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July 11, 2013

holding-hands-iv-drip

Eight years ago my wife Ann was hospitalized for a life-threatening bleed in her brain. I sat in vigil at her bedside for many hours through the days and nights as she lay there in pain, unable to move, barely able to whisper. I was afraid that I would lose my wife – and my young boys their mother. But early one morning Ann spoke one sentence to me, and the heavy feeling of worry that had filled my chest suddenly evaporated. In its place was a wonderful certainty my wife would be okay.

A shunt had been placed by the neurosurgeon to alleviate the pressure on Ann’s brain. The shunt slowly dripped out blood-tinged cerebral spinal fluid the entire week. I watched from my chair next to Ann’s bed as, drop by drop, the fluid fell into the collecting system. The fluid had a reddish color at first. As the days passed, the fluid gradually clarified to a pinkish tinge. Finally one morning the fluid had the healthy hue of fine champagne.

Ann was still in such pain she could hardly open her eyes. She squeezed my hand as she woke up and whispered good morning. I tried to cheer her up.

“Your cerebral spinal fluid looks so good this morning, I’m tempted to take a sip,” I said wryly.

A few moments later Ann responded. “If you swallow….a mouthful,” she croaked, “it will raise your IQ…fifty points.”

I was stunned. Immobilized in Intensive care for over a week, my wife had just made a joke. A funny one to boot!

I knew then that Ann was going to be alright.

Our son Tyler inherited his mother’s courage and sense of humor. Several years ago he was injured in a skiing accident. It was a two-hour ambulance ride to the nearest city hospital. With a fractured bone almost sticking through the skin, Tyler suffered the bumpy ride along the mountain road in agony. Just before Tyler’s surgery, his doctor told him he would need a strong narcotic for the pain. He recommended Vicodin.

“Oh, that’s my favorite one,” my twelve-year-old offspring quipped.

The surgeon looked shocked.

“That’s the one that Dr. House takes.” Tyler grinned as he referenced a family TV favorite about an E.R. doc, “House.”

Last week Tyler required another major reconstructive operation, casting a shadow of fear and worry over our household. As a surgeon, I find it far easier to be the one providing care than the one worrying about my loved one. Both roles come with moments of fear. But no matter on which side of the medical relationship I find myself, I know this to be true:

The hospital is a holy place. Here in this holy place, we seek help when we or our loved ones are injured or ill. Here in this holy place, gathered together, are people who have dedicated their lives to helping strangers in need. Here in this holy place, Love manifests itself through us in the most concrete of ways – all of us helping one another when we are in desperate need. And here in this holy place, God grants healing and relief.

Nevertheless, as a Dad sitting next to my son’s bed before major surgery, I was a bit anxious. Tyler grabbed my hand moments before he was to be wheeled back to the operating room.

“Dad, I need you to remember something for me,” Tyler said in a low, intense voice.

Unsettled, I leaned forward to listen.

“971-32-2745-1994. Write it down.”

I fumbled for a pen and wrote the number down, repeating it back to Tyler at his request. Confused, I waited.

“If I die, you will be contacted. Give them that code number,” Tyler said. “Within a week, you will receive ten million dollars cash – in untraceable bills.”

His face still wore the trace of a smirk as the nurses wheeled him back to surgery.

Later, as I sat for hours in the waiting room during the operation, I found myself again worrying. Life can be frightening and painful. We suffer so much, and over the course of a long life, lose what matters to us most – our bodies, and our loved ones. It’s so easy to forget the truth: despite our being biologically mortal, we are spiritually eternal.

I remembered Tyler’s last minute joke. It was going to be okay.

And so it was.

-Dr. Mike Litrel

July 9, 2013

Urinary incontinence (UI) affects millions of women each year. Some women may urinate a little when they’re laughing or exercising. Some may feel an increased urge to urinate right before losing a large amount of urine. Many women feel like urinary incontinence is a natural part of the aging process, or even something they have to be ashamed of. At Cherokee Women’s Health Specialists, we know that neither are true.

