As the rates of diabetes increase in both children and adults, it is time to discuss a very important part of being a diabetic — your diet. You diet is a vitally important to your heath. There are many resources online and in print (books,articles etc) but there are reasons to be cautious when recommendations for dieting seems extreme. Crash diets are not an option if you  are a diabetic. Here are some key points in monitoring your nutrition:

• Consume breads that are highest in fiber.
• Protein is important and make it…

Photo by graur codrin

I recently visited a patient who had undergone cataract surgery on her eyes.  She had told me that as she got older and started to have vision changes, she just thought that was a natural part of aging, the way people eventually use reading glasses or bifocals. It wasn’t until a “cloud” started forming on her eye that a friend told her to get an eye exam and have it professionally looked at. According to the MayoClinic, the symptoms of cataracts include:

• clouded, blurred or dim vision
• increasing difficulty with…

I have written a few posts on parenting and feel the need to touch on those parents that raise children who may not be so healthy or may have disabilities. It is rarely a topic you read in a parenting book. It may not even be in the parenting section of your local bookstore but in a special section. There are few words that can truly describe how difficult it can be for many parents who are raising these children. I have worked with many families over the years and…

Parenting is not easy.

No one ever said it will be easy. And no one ever said things will just be the same as they were. If you or someone you know is having or has recently had an infant, they are often exuberant in this new role. It is a wonderful thing, but there are a few wise rules that make you see just how it will be in reality. Here are some popular points (I am sure there are many others!)  to ponder as you partake on the parenting…

A few weeks ago, I wrote about a friend’s dad who had both of his hips replaced. Since then, I’ve spoken to family and friends with hip issues of their own. One family member dislocated her hip last week after using it to move furniture. She said, “I always used my hip to bump furniture back in place, but I guess I forgot I’m 75 years old now, and probably shouldn’t do that!”  I thought, “That would be something to keep in mind.” Another friend has had serious hip pain…

As the heat of summer continues many children and adults take to our many beaches, pools and rivers to swim. There is nothing more refreshing than a dip in calm water to cool off. But the waters surrounding NYC are not calm. Drowning has been the second highest cause of death in children from the year 2000 to 2006. Many of these deaths are in children who can swim. Nothing is more frightening than to be caught in a riptide on one of our beaches or a current in a…

A frequent type of call I receive in the Customer Care Center at VNSNY relates to patients who have fallen in their homes. I am reminded of the seriousness of such a call as soon as I open my telehealth triage guidelines as listed below:

At least one-third of patients over the age of 65 years and one-half of those over 85 years fall each year. Falls in the geriatric population are associated with significant potential morbidity and occasional mortality. Non-intentional injury is the seventh* leading cause of death in people over 65 years in…

I remember when I was a little girl, my grandfather would sometimes say to me, “Oh, getting older is so hard. All the aches and pains…” According to him, entering one’s “golden years” was not something to look forward to. However, I did understand why he would say that to me — he had rheumatoid arthritis which crippled his knees, thus impairing his mobility. Although I didn’t realize it at the time, he was in chronic pain. I never saw him take any pills, but he would constantly use Bengay, and sometimes I…

Image by Jean Ryder

In a recent blog, Dr. Kevin Pho noted that up to 20% of first-time prescriptions written for patients are not filled. Reasons for this can include the expense of the medicine, concern regarding side effects, or even a fear of addiction. Another reason mentioned is the inability for some people to physically get to the pharmacy and have the prescription filled. This can be serious for some illnesses such as diabetes or high blood pressure, where getting your medicine in a timely fashion is important in the management of the…

Grab bars are valuable in helping the elderly prevent falls in the bathroom. A few questions I normally ask before I recommend the installation of a set of grab bars are:

1. Do you have difficulty getting in and out of the tub or shower?
2. Do you use the towel rack or sink for support?
3. If you use a shower seat, do you have trouble getting on and off it?
4. Have you recently fallen while taking a shower?

If you answered yes to any of these questions, installing grab bars may be a good idea.

Grab Bar…