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WOMEN’S HEALTH

A newsletter from El Camino Women’s Medical Group

Hard to believe we’re already in the last quarter of this year.  As election season is upon is, remember, all politics is local.   Make sure you’re registered to vote (you can verify here) and educate yourself on all ballot measures, from your local school district to propositions, to congressional and senate candidates.   The CA Official Voter Guide is a great place to start!    

Dr. Dorismond is now running at full capacity and Dr. Wan will be starting this week.  You can read more in practice updates.

This fall issue of our newsletter has great information on dietary changes to help shrink your waistline, hernias during pregnancy, mental health during pregnancy and so much more.

Please read the Practice Updates section regarding our new physicians and nutritionist and the incorporation of Lovu into our pregnancy care.

I wish you all a wonderful fall and the upcoming holiday season,

Sarah Azad, MD

In this issue:

Practice Updates

Online Prenatal Classes

Dr. Wan Joined Our Practice

Five Strategies for Psychological Wellness During & After Cancer

The Benefits of the HPV Vaccine Series for Women Aged 26-45

Beyond Weight Loss: Shrink Your Waistline

Hernias During Pregnancy

Pregnancy and Mental Health

Revealing Hidden Fertility Obstacles  

From Plate to Pregnancy & Beyond

Fly Away, Flu

El Camino Hospital Visitor Policy Updates

Highlights from our Women’s Health Blog

Practice Updates

Dr. Wan joins our practice!

Please join us in welcoming Dr. Wan this week.  She comes from a busy private practice in New York City and will be seeing patients from the full scope of obstetrics and gynecology.   She speaks French, Spanish, and Mandarin.  She will be open to new patients in November.

Dr. Dorismond starting this month

Dr. Dorismond is now seeing patients at full capacity. She will be open to new patients in November and is also fluent in French and Spanish.

Dr. Balassianong is on sabbatical

June 28^th was Dr. Balassiano’s last day in the office before her sabbatical.   We wish her well during her year off and look forward to her return next year.   Our other physicians are available for her patients during her leave, just let the office know what you need.

Our nutritionist available for appointments

Mariam , our nutritionist, is seeing patients for dietary evaluation and counseling.  She has a masters in Human Nutrition from the University of Aberdeen (Scotland), and has over eight years of experience working in nutrition at the individual and communal levels.   We are excited to have her on our team.  She will be teaching occasional classes on nutrition as well as be available for individual appointments.   If you are interested in an initial appointment, call, email, or message (through healow) the front desk.   She usually sees patients on Tuesdays, Wednesdays, and Thursdays and appointments are in-network with your insurance.

Continuing with Lōvu

We’ve had a great start to launching Lōvu. Lōvu is a new digital maternal health platform that brings together best-in-class technology-enabled care for mother and baby from pre-pregnancy through two years post-pregnancy.  Co-founded by Dr. Santosh Pandipati, who we’ve worked with for years in his role as a Maternal-Fetal Medicine expert, we have been so impressed by the extent of what Lōvu has to offer our pregnant and postpartum patients, we launched in early May!  For all of our patients 26 weeks and under, please remember to register here. 

Online Prenatal and Women’s Health Classes

Prenatal Classes

We are now offering four virtual prenatal classes a month online. These classes cover preparing for childbirth, breastfeeding, and newborn care.   These classes have been very popular, and we plan to have them every month.  They are also available for women interested in signing up, though we prioritize our patients.

Virtual Breastfeeding Class

This is a 2-hour class presented by Nadia, RN, our lactation educator.  The class is a virtual, in-depth review of breastfeeding.  Learn how to get the best start, avoid pain, make sure your baby is getting enough, and when to ask for help!

 Virtual Newborn Care & Safety Class

2.5-hour class presented by Nadia, RN

Practical tips for caring for a newborn

• Appearance of newborn
• Normal skin conditions
• bathing & diaper changing
• safe sleeping
• Newborn safety:
  • Car seat safety
  • Choking hazards
  • Poison control
  • Childproofing your home

Childbirth Preparation Part One

2.5-hour class presented by Nadia, RN:

• The last month of pregnancy
• Preparing for the hospital
• Laboring at home, when to call and when to come in
• Admission to the hospital
• Active labor
• Pain management

Childbirth Preparation Part Two

2.5-hour class presented by Nadia, RN:

• The last stage of labor: pushing
• Vaginal delivery
• Cesarean delivery
• Initial recovery in the hospital
• The postpartum period

You can learn more about these classes or register here.

Research at ECWMG

Sunbeam Study

Stanford University is interested in cord blood samples obtained during delivery.  You can learn more about the Sunbeam Study, which aims to learn how environmental and genetic factors play a role in food allergy and eczema development.   You can register here.

El Camino Women’s Medical Group is pleased to announce that Vivian Wan, DO, has recently joined our group. Dr. Wan completed her degree in osteopathic medicine at Touro University in Vallejo and her residency at Brooklyn Hospital in New York. A native of the San Francisco Bay Area, she returns home after working in a busy private practice in New York City.

Dr. Wan also offers full-scope women’s healthcare, including general and high-risk obstetrics, gynecologic issues across the span of a woman’s life, infertility evaluation and treatment—including intrauterine insemination (IUI)—and gynecologic surgery. She is fluent in Mandarin, French, and Spanish.

Five Strategies for Psychological Wellness During & After Cancer

By Sanjana Karim, MD ABPN ABPM 

Psychiatrist & Psychotherapist
2211 Post St, Suite 300    |    San Francisco, CA 94115
moc.h1787931021tlaeH1787931021latne1787931021MeerT1787931021ecaeP1787931021@tcat1787931021noC1787931021
Phone (415) 841-2850 
www.peacetreementalhealth.com 

As a breast cancer survivor, I know firsthand that a cancer diagnosis is a life-altering event. It brings not only physical challenges but also significant emotional hurdles. 

The journey through cancer treatment and beyond can be emotionally taxing, affecting your psychological well-being. To ensure a holistic approach to recovery, it’s important to address your mental health alongside physical health. 

Here are five essential strategies for emotional wellness for cancer patients and Survivors.

Strategy 1: Seek & Solidify Your Supports

Dealing with cancer can bring about a wide range of emotions, including fear, anger, stress and anxiety, depression, and grief. Seeking professional support as well as accepting help from people in your life are keys to fostering emotional wellness during the cancer journey.

Accepting help and support from the people in your life alleviates the emotional burdens of the cancer journey. Focus on these key factors to effectively recruit support during your cancer journey: open communication, embracing emotional support, and allowing practical assistance.

• Open Communication: Open and effective communication is  when it comes to accepting help and support. Let your loved ones know how they can best support you. Some may be unsure about what you need, so being open and specific about your needs can make a significant difference.
• Embrace Emotional Support: Allow your friends and family to provide emotional support. It’s entirely natural to experience a range of emotions during your cancer journey, and sharing your feelings with those close to you can be comforting. Their presence, listening ear, and empathy can make a substantial difference in your emotional well-being.
• Practical Assistance: Friends and family can also offer practical help with daily tasks such as cooking, cleaning, transportation to medical appointments, or childcare. Accepting this support can relieve stress and allow you to focus on your well-being.

