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Dr. Litrel's Blog

Do We Have Enough?

by Michael Litrel, MD, FACOG, FPMRS When my son Tyler was fifteen, I brought him with me on a church mission trip to Honduras. It seemed an inspired idea: I was seized with a vision of him forsaking his Xbox for a transformative week of caring for poor people in a third world country. Twenty of us boarded the plane headed for rural Central America. Our physical task was to repair homes. Our spiritual task was to learn and teach about God’s love. Tyler was shocked by the poverty. Forty people lived in the remote village in mud and stick huts. They had no running water or electricity. Wandering the village were dogs so emaciated you could count each rib. Over the days that followed, Tyler took me to the side several times to sort through his feelings. How could we have so much at home when others in the world have so little? I was proud of him, growing up, asking the right questions… But as it turned out, he was still an obtuse adolescent. On the last day, we faced a grueling three-mile hike through the steaming jungle to the work site. Tyler assured me he had filled all our water bottles. But when we arrived, I discovered only three of the eight bottles were full. Tyler had gotten lazy and just hadn’t bothered. I was livid. We had an entire afternoon of physical labor ahead. Don’t you realize we have four THOUSAND pounds of cement to mix? How can we work without water? Blah, blah, blah… I’m sorry, DAD!!! I GET it! Tyler threw up his hands in exasperation. I could tell Tyler was more angry than sorry. But I stopped and sulked away, muttering dark thoughts under my breath. I had been proud that Tyler had chosen to come – the youngest in the group by five years. Heaven knows it was gratifying to see his hands finally off the game controller and wielding a shovel full of dirt. But I didn’t want to hear any adolescent fibs about filling water bottles. Our project was a hut with a dirt floor, to be replaced with cement. Twenty bags of mix had already been carried to the site. The choice of tasks were these: carry buckets of water from the stream, mix the cement on the ground, carry the wet cement into the hut, or lay down the floor. There were eight of us. It was back-breaking work. Three hours later, we lay exhausted under the hot equatorial sun. A feeling of discouragement began to creep over us. The floor was only a third done, and we were running out of both cement and energy. I slumped on a stool. A small village girl named Amalia crept quietly next to me. Her dress was worn, her face dirty, but her smile was glowing. She was one of eight children who lived in this tiny hut. A cement floor would keep her young body off the ground at night. Tyler rested motionless, his back against a tree. His work efforts had been listless at best. But I kept my criticism to myself. At least he was here. Just when the job seemed hopeless, a few neighboring villagers arrived to help. Recharged, we resumed mixing cement, carrying bucket after bucket into the hut. Somehow, we now had so much that we could not only cover the entire dirt floor but even make a front porch. Remarkably, too, our water bottles never ran out. Tyler and I had enough to last all afternoon. It was a strange and wonderful day in Honduras. Tyler and I had partaken in a kind of miracle: plenty of cement, a floor for Amalia, and even enough water. For me, it was a spiritual reminder that we are always given enough – an ironic lesson to learn while helping a family whose belongings could fit in the trunk of my car. It was only later, as I was falling asleep, that I figured out – Tyler had left all the water for me. Excerpted from Dr. Litrel and his wife Ann’s book of “he-said, she-said” stories about love and family.  A MisMatch Made In Heaven: Surviving True Love, Children, and Other Blessings In Disguise is available in the office, and online at www.createspace.com/4229812  

