Gardasil to Prevent HPV Infections & Cervical Cancer

In Blog, Cancer, Cervical Cancer, Gynecology, Infections, Preventative/Primary Care by Dr. Gary Goldman

Gardasil – the HPV vaccine, remains shrouded in controversy, for reasons I can’t fathom. I am a gynecologist. I’m the doctor who does the pap smears and calls with bad news: there’s an abnormality, caused by having sex, that could lead to cancer. Next comes fear, regrets, gynecologic procedures or surgery, sometimes a cancer diagnosis, and long-term follow-up care… and most of this could be avoided – with the effective and safe vaccine against HPV we already have. Modern medicine has created wonderful opportunities for better health, but the two most important factors in lowering rates of death and disease …

Annual Vaccine Guidelines

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

While we are on the subject of vaccines, here are the 2014 recommendations for vaccines for adults as per the CDC. There are many exceptions to these general rules based on confounding health conditions, so be sure to discuss with your doctor what is best for you. Influenza: yearly. For everyone. It should be coming out at the end of this month, and I recommend getting it as soon as it comes out. For pregnant women, I recommend the thimerosal-free, inactivated version – the only one I carry. I recommend it during pregnancy, regardless of trimester. TDAP (Tetanus, Diphtheria and …

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. …

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 …