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101 Old Short Hills Rd
Atkins-Kent Building, Suite 101
W. Orange, NJ 07052
33 Overlook Rd.
Summit, NJ 07901
340 Main Street
Madison, NJ 07940
Bayonne, NJ 07002
67 Walnut Avenue, Suite 101
Clark, NJ 07066
Robert J. Rubino,
Audrey A. Romero, M.D., F.A.C.O.G.
Jacqueline Saitta, M.D., F.A.C.O.G.
Allan D. Kessel,
Priya R. Patel,
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Permanent Birth Control
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Access our Patient Portal 24 hours a day, 7 days a week.
"I didn't know that!
60% of seniors don't see regular marijana use as harmful, but THC (the active ingredient in the drug that causes addiction) is nearly 5 times stronger than it was 20 years ago.
We'd like to take a moment to wish all of our patients a very Merry Christmas, Happy Hanukkah and happy and healthy New Year. We are priviledged to be your physicians of choice for your health care and look forward to continuing to foster good health in 2017.
In this issue of our newsletter, we wish warmest wishes to
Dr. Vivian Chou
in her retirement. We discuss the importance of sufficient iron levels and share with patients that we offer
IV Iron infusions
in the comfort of our office. In addition, we include an article on the importance of a
healthy weight during pregnancy
. We also provide an important article about
drug addiction for teens
in the suburbs. Further, if you "Like" our
in front of one of our receptionists, you will receive a small gift! Finally, in our
Healthy Living section
, we offer tips to keeping healthy in 2017. And, you'll find a new interesting "Medical Fact".
As always, we will continue to provide topics that are current, informative and important to your good health.
Dr. Chou - Warmest Wishes In Her Retirement
It is with warmest wishes that we support Dr. Chou's decision to retire at the end of this year. She has put her life's work into building her practice and The Rubino OB/GYN Group is dedicated to offering the best care for her patients, with a seamless transition.
Our goal of the practice is to offer all patients the most advanced healthcare available, in a warm and friendly environment.
To ensure we offer multiple options to Dr. Chou's patients, we are expanding our Madison office hours in the new year and will have four of our elite physicians on the Madison office staff: Drs. Diana Huang, Abigail Whetstone, Lisa Abeshaus and Meryl Kahan.
In addition, appointments can be made at any of our office locations in Madison, Summit, West Orange, Clark or Bayonne, NJ.
Please join us in wishing Dr. Chou the best in her future endeavors.
IV Infusions - In The Comfort Of Our Office
Did you know The Rubino OB/GYN Group offers IV Iron infusions
in the comfort and convenience of our office?
Several years ago, in response to multiple complaints about side effects and non-compliance of oral iron therapy, we looked for an alternative option for iron deficiency anemia. We started with IV iron infusions for patients. The treatment has been very successful, with a high satisfaction rate from our patients, as it works faster and reduces the need for oral therapy.
Iron is critical for your body to make hemoglobin - a protein that
makes red blood cells red. It is very important as it carries oxygen from the lungs to the rest of your body. When iron levels become too low, you become iron deficient which could lead to feeling very tired and unable to carry out your normal life.
Iron loss can come from
blood loss (caused by ulcers, some cancers, monthly periods or childbirth in women), a diet low in iron (common in people over 65), taking medications that interfere with the ability of the body to absorb iron (like blood thinners such as aspirin, Plavix®, Coumadin®, or heparin), an increase in the body's need for iron (for instance, in women during pregnancy) or for people who have trouble absorbing iron.
Typically, iron deficiency is treated by taking iron by mouth as a tablet or liquid. Sometimes this method might not work if people are unable to tolerate taking iron by mouth, can't absorb iron through the gut, can't absorb iron quick enough due to high blood loss, or if someone is in need of a rapid increase in iron.
IV iron infusions are simple and easy. An IV is placed into a vein and attached to a drip that contains iron mixed with saline (a sterile salt water solution). This fluid is slowly 'dripped' (infused) into the vein and mixes with the blood in your body. IV infusions are done in the comfort and privacy of our exam rooms.
ome side effects, even though rare, can include temporary change in taste (metallic), headache, feeling sick or vomiting, muscle/joint pain, itchiness/rash, changes to blood pressure.
Iron tablets should be stopped for a week after an iron infusion because the iron in them will not be absorbed by the body.
Obesity In Pregnancy
Starting a pregnancy as overweight or obese can have
health implications for you and your baby.
The more overweight you are, the more likely you are to have pregnancy complications.
How do you determine if you are considered overweight prior to pregnancy or at the beginning?
Your weight is based on your body mass index (BMI) pre-pregnancy, calculated by your height and weight. You are considered overweight, if your BMI is between 25 and 29 and obese if your BMI is 30 or higher. 3 in 4 women (75%) of women in the US are considered overweight and 1 in 3 women (36%) obese.
