May is National Osteoporosis Prevention Month

This guest post was written by Simone Walters, MS, RD.

Osteoporosis and low bone density (osteopenia) — conditions characterized by loss of bone mass — are major health concerns in the United States. Throughout our lifespan, bone is constantly broken down and rebuilt, usually in a balanced way that results in bone growth and mineral accumulation in bones (“bone mineral density”) that supports a strong skeleton. As we age, this accumulation reaches its highest point (“peak bone mineral density”) and gradually shifts towards bone loss. Osteopenia occurs when bone mineral density declines below a healthy value; osteoporosis is its more severe manifestation, and both increase the risk of bone fractures. (more…)

Controversies in Urogynecology: Mesh Implants Used in Vaginal Surgery

There have been a lot of media reports (as well as lawyer ads) lately about mesh implants used in gynecological surgery to treat pelvic organ prolapse. What is all the fuss about?

In 2008, the U.S. Food and Drug Administration (FDA) issued a warning about “mesh implants” and “slings” used to treat stress incontinence and pelvic organ prolapse in women. In 2011, the agency issued a stronger warning against the use of mesh implants placed vaginally to treat pelvic organ prolapse. To understand what this all means, it is important to know the history. (more…)

Your Refrigerator: Spring Cleaning and Food Safety

Do you know what’s in your refrigerator? Not everyone does. The outdated sauces, expired dairy products, rotting fruits and veggies, and the bacteria: It’s all there at one time or another for most people. Now that the clocks have “sprung” ahead, this is a great time to spring-clean your refrigerator and learn about healthful food storage habits — which will help you keep on track for healthful living.

Keeping Your Fridge Spick-and-Span

Few people actually take the time to really clean their refrigerator, meaning with soap, bleach and hot water. Because germs are introduced to this appliance daily, it is important to routinely clean it just like you would the rest of your home. Clean up spills as soon as they occur, and take the time to wipe down drawers and door trays.

The Right Temperature

Many people don’t understand the dangers of improper food storage. You can reduce the potential for food-borne illness by keeping your refrigerator running at 40 degrees Fahrenheit or lower, and your freezer at zero degrees or lower. It is easy for temperatures to fluctuate when doors are continually opened, so it’s a good idea to check the temperature now and then to make sure the thermostat is set properly.

Where’s the Beef?

The location of your food in the fridge is key to food safety.

• Keep your meats and dairy on the lower shelves. You don’t want raw meat juices to drip onto your produce or cooked foods.

• Keep fruit and veggies either in produce drawers or on higher shelves, along with cooked foods. Local farm-grown veggies are great, but the dirt they bring in is not, so make sure to brush off dirt before refrigerating.

Product “Due” Dates

Consider the “sell by” and “use by” dates on product labels. Condiments and sauces, especially, can sit in the fridge for months before being completely consumed. Check the dates, and throw the product out if it has changed flavor, odor or appearance.

• A “sell-by” date tells the store how long to display the product for sale, meaning the product should be purchased before that date.

• A “use-by” date is recommended by the manufacturer to use the product before that date for best quality.

What to Stock

When it comes to produce, fresh is not always best if you can’t consume it fast enough. Consider keeping only the fresh fruits and vegetables you will eat within a week. Frozen vegetables are good to have on hand to add to casseroles, pizza and stir-fries. Buy low-fat dairy products such as milk, cheese and yogurt, as well as lean meats. If you do not expect to eat the meat within 2 to 4 days, consider freezing it for later use. Avoid buying large portions of easily spoiled ingredients like sour cream, cheese and fish.

Planning Ahead

Avoid food waste and food-borne illness (and save money, too!) by making a grocery list before you go to the store. Without excess and uneaten foods in the refrigerator, cleaning up and cleaning out is easier.

Here’s to healthful food storage — and healthful living!

 

How Does a Cardiologist Keep Heart-Healthy?

As a cardiologist specializing in prevention of heart attack and stroke, you can imagine I try to practice what I preach. Some of this is easy and comes naturally to me. I was always athletic and competed in track and field while in college, which is one of the things that drew me to the study of medicine. But, like most people, I still have to work at maintaining certain healthy lifestyle choices. (more…)

Common Threads: Health Equity for LGBT Persons and All Americans

February 2013 is the 150th anniversary of the Emancipation Proclamation and will see commemoration of the 50th anniversary of the civil rights March on Washington. March 2013 is Women’s History Month, and this year celebrates the contributions of women in science, technology, engineering and mathematics. The last week in March 2013 also marks the 11th annual National Lesbian, Gay, Bisexual and Transgender (LGBT) Health Awareness Week.

Each of these occasions brings visibility to the contributions made by Americans of African descent, women or, in the case of National LGBT Health Awareness Week, LGBT health care providers, advocates and allies in advancing equality, equity and fuller inclusion of these populations in American society.

LGBT People of Color Face Significant Health Disparities

Great strides have been made for each of these communities. Yet significant challenges remain in addressing and eliminating significant health disparities faced by all of these populations, especially for those at the intersections of race, gender and sexual orientation/gender identity. For example, lack of affordable health care and insurance and lack of culturally competent service providers have led to significant health disparities faced by many people of color.

An LGBT person of color faces the combined impact of these barriers, increasing the likelihood of negative health outcomes. Statistics on transgender persons, particularly transgender women of color, show drastically higher rates of HIV/AIDS. LGBT individuals show higher rates of acute disease attributed to avoiding and delaying screening and care for fear of perceived or actual discrimination and stigma from the health care providers treating them. These numbers rise significantly for LGBT men and women of color.

Events Highlight Commitment to LGBT Patients

Continuum Health Partners continues to move forward in our commitment to culturally competent and quality care for our LGBT patients and communities. During National LGBT Health Awareness Week 2013, we will be sponsoring a series of events and workshops focused on offering resources for delivering the best care to lesbian, bisexual and transgender women and families.

Activities will include a grand round series and two community/providers networking events:

Monday, March 18 from 5 to 7 pm at Roosevelt Hospital, 1000 Tenth Ave. Note that there’s been a change in the date and location for the first networking event. St. Luke’s-Roosevelt LGBT & Friends will jointly sponsor a networking event with Beth Israel’s LGBT Committee on April 8th, 5:30-7:30 pm at St. Luke’s Hospital, Amsterdam Avenue and 114th Street.

• Monday, March 25 from 5 to 7 pm at the Phillips Ambulatory Care Center’s Dr. Gerald J. and Dorothy R. Friedman Conference Center, 10 Union Square East.

Each event will celebrate our progress towards LGBT health equity, and bring together our staff and providers with LGBT consumers and community-based organizations serving LGBT persons. We will distribute posters, cards, stickers and pins to employees to help promote LGBT Health Awareness Week in our hospitals and clinics.

Hold these dates on your calendar. More detailed information will available by e-mail—to add your name to the list, please contact Bwarren@chpnet.org. We look forward to seeing you there and to working with you in 2013 toward greater health equity for all.

Give Yourself a Leg Up: Treating Your Varicose Veins

Bundled up against the cold and snow this winter, your legs and how they appear are probably the last things on your mind. This, however, is exactly the right time to start addressing your varicose veins and all the problems associated with symptomatic venous insufficiency, a condition in which the veins have problems returning blood from the legs back to the heart. (more…)

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