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Most breast cancers happen in women who have no family history of breast cancer, but there are some women who carry genetic mutations - like BRCA 1 or BRCA 2 mutations -that can increase their risk of developing breast cancer.

If your family history includes any of the following, you may benefit from genetic testing:

  • Several relatives with breast cancer
  • Any relative with ovarian cancer
  • Relatives who developed breast cancer before age 50
  • A relative with breast cancer in both breasts
  • A male relative with breast cancer

If you think you may be at higher risk of developing breast cancer, you can call the MMC Comprehensive Breast Center at 615-867-8040 and we can work with you to assess your risk and build a plan of action. We can discuss genetic testing with you, help work with your insurance to cover the cost of the test, and create a strategy to manage your risk of developing breast cancer.

Posted by Murfreesboro Medical Clinic | Topic: News  | Category: News

Dense breast tissue has been a hot topic over the last several years. Many women are told they have “dense breast tissue,” but what does that really mean?

If you’ve been told that you have dense breast tissue, it means that you have more “fibrous” breast tissue instead of “fatty” breast tissue. The reason this is important is because cancer is more difficult to detect in dense breast tissue.  If you’ve been told that you have “extremely dense breast tissue,” your risk of developing breast cancer is increased 4 to 6 times. So, knowing your breast tissue density can help us develop a personalized plan in your breast cancer screening.

How do you know if you have dense breast tissue? In Tennessee, our radiologists are required to send you a letter if they see that you have dense breast tissue on your mammogram.

If you have very dense breast tissue, you may benefit from other screening methods in addition to, or in place of, regular digital mammography.  3-D Mammography, or tomosynthesis, is one tool that we use at the MMC Comprehensive Breast Center to capture a more detailed image of the breast tissue. 3-D mammography reconstructs a 3-D image of the breast by obtaining multiple images of the breast from many different angles. Ultrasound is another important device that we use to help us detect cancer in cases of increased breast density. We also offer breast MRI, which can show very detailed images of the breast and can be helpful, especially in patients whose lifetime risk for developing breast cancer is over 20%.  

If you have any questions about breast density or breast-related health, please call the MMC Comprehensive Breast Center at 615-867-8040 or visit mmclinic.com/CBC.

Posted by Murfreesboro Medical Clinic | Topic: News  | Category: News

Mammograms

October 9th, 2020

A mammogram is an X-ray picture of the breast, used by our doctors at the Comprehensive Breast Center to look for early signs of breast cancer. Getting regular mammograms is one of the best ways to detect breast cancer before it can progress into more serious stages.

Why are mammograms important?

A mammogram is the only test shown to reduce breast cancer deaths. Mammograms can detect cancer early — when most treatable — long before it can be felt. This improves odds of survival and can help avoid more invasive treatment.

When should I get a mammogram?

It is recommended to start screening mammograms at age 40 and get one every year until your life expectancy is less than 5-10 years.

I can’t feel any lumps in my breast, so I can skip my mammogram this year, right?

NO! Please don’t skip your mammogram! This year has been extremely difficult, but please don’t neglect something as important as your screening mammogram.  Ideally, we want to detect breast cancer before it can be felt.  A screening mammogram is your best tool for early detection of breast cancer, when it is easiest to treat.

A screening mammogram could save your life - schedule yours today! Call the MMC Comprehensive Breast Center at 615-867-8040 or visit mmclinic.com/CBC.

Posted by Murfreesboro Medical Clinic | Topic: News  | Category: CBC

Globus is the medical term for the feeling of something stuck in the throat.  The term globus comes from the last route for globe or sphere. Hence, it is used to describe a feeling of a large lump or “ball” of mucus in the throat.  This symptom is often described in multiple ways.

  • Feeling of ball of mucus in throat

  • Feeling of tightness in the throat

  • Feeling of food or a lump stuck in throat

  • Phlegm that will not come out

  • A feeling or need to swallow harder than in the past.

