First Choice Ob Gyn

10/21/2020

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05/22/2015

Ailenizle ve sevdiklerinizle birlikte mutlu bir haftasonu gecirmeniz dilegiyle...
Enjoy your Memorial Day weekend!

05/11/2015

Family Medical History

Gathering a complete and accurate family medical history is extremely important as genetic medicine explains more diseases. In fact, the Surgeon General has named Thanksgiving as Family History Day. Since several family members gather together on Thanksgiving Day, it's a great opportunity to talk to family members and learn more about their health history. Several tools have been developed to aid both the physician/health care provider and the patient in documenting family history. The family history tools below have been developed by the AMA and/or other trusted groups.

Family History for Prenatal Providers To address family history collection, interpretation, and application in busy primary care practices, NCHPEG collaborated with several other groups to develop and evaluate a novel family history tool that focuses on prenatal and neonatal health. The tool helps to improve health outcomes for the female patient, fetus, and family by providing clinical decision support and educational resources for risk assessment based on family history.

The Prenatal Genetic Screening QuestionnairePDF FIle may be useful for a physician/health care provider to gather information from a couple either prior to pregnancy or during a pregnancy. This form may be printed out and filled in by the patient prior to a doctor's appointment. It may also be presented to the patient while the patient is in the waiting room, thus saving time on gathering history during a consultation.

The pediatric patient that presents in a genetics consult is often very complex, having a diagnosis of, for example "Rule-Out Syndrome," or "Rule-Out Inborn Error of Metabolism." The Pediatric Clinical Genetics QuestionnairePDF FIle has several components that can be useful in helping the health care professional in gathering the necessary history of child in order to help with a diagnosis and treatment plan.

The Adult Family History FormPDF FIle is more likely to be useful when a patient is being seen in clinic to rule out a condition that may have developed later in life, which may or may not have been inherited.

The Family Medical History in Disease Prevention pamphletPDF FIle provides a physician/health care provider with useful information about the utility of a family history in identifying disease risk and developing a personalized prevention program. This booklet also contains a listing of Web-based directories for locating genetic resources (laboratories, clinics, medical geneticists, and genetic counselors) in your community.

Additional family history resources

CDC's Office of Public Health Genomics - Using Family History to Promote Health
National Human Genome Research Institute - Listing of online tools for generating a Family History
Mayo Clinic - Compiling your Family Medical History
Genetic Alliance - Does it Run in Your Family?
Watch Family History: A Window on Your Health

Former National Human Genome Research Institute Director (currently National Institutes of Health Director) Francis Collins, M.D., Ph.D., and Genomic Healthcare Branch Chief William Gregory Feero, M.D., Ph.D. sit down for a conversation about the importance of learning your family history and recording it accurately. Gathering the health history of your parents, grandparents and blood relatives and bringing it to your healthcare provider can help you determine your health risks and plan lifestyle changes to keep your family well. Watch Family History: A Window on Your Health.

New public service announcements encourage wider use of family history

The National Human Genome Research Institute (NHGRI)—in cooperation with the U.S. Surgeon General—has published a series of five public service announcements to encourage primary care physicians to be sure to take a family history of disease into account when treating patients. The announcements feature real patients with family histories of breast cancer, colorectal cancer, diabetes, and heart disease, and a pregnant mother concerned with prenatal care and genetics. The public service annoucements can be found by visiting the NHGRI's Family History Initiative.
Accreditation: "American Medical Association (AMA)"

http://www.ama-assn.org/ama/pub/physician-resources/medical-science/genetics-molecular-medicine/family-history.page

Family medical history is important as generic medicine explain diseases. AMA has developed family history tools as part of their physician resources to assist the physician as well as the patient.

05/01/2015

Questions & Answers

Question:
1. Do I have gestational diabetes?
2. How do I maintain a healthy pregnancy with diabetes?
3. Is my baby at risk for diabetes?
4. What are some other risks that are associated with diabetes?

Answer:
1. For those of you who were diagnosed with diabetes before your pregnancy then the answer is simple. Yes, you will have gestational diabetes during your pregnancy. Just because you have not been diagnosed, does not mean you are incapable of having diabetes. Here at FirstChoice ObGyn, LLC your initial visit will incorporate bloodwork which can, but is not limited to, analyze your Hemoglobin A1C count. Your Hemoglobin A1C result would determine whether we need to do further testing to diagnose for diabetes. The primary step to testing for diabetes would be to take the 1 Hour Glucose Challenge Test (1hr GCT). Every pregnant patient will have to take the 1hr GCT at 28 weeks of gestation to verify that evidence of diabetes does not exist; whether your Hemoglobin A1C was highly abnormal or perfectly normal. At this point, the final analysis would be for you to take the 3 Hour Glucose Tolerance Test (3hr GTT). This test will determine whether you will be diagnosed with gestational diabetes.

2. So, you're pregnant and diagnosed with gestational diabetes. Now what? Let' s start off with your diet, we'll leave the exercising and physical activity for last. Your body's tolerance for glucose, also known as sugar, is not up to par. The hormones in your body are changing due to pregnancy. One of those hormones is insulin which regulates the absorption of glucose in the body. This is most likely where your gestational diabetes is coming from. Therefore, it would help to cut down on fats, carbs (carbohydrates), and sugar. When I say "cut down on" I don't mean completely eliminate. Your body still needs some type of glucose to exchange for energy. But, if we're going to be realistic, most of your cravings are going to consist of fats, carbs, and sugar. Luckily, I have a link from a reliable website, WebMD that may be able to give you ideas on 7 Diabetic Desserts just for you. Yummy! So now that we're managing our glucose tolerance by deciding on a healthier diet, perhaps some jumping jacks are in order. Exercising can make all the difference as well. Sugars' main function in the body, with the help of the hormone insulin, is to be exerted as energy. Exercising may also improve the production of insulin which will ultimately help you tolerate your glucose levels. As a pregnant diabetic, I don't suggest gymnastics. However, you are more than welcome to discuss with Dr. Copur what exercises are safe for pregnancy and how much exercising is right for you. All the while, it is well understood and considered that not everyone has the time or is willing to exercise.

3. Your baby will not acquire your diabetes. Just as any other human being, your child is at risk of acquiring diabetes later on in life. However, nurturing your baby with a healthy lifestyle can make all the difference in lowering that risk.

4. There are risks as a pregnant woman with gestational diabetes. In this case, you are more likely to retain an abnormally high amount of amniotic fluid in the gestational sac. These pregnancies are more likely to result in a Cesarean Section. You should consult with Dr. Copur to discover what type of delivery is better for you. Complications that can, but will not always, occur after delivery consist of an easily curable condition called jaundice (which is yellowish discoloration) and/or your baby's blood sugar level will drop.

05/01/2015

A big waving of hands from us for our patient Zeynep, her husband Garip and the baby Turkan. Congratulations!
Hastamiz Zeynep hanimi ve esi Garip beyi tekrar tebrik ediyoruz. Turkan bebek 2015'te North Jersey'de dogan ilk bebek olarak kayitlara gecti.