Month: December 2018

Concierge Medicine

A mass-market variant of Concierge Medicine, distinguished by its low prices, Direct Primary Care (DPC) is also quite popular by many Gen Xers and the Boomer population. Due to much smaller patient panels than traditional primary care and insurance-based medical practices, DPC doctors say they spend more time with patients discussing treatments, procedures, prescription use and other healthcare options.

Similar to its older familial medical model, Concierge Medicine, Direct-Pay doctors frequently promote the fact that they can provide “unhurried appointments” and same-day access to a physician. Most Direct-Pay medical clinics and doctors with price points under $100 per person per month are slowly gaining traction in the highly competitive healthcare marketplace in the U.S. Direct-Pay Medicine’s strength has not been in the number of physicians signing up to change their business model but in the low monthly fee they charge their patients.

Initially, Concierge Medicine and Direct-Pay doctors were mostly operating in primary care and family practice. The latest data reported by the concierge medicine industry trade journal reports that there are an estimated 12,000 Concierge Medicine and Direct-Pay practices nationwide. While these figures differ somewhat from analysis touted in the media and quoted by other organizations, their number represents primary care and family physicians plus a wide range of Concierge Medicine and Direct-Pay healthcare specialty practices in the U.S. There started to be a growing number that practice in secondary Concierge Medicine specialties including: pediatrics; general surgery; psychiatry; spine surgery; gynecology; dentistry; cardiology; addiction medicine; dermatology; oncology and more. These specialty practices usually offer the same immediate access, longer appointments, and a proactive health focus similar to primary care concierge practices. Some also offer home visits. Specialists usually limit their practices to a smaller number of patients -150-300 compared to the more typical 300-750 patients for primary care. They also tend to have patients who have chronic conditions.

Recent industry changes along with the implementation of the Affordable Care Act bringing a sudden influx of recently insured lower-income patients to the doctor’s offices. Primary care and family medicine doctors are listing their prices in menu-like fashion and offering affordable healthcare services and discounts on laboratory tests and examinations for a fraction of the cost seen in most traditional, insurance-based, managed care medical offices. The trade journal found that approximately two-thirds charge less than $135 a month on average. This figure includes primary care, family medicine, osteopath and various specialty physician practices.

Improve Your Digestive System

Add A Probiotic.

Perhaps the single best thing you can do to help improve your digestive system is to add a probiotic to the picture. Probiotics are great for helping to not only enhance the digestive process but also strengthen your immune system.

Most people are not getting sufficient levels of probiotics in their eating plan, so adding one is a super fire way to change that.

Sip Warm Water.

You might also consider sipping a glass of warm water during your meal. Sipping water while eating can help your digestive system relax a little and will also assist with the breakdown of the food you eat.

Don’t drink too much water though: too much may make digestion difficult, and this could leave you feeling bloated.

Stress Less.

Stress is one of the worst things you could do if you hope to keep your digestive system feeling its best. When you are stressed, the sympathetic nervous system is ruling over your body. When your body is trying to digest food, the parasympathetic system is the one that needs to be in control.

Both systems cannot be working at the same time consequently this creates strain over your entire body. So before you eat your next meal, consider doing some deep breathing to calm yourself down.

Eat Slowly.

Slowly chewing your food is also a good trick to help give your digestive system a boost. Your digestive system can only handle so much food at a time, so if you attempt to gulp your meal, you are going to feel the effects shortly after you finally do stop eating.

Eating slowly gives you the chance to listen to your body’s internal signals on when it is time to stop eating, so this might also help you lose weight.

Chew Your Food.

Finally, it should go without saying but make sure you chew your food thoroughly. Too many people rush when they eat and only chew their food partway. As this is the first step in the digestion process, the more you break food down, the less work it will be for the rest of your digestive system.

Swimming Over Running

Resistance Effect

A great natural advantage to swimming is the resistance effect. Water is 1000 times more dense than air, so when you swim, it’s like weight training without the dumbbells. The water itself is your weight training.

You get a full body workout when you swim that puts little stress on your joints. You engage the muscles of the upper and lower body. This includes the legs, core, the upper and lower back, the arms, shoulders and chest.

