Archive for the ‘Uncategorized’ Category

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Humanitarian Outreach helps everyone

Friday, March 1st, 2013

As a believer in bringing surgical relief efforts to low-income countries, Anthony Quartell, MD is planning a trip to the country of Grenada located in the Grenadines.  comprised of about 110,000 people.  It is estimated that only about a third of those born in Grenada actually still live there, as many young people seek to live elsewhere  for “better” opportunities.

In an effort to share his knowledge with  a country that has  limited resources, commencing in April 2013  Dr Anthony Quartell  is participating in a medical mission to bring minimally  invasive gynecology to Grenada.   There are over 100,000,00 residents of third world countries with access to only a handful of gynecologists who do not have the ability or knowledge to provide this care.  By teaching those gynecologists to perform  minimally invasive surgery in a safe manner, Dr. Quartell hopes  to help decrease infection, reach good outcomes and bring  them into the 21st century.

Anthony C. Quartell, MD & Associates serves Livingston,N.J., Florham Park, N.J., Millburn,N.J. West Orange, N.J. and surrounding areas.

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Another happy NEW MOM

Monday, February 18th, 2013

When Alisa came in to see Dr. Anthony Quartell for her post partum visit after delivering a healthy baby girl, she explained how she and her husband had given up on ever having their own child.  In fact, they had just started to look into adoption when Alisa became pregnant for the third time.  Her first two pregnancies had ended in miscarriages and it took a few years between each before she was able to conceive this last time.

As she happilly introduced Dr. Quartell and his staff to her beautiful daughter, she reflected on her long struggle and thanked everyone for being so helpful and supportive to her.  Alisa’s first pregnancy had ended in a fetal demise at 7 weeks and her second one ended at 7 1/2 weeks.  She and her husband’s genetic histories did not reveal anything that should have been responsible for the miscarriages.  Her first losses were probably of just poor ovum formation and not necessarily related to any chronic medical history.

Ultimately, after diligence to following the  instructions Dr. Quartell had given to her and her husband in order to conceive, Alisa ended up with the outcome she had always dreamed of.

Anthony C. Quartell, MD & Associates serves Livinston, N.J., Millburn, N.J., West Orange, N.J., and Verona, N.J. and surrounding areas.

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Hereditary Breast and Ovarian Cancer Syndrome

Tuesday, February 5th, 2013

Hereditary breast and ovarian cancer syndrome is an inherited cancer-susceptibility disorder.  Some indications that would warrant testing include multiple family members with breast cancer or ovarian cancer or both, the existance of both breast cancer and ovarian cancer in a single individual, and early age of breast cancer onset.  Allowing for obstetricians/gynecologists to identify women who are at an  increased risk of breast cancer and ovarian cancer, clinical genetic testing for gene mutations is recommended.  The physicians are able to  implement screening and prevention strategies, and subsequently aid in the identification and management of patients with hereditary breast and ovarian cancer syndrome.

Some criteria for Genetic Risk Assessment would include female patients with a personal history of both breast and ovarian cancer,cancer of the peritoneum and fallopian tubes, females with ovarian, peritoneum, fallopian tube cancer and a close relative with this cancer or premenopausal breast cancer or both, females with the same cancers who are of Ashkenazi Jewish ancestry, females with breast cancer at age 50 or younger and a close relative with the same listed cancers or male breast cancer at any age, females of Ashkenazi Jewish ancestry in whom breast cancer was diagnosed at age 40 or younger, females with a close relative with a known BRCA1 or BRCA2 mutation, females with breast cancer at age 40 or younger.  For a complete list and /or thorough evaluation, as the list goes on, females are urged to see their obstetrician/gynecologist.

Anthony C. Quartell, MD & Associates serves Livingston, N.J., Millburn,N.J, Florham Park,N.J., West Orange, N.J., Cedar Grove, N.J. and surrounding areas.