Causes and Types of Urinary Incontinence

Causes of urinary incontinence vary from woman to woman, but childbirth, trauma, and hormone changes due to aging can all be linked to UI. The different types of urinary incontinence include: i stock photo_pelvic

  • Stress incontinence – Coughing, laughing, sneezing or other movements that cause you to leak urine.
  • Urge incontinence – Commonly caused by inappropriate bladder contractions, urge incontinence occurs when you lose urine for no apparent reason after feeling the need to urinate.
  • Overactive bladder – Occurs when abnormal nerves send signals to the bladder at the wrong time. Symptoms include frequent urination during the day and night, urinary urgency, or leakage or gushing of urine that follows a sudden, strong urge.
  • Functional incontinence – A result of physical or medical conditions that might hinder the signals that your body needs to urinate, e.g. dementia or arthritis.
  • Overflow – Rare in women, but this type occurs when the bladder doesn’t empty properly, causing overflow.
  • Mixed incontinence – Two or more types of incontinence together, typically stress and urge.
  • Transient incontinence – Urine leakage for a short time, e.g. during a bladder infection, pregnancy or post-pregnancy.

Treatment for Urinary Incontinence

Thankfully, there are a variety of treatment options for women who suffer from UI, many without the need of surgery. Schedule an appointment with your doctor to determine the treatment that’s best for you. He or she can provide an effective treatment option. Successful treatment options for UI include simple changes to your diet and fitness routine, medications, or minimally-invasive surgery.

Urinary incontinence is very common in women and is also very treatable at all ages. If you’re concerned about UI, don’t hesitate to call us to schedule an appointment at one of our convenient locations in Canton or Woodstock.

 

July 6, 2013

beauty girl cry

Sixteen years ago, when I first started my private practice, the complaints of some of my patients confused me. Despite normal exams and lab results, a number of women told me they just weren’t feeling well. They didn’t have energy and felt overwhelmed by life. I couldn’t figure out what was going on. The visiting pharmaceutical salesmen, however, came to the rescue. The diagnosis, I learned, was depression. The solution to my patients’ complaints was the pharmaceutical company’s product, taken once a day, every day — forever.

In my first year of practice, I selectively began prescribing antidepressants. I was pleased to see that many patients experienced a lifting of their sadness. I continued prescribing depression medication judiciously. Still, the diagnosis and treatment troubled me.

Early in my medical training, I had anticipated that psychiatry would be my specialty. The word “psychiatry,” literally translated from the Greek, means “treatment of the soul.” I had entertained the idea of a joint degree at Emory in both medicine and the ministry, so the idea of practicing in the field of medicine that handles the human soul called to me. But I soon learned that the reality of the practice of psychiatry was not what I had imagined. Psychiatric patients were placed on powerful medications with little real understanding of the diagnoses or the mechanism and side effects of the drugs.

Now, twenty years later, my work hours and job duties can be demanding and emotionally draining. There are desperate moments in the dead of night when a life is at stake and I am rushing into the operating room. But no matter the hour, I find the cries of a healthy newborn baby a joyful reminder that God is always present in our lives. Obstetrics and Gynecology has proven to be the spiritual field of medicine I was seeking as a young man.

I stopped prescribing antidepressants years ago, after a patient who had been on Zoloft came to my office in a desperate state. I found her curled up on the floor of the exam room. Having quit her medication three days earlier, she said she felt like she was going out of her mind. She quickly felt better after resuming the medication. But her withdrawal symptoms were too similar to those I’d seen experienced by addicts. People abuse drugs to be happier, to alleviate their suffering. Antidepressants affect the neurotransmitters in the brain with a mechanism similar to that of cocaine.

We all experience sadness in our lives, a sense of confusion about what we are doing, and, at times, an overwhelming feeling of despair. These are normal human emotions that all too often have a spiritual purpose. Drugs supply relief; but are they the solution? Health is not just about vital signs, laboratory findings and medical diagnoses. Part of health is understanding our purpose in life and following that path in our daily actions. When we stray, we are designed to experience unhappiness.

After all these years in practice, seeing thousands of patients, it’s been my observation that depression is not a true diagnosis of the body like cancer or pregnancy. It’s a spiritual discomfort to remind us to look deeper at our lives — and to make a change.

-Dr. Mike Litrel

July 2, 2013

If you’re a friend of Cherokee Women’s Health Specialists on Facebook, you might remember a few weeks back when we shared a few videos of Dr. Gandhi’s medical assistant Sammy sharing about a variety of topics, one being the strong correlation between faith and health here at Cherokee Women’s.

