About Me

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Scottsdale, Arizona, United States
Angela M. DeRosa DO, MBA, CPE graduated from the Chicago College of Osteopathic Medicine in 1995. She went on to do an Internal Medicine Residency with a fast track emphasis in Women’s Health at Lutheran General Hospital. After her residency, she became the Director of Women’s Health Services and Education at Lutheran General Hospital. After two years of practice she started a full time career as the West Coast Senior Medical Director with Procter and Gamble Pharmaceuticals. There she worked on women's health product development, research and marketing. Seven years after starting this position, Dr. DeRosa decided to pursue other clinical endeavors. Dr. DeRosa is a nationally recognized internist and women’s health expert. Her clinical focus is on revitalizing the physician-patient relationship; striving to provide the highest quality of care to her patients in a warm compassionate environment.

Tuesday, May 22, 2012

World Thyroid Day

With World Thyroid Day here, we should all give homage to the wonderful little organ that sits in our neck and acts like the engine to our human automobile : “The Body”. However, approxiatley 1 in 3 women will have a thyroid disorder by the time they hit 50. Most doctors will miss the diagnosis if they just use the standard TSH screening test. As a medical profession we have lost the skill of history taking and physical exam in making the diagnosis of hypothyroidism.

 Many women come in with extreme fatigue, weight gain, sore muscles and joints as well as hair loss and cold intolerance. Their symptoms are screaming “hypothyroidism”.Then when you examine them, they have a slow heart rate, cold extremities, swollen neck which are clinical indicators of hypothyroidism. Then the doctors look at the TSH and if it is normal, they say” You don’t have a thyroid disorder” This is extrememly frustrating for patients and they have a reason to be so.

What happened to the good ole fashion skills of a doctor. They rely on this screening test and it is not the most reliable indicator especially if the women is also having Testosterone or Estrogen deficineny to boot. These hormones hang out together and get in trouble together. One must look at T3, T4 and reverse T3 levels to get a true indicator of the thyroid function and take it into consideration to their symptoms.

Hypothyroidism not only causing patients to feel terrible, but is a risk factor for cardiovascular disease, inflammatory conditions and cancers…including breast cancer. We should be taking a much careful look at the thyroid function in our patients not only to give them a better quality of life, but also to prevent the conditions that can cause it to stop short.

Patients should seek medical professionals who fully understand the role of thyroid and how to properly test and look for it. It is too important not to.

Monday, May 21, 2012

May is National Women's Health Month: Did you take care of your health?

Preventative health screenings are important but there is conflicting information about who needs them, when the right time is to get screened and how often certain tests should be done. May is National Women’s Health Month so it’s time to set the record straight and take health matters into your own hands.

Preventative health screenings are crucial but often confusing for female patients as there are many different guidelines that suggest different things. Many of these practice recommendations are based on large population statistics as well as monetary savings; none of which take into unique individual patients needs or risk. Routine tests are our best defense for early diagnosis of disease and in-turn higher successful treatment rates if something is detected. Women need to make their health a priority and National Women’s Health month is a great time to do that.”

Top 5 tests you should consider getting:

1. Heart disease is the number one killer of women throughout the world, six-times more likely to cause death than breast cancer. Based on these statistics, women over the age of 50 should have an electrocardiogram (EKG) yearly.

2. Skin cancer screenings must be conducted every year no matter what your age. The American Cancer Society anticipates Arizona will have 1,650 new cases of melanoma in 2012.

3. Pap smears should be done annually between the ages of 21 and 30 and then every 3 years in patients older than 30, providing they are in a monogamous relationship and have a history of normal pap smears.

4. Starting at age 40, mammograms need to be performed every other year and annually after age 50. To add increased detection of breast cancer, consider getting a BT test, which is a new blood test to detect the presence of inflammation markets which signal the possibility f breast cancer cells being present in the body.

5. A colonoscopy should be performed at age 50 to screen for colon cancer. After a baseline is established, follow up tests should be done every 5-10 years.

You can never be too careful when it comes to your health. Just this year I discovered a melanoma on a patient’s stomach during a routine skin cancer exam. She had been told by another physician that it was nothing to worry about. Trust your instincts….women know their bodies better than anyone else.

Saturday, May 19, 2012

Osteoporosis: It is not just your grandmothers disease.

With May being osteoporosis awareness month, it is important to remember that the skeletal system is the back bone (pun intended) of our body. Osteoporosis is a horrific disease that can be life threatening. Hip fractures, height loss, vertebrae fractures and other painful symptoms can result from osteoporosis. While this is not an easily detectable disease early in one’s life, there is knowledge available for protecting your health.
Simple aging is one of the biggest factors for the onset of osteoporosis in both men and women, women lose up to 10% of their bone in the first few years after menopause and most women are also Vitamin D deficient, therefore unable to properly absorb calcium. Hormone replacement therapy is critical during this point of a women’s life. Replacing estrogen and testosterone or beginning treatment with bone loss prevention drugs can stop the occurrence or lessen the severity of the disease.

Getting a DEXA scan while important is not the only way to diagnosis osteoporosis. Clinical risk factors such as family history, fracturing after the age of 50 (even wrist/ankle), vitamin D deficiency and BMI less than 20 can be other ways for a physician to diagnose osteoporosis.

One of the main myths about the disease is that it strictly affects women however osteoporosis threatens both men and women. Men have more bone density than women, due to their size, and therefore osteoporosis is usually later onset for them, but still occurs. Having an abundance of information is the key to understanding what how to take preventative measures against the disease. There are ways to stop osteoporosis or revert it back into osteopenia by undergoing hormone replacement therapy.

I urge you to seek an expert in osteoporosis and begin testing and seeking treatment if you are above the age of 50 (that’s you too men). Seek help from someone who understands the importance of each medication because not all osteoporosis medications are safe.
Every time I see an older person walking down the street, humped over with vertebral fractures, it make my heart break….as I know this could have been prevented.