H1N1 (swine flu) Vaccine Availabilty
We are registered providers for the H1N1 (swine flu) vaccine and it is absolutely recommended for all pregnant women. Call the office after october to check and see if the vaccine is available.
Tamiflu® is also approved for use in pregnant women who have flu symptoms or have confirmed cases of H1N1 (swine flu). Please contact your primary medical doctor if you think you have these symptoms. For more information on Tamiflu® click here.
For more information about the H1N1 vaccine please visit http://calpanflu.org/.
Tarzana Providence has a new Blue Cross Contract!
I am pleased to announce that on July 31,2009, Providence Tarzana Medical Center reached a new
agreement with Anthem Blue Cross. This new contract applies to Blue Cross HMO and PPO products and
takes effect July 3 1,2009.
You may now call Blue Cross and resehedule services at Providence Tarzana Medical Center which may
have been scheduled at other hospitals due to our contract status. Our Admitting and Surgery Scheduling
departments will be happy to help facilitate any rescheduling. Call 818-674-8651 for Admitting and 818-
708-5532 for Surgery Scheduling.
I want to take this opportunity to thank you for your patience and support during the nearly full year of
these negotiations. Your continued loyalty allowed us to work out a fair and equitable contract with
Anthem Blue Cross ensuring our mission of providing quality medical care. We value your partnership
with Providence Tarzana and your dedicated service to our community, We apologize for any
inconvenience these contract negotiations may have caused.
Providence Tarzana Medical Center
We now provide NovaSure
More than 7 million women in the United States suffer with a very heavy menstrual
period each month. This can have a major impact on their lives. Consequences of a heavy
period can include pain, fatigue, embarrassment, and iron-deficiency anemia. but
fortunately this condition can be now be treated very effectively during a visit to our
office with the NovaSure procedure. The NovaSure procedure is a minimally invasive
alternative to hysterectomy that can provide a safe, effective treatment for heavy
The NovaSure procedure is a quick, safe, simple, one-time endometrial ablation treatment
which removes the lining of the uterus to control heavy bleeding. An advance in women's
hcalth, the ablation is completed in about 90 seconds of energy delivery and only needs to
be perfornled once to lighten or stop your periods. Without the side effects of hormones
or the risks of hysterectomy, NovaSure is a minor procedure, with a quick recovery time
so you can go on with your life sooner.
With more than 500,000 patients trcated to date, NovaSure is proven safe and
suceessfu1.2 Clinical trials have demonstrated that more than 9 out of 10 women return to
normal or lower than normal bleeding levels.3 Many women also experience additional
benefits including a reduction in PMS and painful periods. Some patients even enjoy no
periods at all. I No pretreatment drugs are required and NovaSure can be performed in the
hospital or in your doctor's office. Most women experienced no post-procedural pain and
return to work and regular activities the next day.
Women are extremely pleased with the outcomes and 97% of patients would recommend
NovaSure to other women.
Novasure ... was it the right thing to do??? Part 1...
Jan 13 '07
The Bottom Line Novasure - take control over your body and life again! The alternative
*Some of the following information may be too detailed for some people, but I can't tell
the story, without saying what I have to say*
I feel that I am a pretty healthy 31 year old female. I am a mother of 4 beautiful children,
and carried those to full term with no problems. Even after suffering my miscarriage in
94', J was still able to have very healthy pregnancies, so I would honestly say I am
"female" healthy. I've had a few bad pap tests, endured a colposcopy back in 02 which
everything came back normal. .... then I became pregnant with my 4th and final child. My
periods were pretty much on schedule up until then. After having my youngest child
though everything changed. All of a sudden, I never knew when I was going to start, or
when I was going to stop (after 16 years of knowing your body's schedule, man what a
shock!) It was even embarrassing as a lot of you women can relate to. Nothing compares
to carrying around a purse full of maxi pads and tampons all month long!!! Geesh!
Then about a year ago (my youngest is 3 years old), I started having severe cramping
every month right before and during my cycle. I mean cramping beyond anything I had
ever had. The cramps were so strong and horrific, I could hardly walk or move or even
get out of bed some mornings. Being a mother of 4 kids and a husband who drives a
truck, I had no choice but to work through that pain for about 3 days each month. I had
enough when it got to the point, I was taking my anger at this problem out on my family.
I found myself griping at my children for no reason. PMS was nothing compared to what
I was putting my family through. It was time to talk to my gynecologist about this
problem. I was sick and tired of not having any control over my body anymore.
When I explained my problems to my doctor, she was/very helpful in a few options I had
available. Since I pretty much had a healthy uterus she did not recommend a
hysterectomy. I wasn't opt for that type of surgery anyways. She explained to me that she
could put me on birth control pills, a very small dosage, to get my cycle back on track.
