Global Medicine | Penn Medicine

Why doesn't my bladder empty completely even though I urinate several times a day and night?

Penn Medicine — Mon, 21 May 2012 16:00:00 +0000

Val asks:Why doesn't my bladder empty completely even though I urinate several times a day and night?Lily Arya, MD, responds:This is a common symptom and is rarely associated with real emptying problems. Most likely your bladder has become very sensitive, potentially due to an overactive bladder, interstitial cystitis or a kidney stone. It's in your best interest to see a urologist or

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What could be the cause of my recurring UTI?

Penn Medicine — Mon, 21 May 2012 16:00:00 +0000

Claire asks:I have a recurring UTI. I was given a low-dose antibiotic to take for six months, but after two months the problem continues. I did have netting put in for a leaking bladder about 10 years ago, could this be the cause?Megan O. Schimpf, MD, responds:Recurrent UTIs can be a frustrating and uncomfortable problem for patients, but the good news is that they rarely progress to serious

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What could contaminate urine and what would be the next step after learning this information?

Penn Medicine — Mon, 14 May 2012 16:00:00 +0000

Patti asks: My mom is 71 years old and had a partial hysterectomy many years ago. She has had bleeding that includes small blood clots and her urine is dark. She had a lab test, but the lab said her urine specimen was contaminated and referred her to her physician. She is concerned and wondering what could contaminate urine and what should her next step be? Lily Arya, MD, responds: I would first

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My sister-in-law suffers from pelvic floor dysfunction. Are there any support groups (specifically for younger people) who suffer from PFD?

Penn Medicine — Mon, 14 May 2012 16:00:00 +0000

Anonymous asks: My sister-in-law severely suffers both physically and mentally from pelvic floor dysfunction (PFD). She has seen many doctors and physical therapists, and received internal and external shots, medications, prolotherapy, etc. The treatments seem to work at first, but not for any length of time. This has prohibited her from participating in daily activities and as her symptoms

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I underwent pelvic reconstruction surgery and have experienced vaginal bleeding for more than two years. Is this normal?

Penn Medicine — Mon, 07 May 2012 16:00:00 +0000

Anonymous asks: I underwent pelvic reconstruction surgery involving synthetic mesh to lift my bladder. I have experienced vaginal bleeding for more than two years. Could this be normal? If not, what should my next step be? Lily Arya, MD, responds: I am very sorry to hear about this ongoing problem. I recommend you schedule an appointment to determine what the issue is and how to resolve it.

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My daughter has a large fistula that must be surgically repaired. We are looking for a surgeon with experience in this type of procedure.

Penn Medicine — Mon, 07 May 2012 16:00:00 +0000

Laureen asks: My daughter is 28 years old and has a large fistula that must be surgically repaired. It developed during labor and a Cesarean-section delivery. The diagnosis was made during an exploratory procedure to install a bag to decompress her bladder and allow it repair naturally. Unfortunately, the doctor decided natural repair would be impossible because of the size and the state of the

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Coping with Multiple Sclerosis: The Caregiver’s Perspective

Penn Medicine — Fri, 27 Apr 2012 17:04:00 +0000

Dorothea “Dottie” Pfohl RN, BS, MSCN, is a clinical coordinator of Penn’s Comprehensive Multiple Sclerosis (MS) Center. For more than 20 years she has specialized in caring for people with MS. She is in involved with MS research, clinical practice and community outreach and she serves as a resource with the MS Society and WAMS – Women Against MS. Caring for a person with multiple sclerosis (MS)

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Where can I find information on participating in clinical trials?

Penn Medicine — Mon, 23 Apr 2012 16:00:00 +0000

Mary Asks:Please tell me the parp inhibitor clinical trial is still open. Penn called me to participate in the trial in the beginning of November and at that time I showed no measurable cancer. Of course it's back. Failed chemo twice and have BRCA2 gene. Thank you so much for your time.Penn Medicine Responds:Dear Mary, We're sorry to hear about your recent diagnosis. Thank you for your question

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Should I request an earlier gynecologist appointment?

