Comments Off on Are you an SPG Patient? Now There’s an App for That!
Shore Physicians Group’s app, (athenaPatients), gives SPG patients easy access to their patient portal on their mobile device. The app offers quick and convenient log-in, the ability to view test results and health history, send secure messages to your provider, request prescription refills and the ability to pay/view your bills on line.
Starting May 6, you will also be able to schedule and view primary care appointments though this app.
The free athenaPatient app is available in the Apple App Store or Google Play Store
Stay Connected with the Shore Physicians Group App!
Comments Off on Shore Now Offers TCAR Procedure to Treat Carotid Artery Disease & Prevent Stroke
Shore Medical Center now offers Transcarotid Artery Revascularization (TCAR), an FDA-cleared procedure to treat carotid artery disease and prevent stroke, with over 70,000 cases performed worldwide. Clinical trials demonstrate TCAR’s superiority, with a remarkably low periprocedural stroke rate of 1.4% in standard surgical risk, compared to 2.3% for carotid endarterectomy (CEA) and 4.1% for trans-femoral carotid artery stenting (TFCAS).
Moreover, TCAR reduces the relative risk of in-hospital and one-year stroke and death by nearly 50% compared to TFCAS. It’s availability at a hospital is associated with a 10% reduction in major adverse cardiovascular events at 30 days post-revascularization, whether TCAR or CEA.
Studies consistently show TCAR’s advantages over CEA, including lower risks of myocardial infarction and cranial nerve injury, shorter operating room and hospital stays, reduced clamp time, and the option for local anesthesia.
Comments Off on 5 ways to improve your health in 2024
A New Year brings a chance for a new beginning. It’s a time to start something new to improve our bodies, minds and spirits. Dr. Megan Mahon McQuarrie, M.D., C.A.Q.S.M. of Shore Physicians Group’s Ocean City practice who specializes in Family and Sports Medicine offers important advice for getting, and staying, healthy in 2024.
Be Realistic
“My best advice for setting a health and wellness goal in 2024 is to be realistic. Do not set an expectation so high that they cannot be reached,” said McQuarrie. “This will only lead to frustration and a sense of failure when the expectation is not met”
Dr. McQuarrie recommends that people start by focusing on one thing, and then building on their success. “Rather than planning on restructuring your entire diet, focus on one thing such as replacing soda with a flavored seltzer. This can be very difficult for someone who has been a soda drinker for years, but when the health results start to show from the reduction of sugar intake, it can create a sense of accomplishment and lead to a subsequent dietary change.”
Prior to setting any exercise goals, Dr. McQuarrie strongly recommends having a discussion with a healthcare provider. “If someone has been sedentary, they need to check with their doctor about a safe plan to start exercising again. I also recommend that before jumping in with both feet and buying a year-long gym membership, you begin with walking, and establishing a routine.”
Do Not Set the Bar Too Low
While it is important to be realistic and listen to our bodies, we have to make sure we are challenging ourselves if we want to achieve results. One of the ways in which you can measure effective cardiovascular activity is through heart rate, defined as the number of times your heart beats per minute. Dr. McQuarrie explains, “Take your age and subtract it from the number 220. That is your maximum heart rate. Generally speaking, you should aim for a heart rate of 60% – 80% of your maximum heart rate to be considered a moderate intensity exercise.”
Dr. McQuarrie also believes that accountability is key when setting your goals and keeping them. “There are many fitness APs and smart watches available to help you measure your progress and keep on track,” she said. “But one of the most effective ways of making sure you stick to your routine is to get a workout buddy. You can push each other to keep on schedule and reach your goals, and it also adds a fun, social element to healthy activities.”
Listen to your body
Human are not built like sports cars. They are not meant to go from 0-60 at a moment’s notice. If you are doing something that does not feel right, then it might be time to try something else. “The important thing to remember is that not everyone fits in a box,” said McQuarrie. “Some people like to walk or jog, while others may find it to be boring. If that’s the case, then try something else, like dancing or taking a Zumba class. If you are the type of person who isn’t comfortable working out around other people, then try some home exercise equipment or body weight exercises outdoors. Finding something you enjoy will make the process of establishing a long-lasting exercise routine much easier.”
