By Iris Farrou
31 Jul, 2023
Da Vinci Robotic Surgery, Health Conditions and Pregnancy, Hysterectomy, Menopause, Peri-Menopause, Peri-Menopause, Procedures, Queer Health, Reproductive health, Robot Hysterectomy, WNY Ob-Gyn News, Women's Health
3D imaging, abnormal vaginal bleeding, Cancer Treatment, cervical, cervix, endometriosis, faster recovery, fibroids, Laparoscopic Surgery, minimally invasive surgery, Ovarian, ovaries, pelvic pain, Precancer, Robot Assisted Hysterectomy, Robot Hysterectomy, uterine, uterine prolapse, uterus
What is it?
You may have heard of a traditional hysterectomy, which refers to the surgical procedure to remove the uterus (hysteros) from the body. In this case, the procedure is done with a large incision and requires longer recovery time. Nowadays, doctors can use robotic technology to their advantage–and to the advantage of the patients–to perform certain procedures, hysterectomy being one of them. In robotic hysterectomy, your doctor uses the technology to make small incisions of 1-2cm and fully controls the robotic arms with a controller while looking at a 3D magnified image of the area of surgery on their screen.
How does it work?
Robotic hysterectomy is a type of laparoscopic surgery: it is less invasive than traditional surgery, and patients experience much less pain, faster recovery, and less blood loss than open abdominal hysterectomy. Your doctor makes small incisions on your abdomen, and then inserts a laparoscope and other surgical instruments through the incisions. The laparoscope is a very thin tube with light and a camera at the end, thus projecting the surgery on a high-definition and magnified screen; this allows your surgeon to be aware of a lot more details during the surgery, as well as possible problems, than the human eye itself since the image is magnified up to 15 times.
The instruments used during robotic hysterectomy, particularly the technology of the daVinci surgical system, mimic the movement of human hands but with a lot more dexterity, precision, and flexibility. Your surgeon has full control over the instruments at all times, and they would be in the operating room just a few feet away from you. As opposed to traditional surgery where the surgeon would be standing over you for long periods of time, robotic hysterectomy allows your surgeon to utilize the constant steadiness of the robot arms to operate from angles and positions that would be typically hard to reach. Keep in mind that the robotic arms are more precise than natural hand movements, and they will not get tired during the surgery.
Who needs it?
Hysterectomies may be suggested to treat conditions like cancer or precancer of the uterus, cervix, and ovaries, uterine prolapse, endometriosis, uterine fibroids, pelvic pain, and abnormal vaginal bleeding.
Robotic hysterectomy is one of the methods surgeons can use to remove the uterus from the body, and though less invasive and more precise, surgeons decide on a case by case basis whether robotic hysterectomy is an appropriate option for their patients. Robot assisted procedures can be especially helpful if you have a complex surgical case, such as scar tissue that binds surrounding organs together and would need more precision during surgery.
What happens after it?
Like with any surgery, there will be a recovery period. Patients who have had robotic hysterectomies report that they heal faster and experience less pain; we need to remember that every body is different, and that people recover at different rates. After a robotic hysterectomy, you may be expected to stay the night at the hospital, and you may experience vaginal bleeding for a few days or weeks after your surgery. Full recovery can take 3-4 weeks, and vaginal intercourse should be avoided for at least 6 weeks after the surgery. If you are concerned about any symptoms or adverse reactions, reach out to your doctor and immediately seek professional assistance.