Penn Medicine — Mon, 16 Apr 2012 16:00:00 +0000

Peggie Asks:I am a 58 year old diabetic who has had heart bypass surgery but am in generally good health. Three days ago I started spotting and now it's getting a little heavier with dull pain in my stomach and especially my lower left flank. I can't get an appointment with the gynecologist for two weeks. I haven't had a period in over eight years. Should I be concerned enough to try to get an

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Is it normal for swelling to occur after marsupialization for a Bartholin gland cyst?

Penn Medicine — Mon, 16 Apr 2012 16:00:00 +0000

Stephanie Asks:I had marsupialization for a Bartholin gland cyst two days ago. Is it normal to be swollen afterwards?Penn Medicine Responds:Thank you for your question, Stephanie. You should contact the physician who performed your procedure to ask if swelling is normal. Every case varies and without knowing your medical history and specifics of the procedure, we cannot make an informed response.

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Should a complex hemorrhagic ovarian cyst which has grown 3.5 cm in two weeks be evaluated for ovarian cancer in a post-Lupron young adult?

Penn Medicine — Mon, 16 Apr 2012 16:00:00 +0000

CRLP Asks:Should a complex hemorrhagic ovarian cyst which has grown 3.5 cm in two weeks be evaluated for ovarian cancer in a post-Lupron young adult?Lori Smith, MSN, CRNP, responds:Dear CRLP, Thank you for your question. Any time there is rapid growth of a cyst, it should be further evaluated by a gynecologist to ensure stability. Your gynecologist may want to obtain testing such as a follow-up

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There is No Typical Day for Patients with MS

Penn Medicine — Fri, 13 Apr 2012 15:22:00 +0000

Dorothea “Dottie” Pfohl RN, BS, MSCN, is a clinical coordinator of Penn’s Comprehensive Multiple Sclerosis (MS) Cente. For more than 20 years she has specialized in caring for people with MS. She is in involved with MS research, clinical practice and community outreach and she serves as a resource with the MS Society and WAMS – Women Against MS. I am often asked what makes up a 'typical day'

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Serena never considered breastfeeding, but is glad she changed her mind

Penn Medicine — Mon, 09 Apr 2012 16:00:00 +0000

Serena's Story:I wasn't going to breastfeed. Nobody in my family did and neither did my girlfriends. I just didn't think about it. But then my water broke when I was only 7 months pregnant. And my baby was born so small, it was scary. The doctors from the NICU told me that my milk was important for the baby, and to me, that was enough. The nurses and the lactation consultants got me started

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What do the terms in my mom's pathology letter mean?

Penn Medicine — Thu, 05 Apr 2012 16:00:00 +0000

Nicky1234 Asks:My mom is recently diagnosed with ovarian cancer. The pathology letter mentioned: -Bilateral ovarian adenocarcinoma -Papillary serous systic type -moderately differentiated -vascular invasion: identifed -perineural invasion: dentified -endometrium: inactive -tubes: tumor free -staging: T1C (tumor is seen in both ovaries with involvement of ovarian surface and omental seeding).If

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When I stand up, urine just leaks out and I cannot control it. How should I proceed?

Penn Medicine — Thu, 05 Apr 2012 16:00:00 +0000

Cheryl asks:When I stand up, urine just leaks out and I cannot control it. How should I proceed?Megan O. Schimpf, MD, responds:This is a common and very frustrating urinary symptom, but there are treatments for this problem. Sometimes this can happen because of a bladder spasm, but sometimes it's related to the muscles in the abdominal wall contracting as you stand up. It could also mean that the

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My period is abnormal. I have had one small clot, could this be breakthrough bleeding?

Penn Medicine — Thu, 05 Apr 2012 16:00:00 +0000

Latoya asks:My period came on Sunday, and it was supposed to come on Wednesday, but when it arrived it was pink and mixed with discharge that entire day. I had no flow which was unusual, and Monday the same thing, no flow. Today, which is Wednesday, I have a little flow, which is not normal on my third day, and I have had one small clot. Could this be breakthrough bleeding?Penn Medicine Responds:

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I would like to find a doctor closest to my area who can perform the da Vinci® robotic surgery for bladder prolapse

Penn Medicine — Thu, 05 Apr 2012 14:10:00 +0000

Diane asks: I would like to find a doctor close to my home who can perform the da Vinci® robotic surgery for bladder prolapse. Thank you. Penn Medicine Responds: Dear Diane, Penn Medicine's urogynecologists offer a variety of treatment options for bladder and pelvic floor conditions, and are experts in using robotic surgery to treat pelvic organ prolapse. You can find a list of Penn

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What can family members do when a loved one refuses to begin cancer treatment?