Feed Your Mind
Dr. McQuarrie believes that it is important to stay active physically as well as mentally. She recommends reading a book and setting a goal of learning something new. “Just as it is necessary for the body to be challenged through exercise, it is just as important for us to make sure our minds are stimulated. Listen to your mind when engaging in learning activities, much the same as listening to your body. If you enjoy reading books, then there is an endless world at your fingertips. If you enjoy learning how to fix or build something, then go in that direction. If you like to travel, take a trip and explore new places.”
See Your Doctor
If you have not been to the doctor in a while, the new year is the perfect time to get on track, by having your vitals checked and be sure you are up to date on your screenings. There are many health screenings necessary, depending on age and other factors, but below are some common ones. These screening recommendations are for people with average risk. Family history and other risk factors may call for recommendations for earlier screenings.
Anxiety Disorders in Adults Screenings: Adults 64 years or younger, who do not have a diagnosed mental disorder, including pregnant and postpartum women
Breast Cancer Screening: Beginning at age 40
Cervical Cancer Screening: Beginning at age 21.
Colorectal Cancer Screening: Adults ages 45+
Lung Cancer Screenings: Adults ages 50-80 years who have a 20 pack per year smoking history.
Hypertension in Adults:18 years or older without known hypertension
Prediabetes & Type 2 Diabetes: Adults ages 35 to 70 who are overweight or obese.
Prostate Cancer: Men ages 55 to 69 should discuss with their healthcare provider.
Dr. Megan Mahon McQuarrie, M.D., C.A.Q.S.M. practices primary care at Shore Physicians Group’s Ocean City office, located at 1645 Haven Avenue, Suite C. To schedule an appointment, call 609-365-6200.
Comments Off on It’s Soup Season – Let’s Keep it Healthy!
By Tiffany Rios, RD, CDE, Shore Physicians Group Soup is a great nutritional choice during the winter months. Studies have shown that after eating soup, people experience increased satiety and reduced hunger. This is because soup has a high concentration of fluid, and when we’re adequately hydrated, our body senses fullness.
Many bean-rich soups are high in fibers which support diversity of the microbiota (gut bacteria), improve satiety, and stabilize blood sugar. Your microbiota includes bacteria that support digestion, absorption of vitamins and minerals, and even production of serotonin.
From a nutritional standpoint, I recommend lentil soups, bone broth soups, and vegetable-based soups. Not only are these options good for you, but they also fill you up and can help curb your appetite. For example, lentils can have 12 to 14 grams of fiber which improves a feeling of fullness while offering modest calories.
Things to look out for
Canned/Packaged Soups: Watch for a high sodium content in packaged and canned soup varieties. Rather try choose reduced sodium options or make simple soups from scratch.
Creamy/high saturated fat soups: Heavier cream-based soups like chowders and bisques are less aligned with weight management but can be enjoyed in moderation.
There are some wonderful recipes available on line for healthy homemade soups, many of which are gluten free and vegan. One of my personal favorites is “COOKIE + Kate, Celebrating Whole Foods.”
Tiffany Rios is a registered dietitian (RD) and certified diabetes educator (CDE) with Shore Physicians Group. She practices at SPG’s Endocrinology Division located at 18 West New York Avenue in Somers Point. For more information call 609-365-5300.
Comments Off on What Your Eyes and Ears Can Tell Your Doctor
Have you ever wondered exactly what your doctor is looking for when they start peering into your eyes and ears? It’s a routine that often happens at well visits, and according to Dr. Ahmed Nashat, Shore Physicians Group primary care physician at their Somers Point office, it’s one that can tell your doctor quite a bit about your health. The primary tools your doctor uses are the ophthalmoscope to see into the eyes, and the otoscope to see into your ears. These instruments serve as gateways to early detection, accurate diagnosis, and improved patient outcomes.
What your doctor can learn from your eyes
In order to see into the interior structures of your eye, your doctor uses an ophthalmoscope, a hand-held tool with a light and various lenses. The ophthalmoscope helps detect and manage a variety of ocular conditions and systemic diseases.