The BMI calculation includes excess body weight from fat, muscles, bones and water. It is not an exact science. To get a more accurate calculation of the health of your weight, you can also have a professional calculation of your body fat percentage. Anything over the "acceptable" measure below is considered overweight:
Body Fat Percentage Scale:
According to the ACOG (American Congress of Obstetricians and Gynecologists):
Obesity during pregnancy puts you at risk of several serious health problems:
Does being obese during pregnancy put my baby at risk of any problems?
- Gestational diabetes is diabetes that is first diagnosed during pregnancy. This condition can increase the risk of having a cesarean delivery. Women who have had gestational diabetes also have a higher risk of having diabetes in the future, as do their children. Obese women are screened for gestational diabetes early in pregnancy and also may be screened later in pregnancy as well.
- Preeclampsia is a high blood pressure disorder that can occur during pregnancy or after pregnancy. It is a serious illness that affects a woman's entire body. The kidneys and liver may fail. Preeclampsia can lead to seizures, a condition called eclampsia. In rare cases, stroke can occur. Severe cases need emergency treatment to avoid these complications. The baby may need to be delivered early.
- Sleep apnea is a condition in which a person stops breathing for short periods during sleep. Sleep apnea is associated with obesity. During pregnancy, sleep apnea not only can cause fatigue but also increases the risk of high blood pressure, preeclampsia, eclampsia, and heart and lung disorders.
Obesity increases the risk of the following problems during pregnancy:
In addition, overweight and obese women have longer labors than women of normal weight. It can be harder to monitor the baby during labor. For these reasons, obesity during pregnancy increases the likelihood of having a cesarean delivery.
Problems with diagnostic tests
- Having too much body fat can make it difficult to see certain problems with the baby's anatomy on an ultrasound exam. Checking the baby's heart rate during labor also may be more difficult if you are obese.
Macrosomia - In this condition, the baby is larger than normal. This can increase the risk of the baby being injured during birth. For example, the baby's shoulder can become stuck during delivery. Macrosomia also increases the risk of cesarean delivery. Infants born with too much body fat have a greater chance of being obese later in life.
- Obese women have an increased risk of pregnancy loss (miscarriage) compared with women of normal weight.
- Birth defects - Babies born to obese women have an increased risk of having birth defects, such as heart defects and neural tube defects.
- Preterm birth - Problems associated with a woman's obesity, such as preeclampsia, may lead to a medically indicated preterm birth. This means that the baby is delivered early for a medical reason. Preterm babies are not as fully developed as babies who are born after 39 weeks of pregnancy. As a result, they have an increased risk of short-term and long-term health problems.
- Stillbirth - The higher the woman's BMI, the greater the risk of stillbirth.
Losing weight before you become pregnant is the best way to decrease the risk of complications caused by obesity. Losing even a small amount of weight (5-7% of your current weight, or about 10-20 pounds) can improve your overall health and pave the way for a healthier pregnancy.
For additional information, click here to read an article on Obesity and Pregnancy from the ACOG.
Drug Addiction - In The Suburbs
There is a drug epidemic with suburban teens, much of it
surrounding around heroin, that is so prominent, yet so unspoken. And much of it begins with the simple use of prescription medications.
The Center for Disease Control said
the rate of deadly heroin overdoses nearly quadrupled between 2002 and 2013.
According to Narconon, "One of the last known statistics indicates that over 11 million kids were being put on anti-depressants alone since 2003. Additional information indicates that the total number of legal prescriptions given out per year in every age group has gone up about 39% since then. These are prescriptions for all types of drugs including opioid painkillers, depressant drugs and prescription stimulants."
Highly educated and more affluent households are more likely to have access to prescription medications, including drugs that are frequently abused such as opioids and stimulants.
According to the Substance Abuse and Mental Health Services Administration, the number of teenagers between the ages of 12 and 17 introduced to heroin has grown by 80 percent since 2002. The number of heroin-related deaths has also more than doubled among young adults. The vast majority - close to 90 percent - of teen heroin addicts are white, and many reside in the safe haven of the suburbs.
Marijuana is one of the easiest drug to come by, as it has been legalized in more than 17 states for medicinal purposes. Narconon states, "
Other drugs that suburban teens can score included synthetic drugs, and illicit substances like heroin, ecstasy, and even cocaine.
In total, 17% of high school kids use drugs during the school day. And, 86% of high school kids were fully aware of other kids abusing drugs during the school day."
What starts out with experimenting with alcohol, marijuana and other easy to access drugs, soon progresses to more aggressive drugs when teenagers start to look for a stronger, more powerful high and turn to drugs like heroin. Heroin is popular in large part because it is cheap. While an 80-milligram OxyContin costs between $60 to $100 a pill on the black market, heroin costs $45 to $60 for a multiple-dose supply.
The power of social media contributes to this phenomenon as peers watch each other partying and are tempted to do the same.
The doctors at The Rubino OB/GYN Group share these concerns of drug use and abuse, with many of us witnessing it first hand.
It is very important to talk to your kids about the dangers of drug use. A fantastic resource for you and your children is DrugFree.org.
