blood are not the same as embryonic stem cells. These stem cells are simply in the blood of the placenta and umbilical cord and are typically disposed of after birth. These cells have proven to be life saving in the face of several diseases and illnesses such as leukemia, lymphoma and disorders of the immune system, just to name a few. This program is not controversial and is supported by many faith based communities because of the difference in the type of stem cell.

St. David’s Medical Center in downtown Austin is the only facility in the city currently offering free cord blood collection and donation. Until now, the only option for cord blood collection was through a private bank that requires a fee for collection and storage. Cord blood that is collected and donated may be used to treat someone who is a match with a life threatening disease such as leukemia, aplastic anemia or genetic blood disorders like sickle cell anemia.

Here’s a snapshot at the process of cord blood donation:

  • Receive information about cord blood collection and donation from your doctor during your prenatal visits.
  • Discuss screening done for all cord blood donors with your doctor. Most healthy moms are able to donate, but there are some common reasons you may not be able to donate such as a twin pregnancy.
  • Decide if participation in this program is right for you and your family.
  • Instead of discarding your umbilical cord and placenta after delivery, your baby’s cord blood will be collected by your physician after the baby is born. This process does not pose a risk to you or your baby, and it not painful to you in any way at all. Once the cord blood is collected, the placenta and umbilical cord are disposed of per Texas law.

The decision to collect and donate cord blood is personal for each and every family. Your options include – storing your cord blood at a private bank, donating and storing your cord blood to a public bank, or discarding the cord blood after delivery. Understanding those options may help you choose whether you would like to be a cord blood donor.

You may never know if someone’s life could be saved by the use of this special blood, but how special is the thought that you may be giving a child a second chance at life or helping a child live a normal, healthy life!

For more information about donating cord blood, please check out Texas Cord Blood Bank’s website at:
http://www.bloodntissue.org.

*All information used with the permission of Texas Cord Blood Bank.

Choosing the best Ob/Gyn for you

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Guest post by Blanca Duncan, MD

Because the outcome of pregnancy depends on your emotional as well as physical well being, it is important to find a doctor than meets not just your medical needs but also one that you are compatible with. Selecting a doctor to deliver your baby is a very important and personal decision. Following are some steps to help you in choosing the best Obstetrician Gynecologist for you.

Where to begin your search for ob/gyn?
Internet sites that provide basic information on doctors in your area are a good source. Some sites include: healthgrades.com; yelp.com.

Ask around for recommendations. An excellent source of referral is a trustworthy medical professional. Consider asking friends and family members who they see and if they recommend the doctor.

Pregnancy can be financially trying. Make sure the doctor you are considering is in your network of providers. Talk to your insurance. If it is a requirement for your insurance coverage to see someone in your network, you may want to narrow your list to include only physicians in your network.

The doctor’s office as well as the hospital facility where the physician delivers should be included in your decision. You will visit the doctor’s office several times and you may need to get to the hospital quickly. Therefore, the locations should be convenient to your job and home. In addition, you should feel comfortable in both settings. Assess the friendliness of the office staff. Get to know the hospital; ask about availability of tours to the labor and delivery unit.

What to look for in an ob/gyn doctor?
A provider with whom you feel safe and relaxed is key to optimizing your pregnancy and childbirth experience. Below are some things to consider in choosing a doctor.

Doctor’s personality

  • Is the doctor easy to communicate with?
  • Are things explained in a manner that you understand?
  • Do you feel that your concerns are validated and addressed?

Doctor’s practice outlook

Write down any specific concerns about your pregnancy. Find out what the doctor’s outlook is in regards to things that are important for you. For example if you have a specific birth plan such as at home birth or natural birth, find out the doctor’s perspective on this. If you are considering vaginal birth after cesarean section find out if the physician and hospital would be supportive.

Determine if the doctor’s scope of care meets your specific needs

If you have special health needs such as diabetes, heart disease, or very complicated pregnancy history, find out how much experience the doctor has treating these areas. You may want ask if the doctor work in conjunction with a maternal fetal specialist (a doctor that specializes on high risk pregnancy).

Once you have narrowed your choices, you may want to interview a few providers and compare notes until you find the one that you feel is the best choice for you.

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