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What’s So Primary about Primary Care?

With medicine divided into so many specialties nowadays, it may seem like the era of family medicine and the yearly doctor’s visit are long gone. Now we have the internet to diagnose us so we can just go straight to the specialist that can fix us, right? But there is still value in the annual doctor’s visit besides just the lollipop you might get on your way out the door.

The doctor’s office is no longer just the place to go when you’re sick. In fact, people who go for regular check-ups are less likely to get sick! Our bodies are like cars and primary care doctors are our own personal mechanics. Your car’s engine will run better and you’ll likely experience fewer nasty surprises if you get your oil checked regularly and the same goes for your body.

Primary care providers come in many shapes and sizes—family medicine, pediatrics, obstetrics/gynecology, internal medicine, etc.—and each one is a gatekeeper to your optimum health and wellbeing. Like a mechanic, during your yearly check-up, your primary care provider can:

Swedish to Host OB Speed Dating Session at Edmonds Campus June 7

EDMONDS, WASH., May 25, 2012 -- If you’re pregnant or thinking about having a baby, finding the right doctor is a pretty good place to start this incredible journey. When you come to OB Speed Dating, you’ll get the chance to meet six different doctors who deliver at Swedish/Edmonds and get to know them in a fun, low-key environment.

Hormone therapy

Symptoms associated with menopause have been treated with estrogen and progesterone for many years. When I went into private practice in 1986, we had been taught that hormones given to postmenopausal women were protective. We prescribed them widely, like they were vitamins. If menses stopped, the next thing to do was to take hormone replacement therapy. We asked patients to let us know when their menses stopped so that we could administer hormone therapy promptly.

Today we have concerns about hormone therapy. The Women’s Health Initiative was a large study that collected data on the incidence of heart disease, stroke, cancer and bone fracture in women taking hormones as compared with women who did not take hormones in menopause. In 2002, a large portion of the study was discontinued because it appeared that women taking estrogen and progesterone were at increased risk for heart disease, stroke and breast cancer.

In 2002 many women went off of hormone therapy and many physicians stopped prescribing it. In the months that followed, many women found that they had symptoms of menopause that interfered with their lives. The consumer media began reporting on natural and bio-identical hormones. Claims surfaced of superior safety.

What are natural hormones?

NBC's TODAY show Airs Story on the Grandparents Class Offered at Swedish

Swedish/Issaquah Welcomes First Baby Born at New Facility

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