How CWHS Views Faith and Health

As discussed in the video, Dr. Litrel is known for making a priority out of praying with his patients before surgery. This is something that many patients appreciate and see as a way of connecting with their doctor on a more personal level.

One of our patients had this to say about Dr. Litrel and his strong connection between faith and health:

“Dr. Litrel, I am so grateful to have you as my doctor. I wanted to write you this thank you note to tell you how thankful I am that God brought me to you and your practice. I have prayed for a kind, caring, get-to-the-issue doctor for years and my prayer was finally answered. Not only have you made me feel comfortable you have shown and demonstrated to me the love of Christ. I never in a million years would have thought my doctor would pray with me before surgery. And when you did, I knew for a fact that God had His hand over me that day and it brought me complete peace. I could never say thank you enough. Praying that God blesses you, your family and your practice always. That He will continue to give you wisdom and favor in all you do. 1 Corinthians 1:4-9 In His Love.” – Allie S.

We invite you to view the other videos on our Youtube channel, and be sure to check back often for additions to the page. You can follow along with us on Twitter and Google+ as well.

June 18, 2013

As young girls age and grow into teenagers, preparing them for their first gynecological exam can be a daunting task for parents. Your daughter may not understand why she has to go to the doctor when she feels perfectly fine, so communication is essential when it’s time to sit down and discuss the first visit. Here at Cherokee Women’s Health Specialists, we place a heavy importance on starting young women off on the right track in regards to their health.

Timing is Everything

It’s very important to listen to clues that will help you determine when your daughter should schedule her first gynecological exam. If your daughter is experiencing heavy or painful periods, is sexually active or has questions that you aren’t quite sure how to answer, scheduling an appointment will introduce her to the important role a gynecologist plays in a woman’s overall health.  Group of teenage girls

Communication is Key

When you’ve broached the subject of scheduling an exam, communication is important to maintaining trust. Educating your daughter on what to expect during the visit can help calm nerves and ease her mind. Helping her prepare to answer questions the doctor might ask will take some of the fear of the unknown out of the appointment. Types of questions the doctor might ask are:

  • When was your last period?
  • Are you sexually active?
  • If so, are you using birth control?
  • Are you with one or multiple partners?
  • Do you have any problems with your period such as pain or discharge?
  • Is there any chance you could be pregnant?

Encourage your daughter to answer honestly, as everything she shares with her doctor is personal and confidential, and her doctor will be able to give her the best care the more information he or she has.

After the Appointment

Once the appointment is over, talk with your daughter about it. It is important that your daughter feels she is in a safe, trusting environment. Once she’s had her first visit, help your daughter make annual appointments to keep her on a happy, healthy track. To contact us for an appointment at our Canton or Woodstock offices, please call 770.720.7733 or fill out our contact form.

Photo courtesy of Flickr.

June 6, 2013

art-of-circumcision blog photo

A Lousy Way to Start your Day

A circumcision is a lousy way to start off life. For a newborn baby boy, the procedure’s only saving grace might be that five minutes of pain must pale in comparison to the agony of being born. Most mothers-to-be receive an epidural to alleviate the pain of labor. For the baby – no pain medication at all. Squeezed from the warm, dark comfort of his mother’s womb, he suffers through a ten-hour marathon of suffocating agony to land in the hands of yours truly.

And the next day we meet again, so I can cut the foreskin off his penis.

Moms generally like me pretty well.

Newborns probably don’t.

Making It Look Easy

I was taught the art of the circumcision by Paul Taylor, a Physician Assistant at Grady Memorial Hospital in Atlanta. In his thirty-year career, Paul had probably performed more circumcisions than anyone else in the country. To date I have done only fifteen hundred, a mere ten percent of Paul’s total count. I still consider myself pretty good. But Paul was the best.

A year ago, Paul was tragically killed in a bicycle accident. I think of him every time I do a circumcision. Sometimes I am saddened by his untimely passing. But then I focus on the five-minute task at hand, grateful for his lessons almost twenty years ago.

When I watched Paul do that first circumcision, I naively commented that it looked pretty easy.

“When Jack Nicklaus hits a golf ball 300 yards down the center of the fairway, he makes it looks easy, too,” Paul retorted.

Paul was right. There are subtleties to the art of the circumcision that I have come to appreciate. But Paul’s technique has no doubt been responsible for my years of circumcisions unbroken by a single complication.

“Give a man a fish, feed him for the day; teach him to fish and feed him for a lifetime.”

