Phone: 305-596-3744

Fax: 305-596-3676

www.floridaamigos.com

The Association of Minimally

Invasive Gynecologic Surgeons

...dedicated to healthy lifestyles and safe, state-of-the-art surgery

for women of all ages.

The Association is dedicated to safe, state-of-the-

art, innovative surgeries and healthy lifestyles for

women of all ages. In a nurturing environment,

the physicians and staff strive to promote a part-

nership in your healthcare and make every effort

to bridge the sterile science of diseases with your

emotional, physical, and spiritual needs. Every-

one is confronted with difficult healthcare deci-

sions at one time or another. You’ll want your

physician and staff to have the knowledge, experi-

ence, and sensitivity to guide you safely through

the decision-making process.

The Association for Minimally Invasive Gyneco-

logic Surgeons provides comprehensive gyneco-

logic office and surgical healthcare. The physi-

cians are certified in laparoscopy and hys-

teroscopy and are experts in advanced gyneco-

logic surgery. Doctors Pietro and Whitted are na-

tional speakers, trainers, and researchers in ad-

vanced surgical techniques. In addition, Doctors

Pietro and Whitted are Certified Menopause Clini-

cians who educate, train, and research the sci-

ence of menopause. Finally, they are certified in

advanced colposcopy

Doctors Whitted and Pietro offer expert care in the

following areas:

If you need surgery, the Doctors perform most

gynecologic surgeries with minimally invasive

techniques to reduce hospitalization, recovery,

scarring, discomfort and absence from work in

most cases.

Osteoporosis

...affects millions, costs billions.

...is preventable and treatable.

Osteoporosis, a potentially painful and

crippling disease, affects 23 million Ameri-

can women, 75% of whom don’t even

know that they have it. While some bone

loss can be expected as part of the normal

aging process, osteoporosis occurs when

bone loss is so severe it causes bones to

become porous, brittle, and likely to break.

Half of all women past menopause have or

are at high risk of developing osteoporosis.

Osteoporosis is often called the “silent dis-

ease,” because it doesn’t produce symp-

toms until a fracture occurs. The bones

most likely to break are the hip, spine, and

forearm. One in three post-menopausal

women will experience an osteoporosis-

related fracture. In fact, a woman’s risk of

hip fracture alone, the most painful and

debilitating of fractures, equals her com-

bined risk of developing breast, uterine,

and ovarian cancer. 50% of hip fracture

survivors require assisted living, 20% die

within one year after fracture.

The related costs of osteoporosis exceeds

$14 billion annually. The personal conse-

quences of untreated osteoporosis may be

loss of independence, pain, deformity, dis-

ability——-even death.

Paul A. Pietro MD

R. Wayne Whitted MD, MPH

Marina Santana MMS, PA

Janet Levick, Office Administrator

8740 North Kendall Drive

Suite 101

Miami, Florida 33176-2212

Abnormal Paps (HPV) Fibroids (Leiomyoma)

Abnormal Menstrual Cycles Loss of Urine

Bladder Prolapse Menopause

Chronic Pelvic Pain Ovarian cysts

Endometriosis Rectocele

Ectopic Pregnancy Uterine Prolapse

Family Planning Vaginal Prolapse

***Evaluation and Diagnosis of Gynecologic Cancers

Association of Minimally

Invasive Gynecologic Surgeons

...

dedicated to healthy lifestyles and safe, state-of-the-art, innovative surgery for women of all ages

Am I at risk of having osteoporosis?

Your chances of developing osteoporosis are greater

if you are female and answer “yes” to any of the fol-

lowing questions:

Are Your…?

• Light skin

• Thin or small framed

• Approaching or past menopause

• Milk intolerant or have a low calcium intake

• A cigarette smoker or drink alcohol in excess

• Taking thyroid or steroid medication

Do you have…?

• A family history of osteoporosis

• Chronic intestinal disorders

• A sedentary lifestyle

The Good News!

Today, doctors are better equipped to detect and

treat bone loss in its earliest stages. This can help

prevent the disease or lessen its impact. Also, sev-

eral drug therapies now available have been shown

to be effective in slowing down or reversing the

bone-loss process.

The diagnosis and treatment of osteoporosis should

begin first with a measurement of your current bone

health.

Measuring Bone Density with ultra-

sound...safe, reliable, and conven-

ient

There are several ways to measure bone density, most

of which involve the use of x-ray radiation. X-ray based

methods usually take a bone density measurement of

your hip, spine, forearm or heel.

The ultrasound heel bone densitometer uses radiation-

free ultrasound technology to estimate the bone density.

The heel site is used because it contains a high per-

centage of the kind of bone most affected by osteoporo-

sis.

During the ultrasound exam, two soft rubber pads come

in contact with your heel. These pads send and receive

high-frequency sound waves through the heel bone.

The test is performed in a seated position with your

bare foot placed and comfortably secured in the ultra-

sound unit. Socks or stockings must be removed for

the sake of accuracy. The entire procedure takes 1

minute.

Preparing for an Ultrasound

Bone Density Test

⇒ Wear socks, anklets or knee-high stockings.

Panty hose will have to be removed.

⇒ Remove ankle bracelets or other ankle or feet

jewelry. This interferes with the test.

⇒ Inform your operator if you have an open sore

or cut on either foot.

Osteoporosis prevention and

treatment

Fortunately, there are steps you can take to pre-

vent the development of osteoporosis. Even if

you already have the disease, these measures,

along with therapies your doctor may prescribe

• Make calcium-rich foods a regular part of your

diet Total calcium intake/day = 1500 mgs.

• If you don’t eat adequate calcium then con-

sider calcium and vitamin D supplements.

• Exercise regularly. Walking, jogging, or other

weight-bearing exercises are beneficial.

• Don’t smoke.

• Reduce your intake of soft drinks and coffee.

• Drink alcoholic beverages in moderation.

• Be informed about osteoporosis pharmaceuti-

cals used for prevention and treatment.

Bisphosphonates (Actonel, Fosomax)

SERMS (Raloxifene)

Miacalcin Nasal Spray

Hormone Replacement therapy

PTH Injectable

Calcium rich foods include:

• Milk (1 glass) 350 mg

• Yogurt 1 cup 290 mg

• Cheese (1 slice) 350 mg

• Ice Cream (1/2 cup) 93 mg

• Fortified Orange Juice 350 mg

• Soy beans 1 cup 175 mg

• Bread 1 slice 25 mg

• Broccoli 1/2 cup 38 mg

Normal Bone Osteoporosis