Ministroke, Also Called a Tran- Sient Ischemic Attack (TIA), Actually Sought Appropriate Emergency Treatment at a Hospital
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healthyl i v i n g Summer 2011 f you were warned that a stroke was in your future, you’d act to prevent it, right? Yet many ipeople ignore a major red flag: the mini- stroke. According to a recent study in the journal Stroke, only one out of 10 people with symptoms of a ministroke, also called a tran- sient ischemic attack (TIA), actually sought appropriate emergency treatment at a hospital. About one-third of people who have a TIA will have a stroke in the future. But that doesn’t mean it’s inevitable. Knowing the warning signs of a TIA—and seeking immedi- ate medical attention—can help keep your brain safe. Watch for Stroke Signals TIAs occur when blood flow to an area of the brain is temporarily blocked, often due to a blood clot. They are known as minis- trokes because they cause the same symp- toms as a stroke but last only a few minutes. For both TIA and stroke, symptoms come on suddenly and include the following: Signs of a • Numbness or weakness of the face, arm, or leg, especially on one side of the body • Confusion or dizziness Ministroke • Trouble speaking or understanding • Trouble seeing in one or both eyes • Difficulty walking Largely Ignored • Loss of balance or coordination • Severe headache with no known cause Heed the Warning Health experts say you should assume that all stroke-like symptoms signal an emergency. So if you experience even one of the symp- toms listed above, seek immediate medical attention or call 911. Remember that mini- strokes tend to be brief, but you still need emergency care even if your symptoms disappear quickly. Do you have concerns about a stroke? If it turns out you’ve had a TIA, your physi- for a free referral to one of uSMD cian can tell you how to lower your risk for Hospital at arlington’s neurosurgeons a full-blown stroke—before it has a chance or neurologists, call (888) 444-uSMD. to strike. ■ 2 prostate cancer faq | 3 ovarian CanCEr Risks | 4 nEW iCu to open soon For a physician referral, call (888) 444-uSMD. bones may show up as bone pain, usu- ally in the hips or back. Q: How is a digital rectal examina- tion done? A: For a digital rectal exam (DRE), you bend over and the physician or nurse practitioner inserts a lubricated, gloved finger into your rectum. The examiner can feel your prostate through the rectal wall. He or she will check for hard or lumpy areas. Q: What does PSA mean? A: PSA stands for “prostate-specific anti- Prostate Cancer gen.” The PSA test measures the levels of PSA in the blood. PSA is produced by prostate tissue, whether it’s normal or cancerous. The level of PSA in the blood may rise in men who have pros- tate cancer, BPH (an enlargement of the prostate), or an infection in the prostate. FAQ Q: How is prostate cancer treated? ou’ve probably heard about rectal examination (DRE) or a PSA A: Not all men with prostate cancer prostate cancer from time to time, blood test. These are the most common need treatment. For those who do, there but how much do you really know symptoms of prostate cancer (although are a number of available treatments, Y including surgery. The physician sug- about it? Here are some answers to prostate symptoms are more commonly frequently asked questions about caused by noncancerous conditions, gests a treatment plan to fit each man’s prostate cancer. such as BPH): needs based on the cancer’s stage, the • A need to urinate often, especially man’s age, general health, and his feel- Q: What is the prostate? at night ings about the treatments and their pos- A: The prostate is a male sex gland that • Weak or interrupted urine flow sible side effects. produces a thick fluid that forms part of • Difficulty starting urination or hold- the semen. The prostate is about the ing back urine Justin Lee, M.D., urology size of a walnut. It’s located below the • Inability to urinate bladder and in front of the rectum. • Painful or burning urination Dr. Lee is a urologist on staff • Painful ejaculation at uSMD HospitalDr at Q: What are the symptoms of • Blood in urine or semen arlington. To schedule an prostate cancer? • Pain or stiffness in the lower back, appointment with him, call A: Many men have no symptoms. The hips, or upper thighs (888) 444-USMD. cancer is often found during a digital Prostate cancer that has spread to the Five HAbitS to HelP Men beAt HeArt DiSeASe A man may reduce his risk for heart disease by revving up 1. Not smoking his healthy lifestyle practices. All smart choices help, but 2. Eating a healthy diet following a specific group of five may offer extra protection. 