Detecting eye conditions: Ophthalmoscopy enables your primary care doctor to visualize the retina, optic nerve, and blood vessels within the eye. This is essential for identifying and monitoring ocular pathologies such as diabetic retinopathy, glaucoma, and age-related macular degeneration. Early detection of these conditions allows for timely intervention and management, preventing further vision loss and improving overall patient well-being.
Systemic Disease Screening: The eyes serve as windows to your overall health, and ophthalmoscopy can provide valuable insights into various systemic diseases such as hypertension, diabetes, and cardiovascular diseases. These conditions often manifest with observable changes in the eye’s blood vessels. Primary care physicians, armed with an ophthalmoscope, can detect these signs early on, facilitating early intervention and holistic patient care.
Neurological Assessment: The optic nerve, an extension of the central nervous system, is directly observable through ophthalmoscopy. Changes in the optic nerve head can be indicative of neurological conditions such as increased intracranial pressure or optic neuritis. Primary care providers can use ophthalmoscopy as a non-invasive tool to aid in the assessment of neurological health, prompting further investigations and specialist referrals if necessary.
Why your doctor peers into your ears
Otoscopy, the visual examination of the ear using an otoscope, is a vital component of primary care practice. This diagnostic tool allows primary care physicians to assess the external auditory canal and tympanic membrane, facilitating the detection, diagnosis, and management of various ear conditions.
Detection of Ear Infections: Otoscopy is instrumental in identifying common ear conditions, particularly infections of the external and middle ear. Through visual examination, primary care providers and ear and nose specialists can observe signs of inflammation, redness, or the presence of discharge, aiding in the accurate diagnosis of conditions such as otitis externa (inflammation of the ear canal, also known as swimmer’s ear) and otitis media (middle-ear infection). Early detection enables timely intervention, reducing the risk of complications and improving patient outcomes.
Assessment of Tympanic Membrane: The otoscope allows for a detailed examination of the tympanic membrane, providing valuable information about the health of the middle ear. Primary care physicians can identify perforations, signs of retraction, or the presence of fluid behind the membrane—all crucial indicators of conditions like middle ear infections or Eustachian tube dysfunction. This visual assessment guides appropriate treatment strategies and referral decisions.
Foreign Body Detection and Removal: Otoscopy is an essential tool for identifying foreign bodies in the ear canal. Children, in particular, are prone to inserting objects into their ears, leading to discomfort and potential complications. Primary care providers can use otoscopy to visualize and safely remove foreign bodies, preventing further injury and ensuring the well-being of the patient.
In conclusion, ophthalmoscopes and otoscopes reveal more than meets the initial gaze. They serve as portals into the eyes and ears to help your doctor with early detection, accurate diagnosis, and timely intervention. So, the next time your doctor conducts your eye and ear exams, you’ll better understand the depth of insight gained – for in these routine examinations lies a profound commitment to your well-being and a proactive approach to maintaining your health.
Dr. Ahmed Nashat practices primary care at Shore Physicians Group’s Somers Point office, located at 401 Bethel Road. To schedule an appointment, call 609-365-6200.
Comments Off on The Vital Role of Physician Assistants in Patient Care
Among the many clinical experts who are working tirelessly to care for patients at Shore Medical Center and Shore Physicians Group are Physician Assistants. To help patients further understand the role of a Physician Assistant, we spoke with Julianne Jackson, PA-C who recently joined Shore Physicians Group and is currently treating patients at the SPG location in Mays Landing.
“A Physician Assistant, commonly referred to as a “PA,” is a licensed medical professional that holds an advanced degree and is able to provide direct patient care,” says Jackson. “They are healthcare professionals who work under the supervision of physicians and provide various medical services to patients. The PA training is a graduate-level program that involves rigorous academic coursework and clinical rotations.”
Additionally, PAs need to obtain a license and pass a national certification exam as a Board Certified Physician Assistant to practice as a Physician Assistant. A PA is degree that also allows a practitioner to switch between specialties if needed. Jackson, for example, practiced in Infectious Disease for five years before switching to primary care internal medicine.