Penn Medicine — Thu, 05 Apr 2012 14:00:00 +0000

Patti Asks: My sister has been diagnosed with cervical cancer. The treatment suggested is five days radiation and then chemotherapy. She is on Medicaid, had to be reinstated, and still has not started treatment. Almost two months have passed. She is also an alcoholic. What can we, her family, do? Can we commit her? Any suggestions? Lori Smith, MSN, CRNP, and Mia Benson-Smith, MS, Patient Support

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How Penn Medicine nurses and support groups helped make breastfeeding easier for Chrissy

Penn Medicine — Thu, 05 Apr 2012 13:05:00 +0000

Chrissy's Story: I was totally focused on getting through labor. I went to all the classes, did prenatal Yoga, read all the books, and even hired a doula! I thought that breastfeeding would be the easy part! But then I ended up having to have a C-section. My baby had to spend a few hours in the nursery, and then I felt awkward and afraid of my incision when holding my little girl. The nurses

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What does it mean when I get a burning sensation in my breast when I breastfeed?

Penn Medicine — Mon, 02 Apr 2012 16:00:00 +0000

Nicole asks:I am breastfeeding my 3-week old son and sometimes I get this burning sensation in my breast. When I breastfeed him on my left breast, my right breast burns. What does this mean? Could there be something wrong with me? Because the breastfeeding process is going fine.Debi Ferrarello, RN, MS, IBCLC responds:First let me congratulate you on the birth of your son. It is wonderful that

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Nutritional Supplements while breastfeeding

Penn Medicine — Wed, 28 Mar 2012 15:43:00 +0000

Specialle asks: I'm breastfeeding my son and I'm losing a little weight, so I wanted to know if I could drink Ensure® or other nutrition replacement supplements to boost my weight gain? Debi Page Ferrarello, RN, MS, IBCLC responds:Congratulations on the birth of your son. The fact that you are breastfeeding shows that you are committed to doing the very best for him!Drinking the calorie

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What is the best pump to use in the early stages of breastfeeding?

Penn Medicine — Mon, 26 Mar 2012 17:28:00 +0000

Teresa asks:I attended the breastfeeding class at Pennsylvania Hospital last night. The instructor recommended not pumping for three to six weeks after delivery. I would like to pump sooner so my partner is able to feed the baby, too.Would the Symphony® pump work more efficiently than the Pump In Style®? What is the best pump to use if I want to start pumping as soon as my milk supply comes in?

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How can I increase milk production and help my baby re-learn a proper latch?

Penn Medicine — Mon, 26 Mar 2012 17:26:00 +0000

Christiana asks:My 7-week-old son has reverted back to tongue thrusting while nursing. It's proving to be quite painful and I'm using a nipple shield again. Is there anything else I can do to help him to re-learn a proper latch? Also, how can I increase my milk production to help me increase my supply for pumping for when I return to work? What are the hours of your warm line? Thanks!Debi

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New Plastic Surgery Techniques for a New You

Penn Medicine — Mon, 19 Mar 2012 13:04:00 +0000

Traditional rhinoplasty, sometimes called a “nose job,” usually involves removing tissue to make the nose appear smaller and achieve cosmetic success. Unfortunately, the tissue-removal technique can also result in collapsed nasal structures. Oren Friedman, MD, director of facial plastic surgery in Penn’s department of otorhinolaryngology, uses a new technique that involves reshaping nasal

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Facial Plastic Surgery: What is It?

