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New Improved Call Center

 

 

 What Is Blood Pressure?

 

 Healthy Living: Mental Health

 

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Our Offices
101 Old Short Hills Rd
Atkins-Kent Building, Suite 101
W. Orange, NJ 07052
973-736-1100

33 Overlook Rd.
MAC Building
Suite 108
Summit, NJ 07901
908-522-4558

340 Main Street
Madison, NJ 07940

731 Broadway
Bayonne, NJ 07002
201-339-3300

67 Walnut Avenue, Suite 101
Clark, NJ 07066
732-396-1881

Physicians
Robert J. Rubino,
M.D., F.A.C.O.G.
 
Audrey A. Romero, M.D., F.A.C.O.G.
 
Lisa Abeshaus,
M.D., F.A.C.O.G.
  
Jacqueline Saitta, M.D., F.A.C.O.G.

Allan D. Kessel,
M.D ., F.A.C.O.G.
  
Diana Huang,
M.D., F.A.C.O.G.
  
Priya R. Patel,
M.D., F.A.C.O.G.,MPH
  
Meryl Kahan,
M.D., F.A.C.O.G.

Abigail Whetstone
D.O., jF.A.C.O.G.

Heavy, Painful Periods?

 

Dr. Rubino is nationally recognized for his expertise on Her OptionĀ®
 Cryoablation,

15-minute,

in-office procedure.

Click here to find out more.

Permanent Birth Control 
 EssureĀ® is a simple, non-invasive,
10-minute office procedure for permanent birth control (tubal ligation).  Click here
 to see if Essure is
 right for you.
Find out more about our Pelvic Floor Therapy Program for incontinence and painful intercourse.
Access our Patient Portal 24 hours a day, 7 days a week.
Medical Fact
 "I didn't know that!

A broader understanding of circulation and the circulatory system was developed in the early 1600's by a doctor named William Harvey. He began teaching about circulation in 1615 and later published his work in 1628. His work became a foundation for the study of the circulatory system. 

 In 1733 Reverend Stephen Hales recorded the first blood pressure measurement on a horse by inserting a long glass tube upright into an artery, observing the increase in pressure as blood was forced up the tube.
In 1881, the first sphygmomanometer was invented by Samuel Siegfried Karl Ritter von Basch.  In 1896, the device was further improved by Scipione Riva-Rocci. Improvements included a cuff that could be affixed around the arm to apply even pressure to the limb that would become the standard design for such devices going forward.

May
2017
mom_clothesline.jpg
The Spring season includes flowers in full bloom, a sense of renewal and amazing weather. Enjoy this month as we segue into Summer.

In this month's newsletter, we are happy to announce our new and improved call center, a direct result from your input to our patient survey. As a dedication to all moms for mother's day, we include the tribute "What Makes a Mother". In addition, with May as Blood Pressure Awareness month, we dig deeper into understanding blood pressure and how you can keep it in check. In our Healthy Living section, we provide an article on Mental Health. Finally, we share a local event happening on May 17th - a free screening of the documentary Screenagers.  And, you'll find a new interesting "Medical Fact". 

If there is topic you would like covered in our newsletter, please e-mail us at newsletter@rubinoobgyn.com.
 
As always, we will continue to provide topics that are current, informative and important to your good health.  

Sincerely,
The Rubino OB/GYN Group
New Improved Call Center callcenter
We heard your input from our patient survey  and  continue to make improvements based on your valuable feedback. 

In addition to our new Saturday office hours, we have created a new and improved call center with the following added benefits:
  • Upgraded software that has dramatically decreased our wait times
  • Additional customer service staff with specialized training
  • Monitored calls for us to ensure every patient's questions are answered
  • New early morning live support by 8 am
  • Better efficiency in scheduling appointments
Meet our call center:
From left to right: Annette, Call Center Lead; Cathy, Amanda, Michela and Gabby.
     Annette - Call Center Lead
                    
We continue to work hard to make your experience at The Rubino OB/GYN Group seamless and pleasurable.
What Makes A Mother? mothersday
Excerpts  from the following article were  extracted from Holiday women-friends-smiling.jpg Spot on "What makes good mothers?" We thought it really captured the essence of motherhood.

