Houston Fibroids’s Dr. Eric Hardee was featured in BuzzFeed’s article discussing uterine fibroids and the various treatment options. He stresses, “the majority of my patients are told that a hysterectomy is their only option, but there are other options available.”
Sometimes, it’s hard to get your fibroids diagnosis. Often, women with uterine fibroids develop symptoms. These include long, heavy periods; weight gain; bloating; constipation and pelvic pain. But what if you already experienced many of those symptoms, because you were carrying extra weight? Or because of other conditions? It would certainly make it harder to recognize an abnormal (but non-cancerous) growth in your uterus!
Missed Fibroid Symptoms
For one woman from Wales, that was exactly what happened. Tina Mathias, at her heaviest, weighed almost 340 pounds. She suffered from chronic back pain and constipation, but when she shared these symptoms with her doctor, they were considered a byproduct of her poor diet and excess weight.
At the time, Tina assumed her doctors were correct. “My periods were normal which is why I didn’t think it was a problem with my reproductive system,” she says.
In the hopes of improving her health and alleviating her worst symptoms, Tina set out on a weight loss journey. She was extremely successful, dropping 182 pounds, but her problems didn’t resolve.
“I’d lost so much weight and I thought I’d be healthier, but the pain in my lower back, sides and abdomen carried on,” she says. “Then it got so bad that I couldn’t get out of bed and I would wince if my husband touched me.”
Still, Tina didn’t think her problems could be caused by fibroids. She simply continued eating healthfully, trying to lose more weight and hoping to feel better.
Brush Offs from Doctors Delay Fibroids Diagnosis
LaToya Dwight also spent years living with fibroid symptoms. Every day, she faced fatigue or bloating. Some days brought painful sex, others saw cramping and constipation. But, despite seeing the same OB-GYN for 12 years, fibroids never entered the conversation. Until she went to get her IUD removed. And her doctor couldn’t locate the device inside her uterus!
After the Fibroids Diagnosis: Finding Answers
For Tina, answers came when Tina got thin, and she had a moment that put everything into perspective.
“When I really slimmed down, my belly was still so large. I looked six months pregnant,” she says. “Someone in work asked me when the baby was due and that’s when I knew something really wasn’t right.”
Still, doctors didn’t immediately figure out what was ailing Tina. They attributed her constipation to a low calorie diet, and didn’t think to examine her for fibroids until sex with her husband became extremely painful. Finally, she was sent for a scan, and doctors discovered a nine-pound fibroid, made of muscle and fibrous tissue, that had likely been growing in her uterus for a decade or more!
It was now dangerously close to perforating her bowel, and doctors told her she needed a life-saving hysterectomy. Just 36 at the time, Tina was devastated but, since the tumor was so large and in such a dangerous location, she had no choice. Now 43, Tina has had to give up on her dreams of having a family, but she is living a happy, healthy and pain-free life.
For LaToya, answers came in a different way. When her OB ordered an ultrasound to find the missing IUD, the technician asked her about her fibroids and symptoms. But the problem was, that was the first time anyone told her that she had these growths!
Once LaToya got back to her OB’s office, the only guidance she received was to get a hysterectomy. But, unlike Tina, LaToya still had fibroid treatment options. At first, she tried lifestyle changes and eating to help her fibroids. Then, through research, she found out about UFE, and found her minimally-invasive solution.
Recognizing Fibroid Symptoms
Luckily, LaToya got a happy ending. But the saddest part of this story is that, had someone diagnosed Tina’s fibroid earlier on, she could have preserved her fertility. That’s why its important for women to know all of the symptoms of fibroids. Its crucial to recognize that, even if your periods are normal, you may still have a problem. You also need to be your own advocate: if your pain persists and your doctor insists its because of your weight, it’s not time to give up hope: it’s time to get a second opinion.
Or, if your doctor tells you to get a hysterectomy, get a second opinion and do your research! Because the earlier you treat fibroids, the more options that will be available for your treatment. And please remember: we welcome all women to our Houston fibroid treatment practice for second opinion treatment consultations. So schedule your appointment today!
As fibroid specialists, we’ve been warning women about power morcellator treatment for some time. Two years ago, the Food and Drug Administration (FDA) issued a warning for women with fibroids. It revealed that this common fibroid treatment can spread cancer cells in women’s bodies! And now, the FDA has updated their warnings to reflect the serious risk of the power morcellator.
