Posts Tagged ‘live chat’

Takeaways from Dr. Belagaje’s Stroke Recovery Live Chat

Stroke Recovery ChatThank you to everyone who joined us on May 28, for our live chat on Stroke Recovery. There were some great questions and we hope you found stroke neurologist, Dr. Samir Belagaje’s discussion informative. If you missed the chat, feel free to review the full chat transcript.

There was such a good response, we didn’t have time to address all of the questions you submitted during the chat, so we will answer those below:

Question: What other things can be done besides going to a recovery center?

Samir BelagajeDr. Belagaje: Certainly one can develop a home exercise/rehabilitation plan and continue to work on improving their stroke related deficits in that fashion. However, I strongly recommend that stroke recovery be completed under the guidance of a health care expert in that area or going to a stroke recovery center. They can look at medications which may be adversely affecting the recovery process, start new ones, screen/treat for depression, and provide opportunities to participate in clinical trials which would allow one to get access to latest technology and developments.

Question: Does the brain actually recover from a stroke or are you just ‘retraining’ different parts of your brain? How is it recovering?

Samir BelagajeDr. Belagaje: Great question! People recover from stroke in 3 major ways:

  • Adaptation– In this method, people just “learn to live with deficits” and find ways to adapt or get along with them. Examples would be the use of prisms in eye glasses for post-stroke visual problems or using a cane/walker to help with walking. Another example would be for a person to learn to feed themselves with their opposite hand
  • Regeneration– this involves growing new brain cells and them getting to the area of stroke and repairing that area. This is the way that stem cells and other biotherapeutics may help. It is an exciting area for stroke recovery research.
  • Rewiring– this is probably the major way of stroke recovery in the brain and the mechanism most therapy is geared towards. It is also the way that you are alluding to in your question when you talk about “retraining different parts of the brain”. Most therapy is geared towards getting those undamaged parts of the brain to rewire and take over the function of the damaged portions

Question: My dad lives in the UK and suffered a stroke. What can he do to help himself?

Samir BelagajeDr. Belagaje: Sorry to hear about your father. It really depends how long ago his stroke was and what kind of deficits he has post-stroke. In general terms, he should continue to stay as active as possible and continue to work on his deficits with therapy/rehab team. I would also encourage family and close friends to monitor for post-stroke depression symptoms and alert his health care providers if they notice depression symptoms.

Question: How do you regain normal vision after stroke?

Samir BelagajeDr. Belagaje: Admittedly, post-stroke vision deficits are challenging as we don’t have as good and effective and proven visual rehab therapy/techniques compared to some other deficits. If her stroke is greater than 6 months, I would recommend seeing a neuro-ophthalmologist for possible prisms in the glasses (this would be an adaptation technique I mentioned in an answer to another question). In addition, working with an occupational therapist (OT) may also help to improve visual field deficits and develop compensation techniques.




Healthy Thanksgiving Day Recipes – Don’t Choose Between Health and Flavor!

heatlhy thanksgiving dinnerThanksgiving. This highly-anticipated day marks the beginning of the holiday season—the time of year when we usually fall off the wagon and overindulge on fattening food and drink. With so many delicious recipes out there that seem to appear in endless quantities at our dinner tables, it’s understandable that we may indulge here and there. Just remember—everything good comes in moderation. Don’t be afraid to treat yourself every now and then, but make an attempt to maintain healthy meals at least 80% of the time. In the spirit of giving and moderation, here are a few recipes to help you cut unnecessary calories from your Thanksgiving menu without cutting the flavor or fun!

Healthy Turkey Recipes

Your turkey doesn’t need a full tub of butter to be moist, nor does it require brining days in advance for flavor. Try out this recipe instead: Cornbread-Crusted Turkey.

This recipe calls for healthier ingredients such as low-sodium chicken broth and skinless turkey fillets to cut down fat and excess salt. It also includes carrots and sage for an extra boost of flavor.

Healthy Thanksgiving Side Dishes

Side-dishes can be your biggest enemy if you’re not careful. Traditional side dishes can be filled with sugar, butter and cream, but if you’re willing to branch out, here are a couple of suggestions for lighter, healthier options:

Sweet Potato Casserole
Just putting a slightly healthier spin on a classic. This still contains butter and sugar, so watch your serving size and enjoy!

