Amyotrophic Lateral Sclerosis (ALS)

In Blog, Women's Health Topics by Dr. Gary Goldman

Have you taken the ALS ice bucket challenge yet? While the origin of this successful fund-raising campaign is shrouded in some degree of controversy, it is a reminder of the plight of charities. According to philanthropy.com, charitable giving dropped by more than 13%, or $30-billion dollars, between 2007 and 2009 during the recent recession. Sadly, as the economy has recovered, donations have not. Whether you choose to share your icy splash on social media, or just send a donation, let this current campaign remind us all to donate to the charity of our choice. There’s no better feeling than giving, …

Can We Still Eat Fish?

In Blog, Holistic Medicine, Integrative Medicine, Nutrition, Obstetrical Care by Dr. Gary Goldman

Can we still eat fish? Years of polluting the ocean have taken their toll, and the once glorified health benefits of consuming fish have come under scrutiny due to contamination of seafood with mercury. Fish is an excellent source of high quality, lean protein. It’s low in saturated fats and high in omega-3 fatty acids; these lower blood pressure, the risk of abnormal blood clots, and the risk of sudden death from heart disease. Mercury makes its way into the ocean via power plant emissions, chemical manufacturers, cement plants, and landfills. Once in the water, mercury is converted by bacteria …

Your Annual Flu Vaccine – It’s Not Too Late!

In Blog, Infections, Preventative/Primary Care, Women's Health Topics by Dr. Gary Goldman

It’s time for your annual flu vaccine! The vaccine is given each year, as the particular strains of circulating flu constantly change. This year’s vaccine is now available, and YOU should get one. There are many types of vaccine. The Hi-Dose vaccine is recommended for those 65 and older. The nasal spray is recommended for children between the ages of 2-8. Most of us will get the inactivated trivalent vaccine from multi-dose vials. This is dead viral particles that cannot transmit illness. It protects against 3 flu strains, and is packaged with small amounts of thimerosal preservative, which contains mercury. …

Enterovirus – the Illness That Takes Your Breath Away!

In Blog, Infections, Women's Health Topics by Dr. Gary Goldman

It starts off like a simple cold – but then the kids can’t breathe! Enterovirus D68 (EV-D68) is currently making its way across our nation in a large outbreak across a dozen states. What can you do to prevent it? How will you recognize it? First reported in Kansas City and Chicago in August, EV-D68 has been marching its way across the mid-west. It has not yet been reported in New York – but we are closely monitoring for its arrival. Most of those affected are children, two-thirds of whom have a prior history of asthma. Many of those who …

Hot Flashes from Hell!

In Blog, Gynecology, Menopause by Dr. Gary Goldman

“OMG – not another Hot Flash! Will they ever stop? Please – help me make them stop!” This is the beginning of a very common conversation in my office. Until about 10 years ago, many women used post-menopausal estrogens, which really helped, so this was a less common complaint. Then came the publication of the Women’s Health Initiative in 2003, which pointed out the increased rate of heart attacks, strokes and breast cancer in women who used estrogens. While there are valid criticisms of this study, the fact remains that many women have chosen not to use estrogens – and …

Libido: Easy Come, Easy Go.

In Blog, Gynecology, Integrative Medicine, Menopause, Sexuality by Dr. Gary Goldman

“Where did my libido go? I used to be horny, but now, not so much.” This is a very common concern in my office, and is sometimes associated with pregnancy, early parenting, or menopause… and sometimes with any other time of your life. Rodent libido is directly tied to circulating levels of testosterone, both in males and females. But humans are far more complex; testosterone levels in women do not clearly correlate with sex drive. Our brains can directly get us all revved up, or all revved down. Many of my patients are seeking an easy answer, a magic supplement …

The Tragedy of Ebola in Pregnancy

In Blog, Gynecology, Infections by Dr. Gary Goldman

The tragedy of Ebola in West Africa is particularly striking pregnant women. Due to the diminished activity of the immune system in pregnancy, these women may be even more susceptible to infection. As noted in the accompanying article, “during the H1N1 influenza pandemic in the United States, seventeen percent of infected pregnant women died; the mortality rate for the rest of the population was only 0.02 percent.” In a prior Ebola outbreak in 1995, 14 of 15 pregnant women infected died. Because pregnant women are assumed to have no hope, they are currently at the bottom of the triage list; …

Does This Year’s Flu Vaccine Work?

In Blog, Infections, Preventative/Primary Care, Women's Health Topics by Dr. Gary Goldman

Today the CDC announced that preliminary data from early flu virus surveillance has shown that about half of the flu present in the US currently is not directly covered by this year’s vaccine. What does this mean? – The types of flu covered by the annual vaccine are chosen 6 months before flu season, based on mapping flu strains around the world. In a typical year, about 70% of the strains of flu present are successfully anticipated by that year’s vaccine. Once the predominant strains are found, vaccine manufacturing begins, producing millions of doses in time for flu season. Over …

Gardasil 9 Approved for More Effective Prevention of Cancers

In Blog, Cancer, Cervical Cancer, Gynecology, Infections by Dr. Gary Goldman

Last week, the Food and Drug Administration approved the new Gardasil 9 vaccine, for the prevention of various diseases caused by nine types of Human Papillomavirus (HPV). It is not yet available for clinical use but should be over the next several months. The prior vaccine Gardasil, which was approved in 2006, covered four types of HPV: the two ‘low-risk’ types 6 and 11, which account for 90% of genital warts, and the two ‘high-risk’ types 16 and 18, which account for 70% of cervical and some additional cancers. Gardasil 9 affords the same protection against those same four types, …