Atrial fibrillation, commonly known AFib, is the most common form of cardiac arrhythmia, which means irregular heart rhythm. The top chambers, the atria, they no longer contract, they just quiver. That impacts the filling aspect of the heart because the heart needs to fill in order to pump. It impacts how much blood goes into the heart, so overall performance goes down.

By far the most common symptom is they don't have to get up and go. They just feel fatigued throughout the day. The treatment of AFib, there are a set of medicines called antiarrhythmic drugs. They help maintain normal rhythm.

Ablation is obviously the more robust way of managing AFib. That's a catheter based procedure. One of them is an ultrasound, so we visualize the heart at all times. And the first thing we do is we map, which is recreating recreating the three d anatomy of the heart.

That map will be displayed on one of the screens. Once we're happy with the map, then we start the ablation, which is electrically isolating the areas that are promoting AFib. Those are the pulmonary veins, which are the structures that bring blood back to the heart from the lungs. When we get people out of AFib, restore normal rhythm, it's amazing how good they feel.

All these symptoms go away, so that's why quality of life is definitely number one when it comes to AFib treatments.

Fecal incontinence can be an embarrassing and distressing condition. It is defined as uncontrolled passage of stool or gas. It affects nearly one in twelve adults in America alone, which is over twenty million population.

Fecal incontinence in some patients can be occasional. It can be daily. It can be unpredictable. Not only it affects the patients, also their family members, their social life, their career. It can also affect their mental health.

Incontinence is a complex mechanism which depends on interaction between bowel consistency, rectal compliance, pelvic floor coordination, neurological function, and sphincter function. Any disruption can result in fecal incontinence. The treatment is tailored to the patient's problems. After dietary modification and optimizing stool consistency, we proceed with pelvic physical therapy and biofeedback.

For patients who fail interventions, we offer them surgery. One of the most common is sacral neuromodulation. Sacral neuromodulation works by placing a small stimulator into the root of the sacral nerve which controls the bowel function as well as the urinary function. And by stimulating the nerve, it gives the patients a better sensation and a better compliance.

Patients have been greatly appreciative of the lifestyle change that this procedure has brought to them. They're able to have their life and their confidence back.

It is important to talk about heart attack symptoms differently in men and women because women frequently present with symptom pattern that is different than men. This often leads to a delay in recognition, diagnosis and treatment and may result in worse outcomes. Men with heart attack usually present with chest pain or pressure. This is usually described as substernal pressure, tightness or squeezing sensation and may radiate to your arms, jaws, neck, upper back and can be associated with shortness of breath, generalized weakness, nausea, vomiting and diffuse sweating.

Women with heart attack less likely present with chest pain or pressure as compared to men and may present with shortness of breath, nausea, vomiting, generalized chest discomfort, epigastric pain, and unusual fatigue. The symptoms are sometimes missed or misunderstood because they are less specific and providers and patient may fail to recognize it especially the absence of chest pain.

Women sometimes delay seeking medical care for heart attack as compared to men because the symptoms are usually atypical and they usually fail to recognize it as cardiac symptoms. Women also frequently prioritize their social and family responsibilities over seeking medical care for themselves.

The single most important thing about recognizing heart attack symptoms and acting fast is to not wait. Call nine one one immediately for the first signs of heart attack symptoms.

Remember time is muscle. The faster we act, the more heart muscle we can save.

A bone density test is essentially an x-ray. The x-ray looks at your bone density, particularly of your lumbar spine and your hips, which are the most likely to fracture. It measures your bone density versus a healthy person and gives you a score and tells you how weak your bones are. Osteoporosis is a silent disease.

Osteopenia and osteoporosis are silent. They don't have any symptoms. Bone density tests are one of the most important tests you can do, specifically for women. One in five women who fracture their hip will die within a year.

So it's important for everybody to get screened, especially women, because once you go through menopause, your bones start to decline. Every woman over sixty five should be screened for osteoporosis. Fifty year old women should be screened as well if they have risk factors like smoking, heavy alcohol use, or family history of fractures. If your DEXA scan comes back and shows either osteopenia or osteoporosis, you may need treatment.