Alleviating Pain

There is, however, one thing I do differently from Paul. When my sons were newborns, it bothered me that they received no pain medication whatsoever. This was the traditional way to perform circumcisions: strap the baby down, cut the foreskin off his penis, and let him cry himself silly.

I am proud that I have used pain medication for every circumcision I have ever done. I apply topical pain cream an hour beforehand and also use an injection at the time of the procedure. Yet even though I am diligent in this “alleviate suffering” matter, my babies still cry. So sometimes I resort to another trick Paul showed me. Sugar water on the pacifier works like a charm. The baby sucks happily and usually stops crying.

Usually.

The take-home message is this: life hurts, no matter what you do. The expectant mother with the epidural still cries when the baby is coming out, and the newborn on Dr. Litrel’s pain medicine cocktail still doesn’t like having his penis cut open.

Life’s pain begins when it’s our time to be born. And Life’s suffering ends, just in time for our funeral.

How we understand and handle that pain determines who we become. Do we take drugs, or alcohol, or sugar, to get through yet another day? Or do we build spiritual resilience, in understanding the purpose of our short time here on this earth?

Those are the questions we answer all our lives. The less we need to take, the more we have to give.

-Dr. Mike Litrel

June 4, 2013

Cherokee Women’s Health Specialists‘ first Babypalooza has been a wonderful success! We would like to thank each and every person who submitted photos and voted in our Cutest Baby Contest. We had a wonderful time viewing all the photos and the captions, and we’re not just talking about the photo submissions of Dr. Litrel and Dr. Providence! (Yes, they entered themselves as well!) Since we started, we’ve added a handful of great prizes for runner-up winners, so a HUGE Thank You to all the organizations who participated. If you haven’t already, please show your support by liking their Facebook pages! Without any further ado, here are the winners of our first-ever Cutest Baby Contest!

Grand Prize to a CWHS friend/patient for a photo session with Clear Creek Images valued at $190:

CBC patient winner photo

Baby Mia, submitted by Mialanna Cater

Grand Prize to a CWHS staff member for a photo session with Clear Creek Images valued at $190:

CBC Staff winner photo

Baby Zariyah Hawkins, submitted my Sammy Colon

1st Runner-Up prize: One free big bo box from Canton Bojangles:

CBC 1st runner up photo

Baby Logan, submitted by Caitlin Tate

2nd Runner-Up prize: One free exam and spinal adjustment at Riverstone Chiropractic:

CBC 2nd runner up photo

Baby Callen, submitted by Lindsay Sparks

3rd Runner-Up prize: Complimentary Pilates class, a discount on their first package of classes and a free water bottle with Absolute Pilates in Woodstock AND a small Chick-Fil-A nugget tray.

CBC 3rd Runner up photoBaby Ruby, submitted by Ciara Whitty

4th Runner-Up prize: Complimentary Pilates class, a discount on their first package of classes and a free water bottle with Absolute Pilates in Woodstock.

CBC 4th runner up photoBaby Madison Love, submitted by Kaye Taylor

5th Runner-Up prize: Complimentary Pilates class, a discount on their first package of classes and a free water bottle with Absolute Pilates in Woodstock.

CBC 5th runner up photo

 Baby Parker, submitted by Carolyn Hansen Duncan

6th Runner-Up prize: Complimentary Pilates class, a discount on their first package of classes and a free water bottle with Absolute Pilates in Woodstock.

CBC 6th runner hup photo

Baby Kayson Moore, Casie Moore

Thank you again to everyone for participating! We’ve had so much fun seeing all your great photos!

June 3, 2013

If you have been following along on our Facebook page, Babypalooza and our Cutest Baby Contest came to a close on Friday, May 31st. For the last week of Babypalooza, Cherokee Women’s Health Specialists wanted to focus our blog on the top must-have baby products.