3. Exercising daily 4. Drinking alcohol Researchers studied almost 43,000 male health professionals in moderation for 16 years. Among the men ages 40 to 75, those whose 5. Staying at a lifestyles included these five healthy practices had the lowest healthy weight risk for heart disease: 2 UsMD Hospital at Arlington | www.UsMDarlington.com For a physician referral, call (888) 444-uSMD. Bad Sleep Harder on Women if you wake up cranky after a bad night’s sleep, you could blame your gender. That’s because women feel neeD to KnoW: the effects of poor sleep more than men, according to research in the Ovarian journal Brain, Behavior, and Immunity. Women who don’t get good Cancer sleep and have trouble falling Women should learn about their asleep are more likely to feel risk and know the symptoms anger, depression, and hostility than men who have the same sleep problems. And women with varian cancer is a disease in Diagnosing ovarian Cancer sleep problems are more likely to which malignant cells are In many cases, ovarian cancer doesn’t be at risk for diabetes and cardio- found in one or both of the have any symptoms until it’s in an o vascular disease. Scientists think ovaries, the female reproductive organs advanced stage. The American Cancer in the uterus. It is the eighth most Society recommends that if a woman that higher levels of testosterone common form of cancer among women. experiences symptoms almost daily, or protect men from the damaging The cause of ovarian cancer is if they last a few weeks and are new, effects of poor sleep. unknown, but there are certain risk fac- she should seek the attention of her overweight and obese women tors that increase a woman’s chance of physician. But also keep in mind that are especially prone to sleep prob- developing the disease. Women older the symptoms of ovarian cancer may lems. If you have trouble falling or than age 55 are at an increased risk. resemble other medical conditions or Research suggests the following may problems. staying asleep, know that it may be also be risk factors for ovarian cancer: Diagnosis includes a medical history affecting more than your • Starting monthly periods before age 12 and physical examination, including a mood. Talk with • Going through late menopause (after pelvic examination to feel the vagina, your physician age 52) rectum, and lower abdomen for masses about sleep • Being obese or infertile or growths. A Pap test may be request- solutions. • Taking hormone replacement therapy ed as part of the pelvic examination. or certain fertility drugs The physician may also use blood tests, • Having a personal or family history a biopsy, ultrasound, computed tomog- of breast cancer, colon cancer, or raphy (CT or CAT scan), or other diag- ovarian cancer nostic tests to diagnose ovarian cancer. First-degree relatives (such as a mother, sister, or daughter) of a woman Treatment options who has had ovarian cancer are at risk Ovarian cancer may be treated with of developing the disease. surgery, chemotherapy, radiation thera- py, or a combination of treatments. Another treatment for ovarian can- Mary finke, M.D., Gynecology cer is intraperitoneal (IP) chemo- Dr. Finke is a gynecologist therapy. This type of chemotherapy on staff at USMDDr Hospital is given directly into the abdomen at Arlington. to schedule through a catheter (a long, thin an appointment with her, tube). While several clinical trials call (888) 444-USMD. have shown a benefit for this type of chemotherapy treatment, it is not widely used. ■ living HealtHY, Summer 2011 | UsMD Hospital at Arlington 3 USMD Hospital at Arlington Presorted Standard 801 W. Interstate 20 US Postage Arlington, TX 76017 PAID USMD Hospital at Arlington SeMinArS New Surgical Intensive Care Unit The following FREE seminars will to Open Later This Year be offered at USMD Hospital at Arlington. e are pleased to announce system that gives the nursing staff con- that USMD Hospital at stant feedback on and a visual of each Arlington will be opening a patient in the unit. The hospital’s nor- ED and incontinence Seminar W four-bed surgical intensive care unit mal one-to-five nurse-to-patient ratio Dr. Price and Dr. Johnson (ICU) this fall. The new surgical ICU will be further reduced to one nurse August 23 at 6:30 p.m. will allow the hospital to accept for every two patients. All the nursing Learn about treatments for erectile patients who need to be monitored personnel will have an intensive care dysfunction and urinary inconti- 24/7 following surgery. background and specialized training. nence, from new drugs to penile The surgical ICU is being built at This new surgical ICU will be locat- implants.