https://my.clevelandclinic.org/health/treatments/21057-robotic-assisted-hysterectomy
https://www.mayoclinic.org/tests-procedures/robotic-hysterectomy/about/pac-20384544
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By Iris Farrou
08 Dec, 2022
Fatherhood, Heart health, Lifestyle Tips, Mental Health, New Moms, Parenting, Postpartum, Pregnancy, Procedures, Queer Health, Reproductive health, Surrogate, WNY Ob-Gyn News, Women's Health, Your baby's health
You have probably heard of couples using surrogate mothers to conceive, or carry a pregnancy to term. The term is often associated with a couple’s fertility challenges, and difficult as those may be, it doesn’t stop being a wonderful way for a couple to have a baby– the parents who initiate the process are called the “intended parents,” and the individual carrying the fetus is the “surrogate mother.” Some of the reasons parents-to-be consider surrogacy may be:
- Trouble conceiving through IVF, which may be related to infertility of unknown origin
- Medical issues that affect the uterus, or even a previous hysterectomy
- Conditions that make the pregnancy too high-risk, such as health concerns or advanced maternal age
- Queer couples
If you didn’t know it, there are two types of surrogacy: traditional one and gestational surrogacy.
Traditional Surrogacy: this is the least commonly used method of surrogacy as it comes with more legal and emotional complexities. In traditional surrogacy, the surrogate is both the egg donor and the surrogate mother. She uses her own eggs, and therefore has a genetic relationship to the baby. During this method, the surrogate is impregnated using intrauterine insemination. The doctor uses sperm provided by the intended father, transfers it into the uterus of the surrogate, and natural fertilization of the egg takes place from then on. As medical science advances, this type of surrogacy becomes increasingly less common.
Gestational Surrogacy: this is the most commonly used type of surrogacy, and there is no genetic relationship between the surrogate mother and the fetus. Instead, an embryo is inserted into the surrogate’s uterus and she carries the pregnancy to term for the intended parents. To get to that point, the intended parents provide sperm and eggs–or use either/or from a donor–fertilize them and then have them inserted into the surrogate mother’s uterus using in vitro fertilization. In this type of surrogacy, the surrogate may be also called gestational carrier.
Why this choice?
As mentioned above, there are several health reasons why intended parents may choose to find a surrogate mother. However, the decision does not have to rely on those health reasons, and it is always deeply personal and a private decision. The most common reason people choose surrogacy over adoption is that they want to have a biological connection to their child; even though familial bonds are not necessary to build a strong, happy, and healthy family, many parents do want a biological connection to their offspring.
Surrogacy offers a safe and transparent pregnancy as the intended parents are there every step of the way. The most common concern with adoption is that the future parents do not know the medical history of the birth mother, or the father. This can raise serious concerns about their future baby’s medical history, and many parents feel uneasy not knowing whether their adoptive infant may have potentially been exposed to malnourishment or toxins in-utero.
If you are considering a surrogate option for your family, consult with your family doctor first, and keep in mind you may also need to review your state’s laws around surrogacy agreements.
https://www.surrogateparenting.com/blog/what-is-a-surrogate-mother/
https://www.fertilitypreservation.org/blog/when-to-consider-surrogacy-and-how-to-choose-the-right-one
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It is quite usual in our society for the mother to be the primary caregiver to a newborn baby, toddlers and kids. That is not to say that fathers are absent, but the stereotype of Super Mom has been created by a general tendency to place fathers in the workforce and mothers in the home. In 2022, the US Census Bureau reported that 1 in 4 children in the US grow up without a biological, step, or adoptive father in the home– that amounts to 18.4 Million children!
The National Fatherhood Initiative reports several negative effects associated with paternal absence in the home, some of which include:
- 4x greater risk of poverty for the family
- Children are more likely to have behavioral problems, which may lead to them dropping out of school, teen pregnancies, imprisonment, drug and alcohol abuse, commiting crimes etc.
- Greater chances of facing emotional neglect and abuse.
On the other hand, a father’s active and involved presence in the home can mean a strong foundation for the well-being of the children, including some of the following advantages:
- Lower rates of injuries, emotional and behavioral problems, and obesity
- The chances of low birth weight and infant mortality significantly decrease as well
- School performance is increased
In 2017, King’s College London and Oxford University Researchers found that actively involved fathers, and especially those who contribute in their childs’ life in the first few months, are providing significant developmental advantages to their children. Involved fathers positively impact their children’s cognitive functioning, improve breastfeeding rates, and even help preterm infants gain healthy weight. High levels of father involvement correlate with higher levels of social confidence, good social skills, self-control, and overall boosted emotional well-being. Such as the negative effects of fatherly absence persist into adulthood, so do the positive effects of fatherly involvement: the presence of both parents leads to adult children who are more emotionally mature, and better equipped to make mature and wise decisions in their teenage and young adult years.