But of course the cramping she said would have to be controlled by a pain pill. This pain
pilI she offered had to be taken 3 - 4 days before your cycle starts. I had a few issues with
these options due to the fact I never knew when I was starting for sure, and I had a bad
experience with birth control pills once. So she gave me another option called NovaSure
and she gave me a pamphlet on it. The doctor told me this is a fairly new procedure
started back in 2003. I was told to read thru the pamphlet and if I had any questions to
call her nurse anytime. If I wanted the procedure done, then they would have to do some
testing to see if I was "healthy" to proceed.
NovaSure is an outpatient procedure done in hospitals and only a few doctors do this.
NovaSure Endometrial Ablation is the quick, safe and simple, one-time procedure with
no hormones and no hysterectomy. Even though I didn't have tremendous heavy periods,
my doctor said this procedure helps with pain & suffering, PMS symptoms, and may
even cause periods to reduce in duration or even stop completely.
I was ready to try anything and since it was outpatient with hardly any healing time
(unlike hysterectomies) I called and set up my appointment with my doctor's nurse to
begin the testing.
After having my yearly exam, the doctor set up an ultrasound to check for tumors and/or
any other abnormalities. I had these tests done about 5 days prior to my scheduled
surgery. The dr also done a biopsy of some sort, but at this time I don't remember what it
was called. It was to measure the uterus and check for any uterus abnormalities. My
ultrasound and biopsy came back clean and I was ready to go! The doctor went over all
my prior instructions before and after surgery. I was informed that the healing process is
different for every woman but much easier than from a hysterectomy. Usually you can
return back to work or normal activities within 2 days. I had 2 prescriptions to fill before
the day of my surgery. One was an antibiotic to take for 5 days after surgery and then of
course a pain pill called Percocet. The doctor said some women say they had the worse
pain ever after this, and yet others say it was nothing at all. My doctor was very thorough
on the pros and cons of this procedure. Pros being, less painful less bleeding during
periods (some women have reported having no periods at all after Novasaure.) Cons
being during the surgery complications can arise like the uterus being ruptured,
infection, pregnancy complication and gas embolism. It is STRONGLY recommended
women who have NovaSure do NOT become pregnant. This procedure is NOT a birth
She explained to me what she would be doing while 1 was asleep. First they would fill my
uterus up with a fluid and do measurements and check for polyps. This is called (and
sorry if misspelled) Hysteroscopy. Then they do a simple procedure called D & C which
basically they scrape the uterus lining to clean it out. I know that sounds kinda gross, but
hey? gotta do what ya gotta do. And last but not least they do the Novasure procedure
which is a laser removal of the uterus lining.
The night before surgery of course, since they would be putting me completely oul during
the procedure, I couldn't eat or drink after midnight. No problem except I am a caffeine
freak!!! But I somehow managed just fine.
The next morning I arrived at the hospital at my scheduled time for being there. They
promptly got me back into a "waiting" room in Outpatient Surgery and had me give a
urine sample (to check for pregnancy), and dress in one of those lovely gowns. My
husband was with me of course, because I had to have a designated driver from being
under anesthesia. I had my talk with the anesthesia guy and the nurse started my
wonderful I.V. I was ready to go ... and yet very nervous. I said goodbye to my husband
and was on my way to the "holding room" (I love the names they give the rooms .. haha.)
Back in the holding room, I was given an IV antibiotic for the surgery, I was given
Pepcid since I had an empty stomach, and then I was given a sedative, As the nurse called
it a "I don't give a damn" medicine, She had a great sense of humor!
I don't remember a whole lot in the surgery room other than being talked to by the nurses
and the anesthesia guy. When I woke up in the "recovery room" of course I was groggy,
but knew where I was and knew I was done, I would say I was in the surgery for almost
an hour and in the recovery room for about 30 minutes.
I had no pain what so ever when I finally was back to normal stale of mind, I had very
minimal cramping. My doctor saw me before 1 left the hospital and said that everything
went well and she would see me in 2 months for a checkup, She told me the nurse would
go over my instructions on after care, I was at the hospital from 8: 15 a.m. and left around
After care is pretty simple… to me it was just using common sense, The first day of the
surgery you cannot make any important decisions and/or sign any important documents
due to being under anesthesia, You have 10 rest, not bed rest, but do take it easy for the
remainder of the day, Take prescriptions as prescribed by the doctor. No baths for 2
weeks or initial bleeding has stopped (but may shower after the day of surgery), No sex
for 2 weeks, No using tampons or douching for 2 weeks, No steps for at least 2 days and
can return to work and normal activities when feeling up to it but not sooner than 2 days,
I did as my doctor said of course, as I said earlier, being a stay at home mom with a
husband who drives a truck, it was really hard but I managed so far. I'm on my 3rd day
after surgery and feel great other than being bloated and minor cramping here and there, I
had no major pains or discomfort and hardly any bleeding at all I have only had to take 3
pain pills since the surgery, I'm anxious to see how well I feel when next month comes
around and if I'll even get a period, but my main concern is the pain I was having before
and to see if that has stopped.