In an office setting, the collaboration between a PA and the doctor allows for a team-based approach to patient care, as they meet regularly to discuss patient cases, treatment plans, and progress to ensure effective patient care.
Jackson says, “In some instances, the PA performs initial patient evaluations by taking medical histories, conducting the physical exam and ordering initial sets of labs or diagnostic testing. The PA will gather all essential information and then present it to their supervising/collaborating physician. After that is completed, the doctor and the PA will collaboratively develop a treatment plan utilizing an evidence-based medical approach. Some Physician Assistants will suggest treatment options, provide research-based input and offer their expertise to optimize patient care.”
She continues, “Depending on the specialty and practice the PA is in, they can perform certain medical procedures often on their own but in some instances with the physician present. Examples of procedures they can perform on their own include suturing wounds, applying casts or splints, placement of chest tubes, and intubation. PAs diagnose illnesses based on clinical presentations, and they can order and interpret laboratory tests and X-rays to assist in diagnoses that maybe underlying such as high cholesterol and diabetes. PAs can also prescribe medications that allow for them to develop and manage treatment plans. This goes along with advising patients on preventative care and optimal health practices. Procedures a PA performs with assistance of a physician include assisting in all types of surgeries in many surgical subspecialties.”
Jackson says that PAs are well-trained on patient education, and play a vital role in follow-up care. “PAs will spend time with their patients to help them understand their conditions but also treatment plans and any preventive measures such as diet and exercise necessary to help reduce the patient’s risk of developing or even improving a patient’s medical conditions. They typically ensure that the patient understands their care plans and will provide any additional information or resources the patient may need to be informed.”
Juliane Jackson, PA-C, sees patients ages 16 and older at Shore Physicians Group’s Mays Landing office in the Festival at Hamilton, 4450 East Black Horse Pike. To schedule an appointment or learn more, call 609-365-6217.
By Ahmed Nashat, MD Fall and winter are times when viruses that cause respiratory diseases usually circulate more heavily in the community. The main causes of severe respiratory diseases include Respiratory Syncytial Virus, commonly known as RSV.
What is RSV?
For most people, RSV causes mild cold-like symptoms such as cough, runny nose, sore throat, headache, decreased appetite, and fever that typically last less than five days. However, in older adults, RSV can be serious and lead to pneumonia or exacerbation of congestive heart failure, asthma, or chronic obstructive pulmonary disease.
Over the past 20 years, data has emerged linking RSV as a cause of illness in adults resulting in 177,000 annual hospitalizations and up to 14,000 deaths among older adults.
Adults who are risk of severe RSV infection include those older than age 60 with chronic medical conditions such as lung disease, heart disease, diabetes, neurological disease, kidney disease, liver disease, blood disorders or those with a weakened immune system from illness (e.g., leukemia or HIV infection) or from medications (e.g., treatment for cancer or organ transplant).
Respiratory Syncytial Virus (RSV) has been also been recognized for over half a century as dangerous for infants and young children. The CDC reports that each year in the United States, an estimated 58,000-80,000 children younger than 5 years are hospitalized due to RSV infection.
Reducing Risk and Vaccinations
Measures to reduce risk of the spread of RSV (and respiratory viruses like Covid and the Flu) spread in general include frequent handwashing, covering the nose when cough and sneeze, and wearing a properly fitted surgical mask. In addition, to minimize the risk of catching RSV, one can also avoid close contact with others, including shaking hands and sharing drinks glasses, in addition to the previously mentioned safety measures.
The US food and drug administration (FDA) recently approved to new RSV vaccines for use in people over 60, (Arexvy) and (Abrysvo). They were both 83%, 89% effective preventing lung infection (like pneumonia) due to RSV during the 1st RSV season.
One dose of RSV vaccine provides protection against RSV disease in adults age 60 years and older for at least 2 winter seasons. Side effects are usually mild including pain, redness and swelling at the injection site, mild fatigue fever, headache, nausea, diarrhea and muscle or joint pain.
