http://drdarylgreebonmd.com | 972-379-2416 Dr Daryl Greebon, a Plano OBGYN, discusses how the new robotic hysterectomy technology at Baylor Plano dramatically reduces the risk of scarring, infection, pain, and offers a faster recovery period than traditional procedures.

1. October 2007
Going Digital
Digital mammography...
Page 2
Bone
Health
Basics Page 3
Stress Tips
Tips for A Stress-Free
Holiday Season
Page 4
Plus
Pl
HealthQuicks
Varicose Veins
illed food precaution
The many rewards of gardening
Page 2

2. Going Digital Digital Mammography Is Available At Baylor Plano.
“In layman’s terms, digital technology computerizes the X-rays,” explains
Lynn Canavan, M.D., a breast surgeon on the medical staff at Baylor
Regional Medical Center at Plano. For most women, digital and film
mammograms give similar results. But digital mammography is better than
traditional mammography for women who are under age 50, those who have
dense breasts, and those who are pre-or peri-menopausal. Recent studies
show that fewer women are getting mammograms than they were five years
ago. at’s discouraging news since doctors stress that the most important
thing for women age 40 and older is to have regular mammograms whether
film or digital.
Digital mammography offers these benefits:
e radiologist can adjust the brightness, contrast, and zoom.
Images are ready in seconds.
Digital images typically aren’t under- or overexposed.
Digital images are easy to store, access and retrieve electronically.
Digital mammograms use a lower dose of radiation.
To schedule a digital mammogram at the Baylor Women’s Imaging Center at
Plano, call 469.814.5000.
For a free breast cancer risk assessment, call Emily Gentry, Baylor Plano
Women’s Services Coordinator, at 469.814.6753.
HealthQuicks It’s A Girl Thing
NEWS YOU CAN USE! anks to new
According to Deepika Gopal, M.D.,
cardiologist and member of the Baylor Plano robotic technology
medical staff, varicose veins can be treated at Baylor Plano,
without surgery. Dr. Gopal states that the the typical female
laser treatment takes less than an hour,
causes little pain, can provide immediate patient no longer
relief of symptoms, and is performed in an has to worry about
office setting.
lengthy down times
Avoid eating the blackened parts of grilled meat after gynecological
or chicken. According to the American Cancer surgery.
Society, chemicals created by grilling meat or
chicken may increase your risk of cancer if
Surgery with the da Vinci® S
eaten regularly.
Surgical System enables the
removal of uterine fibroids
Gardening offers many rewards, including
and hysterectomies to be
exercise. “Gardening is a hobby that feeds the
performed less invasively,
soul. It lets you take responsibility, then pride,
leading to shorter hospital
in a successful job well done,” says Neil Sperry,
stays. “For hysterectomies that may be difficult to perform as a vaginal procedure and
horticulturist and host of Neil Sperry’s Texas
would otherwise require an abdominal hysterectomy, the da Vinci® S Surgical System offers
Gardening radio show. e physical acts of
an alternative,” says Daryl Greebon, M.D., gynecologist on the medical staff at Baylor Plano.
cultivating, weeding and harvesting may relieve
Dr. Greebon says, “ is new robotic technology offers numerous potential benefits over
tension. Research suggests it may also prevent
traditional surgery, including less pain and scarring, less risk of infection, faster recovery, and
memory loss as you age.
less risk of blood loss.”

3. Bone Health Basics
Most women know that protecting their WHAT IS THE CONNECTION BETWEEN WHAT ARE THE RISK FACTORS FOR
bones is important, but how do you go ESTROGEN AND BONE HEALTH? OSTEOPOROSIS?