While the support of friends and family is invaluable, it does not replace the benefits of professional mental health support, often in the form of therapy. Therapy plays a vital role in helping cancer patients and survivors cope with the emotional rollercoaster that accompanies this journey.

A therapist can provide a safe and confidential space to express your thoughts and feelings without judgment. Through therapy, you can gain insights into your emotional responses and learn effective coping strategies.

By combining professional and personal support, you can better navigate the emotional challenges of cancer and find comfort in knowing you are not alone in your struggle.

Strategy 2: Practice Mindfulness and Meditation

Cancer treatment can be incredibly stressful, and the fear of the unknown can take a toll on one’s mental health. Mindfulness and meditation are powerful techniques that can help cancer patients and survivors manage stress, reduce anxiety, and improve their emotional well-being.

Mindfulness involves being fully present in the moment, acknowledging your thoughts and feelings without judgment. Meditation, on the other hand, encourages relaxation and introspection. Both practices can help you gain a better understanding of your emotions and provide a sense of calm and control during a turbulent time.

There are numerous mindfulness and meditation resources available, including guided meditation apps, online classes, and local support groups. Incorporating these practices into your daily routine can promote emotional wellness.

Strategy 3: Connect with Supportive Communities

Social support is essential for emotional well-being, especially for cancer patients and survivors. Joining support groups or connecting with organizations focused on cancer can provide a sense of community and understanding that can be immensely comforting.

Support groups allow you to share your experiences, concerns, and emotions with people who have faced similar challenges. You can exchange advice, gain insights, and build lasting friendships. This sense of belonging can significantly improve your emotional well-being and help you cope with the emotional challenges that cancer brings.

In addition to in-person support groups, many online forums and social media communities exist where cancer patients and survivors can connect. These platforms provide a virtual space for sharing stories, offering and receiving support, and connecting with people worldwide who are experiencing similar challenges.

Strategy 4: Maintain a Healthy Lifestyle

Physical health and emotional well-being are closely interconnected. Maintaining a healthy lifestyle can have a positive impact on your emotional wellness as a cancer patient or survivor. Regular exercise, a balanced diet, and sufficient sleep are crucial components of a healthy lifestyle.

Exercise has been shown to reduce anxiety and depression, boost mood, and improve overall quality of life. Even light physical activity can have a positive effect, so start with what you can manage and gradually increase your activity level as your strength and energy return.

Eating a nutritious and well-balanced diet is equally important. Nutrient-dense foods can help with energy levels and support your immune system, while avoiding excessive alcohol and caffeine can aid in managing anxiety and sleep problems. A dietitian or nutritionist can provide personalized guidance to address specific dietary concerns related to cancer and treatment.

Adequate sleep is essential for emotional well-being. Sleep disturbances are common among cancer patients, but developing a consistent sleep routine and creating a restful sleeping environment can improve the quality of your sleep.

Strategy 5: Set Realistic Goals and Prioritize Self-Care

Cancer patients and survivors often face a multitude of challenges and responsibilities, from managing treatment regimens to handling work and family commitments. In this chaotic time, it’s crucial to set realistic goals and prioritize self-care.

Setting achievable goals allows you to maintain a sense of purpose and accomplishment, which can positively impact your emotional well-being. However, it’s equally important not to overextend yourself. Recognize your limits and be willing to adjust your goals as needed.

Self-care should be a top priority. This means taking time for activities and practices that bring you joy and relaxation, whether it’s reading a book, enjoying a warm bath, going for a walk, or indulging in a hobby. Self-care is not a luxury but a necessity, as it helps replenish your emotional reserves and improve your overall well-being.

In Conclusion:

Cancer can be a challenging journey, both physically and emotionally. By prioritizing emotional wellness alongside physical health, patients and survivors can navigate this difficult path more effectively. Seeking professional support, practicing mindfulness and meditation, connecting with supportive communities, maintaining a healthy lifestyle, and setting realistic goals while prioritizing self-care are all essential steps towards emotional well-being.

Remember that you are not alone in this journey, and there is a wealth of support and resources available to help you navigate the emotional challenges of cancer.

You are not alone in this journey. If you would like additional support and guidance, schedule an appointment with Dr. Sanjana Karim.  Click here to find out more about Peace Tree Mental Health. 

Dr. Sanjana Karim is the founder and director of Peace Tree Mental Health. In her psychotherapy & psychiatry practice, she helps women facing cancer & chronic illnesses find hope, strength and clarity. She also specializes in women’s mental health, offering compassionate care for peripartum depression and other challenges. Dr. Karim is dual board certified by the American Board of Psychiatry and Neurology and the American Board of Preventive Medicine, and has over 15 years of experience in her field. She is also a writer and public speaker on integrative psychological wellness, and an expert in psycho-oncology.

2211 Post St, Suite 300    |    San Francisco, CA 94115
moc.h1787931021tlaeH1787931021latne1787931021MeerT1787931021ecaeP1787931021@tcat1787931021noC1787931021
Phone (415) 841-2850 
www.peacetreementalhealth.com 

The Benefits of the HPV Vaccine Series for Women Aged 26-45

Human papillomavirus (HPV) is a common sexually transmitted infection with over 100 different types. Some HPV types can cause health issues such as genital warts and various cancers, including cervical, vaginal, vulvar, anal, and oropharyngeal cancers. The HPV vaccine is a powerful tool in preventing these conditions, and while it’s often recommended for younger individuals, it holds significant benefits for women aged 26-45 as well.

The HPV Vaccine

The HPV vaccine is designed to protect against the most common and high-risk HPV types. There are several HPV vaccines available, with Gardasil 9 being the most recent and comprehensive. Gardasil 9 protects against nine HPV types, including seven that are linked to cancer (types 16, 18, 31, 33, 45, 52, and 58) and two that cause genital warts (types 6 and 11). 

The vaccine series typically consists of two or three doses, depending on the age at which it is administered. For those starting the series before age 15, two doses are recommended, with the second dose given 6-12 months after the first. For those starting the series at age 15 or older, three doses are recommended, with the second dose administered 1-2 months after the first and the third dose 6 months after the first.

Recommendations for the HPV Vaccine Series

Traditionally, the HPV vaccine has been recommended for adolescents and young adults, generally starting around age 11 or 12 and continuing up to age 26. However, recent guidelines have expanded the recommended age range for vaccination. The Centers for Disease Control and Prevention (CDC) and other health organizations now recommend the HPV vaccine for adults up to age 45 who have not been previously vaccinated or who have not completed the vaccine series.

