As mentioned earlier we are using a new technology in our office to help better define who is at higher risk of developing clogged arteries and to help tailor the best therapies to prevent heart attack and stroke. Our new “toolbox” is the VAP profile and within that toolbox are a number of new tools in addition to the standard Total cholesterol, HDL (good), LDL (bad) and triglycerides. One of those tools is checking for something called Lipoprotein (a) or Lp(a) for short. Lp(a) is a cousin to a protein called plasminogen which helps break down blood clots. In people who have high levels of Lp(a) the plasminogen doesn’t work as well and hence they may be more prone to form dangerous clots. If you have a high Lp(a) level you may benefit from being on even more aggressive weight loss and exercise programs as well as appropriate medication to help lower risk. Lp(a) problems can run in families particularly those where heart attacks have occurred at an early age. Lp(a) levels generally should be less than 10 but tend to run higher in African Americans. We will discuss other tools in our new VAP toolbox in upcoming posts.
We are transitioning to a newer technology to check your cholesterol and risk of developing clogged arteries. This newer technology is known as the “VAP” profile and has the potential to give more useful information than the standard Total Cholesterol, HDL (Happy), LDL (Lousy), and Triglycerides. These more detailed reports may help us to further individualize your treatment and medications. We will explain these new reports in further blog posts and when you come in for your physical and visits to go over your lab results. Of course no medicine takes the place of exercising regularly and keeping your weight down to avoid diabetes. Many of our patients need help in getting their weight down which is why we have worked hard to develop our own Healthy Eating And Weight Loss Program.
Yvette Is One Of Our Drug Reps Who Sends This Fascinating Post From Tanzania Where She Is Exploring the Culture & Medical Care
Day 13 and fnally able to get online to find out what the new rates will be! Gone are the constant and ever changing error messages. Unfortunate that with two years for the State of Md and Federal gov to prepare it was such a mess at first.
One hope of the exchange was to lower rates by fostering competition among the insurance companies. However Aetna (profits of 1.66 Billion last year), and Cigna (1.62 Billion) have so far decided not to participate in the individual and family exchange for fear that their profits will be impacted leaving United, Carefirst, and Kaiser as the only major participants. No surprise then that the rates look similar to what was being offered previously.
Will enough healthy people join to pay for those with lots of medical expenses and, if not, who will pay the difference? Will Aetna, and Cigna continue to stay on the sidelines? Will United with profits last year of 7.2 billion dollars continue to participate if their profits go down? Stay tuned.
In most cases – 8 – 8 ounce glasses of water is sufficient for the day (64 ounces) – I am on a weight program and plateaued – it has been suggested that I drink 10 glasses per day – is this safe since I take diuretics?
- 1 Whole Wheat Boboli bread (or other whole wheat crust)
- 1/2 cup tomato sauce (any kind will do)
- 1 – 6 oz. package of Trader Joe’s (or other brand) Mozzarella soy cheese
- 6 to 8 ozs fresh spinach (or use frozen)
- 1 to 6 cloves of garlic (to taste)
- 1 Portobello mushroom cap
- 1/4 cup Extra Virgin Olive oil
- Fresh basil (to taste; use dried if you have no fresh product)
- Nonstick Pizza pan
- Preheat oven per Pizza bread instructions.
- Heat olive oil in skillet; while heating, dice garlic and cut mushroom in small pieces.
- Cook garlic and mushrooms in oil until done and add spinach and basil.
- Shred cheese with grater.
- Coat pizza shell with sauce and layer toppings evenly.
- Sprinkle cheese evenly over pie and cook on pizza pan for 8 to 10 minutes.
- Let cool for 3 minutes, slice and serve.
As I get older, now 65, I find that excercise is causing me to get minor injuries. If it isn’t a sore back after yoga then it’s a sore achilles tendon after walking on the treadmill. Other than swimming, what excercises can you suggest that are suitable for a guy who thinks he’s in ok shape?
I am over 65 and have had my routine pneumonia shot. I heard there is there a new vaccine available for my age group. Do I need a booster?
Nutritional expert Rick Weissinger RD, MS, author of “What the Experts Say about Food and Cancer” and “The Psychology of Weight Loss” talks about the role our diets play in influencing our risk of cancer and present evidence suggesting that modifying our diets may modify our risk.
- To make an appointment with Rick for a nutritional evaluation and advice or to join Rick’s ten week weight loss program call 301-774-5400.
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- Whole-wheat pancake mix (Aunt Jemima, Krusteaz, etc.) hint: look for one that comes complete -”just add water’ rather than one you have to add eggs and milk to
- Wheat germ or oats
- Fresh apple, diced
- Ground cinnamon to taste
- Sugar free pancake syrup
- Pour 1/2 cup mix into a mixing bowl
- Add 2 tablespoons wheat germ or oatmeal
- Add 1/2 cup water, died apple, cinnamon, and mix together
- Pour mixture onto pancake griddle in 3 evenly divided portions
- Serve with warmed sugar free syrup or make your own fruit-flavored syrup below:
- Cut 5-6 strawberries into small pieces (or use 1/2 cup blueberries or diced peaches, mango, etc.)
- Put fruit in saucepan in 1/2 cup of water
- Bring to a boil and simmer for 5 minutes. Add 1/4 cup sugar-free pancake syrup and simmer together for 3 to 5 minutes
- Prepare pancake mix as above, but leave out diced apple
- Pour fruit-syrup mixture over pancakes and serve