Mark your calendars for an exciting event celebrating the importance of family, health, and fitness – Family Health and Fitness Day! On June 10, 2023, this annual event aims to encourage families to engage in physical activities together, promoting overall well-being and a more active lifestyle.

Family Health and Fitness Day, celebrated on the second Saturday in June each year, is an initiative organized by the National Recreation and Park Association (NRPA). This particular day emphasizes the importance of regular physical activity and highlights families’ valuable role in promoting health and wellness. By encouraging families to engage in physical activities together, this event aims to foster stronger family bonds while improving overall fitness and quality of life.

The Benefits of Family Health and Fitness Activities:

1. Stronger Family Bonds: Participating in physical activities as a family provides an opportunity to spend quality time together, fostering stronger bonds and creating lasting memories.
2. Improved Physical Fitness: Regular exercise helps improve cardiovascular health, increase strength and flexibility, and enhance overall physical fitness levels for family members of all ages.
3. Enhanced Mental Well-being: Physical activity boosts endorphin levels, reduces stress, and promotes positive mental health for adults and children.
4. Healthy Habits for Life: Encouraging children to engage in physical activities from an early age sets the foundation for lifelong healthy habits, reducing the risk of chronic diseases later in life.
5. Fun and Enjoyment: Family Health and Fitness Day allows families to explore various recreational activities, making fitness enjoyable and exciting for everyone involved.

Participating in Family Health and Fitness Day could be:

1. Outdoor Adventures: Plan a family hike, bike ride, or nature walk in a local park or reserve. Enjoy the fresh air, scenic views, and the opportunity to connect with nature.
2. Backyard Games: Organize a friendly family sports tournament with games like soccer, basketball, badminton, or even a game of catch. Include everyone, regardless of age or skill level.
3. Family Dance Party: Turn up the music and have a family dance party in the living room or backyard. Dancing is a fun and engaging way to get everyone moving and grooving.
4. Active Outings: Visit a local swimming pool, roller skating, or try indoor rock climbing. Explore local recreational facilities that offer activities suitable for the whole family.
5. Fitness Challenges: Create social fitness challenges such as a relay race, obstacle course, or family yoga session. Make it a competition or focus on teamwork and collaboration.

Family Health and Fitness Day provides an excellent opportunity to prioritize the well-being of your loved ones and make fitness a family affair. By participating in physical activities together, you improve your health and cultivate a positive and active lifestyle for future generations. So, mark your calendars, gather your loved ones, and embrace the joy of staying fit and healthy together on June 10, 2023 and beyond!

Endometriosis is a common gynecological disorder that affects many women worldwide. This condition occurs when tissue similar to the lining of the uterus, known as endometrium, grows outside the uterus. To shed light on this often-misunderstood condition, we will delve into what endometriosis is, its risk factors, and the symptoms women may experience. Endometriosis is a chronic condition where endometrial-like tissue implants itself on organs within the pelvic region, such as the ovaries, fallopian tubes, and intestines. Unlike the normal endometrial tissue that sheds during menstruation, these implants have no means of exit, leading to inflammation, scarring, and the formation of adhesions.

Several factors may increase a woman’s susceptibility to developing endometriosis, including:

• Family History: Having a first-degree relative with endometriosis elevates the risk.
• Early Menarche: Starting menstruation at an early age.
• Menstrual Flow Abnormalities: Experiencing heavy or prolonged periods.
• Reproductive Disorders: Conditions like uterine abnormalities or polycystic ovary syndrome (PCOS).
• Immunological Dysfunction: Weakened immune response allowing endometrial tissue to implant and grow. The symptoms of endometriosis can vary from woman to woman, with some experiencing severe pain while others may have minimal discomfort.