Why Women Aged 26-45 Will Benefit from the HPV Vaccine

1. Continued Risk of HPV Infection

Even after age 26, women can still be exposed to HPV. The virus is transmitted through intimate skin-to-skin contact, and many people who contract HPV do not realize it, as it often has no symptoms. For women who have not been previously vaccinated or who were exposed to HPV types that were not covered by earlier vaccines, getting the HPV vaccine can provide protection against new infections.

2. Reduction in Cancer Risk

HPV is a leading cause of several cancers. By receiving the HPV vaccine, women can significantly reduce their risk of developing HPV-related cancers later in life. Although the vaccine is not a cure for existing infections, it helps prevent future infections from HPV types that are associated with cancer. For women who have had abnormal Pap smears or other HPV-related issues, the vaccine can still offer protection against additional HPV types that might cause future problems.

3. Complement to Regular Screenings

For women aged 26-45 who are already undergoing regular cervical cancer screenings (Pap smears and HPV testing), the HPV vaccine serves as an additional layer of protection. Screening and vaccination together can enhance overall protection against cervical cancer and other HPV-related cancers. This combined approach is especially important as screening alone does not prevent HPV infection but can identify cancer early.

4. Increased Vaccine Coverage

Expanding vaccination to older age groups contributes to broader community immunity. By increasing the number of vaccinated individuals, the overall prevalence of HPV in the population decreases, which reduces the likelihood of transmission and protects those who may be at higher risk or unable to receive the vaccine due to medical reasons.

5. Impact on Future Generations

Vaccinating women in the 26-45 age group also helps protect future generations. Women who are protected from HPV are less likely to transmit the virus to their partners, thereby reducing the prevalence of HPV and its associated health issues in the community. This ripple effect contributes to a decrease in HPV-related diseases across all age groups.

6. Health and Economic Benefits

Preventing HPV-related diseases can lead to significant health and economic benefits. The treatment of HPV-related cancers and conditions can be costly and emotionally taxing. By reducing the incidence of these diseases, the HPV vaccine can help lessen healthcare costs and improve the quality of life for individuals. Additionally, fewer cases of HPV-related diseases mean fewer workdays lost and reduced impact on productivity.

7. Addressing Health Disparities

The HPV vaccine can also play a role in addressing health disparities. Women from underserved or lower-income backgrounds often face barriers to accessing healthcare, including preventive services like vaccinations. By providing broader recommendations for the HPV vaccine, there is an opportunity to improve vaccine access and coverage for all women, helping to close gaps in health equity.

The HPV vaccine is a crucial public health tool that offers substantial benefits, particularly for women aged 26-45. It provides protection against a range of HPV types associated with cancers and genital warts, complements regular screening practices, and contributes to broader community immunity. Expanding vaccination recommendations to include older age groups not only enhances individual health but also has significant positive effects on public health and health equity. For women in this age group, considering the HPV vaccine could be a proactive step toward reducing their risk of HPV-related health issues and contributing to a healthier future.

If you are interested in discussing the HPV vaccine and if it’s right for you, reach out to our office for an in person or telehealth visit to discuss your situation, previous vaccination history and get personalized recommendations for you.

Beyond Weight Loss: Shrink Your Waistline with the Power of the Mediterranean Diet and Anti-Inflammatory Foods

By Mariam AlAgha
Masters in Human Nutrition 
ElCamino Women’s Medical Group 

Why Waist Size Matters More Than Weight

Did you know that your waist circumference can be a more accurate measure of health risks than weight or BMI? Unlike BMI, which doesn’t differentiate between muscle and fat, your waist size specifically measures abdominal fat—a strong indicator of potential health issues like heart disease and diabetes. Belly fat, which is usually referred as visceral fat, is particularly harmful because it wraps around your internal organs, increasing your risk for metabolic disorders and other chronic conditions, even if your overall weight seems normal.

How to Measure Your Waist Correctly

Measuring your waist is simple but essential. Wrap a measuring tape around your middle, just above your hip bones, and make sure it’s snug but not too tight. Measure after a normal exhalation. For the best results, take multiple readings. The ideal waist size varies across ethnicities, so keep these guidelines in mind:

Caucasian, African, Latina/Hispanic Women: Aim for a waist circumference of less than 35 inches (88 cm).

Asian Women: Target less than 31.5 inches (80 cm), as they may face higher risks at smaller sizes.

It’s also important to consider age. Younger women should try to stay below the ethnic-specific guidelines to support long-term health. For those in their 40s and 50s, keeping within these ranges is crucial, and for older women (60+), maintaining a close-to-ideal waist size can significantly lower health risks.

Evidence-Based Tips for a Healthier Waistline

If you spend most of your day sitting, it can be tough to keep belly fat at bay, but don’t worry! Here are some science-backed tips to help you slim down your waist:

High-Intensity Interval Training (HIIT): Short bursts of intense activity, like sprinting or cycling, 2-3 times a week can effectively target belly fat.

Regular Walking: Aim for at least 150 minutes of moderate-intensity walking each week. Mix in some brisk intervals to burn extra calories and boost heart health.

Eat the Mediterranean Way: Focus on nutrient-dense, whole foods like vegetables, fruits, whole grains, lean proteins, and healthy fats. Avoid processed foods high in sugars and unhealthy fats.

Boost Your Protein Intake: Eating 25-30% of your daily calories from protein can help curb hunger and support metabolism.

Replace Refined Carbs with Complex Ones: Foods like quinoa and brown rice help prevent fat storage and keep you feeling full longer.

Don’t Skimp on Fiber: Aim for 25-30 grams daily from sources like legumes and vegetables. Fiber supports digestion and helps reduce visceral fat.

Strength Training: Build muscle and improve your metabolism by lifting weights 2-3 times a week.

Sleep and Stress Management: Aim for 7-9 hours of quality sleep and practice stress-reducing activities like yoga and meditation to help regulate hormones and reduce abdominal fat.

How the Mediterranean Diet Can Help

The Mediterranean diet is a game-changer for shrinking your waistline. It focuses on whole, unprocessed foods like fruits, vegetables, whole grains, legumes, and healthy fats from olive oil, olives, and avocados. Moderation is a key, lean proteins from fish and seafood, with moderate amounts of poultry, eggs, and dairy, round out the menu. What’s great is that it’s not just about what you eat, but also how you eat—mindful, shared meals make this lifestyle enjoyable and sustainable.

Here’s why it works:

Anti-Inflammatory Benefits: Foods like olive oil, nuts, and fatty fish are rich in anti-inflammatory compounds that help reduce belly fat and lower the risk of chronic diseases.

Balanced Nutrition: The focus on whole foods provides a steady source of nutrients that support metabolism and reduce hunger.

Flexibility: You can easily adapt this diet to suit your preferences, whether you love hearty salads, grilled veggies, or delicious seafood.

The Mediterranean diet and the plate method complement each other perfectly by creating balanced meals that provide all the macronutrient categories in moderation. Together, they promote satiety and include a variety of whole foods without eliminating any food groups, ensuring a nutritious and satisfying eating experience.