Just like weight training, swimming engages and tones muscle due to the resistance. Although running is a great cardio workout, it does little to enhance a dynamic muscular body.

Burns the Calories

A moderate-intensity workout classifies keeping your heart-rate at 50-70 % of maximum heart rate.

A rigorous workout runs at 70-85 % max heart-rate. After an intensive 30 minute breaststroke swim, you can burn up to 300 calories. This can vary according to your weight. The heavier you are, the more calories you burn. By burning 500 calories more than you eat every day, you can lose a pound of fat a week. Okay, this does not sound much. But think long-term. After a month you can lose about 4-5 pounds – almost half a stone. Multiply that by 6 months and you have lost 2 stone of body fat.

Why Swimming helps the Heart Work More Efficiently?

When the body is in an upright position (e.g. when run or jump),the heart has to work hard to pump blood and oxygen to and from the lower extremities. This increase demand on the heart can lead to spikes in blood pressure – not good for the heart.

The American College of Sports Medicine states: ‘Swimming works the cardiovascular system without causing major increases in blood pressure.’ Because the body is in a horizontal position whilst swimming, the heart does have to work as hard. There is almost no gravity involved, so the blood pressure stays down.

The Weightlessness of Water

Yet another benefit swimming has over running, is the weightlessness effect in water. At the end of every stroke – breast stroke, freestyle etc, your body stretches out. Because the water holds your body up, it enables you to stretch out whilst in motion. The spine can then lengthen, elongating the gaps between the vertebrae.

Physiotherapists encourage patients with disc problems to swim because of this spine lengthening effect. It takes pressure off the discs.

Healthy Pleasures of Prostate Milking

The activity of prostate milking is not just pleasurable, but extremely healthy too. It is something which can be enjoyed as part of any lover’s intimate life, and something that can be learned quite easily, although there is a little skill to it. It involves stimulating the prostate with either the finger, or a specially designed massage tool with the intention of giving both relaxation and pleasure to those involved.

The prostate gland is like the female G-spot for the man, and an important part of the sexual system which can be found just below the bladder where it is sheathed within the musculature (an arrangement of muscles in an organ) of the pelvic floor. These are the same muscles which contract while experiencing both an orgasm or ejaculation.

The prostate gland consists of tiny ducts called acini which can be found within the gland itself, and which produce the prostatic fluid that mixes with both the sperm and the seminal vesicle fluid (fluid that stops the sperm sticking together). The mixture produces the male ejaculate which is so important for the function of sexual pleasure for the part of the man.

With regular ejaculations, the prostate is kept healthy by stimulating the production of fresh prostatic juices which also brings fresh blood to the area. Within the blood comes both nutrients and oxygen which help keep the prostate in tip-top condition, and help prevent both prostate disorders and prostate cancer. The activity of prostate milking can be done by either/or both men and women alike, and where an erection is not necessary.

Instructions for Prostate Milking

  1. Empty the bowl completely before proceeding and get into a relaxed position.
  2. Place a tight-fitting latex glove on one hand and lubricate either the middle or forefinger before gently inserting it into the rectal area (the anus). Once inserted (about 3 cm), bend the tip of the finger into a hook shape. The prostate can be recognized as being a small bulge about the size of a walnut, and is located by feeling both inwards and upwards towards the navel.
  3. The prostate gland consists of three sensitive areas: the left, the center, and the right, with the center being the most sensitive and where over-stimulating should be avoided. The moment the prostate gland is located, new sensations will be experienced as the finger is gently rubbed back and forth along its sides.
  4. During the stimulation, an ejaculation will be caused together with an intense orgasm similar to that experienced while having normal intercourse, only the intensity experienced is usually a lot stronger in the majority of cases. While it is not necessary to use the finger, as specially designed massage tools are available; the milker does have more sensitivity control when it is used.

