American Heart Month!!

Not my photo, link to where I got it below

It’s the last day of February—Heart month!

I didn’t want to let the month end without a good post encouraging you to focus on your heart health—after all, I am an internist—who focuses on preventative care. This is what I live for. It’s been a busy month, and I haven’t really had a lot of time to sit down to do this, but if you take a look around the site after reading through this, you’ll see why I couldn’t let this one slide…

I was very animated, and had a lot more hair…lol!

So—last year, I gave a talk where I told a bunch of ladies in order to protect their heart they should focus more on their HEART:

Healthy Diet

Exercise

Address your stress

Regular health care appointments

TAKE RESPONSIBILITY!

Healthy Diet

A diet high in whole grains, vegetables, omega 3, 6 sources (seafood) and low in animal fat, saturated fat, simple carbohydrates—white and sugars, sodium is what you want to focus on. The most evidence is on a plant-based diet, but everyone isn’t always ready for this lifestyle commitment. I teach my patients about the healthy plate, one where you have ½ plate of veggies and fruits, ¼ of a lean protein source, and ¼ of a carbohydrate, preferably whole grain. In addition, ways of eating like, intermittent fasting, are showing additional promise.

https://www.hsph.harvard.edu/nutritionsource/healthy-eating-plate/

Exercise

Our sedentary lifestyle is killing us. We spend times in commute, in front of computers at work, in front of screens to unwind. The amount of television one watches can be correlated with how unhealthy you will expect them to be—why? Because generally, you aren’t moving while you’re doing it.

For a healthy lifestyle, it is recommended 150 min of moderate (walking) or 75min of vigorous (Zumba) cardiovascular exercise weekly; 2 days weekly of strength training. This can be over 5 days or 2 days—just get it in!!

Address your Stress

It is well known that stress is correlated with uncontrolled hypertension and diabetes, which are risk factors for heart disease.

Mindfulness, meditation, counseling, exercise—and, yes, sometimes medication are important ways to make sure you are addressing this important aspect of your health.

Regular Health Care Appointments

Get screened for important risk factors to heart disease and listen to your doctor when they tell you what they are seeing. I can’t tell you how many times I hear, “But Doc, I’ve never had X.” Insert whatever disease they haven’t had until this day and don’t want to have. Guys, you don’ have it until you do. And sometimes, you don’t have, it, and I’m trying to prevent you from having it. Listen to your doctor when they are telling you that they are seeing the signs of disease or the early signs that one may be developing.

Specifically, diabetes, hypertension, and obesity are large contributors. And I realize, no one wants to hear about their weight, and no one wants to be on medications. There’s a way to have the discussion, and I’m totally here for lifestyle modification (see the hyperlink)!! But you can’t fight what you don’t acknowledge.

Which leads to…

TAKE RESPONSIBILITY

You should ask questions in your appointments. If your doctor isn’t telling you about your risk of heart disease, ask to make sure it’s being addressed. Know your numbers, and where they fall in relation to what normal values are, and what that means for your overall health. And ultimately, your doctor, and health care professionals provide the education, but you make the change. MAKE THE CHANGE!! 😊

Heart month image: http://www.kdisanto.com/wp-content/uploads/2012/02/HeartMonth.jpg

COVID-19

Borrowed from CDC website–not my image

In light of the new Coronavirus, Sars-Cov-2 the virus that causes COVID-19, I felt a new post was in order.

This is the thing…coronaviruses are the types of viruses that cause illnesses that are similar to the common cold. So we are literally trying to contain something that can be as mild as the common cold in presentation, but be deadly. For this reason, I have a few words of wisdom:

****UPDATE 3/15/2020

The below are still great principles, but at this time, you should just STAY HOME to prevent the spread of this illness. We are pretty much past the point of containment and needing to flatten the curve. Wonder what that means? This article explains it beautifully! And the CDC recommends canceling gatherings of 50 or greater people for the next 2 weeks.

Understand that social isolation is not a vacation. You need to cancel play dates, not go to the museum or brunch or the mall. You need to limit your contact with everyone not in your immediate family. Looking for things to do? The Met is streaming operas for free. There are also these virtual field trips you can take with your kids.

Wondering about church? Well, I am very religious and spiritual, as you’ll know if you visit the rest of my site. But this exposure at church is a risk everyone is taking by continuing to attend worship services. I maintain that it is not my place spiritually to say whether in person service should continue, but I strongly believe that leadership should consider that it is no longer expedient given our ability to reach the masses virtually, and should be offering these options, particularly to our populations most at risk.

****Resume Original Post

  1. Do not obsess over this. You will drive yourself crazy trying to control the uncontrollable. There are many variables we will not be able to control. Rest well knowing that many people who will become infected will not die of the illness. Hopefully, the same strategies that help shorten a viral illness will work to help decrease the severity of this one.
  2. Do not buy face masks. Not only does it take away from the supply that could be needed for the front line staff caring for sick individuals, but it could put you at greater risk for infection. Only wear a mask if you are already sick and have the potential to expose others around you.
  3. You know the serenity prayer—employ those principles. There are things you can’t do, and there are things you can. Below are things you can do from this article (note: I addended one of the bullet points with my recommendation)
  • Wash your hands often with soap and water for at least 20 seconds (the time it takes to sing the “Happy Birthday” song twice). If soap and water are not available, use an alcohol-based hand sanitizer. Avoid touching your eyes, nose, and mouth with unwashed hands. (Further notes on hand washing—you can truly prevent the spread of so many viruses and bacteria through proper hand washing! See this article!)
  • Avoid close contact with people who are sick and their immediate environment.
  • Stay home when you are sick and try to avoid close contact with other household members.
  • Cover your cough or sneeze with a tissue (or your elbow if no tissues are available), then throw the tissue in the trash. Immediately wash your hands. 
  • Again, stay home if you are infected to help prevent spreading the virus to others. If you must leave home, wear a face mask (surgical or N95) covering your mouth and nose. (I changed this bullet point)
  • Stay informed of the progress of the outbreak by accessing the news and the CDC “Situation Summary.”
  • Clean and disinfect frequently touched surfaces. The WHO recommends using a diluted bleach solution made of 1 part chlorine bleach to 99 parts water

Please find below some helpful resources on COVID-19

Kid-Friendly Video

Another Video explaining process of a Coronavirus infection

CDC Website

Map of COVID-19 Activity

How Contagious is Sars-Cov-2?

Flatten The Curve

What?! No mask?

Washington Post Coverage

New York Times Coverage

Interesting Atlantic Article

New Cases in San Antonio, TX

“Presumed Positive” Fort Bend County Case

I found this amazing infographic in a much more readable version here. Just think of this as a preview :-).

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