It is not uncommon for symptoms to temporarily improve when people eat or drink.  Globus can be one of the more frustrating symptoms and diagnosis to deal with as the physical exam is often unremarkable.  The symptom generally does not cause pain, but can be extremely annoying.  As a general rule, women of child bearing age and women around menopause tend to be affected the most. 

Globus can last days to weeks to even months and can be recurrent.  If symptoms last longer than a couple weeks, often, the patient will be referred to an Otolaryngologist or an ENT.  The ENT will do a thorough exam which often includes a flexible scope being used to evaluate the entire throat.  This is done to ensure there are no concerning findings.  Often the exam is unremarkable. 

Common causes of Globus include:

  • Stress, anxiety, or depression

  • Silent reflux also known as laryngopharyngeal reflux

  • Post-nasal drainage

  • Inflammatory disorders such as infection or allergies.

What treatment options are there for globus? 

This will obviously depend on what is identified at the time of the examination.  What is most important is to have this evaluated by an ENT. Often, symptoms will improve after examinations that reveal no concerning findings.  In other words, there is a lot of relief in knowing there is nothing worrisome taking place.  Otherwise, your otolaryngologist will often recommend a treatment schedule. It is very important to understand that, although annoying, globus is not a serious condition.  However, it can be difficult to resolve and often treatments do not provide immediate relief.  It is important to stick to the treatment schedule unless otherwise directed by your physician.








By Andrew Celmer, M.D. - MMC Comprehensive ENT Specialists

Posted by Murfreesboro Medical Clinic | Topic: ENT  | Category: ENT

2020 Crystal Scholarship

October 1st, 2020

The Crystal Scholarship was created in 2019 by the MMC Comprehensive Breast Center to assist the children of MMC breast cancer patients in continuing their education beyond high school.

This year, the scholarship was awarded to six 2020 high school seniors, a number that has grown from the two scholarships that were given in 2019.

We know that a mother who is diagnosed with a life-threatening condition like breast cancer immediately considers her children’s futures. “This new scholarship is our way of showing our patients that we care about not only them, but those people who are dearest to them,” said Dr. Lisa White, a provider at MMC’s Comprehensive Breast Center.

To learn more about the Crystal Scholarship and how to apply, please visit www.mmclinic.com/CrystalScholarshipor call the MMC Comprehensive Breast Center at 615-867-8040.

Posted by Murfreesboro Medical Clinic | Topic: News  | Category: News

The next blog in our series of blogs about medication side effects on the voice will focus on steroid inhalers.  These are medications often used to treat asthma and COPD.  Unfortunately, these medications can have an adverse effect on the throat and can contribute to sore throat and hoarseness.  Many of these medications contain a particulate matter of steroid.  The medications were designed in this manner so they could penetrate deeper into the lungs. However, they can also contribute to build-up within the larynx.  The larynx is where our vocal cords are. 

Over time, if these medications continue to build within the larynx, there can developed an adverse effect on the voice.  In general, the through a these can affect the voice:

  1. The build-up of debris can stiff in the vocal cords and not allow them to vibrate naturally. This can create a raspy voice.
  2. In some patients, the medication can contribute to a yeast infection within the throat. This is more commonly known as “thrush.” Often, benign always, there will be an associated pain in the throat when talking or swallowing.
  3. Issues for a lengthy period of time, the medication can cause atrophy of the vocal cords.  This is essentially shrinking of the vocal cords.  Thus the voice becomes weaker and breathier. 

Often patients are told to rinse the mouth out after using this medication.  However, it is also advised to gargle with water with salt water in order to cleanse the throat as well. If these measures are unsuccessful, then sometimes the patient has to be switched to more traditional HFA inhalers.  If this is unsuccessful, then patients may need to be taken off the medication altogether,or determine the risk/benefit ratio.

Common types of steroid inhalers are:

  • Advair
  • Qvar
  • Breo
  • Symbicort

  • Flovent
  • Pulmicort

If for some new no is having voice problems while using these medications, foods contact your primary care provider for a recommendation to see an ENT or laryngologist.








