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Table of Contents 


Fond Farewell to Fox


Stress and Heart Health


Breast Issues and Conditions


Healthy Living: Bringing Exercise Back


Office Announcements  


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Our Offices


101 Old Short Hills Rd
Atkins-Kent Building, Suite 101
W. Orange, NJ 07052


33 Overlook Rd.
MAC Building
Suite 108
Summit, NJ 07901

731 Broadway
Bayonne, NJ 07002



1119 Raritan Road
Clark, NJ 07066


Robert J. Rubino,

M.D., F.A.C.O.G.


Audrey A. Romero, M.D., F.A.C.O.G.


Lisa Abeshaus,
M.D., F.A.C.O.G.
Jacqueline Saitta, M.D., F.A.C.O.G.

Allan D. Kessel,
M.D., F.A.C.O.G.
Diana Huang,
M.D., F.A.C.O.G.
Priya R. Patel,
Howard D. Fox,
D.O., F.A.C.O.G.
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Medical Fact

 "I didn't know that!"
Stress alters the neurochemical makeup of the body, which can affect the maturation and release of the human egg. Stress can also cause the fallopian tubes and uterus to spasm, which can affect implantation. Stress in men can affect sperm count and motility and can cause erectile dysfunction. In fact, stress may account for 30% of all infertility problems.
February is National Heart Month. It is a time to reflect on heart health and celebrating the loved ones in your life.
In this month's newsletter, we bid a fond farewell to Dr. Fox. We also discuss stress and heart health and cover the topic of breast issues and conditions. In our Healthy Living section, we talk about how to bring exercise back into your daily routine. And, you'll find a new interesting "Medical Fact". 
If there is topic you would like covered in our newsletter, please e-mail us at


As always, we will continue to provide topics that are current, informative and important to your good health.  

The Rubino OB/GYN Group

A Fond Farewellfox

Dr. Howard Fox will officially be retiring on March 14th of this year.


Dr. Fox has been in practice in Clark, NJ for over 37 years. Always ready with a smile and a sense of humor, Dr. Fox has tended to nearly two generations of patients.   He served as the Chairman of the Department of OB/GYN at both Union Hospital in Union, and Robert Wood Johnson University Hospital in Rahway.  


The Rubino OB/GYN group will continue to provide great care to all of his patients. Drs. Priya Patel and Diana Huang will continue to see patients in the Clark office.   


We wish Dr. Fox well in his retirement and thank him for his dedication throughout his career. 

American Heart Month: Stress and Heart Healthheart
Excerpt from the American Heart Association, November 2013

Everyone feels stress in different amounts and reacts to it in different ways. How much stress you feel and how you react to it can lead to a wide variety of health problems - and that's why it's critical to know what you can do about it.

"When stress is excessive, it can contribute to everything from high blood pressure, also called hypertension, to asthma to ulcers to irritable bowel syndrome ," said Ernesto L. Schiffrin, M.D., Ph.D., physician-in-chief at Sir Mortimer B. Davis-Jewish General Hospital, and professor and vice chair of research for the Department of Medicine at McGill University in Montreal.

Stress and Your Heart
More research is needed to determine how stress contributes to heart disease - the leading killer of Americans. But stress may affect behaviors and factors that are proven to increase heart disease risk including high blood pressure, cholesterol levels, smoking, physical inactivity and overeating.

And stress may hurt your head, strain your back and make your stomach hurt. It can also zap your energy, wreak havoc on your sleep and make you feel cranky, forgetful and out of control. 

A stressful situation sets off a chain of events. Your body releases adrenaline, a hormone that causes your breathing and heart rate to speed up and your blood pressure to rise. These reactions prepare you to deal with the situation - the "fight or flight" response.


When stress is constant, your body remains in high gear off and on for days or weeks at a time. Although the link between stress and heart disease isn't clear, chronic stress may cause some people to drink too much alcohol which can increase your blood pressure and may damage the artery walls.


Can managing stress reduce or prevent heart disease?
Managing stress is a good idea for your overall health, but current research doesn't prove it's effective for heart disease. A few studies have examined how well treatment or therapies work in reducing the effects of stress on cardiovascular disease. Studies using psychosocial therapies - involving both psychological and social aspects - are promising in the prevention of second heart attacks. After a heart attack or stroke, people who feel depressed, anxious or overwhelmed by stress should talk to their doctor or other healthcare professionals.