 Star Foods in the Mediterranean Diet

Salmon: Packed with omega-3 fatty acids, salmon helps reduce inflammation and supports heart health. Regular consumption is linked to lower levels of inflammatory markers and a reduced risk of conditions like rheumatoid arthritis.

Pomegranates: These vibrant fruits are loaded with antioxidants that help reduce oxidative stress and inflammation, protecting your cells from damage and supporting overall health.

Whole Grains (Bulgur, Freekeh): Rich in fiber and antioxidants, these grains help improve digestion and reduce inflammation, especially in the digestive system.

Leafy Greens (Spinach, Kale): Full of vitamins and antioxidants, these greens fight inflammation and support overall health.

How the Mediterranean Diet Supports Health

Fat Loss: By focusing on nutrient-dense, lower-calorie foods, the Mediterranean diet helps regulate blood sugar and promotes satiety, making it easier to manage your weight.

Insulin Resistance: The diet minimizes refined sugars and carbs, enhancing insulin sensitivity and reducing inflammation. Research shows it can lower fasting glucose and improve overall blood sugar control.

PCOS: For women with PCOS, the Mediterranean diet’s anti-inflammatory foods and balanced nutrients support hormonal balance and insulin sensitivity, which are crucial for managing symptoms.

Fertility: A nutrient-rich Mediterranean diet supports reproductive health by providing essential vitamins and healthy fats that help regulate hormone function.

Depression: A recent study found that following the Mediterranean diet can significantly reduce depressive symptoms. Its nutrient-dense profile and anti-inflammatory benefits play a key role in mental health.

Diabetes: The Mediterranean diet helps manage blood sugar levels and improves insulin sensitivity, making it a valuable tool for people with diabetes.

Hypertension: This diet effectively manages blood pressure by combining healthy fats and nitrate-rich vegetables, which help lower blood pressure naturally.

More Health Benefits of the Mediterranean Diet

This diet isn’t just about losing weight. It’s linked to lower rates of ADHD, improved liver health, and even better brain function. Its high levels of antioxidants and healthy fats help fight inflammation, protect your organs, and support long-term well-being.

Want to Learn More?

If you’re interested in exploring the Mediterranean diet further or trying out some delicious recipes, schedule an appointment with us at El Camino Women’s Medical Group. We’re here to guide you on your journey to better health!

Mariam AlAgha
Masters in Human Nutrition 
ElCamino Women’s Medical Group

Hernias During Pregnancy: What to Know

By Dr. Peter C. Lo
Board-Certified general surgeon
General Surgeon Just Joined Mountain View Surgery

Introduction

Pregnancy is a beautiful and transformative experience, but it can come with its own set of health challenges. One such challenge might be the development of hernias. Addressing hernias during pregnancy is important to both the well-being of the mother and the unborn child. Hernias can cause pain that may be distressing to expecting mothers if they are unaware of what hernias are and how to manage them. This blog post aims to provide an overview on understanding, diagnosing, treating, and managing hernias during pregnancy.

Understanding Hernias

What is a Hernia?

A hernia occurs when an organ or tissue pushes through a weak spot in the surrounding tissue wall of a cavity. During pregnancy, the growing baby puts increased pressure on the abdominal wall, making it more susceptible to hernias.

Common Types of Hernias During Pregnancy

• Umbilical Hernia: Occurs around the belly button. It is one of the most common hernias. 
• Incisional Hernia: Occurs at the site of a previous surgical incision, such as a C-section. 
• Inguinal Hernia: Occurs in the groin area. It is relatively rare.

Causes and Risk Factors

• Increased Abdominal Pressure: The growing baby and weight gain during pregnancy put increased pressure on the abdominal wall.

• Other Medical Conditions: Chronic cough and constipation cause increased abdominal pressure, thus weakening the abdominal wall

• Multiple Pregnancies: Having more than one pregnancy can weaken the abdominal wall over time.
• Previous Surgeries: Prior abdominal surgeries can create weak spots in the abdominal wall, making it more prone to hernias.
• Genetic Factors: Some women may have a genetic predisposition to weakened abdominal walls.

Symptoms and Diagnosis

Recognizing the Signs

• A noticeable bulge in the abdomen or groin area
• Pain or discomfort around the site of the hernia, especially when standing up, bending over, coughing, or lifting something
• A feeling of heaviness or pressure in the abdomen around the hernia
• Severe pain and nausea/ vomiting in severe cases which may indicate complications from the hernia

Importance of Timely Medical Consultation

If you suspect that you have a hernia, it is essential to see a healthcare provider promptly. A diagnosis of a hernia can be made, often through physical examination or imaging tests like an ultrasound. If your symptoms are mild, surgery is usually delayed until after delivery. Discussion with a surgeon is important to decide the timing of surgical repair.

There are complications that can occur from hernias that would necessitate emergent surgery. These complications are termed acute incarceration and strangulation. In these situations, other organs such as intestines have bulged through the hernia, and are at risk of dying due to blood flow constriction. Therefore, emergency surgery needs to be performed to fix the hernias and manage any complications to other organs. 

Treatment Options

Non-Surgical Approaches

• Lifestyle Modifications: Maintaining a healthy weight, avoiding heavy lifting, and practicing good posture can help with managing symptoms.
• Supportive Garments: Maternity belts or binders can provide additional support to the abdominal area.

Surgical Interventions

Surgery during pregnancy is usually considered only if the hernia causes severe pain or complications. The safety of surgical intervention during pregnancy depends on the hernia’s size, location, and the pregnancy stage. Generally, the second trimester is the safest time for surgery, if surgery is deemed necessary. In cases of complications from a hernia, including acute incarceration and strangulation, emergent surgery is needed to fix the hernia and manage any complications to other organs.  We usually repair hernias electively after the pregnancy using robotic or laparoscopic techniques.  

Pain Management

Safe Pain Relief Techniques

• Over-the-Counter Medications: Acetaminophen is generally considered safe, but always consult your healthcare provider.
• Physical Therapies: Gentle exercises and stretches can help alleviate discomfort. Abdominal binders also can provide comfort.
• Alternative Therapies: Techniques like prenatal yoga or acupuncture may offer some relief.

Importance of Consulting Healthcare Providers

Always discuss any pain management strategies with your healthcare provider to ensure they are safe for both you and your baby.

Preventative Measures

Reducing the Risk

• • Maintain a Healthy Weight: Proper nutrition and exercise can help.
  • Strengthen Abdominal Muscles: Prenatal exercises focusing on core strength can be beneficial.
  • Avoid Heavy Lifting: Minimize activities that put excessive strain and pressure on the abdominal wall.

• Treat other Chronic Conditions: If you have conditions like chronic cough or constipation, check with your healthcare provider that your treatment is optimized.

Role of Prenatal Care

Regular prenatal check-ups can help monitor and manage any developing conditions, including hernias.