We know sorting through baby gear can be overwhelming – endless choices! Atlanta-area Moms and Dads want only the best for their little ones, but with the hottest toys and baby gear, how do you choose? We put together a list of items gathered from top parenting websites and reached out to our Twitter followers for responses. Here’s what we came up with: pregnant woman in pink

  • Swaddle blankets with velcro – Swaddling can help babies feel like they’re back in the womb, and can calm a fussy baby in seconds. Thankfully, tired moms and dads can now purchase swaddlers with velcro tabs to snuggle their babies up tight – and fast!
  • Dishwasher Basket – A dishwasher basket can help keep small parts of a breast pump or bottles from slipping out of your racks to potentially get broken or melted.
  • Noise Machine – Noise machines can also help mimic the sounds inside the womb with white noise. Many other baby gear items like swings and bouncy seats also have built-in noises for baby’s comfort.
  • Links for toys – A package of multicolored links have a multitude of uses – link toys to the car seat or stroller, changing table, to each other, or anywhere in between. Babies also love the bright colors.
  • Baby carrier – Busy moms and dads agree – a baby in one hand doesn’t allow for much multi-tasking. Baby-wearing, whether it’s in a front-facing carrier or a carrier that ties around your body, can come in handy – literally.
  • Video monitor – Baby monitors have come a long way to help bring parents peace of mind. A video monitor will allow you to listen to and see baby’s movements, which is helpful once your little one is beginning to roll around in their crib.

These are just a handful of helpful items for brand new moms and dads. Do you have a must-have baby item that isn’t on this list? We invite you to share with us by leaving a comment below! And be sure to stay tuned when we announce the winners of our Cutest Baby Contest!

 

May 30, 2013

Pilsbury-Doughboy Crying in the Exam Room

A patient I’d known for twenty years called to let me know her daughter was coming in to see me. She reminded me it had been eighteen years since I’d delivered her “baby girl.” I began to feel old, and I knew right away this was going to be a difficult appointment.

For me.

Baby Olivia had just returned from her first year of college. After gaining the traditional “freshman fifteen,” she had begun to suffer the effects, with her menstrual cycles becoming painful and irregular. One month she would miss her period, and the next bleed heavily for fifteen days. The cramps were so severe, she sometimes had to stay in her dorm room in bed. Her grades and social life had deteriorated.

An ultrasound confirmed the obvious culprit, ovarian cysts. But I knew the underlying problem was her weight gain. Fat tissue can throw off a woman’s menstrual cycle; it introduces excess estrogen into the hormonal milieu. A high school cheerleader, Olivia had entered college almost underweight, so she wasn’t medically obese – just overweight for her small figure. As I reviewed the photos from her ultrasound, I debated with myself about how to broach the subject.

No woman responds well to critical conversations about her weight, particularly a young woman struggling emotionally with the reflection she sees in the mirror. But I was confident that my extensive experience as a board certified OB/GYN, coupled with a natural soft touch with the opposite gender, gave me the requisite skill set to negotiate the conversational landmine. Olivia’s mom would be grateful she sent her daughter my way.

Olivia began to sob as soon as I opened my mouth.

Every exam room has a box of tissues for when my “conversational skill set” falls short. I handed Olivia some tissues and apologized for hurting her feelings. She reassured me it wasn’t what I had said that bothered her. She told me her story.

Roommates Share

Olivia and her roommate Sara started the year best of friends. They studied and ate together and went to parties with each other on the weekends. They even shared each other’s clothing. The stress of schoolwork and being away from home took its toll on Olivia. Sara was always ready to listen. Sara always had had snacks in the room – Oreos, Pop-Tarts, Doritos, Hershey’s chocolate and Coke. Olivia was free to help herself anytime she wanted. The comfort food made Olivia feel better. Any time Olivia was upset, Sara handed her something yummy.

As the months went by, Olivia’s weight crept up, and her clothing became tighter. In her second semester when her periods began going haywire, she resigned herself to wearing sweats and baggy shirts.

Sara kept her petite figure the entire year and took full advantage of Olivia’s unused clothing. It was toward the end of the school year that Sara made a shocking confession. She had filled their dorm room with snack food and encouraged Olivia’s overindulgence so Olivia would not fit into her clothing.

“You had such nice things to wear, I couldn’t resist,” Sara told her with a laugh.

Olivia’s problem wasn’t just weight gain; it was also an evil roommate.

Life is painful enough without betrayal from those you trust. And yet betrayal is at the root of many of our medical problems.

Making You Feel Good

Smoking is a good place to start this conversation because most of us know it is the number one lifestyle choice that adversely affects our health. We know cigarettes are bad, but many continue to smoke. That’s because cigarettes are addictive. Yes, they lead to cancer and heart disease, but there is undeniably something about them that makes us feel good.