All people with osteopenia should be screened with something called a FRAC score, and depending on their fracture risk will determine whether you need treatment or not. Everybody with osteoporosis should be treated. So it's very important to keep a healthy lifestyle, exercise regularly, specifically weight bearing exercise to prevent bone loss, also avoid smoking, and avoid heavy alcohol use, which are all associated with low bone density. Here at Baptist Health Corbin we want to do a bone density test so that we prevent you from having a hip fracture rather than treating the hip fracture after.

SBRT, otherwise known as stereotactic body radiation therapy, it is a specialized way that we use radiation to focus the radiation with a very high dose to a small area. SBRT allows us to treat or even retreat tumors that have previously been treated with radiation, highly targeted, very successful, with very, very little side effects.

I was diagnosed on May seventh that there was a spot on my lung that was suspicious, pulmonary doctor's office referred me to doctor Wynne, called me, set up an appointment, met with him. A few days later, they called and said, can you start? Started the SBRT, and, May twenty fourth, cancer's gone. Kind of surreal.

With SBRT, patients have as few as three treatments, and that makes a big difference, not only the outcomes, but when it comes to patient care and patient satisfaction, they really like doing that.

It was such a good experience. If you have to go through this, it's, it was just a good experience all the way around. I mean, you know, diagnosed on May seventh, cured on May twenty fourth. How how can that be bad?

♪ [music]

♪ It's important to establish care with your family doctor and have wellness checks because we want to keep our body healthy at all times. People always say, you know, "I don't really need that. I'm feeling good. I'm okay."

But it's really important. Early diagnosis is good prognosis. If you know earlier on what you've got and what's going on, then we're able to hone in and get to the problem and have a better outcome. In our clinic, we provide services for hypertension, diabetes, cholesterol, asthma, COPD.

Those things follow up on a regular basis, you know, because we want to make sure that the medicines you're taking are also good for you. Now, those wellness checks will also be able to hone into any, you know, preventative stuff for you. Breast exam, pelvic exams, and even rectal exams for the males. We have a full working lab and x-rays here at the facility.

So we want to make sure that we provide that care for you and make sure that you know you're good and healthy. It's important that, you know, we take care of our body. You know, health, mind, and body I think is what we need to start honing in and taking care of ourselves. At Baptist Health Medical Group here in Somerset, we see patients from five to geriatric, and that spectrum of care for us here, you know, is available for all of our patients out there.

Being here in your own hometown, serving your own hometown, I think nothing can compare. It's a family. We're just proud that we're able to contribute to the community in Somerset, and that's important. ♪ [music]

♪

♪ [music]

♪ It's important to establish care with your family doctor and have wellness checks because we want to keep our body healthy at all times. People always say, you know, "I don't really need that. I'm feeling good. I'm okay."

But it's really important. Early diagnosis is good prognosis. If you know earlier on what you've got and what's going on, then we're able to hone in and get to the problem and have a better outcome. In our clinic, we provide services for hypertension, diabetes, cholesterol, asthma, COPD.

Those things follow up on a regular basis, you know, because we want to make sure that the medicines you're taking are also good for you. Now, those wellness checks will also be able to hone into any, you know, preventative stuff for you. Breast exam, pelvic exams, and even rectal exams for the males. We have a full working lab and x-rays here at the facility.

So we want to make sure that we provide that care for you and make sure that you know you're good and healthy. It's important that, you know, we take care of our body. You know, health, mind, and body I think is what we need to start honing in and taking care of ourselves. At Baptist Health Medical Group here in Somerset, we see patients from five to geriatric, and that spectrum of care for us here, you know, is available for all of our patients out there.

Being here in your own hometown, serving your own hometown, I think nothing can compare. It's a family. We're just proud that we're able to contribute to the community in Somerset, and that's important. ♪ [music]

♪