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75 Francis Street
Boston, MA 02115
Care from the names you trust.
Spring 2014
Right where you need it.
Choosing an Obstetrics Provider: The first decision you’ll make as a parent
Urgent Care Services — Here for You
Our Urgent Care Center (UCC) provides walk-in care and diagnostic services (including imaging and phlebotomy) for
minor illnesses and injuries for both adults and children.
No appointments are necessary and you can walk right in Monday through Friday between 8 a.m. and 8 p.m.
and on Saturday between 8 a.m. and 4 p.m. For questions, call the UCC at (508) 718-4400.
Join us for Spring Health Events for You and Your Family
Physician experts at the Center will be presenting the following educational sessions:
Managing Sinusitis
Tuesday, May 13, 7-8:30 p.m.
Sapideh Gilani, MD
3rd Floor Atrium,
Brigham and Women’s/Mass General Health Care Center
Common Running Injuries and Prevention
Thursday, May 15, 7-8:30 p.m.
Elizabeth Matzkin, MD, Eric Berkson, MD,
Charlotte Walsh (Charles River Running)
3rd Floor Atrium,
Brigham and Women’s/Mass General Health Care Center
Pregnancy 101:
Prenatal care, trimesters, and childbirth
Thursday, May 22, 7-8:30 p.m.
Sarah Catlin, MD
Join us for a discussion with a question and
answer session with our OB providers
Vein Care Screenings
Tuesday, May 13, 5-7 p.m.
4th Floor Specialty Clinic,
Brigham and Women’s/Mass General Health Care Center
Thursday, May 22, 5-7 p.m.
4th Floor Specialty Clinic,
Brigham and Women’s/Mass General Health Care Center
To learn more and register for these events, please call
(866) 378 9164.
For the complete list of our community events, visit
www.brighamandwomens.org/FXBevents
3rd Floor Atrium,
Brigham and Women’s/Mass General Health Care Center
20 Patriot Place, Foxborough, MA 02035 | www.brighamandwomens.org/foxborough
Long before you start picking out baby names, you
will need to make a few decisions including who
will care for you and your baby during your pregnancy. There are a few important things you should
consider to ensure that you are making the best
decision for you and your family.
Comprehensive Services
Be sure that the provider you choose offers the full range of services that you and your baby will need throughout your pregnancy.
At Brigham and Women’s/Mass General Health Care Center in
Foxborough, our Brigham and Women’s obstetricians provide
comprehensive consultation and pregnancy care. At the Center
you will see your doctor for all of your routine check-ups leading
up to delivery at Brigham and Women’s Hospital in Boston.
• Subspecialty Services work with specialists across Brigham
and Women’s to address the needs of pregnant women
with co-existing medical conditions – including heart disease, epilepsy, lupus, diabetes, and bone and joint disease.
• Maternal-Fetal Medicine (High-Risk Obstetrics) provides
advanced, multidisciplinary care for women who are identified with complications prior to or during pregnancy.
“We’re proud to bring the resources and expertise of women’s
health from one of the world’s leading hospitals to a location
that is convenient to so many families,” says obstetrician John
R. Goldman, MD, who leads a team of Brigham and Women’s
OB/GYN physicians in Foxborough.
Access to Specialty Care
At Brigham and Women’s/Mass General Health Care Center
you can receive your routine OB care and have access to specialized services as needed at Brigham and Women’s Hospital,
including:
• Center for Fetal Medicine and Prenatal Genetics provides
comprehensive assessment and treatment of fetal disease,
genetic counseling and fetal ultrasound, working closely with
the specialists in the state-of-the-art Neonatal Intensive Care
Unit for babies who require intensive, specialized care.
• Newborn Medicine, which is staffed by expert neonatologists and other specialists, cares for newborns at Brigham
and Women’s Hospital and is specially equipped to care for
infants as young as 23 weeks gestation. Our state-of-the-art,
Level-3 Neonatal Intensive Care Unit (NICU) is one of the
best in the world.