Heal a Meniscus Tear

What Are The Treatment Options For A Meniscus Tear?:

The degree of aggressiveness when approaching the treatment options is based on the extensiveness of the meniscal tear. Meniscal tears are classified based on the anatomical region of the meniscus that is affected and how deep into the tissue the tear occurs. Medial meniscal tears occur on the inside of the knee. Lateral meniscal tears occur on the outside of the knee. Horizontal tears occur in the front part of the knee and run parallel with the tibial plateau (knee end of the tibia). Radial tears occur at center of the “C” shaped structure and go across the middle dividing the meniscus. Oblique or meniscal flap tears can occur at any part of the meniscus but are most likely to be found in the ends of the “C” shaped structure. Complex or degenerative tears include more than one tear and are usually gradual over time as opposed to a specific event causing an acute tear. The degree as to the extent of the tear is classified by partial thickness (does not tear completely through the structure) and full thickness tears (completely tears through the entire thickness of the structure).

How to Treat a Meniscus Tear with Conservative Management:

In almost all cases of a meniscus tear conservative management (non-operative) is the first treatment option. This treatment involves steroid knee injections to reduce inflammation and swelling, physical therapy for six to nine weeks, and wearing a knee brace in everyday life to help take some of the load off of the joint while the body has a chance to repair the tear on its own. Patients that have symptomatic meniscus tears can expect a 50% chance of full resolution of pain and symptoms with conservative treatment. The steroid injections reduce the inflammation and swelling of the knee joint. Some of the pain can be reduced from these injections as well. This can allow for more productive physical therapy appointments. The physical therapy can assist with realigning the body mechanics with respect to movement. This will also stop the knee joint from freezing up and will reduce soreness. Physical Therapy is administered by a licensed Physical Therapist. A list of exercises are performed by the patient concentrating on stretching and moving the knee joint in a controlled fashion under the supervision of the physical therapist. Some of the exercises can evoke a pain response. Careful consideration must be acknowledged while performing physical therapy to avoid further damage to the meniscus tear. The knee brace will protect the joint and reduce load weight while the body repairs the meniscus lowering the chances of re-injuring the healing tear. The body repairs the meniscus by way of a collagen layer that is regenerated inside the tear.

How to Treat a Meniscus Tear with Surgery:

Patients that fail to respond to conservative treatment must consider surgical options to pursue achievement of a reduction in pain and symptoms associated with a meniscal tear. The majority of tears that need this next step are usually advanced in the severity of the tear or have an abundance of scar tissue around the tear that has prevented the proper collagen tissue from being deposited. Traditionally open knee surgery was the only option available for partial or full meniscalectomy (removal of the meniscus) surgeries. State of the art standards of care now include arthroscopic surgical intervention options. The goal of all surgical options is to relieve pain and symptoms associated with the meniscal tear. Choosing the correct surgical option is based on the severity and location of the meniscus tear.

How to Treat A Meniscus Tear With Arthroscopic Surgery:

Advances in arthroscopic procedures have allowed the meniscus to be surgically repaired by the use of a camera and endoscopic surgical instrumentation. These surgeries are typically performed outpatient at a surgery center. The most common surgery is an arthroscopic meniscal “shaving” technique. A scope is inserted into the knee joint and then the joint is filled with a saline solution. The scope is connected to an intra-operative television monitor allowing the surgeon to view the inside of the knee joint. Next a shaver is inserted into the knee to shave off scar tissue and the jagged edges of the tear. Again this will allow the body to heal the tear with collagen. More extensive surgery is needed for some full thickness and or broken pieces that are ‘free floating.’ For these extreme cases the use of a grasper is needed. The surgeon will insert the grasper into the knee joint in the same fashion as the shaver. Once the broken or floating piece of meniscus cartilage is identified the grasper can clinch it and the instrument is pulled from the knee removing the broken specimen. More extensive arthroscopic surgery techniques may include partial removal of the meniscus and / or arthroscopic suturing of the meniscal tear. These techniques are performed with the same set up and instrumentation. Closure is minimal only requiring a few sutures to close up in most cases only two or three small incisions measuring 4 mm.