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Urodynamics Testing

Thursday, January 31st, 2013

In a previous blog,  we discussed how up to 35% of females experience a decreased quality of life stemming from  issues with  urinary stress incontinence.   Affected women become unmotivated about engaging in activities they had always previously enjoyed, such as exercising at the gym with other people, participating in weekly activities such as bingo groups, book clubs, and other club meetings.  They may turn down invitations to join others for lunch or dinner dates or even a day shopping with friends.  All because of issues with urinary stress incontinence!

Urinary Stress Incontinence is the involuntary leakage of urine that occurs on effort or exertion and many times when least expected.  This is not only burdensome and inconvienent to females, but it can be embarrassing at the same time.

Some treatments, as we noted before, consist of pelvic floor muscle training and incontinence pessaries.  However, there is also testing that could be performed in  some doctors’ offices that evaluate for different causes and types of urinary stress incontenence.  For instance, if a patient is determined to have urge incontinence (ie: waking in the middle of the night consistently with the urge to urinate), she may be able to just take certain medications to eliminate the problem.

A proper evaluation and /or urodynamics testing should be performed if there is any issue with urinary stress incontinence.

Anthony C. Quartell, MD & Associates serves the Tri-county area including Essex, Morris, Passaic, Union counties  and surrounding areas.

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Patient’s twins are now 21 years old

Tuesday, December 18th, 2012

The other day a long time patient of Dr. Anthony Quartell’s came to our office with her two lovely 21 year old daughters.  These girls presented Dr. Quartell with a very kind thank you card indicating how grateful they were that Dr. Quartell was their mother’s physician 21 years ago.  Having had a difficult pregnancy which consisted of many extra hospital stays and careful monitoring of her condition, our patient was able to deliver two premature baby girls substantially ahead of the due date.  Despite the complications of our patient’s pregnancy, her daughters have grown into healthy and beautiful young women who have a bright future ahead of them.  We can only hope that more stories turn out so successful.

Our office wishes everyone a happy holiday no matter which holiday you celebrate.  Hoping for a new year ahead -in 2013- that is filled with love and compassion for everyone and hope for a better world to bring our children into.

Anthony C. Quartell, MD & Associates serves Livingston, N.J., West Orange, N.J., Millburn,N.J., West Caldwell, N.J. and surrounding areas.

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Patient gives Dr. Quartell 2 Thumbs up!

Tuesday, October 16th, 2012

Maria DaSilva, a regular patient of Dr. Anthony Quartell’s, who was seen in our office recently, raved about the treatment she received in 2009 from Dr. Quartell for her fibroid.  She explained that prior to the March 2009 surgery, she had been having chronic bleeding problems “24/7 non stop” and pain for a long time.  Then in March of 2009 Dr. Quartell performed a Laparoscopic subtotal hysterectomy (LSH) on Maria to remove her twelve-week size fibroid and her pain and bleeding along with it.  Maria further explained that she had the surgery on a Wednesday and was back at her job as a hairdresser, where she stands on her feet for more than 5.5 hours straight, on the following Tuesday.  During this time she took only 4 pain pills, mostly for her back and subsequently, felt wonderful within days of the surgery.  Telling us she experienced no problems, Maria indicated that she has recommended Dr. Quartell and this surgery to several people since that time as she feels he did an excellent job.  “Dr. Quartell is the best and gets more than just 2 thumbs up!” Maria concluded.

Anthony C. Quartell, MD & Associates serves Livingston, N.J., Florham Park, N.J., Millburn, N.J., West Orange, N.J., Cedar Grove, N.J. and surrounding areas.

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ThinPrep Pap Test

Tuesday, October 2nd, 2012

The Pap Smear is a screening test that has been very successful at finding signs of cervical cancer, or cells that may turn into cancer in the future.  In the last 50 years, it has helped reduce the number of cervical deaths from 35,000 per year to less than 5,000 today.

The ThinPrep Pap Test was approved by the U.S. Food & Drug Administration and suffices to be used in place of the conventional Pap Smear.  Studies have proven that the ThinPrep Pap Test has increased the detection of precancerous cells.