It is a pertinent question whose answer cannot be contained within a few words. Mothers comprise of a bundle of emotions that sometimes defy reason. So this goes out to all the mothers who have kept awake all night with their sick toddlers in their arms, constantly uttering those compassionate words, "It's OK honey, Mommy's here."

-For all the mothers who run carpools and make cookies and sew Halloween costumes. 

-For those who show up at work with milk stains on their dress and diapers in their handbags.

-For those mothers who cannot restrain tears from trickling down their cheeks when they hold their babies for the first time in their arms.

-For the mothers who gave homes to babies and gifted them a family.

-For the mothers who yell at their kids who clamor for ice cream before dinner.

-For the mothers who defy all odds just to watch her kid perform and repeat to themselves  "That's my child!!"

-For all the mothers who read "Goodnight, Moon" twice a night for a year, and then read it again. "Just one more time."

-For the mothers who taught their children to tie the shoelaces even before they started going to school.

-For the mothers who incontinently turn their heads when they hear the word "Mom",  even though they know that their kids are nowhere around.

-For the mothers who silently shed tears for their children who have gone astray.

-For all those mothers whose heart aches to watch her son or daughter disappear down the street, walking to school alone for the very first time.

-For the mothers who sit in front of their TVs in horror watching the suffering around us, clinging to their child who just arrived from school safely.

-For the mothers who would do anything... anything for their child.

-For the mothers who beg for extra hugs just so they can smell their child's sweet scent.

-For the mothers, who no matter how frustrated they may have been with their children that day, smile adoringly when they see them curled up asleep in bed.

-For the mothers who are still folding laundry at 11pm.

-For the mothers who get up, no matter how tired they are, to respond to their child's call for "Mom"

This is meant for all mothers and their journey through motherhood.

We wish you a very Happy Mother's Day.
What Is Blood Pressure?bloodpressure
May is Blood Pressure Awareness Month. Chances are, if you have been to a doctor's office recently, one of the first things they will do it check your blood pressure. Why is blood pressure such a critical measure for health? Following is some useful information in understanding the importance of blood pressure.

What exactly is blood pressure?
Blood pressure is the force of blood pushing against the walls of the blood vessels called arteries. The arteries carry blood from your heart to your lungs, where the blood picks up oxygen, which is delivered to your organs and tissues. The organs and tissues use the oxygen to power their activities. Other blood vessels called veins bring the now oxygen-poor blood and waste products back to the heart and lungs.

How often should I have my blood pressure checked?
You should have your blood pressure measured at least every 2 years if your blood pressure is normal and more often if it is higher than normal.

How is my blood pressure checked?
A cuff with a balloon inside is wrapped around your upper arm. Air is pumped into the balloon. Your pressure reading is taken while the cuff is squeezing your arm.

What do the numbers in my blood pressure reading mean?
Your blood pressure reading has two numbers. Each number is separated by a slash: 110/80, for instance. You may hear this referred to as "110 over 80." The first number is the pressure against the artery walls when the heart contracts. This is called the systolic blood pressure. The second number is the pressure against the artery walls when the heart relaxes between contractions. This is called the diastolic blood pressure.

Does my blood pressure stay the same all of the time?
Blood pressure can go up and down. It goes down when you sleep and goes up when you are active or nervous. This is normal. Your blood pressure is the average of several readings taken on different occasions.

How is my blood pressure reading categorized?
Your blood pressure reading is classified into one of four categories: normal, prehypertension, stage 1 hypertension, or stage 2 hypertension. People who have prehypertension have twice the risk of developing hypertension compared with those who have normal blood pressure. Recognizing prehypertension is important. If you have prehypertension, you often can make lifestyle changes to prevent the development of high blood pressure.