Dr. Litrel's Blog

The Marriage Thermostat

For ten years, without fail, Ann and I kept our razors side by side in the shower. Then I switched to the Mach 3 triple blade razor, and suddenly the ever-present disposable pink lady razor disappeared. I didn’t give it much thought at the time. I figured such a sissy razor was an embarrassment beside my macho marvel of modern technology. The truth was more horrific. One morning I walked into the bathroom while Ann was in the shower, and I discovered that my Mach 3 triple blade marvel was being used to shave her legs. It didn’t take much to surmise that it might be getting some time under her arms, too. I kept my mouth shut until our morning coffee. “Doesn’t it repulse you,” I said calmly, “to know that the razor you’re using under your arms is the same one that I’m using on my face?” Ann laughed, and then quickly reached for my hand. “Sometimes…” she replied with a serious voice. “But love is a strange and wonderful thing.” She gave me an angelic smile. All was forgiven. Disagreement between a husband and wife occurs in the best of marriages.  Sometimes this manifests as open argument.  Other times, marital conflict can be more subtle, an unspoken tension permeating the relationship for years, like an uncomfortable humidity. When I met Ann at that fraternity costume party, she was supposedly dressed as a Greek goddess, in a skimpy toga no father would have permitted his daughter to wear in public. I fell in love. After our three years apart, there was nothing I looked forward to more than marriage and spending my life with Ann. My attraction to her was more than just her physical beauty; I admired her talent, kindness, intelligence and discipline. I still admire her. But after twenty-five years of marriage, the intelligence and discipline thing sometimes gets on my nerves. Ann has tendencies towards frugality that do honor to her Scottish heritage. She also endeavors to be environmentally aware. These two qualities are evidenced in the temperature settings Ann prefers for the household thermostat. During the hot Georgia summer the air conditioning is set at 80. During the cold of winter the heat is set at 65. In January when I am cold, Ann tells me to put on a sweater. In July when I am hot, Ann tells me to take my sweater off. Last year it was another hot, humid summer. So one day when Ann wasn’t looking, I sneaked to the thermostat and deftly dropped the temperature five degrees. It didn’t take Ann long to notice. “Who turned the air conditioning so low, Michael?” “Those kids,” I responded, shaking my head disapprovingly. I was not lying. I was simply making a declarative statement designed to misdirect. “The boys say they didn’t touch the thermostat, Michael.” “Those kids,” I repeated, shaking my head disapprovingly. Ann laughed and moved the thermostat back to “where it belongs.” I didn’t argue. I could understand her perspective: why burn fossil fuels to lower the temperature of my house just so I could be a tad bit more comfortable? But sometimes it was annoying. It was like I was married to Al Gore, and every time I touched the temperature control I was sinking an axe into the trunk of the last giant redwood. Over the years, Ann had successfully colored our “thermostat decision” in spiritual terms. With artful language she conveyed to me sophisticated thoughts about the needs of the body versus the needs of the soul. Essentially, her argument boiled down to this: Jesus didn’t have air conditioning, so why don’t you spend more time praying for strength, and less time whining about the heat? One summer Ann left town to visit her sister for a week. It was like Dorothy’s house had plopped down in Oz, and ding dong, you-know-who was dead! I ran to the thermostat like an unsupervised teenager and lowered it not five degrees, but ten. I was going to get all the air conditioning that compressor could muster. That night my house was so cold I needed another blanket from the closet. Immobilized by comforters, I slept like it was the dead of winter. Condensation covered all my windows when I awoke. I shivered when I sat down to my morning coffee. Now this was what July in Georgia should feel like!  I thought about getting out that dang sweater. Maybe I should light a fire too? But after an hour of reflection, I simply turned the air conditioning off. I missed Ann. Morning coffee was more fun with her. It’s far better to have a home that is too hot in the summer and too cold in the winter than to suffer again through the fires and chills of a long distance relationship. A prescription for tolerance is an occasional few days apart. In our human struggles, we can sometimes fixate on small problems. Absence gives God a chance to direct our focus on the big picture – Love. Excerpted from Dr. Litrel and his wife Ann’s book of “he-said, she-said” stories about love and family.  A MisMatch Made In Heaven: Surviving True Love, Children, and Other Blessings In Disguise is available in the office, and online at www.createspace.com/4229812

michael litrel, md, facog, fpmrs
Dr. Litrel's Blog

A Ritz Cracker Kind of Guy

by Michael Litrel, MD, FACOG, FPMRS My doctor partners and I take turns being on call for the holidays.  Two years ago, my turn fell on Thanksgiving, and as I looked across the table at my loved ones and listened to their loud and animated conversation, I remember noticing they all seemed to be in various states of inebriation. I began to wish the hospital would call me. Nothing is more annoying than being the only sober one at the dinner table. Especially when you paid for all the wine. I realized there were three ways to handle my unhappiness. One, I could make sure I wasn’t on call the following year so I could join in the frivolity. Two, I could cultivate new friends and family who were less inclined to intoxicate themselves at holiday meals. Or three, I could view this moment of unhappiness as a spiritual lesson and walk more strongly the path of Love. The decision was easy. I decided not to be on call again. Holidays are stressful, but particularly so for women. Women are more aware of the subtleties of celebration. They put effort into aesthetic touches that would never dawn on a man. The intention, I believe, is to manifest beauty. But sometimes the result is marital conflict. Every Thanksgiving, Ann makes six dozen homemade crackers called “Cheddar Crisps” that come in three flavors: cracked blacked pepper, caraway seed, and something called nigella seed.  Ann carefully sequesters her crackers in a tin box to be doled out at the right moment. Every guest is given three crackers just after saying grace, one of each flavor – and a bowl of butternut squash soup.  It’s such a big deal to Ann that you handle each cracker like Grandma’s antique tea cup.  Unfortunately, I am more a Ritz cracker kind of guy, accustomed to shoveling large quantities into my mouth until I am full. So for me this homemade cracker stuff is holiday stress. How do I express genuine appreciation for the work my wife has put into this pre-Thanksgiving snack, without conveying my true thoughts? Stop wasting so much time already – they’re just crackers! Instead, I channel Effete Cracker Connoisseur, solemnly critiquing the subtleties of each flavor and commenting about how the steam from the soup opens up the palate so one can fully appreciate the differences. But truthfully, I just wanted Ann to stop making them. Last year I got my wish. I was not on call, and no homemade crackers were to be found! But I noticed a few things. Free to imbibe a glass of wine, I found I did not want any, but instead chose sparkling water. And the sodden idiots inclined to boorish conversation I remembered from the year before were actually beautiful people I am so very blessed to have in my life. But what surprised me most was that I actually missed Ann’s homemade crackers. It’s not always easy for a man to appreciate the attention to detail an effortful woman brings into her family’s life. Sometimes what she does seems frivolous – and God knows, sometimes it’s expensive. But there is a reason for a woman’s efforts, and this I understand – as a father, as a husband of twenty-eight years, and also as a physician who has listened to women carefully over the years. A woman gives life to her children, brings beauty to her home, and creates ties in her community.  A woman makes life more beautiful for us men – Whether we want her to or not.