Psychological Impact and Support

Emotional and Mental Health Challenges

Dealing with a hernia during pregnancy can be stressful. It is essential to acknowledge these feelings and seek support.

Encouraging Open Communication

Talk openly with your healthcare provider about your concerns and symptoms. Family, friends, and support groups can also offer emotional support.

Conclusion

Managing a hernia during pregnancy involves understanding the condition, seeking timely medical advice, and adopting appropriate treatment and lifestyle measures. Remember, you are not alone in this—professional healthcare providers are there to guide you. If you are experiencing symptoms or have concerns, reach out to a surgeon to discuss management strategies and timing of surgical repair.

Call us at Mountain View Surgery 650 282 3000 to discuss.

By Dr. Peter C. Lo
Board-Certified general surgeon                                             
General Surgeon Just Joined Mountain View Surgery

Dr. Peter C. Lo is a Board-Certified general surgeon who grew up in Palo Alto. He received his bachelor’s degree at Boston University, graduated medical school from Virginia Commonwealth University, and completed his residency at San Joaquin General Hospital. There, he learned to work with complex patients with a wide variety of general surgery issues. Growing up locally, he hoped to return to his community and provide excellent medical care. 

Skills and Specialties 

• Minimally Invasive/Robotic Surgery: Expert in employing advanced robotic systems to execute minimally invasive procedures, which promote precision and substantially enhance patient recovery times. 
• Acute/Emergency General Surgery: Skilled in addressing urgent and emergent surgical issues that necessitate immediate attention.
• Wound Care: Specialized in cutting-edge wound management, utilizing the latest techniques to ensure optimal healing and patient comfort. 
• Languages Spoken: Fluent in Mandarin, allowing him to connect with and care for diverse patients. 

Pregnancy and Mental Health

By Dr. Shereen Mohsen
Clinical Psychologist
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From the moment a woman becomes pregnant, she embarks on a transformative journey, where her body is changing by the second, her emotions are felt intensely, and her entire being is creating a new life with a tiny heartbeat: her baby. This journey invites women to experience profound love, joy, and excitement but can also bring discomfort, worry, and vulnerability. It’s during this crucial period that tending to mental health becomes essential. 

Feelings during pregnancy 

Hormonal changes and daily life tasks can make pregnancy feel like an emotional rollercoaster. It’s normal for women to experience feelings of happiness, anticipation, anxiety, irritability, mood swings, and everything in between. It is when feeling down and worried all the time that could be an indication of something deeper going on. 

Depression and anxiety are the most common mental health issues that occur during pregnancy or after birth. 

Depression 

Depression involves symptoms of sadness, low self-esteem, low energy, negative thinking, loss of interest in activities that were once pleasurable, and changes in sleep or appetite. Many life experiences can contribute to depressive symptoms, such as relationship problems, unhappiness with pregnancy, or receiving an unexpected medical diagnosis. 

Anxiety 

Anxiety encompasses symptoms of constant worrying, restlessness, inability to sit still, fear that something terrible is going to happen, inability to concentrate, and physical symptoms, such as hot flashes and nausea. Many possible circumstances can give rise to anxiety symptoms, such as a prior heartbreaking pregnancy loss/es, fear of giving birth, or financial difficulties. 

Some ways depression and anxiety can affect expectant mothers and their babies: 

• Medical care: Depression and anxiety might lead to inconsistency in going to prenatal care appointments due to lack of motivation to do anything or fear of bad news. As a result, a pregnant woman may not get the proper care she needs for her health, making her more susceptible to illness and complications. 
• Strain on relationships: Depression and anxiety can impact relationships with partners, family, and friends, leading to misunderstandings, conflicts, or emotional distance. In turn, an expectant mother can feel isolated, increasing her

stress levels and potentially leading her not to seek support throughout her pregnancy. 

• Challenges in communication: Depression and anxiety might make it more difficult for a woman to communicate her needs and concerns to her partner or healthcare provider. These difficulties could impact a pregnant woman’s ability to ask for help when she needs it most, make her experience of pregnancy more stressful, and potentially interfere with her ability to make important decisions regarding her pregnancy and childbirth plans. 
• Impact on bonding with the baby: Depression and anxiety can make it difficult for some women to connect with their baby during pregnancy, which may affect their experience of pregnancy and parenting. In turn, this could increase negative thoughts/beliefs pregnant women might have about themselves (e.g., “I am a bad mother”), contributing to negative feelings (e.g., sadness, fear) and unhelpful behaviors (e.g., substance use) that can persist after birth. 
• Impact on baby: Depression and anxiety causes stress on the body, and therefore the baby as well. This could lead to complications in the pregnancy or postpartum, a preterm birth, low birth weight, and other health complications for the baby after birth. Unfortunately, this can result in feelings of guilt and shame in a mother and impact her ability to care for her baby. 

Ways to take care of your mental health during pregnancy: 

The good news is that there are many different approaches that can help you manage any symptoms of depression and anxiety or other stressors that you may be experiencing during your pregnancy. Your mental health is just as important as your physical health, and there may be some new things you can try,, such as giving yourself permission to ask for help or making some adjustments to your exercises. Here are some suggestions: 

• Connect with your support system: Share what you are going through with your loved ones, ask for help from your partner and other significant people, and spend time with your friends. Their support, presence, and understanding can make a world of difference, as research shows that social support is of the utmost importance to ensure the well-being of expectant mothers. 
• Engage in physical exercise and self-care: Research demonstrates that physical activity can help decrease symptoms of depression, anxiety, and other mental health issues. Ask your doctor what exercises are safe for you and your growing baby. Prioritize your well-being, remember to sleep, eat healthy, and

partake in self-care activities that bring you joy, such as a nice warm cup of tea or watching your favorite TV show. 

• Groups: Building a community with women going through pregnancy at the same time as you can help you feel understood, connected, and less alone in your experience. There are pregnancy support groups, both online and in-person, that could provide you with relief and a sense of belonging. 
• Talk with your doctor: It is okay to have questions; bring them to your doctor to help you understand what is going on with your pregnancy. If you have had any mental health issues in the past or are currently experiencing any concerns about your well-being, share them with your doctor, as your doctor can discuss different treatment options with you. 
• Talk with a therapist: Speaking with a mental health professional can be helpful in learning how to regulate the emotions you are experiencing throughout your pregnancy, identifying the triggers of your stress, and processing your feelings of worry, sadness, and other emotions. Therapy could also be a space for you to strengthen your resilience, self-compassion, coping skills, and overall well-being. 

Pregnancy is a beautiful and stressful time for many expectant mothers. It’s a whirlwind of emotions, changing roles, physical discomforts, doctor visits, nursery preparations, and so much more. Amidst all this, it’s important to remember to take care of your emotional and psychological health. You’re not alone in this journey. It’s okay to seek support for your mental health during pregnancy; it’s an act of love and care for both you and your growing baby. 