How can high blood pressure harm my body?
Long before high blood pressure causes symptoms, it can damage vital organs in your body:
  • Blood vessels - Long-term high blood pressure can damage the walls of the arteries. Damaged artery walls are more likely to attract a sticky substance called plaque. Plaque can build up inside blood vessel walls and, over time, cause the arteries to narrow and harden. This condition is called atherosclerosis. The combination of atherosclerosis and high blood pressure sets the stage for a stroke or heart attack.
  • Heart - As blood pressure increases, the heart has to work harder to deliver oxygen to the tissues. Over time, the heart may enlarge. Its walls may thicken or thin. The heart may no longer pump efficiently enough to keep up with the body's demands. Tissues become starved of oxygen, causing fatigue, breathing problems, and weakness.
  • Brain -High blood pressure can cause a blood vessel in the brain to become blocked, cutting off oxygen to that part of the brain. A blood vessel also can burst. This is called a stroke. During a stroke, cells in that part of the brain may die. A stroke can cause permanent brain damage or death.
  • Kidneys -The kidneys filter the blood to remove wastes from your body. The blood vessels in the kidneys can be damaged easily by high blood pressure. When the kidneys are not working normally, their ability to control salt and water balance in the body is disrupted. This can lead to kidney failure.
  • Eyes -High blood pressure can cause the blood vessels in your eyes to constrict. This can cause vision problems and may even lead to blindness.
What are risk factors for high blood pressure that cannot be changed?
The following factors that increase the risk of high blood pressure cannot be changed:
  • Age-Blood pressure increases with increasing age.
  • Race-High blood pressure is more common in African Americans than in any other racial group.
  • Family history-High blood pressure tends to run in families.
  • Medical conditions-Certain diseases, such as diabetes and kidney disease, increase the risk of high blood pressure.
  • History of preeclampsia
What lifestyle habits can affect my blood pressure?
Lifestyle habits also can affect blood pressure. These are things you can change. You are at greater risk of high blood pressure if you are
  • overweight
  • not physically active
  • a smoker
  • drinking more than two alcoholic drinks per day
  • eating a poor diet (too much fat, not enough fruits and vegetables)
  • eating too much salt
  • overly stressed
You can help decrease your risk of high blood pressure by changing the above lifestyle habits and incorporating healthier choices. 
What treatment is available if my blood pressure is not lowered by lifestyle changes?
If lifestyle changes alone do not lower your blood pressure, medications usually are recommended. Many types of medications are available that work in different ways. It is important to continue taking your medication even when you are feeling healthy. It also is important to continue your healthy lifestyle habits even if taking medication lowers your blood pressure readings into the healthy range.

Can high blood pressure affect pregnancy?
High blood pressure during pregnancy can cause serious problems, including growth problems with the baby, preterm birth, and worsening of any preexisting conditions that you have because of high blood pressure. If you have chronic (long-lasting) high blood pressure and are planning to become pregnant, see your health care provider for a prepregnancy check-up. This will give you a chance to stabilize your blood pressure and to become as healthy as possible. During pregnancy, your blood pressure will be measured often. You will be monitored for signs and symptoms of preeclampsia. You may have special tests to monitor the well-being and growth of the fetus.

What is gestational hypertension?
High blood pressure that first occurs in the second half (after 20 weeks) of pregnancy is called gestational hypertension. Management depends on how high your blood pressure is. Most women with gestational hypertension have only a mild increase in blood pressure. Some women, however, develop severe hypertension and are at risk of serious complications. All women with gestational hypertension are monitored closely to make sure their blood pressure does not go too high and to look for signs of preeclampsia.

What is preeclampsia?
Preeclampsia is a serious high blood pressure disorder that can occur during pregnancy and in the weeks after pregnancy. If it is not diagnosed and managed, it can cause severe complications in both the woman and her baby. Women who have had preeclampsia have an increased risk of developing high blood pressure and cardiovascular disease later in life.