Penn Medicine — Fri, 09 Mar 2012 12:00:00 +0000

Oren Friedman, MD, director of facial plastic surgery at Penn Medicine, is speaking at the “Mainly Your Health” programs this spring. He reviews the basics of facial plastic surgery how you can benefit from these services. Everyone attending one of Dr. Friedman’s programs receives a voucher for a FREE chemical peel. But seats are limited and registration is required. Reserve your spot today by

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Finding a Better Way to Diagnose Lung Cancer

noreply@blogger.com (Penn Medicine) — Wed, 22 Feb 2012 18:00:00 +0000

For years, the aggressive and deadly nature of lung cancer has hampered cancer researchers from finding an effective way of screening for lung cancer. The introduction of multidetector helical computed tomography (CT) technology has changed the landscape of lung cancer screening, and physicians and researchers at Penn Medicine have been on the forefront of applying this technology in new ways to...

The Fight Against Heart and Vascular Disease Gets Personal

noreply@blogger.com (Penn Medicine) — Wed, 15 Feb 2012 18:00:00 +0000

Year after year, heart and vascular disease maintains its rank as the number one killer of Americans. Doctors at Penn Medicine are battling the epidemic through comprehensive and personalized management of cardiovascular risk factors. There are many things people can do on their own to reduce their risk of developing heart and vascular disease, such as getting plenty of exercise and eating...

Identifying Alzheimer’s Disease

noreply@blogger.com (Penn Medicine) — Wed, 08 Feb 2012 18:00:00 +0000

There has never been a definitive test for diagnosing Alzheimer’s disease. Doctors usually know if someone has dementia, and based on symptoms and testing they can predict whether the dementia is caused by Alzheimer’s. But a diagnosis can only be confirmed by examining the brain for the specific plaques and tangles that indicate Alzheimer’s. Doctors are close to being able to predict which...

Correct Diagnosis is Key to Successful Treatment

noreply@blogger.com (Penn Medicine) — Wed, 01 Feb 2012 18:00:00 +0000

Penn Medicine’s excellent diagnostics and expert physicians provide patients with the best chance of a successful outcome. Effective medical treatment is based on an accurate diagnosis of each patient’s disease. As one of the nation’s top medical centers, Penn Medicine offers patients the latest, state-of-the-art diagnostic tools and tests. But technology is only as good as the people...

Gene Researchers: Curing Blindness

noreply@blogger.com (Penn Medicine) — Thu, 26 May 2011 15:10:00 +0000

As one of the premier patient care, teaching and research ophthalmology departments in the country, Scheie is a world leader in research and consistently ranks among the top five programs in the nation in funding by the National Eye Institute. “Scheie one the of the top-funded eye research programs in the country,” said Joan O’Brien, MD, chair of ophthalmology, “but almost all of our scientists...

Focusing on Vision

noreply@blogger.com (Penn Medicine) — Thu, 26 May 2011 15:09:00 +0000

At Scheie Eye Institute and the F.M. Kirby Center for Molecular Ophthalmology, scientists investigate the causes of important eye conditions including macular degeneration, diabetic retinopathy, hereditary retinal degenerations, cataract and severe myopia that may be treatable with molecular therapies. In addition to the gene therapy work being done by Jean Bennett, PhD, and Albert Maguire, MD,...

Penn Provides Specialized Care for Pituitary Disease

noreply@blogger.com (Penn Medicine) — Thu, 26 May 2011 15:08:00 +0000

The symptoms can be vague. Headaches, weight loss or gain, fatigue, and cold intolerance: Symptoms that might be dismissed as menopause or stress. But these symptoms can sometimes mask pituitary disease. The Penn Pituitary Center was created to diagnose and treat people with pituitary disease. The center's multidisciplinary team of endocrinologists, neurosurgeons, radiation oncologists,...

Advanced Neuro Critical Care

noreply@blogger.com (Penn Medicine) — Thu, 26 May 2011 15:07:00 +0000

It might look like every other intensive care unit (ICU) in a hospital, but Penn Medicine’s Neuro ICU is a highly specialized unit with experts trained to monitor, treat and rehabilitate patients with neurological issues. W. Andrew Kofke, MD, specializes in anesthesiology and critical care and is co-director, with Joshua Levine, MD, of the 22-bed unit. “While we act very similar to a regular...