I started this "review" to let women know that there are other options out there for painful
heavy menstrual cycles and they should talk to their doctors about it. Of course with
every procedure there are risks involved, but I'm looking forward to a life without pain if
I can prevent it. I will write more on this review as I discover what my body is up to,
Please don't hesitate to talk to your doctor about Novasure, It may just be the answer you
are looking for. It may be a simple surgical way to take control over your body again or
at least that is what I'm hoping for.
Please check out the website for real demonstrations on how this procedure is done and
doctor/patient testimonials @ www.Novasure.com and more detailed information on the
pros and cons, My review is 011 how it's helped or not helped me as I will talk more about
this when I know more, Thank you for reading and hopefully this has helped women out
there in some way and give them some hope.
Until next time…
Novasure - How well is it working? - Part 2
Feb 25 '07
The Bottom Line Don't let your body run your life! Talk to your Dr about Novasure
Over a month ago, I told my story on how my cycles were controlling my life and what I
did to change that. I explained how the Novasure procedure is done (or should be done)
and immediate "effects" I had afterwards.
It's now been 1 month and 15 days since 1 had the Novasure procedure done and I'm
feeling GREAT! For the most part, right after the outpatient Novasure procedure I had
minor cramping (I hardly used my pain meds), very minor discharge (pantyliners worked
very well), and bloating for about 2 weeks. The bloating was due to the "hysteroscopy"
done first in the Novasure process. I can honestly say that it was well worth it. No
complications, no messy period, and no PMS symptoms (whew). I am on cloud nine so to
speak because I feel normal again.
After reading some other information about this procedure I have noticed several women
saying the procedure didn't work for them. But I also noticed that these women had other
"issues" that effected the outcome in my eyes. I'm not a dr by no means, so I'm only
forming my opinion here on what I've read. Most women with fibroids or polyps on their
uterus have found that this procedure didn't work well on them.
My problem only consisted of heavy periods and severe cramping. I also noticed that
before I had the procedure done, there were times I would get up to walk I felt like my
whole insides (sorry for the guys reading this) were about to FALL OUT ONTO MY
FEET! Literally, I thought my whole uterus was falling out of my body right before my
eyes. I had such bad pains it would bring tears to my eyes and I would grip whatever I
could closest to me to regain my balance. This is also pretty personal to say (but it's part
of the woman's anatomy) but I also had painful sex since I had my first child. I noticed
now after having Novasure done, I have had NONE of these pains.
All in all the Novasure has worked VERY WELL for me. I am now completely FREE of
pain, PMS, AND periods. I can't say that I will never have a cycle again, that is one
question I will have to ask my doctor. I am scheduled to go back to my gynecologist for
my check up on March 15th. Now that I have been cycle free for over a month, I've been
really spoiled! I'm not so sure I want my period back. .. haha!
Is Novasure right for you? I can't answer that question for everyone. This procedure is
something ONLY you and your gynecologist can discuss and weigh all options. Mainly,
my purpose here is to tell you what Novasure has done for me. So far, I am a very happy
patient! I will try to keep this updated as much as possible and if any of you out there
would like to contact me personally to talk about Novasure, I will be more than happy to
talk to you-just shoot me an email.
If you have just recently had Novasure done, PLEASE PLEASE (I can't stress this
enough) DO AS YOUR DOCTOR RECOMMENDS! No baths, no tampons, no sex for
at least 2 weeks! Limit your activity as you feel necessary. Do NOTHING for 24 hours
AFTER the procedure. I honestly believe that helped me heal as fast I did - I listened to
my doctor's instructions.
I truly feel that I have my life and body back under control after Novasure!
Until next time ....
Our office now provides Nova Sure. To find out more about Nova Sure click here.
Your mother or grandmother. Your sister or daughter. Your
father's sister, niece, or other women from your father's
side of the family. If you or your close relatives have a
history of breast or ovarian cancer, there may be an
inherited risk that runs in your family.
In every family, certain traits are shared and passed
on from one generation to the next. Most obvious are
physical traits such as eye or hair color, or resemblances that parents and children share. Less obvious are inherited genetic traits that control the tendency to develop specific diseases, such as certain cancers. Many people don't realize that about 10% of breast and
ovarian cancers are hereditary - that is, they are due to a mutated (altered) gene passed on from parent to child. You don't actually inherit cancer, but rather you inherit a higher risk of developing it.