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Healthy Living: Tips To Be Happy In 2017
The new year is quickly approaching. Making an effort to
incorporate change into your life and adopt new and healthy habits will promote more fulfillment and contentment.
Maintaining a positive outlook will help in all aspects of your life, especially when having to deal with life issues or disappointments.
A recent self-improvement article shared 20 tips to being happy in 2017. We've captured some of our favorite suggestions here:
- Make an effort to see and catch up with friends regularly.
- Make your health a priority.
- Reflect daily on your accomplishments, challenges, and things you're grateful for.
- Adopt a new hobby or pick up an old one.
- Make time for yourself.
- Set your goals for the year.
- Plan a trip.
- Find methods to relieve stress.
- Volunteer or help others less fortunate.
- Eliminate a toxic habit or person from your life.
- Join a committee or group.
All of these efforts help promote positive energy, enjoyment of the moment and ways to keep stress in check.
A very happy and healthy New Year to everyone.
Fundamentals Of Mindfulness - 6 Week Course
The Fundamentals of Mindfulness
A 6 Week Course
A growing body of research suggests that mindfulness practice can
creativity, and productivity. It has been shown to significantly benefit a wide range of participants from those suffering with chronic pain and illness to those with anxiety and depression.
Professional athletes, corporations, hospitals and schools are learning and using this simple but powerful practice.
This 6-week program is meant for anyone interested in reducing stress, improving health, well-being and overall quality of life. "When we learn mindfulness, we bring ourselves back into balance by tapping into our natural state of being that is naturally whole, naturally healthy and naturally happy". - Sally Younghans, Mindful, Inc.
This experiential course meets once a week for one hour.
Course materials include:
- Handouts and audio downloads of guided meditations.
- Weekly reading assignments (30-60 minutes per week).
- Daily practice homework (daily practice time will begin at 5 minutes building up to 20 minutes).
You will learn:
- The basics of mindfulness meditation: including it's history, science, the most popular practice techniques.
- Why and how to work with thoughts that come up while practicing.
- How to perceive and work through emotions from a different area of the brain.
- How to cultivate kindness and compassion, peace and joy and an overall sense of well-being.
- Tools, techniques and support to help you develop a daily practice that works for you.
You will leave each session feeling renewed, relaxed and well-equipped with knowledge and tools you can access anytime, anywhere.
Duration: 6 weeks / 1-hour sessions
Dates: Wednesday's: January 11th - February 15, 2017
Time: Session 1: 11:30 am -12:30 pm /
Session 2: 7:30pm-8:30 pm
Location: Primary Care Physicians Group: 101 Old Short Hills Road, Suite 101, West Orange, NJ 07052
This program is monitored by Dr. Susan Rubino and facilitated by Sally Younghans, certified wellness coach.
Call the office to reserve your spot: 973-736-4430.
For more information on Sally visit: www.sallyyounghans.com
Flu Clinics Now Available
The offices, days and times of the clinics are as follows:
Mondays 1:00 pm - 4:00 pm
Thursdays 10:00 am - 2:00 pm
Fridays 11:00 am - 2:00 pm
Mondays 1:00 pm - 4:00 pm
Fridays 11:00 am - 2:00 pm
Mondays 1:00 pm - 4:00 pm
Thursdays & Fridays 11:00 am - 2:00 pm
Mondays & Thursdays 11:00 am - 2:00 pm
The clinics will run every week while supplies last and are open to everyone, 18 and older, with a priority to pregnant patients.
Walk ins welcome - no appointment necessary.
Most insurance companies cover the flu shot at 100%, without a
co-pay*. Take a step toward keeping healthy this winter and get vaccinated.
*Patients new to our practice will be charged out-of-pocket costs.
Easy Access To Lab Reports
There are two major clinical laboratories for most patient tests:
You can simply register on their websites for access to your personal records or use the conv
enient links to both sites on our website:
The Rubino OB/GYN Group
Our patient portal is specific to your records from The Rubino OB/GYN Group only and allows you to access your health history, update your profile page, request a prescription, submit a clinical question and access upcoming appointments. If you have not already received a username and password, please request one from our office.
Pay Your Bill Online
You can pay your Rubino OB/GYN Group bills online right from the homepage of our website. Simply click on the button at the top of the page that says "New! Pay Your Bill Online!".
Options include paying by credit card or echeck. It is an easy one-time registration to create a password.
For easy reference, the direct link is: Pay My Bill.
8 AM Appointments
For your convenience, 8 am appointments are now available. Please call our main number 973-736-1100 to schedule.
Pay Your Rubino OB/GYN Bills Online
Patients can pay their bills online at the following web site:
Options include paying by credit card or echeck.
Emmi Video Tutorials
Emmi is a free, online video tutorial that makes complex medical information simple and easy to understand. Emmi provides clear and concise step-by-step information on common health topics and procedures right on our website. Click here to find out more.
"Important Announcements" on Our Website
You can find important new developments and time-sensitive announcements (such as office closings) right on the upper right hand portion of our
If you would like to add your business or service to the website,
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