Bringing Penn Medicine Expertise to the Community

noreply@blogger.com (Penn Medicine) — Thu, 26 May 2011 15:06:00 +0000

Patients throughout the region are realizing they don’t have to travel to Philadelphia to see a Penn Medicine physician. In many suburban communities, Penn Medicine is right around the corner. Beginning with the opening of its first multispecialty site in Radnor in the 1990s, Penn has focused on bringing its expert services and nationally recognized physicians to the communities it serves....

Finding Relief from Knee Pain

noreply@blogger.com (Penn Medicine) — Thu, 26 May 2011 15:05:00 +0000

Knee pain is a common complaint and it has many causes. At Penn Medicine, teams from orthopaedics, sports medicine, radiology, and physical therapy and rehabilitation work together to help patients find relief from knee pain. An accurate diagnosis of the cause of the knee pain is the first step in developing the appropriate treatment plan. Getting the Whole PictureX-rays are usually the first...

Advanced Reproductive Care

noreply@blogger.com (Penn Medicine) — Thu, 26 May 2011 15:04:00 +0000

Penn Fertility Care has helped thousands of couples become families. Last year alone, fertility specialists at Penn performed more than 400 in vitro fertilization procedures. Fertility treatments have advanced considerably throughout the last 40 years as evidenced by development of reproductive options including in vitro fertilization, cryopreservation of sperm, eggs and embryos,...

Every Option for Treating Prostate Cancer

noreply@blogger.com (Penn Medicine) — Thu, 26 May 2011 15:03:00 +0000

According to the American Cancer Society, more than 2 million men in the U.S. count themselves as prostate cancer survivors. Men worried about developing prostate cancer, making decisions about their treatment, or trying to stay well after treatment, will find a full spectrum of care at Penn Medicine. Prostate cancer is the most common cancer in American men, and in most men it grows very slowly....

Teenagers Face Unique Challenges

noreply@blogger.com (Penn Medicine) — Thu, 26 May 2011 15:02:00 +0000

Adolescence can be a challenging time. Many teenage girls experience irregular or absent menstrual bleeding, pelvic pain, excessive hair growth and ovary cysts. These symptoms may be the sign of an endocrine disorder. The glands of the endocrine system release hormones that regulate many bodily processes, including menstrual and reproductive function. Fortunately, endocrine disorders can be...

Penn Leads in Transfusion Free Heart Surgery

noreply@blogger.com (Penn Medicine) — Fri, 11 Feb 2011 14:01:00 +0000

Penn Medicine has a long history of pioneering advanced surgical techniques. Bloodless cardiac surgery is just one of those surgical advances. The Bloodless Cardiac Surgery Program at Pennsylvania Hospital is one of the few bloodless programs in the nation to offer a full array of cardiac procedures, including complex heart surgery. Surgeons from around the world, including four cardiac surgeons...

It Pays to Get a Second Opinion

noreply@blogger.com (Penn Medicine) — Fri, 11 Feb 2011 14:00:00 +0000

Most people don’t like going to the doctor and patients diagnosed with a heart condition are no exception. But getting a second opinion from an experienced physician at a high-volume center like Penn Medicine can benefit most patients. “One of the biggest mistakes patients make is not getting a second opinion,” said William J. Untereker, MD, associate director of cardiology at Penn Presbyterian...

Penn Physicians Place Region’s First Subcutaneous ICD

noreply@blogger.com (Penn Medicine) — Fri, 28 Jan 2011 14:01:00 +0000

In August, electrophysiologists from Penn Medicine implanted the region’s first subcutaneous implantable cardioverter defibrillator (ICD) for sudden cardiac arrest, a potentially fatal electrical malfunction of the heart. The patient, a young athletic male in his 20s, had the new system implanted during an outpatient procedure at the Hospital of the University of Pennsylvania (HUP). “I am...

Interdisciplinary Care and Innovation the Foundation of Penn Valve Center

noreply@blogger.com (Penn Medicine) — Fri, 28 Jan 2011 14:00:00 +0000

For more than a decade, the clinical specialists of Penn Medicine's heart valve disease program have led the way in the development of new techniques and devices for valve disease. Today, this clinical expertise comes together in the Penn Valve Center. Based in the Heart and Vascular Center, the Penn Valve Center provides patients with valve disease access to superior interdisciplinary...

