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Pregnancy & H1N1 Facts for Healthcare Workers


November 7, 2013- DMC Sinai-Grace First Michigan Hospital to Offer Blue Light Cystoscopy to Improve Bladder Cancer Detection

  

The Detroit Medical Center (DMC) Sinai-Grace Hospital is the first in Michigan, and one of a select number of medical centers nationwide now offering Blue Light Cystoscopy (BLC) with Cysview®. The KARL STORZ Blue Light Cystoscopy system is a newly approved diagnostic imaging system to help detect bladder cancer in patients known to have or suspected to have this disease.

Cysview is a special medication that reacts with bladder cancer causing it to become more visible to the doctor when they look in the bladder with a blue light scope. A white light setting is used to illuminate the bladder during a routine cystoscopy, and a blue light setting (to induce and view fluorescence in cancerous tissue, (i.e.,Cysview), enabling physicians to detect lesions in the bladder. This improves both diagnosis and treatment of this disease, and may lead to improved survival.

“The availability of Blue Light Cystoscopy is in keeping with DMC Sinai-Grace Hospital’s commitment to advancing care for our patients in and around Detroit with the best tools available,” said Ranko Miocinovic, M.D., DMC’s Director of Urologic Robotic Surgery and leader of Sinai-Grace’s urologic oncology program. “With Cysview, identifying bladder cancer means improved visibility of the tumor, resulting in the ability to remove the entire tumor, thus preventing tumor recurrence. Blue light technology helps turn cancerous cells fluorescent—taking us one step further in the cure.  This technology adds another dimension to our urologic robotic oncology program.”

More than 70,000 people in the US were diagnosed with cancer of the bladder in 2009, and an estimated 14,000 Americans died from the disease last year, according to the National Cancer Institute. Bladder cancer is the fourth most common type of cancer in men, and the eighth most common in women. Bladder cancer is also one of the most deadly urologic cancers so early detection is critical. Smoking is the most likely cause of bladder cancer. The most common initial sign of the disease is blood in the urine, which calls for urine cytology (tests performed on cells in urine to detect disease), cystoscopy and further radiologic evaluation.


WHAT IS H1N1 INFLUENZA?
H1N1 influenza is a respiratory disease that is caused by a type A influenza virus. The current H1N1 virus contains unique genes from pig and human influenza viruses and hence is called the “Novel H1N1 Influenza Virus”. This strain of flu germ spreads from human to human and can cause illness.



Does H1N1 INFLUENZA pose special risks for pregnant women?
Pregnant women are at an increased risk of catching H1N1 or seasonal flu. Pregnant patients with H1N1 infection have an increased risk of complications. Although influenza viruses do not infect the baby while in the uterus, the high fever and any complications caused by the flu can potentially be harmful to the baby.



WHAT PRECAUTIONS CAN I TAKE TO PROTECT MYSELF AND MY UNBORN BABY?
The best way to protect yourself and your unborn baby is to have a vaccination (which is safe during pregnancy). You should also make sure you follow good hygiene practices including:

 

  • Wash your hands often with soap and warm water. Alcohol-based gel hand cleaners are also good to use.
  • Try to avoid close contact with sick people.
  • Talk to your doctor about your concerns.

WHAT ARE THE SYMPTOMS OF H1N1 INFLUENZA?
The symptoms of H1N1 flu are similar to the symptoms of seasonal flu and may include acute onset of:

  • Fever (greater than 100 F or 37.8 C)
  • Cough
  • Sore Throat
  • Stuffy nose
  • Chills
  • Headache
  • Fatigue
  • Some people have reported diarrhea and vomiting associated with H1N1 flu.


WILL THE SYMPTOMS BE THE SAME IF I AM PREGNANT?
Yes, the symptoms of flu will be the same as in women who are not pregnant.




WHAT SHOULD I DO IF I GET SICK?
If you get sick with flu-like symptoms, stay home, limit contact with others, and call your doctor as soon as possible.

  • Treat any fever right away. Tylenol® (acetaminophen) is the best treatment of fever in pregnancy.
  • Get plenty of rest and drink clear fluids.
  • Your doctor may test you for flu or will decide if you need medications to treat the flu.
  • Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash and cleanse your hands.
  • Clean hands often with soap and water or alcohol- based hand rub.
  • Do not go to work, school, or other public places while you are ill.
  • Avoid close contact with other people.
  • Get emergency medical care right away if you have trouble breathing, chest pain, purple or blue lips or skin, severe vomiting and are dehydrated and/or dizzy, unresponsive or confused.


IS IT OK TO BREAST FEED MY BABY IF I AM SICK?

  • Do not stop breastfeeding if you are ill. This will help protect your baby from infection.
  • Be careful not to cough or sneeze in the baby’s face, wash your hands often.
  • Your doctor might ask you to wear a mask to keep from spreading this new virus to your baby.
  • If you are too sick to breastfeed, pump and have someone give the expressed milk to your baby.


IS THERE A VACCINE FOR H1N1 INFLUENZA?
Yes, an H1N1 virus vaccine is expected to be available in mid- to late October 2009. The CDC recommends this vaccine for pregnant women when it first becomes available. This vaccine has been tested in pregnant women and found to be safe and effective.


REMEMBER: The seasonal flu vaccine is not expected to protect against the H1N1 flu, therefore individuals are encouraged to get both types of vaccines.

 

 

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