Mashed Cauliflower (instead of mashed potatoes)
Here, we’re simply substituting a high-fiber vegetable like cauliflower for the potatoes. This shaves off calories and carbs while adding more nutrients. Cauliflower is a nutrient powerhouse, loaded with more calcium, fiber, vitamin C, folate, and vitamin K than a comparable amount of white potatoes.

Lemon-Garlic Roasted Potatoes
Leave the unhealthy add-ons to baked potatoes at the door. Stick with lemon and garlic for seasoning with this delicious recipe that totals about 69 calories per serving.

Mock Sour Cream
If you do decide you want to add the sour cream to your mashed potatoes and other sides, here’s a tip for making a healthier version (only 11 calories per TBSP)!

Greek Yogurt Subsitutes
Both low- and non-fat versions of Greek and traditional plain yogurts can play a part in a healthy diet by improving bone health and reducing the risk of cardiovascular disease and type 2 diabetes in adults. One of Greek yogurt’s primary benefits is it delivers higher protein and less sugar than the regular variety. Six ounces of Greek yogurt can deliver as much protein as three ounces of lean meat. As a result, Greek yogurt promotes the sense of fullness with fewer calories than many other protein sources. Check out these ways you can incorporate Greek yogurt into your favorite recipes this holiday!

Healthy Thanksgiving Dessert Recipes

Thanksgiving desserts are often people’s favorite part of the holidays, and rightfully so. Homemade Thanksgiving pies are the ultimate comfort food. What’s not so comforting, however, is the amount of bad fat in most desserts. Here are a couple of healthy takes on some favorite desserts:

Diabetic Friendly Crustless Pumpkin Pie
If you’re living with diabetes, you know that finding a good diabetic-friendly dessert recipe can be a challenge. Try this one out and let us know what you think in the comments below.

New York Style Cheesecake
The ingredient choices here help this to be a better option than a traditional recipe. However, remember, this is still a dessert with calories and fat. Even though it is a better decision than traditional fare, be sure to watch your portions and keep this to an occasional treat.

Chat with Us!

Healthy Holiday Eating ChatJoin Dr. Gina Lundberg, Clinical Director of the Emory Women’s Heart Center, on December 9 at noon for a live web chat on Heart Healthy Holiday Eating. Dr. Lundberg will give advice on how to enjoy the season while maintaining a healthy heart, ingredients to avoid if you’re worried about weight gain and more. You can still enjoy tasty and satisfying holiday fare without blowing a button, or even worse, negatively affecting your heart health. Join us for all the tips!

Pin with Us!

You can find all these recipes and more on Emory Healthcare’s Pinterest page! All recipes are Emory MD-approved and delicious! We also want you to share YOUR recipes with US! Just message or tweet us @emoryhealthcare and we’ll add you to our Healthy Recipes community board!

Takeaways from Dr. Nahab’s “Stroke Awareness Month” Live Chat

StrokeThank you to everyone who joined us for the live web chat hosted by Emory Stroke Center Medical Director, Dr. Fadi Nahab. Dr. Nahab discussed the signs and symptoms of stroke, as well as treatments, recovery options and prevention.

Get more info and see more of Dr. Nahab’s answers by checking out the chat transcript!

Below are just a few of the questions and answers from the Emory Stroke Center’s live chat:

Question: Are there any preventative measures that you recommend to the general population?

Fadi Nahab, MDDr. Nahab: Definitely! First, if you’re actively smoking, it’s very important to stop as soon as possible. Secondly, dietary factors play a major role in our risk of having a stroke or heart attack. Low salt, limited fried food, high dietary fiber, and nuts can have an important effect. Fish that are high in omega-3 fats, such as salmon or tuna, should be consumed at least two times a week because of its beneficial effects. Limiting sugary beverages (specifically soda and sweet tea) also helps reduce the risk of heart attack and stroke. A third factor is increasing moderate exercise/activity to at least 20 min. daily. 20 min. represents the smallest amount we should be doing for heart attack and stroke prevention. The last four factors include control of blood pressure to a target of less than 120/80, control of cholesterol to a target of total cholesterol less than 200 mg/dl, blood glucose to a target fasting level less than 100, and a target weight using body mass index (BMI) less than 25. Body mass index can be calculated as your weight in kilograms divided by your height in meters squared. A recent study showed that each additional factor you achieve results in an 8% lower risk of stroke.

Question: Do you have advice for preventing hemorrhagic stroke recurrence?