Despite thirty years of evidence showing that the tobacco industry was not only purposefully increasing the addictive properties of their product, but also marketing them directly toward children, the tobacco industry successfully fought off all litigation.

By the 1990’s, astronomical amounts of money had been spent caring for patients whose illnesses were the direct result of tobacco abuse. These were dollars often directly funded by the taxpayer as Medicare or Medicaid expenses. Finally, Attorney Generals from multiple states successfully brought a class action lawsuit, and in 1998 the tobacco industry agreed to pay 206 billion dollars to the states over twenty-five years. They also agreed to get rid of advertising icons, such as the Marlboro Man and Joe Camel, specifically designed to attract and addict the next generation of smokers.

After smoking, what we choose to eat is the number two lifestyle choice that adversely affects our health. The typical American diet leads directly to obesity, heart disease, cancer and stroke. Many of the products sold on the shelves of our grocery store or in restaurants are virtually addictive. They don’t create a physical addiction in the same way that nicotine does, but in the book Salt Sugar Fat, author Michael Moss details exactly how the food industry has focused on creating mouth-watering products that are essentially irresistible. In 1990, Philip Morris, the tobacco giant responsible for almost half of the cigarette sales in the United States, purchased food giants Kraft and General Foods, and with these acquisitions began to control ten cents of every dollar Americans spend on groceries. Consuming salt, sugar, and fat, in the right combinations, with the perfect “mouth feel,” is like smoking cigarettes. And that’s why it’s impossible to eat only one Dorito or Oreo or McDonald’s French fry.

The Pillsbury Doughboy, the Keebler elf, and Ronald McDonald smile like old friends but are actually evil roommates.

New Choices

I recommended a plant-based diet for Olivia, so she would become healthy again. I alerted her that if she didn’t lose the weight, she might suffer from infertility or eventually need surgery. Anything wrapped in plastic, containing sugar, fat, preservatives, or artificial flavors, was off-limits, no matter how delicious. The change would be tough at first, but the choice would prove life-changing.

I also began to recommend a different roommate for next year, but Olivia stopped me before I could finish.

This was one new choice, she assured me, she had already made.

-Dr. Mike Litrel

May 24, 2013

May 23rd, 2013 marks the United Nation’s very first International Day to End Obstetric Fistula, a day dedicated to raising global awareness about obstetric fistula and commemorating the 10th year of the UNFPA’s Campaign to End Fistula. Cherokee Women’s Health Specialists‘ own Dr. Providence brought this very important day of recognition to our attention and we wanted to share ways to help the organization with some of the most thoughtful people we know – our patients.

What is Obstetric Fistula? Fistula Foundation Logo

According to the UNFPA’s website, obstetric fistula is “a hole in the vagina or rectum caused by prolonged labor – often for days at a time – without treatment.” Because the fistula causes women to leak urine or feces, or both, they live in a world of social isolation and shame, often coinciding with depression and deepening poverty. If left untreated, fistula can lead to chronic medical problems.

How You Can Help

If you’re interested in getting involved with the Fistula Foundation, you can do so in a number of ways:

  • Self-Awareness – Learn more about the Fistula Foundation and how much the obstetric fistula community has evolved over the past decade by visiting their website.
  • Education – You can educate others through gifts in the Dignity Gift catalog or join the Fistula Foundation’s Circle of Friends, a group of fistula ambassadors raising awareness and funds for treatment.
  • Play a Game – Play Half the Sky Movement: The Game for just a few minutes a day and your in-game actions translate into actual fistula repair surgeries for women around the world.
  • Raise Money – Donate to the Fistula Foundation. From now until June 6th, every donation made through this link to the Fistula’s Raise for Women Challenge page will count toward helping the organization win a bonus grant of $40,000! You can also start your own fundraising campaign which will count toward the Fistula Foundation’s campaign total.

To learn more about Obstetric Fistula, please visit the Fistula Foundation’s website.

Image taken from The Fistula Foundation’s website.

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“Dr. Litrel was a fantastic doctor. I had my first exam with him, although at first I was skeptical about a male doctor for my GYN. But after I met him I’m glad I kept an open mind, and I couldn’t have dreamed up a better doctor. He cares about you as a person and not just a patient. The front desk ladies and nurses were very friendly and it’s a great office, very clean and not intimidating. I highly recommend Cherokee Women’s Health.”
– Vicki