about ensuring bones last a lifetime? We’ve Estrogen is important in maintaining bone An overactive thyroid, type 2 diabetes, and
asked Alicia Starr, M.D., Medical Director mass, and the leading cause of osteoporosis certain medications may raise the threat of
of the Baylor Women’s Imaging Center at is the fall in estrogen levels experienced breaking bones. Both conditions are more
Plano, to highlight some of the basics in at menopause. “If you are suffering from prevalent in women in their 40s. In addition,
bone health. osteoporosis, you may consider discussing Dr. Starr says, the following women may have
hormone therapy with your doctor. an increased risk of developing osteoporosis,
WHAT IS OSTEOPOROSIS? Temporary “if you’ve broken a bone as an
According to Dr. Starr, “Osteoporosis hormone adult, have a family history
usually comes with age or sometimes replacement e highest rate of bone of osteoporosis or fractures,
certain medications or illnesses and is therapy (HRT) are very thin, currently
distinguished by low bone mass that to manage formation occurs in smoke, have ever had an
causes fragile bones and an increased perimenopausal childhood, and adolescence eating disorder, or you began
vulnerability to bone fractures.” symptoms, such menopause before age 40.
as hot flashes, is Tell your doctor about your
AT WHAT AGE DO WOMEN BEGIN LOSING not considered dangerous and may history; it may be necessary for you to have
BONE MASS? be helpful for women’s bones,” says a bone density test even if you haven’t
“ e highest rate of bone formation occurs Dr. Starr. “However, extended use of HRT entered menopause.”
in childhood, and adolescence, says may increase risk of breast cancer, so it’s
Dr. Starr. “Bone loss and formation important to discuss the positives and WHAT IS A BONE DENSITY TEST?
equalizes after age 30 and by menopause, negatives of HRT use with your physician.” “A bone density scan is an easy test used
bone loss begins to exceed bone formation,” to assist in the prevention and diagnosis of
says Dr. Starr. DOES EXERCISE HELP STRENGTHEN osteoporosis,” explains Dr. Starr. “ e bone
BONES? densitometer is similar to a large exam table
WHAT ROLE DOES CALCIUM PLAY IN One cause of fragile bones is not getting that the patient lays down on.” Before the
MAINTAINING HEALTHY BONES? enough exercise. “Bone is like muscle, it test begins, the trained technologist will enter
Calcium gives bones strength and is must be worked to grow,” says Dr. Starr. your name, age, weight, and ethnicity into
essential for normal bone production. Any exercise that places weight on the the computer. is information helps the
Dr. Starr says, “If calcium intake is bones or requires resistance helps build computer match your results to a normal
insufficient, or if the body fails to absorb more mass. Examples of good exercises reference group. e actual scan takes only
enough calcium from the diet, bone include tennis, dancing, step classes, weight a few minutes. As the scanner passes over
production and bone tissues may suffer. lifting and walking. Women should consult the body, the bone densitometer will help
is can result in weak, fragile bones that their physician before beginning any new determine your level of risk for osteoporosis.
are subject to fractures, without trauma.” exercise program.
WHO SHOULD HAVE A BONE DENSITY SCAN?
e National Osteoporosis Foundation
THE ROLE OF VITAMIN D IN THE ABSORPTION OF CALCIUM: (NOF) recommends a bone density scan for
Vitamin D assists in the absorption of calcium. Dr. Starr says, “It’s important for the following women:
women age 50 and over to know they are at increased risk for vitamin D deficiency.” You are age 65 or older
She also suggests women consume between 350 to 400 milligrams of magnesium.
You are post-menopausal
e chart below lists suggested Daily International Units of Vitamin D recommended
by the National Institute for Health. With more than one risk factor
With a bone fracture
You are considering osteoporosis therapy
Suggested Daily International Units (IU) of Vitamin D You are taking prolonged hormone
replacement therapy or steroid
600 IU
600 IU Vitamin D medications
400 IU You have decreased kidney function
400 IU Vitamin D
200 IU
200 IU Vitamin D Patients at e Baylor Women’s Imaging
Center at Plano have access to advanced
Women at ages: 19-50 50-70 71 + bone density scanning equipment. For more
information or to schedule a bone density
scan, please call 469-814-5500.

4. Baylor Calendar of Events
Plano All programs held at Baylor Regional Medical
Center at Plano, in Plano Conference Room A/B,
Has The Garden Level, unless otherwise noted. For more
Answers information or to register for a program, please call
1.800.4BAYLOR (422.9567).
I enjoy walking and jogging. Mondays, October 8, November 12
Living Well with Cancer Information Session.