It is important to remember that it is the quality and not the quantity of paternal involvement that can have a great effect on children’s lives: non-resident fathers can still have a great impact on the psychological and mental well being of their children, as well as on their academic achievements and behavioral adjustments. Children with actively involved fathers are more likely to perform better in school, and to follow through with their college and graduate education. Even more specifically, father involvement shows reduced risk for behavioral problems and delinquency in boys, and reduced risk of psychological problems and rates of depression in young women.
https://www.all4kids.org/news/blog/a-fathers-impact-on-child-development/
https://www.fatherhood.org/father-absence-statistic
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By Iris Farrou
08 Dec, 2022
Lifestyle Tips, Mental Health, New Moms, Parenting, Pregnancy, Queer Health, WNY Ob-Gyn News, Your baby's health
Baby's First, Chanukah, Children, Christmas, family time, Hanukkah, Holiday, holiday stress, Holidays with a Newborn, Kwanza, Mental Health, Newborn, Young Children
It is widely known that holidays are one of the most stressful times of the year– though toddlers and children seem to enjoy them, and there is a certain magic that comes with it all, we should remember this comes at the expense of parents, and especially mothers. Holiday stress increases if you have just welcomed a new member in your family, and are trying to juggle a newborn baby and holiday traditions. There is no simpler way to put it than: focus on you and your baby. As a new mother, this is honestly the only thing you should be worried about; keeping yourself and your baby healthy and safe. However, reality is not always ideal. Here are some tips that may help lessen the holiday stress if you are facing such an incredible combination:
- Change your expectations: you already knew your life would drastically change with a newborn, and if this happened into the holiday season there is no reason why this would be any different. We are creatures of habit and there is something comforting in having a decorated house, attending family gatherings, consuming holiday food, and participating in festivities. However, letting go of traditional expectations with a newborn during the holidays can significantly lessen your stress, and help you get through the season in a calm, and happy, manner. Nobody expects you to be the perfect hostess, or even guest, if you have just given birth– and you should not be expecting that of yourself either. Meals can wait, Christmas trees can become a simple wreath or a premade tree, but your baby’s first few weeks will not come back: savor that time with your family, and all else will come in due time.
- Simplify your days: to-do lists and preparations often become hectic around the holidays (more so than usual!). Remember, however, that this is not the time to go all out on Christmas decorations, gifts, meals, or anything else. If you feel like you have the energy for some of it, or if leaning into the holiday spirit will help you to feel less stressed, be selective with what you choose to put on your plate. Perhaps a short visit to the Christmas market this year is more manageable than standing long hours at the mall to see Santa– it may be more enjoyable, and leave you with some energy for the rest of the day. Or, you can have a family gift craft session at home instead of going out at all.
- Ask for help: isn’t helping others part of the holiday spirit? Why not take advantage of that now more than ever, and lean into your close family and friends to assist you in holiday activities, bring the festivities into your home or in a chill space, and help take care of you and your newborn? Select people you trust, set boundaries on how much or how little you can handle, and shape up those days in a design you can easily manage. Delegating responsibilities during this time is the best gift you can give to yourself, and you would be surprised how many people will be happy to offer their assistance in practical ways!