Fadi Nahab, MDDr. Nahab: The best way to prevent a hemorrhagic stroke is to monitor your blood pressure and make sure it’s below 130/80. I often encourage patients to check their blood pressure twice a day, in the morning and evening before meals, sitting down with your arm rested on a table. It’s an important investment to have a blood pressure machine. Without checking your blood pressure, you can miss detecting high blood pressure until it’s too late. For patients who have a hemorrhagic stroke related to a blood vessel problem in the brain, there are very good treatments for reducing the risk of a recurring hemorrhagic stroke. At Emory, we are one of the largest volume hemorrhagic stroke centers in the country and use cutting-edge technology to treat aneurysms and other blood vessel abnormalities.

If you missed this informative chat with Dr. Nahab, be sure to check out the full list of questions and answers on the web transcript. Be sure to visit our website for more information about stroke prevention and treatment at the Emory Stroke Center. If you have any questions for the doctor, do not hesitate to leave a comment in our comments area below.

How Much Do You Really Know About Strokes?

Stroke Awareness ChatMay is National Stroke Awareness Month, making it the perfect time to brush up on your knowledge of the risks, signs and symptoms associated with stroke. According to the Centers for Disease Control and Prevention, someone in the United States dies of a stroke every four minutes. Fortunately, as a Comprehensive Stroke Center, Emory University Hospital is helping lead the way in research efforts that focus on preventing the risk factors that can lead to stroke, as well as new models of stroke care. Emory vascular neurologist Fadi Nahab, MD will be on hand to answer questions such as:

  • What puts someone at risk for a stroke?
  • How can I prevent stroke?
  • How are strokes treated?
  • Why is Emory a great choice for stroke care?

Mitral Valve Disease Chat

Do you know how to recognize stroke symptoms and when to “Act F.A.S.T.“?

Dr. Sethna to Host Live Chat on Dermal Fillers & Injectables

Dermal Fillers & Injectables FAQSThese days we are bombarded with the latest and greatest products to retain the youthful appearance of our skin. Injectables and dermal fillers have revolutionized the field of facial rejuvenation offering great results without having to undergo surgery, but what exactly are these products and how do they work? Join Dr. Anita Sethna of the Emory Aesthetic Center on Tuesday November 19, 2013 from Noon – 1 p.m. as she answers these questions for you. If you are considering a cosmetic injectable filler procedure, join our live chat to ensure you are confidently ready to take the next step.

Dr. Sethna will be available to answer all of your questions such as:

  • How do I know if I am a good candidate for an injectable procedure?
  • What is the difference between Botox and fillers?
  • Are dermal fillers and injectables safe? Are there any risks associated with their use?
  • What can I expect after injections?
  • How long do dermal fillers and injectables last?
  • What kind of an outcome can I expect?
  • What is the benefit of having fillers and injectables performed at a place like Emory Aesthetic Center?

Injectables & Fillers Chat Sign Up

Related Resources:

What Are My Options? Breast Augmentation Questions Answered

breast-augThank you to everyone who joined us for the live web chat hosted by Emory plastic surgeon, Dr. Felmont Eaves, as he discussed breast augmentation. Dr. Eaves answered many questions ranging from breast surgery options, to types of implants offered, to what to expect after surgery.

Below are just a few of the questions and answers from the Emory Aesthetic Center’s live chat:

Question: Dr. Eaves, what’s the general age range of women who come in for breast implants?

Dr. Eaves: That’s a great question. Sometimes there is a misconception that most of the women seeking breast augmentation are young and haven’t started having a family yet. We do see many patients like that, but actually we see even more women who are looking to enhance their look after having children. We’ll even see women later in life who have made the decision to embrace the change.

Question: If I plan to have children after surgery, can I breast feed, after implants?

Dr. Eaves: Excellent question. Even without breast implants, not every woman is able to breast feed easily and with comfort. That being said, most women with breast implants are able to breast feed normally, and this is OK from the standpoint of the FDA, too.

Question: What’s the average recovery time for a healthy woman?

Dr. Eaves: I always remind women that the recovery time needs to be framed as “to what point.” For example, most women are ready to drive a car in 3-4 days, and many return to work in a week or less. Running or other strenuous exercise, however, may take 3-4 weeks or more to feel comfortable, and often it is good to avoid heavy lifting for a bit longer.