Common symptoms include:

• Pelvic Pain: Chronic pelvic pain that may worsen during menstruation.
• Painful Periods: Intense cramping and lower back pain during menstruation.
• Painful Intercourse: Discomfort or pain during sexual intercourse.
• Gastrointestinal Issues: Bowel or urinary disturbances, such as diarrhea, constipation, or painful bowel movements.
• Infertility: Difficulties conceiving due to scarring and adhesions affecting the reproductive organs.

Endometriosis is a complex condition requiring a comprehensive diagnosis and treatment approach. Identifying the risk factors associated with endometriosis and recognizing its symptoms is crucial to seeking appropriate care. If you suspect you have endometriosis or are experiencing symptoms, consulting with a healthcare professional can provide the guidance and support needed to manage this condition effectively. In the Cayman Islands, women with endometriosis can access various treatment options tailored to their needs. At Integra Healthcare a team of senior, tertiary, OB/GYNs are passionate about identifying endometriosis and providing endometriosis care & treatment for a condition that causes so many women a distressing set of symptoms. For more information on our services click here.

Uterine fibroids, also known as leiomyomas, are noncancerous growths that develop within the muscular wall of the uterus. While they are generally harmless, they can cause many women a range of symptoms and discomfort.

We will explore the signs and symptoms of uterine fibroids, shedding light on this common condition that affects numerous women worldwide.

1. Heavy or Prolonged Menstrual Bleeding:

One of the most common symptoms associated with uterine fibroids is heavy or prolonged menstrual bleeding. Women with fibroids may experience longer-lasting periods with increased blood flow, often resulting in the need to change sanitary products frequently. This excessive bleeding can lead to fatigue and anemia over time.

2. Pelvic Pain and Pressure:

Uterine fibroids can cause pelvic pain and pressure due to their size and location. Depending on their place within the uterus, fibroids may exert pressure* on nearby organs, such as the bladder or rectum, leading to discomfort or feeling of fullness in the pelvic region. Some women may also experience lower back pain or pain during sexual intercourse.

*Pelvic pain and pressure could potentially also be a sign of an ovarian cyst. View more on ovarian cysts and their symptoms in our article here.

3. Urinary and Bowel Problems:

Larger fibroids that press against the bladder can cause frequent urination or difficulty emptying the bladder, resulting in a frequent urge to urinate or an increased frequency of urinary tract infections. Fibroids near the rectum can create pressure, leading to constipation or difficulty with bowel movements.

4. Abdominal Enlargement and Swelling:

In some cases, uterine fibroids can cause the abdomen to appear enlarged or swollen. This symptom is more common in women with multiple or larger fibroids. As fibroids grow in size, they can give the abdomen a distended appearance, resembling a pregnancy.

5. Menstrual Irregularities:

Apart from heavy bleeding, uterine fibroids can also cause menstrual irregularities. Some women may experience shorter or longer menstrual cycles, irregular bleeding between periods, or missed periods. These changes in menstrual patterns are often attributed to hormonal imbalances caused by fibroids.

Get in touch

Recognizing the signs and symptoms of uterine fibroids is crucial for early detection and appropriate management. If you have experienced any of the symptoms mentioned above or suspect you may have uterine fibroids, book a consultation with your healthcare professional for an accurate diagnosis and personalised treatment plan.

Remember, while uterine fibroids can cause discomfort, various treatment options are available to alleviate symptoms and improve your quality of life.

To book an appointment with our highly trained and experienced gynaecology team, visit their services page here or call (345) 745-7450.

References:

Mayo Clinic. (n.d.). Uterine fibroids – Symptoms and causes. Retrieved from https://www.mayoclinic.org/diseases-conditions/uterine-fibroids/symptoms-causes/syc-20354288.

Wednesday, 17th May 2023, was World Hypertension Day! As part of Integra’s efforts to raise awareness and increase education for World Hypertension Day and beyond, we launched a 3-part short blog series on hypertension. We posted our first blog post on Wednesday all about ‘Understanding the Updated Hypertension Guidelines’. Thursday’s blog post was about ‘The Importance of Accurate Blood Pressure Measurements’. Today we look at ‘The Addition of Sleep as a factor in Hypertension’.