There are ways to embrace the holiday spirit and experience the magic of the festive season that don’t have to exhaust you; if you and your newborn are healthy and feel like you can manage a balance between traditional holiday activities and new ideas or reconfigurations, experiencing the magic in small ways will be extremely rewarding!
https://theeverymom.com/family-traditions-creative-new-ideas/
https://healthblog.uofmhealth.org/childrens-health/could-holiday-stress-be-affecting-your-childs-holiday-joy
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Dr. Natalie Hage grew up near Columbus Ohio and went to the Ohio State University for her undergraduate degree where she majored in biology and minored in Arabic. Dr. Hage graduated with research distinction and honors. Next, Dr. Hage attended medical school at the University of Toledo in Ohio followed by her residency at Beaumont Health System near Detroit, MI.
“I have had many teaching experiences in the past, with subjects ranging from chemistry to piano, to OBGYN. I enjoy spending time with my patients to ensure that they truly understand any condition they may have whether normal or abnormal. I have traveled to Buffalo many times growing up as I have family in the area. In my spare time I like to travel, visit with friends and family, play piano, and cook.”
For our current patients, we hope that you’ll help us welcome Dr. Natalie Hage to our practice! And if you are looking for a new OB-GYN, Dr. Hage is accepting new patients. Please give our office a call to make an appointment!
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With Mother’s Day around the corner, it’s time to consider how you can support your own mom. As a holiday, more attention is usually given to moms of youngsters, but Mother’s Day represents a terrific opportunity to think of your mom and your grandmother, aunt or other special lady in your life.
Plan Something Special
One of the best ways to take care of an aging parent is to simply carve out time for them. Life, in general, is busy, and it’s always easy to push stuff off until next week. With Mother’s Day approaching, there’s no time like the present to spend some quality time together. Plan an activity with low physical and stress demands. Consider taking your mom out to brunch, a movie, to get a pedicure, or even to play bingo. While the best gift is time itself, a relaxing afternoon with an activity is also a plus.
Help Mom Out
If a day on the town, isn’t your cup of tea, consider the gift of helping your mom out at home. While many parents are too proud to ask for, or even, accept help, consider offering some less invasive assistance. Options include gardening or yard work, sending over home cooked meals, helping out with folding laundry, or doing the dishes, etc. The point is to take reduce the burden of daily housework from your aging parent. If they welcome the support, it may be time to make a more permanent arrangement, which could be more of a commitment from you or hiring a service to come on a regular basis.
Savor the Memories
If you are looking for a more sentimental way to connect with your mom, consider transferring old movies, slides, or photos to a digital format. If you can manage to do this in secret, it would make for a great surprise! You could host a viewing night with pizza, popcorn, and/or ice cream to reveal the photos/movies in their new digital format. Not only is this a great way to connect with your parent, but it’s also a fun way to show your family’s fond memories to your children or nieces/nephews.
Gift Ideas
If you are still looking to spoil your mom with an actual gift, consider something practical. Tablets represent a great gift to provide your mom with an easy-to-read screen for Internet usage! Other fun options include a pressure cooker/instant pot that cooks meals in less than 30 minutes, a digital picture frame to rotate through photos, and Sudoku or adult coloring books. A sweet treat could also be a nice gift.
The takeaway: prioritize time over gifts. Spend some time with your loved one and make a day of it!
From all of us at Chouchani, Sayegh and Robinson MD, we hope that all of the mothers that we care for have a very happy Mother’s Day!
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Dr. Gabriel Chouchani has made the difficult decision to retire from private practice as of May 15, 2015. He is an expert in the field of obstetrics and gynecology and will certainly be missed by both his staff and many dedicated patients. He plans to relax, travel and visit his children and grandchildren. We wish him the best of luck in all his future endeavors.
We would like to welcome our new Nurse Practitioner, Jenna Goldsmith, who will start seeing patients at all three of our locations beginning October 1, 2015. Jenna studied at State University of New York at Buffalo and Graduated in May of 2006 as a Nurse. She received her Board Certification as a Nurse Practitioner in Women’s Health in 2008 and has been actively practicing in gynecology, obstetrics and women’s health care. She comes with much experience and is a wonderful addition to our Practice!
Call 716-633-6363 today to schedule an appointment with her at one of our three locations.
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What is it?
