Why Choose a Midwife?

By Susan Hudson, MSN, CNM, Owner of Wellspring

Midwifery as practiced by certifi ed nurse-midwives (CNMs®) encompasses a full range of primary health care services for women from adolescence beyond menopause. These services include primary care, gynecologic and family planning services, preconception care, care during pregnancy, childbirth and the postpartum period, and care of the normal newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis and treatment.

CNMs are educated in two disciplines: midwifery and nursing. They earn graduate degrees, complete a midwifery education program accredited by the Accreditation Commission for Midwifery Education (ACME), and pass a national certifi cation examination administered by the American Midwifery Certifi cation Board (AMCB) to receive the professional designation of CNM.

For Pregnancy:
1. CNMs have low rates of Cesarean Sections.
2. CNMs have high rates of successful VBACs (Vaginal Birth After Cesarean).
3. CNMs are highly skilled in labor support and non-pharmacological comfort measures.
4. CNMs may also offer pain medication in labor, including epidurals.
5. CNMs work toward creating a safe and satisfying birth experience for women, with minimal intervention unless it is medically necessary.
6. CNMs offer holistic, family-centered care.

For Gynecologic Care:
7. CNMs can diagnose and treat many common health care problems including vaginal infections.
8. CNMs are knowledgeable about birth control methods and can help women find the best method for them.
9. CNMs focus on patient education and spend time during each visit to provide information and allow time to answer questions.
10. CNMs consider the patient as partner-in-care and provide
individualized, patient
centered care.

Why Choose Wellspring?
At WellSPRing, we believe that everyone has a right to safe, satisfying care
with respect for human dignity and cultural variations. We support each woman’s right to self-determination, to complete information, and to active participation in her health care. We believe that the normal processes of pregnancy and birth can be enhanced through education, support and advocacy. We believe that clients are partners in their care, be it obstetrical or gynecologic.

At WellSPRing, you will learn about how to prepare for your birth, about the natural history of labor, and about the strength of the human spirit. You will be encouraged to trust your instincts and use them to enhance your care. You will be taught the value of gentle, family centered birth options.

At WellSPRing, we also provide a wide scope of services beyond prenatal care and childbirth. We offer well woman care throughout the lifespan. We can provide contraceptive counseling, annual exams and Pap smears, gynecological exams and treatment, menopause and perimenopause counseling, and sexually transmitted disease testing and treatment. In addition, we love to help women do whatever is possible to protect their health futures.

At WellSPRing, we often refer to other providers for care. Your condition may be enhanced by the skills of a massotherapist, a chiropractor, a medical doctor, an acupuncturist, a naturopathic doctor, a homeopathic doctor, or any of many other varieties of provider. We strive to be knowledgeable about our colleague providers so that we are better able to direct you to the one(s) that fi t your need when your need is out of our scope.

At WellSPRing, we keep on dreaming. We have, in our plans, a women’s resource center as well as a birth center. Did you know that while in 2010, 95% of midwife attended births were in a hospital setting, almost 3% were in a birth center? This is an exciting part of the future of WellSPRing; one that we are continuously driving toward. You can anticipate hearing more about these projects by the end of this year!

Staying Productive During the Summer Months

By Diane Helbig

School is out and the vacations are scheduled. For some reason, businesses tend to slack off some during the summer. I’m not quite sure why this is but I am sure that it can negatively impact your business. Unless you are a teacher, your business is operating 12 months out of the year.

So, how do you stay motivated and productive during these few months?

1. Schedule
One of the key elements of productivity is maintaining a schedule. Using your calendar, set appointments for the activities you need and want to accomplish. Treat these activities as if they were sales appointments. You wouldn’t miss one of those, would you?

The best way to do this, in my opinion, is to try to keep the same sort of structure and schedule that you use during the winter months. After all, business is business regardless of the season.

2. Goal Set
The summer is technically a quarter of your business year. And as such, you can goal set for that quarter the same way you would any other quarter in your business. What do you want to achieve?

Understanding that other business people may not have the same productivity goals that you do, you can set goals around things other than revenue if you so choose. I do believe that revenue goals should be at the top of every goal list. I’m just suggesting that this is a great time to accomplish some other things you may have been unable to get to in the past.

Examples include creating new marketing materials, launching a new product or service, cleaning up or implementing a filing system, hiring, and training.