Sleep is a fundamental aspect of our overall well-being, contributing significantly to our physical and mental health. Recent research has shed light on the intricate relationship between sleep and hypertension, emphasising the importance of quality sleep in managing this condition. Furthermore, individuals experiencing poor sleep should be particularly attentive to the potential risk of hypertension. In this article, we delve into the vital connection between sleep and hypertension while urging those with inadequate sleep to remain vigilant.

Studies have consistently highlighted the strong correlation between insufficient sleep and hypertension. During sleep, our bodies undergo critical vital processes that help regulate blood pressure. Disruptions in sleep patterns, such as sleep apnoea or insomnia, can lead to hormonal imbalances, and increased sympathetic nervous system activity, contributing to elevated blood pressure levels. Recognising this connection emphasises the significance of quality sleep in managing hypertension.

Quality sleep plays a vital role in maintaining healthy blood pressure levels. By ensuring adequate restful sleep, individuals can support the body’s natural mechanisms for blood pressure regulation. Sufficient sleep promotes cardiovascular health, reduces arterial stiffness, and supports the body’s ability to maintain optimal blood pressure throughout the day. Prioritising sleep quality becomes even more crucial for those managing or at risk of hypertension.

Individuals experiencing poor sleep should be vigilant about the potential risk of hypertension. Persistent sleep problems, such as insomnia, sleep apnoea, or restless leg syndrome, may indicate underlying health issues, including hypertension. Monitoring blood pressure regularly and seeking medical advice if sleep difficulties persist can help identify and address hypertension at an early stage.

Sleep Hygiene and Hypertension Management:

Healthy sleep hygiene practices can positively impact blood pressure management. Establishing a consistent sleep schedule, creating a sleep-friendly environment, practicing relaxation techniques, and limiting electronic device usage before bed can improve sleep quality. By integrating these habits into daily routines, individuals can reduce their risk of hypertension and promote overall cardiovascular health.

Understanding the crucial link between sleep and hypertension reinforces the significance of quality sleep in managing this condition. Poor sleep should serve as a red flag, prompting individuals to remain vigilant and initiative-taking in monitoring their blood pressure levels. By prioritising restful sleep and adopting healthy sleep hygiene practices, we can mitigate the risk of hypertension, promote better cardiovascular health, and enjoy a more vibrant and fulfilling life.

We hope you have found this three-part blog series interesting and insightful. If you have any questions or concerns, please get in touch with our team at Integra to book an appointment by calling 745-7450.

Yesterday, 17th May 2023, was World Hypertension Day! As part of Integra’s efforts to raise awareness and increase education for World Hypertension Day and beyond, we have launched a 3-part short blog series on hypertension. We posted our first blog post yesterday on ‘Understanding the Updated Hypertension Guidelines’. Today’s blog is on ‘The Importance of Accurate Blood Pressure Measurements’.

Accurate blood pressure (BP) measurements are fundamental to hypertension management, particularly with the update to the hypertension guidelines as discussed in the 1st blog post of this series. As one of the most prevalent medical conditions globally, hypertension requires precise monitoring to ensure effective treatment and minimize the risk of complications.

By obtaining precise readings, healthcare providers can:

• Identify individuals with consistently elevated blood pressure levels and initiate appropriate interventions
• Assess the effectiveness of prescribed medications and lifestyle modifications over a period of time
• Receive valuable information on how well the treatment plan works and if adjustments are necessary
• Regularly assess an individual’s risk for cardiovascular events; being able to identify precise fluctuations or persistent elevations that may increase the risk of heart attacks, stroke or other complications
• Tailor treatment strategies to individual patients, ensuring optimal blood pressure control and reducing the risk of cardiovascular complications
• Stratify patients based on their risk levels and make informed decisions regarding treatment intensity, the addition or medications or lifestyle modifications

Inaccurate measurements, whether due to improper technique or faulty equipment, can lead to misdiagnosis and/or potentially resulting in a delay in all of what’s mentioned above! Therefore, utilising accurate measurement techniques is vital in establishing an accurate diagnosis of hypertension.

