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Managing Anxiety: The Basics
Rachel Hagerty, MA, Limited License Psychologist
Rochester Hills, Michigan
[We’re welcoming our local friend and Psychologist, Rachel Hagerty, as our guest blogger on Managing Anxiety, a common condition affecting many of us at some point in our lives. Rachel will share some useful, self-motivated techniques in managing the symptoms of anxiety. We’ll be sharing these techniques in a 2-part series. Take it away, Rachel!]
In our lives we experience a multitude of events; some thrilling, others difficult, life altering and ordinary. From navigation through life changes, to finding balance between our home and personal life, or maintaining our sense of self while fulfilling many other roles our daily lives can be very challenging and demanding. So if you are finding yourself burning the candle at both ends and feeling like you’re being pulled in too many directions at once, believe me when I say you’re not alone.
According to the National Institute of Mental Health website, anxiety disorders effect 18.1% of the adult US population with the average age of onset at 11 years old.
Consistently dealing with large amount of stress can lead to symptoms of anxiety that could possibly lead to depression-like feelings as well. It’s a rather slippery slope; one that many people tend to find themselves facing.
The flu season is definitely among us, with January being the peak season for influenza outbreaks. The CDC has predicted a more severe 2014-2015 flu season this year, with 91% of influenza infections thus far being due to the H3N2 virus. Unfortunately, because of the guesswork involved in manufacturer’s development of the upcoming year’s vaccine strains, this year’s flu vaccine has only a 48% match to the H3N2 viral strain. Nonetheless, flu illness does appear to be less severe in those having received the vaccine. Of particularly grave significance, is the prevention of the flu in pregnant women. Pregnancy infers particularly high risks for the development of severe illness in mothers to be. Pregnancy related changes in our immune systems make pregnant women at higher risk for developing severe complications of the flu, such as pneumonia, respiratory distress and even death. In the 2009 pandemic of the H1N1 influenza virus, 5% of deaths occurred in pregnant women, though pregnant women accounted for only 1% of the U.S. population. The CDC and ACOG strongly advise pregnant women to receive the flu vaccine, noting its safety in all trimesters of pregnancy.
If you’re pregnant, be sure to get your flu vaccine. The most common symptoms of the flu are fever, cough, nasal congestion, sore throat, headache, shortness of breath and muscle aches. Be sure to contact your health care provider if you’re experiencing any symptoms of the flu.
Suzanne Hall, MD Ob/Gyn (@drsuzyyhall)
Eastside Gynecology Obstetrics, PC
Macomb, Roseville, Grosse Pointe, Rochester, MI
Cesarean Section Delivery isn’t Failure…It’s ‘Plan B’
If I had a nickel for the many times I’ve heard a laboring patient say, “I really don’t want a Cesarean Section!” In addressing their labor concerns, often times I try re-clarifying with them what they really mean in saying “I don’t want a Cesarean Section”. I believe what most of our patients really mean is:
“I’m really ‘hoping’ for a vaginal birth”…
“If I had a preference for delivery, it would be vaginally, rather than by Cesarean Section”…
“If circumstances arise for which a Cesarean Section would be better for the health and safety of my baby, I’d definitely agree to Cesarean Section delivery”…
Understandably, for many persons, a new diagnosis of genital herpes may lead to feelings of shock, shame, guilt or embarrassment. Often times, patients are unaware of how common this virus is among the general population. Some studies have shown up to 1 in 5 of sexually active people have been infected with the Herpes virus, whether they’re aware of it or not.
Genital herpes is a treatable condition. Aside from being sexually transmitted, much of the negative stigma around this infection seems to come from the fact that you don’t ‘get rid of’ it, and that recurrences can happen. Herpes is a viral infection (like HPV,) and though the symptoms (a cold sore in the case of oral herpes, or a genital sore in the case of genital herpes) can be treated, the virus itself remains present in our blood stream indefinitely. Even in its dormant state (no symptoms present,) the virus remains detectable by blood test, and can lead to partner-to-partner spread of infection (from asymptomatic shedding of the virus) when no detectable ‘sore’ is present. Gonorrhea and chlamydia, different from the Herpes virus and HPV, are bacteria or bacterial-like infections that are cured with treatment, with no detectable bacteria remaining after adequate therapy (unless the individual is ‘re-infected’.)
Though a diagnosis of genital herpes can be an embarrassing nuisance, it’s actually a newborn baby who’s at the most serious risks from a genital herpes infection. A newborn baby infected with genital herpes is at risk for multi-organ infection, that can be fatal if left untreated. If you are pregnant, with a known history of genital herpes, it’s important to let your healthcare providers know that information. Certain measures (anti-viral medications in the last month of your pregnancy, and performing a Cesarean section if active lesions are present at the time of labor) should be taken, to decrease the risk of spread of infection to your newborn baby.
Did you know that up to 10-15% of pregnancies are affected by hypertension? About 5% of those cases are in women previously known to have hypertension (termed ‘chronic hypertension’), prior to pregnancy. Another 5-8%, develop hypertension within the pregnancy (termed ‘gestational hypertension’ or ‘pregnancy-induced hypertension’.)
Hypertensive disorders are characterized by blood pressures consistently ranging 140/90 or greater. Women with chronic hypertension (existing before pregnancy, or diagnosed before 20 weeks of gestation) may require blood pressure medications to control their blood pressure, even throughout the pregnancy. Those medications should be reviewed with your healthcare provider, to assess their safety in pregnancy, even before conception.