What can you do about stress?
Exercising, maintaining a positive attitude, not smoking, not drinking too much coffee, enjoying a healthy diet and maintaining a healthy weight are good ways to deal with stress, said Schiffrin, who is also the Canada research chair in hypertension and vascular research at Lady Davis Institute for Medical Research. "All those people are doing the right thing," said Schiffrin, a volunteer with the American Heart Association.

On the other hand, medication usually doesn't help stress. Some people take tranquilizers to calm them down, but it's far better to learn to manage your stress through relaxation or stress management techniques. (Be careful not to confuse stress with anxiety. If you suffer from severe anxiety, talk to your doctor about whether you need medication.) Figuring out how stress pushes your buttons is an important step in dealing with it. When you're under stress, do you: 

  • eat to calm down?
  • speak and eat very fast?
  • drink alcohol or smoke?
  • rush around but do not get much done?
  • work too much?
  • procrastinate?
  • sleep too little, too much or both?
  • slow down?
  • try to do too many things at once?

Engaging in even one of these behaviors may mean that you are not dealing with stress as well as you could. Learn how positive self-talk, emergency stress stoppers, finding pleasure and daily relaxation can help. If your stress is nonstop, stress management classes can also help. Look for them at community colleges, rehab programs, in hospitals or by calling a therapist in your community.


 Breast Issues and Conditionsbreasts

Many women are anxious about an evaluation of any breast abnormality. The majority of breast evaluations end up being benign, but the process can be worrisome. The following information from The American College of Obstetricians and Gynecologists (ACOG) helps provide a roadmap for the terminology and typical tests performed for the most common benign breast lesions:


What is breast tissue made of?

Your breasts are made up of glands, fat and fibrous tissue. Each breast has 15-20 sections called lobes. Each lobe has many smaller lobules. The lobules end in dozens of tiny glands that can produce milk.


What kinds of changes occur in breast tissue throughout life?

Your breasts respond to changes in levels of the hormones estrogen and progesterone during your menstrual cycle, pregnancy, breastfeeding and menopause. Hormones cause a change in the amount of fluid in the breasts. This may make the breasts feel more sensitive or painful. You may notice changes in your breasts if you use hormonal contraception such as birth control pills or hormone therapy.


What are benign breast problems?

Benign breast problems are not cancerous. There are four common benign breast problems: fibrocystic breast changes, cysts, fibroadenomas, and mastitis.


Fibrocystic breast changes include swollen, lumpy or tender breasts. The condition is more common in the childbearing years but also can happen after menopause in women who are taking hormone therapy and the condition will resolve itself.


Breast cysts are small sacs filled with fluid. They can be almost any size. Some cysts feel like a soft grape or water-filled balloon, but some can feel firm. You may have pain or tenderness in the area of the cyst. The cyst may get bigger just before your menstrual period. Cysts are common in women between the ages of 25 and 50 years and they usually go away after menopause, although women who take hormone therapy may continue to have cysts.


Breast cysts are treated if they are large and painful. If your cysts are causing discomfort, your health care provider may drain the fluid with a procedure called fine-needle aspiration. The cyst also may be surgically removed. Birth control pills may be used to help prevent cysts from coming back.


Fibroadenomas are solid lumps that occur most often in young women. They may appear in both breasts. The lumps have a well-defined smooth shape and usually do not cause any pain. In most cases, treatment is not needed. Some women, however, decide to have surgery to remove the lumps. This is called a lumpectomy.


Mastitis is an infection in the breast tissue. It most commonly happens when a woman is breastfeeding and a duct becomes clogged with milk and does not drain properly. Infection sometimes can occur unrelated to pregnancy and breastfeeding. Mastitis can cause flu-like symptoms such as fever, aches and fatigue. Your breasts may also be swollen, painful, have red streaks and feel hot to the touch. Treatment may include emptying your breast milk, antibiotics or applying a warm, wet cloth.


What should I do if I find a lump in my breast?

If you find a lump, you should contact your health care provider for a physical exam. Based on the results, more tests may be recommended.


What is a mammography?

A mammography can be used as a screening test for breast cancer or to help diagnose a suspicious area or problem. An annual screening mammography is recommended for women aged 40-75.


What happens if a suspicious lump or area is found during a routine screening mammogram?

If a suspicious lump is found, you will be called back for a follow-up test to find the exact cause of the problem which may include a diagnostic mammogram, an ultrasound exam or an MRI.