If you missed this informative chat with Dr. Eaves, be sure to check out the full list of questions and answers on the web transcript. Be sure to visit our website at Emory Aesthetic Center for FAQs and breast augmentation before and afters.

If you have any questions for the doctor, do not hesitate to leave a comment in our comments area below.

Is There a Difference Between Botox© and Facial Fillers?

Facial Plastic Surgery Web ChatOne of the most frequently asked questions I receive from my patients is, “is there a difference between Botox© and fillers?” This is a very reasonable question since they are both used to treat facial lines and wrinkles, but there is in fact a difference between them.

In general, injectables known as “neuromodulators”or “neurotoxins,” including Botox©, Dysport© and Xeomin©, are used for lines caused by repetitive motion. These lines occur most frequently in the upper region of the face including the forehead, between the eyebrows and around the eyes (“crows feet”). They can also be seen in the area around the lips (“lipstick lines”) or on the sides of the nose (“bunny lines”). When used in small amounts, neuromodulators reduce the activity of muscle contraction, thereby reducing the appearance of lines and softening wrinkles. By reducing muscle contraction, neuromodulators prevent the deepening of lines over time. The effect of these injections usually lasts between 3-4 months.

In comparison to neuromodulators such as Botox©, fillers are used to increase the volume of tissue underneath lines and folds. Usually administered to the lower half of the face, fillers are commonly used on the creases that run from the nose to the mouth (nasolabial folds). They can also be used to enhance cheekbones, lips and the area under the eyes. Fillers are used to treat lines that develop in tissues that are normally at rest, versus those treated by the neuromodulators as a result of overuse. Results typically last between 4-12 months depending on the severity of the crease, the type of filler used and area of injection.

It’s important to understand that in some cases a facial plastic surgeon may recommend a patient receive both an neuromodulator and filler. For instance, if I see a patient with facial creases that are visible at rest but also deepen with facial expressions, I typically recommend the patient receive both. It’s important to talk through your options with your facial plastic surgeon and ask him or her to walk-through their treatment plan with you.

If you have additional questions on neuromodulators, fillers or anything else related to facial plastic surgery, please join me as I host a live web chat on June 28, 2012. There I will answer any questions about facial plastic surgery from skincare advice to surgical procedures.

About Dr. Anita Sethna
Anita Sethna, MD, is an Assistant Professor of Facial Plastic and Reconstructive Surgery within the Department of Otolaryngology, Head and Neck Surgery. She holds clinic at the Emory Facial Center located in Perimeter. Dr. Sethna’s professional goals are to provide her patients with the highest level of care for facial reconstructive as well as cosmetic procedures, maintaining natural and subtle results using surgical and non-surgical interventions. She joined Emory Healthcare in 2010.

Related Resources:

Uterine Fibroid Embolization: a Non-Surgical Option for Uterine Fibroids


Uterine Fibroid Embolization Web ChatMany women who have uterine fibroids go through their days with no noticeable symptoms. They may even be unaware they have fibroids at all. However, for a small percentage, daily life can be significantly impacted by symptoms.

Uterine fibroids are non-cancerous growths that occur in the wall of the uterus. They may be as small as a pea or as large as a cantaloupe. They can cause a host of disruptive symptoms: unusually heavy or long menstrual periods, pressure on the bladder leading to frequent trips to the bathroom, bloating, pain during sexual intercourse and pain in the pelvis, legs, or lower back. Uterine fibroids are common and affect 20% to 40% of women 20 years or older and occur in half of African American women. So far, doctors have been unable to pinpoint why fibroids are more common in African Americans or why women develop them at all. What we do know is that heredity and obesity are risk factors and that hormone levels play a role.

Traditionally, treatment for women with problematic uterine fibroids has been surgical— hysterectomy or myomectomy (surgical removal of the fibroids after a uterine evaluation from a gynecologist). In fact, unwanted fibroid symptoms trigger approximately 200,000 hysterectomies each year.

For close to 20 years, interventional radiologists, myself included, have used a nonsurgical alternative to treat women who suffer with uterine fibroids. This minimally invasive procedure is called embolization.  The technique itself is not new, but its application to fibroids is.  For more than three decades, physicians have used embolization to treat pelvic bleeding due to other causes (trauma, tumors, surgical complications).  Embolization has proven to be an effective means to shrink uterine fibroids and alleviate the symptoms they cause.

