These Are the Top Pediatric Care Providers in Westchester

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adult primary care essex :: Article Creator UVM Medical Center Eyes $8.6 Million Primary Care Project UVM Medical Center. File photo by Mike Dougherty/VTDigger [U]niversity of Vermont Medical Center is planning an $8.6 million expansion of its primary care services in Chittenden County, new state documents show. Amid a statewide shortage of adult primary care services, hospital administrators have proposed a new facility in Essex that could handle up to 10,500 additional patient visits annually. It would be twice the size of the hospital's current Essex practice and would add seven new staff. The practice also would include an in-house psychiatrist and a drug and alcohol counselor as part of a statewide and nationwide effort to integrate such services with medical care. "It's kind of one-stop shopping," said Dr. Jennifer Gilwee, division chief of general internal medicine and geriatrics. "It just makes it easier to access...
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11 Expert Perspectives on the Future of Medical Specialties

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ut general surgery :: Article Creator

Hernia Surgery

There are five common types of hernias. Some affect men and women differently.

1. Inguinal hernia is the most common type of hernia. These types of hernias occur when the intestines push through a tear in the abdominal wall. Inguinal hernias are more common in men than in women because the inguinal canal is bigger. With an inguinal hernia, you'll typically notice a small lump or bulge where your thigh and groin meet.   

2. Femoral hernias are more common in women. Femoral hernias occur when part of the intestine pushes through the femoral canal towards the top of the thigh. The femoral canal is the main blood supply to the legs. 

3. Umbilical hernias are the second most common type of hernia. They're most common in newborns but adults can also get umbilical hernias. This happens when fat or part of the intestine squeezes through muscle near the belly button. For newborns, the umbilical hernia usually goes away on its own. Usually you only need surgery if you are in pain or the lump has enlarged significantly.

4. Incisional hernias are caused from a previous operation or surgery. If you've had a surgery where the doctor needs to make an incision through the muscle lining around your stomach or abdomen than it's more likely that a hernia will occur. Tissue or other organs can poke through the surgical wound that isn't completely healed yet.

5. Hiatal hernias are most common in pregnant women and people over the age of 50. Unlike the other types of hernias in your intestines or abdominal muscles, a hiatal hernia is in the diaphragm. A hiatal hernia happens when part of the stomach pushes up through an opening (esophagus) in the diaphragm and into your chest. Instead of a lump or bulge, you may notice heartburn or chest pain instead. Frequently, symptoms do not occur with hiatal hernias. Surgery is only recommended if symptoms occur and cannot be treated with alternative options.


Durzi Could Be Out Rest Of Season For Utah After Shoulder Surgery

Defenseman expected to miss 4-6 months, Marino also sidelined following back procedure

© Ezra Shaw/Getty Images

Sean Durzi could be out for the rest of the season for the Utah Hockey Club after having surgery on his right shoulder.

The defenseman is projected to return in 4-6 months. He was injured in a 3-0 loss at the New Jersey Devils on Oct. 14.

"It doesn't look like he's going to be back anytime soon," Utah general manager Bill Armstrong told KSL Sports the next day.

Durzi, who turned 26 on Monday, has two assists in four games this season. He led all Arizona Coyotes defensemen last season with 41 points (nine goals and 32 assists) in 76 games after arriving in a trade with the Los Angeles Kings on June 24, 2023, for a second-round pick in the 2024 NHL Draft.

Maveric Lamoureux was recalled from Tucson of the American Hockey League and will make his NHL debut when Utah hosts the Colorado Avalanche at Delta Center on Thursday (9 p.M. ET; Utah16, ALT). The 20-year-old defenseman has two goals and one assist in four games of his first professional season. He was a first-round pick (No. 29) of the Coyotes at the 2022 NHL Draft and played four seasons for Drummondville of the Quebec Maritimes Junior Hockey League.

Robert Bortuzzo has replaced Durzi in the lineup, but will be a healthy scratch Thursday.

"Durzi is a big piece," Armstrong said. "We're going to have to find a way to replace (him), whether that be somebody that's here with us like Bortuzzo goes in, or it's a callup. You're never going to replace him, but we're going to have someone go in there and try and basically patch up the best way we can."

The crew discuss Utah's early season injuries and how they can adapt to working around them

John Marino will be sidelined for 3-4 months. The 27-year-old defenseman had lower-back surgery and has not played this season after he was injured during training camp. He was traded to Utah by New Jersey on June 29.

"He will be back this year," coach Andre Tourigny told the Salt Lake Tribune on Oct. 18. "When? Not soon enough. But he will be back."

Nick Bjugstad (upper body) continues to skate with Utah but has not yet been cleared to play. The 32-year-old forward was injured during camp.


'The Best Outcome Possible': St. George Surgery Center Revolutionizes Knee Replacements With Robotics

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