Fibroid Treatment Options
Here at our Houston practice, we offer minimally invasive fibroid treatment. But many women with fibroids choose surgical treatment. Then, during that surgery, the fibroid removal involves a power morcellator. This is a machine that shreds the benign tumors inside the uterus. Some doctors like this treatment option because it is relatively non-invasive, compared to traditional surgery. Plus, it leaves women with smaller scars, and results in almost no down time. Unfortunately, it has now become clear that this supposedly non-invasive treatment option could actually act as a silent killer!
How a Power Morecellator Spreads Danger
While fibroids are non-cancerous tumors, the FDA reports that 1 in 350 women who are undergoing fibroid removal treatments are also suffering from undetected cancer! For those women who have cancer cells at the time of their treatment, the power morcellator actually makes their cases worse in two ways. First, it increases the risk of leaving behind the shredded, cancerous cells. Second: the morcellator spreads those cells around to a larger area of the uterus. Then, in some cases, those cells spread cancer to other parts of the body!
Given the risk, the FDA originally advised caution when considering this approach to fibroid treatment. Now, they updated their guidance, suggesting they should be packaged with boxed-warnings that reflect the risk of spreading cancer. This combines with previous warnings to only use the power morecellator with containment systems. And to limit its use to women who are under 50 and haven’t entered menopause.
As any woman with fibroids can appreciate, minimally invasive treatments are ideal, but not at the expense of overall health! In our Houston Fibroids practice, Drs. Fox and Hardee offer a different kind of procedure: a truly non invasive treatment that doesn’t put other areas of your health at risk!
A Better Choice Than the Power Morcellator
Known as Uterine Fibroid Embolization (UFE), treatment is administered through an artery in your left wrist. Using special X-ray equipment, a catheter (small tube) goes through the femoral artery and into the uterine artery, near your fibroid tumors. When it reaches the right spot, the doctors simply inject small spheres through the catheter and into the blood flow leading to the uterine fibroid tumors. Next, those small spheres (embolic materials) block the vessels around the fibroid, cutting off the blood and oxygen it needs to grow. This blockage makes fibroids shrink, and the spheres stay in your blood vessels permanently so the fibroids don’t grow back!
Not only is this procedure fairly quick and easy (you can sit up and walk almost immediately after treatment) it is also a much safer option. UFE patients avoid surgery, general anesthesia, and. most importantly, the risk of spreading dangerous cancer cells throughout their bodies!
While UFE is not for everyone, it is a great choice for those who qualify. If you are interested in learning more, please schedule an in office consultation with our team!
Sources: U.S. Food & Drug Administration
Why do fibroids, menopause and cancer risk go together? Let’s explore that connection today! Fibroids are non-cancerous tumors that develop in and on your uterus. We don’t know why some women get fibroids while others don’t. What’s clear is that between 40 and 80% of women will develop fibroids in their life. And that certain factors increase your risk. These include starting your period early, too much caffeine or alcohol, hormonal fluctuations, obesity, poor diet and race. (Black women are three times more likely than white women to develop fibroids!)
So, that’s what we know about getting fibroids. And now, we know something new about fibroids and your cancer risk. According to a study in the International Journal of Environmental Research and Public Health, women with fibroids are at a higher risk of developing thyroid cancer.
Again, the reason for this risk increase isn’t clear. But study authors suggest the connection may be your female hormone levels. Regardless of the reasons, one this is certain. Even if you treat your uterine fibroids, you should always mention your fibroid history to your doctor, since these growths could impact other areas of your health.
Now, if you have fibroids, your healthcare provider may say that you need a hysterectomy. But if you decide to surgically remove your uterus, you will automatically enter menopause. And, according to new research, when your body enters menopause, your risk for endometrial cancer rises significantly.
The Connection between Fibroids, Menopause and Cancer
We already know that endometrial cancer mostly impacts women over 60. And it’s also clear that these women are almost universally in menopause. So, we had an idea that this cancer was connected to menopause.
But now, thanks to a study in Scientific Reports, we know that menopause is actually a trigger for this cancer risk. In fact, Mayo Clinic researchers discovered that menopause changes your vagina’s microbiome. (A microbiome is simply a description of the micro-organisms in any environment.) And these changes increase your endometrial cancer risk.