When you’re ready to receive the support from a mental health professional, our team at Relucent Psychology Group is here. Speak to one of our friendly intake coordinators at (408) 680-4114 to get connected with me, Sasha Toscano, AMFT, or another excellent therapist from our team. 

Please visit our website at https://relucentpg.com/ 

Contact us by phone at (408) 680-4114 or email at moc.g1787931021ptnec1787931021uler@1787931021ofni1787931021. Feel free to book a free consultation here: https://relucentpg.janeapp.com/

Revealing Hidden Fertility Obstacles: How Advanced Testing and Personalized Nutrition Paved Our Path to Parenthood

By Dr. Renee Allen 
Dr. Renee Allen, a Board-Certified OBGYN and Medical Media Expert
Naturela

Have you been told you have “unexplained infertility”?
Those two words can feel like a dead end, leaving you frustrated, confused, and wondering if you’ll ever hold your baby in your arms. We’ve been there – and we mean that quite literally. I’m Dr. Renée Allen, a board-certified OBGYN, and along with my
husband, Chef Omar Powell, a classically trained French chef, we’ve walked the long, arduous path of infertility. Our journey to conceive our son Caleb spanned four grueling years, involving 16 IVF cycles, 13 egg retrievals, 7 embryo transfers, and 4 surgeries. But we’re here to tell you: there’s hope beyond “unexplained.” Let’s explore how functional medicine testing and personalized nutrition can reveal the hidden obstacles on your path to parenthood.

Our Story:

From Heartbreak to Hope As an OBGYN, I thought I understood fertility. But nothing prepared us for the emotional rollercoaster of our own journey. Each failed cycle chipped away at our confidence. I questioned my adequacy as a woman. The physical toll was immense – hormone injections, invasive procedures, and finally, a 5-hour open my omectomy to remove over 16 large fibroids from my uterus. The surgery was risky, requiring multiple blood transfusions and a week-long hospital stay.

We persevered through 16 IVF cycles, but it wasn’t until the last six months of our four- year journey that we had our breakthrough. We implemented new strategies based on functional medicine testing and personalized nutrition, combining my medical knowledge with Omar’s culinary expertise. We wish we’d had this lightbulb moment sooner – it could have saved us so much time, money, and heartache. Within just three months of changing our approach, we saw significant improvements in follicular count and other metrics tracked during IVF cycles. Our son Caleb, the result of our seventh embryo transfer but our first after implementing these changes, is living proof that the right approach can make all the difference, even after years of struggle. Now, we’re passionate about helping others overcome this challenging journey sooner, combining my medical expertise with
Omar’s culinary skills to offer a unique, holistic approach to fertility.

Beyond Standard Testing:

The Power of Functional Medicine in Fertility While traditional fertility tests are valuable, they often miss crucial factors that can significantly impact your ability to conceive. This is where functional medicine testing comes in, offering a deeper look into your body’s overall health and its impact on fertility. Here are key tests that can reveal hidden obstacles to conception:
1. Comprehensive Gut Health Analysis: Your gut health plays a crucial role in hormone balance and overall fertility. A detailed analysis of your gut microbiome can reveal imbalances or infections that might be interfering with nutrient absorption or causing inflammation – both of which can impact fertility. By identifying and addressing these issues, we can create an optimal
environment for conception.
2. Food Sensitivity Testing: Undiagnosed food sensitivities can cause chronic inflammation, potentially impacting egg and sperm quality. Unlike standard allergy tests, food sensitivity panels can uncover subtle reactions your body might be having to certain foods. Eliminating these foods can reduce inflammation and improve overall reproductive health.
3. DNA-Based Toxin Sensitivity Testing: We’re all exposed to environmental toxins, but our bodies process them differently based on our genetic makeup. DNA-based testing can reveal how efficiently your body detoxifies various substances. This information allows us to create a personalized detox protocol, reducing the toxic burden on your reproductive system.
4. Comprehensive Nutritional Deficiency Screening: Standard blood tests might miss subtle nutritional deficiencies that can impact fertility. Advanced nutritional panels can identify not just vitamin and mineral levels, but also how well your body is utilizing these nutrients. This allows us to create a truly personalized supplementation plan to support optimal fertility.
5. Oxidative Stress Analysis: Oxidative stress can damage eggs and sperm, reducing fertility. By measuring markers of oxidative stress, we can determine if your body needs additional antioxidant support to protect your reproductive cells.

Why These Tests Matter for Fertility

These functional medicine tests provide insights that are often overlooked in traditional fertility treatments. They allow us to:
1. Identify and address underlying health issues that may be impacting fertility
2. Reduce overall inflammation, which can interfere with conception and implantation
3. Optimize nutrient levels to support egg and sperm health
4. Decrease toxic burden on the reproductive system
5. Create a personalized plan that goes beyond just reproductive hormones
The Power of Personalized Nutrition Armed with the insights from these tests, we can create a truly personalized nutrition plan. As a chef, Omar knows that food is more than just fuel – it’s medicine.

Here’s how personalized nutrition can make a difference:

1. Anti-Inflammatory Diet: Based on your food sensitivity results, we design meal plans that combat inflammation and support reproductive health.
2. Nutrient-Dense Meal Planning: Using your nutritional deficiency results, we create meals rich in the specific nutrients your body needs for optimal fertility.
3. Detox-Supporting Foods: Knowing your genetic detox capabilities, we incorporate foods that support your body’s natural detoxification processes.
4. Gut-Healing Protocol: We develop recipes and meal plans that support a healthy gut microbiome, improving nutrient absorption and hormone balance.

Taking Action: What You Can Do
1. Don’t settle for “unexplained infertility.” Consider functional medicine testing to uncover hidden obstacles.
2. Remember that fertility is about whole-body health, not just reproductive organs.
3. Start making changes now. As we learned, even a few months of targeted nutrition and lifestyle changes can make a significant difference.
4. Stay hopeful. We know firsthand how challenging this journey can be, but we also know the indescribable joy that awaits on the other side.
Our journey to parenthood was filled with tears, doubts, and moments of despair. But it also taught us invaluable lessons about the power of personalized, functional medicine approaches to fertility. Today, as we watch our son Caleb grow, we’re more passionate than ever about helping other couples achieve their dreams of parenthood sooner and with less struggle than we experienced.
At From Plate to Pregnancy and Beyond, we combine functional medicine testing with personalized nutrition and lifestyle interventions to address the root causes of infertility. Our 14-week program is designed to reveal hidden obstacles and provide
you with the tools to overcome them. We’ve been where you are, and we’re here to guide you towards hope and possibility.
Remember, your fertility story isn’t over – it’s just waiting for the right chapter to unfold.
Are you ready to take the next step on your journey to parenthood?
Feeling overwhelmed on your fertility journey? We’ve been in your shoes and we’re here to help. Let’s chat over a free, friendly fertility clarity session. We’ll share how our personal struggles led to breakthroughs that could help you too. Whether you’re just
starting out or have been trying for a while, we have many ways to support you.
Book your fertility clarity session today HERE
Let’s explore your options and take this next step together. Remember, you’re not alone in this journey.