RSV can cause more severe infection in infants such as bronchiolitis, pneumonia, and an inflammation of small airways in the lungs. The CDC recommends the first respiratory syncytial virus vaccine for pregnant people to protect their newborn from severe RSV illnesses.
In September 2023, the CDC recommended new RSV immunization for infants that has been shown to reduce the risk of both hospitalization and healthcare visits in infants by about 80%.
Dr. Nashat advises people to speak with their provider with any questions they may have about RSV, the RSV vaccine, or any respiratory virus.
Dr. Nashat is a family medicine doctor treating patients at Shore Physicians Group office located at 401 Bethel Road in Somers Point. To make an appointment with him, call 609-365-6200.
Comments Off on Tips for Effective Blood Pressure Monitoring at Home
By Angel Reyes-Diaz, MD, Shore Physicians Group If you’ve been diagnosed with high blood pressure, or hypertension, know that you’re not alone; it’s a common issue affecting nearly half of all American adults. Unmanaged high blood pressure can lead to various health problems, including heart disease, stroke, and kidney damage.
As a primary care physician, I’m here to work closely with my patients on developing a personalized treatment plan for hypertension, which may include medication, lifestyle changes, and ongoing monitoring. For many patients, home blood pressure monitoring becomes a vital part of their journey.
To manage your blood pressure effectively, we rely on consistent, long-term data rather than occasional office readings, which can be influenced by the stress of the doctor’s office. Home monitoring is essential, however it’s crucial that you do it correctly. I’m passionate about helping patients monitor their blood pressure at home, and I’d like to share some key tips for accurate results.
Choosing the Right Monitor: With various blood pressure machines available, selecting the one that suits you best is crucial. Typically, upper arm cuffs are more accurate than wrist cuffs, as recommended by the American Heart Association. Ensure the cuff fits your upper arm’s circumference properly. If it’s too big or too small, it could lead to inaccurate readings. Bringing your machine to your next doctor’s appointment for calibration is also a good practice.
When to Measure: It’s advisable to check your blood pressure at least twice a day, ideally at the same time each day for consistency. Take two readings, one minute apart, and do so in the morning before taking medications and in the evening before dinner. It’s important to measure your blood pressure when you feel most relaxed and to avoid taking it after consuming caffeine or alcohol, smoking, during emotional or stressful moments, or after physical exertion to prevent falsely elevated readings.
Ensure Correct Positioning: Proper positioning is pivotal for accurate readings. Follow these steps when checking at home:
Sit in a chair with your feet flat on the floor and your back supported.
Rest for a few minutes with your arm positioned at heart level on a flat surface.
Ensure the cuff fits your upper arm correctly.
Place the cuff just above the bend of your elbow on bare skin.
Be still and silent throughout the reading.
Keep a Log: Your doctor will want to review your blood pressure results over time. Maintain a detailed log of the date, time, and your blood pressure readings. If your machine has a storage feature, you can access your data there. You can also use a smartphone’s “Notes” feature or download a blood pressure tracking app. Some monitors even have corresponding apps for seamless data management.
Report Abnormal Findings: Understanding your blood pressure readings is essential. The two numbers, systolic and diastolic, determine your blood pressure level. Typically, normal blood pressure falls below 120/80. Readings exceeding 130/80 are considered high, while those in between are elevated. Should your blood pressure exceed 180 in the first number and 120 in the second, it’s vital to notify your doctor promptly, as you may need emergency care.
In adopting these practices for home blood pressure monitoring, you play an active role in controlling your hypertension and reducing the risk of complications. Your partnership with your healthcare provider is key to achieving and maintaining a healthier future.
If you’re looking for a caring and experienced primary care physician, Angel Reyes-Diaz, MD is here to help. Angel Reyes-Diaz, MD sees patients at Shore Physicians Group’s Northfield office, located at 2605 Shore Road. To schedule an appointment, call 609-365-5300.