By Andrew Celmer, M.D. - MMC Comprehensive ENT Specialists

Posted by Murfreesboro Medical Clinic | Topic: ENT  | Category: ENT

The next couple blogs will focus on common medications and how they can affect vocal function. Today we will specifically focus on antihypertensive medications.  We will specifically focus on to classes of blood pressure medications - angiotensin-converting enzyme inhibitors (ACE-I) andangiotensin receptor blockers (ARBs.)

Both ACE-I and ARBs are common medications utilized to control elevated blood pressure.  They work by blocking the effects of angiotensin, a chemical that narrows blood vessels.  By doing so, they help widen the blood vessel and allow blood to flow more easily, which lowers the blood pressure.  This also reduces stress on the heart.  Unfortunately, they both can cause side effects which are specific to the throat and voice.

A common side effect of both classes of medications is a nagging, dry cough.  Symptoms can start at the onset of medication use.  However,side effects can also develop years later. In general, patients who develop a cough while on this medication can be difficult to treat.  Symptoms can include a dry cough, but also can present as a lump in the throat sensation or a constant need to clear one’s throat. Often patients will have to be switched to a different class of blood pressure medication in order to improve the cough.  Is always advised to seek evaluation by an ENT physician or Laryngologist for the cough as there can be other causes.  However, if an endoscopy is normal, the patient is often referred back to their primary care physician to discuss other options for blood pressure control.  Some common ACE inhibitors and ARBs are listed below.


ACE inhibitors                                                                    ARBs

Lisinopril                                                                              Azilsartan

Quinapril                                                                             Candesartan

Ramipril                                                                               Eprosartan

Benazepril                                                                           Irbesartan

Captopril                                                                              Losartan

Enalapril                                                                               Valsartan









By Andrew Celmer, M.D. - MMC Comprehensive ENT Specialists

Posted by Murfreesboro Medical Clinic | Topic: ENT  | Category: ENT

Are your legs tired, swollen, restless or have ropey veins?Have you been told you have varicose veins or venous reflux disease?

It may be time to visit MMC’s Vein Center and get your beautiful, healthy legs back.

What is venous reflux disease?

Venous reflux disease occurs when there is not proper blood flow in the leg veins. This is often characterized by painful, swollen, or restless legs and can result in unsightly varicose veins. More than 30 million people have undiagnosed varicose veins.

Is there a treatment?

The MMC Vein Center provides patients diagnosed with venous reflux disease with several minimally invasive treatment options. Some of these in-office treatments include Venefit™ and Sclerotherapy procedures. MMC Vein Center helps patients experience less discomfort, bruising and downtime.

Is there anything I can do to prevent unsightly varicose veins?

While varicose veins may be unavoidable for some people, here are somethings you can do to ease pain and prevent varicose veins from getting worse.

  • Take care of your body – exercising and losing weight may help
  • Don’t wear tight, restricting clothing
  • Relax your legs – avoid standing for long periods of time and elevate your legs every once in a while

Don’t live with leg pain, give MMC’s Vein Center a call to set up a consultation. Our team of three, Board Certified Vascular Surgeons is passionate about helping patients have healthy legs for life.Having performed over 5,000 vein procedures in the past 10 years, it is evident their knowledge and skills are unmatched. The state of-the-art treatments offered at the MMC Vein Center are safe and effective, with little downtime,and provide proven results.

Posted by Murfreesboro Medical Clinic | Topic: News  | Category: Vein

Can I make my own saline rinses?

September 2nd, 2020

You’ve probably heard of nasal rinses and the many benefits they can bring: preventing sinus infection, improving breathing, reducing swelling, washing away mucus and allergens, etc. They are an efficient way to keep your sinuses healthy. Many patients are recommended to use nasal saline irrigations as part of treatments for multiple nasal diagnoses. Administration of nasal saline rinses can be done with a variety of products including a sinus rinse bottle, neti pot, or a nasal lavage device. Nasal saline rinses provide away to wash the sinus and nasal cavities, while also allow for administration of medications in some patients. It cleanses the nasal cavities of debris or mucus providing a great sense of relief for most patients immediately.