How to Treat a Meniscus Tear with Open Knee Surgery:

Open knee surgery is the most extensive and invasive form of meniscus surgery and is used as a last resort. Patients that fail to respond to arthroscopic surgery or have extremely damaged meniscus will require open knee surgery in hopes of achieving a reduction of pain and symptoms associated with meniscal tears. This surgery is usually performed inpatient requiring at least one night in the hospital.

To expose the knee joint an incision from an inch or so above the patella (knee cap) to an inch or so below the patella. The patella is moved to the side with retractors and then the surgeon will flex the knee exposing the interior of the joint. From this approach a significant portion of the meniscus can be visualized and removed. If the entire meniscus needs to be removed a meniscus transplant can be performed. A fresh meniscus is surgically recovered from a cadaveric (deceased) tissue donor. The donor is tested for communicable diseases such HIV, HEP B, HEP C, Syphilis, etc. The transplant graft is pre-sized based on the recipient’s needs. The new meniscus is anchored with metal screws and synthetic monofilament sutures. Infection and biorejection are the leading causes of failure for this surgery. The best results for this surgery have been reported on patients less than 40 years of age.

Lastly, for patients that fail to respond to open meniscus surgery or for elderly patients that have severe meniscal damage due to arthritic changes a total knee arthroplasty (knee joint replacement) is the final step. This surgery is performed with the same exposure technique. The ends of the tibia (shin bone) and the femur (thigh bone) are carefully reshaped with an oscillating and then fitted with metal implants that are cemented on. A synthetic plastic spacer is used to replace the meniscus. Closure of this incision that typically measures 6 inches will take several sutures.

How to Treat a Meniscus Tear Postoperatively:

Once surgery is completed rehabilitative physical therapy is required along with a knee brace. It is important for the knee joint to be rehabilitated with the proper movement so that normal body mechanics can be realigned. Returning to normal body mechanics will ensure that the joint will function in the normal capacity and re-injury is reduced.

For arthroscopic patients the postoperative physical therapy exercises are similar to conservative management physical therapy. Usually only a couple of appointments are needed with the physical therapist for training the patient. The patient is encouraged to perform the daily exercises at home once they have been trained how to perform them. Typically this regiment lasts for 6-9 weeks depending on how the patient responds to the post-operative treatment.

Patients that undergo open knee surgery can expect a more stringent form of postoperative physical therapy. In addition to general flexion and extension exercises, the patient must perform walking and mobility exercises as well. Although some of the exercises are performed at home the patient must go to multiple physical therapy appointments at the physical therapists facility. The physical therapist will closely monitor the progress and communicate the findings to the patient’s physician. This postoperative physical therapy program can last from 12-16 weeks depending on the progress of the patient.

Benefits of Berries

For the most part, I chose these berries because they were easily commercially available. Plus, they prove reasonably easy to find, and offer very high antioxidants for immune support. Each helps individual health quickly, and are found relatively easily, regardless of where one lives.

If I lived in Alabama, I could still find goji berries at Whole Foods to aid in immune system building and strengthening.

I tried to include two different categories of recipes: “no-brainer” and “slightly exotic.” The first category-if you want to call it that-features recipes that are incredibly easy to create and very comfortable, with familiar ingredients and familiar cooking skills. The more exotic recipes are still quite cinchy to prepare, but I included them because I wanted to push readers a little bit, to broaden their palates.

However, this latter group still had to be healthy and relatively easy to make. Not fiddly, not requiring 40 ingredients and 17 steps. They are easy, fun, and just-recognizable-enough. I added soups, condiments, catsup, salsa, savory foods, fish, poultry, and grains.

Trust me-it’s all easy. Anything that is a tad exotic is “safe.” What I mean by that is I gently walk readers toward things that are different, holding their hands the entire way, never overwhelming them with a lot of crazy ingredients or steps. When it comes down to it, my main goal with this book is to make it easy to get berries into meals, regardless of what they normally like to eat. I don’t want to make things too hard or you’ll throw up your hands in frustration and you won’t eat the berries!

Readers don’t need to know the history of the food, but if they’re buying my book, they’ll get more than recipes. I’m a natural teacher, so if they’re “hanging out” with me, my guess is they’re interested in same things I would be interested in if our roles were reversed. When it comes to food, I ask questions about EVERYTHING. I make the assumption readers will ask questions, too.