Comments Off on Unlocking the Goodness of Winter Squash: A Seasonal Superfood
By Tiffany Rios, RD, CDE, Shore Physicians Group As the days grow shorter and the air turns crisp, our tables become adorned with the vibrant hues of winter squash. These hearty vegetables are not just a symbol of the changing seasons; they’re a nutritional powerhouse that brings a burst of flavor and health benefits to your autumn and winter meals. In this article, we’ll delve into the varieties of winter squash you should consider, explore the health benefits they offer, and uncover some practical tips for preparing them.
A Variety of Choices
Winter squash comes in a range of shapes, sizes, and flavors. Some of the most common varieties include butternut, acorn, kabocha, delicata, and spaghetti squash. Each type has its unique qualities, making them versatile ingredients to explore in your culinary adventures.
Reasons to Embrace Winter Squash
Let’s break down the three compelling reasons to make winter squash a star in your fall and winter meals:
Antioxidant Beta Carotene: Winter squash is packed with beta-carotene, a powerful antioxidant. Once ingested, your body converts beta-carotene into essential vitamin A. Beyond its role in supporting healthy vision and skin, studies have linked beta-carotene to a reduced risk of certain cancers. Making winter squash a regular part of your diet can provide your body with a powerful tool for maintaining good health.
Lower in Calories and Carbs: If you’re watching your calorie or carbohydrate intake, winter squash is a smart choice. Compared to its starchier counterparts like potatoes, it is significantly lower in calories. A typical serving of winter squash contains around 45 calories, whereas potatoes can boast 77 calories per serving. When it comes to carbohydrates, winter squash is a friend to those aiming to manage their carb intake. Spaghetti squash, for instance, tends to contain only 7-10 grams of carbohydrates per one-cup serving.
Rich in Vitamins & Minerals: Winter squash is a nutritional treasure chest, offering a substantial supply of essential nutrients. A single serving provides a generous 200% of your daily vitamin A needs, vital for maintaining good vision and a robust immune system. Additionally, it delivers around 33% of your daily vitamin C requirements, playing a crucial role in immune function and skin health. Winter squash is also a reliable source of minerals like potassium, magnesium, and calcium, which are essential for a range of bodily functions, including maintaining strong bones and a healthy heart.
Incorporating Winter Squash into Your Diet
Embracing the delicious and healthful attributes of winter squash is easy. You can incorporate them into your diet in numerous ways:
Add roasted or sautéed squash to salads and grain bowls for extra flavor and nutrition.
Use squash as a side dish to complement your favorite protein or main course.
Transform squash into a heartwarming soup, perfect for warming up on chilly evenings.
Tips for Cutting Squash
The thick, tough skin of winter squash can be intimidating to tackle in the kitchen. Here are some tips for making the process more manageable:
Start with a sharp knife: A sharp knife will make it easier to cut through the tough skin and flesh of the squash.
Microwave briefly: Pop the whole squash into the microwave for a minute or two to soften the skin slightly. This will make it easier to cut.
Cut a flat surface: Slice off a small piece from one end of the squash to create a stable, flat surface. This will prevent the squash from rolling around while you’re cutting it.
Halve or quarter: Depending on your recipe, you can cut the squash in half, then scoop out the seeds, and proceed to slice or dice as needed.
Winter squash is not only a delight for your taste buds but also a boon for your health. As the seasons change, take advantage of the abundance of these vibrant gourds and make them a star in your fall and winter culinary creations. Your palate and your well-being will thank you.
Tiffany Rios is a registered dietitian (RD) and certified diabetes educator (CDE) with Shore Physicians Group, who practices at their Endocrinology Division located at 18 West New York Avenue in Somers Point. She is passionate about promoting healthy eating and nutrition education, and believes in the power of food to nourish both body and soul. For more information, call 609-365-5300.
Comments Off on Concerned About Cholesterol? Your Doctor Can Help!
By Dr. Alex Buford
As a primary care doctor with Shore Physicians Group’s Mays Landing office, my overall goal is to help my patients live long, healthy and happy lives. One of the most important ways we can achieve that together is by monitoring and managing your risk factors for heart disease – including your cholesterol levels. If you’re concerned about heart disease and cholesterol, it’s time to schedule an appointment with your primary care doctor. We can be your biggest ally in your heart disease prevention journey, partly through vigilant cholesterol monitoring and helping you make effective lifestyle changes.