In the U.S., endometrial cancer is fourth most common among women. And, unfortunately, this cancer’s rates are rising. What that suggests is that changes in our environment, including diet, lifestyle, and the vaginal microbiome, may be responsible for this uptick.
According to Marina Walther-Antonio, Ph.D., lead author of the study, finding these changes is crucial. That’s because, she believes, “This could have important implications for endometrial cancer prevention.”
How to Fight Endometrial Cancer
In the wake of this discovery, researchers can now identify several main risk factors for endometrial cancer. They include: Obesity, post-menopausal status and—the newest addition to the list—a high pH level in your vagina.
Plus, Dr. Walther-Antonio says, “We have determined that all of these factors impact the reproductive tract microbiome, further identified post menopause as a key factor, and are looking ahead to discuss potential translational applications of this knowledge, which may bring new approaches to address current health disparities in endometrial cancer,” says Dr. Walther-Antonio.
The goal of the study was to understand how endometrial cancer risk factors alter the reproductive tract microbiome and endometrial cancer risk. We now clearly see that menopause is a factor in your endometrial cancer risk. Which means that you should carefully consider all your fibroid treatment options before choosing one that will prematurely trigger menopause. For more information on less invasive fibroid treatment options, we invite you to schedule a consult with our Houston area fibroid specialists.
Sources: International Journal of Women’s Health, The Mayo Clinic, Journal of Scientific Reports, American College of Obstetricians and Gynecologists, Journal of Environmental Research and Public Health
Black women and fibroids just seem to go together. About 80% of all black women develop fibroids by the time they hit their 50s. In comparison, only 70% of white women will get these tumors in their lifetime. This means that the rate of fibroid development is much higher among black women, but that’s not the only concern.
Here’s another issue: black women are two to three times more likely to develop fibroids. And black women are three times more likely than white women to be hospitalized for fibroid complications. Which is why many women impacted by these benign tumors are taking steps to raise fibroid awareness. And to help other black women gain the information needed to receive high-quality fibroid care, that doesn’t always involve a hysterectomy. Today, we salute two of those women as our Women Crushes of the Week.
For Black Women and Fibroids: the Fibroid Pandemic
When LaToya. Dwight was diagnosed with fibroids, her doctors offered a hysterectomy. But, as she explained in a recent interview, “I did not know what fibroids were, and was not given any resources… That did not sit well with me and made me do my research.”
Thankfully, that research led her to lifestyle changes, and a less invasive treatment option. Following her decision, she said, “I realized that a lot of women do not know where to turn because they are typically given the recommendation of having a hysterectomy. And while there is nothing wrong with having one, statistically, 60% of hysterectomies are not needed.” To help fill that information gap, she started the Fibroid Pandemic platform.
Among other resources, Dwight shares information that will help Black women address fibroid symptoms holistically. Specifically, she helps target factors that may be responsible for Black women’s increased fibroid risks. One key lifestyle change she advocates? Changing cosmetics brands. Especially hair care products, since many products marketed for black hair care contain strong chemicals that have been linked to increased fibroid risk. This is very important information, as are the tips our next #WCW shares through her platforms.
Meet The Black Woman “Fibroid Queen”
Registered nurse and fitness trainer Phyllis Frempong expressed concern about Black women’s healthcare equality: “Black women are last when learning the information needed to maximize our options. In the medical system, it has been this way for a long time. It has been set up for us to be at a disadvantage; therefore, we are required to educate and empower ourselves to stay abreast of what is going on.”
She uses her Instagram platform to advocate fibroid fighting fitness routines. As we know, maintaining a healthy weight can help minimize fibroid symptoms and growth, likely because carrying extra pounds can mess with your hormones.
Still, Ms. Frempong knows that talking fibroids isn’t easy. She says, “I grew up in an African household, so talking about medical issues was not encouraged. I remember my mom coming home really drained and tired, and asking her what happened. After initially dismissing me, she later said that her doctor informed her that she would need to get her uterus taken out. I asked why and she said that was fibroids. I did not quite know what fibroids were, I just remembered the name. So, years later, while in nursing school, I asked the doctor for an ultrasound and was questioned. When in a situation like this, always go with your instincts. Something told me to request it, and after finding a quarter-sized fibroid on my uterus, I was told to just monitor it.”