 For more information, patients should contact their ob/gyn.

Anthony C. Quartell, MD & Associates serves the areas of Essex County,N.J., Morris County, N.J., Passaic County, N.J., Union County, N.J., Bergen County,N.J., Hudson County, N.J. and surrounding areas

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Patient praises office staff to R.N.

Monday, June 4th, 2012

Upon speaking with Rachel, a patient of Dr. Anthony Quartell’s for the last two years, our registered nurse, Marion, was praised for the prompt attention given to her by our office.  She relayed how upset she had recently been with another physician’s office (internal medicine)  when she was treated for a non ob-gyn issue.  She indicated that the staff at that office did not explain anything to her and in fact, they left her hanging all weekend with no information so that she  had to think the worst until she called our office to clarify the information.

Marion did explain to the patient that our office is not as common since we have two full time R.Ns and a Nurse Practitioner on staff to answer questions Monday through Friday.  This is not the first time our staff has been told how happy our patients are with the care they receive from the Doctors, Nurses, Medical Assistants and the rest of the staff.

Anthony C. Quartell, MD & Associates serves Livingston, N.J., Millburn, N.J., West Orange, N.J., West Caldwell, N.J. and surrounding areas.

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A woman’s menstrual cycles and menopause

Monday, March 7th, 2011

In most women, menopause begins around age 52, however; this varies among women, as some may start earlier or later.  At this time, the menstrual periods will stop, the ovaries produce less estrogen and also less progesterone is produced as well.  As women get closer to this time, during perimenopause, changes in hormone levels may affect ovulation which could cause the menstrual periods to shorten or become longer.  Also, bleeding may be lighter or even heavier or miss a month here and there altogether.  The perimenopausal stage could last up to 10 years.  During menopause, the ovaries, which are two glands located on either side of the uterus stop functioning.  These glands hold the eggs that are released at the time of ovulation, and are responsible for producing hormones, such as estrogen.  Once a patient has stopped bleeding for a year, she is considered to be post menopausal.  Should there be concerns regarding the perimenopausal, menopausal or post menopausal stages and what to expect during each stage, or how to treat problems such as hot flashes, vaginal dryness or abnormal bleeding, please contact your obstetrician gynecologist for an appointment.  Anthony C. Quartell, MD & Associates serves Livingston, N.J., Millburn, N.J., West Orange, N.J., the Caldwells and surrounding areas.

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Three types of Laparoscopic Hysterectomy

Monday, February 28th, 2011

Laparoscopic surgery involves the use of a slender lighted tube and camera, which is inserted through a small incision into the abdomen so that the surgeon is able to see more clearly.  Other tiny incisions are made as well, providing an opening  for the instruments.  Depending on the patient’s specific reason for surgery, the physician will decide which of three types of laparoscopic  hysterectomy surgery would be best in order to acheive optimal results.  A total laparoscopic hysterectomy involves several small inscisions to be made allowing for the laparoscope and other instruments necessary to remove the uterus and cervix.  If the cervix is not removed and left in place, the surgery would be called a laparoscopic supracervical hysterectomy.

A LAVH, Laparoscopically assisted vaginal hysterectomy involves removing the uterus, possibly the ovaries, tubes and cervix through the vagina, with the guidance of a laparoscope.  Finally, there is the Robot-assisted laparoscopic hysterectomy, which uses a robot attached to the laparoscopic instruments in order to remove the uterus and possibly other organs.  There are currently a limited number of Obstetrician Gynecologists who have the ability to perform the surgery using  the robot, however; more and more physicians are being taught to use the robot.  Anthony C. Quartell, M.D. has been one of the few obstetrician gynecologists located in New Jersey, to perform this surgery during the last few years.  Anthony C. Quartell,M.D. and Associates serves the Northern New Jersey areas of Essex County, Morris County, Passaic County and surrounding areas.

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