lifecycles logo revised  Bilof

 

Farewell to Dr. Kahan

 

 

 Sterilization - Your Choices

 

Twins Journey Home

 

Healthy Living: Healthy Breakfast Options

 

Pay Your Bill Online

 

Office Announcements  

 

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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
  
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!

Hormones can affect your root canal: Estrogen makes women prone to dry sockets in the mouth, which is when a blood clot becomes dislodged from the hole where a tooth has been pulled, exposing the bones and nerves underneath. To avoid ever experiencing severe pain, Barnes-Svarney, an award winning science writer, suggests scheduling your extraction during the last week of your menstrual cycle (days 23 through 28), when estrogen levels are lowest. If you're pregnant (or planning on being), you should be aware that surges of estrogen can also cause gums to swell and increase the risk of gingivitis, so it's important for pregnant women to get their teeth cleaned and examined every three months or so.

September
2017
small_town_america.jpg
Welcome, September. The first official day of Fall, or the Autumn Equinox in the Northern Hemisphere, is on September 22nd. As always, we welcome the transition of the seasons and hope you have an opportunity to take in all of the wonderful changes. 

First and foremost, we recognize the devastation in Texas, Florida and the Caribbean and hope you and your loved ones are safe. 

In this month's newsletter we announce expanded office hours for Dr. Kessel. In addition, we provide an article on sterilization and choices. And, we share a feel good story about the long journey of conjoined twins. In our Healthy Living section, we recognize September as National Better Breakfast Month and offer 10 healthy breakfast options. We also we bid a fond farewell to Dr. Kahan. 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
Dr. Kessel Adds Hours In Clark kessel












Dr. Kessel has expanded his office hours to include the Clark location in his rotation.

He will now have office hours every Wednesday from 9 am - 1 pm. 

Please call The Rubino OB/GYN Group call center to make an appointment: 973-736-1100.
Considering Sterilization? This May Help sterilization
Many couples may decide at some point they would like to consider sterilization to prevent future pregnancies. Both men and women have options for permanent birth control. Below is information extracted from the ACOG on available options and the specifics:

What is sterilization?
Sterilization is a permanent method of birth control. Sterilization procedures for women are called tubal occlusion. There is one procedure available for men, called vasectomy.

Women
How does tubal occlusion work to prevent pregnancy?
Tubal occlusion closes off the fallopian tubes. This prevents the egg from moving down the fallopian tube to the uterus and keeps the sperm from reaching the egg.

How effective is female sterilization?
Sterilization is a highly effective way to prevent pregnancy. Fewer than 1 out of 100 women will become pregnant within 1 year of having the procedure. After 10 years, pregnancy rates range from fewer than 1 to fewer than 4 out of 100 women, depending on the type of sterilization method used.

Does female sterilization protect against sexually transmitted infections (STIs)?
Female sterilization does not protect against sexually transmitted infections (STIs), including human immunodeficiency virus (HIV). A male or female condom should be used to protect against these infections if you are at risk of getting an STI.

Are there risks associated with female sterilization?
A risk common to all female sterilization methods is that if pregnancy does occur, there is an increased chance that it will be an ectopic pregnancy. However, the risk of ectopic pregnancy occurring in women after tubal sterilization is lower than in women who do not use any birth control. Other risks are specific to the type of procedure.

How is female sterilization performed?
There are three ways that sterilization for women can be performed: 1) minilaparotomy, 2) laparoscopy, or 3) hysteroscopy:
  • Minilaparotomy- A small incision is made in the abdomen. The fallopian tubes are brought up through the incision. A small section of each tube is removed, or both tubes can be removed completely. Less often, clips are used to close off the tubes. This approach frequently is used for postpartum sterilization.
  • Laparoscopy-This is a type of surgical procedure that uses a device called a laparoscope to view the pelvic organs. The fallopian tubes are closed off using instruments passed through the laparoscope or with another instrument inserted through a second small incision.
  • Hysteroscopic sterilization does not require incisions in the skin. It can be performed with local anesthesia in a health care professional's office. Small devices are placed into the openings of the fallopian tubes. The devices cause scar tissue to form that blocks the fallopian tubes. After having the procedure, it takes 3 months for the scar tissue to form. During this time, you must use another form of birth control to prevent pregnancy. A test called hysterosalpingography must be done to ensure that the tubes are blocked before prior to using it as your only method of birth control. A common method for this type of non-invasive sterilization is called the Essure Procedure
Men
How does a vasectomy work to prevent pregnancy?
The vas deferens is one of two tubes that carry sperm from the testes. In a vasectomy, these tubes are tied, cut, clipped, or sealed to prevent the release of sperm. This prevents a woman's egg from being fertilized with the man's sperm.