Michael Litrel, MD, FACOG, FPMRS
Vaginal Rejuvenation, Vaginal Rejuvenation Education

Vaginal Rejuvenation Surgery: Three Common Questions

by Dr. Michael Litrel, FACOG, FPMRS Our vaginal rejuvenation patients continue to be extremely happy with their results, whether they’ve received their surgery in the hospital or as an in-office procedure. “Dr. Litrel performed my vaginoplasty and he’s simply amazing! I feel absolutely wonderful and have done nothing but brag about him and his staff. I highly recommend your office. I was expecting more pain and downtime but I feel great! I sit at a desk all day and I’m going to work today. No pain meds for 24 hours. I had contacted another doctor’s office in your area prior to contacting you. I received your email response right away and it just felt right! From the time I first got in contact with your office, things fell into place and went so smoothly! I’ve never experienced this kind of excellent service at any doctor’s office I’ve ever been to. I was treated with such amazing courtesy and respect. I could not be happier with the care I received.” – Testimonial of patient Juana L. With all the discussions surrounding vaginal rejuvenation, many women considering the procedure may still find themselves with questions about it. This is completely normal, as vaginal rejuvenation is surgery, and should be treated as such. Here’s a look at three of the most common questions patients ask about the vaginal rejuvenation procedure. Am I a Good Candidate? Following vaginal births, women lose the strength and elasticity in the vaginal and perinatal area. These post-delivery complications can include urinary incontinence, pelvic or rectal prolapse, or loosened elasticity of the labia (the inner and outer vaginal lips) that may cause discomfort during physical activities. All of the above complications can benefit from the repairing and tightening of the vaginal tissue. Learn more! Download our FREE Vaginal Rejuvenation eBook. How Should I Prepare? If you’ve made the decision that vaginal rejuvenation surgery is something you want to have done, the most important thing you can do for yourself is to do your research. Find a specialist who is trained in Female Pelvic Reconstructive surgery, not just a plastic surgeon who claims they can perform the procedure to make sex more enjoyable. At your pre-surgery consultation, be ready with questions. Ask your surgeon about how long the surgery will last, what types of incisions will be performed, and if your surgery is considered a medically necessary procedure, find out about what insurance will and won’t cover. What Can I Expect After Surgery? The first 24-48 hours, patients can use ice packs to reduce the swelling. Routine everyday activity is permitted, and wearing loose clothing is highly recommended. You will be able to resume showering after the surgery, but use a soft washcloth and be careful not to scrub the incision areas. You will also need to avoid baths, pools, and hot tubs for four weeks post-surgery. Most patients can return to work after about a week, unless the nature of your work involves strenuous activity. For most women, the $10,000 question after having vaginal rejuvenation surgery is, “When can I have intercourse again?” This, of course, is dependent on the procedure and how well you take care of yourself afterwards. Most patients can resume intercourse within 8 weeks depending upon the complexity of their surgery. Want to Learn More About Vaginal Rejuvenation? To schedule a consultation about vaginal rejuvenation surgery, please call our female representative on her private and confidential line at 770.721.6060.

Dr. Gandhi delivering baby
OB

Preeclampsia, Labor Pains and a Beautiful Baby Boy

“My first son, Logan, was delivered in 2007 by Cherokee Women’s Health. This time, I had a different OB/GYN. I was so worried because I thought she knew nothing about me or my issues during the pregnancy since I had been seeing Dr. Litrel during my entire pregnancy, and had to be induced at 36 weeks due to preeclampsia. To make a very long story short, this OB/GYN was also a complete blessing to me and my family. “Logan had some issues when he was born so he had to stay in the hospital for eleven days. She didn’t have to check on me during this time but she made a point to come up to my room numerous times to make sure I was okay. Amanda recalls the care she received. “The labor was agonizing and tiring but my OB stayed with me through the entire thing. From then on I considered her not only my doctor but a friend. Since then she has seen me through two miscarriages —with lots of testing to find out the reason — a long second pregnancy full of both worry and pure joy, and the amazing pain-free birth of my second son Jaxon Luke Parker. I appreciate Cherokee Women’s Health so very much!!” For more information or to schedule an appointment, call 770.720.7733 or visit Cherokee Women’s Health Specialists or request an appointment online.

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