You have many different brands and method of using a saline rinse. They come in shapes like a teapot to a squeeze bottle. Many patients have questions about how to make saline rinses at home, and whether it is safe to do so. Yes, it is!  First, it’s very important that you use boiled water (that has cooled), or distilled water to avoid any unnecessary contamination that could occur from using tap water. Distilled water is available by the gallon at many retailers for less than $1. Once you have filled your rinse bottle with water, you can make saline by adding a salt packet purchased at your local pharmacy. These contain all the necessary ingredients for your rinse. These are available in the aisle where sinus rinse bottles and nasal sprays are available for purchase. You can clear your sinuses and breathe easily for just a couple dollars.

Lots of people want to make their own saline mix at home instead of purchasing the packet. Here is a recipe you can follow to do so:

  • 1 cup (8 oz) distilled water or boiled water that has cooled
  • ½ teaspoon of salt
  • ½ teaspoon of baking soda

Shake to mix. 

If you need a refresher on how best to administer saline rinses, here is a video that you might find helpful.

Visit mmclinic.com/ENT for more information, or call 615-867-8110 today to schedule an appointment!






By Britni Caplin, M.D. - MMC Comprehensive ENT Specialist

Dr. Caplin spent her early life in West Virginia, prior to attending medical school and completing residency at Vanderbilt University in Nashville.  Prior to her arrival at MMC, she worked in private practice in Massachusetts, then served as the Chief of Otolaryngology within the Tennessee Valley Healthcare System, while also holding an appointment as an Assistant Professor at Vanderbilt University Medical Center in the Department of Otolaryngology – Head & Neck Surgery. 

Posted by Murfreesboro Medical Clinic | Topic: ENT  | Category: ENT

Murfreesboro Medical Clinic & SurgiCenter is committed to meeting the needs of Rutherford County’s growing community. In the midst of a global pandemic, now more than ever, primary care is critical in caring for our citizens. 

Elizabeth Bunch, D.O. is board-certified by the American College of Osteopathic Family Physicians.She graduated from the University of Central Florida in 2013 before receiving her medical degree from Lincoln Memorial University in 2017. Originally from the Florida panhandle, she fell in love with Tennessee while receiving her degree in the state. Dr. Bunch completed her residency training in Murfreesboro and says she is excited to continue serving the area. Dr. Bunch will be practicing at MMC’s Garrison Drive Location.


Kayla Wienczkowski, M.D. is a board-certified by the American Board of Pediatrics. She graduated from Lipscomb University in 2012. She then completed her medical degree and residency as Chief Resident at the James H. Quillen College of Medicine at East Tennessee State University. After spending 7 years in the mountains of East Tennessee, Dr. Wienczkowski says she is excited to move back to Middle Tennessee,where she was born and raised. Dr. Wienczkowski will be practicing at MMC’s newest location in Murfreesboro located on Shelbyville Pike.

To learn more aboutMMC’s newest physicians or to schedule an appointment, visit mmclinic.com.

Posted by Murfreesboro Medical Clinic | Topic: News  | Category: News

Murfreesboro Medical Clinic | 615-893-4480 | see all locations
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As of September 23rd, face coverings are still required at all Murfreesboro Medical Clinic locations until further notice. MMC is dedicated to the health well-being of everyone who enters our buildings. We believe that this requirement is still in the best interest of our community, patients and staff.

While this may not be convenient, our goal is to protect our community. Everyone is encouraged to bring their own face coverings to enter the building. If patients or visitors do not have a face covering they will be given one. Any person who chooses not to comply with this policy will have their appointment rescheduled. Thank you for understanding. 

Your health is our mission.

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