Stay tuned for more expert advice and actionable insights!
Sign up for our free masterclass HERE
Your journey to optimal fertility starts on your plate. Let’s start this adventure together!

About Dr. Renée Allen and Chef Omar
Dr. Renée Allen, a board-certified OBGYN with over 20 years of medical experience, recognized a crucial gap in the Western medical approach to fertility. While traditional methods focus primarily on disease treatment and medication, Dr. Renée saw the need for a more holistic, nutrition-centered strategy that draws from global wellness practices. Chef Omar Powell brings more than two decades of culinary expertise to the table. His impressive background includes working in celebrity restaurants in NYC, owning the renowned Epicurean Cafe in Atlanta, and serving as a respected Chef Consultant. Together, they combine their medical knowledge and culinary skills to offer a unique, comprehensive approach to fertility. Born from their personal struggles with infertility and their eventual success, Dr. Renée and Chef Omar founded From Plate to Pregnancy and Beyond. This innovative program bridges the gap between traditional fertility treatments and holistic wellness, focusing on optimizing the body for conception and pregnancy through personalized nutrition, lifestyle modifications, and cutting-edge functional medicine testing. Their mission is to empower couples with the knowledge and tools they need to enhance their fertility naturally, offering hope and practical solutions for those on the challenging journey to parenthood.

From Plate to Pregnancy & Beyond: Eat Smart, Conceive Faster – Your Ultimate Fertility Diet, Nutrition & Lifestyle Program!

By Chef Omar Powell – Chef, Father, and Passionate Learner
classically French Trained chef with a rich culinary background

Hello, dear readers!

We are delighted to share our deeply personal and transformative journey with you. I’m Chef Omar Powell, a classically trained French chef, and I’m joined by my wife, Dr. Renée Allen, a board-certified OBGYN. Together, we have developed a comprehensive 14-week program called “From Plate to Pregnancy & Beyond: Eat Smart, Conceive Faster,” aimed at boosting fertility through nutrition and lifestyle changes. Our journey led us to design this 14-week fertility nutrition and lifestyle program aimed at boosting fertility and optimizing the body for pregnancy and beyond. Today, I’m thrilled to share our expertise, insights, and some practical tips to support your fertility journey.

Our journey began with a struggle familiar to many: infertility. After enduring 16 IVF cycles over four long years, we discovered the profound impact that diet and lifestyle could have on fertility. By making specific dietary changes, we were able to conceive within weeks. This revelation inspired us to create a program that could help others facing similar challenges.

The Vital Role of Nutrition in Fertility

Nutrition plays a critical role in fertility for both men and women. Here are some key insights and tips from our program:

1. Balanced Diet: A diet rich in fruits, vegetables, whole grains, healthy fats, and lean proteins can help regulate ovulation and improve sperm quality. Foods high in antioxidants, like berries and nuts, protect reproductive cells from damage.
2. Healthy Fats: Incorporating healthy fats, such as omega-3 fatty acids found in fish, flaxseeds, and walnuts, can enhance fertility by reducing inflammation and supporting hormone production.
3. Vitamins and Minerals: Essential nutrients like folic acid, vitamin D, and zinc play crucial roles in reproductive health. Folic acid supports embryo development, while vitamin D and zinc are vital for hormone regulation and sperm production.
4. Antioxidant-Rich and Anti-Inflammatory Foods: Powerhouses for Reproductive Health: Foods rich in antioxidants are crucial for protecting the body’s reproductive cells from oxidative stress. Antioxidants combat free radicals, which can damage sperm and egg cells, thereby enhancing fertility. Incorporating a variety of colorful fruits and vegetables into your daily meals ensures a diverse intake of these vital nutrients. Berries, dark leafy greens, and nuts are excellent sources of antioxidants. Additionally, adopting a plant-based nutrition approach can reduce inflammation, further boosting fertility. For those seeking gluten-free options, quinoa and buckwheat are fantastic choices that also align with whole food nutrition principles.
5. Probiotics and Prebiotics: Supporting a Fertile Gut Environment: A healthy gut microbiome is essential for fertility. Probiotics and prebiotics support digestive health and enhance nutrient absorption, which can positively impact reproductive health. Including fermented foods like yogurt, kefir, sauerkraut, and kombucha in your diet introduces beneficial bacteria to your gut. In our fertility nutrition program, we emphasize the importance of a balanced gut environment. Ensuring you consume both probiotics (beneficial bacteria) and prebiotics (fiber-rich foods that feed these bacteria) is key. Whole grains, legumes, fruits, and vegetables are excellent prebiotic sources that should be staples in your fertility diet course.
6. Hydration: Staying well-hydrated is essential for overall health and reproductive function. Water supports the production of cervical mucus, which aids sperm movement.
7. Mediterranean Diet: A Blueprint for Fertility and Beyond: The Mediterranean Diet has been widely recognized for its heart-healthy benefits. But did you know it’s also an excellent fertility diet plan? This eating style, rich in seafood, olive oil, legumes, nuts, whole grains, and high in fruits and vegetables, provides the perfect balance of nutrients necessary for conception and pregnancy. Research shows that moderate wine consumption, another hallmark of this diet, may also contribute to fertility when enjoyed responsibly. Our “From Plate to Pregnancy” program integrates these aspects to create a holistic fertility nutrition plan that supports both natural fertility enhancement and long-term health.
8. Tailoring Your Diet for Optimal Fertility: Personalized Tips and Strategies: Finally, it’s essential to remember that every fertility journey is unique. Our fertility and nutrition coaching emphasizes personalized strategies that cater to individual needs. This might involve specific adjustments to include more fertility-boosting foods or exploring holistic nutrition pregnancy approaches. We also underscore the importance of a balanced life – stress management, adequate sleep, and regular physical activity are all part of our fertility health program. By addressing these lifestyle factors alongside nutrition, we create a comprehensive plan that supports conception and a healthy pregnancy.
9. Avoiding Harmful Substances: Limiting caffeine, alcohol, and avoiding smoking can significantly improve fertility outcomes. These substances can disrupt hormone balance and reduce sperm quality.

Lifestyle Changes for Fertility

In addition to nutrition, certain lifestyle changes can enhance fertility:

1. Regular Exercise: Engaging in moderate physical activity helps maintain a healthy weight, reduces stress, and improves blood flow to reproductive organs.
2. Stress Management: High stress levels can negatively impact fertility. Techniques such as yoga, meditation, and deep-breathing exercises can help reduce stress and improve reproductive health.
3. Sleep: Adequate sleep is crucial for hormone regulation and overall health. Aim for 7-9 hours of quality sleep each night.
4. Environmental Factors: Reducing exposure to environmental toxins, such as pesticides and endocrine disruptors, can improve reproductive health. Opt for organic foods and natural cleaning products whenever possible.