Generally speaking, if a person has a strong immune system, they are less prone to getting the latest virus that’s floating around. They are less likely to getting skin reactions and breakouts. They are less likely to getting infections of any kind. And they have a lessened risk of cancer and autoimmune disorders. There are numerous studies on the powerful effects of berries on specific illnesses, such as cancer, and how berries improve one’s immune system functioning. Further, berries help detoxify the body, ridding it of the environmental and and other toxins that weaken our immune system and make us sick. So these are all reasons I want people to eat berries! But often I find that people don’t know how to eat in a way that keeps their immune system strong. Often, it’s simply that a person has never learned to use foods to build their immunity. Once someone learns what to eat-what foods should be in their weekly, and even daily, diet- they’re less likely to get cancer, autoimmune disease, or fall prey to dementia. Further, these berries benefit cardiovascular health, blood sugar, and digestive health.

Carrots

Beta-carotene, the main content of carrots, is maily responsible for improving your vision. The vitamin A forms a purple pigment called rhodopsin the eye needs to see in dim light. Hence, if we dont get adequate vitamin A, it can lead to night blindedness.

Beta-carotene also acts as an anti-oxidant which prevents free radicals responsible for cancer and heart attacks. A study at Texas and Chicago states that men with higher content of Beta-carotene are 37% less prone to heart related diseases. Carrot has one more anti-oxidant called alpha-carotene which reduces the risk of lung cancer.

Tip: Cut off the leafy tops of the carrot before storing them. The leafy tops suck the vitamins from the main body robbing its nutritions. You can make best use of carrots by adding it to your favourite juices.

Wow, see the magic of carrot which is so easily available and cheap too. So start having atleast 50 gm of Carrot daily to fill in the required amount.

Delicious Ways To Serve Greek Yogurt

Prepare Protein Bark.

Protein bark can be an excellent way to cool down after a hot summer’s day. To make protein bark, simply mix together…

  • 1 cup of plain Greek yogurt,
  • ¼ cup protein powder,
  • ¼ cup peanut butter,
  • 1/2 cup of unsweetened coconut or almond milk, along with
  • a pinch of powdered Stevia.

Blend this all together and then pour into a container lined with wax paper. Freeze for about five hours and then slice and serve.

Add Greek Yogurt To A Smoothie.

Don’t forget you can also add this type of yogurt to a smoothie: this is a great alternative to conventional protein powder, or it can be used in addition to the protein powder.

The yogurt will also make the smoothie thicker while giving you the vital nutrients your body needs.

Try It On A Sandwich.

You have probably used mayonnaise a time or two before when preparing lunch, but unfortunately, mayonnaise is exceptionally high in unhealthy fats. While you can get the low-fat variety, you are still not getting top quality nutrition from this condiment.

The solution? Try Greek yogurt instead. This yogurt mixture is thick enough that you can easily smear a little on a slice of Ezekiel bread and then add whatever ingredients you desire.

Prepare Protein Cookies.

Finally, you can also use this type of yogurt to make delicious tasting protein cookies. For these, mix…

  • 3/8 cup of oatmeal,
  • ¼ cup protein powder,
  • 1/3 cup Greek yogurt, 1/3 cup coconut flour,
  • ½ tsp. baking powder,
  • 1 whole egg,
  • ¼ cup egg whites, and add
  • stevia to taste.

Once well mixed, place by the spoonful on a baking sheet and bake at 350 degrees for about 9 minutes. Eating healthy will have never felt so simple.

Running For Overweight People

Believe in yourself

Running is not an easy task for overweight people because they are being out of shape. Nevertheless, believing in yourself can produce miracles. Your beliefs are like the set of rules that dictate your mind. Therefore, if you strongly believe that you can become a slim, healthy runner, then chances are that you will be able to reach that goal.

You can use visualization to develop your self confidence, motivation and performance throughout your running program.

Build up slowly

You should not try to do too much running too soon. This is a big mistake and can lead to a lot of injury and health problems. If you are running too much during your first days of training, then you will be burned out and disappointed. You should be able to accept the fact that you might not be able to run at all at first due to your overweight and out of shape condition.