If the results of the follow-up tests are abnormal you may have a biopsy. There are several types of biopsies which depend on several factors including the size and location of the lump or area:

  • Fine-needle aspiration is the removal of a small sample of tissue from the lump through a thin, hollow needle into a syringe.
  •  Core biopsy is the removal of a sample of tissue with the use of a need with a special tip
  • Surgical biopsy or lumpectomy is a procedure which a surgeon removes part or all of the lump.

If you have any specific concerns or questions about breast conditions, please make an appointment with one of our physicians. 

Healthy Living: Bringing Exercise Back Into Your Routine Healthyliving

It has happened to all of us - and often before we even realize it.  One week you miss your workouts due to a busy schedule, and then the next week you skip because you don't feel well.  Before you know it, a month has passed by and you haven't been active. Months may even turn into years.  Once you stop fitting exercise into your life, it may seem hard to find time for it again. You may not remember how you ever found time for it in the first place. You can start again and find the time.  Here are some tips to get you going again:

  1. Just Start!  Forget about the lost days trainer_weights.jpgand months - you can't get them back, but you can change the days to come.  And you are not as far gone as you think.  All that earlier work created a foundation that is waiting to be drawn out.  Muscles do have memory.
  2. Define and write down your WHY.  There will be days when you are tired and not in the mood, so it helps to have something powerful to remind you why you started in the first place.  It should be something motivating that stirs an emotional reaction, and probably needs to be more powerful than just fitting into those skinny jeans (although that can be part of the reason).  Think of your life-long wellness and how exercise can lead to a healthy and longer life.
  3. Write down your goals.  Studies have shown that people who write down their goals are much more likely to obtain them, especially if they they are realistic and achievable. When you first set a goal, you're full of energy and completely motivated, but over time those feelings can wane and your over-zealousness can push you to do too much too soon. The fix is to define a progressive set of goals that build on one another to help propel you toward that big goal. Breaking a big goal into smaller, realistic goals can help you both mentally and physically. For example, start with weekly goals such as a certain number of visits to the gym or minutes of exercise a day, rather than a six month goal of losing 40 pounds.
  4. Try something new.  This is especially helpful if boredom was one of the reasons that you fell off the wagon in the first place.  Today's fitness options are varied and almost limitless. In most areas, you can choose among boot camps, CrossFit, Zumba, kick boxing, Bar Method, spinning, yoga and running groups, as well as many other options.  If you want to start out at home, there is an excellent supply of home DVD videos.  If you really need to be accountable to someone, consider hiring a personal trainer.
  5. Join a challenge!  These are not hard to find.  Look for local 5K runs or short distance triathlons.  You can check out your gym for contests and even workplaces are getting into the game as they see the benefits of healthy employees.  These will require determination and hard work, but you will be surprised how much fun you have and how many people you meet.
  6. Look beyond the scale.  If weight loss is your main goal, don't rely entirely on the numbers of the scale.  It is common for exercisers to lose fat and gain muscle without a change in body weight, so it is important to look beyond the scale. Notice how your clothes fit and how your body feels stronger.  You should also feel your increased energy level and overall better mood, as exercise has been proven to boost both of these.
It is common to fall out of a pattern of exercise in your daily routine. The first step back on is the hardest and requires motivation, but soon it will become habit and that will keep you going.

This article is an excerpt from a Heels To Laces blog entry.

Video for The Rubino OB/GYN Group cordblood

We recently completed a new video for the practice that provides an LOGO overview of our services, doctors and philosophy. The video can be viewed on the home page of our website:


We hope you enjoy seeing the practice on a more personal level and welcome your feedback! Simply reply to this newsletter.


Office Announcements announcements
Flu Shots Now Available for Pregnant Patients
Please call the office today to schedule your vaccination. The flu shot can be administered in all three trimesters.
vitaMedMD Vitamins
The Rubino OB/GYN Group is now offering vitaMedMD™ in all 4 office locations. VitaMedMD offers patients high quality physician recommended products at an affordable price. Available products include Women's Multivitamin, Prenatal Plus, Prenatal One, Menopause Relief and Iron 150.

Emmi Video Tutorials
Emmi is a free, online video tutorial that makes complex medical information simple and easy to understand. Emmi provides clear and concise step-by-step information on common health topics and procedures right on our website. Click here to find out more.


Save Time with Online Appointments, Consultations &Personal Health Records
To schedule online appointments, consultations or view your personal health records at your convenience, just visit the home page of You can also call 973-736-1100 now to schedule an appointment at any of our four locations. 

"Important Announcements" on Our Website
You can find important new developments and time-sensitive announcements (such as office closings) right on the upper right hand portion of our home page.


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