Our Program: From Plate to Pregnancy & Beyond

Our 14-week program is designed to provide you with the tools and knowledge needed to optimize your body for conception and pregnancy. Each week covers specific dietary guidelines, recipes, and lifestyle tips to enhance fertility. Here’s a glimpse of what you can expect:

• Nutrition Foundations – Learn about essential nutrients, meal planning, and the importance of a balanced diet.
• Advanced Nutrition – Explore the benefits of superfoods, supplements, and specific dietary adjustments for fertility.
• Lifestyle Enhancements – Implement stress management techniques, exercise routines, and sleep strategies.
• Preparing for Pregnancy and Beyond – Finalize your nutrition and lifestyle plan to ensure a smooth transition into pregnancy.

Our journey from infertility to parenthood was profoundly shaped by the transformative power of nutrition. Dr. Renée and I understand the emotional and physical toll of fertility struggles, and we are passionate about sharing our knowledge to help others. Our 14-week program, “From Plate to Pregnancy & Beyond: Eat Smart, Conceive Faster,” is designed to empower you with practical, science-based strategies for optimizing your body for conception, pregnancy, and beyond.

We hope to extend our support through personalized coaching, delicious and nutrient-dense recipes, and comprehensive lifestyle guidance to help you achieve your fertility goals. Together, we can navigate this journey, one plate at a time.

Warm regards,

Chef Omar

Feeling overwhelmed on your fertility journey? 

We’ve been in your shoes and we’re here to help. Let’s chat over a free, friendly fertility clarity session. We’ll share how our personal struggles led to breakthroughs that could help you too. Whether you’re just starting out or have been trying for a while, we have many ways to support you. 

 Book your fertility clarity session today HERE 

Let’s explore your options and take this next step together. Remember, you’re not alone in this journey. 

 Stay tuned for more expert advice and actionable insights!

 Sign up for our free masterclass HERE

 Your journey to optimal fertility starts on your plate. Let’s start this adventure together!

 About Dr. Renée Allen and Chef Omar

Dr. Renée Allen, a board-certified OBGYN with over 20 years of medical experience, recognized a crucial gap in the Western medical approach to fertility. While traditional methods focus primarily on disease treatment and medication, Dr. Renée saw the need for a more holistic, nutrition-centered strategy that draws from global wellness practices.

 Chef Omar Powell brings more than two decades of culinary expertise to the table. His impressive background includes working in celebrity restaurants in NYC, owning the renowned Epicurean Cafe in Atlanta, and serving as a respected Chef Consultant.

 Together, they combine their medical knowledge and culinary skills to offer a unique, comprehensive approach to fertility. Born from their personal struggles with infertility and their eventual success, Dr. Renée and Chef Omar founded From Plate to Pregnancy and Beyond. This innovative program bridges the gap between traditional fertility treatments and holistic wellness, focusing on optimizing the body for conception and pregnancy through personalized nutrition, lifestyle modifications, and cutting-edge functional medicine testing.

 Their mission is to empower couples with the knowledge and tools they need to enhance their fertility naturally, offering hope and practical solutions for those on the challenging journey to parenthood.

Omar Powell – Chef, Father, and Passionate Learner

Omar Powell is a classically French Trained chef with a rich culinary background, honed at the world-renowned Culinary Institute of America (CIA), where he graduated with the Class of 2002. Over the years, Omar has built an impressive career, including owning and operating his own restaurant for seven years. His dedication to crafting memorable dining experiences has solidified his reputation as a talented chef with an eye for detail and a passion for elevating the art of food.
Before following his culinary dreams, Omar earned two bachelor's degrees at Hunter College in New York City —one in Political Science and the other in English Literature—demonstrating his diverse intellectual interests. Outside the kitchen, Omar is the proud father of three, with his youngest, Caleb, bringing joy and inspiration into his life at the age of three. When he’s not creating magic with food, Omar enjoys the mental challenge of chess and the tranquility of spending time outdoors. His life is a blend of culinary artistry, academic pursuits, and the joy of fatherhood, making him a dynamic individual with a unique story.

Fly Away, Flu!

By Arti Jain, M.D 
Arti Pediatrics 
408-462-9261 

As kids head back into classrooms, their backpacks bulge with school books, pencils… everything they need to succeed — unfortunately, a few things they definitely don’t need come along as well. The start of school season coincides perfectly with cold and cough season, so it’s time for parents to make sure their kids are well-equipped with everything they need: booster shots included! 

Per the CDC, influenza is at its worst during fall and winter (CDC, July 2023). Unlike influenza, COVID is not seasonal as it is a year-round disease, but there has still been a spike in COVID rates consistently around December for the last three years (Mathieu et al., 2020). COVID in particular can ravage the body, leaving long-lasting effects like fatigue, brain fog, difficulty breathing, chest pains, headaches, dizziness, stomach pain, and more (CDC, July 2023). The flu is no cakewalk either, with symptoms like fever, chills, runny nose, and sore throat (CDC, 2022). 

So how can parents help avoid these problems? Flu and COVID booster shots are available at local pharmacies or at your pediatrician’s office. Flu vaccines can reduce infection rates by up to 60% during the flu season (CDC, February 2023); the newest COVID booster shot can reduce the risk of long-term illness or hospitalization (Cohen, 2023). Both vaccines are available for children over 6 months old. 

Still, kids are packed into classrooms with classmates who may have their own reasons for not getting vaccinated — or may get sick despite precautions. With both influenza and COVID being transmitted through the air, masks are a great way to bring risks down even more: particle transmission may go down as much as 600% compared to unmasked populations (Milton et al, 2013). This has the added benefit of protecting vulnerable people in the population due to herd immunity (the idea that if transmission is decreased across a whole population, the most vulnerable in the population such as children, seniors, or immunocompromised people are less likely to encounter the virus at all). 

Parents are also encouraged to review handwashing with kids, which can help reduce the risk of flu infection by 1000% compared to populations with lower-quality access to hygiene (Liu et al., 2016). 

Every parent wants their kid to succeed, and who could focus in school when they’re distracted with a pounding headache, scratchy throat, or a terrible combination of fever and chills? With vaccines, masking, and good hygiene in their back pockets, your kids will be ready to take on the rest of the school year!

Arti Jain, M.D 
Arti Pediatrics 
408-462-9261 

El Camino Hospital Visitor Policy Updates

General information on visitor’s policy

Last updated visitor guidelines from April 1, 2024

All visitors to the hospital must be healthy and without symptoms of infection.  Please read more here.

Since April 1^st, 2024, masking is no longer required of staff, patients, or visitors anywhere in the hospital, though it is encouraged and masks remain available.

As we all know, this pandemic has been through several phases with changing recommendations, so these visitor policies may change.  At no point during the pandemic has El Camino Hospital prevented laboring or postpartum women from having at least one visitor with her that met requirements.

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