3. Partner
Establish an accountability relationship with a colleague. “Reporting” to someone on a weekly basis can help you stay focused and productive. And it can help them as well! The added benefit of this is that you can get some good ideas from an outside voice, ideas that you can implement in your business.

There’s no down side to soliciting the help of a business friend to help you stay on course.

Think back to summers past. Did you take some time off without actually going anywhere? In other words, did you slow down, lose momentum, shift your energy to the nonbusiness side of your life? Okay. Now, if you could grow your business by adding in some structure and goals this summer, would it be worth it? Absolutely! Imagine how much better your business can be heading into the Fall and Winter just by deciding to stay productive during the Summer months.

Copyright© 2013 Seize is Day Coaching

Contact Diane Helbig at (216) 534-2030

Treating the “Male Menopause also known as Andropause”

20% Of Men Age 60-80 Years Have Testosterone Levels Below Normal

When hormones are not balanced it can make you store too much fat, hamper your ability to fight stress, and cause you to eat when you’re full. It can lead to metabolic syndrome and diabetes and can adversely affect your sleep and sex life.

Hormones affect everything we do! The Endocrine system, which commands body activity utilizing powerful hormones, is like your body’s command center. The hypothalamus and pituitary glands are the control centers, sending out messages going back and forth among your organs. Your pancreas, adrenal glands, thyroid, and testes are all part of this finely tuned system.

How do you know if you are experiencing Male Menopause or
Adropause? The Signs and Symptoms Include:
• Fatigue – low energy
• Weakness – muscle loss
• Disturbed Sleep – insomnia
• Reduced Libido
• Osteoporosis
• Insomnia
• Anxiety
• Irritability – moodiness
• Depression
• Memory Impairment

Many people may also experience the “Tired but Wired” Feeling. Due to high levels of mental and emotional stress the adrenal glands may become compromised. Symptoms of adrenal imbalance are stress and fatigue that is not alleviated with sleep. People may be feeling “tired all of the time”. Other common symptoms include sleep disturbances, anxiety, depression, increased susceptibility to infections, reduced tolerance for stress, allergies chemical sensitivities and craving of sweets.

Is there a test to measure hormone levels in men?
Saliva testing is a convenient, inexpensive, and above all, accurate means of testing hormones. Studies have validated that saliva contains the free, “bioavailable” fraction of steroid hormones that have moved out of the bloodstream and into the tissue.

Saliva testing can be done anywhere anytime. Testing that relies on blood drawn in the doctor’s office makes it harder to obtain samples at specific times (such as in the early morning). Hormones in saliva are exceptionally stable and can be stored at room temperature for up to a week without affecting the accuracy of the result.

What is the Optimal Form of Testosterone for Replacement Therapy?
Natural Testosterone Replacement is central to the treatment of all facets of Andropause. Natural or “bio-identical” hormones are synthesized from natural plant substances to be identical in structure and function to those our bodies produce naturally. Natural testosterone must not be confused with synthetic derivatives or “anabolic steroids,” which when used by athletes and body builders have caused disastrous effects. Proper monitoring of laboratory values and clinical response are essential when prescribing testosterone replacement therapy. Bioidentical hormones are available through your doctor and formulated by our Clinical Pharmacists and Hormone Specialists, Jackie Mallet and Jeff Potter.

What are your other areas of expertise?
Clinical Apothecaries’ caring staff treats clients to make a difference in their lives by utilizing complementary and conventional treatments. Our clinical pharmacist’s areas of expertise include Natural/Bio-Identical Hormone Replacement, women’s and men’s health issues, autism, multiple sclerosis, natural nutritional supplementation, pain management and veterinary medications. Additionally, our registered dietitian can customized a nutrition therapy plan that can be formulated to aid in disease management and/or prevention, diet and weight loss plans, and aid in overall optimal health.

Clinical Apothecaries can help you achieve optimal health and wellness
through hormone balance, diet and nutrition counseling, lifestyle changes and nutrition supplements.


Exercise: Quality or Quantity?

By Joshua Trentine, OVERLOAD Fitness

Many people begin their practice of exercising with a fixation on some sort of external goal, chasing after some target when their primary objective is usually to improve their body composition and functional ability via exercise, rather than simply getting better at various activities.