To learn more About BRAC analysis, click here.
Dr. Rebecca Lee Perlow was recently distinguished as a Patients” Choice Physician.
This honor reflects the difference she has made in people’s lives through the exceptionally high praise of her patients.
Every month, more than 40,000 patients across the United States provide online feedback about their experiences with their doctors. They rate various components such as bedside manner, doctor-patient face time, degree of follow-up, courtesy of office staff, and overall opinions.
Over the course of 2008, these reviews totaled hundreds of thousands of patient opinions.
Of the nations 720,000 active physicians, less than 5% were accorded this honor by their patients in 2008.
See the profile posted on Vitals.com, Health.com and others.
Local Doulas Honor Outstanding Individuals
By: Octavia Lindlahr (edited to fit in the format)
The Doulas Association of Southern California (DASC) held its first Awards Banquet on Saturday, November 6, 2004 at the Radisson Hotel in Culver City. If you are not familiar with the word “doula” you will most likely be introduced to it at some point in the near future. The word “doula” is a Greek translation for “mother’s servant” which has been adopted to depict this group of thriving women. This rapidly growing field of trained and educated birth and postpartum professionals is making its mark in the maternity arena with full force.
The Banquet was organized to recognize and show appreciated to outstanding individuals who have contributed positively to the field of Labor and Delivery. Nomination forms were sent to the DASC Membership which is comprised of over 140 birth and postpartum doulas, as well as prominent medical professionals to include physicians, nurses and educators. 18 awards were given out from Favorite Physician to Favorite Labor Doula.
Dr. Rebecca Lee Perlow was given an award for one of the “Favorite Physician” category.
Revlon Walk 2006
It's time again to get our walking shoes on for the Revlon Run/Walk for Breast Cancer 2006!
Date: May 13, 2006
L.A. Memorial Coliseum/Exposition Park
Dr. Rebecca Perlow and family as well as her staff continue to march to find a cure and beat cancer for good. Join us!
Revlon Walk 2005
What a team we had! Dr. Rebecca Perlow, her husband Dr. Dennis Perlow, their staff, as well as Dr. Kohn and his staff joined together with family and friends to walk for a cure for cancer at the Revlon Walk.
Someone asked, “Isn’t it depressing to see people walking with deceased people on their shirts, or signs on their backs commemorating lost loved ones?” Our answer is, “Definitely no!” This is a time when 60-70 thousand people come together just for a few hours and they can have a camaraderie with others who share the loss of a loved one and to be with those who are survivors.
The Revlon Walk is so well organized and this year there was so many more survivors of cancer. It was very encouraging to know that donations are making a difference. Plus it was very uplifting for the survivors to see so many women, men and children supporting them.
We had new team members that said they were not really eager to participate, but after what they saw this year, they can’t wait till next year. Now they are encouraging their family and friends to get involved.
We want to encourage all our family, friends and patients to continue the fight all year round and donate to any cancer organization to help find a cure!
Enjoy some of the photos that were taken of our team.
2004 Revlon Run/Walk for Women
May 8, 2004
Held at the L.A. Memorial Coliseum in Exposition Park
On Saturday, our office participated in the walk for
a Cure for Breast and Ovarian Cancer sponsored by Revlon
and other multiple corporations. I personally lost my
sister Laura Anne Young at the age of 40 to Breast Cancer
as well as Dr. Dennis’s mother Rose. His sister
Sissy is fighting Breast Cancer as we speak. We were
so moved by the thousands of people, of all ages and
races who carried signs of family and friends they had
lost to the disease. It was comforting to be among them,
because when we lose someone that touches our lives
personally, we have the tendency to think we are alone
and Saturday proved that in the Los Angeles area we
are not alone.
My Office Staff Roberta and her daughter Julie walked
with us as well as our son Sam. Roberta has also lost
her Aunt Beulah, her mother-in-law Sarah Bajakian, and
We can tell you that it was well organized; up lifting
and we encourage all of you to participate next year
with us. Let’s keep the fight going to bring a
cure to Cancer.
Contact the following web sites for more information
or if you need assistance on Breast or Ovarian Cancer.
National Women’s Cancer Research Alliance www.nwcra.org
The Wellness Community www.la.wellnesscommunity.org
WIN Again Breast Cancer www.winabc.org
USC/Norris Comprehensive Cancer Center and Hospital
Ovarian & Breast Cancer Program www.uscnorris.com
The UCLA Digital Mammography Program (310) 206-9608
Los Angeles Breast Cancer Alliance www.labca.org