Are certain types of birth control not recommended if I have high blood pressure?
Some birth control methods are not recommended for women with high blood pressure. These methods include the following:
  • Combined hormonal birth control methods-These methods contain estrogen and progestin and include the combined hormonal pill, patch, and ring. If you are being treated for high blood pressure-even if your blood pressure is normal-discuss the use of these methods with your health care provider.
  • Injection-This form of birth control should not be used if your systolic blood pressure is 160 or higher or if your diastolic pressure is 100 or higher.
Can hormone therapy for menopause symptoms affect my blood pressure?
Blood pressure usually does not change much with hormone therapy. In some women, hormone therapy actually decreases blood pressure. In others, some types of hormone therapy increase blood pressure. Because the effects of hormone therapy on blood pressure are not predictable, all women who are taking hormone therapy should have their blood pressure checked more often.

If you have specific questions or concerns about your blood pressure, please make an appointment to speak with one of our doctors.

Source: ACOG, American Congress of Obstetricians and Gynecologists.
Healthy Living: Mental HealthHealthyliving
According to the CDC, Center for Disease Control, "mental health is 'a state of well-being in which the individual realizes his or her own abilities, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to his or her community.'" It is estimated that only about 17% of U.S adults are considered to be in a state of optimal mental health. There is emerging evidence that positive mental health is associated with improved health outcomes.

Mental illness is defined as "collectively all diagnosable mental disorders" or "health conditions that are characterized by alterations in thinking, mood, or behavior (or some combination thereof) associated with distress and/or impaired functioning." 

Depression is the most common type of mental illness, affecting more than 26% of the U.S. adult population.  It affects  2%  of pre-pubertal children and 5- 8%  of adolescents. It has been estimated that by the year 2020, depression will be the second leading cause of disability throughout the world, trailing only ischemic heart disease.

Evidence has shown that mental disorders, especially depressive disorders, are strongly related to the occurrence, successful treatment, and course of many chronic diseases including diabetes, cancer, cardiovascular disease, asthma, and obesity  and many risk behaviors for chronic disease; such as, physical inactivity, smoking, excessive drinking, and insufficient sleep.

Mental Health Indicators
In the health care and public health arena, more emphasis and resources have been devoted to screening, diagnosis, and treatment of mental illness than mental health. Little has been done to protect the mental health of those free of mental illness. 

Researchers suggest that there are indicators of mental health, representing three domains. These include the following:
  • Emotional well-being
    • such as perceived life satisfaction, happiness, cheerfulness, peacefulness.
  • Psychological well-being
    • such as self-acceptance, personal growth including openness to new experiences, optimism, hopefulness, purpose in life, control of one's environment, spirituality, self-direction, and positive relationships.
  • Social well-being
    • social acceptance, beliefs in the potential of people and society as a whole, personal self-worth and usefulness to society, sense of community.
The former surgeon general notes that there are social determinants of mental health as there are social determinants of general health that need to be in place to support mental health. These include adequate housing, safe neighborhoods, equitable jobs and wages, quality education, and equity in access to quality health care.

If you or someone you know may be suffering from mental health issues, please make an appointment to speak to one of our doctors. We can help refer you to the proper resources.
Screenagers - FREE Screening screenagers
The Pediatric Center, in partnership with Oratory Prep in Summit, is sponsoring the popular and important Screenagers documentary for FREE on May 17th, from 7-9 pm. Sign up here.
Easy Access To Lab Reports labreports
You can find access to your lab reports right from 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 Onlinepayonlinebills

You can pay your Rubino OB/GYN Group bills online right from the checkbook-pen.jpghomepage 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

Office Announcements  announcements
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  home page .
   
Enterprising Patients
If you would like to add your business or service to the website, 
please e-mail us at network@rubinoobgyn.com.
 
Products Available on Our Website
For more information visit the products page on our website.