Your Delivery, Your Way
It’s important to find a health care provider who will work with
you to develop the birth plan that is right for you and your family. When you deliver at Brigham and Women’s Hospital, you’ll
have access to all of the resources that you will need. These
include the complete range of obstetric anesthesia options as
well as resources for a more natural childbirth, including assistance with techniques such as breathing and relaxation exercises, position changes, massage, and hydrotherapy baths
available in select rooms.
“We work with each patient to determine her needs and preferences throughout the pregnancy, and outline a unique plan
for delivery that utilizes the many resources we have available,”
says Dr. Goldman.
To learn more or make an appointment, call (866) 378-9164.
Common Overuse Injuries of the Legs
Incorporating exercise into your daily and weekly
routine is important but overusing certain parts of
the body in the wrong way can lead to injury – particularly in the legs.
“First and foremost, the best way to avoid overuse
injuries is to train properly and to increase your activity slowly,” says orthopedic surgeon Elizabeth Matzkin, MD,
Surgical Director of the Women’s Sports Medicine Program at
Brigham and Women’s Hospital, who also sees patients in
Foxborough. “For instance, runners should increase the amount
of time they run or the distance they run by 10 percent a week.”
Managing Sinusitis: Evaluation and Treatment
pain or cramping during exercise which subsides during rest,
numbness, and visible bulges of the muscle. There are nonsurgical treatments for CECS but surgery may be necessary.
• Pinched Nerve
A pinched nerve occurs when there is pressure on the nerve
from surrounding bone, tendons, and ligaments. Often
caused by excessive repetitive motion of the leg, a pinched
nerve causes pain up and down your leg. There are
non-surgical treatments for pinched nerve – including antiinflammatory medications – but surgery may be required
for permanent relief.
She also recommends being sure that you are using the correct
equipment and wearing supportive shoes. “There’s a higher
risk of injury when you are not using the proper equipment and
shoe wear. For runners, we suggest changing sneakers every
six months or 300 miles.”
Here are some common overuse injuries of the legs:
• Shin Splints
One of the most common and painful injuries to the leg are
shin splints which are caused by inflammation in the muscles
and tendons and is often found in runners. The cause of this
condition is usually an increase in the duration and intensity
of the exercise. Fortunately, treatment is fairly straightforward
– rest, icing, anti-inflammatory medications, and new
footwear if necessary.
• Stress Fractures
A stress fracture in the leg is caused by abnormal stress on
the bones, such as a change in the intensity of your workout.
With this condition, you feel activity-related pain, tenderness
and swelling. Your muscles become so fatigued by the extra
work that they transfer the stress to the bones — most often
in the lower leg — and a tiny crack appears. Stress fractures
are more common in female athletes and are often associated with poor nutrition, lack of menstruation and low bone
mineral density. With proper rest (six to eight weeks), your
bones often will have the time they need to repair any microscopic fractures or grow stronger so they can take the
wear and tear of an activity. Depending on the severity of
the injury, treatment also may include a cast or walking boot,
nutritional recommendations, and revising the intensity and
duration of your exercise routine when you are ready.
• Chronic Exertional Compartment Syndrome
Compartment syndrome is a type of injury that involves increased pressure in a muscle compartment. Chronic exertional compartment syndrome (CECS) is specifically caused
by overuse from exercise especially in activities with repetitive motions, such as running and biking. Symptoms include
Orthopedic surgeon Dr. Elizabeth Matzkin sees patients in Foxborough
When to See a Specialist
Beyond the normal aches and pains that come with exercise,
it’s important to know when you need to seek the help of a
specialist. “You should really have an evaluation if you are experiencing pain that persists and doesn’t respond to rest, icing
and anti-inflammatories,” says Dr. Matzkin.
Brigham and Women’s/Mass General Health Care Center
Conveniently located in Foxborough, specialists in orthopedic
surgery, podiatry, physical therapy, and rheumatology are available at Brigham and Women’s/Mass General Health Care
Center to provide comprehensive bone and joint care.