While it is great for individuals with hypertension (or those at-risk) to track their blood pressure levels on an everyday basis using home blood pressure monitors, it is important to ensure you are still visiting your GP to get your BP professionally checked to ensure your at-home measurements match what the precise readings at the clnic are stating. Additionally GPs can ensure the appropriate measures are taken before taking your blood pressure (e.g. the proper seating position, not speaking for 5 minutes before doing the reading and so on), which is vital.

By ensuring accurate BP measurements through proper technique and appropriate monitoring devices, healthcare professionals and patients can work together to achieve optimal blood pressure control, reduce complications, and promote better overall health. Accurate measurements serve as a cornerstone in the effective management of hypertension, enabling individuals to lead healthier lives and prevent long-term cardiovascular consequences.

At Integra,  you can get precise, blood pressure screenings. For more information on how to book an appointment for this service, click here.

Today 17th May 2023, is World Hypertension Day! As part of Integra’s efforts to raise awareness and increase education for World Hypertension Day and beyond, we will be doing a 3-part short blog series on hypertension starting today. Today’s short blog is on ‘Understanding the Updated Hypertension Guidelines’.

Hypertension, generally known as high blood pressure, is a condition where the force of blood against the walls of the arteries is consistently elevated. It is a significant risk factor for heart disease, stroke, and other complications and affects millions worldwide. To help manage this condition, various organisations issue guidelines to healthcare professionals regarding diagnosis and treatment.

In 2017, the American College of Cardiology and the American Heart Association (ACC/AHA) released updated hypertension guidelines that differed from previous recommendations.

The new guidelines lowered the threshold for diagnosing hypertension from:

• A systolic blood pressure (the top number) of 140 mm Hg or higher to 130 mm Hg or higher 
• A diastolic blood pressure (the bottom number) of 90 mm Hg or higher to 80 mm Hg or higher

This meant that more people were now classified as having hypertension.

In addition to the lower thresholds, the guidelines also emphasized the importance of lifestyle modifications as a first-line treatment for hypertension, including weight loss, regular physical activity, and a healthy diet rich in fruits, vegetables, and whole grains.

Medications are still recommended for those with hypertension at high risk of heart disease or other comorbidities.

The updated guidelines also introduced a new elevated blood pressure category with a systolic blood pressure between 120-129 mm Hg and a diastolic blood pressure less than 80 mm Hg. People with elevated blood pressure are at increased risk of developing hypertension and are advised to make lifestyle changes to prevent the condition from worsening.

It is important to note that these guidelines are specific to the American population and may not always apply to other countries or regions. Additionally, guidelines are not meant to replace clinical judgment and should be used with a healthcare provider’s expertise.

Dr Bhakta-Perry, our newest member of our GP team at Integra Healthcare, comments on the updated guidelines and the importance of individuals booking a checkup with a GP:

“Here in the Cayman Islands we have a population that is rich in diversity. With this brings different risk factors for hypertension and cardiovascular disease (CVD). We use a combination of the American, British (NICE) and European guidelines alongside each individual’s risk factors, clinical history and examination to help in diagnosis and to formulate their personalised management plan.

The guidelines all overlap and the overriding message is that they all diagnose hypertension from 130-140 systolic/80-90 diastolic which is something people can bear in mind when measuring their BP. If you are close to this range or at/above this range, it is important to speak to your family physician /general practitioner so that you can get tailored advice on management and prevention of debilitating complications such as heart attacks and strokes. Hypertension is easily manageable and there are a variety of both pharmacological and non pharmacological options.”