How do I choose the best pair 6 - 7:30 p.m. – Dinner provided
of athletic shoes? Tuesday, October 16
Look Good, Feel Better. 5:30 - 7:30 p.m. –
Dinner provided, Program provides information to
“Walking is great exercise,” says women undergoing cancer treatment to help them
Joel Brook, DPM, FACFAS, podiatrist look and feel more comfortable with changes in
on the Baylor Plano medical staff. their appearance.
“However, if your feet aren’t in the best Thursday, October 18
shape, or you don’t have the right shoes, “ ere are also shoes made especially for Celebrating Life and Fall Fashion. 5 - 8 p.m. –
walking,” adds Dr. Brook. “Walking shoes Saks Fifth Avenue, e Shops at Willow Bend, 6121
too much walking can cause foot W. Park Blvd., Plano. Physician Panel from 5 - 6 p.m.
problems, including foot strain, heel pain tend to be slightly less cushioned, not as including members of the Baylor Plano medical staff:
and blister formation. For those not bulky as and lighter than running shoes.” Lynn Canavan, M.D., breast surgeon, Alicia Starr,
accustomed to long walks, start slowly Whether purchasing a walking or M.D., director of the Baylor Women’s Imaging
and rest if your feet begin to hurt.” running shoe, be sure the shoe feels Center at Plano and Christine Stiles, M.D.,
stable and comfortable. breast reconstructive surgeon.
Saturday, October 20, November 17, December 15
Dr. Brook stresses that choosing the Saturday Mammography Clinic. Appointments
proper shoe is important to healthy walk- “Try shopping for shoes at the end of begin at 8:30 a.m. – Baylor Women’s Imaging
ing. In order to prevent foot strain or skin the day when feet tend to be most swol- Center at Plano, Medical Pavilion I, Suite 450.
irritation, the ideal walking shoe should len,” says Dr. Brook, “and have your feet Wednesday, October 24
be stable from side to side, well cush- measured periodically, as they can tend to Advances in Partial Knee Replacement.
ioned, and should enable smooth walking. change size with time.” 6 - 7 p.m. – Dinner provided, Geoffrey Glidden, M.D.,
orthopaedic surgeon.
Friday, October 26
Stress Tips
Your Health is Month. 9 a.m. - 12 p.m. –
Sign-up for our Free breast cancer risk assessments and blood
Electronic Newsletter pressure screenings. Glucose and cholesterol
screenings including HDL, LDL and triglycerides
TIPS FOR A STRESS-FREE HOLIDAY SEASON on our website at will be offered for $10.
From Jennifer Bishop, M.D., family practice physician BaylorHealth.com Friday, November 9
Click Plano after BaylorHealth.com Your Health is Month. 9 a.m. - 12 p.m. –
Take Control: Create a list of projects to accomplish under Sign-UP for our newsletter. Free lung volume, bone density and blood pressure
beginning with tasks you can achieve quickly. screenings and smoking cessation information and
Say No: Realize your limits. resources will be available. Glucose and cholesterol
screenings including HDL, LDL and triglycerides
Avoid Overspending: Make a holiday budget. Physicians are members of the medical will be offered for $10.
Exercise: Get moving and burn off those staff at one of Baylor Health Care System’s November 13
subsidiary, community or affiliated medical Surgical Weight Loss Seminar. 6:30 p.m.
holiday calories. centers and are neither employees nor agents Nick Nicholson, M.D., bariatric surgeon.
Reach Out, Don’t Withdraw: of those medical centers, Baylor Regional
Friday, November 16
Seek out the company of others. Medical Center at Plano or Baylor Health Care
Chronic Pains of Crohn’s Disease. 12 - 1 p.m. –
System. Photography may include models or
Embrace the Season: Lunch Provided, John Hyatt, M.D., gastroenterologist.
actors and may not represent actual patients.
Wednesday, November 28
Remember why we are celebrating. ©2007 Baylor Health Care System.
Diabetes Seminar: Steps to a healthier you. 12 - 1 p.m.
MOD. WHQ-BRMC at Plano. 2ndED. 10/07
– Lunch Provided
Non Profit Org.
US Postage
PAID
Dallas, TX
3500 Gaston Ave Permit # 777
Dallas, TX 75246