The Growth Cycle Continues
She did just that, but she developed more fibroids, like so many black women with fibroids. And they grew large. Frempong says she felt like a failure, because she’d waited around for things to get worse. All without knowing steps that could help stop her fibroids’ progression.
Today, she’s protecting other women from the same experience. She says, “I used what I learned as a nurse and fitness coach and created a lifestyle regiment to not only reduce my symptoms but shrink my fibroids. I realized that if I could do that, then I could help others. So now, my mission is to help millions of women end their suffering with holistic resources and a community of like-minded women to live their lives beyond fibroids.”
Minimally Invasive Fibroid Treatment
In our Houston area fibroid practice, we also work hard to share information about treatment options. We want women to know that hysterectomy isn’t always the answer. That’s part of why we share women’s fibroid stories. And it’s why we always offer patient education regarding Uterine Fibroid Embolization, or UFE, a non-surgical fibroid treatment.
We also know that UFE isn’t for everyone. And that’s ok. Our only goal is to make sure all women know that they have choices. So, if you want to explore minimally invasive fibroid treatments, we are here to help. Check out our guidelines to see if you’re a UFE candidate. And feel free to schedule an in-office or Telemedicine consultation with our team of specialists.
What’s the thyroid fibroid connection? Well, we know that many women develop fibroids—non-cancerous uterine tumors. And we know that even more women of color live with fibroids. In fact, black women are three times more likely than white women to develop fibroids. Plus, those fibroids tend to be larger and cause more disruptive symptoms. But we don’t know why some women get fibroids and some women don’t.
For years, researchers have tried to pinpoint an answer. They’ve discovered that hormones play a role in your fibroid risk. As does exposure to certain chemicals, which is many people believe black women’s hair products might play a role in their fibroid risk. Stress and family history can also raise your fibroid risk.
All of these ideas offer helpful information. Because, the more you know about potential fibroid risks, the better you may be able to prevent their growth. Which is why, today, we’re discussing one new theory about fibroids: a possible thyroid-fibroid connection.
Studying the Thyroid and Fibroids
In a new study in the Endocrine Journal, researchers noticed a connection between thyroid nodules and fibroids, in pre-menopausal women. (Thyroid nodules are fluid-filled lumps that form at the base of your thyroid. Most aren’t cancerous. But a few will be, so you should always see a doctor for nodules.) In other words, women with thyroid nodules were very likely to have fibroids.
They found this thyroid fibroid connection by looking at electronic medical records for women aged 24 to 51. Each of these women had check-ups between 2017 and 2018 at a hospital in Wenzhou, Zhejiang, China. During that checkup, they also had lab testing, thyroid ultrasounds, and transvaginal pelvic ultrasounds.
What they found was telling. Among the women studied, 432 had uterine fibroids. And 421 were fibroid free. In the group of women with fibroids, 65% also had thyroid nodules. But among women without fibroids, only 52% had thyroid nodules. Which means that women with fibroids are more likely to have thyroid nodules.
And the opposite also seemed true. Women with thyroid nodules were more likely to have multiple fibroids. But there was no difference in fibroid size for women with nodules compared to women without them.
Pursuing the Thyroid Fibroid Connection
The results of this study are interesting. But, once again, they just give us a hint about your fibroid risk. Without offering one clear reason why women develop fibroids. Even study authors recognized the limitations on their findings.
These included missing data about the women’s estrogen, antithyroglobulin, and antithyroperoxidase levels. And that’s a big deal, since we know there is a connection between your hormones and your fibroid risk.
Still, the study does suggest that thyroid nodules may be associated with uterine fibroids. Moving forward, researchers will keep exploring this thyroid fibroid connection. Because it can also teach us more about your future risk for fibroid cancer.
Now, even while we wait for answers, you don’t have to wait for relief from fibroid symptoms. At our Houston area fibroid office, we offer minimally invasive fibroid treatment. So you can get rid of painful symptoms without the risk of surgery. Want to learn if you’re a good candidate for this alternative to myomectomy? Schedule a consultation at our office. We’ll help you review all your fibroid treatment options.
Sources: Endocrinology Advisor
Many women with fibroids experience heavy, long periods. They may also have irregular menstrual cycles. While unpleasant, new evidence suggests that these long periods could also be deadly. In fact, women with irregular or long period cycles were more likely to die before they turned 70. They also had a higher risk of dying from cancer and cardiovascular disease, especially if they experienced longer cycles.