How effective is a vasectomy?
The effectiveness of vasectomy in preventing pregnancy after 1 year is slightly higher than that of female sterilization. As with female sterilization, vasectomy does not protect against STIs.

How is a vasectomy done?
One or two small openings are made in the skin of the scrotum. Each vas deferens is pulled through the opening until it forms a loop. A small section is cut out of the loop and removed. The two ends are tied and may be sealed with heat. This causes scar tissue to grow and block the tubes. Each vas deferens then is placed back into the scrotum. There also is a "no-scalpel" technique that does not require incisions in the skin. It can be done with local anesthesia in a health care provider's office.

How long does it take for a vasectomy to work?
It takes about 2-4 months for the semen to become totally free of sperm. A couple must use another method of birth control or avoid sexual intercourse until a sperm count confirms that no sperm are present. In this test, the number of sperm in a semen sample is counted.

What are the benefits and risks of vasectomy?
Vasectomy generally is considered to be safer than female sterilization and requires only local anesthesia. Also, there is no increased risk of ectopic pregnancy if the vasectomy fails. Risks of vasectomy include minor bleeding and infection. Major complications are rare.

Can sterilization be reversed?
Sterilization is permanent birth control and is not meant to be reversible. Before having the procedure, you (and your partner, if appropriate) must be certain that you do not want children in the future. If you have a sterilization procedure and you change your mind after the operation, you can have surgery to try to reverse it, or assisted reproductive technology can be used to attempt pregnancy. 

These procedures are expensive and may not be covered by insurance. There also is no guarantee that you will be able to become pregnant afterward.

"Twins Amazing Journey Home" twins
When you find a feel-good story, you want to share it.

This recent article on CNN.com captures the incredible journey of two previously conjoined twins - and their journey home.

                                            (click on the picture to view the video)

Stories like this remind us to appreciate all of the wonders and miracles in the world. 
Healthy Living - Better Breakfast healthyliving
September is National Better Breakfast Month.

In this Healthy Living section, we offer healthy breakfast suggestions that will keep your blood sugar regulated, fuel you for the morning and contribute to a healthy diet.


1. Avocado toast - spread avocado on toasted sprouted bread with salt and pepper

2. Omelet with roasted veggies (peppers, onions, garlic, broccoli, spinach) and a side of fruit

3. Hard boiled eggs with a side of sliced bananas, drizzled with honey

4. Plain 2% or whole milk organic yogurt with drizzled honey and fresh fruit

5. Sprouted cinnamon raisin toast (Ezekiel) with a glass of organic milk

6. Homemade banana coconut flour pancakes 
  • 3 eggs
  • 1 tsp. cinnamon
  • 1 TBSP vanilla
  • 1 TBSP honey
  • 1/4 cup coconut flour
  • 1 smashed banana
  • 2 TBSP melted ghee or regular butter
Mix all together and spoon onto a pan.

7. Almond butter spread on a banana 

8. Homemade cereal: mixed nuts and fresh berrries

9. Smoothie: Frozen berries, frozen banana, organic coconut milk, scoop of collagen protein, squeeze of honey

10. Overnight oats: 
  • 1/2 cup organic oats
  • 1/2 cup milk (regular, almond or coconut)
  • 1 teaspoon vanilla extract
  • 1/2 cup blueberries
  • 1/3 cup banana, sliced
  • 1 teaspoon chia seeds (optional)

  • Add oats to your container of choice (with a lid) and pour in milk and vanilla. Add a layer of blueberries and then a layer of banana slices. Top with a drizzle of honey and, if desired, chia seeds. Place in fridge and enjoy in the morning or a few hours later!
    Best Of Luck, Dr. Kahan! kahan

    Dr. Meryl Kahan has decided to leave private practice medicine. We wish Dr. Kahan the best of luck in her new career pursuit.

    If you have a future appointment with Dr. Kahan, we will be reaching out to reschedule. If you have not yet heard from our office, please call us directly: 
    973-736-1100 to schedule an appointment with another doctor on our team. 
    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.