Cholesterol Monitoring: A Window into Heart Health
Cholesterol is a fatty substance produced by your liver and found in certain foods that serves as a building block for vital functions in the body. However, an imbalance in cholesterol levels can pave the way for heart disease. While it is just one of many contributing factors to heart disease, getting your numbers under control can make a big impact.
Through routine blood tests, we assess the levels of different types of cholesterol, including LDL (low-density lipoprotein – the “bad” cholesterol), HDL (high-density lipoprotein – the “good” cholesterol), and triglycerides. These numbers provide valuable insights into your cardiovascular risk. In general, LDL levels should be below 100 mg/dl, HDL levels should be above 60 mg/dl, and triglycerides should be under 150 mg/dl.
We analyze your cholesterol profile in the context of your medical history, genetics, and other risk factors. With this assessment, we can determine your susceptibility to heart disease and tailor preventive strategies accordingly.
Lifestyle Changes for Heart Health
One of my greatest joys as a physician is helping my patients achieve their heart health goals. Recently I had the pleasure of working with a woman* who was in her early 40s, and her bloodwork revealed her cholesterol levels were too high. She was also obese, so we had a great conversation about the impact that her weight and cholesterol levels could have on her health and happiness. She became motivated to do something about it, set a personal goal, and within a year she got herself to a healthy weight, and lowered her cholesterol to within normal limits.
While everyone’s cholesterol and heart disease risk is unique, there are some basic guidelines to lowering cholesterol and improving heart health, including:
Quitting smoking or vaping (smoking damages blood vessels and significantly increases your heart disease risk)
Increasing physical activity (150-minutes of moderate intensity aerobic activity a week)
Reducing your intake of saturated and trans fats (i.e. red meat, fried foods, baked goods)
Eating more heart-healthy fats (i.e. nuts, olive oil, avocado, salmon)
Achieving a healthy weight
Here’s how my patient and I worked together:
Sustainable Changes: First and foremost, please know that doctors are people, too, who understand we live in a world of temptations. Grilled cheese and French fries are delicious – we get it! But we can’t eat it all the time. I recently realized I was eating French fries from the pizza place across from my office three days a week. I had to cut back to once a week, and I share them with a colleague. And that’s how I talked about it with my patient. She did not completely deny herself, she just cut way back on the foods that were contributing to her weight and cholesterol levels, and found healthier ways of preparing her favorite foods.
Frequent Visits: With this particular patient, she came in every 4 to 6 weeks for weight checks and updates. It was something she wanted and was willing to do to stay accountable, and I was happy to be there for her. Not everyone can afford to do this, but know it is an option.
Celebrating Small Victories: As children, we were often rewarded when we did a good job, but what about as adults? We deserve to hear ‘good job!’ too! As your primary care doctor, I’m here to celebrate your victories, no matter how small. With my patient, we celebrated every small victory – even if the only change was going from ice cream five days a week to two. It’s still a win, and we will build upon that victory.
An Honest Relationship: If you fall off track, don’t hide from us! We won’t yell at you or try to make you feel bad. We all fall off track sometimes, but the important thing is to get back up again. Often, coming in for your doctor’s appointment is just what you need to get back on track.
Ongoing Monitoring and Support: Collaborating with your primary care physician is not a one-time effort but a continuous journey towards heart health. Make sure you’re sticking to your regular appointment schedule so your doctor can track your progress, make necessary adjustments and encourage you on your journey. Also know that in some cases, lifestyle changes alone may not suffice, simply because of your genetics. If medication is required to manage your cholesterol, don’t be hard on yourself. Your primary care doctor can prescribe and monitor their effectiveness, while coaching you to continue with healthy lifestyle changes. Through this partnership, you can make informed choices and take proactive steps towards safeguarding your most vital organ—your heart.
To schedule an appointment with Dr. Alex Buford at her Mays Landing office, please call 609-365-6217.