The Health Risk of Irregular Periods
To reach their conclusions, studies explored life cycles of women with typical menstrual cycles (between 26 and 31 days.) Then, they compared the findings to women whose menstrual cycles lasted more than 40 days.
We already know that, in the short term, a long period can lead to anemia. Having irregular periods increased your risk for certain diseases and earlier death. And the risk increased dramatically if your cycles were irregular or long during your teen and adult years.
In addition to serious health risks, an irregular cycle also increased your odds of having a higher body mass index (BMI), high blood pressure, high cholesterol, excessive hair growth, endometriosis and growths in your uterus.gular
The exact reason for your increased risk of death wasn’t clear. But authors believe it may have something to with the disruption to your hormones.
Menstrual Cycle Study Details
The study, which started in 1993, involved 79,505 pre-menopausal women. None of them had a prior history of cardiovascular disease, cancer, or diabetes. Over the course of the study, they reported how long and regular their periods were at the ages of 14 to 17 years old, 18 to 22, and 29 to 46.
After 24 years, the team followed up with the women. They examined medical records, autopsy reports or death certificates. And what did they find? 1,975 of the women died before turning 70. Of those deaths, 894 were from cancer, and 172 from cardiovascular disease. Women with irregular or long period cycles were more likely to be among the deceased.
PCOS and Irregular Periods
But there’s more. Irregular periods weren’t the only risk for early death. So was your contraceptive use! In fact, study authors discovered that women who used contraceptive for more than 14 years were also in trouble. They believe this was related to younger women with polycystic ovary syndrome (PCOS). Many PCOS sufferers start birth control in their teens to control symptoms. So this increased risk could also be tied to PCOS, another condition that leads to irregular periods.
Of course, the study authors note that PCOS is also linked to obesity. And PCOS can also cause insulin resistance and hypertension. Both of which could also affect your risk for early death.
Still, the research was pretty clear on one factor. Irregular periods, whatever their cause, are associated with premature death. And the most common cause of that early death is cardiovascular disease. Which should be cause for concern if you’re living with fibroids and irregular periods.
Of course, this study has limitations. But the authors hope will make women pay attention to their cycles because of these findings. After all, periods are “vital signs” of your overall health. In other words, problems with your period may be a sign of more serious problems. Whether that’s have fibroids, PCOS or another condition, it’s important to discuss your cycle with your doctor. And if you discover that fibroids cause your irregular periods? Schedule an appointment with our Houston fibroids experts to learn your treatment options.
Black women get fibroids more than any other women on the planet. And, did you know that African American women have some of the worst fibroid experiences? These are non-cancerous growths that develop in or around your uterus.
Fibroids are composed of muscle tissue. You can develop one or many fibroids. They may be small or large. And, while some women don’t even know they have fibroids, others experience symptoms that significantly interfere with their lives. These include heavy periods, pelvic pain, frequent urination and/or constipation, and pain during sex.
Why Do Black Women get Fibroids More Often?
We still don’t know why some women develop fibroids, while others don’t. But we do know that Black and African women develop fibroids three times more often than white women. And those fibroids are likely to be large and symptomatic.
Tanika Gray Valbrun, founder of The White Dress Project, is one of those women. She was 23 when she received a fibroid diagnosis, but she’d already had years of pain. Today, at 42, she continues to fight for fibroid awareness. She wants the world to take this health challenge seriously, pointing out that the WHO (World Health Organization) doesn’t even share fibroid information on its website.
This is a shocking discrepancy, since the site offers extensive information on other conditions affecting women, including infertility.
Valbrun recently told CNN, “I just don’t understand it, like, if so many Black women have fibroids, why aren’t more people talking about it? Why aren’t there so many walks and campaigns like there are for other medical conditions?” she said.
Lack of awareness is a problem for many black women who get fibroids. But so is the period stigma that’s still prevalent in many African cultures.
That’s something Ghanain Nana Konamah is working to change. In 2019, she and friend Jessica Nabongo made a documentary to help women understand how fibroids can impact so many aspects of women’s lives. At the same time, she’s trying to eliminate period stigma so that women speak up about symptoms and get diagnosed.