Throughout my years of practice, most women who have come to me seeking information on uterine fibroid embolization have come on their own looking for an alternative to surgery. However, most women who are offered a hysterectomy do not know that there is less invasive solution.

In fact, compared to the surgical options, embolization results in fewer complications, a shorter hospital stay and a far quicker recovery time.  It has an 85% to 92% success rate compared with myomectomy — 10% to 30% of myomectomy patients develop fibroids again. Long term data now shows that about 75% of women who have uterine fibroid embolization report ongoing satisfaction and continuous symptomatic relief for 5-7 years following the procedure.  In fact, most women I treat report a significant improvement in their symptoms at their first post procedure check-up.

An embolization is performed through a small puncture in a groin artery. Dye is injected into the artery to identify which blood vessels supply the uterus and fibroids. The interventional radiologist then guides a wire and catheter into the identified vessels and injects small particles that block the blood supply to the fibroids. The fibroids and the uterus shrink approximately 50-60% in the first year. Heavy periods usually take a few cycles to lessen. The procedure takes approximately an hour followed by a day’s stay in the hospital for intravenous pain medication. Patients can usually resume normal activity after a week.

If you have additional questions about uterine fibroid embolization, please join Roger Williams, DO, and me as we host a free live web chat on the topic of UFE on June 13, 2012 (12:30 p.m. EST). Bring your questions and get ready for a great discussion!

Dr. Gail Peters

About the Author
Gail Peters, M.D. is an Assistant Professor of Radiology at Emory University Hospital and Emory University Hospital Midtown. Dr. Peters’ specialties are in Interventional Radiology, Pediatric Radiology with clinical interests in Fibroid Embolization.

UFE Related Resources:

Anti-Aging Tips To Keep You Looking Young & Fresh

Summer Skincare TipsFor many of us, aging gracefully is easier said than done. Have you ever caught yourself in a side-view photo and wondered: Where did that double chin come from? Do people frequently come up to you and say: “Your eyes look so tired!” Rest assured, you are not the only one who has these types of concerns.

I see patients every day who wonder if there are simple ways to improve the way they look. There are several relatively easy procedures I recommend that require little downtime, but can give you a natural and, for most patients, dramatic improvement.

For the double chin: “Submentoplasty” is a procedure that can greatly improve your neckline contour with about a week’s recovery time. The hour-long surgery involves an inch-long incision made under the chin to raise the skin, suction out some fat and tighten the muscle of your neck. This surgery does not address the jaw line significantly, but it can make a big difference in your profile view.

There is some homework, of course, after surgery: wearing a wrap around the neck for a full week will give you a longer-lasting result and much more meaningful one. Patients in their 30s, 40s and sometimes 50s can be excellent candidates for this procedure.

For “tired-looking” eyes: Upper eyelid surgery is another fantastic way to get a high-impact surgery with a fairly easy recovery. Under local anesthesia or sedation, (depending on the patient’s comfort level), a small amount of skin and/or muscle from the upper eyelid can be removed. Small fat pockets can be contoured or removed, and the incision is closed on both sides usually within an hour of starting the procedure! Bruising can be an issue,  but this usually fades within a week after surgery.

After surgery, discomfort is minimal and the eyelid skin heals very nicely. Both men and women at most any age are good candidates. Many patients who have had this surgery say they feel more awake and alert with very little intrusion into their busy schedules, which in today’s competitive work environment can make a big difference!

If you have questions or concerns about the effects of aging on your appearance or facial plastic surgery, I would love to meet with you and discuss how the Emory Facial Center can help you feel more naturally beautiful. You can start by attending a live chat I’m hosting on Wednesday, July 27 at 12pm (EST) to discuss Summer Skincare tips. This is a free open Q&A chat where I will be fielding your questions on skincare in real time. You don’t have to be interested in facial surgery to attend. All you need is to bring your skincare questions with you! Summer Tips Chat Transcript

About Anita Sethna, MD
Anita Sethna, MD, is an Assistant Professor of Facial Plastic and Reconstructive Surgery within the Department of Otolaryngology, Head and Neck Surgery. She holds clinic at the Emory Facial Center located in Perimeter. Dr. Sethna’s professional goals are to provide her patients with the highest level of care for facial reconstructive as well as cosmetic procedures, maintaining natural and subtle results using surgical and non-surgical interventions. She joined Emory Healthcare in 2010.