Penn Provides World-Class Treatment for Abnormal Heart Rhythms

noreply@blogger.com (Penn Medicine) — Fri, 14 Jan 2011 00:00:00 +0000

Penn’s cardiac arrhythmia program is a regional and national referral center for heart rhythm disorders. For patients at risk for recurrent, sustained ventricular tachycardia or fibrillation, an implantable cardioverter defibrillator (ICD) is often the treatment of choice and Penn is a pioneer in the development and use of ICDs. In 1981, Penn Medicine physicians implanted one of the first ICD...

Penn Team Advances Complex Aortic Care

noreply@blogger.com (Penn Medicine) — Thu, 13 Jan 2011 12:01:00 +0000

Patients with aortic disease often find themselves facing complex surgery. At Penn Medicine, the cardiovascular and vascular surgical teams have more experience with these technically demanding procedures and the complex circulatory issues that surround them than any other center in the area. In fact, Penn is known nationally and internationally for successfully performing complex interventions...

Joint Replacement Improves Quality of Life

noreply@blogger.com (Penn Medicine) — Tue, 30 Nov 2010 21:24:00 +0000

Joint replacement surgery is undoubtedly one of the greatest medical advances for improving patients’ quality of life. Over the past 40 years, hip and knee replacements have been performed for millions of Americans, easing pain, improving range of motion, and keeping them active. Currently, over 400,000 hip and knee replacements are performed in the United States annually. At Penn, orthopaedic...

Penn Sports Medicine Helps Get Patients Back in Action

noreply@blogger.com (Penn Medicine) — Fri, 23 Apr 2010 18:56:00 +0000

It happens to everyone at some time in their lives: They overdo it on the golf course, join the kids for some touch football, or forget they are no longer 17-year-old student athletes. From the weekend warrior to the professional athlete, the specialists at the Penn Sports Medicine Center provide comprehensive care for athletes of all abilities. Specially trained in the field of sports medicine,...

Advancing the Treatment of Orthpaedic Cancer

noreply@blogger.com (Penn Medicine) — Fri, 23 Apr 2010 18:55:00 +0000

It wasn’t that long ago that cancer in the bone or soft tissue was a serious diagnosis that usually meant amputation of the affected limb. The orthopaedic oncology program at Penn Medicine has a long history of successfully treating these tumors and is one of the largest musculoskeletal tumor referral practices in the country. Richard Lackman, MD, Penn orthopaedic surgeon, established the program...

Urology Patients Benefit from Robotic Technology

noreply@blogger.com (Penn Medicine) — Thu, 15 Apr 2010 20:03:00 +0000

When David I. Lee, MD, joined Penn Medicine in 2005, he was one of the first urologists in the region performing robotic-assisted prostatectomy. Now, the procedure has become the standard of care — and the treatment of choice for most men. Dr. Lee, chief of urology at Penn Presbyterian Medical Center, founded Penn’s robotic urology program. Five years later, he is one of the world’s most...

TransOral Robotic Surgery (TORS): New Procedure Developed at Penn Changes the Treatment of Cancer

noreply@blogger.com (Penn Medicine) — Thu, 08 Apr 2010 20:20:00 +0000

In December 2009, the U.S. Food and Drug Administration (FDA) approved the use of transoral robotic surgery (TORS) for the treatment of tumors of the mouth and throat in adults. TORS, a minimally invasive robotic-assisted surgical procedure, was developed at Penn in 2004. Beginning in 2005, more than 375 Penn patients participated in the world’s first clinical trials of TORS — the most...

Less Invasive Gynecologic Surgery - Leads to Quicker Recovery

noreply@blogger.com (Penn Medicine) — Thu, 08 Apr 2010 17:29:00 +0000

The addition of robotics has transformed gynecologic surgery at Penn Medicine. Using advanced robotic techniques, Penn offers the most advanced diagnosis and treatment of gynecologic conditions. An active program with skilled surgeons is the key to successful outcomes in robotic surgery and many of Penn’s gynecologic surgeons are recognized nationally for their experience. In fact, Penn...