Early diagnosis is crucial. And it’s equally important to understand your fibroid treatment options! Because, according to the most recent CDC data, 33 percent of Black women ages 48-50 had a hysterectomy. In contrast, only 3 percent of white women in that age group removed their uterus. And when it comes to younger women? The gaps are even more startling. Among women ages 33-45, 12 percent of Black women had a hysterectomy. And white women? Only 4 percent in that age group chose this invasive surgery. That’s a major problem. We need to do better and help spread more fibroid knowledge, so all women know their fibroid treatment options.
Increased Risk and Delayed Treatment
We don’t know the exact scientific evidence reason why African American women are more likely to develop uterine fibroids. Still, there are a number of theories.
First, because African American girls are more likely to start their period at a younger age, one such theory is that fact makes them more susceptible to fibroid development later in life. It could also explain why black women develop fibroids at a younger age than women of other races. Daughters are also three times as likely to have fibroids if their mother experienced them, which just completes this vicious circle.
Recently, the Black Women’s Health Study offered another theory. One interesting new idea was that black women’s increased fibroid risk was linked to childhood trauma. Something that is devastating for us to learn.
And here’s the worse news. More African American women have fibroids, and severe fibroid symptoms, they don’t get help quickly. In fact, studies show that African American women reported taking an average of four years to seek fibroid treatment
How to Treat Uterine Fibroids
Unfortunately, African American women are not only three times more likely to develop uterine fibroids but they are also more likely to have larger and more densely populated fibroid tumors, so the treatment options can be different. While African American women diagnosed with fibroids are twice as likely to have a hysterectomy as Caucasian women, it’s important that those diagnosed with uterine fibroids are given comprehensive treatment options.
- Non-invasive: include watchful waiting if you don’t experience symptoms, hormone treatments that may treat some symptoms, or an ultrasound procedure.
- Less invasive: include uterine fibroid embolization, or endometrial ablation, which removes the lining of the uterine.
- Surgical: include a myomectomy in which the fibroids are surgically removed, or a hysterectomy where the entire uterus is removed. The more invasive a surgery, the more room there is for complications.
Talk to your gynecologist and our fibroid specialists about the symptoms you’re experiencing to help decide on your best approach to treatment.
What does Telemedicine care for fibroids mean for you? Instead of coming to our office, we can offer you high-quality fibroid and women’s health care, all from the comfort and convenience of your own home.
In order to provide you with a face-to-face consultation that protects your privacy, we will be conducting appointments through the Doxy Telemedicine platform.
Simply call our office at 713-575-3686, or go online, to request an appointment. When scheduling your appointment, you can specify your preference for a remote consultation!
While we can’t perform procedures such as Uterine Fibroid Embolization (UFE, our minimally-invasive fibroid treatment) via Telemedicine, we can provide you with in-depth, high quality care for initial consultations and follow-up visits. And we can do so without you having to leave your home, or face concerns about social distancing.
Wondering which conditions we can treat via Telemedicine? Women’s health concerns well-served via Telemedicine include:
· Heavy periods
· Pelvic pain
· Frequent constipation or urination
· Follow up care for fibroid procedures
Need more information? Check out our Telemedicine FAQ.
Frequently Asked Telemedicine Questions
Q: How will I meet with my doctor?
A: Once you’ve scheduled an appointment, you’ll receive a link to your doctor’s personal ‘room’ in Doxy. Just click on the link approximately 10 minutes before your scheduled visit, and you’ll be ready for your consultation. There’s no app to download. You can check-in for your visit from any internet browser.
Q: How long will my visit last, and will I be able to ask my doctor questions?
A: Just like an in-person visit, you will see your doctor for as long as you need to address your immediate concerns. And you will be able to ask and get answers for any of your pertinent medical concerns.
Q: If I need a prescription, can this be covered during my Telemedicine appointment?
A: If, during your visit, your doctor determines that you will need prescription medications, you will be able to receive this prescription during your remote visit.
Q: Will my insurance cover a Telemedicine visit?
A: Given the current COVID-19 pandemic, most insurance companies have agreed to cover the cost of Telemedicine visits, but you should confirm your individual coverage prior to your telemedicine appointment.
Q: How can I ensure my privacy during a Telemedicine appointment?
A: Thanks to our Doxy platform, the entire visit will be encrypted, protected and compliant with all HIPAA regulations. So you can feel comfortable and secure in sharing all your concerns with your physician during this Telemedicine appointment.
Please be aware of upcoming office hour changes and closings during the holiday season!