Often people set out to achieve a goal and hope this goal will provoke change to their body. In reality, their training is designed to make them as efficient as possible at achieving the external goal rather than being as efficient as possible at stimulating the body’s adaptive mechanisms. For the purpose of this article, we will call the external goal the “assumed objective;” i.e. one might set a goal such as walk a mile, run a marathon, do 1,000 sit-ups, lift as much weight for as many reps as possible, or swim across a lake. While all of these activities produce an “exercise effect,” they will not produce the best possible results with regard to body composition and overall functional ability because they lack the most exacting stimuli; the training addresses the activity rather than the body. If you make your goal simply to achieve a task, the body will always find the path of least resistance. The goal should be to stimulate the muscles, in other words find the path of greatest resistance.

What I’m suggesting is that there are qualitative measures that can be taken to achieve the most efficient, safe, intense, and sustainable exercise stimuli; therefore, rather than trying to add more activity to our already busy lives, we should focus on quality over quantity.
For the purpose of this article, we will call these qualitative measures “the real exercise objective.” The real objective of exercise is to momentarily weaken the musculature in order to set forth a cascade of biological events that relate to adaptation of the muscles and all of their supportive sub-systems: cardiovascular, hormonal, bone, etc.

The real exercise objective is best accomplished with the quality of the exercise stress. The body can easily adapt to doing more activity; however, unfortunately it’s not always in a positive way, as the adaptation to excessive activity can include muscle loss, bone loss, decreased metabolic rate, and often overuse injury.

How do we define exercise quality? One word: INTENSITY. Intensity is directly related to the quality of muscular contraction (our volitional effort) and the corresponding rate of fatigue. Note that there is an inverse relationship between exercise intensity (quality) and
exercise volume (quantity).

You can work hard or you can work long, but you cannot work your hardest and longest at the same time. In order to sustain long duration activity you must reduce the intensity and reducing intensity is the opposite of taking the qualitative approach. Doing more activity is
always going to hit a point of diminishing returns. Using more intensity within the constraints of safety will only produce better results.

Characteristics of High Quality Exercise:
1. High-intensity Strength Exercise
2. Progressive in nature
3. Brief (30 minutes or less)
4. Infrequent (1 to 2 times per week)
5.Designed to fatigue the muscle as safely, deeply and effectively as possible
6. Not fun
7. Done in a cool environment (62 to 68 degrees)
8. Avoids distractions
9. Done slow and under control (minimizing acceleration and momentum when changing direction of movement)
10. Repetition range 6 to 12
11. Avoid rest between exercises
12.Continue exercise until the point of momentary muscular failure
13. Progress resistance when at the high end of the repetition range

Strength training in this manner will give you the most bang for your buck!

If you are interested in more information about quality exercise, please contact an exercise specialist at OVERLOAD FITNESS 216.292.7659.


We Can Boost Your Confidence (and Your Cup Size!)

By Cindy Marx; Practice Manager
Raj Plastic Surgery

The female breast is one of the defining characteristics of beauty, femininity and sexuality of a woman’s body. Breast augmentation surgery remains one of the most popular plastic surgery procedures performed worldwide. With the FDA approval of the newer silicone gel-filled implants in 2006, women now are able to choose between the saline or silicone gel implants. The silicone gel implants feel more like natural breast tissue without compromising reliability or safety. Which implant to choose is a personal decision made between the patient and her Board Certified Plastic Surgeon.

Breast augmentation surgery has a great impact not only on your body but also on your psychological well-being. Our society today associates femininity of the female form with curves in the right place. Curvaceous breasts enhance the way our clothes fit from sundresses to bathing suits. When a woman feels feminine in her “birthday suit,” she exudes confidence regardless of what clothes she wears. So throw out the push-ups, shapers, and inserts; invest in yourself!

It is not only the 20 something’s that seek breast augmentation procedures; women in their 30’s and 40’s seek breast augmentation to regain the appearance of their pre-pregnancy feminine breasts. The baby boomers continue to influence how we age – women in their 50’s, 60’s and 70’s are finally having breast augmentation in conjunction with breast lifts to help regain a more feminine figure. Their children are grown, they continue to be in the work force, and they have more disposable income allowing for an investment in themselves.

A spring surgery can bring you confidence in swim suits and sundresses this summer! Breast Augmentation procedures are very affordable and recovery is fairly quick. Please call our office for a free consultation. Ask us about our no-interest payment options.

440.808.8030 • rajplasticsurgery.com