Dr. Matzkin says, “At the Center we work as a team to develop
a plan for the best care. With stress fracture, for instance, the
cause can be overrunning, nutrition or an endocrine condition.
Here you can see a team of orthopedic surgeons as well as
physical therapists, dietitians, and endocrinologists that can
determine the underlying cause of the injury.” In addition, the
Center offers full diagnostic and lab services so that you can
receive all your care in one location. Our staff works closely
with patients and their primary care physicians to evaluate and
determine the best course of treatment.
To learn more or schedule an appointment, call
(866) 378-9164.
Along with the warmer
weather and longer days,
spring brings allergies and
colds – often the cause of
sinusitis, also commonly
known as a sinus infection.
Sinuses are air-filled cavities near the nasal passage
that can become infected
in the setting of an upper
respiratory infection, cold
or allergic inflammation.
This is called sinusitis. Each
of these conditions can
lead to an obstruction or
Dr. Rachel Roditi is an otolaryngologist
inflammation in the openat Brigham and Women’s/Mass General
ings of the sinuses blocking
Health Care Center
the normal flow of nasal secretions and allowing bacteria to grow and cause infection.
ENT Services at Brigham and Women’s/Mass General
Health Care Center
At the Center ENT specialists, called otolaryngologists, provide comprehensive care to treat a range of nasal and sinus
disorders from chronic sinusitis to athletic nose injuries.
“Our ENT specialists are experts at both the medical and surgical management of sinus disease and nasal obstruction and
can provide prompt in-office evaluation, treatment, and also
outpatient surgery if required all in the same practice setting,”
says Dr. Prince. “We also work in a multidisciplinary manner
with our colleagues in the Division of Allergy and Immunology
at Foxborough to help evaluate and address underlying allergic inflammation.” Our staff works closely with patients and
their primary care physicians to evaluate and determine the
best course of treatment.
To learn more about our ENT program or to schedule an appointment, call (866) 378-9164.
“It’s important to pay attention to any symptoms you may be
experiencing and seek treatment,” says ENT specialist Anthony
A. Prince, MD. “Sinusitis may be the result of an underlying
condition and can become chronic.”
Our ENT Services
Symptoms, Evaluation, and Treatment of Sinusitis
Symptoms of sinusitis vary from person to person. You may
have sinusitis if you have a runny nose or cold symptoms that
last longer than seven to 10 days, difficulty breathing through
the nose, loss of smell, dripping in the throat from the nose,
headaches, facial discomfort, bad breath, cough, fever, or sore
throat. If you are experiencing any of these symptoms, you
should see your doctor.
• Sports injuries to the ear, nose, face, and neck
If you do have sinusitis, your treatment may include acetaminophen for pain or discomfort, nasal spray, decongestants, antihistamines (that can help prevent sinusitis if the underlying
cause is allergic inflammation), antibiotics, and – only if other
treatments have failed – surgery.
Hearing Services
Our Audiology specialists work closely with ENT physicians to care for patients with complex and non-complex
hearing loss. From advanced hearing evaluation to selecting, ordering, and fitting hearing aids, our staff provides comprehensive care for our patients, including:
When is it Time for You to See an ENT Specialist?
If you have symptoms lasting longer than seven-10 days that
do not respond to a course of antibiotics or have recurrent
episodes of sinusitis you should pay a visit to an ear, nose and
throat (ENT) specialist. Often there can be structural and
anatomical abnormalities which may predispose one to prolonged or recurrent episodes of sinusitis. An ENT specialist can
identify and treat these issues either medically or surgically to
decrease the recurrence of future episodes.
Otolaryngologists at the Center treat:
• Nasal and sinus problems
• Sleep disorders
• Oral cavity and throat disorders
• Voice and airway disorders
• Head and neck disorders (infection, inflammation, and
lesions)
• Pediatric ear, nose, and throat problems
• Hearing Aid Center – individualized selection, ordering, and fitting of hearing aids, including the latest
digital technologies
• Comprehensive diagnostic hearing evaluations
• Balance assessment testing