You should start slowly and develop on the intensity as time goes by. For example, you might only need to walk for 25 minutes three times a week in your first month and then you begin to add 30 seconds of running and one minute of walking during your workout days in the second month and so on.

Regularly check your heart rate

You need to check your heart rate to make sure that you are not doing too much running too soon. If your heart rate in the morning is too high – between 6 and 12 beats per minute – than its regular level, then this means you are doing too much.

You should check your heart rate in the morning and log down your data on your running journal. As your training progresses, your pulse will also improve. Your heart will become more efficient to pump blood and work on your muscles.

Log your runs

You need to log your runs so that you can analyze what you need to improve. A running log can help you to track your progress and doing this is crucial for your success and constant improvement.

On your running log, you need to track your distance, pace and the type of workouts that you have completed on a regular basis. Additionally, you can clearly see the progress of your fitness and weight loss goals so you will never lose sight of them. This is a great tool to boost your motivation as a runner.

Personal Healthy Diet Plan

Dietary Guidelines

The US Department of Agriculture and the Department of Health and Human Services announced the release of the 2010 Dietary Guidelines for Americans. The Dietary Guidelines is published jointly every 5 years by the Department of Agriculture (USDA), and the Department of Health and Human Services (HHS).

The Guidelines provide advice for all Americans two years and older about how to make healthy dietary choices. They are designed to reduce the risk of chronic diseases, overweight and obesity through improved nutrition and physical exercise.

The 7th edition of Dietary Guidelines for Americans places stronger emphasis on reducing calorie consumption and increasing physical activity and/or exercise, because more than one-third of children and more than two-thirds of adults in the United States are overweight or obese. This edition, like previous ones, also serves as the basis for Federal food and nutrition education programs.

Structure of Food Guides

Most countries have developed some sort of food nutrition guide, for its people, establishing a healthy diet and nutrition plan to keep the nation healthy. The guide usually consists of four to six food groups, detailing the daily serving servings for each group, and other recommendations for healthy eating.

Some food nutrition guides take the shape of a dish, a platter, or a pyramid, and are referred to as such. The USDA food nutrition guide, which depicts the Dietary Guidelines, takes the shape of a pyramid, and is called MyPyramid.

MyPyramid illustrates color triangles for each food category. Foods from the largest triangles should be eaten most often, while those from the smallest triangle eaten in small amounts.

MyPyramid Plan gives recommendations for healthy eating, by helping you choose from a assortment of foods, recommending the servings size and the number servings per day.

MyPyramid Basic Messages gives you important tips and recommendations for healthy eating, and daily exercise.

Inside MyPyramid provides detail recommendations for healthy eating, to help improve your diet plan, including data about each food group, number of calories, and physical workout.

MyPyramid Tracker offers an activity chart for entering all the foods eaten each day, and all daily physical activities performed.

This allows you to adopt good recommendations for healthy eating, and monitor your progress.

The Healthy Diet Program

MyPyramid Plan is equipped with a tool that creates a unique diet program for the individual diet planner. It utilizes age, sex, weight, height, and the level of your physical daily activity to calculate your daily recommendations. It provides the amount of each food group to include in your daily intake, and the number of calories for your diet plan.

A special worksheet is provided for documentation of your daily food intake and physical activity. Very little typing is required. You make selections from pop up menus about your daily activities. Upon request, your daily activities are compared against dietary guidelines, and some recommendations are made to improve your diet plan. The worksheet is printable. Use it as a reference guide, to construct a healthy diet plan.

MyPyramids Plan also features MyPyramid Tracker, an on line dietary and physical assessment tool that provides information on the quality of the diet and physical activity. At the click of a button, you are told whether you are eating adequately form all food groups. It also provides information about the food groups, which enables you to make better choices to design a healthy diet plan.

As you can see, MyPyramid Plan provides the services of a nutritionist, to help you create a healthy diet plan, that doesn’t cost your arms and leg. But for those people who suffer certain diseases, physical activities are not recommended before a consultation with your physician.