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Health Checkup: January 17, 2008

The Warning Signs of a Stroke

• Numbness or weakness of the face, arm or leg, especially on one side of the body
• Confusion, trouble speaking or understanding
• Trouble seeing in one or both eyes
• Trouble walking, dizziness, loss of balance or coordination
• Severe headache with no known cause

Nearly half of all strokes are preventable. Many risk factors can be controlled before they cause problems.

Controllable Risk Factors Include:
High blood pressure
Atrial fibrillation
Uncontrolled diabetes
High cholesterol
Excessive alcohol intake
Being overweight

13 Keys to a Healthy Diet
1 Eat plenty of high-fiber foods -- fruits, vegetables, beans, and whole grains.
2 Make sure to include green, orange, and yellow fruits and vegetables -- broccoli, carrots, cantaloupe, and citrus fruits.
3 Limit your intake of sugary foods, refined-grain products such as white bread, and salty snack foods.
4 Cut down on animal fat.
5 Cut way down on trans fats, supplied by hydrogenated vegetable oils used in most processed foods in the supermarket and in many fast foods.
6 Eat more fish and nuts, which contain healthy unsaturated fats. Substitute olive or canola oil for butter or stick margarine.
7 Keep portions moderate, especially of high-calorie foods.
8 Keep your cholesterol intake below 300 milligrams per day.
9 Eat a variety of foods.
10 Maintain an adequate calcium intake.
11 Try to get your vitamins and minerals from foods, not from supplements.
12 Maintain a desirable weight.
13 If you drink alcohol, do so in moderation.

Link of the Week

Health care is expected to remain the biggest domestic issue among voters in the 2008 election. So where do the candidates stand? WebMD cuts through the clutter.

Robot-Assisted Prostate Surgery

Dr. Marc Siegelbaum, M.D., F.A.C.S. from Chesapeake Urology answers your questions about today’s most advanced prostate cancer treatments.

Q: Are robots really used to treat prostate cancer?
Yes -- though the more correct term is “robotics.” Robotics, such as the daVinci Robotics system, allow a surgeon to use high-magnification cameras and instruments to perform procedures that are even less invasive than standard laparoscopic surgery.

Q: What are the advantages?
The advantage is that it's done through tiny incisions as opposed to cutting open the abdomen, resulting in less blood loss, less trauma to surrounding tissue and shorter recovery.

Q: Are there any concerns?
Robotic-assisted prostate surgery is a state-of-the-art technique for treating prostate cancer involving a special skill and training that many surgeons don’t have. Look to surgeons who have this high level of expertise. They are the ones who will give you the best possible outcome. If you’re not sure, ask or call us.

Q: Is Robotic-assisted surgery the best way to go?
Every patient is different and every cancer is different. Your treatment depends on your age, health, lifestyle and characteristics of your cancer. But once you are identified as a candidate for surgery, surgery using robotics, when in experienced hands, is best.

Q: What other programs of care should I know about?
As your physician, I would explain the pros and cons of watchful waiting, surgery, radiation, brachytherapy (sometimes called radioactive seeds), hormone therapy, cryotherapy and chemotherapy.

Q: How do I know what treatment is right for me?
Again, your doctor should have the experience to guide you toward the right decision. If your doctor is experienced in all aspects of prostate cancer treatment, you’re likely to get an unbiased view of what treatment option is best for you. Bottom line, always choose a board-certified doctor. That is what I would do.

Q: Why should I consider Chesapeake Urology?
I keep harping on making sure your doctor has the experience. As Maryland’s largest urology practice, we offer the expertise of more than 40 board-certified urologists, leaders in the field of robotic-assisted laparoscopic surgery. Plus, we have over 20 offices, including the state-of-the-art new Prostate Center in Owings Mills.

Marc Siegelbaum, M.D. is Chief of Urology and Director of the Urologic Oncology Center at St. Joseph Medical Center. Certified by the American Board of Urology, Dr. Siegelbaum specializes in daVinci robotic prostate surgery.

For more information about Dr. Siegelbaum and the services available at Chesapeake Urology Associates, call 1-866-955-0002 or visit our website at

Chesapeake Urology Associates is the premier urology practice in Maryland, treating prostate cancer, testicular cancer, erectile dysfunction and incontinence, plus performing vasectomies, reverse vasectomies, and more. If you have a concern, schedule a screening today by calling 1-866-955-0002.

Issue 3.3: January 17, 2008