We hope this short article has helped in better understanding the updated hypertension guidelines. If you notice your BP measurements are around the updated measurements classed as hypertension it is important to reach out to a GP.

GPs can firstly do a professional reading to ensure your blood pressure measurements are as accurate as possible and if your readings confirm a diagnosis of hypertension, they can as Dr Bhakta-Perry mentions, offer some advice on managing this condition in addition to much more!

To book an appointment with one of our GPs at Integra or schedule your blood pressure screening, please contact us at 745-7450.

Click here to learn more about Dr Bhatka-Perry and her service offering.

Make sure to check back here tomorrow for our second blog post in this series on ‘The importance of an accurate BP measurement’.

May 12th, 2023 is International Nurses Day. International Nurses Day falls on the same day each year, which is also Florence Nightingale’s birthday – the founder of modern medicine.

Today we celebrate and recognise nurses for their invaluable contributions to the healthcare industry. We also acknowledge their immense sacrifices made to protect public health and to celebrate their unwavering commitment to patient care.

Here at Integra Healthcare, we join in honouring the selfless dedication and hard work of nurses on island and worldwide who have dedicated their lives to caring for the sick and injured!

Our team of nurses at Integra have helped assist in the fight against COVID-19, are pivotal during times such as the flu season and administering the flu vaccinations in addition to so much more! Overall they are amazing hardworking members of our team who help to keep patients healthy and safe, year round!

Our lovely patients also agree with some of our testimonials below stating:

“The doctors and nurses take the best care of my children, I couldn’t ask for more”

“Non-painful vaccination. Kind nurses”

“…Nurses were very kind and ready to help out.”

Today and everyday we encourage you to show your appreciation to nurses!

World Voice Day: An Overview

Today (April 16th, 2023), World Voice Day is celebrated worldwide. The main goal of World Voice Day is to: bring awareness to the importance of being expressive and able to communicate with the voice, shine a light on the significance of vocal health and encouraging anyone with concerns to reach out.

The American Academy of Otolaryngology Head and Neck Surgery Voice Committee members are tasked with developing a theme each year. This year the theme is “Your Voice Matters.”

With that in mind, we want to highlight some of the main symptoms of voice disorders, so you can be aware of them and reach out to a physician for any concerns early. The symptoms are:

• The voice making a quivering sound
• The voice sounding strained or choppy
• A change in the pitch of voice, whether too low or high
• The voice sounding rough or harsh
• The voice being weak, breathy, or whispery

Head & Neck Cancer Awareness Month

Not only is April the month where World Voice Day is celebrated, but it is also Head and Neck Cancer Awareness Month (along with Oral, Head & Neck Cancer Awareness Week from the 16th – 22nd April 2023)! Because Voice Day also focuses on vocal health, it is essential to look out for the signs and symptoms of head and neck cancer, as many of the symptoms have to do with the mouth and throat, things that we use to be vocal and express ourselves.

Head and neck cancer symptoms include but are not limited to a lump or sore that does not heal, non-healing ulcer, change in ability to swallow and change in voice. These symptoms could also be linked to something that proves to be less severe, but it is essential to consult a physician.

The voice is our means to communicate, it is imperative that it is taken care of and to find ways to preserve it.

Get in touch

If you are experiencing these symptoms or have any other concerns, please contact us to book an appointment with our physician Dr. Yammine, who specialises in Otolaryngology (ENT), Head and Neck Surgery, Laryngology, and Cosmetic Surgery at Integra Healthcare.

She ran a successful practice in Ontario, Canada. She moved to the Cayman Islands, where she worked as an ENT first as one of the clinical leads, which helped to launch voice and swallowing therapy services in Cayman, a particular area of interest for her. Dr. Yammine aims to provide optimal care and safety for her patients in the ENT and Aesthetic spectrum of services, whether to address a clinical issue or to achieve the best natural results and help you to feel more confident and happier in your skin!

Get in touch here.